TWM607969U - Shoulder dystocia auxiliary kit - Google Patents

Shoulder dystocia auxiliary kit Download PDF

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TWM607969U
TWM607969U TW109212313U TW109212313U TWM607969U TW M607969 U TWM607969 U TW M607969U TW 109212313 U TW109212313 U TW 109212313U TW 109212313 U TW109212313 U TW 109212313U TW M607969 U TWM607969 U TW M607969U
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cloth material
opening
fetus
rope
space
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TW109212313U
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Chinese (zh)
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呂理政
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呂理政
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Abstract

一種肩難產輔助套具,用以套設於胎兒的肩膀,包含一布材及至少一拉繩。布材之相對二端相固定而環繞一套設空間,套設空間用以容納胎兒的肩膀、胸部及背部。布材具有至少一繩槽,繩槽環繞套設空間,而環繞套設空間中之胎兒的肩膀、胸部及背部。拉繩穿設於繩槽的相對二通口,拉繩的不同部分分別位於繩槽內與外。拉繩及布材用以受一外力作用(如用手拉),以令拉繩位於繩槽的部分縮短,而調整套設空間的口徑,使胎兒兩肩之間的距離縮短,而讓肩難產的胎兒容易娩出。An auxiliary set for shoulder dystocia, which is used to set on the shoulder of the fetus, and includes a cloth material and at least one drawstring. The two opposite ends of the cloth material are fixed to each other and surround a set space, which is used to accommodate the shoulders, chest and back of the fetus. The cloth material has at least one rope groove, and the rope groove surrounds the sleeve space and surrounds the shoulder, chest and back of the fetus in the sleeve space. The draw rope is passed through the two opposite openings of the rope groove, and different parts of the draw rope are respectively located inside and outside the rope groove. The drawstring and cloth material are used to receive an external force (such as pulling a hand) to shorten the part of the drawstring located in the rope groove, and adjust the caliber of the sleeve space to shorten the distance between the fetus’s shoulders and let the shoulders A dystocia fetus is easily delivered.

Description

肩難產輔助套具Shoulder dystocia auxiliary kit

本新型係關於一種輔助套具,特別是一種肩難產輔助套具。The present invention relates to an auxiliary kit, especially an auxiliary kit for shoulder dystocia.

難產(Obstructed labour)是指產婦分娩時,產婦的子宮雖然正常收縮,但卻因物理因素無法順利產出胎兒的情形。一般而言,造成難產的主要因素包括胎兒體型過大、胎頭骨盆不對稱、產婦產道狹小及異常等。依照難產當時的狀況,醫師會選擇剖腹產或是真空吸引或是產鉗等方式來協助生產。Obstructed labour (Obstructed labour) refers to the situation in which the uterus of the parturient is contracted normally, but the fetus cannot be delivered smoothly due to physical factors. Generally speaking, the main factors that cause dystocia include oversize fetus, asymmetry of fetal skull and pelvis, narrow and abnormal maternal birth canal. According to the condition of the dystocia at the time, the doctor will choose the method of caesarean section or vacuum suction or forceps to assist the delivery.

大多數的難產,胎兒頭部仍在產婦的子宮內或是陰道內,就已經無法娩出,但是,其中有一種特殊的難產狀況稱為肩難產(Shoulder dystocia)。所謂的肩難產是指胎兒的頭部已經分娩後,但是胎兒的肩膀卡在產婦的恥骨,而使得胎兒的肩膀無法順利地從恥骨下方通過。然而,在胎兒的頭部分娩之後,此時胎兒肺部仍無法擴張吸收氧氣,而臍帶已經被產婦陰道擠壓,也無法供應胎兒氧氣,所以,此時需要迅速排除胎兒肩膀卡住恥骨的情況,否則胎兒可能會缺氧。以往的作法包含有在恥骨上方對產婦的腹部加壓或是徒手旋轉嬰兒的肩膀等方法,但這些方法有時仍會失敗,而須改採取侵入式的方法甚或是手術,進而增加了產婦及胎兒受傷的風險。In most cases of dystocia, the head of the fetus is still in the mother’s uterus or vagina and cannot be delivered. However, there is a special dystocia condition called Shoulder dystocia. The so-called shoulder dystocia means that the head of the fetus has been delivered, but the shoulders of the fetus are stuck in the pubic bone of the parturient, making the shoulders of the fetus unable to pass under the pubic bone smoothly. However, after the head part of the fetus is delivered, the lungs of the fetus still cannot expand and absorb oxygen, and the umbilical cord has been squeezed by the mother’s vagina and cannot supply oxygen to the fetus. Therefore, it is necessary to quickly rule out the situation that the fetal shoulders are stuck in the pubic bone , Otherwise the fetus may be hypoxic. In the past, the methods include compressing the mother’s abdomen above the pubic bone or rotating the baby’s shoulders by hand. However, these methods sometimes still fail, and invasive methods or even surgery have to be changed, which increases the number of women’s health problems. Risk of injury to the fetus.

