CN217853236U - Booster for childbirth - Google Patents
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Abstract
Description
技术领域technical field
本实用新型涉及医疗设备技术领域,特别是涉及一种分娩助力器。The utility model relates to the technical field of medical equipment, in particular to a childbirth booster.
背景技术Background technique
产妇宫口开全进入第二产程时,常常需要产妇正确屏气用力,运用腹肌、膈肌、肛提肌等辅助力量帮助胎儿娩出。若因疾病原因不能用力、麻醉后没法用力、产妇用力差或者不想用力,或者母胎有潜在危险或者已经处于危险状态,需要尽快娩出胎儿时,需要分娩助产器具,帮助产妇分娩,顺利娩出胎儿,保证母胎平安。目前,常规的分娩助产器具包括胎头吸引器和产钳。When the parturient's cervix is fully dilated and enters the second stage of labor, it is often necessary for the parturient to hold her breath correctly and use auxiliary forces such as abdominal muscles, diaphragm muscles, and levator ani muscles to help the fetus deliver. If you can’t use force due to illness, you can’t use force after anesthesia, the parturient has poor force or doesn’t want to use force, or the mother and fetus are in potential danger or are already in a dangerous state, and you need to deliver the fetus as soon as possible, you need birth aids to help the parturient give birth and deliver the fetus smoothly. , to ensure the safety of the mother and fetus. At present, conventional labor aids include fetal head suction and forceps.
胎头吸引器由吸头器、导管及负压吸引装置三部分组成,通过形成负压的吸头器吸住胎儿颅骨,利用负压吸力帮助胎儿娩出。但是胎头吸引器存在负压,若使用不当可能会造成产妇软产道损伤;并且此时胎儿囟门未闭合,使用不当或负压太大时,容易损伤新生儿头部,造成新生儿头皮血肿甚至造成颅内出血或脑组织损伤,严重时造成脑瘫或新生儿死亡等严重并发症或后遗症。The fetal head aspirator consists of three parts: a suction device, a catheter, and a negative pressure suction device. The suction device that forms a negative pressure sucks the fetal skull, and uses negative pressure suction to help the fetus deliver. However, there is negative pressure in the fetal head aspirator, and if it is used improperly, it may cause damage to the soft birth canal of the parturient; and at this time, the fetal fontanelle is not closed. Cause intracranial hemorrhage or brain tissue damage, serious complications or sequelae such as cerebral palsy or neonatal death.
产钳自身材质为不锈钢,质地坚硬。产钳的使用对于医生的技术水平要求较高,大多数基层医院的医生和大医院的年轻医生都不具备能熟练使用产钳的能力。在产钳的使用过程中,即便是技术水平较高的医生也有可能出现因为产钳叶片安装不当或用力不当,导致新生儿头颅及面部严重损伤,也容易造成产妇软产道严重撕裂伤。严重的医源性伤害会使母婴有胎儿头面部五官的软组织或骨质等受损伤、脑瘫、会阴Ⅲ、Ⅳ度撕伤、大出血、母婴死亡等严重后果。The forceps itself is made of stainless steel and has a hard texture. The use of forceps requires a high technical level of doctors, and most doctors in primary hospitals and young doctors in large hospitals do not have the ability to use forceps proficiently. During the use of forceps, even a doctor with a high technical level may experience severe head and face injuries of newborns due to improper installation of forceps blades or improper force, and may also easily cause severe tearing of the soft birth canal of the parturient. Severe iatrogenic injuries will cause serious consequences such as soft tissue or bone damage to the fetal head, face and facial features, cerebral palsy, third-degree and fourth-degree perineal lacerations, hemorrhage, and maternal and infant death.
