CN211460510U - Multifunctional drape for hysteroscopic surgery - Google Patents
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- 239000012790 adhesive layer Substances 0.000 claims description 14
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- 239000007788 liquid Substances 0.000 abstract description 6
- 210000004291 uterus Anatomy 0.000 abstract description 4
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Abstract
Description
技术领域technical field
本实用新型涉及医疗用具领域,具体涉及一种宫腔镜手术用多功能铺单。The utility model relates to the field of medical appliances, in particular to a multifunctional drape for hysteroscopic surgery.
背景技术Background technique
随着医疗技术的突飞猛进,许多过去的开放性手术现在已被腔内手术取而代之,其中宫腔镜手术就是一门新发展起来的微创手术方法。宫腔镜手术就是利用宫腔镜及其相关器械进行的手术:是当前诊治子宫内疾病的金标准,使用冷光源提供照明,将宫腔镜镜头(直径为3-10mm)插入宫腔内,运用数字摄像技术使宫腔镜镜头拍摄到的图像通过光导纤维传导至后级信号处理系统,并且实时显示在专用监视器上。然后医生通过监视器屏幕上所显示患者子宫不同角度的图像,对病人的病情进行分析判断,并且运用特殊的宫腔镜器械进行手术,具有微创、便利,效果直观,创口小,恢复快等特点。With the rapid development of medical technology, many open surgeries in the past have now been replaced by endovascular surgeries, among which hysteroscopic surgery is a newly developed minimally invasive surgical method. Hysteroscopic surgery is the use of a hysteroscope and its related instruments: it is the current gold standard for the diagnosis and treatment of intrauterine diseases. It uses a cold light source to provide illumination, and inserts a hysteroscope lens (3-10mm in diameter) into the uterine cavity. Using digital camera technology, the image captured by the hysteroscope lens is transmitted to the post-stage signal processing system through the optical fiber, and displayed on the special monitor in real time. Then the doctor analyzes and judges the patient's condition through the images of the patient's uterus from different angles displayed on the monitor screen, and uses special hysteroscopic instruments to perform the operation, which is minimally invasive, convenient, intuitive, small incision, fast recovery, etc. Features.
目前,日间手术快速康复是微创外科发展的新方向,快速、安全、有效的日间手术时宫腔镜发展的趋势,在宫腔镜手术过程中,通常需要使用医用铺单,在医用铺单上设置手术操作口,以达到对特定手术区域的定点无菌暴露。手术时,在医生将患者的病变部位切除后,为了更好的暴露手术视野,需要将切除后的病变部位(标本)导出,同时术中术后需精确计算液体入量和出量,预防宫腔镜手术中发生水中毒。目前手术铺单的结构需医护人员手动用纱布过滤标本,操作及其不便,标本易丢失,收集不全。膨宫液出量估计粗略,不方便标记和统计,不能良好的预测和预防水中毒的问题。At present, rapid recovery from day surgery is a new direction for the development of minimally invasive surgery. The development trend of hysteroscopy for fast, safe and effective day surgery is the use of medical bills during hysteroscopic surgery. The surgical port is set on the drape to achieve fixed-point sterile exposure to the specific surgical area. During surgery, after the doctor removes the patient's diseased part, in order to better expose the surgical field, it is necessary to export the excised diseased part (specimen). Water intoxication during laparoscopic surgery. The structure of the current surgical drape requires medical staff to manually filter the specimens with gauze, which is inconvenient to operate, and the specimens are easily lost and incompletely collected. The estimated amount of dilatation fluid is rough, which is inconvenient to label and count, and cannot be used to predict and prevent water intoxication.
实用新型内容Utility model content
本实用新型意在提供方便标本收集及计量膨宫液出量的一种宫腔镜手术用多功能铺单,以解决现有技术中术中、术后计量操作繁琐的问题。The utility model is intended to provide a multi-functional drape for hysteroscopic surgery which is convenient for collecting specimens and measuring the output of uterine distention fluid, so as to solve the problem of complicated measurement operations during and after operation in the prior art.