本新型在於提供一種肩難產輔助套具,藉以在胎兒發生肩難產的狀況下幫助醫師及護士迅速排除肩難產的問題。The present invention provides an auxiliary kit for shoulder dystocia, which helps doctors and nurses to quickly eliminate the problem of shoulder dystocia when the fetus has shoulder dystocia.

本新型之一實施例所揭露之一種肩難產輔助套具,用以套設於一胎兒的肩膀,包含一布材及至少一拉繩。布材之相對二端相固定而環繞一套設空間,套設空間用以容納胎兒的肩膀、胸部及背部。布材具有至少一繩槽,繩槽環繞套設空間,而環繞套設空間中之胎兒的肩膀、胸部及背部。拉繩穿設於繩槽的相對二通口,拉繩的不同部分分別位於繩槽內與外。拉繩及布材用以受一外力作用,以令拉繩位於繩槽的部分縮短,而調整套設空間的口徑,使胎兒兩肩之間的距離縮短,而讓肩難產的胎兒容易娩出。An embodiment of the present invention discloses a shoulder dystocia auxiliary kit, which is used to wrap a fetus's shoulder, and includes a cloth material and at least one drawstring. The two opposite ends of the cloth material are fixed to each other and surround a set space, which is used to accommodate the shoulders, chest and back of the fetus. The cloth material has at least one rope groove, and the rope groove surrounds the sleeve space and surrounds the shoulder, chest and back of the fetus in the sleeve space. The draw rope is passed through the two opposite openings of the rope groove, and different parts of the draw rope are respectively located inside and outside the rope groove. The drawstring and cloth material are used to receive an external force to shorten the portion of the drawstring located in the rope groove, and adjust the caliber of the sleeve space to shorten the distance between the fetus's shoulders and make it easier for the fetus with shoulder dystocia to be delivered.

根據上述實施例所揭露的肩難產輔助套具,藉由將布材套設於胎兒並施力於拉繩及布材,可調整布材之套設空間的口徑,以令布材迫使胎兒雙肩的距離縮短,使得被卡在產婦恥骨下方的胎兒前肩,可以脫離恥骨,故胎兒可順利地通過產婦之恥骨的下方而出生。因此,肩難產輔助套具可以幫助醫師及護士迅速排除胎兒肩難產的問題。According to the shoulder dystocia auxiliary set disclosed in the above embodiments, by wrapping the cloth material on the fetus and applying force to the drawstring and cloth material, the diameter of the cloth material covering space can be adjusted so that the cloth material forces the fetus to double The distance between the shoulders is shortened, so that the front shoulder of the fetus stuck under the pubic bone of the parturient can be separated from the pubic bone, so the fetus can be born under the pubic bone of the parturient smoothly. Therefore, the shoulder dystocia auxiliary kit can help doctors and nurses quickly eliminate the problem of fetal shoulder dystocia.

以上關於本新型內容的說明及以下實施方式的說明係用以示範與解釋本新型的原理,並且提供本新型的專利申請範圍更進一步的解釋。The above description of the content of the present invention and the description of the following embodiments are used to demonstrate and explain the principle of the present invention, and to provide a further explanation of the scope of the patent application of the present invention.

請參閱圖1與圖2。圖1為根據本新型之一實施例所揭露之肩難產輔助套具的立體示意圖。圖2為圖1之另一視角的立體示意圖。Please refer to Figure 1 and Figure 2. FIG. 1 is a three-dimensional schematic diagram of a shoulder dystocia auxiliary kit disclosed according to an embodiment of the present invention. FIG. 2 is a three-dimensional schematic diagram of FIG. 1 from another perspective.

在本實施例中,肩難產輔助套具10用以套設於一胎兒1的二肩部2(請先參閱圖3)。In this embodiment, the shoulder dystocia assisting kit 10 is used to fit the two shoulders 2 of a fetus 1 (please refer to FIG. 3 first).

肩難產輔助套具10包含一布材100及二拉繩210、220。在本實施例或其他實施例中。肩難產輔助套具10還可包含二固定件310、320、多個操作件400及一支撐件500。The shoulder dystocia assistant kit 10 includes a cloth material 100 and two drawstrings 210 and 220. In this embodiment or other embodiments. The shoulder dystocia assist kit 10 may further include two fixing members 310 and 320, a plurality of operating members 400, and a supporting member 500.

