[go: up one dir, main page]

CN110584756B - Support device for umbilical cord prolapse - Google Patents

Support device for umbilical cord prolapse Download PDF

Info

Publication number
CN110584756B
CN110584756B CN201910750653.4A CN201910750653A CN110584756B CN 110584756 B CN110584756 B CN 110584756B CN 201910750653 A CN201910750653 A CN 201910750653A CN 110584756 B CN110584756 B CN 110584756B
Authority
CN
China
Prior art keywords
plug
umbilical cord
plug part
module
pad
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Withdrawn - After Issue
Application number
CN201910750653.4A
Other languages
Chinese (zh)
Other versions
CN110584756A (en
Inventor
韩清
鲁静
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Priority to CN201910750653.4A priority Critical patent/CN110584756B/en
Publication of CN110584756A publication Critical patent/CN110584756A/en
Application granted granted Critical
Publication of CN110584756B publication Critical patent/CN110584756B/en
Withdrawn - After Issue legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Images

Classifications

    • 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
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00Operating tables; Auxiliary appliances therefor
    • A61G13/10Parts, details or accessories
    • A61G13/12Rests specially adapted therefor; Arrangements of patient-supporting surfaces
    • A61G13/1205Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
    • A61G13/123Lower body, e.g. pelvis, hip, buttocks
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G2200/00Information related to the kind of patient or his position
    • A61G2200/10Type of patient
    • A61G2200/12Women
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G2200/00Information related to the kind of patient or his position
    • A61G2200/30Specific positions of the patient
    • A61G2200/32Specific positions of the patient lying

Landscapes

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

Abstract

The invention discloses a supporting device for umbilical cord prolapse, and mainly relates to the field of gynecological facilities. The device comprises a supporting module, wherein a plug piece capable of being relatively closed or unfolded left and right is arranged on the supporting module, a plug part used for entering an birth canal is arranged on the plug piece, the plug piece comprises a first plug piece and/or a second plug piece according to the shape difference of the plug part, the cross section of the plug part of the first plug piece is of an arc-shaped structure with a wide top and a narrow bottom, and the lower end of the plug part of the first plug piece is arched outwards, so that after the top ends of the plug parts on two sides are closed and connected, the distance between the lower ends is not less than 3 cm; the front side of the plug part of the second plug part is thinner than the rear side, the top end surface of the second plug part forms a wedge-shaped structure with a lower front end and a higher rear end, and the inner side of the plug part of the second plug part is provided with an accommodating cavity which is communicated from front to back; the pad body module is used for lifting the hip position under the hip of a lying-in woman, and the pad body module is matched with the supporting module to enable the pad body module to support and limit different positions in the length direction. The invention has the beneficial effects that: can cooperate and raise the buttock position and remove the umbilical cord pressurized to the lying-in woman under the umbilical cord prolapse condition.

