Anti-adhesion spacer device for uterine cavity
Technical Field
The utility model relates to medical equipment for nursing in gynecology or obstetrics, in particular to a uterine cavity anti-adhesion spacer device.
Background
The female uterine cavity is the cavity of uterus, which is a muscular organ formed by smooth muscle, is positioned in the center of the pelvic cavity, the front part of the uterus is opposite to the bladder, the back part of the uterus is adjacent to the rectum, the left side and the right side of the uterus are upwards formed into bulges and face to the side wall of the pelvic cavity, and a latissimus ligament is attached to the bulges. The shape, size and location of the uterine cavity varies with age, physiological cycle and pregnancy. Generally, the uterus is 5.5-7.5cm long, 4.5-5.5cm wide and 3-4cm thick.
The intrauterine adhesion can be caused by multiple artificial abortion, uterine curettage and the like, and the intrauterine adhesion loosening operation treatment under the hysteroscope can restore the anatomical morphology and volume of the uterine cavity, treat related symptoms, prevent the adhesion from forming again and promote the regeneration and repair of the endometrium. At present, an intrauterine device or a balloon is placed in a precedent for preventing intrauterine adhesion after a hysteroscope operation, according to clinical data counted by an inventor from 2019, the re-adhesion rate is respectively reduced to 35% and 22% by placing the intrauterine device and the balloon, but part of patients complain of abdominal distending pain after the operation, the current balloon is not specially suitable for intrauterine, the inflated shape is spherical and is not in accordance with the shape of the uterine cavity, and the balloon material still brings obvious discomfort. In addition, the current balloon is not suitable for rehabilitation after hysteroscopy, and blood clots or secretions in the uterine cavity after the operation cannot be effectively removed.
Disclosure of Invention
The purpose of the utility model is as follows: the utility model aims to provide a spacer device which is suitable for preventing intrauterine adhesion after an intrauterine adhesion release operation under a hysteroscope, effectively leading out intrauterine hematocele and reducing the abdominal distending pain probability of a patient after the operation.
The technical scheme is as follows: in order to realize the aim, the utility model provides a spacer device for preventing adhesion of a uterine cavity, which comprises a soft body and a liquid discharge pipe; the soft body is a triangular prism body which is provided with round corners and is flat, the upper surface and the lower surface of the soft body are triangles with round corners, a plurality of drainage ports are respectively arranged on the first side edge, the second side edge and the third side edge of the soft body, a plurality of drainage cavities communicated with the drainage ports and a liquid accumulation cavity communicated with all the drainage cavities in the drainage direction are arranged in the soft body, and one end of the liquid accumulation cavity in the drainage direction is communicated with a liquid discharge pipe; the included angle between the opening direction of any drainage cavity and the drainage direction of the drainage tube is larger than 90 degrees.
It should be noted that: the upper surface and the lower surface of the utility model refer to the upper surface and the lower surface of the product when the product is still on the horizontal plane; the drainage direction is the direction of the drainage tube, and the direction of the cervix is indicated by implantation in the uterine cavity.
The soft body is a triangular prism which is provided with round corners and is flat, the shape of the triangular prism is basically matched with the shape of a female uterine cavity, when the product is vertically inverted, two corners on two sides of the upper end of the triangular prism correspond to female uterine corners, and one corner in the middle of the lower end of the triangular prism corresponds to a female uterine opening. Those skilled in the art can select the size, thickness and round angle of the soft body according to the actual use condition, and the soft body is within the protection scope of the present invention without departing from the principle of the present invention.
It is worth noting that the included angle between the opening direction of any drainage cavity and the drainage direction of the drainage tube is further limited to be larger than 90 degrees, so that a certain gravity potential is provided from the drainage inlet end to the drainage outlet end after the soft body is placed in the uterine cavity, and if the opening of the drainage cavity is too close to one end of the drainage tube, the drainage effect is influenced, and even countercurrent and coagulation stagnation are generated.