现有技术中,提出了公开号为CN212490094U,授权公告日为2021年02月09日的中国实用新型专利文件,来解决上述存在的技术问题,该专利文献所公开的技术方案如下:一种阴道分娩袋式助产装置,包括袋状气囊,小罩杯,袋状气囊充气端口,弹性塑料探钩,弹性套筒,袖带,袋状气囊充气管,充放气阀,充放气连接口,负压装置连接口,负压装置阀,插入气管;袋状气囊前端为开口状,袋状气囊的后端通过袋状气囊充气端口与袋状气囊充气管连接,小罩杯设置在插入气管前部,小罩杯内部中空,小罩杯通过插入气管和负压装置阀与负压装置连接口连通;弹性套筒能在插入气管上轴向滑动,弹性塑料探钩前端能抵紧袋状气囊向前运动,袖带与袋状气囊后部连接。In the prior art, a Chinese utility model patent document with a publication number of CN212490094U and an authorized announcement date of February 9, 2021 was proposed to solve the above-mentioned technical problems. The technical solution disclosed in this patent document is as follows: a vaginal Delivery bag-type midwifery device, including bag-shaped air bag, small cup, bag-shaped air bag inflation port, elastic plastic probe hook, elastic sleeve, cuff, bag-shaped air bag inflation tube, inflation and deflation valve, inflation and deflation connection port, Negative pressure device connection port, negative pressure device valve, inserted into the trachea; the front end of the bag-shaped air bag is open, the rear end of the bag-shaped air bag is connected to the bag-shaped air bag inflation tube through the bag-shaped air bag inflation port, and the small cup is set at the front of the inserted trachea , the small cup is hollow inside, and the small cup communicates with the connection port of the negative pressure device through the insertion trachea and the negative pressure device valve; the elastic sleeve can slide axially on the insertion trachea, and the front end of the elastic plastic probe can move forward against the bag-shaped air bag , the cuff is connected to the rear of the bag-shaped air bag.
上述技术方案在实际使用过程中,会出现以下问题:袋状气囊虽然能包裹住胎儿整个头部,但是与胎儿的固定不稳,在牵拉袖带,娩出胎头的过程中,袋状气囊容易脱离胎儿的头部,若反复操作或使用不当反而容易延误胎儿娩出的最佳时机,引起胎死宫内、新生儿重度窒息、脑瘫或死亡等严重后果。In the actual use of the above-mentioned technical solution, the following problems may occur: although the bag-shaped airbag can wrap the whole head of the fetus, it is unstable with the fetus. During the process of pulling the cuff and delivering the fetal head, the bag-shaped airbag It is easy to detach from the head of the fetus. If it is operated repeatedly or improperly, it will easily delay the best time for the delivery of the fetus, causing serious consequences such as fetal death, severe neonatal asphyxia, cerebral palsy or death.
发明内容Contents of the invention
为解决上述技术问题,本实用新型提出了一种分娩助力器,能有效地解决使用胎头吸引器、产钳或袋式助产装置使胎儿的头面部和产妇软产道损伤的问题。In order to solve the above-mentioned technical problems, the utility model proposes a delivery booster, which can effectively solve the problem of damage to the head and face of the fetus and the soft birth canal of the parturient by using fetal head suction, forceps or bag-type midwifery devices.
本实用新型是通过采用下述技术方案实现的:The utility model is realized by adopting the following technical solutions:
一种分娩助力器,其特征在于:包括定位罩、与定位罩相连的把手和与胎儿头面部相匹配的弹性的头罩;所述头罩一端与定位罩的外壁相连;所述头罩另一端呈敞口状,且靠端部的区域呈向内收缩的弧形状,用于包裹住胎儿的头面部,并固定在连接颈部的头骨和颈部软组织上。A childbirth booster, characterized in that it includes a positioning cover, a handle connected with the positioning cover, and an elastic head cover matching the fetal head and face; one end of the head cover is connected with the outer wall of the positioning cover; the other end of the head cover is One end is open, and the area near the end is in the shape of an arc that shrinks inward, which is used to wrap the head and face of the fetus, and is fixed on the skull and neck soft tissue connected to the neck.
所述头罩上设有至少一根折痕。The hood is provided with at least one crease.
所述头罩包括头罩本体和分别与头罩本体相连的若干弹性片,所述弹性片的另一端部呈向内收缩的弧形状,相邻两个弹性片之间通过弹性带相连。The hood includes a hood body and a number of elastic pieces respectively connected to the hood body. The other end of the elastic piece is in the shape of an arc contracting inward, and two adjacent elastic pieces are connected by an elastic band.
所述头罩为一体成型。The hood is integrally formed.
所述弹性带为弹性圈,分别与弹性片的端部相连。The elastic bands are elastic rings, which are respectively connected with the ends of the elastic sheets.
所述定位罩呈碗状。The positioning cover is bowl-shaped.
所述定位罩的端部内侧还连接有加强圈。A reinforcement ring is also connected to the inner side of the end of the positioning cover.
