WO2021135651A1 - Direct-viewing induced abortion uterine curettage system - Google Patents

Direct-viewing induced abortion uterine curettage system Download PDF

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Publication number
WO2021135651A1
WO2021135651A1 PCT/CN2020/127617 CN2020127617W WO2021135651A1 WO 2021135651 A1 WO2021135651 A1 WO 2021135651A1 CN 2020127617 W CN2020127617 W CN 2020127617W WO 2021135651 A1 WO2021135651 A1 WO 2021135651A1
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Prior art keywords
direct
curettage
flow
view
negative pressure
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PCT/CN2020/127617
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French (fr)
Chinese (zh)
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周星
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周星
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Publication of WO2021135651A1 publication Critical patent/WO2021135651A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/42Gynaecological or obstetrical instruments or methods
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/320016Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/361Image-producing devices, e.g. surgical cameras
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B2017/320004Surgical cutting instruments abrasive
    • A61B2017/320008Scrapers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/42Gynaecological or obstetrical instruments or methods
    • A61B2017/4216Operations on uterus, e.g. endometrium
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/361Image-producing devices, e.g. surgical cameras
    • A61B2090/3612Image-producing devices, e.g. surgical cameras with images taken automatically
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2217/00General characteristics of surgical instruments
    • A61B2217/002Auxiliary appliance
    • A61B2217/005Auxiliary appliance with suction drainage system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2217/00General characteristics of surgical instruments
    • A61B2217/002Auxiliary appliance
    • A61B2217/007Auxiliary appliance with irrigation system

Definitions

  • the invention relates to an endoscopic surgical instrument, in particular to a direct vision abortion and curettage system with a protective mechanism in endoscopic surgery.
  • Abortion surgery refers to the termination of pregnancy by surgical methods.
  • Abortion surgery methods usually include negative pressure suction and forceps curettage.
  • the embryonic tissue in the uterus is sucked out with a straw or the embryo tissue in the uterus is taken out with surgical instruments such as oval forceps to achieve the purpose of terminating pregnancy. Therefore, the core of abortion surgery lies in two aspects: one is that the embryonic tissue needs to be removed to prevent incomplete abortion; the other is to prevent accidental damage to the uterus during the operation, such as accidental perforation of the uterus.
  • abortion surgery requires operations in the uterus, traditional abortion surgery often relies on the experience and feeling of the doctor, so various complications are prone to occur.
  • laparoscopic technology With the development of laparoscopic technology, more and more operations are completed under laparoscopic surgery, and abortion operations are gradually being performed under laparoscopic direct vision.
  • the lens module is placed at the forefront of the direct-view flow device.
  • the tube body of the flow tube mostly adopts a double-cavity structure, and one cavity is used to install the circuit to collect the image data collected by the lens module. It is transmitted to the host and displayed on the display after processing.
  • the other cavity is used as a negative pressure suction tube, one end is connected to the negative pressure source, and the other end is open at the front end of the flow tube.
  • the lens usually can only observe the local state in a small area around the surgical site. If the gestational sac is large or the implantation bed is closer to the corner, omissions may occur during the observation process, resulting in The abortion operation is not complete, so it is necessary to improve the existing direct-view abortion device.
  • the direct-viewing flow and curettage system of the present invention through the coordinated design of the lens and the ultrasonic monitoring device, can directly collect partial video images of the surgical site through the lens, and can also collect the overall image information of the uterus through the ultrasonic monitoring device. On the one hand, it can observe in real time. The condition of the surgical site prevents accidental damage to the uterus. On the other hand, the overall image data of the uterus collected by the ultrasound monitoring device is used to determine whether the gestational sac is completely sucked out by the abortion operation, and the clinical application is safer and more reliable.
  • the direct vision flow and curettage system of the present invention is characterized in that: the direct vision flow and curettage system 900 includes a direct vision flow and curettage device 100, an intraoperative ultrasound monitoring device 200, a display system 102, an image processing system 103, a power supply system 104 and wiring System 107;
  • the display system 102 includes at least one display 102-1; the circuit system 107 includes a circuit 3 and a signal transmission line 3-1;
  • the video data collected by the direct-viewing flow and curettage device 100 is processed by the image processing system 103 and then output through the signal transmission line 3-1 and displayed on the display 102-1;
  • the intraoperative ultrasound monitoring device 200 contains at least one probe 201, and the signal detected by the probe 201 is processed by the image processing system 103 and then output to the display 102-1 through the signal transmission line 3-1 On display
  • the direct-view flow and curettage device 100, the intraoperative ultrasound monitoring device 200, the display system 102, and the image processing system 103 are connected to the power supply system 104 via the circuit 3;
  • the direct-view human flow and curettage device 100 collects video data of the surgical site during human flow
  • the intraoperative ultrasound monitoring device 200 collects overall image data of the uterus
  • the overall image data collected by the intraoperative ultrasound monitoring device 200 can make it possible to observe the intraoperative condition of the surgical site in real time during the abortion operation, and to judge whether the gestational sac is completely sucked out by the overall image data.
  • the direct vision flow and curettage system of the present invention uses the direct vision flow and curettage device 100 and the intraoperative ultrasound monitoring device 200 to perform real-time observation and real-time observation of the surgical site of the flow operation through the cooperation of the direct vision flow and curettage device 100 and the intraoperative ultrasound monitoring device 200 Video and image data collection.
  • the intraoperative ultrasound monitoring device 200 is used to collect the overall image data of the uterus to further confirm whether there are residual gestational sacs in the uterus that have not been aspirated. In clinical use, the safe operation of the operation can be ensured. It can also ensure that the abortion is removed by surgery. Clinical application is safer and more reliable.
  • circuit 3 and the signal transmission line 3-1 of the line system 107 can be separately provided as required, or can be designed as a system as required.
  • the direct-viewing flow and curettage device 100 includes a curettage and curettage mechanism 1, an observation module 2, a line system 107, a negative pressure suction mechanism 4, and an operating rod 5;
  • the observation module 2 includes an illumination module 21 and a lens module 22; the illumination module 21 and the lens module 22 are arranged at the front end of the operating rod 5 and installed in the protective cover 20; the lens module
  • the images and videos observed by the group 22 are input to the image processing system 103 via the signal transmission line 3-1 of the line system 107 for processing, and then output by the signal transmission line 3-1; the observation module 2 passes through the signal transmission line 3-1.
  • the circuit 3 of the line system 107 is connected to the power supply system 104;
  • the curettage mechanism 1 includes at least one diagnosing curette 11, and the diagnosing curette 11 is arranged at the front end of the operating rod 5;
  • the negative pressure suction mechanism 4 includes a suction inlet 41, a suction outlet 42, and a suction channel 43; the introduction port 41 is provided at the front end of the operating rod 5; the suction outlet 42 is provided on the operating rod 5 At the rear end, the suction channel 43 is provided in the operating rod 5;
  • the rear end 5-2 of the operating rod 5 is provided with a handle 52; the front end 5-1 of the operating rod 5 is provided with an observation module 2 and a curettage mechanism 1; inside the tube body 5-3 of the operating rod 5 Contains the wiring system 107 and the negative pressure suction mechanism 4; the handle 52 is provided with the image processing system 103.
  • the implantation position of the embryonic tissue can be easily found through the camera 22-1 of the lens module 22, and then the embryonic tissue is peeled off from the uterus with the curette 11, and the negative pressure suction mechanism 4 is used to peel off the embryonic tissue.
  • the embryonic tissue is attracted and discharged from the body.
  • the curettage mechanism 1 and the negative pressure suction mechanism 4 can be designed as relatively independent mechanisms. In this way, while ensuring the curettage effect of the curettage mechanism 1 on implantation embryos, it can also pass the negative pressure very effectively.
  • the pressure suction mechanism 4 quickly sucks and discharges the scraped tissue and tissue fluid such as blood.
  • the camera 22-1 of the lens module 22 is arranged at the rear end of the diagnostic curette 11, and the diagnostic curette 11 is located in the field of view of the camera 22-1.
  • the technical solution with the rear camera 22-1 can ensure that the diagnostic curette 11 is completely within the field of view of the camera 22-1, and since the observation angle of the camera 22-1 faces the front of the operation area, Therefore, there is no blind spot for observation during the process, and therefore, no accidental damage to the uterus and accessories caused by the failure to observe clearly in time.
  • the diagnostic curette 11 since the diagnostic curette 11 is located in front of the camera 22-1, the diagnostic curette 11 will not be blocked due to the height of the lens module 22 itself, and there will be no dead corners in the operation, and embryo tissue
  • the implantation can be completely removed at any position of the uterus, especially for the implantation position near the oviduct orifice, that is, the implantation position at the fundus of the uterus.
  • the diagnostic curette 11 can also easily remove the embryonic tissue, and there will be no incomplete abortion during the operation. Because it is cleared under direct vision, it will not cause accidental damage to the fundus of the uterus due to excessive surgical actions. It can very well avoid damage to the fundus of the uterus, and there will be no serious medical accidents such as uterine perforation. . Therefore, the technical solution with the rear camera makes the clinical operation process of the flow of people safer and more effective.
  • the diagnostic scraper 11 is a scraping net 11-3.
  • the camera 22-1 can directly observe the situation behind the scraper 11-3 from the mesh gap. Even if the scraper 11-3 is not made of transparent material, it can realize the full observation of the surgical process and the observation of the surgical area. Panoramic observation.
  • the scraping net 11-3 of the diagnosing curette 11 of the curettage mechanism 1 can be compressed in the outer sheath 5-0; the scraping net 11-3 can expand the uterus after being released from the outer sheath 5-0, Expand the field of view.
  • the scraping net 11-3 of the diagnosing curette 11 of the curettage mechanism 1 can be compressed in the outer sheath 5-0. When the restraint of the outer sheath 5-0 is removed backward, the scraping net 11 -3 can completely restore or basically restore the shape before compression.
  • the scraper 11-3 can be folded into the outer sheath 5-0, and after entering the uterus through the cervix, the outer sheath 5-0 is retracted to release the scraper 11-3, so The scraping net 11-3 is unfolded, and the embryo tissue can be removed. At the same time, due to the unfolding of the scraping net 11-3, the uterus at the front end of the camera 22-1 can be stretched, and the observation field can be enlarged. During the clinical use, the surgical site and surrounding tissues can be better observed. The clinical use process The observation effect is very good.
  • the scraping wires 11-31 of the scraping net 11-3 can be made of various shapes of materials such as wire, thin tube, sheet, etc.
  • the camera 22-1 of the lens module 22 is arranged at the front end of the diagnostic curette 11.
  • the camera 22-1 can directly observe the working state of the suction inlet 41 of the negative pressure suction mechanism 4, and determine that the peeled implantation tissue is sucked out of the body by the negative pressure suction mechanism 4.
  • the camera 22-1 of the lens module 22 is arranged inside the diagnostic curette 11.
  • the built-in camera 22-1 can better observe the entire structure of the diagnostic curette 11, which is very convenient for clinical use.
  • the viewing direction of the camera 22-1 of the lens module 22 can be adjusted.
  • the working state of the diagnostic curette 11 and the surrounding tissue conditions can be observed in all directions, especially the implantation position of the embryo can be quickly found, and the observation effect in clinical use is more comprehensive .
  • the adjustment mechanism 22-11 for adjusting the viewing direction of the camera 22-1 is provided on the handle 52.
  • the adjustment mechanism 22-11 is arranged on the handle 52, and the observation direction of the camera 22-1 can be adjusted very conveniently outside the body during clinical use, and the operation is simpler.
  • the direction of the working part of the diagnostic curette 11 can be adjusted.
  • the direction of the working part of the diagnosing curette 11 can be adjusted as required, which can better adapt to the structure and shape of the uterus, especially for the corners of the uterus and other parts that are difficult to remove.
  • the swing mechanism 11-4 for adjusting the direction of the working part of the diagnostic curette 11 is provided on the handle 52.
  • the swing mechanism 11-4 is arranged on the handle 52, and the working direction of the working part of the diagnostic curette 11 can be adjusted very conveniently outside the body during clinical use, and the operation is simpler.
  • the observation direction of the camera 22-1 of the lens module 22 and the direction of the working part of the diagnostic curette 11 can be adjusted at the same time.
  • the clinician can adjust only the observation direction of the camera 22-1 or the working part direction of the diagnostic curette 11 as needed, or adjust the observation direction of the camera 22-1 and the diagnostic curettage at the same time.
  • the adjustment mechanism 22-11 and the swing mechanism 11-4 can be combined into one adjustment mechanism and arranged in the Handle 52 on.
  • the tube body 5-3 of the operating rod 5 contains at least two cavities; the first cavity is provided with the circuit 3, and the second cavity constitutes or is provided with the suction channel 43 of the negative pressure suction mechanism 4 .
  • the dual-cavity channel design can isolate the circuit 3 from the blood, tissue fluid and other liquids that may be generated during the operation, and can better avoid potential safety hazards such as short circuit and leakage during use, and the clinical use process is safer.
  • the direct-viewing abortion and curettage device 100 also includes a washing mechanism 6.
  • the flushing mechanism 6 can flush the inside of the uterus, and can flush the blood at the front end of the camera 22-1 in time to ensure that the observation field is kept clean.
  • the flushing mechanism 6 can also flush the diagnostic curette 11 and the uterine wall in time, especially the surgical site can be flushed in time, so as to observe whether the embryonic tissue has been completely removed from the implantation position in time to ensure abortion surgery The process of embryo tissue is complete, effectively avoiding the occurrence of incomplete abortion, and the clinical operation process is safer.
  • the tube body 5-3 of the operating rod 5 is a three-lumen tube; the first lumen is provided with the circuit 3, the second lumen constitutes or is provided with the suction channel 43 of the negative pressure suction mechanism 4.
  • Three water inlet pipes 63 constituting or provided with a flushing mechanism 6.
  • the design of the three-chamber channel can separate the flushing channel and the suction channel while ensuring that the circuit 3 is isolated and protected, so that it can better ensure that no tissue or liquid sucked back into the uterus during the flushing process , The use process is more efficient and safer.
  • the water outlet 61 of the flushing mechanism 6 of the direct-view human flow curettage device 100 with an electronic protection mechanism has at least one water outlet 61 that can flush and clean the protective cover 20 of the observation module 2.
  • the flushing mechanism 6 can flush the protective cover 20 of the observation mechanism 2 in time, so as to ensure the observation effect of the observation mechanism 2.
  • the flushing mechanism 6 is provided with a flushing switch 64 for controlling the flow of flushing water.
  • the flushing switch 64 can open and close the flushing mechanism 6, and can control the water volume and flushing pressure of the flushing water stream.
  • the clinician can open or close the flushing mechanism 6 according to the actual needs of the surgical process, and at the same time select the appropriate size and pressure of the flushing water flow according to the needs, so that the clinical use process is more convenient.
  • the flush switch 64 is provided on the handle 52 of the operating rod 5.
  • the flush switch 64 is arranged on the handle 52, and medical staff can realize one-handed operation during clinical use, and the use process is more convenient.
  • the negative pressure suction mechanism 4 is provided with a negative pressure control switch 44 capable of controlling a negative pressure state.
  • the negative pressure control switch 44 can turn on or off the negative pressure suction mechanism 4, and can adjust the negative pressure suction force of the negative pressure suction mechanism 4 according to the amount of tissue, blood and tissue fluid that is stripped in the uterus during the operation. .
  • doctors can easily adjust the negative pressure attraction they need, so as to avoid that the negative pressure attraction is too small to suck out the peeled tissue in time, and it can avoid accidental damage to the endometrium and other tissues caused by the excessive negative pressure.
  • the negative pressure control switch 44 is provided on the handle 52 of the operating rod 5.
  • the negative pressure control switch 44 is arranged on the handle 52, and the medical staff can realize one-handed operation during clinical use, and the use process is more convenient.
  • the protective cover 20 of the observation mechanism 2 is provided with a coating.
  • the coating can be a hydrophobic coating so that liquids such as blood and water can quickly condense into water droplets on the protective cover 20 and then slide off, or a hydrophilic coating can be selected so that liquids such as blood and water can quickly on the surface of the protective cover 20 A transparent water film is formed, which will not block the camera 22-1.
  • the circuit 3 is provided with an electrical interface 31 connected to the host.
  • the direct-view human flow and curettage device 100 is connected to a host computer and a power source through the electrical interface 31.
  • the direct-viewing flow and curettage device 100 includes an electronic protection mechanism 30; the electronic protection mechanism 30 is arranged outside the observation module 2 and/or the circuit 3, and the observation module 2 and/or the circuit 3 The electronic components are protected against water, gas and insulation.
  • the electronic protection mechanism 30 arranged outside the observation module 2 and the circuit 3 can protect the electronic components of the observation module 2 and the circuit 3 against water, gas, and insulation, effectively preventing surgical procedures
  • the blood water or tissue fluid produced in the process affects the normal operation of the electronic components, ensuring the normal operation of the operation, and the clinical operation process is safer.
  • the electronic protection mechanism 30 is a protection mechanism 30-1 provided on the periphery of the lighting module 21 and the lens module 22, or an insulating protection layer 30-2 provided on the outside of the circuit 3, or is provided on The handle 52 protects the insulating glue layer 30-3 of the image processing system 103.
  • a protective cover 20 is provided at the front end of the lighting module 21 and the lens module 22, an isolation seat 24 is provided behind the lighting module 21 and the lens module 22, the protective cover 20, the isolation seat 24 It forms a closed space with the tube body 5-3 through bonding or other methods to form the protective mechanism 30-1, which completely isolates the lighting module 21 and the lens module 22 from human tissues to ensure that the operation is in progress.
  • the blood or tissue fluid generated will not affect the normal operation of the illumination module 21 and the lens module 22.
  • the outer part of the circuit 3 is provided with the waterproof and insulating insulating protective layer 30-2, which can effectively avoid accidents such as short circuits caused by blood or tissue fluid generated during the operation.
  • the image processing system 103 is arranged in the handle 52, and glue is poured around the image processing system 103 to form the insulating glue layer 30-3.
  • the image processing system 103 and the peripheral circuit 3 It is completely sealed and isolated to achieve the protection purpose of waterproof, gas-proof and insulation.
  • one or more of the protective mechanism 30-1, the insulating protective layer 30-2, and the insulating adhesive layer 30-3 can be used in combination according to needs.
  • the electronic components of the flow and curettage device are fully protected against water, gas and insulation.
  • the handle 52 is provided with a glue container 52-1, the image processing system 103 is arranged in the glue container 52-1, and the insulating glue layer 30-3 is poured into the glue container 52 The image processing system 103 is protected within -1.
  • the glue containing tank 52-1 can be conveniently filled with glue, and the actual use process is very convenient.
  • the direct-viewing flow and curettage device 100 also includes a marking system 8.
  • the marking system 8 can prompt the depth of the operating rod 5 into the human body.
  • the marking system 8 may be a scale 81 arranged outside the operating rod 5, or may be other marking methods. The applicant will not give specific examples one by one here, but it does not deviate from the protection scope of the present application.
  • the direct-viewing abortion and curettage device 100 further includes a protective cover 10.
  • the protective cover 10 is arranged at the front end 5-1 of the operating rod 5, which can protect the protective cover 20 and the tube body 5-3 around the camera 22-1 during transportation and storage. Scratched or damaged, to better ensure the observation effect during clinical use.
  • the probe 201 of the intraoperative ultrasound monitoring device 200 is provided with an isolation sleeve 201-1 outside.
  • the isolation sleeve 201-1 may be a disposable protective sleeve after sterilization, so as to ensure the safety and hygiene of clinical use.
  • the intraoperative ultrasound monitoring device 200 also includes a probe fixing device 202.
  • the probe fixing device 202 can fix the probe 201, and it is used to ensure the stability of the effect of the ultrasound monitoring process during the clinical operation.
  • the probe fixing device 202 is arranged on the female expander 203.
  • the probe 201 can be fixed on the vaginal expander 203 by the probe fixing device 202, and the vaginal expander 203 can expand the vagina at the same time, so that the curettage 11 of the direct-view flow and curettage device 100 can be easily passed through.
  • the vagina enters the uterus.
  • the display system 102 includes two displays 102-1; the local video data collected by the direct-viewing flow and curettage device 100 and the overall image data collected by the intraoperative ultrasound monitoring device 200 are respectively displayed on the two displays 102-1 On display.
  • the design of separate display enables medical staff in different positions to view the information on different displays according to their needs during the clinical process, making clinical use more flexible.
  • the display system 102 includes a display 102-1; the local video data collected by the direct-viewing flow and curettage device 100 and the overall image data collected by the intraoperative ultrasound monitoring device 200 are synchronized on one display 102-1 On display.