为达到上述目的,本实用新型的技术方案如下:一种宫腔镜手术用多功能铺单,包括设置有手术操作口的铺单本体,铺单本体包括一体成型的铺腹部、会阴部和臀下部,臀下部上设置有滤网,且臀下部的下方可拆卸连接有收集组件,收集组件包括与滤网正对的上部开口的收集容器,收集容器上设置有刻度。In order to achieve the above-mentioned purpose, the technical scheme of the present utility model is as follows: a multifunctional drape for hysteroscopic surgery, comprising a drape body provided with a surgical operation port, and the drape body includes an integrally formed drape abdomen, perineum and buttocks The lower part is provided with a filter screen on the lower part of the buttocks, and a collection component is detachably connected to the lower part of the buttocks.
本技术方案的原理及有益效果在于:本技术方案中,铺单本体上的手术操作口可暴露手术位置,在宫腔镜手术过程中使用本技术方案的铺单时,患者呈仰卧截石位且双腿张开、膝盖处被顶起呈曲腿状态,铺腹部用于覆盖患者的腹部,会阴部覆盖在患者的双腿之间的会阴处,臀下部从患者的会阴处向患者臀下弯折并垫设在患者的臀部下方。在手术过程中患者被切除的标本组织及膨宫液会从滤网处被自动的过滤分离,使得固体的标本组织被截留在滤网上方,而膨宫液穿过滤网被收集容器收集,由于收集容器上设置有刻度,在术中、术后无需对膨宫液进行转移即可精确计量膨宫液出量。The principle and beneficial effects of this technical solution are: in this technical solution, the surgical operation port on the drape body can expose the surgical position, and when the drape of this technical solution is used during hysteroscopic surgery, the patient is in a supine lithotomy position And the legs are open, the knees are pushed up and the legs are bent, the abdomen is used to cover the patient's abdomen, the perineum is covered between the patient's legs, and the lower part of the buttocks is from the patient's perineum to the patient's buttocks. It is bent and placed under the patient's buttocks. During the operation, the excised specimen tissue and uterine distention fluid of the patient will be automatically filtered and separated from the filter screen, so that the solid specimen tissue will be trapped above the filter screen, and the uterine distention fluid will be collected by the collection container through the filter screen. The container is provided with a scale, which can accurately measure the output of the uterine distention fluid without transferring the uterine distention fluid during and after the operation.
本技术方案的多功能铺单,利用臀下部垫设在臀下能够避免液体四处乱溢,在实现无菌暴露手术部位的同时,能够自动的实现手术过程中的标本及膨宫液的分离,而且还能够实现对膨宫液出量的自动精确计量,操作方便,节省了手术时间,保障手术安全。The multi-functional drape of the technical solution uses the lower buttocks pad to be placed under the buttocks, which can prevent the liquid from overflowing everywhere, realizes the aseptic exposure of the surgical site, and can automatically realize the separation of the specimen and the uterine distended fluid during the operation. It can also realize the automatic and accurate measurement of the output of the uterine distended fluid, which is convenient to operate, saves the operation time, and ensures the safety of the operation.
进一步,收集容器的底端开设有导出口,导出口处可拆卸连接有密封件。Further, the bottom end of the collecting container is provided with an outlet, and the outlet is detachably connected with a sealing member.
本技术方案中,当收集容器内收集到的膨宫液量较少时,可通过收集容器上的刻度直接记录即可,当收集容器内收集到的膨宫液量较多时,可打开密封件,使得膨宫液从导出口导流到更大的计量容器内进行膨宫液出量的计量,操作灵活性强。In this technical solution, when the amount of dilatation fluid collected in the collection container is small, it can be directly recorded by the scale on the collection container. When the amount of dilatation fluid collected in the collection container is large, the seal can be opened , so that the dilatation fluid is diverted from the outlet to a larger measuring container to measure the output of the dilatation fluid, and the operation is flexible.
