CN109602387B - Auxiliary tool for episiotomy suturing - Google Patents
Auxiliary tool for episiotomy suturing Download PDFInfo
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- CN109602387B CN109602387B CN201910130422.3A CN201910130422A CN109602387B CN 109602387 B CN109602387 B CN 109602387B CN 201910130422 A CN201910130422 A CN 201910130422A CN 109602387 B CN109602387 B CN 109602387B
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- 239000007788 liquid Substances 0.000 claims description 33
- 239000011324 bead Substances 0.000 claims description 15
- 238000004519 manufacturing process Methods 0.000 claims description 11
- 238000003780 insertion Methods 0.000 claims description 8
- 230000037431 insertion Effects 0.000 claims description 8
- 229920003023 plastic Polymers 0.000 claims description 4
- 210000003437 trachea Anatomy 0.000 claims 3
- 239000008280 blood Substances 0.000 abstract description 32
- 210000004369 blood Anatomy 0.000 abstract description 32
- 230000000740 bleeding effect Effects 0.000 abstract description 26
- 238000000034 method Methods 0.000 abstract description 26
- 230000008569 process Effects 0.000 abstract description 10
- 230000000007 visual effect Effects 0.000 abstract description 9
- 238000005286 illumination Methods 0.000 abstract description 7
- 238000011109 contamination Methods 0.000 abstract 1
- 210000001215 vagina Anatomy 0.000 description 36
- 238000003860 storage Methods 0.000 description 31
- 208000032843 Hemorrhage Diseases 0.000 description 27
- 208000034158 bleeding Diseases 0.000 description 25
- 208000027418 Wounds and injury Diseases 0.000 description 18
- 206010052428 Wound Diseases 0.000 description 17
- 239000002390 adhesive tape Substances 0.000 description 15
- 238000010586 diagram Methods 0.000 description 14
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 14
- 238000005520 cutting process Methods 0.000 description 10
- 238000005303 weighing Methods 0.000 description 10
- 238000009958 sewing Methods 0.000 description 9
- 230000009471 action Effects 0.000 description 7
- 238000003825 pressing Methods 0.000 description 7
- 238000001514 detection method Methods 0.000 description 6
- 238000012544 monitoring process Methods 0.000 description 6
- 210000002640 perineum Anatomy 0.000 description 6
- 230000006872 improvement Effects 0.000 description 5
- 210000004291 uterus Anatomy 0.000 description 5
- 230000007547 defect Effects 0.000 description 4
- 238000005516 engineering process Methods 0.000 description 4
- 229940044953 vaginal ring Drugs 0.000 description 4
- 239000006213 vaginal ring Substances 0.000 description 4
- 210000002700 urine Anatomy 0.000 description 3
- 206010030113 Oedema Diseases 0.000 description 2
- 230000000844 anti-bacterial effect Effects 0.000 description 2
- 238000007598 dipping method Methods 0.000 description 2
- 238000004043 dyeing Methods 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 239000012530 fluid Substances 0.000 description 2
- 230000035876 healing Effects 0.000 description 2
- 238000002386 leaching Methods 0.000 description 2
- 239000002184 metal Substances 0.000 description 2
- 208000034423 Delivery Diseases 0.000 description 1
- 206010018852 Haematoma Diseases 0.000 description 1
- 102000001554 Hemoglobins Human genes 0.000 description 1
- 108010054147 Hemoglobins Proteins 0.000 description 1
- 208000032456 Hemorrhagic Shock Diseases 0.000 description 1
- 208000034693 Laceration Diseases 0.000 description 1
- 208000018525 Postpartum Hemorrhage Diseases 0.000 description 1
- 206010049771 Shock haemorrhagic Diseases 0.000 description 1
- 206010042674 Swelling Diseases 0.000 description 1
- 206010044565 Tremor Diseases 0.000 description 1
- 206010048038 Wound infection Diseases 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000007012 clinical effect Effects 0.000 description 1
- 238000010276 construction Methods 0.000 description 1
- 230000006378 damage Effects 0.000 description 1
- 230000003111 delayed effect Effects 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 210000003754 fetus Anatomy 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 230000007246 mechanism Effects 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 230000001737 promoting effect Effects 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 239000000523 sample Substances 0.000 description 1
- 238000004904 shortening Methods 0.000 description 1
- 238000010186 staining Methods 0.000 description 1
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- 230000029663 wound healing Effects 0.000 description 1
Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/32—Devices for opening or enlarging the visual field, e.g. of a tube of the body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/06—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/303—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the vagina, i.e. vaginoscopes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/42—Gynaecological or obstetrical instruments or methods
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Medical Informatics (AREA)
- Animal Behavior & Ethology (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- General Health & Medical Sciences (AREA)
- Molecular Biology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Physics & Mathematics (AREA)
- Biophysics (AREA)
- Optics & Photonics (AREA)
- Pathology (AREA)
- Radiology & Medical Imaging (AREA)
- Gynecology & Obstetrics (AREA)
- Reproductive Health (AREA)
- Pregnancy & Childbirth (AREA)
- Surgical Instruments (AREA)
Abstract
本发明提供了一种侧切缝合用辅助工具，包括扩径段和等径段构成的外套，其中，扩径段上设置有操作窗口，外套上设置有环头，环头的內缘处设置有储器螺槽，环头的外缘处设置有外套插槽，等径段上设置有插接段，插接段与外套插槽之间插合连接，外套的扩口边缘设置有外展臂。外套内设置有储器，储器上设置有偏心隆起，偏心隆起的一侧设置有螺盖，另一侧设置有长柄；长柄、偏心隆起内部内部中空。本发明结构简单，使用方便，能够合理暴露侧切缝合的视野，使缝合过程中无血液污染侧切伤口的情况，而且可对于侧切处进行冷光照明，医师操作缝合时操作空间大，缝合速度快，缝合后可对出血情况进行精准检测。
The present invention provides an auxiliary tool for episiotomy suturing, comprising a jacket consisting of an enlarged diameter section and an equal diameter section, wherein an operation window is provided on the enlarged diameter section, a ring head is provided on the jacket, a reservoir screw groove is provided at the inner edge of the ring head, a jacket slot is provided at the outer edge of the ring head, a plug-in section is provided on the equal diameter section, the plug-in section is plug-in-connected with the jacket slot, and an extension arm is provided on the expanded edge of the jacket. A reservoir is provided inside the jacket, an eccentric protrusion is provided on the reservoir, a screw cover is provided on one side of the eccentric protrusion, and a long handle is provided on the other side; the long handle and the eccentric protrusion are hollow inside. The present invention has a simple structure and is easy to use. It can reasonably expose the visual field of episiotomy suturing, so that there is no blood contamination of the episiotomy wound during the suturing process, and cold light illumination can be performed on the episiotomy. When the doctor operates the suturing, the operating space is large and the suturing speed is fast. After the suturing, the bleeding situation can be accurately detected.