  • the image data can also be synchronously displayed on one of the monitors 102-1, and can be observed synchronously in clinical practice.
  • the direct vision human flow curettage system 900 also includes a flushing system 106; the water inlet 106-1 of the flushing system 106 is connected to the infusion bottle or bag 7 through a water pipe 106-4, and the water outlet 106-2 of the flushing system 106 passes through The water pipe 106-4 is connected with the water inlet 62 of the washing mechanism 6 of the direct-viewing flow and curettage device 100.
  • the flushing system 106 can flush the direct-view human flow curettage device with electronic protection mechanism 100 and the surrounding tissues in time during the operation to ensure that the observation field is kept clean and the surgical site can be flushed in time, so as to observe the embryos in time. Whether the tissue has been completely removed from the implantation position to ensure the completeness of the embryonic tissue during the abortion operation, effectively avoid the occurrence of incomplete abortion, and make the clinical operation process safer.
  • the flushing system 106 is driven by a peristaltic pump 106-3.
  • the peristaltic pump 106-3 can more accurately control the flow rate and speed of the inlet water.
  • those skilled in the art can also adopt different driving devices to drive the flushing system 106, all of which do not deviate from the protection scope of the present application.
  • the direct-view human flow and curettage system 900 further includes a negative pressure aspirator 105; the suction outlet 42 of the negative pressure suction mechanism 4 of the direct-view human flow and curettage device 100 is connected to the negative pressure suction device 105.
  • the direct vision flow curettage system 900 itself contains the negative pressure suction device 105 and the irrigation system 106, which integrates the negative pressure suction function and the irrigation function into one device, and only one device can complete the direct vision flow surgery The process does not need to rely on an external negative pressure source and an external flushing system, which greatly reduces the restriction and influence of the external environment on the surgical process, and the scope of application is very wide.
  • the suction outlet 42 to a negative pressure suction device in a hospital or a negative pressure tube of a medical negative pressure source, turn on the power supply system 104, and the direct view abortion and curettage system 900 starts to work, and the observation
  • the mechanism 2 is activated, and the video signal collected by the observation mechanism 2 is processed by the image processing system 103 and can be transmitted to the display system 102 in a wired or wireless manner and displayed on the display system 102.
  • the probe 201 fixed on the vaginal expander 203 starts to work to collect data on the whole image of the uterus.
  • the collected data is processed by the image processing system 103 and then transmitted to the uterus in a wired or wireless manner.
  • the display system 102 is displayed on the display system 102.
  • the direct-viewing human flow and curettage work 100 is moved along the vagina and into the uterus through the cervix to find the implanted embryonic tissue, and then use the curettage 11 of the curettage mechanism 1
  • the implanted embryonic tissue is stripped from the uterus, the negative pressure aspirator 105 or the special negative pressure source for medical use is turned on, the stripped embryonic tissue and accompanying blood are sucked out of the body through the suction outlet 42, and the flushing system 106
  • the direct-view human flow curettage device with electronic protection mechanism 100 and the surrounding tissues can be rinsed in time during the operation, so as to ensure that the observation field is kept clean and the surgical site can be rinsed in time.
  • the abortion operation is completed.
  • the direct vision flow and curettage system 900 of the present invention includes a direct vision flow and curettage device 100, an intraoperative ultrasound monitoring device 200, a display system 102, an image processing system 103, a power supply system 104, and a wiring system 107.
  • the display system 102 includes at least one display 102-1, and the direct-viewing flow and curettage device 100, the intraoperative ultrasound monitoring device 200, the display system 102, and the image processing system 103 are passed through the circuit 3 Connected to the power supply system 104.
  • the direct-viewing abortion and curettage device 100 collects video data of the surgical site during abortion, the intraoperative ultrasound monitoring device 200 collects overall image data of the uterus; the direct-viewing abortion and curettage device 100 collects partial video data and the
  • the overall image data collected by the intraoperative ultrasound monitoring device 200 can enable real-time observation of the intraoperative condition of the surgical site during the abortion operation, and the overall image data can be used to determine whether the gestational sac is completely aspirated during the abortion operation. In clinical use, it can not only ensure the safe operation of the operation, but also ensure that the abortion operation is cleaned. Clinical application is safer and more reliable.
  • Fig. 1 is a schematic structural diagram of the direct-viewing abortion curettage system of the present invention.
  • Fig. 2 is a schematic structural diagram of a direct-viewing abortion and curettage device with a lens placed at the front end of the diagnostic curette.
  • Fig. 2-1 is a cross-sectional view of Fig. 2.
  • Fig. 2-2 is an enlarged view of A in Fig. 2-1.
  • Fig. 2-3 is an enlarged view of B in Fig. 2-1.
  • Fig. 3 is a schematic structural diagram of the direct-viewing flow curettage device with electronic protection mechanism of the present invention with a lens behind it.
  • Fig. 3-1 is a cross-sectional view of Fig. 3.
  • Fig. 3-2 is an enlarged view of C in Fig. 3-1.
  • Figure 3-3 is an enlarged view of D in Figure 3-1.
  • Fig. 4 is a schematic structural view of the direct-viewing flow curettage device with electronic protection mechanism of the present invention with a ring-shaped platform formed on the top of the scraping net with fixed beads.
  • Fig. 4-1 is an enlarged view of E in Fig. 3.
  • Fig. 4-2 is a partial cut-away view of Fig. 3-1.
  • Fig. 5 is a schematic structural diagram of the direct-viewing flow curettage device with electronic protection mechanism of the present invention with a ring-shaped platform formed by welding the top of the scraping net.
  • Figure 5-1 is an enlarged view of F in Figure 5.
  • Fig. 5-2 is a partial cut-away view of Fig. 5-1.
  • Fig. 6 is a schematic structural diagram of the direct-viewing flow and curettage device with electronic protection mechanism of the present invention with an adjustable viewing direction of the camera.
  • Fig. 6-1 is an enlarged view of G in Fig. 5.
  • Fig. 7 is a schematic structural diagram of the direct-viewing abortion and curettage device with electronic protection mechanism according to the present invention with adjustable working position direction of the diagnostic curette.
  • Fig. 7-1 is an enlarged view of H in Fig. 7.
  • Fig. 8 is a schematic structural diagram of the direct-viewing anomalous curettage device with electronic protection mechanism of the present invention in which the viewing direction of the camera and the working part direction of the diagnosing curette are adjusted at the same time.
  • Fig. 8-1 is an enlarged view of I in Fig. 8.
  • Fig. 9 is a schematic structural diagram of the direct-viewing abortion and curettage device with electronic protection mechanism of the present invention when the curettage net is compressed in the outer sheath.
  • Fig. 10 is a schematic structural diagram of the direct-viewing abortion and curettage system of the present invention including a flushing mechanism.
  • Fig. 11 is a schematic structural diagram of the direct-viewing abortion and curettage system of the present invention including a negative pressure suction mechanism.
  • Fig. 12 is a working principle diagram of the direct-viewing abortion and curettage system of the present invention.
  • 900 is the direct vision flow curettage system of the present invention.
  • 100 is a direct view flow and curettage device
  • 101 is a housing
  • 102 is a display system
  • 103 is an image processing system
  • 104 is a power supply system
  • 105 is a negative pressure aspirator
  • 106 is a flushing system
  • 107 is a line system
  • 200 is an intraoperative Ultrasonic monitoring device
  • 201 is a probe
  • 202 is a probe fixing device
  • 203 is a vaginal expander.
  • 102-1 is the display, and 201-1 is the isolation sleeve.
  • 1 is the curettage mechanism
  • 2 is the observation mechanism
  • 3 is the circuit
  • 3-1 is the signal transmission line
  • 4 is the negative pressure suction mechanism
  • 5 is the operating rod
  • 6 is the flushing mechanism
  • 7 is the infusion bottle or bag
  • 8 is the marking system
  • 10 is a protective cover
  • 30 is an electronic protection mechanism.
  • 11 is a diagnostic curette, 11-3 is a scraping net, 11-4 is a swing mechanism; 11-31 is a diagnostic scraping wire.
  • 20 is a protective cover, 21 is a lighting module, 22 is a lens module, and 24 is an isolation seat; 22-1 is a camera, and 22-11 is an adjustment mechanism.
  • 30-1 is the protective mechanism
  • 30-2 is the insulating protective layer
  • 30-3 is the insulating glue layer
  • 41 is the suction inlet
  • 42 is the suction outlet
  • 43 is the suction channel
  • 44 is the negative pressure control switch.
  • 5-0 is the outer sheath
  • 5-1 is the front end
  • 5-2 is the back end
  • 5-3 is the tube body
  • 52 is the handle
  • 52-1 is the glue container.
  • 61 is the water outlet
  • 62 is the water inlet
  • 63 is the water inlet pipe
  • 64 is the flush switch.
  • 106-1 is the water inlet
  • 106-2 is the water outlet
  • 106-3 is the peristaltic pump
  • 106-4 is the water pipe.
  • Example 1 Direct-view abortion and curettage system of the present invention
  • the direct-view flow and curettage system of this embodiment includes a direct-view flow and curettage device 100, an intraoperative ultrasound monitoring device 200, a display system 102, an image processing system 103, a power supply system 104, and a wiring system 107.
  • the display system 102 includes two displays 102-1.
  • the circuit system 107 includes a circuit 3 and a signal transmission line 3-1.
  • the circuit 3 and The signal transmission line 3-1 is designed as a whole.
  • the circuit 3 and the signal transmission line 3-1 of the line system 107 can also be separately arranged as required.
  • the video data collected by the direct-viewing flow and curettage device 100 is processed by the image processing system 103 and then output through the signal transmission line 3-1 to be displayed on the display 102-1.
  • the intraoperative ultrasound monitoring device 200 includes at least one probe 201, and the signal detected by the probe 201 is processed by the image processing system 103 and then output to the display 102 via the signal transmission line 3-1. -1 is displayed on.
  • the direct-view flow and curettage device 100, the intraoperative ultrasound monitoring device 200, the display system 102, and the image processing system 103 are connected to the power supply system 104 via the circuit 3.
  • the direct-viewing abortion and curettage device 100 collects video data of the surgical site during abortion, the intraoperative ultrasound monitoring device 200 collects overall image data of the uterus; the direct-viewing abortion and curettage device 100 collects partial video data and the The overall image data collected by the intraoperative ultrasound monitoring device 200 can enable real-time observation of the intraoperative condition of the surgical site during the abortion operation, and the overall image data can be used to determine whether the gestational sac is completely aspirated during the abortion operation.
  • the direct-viewing flow and curettage device 100 includes a curettage and curettage mechanism 1, an observation module 2, a line system 107, a negative pressure suction mechanism 4, and an operating rod 5.
  • the observation module 2 includes an illumination module 21 and a lens module 22; the illumination module 21 and the lens module 22 are arranged at the front end of the operating rod 5 and are installed in the protective cover 20; the lens module 22
  • the observed images and videos are input to the image processing system 103 through the signal transmission line 3-1 of the line system 107 and then output by the signal transmission line 3-1; the observation module 2 passes through the line system
  • the circuit 3 of 107 is connected to the power supply system 104;
  • the curettage mechanism 1 includes at least one diagnostic curette 11, and the diagnostic curette 11 is arranged at the front end of the operating rod 5.
  • the negative pressure suction mechanism 4 includes a suction inlet 41, a suction outlet 42 and a suction channel 43; the introduction port 41 is provided at the front end of the operating rod 5; the suction outlet 42 is provided at the rear end of the operating rod 5 , The suction channel 43 is provided in the operating rod 5.
  • the rear end 5-2 of the operating rod 5 is provided with a handle 52; the front end 5-1 of the operating rod 5 is provided with an observation module 2 and a curettage mechanism 1; the tube body 5-3 of the operating rod 5 contains all The line system 107 and the negative pressure suction mechanism 4; the handle 52 is provided with the image processing system 103.
  • the camera 22-1 of the lens module 22 is arranged at the rear end of the diagnostic curette 11, and the diagnostic curette 11 is located at the camera 22-1 Within the field of view.
  • the technical solution with the rear camera 22-1 can ensure that the diagnostic curette 11 is completely within the field of view of the camera 22-1, and since the observation angle of the camera 22-1 faces the front of the operation area, Therefore, there is no blind spot for observation during the process, and therefore, no accidental damage to the uterus and accessories caused by the failure to observe clearly in time.
  • the diagnostic curette 11 is located in front of the camera 22-1, the diagnostic curette 11 will not be blocked by the height of the lens module 22 itself, and there will be no dead corners of operation, and embryonic tissue
  • the implantation can be completely removed at any position of the uterus, especially for the implantation position near the oviduct orifice, that is, the implantation position at the fundus of the uterus.
  • the diagnostic curette 11 can also easily remove the embryonic tissue, and there will be no incomplete abortion during the operation. Because it is cleared under direct vision, it will not cause accidental damage to the fundus of the uterus due to excessive surgical actions. It can very well avoid damage to the fundus of the uterus, and there will be no serious medical accidents such as uterine perforation. . Therefore, the technical solution with the rear camera makes the clinical operation process of the flow of people safer and more effective.
  • the diagnostic scraper 11 is a scraping net 11-3.
  • the camera 22-1 can directly observe the situation behind the scraper 11-3 from the mesh gap. Even if the scraper 11-3 is not made of transparent material, it can realize the full observation of the surgical process and the observation of the surgical area. Panoramic observation.
  • the scraping net 11-3 is formed by winding and combining two diagnostic scraping wires 11-31, and is in the shape of a cross. With this cross-shaped structure design, the implantation tissue can be scraped off the implantation site by slightly rotating the scraping net 11-3.
  • the scraping wires 11-31 of the scraping net 11-3 can be made of various shapes of materials such as wire, thin tube, sheet, etc.
  • the top end is usually a ring-shaped platform.
  • the scraping net 11-3 may be wound by one of the diagnostic scraping wires 11-31, or it may be stacked and combined with the diagnostic scraping wires 11-31, and the scraping wire 11-31
  • the net 11-3 can be made into any shape, and the applicant will not give examples one by one here, but it does not deviate from the scope of protection of the present application.
  • the diagnostic curette 11 of the curettage mechanism 1 can also be a woven mesh made of wire.
  • the soft woven mesh design makes the force applied during the implantation embryo scraping process more gentle and even, and it does less damage to the uterus.
  • the scraping net 11-3 of the diagnosing curette 11 of the curettage mechanism 1 can be compressed in the outer sheath 5-0; the scraping net 11-3 can be expanded after being released from the outer sheath 5-0. Open the uterus and expand the observation field.
  • the scraping net 11-3 of the diagnosing curette 11 of the curettage mechanism 1 can be compressed in the outer sheath 5-0.
  • the scraping net 11 -3 can completely restore or basically restore the shape before compression.
  • the scraper 11-3 can be folded into the outer sheath 5-0, and after entering the uterus through the cervix, the outer sheath 5-0 is retracted to release the scraper 11-3, so The scraping net 11-3 is unfolded, and the embryo tissue can be removed. At the same time, due to the unfolding of the scraping net 11-3, the uterus at the front end of the camera 22-1 can be stretched, and the observation field can be enlarged. During the clinical use, the surgical site and surrounding tissues can be better observed. The clinical use process The observation effect is very good.
  • the scraping wires 11-31 of the scraping net 11-3 can be made of various shapes of materials such as wire, thin tube, sheet, etc.
  • the camera 22-1 can also be arranged at the front end, the inside of the diagnostic curette 11 and other parts.
  • the camera 22-1 of the lens module 22 can be arranged at the front end of the diagnostic curette 11.
  • the camera 22-1 can directly observe the working state of the suction inlet 41 of the negative pressure suction mechanism 4, and determine that the peeled implantation tissue is sucked out of the body by the negative pressure suction mechanism 4.
  • the tube body 5-3 of the operating rod 5 contains at least two cavities; the first cavity is provided with the circuit 3, and the second cavity constitutes or is provided with the suction channel 43 of the negative pressure suction mechanism 4 .
  • the design of the dual-chamber channel can isolate the circuit 3 from liquids such as blood and tissue fluid that may be generated during the operation, and can better avoid potential safety hazards such as short circuit and leakage during use, and the clinical use process is safer.
  • the negative pressure suction mechanism 4 is provided with a negative pressure control switch 44 that can control the negative pressure state.
  • the negative pressure control switch 44 can turn on or off the negative pressure suction mechanism 4, and can adjust the negative pressure suction force of the negative pressure suction mechanism 4 according to the amount of tissue, blood and tissue fluid that is stripped in the uterus during the operation. .
  • doctors can easily adjust the negative pressure attraction they need, so as to avoid that the negative pressure attraction is too small to suck out the peeled tissue in time, and it can avoid accidental damage to the endometrium and other tissues caused by the excessive negative pressure.
  • the negative pressure control switch 44 is provided on the handle 52 of the operating rod 5.
  • the negative pressure control switch 44 is arranged on the handle 52, and the medical staff can realize one-handed operation during clinical use, and the use process is more convenient.
  • the protective cover 20 of the observation mechanism 2 is provided with a coating.
  • the coating can be a hydrophobic coating so that liquids such as blood and water can quickly condense into water droplets on the protective cover 20 and then slide off, or a hydrophilic coating can be selected so that liquids such as blood and water can quickly on the surface of the protective cover 20 A transparent water film is formed, which will not block the camera 22-1.
  • the circuit 3 is provided with an electrical interface 31 connected to the host.
  • the direct-view human flow and curettage device 100 is connected to a host and a power source through the electrical interface 31.
  • the direct-viewing flow and curettage device 100 includes an electronic protection mechanism 30; the electronic protection mechanism 30 is arranged outside the observation module 2 and/or the circuit 3 , The electronic components of the observation module 2 and/or the circuit 3 are protected against water, gas, and insulation.
  • the electronic protection mechanism 30 arranged outside the observation module 2 and the circuit 3 can protect the electronic components of the observation module 2 and the circuit 3 against water, gas, and insulation, effectively preventing surgical procedures
  • the blood water or tissue fluid produced in the process affects the normal operation of the electronic components, ensuring the normal operation of the operation, and the clinical operation process is safer.
  • the electronic protection mechanism 30 is a protection mechanism 30-1 provided on the periphery of the lighting module 21 and the lens module 22, or an insulating protection layer 30-2 provided on the outside of the circuit 3, or is provided on The handle 52 protects the insulating glue layer 30-3 of the image processing system 103.
  • a protective cover 20 is provided at the front end of the lighting module 21 and the lens module 22, an isolation seat 24 is provided behind the lighting module 21 and the lens module 22, the protective cover 20, the isolation seat 24 It forms a closed space with the tube body 5-3 by bonding or other means to form the protective mechanism 30-1, which completely isolates the lighting module 21 and the lens module 22 from human tissues to ensure that the operation is in progress.
  • the blood or tissue fluid generated will not affect the normal operation of the illumination module 21 and the lens module 22.
  • the outer part of the circuit 3 is provided with the waterproof and insulating insulating protective layer 30-2, which can effectively avoid accidents such as short circuits caused by blood or tissue fluid generated during the operation.
  • the image processing system 103 is arranged in the handle 52, and glue is poured around the image processing system 103 to form the insulating glue layer 30-3.
  • the image processing system 103 and the peripheral circuit 3 It is completely sealed and isolated to achieve the protection purpose of waterproof, gas-proof and insulation.
  • one or more of the protective mechanism 30-1, the insulating protective layer 30-2, and the insulating adhesive layer 30-3 can be used in combination according to needs.
  • the electronic components of the flow and curettage device are fully protected against water, gas and insulation.
  • the handle 52 is provided with a glue container 52-1, the image processing system 103 is arranged in the glue container 52-1, and the insulating glue layer 30-3 is poured into the glue container 52 The image processing system 103 is protected within -1.
  • the glue containing tank 52-1 can be conveniently filled with glue, and the actual use process is very convenient.
  • the direct-view flow and curettage device 100 further includes an identification system 8.
  • the marking system 8 can prompt the depth of the operating rod 5 into the human body.
  • the marking system 8 may be a scale 81 arranged outside the operating rod 5, or may be other marking methods. The applicant will not give specific examples one by one here, but it does not deviate from the protection scope of the present application.
  • the direct-viewing abortion and curettage device 100 also includes a protective sleeve 10.
  • the protective cover 10 is arranged at the front end 5-1 of the operating rod 5, which can protect the protective cover 20 and the tube body 5-3 around the camera 22-1 during transportation and storage. Scratched or damaged, to better ensure the observation effect during clinical use.
  • the probe 201 of the intraoperative ultrasound monitoring device 200 may be provided with an isolation sleeve 201-1 outside.
