CN212699012U - High-efficient hemostasis device that interior outer bag combines - Google Patents
High-efficient hemostasis device that interior outer bag combines Download PDFInfo
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- CN212699012U CN212699012U CN202020492114.3U CN202020492114U CN212699012U CN 212699012 U CN212699012 U CN 212699012U CN 202020492114 U CN202020492114 U CN 202020492114U CN 212699012 U CN212699012 U CN 212699012U
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Abstract
The utility model relates to a high-efficient hemostasis device that interior outer bag combines belongs to surgical instruments technical field. The utility model comprises a pressurizing system, an inner bag and an outer bag; the inner bag is used for being placed in the uterus, and when the inner bag is in an expansion state, the inner bag can be attached to the inner wall of the uterus, so that the inner bag can press the uterus and can support the uterus; the outer capsule covers the uterus and the inner capsule; the pressurizing system is communicated with the pressing bag to press the uterus, the inner bag and the outer bag are used together to increase the contact area with the uterus, efficiently promote the closure of blood sinuses, control the amount of bleeding and achieve the aim of hemostasis; the system also comprises a refrigeration pressurization system; the control device regulates and controls the pressure and the temperature of the cooling liquid conveyed by the refrigeration pressurization system to the pressing bag, and carries out double-sided cooling and pressing on the uterus from the outside and the inside of the uterus, so that the aims of non-invasive, high-efficiency and rapid hemostasis are achieved during the cesarean section, the incidence rate of adverse events during the operation is reduced, and the mental health and the life quality of a patient are improved.
Description
Technical Field
The utility model relates to a high-efficient hemostasis device that interior outer bag combines 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 cold pressing 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 cold pressing device for hemorrhage during cesarean section comprises a pressurizing system, an inner bag and an outer bag; the inner bag is used for being placed in the uterus, and when the inner bag is in an expansion state, the inner bag can be attached to the inner wall of the uterus, so that the inner bag can press the uterus and can support the uterus; the outer capsule covers the uterus and the inner capsule; the pressure boost system with press the bag intercommunication, pressure when the pressure boost system can control to press the bag and press causes the oppression for the uterus, inner bag and outer bag jointly use, increase and the area of contact of uterus, the high efficiency makes the blood sinus closed, controls the amount of bleeding, reaches hemostatic purpose.
The refrigeration system is used for adjusting the temperature of the inner bag and the outer bag;
the outer bag is of a hollow structure or a non-hollow structure; the inner bag is of a hollow structure;
when the outer bag is of a hollow structure, the pressurization system realizes pressurization through gas or liquid; inflating the inner bladder by inflating it with a gas or liquid; meanwhile, the flow rate and the temperature of circulating gas or liquid are controlled, the blood sinuses can be quickly closed under the conditions of cold exposure and compression of the uterus, and the strong contraction of a uterine muscle layer is promoted, so that the purpose of quick hemostasis during cesarean section is achieved by intelligently pressing the uterus at low temperature and high speed;
the outer bladder is composed of a bladder 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 and the inner capsule are arranged in the capsule body of the outer capsule, and the capsule body is closed by the adjusting ring;
the outer bag is provided with an inlet and an outlet for the passage of gas or liquid;
the hollow part in the outer bag is provided with a partition plate to form an annular groove structure, and the structure can ensure the flow area of cooling liquid, so that the cooling liquid is fully contacted with the surface of the uterus to achieve the aim of rapid cooling;
the shell of the outer capsule is of a bionic shell structure, so that the outer capsule not only can play a role of placing a uterus, but also can ensure the maximum contact area with the uterus, and meanwhile, two concave pressing capsule pieces can be attached to each other as soon as the pressure reaches a certain value, so that the outer capsule plays a role of pressing the uterus in the outer capsule;
a plurality of different hole sites are arranged on the adjusting ring and used for adjusting the initial pose of the coated uterus;
a gap is reserved between the adjusting rings at the outer side of the outer bag, the gap 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 inner part of the outer bag can ensure the flow area of cooling liquid, so that the cooling liquid is fully contacted with the surface of the uterus to achieve the aim of rapid cooling;
the inner bag includes: the drainage tube is connected with the drainage tube through a water inlet; the drainage tube is fixedly connected with the water injection tube; part of the drainage tube is arranged in the inner sac body; the drainage tube is provided with drainage holes, and gas or liquid enters the inner sac body through the drainage holes to expand the inner sac body; the inner bag outlet and the inner bag inlet are used for injecting and discharging gas or liquid;
the outer bag and the inner bag are made of environment-friendly and nontoxic elastic materials; including, for example, medical grade silicone;
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 inlet of the water tank is responsible for injecting cooling liquid into the water tank, the water outlet is connected with the second part control device, the water return port is connected with the water outlet of the pressing bag, so that the cooling liquid can flow circularly, the refrigerator is used for refrigerating the liquid in the water tank, the water tank is responsible for containing the cooling liquid, the water pump is responsible for pressurizing the cooling liquid, the system alarm indicator lamp is used for monitoring whether the whole system operates normally, and the water level gauge is used for monitoring the storage amount of the cooling liquid in the water tank;