布材100包含一內襯110及一外襯120。內襯110的相對二端及外襯120的相對二端例如透過縫線L1相固定,且內襯110及外襯120皆環繞套設空間130。套設空間130用以容納胎兒1的肩部2、胸部及背部。其中,內襯110較外襯120靠近套設空間130。內襯110具有面向套設空間130的一第一表面111,外襯120具有背對第一表面111的一第二表面121。第一表面111的摩擦係數大於第二表面121的磨擦係數。也就是說,內襯110的第一表面111較外襯120的第二表面121為粗糙。其中,內襯110的第一表面111可有絨毛的設置或是可為橡膠材質。The cloth material 100 includes an inner lining 110 and an outer lining 120. The two opposite ends of the inner lining 110 and the opposite two ends of the outer lining 120 are fixed by stitching L1, for example, and both the inner lining 110 and the outer lining 120 surround the sleeve space 130. The sleeve space 130 is used for accommodating the shoulder 2, the chest and the back of the fetus 1. Wherein, the inner lining 110 is closer to the sleeve space 130 than the outer lining 120 is. The inner liner 110 has a first surface 111 facing the sleeve space 130, and the outer liner 120 has a second surface 121 facing away from the first surface 111. The coefficient of friction of the first surface 111 is greater than the coefficient of friction of the second surface 121. In other words, the first surface 111 of the inner liner 110 is rougher than the second surface 121 of the outer liner 120. Wherein, the first surface 111 of the inner liner 110 may be provided with fluff or may be made of rubber.

在本實施例中,套設空間130具有一第一開口131及一第二開口132。當布材100套設於胎兒1的二肩部2時,套設空間130的第一開口131較第二開口132靠近產婦4的產道口6(請先參閱圖4)。內襯110還具有一繩槽112,且外襯120還具有一繩槽122。內襯110的繩槽112及外襯120的繩槽122皆位於套設空間130的第一開口131旁,且環繞套設空間130。內襯110的繩槽112例如是經由翻摺內襯110的邊緣後再經由縫線(未繪示)固定所形成。同理,外襯120的繩槽122亦是經由相同的方式所形成。In this embodiment, the sleeve space 130 has a first opening 131 and a second opening 132. When the cloth material 100 is sheathed on the two shoulders 2 of the fetus 1, the first opening 131 of the sheathing space 130 is closer to the birth canal opening 6 of the parturient 4 than the second opening 132 (please refer to FIG. 4 first). The inner lining 110 further has a rope groove 112, and the outer lining 120 further has a rope groove 122. The rope groove 112 of the inner liner 110 and the rope groove 122 of the outer liner 120 are both located beside the first opening 131 of the sleeve space 130 and surround the sleeve space 130. The rope groove 112 of the inner liner 110 is formed, for example, by folding the edge of the inner liner 110 and then fixing it with stitches (not shown). Similarly, the rope groove 122 of the outer lining 120 is also formed in the same manner.

內襯110的繩槽112具有相對的二通口1121、1122,且外襯120的繩槽122具有相對的二通口1221、1222。繩槽112的通口1121及繩槽122的通口1221位於內襯110與外襯120相固定之處的一側,繩槽112的通口1122及繩槽122的通口1222位於內襯110與外襯120相固定之處的另一側。拉繩210穿設於繩槽112的二通口1121、1122,且拉繩210的不同部分分別位於繩槽112的內與外。拉繩220穿設於繩槽122的二通口1221、1222,且拉繩220的不同部分分別位於繩槽122的內與外。二拉繩210、220穿出二通口1121、1221的部分可綁在一起,而二拉繩210、220穿出二通口1122、1222的部分可綁在一起。二固定件310、320例如為繩扣。固定件310設置於二拉繩210、220穿出二通口1121、1221的部分,且固定件320設置於二拉繩210、220穿出二通口1122、1222的部分。The rope groove 112 of the inner liner 110 has two opposite ports 1121 and 1122, and the rope groove 122 of the outer liner 120 has two opposite ports 1221 and 1222. The opening 1121 of the rope groove 112 and the opening 1221 of the rope groove 122 are located on the side where the inner lining 110 and the outer lining 120 are fixed, and the opening 1122 of the rope groove 112 and the opening 1222 of the rope groove 122 are located on the inner lining 110 The other side where it is fixed with the outer lining 120. The draw rope 210 is passed through the two through openings 1121 and 1122 of the rope groove 112, and different parts of the draw rope 210 are located inside and outside the rope groove 112, respectively. The draw rope 220 is passed through the two through openings 1221 and 1222 of the rope groove 122, and different parts of the draw rope 220 are located inside and outside the rope groove 122, respectively. The parts of the two drawstrings 210 and 220 passing through the two ports 1121 and 1221 can be tied together, and the portions of the two drawstrings 210 and 220 passing through the two ports 1122 and 1222 can be tied together. The two fixing members 310 and 320 are, for example, rope buckles. The fixing member 310 is disposed at the part where the two pull cords 210 and 220 pass through the two through openings 1121 and 1221, and the fixing member 320 is disposed at the part where the two pull cords 210 and 220 pass through the two through openings 1122 and 1222.

在本實施例中,內襯110之相對二端之間的部分及外襯120之相對二端之間的部分例如透過多個縫線L2相固定,而形成相間隔的多個操作孔140。這些操作孔140自布材100鄰近第一開口131之一側朝布材100鄰近第二開口132之一側延伸。這些操作孔140用以供操作人員的手指伸入。In this embodiment, the part between the two opposite ends of the inner liner 110 and the part between the two opposite ends of the outer liner 120 are fixed, for example, through a plurality of stitches L2 to form a plurality of operation holes 140 spaced apart. The operation holes 140 extend from a side of the cloth material 100 adjacent to the first opening 131 to a side of the cloth material 100 adjacent to the second opening 132. These operating holes 140 are used for the operator's fingers to reach in.