Description
Technical field:
the invention relates to the technical field of medical instruments, in particular to an auxiliary tool for side lancing.
The background technology is as follows:
Perineal lateral incision is a common operation for shortening the second labor in obstetric transvaginal delivery. However, it is a subject to be studied how to reduce the suturing difficulty of a doctor, how to achieve rapid suturing, how to reduce the pain of a lying-in woman and to increase the healing speed after the fetus is delivered. Current side cutting stitching, such as "Chinese medical guidelines". The clinical effect study of the small-angle perineum side incision technology disclosed in 2018 month 8 in obstetrics proposes a small-angle suturing mode which requires relatively less sheared tissues and can only be used for small-angle suturing, and the suturing mode has the characteristics of small injury to puerpera, convenience in suturing and the like, is low in postoperative swelling and pain incidence rate, is beneficial to incision healing, and has a promoting effect on puerperal physical recovery. However, with the improvement of the living standard of people, the huge ratio is high, and the ratio of cutting out the tissue to suture by small-angle perineum lateral incision is not high.
The existing operation mode of the side incision suture has the defects that 1, when the side incision is severely delayed or cracked, two nurses are required to pull the vaginal wall by using a draw hook to expose the suture visual field because the vaginal folds are more or the obese pregnant woman is not well exposed, even if the vaginal wall is still exposed by using the elastic folds of the vagina, only one flat visual field can be exposed, the suture operation space of a doctor is small, the suture time is long, and 2, the nurses need to observe the pulling condition by using the draw hook in the pulling process, the situation that both the probes of one doctor are under the shadowless lamp is caused, the shadowless lamp is blocked, the waiting area is unclear when the doctor makes the side incision, the operation is more difficult, the suture speed is low, and the time is long. 3. In the suturing process, a doctor needs to repeatedly wipe the blood flowing out of the uterus with gauze so as to avoid blood from polluting the suturing wound, once the blood is soaked in the side incision, the suturing operation is stopped, and the gauze is used for wiping the blood and then suturing is continued. This results in a typical suturing time for the side cuts of between 30 and 45 minutes, even longer than an hour if there are other lacerations caused by the delivery process. In the suturing process, each suture is painful and difficult (no gunny suture) for the puerperal. Therefore, in order to avoid the problem of blood immersing the side incision, a cushion is also adopted to be plugged into the fornix at the end of the vagina so as to keep the environment without blood in the vagina, and the suturing speed can be increased. 4. After the side incision is completed, two hours are needed to be observed, and if no major bleeding occurs in two hours (the volume of the major bleeding is greater than 500cc, and the caesarean section is greater than 1000 cc), the patient can be sent back to the ward. However, there is no scientific detection means for detecting the bleeding amount at present, and the bleeding amount is calculated by completely relying on the experience of doctors or nurses and adopting a pre-estimation method, such as observing the blood staining range of a pad to pre-estimate the bleeding amount, or using a gauze weighing method, i.e. weighing stained gauze. This, while relatively scientific, is still a mistake. The improvement of the detection of the postpartum hemorrhage is that the detection is still a traditional hemorrhage detection means as can be seen from the improvement of the technology, and the bleeding amount is also calculated by weighing the blood-soaked dressing pad (the technology of CN 205359809U is that the disposable postpartum metering dressing pad comprises a permeable layer, a water-absorbing layer, a cold dressing bag and a water-resisting layer from top to bottom in sequence, wherein the edge of the permeable layer is fixed on the upper surface of the water-resisting layer, the distance from the fixed position to the edge of the water-resisting layer is 1-2 cm, the edge of the bottom surface of the water-resisting layer is provided with a miniature metering scale, and the bottom surface of the water-resisting layer is symmetrically provided with two groups of adhesive tapes. The utility model has the advantages that (1) through adding the cold compress bag, the pain and the edema of the postpartum pudendum can be effectively relieved, the incision pain, the hematoma and the edema can be relieved for the puerpera with the caesarean section and the puerpera with the perineum side incision, the wound healing rate is improved, (2) the antibacterial layer is added to play the role of antibacterial and degerming, the wound infection is avoided, and (3) the actual bleeding amount after the labor is accurately measured, and no post-natal bleeding symptom is found as soon as possible, so that the corresponding treatment means can be adopted. The prediction or weighing method has high error rate and is easy to cause hemorrhagic shock of patients, the inventor can see that the predicted blood volume of the patients is 600cc in the clinical process, the detection of hemoglobin is about 4g, the actual blood volume of the patients is 1300cc, and the patients are in the condition of massive hemorrhage, but the prediction is still legal as a common safe controllable range, so that the probability of misdiagnosis is greatly increased.