与现有技术相比,本实用新型的有益效果表现在:Compared with the prior art, the beneficial effects of the utility model are as follows:
1、本实用新型中,包括与胎儿头面部相匹配的弹性的头罩,该头罩一端与定位罩的外壁相连,使用时,将定位罩放在胎儿枕骨上,枕后位时也可将定位罩放于胎儿额骨上,将头罩沿定位罩翻转,使得头罩折叠呈内外两层。利用一只手稳住头罩,另一只手插入内外两层之间,慢慢将外层的头罩推入产道,使得头罩的端部区域固定在胎儿的下颌骨、枕骨以及其他与颈部相连的头骨部分,头罩将胎儿的整个与颈部相连的头面部都包裹住,确定助力器未夹住产道软组织后,持住把手沿产轴方向缓慢地将胎儿拉出,当阴道口露出胎儿头部或面部时,将头罩推开或脱下娩出胎儿即可。在该过程中,由于头罩具备弹性,且头罩靠端部的区域呈向内收缩的弧形状,使得头罩的端部区域全部固定住胎儿的下颌骨和枕骨等头面部骨质部分,不会在胎儿拉出的过程中脱离胎儿,造成胎儿头面部受损。并且,在该助力过程中,没有使用硬性的塑料探钩,使用柔软而灵活有触感的人手,不会造成胎儿受损或产妇的产道受损,并且也更能控制具备弹性的头罩。1. In the utility model, it includes an elastic hood that matches the head and face of the fetus. One end of the hood is connected to the outer wall of the positioning cover. When in use, the positioning cover is placed on the fetal occipital bone. The positioning cover is placed on the frontal bone of the fetus, and the hood is turned over along the positioning cover so that the hood is folded into two layers inside and outside. Use one hand to stabilize the hood, insert the other hand between the inner and outer layers, and slowly push the outer hood into the birth canal, so that the end area of the hood is fixed on the mandible, occipital bone and other parts of the fetus that are in contact with the birth canal. For the part of the skull connected to the neck, the hood covers the entire head and face of the fetus connected to the neck. After confirming that the booster does not clamp the soft tissue of the birth canal, hold the handle and slowly pull the fetus out along the birth axis. When the vagina When the head or face of the fetus is exposed, the hood can be pushed away or taken off to deliver the fetus. During this process, since the headgear has elasticity and the area near the end of the headgear is in the shape of an arc that shrinks inwards, the end area of the headgear is all fixed to the fetal mandible, occipital bone and other craniofacial bones. It will not detach from the fetus during the pulling out of the fetus, causing damage to the head and face of the fetus. Moreover, during the assisting process, no hard plastic probe hooks are used, and soft, flexible and tactile hands are used, which will not cause damage to the fetus or the birth canal of the parturient, and can also control the elastic hood more.
本实用新型中,定位罩不会产生负压吸力,不会对胎儿的头颅及面部造成不良影响。本定位罩的主要目的在于控制头罩的翻折形状,便于头罩的放入。In the utility model, the positioning cover will not generate negative pressure suction, and will not cause adverse effects on the head and face of the fetus. The main purpose of the positioning cover is to control the folded shape of the hood and facilitate the putting of the hood.
本助力器不容易滑脱,既能持续缓慢地牵拉胎头,沿产轴缓缓下降,帮助和增加产力;又能使胎儿的头面部和产妇的产道不容易损伤,以此解决现有技术中的胎头吸引器和产钳以及对比文件中的助产装置的缺点,使产妇更能省力,无损伤,又能安全分娩,是目前分娩助力的最佳设备。The booster is not easy to slip off. It can not only continuously and slowly pull the fetal head, but also slowly descend along the production axis to help and increase the production force; The shortcomings of the fetal head suction device and forceps in the technology and the midwifery device in the reference file enable the puerpera to save labor, have no damage, and give birth safely. It is the best equipment for childbirth assistance at present.
本助力器运用人群广泛。当宫口开全,胎儿双顶径到达坐骨棘平面下1-2厘米、能放入该器具时就能使用,本助力器帮助胎儿下降,宫缩间隙时产妇休息,操作者放松助力器或持住助力器,该助力器使用安全,与宫缩同步使用,不影响母胎供血供氧,不引起胎儿宫内缺血缺氧。当胎儿下降到一定距离,即胎头拨露2~3cm或更多时,可以取下本助力器,让产妇自行屏气用力分娩,自然娩出胎头;也可以当胎头全部娩出时再取下或剪开助力器,按分娩机转娩出整个胎头。若剖宫产出头困难时,也可以使用本助力器,帮助胎头轻轻娩出。The booster is widely used by people. When the cervix is fully dilated, the biparietal diameter of the fetus reaches 1-2 cm below the plane of the ischial spine, and the device can be used. The booster helps the fetus to descend, and the mother rests during the uterine contraction gap. The operator relaxes the booster or Hold the booster. The booster is safe to use and is used synchronously with uterine contractions. It does not affect the blood and oxygen supply of the mother and fetus, and does not cause fetal ischemia and hypoxia. When the fetus descends to a certain distance, that is, when the fetal head is exposed by 2~3cm or more, the booster can be removed, allowing the mother to hold her breath and forcefully give birth, and the fetal head will be delivered naturally; it can also be removed when the fetal head is completely delivered. Or cut off the booster, and deliver the whole fetal head according to the delivery machine. If cesarean delivery is difficult, the booster can also be used to help the fetal head to be delivered gently.
