CN215129811U - Adsorption forceps for taking out huge uterus - Google Patents

Adsorption forceps for taking out huge uterus Download PDF

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CN215129811U
CN215129811U CN202121455352.8U CN202121455352U CN215129811U CN 215129811 U CN215129811 U CN 215129811U CN 202121455352 U CN202121455352 U CN 202121455352U CN 215129811 U CN215129811 U CN 215129811U
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inner cylinder
uterus
adsorption film
huge
taking out
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杨丽丽
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Shaanxi University of Chinese Medicine
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Shaanxi University of Chinese Medicine
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Abstract

The utility model discloses an adsorption forceps for taking out a huge uterus, which comprises an outer cylinder, an inner cylinder and an adsorption film, wherein the inner cylinder is internally sleeved with the outer cylinder, and the adsorption film is communicated with one end part of the inner cylinder; the inner part of the inner cylinder is hollow, and the end part of the inner cylinder is provided with a negative pressure device which is used for reducing the air pressure in the inner cylinder; the negative pressure device comprises a connecting pipe, a pressure gauge, a one-way valve, a pressure relief hole and a vacuum air pump; one end of the connecting pipe is communicated with the inner cylinder, the other end of the connecting pipe is communicated with the vacuum air pump, the one-way valve is arranged in the connecting pipe, and the pressure relief hole is arranged on the side wall of the inner cylinder; be provided with left vaulting pole and right vaulting pole on the adsorption film respectively, left vaulting pole, right vaulting pole all embedded in adsorption film on the surface, the adsorption film can adsorb the uterus surface at negative pressure state, plays fine additional action to cutting the uterus, and overall structure is simple, occupation space is little, and is minimum to the health injury, makes the cutting, takes out the operation process simplification in uterus, and technical requirement is low, makes the whole time of operation reduce, and the risk is little.

Description

Adsorption forceps for taking out huge uterus
Technical Field
The utility model relates to the technical field of medical equipment, in particular to an adsorption forceps for taking out a huge uterus.
Background
Clinically, uterine fibroids and adenomyomas are common benign tumors in gynecology, and the diseases often cause uterine enlargement, and cause clinical manifestations of lower abdominal mass, abnormal uterine bleeding, lower abdominal pain, large leucorrhea and the like. In the face of huge uterus, for perimenopausal women with the requirement of no fertility, the traditional operation mode usually selects a transabdominal total hysterectomy operation. With the popularization of minimally invasive concepts, more and more gynecologists choose to resect a large uterus by laparoscopic surgery. Laparoscopic surgery is a common minimally invasive surgery mode at present, and is widely accepted by doctors and patients due to the advantages of small incision, clear surgical field, less bleeding during surgery, quick postoperative recovery and the like. However, how to successfully remove the huge uterus through the vagina becomes a practical problem for many gynecologists. Traditional transvaginal uterine extraction methods: the assistant vagina draw hook fully exposes the vaginal stump and exposes the excised cervical tissue, the left hand of the main knife clamps the cervix by using cervical forceps or cloth-towel forceps, and the right hand of the main knife cuts the uterus body along the center by using a scalpel close to the vaginal incising edge or cuts the uterus body by wedge-shaped blocks, thereby taking out the uterus smoothly through the vagina.
In the face of a large uterus, the traditional transvaginal withdrawal mode has drawbacks: for the irregularly enlarged uterus, the uterus is cut or resected in a block shape along the median line, the requirement on the operation skill of an operator is high, the size and the position of the uterus need to be fully known before resection, the consumed time is long, the uterus can not be completely removed in one time, and the uterus needs to be continuously rotated to a corresponding position, such as the position of a posterior fornix, so that the isolated tissue can be smoothly removed; in the process of excision, the abdominal cavity with the easily dropped uterus needs to be delivered to the vaginal stump with the assistance of the laparoscope again. The technique is not easy to master, and the excess force or uneven stress in the traction process is easy to damage the stump and the vaginal wall, which leads to the bleeding of the stump and the massive bleeding of the abdominal cavity caused by injuring the parauterine artery, etc.
The problems with the above operation are: long operation time, high technical threshold, and the operation can be performed only by sufficient operation experience.
