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CN109124744B - Gynaecology and obstetrics's curettage treatment device - Google Patents

Gynaecology and obstetrics's curettage treatment device Download PDF

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Publication number
CN109124744B
CN109124744B CN201811184569.2A CN201811184569A CN109124744B CN 109124744 B CN109124744 B CN 109124744B CN 201811184569 A CN201811184569 A CN 201811184569A CN 109124744 B CN109124744 B CN 109124744B
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bottom plate
handle
fixed
uterine curettage
rubber cover
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CN109124744A (en
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于颖
付琳
孙秀洁
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Yu Ying
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Individual
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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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/42Gynaecological or obstetrical instruments or methods
    • A61B2017/4216Operations on uterus, e.g. endometrium

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  • Engineering & Computer Science (AREA)
  • Gynecology & Obstetrics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
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  • General Health & Medical Sciences (AREA)
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Abstract

The invention discloses a uterine curettage treatment device for obstetrics and gynecology department, which belongs to the field of medical equipment and comprises a handle and a uterine curettage head connected with the head end of the handle, wherein the uterine curettage head comprises a bottom plate, an elastic supporting rod, a rubber cover and at least two groups of coaxially arranged rotary cutters positioned at the inner side of the rubber cover; a closed cavity is defined between the inner wall of the rubber cover and the bottom plate, and the elastic supporting rods are arranged around the periphery of the bottom plate at equal intervals; through holes are distributed on the rubber cover; a through hole penetrates through the bottom plate, the through hole is connected with a feeding hose extending outwards, the other end of the feeding hose is connected with a cutting tissue collecting box, and a suction device is arranged on one side of the cutting tissue collecting box; the rotary cutters comprise rotary tables parallel to the bottom plate and at least one pull rope fixed at equal intervals along the side faces of the rotary tables, arc-shaped cutters are fixed at the other ends of the pull ropes, and the rotation directions of every two adjacent groups of rotary cutters are opposite. The invention has better scraping completeness to the tissue, does not puncture or scratch endometrium, does not cause intrauterine foreign matter residue, and is beneficial to maintaining the health condition of a patient.

Description

Gynaecology and obstetrics's curettage treatment device
Technical Field
The invention relates to the field of medical equipment, in particular to a uterine curettage treatment device for obstetrics and gynecology department.
Background
Curettage refers to an operation of curettage and collection endometrium tissue in uterus, is more commonly used in gynecological examination and treatment, but only operates according to the sensation of clinical experience, and the tissue of curettage needs to be in time excluded from the body, often needs to use supporting suction means or needs the curettage spoon to pass in and out many times to curettage the uterus, and the operation is time-consuming and laborious. However, the existing uterine curettage device has an imperfect structure, needs to be completed by other tools, is inconvenient to operate, easily leaves the residual uterine curettage in the body of a curer, and increases great working difficulty for medical staff.
Currently, the direct part used to perform uterine curettage is a curettage spoon or plate, which is in direct contact with the inner wall of the uterus, with a greater possibility of piercing or scratching the endometrium. Disclose a curettage device for gynaecology's treatment in the patent of No. CN 205031342U of bulletin, it includes the ware of dosing, the aspirator, handle and curettage head, the inside of handle is equipped with administration pipeline and suction pipeline respectively, the right-hand member of handle is equipped with administration hose and suction hose respectively, the other end of administration hose is equipped with the ware of dosing, the other end of suction hose is equipped with the aspirator, the left end of handle is connected with the rotation axis, the left end of handle is equipped with LED lamp and camera respectively in the outer lane of rotation axis, the end connection of rotation axis has the curettage head, the middle part of handle is equipped with control switch, the right side of handle is cup jointed and is equipped with the antiskid gum cover. Can carry out foreign matter removal and local administration when carrying out the uterine curettage for patient, and the uterine curettage head is rational in infrastructure, convenient operation, labour saving and time saving has alleviateed medical staff's the work degree of difficulty. However, it has the following disadvantages: firstly, scraping plates are uniformly distributed on the uterine curettage head, and rubber bulges are distributed on the scraping plates, so that the injury to endometrium can be relieved, but the possibility of scratching the endometrium still exists; secondly, when the scraper scrapes and cuts tissues, if the tissues are thick, the scraper cannot smoothly scrape and cut the tissues, so that the tissue scraping is not complete; thirdly, the scraper is provided with a through hole communicated with the suction pipeline and used for sucking the endometrial tissue scraped by the scraper, complete suction cannot be guaranteed due to the suction effect of the scraper, and the endometrial tissue scraped by the scraper is easy to remain in the uterus and is not beneficial to the health of a patient.
Disclosure of Invention
1. Technical problem to be solved
The invention aims to provide a gynecological uterine curettage treatment device which has good tissue curettage completeness, cannot pierce or scratch endometrium, cannot cause intrauterine foreign matter residue, and is beneficial to maintaining the health condition of a patient.