To solve the technical problem at the 1 st point, chinese patent application CN 202619729U discloses a perineum side incision assisting device for perineum side incision of puerperal normal delivery. The device comprises 2 pressing plates and handles, wherein the length of each pressing plate is 7-9 cm, the width of each pressing plate is 1.3-1.5 cm, the angle between the two pressing plates is 35-50 degrees, the handles are fixed at the joint ends of the two pressing plates, the included angle between each handle and one of the pressing plates with the largest angle is 150-160 degrees, and the length of each handle is 9-12 cm. The utility model solves the problems of finger ache and fatigue caused by long and deep incision, insufficient finger length, finger pressing force and overlong time in operation, facilitates operation in stitching, and can avoid the risk of carelessly injuring the operator's finger and possibly causing infection of patient incision in stitching. As another example, chinese patent application CN200973910Y discloses a vaginal dilator comprising a handle, a counter handle, a shaft and a head end. The two elliptical metal sheets are arranged at the head end, the vagina is expanded by the two metal sheets to expose the vision field, and the two vision field exposing modes can play a role similar to the function of opening a draw hook, but the defect is still obvious that firstly, the vagina can only be opened by one slit, namely the exposed vision field is a strip slit, however, the suture needle is a semicircular arc needle, the exposed vision field of the strip slit is not enough nor suitable for the suture of the arc needle, and in the suture process, the opposite vagina wall is frequently needled, and the suture pain is increased for a patient. In addition, both of these distracting mechanisms necessarily leave the handle outside, which is substantially in-line with the physician's operating arm, further impeding the physician's suturing operation. The resulting suturing effect is not as good as the pulling hooks of two nurses, at least without obstruction during the suturing operation.
For the technical improvement of the 2 nd and 3 rd defects, no practical technical improvement scheme has been found yet. In view of the technical defects of 1-4 points in the prior art, the invention aims to provide an auxiliary tool for side lancing, which has the advantages of simple structure, convenient use, capability of reasonably exposing the visual field of side lancing, no blood pollution on side lancing wound in the suturing process, capability of illuminating cold light at the side lancing, large operation space when a doctor operates the suturing, high suturing speed and capability of accurately detecting bleeding after the suturing, and is combined with years of clinical experience.
The invention comprises the following steps:
The auxiliary tool for side lancing is simple in structure, convenient to use, capable of reasonably exposing the visual field of side lancing, free of blood pollution in the side lancing process, capable of illuminating cold light at the side lancing, large in operation space when a doctor operates the lancing, high in suturing speed and capable of accurately detecting bleeding after the lancing.
In order to achieve the above purpose, the invention provides an auxiliary tool for side lancing, which comprises an outer sleeve formed by a diameter expanding section and an equal diameter section, wherein an operation window is arranged on the diameter expanding section, an annular ring head is arranged on the outer sleeve, a storage spiral groove is arranged at the inner edge of the ring head, an outer sleeve slot is arranged at the outer edge of the ring head, an inserting section is arranged on the equal diameter section, the inserting section is connected with the outer sleeve slot in an inserting way, and an abduction arm is integrally formed at the edge of the outer sleeve.
Further, a storage is arranged in the outer sleeve, an eccentric bulge is arranged on the storage, a screw cover is arranged on one side of the eccentric bulge, a long handle is arranged on the other side of the eccentric bulge, the inside of the long handle and the inside of the eccentric bulge are hollow, and the screw cover, the eccentric bulge, the long handle and the storage are integrally formed during manufacturing.
Further, the annular head is provided with an annular head through hole integrally formed, the screw cover is provided with a reservoir through hole integrally formed, the screw cover is in threaded connection with the reservoir screw groove so as to enable the annular head through hole to be communicated with the reservoir through hole, and a liquid channel is formed among the annular head through hole, the reservoir through hole, the eccentric bulge and the long handle.
Further, a liquid bag is connected to the long handle through a catheter in an inserting way, and a metering mark is arranged on the liquid bag in an integrated manner.
Further, a plurality of fixed slots are formed in an integrated manner on the outer sleeve slot, a plurality of protrusions are formed in an integrated manner on the inserting section, and the protrusions are connected with the fixed slots in an inserting manner.
Further, the outer wall of the outer sleeve is provided with an outer sleeve inflation fold, the outer wall of the ring head is provided with a ring head inflation fold, the fixing groove is internally provided with a one-way valve, and the one-way valve is communicated with the ring head inflation fold.
Further, an inflation port is arranged on the end face of the abduction arm, an air pipe is embedded in the bulge on the insertion section, the air pipe extends to the abduction arm along the equal-diameter section and the expanding section and is communicated with the inflation port, and the air pipe at the equal-diameter section and the expanding section is communicated with the inflatable folds of the outer sleeve.
Furthermore, cold light lamp beads are embedded in the constant diameter section, button cells and switches are arranged on the abduction arms, and the button cells and the switches are electrically connected with the cold light lamp beads.
Further, the constant diameter section, the expanding section, the inserting section, the operation window and the outer sleeve are integrally formed during manufacturing, and the operation window is trapezoid.
Further, the outer sleeve, the ring head and the reservoir are transparent plastic products.
Further, the rotation angle of the threaded connection between the screw cover and the screw groove of the storage device is 10-15 degrees, a water stop adhesive tape is adhered in the screw cover, a mark can be arranged between the screw cover and the screw groove of the storage device, the storage device is inserted into the outer sleeve along the mark, the connection between the storage device and the ring head is completed by rotating for 10-15 degrees, and no liquid leakage phenomenon of a liquid channel formed among the through hole of the ring head, the through hole of the storage device, the eccentric bulge and the long handle is ensured due to the action of the water stop adhesive tape.
