CN211325340U - Cesarean section is with uterus tourniquet - Google Patents
Cesarean section is with uterus tourniquet Download PDFInfo
- Publication number
- CN211325340U CN211325340U CN201922197496.7U CN201922197496U CN211325340U CN 211325340 U CN211325340 U CN 211325340U CN 201922197496 U CN201922197496 U CN 201922197496U CN 211325340 U CN211325340 U CN 211325340U
- Authority
- CN
- China
- Prior art keywords
- strapping tape
- strapping
- locking
- tourniquet
- uterine
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Fee Related
Links
- 210000004291 uterus Anatomy 0.000 title claims abstract description 41
- 239000004816 latex Substances 0.000 claims abstract description 7
- 229920000126 latex Polymers 0.000 claims abstract description 7
- 229920001971 elastomer Polymers 0.000 claims description 4
- 230000007306 turnover Effects 0.000 claims description 4
- 239000002390 adhesive tape Substances 0.000 claims 1
- 230000000740 bleeding effect Effects 0.000 abstract description 18
- 238000000034 method Methods 0.000 abstract description 8
- 230000008569 process Effects 0.000 abstract description 7
- 208000032843 Hemorrhage Diseases 0.000 description 20
- 230000002439 hemostatic effect Effects 0.000 description 13
- 230000023597 hemostasis Effects 0.000 description 11
- 210000000683 abdominal cavity Anatomy 0.000 description 5
- 210000003754 fetus Anatomy 0.000 description 5
- 210000004204 blood vessel Anatomy 0.000 description 3
- 230000008602 contraction Effects 0.000 description 3
- 230000000694 effects Effects 0.000 description 3
- 230000001605 fetal effect Effects 0.000 description 3
- 208000036029 Uterine contractions during pregnancy Diseases 0.000 description 2
- 239000008280 blood Substances 0.000 description 2
- 210000004369 blood Anatomy 0.000 description 2
- 230000023555 blood coagulation Effects 0.000 description 2
- 239000003814 drug Substances 0.000 description 2
- 230000007246 mechanism Effects 0.000 description 2
- 238000011084 recovery Methods 0.000 description 2
- 230000008346 uterine blood flow Effects 0.000 description 2
- 229920000742 Cotton Polymers 0.000 description 1
- 208000036818 High risk pregnancy Diseases 0.000 description 1
- XNOPRXBHLZRZKH-UHFFFAOYSA-N Oxytocin Natural products N1C(=O)C(N)CSSCC(C(=O)N2C(CCC2)C(=O)NC(CC(C)C)C(=O)NCC(N)=O)NC(=O)C(CC(N)=O)NC(=O)C(CCC(N)=O)NC(=O)C(C(C)CC)NC(=O)C1CC1=CC=C(O)C=C1 XNOPRXBHLZRZKH-UHFFFAOYSA-N 0.000 description 1
- 101800000989 Oxytocin Proteins 0.000 description 1
- 102100031951 Oxytocin-neurophysin 1 Human genes 0.000 description 1
- 230000009471 action Effects 0.000 description 1
- 230000008901 benefit Effects 0.000 description 1
- 208000015294 blood coagulation disease Diseases 0.000 description 1
- 229960005296 carboprost tromethamine Drugs 0.000 description 1
- UMMADZJLZAPZAW-OVXHCKHTSA-N carboprost tromethamine Chemical compound OCC([NH3+])(CO)CO.CCCCC[C@](C)(O)\C=C\[C@H]1[C@@H](O)C[C@H](O)[C@@H]1C\C=C/CCCC([O-])=O UMMADZJLZAPZAW-OVXHCKHTSA-N 0.000 description 1
- 230000035606 childbirth Effects 0.000 description 1
- 229940079593 drug Drugs 0.000 description 1
- 239000013013 elastic material Substances 0.000 description 1
- 238000009802 hysterectomy Methods 0.000 description 1
- 210000003090 iliac artery Anatomy 0.000 description 1
- 238000001990 intravenous administration Methods 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 239000002991 molded plastic Substances 0.000 description 1
- 210000000754 myometrium Anatomy 0.000 description 1
- 230000000474 nursing effect Effects 0.000 description 1
- XNOPRXBHLZRZKH-DSZYJQQASA-N oxytocin Chemical compound C([C@H]1C(=O)N[C@H](C(N[C@@H](CCC(N)=O)C(=O)N[C@@H](CC(N)=O)C(=O)N[C@@H](CSSC[C@H](N)C(=O)N1)C(=O)N1[C@@H](CCC1)C(=O)N[C@@H](CC(C)C)C(=O)NCC(N)=O)=O)[C@@H](C)CC)C1=CC=C(O)C=C1 XNOPRXBHLZRZKH-DSZYJQQASA-N 0.000 description 1
- 229960001723 oxytocin Drugs 0.000 description 1
- 239000002504 physiological saline solution Substances 0.000 description 1
- 230000003449 preventive effect Effects 0.000 description 1
- 210000005077 saccule Anatomy 0.000 description 1
- 230000007480 spreading Effects 0.000 description 1
- 229940100226 tranexamic acid injection Drugs 0.000 description 1
