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CN105310753B - A kind of simple act palace device - Google Patents

A kind of simple act palace device Download PDF

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Publication number
CN105310753B
CN105310753B CN201510742389.1A CN201510742389A CN105310753B CN 105310753 B CN105310753 B CN 105310753B CN 201510742389 A CN201510742389 A CN 201510742389A CN 105310753 B CN105310753 B CN 105310753B
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push
pull rod
rod body
rod
inner cavity
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CN105310753A (en
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肖松舒
薛敏
张梦茹
贺斯黎
田畦
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Third Xiangya Hospital of Central South University
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Third Xiangya Hospital of Central South University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/42Gynaecological or obstetrical instruments or methods
    • A61B17/4241Instruments for manoeuvring or retracting the uterus, e.g. during laparoscopic surgery

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Medical Informatics (AREA)
  • Reproductive Health (AREA)
  • Pregnancy & Childbirth (AREA)
  • Engineering & Computer Science (AREA)
  • Gynecology & Obstetrics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

本发明涉及医疗器械,具体说是一种简易举宫装置,包括中空杆体,杆体内腔设置有可沿杆体轴向移动的中空推拉杆,该推拉杆上端连接有至少一个可伸出杆体上端内腔的举爪,在杆体下端内腔设置有控制开关,在推拉杆内腔上壁与控制开关之间设置有弹簧;所述控制开关卡紧推拉杆下端时,弹簧被压缩,所述举爪缩入杆体上端内腔;控制开关脱离推拉杆下端时,在弹簧弹力作用下,推拉杆推动举爪伸出杆体上端内腔。本发明通过控制开关脱离推拉杆下端,可使举爪自动伸出杆体内腔;而通过旋转转轴可将拉绳缠绕在转轴上,可使举爪缩入杆体内腔,从而避免子宫穿孔带来的危害。

The present invention relates to a medical instrument, in particular a simple uterine lifting device, comprising a hollow rod body, a hollow push-pull rod that can move axially along the rod body is arranged in the cavity of the rod body. The lifting claw of the cavity is provided with a control switch in the inner cavity of the lower end of the rod body, and a spring is arranged between the upper wall of the inner cavity of the push-pull rod and the control switch; when the control switch clamps the lower end of the push-pull rod, the spring is compressed, and the lifting claw retracted into the inner cavity of the upper end of the rod body; when the control switch is disengaged from the lower end of the push-pull rod, under the action of spring force, the push-pull rod pushes the lifting claw to extend out of the inner cavity of the upper end of the rod body. The present invention separates the lower end of the push-pull rod by controlling the switch, so that the lifting claw can automatically extend out of the inner cavity of the rod; and by rotating the rotating shaft, the pull rope can be wound on the rotating shaft, so that the lifting claw can be retracted into the inner cavity of the rod, thereby avoiding the uterine perforation. hazards.

Description

一种简易举宫装置A simple lifting device

技术领域technical field

本发明涉及医疗器械领域,具体说是一种简易举宫装置。The invention relates to the field of medical equipment, in particular to a simple uterine lifting device.

背景技术Background technique

在妇产科进行腹腔镜下盆腔手术过程中,由于手术器械和盆腔病变部位并不总是处于适合手术的位置关系,此时就需要用到举宫器,由医务人员掌握举宫器,通过移动举宫器,使病变部位暴露到方便手术器械操作的位置。目前的简易举宫器为一夹钳结构,具有一长一短两配合用钳臂,由两钳臂将子宫唇口夹持使之不脱落,同时较长那个钳臂进入宫腔,在举宫器移动时,子宫就在较长钳臂的带动下一起移动。这种简易举宫器容易导致子宫穿孔,影响操作,甚至出现损伤周围脏器的风险。In the process of laparoscopic pelvic surgery in obstetrics and gynecology, since the surgical instruments and pelvic lesions are not always in a position suitable for surgery, a uterine lifter is needed at this time, and the uterine lifter is controlled by the medical staff. Move the uterine lifter to expose the lesion to a position convenient for operation of surgical instruments. The current simple uterine lifter is a clamp structure, with one long and one short two coordinating forceps arms. The two forceps arms clamp the uterine lip so that it does not fall off. At the same time, the longer forceps arm enters the uterine cavity. When the uterus moves, the uterus moves together under the drive of the longer forceps arms. This simple uterine lifter is likely to cause uterine perforation, affect the operation, and even cause the risk of damage to surrounding organs.

