JPH0319388Y2 - - Google Patents

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Publication number
JPH0319388Y2
JPH0319388Y2 JP16338685U JP16338685U JPH0319388Y2 JP H0319388 Y2 JPH0319388 Y2 JP H0319388Y2 JP 16338685 U JP16338685 U JP 16338685U JP 16338685 U JP16338685 U JP 16338685U JP H0319388 Y2 JPH0319388 Y2 JP H0319388Y2
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JP
Japan
Prior art keywords
cervix
laminaria
drug administration
tube
rod
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired
Application number
JP16338685U
Other languages
Japanese (ja)
Other versions
JPS6272652U (en
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
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Priority to JP16338685U priority Critical patent/JPH0319388Y2/ja
Publication of JPS6272652U publication Critical patent/JPS6272652U/ja
Application granted granted Critical
Publication of JPH0319388Y2 publication Critical patent/JPH0319388Y2/ja
Expired legal-status Critical Current

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Description

【考案の詳細な説明】 [考案の技術分野] 本考案は、子宮内薬剤投与チユーブ、特に妊娠
中絶時等に子宮口に挿入して使用する子宮内薬剤
投与チユーブに関するものである。
[Detailed Description of the Invention] [Technical Field of the Invention] The present invention relates to an intrauterine drug administration tube, particularly an intrauterine drug administration tube that is inserted into the cervix and used during abortion or the like.

[考案の技術的背景] 一般に、妊娠中では子宮口ががつちりと閉じて
いるのが普通である。しかし、妊娠中絶時、特に
妊娠中期における中絶時及び分娩誘発をする時に
は、子宮口を開かせる必要がある。第3図ないし
第6図を用いて従来方式を説明する。
[Technical background of the invention] Generally, during pregnancy, the cervix normally closes tightly. However, it is necessary to open the cervix during abortion, especially during the second trimester, and when inducing labor. The conventional method will be explained using FIGS. 3 to 6.

先ず、第3図は妊娠中の子宮の正常状態図であ
り、子宮1内には胎児2があり、子宮口(頸管)
3はがつちりと閉じていて、その先端はやゝ腟内
4に突出した状態となつている。
First, Figure 3 shows the normal state of the uterus during pregnancy. There is a fetus 2 inside the uterus 1, and the cervix (cervix)
3 is tightly closed, and its tip is now protruding into the vagina 4.

この状態において、中絶時の場合には、子宮口
3を開かせなければならず、一般には第4図に示
すラミナリア桿5が使用される。
In this state, in case of abortion, the cervix 3 must be opened, and generally a laminaria rod 5 shown in FIG. 4 is used.

即ち、ラミナリア桿5とは、第4図aに示され
るように海草の茎で使られた細い棒状の形をして
おり、これが水分を吸収した際、第4図bに示さ
れるように数倍の太さに膨脹するものである。
That is, the laminaria rod 5 has the shape of a thin rod used in seaweed stems as shown in FIG. It expands to twice its thickness.

従つて、第5図に示されるように、先ず、乾燥
状態にあるラミナリア桿5を子宮口3に数本挿入
し、約24時間放置すると、このラミナリア桿5が
膨脹して5′のようになり、第6図の如く、子宮
口3を大きく開く。
Therefore, as shown in FIG. 5, first, several dry laminaria rods 5 are inserted into the cervix 3 and left for about 24 hours, then the laminaria rods 5 expand and become like 5'. Then, as shown in Figure 6, the cervix 3 is opened wide.

このようにして、通常は子宮口を充分拡大させ
た上で、更に陣痛促進剤を注射又は内服により与
えて、流産又は分娩に至らせている。
In this way, the cervix is usually sufficiently dilated and then a labor stimulant is given by injection or internally to induce miscarriage or delivery.

[背景技術の問題点] 上記した従来方式では、ラミナリア桿を挿入し
て子宮口を拡大した状態で陣痛促進剤を投与する
ものである。この場合、子宮内への陣痛促進剤の
投与もあるが、ラミナリア桿の挿入後の投与は極
めて困難である。
[Problems with Background Art] In the conventional method described above, a labor stimulant is administered with the cervix expanded by inserting a laminaria rod. In this case, a labor stimulant may be administered into the uterus, but administration after insertion of the laminaria rod is extremely difficult.