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 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 pressing bag is conveyed with cooling liquid with required temperature and pressure through the control device;
the refrigerating and pressurizing system refrigerates and pressurizes the cooling liquid, the temperature and the pressure are regulated to proper values through the control device, the inner sac is placed into the uterus, the outer sac coats the uterus to be pressed, and preliminary fixation is carried out through the regulating ring; the cooling liquid flows into the pressing bag from the water outlet in sequence and then returns to the refrigeration pressurization system, so that the circulation is repeated; when the outer bag and the inner bag flow through the cooling liquid, the temperature is reduced, and simultaneously the inner bag expands and the outer bag is stretched and attached to press the two sides of the uterus from the inside and the outside of the uterus respectively, so that the blood sinuses of the uterus can be quickly closed under the conditions of cold and pressure, blood vessels can be quickly contracted, and the forceful contraction of a muscle layer is promoted, thereby achieving the purposes of intellectualization, no wound, high efficiency and quick hemostasis during the cesarean section; the inner bag can be independently used for cooling and pressing in natural delivery, the bleeding rate is reduced, the whole pressing bag can be used for double-sided cooling and pressing during cesarean section, and the hemostasis is more efficient.
Has the advantages that:
1. the utility model discloses a high-efficiency hemostasis device combining an inner bag and an outer bag, the pressing bag is divided into the inner bag and the outer bag, the double sections of the outer bag can simultaneously stretch and adhere under the pressure effect to cool and press the uterus from the outside, after the inner bag is placed in the uterus, a gasket can be placed outside the inner bag for preventing surgical suture damage to the inner bag, a flow guide pipe and a water injection pipe are fixedly connected through an adhesive, the support effect is achieved, the placement of the inner bag is convenient, the expansion of a cervical section is facilitated, the discharge of hematocele in the uterine cavity is promoted, the front end of the water injection pipe is provided with a chamfer, the uterus can be prevented from being damaged, cooling liquid is injected into the inner bag body along the water injection pipe through an inner bag water inlet, a drainage hole is arranged on a drainage pipe, so that the cooling liquid is led out from an inner bag water outlet through the drainage hole, the inner bag water outlet is, the inner bag is made to expand due to the fact that the pressure of the water inlet and the pressure of the water outlet are different to store cooling liquid through adjusting the pressure, the effects of cooling from the uterine cavity and the cervix and pressing the uterus are achieved, double-sided cooling and pressing are conducted outside the uterine cavity, and the hemostasis efficiency is improved.
2. The utility model discloses a high-efficient hemostasis device that interior outer bag combines, the intrauterine cooling is pressed in the inner bag of the exclusive use of natural childbirth, reduces the hemorrhage rate, cuts open the palace and can use whole pressing bag to carry out two-sided cooling when the time is put and press, reaches intelligent no wound, high-efficient, quick hemostatic purpose.
3. The utility model discloses a high-efficient hemostasis device that interior outer bag combines is divided into the three altogether, and each partial function is clear and definite, is convenient for remove and lay, is applicable to clinical use.
4. The inner bag can be detached from the outer bag for use alone after being administered for preventing puerperal hemorrhage
Drawings
Fig. 1 is a system configuration diagram of the present invention.
Fig. 2 is a structural diagram of the control device of the present invention.
Fig. 3 is a structural view of the pressing bag outer bag of the present invention.
Fig. 4 is a structural view of the inner bag of the pressing bag of the present invention.
1-refrigeration pressurization system, 2-control device, 3-pressing bag, 4-outer bag, 5-inner bag, 6-water injection pipe, 7-drainage pipe, 8-drainage hole, 9-inner bag body, 10-inner bag water outlet and 11-inner bag water inlet.
Detailed Description
The invention is further explained below with reference to the drawings and the examples.
Example 1
Referring to the attached drawing 1, the efficient intelligent cold pressing device for hemorrhage during caesarean section mainly comprises a refrigeration pressurization system 1, a control device 2 and a pressing bag 3, wherein the pressing bag 3 comprises an outer bag 4 and an inner bag 5; the refrigerating and pressurizing system 1 is responsible for refrigerating and pressurizing cooling liquid, the pressure and the temperature are adjusted to proper values through the control device 2, the cooling liquid flows into the pressing bag 3 from the water outlet in sequence and then returns to the refrigerating and pressurizing system 1, and the circulation is repeated. When outer bag 4 and inner bag 5 flowed through the coolant liquid, the temperature reduces, and the laminating is stretched to the outer bag of inner bag inflation simultaneously, carries out two-sided pressing to the uterus from palace and extrauterine respectively, and the uterus meets cold and the blood sinus can be closed fast under the pressurized condition, and the blood vessel contracts fast, promotes the muscular layer and contracts powerfully to reach intelligent noninvasive, high-efficient, the quick hemostatic purpose when cutting open the palace operation.
