CN212346680U - Uterus lifting device - Google Patents

Abstract

The utility model provides a uterine manipulator, uterine manipulator includes handle and pivot angle pole, the handle is arranged in supplying to hold and holds the operation, the pivot angle pole has relative first end and the second end that sets up, first end and handle fixed connection, the second end is arranged in getting into human abdominal cavity, follow the second on the pivot angle pole and hold along the curve extension to first end direction at least part, actuating handle can drive the second and hold the angle position of deviant into difference, the second is held and has been seted up the fixed orifices, the fixed orifices is used for supplying to sew up and passes and knot with the fixation in the uterus and keeps away from the one suture of cervix one end. The utility model provides a uterus lifting device not only can realize no tumour operation requirement, can accurately control uterus swing direction moreover.

Description

Uterus lifting device

Technical Field

The utility model belongs to the technical field of medical treatment is supplementary, more specifically say, relate to a uterus lifting device.

Background

In the cervical malignant tumor under the laparoscope or other malignant tumor radical surgeries invading the cervix, because both lateral paragones and douglas crypts need to be thoroughly exposed, the surgery requirement is high, and the uterus needs to be pushed or pulled to the side or the upper part so as to better expose the surgery visual field. The clinical common solution is that an assistant puts in a uterine manipulator through the vagina of a patient, holds the uterine manipulator to push the uterus to the opposite side direction of the visual field to be exposed, the operative field is fully exposed, but various uterine manipulators applied in the operation are all put into the uterine cavity through the external opening of the cervix, directly press the local focus of the cervix in the pushing process, extrude the focus to the inside of the cervix and the inside of tissues, cause the local diffusion of the focus, the focus can be directly brought into the uterine cavity when the focus is large or the pushing pressure is too large, easily cause the focus to be diffused into the uterine cavity, and influence the pathological diagnosis after the operation.

SUMMERY OF THE UTILITY MODEL

An object of the utility model is to provide a uterus lifter to solve the technical problem that the uterus lifter oppresses the uterus in the laparoscopic surgery that exists among the prior art.

In order to achieve the above object, the utility model adopts the following technical scheme: the utility model provides a uterine manipulator for among the laparoscopic surgery, uterine manipulator includes handle and pendulum angle pole, the handle is arranged in supplying to hold and holds the operation, the pendulum angle pole has relative first end and the second end that sets up, first end with handle fixed connection, the second end is arranged in getting into human abdominal cavity, follow on the pendulum angle pole the second end to first end direction part at least extends along the curve, drives the handle can drive the second end is partial to different angle position, the second has been held and has been seted up the fixed orifices, the fixed orifices is used for supplying to sew up and passes in order to fix the knot in uterus keeping away from the suture that cervix was served.

Optionally, the center line of the handle is connected with the center line of the swing angle rod and is located on the same plane.

Optionally, the swing angle rod includes a straight line segment and a first curved segment connected to each other, the straight line segment is fixedly connected to the handle, and the fixing hole is formed in the first curved segment.

Optionally, the cross section of the straight line segment is circular, the cross section of the first curve segment is circular, and the cross sectional area of the first curve segment is gradually reduced from one end connected with the straight line segment to the second end.

Optionally, the length of the first curved section in the axial direction of the linear section is equal to the length of the linear section in the axial direction thereof.

Optionally, the centre line of the handle is co-linear with the centre line of the straight section.

Optionally, the axis of the fixation hole is parallel to the cross section of the first curved section, and the axis of the fixation hole and the centerline of the handle are located on the same plane.

Optionally, the swing angle rod comprises a second curve segment and a third curve segment which are connected in a tangent mode, the second curve segment is connected with the handle, and the fixing hole is formed in the third curve segment.

Optionally, the handle and the swing rod are of an integrally formed structure.

Optionally, a metal strip for enhancing strength and hardness is arranged in the inner cavity of the swing angle rod.