As a further optimization of the present invention, the first side edge is located at the distal end side of the liquid discharge pipe, and the two ends of the second side edge and the third side edge are respectively connected to the two ends of the first side edge and the liquid discharge pipe; and the positions of the drainage openings of the second side edge and the third side edge are close to the first side edge.
Further, first side is equipped with 3~6 drainage mouths, second side and third side are equipped with 1~2 drainage mouths separately. As the optimal embodiment of the utility model, 3-4 drainage openings are formed in the first side edge; the second side and the third side are respectively provided with 1 drainage opening, and the drainage opening is close to the drainage opening of the first side.
Further, the cross section of the drainage cavity is gradually reduced along the drainage direction. The communication position of the drainage port and the hydrops cavity is positioned on one side of the hydrops cavity far away from the liquid discharge pipe. The design is favorable for blood, effusion or inner membrane fragments detained in the drainage cavity to flow into the hydrops cavity under the extrusion of the uterine cavity, and the blood, effusion or inner membrane fragments in the hydrops cavity are mainly discharged from one side of the drainage tube under the extrusion, are not easy to flow reversely from one side of the drainage cavity, and ensure the drainage directionality. The skilled person can on the basis of this arrange a valve body or flap controlling the direction of the fluid at the inlet between the various chambers.
Compared with the prior art that the balloon is full, the anti-adhesion spacer device provided by the utility model is mainly made of any one or combination of more of latex, silica gel and rubber, and can be of a solid structure, a hollow structure or a structure combining solid and hollow. The product can be easily folded into a small shape to be placed into the uterine cavity without injecting air or water for filling, and the foreign body sensation is not obvious. The hollow structure is beneficial to folding of products, the quality of the products can be reduced, and foreign body sensation is further reduced.
As a preferred embodiment of the present invention, the soft body is a hollow structure made of latex or silica gel, and an independent hollow air chamber is formed between any two adjacent drainage lumens.
Considering that the hollow air chamber is adopted completely, and flexible materials such as latex, silica gel and the like are adopted, the shaping capacity of the product is insufficient, and the support of the uterine cavity can be influenced. Therefore, one or more supporting columns made of rubber materials are arranged in the air chamber, and two ends of each supporting column are fixedly connected with the inner surfaces of the upper surface and the lower surface respectively. The rubber material has better supporting performance than latex and silica gel, and is easy to be integrated with the latex or the silica gel.
The PVA sponge layer can be arranged on the outer sides of the upper surface and the lower surface, and the thickness of the center of the PVA sponge layer is larger than that of the outer edge. At present, medical PVA (polyvinyl alcohol) sponge is widely used in biological affinity materials, is commonly used for wound drainage, and has better flexibility, smoothness and gas isolation.
Furthermore, a plurality of anti-skid lines perpendicular to the liquid discharge pipe are arranged on the upper surface and the lower surface. The anti-slip lines can prevent the product from shaking or sliding out of the uterine cavity.
When the medical staff uses the product, the flexible material has the characteristic of cutting, so that the shape of the product can be cut according to the actual situation in the womb of the patient.
Has the advantages that: the uterine cavity anti-adhesion spacer device provided by the utility model has the function of supporting uterus and preventing the adhesion of the inner wall, and can effectively drain blood clots and endometrial fragments at the upper part in the uterus and discharge the blood clots and the endometrial fragments through a drainage tube passing through the vagina. The product is optimized in multiple places from the aspects of material selection, shape improvement, biocompatibility, skid resistance and the like, the product structure is not complex, the integrated molding preparation is easy, and the product has a good use prospect.
Drawings
FIG. 1 is a schematic external view of example 1;
FIG. 2 is a schematic cross-sectional view of example 1;
FIG. 3 is a top view of FIG. 1;
fig. 4 is a side view of fig. 1.
Detailed Description
The utility model is further illustrated with reference to the following figures and examples.