发明内容Contents of the invention

针对上述技术问题,本发明提供一种不会穿透子宫、操作方便的简易举宫装置。In view of the above technical problems, the present invention provides a simple uterine lifting device that does not penetrate the uterus and is easy to operate.

本发明解决上述技术问题所采用的技术方案为:一种简易举宫装置,包括中空杆体,杆体内腔设置有可沿杆体轴向移动的中空推拉杆,该推拉杆上端连接有至少一个可伸出杆体上端内腔的举爪,在杆体下端内腔设置有控制开关,在推拉杆内腔上壁与控制开关之间设置有弹簧;所述控制开关卡紧推拉杆下端时,弹簧被压缩,所述举爪缩入杆体上端内腔;控制开关脱离推拉杆下端时,在弹簧弹力作用下,推拉杆推动举爪伸出杆体上端内腔。The technical solution adopted by the present invention to solve the above-mentioned technical problems is: a simple uterine lifting device, which includes a hollow rod body. The lifting claw of the inner cavity of the upper end of the rod body is provided with a control switch in the inner cavity of the lower end of the rod body, and a spring is arranged between the upper wall of the inner cavity of the push-pull rod and the control switch; when the control switch clamps the lower end of the push-pull rod, the spring is compressed, The lifting claw is retracted into the inner cavity of the upper end of the rod body; when the control switch is disengaged from the lower end of the push-pull rod, under the action of spring force, the push-pull rod pushes the lifting claw to extend out of the inner cavity of the upper end of the rod body.

作为优选,所述控制开关包括径向固设在杆体内腔的底座和沿杆体轴向与底座连接的弹片,该弹片上沿轴向间隔设有两凸起,所述推拉杆上开设有一卡孔,位于上侧的凸起可卡入该卡孔,另一凸起径向连接有按钮;该按钮伸出杆体侧壁。As a preference, the control switch includes a base fixed radially in the inner cavity of the rod body and a shrapnel connected to the base along the axial direction of the rod body. The shrapnel is provided with two protrusions at intervals along the axial direction, and a card is provided on the push-pull rod. The protrusion on the upper side can be snapped into the hole, and the other protrusion is radially connected with a button; the button protrudes from the side wall of the rod body.

作为优选,所述弹簧一端与推拉杆内腔上壁固接,另一端通过拉绳与所述弹片连接。Preferably, one end of the spring is fixedly connected to the upper wall of the inner chamber of the push-pull rod, and the other end is connected to the elastic piece through a pull cord.

作为优选,在推拉杆侧壁设有开口,该开口从该推拉杆下端端面向上轴向延伸至中部,位于杆体下端的一转轴一端依次径向穿过杆体、开口伸入推拉杆内腔,所述拉绳缠绕在转轴该端,转轴另一端设置有带动转轴转动的摇柄。Preferably, an opening is provided on the side wall of the push-pull rod, and the opening extends axially from the lower end surface of the push-pull rod to the middle part, and one end of a rotating shaft located at the lower end of the rod body radially passes through the rod body sequentially, and the opening extends into the inner cavity of the push-pull rod. The stay cord is wound around the end of the rotating shaft, and the other end of the rotating shaft is provided with a rocker that drives the rotating shaft to rotate.

作为第一种优选,推拉杆上端固设有一根弧形举爪。As a first preference, an arc-shaped claw is fixed on the upper end of the push-pull rod.

作为第二种优选,推拉杆上端固设有两根弧形举爪。As a second preference, two arc-shaped lifting claws are fixed on the upper end of the push-pull rod.

进一步的,所述弧形举爪上端之间连接有弹带。Further, elastic belts are connected between the upper ends of the arc-shaped lifting claws.

作为第三中优选,推拉杆上端固设有三根弧形举爪,每两根弧形举爪上端之间连接有弹带。As a third preference, the upper end of the push-pull rod is fixed with three arc-shaped lifting claws, and an elastic belt is connected between the upper ends of every two arc-shaped lifting claws.

进一步地,在三根弹带围成的区域覆盖有弹性膜。Further, the area surrounded by the three elastic bands is covered with an elastic film.

从以上技术方案可知,本发明通过控制开关脱离推拉杆下端,可使举爪自动伸出杆体内腔;而通过旋转转轴可将拉绳缠绕在转轴上,可使举爪缩入杆体内腔,从而避免子宫穿孔带来的危害。It can be seen from the above technical solutions that the present invention can make the lifting claw automatically extend out of the inner cavity of the rod by controlling the switch from the lower end of the push-pull rod; In order to avoid the harm caused by uterine perforation.

