RU2402292C1 - Obstetric-gynaecologic device for medical care in initial postnatal patients - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention refers to medical equipment. A device has a hollow conical seal head. The seal head accommodates a turnable cylindrically extended tube with projecting ends. The tube is tightly jointed in a neck of the seal head by fit sealing rings. End faces of the tube in working ports are designed as projecting pieces of a ball-shaped body. The device has working ports with holes - outlets for uterine cavity manipulations and inlets from a proximal end outside of the seal head to connect working tubes with a sterile wash liquid, for a medicinal composition, for aspiration of discharge fluids, for enabled introduction of medical manipulators. A number of the working tubes is agreed with a number of the cylindrically extended channels along the tube for inserted medical manipulators and liquid supply and discharge. Diametres of the inputs and outputs are matched with the body diametres of medical manipulators and the diametres of liquid channels.

EFFECT: device provides reliable arrangement of diagnostic and medical instruments in the initial postnatal period.

1 ex, 2 dwg

Description

The invention relates to medical equipment and medicine, in particular to obstetrics and gynecology, and can be used in the process of diagnosis and treatment of intrauterine complications.

The well-known "uterine manipulator" [RU patent for the invention No. 2311883], containing a guide tube with a tip located on the working end. The tip is detachably connected to the latch. The clamp is equipped with a conical screw external thread. The first handle is mounted on the non-working end of the guide tube. The movable tube is placed on the guide tube and has a side tab with a convex abutment surface. The side foot is located at the latch. The second handle is located at the end of the movable tube oriented toward the first handle. A movable shutter is placed between the side foot and the second handle. The total length of the tip and retainer corresponds to the length of the uterine cavity. The length of the clamp is not less than 1.5 times its maximum transverse dimension.

Also known is the "Uterine Manipulator" [RU patent for the invention No. 2167623] having a housing with a retainer, a handle, a guide tube, a movable tube with a hemisphere and a movable sleeve with an elastic sealing element. The elastic sealing element is made in the form of an inflatable cuff made of latex or other elastic material. The cuff has a supercharged body shape of rotation and volume for obstruction of the vaginal lumen.

Also known is the “Nozzle for introducing the balloon into the hollow organs” [RU patent for utility model No. 81633], placed on a metal support rod with the ability to move along it before the start of manipulation. It is made in the form of a round body in the shape of a truncated cone, oriented with a smaller base towards the distal end of the rod, and large - towards the attachment of the nozzle using a pad of soft but shaped material, a washer and a fixing nut.

Also known is the "Device for intrauterine tamponade" [RU patent for utility model No. 81634]. It includes a locking element, which is made in the form of a round body of soft rubber and placed on a metal rod, at the distal end of which a balloon of thin elastic rubber is worn. Using a hydrostatic pressure system, by pressing the pump, the balloon is filled with sterile liquid, fills a hollow organ with places of bleeding with its increasing volume under pressure and blocks them. The locking element in a compressed state keeps the balloon, increasing in size, from falling out, fixing itself the exit from the vagina, since the rubber elastic material from which it is made takes the form of a cork-shaped element in the organ.

Existing similar equipment, simple to operate, of which very few types have been developed to date, does not differ in reliability elements. For the most part, such products have not yet reached the modern level of medical instruments, since they have not yet completely solved the practical tasks of operation.

The closest analogue to the claimed invention is an obstetric-gynecological hemostatic complex [patent RU No. 81635], including a supporting hollow rod, on the distal side of which a smooth rounded end is made. In the body of the supporting hollow rod in the area serving as a working tip, extended from the nozzle to the edge of the device from the distal side, slots are made for the outlet of the injected fluid. On the support rod there are: a nozzle for a cylinder of the shape of a truncated cone, a knot of its fastening in the form of gaskets, washers and fastening nuts sequentially located behind the nozzle. Then follows away from the distal end of the locking element in the form of a spherical body with two grooves on both sides, parallel to the support rod.

The objective of the invention is to ensure a stable installation of the puerperas diagnostic and therapeutic tools in the initial postpartum period in connection with a change in the architectonics of the cervix.

The essence of the claimed obstetric and gynecological device for assisting patients with an initial postpartum period is characterized by the fact that it has a hollow cone-shaped seal-nozzle, inside of which a cylindrically elongated tube with ends protruding beyond the seal-nozzle, equipped with working ports with openings is installed - output inside the uterus, input from the proximal end beyond it to connect the working tubes with sterile flushing fluid, for drug compositions for aspiration of waste streams, for the possibility of introducing medical manipulators, while the tube is installed to provide a tight connection in the throat part of the seal — nozzles due to pressure sealing rings, and the number of working tubes corresponds to the number of cylindrically elongated channels along the tube for inserted medical manipulators and entry -the fluid outlet, and the diameters of the inlet and outlet openings correspond to the diameters of the trunks of the medical manipulators and the diameters of the channels for the liquid.

