CN212650869U - Intelligent hemostasis device for bleeding during cesarean section - Google Patents
Intelligent hemostasis device for bleeding during cesarean section Download PDFInfo
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- CN212650869U CN212650869U CN202020491918.1U CN202020491918U CN212650869U CN 212650869 U CN212650869 U CN 212650869U CN 202020491918 U CN202020491918 U CN 202020491918U CN 212650869 U CN212650869 U CN 212650869U
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- uterus
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- pressing bag
- bag
- hemostasis
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- 230000023597 hemostasis Effects 0.000 title claims abstract description 27
- 230000000740 bleeding effect Effects 0.000 title claims description 10
- 238000003825 pressing Methods 0.000 claims abstract description 77
- 210000004291 uterus Anatomy 0.000 claims abstract description 64
- 238000001816 cooling Methods 0.000 claims abstract description 10
- 210000003205 muscle Anatomy 0.000 claims abstract description 6
- 239000000110 cooling liquid Substances 0.000 claims description 23
- 239000007788 liquid Substances 0.000 claims description 14
- 239000002775 capsule Substances 0.000 claims description 13
- 230000000694 effects Effects 0.000 claims description 11
- 210000004204 blood vessel Anatomy 0.000 claims description 8
- 210000003041 ligament Anatomy 0.000 claims description 5
- 210000003101 oviduct Anatomy 0.000 claims description 5
- 239000011664 nicotinic acid Substances 0.000 claims description 3
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 claims description 2
- 239000013013 elastic material Substances 0.000 claims description 2
- 230000003387 muscular Effects 0.000 claims description 2
- 231100000252 nontoxic Toxicity 0.000 claims description 2
- 230000003000 nontoxic effect Effects 0.000 claims description 2
- 238000005192 partition Methods 0.000 claims description 2
- 229920000915 polyvinyl chloride Polymers 0.000 claims description 2
- 239000004800 polyvinyl chloride Substances 0.000 claims description 2
- 239000000741 silica gel Substances 0.000 claims description 2
- 229910002027 silica gel Inorganic materials 0.000 claims description 2
- 238000005057 refrigeration Methods 0.000 abstract description 13
- 208000018525 Postpartum Hemorrhage Diseases 0.000 abstract description 8
- 239000008280 blood Substances 0.000 abstract description 6
- 210000004369 blood Anatomy 0.000 abstract description 6
- 238000011282 treatment Methods 0.000 abstract description 6
- 238000009802 hysterectomy Methods 0.000 abstract description 4
- 208000006083 Hypokinesia Diseases 0.000 abstract description 3
- 230000017074 necrotic cell death Effects 0.000 abstract description 2
- 230000000302 ischemic effect Effects 0.000 abstract 1
- 230000000007 visual effect Effects 0.000 abstract 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 30
- 208000032843 Hemorrhage Diseases 0.000 description 10
- 238000000034 method Methods 0.000 description 7
- 210000000685 uterine artery Anatomy 0.000 description 6
- 230000001276 controlling effect Effects 0.000 description 5
- 239000002826 coolant Substances 0.000 description 4
- 230000002439 hemostatic effect Effects 0.000 description 4
- 238000012544 monitoring process Methods 0.000 description 4
- 208000036029 Uterine contractions during pregnancy Diseases 0.000 description 3
- 239000000498 cooling water Substances 0.000 description 3
- 230000010102 embolization Effects 0.000 description 3
- 230000006870 function Effects 0.000 description 3
- 208000032456 Hemorrhagic Shock Diseases 0.000 description 2
- 241000446313 Lamella Species 0.000 description 2
- 206010049771 Shock haemorrhagic Diseases 0.000 description 2
- 230000002146 bilateral effect Effects 0.000 description 2
- 230000033228 biological regulation Effects 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 201000010099 disease Diseases 0.000 description 2
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 2
- 238000010030 laminating Methods 0.000 description 2
- 230000001105 regulatory effect Effects 0.000 description 2
- 206010027514 Metrorrhagia Diseases 0.000 description 1
- 206010037660 Pyrexia Diseases 0.000 description 1
- 206010040007 Sense of oppression Diseases 0.000 description 1
- 206010047139 Vasoconstriction Diseases 0.000 description 1
- 230000036770 blood supply Effects 0.000 description 1
- 239000003795 chemical substances by application Substances 0.000 description 1
- 238000005253 cladding Methods 0.000 description 1