  • the isolation sleeve 201-1 may be a disposable protective sleeve after sterilization, so as to ensure the safety and hygiene of clinical use.
  • the intraoperative ultrasound monitoring device 200 also includes a probe fixing device 202.
  • the probe fixing device 202 can fix the probe 201, and it is used to ensure the stability of the effect of the ultrasound monitoring process during the clinical operation.
  • the probe fixing device 202 is arranged on the vaginal expander 203, and the lower duckbill of the vaginal expander 203 constitutes the probe fixing device 202.
  • the probe 201 can be fixed on the vaginal expander 203 by the probe fixing device 202, and the vaginal expander 203 can expand the vagina at the same time, so that the curettage 11 of the direct-view flow and curettage device 100 can be easily passed through.
  • the vagina enters the uterus.
  • the display system 102 includes two displays 102-1; the partial video data collected by the direct-viewing flow and curettage device 100 and the overall image data collected by the intraoperative ultrasound monitoring device 200 are respectively located in two places. This is displayed on the display 102-1.
  • the design of separate display enables medical staff in different positions to view the information on different displays according to their needs during the clinical process, making clinical use more flexible.
  • the local video data collected by the direct-viewing flow and curettage device 100 and the overall image data collected by the intraoperative ultrasound monitoring device 200 can also be displayed simultaneously on one of the monitors 102-1, which is convenient for clinical practice. Simultaneous observation.
  • the suction outlet 42 to a hospital negative pressure suction device or a negative pressure tube of a medical negative pressure source, turn on the power supply system 104, and the direct view abortion and curettage system 900 starts to work .
  • the observation mechanism 2 is activated, and the video signal collected by the observation mechanism 2 is processed by the image processing system 103 and can be transmitted to the display system 102 in a wired or wireless manner and displayed on the display system 102 .
  • the probe 201 fixed on the vaginal expander 203 starts to work to collect data on the whole image of the uterus.
  • the collected data is processed by the image processing system 103 and then transmitted to the uterus in a wired or wireless manner.
  • the display system 102 is displayed on the display system 102.
  • the direct-viewing human flow and curettage work 100 is moved along the vagina and into the uterus through the cervix to find the implanted embryonic tissue, and then use the curettage 11 of the curettage mechanism 1
  • the implanted embryonic tissue is stripped from the uterus, and the negative pressure suction device 105 or the special negative pressure source for medical use is turned on.
  • the stripped embryonic tissue and accompanying blood are sucked out of the body through the suction outlet 42 until the embryonic tissue is completely removed. It is stripped and sucked out of the body, and the intraoperative ultrasound monitoring device 200 confirms that the gestational sac has been completely cleaned, and the abortion operation is completed.
  • the direct vision flow and curettage system of the present invention uses the direct vision flow and curettage device 100 and the intraoperative ultrasound monitoring device 200 to perform real-time observation and real-time observation of the surgical site of the flow operation through the cooperation of the direct vision flow and curettage device 100 and the intraoperative ultrasound monitoring device 200 Video and image data collection.
  • the intraoperative ultrasound monitoring device 200 is used to collect the overall image data of the uterus to further confirm whether there are residual gestational sacs in the uterus that have not been aspirated. In clinical use, the safe operation of the operation can be ensured. It can also ensure that the abortion is removed by surgery. Clinical application is safer and more reliable.
  • Embodiment 2 The direct vision flow curettage system of the present invention with adjustable viewing direction
  • the difference between this embodiment and Embodiment 1 is that in this embodiment, the camera 22-1 of the lens module 22 is disposed inside the diagnostic curette 11.
  • the camera 22-1 of the lens module 22 is arranged inside the diagnostic curette 11.
  • the viewing direction of the camera 22-1 of the lens module 22 can be adjusted.
  • the working state of the diagnostic curette 11 and the surrounding tissue conditions can be observed in all directions, especially the implantation position of the embryo can be quickly found, and the observation effect in clinical use is more comprehensive .
  • the adjustment mechanism 22-11 for adjusting the viewing direction of the camera 22-1 is provided on the handle 52.
  • the adjustment mechanism 22-11 is arranged on the handle 52, and the observation direction of the camera 22-1 can be adjusted very conveniently outside the body during clinical use, and the operation is simpler.
  • the direction of the working part of the diagnostic curette 11 can also be adjusted.
  • the direction of the working part of the diagnosing curette 11 can be adjusted as required, which can better adapt to the structure and shape of the uterus, especially for the corners of the uterus and other parts that are difficult to remove.
  • the swing mechanism 11-4 for adjusting the direction of the working part of the diagnostic curette 11 is provided on the handle 52.
  • the swing mechanism 11-4 is arranged on the handle 52, and the working direction of the working part of the diagnostic curette 11 can be adjusted very conveniently outside the body during clinical use, and the operation is simpler.
  • the clinician can adjust only the observation direction of the camera 22-1 or the working part direction of the diagnostic curette 11 as needed, or adjust the observation direction of the camera 22-1 and the diagnostic curettage at the same time.
  • the adjustment mechanism 22-11 and the swing mechanism 11-4 when simultaneously adjusting the viewing direction of the camera 22-1 and the direction of the working part of the diagnostic curette 11, the adjustment mechanism 22-11 and the swing mechanism 11-4 can
  • the combined mechanism is arranged on the handle 52, that is, the observation direction of the camera 22-1 and the working part direction of the diagnostic curette 11 are adjusted simultaneously through the same adjustment mechanism.
  • the clinical use effect is better for corners that are difficult to clear and observe in clinical use.
  • Example 3 The direct vision abortion and curettage system of the present invention with irrigation system
  • the difference from Embodiment 1 is that, in this embodiment, the direct-view abortion and curettage system 900 further includes an irrigation system 106.
  • the direct-viewing abortion and curettage device 100 further includes a flushing mechanism 6.
  • the flushing mechanism 6 can flush the inside of the uterus, and can flush the blood at the front end of the camera 22-1 in time to ensure that the observation field is kept clean.
  • the flushing mechanism 6 can also flush the diagnostic curette 11 and the uterine wall in time, especially the surgical site can be flushed in time, so as to observe whether the embryonic tissue has been completely removed from the implantation position in time to ensure abortion surgery The process of embryo tissue is complete, effectively avoiding the occurrence of incomplete abortion, and the clinical operation process is safer.
  • the tube body 5-3 of the operating rod 5 is a three-lumen tube; the first lumen is provided with the circuit 3, the second lumen constitutes or is provided with the suction channel 43 of the negative pressure suction mechanism 4.
  • Three water inlet pipes 63 constituting or provided with a flushing mechanism 6.
  • the design of the three-chamber channel can separate the flushing channel and the suction channel while ensuring that the circuit 3 is isolated and protected, so that it can better ensure that no tissue or liquid sucked back into the uterus during the flushing process , The use process is more efficient and safer.
  • the water outlet 61 of the flushing mechanism 6 has at least one water outlet 61 that can flush and clean the protective cover 20 of the observation module 2.
  • the flushing mechanism 6 can flush the protective cover 20 of the observation mechanism 2 in time, so as to ensure the observation effect of the observation mechanism 2.
  • the flushing mechanism 6 is provided with a flushing switch 64 for controlling the flow of flushing water.
  • the flushing switch 64 can open and close the flushing mechanism 6, and can control the water volume and flushing pressure of the flushing water stream.
  • the clinician can open or close the flushing mechanism 6 according to the actual needs of the surgical process, and at the same time select the appropriate size and pressure of the flushing water flow according to the needs, so that the clinical use process is more convenient.
  • the flush switch 64 is provided on the handle 52 of the operating rod 5.
  • the flush switch 64 is arranged on the handle 52, and medical staff can realize one-handed operation during clinical use, and the use process is more convenient.
  • the water inlet 106-1 of the flushing system 106 is connected to the infusion bottle or bag 7 through a water pipe 106-4, and the water outlet 106-2 of the flushing system 106 is connected to the direct-viewing uterine curettage device 100 through a water pipe 106-4.
  • the water inlet 62 of the flushing mechanism 6 is connected.
  • the flushing system 106 can flush the direct-view human flow curettage device with electronic protection mechanism 100 and the surrounding tissues in time during the operation to ensure that the observation field is kept clean and the surgical site can be flushed in time, so as to observe the embryos in time. Whether the tissue has been completely removed from the implantation position to ensure the completeness of the embryonic tissue during the abortion operation, effectively avoid the occurrence of incomplete abortion, and make the clinical operation process safer.
  • the flushing system 106 is driven by a peristaltic pump 106-3.
  • the peristaltic pump 106-3 can more accurately control the flow rate and speed of the inlet water.
  • those skilled in the art can also adopt different driving devices to drive the flushing system 106, all of which do not deviate from the protection scope of the present application.
  • the flushing system 106 can flush the direct-view abortion and curettage device 100 and surrounding tissues in time during the operation, ensuring that the observation field is kept clean and the surgical site can be flushed in time, making clinical use safer .
  • Example 4 Direct-view abortion and curettage system of the present invention with negative pressure aspirator
  • the difference between the direct-view human flow and curettage system of this embodiment and the third embodiment is that, in this embodiment, the direct-view human flow and curettage system 900 further includes a negative pressure suction device 105.
  • the suction outlet 42 of the negative pressure suction mechanism 4 of the direct-view flow and curettage device 100 is connected to the negative pressure suction device 105; the water inlet 106-1 of the flushing system 106 passes through the pipe 7-1 Connected to the infusion bottle or bag 7, the water outlet 106-2 of the flushing system 106 is connected to the water inlet 62 of the flushing mechanism 6 through a pipe 7-1.
  • the negative pressure suction device 105 can continuously suck the tissues and blood produced during the operation. Excreted from the body.
  • the direct-view human flow curettage system with flushing mechanism of this embodiment itself contains the negative pressure suction device 105 and flushing system 106, which integrates the negative pressure suction function and the flushing function into one device, and only one device can complete the straight Depending on the flow of the entire surgical process, there is no need to rely on an external negative pressure source and an external flushing system, which greatly reduces the restriction and influence of the external environment on the surgical process, and the scope of application is very wide.

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Abstract

A direct-viewing induced abortion uterine curettage system (900), containing a direct-viewing induced abortion uterine curettage apparatus (100), an intra-operative ultrasonic monitoring apparatus (200), a display system (102), an image processing system (103), a power source system (104) and a circuit system (107). The display system (102) at least comprises one display (102-1), and the direct-viewing induced abortion uterine curettage apparatus (100), the intra-operative ultrasonic monitoring apparatus (200), the display system (102) and the image processing system (103) are connected to the power source system (104) via a circuit. The direct-viewing induced abortion uterine curettage apparatus (100) collects video data of an operative site during an induced abortion operation, and the intra-operative ultrasonic monitoring apparatus (200) collects overall image data of a uterus. By means of the local video data collected by the direct-viewing induced abortion uterine curettage apparatus (100) and the overall image data collected by the intra-operative ultrasonic monitoring apparatus (200), intra-operative conditions of the operative site can be observed in real time during the induced abortion operation, and whether a gestational sac is completely sucked out in the induced abortion operation can also be determined by means of the overall image data. In clinical use, the safe operation of an operation can be guaranteed, and the clean-up of an induced abortion operation can also be guaranteed. The clinical application is safer and more reliable.

Description

直视人流刮宫系统Direct view of the flow and curettage system 技术领域Technical field
本发明涉及一种腔镜手术器械,特别是用于腔镜手术中带保护机构的直视人流刮宫系统。The invention relates to an endoscopic surgical instrument, in particular to a direct vision abortion and curettage system with a protective mechanism in endoscopic surgery.
背景技术Background technique
人流手术是指用手术的方法终止妊娠。人流手术方式通常包括负压吸引术和钳刮术等方式,用吸管将子宫内的胚胎组织吸出或用卵圆钳等手术器械将子宫内的胚胎组织取出,达到终止妊娠的目的。因此,人流手术的核心在于两个方面:一是胚胎组织需要清除干净,防止人流不全;二是防止手术过程中对子宫造成意外伤害,如造成子宫意外穿孔等。Abortion surgery refers to the termination of pregnancy by surgical methods. Abortion surgery methods usually include negative pressure suction and forceps curettage. The embryonic tissue in the uterus is sucked out with a straw or the embryo tissue in the uterus is taken out with surgical instruments such as oval forceps to achieve the purpose of terminating pregnancy. Therefore, the core of abortion surgery lies in two aspects: one is that the embryonic tissue needs to be removed to prevent incomplete abortion; the other is to prevent accidental damage to the uterus during the operation, such as accidental perforation of the uterus.
由于人流手术需要在子宫内进行操作,传统的人流手术经常依靠于医生的经验和感觉,因此容易出现各种并发症。随着腔镜技术的发展,越来越多的手术在腔镜手术下完成,其中人流手术也开始逐步在腔镜直视下进行。Because abortion surgery requires operations in the uterus, traditional abortion surgery often relies on the experience and feeling of the doctor, so various complications are prone to occur. With the development of laparoscopic technology, more and more operations are completed under laparoscopic surgery, and abortion operations are gradually being performed under laparoscopic direct vision.
现有的直视人流装置,镜头模组置于直视人流装置的最前端,人流管的管体多采用双腔结构,其中一个腔体用于安装电路,将镜头模组采集到的图像数据传至主机,并经过处理后在显示器上显示,另一个腔体作为负压吸引管,一端连接负压源,另一端的开口在人流管的前端。In the existing direct-view flow device, the lens module is placed at the forefront of the direct-view flow device. The tube body of the flow tube mostly adopts a double-cavity structure, and one cavity is used to install the circuit to collect the image data collected by the lens module. It is transmitted to the host and displayed on the display after processing. The other cavity is used as a negative pressure suction tube, one end is connected to the negative pressure source, and the other end is open at the front end of the flow tube.
现有的直视人流装置在手术过程中,镜头通常只能观察到手术部位周边较小范围的局部状态,如果孕囊较大,或着床位比较贴近角落,观察过程中可能会出现遗漏,造成人流手术不完全,因此需要对现有的直视人流装置进行改进。During the operation of the existing direct-viewing flow device, the lens usually can only observe the local state in a small area around the surgical site. If the gestational sac is large or the implantation bed is closer to the corner, omissions may occur during the observation process, resulting in The abortion operation is not complete, so it is necessary to improve the existing direct-view abortion device.
发明内容Summary of the invention
本发明之直视人流刮宫系统,通过镜头和超声监控装置的配合设计,既可以通过镜头直接采集手术部位的局部视频图像,又可以通过超声监控装置采集子宫的整体影像信息,一方面可以实时观察手术部位的情况,防止出现子宫的意外损伤,另一方面通过超声监控 装置采集的子宫整体影像数据判断人流手术是否完全将孕囊吸出,临床应用更加安全、可靠。The direct-viewing flow and curettage system of the present invention, through the coordinated design of the lens and the ultrasonic monitoring device, can directly collect partial video images of the surgical site through the lens, and can also collect the overall image information of the uterus through the ultrasonic monitoring device. On the one hand, it can observe in real time. The condition of the surgical site prevents accidental damage to the uterus. On the other hand, the overall image data of the uterus collected by the ultrasound monitoring device is used to determine whether the gestational sac is completely sucked out by the abortion operation, and the clinical application is safer and more reliable.
本发明之直视人流刮宫系统,其特征在于:所述直视人流刮宫系统900含直视人流刮宫装置100、术中超声监控装置200、显示系统102、图像处理系统103、电源系统104和线路系统107;The direct vision flow and curettage system of the present invention is characterized in that: the direct vision flow and curettage system 900 includes a direct vision flow and curettage device 100, an intraoperative ultrasound monitoring device 200, a display system 102, an image processing system 103, a power supply system 104 and wiring System 107;
A、所述显示系统102至少含1个显示器102-1;所述线路系统107含电路3和信号传输线3-1;A. The display system 102 includes at least one display 102-1; the circuit system 107 includes a circuit 3 and a signal transmission line 3-1;
B、所述直视人流刮宫装置100采集的视频数据经所述图像处理系统103处理后经所述信号传输线3-1输出在所述显示器102-1上显示;B. The video data collected by the direct-viewing flow and curettage device 100 is processed by the image processing system 103 and then output through the signal transmission line 3-1 and displayed on the display 102-1;
C、所述术中超声监控装置200至少含1个探头201,所述探头201检测到的信号经所述图像处理系统103处理后经所述信号传输线3-1输出在所述显示器102-1上显示;C. The intraoperative ultrasound monitoring device 200 contains at least one probe 201, and the signal detected by the probe 201 is processed by the image processing system 103 and then output to the display 102-1 through the signal transmission line 3-1 On display
D、所述直视人流刮宫装置100、所述术中超声监控装置200、所述显示系统102、和所述图像处理系统103经所述电路3和所述电源系统104连接;D. The direct-view flow and curettage device 100, the intraoperative ultrasound monitoring device 200, the display system 102, and the image processing system 103 are connected to the power supply system 104 via the circuit 3;
E、所述直视人流刮宫装置100采集人流术中的手术部位的视频数据,所述术中超声监控装置200采集子宫的整体影像数据;所述直视人流刮宫装置100采集的局部视频数据和所述术中超声监控装置200采集的整体影像数据可以使得在人流术中既可以实时观察手术部位的术中情况,又可以通过整体影像数据判断人流手术是否完全将孕囊吸出。E. The direct-view human flow and curettage device 100 collects video data of the surgical site during human flow, the intraoperative ultrasound monitoring device 200 collects overall image data of the uterus; the partial video data collected by the direct-view human flow and curettage device 100 and The overall image data collected by the intraoperative ultrasound monitoring device 200 can make it possible to observe the intraoperative condition of the surgical site in real time during the abortion operation, and to judge whether the gestational sac is completely sucked out by the overall image data.
本发明之直视人流刮宫系统通过所述直视人流刮宫装置100和所述术中超声监控装置200的配合作用,利用所述直视人流刮宫装置100对人流手术的手术部位进行实时观察和实时视频和图像数据采集,利用所述术中超声监控装置200对子宫的整体影像数据进行采集,来进一步确认子宫内是否还有残余孕囊没有吸出,临床使用中,既可以保证手术的安全操作,又可以保证人流手术清除干净。临床应用更加安全、可靠。The direct vision flow and curettage system of the present invention uses the direct vision flow and curettage device 100 and the intraoperative ultrasound monitoring device 200 to perform real-time observation and real-time observation of the surgical site of the flow operation through the cooperation of the direct vision flow and curettage device 100 and the intraoperative ultrasound monitoring device 200 Video and image data collection. The intraoperative ultrasound monitoring device 200 is used to collect the overall image data of the uterus to further confirm whether there are residual gestational sacs in the uterus that have not been aspirated. In clinical use, the safe operation of the operation can be ensured. It can also ensure that the abortion is removed by surgery. Clinical application is safer and more reliable.
其中,所述线路系统107的电路3和信号传输线3-1可以根据需要单独设置,也可以根据需要设计成一个系统。Wherein, the circuit 3 and the signal transmission line 3-1 of the line system 107 can be separately provided as required, or can be designed as a system as required.
所述直视人流刮宫装置100含刮宫机构1、观察模块2、线路系统107、负压吸引机构4和操作杆5;The direct-viewing flow and curettage device 100 includes a curettage and curettage mechanism 1, an observation module 2, a line system 107, a negative pressure suction mechanism 4, and an operating rod 5;
A、所述观察模块2含照明模块21、镜头模组22;所述照明模块21和所述镜头模组22设在所述操作杆5的前端,安装在防护罩20内;所述镜头模组22所观察到的图像和视频经过所述线路系统107的信号传输线3-1输入所述图像处理系统103进行处理后,由所述信号传输线3-1输出;所述观察模块2经所述线路系统107的电路3和所述电源系统104连接;A. The observation module 2 includes an illumination module 21 and a lens module 22; the illumination module 21 and the lens module 22 are arranged at the front end of the operating rod 5 and installed in the protective cover 20; the lens module The images and videos observed by the group 22 are input to the image processing system 103 via the signal transmission line 3-1 of the line system 107 for processing, and then output by the signal transmission line 3-1; the observation module 2 passes through the signal transmission line 3-1. The circuit 3 of the line system 107 is connected to the power supply system 104;
B、所述刮宫机构1上含至少1个诊刮器11,所述诊刮器11设在所述操作杆5的前端;B. The curettage mechanism 1 includes at least one diagnosing curette 11, and the diagnosing curette 11 is arranged at the front end of the operating rod 5;
C、所述负压吸引机构4含吸引入口41、吸引出口42及吸引通道43;所述引入口41设在所述操作杆5的前端;所述吸引出口42设在所述操作杆5的后端,所述吸引通道43设在所述操作杆5内;C. The negative pressure suction mechanism 4 includes a suction inlet 41, a suction outlet 42, and a suction channel 43; the introduction port 41 is provided at the front end of the operating rod 5; the suction outlet 42 is provided on the operating rod 5 At the rear end, the suction channel 43 is provided in the operating rod 5;
D、所述操作杆5的后端5-2设有手柄52;所述操作杆5的前端5-1设有观察模块2及刮宫机构1;所述操作杆5的管体5-3内含有所述线路系统107及负压吸引机构4;所述手柄52内设有所述图像处理系统103。D. The rear end 5-2 of the operating rod 5 is provided with a handle 52; the front end 5-1 of the operating rod 5 is provided with an observation module 2 and a curettage mechanism 1; inside the tube body 5-3 of the operating rod 5 Contains the wiring system 107 and the negative pressure suction mechanism 4; the handle 52 is provided with the image processing system 103.