Description

Support device for umbilical cord prolapse
Technical Field
The invention relates to the field of obstetric facilities, in particular to a supporting device for umbilical cord prolapse.
Background
When the umbilical cord is pulled out from the lower part of the fetal presenting part, the umbilical cord enters the vagina through the cervix and even emerges from the pudendum through the vagina, which is called the prolapse of the umbilical cord. When the fetal membrane is broken, the amniotic fluid flows out too quickly due to overhigh pressure in the uterine cavity, and the umbilical cord can be flushed out by the amniotic fluid to form the prolapse of the umbilical cord. The umbilical cord prolapse has little influence on the parturient, only increases the operation yield, but has great harm to the fetus. When the umbilical cord is prolapsed, the umbilical cord is pressed between the fetal presenting part and the pelvis to cause acute hypoxia of the fetus, and the fetal heart rate is changed or even completely disappears. If the cord blood circulation is blocked for more than 7 minutes, fetal death in the uterus may result. Therefore, every time the parturient with the umbilical cord prolapse is treated, the treatment is the highest examination in all directions of the level of obstetrical staff, the level of a team and the level of management. Is a race of the life running with time.
In this process, the most critical treatment operation is to relieve the umbilical cord from compression. Because the emergence of prolapse is all urgent, in the time of birth canal inspection, in case discover, can only bare-handed support relieve the pressurized fast, and in case the upper hand, just must stick to delivery and accomplish the foetus and take out, this not only has occupied valuable personnel resource, for the reply of this kind of emergency more add the pressure, and rely on the manual posture of half squatting of firmly and hand fixation gesture support for a long time, later stage physical power is difficult to support, not only is difficult to support again and targets in place, and also to personnel's physical endurance be the inspection of handing over greatly. A corresponding facility is urgently needed to solve the emergency problem.
Disclosure of Invention
The invention aims to provide a supporting device for umbilical cord prolapse, which can meet the treatment requirements of a parturient under the condition of umbilical cord prolapse, including hip elevation, umbilical cord pressure relief and treatment requirements before the delivery of a convoying parturient is completed.
In order to achieve the purpose, the invention is realized by the following technical scheme:
a support device for umbilical cord prolapse, comprising:
the supporting module is provided with a plug piece which can be relatively closed or unfolded left and right, the plug piece is provided with a plug part for entering the birth canal, the plug piece comprises a first plug piece and/or a second plug piece according to the shape difference of the plug part,
the section of the plug part of the first plug part is of an arc structure with a wide top and a narrow bottom, and the lower end of the plug part of the first plug part is arched outwards, so that the distance between the lower ends of the plug parts is not less than 3cm after the top ends of the plug parts at two sides are closed and contacted;
the front side of the plug part of the second plug part is thinner than the rear side, the top end surface of the second plug part forms a wedge-shaped structure with a lower front end and a higher rear end, and the inner side of the plug part of the second plug part is provided with an accommodating cavity which is communicated with the front and the rear;
the pad body module is used for lifting the hip position under the hip of a lying-in woman, and the pad body module is matched with the supporting module to enable the pad body module to support and limit different positions in the length direction.
Further, the plug part of the first plug part comprises an inner layer framework layer and an outer layer flexible layer, the framework layer is of a hard plastic structure, and the flexible layer is of a flexible sponge structure;
and/or the presence of a gas in the gas,
the second plug part is an integrally formed silica gel part.
Furthermore, the plug member comprises an installation rod and a plug part, one end of the installation rod is fixedly connected with the plug part, and the other end of the installation rod is detachably connected with the support module.
Further, the mounting rod is of a Z-shaped structure, so that the plug part is lower than the hinged part of the connecting rod.
Furthermore, the support module comprises an X-shaped hinged frame, the X-shaped hinged frame comprises two connecting rods, the centers of the connecting rods are rotatably connected, fixed blocks are fixed at two ends of each connecting rod, matching blocks are rotatably connected onto the fixed blocks, vertical rods extending from branches are symmetrically arranged on two sides of the X-shaped hinged frame, the low ends of the vertical rods are connected with matching pieces on the same side of the bottom, the tops of the vertical rods penetrate through and are slidably connected into the matching pieces on the same side of the upper portion, a mounting seat for detachably mounting a plug piece is arranged in the middle of each vertical rod,
and a telescopic device is arranged between the two matching blocks at the bottom, a spring is arranged on the telescopic device, and the spring has acting force for opening the X-shaped hinged frame left and right.
Furthermore, the top end of the connecting rod is fixedly connected with an operating handle which is two inwards-concave arc-shaped handles.
Furthermore, the lower end of the connecting rod is fixedly connected with an extension rod which is an arc rod arched outwards,
the pad body module is provided with a groove in the middle along the length direction, one side of the pad body module, which is far away from a lying-in woman, is provided with an opening to form a semi-through groove structure, and the side walls of the two sides of the groove are provided with corrugated protrusions and recesses for matching with an extension rod to form limiting.
Further, the cushion body module comprises a gasket and a cushion block, the gasket is a flexible sheet, the end points of the four corners of the gasket are respectively provided with an annular handle 26, the cushion body is fixed on the top end face of the gasket and integrally formed with the gasket, the cross section of the cushion body is a triangle with an obtuse angle at the vertex angle, and the highest position of the cushion body is 1/4 close to one end.
Furthermore, the middle part of connecting rod is equipped with articulated dish, two it is articulated through articulated dish, two the central authorities of articulated dish rotate to be connected, one side that articulated dish and lying-in woman are adjacent is equipped with the light filling light source.