2. Technical scheme
In order to solve the problems, the invention adopts the following technical scheme:
a uterine curettage treatment device for obstetrics and gynecology department comprises a handle and a uterine curettage head connected with the head end of the handle, wherein the uterine curettage head comprises a bottom plate, an elastic supporting rod, a rubber cover and at least two groups of coaxially arranged rotary cutters positioned at the inner side of the rubber cover;
the middle part of the bottom plate is connected with the head end of the handle, the bottom plate is a circular plate perpendicular to the handle, at least four elastic support rods are arranged around the periphery of the bottom plate at equal intervals, the lower parts of the elastic support rods are arranged perpendicular to the bottom plate, the upper parts of all the elastic support rods are arc-shaped protruding outwards and connected to the right upper part of the center of the bottom plate in a gathering manner, the rubber cover surrounds the periphery of the upper surface of the bottom plate and is fixedly attached to the outer surfaces of all the elastic support rods, a closed cavity is formed between the inner wall of the rubber cover and the bottom plate in a gathering manner, and through holes are distributed;
the rotary cutters comprise rotary tables parallel to the bottom plate and at least one pull rope fixed at equal intervals along the side faces of the rotary tables, arc-shaped cutters with the length larger than the aperture of the through hole are fixed at the other ends of the pull ropes, when the pull ropes are horizontally straightened, the cutting edge sides of the arc-shaped cutters are just attached to the inner wall of the rubber cover in the initial state, and the interval between every two adjacent groups of rotary cutters is not smaller than the length of the pull ropes; the fixed suit of carousel of a set of rotary cutter near the bottom plate is in a drive shaft of connecting micro motor, micro motor fixes on the bottom plate, the drive shaft is located the length direction of handle, but the drive shaft wears to overlap and relative rotary type to be connected with the drive countershaft towards its adjacent rotary cutter's one end, the fixed suit of carousel of the adjacent rotary cutter of drive shaft is on the drive countershaft, the link of drive shaft and drive countershaft is equipped with the flange circle strip and the rotating ring groove of looks adaptation respectively, the rotating ring groove is "〦" shape, be equipped with reverse drive mechanism between drive shaft and the drive countershaft, reverse drive mechanism is including locating a dead lever that is on one side of the drive shaft and is on a parallel with the bottom plate and is connected to an elastic support rod, the adjacent rotary cutter of drive shaft is connected through the same connection transmission structure rather than another adjacent rotary cutter, so that the connection is in series;
the cutting tissue collecting box is characterized in that a through hole for delivering cutting tissues outwards is arranged on the bottom plate in a penetrating mode, the through hole is connected with a feeding hose extending outwards, the other end of the feeding hose is connected with the cutting tissue collecting box, and a suction device is arranged on one side of the feeding hose above the cutting tissue collecting box; the handle is marked with length scales.
Further, the elastic supporting rod is made of plastic or memory metal. The rubber cover has certain strength and can support the rubber cover, so that enough operating space can be provided for the rotary cutter; and they can take place certain deformation when receiving the extrusion force, and can resume the original state after the extrusion force disappears, convenient application.
Furthermore, the upper end of the elastic supporting rod is connected to a fixing block located right above the center of the bottom plate. The fixed block can enlarge the connecting surface at the upper end of the elastic connecting rod, thereby being convenient for assembling and connecting all the elastic supporting rods.
Further, the feeding hose is arranged in the handle and extends along the length direction of the handle. The feeding hose is convenient to maintain, the space occupied by the feeding hose can be saved, and the device can be conveniently extended into the body of a patient.
Furthermore, the reverse transmission mechanism comprises a first bevel gear and a second bevel gear which are fixedly sleeved on the driving shaft and the driving auxiliary shaft correspondingly, the first bevel gear and the second bevel gear are arranged oppositely, a third bevel gear which is meshed with the first bevel gear and the second bevel gear is arranged on one side of the first bevel gear and one side of the second bevel gear, and the centers of the third bevel gears are sleeved at one end, facing the driving shaft, of the fixing rod in a clearance type. The driving shaft drives the first bevel gear to rotate in the horizontal plane, the first bevel gear pushes the third lower part of the bevel gear to rotate in the vertical plane, the third upper part of the bevel gear drives the second bevel gear to rotate in the horizontal plane, and the steering direction of the second bevel gear is opposite to that of the first bevel gear, so that the driving target of the reverse driving mechanism is realized.
Furthermore, a protective cylinder surrounding the periphery of the reverse transmission mechanism is fixed on one side of the turntable, which faces the reverse transmission mechanism. The reverse transmission mechanism can be protected, and the scraped endometrial tissue is prevented from entering the reverse transmission mechanism to influence the operation of the endometrial tissue.