The utility model provides a womb lifter's beneficial effect lies in: compared with the prior art, the utility model discloses a lift palace ware includes handle and pendulum angle pole, be equipped with the fixed orifices on the pendulum angle pole, get into human abdominal cavity from the belly through the pendulum angle pole, pass the suture through the fixed orifices and realize that pendulum angle pole and uterus keep away from the fixed connection of cervical one end, thus, do not have the face contact between pendulum angle pole and the uterus, when the pendulum angle pole is fixed to the uterus, the pendulum angle pole can not produce the oppression pole to the uterus, can not oppress the local focus of cervix more, avoided the focus because the oppression and spread to palace intracavity and influence postoperative pathological diagnosis, reach the mesh of no tumour operation. Simultaneously, because of following the second end on the angle swing pole and extending along the curve to first end direction at least part, so, the small amplitude swing of handle can convert the swing by a wide margin of second end, and then can drive the swing angle and the position of second end through swing handle, and because handle and angle swing pole fixed connection, the swing direction of second end is unanimous with handle swing direction, and then realizes that the uterus keeps away from the correct drive in cervical one end angle and position, has reduced operation time, has reduced patient's operation risk.

Drawings

In order to more clearly illustrate the technical solutions of the embodiments of the present invention, the drawings required for the embodiments or the prior art descriptions will be briefly introduced below, and it is obvious that the drawings in the following description are only some embodiments of the present invention, and it is obvious for those skilled in the art to obtain other drawings without inventive labor.

Fig. 1 is a schematic top view of a uterine manipulator according to an embodiment of the present invention;

FIG. 2 is a schematic side view of the uterine elevator of FIG. 1;

FIG. 3 is a partial schematic view of a second end of the swing lever of FIG. 2;

fig. 4 is a schematic side view of a uterine manipulator according to another embodiment of the present invention.

Wherein, in the figures, the respective reference numerals:

10-a handle; 20-a swing angle rod; 21-a first end; 22-a second end; 23-a fixation hole; 24-straight line segment; 25-a first curve segment; 26-a second curve segment; 27-third curve segment.

Detailed Description

In order to make the technical problem, technical solution and advantageous effects to be solved by the present invention more clearly understood, the following description is given in conjunction with the accompanying drawings and embodiments to illustrate the present invention in further detail. It should be understood that the specific embodiments described herein are merely illustrative of the invention and are not intended to limit the invention.

It will be understood that when an element is referred to as being "secured to" or "disposed on" another element, it can be directly on the other element or be indirectly on the other element. When an element is referred to as being "connected to" another element, it can be directly connected to the other element or be indirectly connected to the other element.

It will be understood that the terms "length," "width," "upper," "lower," "front," "rear," "left," "right," "vertical," "horizontal," "top," "bottom," "inner," "outer," and the like are used in an orientation or positional relationship indicated in the drawings for convenience in describing the invention and to simplify the description, and are not intended to indicate or imply that the device or element so referred to must have a particular orientation, be constructed and operated in a particular orientation, and thus should not be construed as limiting the invention.

Furthermore, the terms "first", "second" and "first" are used for descriptive purposes only and are not to be construed as indicating or implying relative importance or implicitly indicating the number of technical features indicated. Thus, a feature defined as "first" or "second" may explicitly or implicitly include one or more of that feature. In the description of the present invention, "a plurality" means two or more unless specifically limited otherwise.

Referring to fig. 1 and fig. 2 together, the uterus lifter of the present invention will now be described. The uterus lifter is used in laparoscopic surgery to fix the uterus.

The uterine manipulator comprises a handle 10 and a swing angle rod 20, the handle 10 is used for being held by a hand to operate, the swing angle rod 20 is provided with a first end 21 and a second end 22 which are arranged oppositely, the first end 21 is fixedly connected with the handle 10, the second end 22 is used for entering an abdominal cavity of a human body, a fixing hole 23 is formed in the second end 22, the fixing hole 23 is used for enabling a suture thread sewed on a uterus to pass through for fixing and knotting, specifically, the suture thread sewed on one end, far away from a cervix, of the uterus, so that the second end 22 and the uterus are fixedly connected. During specific operation, the second end 22 can be penetrated into the abdominal cavity of a human body, a suture which is sutured at one end of the uterus far away from the cervix penetrates through the fixing hole 23 and is knotted, the handle 10 is exposed out of the human body, the position of the second end 22 in the abdominal cavity of the human body is controlled by manually driving the handle 10, and then the swinging position of one end of the uterus far away from the cervix is controlled.