Compared with the prior art, the invention has the beneficial effects that:
use this device, can cooperate the umbilical cord to prolapse the condition under to the processing requirement of lying-in woman. Including raising the hip position and relieving the umbilical cord from pressure. The treatment requirement before the delivery of the convoy puerpera is completed. Particularly, fill up the buttock that the body module can be pertinence lift the umbilical cord prolapse lying-in woman, the action that the choke plug passes through getting into the birth canal, replaces bare-handed support umbilical cord simultaneously, and the front end of choke plug is used for pushing back and withstands the child head, perhaps, supports the child head, can be used for making the umbilical cord pass through between the choke plug to break away from the umbilical cord from the pressurized state and come out, and keep the protection to the umbilical cord, the umbilical cord that makes the prolapse go out of palace mouth can both keep effectual blood circulation before the childbirth is accomplished.
The device replaces bare-handed operation, not only can guarantee the supporting effect on the umbilical cord all the time, avoids the weak support caused by the manual support and the limp and numb muscles of the hand, and guarantees the operation effect. But also relieves a medical staff with rich experience for delivery, increases the number of hands and improves the orderly execution of the emergency cesarean section operation.
Drawings
Figure 1 is a simplified illustration of the present invention's umbilical cord prolapse (arrow direction is the device or hand position).
Fig. 2 is an overall schematic view (seen from the rear side, i.e., the operation side) of the present invention.
Fig. 3 is an overall schematic view of the invention (seen from the anterior root, i.e. towards the side of the parturient).
Fig. 4 is an enlarged view of the portion I of fig. 3 according to the present invention.
Fig. 5 is a view of the invention from the front side.
Fig. 6 is a view of the present invention from the rear side.
Figure 7 is a front view of the support module of the present invention with the X-hinge bracket open.
Figure 8 is a schematic view of the support module of the present invention with the X-shaped hinged brackets open.
Figure 9 is a partial schematic view of an X-shaped hinged housing portion of the present invention.
FIG. 10 is a schematic view of a mat module of the present invention.
FIG. 11 is a top view of the mat module of the present invention.
FIG. 12 is a side view of the mat module of the present invention.
FIG. 13 is a schematic view of a first plug of the present invention.
Figure 14 is a schematic view of a first plug and mounting block of the present invention.
FIG. 15 is a side view of a second plug member of the present invention.
FIG. 16 is a front side view of a second plug of the present invention.
FIG. 17 is a schematic view of a second plug of the present invention.
FIG. 18 is a schematic view of a second plug of the present invention.
Reference numerals shown in the drawings:
1. a support module; 2. a cushion body module; 3. an X-shaped hinged frame; 4. erecting a rod; 5. an extension pole; 6. an operating handle; 7. a plug member; 8. a connecting rod; 9. a hinged disk; 10. a pin hole; 11. a fixed block; 12. a matching block; 13. A stopper; 14. a mounting seat; 15. a sleeve; 16. a telescopic rod; 17. a plug portion; 18. mounting a rod; 19. a limiting groove; 20. a jack; 21. a limiting bump; 22. a gasket; 23. cushion blocks; 24. a groove; 25. corrugated concave-convex; 26. and (4) a handle.
Detailed Description
The invention will be further illustrated with reference to the following specific examples. It should be understood that these examples are for illustrative purposes only and are not intended to limit the scope of the present invention. Further, it should be understood that various changes or modifications of the present invention may be made by those skilled in the art after reading the teaching of the present invention, and these equivalents also fall within the scope of the present application.
Every treatment of the umbilical cord prolapse condition is the challenge of the birth-death speed, not only is the test on the level of medical care personnel, but also the test on team cooperation, if the umbilical cord prolapse is simple, the treatment can be carried out through the knowledge of a guide, but complex conditions are often mixed, for example, the umbilical cord is stressed under the conditions of improper fetal position, partial fetal tissues (head raising, hip and limb) are exposed, the umbilical cord blood volume is reduced, the fetal heart rate is slowed down due to reflex stimulation of vagus nerves, for example, the blood flow is quickly recovered, and the fetal heart rate can be recovered. Otherwise, the heart of the fetus is lack of oxygen, the heart rate of the fetus is difficult to recover, and the fetus is dead. Therefore, the treatment principle of the umbilical cord prolapse is to push the fetal presenting part, inhibit uterine contraction, eliminate umbilical cord compression, improve the cord blood circulation and break the cord blood circulation and select a delivery mode.
Selection of a delivery mode: the parturition mode should be decided according to different conditions, except for those with no head basin at all or dead fetus, small fetus and no possibility of survival, all in minutes and seconds under local anesthesiaIn situCesarean section is performed.
How to relieve the pressure on the umbilical cord is a precondition for the fetus to be born. Although the instructions and guidelines mostly require umbilical cord reduction, in practice, umbilical cord reduction can be used when the uterine orifice is not fully expanded and the fetal heart is good, but most of the umbilical cord reduction fails and is related to the anatomical and physiological characteristics of the umbilical cord. The umbilicus carries a thick vein and 2 arteries that spiral around its outside. Since the umbilical artery is composed of 4 groups of smooth muscles: 1, an inner ring layer; 2, an inner longitudinal layer; 3, large circle; 4, small spiral smooth muscle. The inner longitudinal smooth muscle is insensitive to the response of adrenaline, noradrenaline, acetylcholine and other substances with different concentrations, but can obviously shrink under the mechanical stimulation, even completely close blood vessels. When reduction is performed, the operator always attempts to reduce the umbilical cord into the uterine cavity, beyond the exposed part, and the umbilical vessels are stimulated significantly to contract strongly, so that the blood vessels are closed to block the blood flow quickly, and the fetus dies. In the above-mentioned situation but for how to relieve the cord from compression, we actually do more by hand to penetrate into the vagina, pushing back or supporting the fetal head or limb pressing against the cord as the case may be, thereby relieving the cord from compression and restoring blood circulation.