- 230000034994 death Effects 0.000 description 1
- 230000035558 fertility Effects 0.000 description 1
- 208000012285 hip pain Diseases 0.000 description 1
- 208000028867 ischemia Diseases 0.000 description 1
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- Thermotherapy And Cooling Therapy Devices (AREA)
Abstract
The utility model relates to an intelligent hemostasis device bleeds during cesarean section belongs to surgical instruments technical field. The device comprises a refrigeration pressurization system, a control device and a pressing bag; the pressing bag covers the uterus; the uterus is cooled and pressed by the pressing bag through the refrigeration pressurization system, the muscle layer is promoted to contract forcefully, and the purpose of hemostasis is achieved. The utility model discloses be applied to clinical lying-in woman and take place under the circumstances that the hypodynamia postpartum bleeds, can press not closed blood sinus, promote the powerful shrink of uterus, improve hemostasis efficiency. The utility model discloses can the control of visual refrigeration turbocharging system press the pressure and the temperature of bag to realize high-efficiently, quick, it is not created, low temperature, the uterus is oppressed from outside cooling to the intellectuality, the purpose of stanching fast when reaching cesarean section, effectively avoids taking place suture slippage, the ischemic necrosis of uterus and the great scheduling problem of wound in the current treatment means, reduces postpartum hysterectomy rate and postpartum hemorrhage recurrence rate, improves patient's satisfaction.
Description
Technical Field
The utility model relates to an intelligent hemostasis device bleeds during cesarean section belongs to surgical instruments technical field.
Background
The cesarean section yield of China is increased year by year, and data shows that the cesarean section yield of China is as high as 46%, postpartum uterine contraction and weakness are very common, so postpartum hemorrhage is a common complication of cesarean section, a great amount of rapid hemorrhage of a puerpera can cause hemorrhagic shock, and serious patients can endanger the life safety of the puerpera. Postpartum hemorrhage is one of four causes of death of pregnant and lying-in women, so that fast and efficient postpartum hemostasis is a key measure for clinical treatment.
When a parturient suffers from uterine contraction and hypodynamia postpartum hemorrhage, when traditional conservative treatments such as hemostasis, blood transfusion, and hemorrhagic shock prevention are ineffective, operative hemostasis is often selected. The operation hemostasis mode mainly comprises hysterectomy, uterine sling type suture, uterine artery ligation, bilateral uterine artery embolization, uterine balloon catheter filling and the like. Hysterectomy is really good in treatment effect on postpartum hemorrhage, but can cause the loss of reproductive organs and fertility of patients, and seriously affect the mental health and the quality of life of the patients. The uterus braces formula suture art mainly compresses the weak uterus of shrink through the suture to make the uterus of disease maintain the state of shrink all the time, then oppress the uterus arteriovenous of disease, reduce the metrorrhagia, reach hemostatic effect, but this mode belongs to invasive operation, takes place the problem that the suture slippage easily or uterus ischemia necrosis takes place after the treatment moreover. The operation of uterine artery ligation is complex, the hemostatic effect is not good, and researches show that the effective rate of uterine artery ligation for treating postpartum hemorrhage is only 42%, the wound is large, and the prognosis is not good. Bilateral uterine artery embolization is to define a bleeding part and a bleeding range under the guidance of DSA, then uses an embolization agent to block uterine arteries, is complex in operation, can cause reduction of ovarian blood supply, possibly causes ovarian dysfunction, and causes symptoms such as hip pain and fever of partial patients during operation. Although the uterus-filling balloon catheter has a certain curative effect on postpartum hemorrhage, the hemostatic effect is not good because the acting force is mainly on the surface of the uterine cavity, and the patient satisfaction is not high because certain postpartum hysterectomy rate and postpartum hemorrhage recurrence rate exist.