- 210000000685 uterine artery Anatomy 0.000 description 1
Images
Landscapes
- Surgical Instruments (AREA)
Abstract
The utility model belongs to a medical gynecological surgical instrument, which aims to solve the problem that no equipment for continuously pressing uterus to stop bleeding is available in the current cesarean section process; provides a uterine tourniquet for cesarean section. Comprises a strapping tape I and a strapping tape II which are arranged in parallel; two connecting belts are fixedly connected between the strapping tape I and the strapping tape II, and the strapping tape I, the strapping tape II and the two connecting belts are integrally formed; adjustable locking devices are arranged at the end parts of the strapping tape I and the strapping tape II, and the strapping tape I and the strapping tape II are locked in a cross mode; the tail ends of the strapping tape I and the strapping tape II are pulled out of the adjustable locking device and are fixedly locked. Simple structure, reasonable in design, strapping and connecting band are elastic latex integrated into one piece, reach the purpose of continuously pressing the uterus. Simple operation, time and labor saving, and reduces the working difficulty of medical staff. Reliable operation, very strong practicability, low cost and great popularization value, and can be designed into disposable medical equipment to prevent the pollution of the operation.
Description
Technical Field
The utility model belongs to a medical gynecological surgical instrument, in particular to a uterine hemostasis bandage for cesarean section.
Background
During the cesarean section, an incision is needed to be made on the lower section or body part of the uterus, and the incision is a delivery passage of the fetus. Due to the abundance of blood vessels on the uterus, caesarean delivery is at risk of major bleeding. The bleeding during the operation can bring great threat to the life safety of the lying-in women, so that preventive measures are also needed, and the bleeding rate during the operation is reduced.
The common hemostasis treatment mode in the cesarean section process is as follows: A. and (3) drug treatment: during the operation, after the puerpera has hemorrhage, the medicine is applied conventionally to stop bleeding, and 20U of oxytocin is taken for intravenous drip after childbirth. For a puerpera with major hemorrhage, 1mL of carboprost tromethamine can be injected into a myometrium; B. blood coagulation treatment: for bleeding puerpera caused by blood coagulation disorder, blood transfusion and tranexamic acid injection treatment are carried out on the puerpera, and blood coagulation treatment is carried out on the puerpera; C. massaging: the puerpera needs to massage the uterus while treating, if necessary, the uterus is delivered out of the abdominal cavity, the uterus is kept warm by sterile warm physiological saline, the hands are wrapped by cotton pads to continuously press the uterus, and the uterus incision is quickly sutured until the uterus contracts and hardens; D. after the puerpera has large bleeding amount and no obvious curative effect after the treatment, local suture hemostasis can be carried out on the bleeding points, uterine cavity yarn filling treatment can be carried out, a uterine saccule support can be applied, or internal iliac artery or uterine artery ligation and the like can be carried out. The puerpera with serious bleeding and ineffective treatment needs to be treated by the hysterectomy in time.
The existing medical appliance for stopping bleeding in cesarean section is a pair of hemostatic forceps which can conveniently and quickly clamp the bleeding part of a uterine incision in cesarean section to realize the effect of stopping bleeding. However, the long handle of the current hemostatic forceps used in cesarean section leads to a narrow passage for fetal delivery, which hinders the operation, and in order to avoid affecting fetal delivery, the hemostatic forceps need to be removed when taking out the fetus, which may increase the amount of bleeding and the risk of operation.