Furthermore, the umbilical cord reacts quickly after compression, leaving the medical staff with a very limited time to rescue, so that the medical staff and the team need to deal with the problem of relieving the umbilical cord compression immediately once the joint is taken and the treatment is maintained until the delivery is completed. In many instances, once the medical personnel have got on their hands, they are in a difficult situation to leave. Specifically, when a medical worker inspects a lower parturition opening of a body, once prolapse is found, the medical worker firstly finds out the pulse of an umbilical cord and then closely reaches the parturition opening to inspect whether a pre-exposed fetal organ exists, and once the medical worker enters the parturition opening, hands of the medical worker often support and protect the umbilical cord immediately, and the posture of the medical worker often keeps the delivery ending. But all the cases are emergencies, under the condition, the medical staff for supporting is a very precious resource, and the support and protection of the umbilical cord completely occupies an experienced midwife or doctor, so that the tension of the staff is caused. Meanwhile, no matter in which posture and environment, the support to the fetus and the protection to the umbilical cord are kept, the posture matched with medical staff is usually quite awkward, and the physical strength is greatly tested after the medical staff insists on. The hands can keep the state by exerting force all the time by depending on belief support, and the body is matched with the squatting for a long time, so that the whole person can be tired of paralysis once the squatting is finished. In this case, we consider a plurality of cases, and discuss how to replace manual hand operation, decompress and protect umbilical cord, which forms a typical case and is exemplified as follows. For convenience of understanding, the explanation and the explanation are given by way of example.
Example 1: support device for umbilical cord prolapse
Mainly aims at the conditions that the umbilical cord is prolapsed, the fetal position is normal, the head is exposed firstly or the head is hidden firstly, and the umbilical cord is pressed. Recall that in the work of 2013 and 2017, cases were encountered, one of which is illustrated in the present example. The lying-in woman is a head fetus, is already in the hospital for delivery, and is calmed at about ten o' clock at night when being routinely checked, which indicates that the water is broken. When a doctor on duty warns a doctor on duty to record delivery inspection (all indexes are displayed normally), oral medical advice of a nurse is not stated yet, the nurse quickly inspects the umbilical cord, when a hand is explored to perform vaginal inspection, the hand touches a cord-shaped object in the vagina, the pulse is obviously consistent with the fetal heart, and the doctor is called to shout' the umbilical cord prolapse of a puerpera waiting for emergency treatment immediately, the doctor is called to prepare for operation, and the doctor runs quickly! "Nurse calls the person immediately and prepares for the operation affair.
Because the uterine orifice of the lying-in woman is not enlarged yet, the prolapsed umbilical cord is in the birth canal, the fetal head is also in the uterine orifice, the fetal heart is stable, the nurse takes the pillow to temporarily heighten the hip of the lying-in woman to prevent the umbilical cord and amniotic fluid from further dropping off, the hand of the wang doctor immediately pushes back the fetal head presenting part when the vagina is detected, so that the fetal head falls back into the uterus, the hand separates two fingers in the vagina and is placed between the presenting part and the pelvic wall to enable the umbilical cord to pass through the finger slit to avoid compression, the fetal condition is monitored according to the touch umbilical cord pulsation to guide rescue until the fetus is delivered. The wang doctor half squats until taking out the fetus to cut the umbilical cord, the hand leaves the vagina, the right hand is numb without any sensation, and can only remain still as far as possible, and the hand can not feel the motion of the hand.
For the above situation, we design the solution as follows:
2 separate but matable parts are used, respectively: a support module 1 and a cushion body module 2. The pad body module 2 is used for raising the buttocks of the lying-in woman, preventing the phenomenon that the prolapse is aggravated by a large amount of amniotic fluid, and striving for time for the operation. The support module 1 is used to protect the umbilical cord. The specific structure is as follows:
1) support module 1
Comprises an X-shaped hinged frame 3, an upright rod 4, an extension rod 5, an operating handle 6 and a plug member 7.
The X-shaped hinged frame 3 is composed of two connecting rods 8 connected in a hinged mode through the center, a hinged disc 9 is arranged in the middle of each connecting rod 8, a pin hole 10 used for rotary connection is formed in the center of each hinged disc 9, and a pin is matched with the pin in the pin hole 10 in a rotating mode. The inboard of articulated dish 9 is equipped with the LED lamp panel for the light filling, the convenient operation and the observation to the birth canal mouth.
The upper and lower sliding fit of connecting rod 8 has fixed block 11 respectively, fixed block 11 is run through by connecting rod 8, sets up respectively in the edge that is close to both ends of connecting rod 8, and is fixed on connecting rod 8. One side (the side far away from the lying-in woman) of the fixed block 11 is in running fit with a matching block 12.
The utility model discloses a X-type articulated frame 3, including two pole setting 4, two connecting rods 8, two matching blocks 12, two connecting rods 4, two connecting rods 8, two connecting rods 4, two connecting rods 3, two connecting rods 8, two matching blocks 12, two connecting rods 8, two connecting rods 3, two connecting rods 4, two connecting rods 3, two connecting rods 8, two connecting rods 3, the two connecting rods 4 are connected in parallel to each other.
The middle part of one side of the upright rod 4 adjacent to the lying-in woman is provided with a mounting seat 14. The bracket is used for being matched with the plug part 7 and realizing detachable matching, so that the bracket can be matched with plug parts 7 with different shapes to be used corresponding to different conditions.
The extension rod 5 is in an arc shape arched towards two sides, and the top end of the extension rod 5 is fixedly connected with the lower end of the connecting rod 8. The lower end of the extension rod 5 is used for supporting, and the arched part is used for matching with a related concave-convex structure on the side wall of the subsequent cushion body central groove 24 to realize limiting.
