CN110584757B - Umbilical cord receiving device - Google Patents
Umbilical cord receiving device Download PDFInfo
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- CN110584757B CN110584757B CN201910751080.7A CN201910751080A CN110584757B CN 110584757 B CN110584757 B CN 110584757B CN 201910751080 A CN201910751080 A CN 201910751080A CN 110584757 B CN110584757 B CN 110584757B
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- 210000003954 umbilical cord Anatomy 0.000 title claims abstract description 106
- 238000007789 sealing Methods 0.000 claims abstract description 37
- 230000004308 accommodation Effects 0.000 claims abstract description 7
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- 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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- Biomedical Technology (AREA)
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- Pregnancy & Childbirth (AREA)
- Engineering & Computer Science (AREA)
- Gynecology & Obstetrics (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
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- Animal Behavior & Ethology (AREA)
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Abstract
The invention discloses an umbilical cord accommodation device, and mainly relates to the technical field of obstetrics and gynecology. The bowl comprises a bowl body, a barrel body and a frame body, wherein an opening of a concave cavity of the bowl body is forwards, a bag which forms a sealing space with the concave cavity is sleeved on the inner wall of the bowl body, the bag is an elastic and flexible bag body, a rod piece which can stretch out and draw back is arranged in the bowl body, and the front end of the rod piece is centrally fixed with the inner surface of the bag; the bowl is characterized in that an accommodating cavity communicated with the bowl body is arranged in the bowl body, a plug piece matched with a piston of the bowl body is arranged in the bowl body, the piston is used for controlling the volume of the accommodating cavity, the accommodating cavity and the bag form a communicated sealing space together, a medium is filled in the accommodating cavity, the bag is inflated when the medium enters the bag, and the bag is shrunken when the medium is in the accommodating cavity; the frame body can slide back and forth in cooperation with the rod piece and the plug piece. The invention has the beneficial effects that: it can obviously reduce the stimulation to umbilical cord, basically does not cause shrinkage, and can raise the parturition survival rate of perinatal infants.
Description
Technical Field
The invention relates to the technical field of obstetrics and gynecology, in particular to an umbilical cord accommodation device.
Background
Prolapse of the umbilical cord (cord) when the fetal membrane breaks, the umbilical cord falls below the fetal presenting part, enters the vagina via the cervix, and emerges even from the pudendum via the vagina. The umbilical cord preexisting (presentation of umbilical cord) is also known as a recessive prolapse of the umbilical cord, and refers to the position of the umbilical cord in front of or to one side of the fetal preexisting portion when the fetal membrane is unbroken. The occurrence rate is 0.4-10%. The prolapse of the umbilical cord has great harm to the fetus, and the umbilical cord is extruded between the preexisting part and the basin wall during uterine contraction, so that the blood circulation of the umbilical cord is blocked, the fetus is anoxic, and serious intrauterine embarrassment occurs, if the blood flow is completely blocked for more than 7-8 min, the fetus is rapidly choked and dead. Prolapse of the umbilical cord is often accompanied by cord compression, which is the life line of the fetus, and once this occurs, the timeliness of rescue and the correctness of the treatment become critical to the survival of the perinatal child. Different operating schemes should be applied to prolapse treatments corresponding to different situations. If the cervix is not fully dilated and the fetus is good, there is no condition of caesarean section or the parturient and family members do not agree with the person doing caesarean section, or if the umbilical cord beats slowly or stops during the preparation and proceeding of the operation, it indicates that the umbilical cord is pressed and blood circulation is blocked, and the umbilical cord is still submitted immediately except for taking the buttocks high position. The umbilical cord also accommodates various methods, and it is difficult to exemplify the various methods and tools used in hospitals. However, it is confirmed that the existing clinically used tools have the defects that strong mechanical stimulation is formed on the umbilical cord in the process of accommodating the umbilical cord, so that the umbilical cord is obviously contracted, the blood vessels are completely closed, and the blood flow is blocked, so that the fetus is killed rapidly. If the umbilical cord accommodation operation in the above situation is to be ensured to be successful and effective, the problem of mechanical stimulation in the accommodation must be solved.
Disclosure of Invention
The invention aims to provide an umbilical cord accommodation device which can remarkably reduce the stimulation to an umbilical cord, basically does not cause shrinkage and fetal heart reduction, solves the concern of medical staff on carrying out accommodation operation, and improves the birth survival rate of a perinatal child.
The invention aims to achieve the aim, and the aim is achieved by the following technical scheme:
the umbilical cord accommodating device comprises a bowl body, a cylinder body and a frame body, wherein the bowl body, the cylinder body and the frame body are sequentially connected from front to back along the respective length directions;
the opening of the bowl body concave cavity is forward, the inner wall is sleeved with a bag which forms a sealing space with the concave cavity, the bag is a bag body with elasticity and flexibility, a telescopic rod piece is arranged in the bowl body, and the front end of the rod piece is centrally fixed with the inner surface of the bag;
the bowl comprises a bowl body, a piston, a sealing cavity, a medium, a sealing cavity and a sealing cavity, wherein the bowl body is internally provided with the sealing cavity communicated with the bowl body;
the frame body can slide back and forth in cooperation with the rod piece and the plug piece.