Referring to fig. 2, the control device 2 of the present invention is composed of a temperature controller and two pressure controllers; the control device is an intermediate bridge which is connected with the refrigeration pressurization system 1 and the pressing bag 3, the temperature control controllers are responsible for adjusting and displaying the temperature, the two pressure controllers are responsible for adjusting and displaying the pressure of the inner bag and the pressure of the outer bag, and the control device 2 is used for conveying cooling liquid with required temperature and pressure for the pressing bag 3.
Referring to the attached figure 3, the bionic shell with the shape of the outer bag 4 of the utility model can play the role of placing the uterus and ensure the maximum contact area, and meanwhile, the two pressing bladder pieces with the concavity can be attached to the cooling liquid under the pressure effect to play the role of pressing and cooling the uterus in the bag.
Referring to the attached figure 4, the inner bag 5 is composed of an inner bag water outlet 10, an inner bag water inlet 11, a water injection pipe 6, a drainage tube 7, a drainage hole 8 and an inner bag body 9, the drainage tube 7 and the water injection pipe 6 are fixedly connected through an adhesive, which not only plays a supporting role and is convenient for the placement of the inner bag, but also is beneficial to the expansion of the cervical section and promotes the discharge of the hematocele in the uterine cavity, the front end of the water injection pipe 6 is provided with a chamfer, can avoid damaging uterus, the cooling liquid is injected into the inner bag body 9 along the water injection pipe 6 through the inner bag water inlet 11, the drainage pipe 7 is provided with a drainage hole 8, thereby leading the cooling liquid out from the water outlet 10 of the inner sac along the drainage tube 7 through the drainage hole 8, connecting the water outlet 10 of the inner sac with the pressure controller through the pressure relief valve, the inner bag expands due to the different pressures of the water inlet and the water outlet by adjusting the pressure, so as to cool and press the uterus from the uterine cavity and the cervix. The inner bag 5 and the outer bag 4 are respectively provided with a water inlet and a water outlet, so that the cooling liquid can be ensured to circularly flow at constant low temperature, the cooling efficiency is improved, and the pressure required by the inner bag and the pressure required by the outer bag can be respectively adjusted. If the whole pressing bag 3 is conveyed with cooling liquid with proper temperature and pressure, the outer bag 4 and the inner bag 5 respectively cool and press the uterus from the outside and the inside of the uterine cavity, and the hemostasis efficiency is improved. The inner bag can be independently used for cooling and pressing in natural delivery, the bleeding rate is reduced, the whole pressing bag can be used for double-sided cooling and pressing during cesarean section, and the hemostasis is more efficient.
The working method of the inner and outer sac combined efficient hemostasis device disclosed by the embodiment comprises the following steps: the refrigerating and pressurizing system refrigerates and pressurizes the cooling liquid, the temperature and the pressure are adjusted to appropriate values through the control device, the inner sac is placed into the uterus, the uterus is to be pressed through the outer sac coating, and preliminary fixation is performed through the adjusting ring. The cooling liquid flows into the pressing bag from the water outlet in sequence and then returns to the refrigeration pressurization system, and the circulation is repeated. When outer bag and interior bag flowed through the coolant liquid, the temperature reduces, and the laminating is stretched to the outer bag of the expansion of interior bag simultaneously, carries out two-sided pressing to the uterus from palace and extrauterine respectively, and the uterus meets cold and the blood sinus can be closed fast under the pressurized condition, and the blood vessel contracts fast, promotes the powerful shrink of muscular layer to reach intelligent noninvasive, high-efficient, the quick hemostatic purpose when cutting open the palace operation. The inner bag can be independently used for cooling and pressing in natural delivery, the bleeding rate is reduced, the whole pressing bag can be used for double-sided cooling and pressing during cesarean section, and the hemostasis is more efficient.
Example 2
The structure adopts refrigeration pressurization system, controlling means and inner bag, and operating method is for putting into the uterus with the inner bag, through the temperature and the pressure of adjusting the inner bag, cools off and presses the uterus, and this device can promote the muscular layer to contract powerfully when cutting open the palace, reaches hemostatic purpose, also can use when natural childbirth and reduce the bleeding rate.
Example 3
The structure adopts a refrigeration pressurization system, a control device and an outer bag, the work method is that the uterus is coated by the outer bag, and the uterus is cooled and pressed by adjusting the pressure and the temperature of the outer bag, and the device can promote the muscle layer to shrink forcefully when the uterus is dissected, so as to achieve the purpose of hemostasis.