SUMMERY OF THE UTILITY MODEL
To the technical problem, the utility model provides an it adsorbs pincers to take out huge uterus makes adsorption film and uterus surface form the negative pressure and adsorbs the uterus, reduces the operation degree of difficulty for the excision, take out the uterus.
In order to achieve the purpose, the utility model is realized by the following technical scheme:
the utility model provides an take out absorption pincers of huge uterus which characterized in that: the adsorption device comprises an outer cylinder, an inner cylinder and an adsorption film, wherein the inner cylinder is arranged in the outer cylinder, and the adsorption film is communicated with one end part of the inner cylinder; the adsorption film is used for attaching and adsorbing the surface of the uterus and tightly adsorbing the uterus; the inner cylinder is hollow, a negative pressure device is arranged at the end part of the inner cylinder and is used for reducing the air pressure in the inner cylinder; the negative pressure device comprises a connecting pipe, a pressure gauge, a one-way valve, a pressure relief hole and a vacuum air pump; one end of the connecting pipe is communicated with the inner cylinder, the other end of the connecting pipe is communicated with the vacuum air pump, the pressure gauge is used for detecting the air pressure in the inner cylinder, the one-way valve is arranged in the connecting pipe and used for limiting air to flow into the inner cylinder from the connecting pipe, the pressure relief hole is formed in the side wall of the inner cylinder and used for relieving the pressure in the inner cylinder; the adsorption film is provided with a left support rod and a right support rod respectively, and the left support rod and the right support rod are embedded in the surface of the adsorption film.
Compared with the prior art, the utility model has the advantages of it is following:
the suction forceps which are not unfolded enter a cervix gradually through a vagina and extend into the lower section of a uterus, when one end of an inner barrel, which is provided with a suction film, is pushed out of an outer barrel, the suction film is opened from a contraction state, the suction forceps are slowly moved to the front end of the uterus, so that the surface of the suction film is attached to the surface of the uterus, a vacuum air pump is started, the air in the inner barrel is outwards pumped out by the vacuum air pump, the suction film is gradually in a negative pressure state in the period, then the outer barrel is slightly rotated left and right by a left hand, the suction film is observed not to fall off from the surface of the uterus, so that the suction is tight, then the outer barrel is gradually rotated by the left hand, and the uterus is cut by a right hand-held scalpel. After the cutting finishes, take out the uterus from the vagina along with following the absorption pincers together, the utility model discloses can play fine additional action to the cutting uterus at the firm absorption uterus surface of negative pressure state, overall structure is simple, occupation space is little, and is minimum to the health injury, makes the cutting, takes out the operation process simplification of uterus, and technical requirement is low, makes the whole time of operation reduce, and the risk is little, has fine clinical popularization meaning.
More preferably: the inner part of the outer cylinder is hollow.
By adopting the technical scheme, the inner cylinder can be ensured to rotate well on the outer cylinder.
More preferably: the material of the adsorption film is medical rubber.
By adopting the technical scheme, the adsorption film made of the medical rubber has soft and elastic texture, can be well adsorbed on the surface of the uterus and is not easy to fall off.
More preferably: there is a distance between the left stay bar and the right stay bar.
By adopting the technical scheme, when the inner cylinder comes out of the outer cylinder, the left support rod and the right support rod are ensured to prop open the adsorption film to the open state.
The method is further optimized as follows: the material of the outer cylinder is any one of stainless steel and PET plastic.
Adopt above-mentioned technical scheme, when electing and using the stainless steel, the urceolus can used repeatedly after high temperature disinfection and isolation, when electing and using PET plastics, can be as the disposable medical equipment of disease, and the hospital can select different materials according to actual need, and such urceolus has great practical range.
The method is further optimized as follows: the material of the inner cylinder is any one of stainless steel and PET plastics.
Adopt above-mentioned technical scheme, when electing and using the stainless steel, the inner tube can used repeatedly after high temperature disinfection and isolation, when electing and using PET plastics, can be as the disposable medical equipment of disease, and the hospital can select different materials according to actual need, and such inner tube has great practical range.