进一步,收集容器的底部均向导出口倾斜设置。Further, the bottoms of the collection containers are all inclined to the outlet.
本技术方案中,通过将收集容器的底部设置成向导出口倾斜的,当需要将收集容器内的膨宫液导出时,能够导流的更加彻底,避免收集容器内有膨宫液残留,从而保证膨宫液出量计量准确。In this technical solution, by setting the bottom of the collection container to be inclined to the guide outlet, when the dilatation fluid in the collection container needs to be exported, the diversion can be conducted more thoroughly, avoiding the residual dilatation fluid in the collection container, thereby ensuring The amount of uterine distended fluid was measured accurately.
进一步,会阴部的宽度大于铺腹部及臀下部的宽度,且会阴部的两侧部均设置有粘接层。Further, the width of the perineum is greater than the width of the abdomen and the lower part of the buttocks, and both sides of the perineum are provided with adhesive layers.
本技术方案中,在宫腔镜手术过程中除了需要对会阴处消毒之外,还需要对会阴四周10-15cm处进行延伸消毒,通过将会阴部的宽度设置成大于两端的铺腹部及臀下部的宽度,能够使得在铺单使用时,在将会阴部的两侧边的粘接层粘接在患者的大腿上时,能够保证部分覆盖住大腿的上端,保证会阴四周10-15cm的无菌区域。In this technical solution, in addition to the disinfection of the perineum during hysteroscopic surgery, it is also necessary to carry out extended disinfection around 10-15 cm of the perineum. It can ensure that the upper end of the thigh is partially covered when the adhesive layers on both sides of the pudendal area are adhered to the patient's thigh when the sheet is used, and 10-15 cm of sterile perineum is guaranteed. area.
进一步,会阴部的两侧部的边缘均设置为内凹的弧形。Further, the edges of both sides of the perineum are set as concave arcs.
本技术方案中,通过将边缘设置成向内凹的弧形,能够方便患者在摆体位时粘接层与患者大腿根部的贴合效果。In this technical solution, by setting the edge in an inwardly concave arc shape, it is possible to facilitate the bonding effect between the adhesive layer and the thigh root of the patient when the patient is swinging.
进一步,手术操作口设置在会阴部上。Further, the surgical operation port is provided on the perineum.
本技术方案中,由于宫腔镜手术的手术区域是在会阴处,因而将手术操作口设置在会阴部,符合实际手术需要;当需要进行其他类别的手术时,也可将手术操作口设置在铺单的其他位置上。In this technical solution, since the operation area of hysteroscopic surgery is in the perineum, the operation port is set in the perineum, which meets the actual operation needs; when other types of operations need to be performed, the operation port can also be set in the perineum. on other positions of the bill.
进一步,会阴部与滤网之间设置有铺单薄膜。Further, a single-laying film is arranged between the perineum and the filter screen.
本技术方案中,由于患者在手术过程中是呈仰卧位且腿部分开抬高的体位,患者手术过程中产生的病变标本组织以及膨宫液会沿患者的股沟下流到滤网上,在此过程中,铺单薄膜起到隔离和导流的作用,一方面避免膨宫液吸附在铺单上造成膨宫液出量计量偏差,另一方面,铺单薄膜还会减小标本组织与铺单本体之间的摩擦力,进而加快标本组织转移到滤网处的速度,一举两侧。In this technical solution, since the patient is in a supine position and the legs are raised apart during the operation, the lesion specimen tissue and the uterine distended fluid generated during the operation will flow down the patient's groin to the filter screen. During the process, the single-laying film plays the role of isolation and diversion. On the one hand, it prevents the uterine distention fluid from adsorbing on the laying sheet and causes the measurement deviation of the distended uterine fluid output. The friction between the single bodies, thereby speeding up the transfer of the specimen tissue to the filter screen, both sides in one fell swoop.