這些操作件400相間隔地連接內襯110鄰近第一開口131的一側,並朝遠離第二開口132的方向延伸。操作件400用以供操作人員的手握持,以在布材100套住胎兒1時經由操作件400拉動或轉動布材100,而拉出或是轉動胎兒1。在本實施例中,操作件400並不限於連接內襯110。在其他實施例中,操作件可連接外襯。此外,操作件的數量並不以圖2所示之二個為限。在其他實施例中,操作件的數量可以大於二個。The operating elements 400 are connected to the side of the inner liner 110 adjacent to the first opening 131 at intervals, and extend in a direction away from the second opening 132. The operating member 400 is used to be held by the operator's hand, so as to pull or rotate the cloth 100 through the operating member 400 to pull out or rotate the fetus 1 when the cloth 100 covers the fetus 1. In this embodiment, the operating member 400 is not limited to the connecting liner 110. In other embodiments, the operating member may be connected to the outer liner. In addition, the number of operating elements is not limited to the two shown in FIG. 2. In other embodiments, the number of operating elements may be greater than two.

支撐件500例如為塑膠片。支撐件500設置於布材100的內襯110及外襯120之間。支撐件500的剛性大於布材100的剛性,支撐件500用以抵靠胎兒1。The support 500 is, for example, a plastic sheet. The support 500 is disposed between the inner lining 110 and the outer lining 120 of the cloth material 100. The rigidity of the support 500 is greater than the rigidity of the cloth material 100, and the support 500 is used to abut the fetus 1.

請參閱圖3,圖1為尚在分娩過程中之胎兒的平面示意圖。在本實施例中,肩難產輔助套具10所欲套設的胎兒1例如正面臨肩難產的問題,其頭部3例如已從產婦4的產道5分娩出,而胎兒1之二肩部2以下的部分尚在產婦4體內,且胎兒1之肩部2與產婦4的恥骨7產生干涉。以下將說明肩難產輔助套具10如何幫助胎兒1排除肩難產生的問題。請一併參閱圖2及圖4至圖6。圖4為圖2的肩難產輔助套具套設於胎兒的平面示意圖。圖5為圖4之拉繩及布材受外力作用時的平面示意圖。圖6為圖5之胎兒的肩部通過產婦的恥骨的平面示意圖。Please refer to Figure 3. Figure 1 is a schematic plan view of the fetus in the delivery process. In this embodiment, the fetus 1 to be fitted with the shoulder dystocia auxiliary set 10 is facing the problem of shoulder dystocia, for example, its head 3 has been delivered from the birth canal 5 of the mother 4, and the fetus 1 bis shoulder 2 The following part is still in the mother 4, and the shoulder 2 of the fetus 1 interferes with the pubic bone 7 of the mother 4. The following will explain how the shoulder dystocia auxiliary kit 10 helps the fetus 1 to eliminate the problem of shoulder dysfunction. Please refer to Figure 2 and Figures 4 to 6 together. Fig. 4 is a schematic plan view of the shoulder dystocia assist kit of Fig. 2 being put on a fetus. Fig. 5 is a schematic plan view of the drawstring and cloth material of Fig. 4 when an external force is applied. Fig. 6 is a schematic plan view of the shoulder of the fetus in Fig. 5 passing through the pubic bone of the mother.

首先,先讓胎兒1的頭部3穿過布材100,接著操作人員可將手指伸入這些操作孔140,以將布材100從產婦4的產道口6推入產道5並移動。在布材100移動至胎兒1的二肩部2上,且確定布材100環繞胎兒1的二肩部2、胸部及背部之後,即代表布材100已移動至定位而套設於胎兒1的二肩部2上(如圖4所示)。此時,二拉繩210、220的部分及二固定件310、320會位於產婦4的產道5外,且支撐件500抵靠於胎兒1的其中一肩部2上。First, let the head 3 of the fetus 1 pass through the cloth material 100, and then the operator can put his fingers into the operation holes 140 to push the cloth material 100 from the birth canal opening 6 of the parturient 4 into the birth canal 5 and move it. After the cloth material 100 is moved to the two shoulders 2 of the fetus 1, and it is determined that the cloth material 100 surrounds the two shoulders 2, the chest and the back of the fetus 1, it means that the cloth material 100 has moved to the position and is placed on the fetus 1 On the two shoulders 2 (as shown in Figure 4). At this time, the parts of the two drawstrings 210 and 220 and the two fixing members 310 and 320 are located outside the birth canal 5 of the parturient 4, and the support member 500 abuts against one of the shoulders 2 of the fetus 1.