As the optimization of the scheme, two groups of rotary cutters are arranged on the inner side of the rubber cover, and a drawing rod extending along the length direction of the handle is fixed at the bottom of the micro motor; the elastic supporting rod connected with the fixed rod is provided with a sliding groove for the fixed rod to move up and down, the opposite surfaces of the turntables of the two groups of rotary cutters are fixed with circular push plates which are respectively attached to and contacted with the corresponding sides of the fixed rod, and the reverse transmission mechanism is positioned on the inner side of the circular push plates; the feeding hose is arranged on the outer side of the handle. The drawing rod can drive the rotary cutters to move up and down in the rubber cover, the two groups of rotary cutters are opposite in rotation direction, and tissues attached to the inner wall of the uterus sinking into the through hole in one state can be scraped and cut reversely, so that complete scraping and cutting are guaranteed; along with the movement of the rotary cutter, the annular push plate can push the fixed rod to move up and down along the sliding groove, so that the requirement that the reverse transmission mechanism moves along with the rotary cutter is met; the drawing rod is drawn and moved in the handle, so that the feeding hose is arranged outside the handle to prevent the feeding hose from being affected.
Furthermore, a thumb ring is fixed at the tail end of the drawing rod, a flange plate is fixed at the tail end of the handle, and finger rings positioned at two opposite sides of the handle are fixed on one side of the flange plate, which faces away from the thumb ring. When the drawing rod is used, an operator respectively extends the forefinger and the middle finger into the two finger rings, buckles the flange plate and then extends the thumb into the thumb ring, so that the drawing rod can be conveniently pushed and pulled, and the application is convenient.
Furthermore, a protection cylinder surrounding the periphery of the reverse transmission mechanism is fixed on one side of the turntable, which faces the reverse transmission mechanism, and the annular push plate is fixedly sleeved on the protection cylinder. The protective cylinder can protect the reverse transmission mechanism and prevent the scraped endometrial tissue from entering the reverse transmission mechanism to influence the operation of the endometrial tissue; the annular push plate is fixedly sleeved on the protective cylinder, so that the annular push plate can be conveniently connected with the corresponding rotary disc.
Furthermore, a limiting convex strip is fixed on the driving shaft. In the back-pulling process of the drawing rod, the limiting convex strip can be abutted to the bottom plate, so that the drawing rod is prevented from continuously withdrawing, and the arc-shaped knife can be prevented from scraping and cutting the bottom plate.
3. Advantageous effects
(1) The uterine curettage head comprises a bottom plate, elastic supporting rods, a rubber cover and at least two groups of coaxially arranged rotary cutters positioned on the inner side of the rubber cover, wherein a closed cavity is defined between the inner wall of the rubber cover and the bottom plate, the elastic supporting rods are arranged around the periphery of the bottom plate at equal intervals, and the stability of the peripheral structure of the cavity can be ensured; the part of the rubber cover corresponding to the lower part of the elastic supporting rod is provided with through holes all over, when the uterine curettage device is applied, the uterine inner wall is extruded on the outer surface of the rubber cover after the uterine curettage head is stretched into the uterus, so that the elastic supporting rod is embedded into the rubber cover and cannot be cut by the arc-shaped knife, and tissues attached to the uterine inner wall are pressed into the through holes; be equipped with the opening of first inner chamber of intercommunication uterine curettage on the bottom plate, the feeding hose of outside extension is connected to the opening, feeding hose outside end one side is equipped with the aspirator, start the aspirator, produce suction to the first inner chamber of uterine curettage along feeding hose, make the first tissue of going up the through-hole outside of uterine curettage of treating the curettage sucked in the through-hole, then rotate through drive rotary cutter, can scrape the cutting to the tissue that is located in the first inner chamber of uterine curettage, can not scrape the endometrium, can prevent to impale or scratch endometrium.
(2) The rotary cutter comprises a rotary table parallel to a bottom plate and at least one pull rope fixed at equal intervals along the side face of the rotary table, and an arc-shaped cutter with the length larger than the aperture of a through hole is fixed at the other end of the pull rope; the two adjacent groups of rotary cutters are opposite in rotation direction, so that the tissues can be scraped and cut in two opposite directions, and the completeness of scraping and cutting the tissues is facilitated.
(3) The other end of the feeding hose is connected with the cutting tissue collecting box, scraped tissues enter the feeding hose from the through opening under the suction action of the suction device and then are conveyed into the cutting tissue collecting box along the feeding hose for convenient taking and use.
In conclusion, the invention has better completeness of scraping and cutting tissues, does not pierce or scrape endometrium, does not cause intrauterine foreign matter residue, and is beneficial to maintaining the health condition of a patient.