进一步,铺单薄膜靠近会阴部一端的宽度大于铺单薄膜靠近滤网一端的宽度。Further, the width of one end of the single-laying film near the perineum is greater than the width of one end of the single-laying film near the filter screen.
本技术方案中,将铺单薄膜设置成靠近会阴部一端的宽度大于铺单薄膜靠近滤网一端的宽度,能够增强铺单薄膜导流标本组织及膨宫液的效果,使其快速流至滤网处。In this technical solution, the width of the single-laying film near the perineum is greater than the width of the one end of the single-laying film near the filter screen, which can enhance the effect of the single-laying film to divert the specimen tissue and dilatation fluid, so that it can quickly flow to the filter screen. place.
进一步,臀下部远离会阴部一端的宽度大于臀下部靠近会阴部一端的宽度。Further, the width of the end of the lower buttocks away from the perineum is greater than the width of the end of the lower buttocks close to the perineum.
本技术方案中,通过将臀下部的尾端设置的更宽,其具有护翼的效果,能够有效的防止膨宫液侧漏或外溢到铺单本体外侧。In this technical solution, by setting the rear end of the lower part of the buttocks wider, it has the effect of protecting the wings, which can effectively prevent the lateral leakage or overflow of the uterine distention fluid to the outside of the drape body.
进一步,收集容器的开口面积大于或等于滤网的面积。Further, the opening area of the collecting container is greater than or equal to the area of the filter screen.
本技术方案中,通过将收集容器开口设置成大于滤网的面积,能够使得开口对滤网实现全包围,保证从滤网下流的膨宫液能够全部被收集容器收集,进而保证膨宫液的精确计量。In this technical solution, by setting the opening of the collection container to be larger than the area of the filter screen, the opening can be fully surrounded by the filter screen, ensuring that the dilatation fluid flowing down from the filter screen can be completely collected by the collection container, thereby ensuring that the uterine dilatation fluid can be collected. Precise metering.
附图说明Description of drawings
图1为本实用新型实施例1中铺单本体的俯视图;Fig. 1 is the top view of the monobloc body in the
图2为本实用新型实施例2中收集容器的主视图;Fig. 2 is the front view of the collection container in the
图3为本实用新型实施例3中铺单本体的俯视图;Fig. 3 is the top view of the monolayer body in
图4为本实用新型实施例3中铺单本体使用状态图。Fig. 4 is the use state diagram of the single body in the third embodiment of the present invention.
具体实施方式Detailed ways
下面通过具体实施方式进一步详细说明:The following is further described in detail by specific embodiments:
说明书附图中的附图标记包括:铺单本体1、手术操作口2、铺腹部3、会阴部4、臀下部5、滤网6、收集容器7、刻度8、导出口9、密封件10、粘接层11、铺单薄膜12、患者13、收集桶14。The reference signs in the accompanying drawings include:
实施例1Example 1
实施例基本如附图1、图2所示:一种宫腔镜手术用多功能铺单,包括铺单本体1,铺单本体1包括从上到下一体成型连接的铺腹部3、会阴部4以及臀下部5(图1中的从上到下)。The embodiment is basically as shown in accompanying
铺腹部3在使用过程中用于覆盖住患者的腹部;会阴部4上开设有圆形的手术操作口2,手术操作口2用于暴露手术部位(会阴处);臀下部5用于垫设在患者的臀部下方,臀下部5上固定有滤网6,滤网6用于实现手术过程中切除的标本组织与膨宫液之间的自动固液分离,臀下部5远离会阴部4一端(下端)的宽度大于臀下部5靠近会阴部4一端(上端)的宽度,如此可避免膨宫液的外渗或侧漏。臀下部5的下方(不与患者的皮肤接触的一侧)可拆卸连接有收集组件,收集组件包括与滤网6正对的、上部开口的收集容器7,本实施例中的收集容器7为透明收集袋,收集容器7与臀下部5的具体连接方式为:臀下部5的外侧粘接有绑带,收集容器7的上端固定有连接环(图中未示出),当绑带绑在连接环上时即可实现收集容器7的固定。The
会阴部4的宽度大于铺腹部3及臀下部5的宽度,且会阴部4的左、右两侧部均涂覆有粘接层11,粘接层11上粘接有易撕纸,会阴部4的两侧部的边缘均设置为内凹的弧形。会阴部4的内侧(与患者的皮肤接触的一侧)与滤网6之间粘接有铺单薄膜12,铺单薄膜12靠近会阴部4一端(上端)的宽度大于铺单薄膜12靠近滤网6一端(下端)的宽度。The width of the
具体实施过程如下:当患者在进行宫腔镜手术之前,首先对患者的会阴处以及周围10-15cm处的皮肤进行消毒,将铺单本体1的臀下部5先垫设在患者的臀部下方。而后让患者躺在专用的手术床上,使患者截石位且双腿打开并垫起膝盖部位。The specific implementation process is as follows: before the patient undergoes hysteroscopic surgery, the patient's perineum and the skin around 10-15 cm are firstly disinfected, and the
将铺单本体1的铺腹部3向上翻折,使得铺腹部3盖在患者的腹部,并且使得会阴部4的手术操作口2与患者的会阴处正对,从而暴露手术部位。而后将会阴部4左、右两侧部的粘接层11上的易撕纸撕下,将粘接层11分别粘在患者的左、右大腿上,由于会阴部4的宽度大于铺腹部3以及臀下部5的宽度,能够使粘接层11的粘接位置处于大腿根部距离会阴处10-15cm,从而能够使会铺单本体1将患者的消毒部位全部覆盖住,形成无菌区。The
在进行宫腔镜手术的过程中,切除的病变组织标本以及膨宫液会沿患者的股沟下流到铺单薄膜12上,并沿铺单薄膜12下滑至滤网6处,病变的标本组织会被截留在滤网6的上方,而膨宫液则会沿滤网6下流到透明收集袋中被统一收集,手术结束后,医护人员仅需要对透明收集袋内的膨宫液出量计量即可,操作便捷。In the process of hysteroscopic surgery, the excised diseased tissue specimen and uterine distended fluid will flow down the patient's groin onto the single-laying
实施例2Example 2
如图2所示,本实施例与实施例1的不同之处仅在于:收集容器7上设置有刻度8,收集容器7的开口面积大于或等于滤网6的面积,收集容器7的底端开设有导出口9,导出口9处可拆卸连接有密封件10,本实施例中的密封件10为螺纹连接在导出口9处的螺纹帽,收集容器7的底部均向导出口9倾斜设置。As shown in FIG. 2 , the difference between this embodiment and
当手术过程中,标本组织以及膨宫液在从铺单薄膜12下流至滤网6处时,病变的标本组织会被截留在滤网6的上方,而膨宫液则会沿滤网6下流到透明收集袋中被统一收集。当收集容器7内收集到的膨宫液量较少时,可通过收集容器7上的刻度8直接记录膨宫液出量即可;当收集容器7内收集到的膨宫液量较多时,可旋开螺纹帽,使得膨宫液从导出口9导流到更大的计量容器内进行膨宫液出量的计量,操作灵活性强。During the operation, when the specimen tissue and uterine distention fluid flow down from the single-laying
实施例3Example 3
本实施例基本如附图3、图4所示,一种宫腔镜手术用多功能铺单,包括铺单本体1,铺单本体1包括一体成型连接的铺腹部3、会阴部4和臀下部5。铺腹部3用于盖住患者13的腹部,会阴部4上开设有手术操作口2,手术操作口2的内侧(与患者13接触的一侧)粘接有粘接层11,粘接层11可粘接在患者13的会阴处的外围,粘接层11上粘接有易撕纸。会阴部4的直径大于铺腹部3的直径,且的左、右两侧部的边缘均设置为内凹的弧形。The present embodiment is basically as shown in Figures 3 and 4, a multifunctional drape for hysteroscopic surgery, comprising a