The swing rod 20 extends at least partially along a curve along the direction from the second end 22 to the first end 21, specifically, a small section of the swing rod 20 from the second end 22 extends along the curve, a large section of the swing rod 20 from the second end 22 extends along the curve, or the whole swing rod 20 extends along the curve, as long as the adjacent portion of the second end 22 of the swing rod 20 extends along the curve. Through the above-mentioned curve setting of the swing rod 20, the small-amplitude swing of the handle 10 can be converted into the large-amplitude swing of the second end 22 of the swing rod, so that the handle 10 is driven to drive the second end 22 to deviate to different angular orientations, and further drive the swing position of the end of the uterus far away from the cervix in the abdomen of the human body. Specifically, when one end of the uterus is driven to advance forwards and downwards by the handle 10, the front wall of the uterus, the front wall of the cervix, the bladder and the like can be completely exposed; when one end of the uterus is driven to push towards the left abdomen by the handle 10, the right parauterine tissue can be completely exposed; when one end of the uterus is driven to push towards the right abdomen by the handle 10, the left parauterine tissue can be exposed.

The utility model provides a lift palace ware includes handle 10 and pendulum angle pole 20, be equipped with fixed orifices 23 on the pendulum angle pole 20, pass the suture through fixed orifices 23 and realize pendulum angle pole 20 and the uterus and keep away from the fixed connection of cervix one end, so, do not have the face contact between pendulum angle pole 20 and the uterus, when pendulum angle pole 20 is fixed to the uterus, pendulum angle pole 20 can not produce the oppression pole to the uterus, can not oppress the local focus of cervix more, avoided the focus to diffuse to the palace intracavity and influence postoperative pathological diagnosis because of the oppression, reach the purpose of no tumour operation. Meanwhile, at least part of the swing angle rod 20 extends along a curve towards the first end 21 along the second end 22, so that the small-amplitude swing of the handle 10 can be converted into the large-amplitude swing of the second end 22, the swing angle and the position of the second end 22 can be driven by swinging the handle 10, and the swing direction of the second end 22 is consistent with the swing direction of the handle 10 due to the fact that the handle 10 is fixedly connected with the swing angle rod, so that the correct driving of the angle and the position of one end of the uterus, which is far away from the cervix, is realized, the operation time is shortened, and the operation risk of a patient is reduced.

In one embodiment, please refer to fig. 2, the center line L1 of the handle 10 is connected to the center line L2 of the swing angle rod 20 and located on the same plane, so that the center of the handle 10 is consistent with the center of the swing angle rod 20, and when the handle 10 swings, the swinging direction of the swing angle rod 20 is completely consistent with the swinging direction of the handle 10, so that the medical staff can place the uterus at the correct angle and position according to the operation requirement, thereby facilitating the smooth operation and reducing the operation risk.

In one embodiment, referring to fig. 2, the swing rod 20 includes a straight section 24 and a first curved section 25 connected to each other, the straight section 24 is fixedly connected to the handle 10, and the fixing hole 23 is disposed on the first curved section 25. In the embodiment, the swing angle rod 20 is connected to the first curved section 25 through the straight line section 24, on one hand, the fixing hole 23 is disposed at the end (i.e., the second end 22) of the first curved section 25, so that the swing of the handle 10 can be amplified to the swing of the fixing hole 23, thereby achieving the purpose of fixing and swinging the uterus, and on the other hand, the swing angle rod 20 is connected between the first curved section 25 and the handle 10 through the straight line section 24, so that the length of the whole swing angle rod 20 can be increased, the operation is facilitated, and the swing angle rod 20 can be conveniently inserted into the abdominal cavity of the human body.