Further, be provided with the hook cover (which is the buckle of major arc form) on the extension arm, the hook cover is used for being connected long handle and abduction arm an organic whole, prevents that long handle from trembling in the overcoat, influences the sewing up.
Further, the expanding section, the constant diameter section, the operation window and the inserting section can be integrally formed with the jacket during manufacturing.
The outer sleeve is further adhered to the outer sleeve inflatable folds, the outer sleeve inflatable folds can be outwards expanded along the outer wall of the outer sleeve after being inflated, the ring head is adhered to the ring head inflatable folds, and the ring head inflatable folds can be outwards expanded along the outer wall of the ring head after being inflated.
The invention has simple structure and convenient use, can reasonably expose the visual field of side incision, ensures that the side incision wound is free from blood pollution in the suture process, can carry out cold light illumination on the side incision, has large operation space when a doctor operates suture, has high suture speed, and can accurately detect the bleeding condition after suture.
When the invention is used, the steps are as follows:
A. The outer sleeve slot of the ring head is inserted with the insertion section of the outer sleeve, the bulge of the insertion section is inserted into the fixed groove (the purpose is to prevent the outer sleeve from rotating when the outer sleeve rotates in the vagina, the ring head is not rotated), the switch is turned on, the cold light lamp bead is lightened, cold light can be transmitted out along the through hole of the ring head and used as illumination, after the vagina is inserted, whether the position of a dome is reached or not is conveniently observed, after the position of the dome is reached, the outer sleeve is rotated, the operation window of the outer sleeve corresponds to a side cutting wound, the vagina is propped up by the outer sleeve, the propped up shape is cylindrical, the arc is convenient for sewing the side cutting wound (two nurses do not need to use drag hooks to drag the vagina, the illumination problem is also solved, the vision is good, the operation space for sewing is large, and a doctor is convenient to sew up).
B. In order to solve the problem that the side cut wound is submerged due to the outflow of blood in the uterus, the reservoir is inserted along the outer sleeve, the screw cover is in threaded connection with the reservoir screw groove, the reservoir and the ring head are connected into a whole, the threaded connection rotation angle between the screw cover and the reservoir screw groove is 10-15 degrees, a water stop adhesive tape is adhered in the screw cover, a mark can be arranged between the screw cover and the reservoir screw groove, the reservoir is inserted into the outer sleeve along the mark, the connection between the reservoir and the ring head is completed by rotating for 10-15 degrees, and the liquid channel formed among the ring head through hole, the reservoir through hole, the eccentric bulge and the long handle is ensured to have no liquid leakage phenomenon due to the action of the water stop adhesive tape. (the operation mode does not need to be stuffed into the vagina of a puerpera again and repeatedly use gauze to wipe blood in the vagina, at the moment, the space in the outer sleeve and the storage device are divided into two spaces, the blood-free environment in the outer sleeve is kept, the side cut wound at the operation window is free from blood dip dyeing, the operation steps of repeatedly wiping blood are reduced, the side cut sewing speed is greatly increased, and sewing can be controlled to be finished within 10-20 minutes).
C. The outer sleeve and the ring head are in plug-in connection, only forward force is needed when the ring head is sent into the vagina, no falling-off phenomenon exists when the ring head is rotated, after the suturing is finished, one hand is forced inwards to prop against the long handle, the other hand is forced outwards to rotate the abduction arm, and the outer sleeve can be directly taken off from the ring head and separated from the vagina due to the plug-in connection of the outer sleeve and the ring head. The loop head is still positioned at the fornix position, and the long handle of the reservoir is connected with the liquid bag (the liquid bag can be a urine bag) through the catheter, so that the bleeding amount of 2 hours can be accurately monitored, the traditional operation mode of a pre-estimation method or a blood immersed gauze weighing method is changed, the accuracy is high, no error exists, and the misdiagnosis of patients with massive bleeding is greatly reduced. When the patient is in good condition after two hours of monitoring, the handle is rotated to pull out the reservoir and the ring head (the reservoir and the ring head are in threaded connection and have no falling phenomenon).
D. In view of the difference of the fat and the weight of the puerpera, an external air pump is used for inserting an air charging port on the abduction arm, the air charging port is used for feeding air into an inflatable fold of the outer sleeve along an air pipe buried in the outer sleeve so that the inflatable fold of the outer sleeve can outwards expand along the outer wall of the outer sleeve after being inflated, and the bulge of the inserting section and a one-way valve inserted into the annular head can outwards expand along the outer wall of the annular head after the inflatable fold of the annular head is inflated. The one-way valve can ensure that the ring head is airtight and keeps an expanded state after the outer sleeve is separated from the ring head. The structure makes the coat and the ring head suitable for different puerpera types, and the operation modes are the same as the steps A, B and C except that the coat and the ring head are inflated to adapt to different types of patients.
In summary, the invention has the advantages that 1, the outer sleeve is used for expanding the vagina to obtain an operation space suitable for arc needle suturing, an operation window on the outer sleeve is matched with a lateral incision wound, the traction assistance of a nurse drag hook is not needed, the suturing of doctors is convenient, and 2, the problem of unclear vision caused by the traditional shadowless lamp is solved no matter the outer sleeve and the ring head are fed into the vagina or suturing is carried out by using cold light lamp beads. 3. And 4, after the outer sleeve is separated, a long handle of the storage device is connected with a liquid bag to monitor the bleeding amount of a puerpera, and particularly, the invention can be used for independently monitoring the bleeding amount of a patient even if the patient has no side incision in the same direction, thereby solving the problem of large error of the traditional prediction method and the gauze blood leaching weighing method.