The operating handle 6 is two opposite concave arc-shaped grippers, the lower end of the operating handle is fixedly matched with the top end of the connecting rod 8, so that a person can conveniently operate the device, namely the opening and closing of the X-shaped hinged frame 3 are controlled by gripping the operating handle 6 at the top. When a person operates the operating handle 6, the extension rod 5 at the bottom is unfolded towards two sides along with the horizontal opening of the X-shaped hinged frame 3 and is relatively folded along with the folding of the X-shaped hinged frame 3.
Two that are located X type articulated frame 3 bottom be equipped with telescoping device on the cooperation piece 12, specific structure includes sleeve pipe 15 and telescopic link 16, the inner of telescopic pipe inserts the inner of sleeve pipe 15, and the telescopic cooperation of the two inner cup joint part, the outer end of sleeve pipe 15 and the outer end of telescopic link 16 are fixed respectively on the bottom cooperation piece 12 of homonymy. A spring is arranged in the sleeve 15, and the elastic potential energy of the spring is used for enabling the telescopic rod 16 to be far away from the sleeve 15. Thereby keeping the whole X-shaped hinge frame 3 in a state of being unfolded toward both sides. When the operating handle 6 at the top is grasped by hand, the X-shaped hinge brackets 3 can be closed, and the X-shaped hinge brackets 3 have the tendency and the acting force of returning to the opening towards both sides when the hand is released.
Plug member 7 includes cock portion 17 and installation pole 18, the one end and the cock portion 17 fixed connection of installation pole 18, the other end of installation pole 18 is equipped with spacing groove 19, be equipped with jack 20 on the mount pad 14, jack 20 is used for inserting the one end that the cock portion 17 was kept away from to installation pole 18, just be equipped with spacing lug 21 on the lateral wall of jack 20, spacing lug 21 can insert spacing groove 19 in, realizes the cooperation of dismantling of installation pole 18 and mount pad 14.
The installation rod 18 is of a Z-shaped structure, the height of the plug part 17 is properly reduced, and the position of the plug part 17 is lower than the hinge position, so that an operator can conveniently observe the birth canal opening.
The plug portion 17 is a straight cylinder, the front end of the plug portion 17 is provided with an arc-shaped structure, the cross section of the plug portion 17 is of an arc-shaped structure with a wide top and a narrow bottom, the low ends of the plug portions 17 on two sides are arched towards the outer side in an arc shape, and after the top ends of the plug portions 17 on two sides are closed and contacted, the distance of 4cm is reserved between the low ends of the plug portions 17 on two sides. Therefore, the inner top of the fetal presenting part (head) is kept through the front end (one end pointing to the parturient) of the plug part 17, so that the fetal presenting part (head) is kept in the uterus, and the bottom side of the plug part 17 is opened and arched towards two sides to form an arched accommodating cavity between the plug parts 17 at two sides, so that a special channel is provided for the umbilical cord, the umbilical cord can pass through the accommodating cavity, and the mechanical stimulation and compression are avoided. The umbilical cord is kept unblocked.
The plug part 17 comprises an internal hard framework and an external soft wrapping layer with elasticity, the structure is suitable for the condition of internally pushing the internal top exposed part, and internal pushing force is realized mainly through the internal hard framework (the internal hard framework is made of plastics). The mechanical stimulation is reduced through the soft wrapping layer (foaming sponge structure) on the surface layer, the stimulation to the lying-in woman, particularly to the umbilical cord and the fetus is reduced, and the injury to the fetal presenting part is avoided. The plug 17 is designed as a disposable medical article in this example, and is aseptically packaged and removed for use by insertion into the mounting base 14 and discarded.
2) Pad module 2
The pad body module 2 comprises a pad 22 and a pad block 23, the pad 22 is a flexible sheet similar to a rectangle, hollow annular handles 26 are arranged at the end points of the four corners of the pad 22 for nurses to pull and adjust the position of the pad body relative to the lower part of the puerpera, when the buttocks of the puerpera are raised, no special pad is provided, which is very inconvenient,
the main reason is that the weight of the lying-in women is large, the hip lifting is very laborious due to special conditions, the cooperation is very difficult, the lying-in women lie on the mattress after being plugged into the approximate position in the lateral position, and the lying-in women are pulled forcefully and adjusted by medical care personnel. Because the pregnant woman is not easy to grasp and adjust, and the weight of the pregnant woman is added, the medical staff is very laboursome when adjusting the specific position of the cushion body. The structure of the gasket 22 is convenient for medical personnel to conveniently, laborsavingly and effectively adjust the position and the angle of the gasket body by pulling the handles 26 at the four corner ends, and the gasket can be used for the puerpera to cushion well quickly and laborsavingly.
The cushion block 23 is fixed on the gasket 22, and the cushion body is of an integrated structure. The slope of one side (the side that just contacts the buttock) that the cushion 23 is close to lying-in woman's head is comparatively slow, is 15 degrees, and the slope of one side of afterbody is great, is 40 degrees. The highest position is located at 1/4 position near one side of the tail. The height of the padding can be selected according to the situation.
The central authorities of cushion 23 are equipped with recess 24 along its length direction (fore-and-aft direction), recess 24 has a perfect understanding in the afterbody one side opening of cushion 23, reserves the observation space, and current cushion is behind the lying-in woman health, owing to there is elasticity, and near the birth canal mouth is sheltered from easily to the part of kick-backing, both influenced the observation, blockked the support operation again. The groove 24 is used for exposing and providing observation operation space, and is convenient for medical staff to take corresponding measures.
The side walls of the two sides of the groove 24 are provided with corrugated concave-convex portions 25, and the concave radians of the corrugated concave-convex portions 25 are adapted to the extension rod 5 and used for moderately clamping the two sides of the extension rod 5. Extension rod 5 struts to the both sides of recess 24 under the effect of spring, acts on unsmooth, increases spacing effect. This kind of spacing mode for it is fixed after plugging into birth canal with cock assembly 17, make this device can keep supporting in the position of placing, can not rock and deviate from, for the umbilical cord is protected and is driven the protection navigation. Meanwhile, the fixing and limiting mode cannot be too fixed, and when special conditions exist, such as uncontrolled actions of a parturient, the parturient cannot excessively keep limiting, and the birth canal and the fetus are prevented from being injured. Once an accident occurs, the fixing is carried out again, and the device is very practical.