Application number 201120201515.X, the name is "uterus incision hemostatic clamp"'s utility model patent, discloses a uterus dicing hemostatic clamp in this patent, including two centre gripping arms, the front end of these two centre gripping arms is the centre gripping mouth, and the rear end is connected through an elasticity segmental arc, and elasticity segmental arc and two centre gripping arms are moulded plastics by the same material an organic whole and are formed, have seted up an opening on this elasticity segmental arc, the centre gripping mouth is zigzag or parallel and level and two relative press from both sides faces of meshing. The forceps extend into the middle cavity of the hemostatic clamp through the opening on the elastic arc-shaped section, the clamping opening of the hemostatic clamp is opened, the hemostatic clamp is clamped at the position needing hemostasis in the caesarean section, and then the forceps are loosened and taken out, so that the purpose of hemostasis by only using the hemostatic clamp is achieved; the hemostatic clamp is integrally formed by elastic materials, has simple structure, small volume and low cost, is used for hemostasis in caesarean section operation, is simple and convenient to operate, and facilitates smooth output of infants. The hemostatic clamp is used for hemostasis in caesarean section, a channel for fetal delivery is wide, the hemostatic clamp does not need to be taken down when the fetus is taken, the operation is simple and convenient, the bleeding of caesarean section uterus incision is greatly reduced, and the operation risk is reduced.
However, the device is not suitable for high-risk pregnancy in operation and needs to continuously press uterus for hemostasis, and cannot intervene uterine contraction, so that the uterine contraction is facilitated to recover.
Disclosure of Invention
The utility model aims to solve the problems that the existing cesarean section process does not have a device for continuously pressing uterus to stop bleeding, the uterus is manually pressed, although the uterus body is directly pressed to cause the uterine blood vessel to be pressed and closed, and the uterine cavity is pressed to discharge accumulated blood, but the pressing effect is easily reduced due to the great physical consumption of medical personnel in the continuous pressing process, so that the hemostatic efficacy is reduced, the medical personnel in an operating room are increased, the labor cost is increased, and the working efficiency of the medical personnel is reduced; the utility model provides a uterine tourniquet for cesarean section.
The utility model discloses realized by following technical scheme: a uterine tourniquet for cesarean section comprises a strapping tape I and a strapping tape II which are arranged in parallel; two connecting belts are fixedly connected between the strapping tape I and the strapping tape II, and the strapping tape I, the strapping tape II and the two connecting belts are integrally formed; adjustable locking devices are arranged at the end parts of the strapping tape I and the strapping tape II, and the strapping tape I and the strapping tape II are locked in a cross mode; the tail ends of the strapping tape I and the strapping tape II are pulled out of the adjustable locking device and are fixedly locked.
Furthermore, the two connecting belts are arranged in an inverted triangle, and a triangular bearing area formed between the two connecting belts is consistent with the size of a normal uterus.
Further, adjustable locking means includes that locking groove and locking turn over the board, and locking groove one end turns over board one end with the locking and is connected through the pivot is articulated, and strapping I or strapping II pass between the board from locking groove and locking turn over, and the hinge end that the board was turned over in the locking sets up the arch, and the locking turns over the board and the locking groove level when overlapping protruding downwards.
Further, a return spring is arranged on the rotating shaft, square holes are formed in two sides of the locking groove, a rubber body is arranged on the outer side of each square hole, a clamping block placing groove is formed in the position, corresponding to the square holes, of each locking turning plate, clamping blocks are arranged in the clamping block placing grooves, a spring is arranged between each clamping block and each clamping block placing groove, the outer ends of the clamping blocks are clamped in the square holes, and the bottoms of the clamping blocks are inclined planes.
Further, the locking turns over the board back and is provided with the finger standing groove.
Further, the width of the strapping I and the strapping II is 0.8-2 cm.
Furthermore, the strapping tape I, the strapping tape II and the two connecting tapes are elastic latex tapes.
In the cesarean section operation process, after a fetus is taken out, the uterus is delivered outside the abdominal cavity, one ends of a strapping tape I and a strapping tape II extend into the abdominal cavity from the bottom of the uterus, and a triangular supporting area formed between the two connecting tapes supports the uterus; strapping I and strapping II are locked in a cross mode, the tail ends of the strapping I and the strapping II can be pulled out of the locking device, proper pressure is conveniently given to the uterus, blood vessels and bleeding points of the uterus body can be stopped to be pressed, and the quick contraction and recovery of the soft uterus are assisted by external force, so that the hemostasis as soon as possible is facilitated.