又、子宮内への陣痛促進剤の投与は、一旦、投
与すると投与量をコントロールすることが出来な
いため、その与えた量が過少投与であつたり、過
量投与であつたりする。又、過量投与の場合は、
過強陣痛となつて子宮破裂を起こしかねない。
Furthermore, once a labor stimulant is administered into the uterus, the dose cannot be controlled, so the amount administered may be an underdosage or an overdosage. Also, in case of overdose,
The contractions may become so strong that the uterus may rupture.

従つて、ラミナリア桿挿入後において、子宮の
収縮状態を監視しながら順次子宮内への薬剤を投
与できる手段の出現が望まれている。
Therefore, there is a desire for a means to sequentially administer drugs into the uterus while monitoring the state of contraction of the uterus after insertion of the laminaria rod.

[考案の目的] 本考案は、上記問題点を解決するためになされ
たものであり、ラミナリア桿を挿入した状態にお
いて子宮内への薬剤の投与の可能な子宮内薬剤投
与チユーブを提供することを目的としている。
[Purpose of the invention] The present invention was made to solve the above problems, and aims to provide an intrauterine drug administration tube that can administer drugs into the uterus with a laminaria rod inserted. The purpose is

[考案の概要] 本考案では、鍔と一体になつた外筒の管状部に
対して同じく鍔と一体になつた内筒を挿通自在と
し、この鍔部を四角の翼状とすると共に、この翼
状の長手方向の各対応位置に溝を設けて把持し易
くしたものである。
[Summary of the invention] In this invention, the inner cylinder, which is also integrated with the flange, can be freely inserted into the tubular part of the outer cylinder, which is integrated with the flange, and the flange is shaped like a square wing. Grooves are provided at corresponding positions in the longitudinal direction to make it easier to grip.

[考案の実施例] 以下図面を参照して実施例を説明する。[Example of idea] Examples will be described below with reference to the drawings.

第1図は、本考案による子宮内薬剤投与チユー
ブの一実施例の構成図であり、第1図aは全体斜
視図、第1図bは、第1図aのX−X′線から見
た縦断断面図、第1図cは、第1図bの矢印方向
から見た図である。
FIG. 1 is a configuration diagram of an embodiment of an intrauterine drug administration tube according to the present invention, FIG. 1a is an overall perspective view, and FIG. 1b is a view taken from the line The vertical sectional view, FIG. 1c, is a view seen from the direction of the arrow in FIG. 1b.

第1図において、は子宮内薬剤投与チユーブ
本体であり、外筒7の管状部には内筒8が挿通可
能となつており、更に外筒7の一方端には鍔9が
一体に形成されている。又、内筒8の端部には、
同じく鍔10が設けられる。これらの各鍔9,1
0の形状は四角形の翼状を有し、これら各翼状を
有する長手方向端には、夫々対応して溝11,1
1及び12,12が設けてある。鍔の形状を翼状
にしたのは、子宮内薬剤投与チユーブ本体を子
宮口に挿入した時、ラミナリア桿の挿入の邪魔に
ならないように考慮したものであると同時に、子
宮口へ挿入してからの操作性も考慮したものであ
る。
In FIG. 1, 6 is the main body of the intrauterine drug administration tube, and an inner tube 8 can be inserted into the tubular portion of the outer tube 7, and a collar 9 is integrally formed at one end of the outer tube 7. has been done. Moreover, at the end of the inner cylinder 8,
Similarly, a collar 10 is provided. Each of these tsuba 9,1
0 has a rectangular wing shape, and grooves 11 and 1 are provided at the longitudinal ends of each wing shape, respectively.
1 and 12, 12 are provided. The reason why the shape of the flange is winged is to prevent it from interfering with the insertion of the laminaria rod when the intrauterine drug administration tube body 6 is inserted into the cervix. This also takes into consideration the operability of the system.