Description of the drawings:
Fig. 1 is a schematic structural diagram of a jacket according to a first embodiment of the present invention.
Fig. 2 is a schematic view of a ring head according to a first embodiment of the present invention.
Fig. 3 is a schematic top view of a ring head according to a first embodiment of the present invention.
Fig. 4 is a state diagram of an outer sleeve and a ring head connected integrally according to an embodiment of the present invention.
Fig. 5 is a schematic structural diagram of a reservoir according to an embodiment of the present invention.
Fig. 6 is a perspective view of a reservoir according to an embodiment of the present invention.
Fig. 7 is a view showing the use of the outer sleeve, the ring head and the reservoir integrally connected together according to the embodiment of the present invention.
Fig. 8 is a state diagram showing only the ring head and the reservoir after the jacket is removed according to the embodiment of the present invention.
Fig. 9 is a state diagram showing a loop head and a reservoir which are placed in the body and connected to a fluid bag according to an embodiment of the present invention.
Fig. 10 is a state diagram of a side cutting process according to the first embodiment of the present invention.
FIG. 11 is a view showing the state of bleeding after one-sided incision and suturing according to the embodiment of the present invention.
Fig. 12 is a schematic view of an inflatable jacket structure according to a second embodiment of the present invention.
Fig. 13 is a schematic view of an inflatable collar according to a second embodiment of the present invention.
Fig. 14 is a schematic top view of an inflatable jacket according to a second embodiment of the present invention.
Fig. 15 is a schematic view of an inflated structure of an inflatable jacket according to a second embodiment of the present invention.
Fig. 16 is a state diagram of the second embodiment of the present invention, in which only the inflatable collar and the reservoir remain after the inflatable sleeve is removed.
The attached drawings are identified:
1. operating window 2, coat 3, abduction arm 4, switch
5. Cold light lamp bead 6, expanding section 7, equal diameter section 8 and inserting section
9. Reservoir screw groove 10, outer sleeve slot 11, fixing groove 12 and ring head
13. Long handle 14, eccentric bulge 15, screw cap 16, reservoir
17. Annular head through hole 18, conduit 19, liquid bag 20 and reservoir through hole
21. Outer sleeve inflatable fold 22, one-way valve 23, annular head inflatable fold 24 and uterus
25. Dome 26, vagina 31, inflation port
The specific embodiment is as follows:
the present invention will be described below with reference to the accompanying drawings.
Embodiment one:
As shown in fig. 1-11, fig. 1 is a schematic structural diagram of a jacket according to a first embodiment of the present invention. Fig. 2 is a schematic view of a ring head according to a first embodiment of the present invention. Fig. 3 is a schematic top view of a ring head according to a first embodiment of the present invention. Fig. 4 is a state diagram of an outer sleeve and a ring head connected integrally according to an embodiment of the present invention. Fig. 5 is a schematic structural diagram of a reservoir according to an embodiment of the present invention. Fig. 6 is a perspective view of a reservoir according to an embodiment of the present invention. Fig. 7 is a view showing the use of the outer sleeve, the ring head and the reservoir integrally connected together according to the embodiment of the present invention. Fig. 8 is a state diagram showing only the ring head and the reservoir after the jacket is removed according to the embodiment of the present invention. Fig. 9 is a state diagram showing a loop head and a reservoir which are placed in the body and connected to a fluid bag according to an embodiment of the present invention. Fig. 10 is a state diagram of a side cutting process according to the first embodiment of the present invention. FIG. 11 is a view showing the state of bleeding after one-sided incision and suturing according to the embodiment of the present invention.
The auxiliary tool for side lancing in the example comprises an outer sleeve 2 formed by an expanding section 6 and an equal-diameter section 3, wherein an operation window 1 is arranged on the expanding section, an annular ring head 12 is arranged on the outer sleeve 2, a storage spiral groove 9 is arranged at the inner edge of the ring head 12, an outer sleeve slot 10 is arranged at the outer edge of the ring head 12, an inserting section 8 is arranged on the equal-diameter section 3, the inserting section 8 is connected with the outer sleeve slot in an inserting mode, and an abduction arm 3 is integrally formed at the flaring edge of the outer sleeve 2. The jacket 2 is internally provided with a storage 16, the storage 16 is provided with an eccentric bulge 14, one side of the eccentric bulge 14 is provided with a screw cover 15, the other side is provided with a long handle 13, the inside of the long handle 13 and the inside of the eccentric bulge 14 are hollow, and the screw cover 15, the eccentric bulge 14, the long handle 13 and the storage 16 are integrally formed during manufacturing. The annular head is integrally provided with an annular head through hole 17, the screw cover 15 is integrally provided with a reservoir through hole 20, the screw cover 15 is in threaded connection with the reservoir screw groove 9 so as to enable the annular head through hole 17 to be communicated with the reservoir through hole 20, and a liquid channel is formed among the annular head through hole 17, the reservoir through hole 20, the eccentric bulge 14 and the long handle. The long handle 13 is connected with a liquid bag 19 through a conduit 18 in an inserting way, and a metering mark is arranged on the liquid bag 19 in an integrated manner. The outer sleeve slot 10 is provided with a plurality of fixing grooves 11 which are integrally formed, the plug-in section 8 is provided with a plurality of protrusions which are integrally formed and are connected with the fixing grooves in a plug-in mode. The cold light lamp beads 5 are embedded in the constant diameter section 3, button cells and switches 4 are arranged on the abduction arms 3, and the button cells and the switches 4 are electrically connected with the cold light lamp beads 5. The constant diameter section 3, the expanding section 6, the inserting section 8, the operation window 1 and the outer sleeve are integrally formed during manufacturing, and the operation window 1 is trapezoid. The outer sleeve 2, the ring head 12 and the reservoir 16 are made of transparent plastic. The screw connection rotation angle between the screw cover and the screw groove of the storage is 10-15 degrees, a water stop adhesive tape is adhered in the screw cover, a mark for the water stop adhesive tape can be arranged between the screw cover and the screw groove of the storage, the storage is inserted into the outer sleeve along the mark, the connection between the storage and the ring head is completed by rotating for 10-15 degrees, and no liquid leakage phenomenon of a liquid channel formed among the ring head through hole 17, the storage through hole 20, the eccentric bulge 14 and the long handle is ensured due to the action of the water stop adhesive tape. The extension arm is provided with a hook sleeve (which is a major arc-shaped buckle), and the hook sleeve is used for connecting the long handle with the abduction arm into a whole, so that the long handle is prevented from vibrating in the outer sleeve and the suture is prevented from being influenced. The expanding section, the equal-diameter section, the operation window and the inserting section can be integrally formed with the jacket during manufacturing.