Drawings
Fig. 1 is a schematic structural view of the uterine curettage device in example 1 of the present invention, wherein a uterine curettage head 20 is an internal structural view;
FIG. 2 is an enlarged view of the structure of the area A in FIG. 1;
fig. 3 is a schematic structural view of the uterine curettage head 20 according to embodiment 2 of the present invention, wherein the uterine curettage head is an internal structural view;
FIG. 4 is an enlarged view of the structure of the area B in FIG. 3;
fig. 5 is a top view of the uterine curettage head 20 corresponding to the upper arc-shaped part of the elastic supporting rod 2;
fig. 6 is a development schematic view of the uterine curettage head 20 corresponding to the lower vertical part of the elastic supporting rod 2;
reference numerals: 1-bottom plate, 2-elastic supporting rod, 3-rubber cover, 4-rotary cutter, 41-rotary table, 42-pull rope, 43-arc cutter, 5-through hole, 6-micro motor, 7-driving shaft, 8-driving auxiliary shaft, 9-flange ring, 10-handle, 11-rotary ring groove, 12-fixed rod, 13-through hole, 14-feeding hose, 15-cutting tissue collecting box, 16-aspirator, 17-length scale, 18-fixed block, 19-bevel gear I, 20-uterine curettage head, 21-bevel gear II, 22-bevel gear III, 23-drawing rod, 24-chute, 25-circular push plate, 26-thumb ring, 27-flange plate, 28-finger ring, 29-limit convex strips and 30-protective cylinders.
Detailed Description
The present invention will be described in further detail with reference to the accompanying drawings and examples.
Example 1
As shown in fig. 1, the gynecological uterine curettage treatment device comprises a handle 10 and a uterine curettage head 20 connected to the head end of the handle 10, wherein the uterine curettage head 20 comprises a bottom plate 1, an elastic supporting rod 2, a rubber cover 3 and at least two sets of coaxially arranged rotary cutters 4 (only two sets of rotary cutters are shown in fig. 1) positioned inside the rubber cover 3;
the middle of the bottom plate 1 is connected with the head end of the handle 10, the bottom plate 1 is a circular plate perpendicular to the handle 10, at least four elastic support rods 2 (five elastic support rods 2 are shown in fig. 5) are arranged around the bottom plate 1 at equal intervals, the lower parts of the elastic support rods 2 are perpendicular to the bottom plate 1, the upper parts of all the elastic support rods 2 are outwards convex arcs gathered and connected to the right upper part of the center of the bottom plate 1, the rubber cover 3 surrounds the periphery of the upper surface of the bottom plate 1 and is fixedly attached to the outer surfaces of all the elastic support rods 2, a closed cavity is formed between the inner wall of the rubber cover 3 and the bottom plate 1, and through holes 5 are formed in the part, corresponding to the lower parts of the elastic support rods 2, of the rubber cover;
the rotary cutters 4 comprise a rotary table 41 parallel to the bottom plate 1 and at least one pull rope 42 (2 pull ropes 42 are shown in fig. 1) fixed at equal intervals along the side surface of the rotary table 41, arc-shaped cutters 43 with the length larger than the aperture of the through hole 5 are fixed at the other ends of the pull ropes 42, when the pull ropes 42 are horizontally straightened, the blade sides of the arc-shaped cutters 43 are just attached to the inner wall of the rubber cover 3 in an initial state, and the interval between every two adjacent groups of rotary cutters 4 is not smaller than the length of the pull rope 42 (the pull ropes 42 of the two adjacent groups of rotary cutters 4 can be prevented from winding); the rotary table 41 of the group of rotary cutters 4 close to the bottom plate 1 is fixedly sleeved on a driving shaft 7 connected with the micro motor 6, the micro motor 6 is fixed on the bottom plate 1, the driving shaft 7 is positioned in the length direction of the handle 10, the driving shaft 7 is sleeved towards one end of the adjacent rotary cutter 4 and can be connected with a driving auxiliary shaft 8 in a relative rotation mode, the rotary table 41 of the adjacent rotary cutter 4 of the driving shaft 7 is fixedly sleeved on the driving auxiliary shaft 8, as shown in fig. 2, the connecting end of the driving shaft 7 and the driving auxiliary shaft 8 is respectively provided with a flange ring 9 and a rotary ring groove 11 which are matched, the rotary ring groove 11 is in a shape of 〦 (the flange ring 9 can rotate in the rotary ring groove 11, namely the driving shaft 7 and the driving auxiliary shaft 8 can rotate in opposite directions without influencing each other, and the flange ring 9 and the rotary ring groove 11 have mutual pushing connection function, the driving shaft 7 can drive the driving auxiliary shaft 8 to move along with the driving shaft 7 moving along the axial direction, so that the stability of the relative position between two adjacent groups of rotary cutters 4 is guaranteed, a reverse transmission mechanism is arranged between the driving shaft 7 and the driving auxiliary shaft 8, the reverse transmission mechanism comprises a fixed rod 12 which is arranged on one side of the driving shaft 7 and is parallel to the bottom plate 1 and connected to one elastic supporting rod 2, the adjacent rotary cutter 4 of the driving shaft 7 is connected with the other adjacent rotary cutter 4 of the driving shaft through the same connecting transmission structure, and the like;
a through hole 13 for delivering the cut tissue is arranged on the bottom plate 1 in a penetrating manner, the through hole 13 is connected with a feeding hose 14 extending outwards, the other end of the feeding hose 14 is connected with a cut tissue collecting box 15, and a suction device 16 is arranged on one side of the feeding hose 14 above the cut tissue collecting box 15; the handle 10 is marked with a length scale 17 (since the length of the uterine curettage head 20 is a definite value, the length of the device extending into the body of the patient can be grasped through the length scale 17 during operation), the length scale 17 extends from one end of the uterine curettage head 20 to the tail end of the handle 10, and the initial scale of the length scale 17 located at the uterine curettage head 20 is marked with the length of the uterine curettage head 20, so that the length of the uterine curettage head 20 extending into the body can be directly read.