附图说明Description of drawings

图1是本发明的第一种优选方式的结构示意图。Fig. 1 is a structural schematic diagram of the first preferred mode of the present invention.

图2是本发明第三种优选方式的举爪示意图。Fig. 2 is a schematic diagram of claw lifting in the third preferred mode of the present invention.

具体实施方式Detailed ways

下面结合图1、图2详细介绍本发明:Introduce the present invention in detail below in conjunction with Fig. 1, Fig. 2:

一种简易举宫装置,包括中空杆体1,杆体内腔设置有可沿杆体轴向移动的中空推拉杆2,该推拉杆上端连接有至少一个可伸出杆体上端内腔的举爪3,在杆体下端内腔设置有控制开关4,在推拉杆内腔上壁与控制开关之间设置有弹簧5;手术过程中,在举爪缩入杆体内腔的情况下将杆体放入子宫,此时,控制开关卡紧推拉杆下端,弹簧被压缩;当杆体达到指定位置后,使控制开关脱离推拉杆下端,此时在弹簧弹力作用下,推拉杆推动举爪伸出杆体上端内腔,从而实现举爪定位。A simple uterine lifting device, comprising a hollow rod body 1, a hollow push-pull rod 2 that can move axially along the rod body is provided in the cavity of the rod body, the upper end of the push-pull rod is connected with at least one lifting claw 3 that can extend out of the inner cavity of the upper end of the rod body. The inner cavity at the lower end of the rod body is provided with a control switch 4, and a spring 5 is arranged between the upper wall of the inner cavity of the push-pull rod and the control switch; , the control switch clamps the lower end of the push-pull rod, and the spring is compressed; when the rod body reaches the designated position, the control switch is separated from the lower end of the push-pull rod. Claw positioning.

具体来说,所述控制开关4包括径向固设在杆体内腔的底座41和沿杆体轴向与底座连接的弹片42,该弹片上沿轴向间隔设有两凸起,所述推拉杆上开设有一卡孔21,位于上侧的凸起43可卡入该卡孔,另一凸起44径向连接有按钮45,该按钮伸出杆体侧壁。当需要使举爪伸出杆体内腔时,径向按下按钮,按钮带动弹片径向移动,弹片则带动凸起径向移动,从而使该凸起脱离卡孔,此时在弹簧弹力作用下,推拉杆自动上移,并带动举爪伸出杆体内腔。Specifically, the control switch 4 includes a base 41 radially fixed in the inner cavity of the rod body and a shrapnel 42 connected to the base along the axial direction of the rod body. Two projections are arranged at intervals along the axial direction on the shrapnel, and the push-pull rod A clamping hole 21 is defined on the top, and the protrusion 43 on the upper side can be clamped into the clamping hole, and the other protrusion 44 is radially connected with a button 45, and the button protrudes from the side wall of the rod body. When it is necessary to extend the lifting claw out of the inner cavity of the rod, press the button radially, the button drives the shrapnel to move radially, and the shrapnel drives the protrusion to move radially, so that the protrusion is out of the clamping hole. At this time, under the action of the spring force , the push-pull rod moves up automatically, and drives the lifting claw to extend out of the inner cavity of the rod.

在本发明中,所述弹簧一端与推拉杆内腔上壁固接,另一端通过拉绳6与所述弹片连接;在推拉杆侧壁设有开口22,该开口从该推拉杆下端端面向上轴向延伸至中部,位于杆体下端的一转轴7一端依次径向穿过杆体、开口伸入推拉杆内腔,该开口可保证推拉杆移动过程中不会与转轴发生干涉;所述拉绳缠绕在转轴一端,转轴另一端设置有带动转轴转动的摇柄8。当需要将举爪缩入杆体内腔时,转动摇柄,摇柄带动转轴转动,拉绳随着转轴的转动不断缠绕转轴,从而缩短拉绳,使拉绳拉动弹簧,而弹簧则带动推拉杆下移,直至凸起卡入推拉杆上的卡孔;这样就完成举爪的缩入,这种结构不仅操作简单,而且通过转轴可随时控制举爪的伸出长度。In the present invention, one end of the spring is affixed to the inner wall of the push-pull rod, and the other end is connected to the shrapnel through the pull cord 6; an opening 22 is provided on the side wall of the push-pull rod, and the opening faces upward from the lower end of the push-pull rod. Axially extending to the middle, one end of a rotating shaft 7 located at the lower end of the rod body radially passes through the rod body in turn, and the opening extends into the inner cavity of the push-pull rod. This opening can ensure that the push-pull rod will not interfere with the rotating shaft during movement; At one end of the rotating shaft, the other end of the rotating shaft is provided with a rocking handle 8 that drives the rotating shaft to rotate. When it is necessary to retract the lifting claw into the inner cavity of the rod, turn the handle, the handle drives the rotating shaft to rotate, and the pull rope continues to wrap around the rotating shaft with the rotation of the rotating shaft, thereby shortening the pull rope, so that the pull rope pulls the spring, and the spring drives the push-pull rod Move down until the protrusion snaps into the hole on the push-pull rod; thus, the retraction of the lifting claw is completed. This structure is not only easy to operate, but also the extension length of the lifting claw can be controlled at any time through the rotating shaft.