接著,如圖5所示,操作人員一手拉著二拉繩210、220位於產婦4的產道5外的部分,另一手先後滑動二固定件310、320以推擠布材100,使得二拉繩210、220分別位於二繩槽112、122(如圖1所示)的部分縮短,而縮小套設空間130之第一開口131的口徑。在第一開口131縮小的過程中,布材100及支撐件500會擠壓胎兒1的二肩部2,使得二肩部2的距離縮小,而使胎兒1的肩部2與產婦4的恥骨7不再干涉。Next, as shown in Figure 5, the operator holds the two drawstrings 210 and 220 outside the birth canal 5 of the parturient 4 with one hand, and slides the two fixing members 310 and 320 with the other hand to push the cloth 100 so that the two drawstrings The parts 210 and 220 respectively located in the two rope grooves 112 and 122 (as shown in FIG. 1) are shortened, and the diameter of the first opening 131 of the sleeve space 130 is reduced. During the shrinking process of the first opening 131, the cloth material 100 and the support 500 will squeeze the two shoulders 2 of the fetus 1, so that the distance between the two shoulders 2 is reduced, and the shoulders 2 of the fetus 1 and the pubic bones of the parturient 4 are reduced. 7 No more interference.

在本實施例中,藉由剛性大於布材100的支撐件500抵靠於胎兒1的肩部2,可讓支撐件500在二固定件310、320推擠布材100時加強擠壓胎兒1之肩部2的效果。In this embodiment, the support 500, which is more rigid than the cloth 100, is pressed against the shoulder 2 of the fetus 1, so that the support 500 can strengthen the squeezing of the fetus 1 when the two fixing members 310 and 320 push the cloth 100. The effect of shoulder 2.

在本實施例中,支撐件500並不限於設置於外襯110及外襯120之間。在其他實施例中,支撐件可設置在內襯的第一表面或外襯的第二表面上。或是,肩難產輔助套具可無支撐件。In this embodiment, the supporting member 500 is not limited to be disposed between the outer lining 110 and the outer lining 120. In other embodiments, the support may be provided on the first surface of the inner liner or the second surface of the outer liner. Or, the auxiliary kit for shoulder dystocia may have no support.

接著,如圖6所示,操作人員可經由握持操作件400而將布材100向產婦4的產道5外拉出,而帶動胎兒1的二肩部2通過恥骨7的下方而被拉出至產道5外,故排除了肩難產的問題。Next, as shown in FIG. 6, the operator can pull the cloth 100 out of the birth canal 5 of the parturient 4 by holding the operating member 400, and drive the shoulders 2 of the fetus 1 to be pulled out through the underside of the pubic bone 7. Except the birth canal 5, the problem of shoulder dystocia is ruled out.

由此可知,藉由將布材100套設於胎兒1並施力於拉繩210、220及布材100,可調整布材100之套設空間130的口徑,以令布材100迫使胎兒1之二肩部2的距離縮短,故胎兒1可順利地通過產婦4之恥骨7的下方而出生。因此,肩難產輔助套具10可以幫助醫師及護士迅速排除胎兒1肩難產的問題。It can be seen from this that by putting the cloth material 100 on the fetus 1 and applying force to the drawstrings 210 and 220 and the cloth material 100, the diameter of the covering space 130 of the cloth material 100 can be adjusted so that the cloth material 100 forces the fetus 1 Second, the distance between the shoulders 2 is shortened, so the fetus 1 can pass under the pubic bone 7 of the parturient 4 and be born smoothly. Therefore, the shoulder dystocia auxiliary kit 10 can help doctors and nurses quickly eliminate the problem of shoulder dystocia of the fetus.

此外,在布材100及支撐件500擠壓胎兒1的二肩部2的狀態下,操作人員還可經由操作件400而將布材100轉動,以帶動胎兒1一同轉動,使胎兒1的肩部2與產婦4的恥骨7相錯位,故進一步確保胎兒1的二肩部2與恥骨7不會干涉,而增加後續拉動操作件400而將胎兒1自產道5拉出的順暢度。但,肩難產輔助套具10並不限包含有操作件400。在其他實施例中,肩難產輔助套具可不包含有操作件。在這樣的配置下,操作人員可徒手轉動胎兒及自產道拉出胎兒。In addition, in the state where the cloth material 100 and the supporting member 500 squeeze the two shoulders 2 of the fetus 1, the operator can also rotate the cloth material 100 through the operating member 400 to drive the fetus 1 to rotate together, so that the shoulders of the fetus 1 The part 2 is misaligned with the pubic bone 7 of the parturient 4, so it is further ensured that the shoulders 2 of the fetus 1 and the pubic bone 7 will not interfere, and the subsequent pulling of the operating member 400 will increase the smoothness of the fetus 1 being pulled out of the birth canal 5. However, the shoulder dystocia assist kit 10 is not limited to include the operating element 400. In other embodiments, the auxiliary kit for shoulder dystocia may not include an operating member. In this configuration, the operator can rotate the fetus with his bare hands and pull the fetus out of the birth canal.