In one embodiment, referring to fig. 2, the cross section of the straight line segment 24 is circular, the cross section of the first curved segment 25 is circular, the cross sectional area of the straight line segment 24 decreases from the first end 21 to an end component where the straight line segment 24 is connected to the first curved segment 23, and the cross sectional area of the first curved segment 25 gradually decreases from the end connected to the straight line segment 24 to the second end 22. In the embodiment, the cross sections of the straight line segment 24 and the first curve segment 25 are both set to be circular, the circular structure is uniformly distributed, the force is convenient to control, and therefore the swinging operation of the whole swing rod 20 is convenient. In addition, referring to fig. 1, the top view of the handle 10 is oval, that is, the handle 10 has a symmetrical structure, which further facilitates the control of the strength of the handle 10 for the medical staff to swing.

Specifically, the diameter of first end 21 is 7mm, and the diameter of second end 22 is 5mm, and the cross section diameter of pendulum rod 10 reduces from first end 21 to second end 22 gradually, and the width of handle 10 is 25mm, and the diameter of first curve section 25 is with the size looks adaptation at human abdominal cavity incision, and if too big will cause human wound great, if too little then the intensity is not enough, is unfavorable for control.

In one embodiment, referring to FIG. 2, the length of the first curved section 25 along the axial direction of the linear section 24 is equal to the length of the linear section 24 along the axial direction thereof. Specifically, the length of the first curved section 25 in the axial direction of the linear section 24 is 90mm, the length of the linear section 24 in the axial direction thereof is 90mm, the center line of the handle 10 is collinear with the center line of the linear section 24, and the length of the handle 10 in the axial direction of the linear section 24 is 85 mm. It is understood that in other embodiments of the present application, the length of the first curved section 25 may be smaller than the length of the linear section 24, and the lengths of the first curved section 25, the linear section 24 and the handle 10 may be other values, which are not limited herein.

In one embodiment, referring to fig. 2, the height of the first curved section 25 in the vertical direction is 30mm, the first curved section 25 extends upward from the straight section 24 along an arc, and the specific curvature of the first curved section 25 can be determined according to actual operation requirements.

In one embodiment, referring to fig. 3, the axis of the fixing hole 23 is parallel to the cross section of the first curved section 25, and the axis M of the fixing hole 23 is located on the same plane as the center line L1 of the handle 10, so that the positional swing of the second end 22 is directly transmitted to the end of the uterus away from the cervix, which makes the driving of the handle 10 more labor-saving.

In another embodiment of the present application, please refer to fig. 4, the swing angle lever 20 includes a second curve section 26 and a third curve section 27, the second curve section 26 is tangent to the third curve section 27, the second curve section 26 is connected to the handle 10, and the fixing hole 23 is disposed on the third curve section 27, so that the whole swing angle lever 20 extends along the curve, and thus, when the handle 10 is driven, the swing angle lever 20 has a larger swing amplitude, a larger amplitude for adjusting the uterine direction, a wider coverage range, and a burden for the medical staff to operate the handle 10 can be greatly reduced.

In one embodiment, the handle 10 and the swing angle rod 20 are integrally formed, that is, the handle 10 and the swing angle rod 20 can be integrally formed by injection molding through medical materials, or integrally formed by machining through utilizing a block structure, and the structure is simple, the machining is simple, the whole stress distribution is uniform, and the manual operation and control are convenient. It is understood that in other embodiments of the present application, the handle 10 and the swing angle lever 20 may be formed separately and fixed together by glue, fasteners, welding, etc., which is not limited herein.

In one embodiment, a metal strip (not shown) is disposed in the inner cavity of the swing rod 20, and the metal strip is used to enhance the strength and hardness of the swing rod 20 and improve the operation stability of the entire uterine manipulator. Specifically, the swing angle rod 20 may be provided with an inner cavity and a through hole, the metal strip may be disposed in the inner cavity through the through hole, or the swing angle rod 20 may be directly injection molded outside the metal strip.

The utility model also provides a uterus fixing method in laparoscopic surgery, including following step:

s10: using a scalpel to make a transverse incision on the lower abdomen bladder; of course, the transverse incision is only for penetrating the uterine elevator into the abdominal cavity, and in the whole laparoscopic surgery, a plurality of incisions are required to be cut in the abdomen of the human body, such as an incision for implanting a laparoscope, an incision for implanting a minimally invasive surgery, and the like.