In this embodiment, the elastic strut 2 is a plastic product. The rubber cover has certain strength, and can support the rubber cover 3, so that enough operating space can be provided for the rotary cutter 4; and they can take place certain deformation when receiving the extrusion force, and can resume the original state after the extrusion force disappears, convenient application.
In this embodiment, the upper end of the elastic strut 2 is connected to a fixing block 18 located right above the center of the bottom plate 1. The fixing block 18 may enlarge the connection surface of the upper end of the elastic link, thereby facilitating assembly and connection of all the elastic struts 2.
In this embodiment, the feed hose 14 is disposed within the handle 10 and extends along the length of the handle 10. Is beneficial to maintaining the feeding hose 14, can save the space occupied by the feeding hose 14 and is convenient for extending the device into the body of a patient.
In this embodiment, as shown in fig. 2, the reverse transmission mechanism includes a first bevel gear 19 and a second bevel gear 21 fixedly sleeved on the driving shaft 7 and the driving auxiliary shaft 8, respectively, the first bevel gear 19 and the second bevel gear 21 are disposed opposite to each other, a third bevel gear 22 simultaneously engaged with the first bevel gear 19 and the second bevel gear 21 is disposed on one side of the first bevel gear 19 and one side of the second bevel gear 21, and the center of the third bevel gear 22 is intermittently sleeved on one end of the fixing rod 12 facing the driving shaft 7. The driving shaft 7 drives the first bevel gear 19 to rotate in the horizontal plane, the first bevel gear 19 pushes the lower part of the third bevel gear 22 to rotate in the vertical plane, the upper part of the third bevel gear 22 drives the second bevel gear 21 to rotate in the horizontal plane, and the rotation direction of the second bevel gear 21 is opposite to that of the first bevel gear 19 at the moment, so that the driving target of the reverse driving mechanism is realized.
In this embodiment, a protective cylinder 30 surrounding the reverse gear is fixed on the turntable 41 on the side facing the reverse gear. The reverse transmission mechanism can be protected, and the scraped endometrial tissue is prevented from entering the reverse transmission mechanism to influence the operation of the endometrial tissue.
The specific application process of the gynecological uterine curettage treatment device is as follows:
an operator holds the handle 10 to slowly extend the uterine curettage head 20 into the uterus, controls the length of the uterine curettage head 20 extending into a human body with the length scale 17 as the standard, extrudes the inner wall of the uterus on the rubber cover 3, enables the elastic supporting rod 2 to be embedded into the rubber cover 3 and not to be cut by the arc-shaped knife 43, presses the tissues attached to the inner wall of the uterus into the through hole 5, starts the suction device 16, generates suction force to the inner cavity of the uterine curettage head 20 along the feeding hose 14, and enables the tissues to be curetted outside the through hole 5 on the uterine curettage head 20 to be sucked into the through hole 5; then the micro motor 6 is started to drive the driving shaft 7 to rotate, and after the driving shaft is driven by the reverse transmission mechanism, the driving auxiliary shaft 8 is driven to rotate in the reverse direction of the driving shaft 7, so that the arc-shaped knife 43 is swung by the pull rope 42 to rotate around the center of the corresponding turntable 41, the cutting edge of the arc-shaped knife 43 rotates along the inner wall of the rubber cover 3, the inner membrane tissue in the rotating range is scraped and cut off, the endometrium cannot be scraped, and the endometrium can be prevented from being punctured or scratched; if the tissue to be scraped is thick, the arc-shaped knife 43 cannot smoothly scrape and cut, and the reverse acting force of the thick tissue to the arc-shaped knife 43 can bend the corresponding pull rope 42, so that the arc-shaped knife 43 can contact less tissues to successfully scrape and cut the partial tissues, the process of slicing and cutting the thick tissue in a layered manner is realized, and the complete scraping and cutting is facilitated;
the scraped tissues enter the feeding hose 14 from the through hole 13 under the suction action of the suction device 16 and then are conveyed into the cut tissue collecting box 15 along the feeding hose 14 so as to be convenient for taking and use, because the inner wall of the uterus is attached to the outer surface of the rubber cover 3 and blocks the through hole 5, the inner cavity of the uterine curettage head 20 is closed, the scraped tissues cannot enter the uterus, no intrauterine foreign matter residue is caused, and the health condition of a patient is favorably maintained;
then the handle 10 is rotated to drive the uterine curettage head 20 to rotate in the uterus, the uterine curettage operation can be carried out on the inner wall of the uterus of the part where the uterine curettage head 20 is located, the handle 10 is pushed and pulled forward and backward, the uterine curettage range of the uterine curettage head 20 can be expanded, and because the rotation directions of every two adjacent groups of rotary cutters 4 are opposite, tissues are sequentially subjected to curettage in two opposite directions, and the completeness of curettage of the tissues is facilitated.