In conclusion, in the face of the problem of hemorrhage after cesarean section, the existing treatment means still have the problems of large wound, obvious side effect, poor effect and the like.
SUMMERY OF THE UTILITY MODEL
The utility model aims at solving the problem that the existing cesarean section bleeds after the cesarean section, especially the clinical lying-in woman bleeds after the uterine contraction hypodynamia occurs, and providing an intelligent hemostasis device for bleeding during the cesarean section. The device can carry out quick noninvasive high-efficient hemostasis, and the hemostasis mode is non-invasive, no side effect and hemostatic effect are good.
The purpose of the utility model is realized by the following technical scheme.
An intelligent hemostasis device for hemorrhage during cesarean section comprises a pressurization system and a pressing bag; the pressing bag covers the uterus; the pressing bag is stretched and attached through the pressurizing system, so that the uterus is pressed, the muscle layer is promoted to contract forcefully, and the purpose of stopping bleeding is achieved.
The pressing bag is of a hollow structure or a non-hollow structure.
When the pressing bag is of a hollow structure, the pressurization system realizes pressurization through gas or liquid.
The refrigerating system is used for regulating the temperature of the pressing bag; by controlling the temperature of the gas or the liquid, the muscular layer can be forcefully contracted when the uterus is cooled, thereby realizing the purpose of rapid hemostasis during the cesarean section.
Flow, velocity of flow and the temperature of the gaseous or liquid of simultaneous control circulation, the uterus meet cold and the blood sinus can be closed fast under the pressurized condition, promote the powerful shrink of uterus muscularis to realize high-efficiently, quick, it is noninvasive, the low temperature, the intelligent uterus that forces of colding pressing reaches the purpose of stanching fast when cesarean section.
The pressing bladder may be a separate bladder body or a bladder body and an adjustment ring;
the pressing bag consists of a bag body and an adjusting ring; the capsule body is of a split structure; the adjusting ring is used for closing the capsule body; the uterus is arranged in a capsule body, the capsule body is closed through an adjusting ring, a plurality of different hole positions are arranged on the adjusting ring and used for adjusting the initial pose of the coated uterus, and a gap between the adjusting ring at the outer side of the pressing capsule can be used for allowing blood vessels, fallopian tubes and ligaments at two sides of the uterus to pass through.
The pressing bag is provided with an inlet and an outlet for the passage of gas or liquid.
The hollow part in the pressing bag is provided with the partition plate to form an annular groove structure, and the structure can ensure the flow area of the cooling liquid, so that the cooling liquid is fully contacted with the surface of the uterus to achieve the purpose of rapid cooling.
The shell of the pressing bag is of a bionic shell structure, so that the pressing bag not only can play a role of placing a uterus, but also can ensure the maximum contact area with the uterus, and meanwhile, two pressing bag pieces with concavity can be attached to each other as soon as the pressure reaches a certain value, so that the pressing bag plays a role of pressing the uterus in the pressing bag;
a plurality of different hole sites are arranged on the adjusting ring and used for adjusting the initial pose of the coated uterus; the gap between the adjusting rings at the outer side of the pressing bag can be used for blood vessels, oviducts and ligaments at two sides of the uterus to pass through, and the annular groove covering the whole pressing bag can ensure the flow area of cooling liquid, so that the cooling liquid is fully contacted with the surface of the uterus, and the purpose of rapid cooling is achieved.
The pressing bag is made of environment-friendly and nontoxic elastic materials, including medical silica gel and polyvinyl chloride.