The present example is explained below in conjunction with the above-described case.
If the device is used for the situation of the lying-in woman, the lying-in woman is firstly put on the side and is quickly plugged into the pad body, and then the lying-in woman controls the position of the pad body according to the amniotic fluid situation after lying down, so that the hip is positioned on a proper slope and is lifted to a certain height. (with the hands supported within the birth canal).
After the umbilical cord is well padded, the operating handle 6 of the support module 1 is held by hands, the two plug parts 17 are closed, the hand for supporting slowly exits and guides the plug part 17 to enter, the front end of the plug part 17 replaces fingers to prop against the head of the fetus so that the head of the fetus is kept in the uterus and cannot press the umbilical cord, and when the hand exits, the umbilical cord is straightened and passes through the accommodating cavity below the space between the two plug parts 17, so that enough space is reserved for the umbilical cord. Thereby making the hands of the doctor. The parturient is not protected by people, so that the parturient can be conveniently moved (when people are protected, the parturient is difficult to move along with the nursing trolley due to the artificial semi-squatting posture, the moving speed and the position are greatly limited), the transfer is quick, the quick entry into the rescue step and the environment of cesarean section is facilitated, and an experienced medical worker can be vacated to participate in the next operation, thereby improving the guarantee for the success and the smoothness of the operation.
Example 2: support device for umbilical cord prolapse
Mainly aims at the conditions that the umbilical cord is prolapsed, the fetal position is right, the head is exposed first, and the umbilical cord is pressed. And because the uterine orifice is opened greatly and exposed more, or other factors, the difficulty of pushing the fetal head back into the uterus is higher, the fetal head is extruded near the uterine orifice to extrude the umbilical cord, under the condition, the situation is that the parturient is connected in an emergency, the parturient breaks water for a period of time, the umbilical cord is already visible to be pulled out from the vaginal orifice through examination of the birth canal orifice, the fetal head is already in the birth canal, and the fetal heart is obviously reduced. At the moment, hand support is formed immediately, the fetal head is lifted by the front end of the finger, and the umbilical cord passes through the middle of the finger seam. Lying on the high hip of the lying-in woman, the doctor is called by oxygen inhalation. The doctor arrives at the scene within 1 minute, and the vulva is disinfected immediately, the internal diagnosis is carried out, the umbilical cord still has pulsation, but the pulsation is very weak, 70 to 80 times, then the fetal heart auscultation of the fetal heart at the abdomen is also very weak, 70 to 80 times, the indwelling catheter is given immediately, and the bladder is pressurized and perfused with 500 ml of saline (2 to 3 minutes). The fetal head floats up the umbilical cord and is relieved under pressure, the hand still senses that the fluctuation of the umbilical cord is slowly recovered to be normal in the vagina at 140-150 times/minute, and the electronic monitoring of the abdomen indicates that the fetal heart is normal. The umbilical cord is supported by bare hands, but the hands can not leave the birth canal, and the head is always cushioned, so that the umbilical cord below has space and is not pressed. Because one doctor is occupied to receive the umbilical cord, another doctor is called to carry out emergency treatment to prepare the delivery room for on-site operation, the operation is started in about two minutes, a lower abdominal median incision is made, nine skin and subcutaneous local infiltration anaesthesia in the operation area are successful, the abdomen is entered in sequence, the bladder is emptied when the peritoneum is opened, but the hand receiving the umbilical cord is still in the vagina until the fetus is taken out. Fetal health scores were high with no effect.
In view of the above situation, the fetal head cannot be pushed back effectively, and cannot be pushed back forcibly, and the solution designed mainly is that, compared with embodiment 1, the structure of the plug 7 cannot be a straight-column push-back structure, but a structure capable of cushioning the fetal head is adopted, so as shown in fig. 1, the plug portion 17 of the plug 7 is specifically the following structure:
the end of the plug part 17 pointing to the parturient is arranged to be the front end, otherwise the rear end, and the adjacent sides of the two plug parts 17 are the inner sides, otherwise the outer sides.
The outside of cock portion 17 is ARC structure, the upper portion terminal surface of cock portion 17 forms the inclined plane from preceding side to rear end, the low rear side height of front side on inclined plane for the whole front side that is of cock portion 17 is thin, and the thick shovel shape of rear side is used for lifting gradually the child head, supports child head, the inboard of cock portion 17 is equipped with the holding tank of arc curved surface for through the navel cord.
The plug portion 17 is an integrally formed silicone member. The flexibility is moderate, and the position with thinner front side keeps moderate support.
Using this example in conjunction with the above case, the specific operations are as follows:
after this plug member 7 of control gets into the birth canal, the low level of control plug member 7 front side is advanced, meets the resistance and slightly to down-dip, and the shovel shape face of jam portion 17 front side is thinner, feels shovel into behind the child head below (the child head is circular, jam portion 17 front end downward sloping, shovel into child head below easily), and suitable perk front side jam portion 17 makes jam portion 17 bottom side and birth canal take advantage of the situation. The umbilical cord is pushed forward by a proper distance (about 4 cm) to separate the fetal head from the compressed umbilical cord, and the umbilical cord passes through the accommodating groove at the inner side of the plug portion 17 to release the compression.
The feature of the plug portion 17 is that the push-in is changed to the lift-up as compared with embodiment 1, which is adopted depending on the case. It should be clear that the bare-handed birth canal is left alone or is left to persist until the device is entered. The birth canal can not be exited until the umbilical cord is straightened and a normal fetal heart is obtained after the plug 17 is entered.
Other structures of this example are similar to those of embodiment 1, and are not described again.