When the vaginal ring is used, the outer sleeve slot of the annular head is spliced with the splicing section of the outer sleeve, the bulge of the splicing section is inserted into the fixed groove (the aim is to prevent the annular head from rotating when the outer sleeve rotates in the vagina), the switch is turned on, the cold light lamp beads are lightened, cold light can be transmitted out along the through holes of the annular head to be used as illumination, after the vaginal ring is inserted into the vagina, whether the vaginal ring reaches the fornix position or not is conveniently observed, and after the vaginal ring reaches the fornix position, the outer sleeve is rotated, so that the operation window of the outer sleeve corresponds to a lateral incision wound, the vagina is propped up by the outer sleeve, the propped up shape is cylindrical, the arc is convenient for suturing the lateral incision wound (two nurses do not need to use drag hooks to drag the vagina, the illumination problem is also solved, the visual field is good, the operation space of suturing is large, and doctors can conveniently suture).
B. In order to solve the problem that the side cut wound is submerged due to the outflow of blood in the uterus, the reservoir is inserted along the outer sleeve, the screw cover is in threaded connection with the reservoir screw groove, the reservoir and the ring head are connected into a whole, the threaded connection rotation angle between the screw cover and the reservoir screw groove is 10-15 degrees, a water stop adhesive tape is adhered in the screw cover, a mark can be arranged between the screw cover and the reservoir screw groove, the reservoir is inserted into the outer sleeve along the mark, the connection between the reservoir and the ring head is completed by rotating for 10-15 degrees, and the liquid channel formed among the ring head through hole, the reservoir through hole, the eccentric bulge and the long handle is ensured to have no liquid leakage phenomenon due to the action of the water stop adhesive tape. The hanging sleeve on the extension arm is used for connecting the long handle with the abduction arm into a whole, so that the long handle is prevented from vibrating in the outer sleeve, and the suturing is influenced (the operation mode is not needed to be used for filling a cushion in the vagina of a puerpera, and the gauze is not needed to be reused for wiping blood in the vagina, at the moment, the space in the outer sleeve and the reservoir are divided into two spaces, the blood-free environment in the outer sleeve is kept, the side cutting wound at the operation window is free from blood dip, the operation steps of repeatedly wiping blood are reduced, the speed of the side cutting suturing is greatly increased, and the suturing can be controlled to be completed within 10-20 minutes).
C. The outer sleeve and the ring head are in plug-in connection, only forward force is needed when the ring head is sent into the vagina, no falling-off phenomenon exists when the ring head is rotated, after the suturing is finished, one hand is forced inwards to prop against the long handle, the other hand is forced outwards to rotate the abduction arm, and the outer sleeve can be directly taken off from the ring head and separated from the vagina due to the plug-in connection of the outer sleeve and the ring head. The loop head is still positioned at the fornix position, and the long handle of the reservoir is connected with the liquid bag (the liquid bag can be a urine bag) through the catheter, so that the bleeding amount of 2 hours can be accurately monitored, the traditional operation mode of a pre-estimation method or a blood immersed gauze weighing method is changed, the accuracy is high, no error exists, and the misdiagnosis of patients with massive bleeding is greatly reduced. When the patient is in good condition after two hours of monitoring, the handle is rotated to pull out the reservoir and the ring head (the reservoir and the ring head are in threaded connection and have no falling phenomenon). Even if the patient is free from lateral incision during the forward delivery, the invention can be used for independently monitoring the bleeding amount of the patient, thereby solving the problem of large error of the traditional pre-estimation method and the gauze blood dipping weighing method.
Example two
Fig. 12 is a schematic view of an inflatable jacket according to a second embodiment of the present invention, as shown in fig. 12-16. Fig. 13 is a schematic view of an inflatable collar according to a second embodiment of the present invention. Fig. 14 is a schematic top view of an inflatable jacket according to a second embodiment of the present invention. Fig. 15 is a schematic view of an inflated structure of an inflatable jacket according to a second embodiment of the present invention. Fig. 16 is a state diagram of the second embodiment of the present invention, in which only the inflatable collar and the reservoir remain after the inflatable sleeve is removed.