通过所述镜头模组22的摄像头22-1可以方便地发现胚胎组织的着床位置,然后用所述诊刮器11将胚胎组织从子宫上剥离后通过所述负压吸引机构4将剥离的胚胎组织吸引排出体外。所述刮宫机构1和所述负压吸引机构4可以设计成相对独立的机构,这样,在保证所述刮宫机构1对着床胚胎的刮除效果的同时,还能够非常有效地通过所述负压吸引机构4将刮除的组织和产生的血水等组织液快速地吸引排出体外。The implantation position of the embryonic tissue can be easily found through the camera 22-1 of the lens module 22, and then the embryonic tissue is peeled off from the uterus with the curette 11, and the negative pressure suction mechanism 4 is used to peel off the embryonic tissue. The embryonic tissue is attracted and discharged from the body. The curettage mechanism 1 and the negative pressure suction mechanism 4 can be designed as relatively independent mechanisms. In this way, while ensuring the curettage effect of the curettage mechanism 1 on implantation embryos, it can also pass the negative pressure very effectively. The pressure suction mechanism 4 quickly sucks and discharges the scraped tissue and tissue fluid such as blood.
所述镜头模组22的摄像头22-1设置在所述诊刮器11的后端,所述诊刮器11位于所述摄像头22-1的视野内。所述摄像头22-1后置的技术方案,可以保证所述诊刮器11完全处于所述摄像头22-1的视野范围内,而且由于所述摄像头22-1的观察角度是面向手术区域前方,因此,在所述过程中不会存在观察盲区,因此,不会产生由于没有及时观察清楚而造成的子宫及附件的意外损伤。同时,由于所述诊刮器11是处于所述摄像头22-1的前方,因此,所述诊刮器11不会由于所述镜头模组22本身的高度产生的遮挡而存在操作死角,胚胎组织在子宫的任何位置着床都能够完全清除,尤其是对于输卵管口附近,即子宫底的着床位,所述诊刮器11也能轻松地对胚胎组织进行清除,手术过程中不会出现人流不全的情况,而且由于是完成直视下进行清除,因此,不会由于手术动作过大而造成子宫底的意外损伤,可以非常好地避免对子宫底造成损伤,不会出现子宫穿孔等严重医疗事故。因此,摄像头后置的技术方案,使得人流的临床手术过程更加安全,更加有效。The camera 22-1 of the lens module 22 is arranged at the rear end of the diagnostic curette 11, and the diagnostic curette 11 is located in the field of view of the camera 22-1. The technical solution with the rear camera 22-1 can ensure that the diagnostic curette 11 is completely within the field of view of the camera 22-1, and since the observation angle of the camera 22-1 faces the front of the operation area, Therefore, there is no blind spot for observation during the process, and therefore, no accidental damage to the uterus and accessories caused by the failure to observe clearly in time. At the same time, since the diagnostic curette 11 is located in front of the camera 22-1, the diagnostic curette 11 will not be blocked due to the height of the lens module 22 itself, and there will be no dead corners in the operation, and embryo tissue The implantation can be completely removed at any position of the uterus, especially for the implantation position near the oviduct orifice, that is, the implantation position at the fundus of the uterus. The diagnostic curette 11 can also easily remove the embryonic tissue, and there will be no incomplete abortion during the operation. Because it is cleared under direct vision, it will not cause accidental damage to the fundus of the uterus due to excessive surgical actions. It can very well avoid damage to the fundus of the uterus, and there will be no serious medical accidents such as uterine perforation. . Therefore, the technical solution with the rear camera makes the clinical operation process of the flow of people safer and more effective.
所述诊刮器11是刮网11-3。所述摄像头22-1可以直接从网状空隙中观察所述刮网11-3后面的情况,即使所述刮网11-3不是透明材料制成也可以实现手术过程的全程观察和手术区域的全景观察。The diagnostic scraper 11 is a scraping net 11-3. The camera 22-1 can directly observe the situation behind the scraper 11-3 from the mesh gap. Even if the scraper 11-3 is not made of transparent material, it can realize the full observation of the surgical process and the observation of the surgical area. Panoramic observation.
所述刮宫机构1的诊刮器11的刮网11-3能压缩在外鞘管5-0内;所述刮网11-3从所述外鞘管5-0释放膨胀后可以撑开子宫,扩大观察视野。所述刮宫机构1的诊刮器11的刮网11-3能压缩在所述外鞘管5-0内,当向后撤除所述外鞘管5-0的约束后,所述刮网11-3能完全恢复或基本恢复压缩前的形状。临床使用时,可以将所述刮网11-3收拢至所述外鞘管5-0内,经宫颈进入子宫后,后退所述外鞘管5-0释放所述刮网11-3,所述刮网11-3展 开,即可对胚胎组织进行清除。同时,由于所述刮网11-3展开,可以将所述摄像头22-1前端的子宫撑开,扩大观察视野,临床使用过程中,可以更好地观察到手术部位以及周边组织,临床使用过程的观察效果非常好。所述刮网11-3的刮丝11-31可以是丝材、细管材、片材等各种形状的材料制成。The scraping net 11-3 of the diagnosing curette 11 of the curettage mechanism 1 can be compressed in the outer sheath 5-0; the scraping net 11-3 can expand the uterus after being released from the outer sheath 5-0, Expand the field of view. The scraping net 11-3 of the diagnosing curette 11 of the curettage mechanism 1 can be compressed in the outer sheath 5-0. When the restraint of the outer sheath 5-0 is removed backward, the scraping net 11 -3 can completely restore or basically restore the shape before compression. In clinical use, the scraper 11-3 can be folded into the outer sheath 5-0, and after entering the uterus through the cervix, the outer sheath 5-0 is retracted to release the scraper 11-3, so The scraping net 11-3 is unfolded, and the embryo tissue can be removed. At the same time, due to the unfolding of the scraping net 11-3, the uterus at the front end of the camera 22-1 can be stretched, and the observation field can be enlarged. During the clinical use, the surgical site and surrounding tissues can be better observed. The clinical use process The observation effect is very good. The scraping wires 11-31 of the scraping net 11-3 can be made of various shapes of materials such as wire, thin tube, sheet, etc.
所述镜头模组22的摄像头22-1设置在所述诊刮器11的前端。所述摄像头22-1可以直接观察所述负压吸引机构4的吸引入口41的工作状态,确定被剥离的着床组织被所述负压吸引机构4吸引排出体外。The camera 22-1 of the lens module 22 is arranged at the front end of the diagnostic curette 11. The camera 22-1 can directly observe the working state of the suction inlet 41 of the negative pressure suction mechanism 4, and determine that the peeled implantation tissue is sucked out of the body by the negative pressure suction mechanism 4.
所述镜头模组22的摄像头22-1设置在所述诊刮器11的内部。所述摄像头22-1内置可以更好地观察到所述诊刮器11的整个结构,临床使用非常方便。The camera 22-1 of the lens module 22 is arranged inside the diagnostic curette 11. The built-in camera 22-1 can better observe the entire structure of the diagnostic curette 11, which is very convenient for clinical use.
所述镜头模组22的摄像头22-1的观察方向可以调整。The viewing direction of the camera 22-1 of the lens module 22 can be adjusted.
通过调节所述摄像头22-1的观察方向,可以全方位地观察所述诊刮器11的工作状态和周边的组织状况,尤其是可以快速地发现胚胎的着床位,临床使用中观察效果更全面。By adjusting the observation direction of the camera 22-1, the working state of the diagnostic curette 11 and the surrounding tissue conditions can be observed in all directions, especially the implantation position of the embryo can be quickly found, and the observation effect in clinical use is more comprehensive .
所述摄像头22-1调节观察方向的调节机构22-11设置在所述手柄52上。所述调节机构22-11设置在所述手柄52上,临床使用时在体外就可以非常方便地调节所述摄像头22-1的观察方向,操作更加简单。The adjustment mechanism 22-11 for adjusting the viewing direction of the camera 22-1 is provided on the handle 52. The adjustment mechanism 22-11 is arranged on the handle 52, and the observation direction of the camera 22-1 can be adjusted very conveniently outside the body during clinical use, and the operation is simpler.
所述诊刮器11的工作部位方向可以调整。所述诊刮器11的工作部位方向可以根据需要进行调整,可以更好地适应子宫内的结构形状,尤其对于子宫角落等难清除的部位清除效果更好。The direction of the working part of the diagnostic curette 11 can be adjusted. The direction of the working part of the diagnosing curette 11 can be adjusted as required, which can better adapt to the structure and shape of the uterus, especially for the corners of the uterus and other parts that are difficult to remove.
所述诊刮器11调节工作部位方向的摆动机构11-4设置在所述手柄52上。所述摆动机构11-4设置在所述手柄52上,临床使用时在体外就可以非常方便地调节所述诊刮器11的工作部位的工作方向,操作更加简单。The swing mechanism 11-4 for adjusting the direction of the working part of the diagnostic curette 11 is provided on the handle 52. The swing mechanism 11-4 is arranged on the handle 52, and the working direction of the working part of the diagnostic curette 11 can be adjusted very conveniently outside the body during clinical use, and the operation is simpler.
所述镜头模组22的摄像头22-1的观察方向和所述诊刮器11的工作部位方向可以同时进行调整。The observation direction of the camera 22-1 of the lens module 22 and the direction of the working part of the diagnostic curette 11 can be adjusted at the same time.
实际应用中,临床医生可以根据需要仅调整所述摄像头22-1的观察方向或所述诊刮器11的工作部位方向,也可以同时调整所述摄像头22-1的观察方向和所述诊刮器11的工作部位方向。In practical applications, the clinician can adjust only the observation direction of the camera 22-1 or the working part direction of the diagnostic curette 11 as needed, or adjust the observation direction of the camera 22-1 and the diagnostic curettage at the same time. The direction of the working part of the device 11.
当同时调整所述摄像头22-1的观察方向和所述诊刮器11的工作部位方向时,所述调节机构22-11和所述摆动机构11-4可合并成一个调节机构设置在所述手柄52上。When simultaneously adjusting the observation direction of the camera 22-1 and the direction of the working part of the diagnostic curette 11, the adjustment mechanism 22-11 and the swing mechanism 11-4 can be combined into one adjustment mechanism and arranged in the Handle 52 on.
所述操作杆5的管体5-3至少含2个腔道;第1个腔管内设置有所述电路3,第2个腔管构成或设有所述负压吸引机构4的吸引通道43。双腔通道的设计,可以将所述电路3和手术中可能产生的血水、组织液等液体隔离,使用过程中可以更好地避免短路、漏电等 安全隐患,临床使用过程更加安全。The tube body 5-3 of the operating rod 5 contains at least two cavities; the first cavity is provided with the circuit 3, and the second cavity constitutes or is provided with the suction channel 43 of the negative pressure suction mechanism 4 . The dual-cavity channel design can isolate the circuit 3 from the blood, tissue fluid and other liquids that may be generated during the operation, and can better avoid potential safety hazards such as short circuit and leakage during use, and the clinical use process is safer.
所述直视人流刮宫装置100还含冲洗机构6。在手术过程中,所述冲洗机构6可以对子宫内部进行冲洗,可以及时将所述摄像头22-1前端的血水及时冲洗干净,保证观察视野保持清洁。同时所述冲洗机构6还能及时对所述诊刮器11和子宫壁进行冲洗,尤其是可以及时对手术部位进行冲洗,从而及时观察胚胎组织是否已经被完全从着床位被清除,保证人流手术过程胚胎组织的完全,有效避免人流不全的情况发生,临床手术过程更加安全。The direct-viewing abortion and curettage device 100 also includes a washing mechanism 6. During the operation, the flushing mechanism 6 can flush the inside of the uterus, and can flush the blood at the front end of the camera 22-1 in time to ensure that the observation field is kept clean. At the same time, the flushing mechanism 6 can also flush the diagnostic curette 11 and the uterine wall in time, especially the surgical site can be flushed in time, so as to observe whether the embryonic tissue has been completely removed from the implantation position in time to ensure abortion surgery The process of embryo tissue is complete, effectively avoiding the occurrence of incomplete abortion, and the clinical operation process is safer.
所述操作杆5的管体5-3是三腔管;第1个腔管内设置有所述电路3,第2个腔管构成或设有所述负压吸引机构4的吸引通道43,第3个构成或设有冲洗机构6的进水管道63。三腔通道的设计,在保证所述电路3被隔离保护的同时,可以将冲洗通道和吸引通道分离,这样可以更好地保证在冲洗的过程中不会有吸出的组织或液体回到子宫内,使用过程更加高效、安全。The tube body 5-3 of the operating rod 5 is a three-lumen tube; the first lumen is provided with the circuit 3, the second lumen constitutes or is provided with the suction channel 43 of the negative pressure suction mechanism 4. Three water inlet pipes 63 constituting or provided with a flushing mechanism 6. The design of the three-chamber channel can separate the flushing channel and the suction channel while ensuring that the circuit 3 is isolated and protected, so that it can better ensure that no tissue or liquid sucked back into the uterus during the flushing process , The use process is more efficient and safer.
所述带电子保护机构的直视人流刮宫装置100的冲洗机构6的出水口61至少有一个出水口61喷出的水能冲洗和清洁所述观察模块2的防护罩20。所述冲洗机构6能及时对所述观察机构2的防护罩20进行冲洗,从而保证所述观察机构2的观察效果。The water outlet 61 of the flushing mechanism 6 of the direct-view human flow curettage device 100 with an electronic protection mechanism has at least one water outlet 61 that can flush and clean the protective cover 20 of the observation module 2. The flushing mechanism 6 can flush the protective cover 20 of the observation mechanism 2 in time, so as to ensure the observation effect of the observation mechanism 2.
所述冲洗机构6设有控制冲洗水流的冲水开关64。所述冲水开关64可以开启和关闭所述冲洗机构6,并可以控制冲洗水流的水量大小和冲洗压力。临床使用过程中,临床医生可以根据手术过程的实际需要开启或关闭所述冲洗机构6,同时根据需要选择合适的冲洗水流的大小和压力,临床使用过程更加方便。The flushing mechanism 6 is provided with a flushing switch 64 for controlling the flow of flushing water. The flushing switch 64 can open and close the flushing mechanism 6, and can control the water volume and flushing pressure of the flushing water stream. During clinical use, the clinician can open or close the flushing mechanism 6 according to the actual needs of the surgical process, and at the same time select the appropriate size and pressure of the flushing water flow according to the needs, so that the clinical use process is more convenient.
所述冲水开关64设在所述操作杆5的手柄52上。所述冲水开关64设置在所述手柄52上,临床使用时医护人员可以实现单手操作,使用过程更加方便。The flush switch 64 is provided on the handle 52 of the operating rod 5. The flush switch 64 is arranged on the handle 52, and medical staff can realize one-handed operation during clinical use, and the use process is more convenient.
所述负压吸引机构4设有能控制负压状态的负压控制开关44。所述负压控制开关44能开启或关闭所述负压吸引机构4,并可以根据手术过程中子宫内被剥离组织和血水、组织液的多少来调节所述负压吸引机构4的负压吸引力。临床使用时,医生可以方便地调整自己需要的负压吸引力,从而避免负压吸引力太小无法及时吸出剥离的组织,又能避免负压太大造成子宫内膜等组织的意外损伤。The negative pressure suction mechanism 4 is provided with a negative pressure control switch 44 capable of controlling a negative pressure state. The negative pressure control switch 44 can turn on or off the negative pressure suction mechanism 4, and can adjust the negative pressure suction force of the negative pressure suction mechanism 4 according to the amount of tissue, blood and tissue fluid that is stripped in the uterus during the operation. . In clinical use, doctors can easily adjust the negative pressure attraction they need, so as to avoid that the negative pressure attraction is too small to suck out the peeled tissue in time, and it can avoid accidental damage to the endometrium and other tissues caused by the excessive negative pressure.
所述负压控制开关44设所述操作杆5的手柄52上。所述负压控制开关44设置在所述手柄52上,临床使用时医护人员可以实现单手操作,使用过程更加方便。The negative pressure control switch 44 is provided on the handle 52 of the operating rod 5. The negative pressure control switch 44 is arranged on the handle 52, and the medical staff can realize one-handed operation during clinical use, and the use process is more convenient.
所述观察机构2的防护罩20上设有涂层。涂层可以选择疏水涂层,这样血水等液体可以快速地在所述防护罩20上凝成水滴后滑落,也可以选择亲水涂层,这样血水等液体可以快速地在所述防护罩20表面形成透明的水膜,不会遮挡所述摄像头22-1。The protective cover 20 of the observation mechanism 2 is provided with a coating. The coating can be a hydrophobic coating so that liquids such as blood and water can quickly condense into water droplets on the protective cover 20 and then slide off, or a hydrophilic coating can be selected so that liquids such as blood and water can quickly on the surface of the protective cover 20 A transparent water film is formed, which will not block the camera 22-1.
述电路3设有与主机向连接的电接口31。所述直视人流刮宫装置100通过所述电接口 31与主机及电源连接。The circuit 3 is provided with an electrical interface 31 connected to the host. The direct-view human flow and curettage device 100 is connected to a host computer and a power source through the electrical interface 31.
所述直视人流刮宫装置100含电子保护机构30;所述电子保护机构30设置在所述观察模块2和/或所述电路3的外部,对所述观察模块2和/或所述电路3的电子元器件进行防水、防气、绝缘保护。The direct-viewing flow and curettage device 100 includes an electronic protection mechanism 30; the electronic protection mechanism 30 is arranged outside the observation module 2 and/or the circuit 3, and the observation module 2 and/or the circuit 3 The electronic components are protected against water, gas and insulation.
设置在所述观察模块2和所述电路3的外部的所述电子保护机构30可以对所述观察模块2和所述电路3的电子元器件进行防水、防气、绝缘保护,有效防止手术过程中产生的血水或组织液影响电子元器件的正常工作,保证手术的正常进行,临床手术过程更加安全。The electronic protection mechanism 30 arranged outside the observation module 2 and the circuit 3 can protect the electronic components of the observation module 2 and the circuit 3 against water, gas, and insulation, effectively preventing surgical procedures The blood water or tissue fluid produced in the process affects the normal operation of the electronic components, ensuring the normal operation of the operation, and the clinical operation process is safer.
所述电子保护机构30是设置在所述照明模块21和所述镜头模组22周边的防护机构30-1、或是设置在所述电路3外部的绝缘保护层30-2、或是设置在手柄52内保护所述图像处理系统103的绝缘胶层30-3。The electronic protection mechanism 30 is a protection mechanism 30-1 provided on the periphery of the lighting module 21 and the lens module 22, or an insulating protection layer 30-2 provided on the outside of the circuit 3, or is provided on The handle 52 protects the insulating glue layer 30-3 of the image processing system 103.
所述照明模块21和所述镜头模组22前端设有防护罩20,所述照明模块21和所述镜头模组22侧后方设有隔离座24,所述防护罩20、所述隔离座24和所述管体5-3通过粘接等方式形成密闭空间,构成所述防护机构30-1,将所述照明模块21和所述镜头模组22完全与人体组织进行隔离,保证手术过程中产生的血水或组织液不会对所述照明模块21和所述镜头模组22的正常工作产生影响。A protective cover 20 is provided at the front end of the lighting module 21 and the lens module 22, an isolation seat 24 is provided behind the lighting module 21 and the lens module 22, the protective cover 20, the isolation seat 24 It forms a closed space with the tube body 5-3 through bonding or other methods to form the protective mechanism 30-1, which completely isolates the lighting module 21 and the lens module 22 from human tissues to ensure that the operation is in progress. The blood or tissue fluid generated will not affect the normal operation of the illumination module 21 and the lens module 22.