即ち、子宮口は狭い腟の奥により、この子宮内
薬剤投与チユーブ本体を子宮口3に挿入した
時、例えばゼゴン鉗子を腟内に挿入して、把持し
易くするためである。
That is, the cervix is narrow in the back of the vagina, so that when the intrauterine drug administration tube body 6 is inserted into the cervix 3, it is easy to insert and grasp Zegon forceps into the vagina.

次に、第2図を用いて使用方法を説明する。 Next, the method of use will be explained using FIG. 2.

先ず、子宮口3にラミナリア桿5を挿入する
時、前記した子宮内薬剤投与チユーブ本体を、
ラミナリア桿の間に入れて一緒に挿入する。
First, when inserting the laminaria rod 5 into the cervix 3, the above-mentioned intrauterine drug administration tube body 6 is
Place it between the laminaria rods and insert them together.

これによつて、ラミナリア桿5により子宮口
(頸管)を拡大しつゝ、ラミナリア桿の挿入初期
より、この子宮内薬剤投与チユーブを介して子宮
内に陣痛促進剤の薬剤、例えばProstagrandin
E1、E22等を任意の時間に任意の回数で投与する
ことが出来る。
As a result, the cervix (cervix) is enlarged by the laminaria rod 5, and from the early stage of insertion of the laminaria rod, a labor-promoting drug, such as Prostagrandin, is injected into the uterus via this intrauterine drug administration tube.
E 1 , E 22 , etc. can be administered at any time and any number of times.

その際、薬剤は外筒7内に入れて内筒8を押圧
することにより、薬剤を子宮内に押し込む。そし
て、通常は外筒7内に内筒8を挿入したまゝにし
ておき、子宮内に投与した薬剤の流出を防止す
る。
At this time, the medicine is put into the outer cylinder 7 and the inner cylinder 8 is pressed, thereby pushing the medicine into the uterus. Normally, the inner tube 8 is left inserted into the outer tube 7 to prevent the drug administered into the uterus from flowing out.

なお、操作に際しては、外筒7と一体になつた
翼状の溝11,11をゼゴン鉗子によつて把持固
定し、この状態で管状部に薬剤を入れ、更に内筒
8の鍔部を把持して外筒7に押し込むようにす
る。なお、この場合の把持部位は、翼状の鍔に設
けた溝部分である。
In addition, during operation, the wing-shaped grooves 11, 11 that are integrated with the outer tube 7 are grasped and fixed with Zegon forceps, and in this state, the drug is introduced into the tubular part, and the flange of the inner tube 8 is further grasped. and push it into the outer cylinder 7. Note that the gripping portion in this case is a groove portion provided in the wing-shaped flange.

更に詳記すれば、子宮口に子宮内薬剤投与チユ
ーブを挿入し、このチユーブと子宮口との間隙に
ラミナリア桿を挿入充填する際、ラミナリア桿は
子宮内薬剤投与チユーブに沿つて挿入するため、
各鍔部の翼状部分の両側をカツトしているのであ
る。
More specifically, when inserting an intrauterine drug administration tube into the cervix and inserting and filling the gap between the tube and the cervix, the laminaria column is inserted along the intrauterine drug administration tube.
Both sides of the wing-shaped portion of each collar are cut.

このように、ラミナリア桿を子宮口(頸管)に
充填し、拡張している時に、上記実施例に示され
る子宮内薬剤投与チユーブを併用することによ
り、子宮内に薬剤を投与することが出来る。
In this way, when the laminaria rod is filled into the uterine os (cervix) and the cervix is being dilated, a drug can be administered into the uterus by using the intrauterine drug administration tube shown in the above embodiment.