The method is further optimized as follows: the elastic sheet is made of rubber.
By adopting the technical scheme, the elastic sheet made of rubber has good flexibility besides the characteristic of elasticity, and is convenient to operate when the adsorption film is screwed into the inner cylinder again.
The method is further optimized as follows: the left stay bar and the right stay bar are made of hard plastics.
Adopt above-mentioned technical scheme, make left branch vaulting pole, right branch vaulting pole have certain hardness, when the adsorption film adsorbs the surface in uterus, very can be fine support the adsorption film and be in open state, ensure that the firm absorption of adsorption film is on uterus surface.
The method is further optimized as follows: the length range of the outer cylinder 1 is 11cm-15 cm.
Drawings
FIG. 1 is a schematic structural diagram of the present embodiment;
fig. 2 is a schematic view of a retraction structure of the adsorption film of the present embodiment;
FIG. 3 is a schematic view illustrating the opening of the adsorption film according to the present embodiment;
fig. 4 is a schematic view of the using process of the present embodiment.
Reference numerals: 1-outer cylinder; 2-inner cylinder; 3, connecting pipes; 4, a pressure gauge; 5, a one-way valve; 6-a spring plate; 7-left stay bar; 8-right stay bar; 9-an adsorption film; 10-uterus; 11-the vagina; 12-the cervix; 13 pressure relief holes and 14 vacuum suction pumps.
Detailed Description
The present invention will be described in further detail with reference to fig. 1, 2, 3 and 4.
An adsorption forceps for taking out a huge uterus 10 comprises an outer cylinder 1, an inner cylinder 2 and an adsorption film 9, wherein the inner cylinder 2 is sleeved in the outer cylinder 1, and the outer wall of the inner cylinder 2 is rotatably connected with the inner wall of the outer cylinder 1, as shown in figure 1. The bottom of the adsorption film 9 is communicated with the inner space of the inner cylinder 2 through the inner space of the adsorption film 9 which is flexibly connected with the top of the inner cylinder 2, and the adsorption film 9 is used for being attached to and adsorbing the surface of the uterus 10 and closely adsorbing the uterus 10.
The inner part of the inner barrel 2 is hollow, one end part of the inner barrel 2 is communicated with the adsorption membrane 9, the other end part of the inner barrel 2 is closed, the side wall of the inner barrel 2 is provided with a connecting pipe 3, the other end of the connecting pipe 3 is communicated with a vacuum air pump 14, the vacuum air pump 14 is used for pumping air in the inner barrel out, and then the inner space of the adsorption membrane 9 is changed into a negative pressure state. Be provided with manometer 4 on connecting pipe 3, a pressure value for in time observe the inner tube, when the pressure value reduces slowly, then adsorb the uterus completely not of membrane 9, need close vacuum aspiration pump 14 at once this moment, fix a position adsorption membrane 9 again, in order to avoid outside air to flow into to the patient's abdominal cavity through the inner tube, set up check valve 5 in the junction of connecting pipe 3 and inner tube, for the convenience of the uterus breaks away from human back, with uterus and the separation of adsorption membrane 9, be provided with pressure release hole 13 on the inner tube.
The joint of the adsorption film 9 and the inner cylinder 2 is provided with an elastic sheet 6, the two ends of the elastic sheet 6 are both connected with the inner wall of the adsorption film 9, and the elastic sheet 6 is used for supporting the adsorption film 9 to be in an open state.
Be provided with left vaulting pole 7 and right vaulting pole 8 on the adsorption film 9 respectively, left vaulting pole 7, right vaulting pole 8 all embedded on the surface of adsorption film 9.
Specifically, the outer cylinder 1 in the present embodiment is hollow, and ensures that the inner cylinder 2 can rotate well in the outer cylinder 1.
Specifically, medical rubber is selected for the material of adsorption film 9 in this embodiment, and the texture of adsorption film 9 that selects for use medical rubber to make is soft elasticity, can be fine absorption on uterus 10 surface, and is difficult for droing.
Specifically, in the present embodiment, there is a distance between the left stay 7 and the right stay 8, so as to ensure that the left stay 7 and the right stay 8 prop open the adsorption film 9 when the inner cylinder 2 rotates out of the outer cylinder 1.