The refrigerating and pressurizing system with the refrigerating and pressurizing functions consists of a refrigerator, a water tank, a water pump, a system alarm indicator lamp and a water level meter; the water filling port of basin is responsible for injecting cooling liquid into the basin, the delivery port is connected with second part controlling means, the return water mouth links to each other with the delivery port of pressing the bag for cooling liquid can the circulation flow, the refrigerator refrigerates to the liquid in the basin, the basin is responsible for holding cooling liquid, the water pump is responsible for pressurizeing cooling liquid, system alarm indicator is used for monitoring whether normal operating of entire system, the fluviograph is used for monitoring the memory space of the cooling liquid in the basin.
The control device for providing the temperature control and pressure regulation functions mainly comprises a temperature control controller and a pressure controller; the control device is an intermediate bridge which is connected with the refrigeration pressurization system and the pressing bag, the temperature control controller is responsible for adjusting and displaying the temperature, the pressure controller is responsible for adjusting and displaying the pressure, and the control device is used for conveying cooling liquid with required temperature and pressure for the pressing bag.
By adopting the hemostasis method of the device, a proper amount of cooling liquid is injected into a water tank, the cooling liquid is refrigerated and pressurized by a refrigerator and a water pump, the temperature and the pressure are adjusted to proper values by a control device, a uterus to be pressed is placed in a pressing bag, and preliminary fixation is carried out by an adjusting ring; the cooling liquid flows into the pressing bag from the water tank through the water outlet in sequence, and returns to the refrigeration pressurization system after flowing through the whole annular groove, so that the circulation is repeated; when pressing the inside coolant liquid that flows through of bag, the temperature reduces, and two lamellas press the piece of bag simultaneously and stretch the laminating and exert pressure for the uterus, and the blood sinus can be closed fast under the uterus chance is cold and the pressurized circumstances, and the blood vessel contracts fast, promotes the powerful shrink of uterus muscle layer to realize high-efficiently, quick, it is noninvasive, low temperature, the intelligent uterus that forces of colding pressing reaches the purpose of stanching fast when cutting open the palace obstetrics.
Has the advantages that:
1. the utility model discloses an intelligent hemostasis device bleeds during cesarean section, provide the coolant liquid of required temperature and pressure for pressing the bag through refrigeration turbocharging system and controlling means, controlling means is equipped with temperature control device and pressure controller respectively for read temperature regulation and pressure, refrigeration turbocharging system's delivery port and return water mouth can realize that the coolant liquid uses with the constant temperature circulation, and the cooling effect is better.
2. The utility model discloses an intelligent hemostasis device bleeds during cesarean section, press the bionical shell of bag shape, can play the effect of placing the uterus, can guarantee the maximum area of contact again, two lamella have the pressing bag piece of concavity can laminate to try hard after pressure reaches certain numerical value simultaneously, reach the mesh of uterus in the pressing bag, different hole sites that evenly distributed is used for adjusting the initial position appearance of cladding uterus on the adjustable ring around the pressing bag, the clearance between the adjustable ring of the department outside of pressing bag can supply the blood vessel of uterus both sides, oviduct and ligament to pass, the ring channel that covers whole pressing bag inside can guarantee the flow area of coolant liquid, thereby fully contact with the uterus surface, make the uterus meet cold and pressurized, the blood sinus is quick closed, the blood vessel is quick to shrink, promote the powerful shrink of uterus muscle layer, thereby realize high-efficiently, it is quick, it is noninvasive, low temperature, the intelligent cold pressing uterus achieves the purpose of rapid hemostasis during cesarean section.
3. The utility model discloses an intelligent hemostasis device bleeds during cesarean section divides into the triplex altogether, and each part function is clear and definite, is convenient for remove and lay, is applicable to clinical use.
Drawings
FIG. 1 is a diagram of the structure of the refrigeration and pressurization system of the present invention;
FIG. 2 is a structural diagram of a control device of the present invention;
FIG. 3 is a structural view of the pressing bag according to the present invention;
fig. 4 is a view showing the internal structure of the pressing bag according to the present invention.