Example 2
The present embodiment is different from embodiment 1 in that: as shown in fig. 3 and 4, two groups of rotary cutters 4 are arranged on the inner side of the rubber cover 3, and a drawing rod 23 extending along the length direction of the handle 10 is fixed at the bottom of the micro motor 6 inside the handle 10; a sliding groove 24 for the fixed rod 12 to move up and down is arranged on the elastic supporting rod 2 connected with the fixed rod 12, circular ring-shaped push plates 25 respectively attached to and contacted with the corresponding sides of the fixed rod 12 are fixed on the opposite surfaces of the turntables 41 of the two groups of rotary cutters 4, and the reverse transmission mechanism is positioned on the inner sides of the circular ring-shaped push plates 25; the feeding hose 14 is arranged outside the handle 10. The drawing and pulling rod 23 can drive the rotary cutters 4 to move up and down in the rubber cover 3, the rotation directions of the two groups of rotary cutters 4 are opposite, and tissues attached to the inner wall of the uterus sinking into the through hole 5 in one state can be scraped and cut reversely, so that complete scraping and cutting can be guaranteed; along with the movement of the rotary cutter 4, the annular push plate 25 can push the fixed rod 12 to move up and down along the sliding groove 24, so that the requirement that the reverse transmission mechanism moves along with the rotary cutter 4 is met; in order to prevent the feed hose 14 from being affected in view of the need for the pull rod 23 to be pulled in the handle 10, the feed hose 14 is provided outside the handle 10.
In this embodiment, the elastic strut 2 is made of memory metal. The rubber cover has certain strength, and can support the rubber cover 3, so that enough operating space can be provided for the rotary cutter 4; and they can take place certain deformation when receiving the extrusion force, and can resume the original state after the extrusion force disappears, convenient application.
In this embodiment, a thumb ring 26 is fixed to the tail end of the pull rod 23, a flange plate 27 is fixed to the tail end of the handle 10, and finger rings 28 are fixed to the flange plate 27 on the side opposite to the thumb ring 26 and located on two opposite sides of the handle 10. When the drawing device is used, an operator respectively extends the forefinger and the middle finger into the two finger rings 28 to buckle the flange plate 27, and then extends the thumb into the thumb lantern ring 26 to conveniently push and pull the drawing rod 23, so that the drawing device is convenient to use.
In this embodiment, a protection cylinder 30 surrounding the reverse transmission mechanism is fixed on one side of the turntable 41 facing the reverse transmission mechanism, and the annular push plate 25 is fixedly sleeved on the protection cylinder 30. The protective cylinder 30 can protect the reverse transmission mechanism and prevent the scraped endometrial tissue from entering the reverse transmission mechanism to influence the operation of the endometrial tissue; the annular push plate 25 is fixedly sleeved on the protective cylinder 30, so that the connection between the annular push plate 25 and the corresponding rotary disc 41 can be conveniently realized.
In this embodiment, a limit rib 29 is fixed to the drive shaft 7. In the process of pulling back the drawing rod 23, the limiting convex strip 29 can be propped against the bottom plate 1, so that the drawing rod 23 is prevented from continuously withdrawing, and the arc-shaped knife 43 can be prevented from scraping and cutting the bottom plate 1.
The rest is the same as example 1.