Claims (6)

1. Support device for umbilical cord prolapse, characterized by, includes:
the supporting module is provided with a plug piece which can be relatively closed or unfolded left and right, the plug piece is provided with a plug part for entering the birth canal, the plug piece comprises a first plug piece and/or a second plug piece according to the shape difference of the plug part,
the section of the plug part of the first plug part is of an arc structure with a wide top and a narrow bottom, and the lower end of the plug part of the first plug part is arched outwards, so that the distance between the lower ends of the plug parts is not less than 3cm after the top ends of the plug parts at two sides are closed and contacted;
the front side of the plug part of the second plug part is thinner than the rear side, the top end surface of the second plug part forms a wedge-shaped structure with a lower front end and a higher rear end, and the inner side of the plug part of the second plug part is provided with an accommodating cavity which is communicated with the front and the rear;
the cushion body module is used for lifting the hip position under the hip of the puerpera and can support and limit the position along different positions in the length direction of the cushion body module by matching with the supporting module;
the plug piece comprises an installation rod and a plug part, one end of the installation rod is fixedly connected with the plug part, and the other end of the installation rod is detachably connected with the supporting module;
the support module comprises an X-shaped hinged frame, the X-shaped hinged frame comprises two connecting rods, the centers of the connecting rods are rotatably connected, fixed blocks are fixed at two ends of each connecting rod, matching blocks are rotatably connected onto the fixed blocks, vertical upright rods extending vertically are symmetrically arranged on two sides of the X-shaped hinged frame, the lower ends of the upright rods are connected with matching pieces on the same side of the bottom, the tops of the upright rods penetrate through and are connected in the matching pieces on the same side of the upper portions in a sliding mode, a mounting seat used for detachably mounting the plug pieces is arranged in the middle of each upright rod,
a telescopic device is arranged between the two matching blocks at the bottom, a spring is arranged on the telescopic device, and the spring has acting force for opening the X-shaped hinged frame left and right;
the lower end of the connecting rod is fixedly connected with an extension rod which is an arc rod arched outwards,
the pad body module is provided with a groove in the middle along the length direction, one side of the pad body module, which is far away from a lying-in woman, is provided with an opening to form a semi-through groove structure, and the side walls of the two sides of the groove are provided with corrugated protrusions and recesses for matching with an extension rod to form limiting.
2. The support device for umbilical cord prolapse according to claim 1, wherein the plug portion of the first plug member comprises an inner layer of a skeleton layer and an outer layer of a flexible layer, the skeleton layer being of a rigid plastic structure, the flexible layer being of a flexible sponge structure;
and/or the presence of a gas in the gas,
the second plug part is an integrally formed silica gel part.
3. The support device for umbilical cord prolapse of claim 1 wherein the mounting bar is Z-shaped with the plug portion below the hinge of the connecting rod.
4. The support device for umbilical cord prolapse of claim 1, wherein an operating handle is fixedly connected to the top end of the connecting rod, and the operating handle is two inwardly recessed arc-shaped handles.
5. The supporting device for the umbilical cord prolapse according to claim 1, wherein the pad body module comprises a pad and a pad block, the pad is a flexible sheet, the four corners of the pad are provided with ring-shaped handles, the pad body is fixed on the top end surface of the pad and is integrally formed with the pad body, the cross section of the pad body is a triangle with an obtuse angle at the vertex, and the highest position of the pad body is 1/4 near one end.
6. The supporting device for prolapse of umbilical cord as claimed in claim 1, wherein the middle of said connecting rod is provided with a hinged disk, the center of said two hinged disks is rotatably connected, said two connecting rods are hinged via the hinged disk, and a light supplement source is provided on the side of said hinged disk adjacent to the parturient.
CN201910750653.4A 2019-08-14 2019-08-14 Support device for umbilical cord prolapse Withdrawn - After Issue CN110584756B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201910750653.4A CN110584756B (en) 2019-08-14 2019-08-14 Support device for umbilical cord prolapse