Compared with the prior art, the utility model has simple structure and reasonable design, the strapping tape and the connecting band are integrally formed by high elastic latex, and the good elastic contraction performance of the elastic latex is utilized, so that the elastic latex can be suitable for external force for the fatigued uterus and help the uterus contraction recovery; the strapping end sets up locking means, is convenient for lock the strapping, and at whole operation in-process, the strapping can be adjusted the dynamics of tying up of strapping according to uterus shrink size, makes it can reach and continuously presses the purpose of uterus.
After the tourniquet is locked, uterine blood circulation is temporarily stopped, bleeding is obviously reduced, when the tourniquet is released, the lock catch is pulled up by using tweezers, the strapping tape is automatically separated from the lock catch due to elasticity, one end of the strapping tape is clamped by using the tweezers, and the tourniquet can be pulled out from the bottom of the uterus; is convenient for operation.
The utility model discloses an use, easy and simple to handle, labour saving and time saving when carrying out uterus hemostasis for patient has alleviateed medical staff's the work degree of difficulty. Can greatly reduce the physical consumption of the nursing personnel in the cesarean section operation; great convenience is provided for the operation process; meanwhile, the number of medical staff required by one cesarean section operation can be reduced, thereby improving the working efficiency of the medical staff.
The utility model discloses a repeated test, the reliable operation, the practicality is very strong, and low cost has very big spreading value, can design into disposable medical equipment, prevents the pollution of operation.
Drawings
FIG. 1 is a schematic structural view of the present invention;
FIG. 2 is a front view of the adjustable locking mechanism;
FIG. 3 is an enlarged view of FIG. 2;
FIG. 4 is a top view of the adjustable locking mechanism;
FIG. 5 is a schematic view of a partial structure of a latch;
in the figure, 1-strapping tapes I and 2-strapping tapes II and 3-connecting tapes, 4-adjustable locking devices, 4.1-locking grooves, 4.2-square holes, 4.3-locking turning plates, 4.4-clamping blocks, 4.5-rotating shafts, 4.6-bulges, 4.7-finger placing grooves, 4.8-clamping block placing grooves, 4.9-springs and 4.10-rubber bodies.
Detailed Description
As shown in figure 1, the uterine tourniquet for cesarean section comprises a strapping I1 and a strapping II2 which are arranged in parallel; two connecting belts 3 are fixedly connected between the strapping tape I1 and the strapping tape II2, and the strapping tape I1, the strapping tape II2 and the two connecting belts 3 are integrally formed; the adjustable locking device 4 is arranged at the end parts of the strapping tape I1 and the strapping tape II2, and the strapping tape I1 and the strapping tape II2 are locked in a crisscross manner; the tail ends of the strapping I1 and the strapping II2 are pulled out of the adjustable locking device 4 and are fixed and locked.
The two connecting belts 3 are arranged in an inverted triangle, and a triangular bearing area formed between the two connecting belts 3 is consistent with the size of a normal uterus.
As shown in fig. 2-5, the adjustable locking device 4 includes a locking groove 4.1 and a locking flap 4.3, one end of the locking groove 4.1 is hinged to one end of the locking flap 4.3 through a rotating shaft 4.5, a strapping I1 or a strapping II2 passes through between the locking groove 4.1 and the locking flap 4.3, a protrusion 4.6 is arranged at the hinged end of the locking flap 4.3, and the protrusion 4.6 is downward when the locking flap 4.3 is horizontally overlapped with the locking groove 4.1.
Set up return spring on the pivot 4.5, locking groove 4.1 both sides are opened there is quad slit 4.2, the quad slit 4.2 outside sets up the rubber body 4.10, the locking turns over the board 4.3 both sides and corresponds the quad slit position and be provided with fixture block mounting groove 4.8, be provided with fixture block 4.4 in the fixture block mounting groove 4.8, set up spring 4.9 between fixture block 4.4 and the fixture block mounting groove 4.8, fixture block 4.4 outside end card is in the quad slit, fixture block 4.4 bottom is the inclined plane.
The back of the locking turning plate 4.3 is provided with a finger placing groove 4.7.
The width of the strapping I1 and the strapping II2 is 0.8-2 cm.
The strapping tape I1, the strapping tape II2 and the two connecting tapes 3 are elastic latex tapes.