另外,藉由內襯110的第一表面111較外襯120的第二表面121粗糙的配置,可確保拉動布材100時胎兒1會與布材100一同移動,並降低布材100自產道5拉出的阻力。In addition, the rougher arrangement of the first surface 111 of the inner lining 110 than the second surface 121 of the outer lining 120 can ensure that when the cloth 100 is pulled, the fetus 1 will move with the cloth 100 and reduce the birth canal of the cloth 100. 5 Resistance to pull out.

在本實施例中,布材100係由內襯110與外襯120之二片布料縫合而形成,但並不以此為限。在其他實施例中,布材可由一片布料所形成。舉例來說,將此一片布料對折,如此即有內襯與外襯。In this embodiment, the cloth material 100 is formed by stitching two pieces of cloth of the inner lining 110 and the outer lining 120, but it is not limited to this. In other embodiments, the cloth material may be formed by a piece of cloth. For example, fold this piece of fabric in half so that there is an inner lining and an outer lining.

此外,繩槽112、122、拉繩210、220及固定件310、320的數量並不以兩個為限。在其他實施例中,繩槽、拉繩及固定件的數量可以僅為一個。其中,肩難產輔助套具還可無固定件,操作人員可在拉動拉繩的時候直接用手推擠布材,來讓套設空間的第一開口的口徑變小。In addition, the number of the rope grooves 112, 122, the draw ropes 210, 220, and the fixing members 310, 320 is not limited to two. In other embodiments, the number of the rope groove, the draw rope and the fixing member may be only one. Among them, the shoulder dystocia auxiliary device can also have no fixing parts, and the operator can directly push the cloth material by hand when pulling the rope to reduce the diameter of the first opening of the sleeve space.

接著,請參閱圖7,圖7為根據本新型之另一實施例所揭露之肩難產輔助套具的立體示意圖。Next, please refer to FIG. 7. FIG. 7 is a perspective view of a shoulder dystocia auxiliary kit disclosed according to another embodiment of the present invention.

在本實施例中,肩難產輔助套具10a與圖1的肩難產輔助套具類似,故以下僅針對二者差異之處進行說明,相同或相似之處則不再贅述。In this embodiment, the shoulder dystocia auxiliary set 10a is similar to the shoulder dystocia auxiliary set of FIG. 1, so only the differences between the two are described below, and the similarities or similarities will not be repeated.

在本實施例中,肩難產輔助套10a具更包含多個指插件600a。這些指插件600a例如為軟套,這些指插件600a分別設置於內襯110a與外襯120a之間的這些操作孔140a內。這些指插件600a各具有一插孔610a,這些插孔610a用以供操作人員的手指插入,而使得操作人員將肩難產輔助套具10a推入產道5內的操作更為便利。In this embodiment, the shoulder dystocia auxiliary cover 10a further includes a plurality of finger inserts 600a. The finger inserts 600a are, for example, soft sleeves, and the finger inserts 600a are respectively disposed in the operating holes 140a between the inner liner 110a and the outer liner 120a. Each of the finger inserts 600a has an insertion hole 610a, and the insertion hole 610a is used for the operator's finger to insert, so that the operator can push the shoulder dystocia assist cover 10a into the birth canal 5 more conveniently.

根據上述實施例所揭露的肩難產輔助套具,藉由將布材套設於胎兒並施力於拉繩及布材,可調整布材之套設空間的口徑,以令布材迫使胎兒雙肩的距離縮短,使得被卡在產婦恥骨下方的胎兒前肩,可以脫離恥骨,故胎兒可順利地通過產婦之恥骨的下方而出生。因此,肩難產輔助套具可以對於產婦及胎兒低傷害的方式幫助醫師及護士迅速排除胎兒肩難產的問題。According to the shoulder dystocia auxiliary set disclosed in the above embodiments, by wrapping the cloth material on the fetus and applying force to the drawstring and cloth material, the diameter of the cloth material covering space can be adjusted so that the cloth material forces the fetus to double The shoulder distance is shortened, so that the front shoulder of the fetus stuck under the pubic bone of the parturient can be separated from the pubic bone, so the fetus can be born under the pubic bone of the parturient smoothly. Therefore, the shoulder dystocia auxiliary kit can help doctors and nurses quickly eliminate the problem of fetal shoulder dystocia with low harm to the mother and the fetus.

雖然本新型以前述之較佳實施例揭露如上,然其並非用以限定本新型,任何熟習相像技藝者,在不脫離本新型之精神和範圍內,當可作些許之更動與潤飾,因此本新型之專利保護範圍須視本說明書所附之申請專利範圍所界定者為準。Although the present invention is disclosed in the foregoing preferred embodiments as above, it is not intended to limit the present invention. Anyone who is familiar with similar skills can make some changes and modifications without departing from the spirit and scope of the present invention. Therefore, the present invention The scope of patent protection for new models shall be determined by the scope of patent applications attached to this specification.