臀下部5用于垫设在患者13的臀部下方,臀下部5与会阴部4之间的连接处固接有用于过滤切除的病变组织标本与膨宫液的滤网6,滤网6的下部挂设有收集组件,收集组件包括上部开口的收集容器7,本实施例中的收集容器7为透明收集袋,收集容器7上设置有刻度8,收集容器7的开口面积大于或等于滤网6的面积,收集容器7的底端开设有导出口9,导出口9处可拆卸连接有密封件10,本实施例中的密封件10为螺纹连接在导出口9处的螺纹帽,收集容器7的下方放置有收集桶14。The
具体实施时,如图4所示,首先将臀下部5垫设在病床上,并且使滤网6呈竖直状态挂设在病床的侧部。患者13呈截石位躺在病床上,而后将会阴部4相对臀下部5向上旋转,使得会阴部4上的手术操作口2与患者13的会阴处正对,而后撕下易撕纸,将手术操作口2粘接在患者13的会阴处的外缘,如此可在导出病变组织与膨宫液时,病变组织不会沿患者13的股沟下滑。In specific implementation, as shown in FIG. 4 , firstly, the lower part of the
将会阴部4左、右两侧的粘接层11分别粘在患者13的左、右大腿上,使得铺单本体1将患者13的消毒部位全部覆盖住,形成无菌区而后将铺腹部3盖在患者13的腹部上。The adhesive layers 11 on the left and right sides of the
手术前准备结束后,在手术过程中,由于手术操作口2的边缘都粘接在患者13的会阴部4的外缘,患者13手术过程中切除的病变组织以及膨宫液不会从患者13的股沟下滑,而是被截留在会阴部4的外侧,并被滤网6过滤,实现病变组织以及膨宫液的分离。病变组织会被截留在滤网6上,而膨宫液会沿滤网6下落到收集容器7内被收集,当收集容器7内收集到的膨宫液量较少时,可通过收集容器7上的刻度8直接记录膨宫液出量即可;当收集容器7内收集到的膨宫液量较多时,可旋开螺纹帽,使得膨宫液从导出口9导流到收集桶14内进行统一收集,并进行后续的膨宫液出量计量,操作灵活性强。After the preoperative preparations are completed, during the operation, since the edge of the
实施例4Example 4
本实施例与实施例3的不同之处仅在于:本实施例中,臀下部5设置的较长,而滤网6设置在臀下部远离会阴部4的一端,使用时,将臀下部5返折一下,使得臀下部5呈双层垫设在患者13的臀下,并且使臀下部设置滤网6的一端呈竖直状态挂设在病床的侧部即可,如此设置操作方便。The difference between this embodiment and
以上所述的仅是本实用新型的实施例,方案中公知的具体技术方案和/或特性等常识在此未作过多描述。应当指出,对于本领域的技术人员来说,在不脱离本实用新型技术方案的前提下,还可以作出若干变形和改进,这些也应该视为本实用新型的保护范围,这些都不会影响本实用新型实施的效果和专利的实用性。本申请要求的保护范围应当以其权利要求的内容为准,说明书中的具体实施方式等记载可以用于解释权利要求的内容。The above are only the embodiments of the present invention, and common knowledge such as well-known specific technical solutions and/or characteristics in the solutions are not described too much here. It should be pointed out that for those skilled in the art, under the premise of not departing from the technical solution of the present utility model, several modifications and improvements can also be made, which should also be regarded as the protection scope of the present utility model, and these will not affect the present utility model. The effect of the implementation of the utility model and the practicability of the patent. The scope of protection claimed in this application should be based on the content of the claims, and the descriptions of the specific implementation manners in the description can be used to interpret the content of the claims.
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