1-refrigeration pressurization system, 2-control device, 3-pressing bag, 4-adjusting ring, 5-water inlet, 6-water outlet and 7-annular groove.
Detailed Description
The invention is further explained below with reference to the drawings and the examples.
Example 1
Referring to the attached figure 1, the refrigeration pressurization system 1 of the intelligent bleeding stopping device during cesarean section of the utility model mainly comprises a water filling port, a water return port, a water outlet, a refrigerator, a water tank, a water pump, a system alarm indicator light and a water level meter; the water filling port is responsible for injecting cooling liquid into the basin, the delivery port is connected with second part controlling means 2, the return water mouth links to each other with delivery port 6 of pressing bag 3 for cooling liquid can the circulation flow, the refrigerator refrigerates to liquid in the basin, the basin is responsible for holding cooling liquid, the water pump is responsible for the pressurization to cooling liquid, system alarm indicator is used for monitoring whether normal operating of entire system, the fluviograph is used for monitoring the memory space of cooling liquid in the basin.
Referring to fig. 2, the control device 2 of the present invention is composed of a temperature controller and a pressure controller; the control device is an intermediate bridge which is connected with the refrigeration pressurization system 1 and the pressing bag 3, the temperature control controller is responsible for adjusting and displaying the temperature, the pressure controller is responsible for adjusting and displaying the pressure, and the pressing bag 3 is conveyed with cooling liquid with required temperature and pressure through the control device.
Referring to fig. 3 and 4, the pressing bag 3 of the present invention is composed of an adjusting ring 4, an annular groove 7, a water inlet 5, and a water outlet 6; the pressing bag 3 is bionic shell, which can play a role of placing uterus and can ensure the maximum contact area, meanwhile, two pressing bag pieces with concavity can be attached as far as possible after the pressure reaches a certain value, which plays a role of pressing the uterus in the pressing bag, different hole positions on the adjusting ring 4 are used for adjusting the initial pose of the coated uterus, gaps at the outer side of the pressing bag can be used for blood vessels, oviducts and ligaments at two sides of the uterus to pass through, the annular groove 7 covering the whole pressing bag can ensure the flow area of cooling liquid, thereby fully contacting with the surface of the uterus and achieving the purpose of rapid cooling, the water inlet 5 is connected with the water outlet of the refrigeration pressurizing system 1 through a control device, the water outlet 6 is connected with the water return port of the refrigeration pressurizing system 1, so that the cooling liquid can be kept at constant low temperature through circulating flow, and the cooling effect is better.
The working method of the intelligent hemostasis device for bleeding during cesarean section disclosed by the embodiment comprises the following steps: the cooling water outlet is connected with the pressing bag through a booster pump device, a uterus to be pressed is placed in the pressing bag, and the uterus is fixed through an adjusting ring. When the water in the cooling machine is cooled to a proper temperature, the booster pump is regulated to a required pressure value, the cooling water flows into the pressing bag in sequence, and returns to the water cooler after flowing through the whole annular groove, so that the circulation is repeated. When pressing the inside cooling water that flows through of bag, the temperature reduces, and stretch the laminating and exert pressure for the uterus, and the uterus meets cold and the pressurized, and the blood sinus is closed fast, and the blood vessel contracts fast, promotes the powerful shrink of uterus muscle layer to realize high-efficient, quick, it is not wound, low temperature, the intelligent uterus that forces of colding pressing reaches the purpose of stanching fast when cesarean section.
Example 2
The structure adopts a supercharging device and a non-hollow pressing bag, and the working method comprises the following steps: put the uterus in pressing the bag, supercharging device can adopt the arm, through the uterus in the supercharging device oppression bag, adopts mechanical device to imitate the manual mode of pressing of human promptly, promotes vasoconstriction, reaches the purpose of quick hemostasis.
