WO2021135651A1 - Direct-viewing induced abortion uterine curettage system - Google Patents
Direct-viewing induced abortion uterine curettage system Download PDFInfo
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- 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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- curettage
- flow
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- negative pressure
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/42—Gynaecological or obstetrical instruments or methods
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, 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
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B90/361—Image-producing devices, e.g. surgical cameras
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B2017/320004—Surgical cutting instruments abrasive
- A61B2017/320008—Scrapers
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/42—Gynaecological or obstetrical instruments or methods
- A61B2017/4216—Operations on uterus, e.g. endometrium
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, 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
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B90/361—Image-producing devices, e.g. surgical cameras
- A61B2090/3612—Image-producing devices, e.g. surgical cameras with images taken automatically
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2217/00—General characteristics of surgical instruments
- A61B2217/002—Auxiliary appliance
- A61B2217/005—Auxiliary appliance with suction drainage system
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2217/00—General characteristics of surgical instruments
- A61B2217/002—Auxiliary appliance
- A61B2217/007—Auxiliary 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
Description
Claims (35)
- 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.
- 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).
- 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).
- 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).
- 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.
- 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).
- 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).
- 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.
- 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).
- 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.
- 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).
- 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.
- 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).
- 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).
- 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).
- 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).
- 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.
- 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).
- 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.
- 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).
- 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.
- 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.
- 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. .
- 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) ).
- 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).
- 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).
- 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).
- 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.
- 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).
- 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).
- 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).
- 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).
- 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.
- 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).
- 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).
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CN116687534A (en) * | 2023-08-02 | 2023-09-05 | 新光维医疗科技(苏州)股份有限公司 | Insertion assembly and endoscope |
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CN202776500U (en) * | 2012-07-09 | 2013-03-13 | 珠海康莱福医用科技有限公司 | Visual abortion operation equipment |
US20150005577A1 (en) * | 2013-06-28 | 2015-01-01 | Martin Sabado | Myoma/Polyp In-Office Treatment with Lasers |
CN207855762U (en) * | 2017-06-02 | 2018-09-14 | 郑州大学第三附属医院 | A kind of gyniatrics uterine curettage device |
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- 2019-12-31 CN CN201911426041.6A patent/CN113116482A/en active Pending
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2020
- 2020-11-09 WO PCT/CN2020/127617 patent/WO2021135651A1/en active Application Filing
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CN201790883U (en) * | 2010-04-09 | 2011-04-13 | 无锡中大影像科技有限公司 | Numerical control superconduction visual gynecological surgical apparatus |
CN202288422U (en) * | 2011-10-28 | 2012-07-04 | 刘桐言 | Novel uterine curettage device |
CN202776500U (en) * | 2012-07-09 | 2013-03-13 | 珠海康莱福医用科技有限公司 | Visual abortion operation equipment |
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Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
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CN114504367A (en) * | 2022-03-07 | 2022-05-17 | 上海宇度医学科技股份有限公司 | Visual suction device |
CN116687534A (en) * | 2023-08-02 | 2023-09-05 | 新光维医疗科技(苏州)股份有限公司 | Insertion assembly and endoscope |
CN116687534B (en) * | 2023-08-02 | 2023-11-07 | 新光维医疗科技(苏州)股份有限公司 | Insertion assembly and endoscope |
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