在本发明中,作为第一种优选,推拉杆上端固设有一根弧形举爪3,可使举宫装置呈“7”字型,从而对宫腔一个侧位方向定位;作为第二种优选,推拉杆上端固设有两根弧形举爪,对宫腔一个侧位方向定位;还可在所述弧形举爪上端之间连接有弹带,使举宫装置呈“T”字型,避免子宫穿孔;In the present invention, as the first preference, the upper end of the push-pull rod is fixedly provided with an arc-shaped lifting claw 3, which can make the lifting device in the shape of "7", thereby positioning the uterine cavity in a lateral direction; as the second Preferably, the upper end of the push-pull rod is fixed with two arc-shaped lifting claws, which are positioned in a lateral direction of the uterine cavity; elastic belts can also be connected between the upper ends of the arc-shaped lifting claws, so that the lifting device is in the shape of a "T" Type, to avoid uterine perforation;

作为第三中优选,推拉杆上端固设有三根弧形举爪3,对宫腔三个侧位方向定位,每两根弧形举爪上端之间连接有弹带31,使举宫装置呈“▽”,还可在三根弹带围成的区域覆盖有弹性膜32,使举宫装置呈“▼”,进一步提高安全性。在实施过程中,由于弹性膜和弹带均具有弹性,可随着举爪缩入杆体内腔。As a third preference, the upper end of the push-pull rod is fixed with three arc-shaped lifting claws 3, which are positioned in three lateral directions of the uterine cavity, and elastic belts 31 are connected between the upper ends of every two arc-shaped lifting claws, so that the lifting device is in the shape of "▽" can also be covered with an elastic membrane 32 in the area surrounded by the three elastic belts, so that the lifting device is "▼", further improving safety. During implementation, since both the elastic film and the elastic belt are elastic, they can be retracted into the inner cavity of the rod along with the lifting claw.

上述实施方式仅供说明本发明之用,而并非是对本发明的限制,有关技术领域的普通技术人员,在不脱离本发明精神和范围的情况下,还可以作出各种变化和变型,因此所有等同的技术方案也应属于本发明的范畴。The above-mentioned embodiments are only for the purpose of illustrating the present invention, rather than limiting the present invention. Those of ordinary skill in the relevant technical field can make various changes and modifications without departing from the spirit and scope of the present invention. Therefore, all Equivalent technical solutions should also belong to the scope of the present invention.

Claims (9)