Example 1
A spacer device for preventing adhesion of uterine cavity comprises a soft body 1 and a liquid discharge pipe 2. The soft body 1 is a triangular prism which has round corners and is flat and is made of silica gel material. As shown in figure 1, the triangular prism is placed in the female uterine cavity in an inverted triangle shape and is made of silica gel or latex material. The liquid discharge pipe 2 is embedded in the soft body 1 and can be made of conventional conduit materials, so that the product can be conveniently taken out from the uterus by external pulling. The surface of the product is provided with a plurality of anti-skid lines 3, which can prevent the product from shaking or sliding out of the uterine cavity.
As further shown in fig. 2 to 4, the first side 4 of the soft body 1 may be a straight edge or a slight arc, and is located at the distal end of the drainage tube 2 to match the shape of the uterine cavity top; four drainage openings 7 are formed in the first side edge 4. The second side edge 5 and the third side edge 6 are respectively provided with a drainage opening 7, and the opening position is very close to the opening of the first side edge 4, so that the openings of the whole product are concentrated on the upper half part in the figure. As can be seen from the figure, the opening of each drainage opening 7 is designed to be a round corner 12, so that the stimulation of the uterine wall creation caused by the corner at the opening is avoided.
Each vent 7 corresponds to a separate vent lumen 8, extending toward the center of the device and merging together into the drip chamber 9. In this embodiment, the chamber 9 is ellipsoidal, with its major axis coinciding with the discharge tube 2. The included angle between the opening direction of any drainage cavity 8 and the drainage direction of the drainage pipe 2 is more than 120 degrees. The ellipsoidal dropsy chambers 9 are beneficial to accumulating blood clots and intimal debris from each dropsy chamber 9, and after the device is implanted into the uterine cavity of a patient, the blood clots and intimal debris are deposited below the dropsy chambers 9 under the action of gravity and are gradually discharged through the liquid discharge pipe 2 along with the extrusion of the uterine cavity. The cross section of the drainage cavity 8 is gradually reduced along the drainage direction, which is beneficial to preventing the content in the hydrops cavity 9 from flowing reversely.
Referring back to fig. 2, the present embodiment shows a hollow silica gel soft body 1 having a plurality of independent hollow air chambers 10, and a drainage chamber 8 is formed between two adjacent air chambers 10. Three rubber support columns 11 made of rubber materials are arranged in the air chamber 10, and two ends of each support column 11 are fixedly connected with the inner surfaces of the two rounded triangular surfaces respectively.
The center maximum thickness of the soft body of the product is 3-5 cm, the thickness of the outer edge is 1-2 cm, the length of the drainage tube is not less than 5cm, the drainage tube can be made of PP, PE, PVC and other existing materials, and the soft body is not easy to extrude and deform.
The operation and nursing of implanting the uterine cavity anti-adhesion spacer device into the uterus of a patient are as follows:
1. the vaginal dilator opens the uterine orifice, rolls up the soft body part, and sends the soft body part and the liquid discharge pipe into the uterine cavity together;
2. according to the situation of hysteroscopic operation of a patient, selecting a uterine cavity anti-adhesion spacer with the shape and size suitable for the shape and size of the uterus of the patient to be arranged in the center of the uterine cavity, so that the uterine cavity is filled with the spacer as much as possible; the spacers are cut when necessary. For convenience of operation, the plane of the triangle is parallel to the human body;
3. the product is suitable for patients who need to prevent the uterine cavity from re-adhesion after the uterine cavity adhesion operation, and the using time is set according to the adhesion degree and is generally used for 3 to 14 days.
Example 2
On the basis of the embodiment 1, the two rounded triangular surfaces can be additionally provided with a PVA sponge layer on the outer side, the central thickness of the PVA sponge layer is greater than the outer edge thickness, and the PVA sponge layer has good flexibility, smoothness and gas isolation and conforms to the shape in the uterine cavity.
In this case, the anti-slip pattern is thicker than that of example 1, and at the same time, the PVA sponge layer having a certain thickness is extruded to be deformed to a certain extent and then just exposed to the anti-slip pattern, so as to be attached to the inner wall of the uterus.
The above description is only of the preferred embodiments of the present invention, and it should be noted that: it will be apparent to those skilled in the art that various modifications and adaptations can be made without departing from the principles of the utility model and these are intended to be within the scope of the utility model.