所述电路3的外部都设有防水、绝缘的所述绝缘保护层30-2,有效避免手术过程中产生的血水或组织液可能造成的短路等意外情况。The outer part of the circuit 3 is provided with the waterproof and insulating insulating protective layer 30-2, which can effectively avoid accidents such as short circuits caused by blood or tissue fluid generated during the operation.
所述图像处理系统103设置在所述手柄52内,在所述图像处理系统103周边进行灌胶处理,构成所述绝缘胶层30-3,对所述图像处理系统103及周边所述电路3进行完全密封、隔离,达到防水、防气、绝缘的保护目的。The image processing system 103 is arranged in the handle 52, and glue is poured around the image processing system 103 to form the insulating glue layer 30-3. The image processing system 103 and the peripheral circuit 3 It is completely sealed and isolated to achieve the protection purpose of waterproof, gas-proof and insulation.
实际应用中,可以根据需要,将所述防护机构30-1、绝缘保护层30-2及绝缘胶层30-3中的一种或多种组合使用,对本发明之带电子保护机构的直视人流刮宫装置的电子元器件进行全面的防水、防气和绝缘保护。In practical applications, one or more of the protective mechanism 30-1, the insulating protective layer 30-2, and the insulating adhesive layer 30-3 can be used in combination according to needs. The electronic components of the flow and curettage device are fully protected against water, gas and insulation.
进一步,所述手柄52内设有容胶槽52-1,所述图像处理系统103设置在所述容胶槽52-1内,所述绝缘胶层30-3灌注在所述容胶槽52-1内对所述图像处理系统103进行保护。所述容胶槽52-1可以很方便地进行灌胶,实际使用过程非常方便。Further, the handle 52 is provided with a glue container 52-1, the image processing system 103 is arranged in the glue container 52-1, and the insulating glue layer 30-3 is poured into the glue container 52 The image processing system 103 is protected within -1. The glue containing tank 52-1 can be conveniently filled with glue, and the actual use process is very convenient.
所述直视人流刮宫装置100还含标识系统8。所述标识系统8可以提示所述操作杆5进入人体的深度。所述标识系统8可以是设置在所述操作杆5外部的刻度尺81,也可以是其它的标识方法,申请人在此不一一具体举例说明,但都不脱离本申请的保护范围。The direct-viewing flow and curettage device 100 also includes a marking system 8. The marking system 8 can prompt the depth of the operating rod 5 into the human body. The marking system 8 may be a scale 81 arranged outside the operating rod 5, or may be other marking methods. The applicant will not give specific examples one by one here, but it does not deviate from the protection scope of the present application.
所述直视人流刮宫装置100还含保护套10。所述保护套10设置在所述操作杆5的前 端5-1,在运输和储存的过程中可以保护所述摄像头22-1周边的所述防护罩20和所述管体5-3不会被刮花或损伤,更好地保证临床使用过程中的观察效果。The direct-viewing abortion and curettage device 100 further includes a protective cover 10. The protective cover 10 is arranged at the front end 5-1 of the operating rod 5, which can protect the protective cover 20 and the tube body 5-3 around the camera 22-1 during transportation and storage. Scratched or damaged, to better ensure the observation effect during clinical use.
所述术中超声监控装置200的探头201外部设有隔离套201-1。所述隔离套201-1可以是灭菌后一次性使用的保护套,从而保证临床使用的安全、卫生。The probe 201 of the intraoperative ultrasound monitoring device 200 is provided with an isolation sleeve 201-1 outside. The isolation sleeve 201-1 may be a disposable protective sleeve after sterilization, so as to ensure the safety and hygiene of clinical use.
所述术中超声监控装置200还含探头固定装置202。所述探头固定装置202能将所述探头201固定,临床手术过程中应用保证超声监控过程效果的稳定性。The intraoperative ultrasound monitoring device 200 also includes a probe fixing device 202. The probe fixing device 202 can fix the probe 201, and it is used to ensure the stability of the effect of the ultrasound monitoring process during the clinical operation.
所述探头固定装置202设置在扩阴器203上。所述探头201可以通过所述探头固定装置202固定在所述扩阴器203上,所述扩阴器203同时可以对阴道进行扩张,方便所述直视人流刮宫装置100的诊刮器11经阴道进入子宫。The probe fixing device 202 is arranged on the female expander 203. The probe 201 can be fixed on the vaginal expander 203 by the probe fixing device 202, and the vaginal expander 203 can expand the vagina at the same time, so that the curettage 11 of the direct-view flow and curettage device 100 can be easily passed through. The vagina enters the uterus.
所述显示系统102含2个显示器102-1;所述直视人流刮宫装置100采集的局部视频数据和所述术中超声监控装置200采集的整体影像数据分别在2个所述显示器102-1上显示。分别显示的设计可以使得临床过程中,不同岗位的医护人员可以根据需要看不同的显示器上的信息,临床使用更加灵活。The display system 102 includes two displays 102-1; the local video data collected by the direct-viewing flow and curettage device 100 and the overall image data collected by the intraoperative ultrasound monitoring device 200 are respectively displayed on the two displays 102-1 On display. The design of separate display enables medical staff in different positions to view the information on different displays according to their needs during the clinical process, making clinical use more flexible.
所述显示系统102含1个显示器102-1;所述直视人流刮宫装置100采集的局部视频数据和所述术中超声监控装置200采集的整体影像数据同步在1个所述显示器102-1上显示。影像数据也可以同步在1个所述显示器102-1上显示,临床中可以同步进行观察。The display system 102 includes a display 102-1; the local video data collected by the direct-viewing flow and curettage device 100 and the overall image data collected by the intraoperative ultrasound monitoring device 200 are synchronized on one display 102-1 On display. The image data can also be synchronously displayed on one of the monitors 102-1, and can be observed synchronously in clinical practice.
所述直视人流刮宫系统900还含冲洗系统106;所述冲洗系统106的进水口106-1通过水管106-4与输液瓶或袋7连接,所述冲洗系统106的出水口106-2通过水管106-4与所述直视人流刮宫装置100的冲洗机构6的进水口62相连接。所述冲洗系统106可以在手术过程中及时对所述带电子保护机构的直视人流刮宫装置100和周边组织进行冲洗,保证观察视野保持清洁的同时可以及时对手术部位进行冲洗,从而及时观察胚胎组织是否已经被完全从着床位被清除,保证人流手术过程胚胎组织的完全,有效避免人流不全的情况发生,临床手术过程更加安全。The direct vision human flow curettage system 900 also includes a flushing system 106; the water inlet 106-1 of the flushing system 106 is connected to the infusion bottle or bag 7 through a water pipe 106-4, and the water outlet 106-2 of the flushing system 106 passes through The water pipe 106-4 is connected with the water inlet 62 of the washing mechanism 6 of the direct-viewing flow and curettage device 100. The flushing system 106 can flush the direct-view human flow curettage device with electronic protection mechanism 100 and the surrounding tissues in time during the operation to ensure that the observation field is kept clean and the surgical site can be flushed in time, so as to observe the embryos in time. Whether the tissue has been completely removed from the implantation position to ensure the completeness of the embryonic tissue during the abortion operation, effectively avoid the occurrence of incomplete abortion, and make the clinical operation process safer.
所述冲洗系统106采用蠕动泵106-3驱动。所述蠕动泵106-3可以更精确地控制进水的流量和速度。当然实际应用中,本领域的技术人员还可以采取不同的驱动装置来驱动所述冲洗系统106,都并不脱离本申请的保护范围。The flushing system 106 is driven by a peristaltic pump 106-3. The peristaltic pump 106-3 can more accurately control the flow rate and speed of the inlet water. Of course, in practical applications, those skilled in the art can also adopt different driving devices to drive the flushing system 106, all of which do not deviate from the protection scope of the present application.
所述直视人流刮宫系统900还含负压吸引器105;所述直视人流刮宫装置100的负压吸引机构4的吸引出口42与所述负压吸引器105连接。所述直视人流刮宫系统900自身含有所述负压吸引器105和冲洗系统106,将负压吸引功能和冲洗功能整合到一台设备上,只要一台设备就能完成直视人流的全手术过程,不需要依赖外部负压源和外部冲洗系统,大大减少了外部环境对手术过程的限制和影响,适用范围非常广泛。The direct-view human flow and curettage system 900 further includes a negative pressure aspirator 105; the suction outlet 42 of the negative pressure suction mechanism 4 of the direct-view human flow and curettage device 100 is connected to the negative pressure suction device 105. The direct vision flow curettage system 900 itself contains the negative pressure suction device 105 and the irrigation system 106, which integrates the negative pressure suction function and the irrigation function into one device, and only one device can complete the direct vision flow surgery The process does not need to rely on an external negative pressure source and an external flushing system, which greatly reduces the restriction and influence of the external environment on the surgical process, and the scope of application is very wide.
临床使用时,将所述吸引出口42与医院的负压吸引器或医用专用负压源的负压管连接,开启所述电源系统104,所述直视人流刮宫系统900开始工作,所述观察机构2启动,所述观察机构2采集的视频信号经所述图像处理系统103处理后可经有线或无线的方式传输到所述显示系统102并在所述显示系统102上进行显示。同时,固定在所述扩阴器203上的所述探头201开始工作,对子宫整体影像进行数据采集,采集的数据经所述图像处理系统103处理后也经有线或无线的方式传输到所述显示系统102并在所述显示系统102上进行显示。In clinical use, connect the suction outlet 42 to a negative pressure suction device in a hospital or a negative pressure tube of a medical negative pressure source, turn on the power supply system 104, and the direct view abortion and curettage system 900 starts to work, and the observation The mechanism 2 is activated, and the video signal collected by the observation mechanism 2 is processed by the image processing system 103 and can be transmitted to the display system 102 in a wired or wireless manner and displayed on the display system 102. At the same time, the probe 201 fixed on the vaginal expander 203 starts to work to collect data on the whole image of the uterus. The collected data is processed by the image processing system 103 and then transmitted to the uterus in a wired or wireless manner. The display system 102 is displayed on the display system 102.
在所述摄像头22-1的观察下,将所述直视人流刮宫工作100沿阴道,经宫颈口进入子宫内,找到着床的胚胎组织,然后用所述刮宫机构1的诊刮器11将着床的胚胎组织从子宫上剥离,打开所述负压吸引器105或医用专用负压源,剥离的胚胎组织和伴随产生的血水经所述吸引出口42被吸引排出体外,所述冲洗系统106可以在手术过程中及时对所述带电子保护机构的直视人流刮宫装置100和周边组织进行冲洗,保证观察视野保持清洁的同时可以及时对手术部位进行冲洗。Under the observation of the camera 22-1, the direct-viewing human flow and curettage work 100 is moved along the vagina and into the uterus through the cervix to find the implanted embryonic tissue, and then use the curettage 11 of the curettage mechanism 1 The implanted embryonic tissue is stripped from the uterus, the negative pressure aspirator 105 or the special negative pressure source for medical use is turned on, the stripped embryonic tissue and accompanying blood are sucked out of the body through the suction outlet 42, and the flushing system 106 The direct-view human flow curettage device with electronic protection mechanism 100 and the surrounding tissues can be rinsed in time during the operation, so as to ensure that the observation field is kept clean and the surgical site can be rinsed in time.
直至胚胎组织被完全剥离并被吸引排出体外,并经所述术中超声监控装置200确认孕囊已被完全清理干净,即完成人流手术。Until the embryonic tissue is completely stripped and sucked out of the body, and the intraoperative ultrasound monitoring device 200 confirms that the gestational sac has been completely cleaned, the abortion operation is completed.
本发明之直视人流刮宫系统900含直视人流刮宫装置100、术中超声监控装置200、显示系统102、图像处理系统103、电源系统104和线路系统107。所述显示系统102至少含1个显示器102-1,所述直视人流刮宫装置100、所述术中超声监控装置200、所述显示系统102、和所述图像处理系统103经所述电路3和所述电源系统104连接。所述直视人流刮宫装置100采集人流术中的手术部位的视频数据,所述术中超声监控装置200采集子宫的整体影像数据;所述直视人流刮宫装置100采集的局部视频数据和所述术中超声监控装置200采集的整体影像数据可以使得在人流术中既可以实时观察手术部位的术中情况,又可以通过整体影像数据判断人流手术是否完全将孕囊吸出。临床使用中,既可以保证手术的安全操作,又可以保证人流手术清除干净。临床应用更加安全、可靠。The direct vision flow and curettage system 900 of the present invention includes a direct vision flow and curettage device 100, an intraoperative ultrasound monitoring device 200, a display system 102, an image processing system 103, a power supply system 104, and a wiring system 107. The display system 102 includes at least one display 102-1, and the direct-viewing flow and curettage device 100, the intraoperative ultrasound monitoring device 200, the display system 102, and the image processing system 103 are passed through the circuit 3 Connected to the power supply system 104. The direct-viewing abortion and curettage device 100 collects video data of the surgical site during abortion, the intraoperative ultrasound monitoring device 200 collects overall image data of the uterus; the direct-viewing abortion and curettage device 100 collects partial video data and the The overall image data collected by the intraoperative ultrasound monitoring device 200 can enable real-time observation of the intraoperative condition of the surgical site during the abortion operation, and the overall image data can be used to determine whether the gestational sac is completely aspirated during the abortion operation. In clinical use, it can not only ensure the safe operation of the operation, but also ensure that the abortion operation is cleaned. Clinical application is safer and more reliable.
附图说明Description of the drawings
图1是本发明之直视人流刮宫系统的结构示意图。Fig. 1 is a schematic structural diagram of the direct-viewing abortion curettage system of the present invention.
图2是镜头置于诊刮器前端的直视人流刮宫装置的结构示意图。Fig. 2 is a schematic structural diagram of a direct-viewing abortion and curettage device with a lens placed at the front end of the diagnostic curette.
图2-1是图2的剖视图。Fig. 2-1 is a cross-sectional view of Fig. 2.
图2-2是图2-1的A处放大图。Fig. 2-2 is an enlarged view of A in Fig. 2-1.
图2-3是图2-1的B处放大图。Fig. 2-3 is an enlarged view of B in Fig. 2-1.
图3是镜头后置的本发明之带电子保护机构的直视人流刮宫装置的结构示意图。Fig. 3 is a schematic structural diagram of the direct-viewing flow curettage device with electronic protection mechanism of the present invention with a lens behind it.
图3-1是图3的剖视图。Fig. 3-1 is a cross-sectional view of Fig. 3.
图3-2是图3-1的C处放大图。Fig. 3-2 is an enlarged view of C in Fig. 3-1.
图3-3是图3-1的D处放大图。Figure 3-3 is an enlarged view of D in Figure 3-1.
图4是刮网顶部通过固定珠形成环形平台的本发明之带电子保护机构的直视人流刮宫装置的结构示意图。Fig. 4 is a schematic structural view of the direct-viewing flow curettage device with electronic protection mechanism of the present invention with a ring-shaped platform formed on the top of the scraping net with fixed beads.
图4-1是图3的E处放大图。Fig. 4-1 is an enlarged view of E in Fig. 3.
图4-2是图3-1的局部剖开图。Fig. 4-2 is a partial cut-away view of Fig. 3-1.
图5是刮网顶部通过焊接形成环形平台的本发明之带电子保护机构的直视人流刮宫装置的结构示意图。Fig. 5 is a schematic structural diagram of the direct-viewing flow curettage device with electronic protection mechanism of the present invention with a ring-shaped platform formed by welding the top of the scraping net.
图5-1是图5的F处放大图。Figure 5-1 is an enlarged view of F in Figure 5.
图5-2是图5-1的局部剖开图。Fig. 5-2 is a partial cut-away view of Fig. 5-1.
图6是摄像头的观察方向可调的本发明之带电子保护机构的直视人流刮宫装置的结构示意图。Fig. 6 is a schematic structural diagram of the direct-viewing flow and curettage device with electronic protection mechanism of the present invention with an adjustable viewing direction of the camera.
图6-1是图5的G处放大图。Fig. 6-1 is an enlarged view of G in Fig. 5.
图7是诊刮器的工作部位方向可调的本发明之带电子保护机构的直视人流刮宫装置的结构示意图。Fig. 7 is a schematic structural diagram of the direct-viewing abortion and curettage device with electronic protection mechanism according to the present invention with adjustable working position direction of the diagnostic curette.
图7-1是图7的H处放大图。Fig. 7-1 is an enlarged view of H in Fig. 7.
图8是摄像头的观察方向和诊刮器的工作部位方向同时进行调整的本发明之带电子保护机构的直视人流刮宫装置的结构示意图。Fig. 8 is a schematic structural diagram of the direct-viewing anomalous curettage device with electronic protection mechanism of the present invention in which the viewing direction of the camera and the working part direction of the diagnosing curette are adjusted at the same time.
图8-1是图8的I处放大图。Fig. 8-1 is an enlarged view of I in Fig. 8.
图9是刮网压缩在外鞘管时的本发明之带电子保护机构的直视人流刮宫装置的结构示意图。Fig. 9 is a schematic structural diagram of the direct-viewing abortion and curettage device with electronic protection mechanism of the present invention when the curettage net is compressed in the outer sheath.
图10是含冲洗机构的本发明之直视人流刮宫系统的结构示意图图。Fig. 10 is a schematic structural diagram of the direct-viewing abortion and curettage system of the present invention including a flushing mechanism.
图11是含负压吸引机构的本发明之直视人流刮宫系统的结构示意图图。Fig. 11 is a schematic structural diagram of the direct-viewing abortion and curettage system of the present invention including a negative pressure suction mechanism.
图12是本发明之直视人流刮宫系统的工作原理图。Fig. 12 is a working principle diagram of the direct-viewing abortion and curettage system of the present invention.
上述图中:In the above figure:
900为本发明之直视人流刮宫系统。900 is the direct vision flow curettage system of the present invention.
100为直视人流刮宫装置,101为壳体,102为显示系统,103为图像处理系统,104为电源系统,105为负压吸引器,106为冲洗系统,107为线路系统,200为术中超声监控装置,201为探头,202为探头固定装置,203为扩阴器。100 is a direct view flow and curettage device, 101 is a housing, 102 is a display system, 103 is an image processing system, 104 is a power supply system, 105 is a negative pressure aspirator, 106 is a flushing system, 107 is a line system, and 200 is an intraoperative Ultrasonic monitoring device, 201 is a probe, 202 is a probe fixing device, and 203 is a vaginal expander.
102-1为显示器,201-1为隔离套。102-1 is the display, and 201-1 is the isolation sleeve.
1为刮宫机构,2为观察机构,3为电路,3-1为信号传输线,4为负压吸引机构,5为操作杆,6为冲洗机构,7为输液瓶或袋,8为标识系统,10为保护套,30为电子保护机构。1 is the curettage mechanism, 2 is the observation mechanism, 3 is the circuit, 3-1 is the signal transmission line, 4 is the negative pressure suction mechanism, 5 is the operating rod, 6 is the flushing mechanism, 7 is the infusion bottle or bag, 8 is the marking system, 10 is a protective cover, and 30 is an electronic protection mechanism.
11为诊刮器,11-3为刮网,11-4为摆动机构;11-31为诊刮丝。11 is a diagnostic curette, 11-3 is a scraping net, 11-4 is a swing mechanism; 11-31 is a diagnostic scraping wire.
20为防护罩,21为照明模块,22为镜头模组,24为隔离座;22-1为摄像头,22-11为调节机构。20 is a protective cover, 21 is a lighting module, 22 is a lens module, and 24 is an isolation seat; 22-1 is a camera, and 22-11 is an adjustment mechanism.
30-1为防护机构,30-2为绝缘保护层,30-3为绝缘胶层30-1 is the protective mechanism, 30-2 is the insulating protective layer, and 30-3 is the insulating glue layer
31为电路接口。31 is the circuit interface.
41为吸引入口,42为吸引出口,43吸引通道,44为负压控制开关。41 is the suction inlet, 42 is the suction outlet, 43 is the suction channel, and 44 is the negative pressure control switch.
5-0为外鞘管,5-1为前端,5-2为后端,5-3为管体;52为手柄,52-1为容胶槽。5-0 is the outer sheath, 5-1 is the front end, 5-2 is the back end, and 5-3 is the tube body; 52 is the handle, and 52-1 is the glue container.
61为出水口,62为进水口,63为进水管道,64为冲水开关。61 is the water outlet, 62 is the water inlet, 63 is the water inlet pipe, and 64 is the flush switch.
7-1为管道,81为刻度尺。7-1 is the pipe, and 81 is the scale.
106-1为进水口,106-2为出水口,106-3为蠕动泵,106-4为水管。106-1 is the water inlet, 106-2 is the water outlet, 106-3 is the peristaltic pump, and 106-4 is the water pipe.