1.一种简易举宫装置,包括中空杆体,其特征在于:杆体内腔设置有可沿杆体轴向移动的中空推拉杆,该推拉杆上端连接有至少一个可伸出杆体上端内腔的举爪,在杆体下端内腔设置有控制开关,在推拉杆内腔上壁与控制开关之间设置有弹簧;所述控制开关卡紧推拉杆下端时,弹簧被压缩,所述举爪缩入杆体上端内腔;控制开关脱离推拉杆下端时,在弹簧弹力作用下,推拉杆推动举爪伸出杆体上端内腔。1. A simple lifting device, comprising a hollow rod body, characterized in that: the rod body cavity is provided with a hollow push-pull rod that can move axially along the rod body, and the upper end of the push-pull rod is connected with at least one lifter that can extend out of the rod body upper end cavity. The claw is provided with a control switch in the inner cavity of the lower end of the rod body, and a spring is arranged between the upper wall of the inner cavity of the push-pull rod and the control switch; when the control switch clamps the lower end of the push-pull rod, the spring is compressed, and the lifting claw retracts into the rod body The inner cavity at the upper end; when the control switch is disengaged from the lower end of the push-pull rod, under the action of spring force, the push-pull rod pushes the claw to extend out of the inner cavity at the upper end of the rod body. 2.根据权利要求1所述举宫装置,其特征在于:所述控制开关包括径向固设在杆体内腔的底座和沿杆体轴向与底座连接的弹片,该弹片上沿轴向间隔设有两凸起,所述推拉杆上开设有一卡孔,位于上侧的凸起可卡入该卡孔,另一凸起径向连接有按钮,该按钮伸出杆体侧壁。2. The palace lifting device according to claim 1, characterized in that: the control switch includes a base fixed radially in the inner cavity of the rod body and a shrapnel connected to the base along the axial direction of the rod body, and the shrapnel is arranged at intervals along the axial direction. There are two protrusions, and a clamping hole is provided on the push-pull rod, the protrusion on the upper side can be clamped into the clamping hole, and the other protrusion is radially connected with a button, and the button protrudes from the side wall of the rod body. 3.根据权利要求2所述举宫装置,其特征在于:所述弹簧一端与推拉杆内腔上壁固接,另一端通过拉绳与所述弹片连接。3. The uterine lifting device according to claim 2, wherein one end of the spring is fixedly connected to the upper wall of the inner chamber of the push-pull rod, and the other end is connected to the elastic piece through a pull cord. 4.根据权利要求3所述举宫装置,其特征在于:在推拉杆侧壁设有开口,该开口从该推拉杆下端端面向上轴向延伸至中部,位于杆体下端的一转轴一端依次径向穿过杆体、开口伸入推拉杆内腔,所述拉绳缠绕在转轴该端,转轴另一端设置有带动转轴转动的摇柄。4. The device for lifting the uterus according to claim 3, characterized in that: an opening is provided on the side wall of the push-pull rod, and the opening extends axially from the lower end face of the push-pull rod to the middle part, and one end of a rotating shaft at the lower end of the rod body is sequentially radially Through the rod body and the opening, it extends into the inner cavity of the push-pull rod. The pull rope is wound around this end of the rotating shaft, and the other end of the rotating shaft is provided with a rocker to drive the rotating shaft to rotate. 5.根据权利要求1至4中任意一项所述举宫装置,其特征在于:推拉杆上端固设有一根弧形举爪。5. The palace lifting device according to any one of claims 1 to 4, characterized in that: an arc-shaped lifting claw is fixed on the upper end of the push-pull rod. 6.根据权利要求1至4中任意一项所述举宫装置,其特征在于:推拉杆上端固设有两根弧形举爪。6. The uterine lifting device according to any one of claims 1 to 4, characterized in that two arc-shaped lifting claws are fixed on the upper end of the push-pull rod. 7.根据权利要求6所述举宫装置,其特征在于:所述弧形举爪上端之间连接有弹带。7. The palace lifting device according to claim 6, characterized in that: elastic belts are connected between the upper ends of the arc-shaped lifting claws. 8.根据权利要求1至4中任意一项所述举宫装置,其特征在于:推拉杆上端固设有三根弧形举爪,每两根弧形举爪上端之间连接有弹带。8. The palace lifting device according to any one of claims 1 to 4, characterized in that three arc-shaped lifting claws are fixed on the upper end of the push-pull rod, and elastic belts are connected between the upper ends of every two arc-shaped lifting claws. 9.根据权利要求8所述举宫装置,其特征在于:在三根弹带围成的区域覆盖有弹性膜。9. The palace lifting device according to claim 8, characterized in that: the area surrounded by the three elastic belts is covered with an elastic film.
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CN102283695A (en) * 2011-06-24 2011-12-21 刘晓磊 Retraction type laparoscope puncture device
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CN205181449U (en) * 2015-11-04 2016-04-27 中南大学湘雅三医院 Simple and easy palace device of lifting

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US20050085827A1 (en) * 2003-10-15 2005-04-21 G. Anselmo N. Uterine manipulating device
US8603105B2 (en) * 2011-06-21 2013-12-10 Lsi Solutions, Inc. Ergonomic, lighted uterine manipulator with cautery

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102283695A (en) * 2011-06-24 2011-12-21 刘晓磊 Retraction type laparoscope puncture device
CN203447334U (en) * 2013-08-21 2014-02-26 中国福利会国际和平妇幼保健院 Vaginal guider
CN205181449U (en) * 2015-11-04 2016-04-27 中南大学湘雅三医院 Simple and easy palace device of lifting

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