Specifically, in this embodiment, any one of stainless steel, PET plastics is chooseed for use to urceolus 1's material, and when electing the stainless steel, urceolus 1 can used repeatedly after high temperature disinfection and sterilization, when electing the PET plastics, can regard the disposable medical equipment of disease, and different materials can be selected according to actual need in the hospital, and such urceolus 1 has great practical scope.
Specifically, in this embodiment, any one of stainless steel, PET plastics is chooseed for use to inner tube 2's material, when electing the stainless steel, can used repeatedly after inner tube 2 passes through high temperature disinfection and sterilization, when electing the PET plastics, can regard the disposable medical equipment of disease, and different materials can be selected according to actual need in the hospital, and such inner tube 2 has great practical scope.
Specifically, the material of shell fragment 6 chooses rubber for use in this embodiment, and shell fragment 6 that rubber was made still has fine pliability in addition to having the characteristics of elasticity, when will adsorbing the membrane 9 precession inner tube 2 once more, convenient operation.
Concretely, stereoplasm plastics are all selected for use to the material of left vaulting pole 7, right vaulting pole 8 in this embodiment, make left branch vaulting pole, right branch vaulting pole have certain hardness, and when adsorption film 9 adsorbs the surface in uterus 10, very can be fine support adsorption film 9 is in the state of opening, ensures that the firm absorption in uterus 10 surface of adsorption film 9.
Specifically, the length range of the outer cylinder 1 is 11cm-15 cm. Usually, the length of the vagina is 8cm at the minimum, and for the convenience of operation, in the present embodiment, the length of the outer cylinder 1 is set to be in the range of 11cm-15cm for the convenience of operation of the doctor.
Procedure for taking out uterus 10:
as shown in fig. 1, 2, 3 and 4, after anesthesia and preparation work are ready, the suction forceps which are not opened are put into the vagina 11, gradually enter the cervix 12 through the vagina 11 and extend to the lower section of the uterus 10, the suction membrane 9 is opened from the contraction state when the inner cylinder 2 is rotated, the suction forceps are slowly moved to the front end of the uterus 10 by the left hand, the surface of the suction membrane 9 is attached to the surface of the uterus 10, the vacuum air pump 14 is started, the air in the inner cylinder is pumped out by the vacuum air pump 14, the inside of the suction membrane 9 is gradually in the negative pressure state during the period, the surface of the uterus 10 is gradually adsorbed on the suction membrane 9, then the outer cylinder 1 is slightly rotated left and right by the left hand, the suction membrane 9 is observed not to fall off from the surface of the uterus 10, so that the adsorption is tight, then the outer cylinder 1 is gradually rotated by the left hand, so that the tissues of the uterus 10 keep proper tension, and simultaneously, the cutting sites are favorably exposed without cutting too many tissues at one time, so as to avoid the inconvenience of rotation and the failure of exposing the next cutting site, then adopting a 270-degree clockwise gradual spiral cutting method, gradually and clockwise rotating the uterus body by the left hand by means of the adsorption forceps from the side wall of the uterus body to the bottom of the uterus 10 and the body of the uterus 10, and taking the uterus 10 out of the vagina 11 along with the adsorption forceps after the cutting is finished.
After the sterilization, the adsorption forceps are sterilized, the fingers press the soft connection part between the adsorption film 9 and the inner cylinder 2 to fold the adsorption film 9 together, the inner cylinder 2 is rotated in the opposite direction, the inner cylinder 2 is rotated into the outer cylinder 1, the adsorption film 9 is folded, and the folding function of the adsorption forceps is realized.