The auxiliary tool for side lancing in the example comprises an outer sleeve 2 formed by an expanding section 6 and an equal-diameter section 3, wherein an operation window 1 is arranged on the expanding section, an annular ring head 12 is arranged on the outer sleeve 2, a storage spiral groove 9 is arranged at the inner edge of the ring head 12, an outer sleeve slot 10 is arranged at the outer edge of the ring head 12, an inserting section 8 is arranged on the equal-diameter section 3, the inserting section 8 is connected with the outer sleeve slot in an inserting mode, and an abduction arm 3 is integrally formed at the flaring edge of the outer sleeve 2. The jacket 2 is internally provided with a storage 16, the storage 16 is provided with an eccentric bulge 14, one side of the eccentric bulge 14 is provided with a screw cover 15, the other side is provided with a long handle 13, the inside of the long handle 13 and the inside of the eccentric bulge 14 are hollow, and the screw cover 15, the eccentric bulge 14, the long handle 13 and the storage 16 are integrally formed during manufacturing. The annular head is integrally provided with an annular head through hole 17, the screw cover 15 is integrally provided with a reservoir through hole 20, the screw cover 15 is in threaded connection with the reservoir screw groove 9 so as to enable the annular head through hole 17 to be communicated with the reservoir through hole 20, and a liquid channel is formed among the annular head through hole 17, the reservoir through hole 20, the eccentric bulge 14 and the long handle. The long handle 13 is connected with a liquid bag 19 through a conduit 18 in an inserting way, and a metering mark is arranged on the liquid bag 19 in an integrated manner. The outer sleeve slot 10 is provided with a plurality of fixing grooves 11 which are integrally formed, the plug-in section 8 is provided with a plurality of protrusions which are integrally formed and are connected with the fixing grooves in a plug-in mode. The outer wall of the outer sleeve 2 is provided with an outer sleeve inflation fold 21, the outer wall of the ring head 12 is provided with a ring head inflation fold 23, the fixing groove 11 is internally provided with a one-way valve 22, and the one-way valve 22 is communicated with the ring head inflation fold 23. An inflation inlet 31 is arranged on the end face of the abduction arm 3, an air pipe is embedded in the bulge on the insertion section 8, the air pipe extends to the abduction arm 3 along the equal-diameter section 7 and the expanding section 6 and is communicated with the inflation inlet 31, and the air pipe at the equal-diameter section 7 and the expanding section 6 is communicated with the outer sleeve inflation fold 21. The cold light lamp beads 5 are embedded in the constant diameter section 3, button cells and switches 4 are arranged on the abduction arms 3, and the button cells and the switches 4 are electrically connected with the cold light lamp beads 5. The constant diameter section 3, the expanding section 6, the inserting section 8, the operation window 1 and the outer sleeve are integrally formed during manufacturing, and the operation window 1 is trapezoid. The outer sleeve 2, the ring head 12 and the reservoir 16 are made of transparent plastic. the screw connection rotation angle between the screw cover and the screw groove of the storage is 10-15 degrees, a water stop adhesive tape is adhered in the screw cover, a mark for the water stop adhesive tape can be arranged between the screw cover and the screw groove of the storage, the storage is inserted into the outer sleeve along the mark, the connection between the storage and the ring head is completed by rotating for 10-15 degrees, and no liquid leakage phenomenon of a liquid channel formed among the ring head through hole 17, the storage through hole 20, the eccentric bulge 14 and the long handle is ensured due to the action of the water stop adhesive tape. The extension arm is provided with a hook sleeve (which is a major arc-shaped buckle), and the hook sleeve is used for connecting the long handle with the abduction arm into a whole, so that the long handle is prevented from vibrating in the outer sleeve and the suture is prevented from being influenced. The expanding section, the equal-diameter section, the operation window and the inserting section can be integrally formed with the jacket during manufacturing. The outer sleeve is adhered to the outer sleeve inflatable folds, the outer sleeve inflatable folds can be outwards expanded along the outer wall of the outer sleeve after being inflated, the ring head is adhered to the ring head inflatable folds, and the ring head inflatable folds can be outwards expanded along the outer wall of the ring head after being inflated. (the inside of the jacket of this example may be a hollow structure in which the air tube is coiled)
When the example is used, the steps are as follows:
A. The sleeve slot of the ring head is inserted with the insertion section of the sleeve, the bulge of the insertion section is inserted into the fixing groove (aiming at preventing the sleeve from rotating when rotating in the vagina, the ring head is not rotated), the switch is turned on, the cold light lamp bead is lightened, the cold light can be penetrated out along the through hole of the ring head and used as illumination, after the vagina is inserted, whether the position of the dome is reached or not is conveniently observed, after the position of the dome is reached,
If the patient is obese, the ring head position can not be smoothly closed, an external air pump is used for inserting an air charging port on the abduction arm, the air charging port is used for feeding air into the outer sleeve along an air pipe embedded in the outer sleeve to charge the air folds of the outer sleeve so that the air can be outwards expanded along the outer wall of the outer sleeve after being charged, and the bulge of the inserting section and the one-way valve inserted into the ring head can be outwards expanded along the outer wall of the ring head after the air folds of the ring head are charged.
Due to the effect of the cold tube lamp bead, the corresponding condition of the ring head and the dome can be clearly observed along the outer sleeve, after the corresponding condition is proper, the air pump is pulled out, the outer sleeve is rotated, the operation window of the outer sleeve corresponds to the side cutting wound, the vagina is propped up by the outer sleeve at the moment, the propped up shape is cylindrical, the arc is convenient for sewing the side cutting wound,
(The vagina is not required to be drawn by two nurses by using the drag hook, the lighting problem is also solved, the visual field is good, the suture operation space is large, and the suture of doctors is convenient).