In addition, an obstetric-gynecological device for assisting patients with an initial postpartum period with the above symptoms is characterized by the fact that the ends of the tube in the place of the working ports are designed in the form of protruding parts of a spherical body.

The technical result of the claimed invention. The existing medical equipment in obstetrics and gynecology to a large extent cannot be effectively used for women who have just given birth because of not only the changed contours of the uterus, but also its neck, the size of which during this period is comparable to the size of the head of the newborn. Technically, it is not possible to fix reliably existing equipment in this place, for example, to stop uterine bleeding due to the changed architectonics of the cervix, the mismatch of diameters and other appropriate sizes of specialized optical instruments, endoscopes, tubes and other equipment to the formed uterine pharynx, which happens in several times the endoscopic equipment in gynecology and obstetrics in diameter.

In the inventive obstetric-gynecological device for assisting patients with an initial postpartum period, this compatibility is achieved by such a technique as making a compatible nozzle in the form of a cone-shaped sealant nozzle, which plays the role of a connector-connector. The tube installed with the possibility of rotation inside the sealant-nozzle has working ports from the distal and proximal ends, through which sterile rinsing liquid, medicines, and optical and manipulation instruments are introduced through them into the uterine cavity. The possibility of simultaneous administration of the latter allows treatment, visualizing a pathological focus.

The inventive obstetric and gynecological device for assisting patients with an initial postpartum period is illustrated using Fig.1-2, which depict: in Fig.1 is a General view of an obstetric and gynecological device for assisting patients with an initial postpartum period, Fig.2 is a view from the proximal end of the claimed obstetric-gynecological device. In figure 1-2, the positions 1-5 are indicated:

1 - sealant nozzle;

2 - tube;

3 - outlet openings;

4 - inlet openings;

5 - clamping sealing rings.

An obstetric and gynecological device for assisting patients with an initial postpartum period is a combination of parts and assemblies that provide a solution to the problem, 1 - a hollow cone-shaped seal-nozzle, inside it there is a tube 2 cylindrically elongated along the nozzle seal 2 with protruding ends, equipped with working ports with openings - outlet 3 inside the uterus, inlet 4 from the proximal end beyond it to connect the working tubes. The diameters of these outlet openings 3 are different and correspond to one - the diameters of the trunks of the medical manipulators, others - to the diameters of the channels for the fluid supplied to the uterus, and the selection of the fluid used after aspiration. The tube 2 is installed to provide a tight connection in the throat part with the seal-nozzle due to the clamping sealing rings 5. The end face of the tube 2 in the place of the output working port 3 is designed in the form of a spherical protruding part.

An obstetric-gynecological device for assisting patients with an initial postpartum period works as follows.

For example, if there is bleeding in the early postpartum period and the likelihood of placental tissue residues, the opposite sides of the cervix, which has changed in size and shape, are connected to allow the installation of medical instruments and hardware examination. An artificially cervical canal is formed with dimensions in cross section not less than the uterine pharynx formed after childbirth. For this, the assembled device is introduced with delicate access, excluding increased stretching and trauma, introducing it along the birth canal towards the uterus. Moving the device through the uterine pharynx, they fix it with the opposite sides of the uterine pharynx and then leave it to work at the stop. Optical equipment is introduced into the device through the openings of the inlet working port into the channel for trunks of standard medical manipulators with the provision of a gap and with the possibility of rotation in it for viewing the inner surface of the uterus, mainly a hysteroscope fiber. Then, a medical manipulator, for example a photocoagulator, is introduced and pathology is eliminated, for example, by the method of coagulation under the control of optical equipment.

The vast majority of elements are made of modern materials - medical stainless chromed metal with flawlessly machined edge smooth surfaces of soft streamlined round shape, as well as of form-containing elastic material, for example, one of the modern elastic and at the same time form-containing medical materials for o-rings between metal holders. High-class metal processing should exclude any microtrauma of patients.

Example

The claimed invention is implemented in an experimental sample manufactured at one of the enterprises of the military-industrial complex with a high-precision level of the machine park. The product is being prepared for practical testing in medical conditions.

Claims (1)

An obstetric and gynecological device for assisting patients with an initial postpartum period, characterized in that it has a hollow cone-shaped seal-nozzle, inside which a cylindrically elongated tube with ends protruding beyond the limits of the seal-nozzle, equipped with working ports with openings is installed inside the uterus, from the proximal end outside for connecting the working tubes with sterile flushing fluid, for the drug composition, for aspiration and waste streams, for the possibility of introducing medical manipulators, while the tube is installed to provide a tight connection in the throat of the seal-nozzle due to the clamping sealing rings, and the number of working tubes corresponds to the number of cylindrically elongated channels along the tube for the input of medical manipulators and liquid inlet-outlet , the ends of the tube in the place of the working ports are designed in the form of protruding parts of a spherical body, and the diameters of the inlet and outlet openings correspond to the diameters of the trunks m medical manipulators and diameters of channels for liquids.

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