In the cesarean section operation process, after a fetus is taken out, the uterus is delivered outside the abdominal cavity, one ends of a strapping tape I and a strapping tape II extend into the abdominal cavity from the bottom of the uterus, and a triangular supporting area formed between the two connecting tapes supports the uterus; strapping I and strapping II cross locking, strapping I and strapping II's end can be followed locking device and pulled out, is convenient for give the uterus appropriate pressure and can only keep down the hemorrhage point on the uterus, and the uterus shrink of tired soft help is resumeed to the exogenic action, does benefit to hemostasis.
After the tourniquet is locked, uterine blood circulation is temporarily stopped, bleeding is obviously reduced, when the tourniquet is released, the lock catch is pulled up by using tweezers, the strapping tape is automatically separated from the lock catch due to elasticity, one end of the strapping tape is clamped by using the tweezers, and the tourniquet can be pulled out from the bottom of the uterus; is convenient for operation.
Claims (7)
1. A uterine tourniquet for cesarean section is characterized in that: comprises a strapping tape I (1) and a strapping tape II (2) which are arranged in parallel; two connecting belts (3) are fixedly connected between the strapping tape I (1) and the strapping tape II (2), and the strapping tape I (1), the strapping tape II (2) and the two connecting belts (3) are integrally formed; the adjustable locking devices (4) are arranged at the end parts of the strapping tape I (1) and the strapping tape II (2), and the strapping tape I (1) and the strapping tape II (2) are locked in a cross manner; the tail ends of the strapping tapes I (1) and II (2) are pulled out of the adjustable locking device (4) and are fixedly locked.
2. The uterine tourniquet for caesarean section of claim 1, wherein: the two connecting belts (3) are arranged in an inverted triangle, and a triangular bearing area formed between the two connecting belts (3) is consistent with the size of a normal uterus.
3. The uterine tourniquet for caesarean section of claim 1, wherein: adjustable locking means (4) including locking groove (4.1) and locking turn over board (4.3), locking groove (4.1) one end is turned over board (4.3) one end with the locking and is passed through pivot (4.5) articulated connection, strapping I (1) or strapping II (2) pass between locking groove (4.1) and locking turn over board (4.3), the hinged end that the locking turned over board (4.3) sets up arch (4.6), protruding (4.6) are downward when locking turns over board (4.3) and locking groove (4.1) horizontal overlap.
4. The uterine tourniquet for caesarean section of claim 3, wherein: the novel anti-theft door lock is characterized in that a return spring is arranged on the rotating shaft (4.5), square holes (4.2) are formed in two sides of the locking groove (4.1), a rubber body (4.10) is arranged on the outer side of each square hole (4.2), the locking turning plate (4.3) is provided with a fixture block placing groove (4.8) corresponding to the position of each square hole, a fixture block (4.4) is arranged in each fixture block placing groove (4.8), a spring (4.9) is arranged between each fixture block (4.4) and each fixture block placing groove (4.8), the outer end of each fixture block (4.4) is clamped in each square hole, and the bottom of each fixture block (4.4).
5. The uterine tourniquet for caesarean section of claim 4, wherein: the back of the locking turning plate (4.3) is provided with a finger placing groove (4.7).
6. A uterine tourniquet for caesarean section according to claim 1 or 2, which comprises: the width of the strapping tape I (1) and the strapping tape II (2) is 0.8-2 cm.
7. The uterine tourniquet for caesarean section of claim 1, wherein: the strapping tape I (1), the strapping tape II (2) and the two connecting tapes (3) are elastic latex adhesive tapes.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN201922197496.7U CN211325340U (en) | 2019-12-10 | 2019-12-10 | Cesarean section is with uterus tourniquet |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN201922197496.7U CN211325340U (en) | 2019-12-10 | 2019-12-10 | Cesarean section is with uterus tourniquet |
Publications (1)
Publication Number | Publication Date |
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CN211325340U true CN211325340U (en) | 2020-08-25 |
Family
ID=72108234
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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CN201922197496.7U Expired - Fee Related CN211325340U (en) | 2019-12-10 | 2019-12-10 | Cesarean section is with uterus tourniquet |
Country Status (1)
Country | Link |
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CN (1) | CN211325340U (en) |
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2019
- 2019-12-10 CN CN201922197496.7U patent/CN211325340U/en not_active Expired - Fee Related
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Legal Events
Date | Code | Title | Description |
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GR01 | Patent grant | ||
GR01 | Patent grant | ||
CF01 | Termination of patent right due to non-payment of annual fee | ||
CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20200825 |