Example 4
The structure adopts a supercharging device and a non-hollow outer bag, and the working method comprises the following steps: the uterus is placed into the outer sac, the mechanical arm can be adopted by the pressurizing device, the uterus is pressed by the pressurizing device, namely, the mechanical device is adopted to simulate a manual human pressing mode, vasoconstriction is promoted, and the purpose of rapid hemostasis is achieved.
Example 5
The structure of the hemostatic bag is a refrigeration system, an inner bag and a non-hollow outer bag, the working method is that the uterus is placed in the inner bag, the inner bag and the uterus are placed in the outer bag, and the refrigeration system is used for cooling the uterus, so that the purpose of hemostasis is achieved.
Example 6
The structure and working method are similar to example 1, except that the liquid is changed to a gas.
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 (10)
1. The utility model provides a high-efficient hemostasis device of inner and outer bag combination which characterized in that: comprises a pressurization system, an inner bag and an outer bag; the inner bag is used for being placed in the uterus, and when the inner bag is in an expansion state, the inner bag can be attached to the inner wall of the uterus, so that the inner bag can press the uterus and can support the uterus; the outer capsule covers the uterus and the inner capsule; the pressure boost system with press the bag intercommunication, pressure when the pressure boost system can control to press the bag and press causes the oppression for the uterus, inner bag and outer bag jointly use, increase and the area of contact of uterus, the high efficiency makes the blood sinus closed, controls the amount of bleeding, reaches hemostatic purpose.
2. The apparatus of claim 1, wherein: a refrigeration system for regulating the temperature of the inner and outer bladders is also included.
3. The apparatus of claim 1 or 2, wherein: the outer bag is of a hollow structure or a non-hollow structure; the inner bag is of a hollow structure; when the pressing bag is of a hollow structure, the pressing bag can realize refrigeration or pressurization through gas or liquid.
4. The apparatus of claim 3, wherein: the outer bladder is composed of a bladder body and an adjusting ring; the capsule body is of a split structure; the adjusting ring is used for closing the capsule body; namely, the uterus and the inner capsule are arranged in the capsule body of the outer capsule, and the capsule body is closed by the adjusting ring.
5. The apparatus of claim 3, wherein: the outer bag and the inner bag are provided with an inlet and an outlet for the passage of gas or liquid.
6. The apparatus of claim 3, wherein: the inside hollow portion of outer bag sets up the baffle, forms ring channel structure, and the flow area of coolant liquid can be guaranteed to this structure to with uterus surface fully contact, reach quick refrigerated purpose.
7. The apparatus of claim 1, 2, 3 or 6, wherein: the shell of the outer capsule is of a bionic shell structure, so that the uterine shell can play a role in placing the uterus and can ensure the maximum contact area with the uterus, and meanwhile, the two pressing capsule pieces with the concavity can be attached to each other as far as possible after the pressure reaches a certain numerical value, so that the function of pressing the uterus in the capsule is played.
8. The apparatus of claim 4, wherein: a plurality of different hole sites are arranged on the adjusting ring and used for adjusting the initial pose of the coated uterus; the adjusting ring has a gap for blood vessels, oviducts and ligaments at two sides of the uterus to pass through, and the annular groove covering the whole outer sac can ensure the flow area of the cooling liquid, so that the cooling liquid is fully contacted with the surface of the uterus, and the aim of rapid cooling is fulfilled.
9. The apparatus of claim 1 or 2, wherein: the inner bag includes: the drainage tube is connected with the drainage tube through a water inlet; the drainage tube is fixedly connected with the water injection tube; part of the drainage tube is arranged in the inner sac body; the drainage tube is provided with drainage holes, and gas or liquid enters the inner sac body through the drainage holes to expand the inner sac body; the inner bag outlet and the inner bag inlet are used for injecting and discharging gas or liquid.
10. The apparatus of claim 5, wherein: the outer bag and the inner bag are made of environment-friendly and nontoxic elastic materials; including medical silica gel and polyvinyl chloride.
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2020203424158 | 2020-03-18 | ||
| CN202020342415 | 2020-03-18 |
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| CN212699012U true CN212699012U (en) | 2021-03-16 |
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| CN202020492114.3U Expired - Fee Related CN212699012U (en) | 2020-03-18 | 2020-04-07 | High-efficient hemostasis device that interior outer bag combines |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111493963A (en) * | 2020-03-18 | 2020-08-07 | 朱玉梅 | High-efficient hemostasis device that interior outer bag combines |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111493963A (en) * | 2020-03-18 | 2020-08-07 | 朱玉梅 | High-efficient hemostasis device that interior outer bag combines |
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