2、所述头罩上设有至少一根折痕,使得头罩的放入更加方便。2. The hood is provided with at least one crease, which makes putting the hood more convenient.
3、所述头罩包括头罩本体和分别与头罩本体相连的若干弹性片,所述弹性片的另一端部呈向内收缩的弧形状,相邻两个弹性片之间通过弹性带相连,使用时,一块一块的将弹性片套在胎儿头面部,头罩的放入更加方便。3. The hood includes a hood body and a number of elastic pieces respectively connected to the hood body. The other end of the elastic piece is in the shape of an arc contracting inward, and two adjacent elastic pieces are connected by an elastic belt. , When in use, put the elastic sheets on the head and face of the fetus one by one, and it is more convenient to put the hood in.
4、所述头罩为一体成型,加工更加方便,便于降低生产成本。4. The hood is integrally formed, which makes processing more convenient and reduces production costs.
5、所述弹性带为弹性圈,分别与弹性片的端部相连,使得对胎儿的下颌骨和枕骨进行固定的效果更好。5. The elastic bands are elastic rings, which are respectively connected to the ends of the elastic sheets, so that the effect of fixing the mandible and occiput of the fetus is better.
6、所述定位罩呈碗状,便于后期拉动胎儿。6. The positioning cover is bowl-shaped, which is convenient for pulling the fetus later.
7、所述定位罩的端部内侧还连接有加强圈,加强圈的设置,能增强定位罩自身结构的稳定性,避免在拉动胎儿的过程中定位罩变形,避免定位罩对胎儿头部造成损伤。进一步的,该加强圈的设置,能增大定位罩与胎头的接触面积,使得胎儿头部的受力更加均匀,降低胎头的受损概率。7. The inner side of the end of the positioning cover is also connected with a reinforcing ring. The setting of the reinforcing ring can enhance the stability of the positioning cover itself, avoid deformation of the positioning cover in the process of pulling the fetus, and prevent the positioning cover from causing damage to the fetal head. damage. Further, the setting of the reinforcing ring can increase the contact area between the positioning cover and the fetal head, so that the force on the fetal head is more uniform, and the probability of damage to the fetal head is reduced.
附图说明Description of drawings
下面将结合说明书附图和具体实施方式对本实用新型作进一步的详细说明,其中:The utility model will be further described in detail below in conjunction with the accompanying drawings and specific embodiments of the specification, wherein:
图1为本实用新型的剖面结构示意图;Fig. 1 is the sectional structure schematic diagram of the present utility model;
图2为本实用新型的正面结构示意图;Fig. 2 is the front structure schematic diagram of the utility model;
图中标记:Marked in the figure:
1、定位罩,2、把手,3、头罩本体,4、弹性片,5、弹性带,6、加强圈。1. Positioning cover, 2. Handle, 3. Hood body, 4. Elastic piece, 5. Elastic belt, 6. Reinforcing ring.
具体实施方式Detailed ways
实施例1Example 1
作为本实用新型基本实施方式,本实用新型包括一种分娩助力器,包括定位罩1、与定位罩1相连的把手2和具有弹性的头罩。所述头罩的整体形状与胎儿头部相匹配,且所述头罩可以呈网状,具体可以为弹性绳编织而成。As the basic embodiment of the utility model, the utility model includes a childbirth booster, which includes a
所述头罩一端与定位罩1的外壁相连,所述定位罩1位于头罩内。所述头罩另一端呈敞口状,且靠端部的区域呈向内收缩的弧形状,使得该端部的内径与胎儿的下颌骨和枕骨区域相匹配,用于包裹住胎儿的头面部,固定在胎儿的下颌骨和枕骨等与颈部相连的骨质部分和颈部软组织。One end of the hood is connected to the outer wall of the