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201910750653.4A CN110584756B (en) 2019-08-14 2019-08-14 Support device for umbilical cord prolapse

Publications (2)

Publication Number Publication Date
CN110584756A CN110584756A (en) 2019-12-20
CN110584756B true CN110584756B (en) 2022-08-05

Family

ID=68854376

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201910750653.4A Withdrawn - After Issue CN110584756B (en) 2019-08-14 2019-08-14 Support device for umbilical cord prolapse

Country Status (1)

Country Link
CN (1) CN110584756B (en)

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CA2475910A1 (en) * 2002-02-14 2003-08-21 Ethicon, Inc. Surgical instrument and method for treating organ prolapse conditions
CN103284856A (en) * 2012-02-22 2013-09-11 杜文举 Air cushion for lifting buttocks of pregnant woman
CN204797973U (en) * 2015-06-10 2015-11-25 深圳市盐田区人民医院 Ware is still received to omphaloproptosis
CN204951034U (en) * 2015-09-25 2016-01-13 北京大学第一医院 Sew up expander postpartum
CN206007507U (en) * 2016-04-29 2017-03-15 黄海桃 For raising the multi-functional posture pad of buttocks

Family Cites Families (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
IL132913A (en) * 1999-11-14 2004-09-27 Porat Michael Device and method for clamping and cutting a flexible deformable tube
GB0502546D0 (en) * 2005-02-08 2005-03-16 Varma Rajiv Ellis disimpacter

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CA2475910A1 (en) * 2002-02-14 2003-08-21 Ethicon, Inc. Surgical instrument and method for treating organ prolapse conditions
CN103284856A (en) * 2012-02-22 2013-09-11 杜文举 Air cushion for lifting buttocks of pregnant woman
CN204797973U (en) * 2015-06-10 2015-11-25 深圳市盐田区人民医院 Ware is still received to omphaloproptosis
CN204951034U (en) * 2015-09-25 2016-01-13 北京大学第一医院 Sew up expander postpartum
CN206007507U (en) * 2016-04-29 2017-03-15 黄海桃 For raising the multi-functional posture pad of buttocks

Also Published As

Publication number Publication date
CN110584756A (en) 2019-12-20

Similar Documents

Publication Publication Date Title
Sims Clinical Notes on Uterine Surgery: With Special Reference to the Management of the Sterile Condition
CN110584756B (en) Support device for umbilical cord prolapse
JP4347453B2 (en) Maternal body model
CN213465846U (en) Novel safe obstetrical delivery device for obstetrics and gynecology department
CN110584757B (en) Umbilical cord receiving device
CN211268759U (en) Obstetrical department wearing body capable of improving user autonomous operation capability and shielding piece thereof
CN210277962U (en) Portable multi-medicine applicable cervical medicine feeding device
Hughes et al. Breech Delivery in the Emergency Department
De Vidas Childbirth among the Aranda, Central Australia
CN209885167U (en) Parturient childbirth training frame
CN208756434U (en) A kind of prone position labor and childbirth aid pad
CN216824027U (en) Clinical auxiliary assembly that helps labour of gynaecology and obstetrics
CN219439872U (en) A kind of medical safety assisting pregnant women free position to promote labor combination appliance
Yarrington Obstetric cases
CN217853231U (en) Membrane rupturing needle for obstetrics and gynecology department
CN214595971U (en) Clinical rupture of membranes device of using of gynaecology and obstetrics
CN213553359U (en) Delivery analgesia device with foetus monitoring function
CN210843381U (en) Obstetrical department is with artifical rupture of membranes device
CN201399155Y (en) Comfort Vaginal Dilator
CN212699078U (en) Special liquid drainage device of gynaecology and obstetrics
CN200987751Y (en) Male and female common use type urinals for bed-ridden
Stegeman et al. Breech Delivery in the Emergency Department
Kightley Birth and the paramedic
Chen et al. Observation on the Clinical Effect of Primiparous Women with Delivery Ball and Free Posture
Walker Delivery in the Emergency Department

Legal Events

Date Code Title Description
PB01 Publication
PB01 Publication
SE01 Entry into force of request for substantive examination
SE01 Entry into force of request for substantive examination
WW01 Invention patent application withdrawn after publication

Application publication date: 20191220

WW01 Invention patent application withdrawn after publication
CI02 Correction of invention patent application

Correction item: withdrawal of application for invention after its publication

Correct: Revoke the announcement of withdrawal after the publication of the patent application for invention

False: Withdrawal of an application for publication of a patent for invention

Number: 45-01

Volume: 37

CI02 Correction of invention patent application
GR01 Patent grant
GR01 Patent grant