具体实施方式Detailed ways
实施例1:本发明之直视人流刮宫系统Example 1: Direct-view abortion and curettage system of the present invention
参考图1至图1-3,本实施例之直视人流刮宫系统含直视人流刮宫装置100、术中超声监控装置200、显示系统102、图像处理系统103、电源系统104和线路系统107。Referring to FIGS. 1 to 1-3, the direct-view flow and curettage system of this embodiment includes a direct-view flow and curettage device 100, an intraoperative ultrasound monitoring device 200, a display system 102, an image processing system 103, a power supply system 104, and a wiring system 107.
参考图1和图12,本实施例中,所述显示系统102含2个显示器102-1.所述线路系统107含电路3和信号传输线3-1,本实施例中,所述电路3和信号传输线3-1设计成一 个整体。所述线路系统107的电路3和信号传输线3-1也可以根据需要单独设置。1 and 12, in this embodiment, the display system 102 includes two displays 102-1. The circuit system 107 includes a circuit 3 and a signal transmission line 3-1. In this embodiment, the circuit 3 and The signal transmission line 3-1 is designed as a whole. The circuit 3 and the signal transmission line 3-1 of the line system 107 can also be separately arranged as required.
所述直视人流刮宫装置100采集的视频数据经所述图像处理系统103处理后经所述信号传输线3-1输出在所述显示器102-1上显示。The video data collected by the direct-viewing flow and curettage device 100 is processed by the image processing system 103 and then output through the signal transmission line 3-1 to be displayed on the display 102-1.
参考图1,所述术中超声监控装置200至少含1个探头201,所述探头201检测到的信号经所述图像处理系统103处理后经所述信号传输线3-1输出在所述显示器102-1上显示。1, the intraoperative ultrasound monitoring device 200 includes at least one probe 201, and the signal detected by the probe 201 is processed by the image processing system 103 and then output to the display 102 via the signal transmission line 3-1. -1 is displayed on.
所述直视人流刮宫装置100、所述术中超声监控装置200、所述显示系统102、和所述图像处理系统103经所述电路3和所述电源系统104连接。The direct-view flow and curettage device 100, the intraoperative ultrasound monitoring device 200, the display system 102, and the image processing system 103 are connected to the power supply system 104 via the circuit 3.
所述直视人流刮宫装置100采集人流术中的手术部位的视频数据,所述术中超声监控装置200采集子宫的整体影像数据;所述直视人流刮宫装置100采集的局部视频数据和所述术中超声监控装置200采集的整体影像数据可以使得在人流术中既可以实时观察手术部位的术中情况,又可以通过整体影像数据判断人流手术是否完全将孕囊吸出。The direct-viewing abortion and curettage device 100 collects video data of the surgical site during abortion, the intraoperative ultrasound monitoring device 200 collects overall image data of the uterus; the direct-viewing abortion and curettage device 100 collects partial video data and the The overall image data collected by the intraoperative ultrasound monitoring device 200 can enable real-time observation of the intraoperative condition of the surgical site during the abortion operation, and the overall image data can be used to determine whether the gestational sac is completely aspirated during the abortion operation.
参考图,3至图5-2,所述直视人流刮宫装置100含刮宫机构1、观察模块2、线路系统107、负压吸引机构4和操作杆5。Referring to Figures 3 to 5-2, the direct-viewing flow and curettage device 100 includes a curettage and curettage mechanism 1, an observation module 2, a line system 107, a negative pressure suction mechanism 4, and an operating rod 5.
所述观察模块2含照明模块21、镜头模组22;所述照明模块21和所述镜头模组22设在所述操作杆5的前端,安装在防护罩20内;所述镜头模组22所观察到的图像和视频经过所述线路系统107的信号传输线3-1输入所述图像处理系统103进行处理后,由所述信号传输线3-1输出;所述观察模块2经所述线路系统107的电路3和所述电源系统104连接;The observation module 2 includes an illumination module 21 and a lens module 22; the illumination module 21 and the lens module 22 are arranged at the front end of the operating rod 5 and are installed in the protective cover 20; the lens module 22 The observed images and videos are input to the image processing system 103 through the signal transmission line 3-1 of the line system 107 and then output by the signal transmission line 3-1; the observation module 2 passes through the line system The circuit 3 of 107 is connected to the power supply system 104;
所述刮宫机构1上含至少1个诊刮器11,所述诊刮器11设在所述操作杆5的前端。The curettage mechanism 1 includes at least one diagnostic curette 11, and the diagnostic curette 11 is arranged at the front end of the operating rod 5.
所述负压吸引机构4含吸引入口41、吸引出口42及吸引通道43;所述引入口41设在所述操作杆5的前端;所述吸引出口42设在所述操作杆5的后端,所述吸引通道43设在所述操作杆5内。The negative pressure suction mechanism 4 includes a suction inlet 41, a suction outlet 42 and a suction channel 43; the introduction port 41 is provided at the front end of the operating rod 5; the suction outlet 42 is provided at the rear end of the operating rod 5 , The suction channel 43 is provided in the operating rod 5.
所述操作杆5的后端5-2设有手柄52;所述操作杆5的前端5-1设有观察模块2及刮宫机构1;所述操作杆5的管体5-3内含有所述线路系统107及负压吸引机构4;所述手柄52内设有所述图像处理系统103。The rear end 5-2 of the operating rod 5 is provided with a handle 52; the front end 5-1 of the operating rod 5 is provided with an observation module 2 and a curettage mechanism 1; the tube body 5-3 of the operating rod 5 contains all The line system 107 and the negative pressure suction mechanism 4; the handle 52 is provided with the image processing system 103.
参考图3至图5-2,本实施例中,所述镜头模组22的摄像头22-1设置在所述诊刮器11的后端,所述诊刮器11位于所述摄像头22-1的视野内。所述摄像头22-1后置的技术方案,可以保证所述诊刮器11完全处于所述摄像头22-1的视野范围内,而且由于所述摄像头22-1的观察角度是面向手术区域前方,因此,在所述过程中不会存在观察盲区,因此,不会产生由于没有及时观察清楚而造成的子宫及附件的意外损伤。同时,由于所述诊刮器 11是处于所述摄像头22-1的前方,因此,所述诊刮器11不会由于所述镜头模组22本身的高度产生的遮挡而存在操作死角,胚胎组织在子宫的任何位置着床都能够完全清除,尤其是对于输卵管口附近,即子宫底的着床位,所述诊刮器11也能轻松地对胚胎组织进行清除,手术过程中不会出现人流不全的情况,而且由于是完成直视下进行清除,因此,不会由于手术动作过大而造成子宫底的意外损伤,可以非常好地避免对子宫底造成损伤,不会出现子宫穿孔等严重医疗事故。因此,摄像头后置的技术方案,使得人流的临床手术过程更加安全,更加有效。3 to 5-2, in this embodiment, the camera 22-1 of the lens module 22 is arranged at the rear end of the diagnostic curette 11, and the diagnostic curette 11 is located at the camera 22-1 Within the field of view. The technical solution with the rear camera 22-1 can ensure that the diagnostic curette 11 is completely within the field of view of the camera 22-1, and since the observation angle of the camera 22-1 faces the front of the operation area, Therefore, there is no blind spot for observation during the process, and therefore, no accidental damage to the uterus and accessories caused by the failure to observe clearly in time. At the same time, because the diagnostic curette 11 is located in front of the camera 22-1, the diagnostic curette 11 will not be blocked by the height of the lens module 22 itself, and there will be no dead corners of operation, and embryonic tissue The implantation can be completely removed at any position of the uterus, especially for the implantation position near the oviduct orifice, that is, the implantation position at the fundus of the uterus. The diagnostic curette 11 can also easily remove the embryonic tissue, and there will be no incomplete abortion during the operation. Because it is cleared under direct vision, it will not cause accidental damage to the fundus of the uterus due to excessive surgical actions. It can very well avoid damage to the fundus of the uterus, and there will be no serious medical accidents such as uterine perforation. . Therefore, the technical solution with the rear camera makes the clinical operation process of the flow of people safer and more effective.
所述诊刮器11是刮网11-3。所述摄像头22-1可以直接从网状空隙中观察所述刮网11-3后面的情况,即使所述刮网11-3不是透明材料制成也可以实现手术过程的全程观察和手术区域的全景观察。The diagnostic scraper 11 is a scraping net 11-3. The camera 22-1 can directly observe the situation behind the scraper 11-3 from the mesh gap. Even if the scraper 11-3 is not made of transparent material, it can realize the full observation of the surgical process and the observation of the surgical area. Panoramic observation.
参考图4-1和图5-1,本实施例中,所述刮网11-3是由2根诊刮丝11-31缠绕组合而成,呈十字形状。这种十字形的结构设计,只要轻微旋转所述刮网11-3即可将着床的组织从着床处刮下。Referring to FIGS. 4-1 and 5-1, in this embodiment, the scraping net 11-3 is formed by winding and combining two diagnostic scraping wires 11-31, and is in the shape of a cross. With this cross-shaped structure design, the implantation tissue can be scraped off the implantation site by slightly rotating the scraping net 11-3.
所述刮网11-3的刮丝11-31可以是丝材、细管材、片材等各种形状的材料制成。The scraping wires 11-31 of the scraping net 11-3 can be made of various shapes of materials such as wire, thin tube, sheet, etc.
参考图4至图5-2,为保证所述诊刮丝11-31顶部的清除效果,通常在顶端呈环形平台。Referring to Figures 4 to 5-2, in order to ensure the cleaning effect of the top of the diagnostic scraping wire 11-31, the top end is usually a ring-shaped platform.
实际应用中,所述刮网11-3可以是1根所述诊刮丝11-31缠绕而成也可以是多跟所述诊刮丝11-31缠绕后叠加组合而成,而且所述刮网11-3可以制造成任何形状,申请人在此不一一举例说明,但都不脱离本申请的保护范围。In practical applications, the scraping net 11-3 may be wound by one of the diagnostic scraping wires 11-31, or it may be stacked and combined with the diagnostic scraping wires 11-31, and the scraping wire 11-31 The net 11-3 can be made into any shape, and the applicant will not give examples one by one here, but it does not deviate from the scope of protection of the present application.
所述刮宫机构1的诊刮器11还可以是丝材制造的编织网。柔软的编织网设计,着床胚胎刮除过程中施加的力更加轻柔、均匀,对子宫是伤害更小。The diagnostic curette 11 of the curettage mechanism 1 can also be a woven mesh made of wire. The soft woven mesh design makes the force applied during the implantation embryo scraping process more gentle and even, and it does less damage to the uterus.
参考图9,所述刮宫机构1的诊刮器11的刮网11-3能压缩在外鞘管5-0内;所述刮网11-3从所述外鞘管5-0释放膨胀后可以撑开子宫,扩大观察视野。所述刮宫机构1的诊刮器11的刮网11-3能压缩在所述外鞘管5-0内,当向后撤除所述外鞘管5-0的约束后,所述刮网11-3能完全恢复或基本恢复压缩前的形状。临床使用时,可以将所述刮网11-3收拢至所述外鞘管5-0内,经宫颈进入子宫后,后退所述外鞘管5-0释放所述刮网11-3,所述刮网11-3展开,即可对胚胎组织进行清除。同时,由于所述刮网11-3展开,可以将所述摄像头22-1前端的子宫撑开,扩大观察视野,临床使用过程中,可以更好地观察到手术部位以及周边组织,临床使用过程的观察效果非常好。所述刮网11-3的刮丝11-31可以是丝材、细管材、片材等各种形状的材料制成。Referring to Figure 9, the scraping net 11-3 of the diagnosing curette 11 of the curettage mechanism 1 can be compressed in the outer sheath 5-0; the scraping net 11-3 can be expanded after being released from the outer sheath 5-0. Open the uterus and expand the observation field. The scraping net 11-3 of the diagnosing curette 11 of the curettage mechanism 1 can be compressed in the outer sheath 5-0. When the restraint of the outer sheath 5-0 is removed backward, the scraping net 11 -3 can completely restore or basically restore the shape before compression. In clinical use, the scraper 11-3 can be folded into the outer sheath 5-0, and after entering the uterus through the cervix, the outer sheath 5-0 is retracted to release the scraper 11-3, so The scraping net 11-3 is unfolded, and the embryo tissue can be removed. At the same time, due to the unfolding of the scraping net 11-3, the uterus at the front end of the camera 22-1 can be stretched, and the observation field can be enlarged. During the clinical use, the surgical site and surrounding tissues can be better observed. The clinical use process The observation effect is very good. The scraping wires 11-31 of the scraping net 11-3 can be made of various shapes of materials such as wire, thin tube, sheet, etc.
参考图2至图2-3,实际应用中,所述摄像头22-1还可以设置在所述诊刮器11的前 端、内部等其它部位。2 to 2-3, in practical applications, the camera 22-1 can also be arranged at the front end, the inside of the diagnostic curette 11 and other parts.
当所述镜头模组22的摄像头22-1可以设置在所述诊刮器11的前端。所述摄像头22-1可以直接观察所述负压吸引机构4的吸引入口41的工作状态,确定被剥离的着床组织被所述负压吸引机构4吸引排出体外。When the camera 22-1 of the lens module 22 can be arranged at the front end of the diagnostic curette 11. The camera 22-1 can directly observe the working state of the suction inlet 41 of the negative pressure suction mechanism 4, and determine that the peeled implantation tissue is sucked out of the body by the negative pressure suction mechanism 4.
所述操作杆5的管体5-3至少含2个腔道;第1个腔管内设置有所述电路3,第2个腔管构成或设有所述负压吸引机构4的吸引通道43。双腔通道的设计,可以将所述电路3和手术中可能产生的血水、组织液等液体隔离,使用过程中可以更好地避免短路、漏电等安全隐患,临床使用过程更加安全。The tube body 5-3 of the operating rod 5 contains at least two cavities; the first cavity is provided with the circuit 3, and the second cavity constitutes or is provided with the suction channel 43 of the negative pressure suction mechanism 4 . The design of the dual-chamber channel can isolate the circuit 3 from liquids such as blood and tissue fluid that may be generated during the operation, and can better avoid potential safety hazards such as short circuit and leakage during use, and the clinical use process is safer.
参考图3和图4,所述负压吸引机构4设有能控制负压状态的负压控制开关44。所述负压控制开关44能开启或关闭所述负压吸引机构4,并可以根据手术过程中子宫内被剥离组织和血水、组织液的多少来调节所述负压吸引机构4的负压吸引力。临床使用时,医生可以方便地调整自己需要的负压吸引力,从而避免负压吸引力太小无法及时吸出剥离的组织,又能避免负压太大造成子宫内膜等组织的意外损伤。3 and 4, the negative pressure suction mechanism 4 is provided with a negative pressure control switch 44 that can control the negative pressure state. The negative pressure control switch 44 can turn on or off the negative pressure suction mechanism 4, and can adjust the negative pressure suction force of the negative pressure suction mechanism 4 according to the amount of tissue, blood and tissue fluid that is stripped in the uterus during the operation. . In clinical use, doctors can easily adjust the negative pressure attraction they need, so as to avoid that the negative pressure attraction is too small to suck out the peeled tissue in time, and it can avoid accidental damage to the endometrium and other tissues caused by the excessive negative pressure.
所述负压控制开关44设所述操作杆5的手柄52上。所述负压控制开关44设置在所述手柄52上,临床使用时医护人员可以实现单手操作,使用过程更加方便。The negative pressure control switch 44 is provided on the handle 52 of the operating rod 5. The negative pressure control switch 44 is arranged on the handle 52, and the medical staff can realize one-handed operation during clinical use, and the use process is more convenient.
所述观察机构2的防护罩20上设有涂层。涂层可以选择疏水涂层,这样血水等液体可以快速地在所述防护罩20上凝成水滴后滑落,也可以选择亲水涂层,这样血水等液体可以快速地在所述防护罩20表面形成透明的水膜,不会遮挡所述摄像头22-1。The protective cover 20 of the observation mechanism 2 is provided with a coating. The coating can be a hydrophobic coating so that liquids such as blood and water can quickly condense into water droplets on the protective cover 20 and then slide off, or a hydrophilic coating can be selected so that liquids such as blood and water can quickly on the surface of the protective cover 20 A transparent water film is formed, which will not block the camera 22-1.
所述述电路3设有与主机相连接的电接口31。所述直视人流刮宫装置100通过所述电接口31与主机及电源连接。The circuit 3 is provided with an electrical interface 31 connected to the host. The direct-view human flow and curettage device 100 is connected to a host and a power source through the electrical interface 31.
参考图2至图3-3,本实施例中,所述直视人流刮宫装置100含电子保护机构30;所述电子保护机构30设置在所述观察模块2和/或所述电路3的外部,对所述观察模块2和/或所述电路3的电子元器件进行防水、防气、绝缘保护。2 to 3-3, in this embodiment, the direct-viewing flow and curettage device 100 includes an electronic protection mechanism 30; the electronic protection mechanism 30 is arranged outside the observation module 2 and/or the circuit 3 , The electronic components of the observation module 2 and/or the circuit 3 are protected against water, gas, and insulation.
设置在所述观察模块2和所述电路3的外部的所述电子保护机构30可以对所述观察模块2和所述电路3的电子元器件进行防水、防气、绝缘保护,有效防止手术过程中产生的血水或组织液影响电子元器件的正常工作,保证手术的正常进行,临床手术过程更加安全。The electronic protection mechanism 30 arranged outside the observation module 2 and the circuit 3 can protect the electronic components of the observation module 2 and the circuit 3 against water, gas, and insulation, effectively preventing surgical procedures The blood water or tissue fluid produced in the process affects the normal operation of the electronic components, ensuring the normal operation of the operation, and the clinical operation process is safer.
所述电子保护机构30是设置在所述照明模块21和所述镜头模组22周边的防护机构30-1、或是设置在所述电路3外部的绝缘保护层30-2、或是设置在手柄52内保护所述图像处理系统103的绝缘胶层30-3。The electronic protection mechanism 30 is a protection mechanism 30-1 provided on the periphery of the lighting module 21 and the lens module 22, or an insulating protection layer 30-2 provided on the outside of the circuit 3, or is provided on The handle 52 protects the insulating glue layer 30-3 of the image processing system 103.
所述照明模块21和所述镜头模组22前端设有防护罩20,所述照明模块21和所述镜 头模组22侧后方设有隔离座24,所述防护罩20、所述隔离座24和所述管体5-3通过粘接等方式形成密闭空间,构成所述防护机构30-1,将所述照明模块21和所述镜头模组22完全与人体组织进行隔离,保证手术过程中产生的血水或组织液不会对所述照明模块21和所述镜头模组22的正常工作产生影响。A protective cover 20 is provided at the front end of the lighting module 21 and the lens module 22, an isolation seat 24 is provided behind the lighting module 21 and the lens module 22, the protective cover 20, the isolation seat 24 It forms a closed space with the tube body 5-3 by bonding or other means to form the protective mechanism 30-1, which completely isolates the lighting module 21 and the lens module 22 from human tissues to ensure that the operation is in progress. The blood or tissue fluid generated will not affect the normal operation of the illumination module 21 and the lens module 22.
所述电路3的外部都设有防水、绝缘的所述绝缘保护层30-2,有效避免手术过程中产生的血水或组织液可能造成的短路等意外情况。The outer part of the circuit 3 is provided with the waterproof and insulating insulating protective layer 30-2, which can effectively avoid accidents such as short circuits caused by blood or tissue fluid generated during the operation.
所述图像处理系统103设置在所述手柄52内,在所述图像处理系统103周边进行灌胶处理,构成所述绝缘胶层30-3,对所述图像处理系统103及周边所述电路3进行完全密封、隔离,达到防水、防气、绝缘的保护目的。The image processing system 103 is arranged in the handle 52, and glue is poured around the image processing system 103 to form the insulating glue layer 30-3. The image processing system 103 and the peripheral circuit 3 It is completely sealed and isolated to achieve the protection purpose of waterproof, gas-proof and insulation.
实际应用中,可以根据需要,将所述防护机构30-1、绝缘保护层30-2及绝缘胶层30-3中的一种或多种组合使用,对本发明之带电子保护机构的直视人流刮宫装置的电子元器件进行全面的防水、防气和绝缘保护。In practical applications, one or more of the protective mechanism 30-1, the insulating protective layer 30-2, and the insulating adhesive layer 30-3 can be used in combination according to needs. The electronic components of the flow and curettage device are fully protected against water, gas and insulation.