Example 3
The structure is a refrigerating system and a non-hollow pressing bag, the working method is that the uterus is placed in the pressing bag, and the refrigerating system is used for cooling the uterus in the pressing bag, so that the purpose of hemostasis is achieved.
Example 4
The structure and working method are similar to example 1, except that the liquid is changed to a gas.
Although the above operation methods all have certain effect on hemostasis, the synchronous cooling and pressing is better than the independent hemostasis effect, and although the medium can be gas, the gas can be condensed when being cooled, so that the method has certain limitation relatively.
The above detailed description further illustrates the objects, technical solutions and advantages of the present invention, and it should be understood that the above description is only an embodiment of the present invention, and is not intended to limit the scope of the present invention, and any modifications, equivalent substitutions, improvements and the like made within the spirit and principle of the present invention should be included in the scope of the present invention.
Claims (8)
1. The utility model provides an intelligent hemostasis device of bleeding during caesarean section, its characterized in that: comprises a pressurization system and a pressing bag; the pressing bag covers the uterus; the pressing bag is stretched and attached through the pressurizing system, so that the uterus is pressed, the muscle layer is promoted to contract forcefully, and the purpose of stopping bleeding is achieved.
2. The apparatus of claim 1, wherein: the pressing bag is of a hollow structure or a non-hollow structure, and when the pressing bag is of a hollow structure, the pressurization system realizes pressurization through gas or liquid.
3. The apparatus of claim 2, wherein: the pressing bag is made of environment-friendly and nontoxic elastic materials, including medical silica gel and polyvinyl chloride.
4. The apparatus of claim 1, wherein: the refrigerating system is used for adjusting the temperature of the pressing bag; by controlling the temperature of the gas or the liquid, the muscular layer can be forcefully contracted when the uterus is cooled, thereby realizing the purpose of rapid hemostasis during the cesarean section.
5. The apparatus of claim 1, wherein: the pressing bag consists of a bag body and an adjusting ring; the capsule body is of a split structure; the adjusting ring is used for closing the capsule body; the uterus is arranged in a capsule body, the capsule body is closed through an adjusting ring, a plurality of different hole positions are arranged on the adjusting ring and used for adjusting the initial pose of the coated uterus, and a gap between the adjusting ring at the outer side of the pressing capsule can be used for allowing blood vessels, fallopian tubes and ligaments at two sides of the uterus to pass through.
6. The apparatus of claim 3, wherein: the pressing bag is provided with an inlet and an outlet for the passage of gas or liquid.
7. The apparatus of claim 3 or 6, wherein: the hollow part in the pressing bag is provided with the partition plate to form an annular groove structure, and the structure can ensure the flow area of the cooling liquid, so that the cooling liquid is fully contacted with the surface of the uterus to achieve the purpose of rapid cooling.
8. The apparatus of any one of claims 1 to 6, wherein: the shell of the pressing capsule is of a bionic shell structure, so that the effect of placing the uterus can be achieved, the maximum contact area with the uterus can be guaranteed, and meanwhile, the pressing capsule pieces with the concavity in the two valves can be attached at best after the pressure reaches a certain numerical value, so that the effect of pressing the uterus in the capsule is achieved.
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2020203481076 | 2020-03-18 | ||
| CN202020348107 | 2020-03-18 |
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| Publication Number | Publication Date |
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| CN212650869U true CN212650869U (en) | 2021-03-05 |
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| CN202020491918.1U Expired - Fee Related CN212650869U (en) | 2020-03-18 | 2020-04-07 | Intelligent hemostasis device for bleeding during cesarean section |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111407352A (en) * | 2020-03-18 | 2020-07-14 | 朱玉梅 | Intelligent hemostasis device for bleeding during cesarean section |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111407352A (en) * | 2020-03-18 | 2020-07-14 | 朱玉梅 | Intelligent hemostasis device for bleeding during cesarean section |
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