The specific application process of the gynecological uterine curettage treatment device is as follows:
an operator holds the handle 10 to slowly extend the uterine curettage head 20 into the uterus, controls the length of the uterine curettage head 20 extending into a human body with the length scale 17 as the standard, extrudes the inner wall of the uterus on the rubber cover 3, enables the elastic supporting rod 2 to be embedded into the rubber cover 3 and not to be cut by the arc-shaped knife 43, presses the tissues attached to the inner wall of the uterus into the through hole 5, starts the suction device 16, generates suction force to the inner cavity of the uterine curettage head 20 along the feeding hose 14, and enables the tissues to be curetted outside the through hole 5 on the uterine curettage head 20 to be sucked into the through hole 5; then the micro motor 6 is started to drive the driving shaft 7 to rotate, and after the driving shaft is driven by the reverse transmission mechanism, the driving auxiliary shaft 8 is driven to rotate in the reverse direction of the driving shaft 7, so that the arc-shaped knife 43 is swung by the pull rope 42 to rotate around the center of the corresponding turntable 41, the cutting edge of the arc-shaped knife 43 rotates along the inner wall of the rubber cover 3, the inner membrane tissue in the rotating range is scraped and cut off, the endometrium cannot be scraped, and the endometrium can be prevented from being punctured or scratched; if the tissue to be scraped is thick, the arc-shaped knife 43 cannot smoothly scrape and cut, and the reverse acting force of the thick tissue to the arc-shaped knife 43 can bend the corresponding pull rope 42, so that the arc-shaped knife 43 can contact less tissues to successfully scrape and cut the partial tissues, the process of slicing and cutting the thick tissue in a layered manner is realized, and the complete scraping and cutting is facilitated;
the scraped tissues enter the feeding hose 14 from the through hole 13 under the suction action of the suction device 16 and then are conveyed into the cut tissue collecting box 15 along the feeding hose 14 so as to be convenient for taking and use, because the inner wall of the uterus is attached to the outer surface of the rubber cover 3 and blocks the through hole 5, the inner cavity of the uterine curettage head 20 is closed, the scraped tissues cannot enter the uterus, no intrauterine foreign matter residue is caused, and the health condition of a patient is favorably maintained;
then the drawing rod 23 is pushed and pulled, the rotary cutter 4 can be driven to move up and down in the cavity of the uterine curettage head 20, the tissue sunk into the through hole 5 can be more completely curetted, and the tissue is cut by the rotary cutter 4 with opposite rotation direction, so that the tissue can be completely curetted; the handle 10 is rotated to drive the uterine curettage head 20 to rotate in the uterus, the uterine curettage operation can be carried out on the inner wall of the uterus of the part where the uterine curettage head 20 is located, the handle 10 is pushed and pulled forward and backward, the uterine curettage range of the uterine curettage head 20 can be expanded, and because the rotation directions of every two adjacent groups of rotary cutters 4 are opposite, tissues are sequentially subjected to curettage in two opposite directions, and the completeness of curettage of the tissues is facilitated.
The invention has the advantages of good scraping completeness to the tissue, no puncture or scratch to the endometrium, no intrauterine foreign matter residue and being beneficial to maintaining the health condition of the patient.
It should be understood by those skilled in the art that the above embodiments are only for illustrating the present invention and are not to be used as a limitation of the present invention, and that changes and modifications to the above embodiments are within the scope of the claims of the present invention as long as they are within the spirit and scope of the present invention.

Claims (7)

1. A uterine curettage treatment device for obstetrics and gynecology department comprises a handle (10) and a uterine curettage head (20) connected with the head end of the handle (10), and is characterized in that the uterine curettage head (20) comprises a bottom plate (1), an elastic supporting rod (2), a rubber cover (3) and at least two groups of coaxially arranged rotary cutters (4) positioned at the inner side of the rubber cover (3);
the middle part of the bottom plate (1) is connected to the head end of the handle (10), the bottom plate (1) is a circular plate perpendicular to the handle (10), at least four elastic supporting rods (2) are arranged around the periphery of the bottom plate (1) at equal intervals, the lower parts of the elastic supporting rods (2) are perpendicular to the bottom plate (1), the upper parts of all the elastic supporting rods (2) are outwards convex arcs gathered and connected right above the center of the bottom plate (1), the rubber cover (3) surrounds the periphery of the upper surface of the bottom plate (1) and is fixedly attached to the outer surfaces of all the elastic supporting rods (2), a closed cavity is formed between the inner wall of the rubber cover (3) and the bottom plate (1), and through holes (5) are distributed in the part, corresponding to the lower parts of the elastic supporting rods (2), of the rubber cover (3);