进一步,所述手柄52内设有容胶槽52-1,所述图像处理系统103设置在所述容胶槽52-1内,所述绝缘胶层30-3灌注在所述容胶槽52-1内对所述图像处理系统103进行保护。所述容胶槽52-1可以很方便地进行灌胶,实际使用过程非常方便。Further, the handle 52 is provided with a glue container 52-1, the image processing system 103 is arranged in the glue container 52-1, and the insulating glue layer 30-3 is poured into the glue container 52 The image processing system 103 is protected within -1. The glue containing tank 52-1 can be conveniently filled with glue, and the actual use process is very convenient.
参考图6、图7和图8,本实施例中,所述直视人流刮宫装置100还含标识系统8。所述标识系统8可以提示所述操作杆5进入人体的深度。所述标识系统8可以是设置在所述操作杆5外部的刻度尺81,也可以是其它的标识方法,申请人在此不一一具体举例说明,但都不脱离本申请的保护范围。Referring to FIG. 6, FIG. 7 and FIG. 8, in this embodiment, the direct-view flow and curettage device 100 further includes an identification system 8. The marking system 8 can prompt the depth of the operating rod 5 into the human body. The marking system 8 may be a scale 81 arranged outside the operating rod 5, or may be other marking methods. The applicant will not give specific examples one by one here, but it does not deviate from the protection scope of the present application.
,所述直视人流刮宫装置100还含保护套10。所述保护套10设置在所述操作杆5的前端5-1,在运输和储存的过程中可以保护所述摄像头22-1周边的所述防护罩20和所述管体5-3不会被刮花或损伤,更好地保证临床使用过程中的观察效果。, The direct-viewing abortion and curettage device 100 also includes a protective sleeve 10. The protective cover 10 is arranged at the front end 5-1 of the operating rod 5, which can protect the protective cover 20 and the tube body 5-3 around the camera 22-1 during transportation and storage. Scratched or damaged, to better ensure the observation effect during clinical use.
参考图10,所述术中超声监控装置200的探头201外部可以设有隔离套201-1。所述隔离套201-1可以是灭菌后一次性使用的保护套,从而保证临床使用的安全、卫生。10, the probe 201 of the intraoperative ultrasound monitoring device 200 may be provided with an isolation sleeve 201-1 outside. The isolation sleeve 201-1 may be a disposable protective sleeve after sterilization, so as to ensure the safety and hygiene of clinical use.
所述术中超声监控装置200还含探头固定装置202。所述探头固定装置202能将所述探头201固定,临床手术过程中应用保证超声监控过程效果的稳定性。The intraoperative ultrasound monitoring device 200 also includes a probe fixing device 202. The probe fixing device 202 can fix the probe 201, and it is used to ensure the stability of the effect of the ultrasound monitoring process during the clinical operation.
参考图1,本实施例中,所述探头固定装置202设置在扩阴器203上,所述扩阴器203的下鸭嘴构成所述探头固定装置202。所述探头201可以通过所述探头固定装置202固定在所述扩阴器203上,所述扩阴器203同时可以对阴道进行扩张,方便所述直视人流刮宫装置100的诊刮器11经阴道进入子宫。Referring to FIG. 1, in this embodiment, the probe fixing device 202 is arranged on the vaginal expander 203, and the lower duckbill of the vaginal expander 203 constitutes the probe fixing device 202. The probe 201 can be fixed on the vaginal expander 203 by the probe fixing device 202, and the vaginal expander 203 can expand the vagina at the same time, so that the curettage 11 of the direct-view flow and curettage device 100 can be easily passed through. The vagina enters the uterus.
本实施例中,所述显示系统102含2个显示器102-1;所述直视人流刮宫装置100采 集的局部视频数据和所述术中超声监控装置200采集的整体影像数据分别在2个所述显示器102-1上显示。分别显示的设计可以使得临床过程中,不同岗位的医护人员可以根据需要看不同的显示器上的信息,临床使用更加灵活。In this embodiment, the display system 102 includes two displays 102-1; the partial video data collected by the direct-viewing flow and curettage device 100 and the overall image data collected by the intraoperative ultrasound monitoring device 200 are respectively located in two places. This is displayed on the display 102-1. The design of separate display enables medical staff in different positions to view the information on different displays according to their needs during the clinical process, making clinical use more flexible.
实际应用中,所述直视人流刮宫装置100采集的局部视频数据和所述术中超声监控装置200采集的整体影像数据也可以同步在1个所述显示器102-1上显示,便于临床中进行同步观察。In practical applications, the local video data collected by the direct-viewing flow and curettage device 100 and the overall image data collected by the intraoperative ultrasound monitoring device 200 can also be displayed simultaneously on one of the monitors 102-1, which is convenient for clinical practice. Simultaneous observation.
参考图12,临床使用时,将所述吸引出口42与医院的负压吸引器或医用专用负压源的负压管连接,开启所述电源系统104,所述直视人流刮宫系统900开始工作,所述观察机构2启动,所述观察机构2采集的视频信号经所述图像处理系统103处理后可经有线或无线的方式传输到所述显示系统102并在所述显示系统102上进行显示。同时,固定在所述扩阴器203上的所述探头201开始工作,对子宫整体影像进行数据采集,采集的数据经所述图像处理系统103处理后也经有线或无线的方式传输到所述显示系统102并在所述显示系统102上进行显示。Referring to FIG. 12, in clinical use, connect the suction outlet 42 to a hospital negative pressure suction device or a negative pressure tube of a medical negative pressure source, turn on the power supply system 104, and the direct view abortion and curettage system 900 starts to work , The observation mechanism 2 is activated, and the video signal collected by the observation mechanism 2 is processed by the image processing system 103 and can be transmitted to the display system 102 in a wired or wireless manner and displayed on the display system 102 . At the same time, the probe 201 fixed on the vaginal expander 203 starts to work to collect data on the whole image of the uterus. The collected data is processed by the image processing system 103 and then transmitted to the uterus in a wired or wireless manner. The display system 102 is displayed on the display system 102.
在所述摄像头22-1的观察下,将所述直视人流刮宫工作100沿阴道,经宫颈口进入子宫内,找到着床的胚胎组织,然后用所述刮宫机构1的诊刮器11将着床的胚胎组织从子宫上剥离,打开所述负压吸引器105或医用专用负压源,剥离的胚胎组织和伴随产生的血水经所述吸引出口42被吸引排出体外,直至胚胎组织被完全剥离并被吸引排出体外,并经所述术中超声监控装置200确认孕囊已被完全清理干净,即完成人流手术。Under the observation of the camera 22-1, the direct-viewing human flow and curettage work 100 is moved along the vagina and into the uterus through the cervix to find the implanted embryonic tissue, and then use the curettage 11 of the curettage mechanism 1 The implanted embryonic tissue is stripped from the uterus, and the negative pressure suction device 105 or the special negative pressure source for medical use is turned on. The stripped embryonic tissue and accompanying blood are sucked out of the body through the suction outlet 42 until the embryonic tissue is completely removed. It is stripped and sucked out of the body, and the intraoperative ultrasound monitoring device 200 confirms that the gestational sac has been completely cleaned, and the abortion operation is completed.
本发明之直视人流刮宫系统通过所述直视人流刮宫装置100和所述术中超声监控装置200的配合作用,利用所述直视人流刮宫装置100对人流手术的手术部位进行实时观察和实时视频和图像数据采集,利用所述术中超声监控装置200对子宫的整体影像数据进行采集,来进一步确认子宫内是否还有残余孕囊没有吸出,临床使用中,既可以保证手术的安全操作,又可以保证人流手术清除干净。临床应用更加安全、可靠。The direct vision flow and curettage system of the present invention uses the direct vision flow and curettage device 100 and the intraoperative ultrasound monitoring device 200 to perform real-time observation and real-time observation of the surgical site of the flow operation through the cooperation of the direct vision flow and curettage device 100 and the intraoperative ultrasound monitoring device 200 Video and image data collection. The intraoperative ultrasound monitoring device 200 is used to collect the overall image data of the uterus to further confirm whether there are residual gestational sacs in the uterus that have not been aspirated. In clinical use, the safe operation of the operation can be ensured. It can also ensure that the abortion is removed by surgery. Clinical application is safer and more reliable.
实施例2:观察方向可调的本发明之直视人流刮宫系统Embodiment 2: The direct vision flow curettage system of the present invention with adjustable viewing direction
参考图6至图8-1,本实施例与实施例1的区别在于,本实施例中,所述镜头模组22的摄像头22-1设置在所述诊刮器11的内部。Referring to FIGS. 6 to 8-1, the difference between this embodiment and Embodiment 1 is that in this embodiment, the camera 22-1 of the lens module 22 is disposed inside the diagnostic curette 11.
参考图6、图7和图8,本实施例中,所述镜头模组22的摄像头22-1设置在所述诊刮器11的内部。Referring to FIG. 6, FIG. 7 and FIG. 8, in this embodiment, the camera 22-1 of the lens module 22 is arranged inside the diagnostic curette 11.
参考图6和图6-1,所述镜头模组22的摄像头22-1的观察方向可以调整。6 and 6-1, the viewing direction of the camera 22-1 of the lens module 22 can be adjusted.
通过调节所述摄像头22-1的观察方向,可以全方位地观察所述诊刮器11的工作状态和周边的组织状况,尤其是可以快速地发现胚胎的着床位,临床使用中观察效果更全面。By adjusting the observation direction of the camera 22-1, the working state of the diagnostic curette 11 and the surrounding tissue conditions can be observed in all directions, especially the implantation position of the embryo can be quickly found, and the observation effect in clinical use is more comprehensive .
所述摄像头22-1调节观察方向的调节机构22-11设置在所述手柄52上。所述调节机构22-11设置在所述手柄52上,临床使用时在体外就可以非常方便地调节所述摄像头22-1的观察方向,操作更加简单。The adjustment mechanism 22-11 for adjusting the viewing direction of the camera 22-1 is provided on the handle 52. The adjustment mechanism 22-11 is arranged on the handle 52, and the observation direction of the camera 22-1 can be adjusted very conveniently outside the body during clinical use, and the operation is simpler.
参考图7和图7-1,本实施例中,所述诊刮器11的工作部位方向也是可以调整的。所述诊刮器11的工作部位方向可以根据需要进行调整,可以更好地适应子宫内的结构形状,尤其对于子宫角落等难清除的部位清除效果更好。Referring to Figures 7 and 7-1, in this embodiment, the direction of the working part of the diagnostic curette 11 can also be adjusted. The direction of the working part of the diagnosing curette 11 can be adjusted as required, which can better adapt to the structure and shape of the uterus, especially for the corners of the uterus and other parts that are difficult to remove.
所述诊刮器11调节工作部位方向的摆动机构11-4设置在所述手柄52上。摆动机构11-4设置在所述手柄52上,临床使用时在体外就可以非常方便地调节所述诊刮器11的工作部位的工作方向,操作更加简单。The swing mechanism 11-4 for adjusting the direction of the working part of the diagnostic curette 11 is provided on the handle 52. The swing mechanism 11-4 is arranged on the handle 52, and the working direction of the working part of the diagnostic curette 11 can be adjusted very conveniently outside the body during clinical use, and the operation is simpler.
实际应用中,临床医生可以根据需要仅调整所述摄像头22-1的观察方向或所述诊刮器11的工作部位方向,也可以同时调整所述摄像头22-1的观察方向和所述诊刮器11的工作部位方向。In practical applications, the clinician can adjust only the observation direction of the camera 22-1 or the working part direction of the diagnostic curette 11 as needed, or adjust the observation direction of the camera 22-1 and the diagnostic curettage at the same time. The direction of the working part of the device 11.
参考图8和图8-1,当同时调整所述摄像头22-1的观察方向和所述诊刮器11的工作部位方向时,所述调节机构22-11和所述摆动机构11-4可合并成一个机构设置在所述手柄52上,即通过同一个调节机构同时调节所述摄像头22-1的观察方向和所述诊刮器11的工作部位方向。8 and 8-1, when simultaneously adjusting the viewing direction of the camera 22-1 and the direction of the working part of the diagnostic curette 11, the adjustment mechanism 22-11 and the swing mechanism 11-4 can The combined mechanism is arranged on the handle 52, that is, the observation direction of the camera 22-1 and the working part direction of the diagnostic curette 11 are adjusted simultaneously through the same adjustment mechanism.
本实施例中,由于所述摄像头22-1的观察方向和所述诊刮器11的工作部位方向可以调整,临床使用中对于难以清除和观察的角落,临床使用效果更好。In this embodiment, since the observation direction of the camera 22-1 and the working part direction of the diagnostic curette 11 can be adjusted, the clinical use effect is better for corners that are difficult to clear and observe in clinical use.
实施例3:含冲洗系统的本发明之直视人流刮宫系统Example 3: The direct vision abortion and curettage system of the present invention with irrigation system
参考图10,与实施例1的区别在于,本实施例中,所述直视人流刮宫系统900还含冲洗系统106。Referring to FIG. 10, the difference from Embodiment 1 is that, in this embodiment, the direct-view abortion and curettage system 900 further includes an irrigation system 106.
参考图3和图4,本实施例中,所述直视人流刮宫装置100还含冲洗机构6。在手术过程中,所述冲洗机构6可以对子宫内部进行冲洗,可以及时将所述摄像头22-1前端的血水及时冲洗干净,保证观察视野保持清洁。同时所述冲洗机构6还能及时对所述诊刮器11和子宫壁进行冲洗,尤其是可以及时对手术部位进行冲洗,从而及时观察胚胎组织是否已经被完全从着床位被清除,保证人流手术过程胚胎组织的完全,有效避免人流不全的情况发生,临床手术过程更加安全。Referring to FIGS. 3 and 4, in this embodiment, the direct-viewing abortion and curettage device 100 further includes a flushing mechanism 6. During the operation, the flushing mechanism 6 can flush the inside of the uterus, and can flush the blood at the front end of the camera 22-1 in time to ensure that the observation field is kept clean. At the same time, the flushing mechanism 6 can also flush the diagnostic curette 11 and the uterine wall in time, especially the surgical site can be flushed in time, so as to observe whether the embryonic tissue has been completely removed from the implantation position in time to ensure abortion surgery The process of embryo tissue is complete, effectively avoiding the occurrence of incomplete abortion, and the clinical operation process is safer.
所述操作杆5的管体5-3是三腔管;第1个腔管内设置有所述电路3,第2个腔管构成或设有所述负压吸引机构4的吸引通道43,第3个构成或设有冲洗机构6的进水管道63。三腔通道的设计,在保证所述电路3被隔离保护的同时,可以将冲洗通道和吸引通道分离,这样可以更好地保证在冲洗的过程中不会有吸出的组织或液体回到子宫内,使用过 程更加高效、安全。The tube body 5-3 of the operating rod 5 is a three-lumen tube; the first lumen is provided with the circuit 3, the second lumen constitutes or is provided with the suction channel 43 of the negative pressure suction mechanism 4. Three water inlet pipes 63 constituting or provided with a flushing mechanism 6. The design of the three-chamber channel can separate the flushing channel and the suction channel while ensuring that the circuit 3 is isolated and protected, so that it can better ensure that no tissue or liquid sucked back into the uterus during the flushing process , The use process is more efficient and safer.
所述冲洗机构6的出水口61至少有一个出水口61喷出的水能冲洗和清洁所述观察模块2的防护罩20。所述冲洗机构6能及时对所述观察机构2的防护罩20进行冲洗,从而保证所述观察机构2的观察效果。The water outlet 61 of the flushing mechanism 6 has at least one water outlet 61 that can flush and clean the protective cover 20 of the observation module 2. The flushing mechanism 6 can flush the protective cover 20 of the observation mechanism 2 in time, so as to ensure the observation effect of the observation mechanism 2.
本实施例中,所述冲洗机构6设有控制冲洗水流的冲水开关64。所述冲水开关64可以开启和关闭所述冲洗机构6,并可以控制冲洗水流的水量大小和冲洗压力。临床使用过程中,临床医生可以根据手术过程的实际需要开启或关闭所述冲洗机构6,同时根据需要选择合适的冲洗水流的大小和压力,临床使用过程更加方便。In this embodiment, the flushing mechanism 6 is provided with a flushing switch 64 for controlling the flow of flushing water. The flushing switch 64 can open and close the flushing mechanism 6, and can control the water volume and flushing pressure of the flushing water stream. During clinical use, the clinician can open or close the flushing mechanism 6 according to the actual needs of the surgical process, and at the same time select the appropriate size and pressure of the flushing water flow according to the needs, so that the clinical use process is more convenient.
所述冲水开关64设在所述操作杆5的手柄52上。所述冲水开关64设置在所述手柄52上,临床使用时医护人员可以实现单手操作,使用过程更加方便。The flush switch 64 is provided on the handle 52 of the operating rod 5. The flush switch 64 is arranged on the handle 52, and medical staff can realize one-handed operation during clinical use, and the use process is more convenient.
所述冲洗系统106的进水口106-1通过水管106-4与输液瓶或袋7连接,所述冲洗系统106的出水口106-2通过水管106-4与所述直视人流刮宫装置100的冲洗机构6的进水口62相连接。所述冲洗系统106可以在手术过程中及时对所述带电子保护机构的直视人流刮宫装置100和周边组织进行冲洗,保证观察视野保持清洁的同时可以及时对手术部位进行冲洗,从而及时观察胚胎组织是否已经被完全从着床位被清除,保证人流手术过程胚胎组织的完全,有效避免人流不全的情况发生,临床手术过程更加安全。The water inlet 106-1 of the flushing system 106 is connected to the infusion bottle or bag 7 through a water pipe 106-4, and the water outlet 106-2 of the flushing system 106 is connected to the direct-viewing uterine curettage device 100 through a water pipe 106-4. The water inlet 62 of the flushing mechanism 6 is connected. The flushing system 106 can flush the direct-view human flow curettage device with electronic protection mechanism 100 and the surrounding tissues in time during the operation to ensure that the observation field is kept clean and the surgical site can be flushed in time, so as to observe the embryos in time. Whether the tissue has been completely removed from the implantation position to ensure the completeness of the embryonic tissue during the abortion operation, effectively avoid the occurrence of incomplete abortion, and make the clinical operation process safer.
参考图10,所述冲洗系统106采用蠕动泵106-3驱动。所述蠕动泵106-3可以更精确地控制进水的流量和速度。当然实际应用中,本领域的技术人员还可以采取不同的驱动装置来驱动所述冲洗系统106,都并不脱离本申请的保护范围。10, the flushing system 106 is driven by a peristaltic pump 106-3. The peristaltic pump 106-3 can more accurately control the flow rate and speed of the inlet water. Of course, in practical applications, those skilled in the art can also adopt different driving devices to drive the flushing system 106, all of which do not deviate from the protection scope of the present application.
本实施例中,所述冲洗系统106可以在手术过程中及时对所述直视人流刮宫装置100和周边组织进行冲洗,保证观察视野保持清洁的同时可以及时对手术部位进行冲洗,临床使用更加安全。In this embodiment, the flushing system 106 can flush the direct-view abortion and curettage device 100 and surrounding tissues in time during the operation, ensuring that the observation field is kept clean and the surgical site can be flushed in time, making clinical use safer .
实施例4:含负压吸引器的本发明之直视人流刮宫系统Example 4: Direct-view abortion and curettage system of the present invention with negative pressure aspirator
参考图11,本实施例之直视人流刮宫系统与实施例3的不同在于,本实施例中,所述直视人流刮宫系统900还含负压吸引器105。Referring to FIG. 11, the difference between the direct-view human flow and curettage system of this embodiment and the third embodiment is that, in this embodiment, the direct-view human flow and curettage system 900 further includes a negative pressure suction device 105.
本实施例中,所述带直视人流刮宫装置100的负压吸引机构4的吸引出口42与所述负压吸引器105连接;所述冲洗系统106的进水口106-1通过管道7-1与输液瓶或袋7连接,所述冲洗系统106的出水口106-2通过管道7-1与所述冲洗机构6的进水口62相连接。In this embodiment, the suction outlet 42 of the negative pressure suction mechanism 4 of the direct-view flow and curettage device 100 is connected to the negative pressure suction device 105; the water inlet 106-1 of the flushing system 106 passes through the pipe 7-1 Connected to the infusion bottle or bag 7, the water outlet 106-2 of the flushing system 106 is connected to the water inlet 62 of the flushing mechanism 6 through a pipe 7-1.
临床使用时,将所述负压吸引机构4的吸引出口42与所述负压吸引器105,手术过程 中,所述负压吸引器105即可将手术中剥离的组织和产生的血水持续吸引排出体外。In clinical use, connect the suction outlet 42 of the negative pressure suction mechanism 4 and the negative pressure suction device 105. During the operation, the negative pressure suction device 105 can continuously suck the tissues and blood produced during the operation. Excreted from the body.