1:胎兒 2:肩部 3:頭部 4:產婦 5:產道 6:產道口 7:恥骨 10、10a:肩難產輔助套具 100:布材 110、110a:內襯 111:第一表面 112:繩槽 1121、1122:通口 120、120a:外襯 121:第二表面 122:繩槽 1221、1222:通口 130:套設空間 131:第一開口 132:第二開口 140、140a:操作孔 210、220:拉繩 310、320:固定件 400:操作件 500:支撐件 600a:指插件 610a:插孔 L1、L2:縫線1: Fetus 2: shoulder 3: head 4: parturient 5: Birth canal 6: Birth canal 7: Pubic bone 10.10a: Auxiliary kit for shoulder dystocia 100: Cloth 110, 110a: Lining 111: first surface 112: Rope Groove 1121, 1122: Port 120, 120a: Outer lining 121: second surface 122: Rope Groove 1221, 1222: Port 130: set up space 131: First opening 132: second opening 140, 140a: operation hole 210, 220: drawstring 310, 320: fixed parts 400: operating parts 500: Support 600a: refers to the plug-in 610a: jack L1, L2: suture

圖1為根據本新型之一實施例所揭露之肩難產輔助套具的立體示意圖。 圖2為圖1之另一視角的立體示意圖。 圖3為尚在分娩過程中之胎兒的平面示意圖。 圖4為圖1的肩難產輔助套具套設於胎兒的平面示意圖。 圖5為圖4之拉繩及布材受外力作用時的平面示意圖。 圖6為圖5之胎兒的肩部通過產婦的恥骨的平面示意圖。 圖7為根據本新型之另一實施例所揭露之肩難產輔助套具的立體示意圖。 FIG. 1 is a three-dimensional schematic diagram of a shoulder dystocia auxiliary kit disclosed according to an embodiment of the present invention. FIG. 2 is a three-dimensional schematic diagram of FIG. 1 from another perspective. Figure 3 is a schematic plan view of a fetus in delivery. Fig. 4 is a schematic plan view of the shoulder dystocia assist kit of Fig. 1 being put on a fetus. Fig. 5 is a schematic plan view of the drawstring and cloth material of Fig. 4 when an external force is applied. Fig. 6 is a schematic plan view of the shoulder of the fetus in Fig. 5 passing through the pubic bone of the parturient. FIG. 7 is a three-dimensional schematic diagram of a shoulder dystocia auxiliary kit disclosed according to another embodiment of the present invention.

10:肩難產輔助套具 10: Auxiliary kit for shoulder dystocia

100:布材 100: Cloth

110:內襯 110: Lining

111:第一表面 111: first surface

112:繩槽 112: Rope Groove

1121、1122:通口 1121, 1122: Port

120:外襯 120: Outer lining

121:第二表面 121: second surface

122:繩槽 122: Rope Groove

1221、1222:通口 1221, 1222: Port

130:套設空間 130: set up space

131:第一開口 131: First opening

132:第二開口 132: second opening

140:操作孔 140: Operation hole

210、220:拉繩 210, 220: drawstring

310、320:固定件 310, 320: fixed parts

400:操作件 400: operating parts

500:支撐件 500: Support

L1、L2:縫線 L1, L2: suture

Claims (11)