the rotary cutters (4) comprise a rotary table (41) parallel to the bottom plate (1) and at least one pull rope (42) fixed at equal intervals along the side face of the rotary table (41), arc-shaped cutters (43) with the length larger than the aperture of the through holes (5) are fixed at the other ends of the pull ropes (42), when the pull ropes (42) are horizontally straightened, the cutting edge sides of the arc-shaped cutters (43) are just attached to the inner wall of the rubber cover (3) in the initial state, and the interval between every two adjacent groups of rotary cutters (4) is not smaller than the length of the pull ropes (42); close to fixed suit of carousel (41) of a set of rotary cutter (4) of bottom plate (1) is on a drive shaft (7) of connecting micro motor (6), micro motor (6) are fixed on bottom plate (1), drive shaft (7) are located the length direction of handle (10), drive shaft (7) are worn to overlap and can be connected with drive countershaft (8) towards the one end of its adjacent rotary cutter (4) relatively rotary type, the fixed suit of carousel (41) of the adjacent rotary cutter (4) of drive shaft (7) is on drive countershaft (8), the link of drive shaft (7) and drive countershaft (8) is equipped with flange circle strip (9) and rotation annular groove (11) of looks adaptation respectively, rotation annular groove (11) are "〦" shape, be equipped with reverse drive mechanism between drive shaft (7) and the drive countershaft (8), the reverse transmission mechanism comprises a fixed rod (12) which is arranged on one side of the driving shaft (7) and is parallel to the bottom plate (1) and connected to the elastic supporting rod (2), the adjacent rotary cutters (4) of the driving shaft (7) are connected with the other adjacent rotary cutter (4) through the same connection transmission structure, and the like are connected in series;
a through hole (13) for delivering the cutting tissue is arranged on the bottom plate (1) in a penetrating manner, the through hole (13) is connected with a feeding hose (14) extending outwards, the other end of the feeding hose (14) is connected with a cutting tissue collecting box (15), and a suction device (16) is arranged on one side of the feeding hose (14) above the cutting tissue collecting box (15); the handle (10) is marked with length scales (17);
the elastic support rod (2) is a plastic product or a memory metal product; the reverse transmission mechanism comprises a first bevel gear (19) and a second bevel gear (21) which are fixedly sleeved on the driving shaft (7) and the driving auxiliary shaft (8) correspondingly, the first bevel gear (19) and the second bevel gear (21) are arranged oppositely, a third bevel gear (22) which is meshed with the first bevel gear (19) and the second bevel gear (21) simultaneously is arranged on one side of the first bevel gear (19) and one side of the second bevel gear (21), and the center of the third bevel gear (22) is sleeved on one end, facing the driving shaft (7), of the fixing rod (12) in a clearance mode; a protective cylinder (30) surrounding the periphery of the reverse transmission mechanism is fixed on one side of the rotary disc (41) facing the reverse transmission mechanism.
2. A gynecological uterine curettage device according to claim 1, characterized in that the upper end of the elastic strut (2) is connected to a fixed block (18) located directly above the center of the base plate (1).
3. A gynecological uterine curettage device according to claim 1, wherein the feed hose (14) is arranged in the handle (10) and extends along the length of the handle (10).
4. The uterine curettage treatment device for obstetrics and gynecology department according to claim 1, characterized in that two groups of rotary cutters (4) are arranged at the inner side of the rubber cover (3), and a drawing rod (23) extending along the length direction of the handle (10) is fixed at the bottom of the micro motor (6) inside the handle (10); a sliding chute (24) for the fixing rod (12) to move up and down is arranged on the elastic supporting rod (2) connected with the fixing rod (12), annular push plates (25) which are in contact with the corresponding sides of the fixing rod (12) are respectively fixed on the opposite surfaces of the turntables (41) of the two groups of rotary cutters (4), and the reverse transmission mechanism is positioned on the inner sides of the annular push plates (25); the feeding hose (14) is arranged on the outer side of the handle (10).
5. A gynecological uterine curettage device according to claim 4, characterized in that the pull rod (23) is fixed at its rear end with a thumb ring (26), the handle (10) is fixed at its rear end with a flange plate (27), and the flange plate (27) is fixed at its side facing away from the thumb ring (26) with finger rings (28) at two opposite sides of the handle (10).
6. A gynecological uterine curettage device according to claim 4, characterized in that a protective cylinder (30) surrounding the reverse gear is fixed on the turntable (41) on the side facing the reverse gear, and the annular push plate (25) is fixedly sleeved on the protective cylinder (30).
7. A gynecological uterine curettage device according to claim 4, characterized in that a limiting rib (29) is fixed on the drive shaft (7).
CN201811184569.2A 2018-10-11 2018-10-11 Gynaecology and obstetrics's curettage treatment device Expired - Fee Related CN109124744B (en)

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1791472B1 (en) * 2004-09-23 2009-01-21 Pantarhei Bioscience B.V. Sampler
CN201481458U (en) * 2009-08-24 2010-05-26 成都峻峰科技开发有限公司 Cell sampling tube
CN101836827A (en) * 2010-01-26 2010-09-22 管云天 Reciprocal rotary knife type material processor
CN202589612U (en) * 2012-06-04 2012-12-12 田方兴 Rotary cutting instrument
CN104490425A (en) * 2015-01-19 2015-04-08 东北农业大学 Suction and rotary scraping type endometrial epithelium cell gathering device for goat
CN207444971U (en) * 2017-04-19 2018-06-05 田洪涛 Cervical sampling device

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1791472B1 (en) * 2004-09-23 2009-01-21 Pantarhei Bioscience B.V. Sampler
CN201481458U (en) * 2009-08-24 2010-05-26 成都峻峰科技开发有限公司 Cell sampling tube
CN101836827A (en) * 2010-01-26 2010-09-22 管云天 Reciprocal rotary knife type material processor
CN202589612U (en) * 2012-06-04 2012-12-12 田方兴 Rotary cutting instrument
CN104490425A (en) * 2015-01-19 2015-04-08 东北农业大学 Suction and rotary scraping type endometrial epithelium cell gathering device for goat
CN207444971U (en) * 2017-04-19 2018-06-05 田洪涛 Cervical sampling device

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