In summary, the suction forceps which are not spread out gradually enter the cervix 12 through the vagina 11 and extend into the lower section of the uterus 10, the suction membrane 9 is opened from the contraction state when the inner barrel 2 is rotated, the suction forceps are slowly moved to the side wall of the uterus 10, the surface of the suction membrane 9 is attached to the surface of the uterus 10, the vacuum air pump 14 is started, the inside of the suction membrane 9 gradually becomes a negative pressure state during the operation of the vacuum air pump 14, then the outer barrel 1 is slightly rotated left and right by the left hand, the suction tightness is indicated by observing that the suction membrane 9 does not fall off from the surface of the uterus 10, then the outer barrel 1 is gradually rotated by the left hand, and the uterus 10 is cut by the right hand-held scalpel. After the cutting finishes, take out uterus 10 from vagina 11 along with follow absorption pincers together the utility model discloses can play fine additional action to cutting uterus 10 on the firm absorption uterus 10 surface of negative pressure state, overall structure is simple, occupation space is little, and is minimum to the health injury, makes the cutting, takes out the operation process simplification of uterus 10, and technical requirement is low, makes the whole time of operation reduce, and the risk is little, has fine clinical popularization meaning.
The present embodiment is only for explaining the present invention, and it is not limited to the present invention, and those skilled in the art can make modifications of the present embodiment without inventive contribution as required after reading the present specification, but all of them are protected by patent laws within the scope of the present invention.

Claims (10)

1. The utility model provides an take out absorption pincers of huge uterus which characterized in that: the adsorption device comprises an outer cylinder (1), an inner cylinder (2) and an adsorption film (9), wherein the inner cylinder (2) is sleeved in the outer cylinder (1), and the adsorption film (9) is communicated with one end part of the inner cylinder (2); the adsorption film (9) is used for attaching and adsorbing the surface of the uterus (10) and tightly adsorbing the uterus (10);
the inner part of the inner cylinder (2) is hollow, and the end part of the inner cylinder (2) is provided with a negative pressure device which is used for reducing the air pressure in the inner cylinder; the negative pressure device comprises a connecting pipe (3), a pressure gauge (4), a one-way valve (5), a pressure relief hole (13) and a vacuum air pump (14); one end of the connecting pipe (3) is communicated with the inner cylinder (2), the other end of the connecting pipe (3) is communicated with the vacuum air pump (14), the pressure gauge (4) is used for detecting the air pressure in the inner cylinder (2), the one-way valve (5) is arranged in the connecting pipe (3), the one-way valve (5) is used for limiting air to flow into the inner cylinder (2) from the connecting pipe (3), the pressure relief hole is formed in the side wall of the inner cylinder, and the pressure relief hole is used for relieving the pressure in the inner cylinder;
the adsorption film is characterized in that a left support rod (7) and a right support rod (8) are respectively arranged on the adsorption film (9), and the left support rod (7) and the right support rod (8) are embedded in the surface of the adsorption film (9).
2. The suction forceps for taking out a huge uterus according to claim 1, characterized in that: the inner part of the outer cylinder (1) is hollow.
3. The suction forceps for taking out a huge uterus according to claim 1, characterized in that: the material of the adsorption film (9) is medical rubber.
4. The suction forceps for taking out a huge uterus according to claim 1, characterized in that: and a distance exists between the left support rod (7) and the right support rod (8).
5. The suction forceps for taking out a huge uterus according to claim 1, characterized in that: the outer barrel (1) is made of any one of stainless steel and PET plastic.
6. The suction forceps for taking out a huge uterus according to claim 1, characterized in that: the inner cylinder (2) is made of any one of stainless steel and PET plastic.
7. The suction forceps for taking out a huge uterus according to claim 1, characterized in that: the joint of the inner cylinder and the adsorption film (9) is provided with an elastic sheet, one end of the elastic sheet is connected with the outer side wall of the inner cylinder, the other end of the elastic sheet is connected with the outer side wall of the adsorption film (9), the section of the elastic sheet is L-shaped, and the elastic sheet is used for opening the opening of the adsorption film (9).
8. The suction forceps for taking out a huge uterus according to claim 7, characterized in that: the elastic sheet (6) is made of rubber.
9. The suction forceps for taking out a huge uterus according to claim 1, characterized in that: the left support rod (7) and the right support rod (8) are made of hard plastics.
10. The suction forceps for taking out a huge uterus according to claim 1, characterized in that: the length range of the outer cylinder (1) is 11cm-15 cm.
CN202121455352.8U 2021-06-29 2021-06-29 Adsorption forceps for taking out huge uterus Active CN215129811U (en)

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