Specifically, the length of the cross cut is approximately 5mm, matching the diameter of the second end 22 of the swing angle lever 20. It is understood that in other embodiments of the present application, the length of the transverse cut may be adjusted according to the actual size of the swing rod 20, and is not limited herein.

S20: the puncture outfit with the diameter of 5mm is used for puncturing into the abdominal cavity, and then the puncture outfit is withdrawn, so that the transverse incision can be extended into the abdominal cavity, and the puncture of the uterine elevator is convenient.

S30: penetrating the uterine elevator into the abdominal cavity at the transverse incision;

specifically, under direct laparoscopic vision, the second end 22 of the swing rod 20 is passed into the abdominal cavity at the transverse incision, and the handle 10 is exposed to the outside of the human body.

S40: the end of the uterus away from the cervix is connected with the fixing hole 23 with a suture and tied.

Specifically, the method comprises the following steps:

s41: the common 1-0 or 2-0 suture is used for 8-shaped suture at the end of the uterus far away from the cervix;

s42: the sutured suture is passed through the fixing hole 23 and tied.

Through doing "8" word suture at uterus one end to make uterus one end and the second end 22 of pivot angle pole 20 fixed firm, and "8" word suture all forms with pivot angle pole 20 with uterus one end part and is connected, and then is convenient for the swing operation of pivot angle pole 20 to uterus one end.

S50: handle 10 is actuated to adjust the orientation of the uterus. Specifically, when one end of the uterus is driven to push forwards and downwards by the handle 10, the front wall of the uterus, the front wall of the cervix, the bladder and the like can be completely exposed; when one end of the uterus is driven to push towards the left abdomen by the handle 10, the right parauterine tissue can be completely exposed; when one end of the uterus is driven to push towards the right abdomen by the handle 10, the left parauterine tissue can be exposed.

The above description is only exemplary of the present invention and should not be taken as limiting the scope of the present invention, as any modifications, equivalents, improvements and the like made within the spirit and principles of the present invention are intended to be included within the scope of the present invention.

Claims (10)

1. The uterus lifter is used for among the laparoscopic surgery, a serial communication port, the uterus lifter includes handle and pendulum angle pole, the handle is arranged in supplying the hand to hold and holds the operation, the pendulum angle pole has relative first end and the second end that sets up, first end with handle fixed connection, the second end is arranged in getting into human abdominal cavity, follow on the pendulum angle pole the second end to the first end direction is at least partly along curve extension, the drive the handle can drive the second end is partial to different angle position, the second has been held and has been seted up the fixed orifices, the fixed orifices is used for supplying to sew up and passes in order to fix the knot in uterus keeps away from the suture that cervix is served.

2. The uterine manipulator according to claim 1, wherein the center line of the handle is connected with the center line of the swing rod and is located on the same plane.

3. The uterine manipulator according to claim 2, wherein the swing rod comprises a straight line section and a first curved section which are connected with each other, the straight line section is fixedly connected with the handle, and the fixing hole is formed in the first curved section.

4. The uterine manipulator according to claim 3, wherein the cross section of said straight line segment is circular, the cross section of said first curved segment is circular, and the cross sectional area of said first curved segment decreases from the end connected to said straight line segment to said second end.

5. The uterine manipulator according to claim 4, wherein the length of said first curved section in the axial direction of said linear section is equal to the length of said linear section in the axial direction thereof.

6. The uterine manipulator according to claim 4, wherein a centerline of said handle is collinear with a centerline of said linear segment.

7. The uterine manipulator according to claim 4, wherein the axis of the fixing hole is parallel to the cross section of the first curved section, and the axis of the fixing hole is located on the same plane as the center line of the handle.

8. The uterine manipulator according to claim 2, wherein the swing rod comprises a second curve section and a third curve section which are tangentially connected, the second curve section is connected with the handle, and the fixing hole is formed in the third curve section.

9. The uterine manipulator according to any one of claims 1 to 8, wherein the handle and the swing rod are of an integrally formed structure.

10. The uterine manipulator according to any one of claims 1 to 8, wherein a metal strip for enhancing strength and hardness is provided in the inner cavity of the swing rod.

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