一種肩難產輔助套具,用以套設於一胎兒,包含:一布材,該布材之相對二端相固定而環繞一套設空間,該套設空間用以容納該胎兒,該布材具有至少一繩槽,該至少一繩槽環繞該套設空間;以及至少一拉繩,穿設於該至少一繩槽的相對二通口,該至少一拉繩的不同部分分別位於該至少一繩槽內與外;其中,該至少一拉繩及該布材用以受一外力作用,以令該至少一拉繩位於該至少一繩槽的部分縮短,而調整該套設空間的口徑。An auxiliary set for shoulder dystocia, which is used to wrap a fetus, includes: a cloth material, the opposite ends of the cloth material are fixed to surround a set space, the set space is used to accommodate the fetus, the cloth material There is at least one rope groove, the at least one rope groove surrounds the sheathing space; and at least one pull rope passing through the two opposite openings of the at least one rope groove, and different parts of the at least one rope groove are respectively located in the at least one Inside and outside the rope groove; wherein the at least one draw rope and the cloth material are used to receive an external force to shorten the portion of the at least one draw rope located in the at least one rope groove and adjust the diameter of the sheathing space. 如請求項1所述之肩難產輔助套具,其中該布材具有一第一表面及一第二表面,該第一表面面向該套設空間,該第二表面背對該第一表面,該第一表面的摩擦係數大於該第二表面的摩擦係數。The shoulder dystocia auxiliary kit according to claim 1, wherein the cloth material has a first surface and a second surface, the first surface faces the sheathing space, the second surface faces away from the first surface, and the The coefficient of friction of the first surface is greater than the coefficient of friction of the second surface. 如請求項1所述之肩難產輔助套具,其中該套設空間具有相對的一第一開口及一第二開口,該至少一繩槽位於該第一開口旁,該布材更具有相間隔的多個操作孔,該些操作孔自該布材鄰近該第一開口之一側朝該布材鄰近該第二開口之一側延伸。The shoulder dystocia auxiliary set according to claim 1, wherein the set space has a first opening and a second opening opposite to each other, the at least one rope groove is located beside the first opening, and the cloth material is further spaced apart The operation holes extend from a side of the cloth material adjacent to the first opening toward a side of the cloth material adjacent to the second opening. 如請求項3所述之肩難產輔助套具,更包含多個指插件,該些指插件分別設置於該些操作孔內。The shoulder dystocia auxiliary set according to claim 3 further includes a plurality of finger inserts, and the finger inserts are respectively arranged in the operation holes. 如請求項1所述之肩難產輔助套具,更包含一固定件,該固定件設置於該至少一拉繩穿出於該至少一繩槽之外的部分,該固定件用以於該布材受該外力作用時止擋該布材,以維持該套設空間的口徑。The shoulder dystocia auxiliary set according to claim 1, further comprising a fixing member disposed on a part of the at least one draw cord passing through the at least one rope groove, and the fixing member is used for the cloth When the material is subjected to the external force, the cloth material is stopped to maintain the caliber of the sheathing space. 如請求項1所述之肩難產輔助套具,更包含多個操作件,該套設空間具有相對的一第一開口及一第二開口,該至少一繩槽位於該第一開口旁,該些操作件相間隔地連接該布材鄰近該第一開口之一側並朝遠離該第二開口之方向延伸。The shoulder dystocia auxiliary set according to claim 1, further comprising a plurality of operating elements, the set space has a first opening and a second opening opposite to each other, the at least one rope groove is located beside the first opening, the The operating elements are connected to one side of the cloth adjacent to the first opening at intervals and extend in a direction away from the second opening. 如請求項1所述之肩難產輔助套具,更包含一支撐件,該支撐件設置於該布材內,該支撐件的剛性大於該布材的剛性,該支撐件用以抵靠該胎兒。The shoulder dystocia assist set according to claim 1, further comprising a support member disposed in the cloth material, the support member has a rigidity greater than the rigidity of the cloth material, and the support member is used to abut the fetus . 如請求項1所述之肩難產輔助套具,其中該布材包含一內襯及一外襯,該內襯的相對二端及該外襯的相對二端相固定,該內襯及該外襯環繞該套設空間,該內襯較該外襯靠近該套設空間,該至少一繩槽的數量及該至少一拉繩的數量皆為二個,該二繩槽分別位於該內襯及該外襯,該二拉繩分別穿設於該二繩槽。The auxiliary set for shoulder dystocia according to claim 1, wherein the cloth material comprises an inner lining and an outer lining, the opposite two ends of the inner lining and the opposite two ends of the outer lining are fixed, the inner lining and the outer lining The lining surrounds the sleeve space, the inner lining is closer to the sleeve space than the outer lining, the number of the at least one rope groove and the number of the at least one draw rope are both two, and the two rope grooves are respectively located in the inner lining and The outer lining and the two pull ropes are respectively threaded through the two rope grooves. 如請求項8所述之肩難產輔助套具,其中該內襯具有面向該套設空間的一第一表面,該外襯具有背對該第一表面的一第二表面,該第一表面的摩擦係數大於該第二表面的摩擦係數。The shoulder dystocia auxiliary set according to claim 8, wherein the inner liner has a first surface facing the sleeve space, the outer liner has a second surface facing away from the first surface, and the first surface The coefficient of friction is greater than the coefficient of friction of the second surface. 如請求項8所述之肩難產輔助套具,其中該套設空間具有相對的一第一開口及一第二開口,該二繩槽位於該第一開口旁,該內襯與該外襯部分相固定而形成相間隔的多個操作孔,該些操作孔自該布材鄰近該第一開口之一側朝該布材鄰近該第二開口之一側延伸。The shoulder dystocia auxiliary set according to claim 8, wherein the set space has a first opening and a second opening opposite to each other, the two rope grooves are located beside the first opening, the inner lining and the outer lining part The operation holes are fixed to form a plurality of spaced apart operation holes, and the operation holes extend from a side of the cloth material adjacent to the first opening to a side of the cloth material adjacent to the second opening. 如請求項8所述之肩難產輔助套具,更包含二固定件,該二固定件皆設置於該二拉繩分別穿出於該二繩槽外的部分,該二固定件用以於該布材受該外力作用時止擋該布材,以維持該套設空間的口徑。The shoulder dystocia auxiliary set according to claim 8, further comprising two fixing members, both of which are arranged on the parts of the two drawstrings respectively passing through the two rope grooves, and the two fixing members are used for the When the cloth material is subjected to the external force, the cloth material is stopped to maintain the caliber of the sheathing space.
TW109212313U 2020-09-18 2020-09-18 Shoulder dystocia auxiliary kit TWM607969U (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
TWI774066B (en) * 2020-09-18 2022-08-11 呂理政 Assistant sleeve for shoulder dystocia

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
TWI774066B (en) * 2020-09-18 2022-08-11 呂理政 Assistant sleeve for shoulder dystocia

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