使用时,固定定位罩1,使其置于胎儿的枕骨或额骨,头罩向外翻转,使头罩呈现为内外两层,医护人员的五个手指头呈抓托状撑入内外两层头罩之间,将定位罩1与胎头吻合,然后利用五个手指将外层的头罩沿定位罩1和胎头的方向,慢慢推入产道,将该头罩的端部依次套在胎儿的下颌骨和枕骨等与颈部相连的骨质部分上,直至将胎儿的头面部全部包裹住后,沿产轴线拉动把手2,将胎儿拉出到一定位置或将头面部全部拉出。When in use, fix the
实施例2Example 2
作为本实用新型一较佳实施方式,本实用新型包括一种分娩助力器,包括定位罩1、与定位罩1相连的把手2和具有弹性的头罩。所述定位罩1可以呈碗状,且定位罩1的端部内侧还连接有加强圈6,用于增大定位罩1与胎头的接触面积。As a preferred embodiment of the utility model, the utility model includes a childbirth booster, which includes a
所述头罩的材质可以为具备高弹性和张力的硅胶等弹性材料。所述头罩上设有至少一根折痕,所述折痕可以贯穿头罩的长度方向。所述头罩一端可以与定位罩1的外壁相连,另一端呈敞口状,定位罩1位于该头罩内部。头罩上与胎儿的下颌骨和枕骨相对应的区域,即头罩上靠近敞口一端的区域可以呈向内收缩的弧形状。The material of the hood can be elastic materials such as silicone with high elasticity and tension. The hood is provided with at least one crease, and the crease can run through the length direction of the hood. One end of the hood can be connected to the outer wall of the
实施例3Example 3
作为本实用新型另一较佳实施方式,本实用新型包括一种分娩助力器,包括定位罩1、与定位罩1相连的把手2和具有弹性的头罩。所述头罩包括头罩本体3和分别与头罩本体3相连的六块弹性片4,所述定位罩1可以全部包裹在头罩本体3内,且把手2一端与定位罩1相连,另一端穿过头罩,位于头罩外。所有弹性片4另一端的端部都呈向内收缩的弧形状,相邻两个弹性片4之间通过弹性带5相连,所述弹性带5为弹性圈,分别与弹性片4的端部相连。所述弹性圈可以为橡胶圈或硅胶圈,所述弹性圈安装完成后,固定在胎儿连接颈部的头骨上,即固定在胎儿的下颌骨和枕骨区域。As another preferred embodiment of the utility model, the utility model includes a childbirth booster, which includes a
实施例4Example 4
作为本实用新型最佳实施方式,参照说明书附图1和说明书附图2,本实用新型包括一种分娩助力器,包括定位罩1、与定位罩1相连的把手2和具有弹性的头罩。所述把手2可以与定位罩1的顶部相连,把手2上设有防滑纹。所述定位罩1可以呈碗状,定位罩1的另一端的端部内侧还连接有加强圈6。所述加强圈6的截面形状不做限制,只要能增大定位罩1与胎头的接触面积即可。As the best embodiment of the utility model, referring to the accompanying
所述头罩的整体形状与胎儿头部形状相匹配。所述头罩为一体成型,包括头罩本体3和分别与头罩本体3相连的四块弹性片4,所述头罩本体3另一端可以固定在定位罩1的中上部的外壁上。The overall shape of the hood matches the shape of the fetus' head. The hood is integrally formed, including a hood body 3 and four
所述弹性片4的另一端部呈向内收缩的弧形状,相邻两个弹性片4之间通过弹性带5相连。所述弹性带5可以具有一定的宽度,并且弹性带5的厚度小于弹性片4的厚度,所述弹性带5的两端分别与相邻两个弹性片4的侧面相连,使得弹性带5不外凸于该弹性片4,使得弹性带5不会损坏胎儿的面部。为了便于更好的固定,四根弹性带5分别位于弹性片4的端部,用于更好的固定在与颈部连接的头骨上,即固定在下颌骨和枕骨区域。The other end of the
使用时,固定定位罩1的位置,将头罩向内翻转,使头罩呈现为内外两层,医护人员的五个手指头呈抓托状撑入内外两层头罩之间,将定位罩1与胎儿的枕骨或额骨紧贴,然后利用五个手指将外层的头罩沿定位罩1和胎儿颈部的方向,依次将弹性片4慢慢推入产道,直至所有弹性片4的端部都依次套在胎儿的连接颈部的头骨上,即套在下颌骨和枕骨等区域上,将胎儿的整个头面部呈一体化包裹住后,拉动把手2,沿产道轴线,缓慢地将胎儿拉出。拉出后,将头罩翻折或者直接剪断弹性带5 将胎儿头面部娩出即可。When in use, fix the position of the
综上所述,本领域的普通技术人员阅读本实用新型文件后,根据本实用新型的技术方案和技术构思无需创造性脑力劳动而作出的其他各种相应的变换方案,均属于本实用新型所保护的范围。In summary, after reading the document of the utility model, those of ordinary skill in the art can make other corresponding conversion schemes without creative mental work according to the technical scheme and technical concept of the utility model, all belong to the protection of the utility model range.
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