本实施例之带冲洗机构的直视人流刮宫系统自身含有所述负压吸引器105和冲洗系统106,将负压吸引功能和冲洗功能整合到一台设备上,只要一台设备就能完成直视人流的全手术过程,不需要依赖外部负压源和外部冲洗系统,大大减少了外部环境对手术过程的限制和影响,适用范围非常广泛。The direct-view human flow curettage system with flushing mechanism of this embodiment itself contains the negative pressure suction device 105 and flushing system 106, which integrates the negative pressure suction function and the flushing function into one device, and only one device can complete the straight Depending on the flow of the entire surgical process, there is no need to rely on an external negative pressure source and an external flushing system, which greatly reduces the restriction and influence of the external environment on the surgical process, and the scope of application is very wide.
应该注意,本文中公开和说明的结构可以用其它效果相同的结构代替,同时本发明所介绍的实施例并非实现本发明的唯一结构。虽然本发明的优先实施例已在本文中予以介绍和说明,但本领域内的技术人员都清楚知道这些实施例不过是举例说明而己,本领域内的技术人员可以做出无数的变化、改进和代替,而不会脱离本发明,因此,应按照本发明所附的权利要求书的精神和范围来的界定本发明的保护范围。It should be noted that the structures disclosed and described herein can be replaced with other structures with the same effect, and the embodiments described in the present invention are not the only structure for realizing the present invention. Although the preferred embodiments of the present invention have been introduced and illustrated in this article, those skilled in the art know that these embodiments are only examples, and those skilled in the art can make numerous changes and improvements. And instead of without departing from the present invention, therefore, the protection scope of the present invention should be defined in accordance with the spirit and scope of the appended claims of the present invention.

Claims (35)

  1. 直视人流刮宫系统,其特征在于:所述直视人流刮宫系统(900)含直视人流刮宫装置(100)、术中超声监控装置(200)、显示系统(102)、图像处理系统(103)、电源系统(104)和线路系统(107);The direct vision flow and curettage system is characterized in that: the direct vision flow and curettage system (900) includes a direct vision flow and curettage device (100), an intraoperative ultrasound monitoring device (200), a display system (102), and an image processing system (103) ), power supply system (104) and wiring system (107);
    A、所述显示系统(102)至少含1个显示器(102-1);所述线路系统(107)含电路(3)和信号传输线(3-1);A. The display system (102) includes at least one display (102-1); the wiring system (107) includes a circuit (3) and a signal transmission line (3-1);
    B、所述直视人流刮宫装置(100)采集的视频数据经所述图像处理系统(103)处理后经所述信号传输线(3-1)输出在所述显示器(102-1)上显示;B. The video data collected by the direct-viewing flow and curettage device (100) is processed by the image processing system (103) and then output through the signal transmission line (3-1) and displayed on the display (102-1);
    C、所述术中超声监控装置(200)至少含1个探头(201),所述探头(201)检测到的信号经所述图像处理系统(103)处理后经所述信号传输线(3-1)输出在所述显示器(102-1)上显示;C. The intraoperative ultrasound monitoring device (200) contains at least one probe (201), and the signal detected by the probe (201) is processed by the image processing system (103) and then passed through the signal transmission line (3- 1) The output is displayed on the display (102-1);
    D、所述直视人流刮宫装置(100)、所述术中超声监控装置(200)、所述显示系统(102)、和所述图像处理系统(103)经所述电路(3)和所述电源系统(104)连接;D. The direct-view flow and curettage device (100), the intraoperative ultrasound monitoring device (200), the display system (102), and the image processing system (103) pass through the circuit (3) and the The power supply system (104) connection;
    E、所述直视人流刮宫装置(100)采集人流术中的手术部位的视频数据,所述术中超声监控装置(200)采集子宫的整体影像数据;所述直视人流刮宫装置(100)采集的局部视频数据和所述术中超声监控装置(200)采集的整体影像数据可以使得在人流术中既可以实时观察手术部位的术中情况,又可以通过整体影像数据判断人流手术是否完全将孕囊吸出。E. The direct-view abortion and curettage device (100) collects video data of the surgical site during abortion, the intraoperative ultrasound monitoring device (200) collects overall image data of the uterus; the direct-view abortion and curettage device (100) The collected local video data and the overall image data collected by the intraoperative ultrasound monitoring device (200) can make it possible to observe the intraoperative condition of the surgical site in real time during the abortion operation, and to judge whether the abortion operation is completely affected by the overall image data. The gestational sac is sucked out.
  2. 根据权利要求1所述直视人流刮宫系统,其特征在于:所述直视人流刮宫装置(100)含刮宫机构(1)、观察模块(2)、线路系统(107)、负压吸引机构(4)和操作杆(5);The direct-view flow and curettage system according to claim 1, characterized in that: the direct-view flow and curettage device (100) includes a curettage mechanism (1), an observation module (2), a wiring system (107), and a negative pressure suction mechanism ( 4) and the operating lever (5);
    A、所述观察模块(2)含照明模块(21)、镜头模组(22);所述照明模块(21)和所述镜头模组(22)设在所述操作杆(5)的前端,安装在防护罩(20)内;所述镜头模组(22)所观察到的图像和视频经过所述线路系统(107)的信号传输线(3-1)输入所述图像处理系统(103)进行处理后,由所述信号传输线(3-1)输出;所述观察模块(2)经所述线路系统(107)的电路(3)和所述电源系统(104)连接;A. The observation module (2) includes an illumination module (21) and a lens module (22); the illumination module (21) and the lens module (22) are arranged at the front end of the operating lever (5) , Installed in the protective cover (20); the image and video observed by the lens module (22) are input into the image processing system (103) through the signal transmission line (3-1) of the line system (107) After processing, it is output by the signal transmission line (3-1); the observation module (2) is connected to the power supply system (104) via the circuit (3) of the line system (107);
    B、所述刮宫机构(1)上含至少1个诊刮器(11),所述诊刮器(11)设在所述操作杆(5)的前端;B. The curettage mechanism (1) contains at least one diagnosing curette (11), and the diagnosing curette (11) is arranged at the front end of the operating rod (5);
    C、所述负压吸引机构(4)含吸引入口(41)、吸引出口(42)及吸引通道(43);所述引入口(41)设在所述操作杆(5)的前端;所述吸引出口(42)设在所述操作杆(5) 的后端,所述吸引通道(43)设在所述操作杆(5)内;C. The negative pressure suction mechanism (4) includes a suction inlet (41), a suction outlet (42) and a suction channel (43); the introduction port (41) is provided at the front end of the operating rod (5); The suction outlet (42) is provided at the rear end of the operating rod (5), and the suction channel (43) is provided in the operating rod (5);
    D、所述操作杆(5)的后端(5-2)设有手柄(52);所述操作杆(5)的前端(5-1)设有观察模块(2)及刮宫机构(1);所述操作杆(5)的管体(5-3)内含有所述线路系统(107)及负压吸引机构(4);所述手柄(52)内设有所述图像处理系统(103)。D. The rear end (5-2) of the operating rod (5) is provided with a handle (52); the front end (5-1) of the operating rod (5) is provided with an observation module (2) and a curettage mechanism (1) ); The pipe body (5-3) of the operating rod (5) contains the wiring system (107) and the negative pressure suction mechanism (4); the handle (52) is provided with the image processing system ( 103).
  3. 根据权利要求2所述直视人流刮宫系统,其特征在于:所述镜头模组(22)的摄像头(22-1)设置在所述诊刮器(11)的后端,所述诊刮器(11)位于所述摄像头(22-1)的视野内。The direct-view human flow and curettage system according to claim 2, characterized in that: the camera (22-1) of the lens module (22) is arranged at the rear end of the diagnostic curette (11), and the diagnostic curette (11) Located in the field of view of the camera (22-1).
  4. 根据权利要求2所述直视人流刮宫系统,其特征在于:所述诊刮器(11)是刮网(11-3)。The direct vision flow and curettage system according to claim 2, characterized in that: the diagnostic curette (11) is a scraper (11-3).
  5. 根据权利要求4所述直视人流刮宫系统,其特征在于:所述刮宫机构(1)的诊刮器(11)的刮网(11-3)能压缩在外鞘管(5-0)内;所述刮网(11-3)从所述外鞘管(5-0)释放膨胀后可以撑开子宫,扩大观察视野。The direct vision flow and curettage system according to claim 4, characterized in that: the scraping net (11-3) of the diagnosing curette (11) of the curettage mechanism (1) can be compressed in the outer sheath (5-0); After the scraping net (11-3) is released and expanded from the outer sheath (5-0), the uterus can be opened and the observation field can be enlarged.
  6. 根据权利要求2所述直视人流刮宫系统,其特征在于:所述镜头模组(22)的摄像头(22-1)设置在所述诊刮器(11)的前端。The direct-view human flow curettage system according to claim 2, characterized in that the camera (22-1) of the lens module (22) is arranged at the front end of the diagnostic curette (11).
  7. 根据权利要求2所述直视人流刮宫系统,其特征在于:所述镜头模组(22)的摄像头(22-1)设置在所述诊刮器(11)的内部。The direct-view human flow curettage system according to claim 2, characterized in that the camera (22-1) of the lens module (22) is arranged inside the diagnostic curette (11).
  8. 根据权利要求2所述直视人流刮宫系统,其特征在于:所述镜头模组(22)的摄像头(22-1)的观察方向可以调整。The direct-view human flow and curettage system according to claim 2, characterized in that the viewing direction of the camera (22-1) of the lens module (22) can be adjusted.
  9. 根据权利要求8所述直视人流刮宫系统,其特征在于:所述摄像头(22-1)调节观察方向的调节机构(22-11)设置在所述手柄(52)上。The direct-viewing flow and curettage system according to claim 8, characterized in that the adjustment mechanism (22-11) for adjusting the viewing direction of the camera (22-1) is provided on the handle (52).
  10. 根据权利要求2所述直视人流刮宫系统,其特征在于:所述诊刮器(11)的工作部位方向可以调整。The direct vision flow and curettage system according to claim 2, characterized in that the direction of the working part of the diagnostic curette (11) can be adjusted.
  11. 根据权利要求10所述直视人流刮宫系统,其特征在于:所述诊刮器(11)调节工作部位方向的摆动机构(11-4)设置在所述手柄(52)上。The direct-view flow and curettage system according to claim 10, characterized in that: the swing mechanism (11-4) for adjusting the direction of the working part of the diagnostic curette (11) is provided on the handle (52).
  12. 根据权利要求2所述直视人流刮宫系统,其特征在于:所述镜头模组(22)的摄像头(22-1)的观察方向和所述诊刮器(11)的工作部位方向可以同时进行调整。The direct-viewing flow and curettage system according to claim 2, characterized in that: the observation direction of the camera (22-1) of the lens module (22) and the working part direction of the diagnostic curette (11) can be performed at the same time Adjustment.
  13. 根据权利要求2所述直视人流刮宫系统,其特征在于:所述操作杆(5)的管体(5-3)至少含2个腔道;第1个腔管内设置有所述电路(3),第2个腔管构成或设有所述负压吸引机构(4)的吸引通道(43)。The direct-viewing abortion and curettage system according to claim 2, characterized in that: the tube body (5-3) of the operating rod (5) contains at least two cavities; the first cavity is provided with the circuit (3) ), the second lumen constitutes or is provided with the suction channel (43) of the negative pressure suction mechanism (4).
  14. 根据权利要求2所述直视人流刮宫系统,其特征在于:所述直视人流刮宫装置(100)还含冲洗机构(6)。The direct-view flow and curettage system according to claim 2, characterized in that: the direct-view flow and curettage device (100) further comprises a flushing mechanism (6).
  15. 根据权利要求14所述直视人流刮宫系统,其特征在于:所述操作杆(5)的管体(5-3)是三腔管;第1个腔管内设置有所述电路(3),第2个腔管构成或设有所述负压吸引机构(4)的吸引通道(43),第3个构成或设有冲洗机构(6)的进水管道(63)。The direct-view abortion and curettage system according to claim 14, characterized in that: the tube body (5-3) of the operating rod (5) is a three-lumen tube; the circuit (3) is provided in the first lumen, The second lumen constitutes or is provided with the suction channel (43) of the negative pressure suction mechanism (4), and the third one constitutes or is provided with the water inlet pipe (63) of the flushing mechanism (6).
  16. 根据权利要求14所述直视人流刮宫系统,其特征在于:所述带电子保护机构的直视人流刮宫装置(100)的冲洗机构(6)的出水口(61)至少有一个出水口(61)喷出的水能冲洗和清洁所述观察模块(2)的防护罩(20)。The direct-view human flow and curettage system according to claim 14, characterized in that: the water outlet (61) of the washing mechanism (6) of the direct-view human flow and curettage device (100) with an electronic protection mechanism has at least one water outlet (61) ) The sprayed water can flush and clean the protective cover (20) of the observation module (2).
  17. 根据权利要求14所述直视人流刮宫系统,其特征在于:所述冲洗机构(6)设有控制冲洗水流的冲水开关(64)。The direct view flow and curettage system according to claim 14, wherein the washing mechanism (6) is provided with a flush switch (64) for controlling the flow of washing water.
  18. 根据权利要求17所述直视人流刮宫系统,其特征在于:所述冲水开关(64)设在所述操作杆(5)的手柄(52)上。The direct-view human flow and curettage system according to claim 17, characterized in that the flush switch (64) is arranged on the handle (52) of the operating rod (5).
  19. 根据权利要求2所述直视人流刮宫系统,其特征在于:所述负压吸引机构(4)设有能控制负压状态的负压控制开关(44)。The direct-view flow and curettage system according to claim 2, characterized in that the negative pressure suction mechanism (4) is provided with a negative pressure control switch (44) capable of controlling the negative pressure state.
  20. 根据权利要求19所述直视人流刮宫系统,其特征在于:所述负压控制开关(44)设所述操作杆(5)的手柄(52)上。The direct-view human flow and curettage system according to claim 19, characterized in that the negative pressure control switch (44) is provided on the handle (52) of the operating rod (5).
  21. 根据权利要求2所述直视人流刮宫系统,其特征在于:所述观察机构(2)的防护罩(20)上设有涂层。The direct-viewing flow and curettage system according to claim 2, characterized in that: the protective cover (20) of the observation mechanism (2) is provided with a coating.
  22. 根据权利要求1所述直视人流刮宫系统,其特征在于:述电路(3)设有与主机向连接的电接口(31)。The direct-view flow and curettage system according to claim 1, wherein the circuit (3) is provided with an electrical interface (31) connected to the host computer.
  23. 根据权利要求2所述直视人流刮宫系统,其特征在于:所述直视人流刮宫装置(100)含电子保护机构(30);所述电子保护机构(30)设置在所述观察模块(2)和/或所述电路(3)的外部,对所述观察模块(2)和/或所述电路(3)的电子元器件进行防水、防气、绝缘保护。。The direct-view human flow and curettage system according to claim 2, characterized in that: the direct-view human flow and curettage device (100) includes an electronic protection mechanism (30); the electronic protection mechanism (30) is set in the observation module (2). ) And/or the outside of the circuit (3), the electronic components of the observation module (2) and/or the circuit (3) are protected against water, gas and insulation. .
  24. 根据权利要求23所述直视人流刮宫系统,其特征在于:所述电子保护机构(30)是设置在所述照明模块(21)和所述镜头模组(22)周边的防护机构(30-1)、或是设置在所述电路(3)外部的绝缘保护层(30-2)、或是设置在手柄(52)内保护所述图像处理系统(103)的绝缘胶层(30-3)。The direct-view human flow and curettage system according to claim 23, characterized in that: the electronic protection mechanism (30) is a protection mechanism (30-) arranged around the illumination module (21) and the lens module (22). 1), or an insulating protective layer (30-2) arranged outside the circuit (3), or an insulating adhesive layer (30-3) arranged in the handle (52) to protect the image processing system (103) ).
  25. 根据权利要求24所述直视人流刮宫系统,其特征在于:所述手柄(52)内设有容胶槽(52-1),所述图像处理系统(103)设置在所述容胶槽(52-1)内,所述绝缘胶层(30-3)灌注在所述容胶槽(52-1)内对所述图像处理系统(103)进行保护。The direct-view human flow curettage system according to claim 24, characterized in that: the handle (52) is provided with a glue container (52-1), and the image processing system (103) is arranged in the glue container (52-1). In 52-1), the insulating glue layer (30-3) is poured into the glue container (52-1) to protect the image processing system (103).
  26. 根据权利要求2所述直视人流刮宫系统,其特征在于:所述直视人流刮宫装置(100)还含标识系统(8)。The direct-view flow and curettage system according to claim 2, characterized in that the direct-view flow and curettage device (100) further comprises an identification system (8).
  27. 根据权利要求2所述直视人流刮宫系统,其特征在于:所述直视人流刮宫装置(100)还含保护套(10)。The direct-view flow and curettage system according to claim 2, wherein the direct-view flow and curettage device (100) further comprises a protective cover (10).
  28. 根据权利要求1所述直视人流刮宫系统,其特征在于:所述术中超声监控装置(200)的探头(201)外部设有隔离套(201-1)。The direct-view flow and curettage system according to claim 1, characterized in that the probe (201) of the intraoperative ultrasound monitoring device (200) is provided with an isolation sleeve (201-1) outside.
  29. 根据权利要求1所述直视人流刮宫系统,其特征在于:所述术中超声监控装置(200)还含探头固定装置(202)。The direct vision flow and curettage system according to claim 1, characterized in that: the intraoperative ultrasound monitoring device (200) further comprises a probe fixing device (202).
  30. 根据权利要求29所述直视人流刮宫系统,其特征在于:所述探头固定装置(202)设置在扩阴器(203)上。The direct-view flow and curettage system according to claim 29, wherein the probe fixing device (202) is arranged on the vaginal dilator (203).
  31. 根据权利要求1所述直视人流刮宫系统,其特征在于:所述显示系统(102)含2个显示器(102-1);所述直视人流刮宫装置(100)采集的局部视频数据和所述术中超声监控装置(200)采集的整体影像数据分别在2个所述显示器(102-1)上显示。The direct-view human flow and curettage system according to claim 1, characterized in that: the display system (102) contains two displays (102-1); the partial video data collected by the direct-view human flow and curettage device (100) and the The overall image data collected by the intraoperative ultrasound monitoring device (200) are respectively displayed on the two displays (102-1).
  32. 根据权利要求1所述直视人流刮宫系统,其特征在于:所述显示系统(102)含1个显示器(102-1);所述直视人流刮宫装置(100)采集的局部视频数据和所述术中超声监控装置(200)采集的整体影像数据同步在1个所述显示器(102-1)上显示。The direct-view human flow and curettage system according to claim 1, characterized in that: the display system (102) includes a display (102-1); the partial video data collected by the direct-view human flow and curettage device (100) and all The overall image data collected by the intraoperative ultrasound monitoring device (200) is synchronously displayed on one of the displays (102-1).
  33. 根据权利要求1所述直视人流刮宫系统,其特征在于:所述直视人流刮宫系统(900)还含冲洗系统(106);所述冲洗系统(106)的进水口(106-1)通过水管(106-4)与输液瓶或袋(7)连接,所述冲洗系统(106)的出水口(106-2)通过水管(106-4)与所述直视人流刮宫装置(100)的冲洗机构(6)的进水口(62)相连接。The direct-view flow and curettage system according to claim 1, characterized in that: the direct-view flow and curettage system (900) further includes a flushing system (106); the water inlet (106-1) of the flushing system (106) passes The water pipe (106-4) is connected with the infusion bottle or bag (7), and the water outlet (106-2) of the flushing system (106) is connected to the direct-viewing uterine flow and curettage device (100) through the water pipe (106-4) The water inlet (62) of the flushing mechanism (6) is connected.
  34. 根据权利要求33所述直视人流刮宫系统,其特征在于:所述冲洗系统(106)采用蠕动泵(106-3)驱动。The direct vision flow and curettage system according to claim 33, wherein the irrigation system (106) is driven by a peristaltic pump (106-3).
  35. 根据权利要求1所述直视人流刮宫系统,其特征在于:所述直视人流刮宫系统(900)还含负压吸引器(105);所述直视人流刮宫装置(100)的负压吸引机构(4)的吸引出口(42)与所述负压吸引器(105)连接。The direct-view flow and curettage system according to claim 1, characterized in that: the direct-view flow and curettage system (900) further comprises a negative pressure suction device (105); the negative pressure suction of the direct-view flow and curettage device (100) The suction outlet (42) of the mechanism (4) is connected with the negative pressure suction device (105).
PCT/CN2020/127617 2019-12-31 2020-11-09 Direct-viewing induced abortion uterine curettage system WO2021135651A1 (en)

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