B. In order to solve the problem that the side cut wound is submerged due to the outflow of blood in the uterus, the reservoir is inserted along the outer sleeve, the screw cover is in threaded connection with the reservoir screw groove, the reservoir and the ring head are connected into a whole, the threaded connection rotation angle between the screw cover and the reservoir screw groove is 10-15 degrees, a water stop adhesive tape is adhered in the screw cover, a mark can be arranged between the screw cover and the reservoir screw groove, the reservoir is inserted into the outer sleeve along the mark, the connection between the reservoir and the ring head is completed by rotating for 10-15 degrees, and the liquid channel formed among the ring head through hole, the reservoir through hole, the eccentric bulge and the long handle is ensured to have no liquid leakage phenomenon due to the action of the water stop adhesive tape. (the operation mode does not need to be stuffed into the vagina of a puerpera again and repeatedly use gauze to wipe blood in the vagina, at the moment, the space in the outer sleeve and the storage device are divided into two spaces, the blood-free environment in the outer sleeve is kept, the side cut wound at the operation window is free from blood dip dyeing, the operation steps of repeatedly wiping blood are reduced, the side cut sewing speed is greatly increased, and sewing can be controlled to be finished within 10-20 minutes).
C. The outer sleeve and the ring head are in plug-in connection, only forward force is needed when the ring head is sent into the vagina, no falling-off phenomenon exists when the ring head is rotated, after the suturing is finished, one hand is forced inwards to prop against the long handle, the other hand is forced outwards to rotate the abduction arm, and the outer sleeve can be directly taken off from the ring head and separated from the vagina due to the plug-in connection of the outer sleeve and the ring head.
Due to the action of the check valve on the ring head, the ring head can be ensured to be airtight and kept in an expanded state after the outer sleeve is separated from the ring head. This construction allows the outer sleeve and the loop to accommodate different types of parturients.
After the coat is separated from the vagina, the ring head is still positioned at the fornix position, and the long handle of the reservoir is connected with the liquid bag (the liquid bag can be a urine bag) through the catheter, so that the bleeding amount of 2 hours can be accurately monitored, the traditional operation mode of a pre-estimation method or a blood dipping gauze weighing method is changed, the accuracy is high, no error exists, and the misdiagnosis of patients with massive bleeding is greatly reduced. When the patient is in good condition after two hours of monitoring, the handle is rotated to pull out the reservoir and the ring head (the reservoir and the ring head are in threaded connection and have no falling phenomenon).
Comparison test:
comparing with the example of the same type of lateral incision disease of 2018, 12 of Qing medical attached Hospital, wherein the type is that a 45 degree lateral incision is adopted for perineum incision, and the incision length is about 4cm
10 Cases were sewn using the conventional side-seam sewing method as group 1, and 10 cases were sewn using the present invention example 1 as an auxiliary tool as group 2. The comparison is as follows:
| Group of | Visual field | Operating space | Other parts are wounded when suturing | Bleeding amount detection | Wiping vaginal blood | Average time of stitching |
| Group 1 | Unclear and clear | Slit shape | Sporadic occurrence | Without any means for | Frequent use of | 48.2min |
| Group 2 | Clearly, it is | Wide mouth cylinder | Without any means for | Is all and quasi | Once-through | 17.5min |
In summary, the invention has the advantages that 1, the outer sleeve is used for expanding the vagina to obtain an operation space suitable for arc needle suturing, an operation window on the outer sleeve is matched with a lateral incision wound, the traction assistance of a nurse drag hook is not needed, the suturing of doctors is convenient, and 2, the problem of unclear vision caused by the traditional shadowless lamp is solved no matter the outer sleeve and the ring head are fed into the vagina or suturing is carried out by using cold light lamp beads. 3. And 4, after the outer sleeve is separated, a long handle of the storage device is connected with a liquid bag to monitor the bleeding amount of a puerpera, and particularly, the invention can be used for independently monitoring the bleeding amount of a patient even if the patient has no side incision in the same direction, thereby solving the problem of large error of the traditional prediction method and the gauze blood leaching weighing method.
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| Application Number | Priority Date | Filing Date | Title |
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| CN201910130422.3A CN109602387B (en) | 2019-02-21 | 2019-02-21 | Auxiliary tool for episiotomy suturing |
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| Application Number | Priority Date | Filing Date | Title |
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| CN201910130422.3A CN109602387B (en) | 2019-02-21 | 2019-02-21 | Auxiliary tool for episiotomy suturing |
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| CN109602387B true CN109602387B (en) | 2025-03-25 |
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| CN201370605Y (en) * | 2009-03-20 | 2009-12-30 | 丁小秋 | Vagina tractor |
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| CN203369932U (en) * | 2013-07-17 | 2014-01-01 | 青岛市市立医院 | Postpartum hemorrhage drainage device |
| CN105125243A (en) * | 2015-09-25 | 2015-12-09 | 北京大学第一医院 | Postpartum suture dilator |
| CN209661604U (en) * | 2019-02-21 | 2019-11-22 | 青岛大学附属医院 | Auxiliary tool is used in lateral incision suture |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| IES20010840A2 (en) * | 2000-09-20 | 2002-11-13 | Uro Devices Ltd | A device for staunching bleeding in a subject following vaginal surgery,use of the device and a method for staunching bleeding in a subject following vaginal surgery |
| KR20040105267A (en) * | 2003-06-04 | 2004-12-16 | 문옥인 | A proctoscope |
| CN2838570Y (en) * | 2005-08-26 | 2006-11-22 | 王艳苹 | Puerpera's blood receiving bag in puerperal |
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Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN201370605Y (en) * | 2009-03-20 | 2009-12-30 | 丁小秋 | Vagina tractor |
| CN202146476U (en) * | 2011-06-14 | 2012-02-22 | 艾派(广州)医疗器械有限公司 | Spray head of medical disposable pulse irrigator |
| CN203369932U (en) * | 2013-07-17 | 2014-01-01 | 青岛市市立医院 | Postpartum hemorrhage drainage device |
| CN105125243A (en) * | 2015-09-25 | 2015-12-09 | 北京大学第一医院 | Postpartum suture dilator |
| CN209661604U (en) * | 2019-02-21 | 2019-11-22 | 青岛大学附属医院 | Auxiliary tool is used in lateral incision suture |
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