[考案の効果] 以上説明した如く、本考案によれば外筒内に内
筒を挿通自在とし、この各内外筒の鍔部に四角の
翼状部を設けると共に、各翼状部の対向位置に溝
を設けて子宮内薬剤投与チユーブを形成したの
で、ラミナリア桿と共に子宮口(頸管)に挿入し
た場合に、子宮の収縮状態を見ながら、低容量か
ら逐次増量してゆく薬剤の投与が可能となり、従
つて妊娠(中期)中絶、又は分娩の誘発の所要時
間を短縮させることが可能であるばかりか、極め
て安全な操作の可能な子宮内薬剤投与チユーブを
提供することが出来る。
[Effects of the invention] As explained above, according to the invention, the inner cylinder can be freely inserted into the outer cylinder, square wing-shaped parts are provided on the flanges of each of the inner and outer cylinders, and grooves are provided at opposing positions of each wing-shaped part. Since an intrauterine drug administration tube is formed by providing a tube, when inserted into the uterine os (cervical canal) together with a laminaria rod, it becomes possible to gradually increase the dose of the drug from a low dose while monitoring the state of uterine contractions. Therefore, it is possible not only to shorten the time required for (mid-term) pregnancy termination or induction of labor, but also to provide an intrauterine drug administration tube that can be operated extremely safely.

【図面の簡単な説明】[Brief explanation of the drawing]

第1図は本考案による子宮内薬剤投与チユーブ
の一実施例の構成図、第2図は使用方法を説明す
る図、第3図は子宮の正常状態を説明する図、第
4図はラミナリア桿の説明図、第5図はラミナリ
ア桿の挿入初期を示す図、第6図はラミナリア桿
の膨脹により子宮口が拡大された状態図である。 1……子宮、2……胎児、3……子宮口(頸
管)、4……腟、5,5′……ラミナリア桿、
…子宮内薬剤投与チユーブ本体、7……外筒、8
……内筒、9,10……鍔、11,12……溝。
Figure 1 is a configuration diagram of an embodiment of the intrauterine drug administration tube according to the present invention, Figure 2 is a diagram explaining how to use it, Figure 3 is a diagram explaining the normal state of the uterus, and Figure 4 is a diagram showing the laminaria rod. FIG. 5 is a diagram showing the initial stage of insertion of the laminaria rod, and FIG. 6 is a diagram showing the state in which the cervix is enlarged due to the expansion of the laminaria rod. 1... Uterus, 2... Fetus, 3... Cervix (cervix), 4... Vagina, 5,5'... Laminaria rod, 6 ...
... Intrauterine drug administration tube body, 7 ... Outer tube, 8
...Inner cylinder, 9, 10...Tsuba, 11,12...Groove.

Claims (1)

【実用新案登録請求の範囲】[Scope of utility model registration request] 妊娠中絶時又は分娩誘発時に子宮口(頸管)を
拡張しつゝ子宮内に薬剤を投与する子宮内薬剤投
与チユーブにおいて、鍔を有する外筒と、前記外
筒の管状部に挿通可能な鍔を有する内筒とを備
え、前記内外筒の各鍔は四角な翼状に形成すると
共に、前記翼状の長手方向端縁に夫々溝を形成し
たことを特徴とする子宮内薬剤投与チユーブ。
An intrauterine drug administration tube for dilating the cervix (cervix) and administering drugs into the uterus during pregnancy termination or induction of labor includes an outer cylinder having a flange and a flange that can be inserted into the tubular part of the outer cylinder. What is claimed is: 1. An intrauterine drug administration tube comprising: an inner tube having an inner tube, wherein each collar of the inner and outer tubes is formed into a square wing shape, and a groove is formed at a longitudinal end edge of the wing shape.
JP16338685U 1985-10-24 1985-10-24 Expired JPH0319388Y2 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP16338685U JPH0319388Y2 (en) 1985-10-24 1985-10-24

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
JP16338685U JPH0319388Y2 (en) 1985-10-24 1985-10-24

Publications (2)

Publication Number Publication Date
JPS6272652U JPS6272652U (en) 1987-05-09
JPH0319388Y2 true JPH0319388Y2 (en) 1991-04-24

Family

ID=31091534

Family Applications (1)

Application Number Title Priority Date Filing Date
JP16338685U Expired JPH0319388Y2 (en) 1985-10-24 1985-10-24

Country Status (1)

Country Link
JP (1) JPH0319388Y2 (en)

Also Published As

Publication number Publication date
JPS6272652U (en) 1987-05-09

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