The rear end of the bowl body is fixedly connected and communicated with the front end of the cylinder body through an adapter seat, a rubber sealing sleeve is arranged in the middle of the section of the adapter seat, the sealing sleeve is used for enabling a rod piece to penetrate through, and the rod piece penetrates through the sealing sleeve and is in sliding sealing connection with the rod piece;
the adapter is provided with at least one through hole, and the through hole is used for enabling the accommodating cavity to be communicated with the bowl body.
The bag is a rubber membrane bag body, and the edge of the bag is fixed on the opening edge of the bowl body.
The rod piece comprises a polish rod, the front end of the polish rod is provided with a supporting block, the inner surface of the bag is fixed on the front end surface of the supporting block, the rear end of the polish rod is provided with an upward extending pull handle, the rear end of the polish rod is provided with a downward extending first limit sliding block,
the plug comprises a piston, a plug tube and a fin plate which are sequentially and fixedly connected, the piston is matched with the piston of the inner cylinder, a matching hole is formed in the center of the piston and used for penetrating through a polished rod, the polished rod is in sealing sliding fit with the matching hole, the plug tube is sleeved outside the polished rod, the polished rod is in sealing sliding fit with the plug tube, a first abdicating groove which is matched with the polished rod is formed in the plug tube in a corresponding pull handle, a second abdicating groove which is matched with the first limit sliding block is formed in the plug tube in a corresponding first limit sliding block, the fin plate is symmetrically fixed at the rear end of the plug tube in a left-right mode, and a second limit sliding block is fixed at the bottom of the fin plate;
the frame body is provided with a first chute and a second chute, the first chute is in sliding connection with the first limit sliding block, and the second chute is in sliding connection with the second limit sliding block.
The front end of the adapter seat is in threaded fit with the bowl body, and the rear end of the adapter seat is in threaded fit with the cylinder body.
The rear end of the cylinder body is provided with a sealing cap which is detachably connected with threads, and the frame body is fixed on the sealing cap.
The frame body comprises an upper arc-shaped plate and a lower arc-shaped plate, the cross sections of the upper arc-shaped plate and the lower arc-shaped plate form a circular curved surface, the front end of the lower arc-shaped plate is fixed at the rear end of the cylinder body, the rod piece and the plug piece are respectively in sliding fit with the lower arc-shaped plate, and the upper arc-shaped plate and the lower arc-shaped plate are buckled and clamped on the lower arc-shaped plate.
The rear end of the lower arc plate is provided with a horn mouth.
Compared with the prior art, the invention has the beneficial effects that:
the whole process can not cause obvious mechanical stimulation to the umbilical cord, and the umbilical cord is wrapped by wrapping the bag, so that the stimulation to the umbilical cord is much smaller than that of the umbilical cord by tying with gauze and the like.
The bag is deflated before being fixed, and is filled with medium oil during the fixation, and the medium oil is heated to the body temperature during the heating, so that the umbilical cord is wrapped up in soft and mild manner, and the temperature is proper.
In conclusion, the tool can obviously reduce the stimulation to the umbilical cord, basically does not cause shrinkage and fetal heart reduction, and solves the concern of medical staff for carrying out the recovery operation. Improving the delivery survival rate of the perinatal infants.
Drawings
Fig. 1 is a schematic diagram of the readiness of the present invention (readiness for expected inclusion).
Fig. 2 is a top view of the ready state of the invention.
FIG. 3 is a cross-sectional view AA of FIG. 2 of the present invention.
Fig. 4 is a schematic diagram of a state in which the present invention is also expected to operate.
Fig. 5 is a top view of the still further state of the invention.
Fig. 6 is a cross-sectional view of BB of fig. 5 according to the present invention.
Fig. 7 is a schematic view of the internal structure of the invention in the BB section of fig. 5.
Fig. 8 is an exploded view of the present invention.
Fig. 9 is a schematic view of the adaptor according to the present invention.
Fig. 10 is a schematic view of a plug of the present invention.
Fig. 11 is a schematic view of a plug of the present invention.
Fig. 12 is a schematic view of the frame of the present invention.
Fig. 13 is a top view of the frame of the present invention.
Fig. 14 is a schematic cross-sectional view of the frame of fig. 13 in accordance with the present invention.
The reference numbers shown in the drawings:
1. a bowl body; 2. a cylinder; 3. a frame body; 4. a pouch; 5. an adapter; 6. sealing sleeve; 7. a through hole; 8. a polish rod; 9. a support block; 10. a pull handle; 11. the first limiting slide block; 12. a sealing cap; 13. a piston; 14. a plug tube; 15. a fin plate; 16. a medium; 17. a relief groove; 18. the second limit sliding block; 19. an upper arc plate; 20. a lower arc plate; 21. a first chute; 22. a second chute; 23. a first bar-shaped hole; 24. and a second bar-shaped hole.
Detailed Description
The invention will be further illustrated with reference to specific examples. It is to be understood that these examples are illustrative of the present invention and are not intended to limit the scope of the present invention. Further, it will be understood that various changes or modifications may be made by those skilled in the art after reading the teachings of the invention, and such equivalents are intended to fall within the scope of the invention as defined herein.
Example 1: umbilical cord receiving device
Prolapse of the umbilical cord (cord) when the fetal membrane breaks, the umbilical cord falls below the fetal presenting part, enters the vagina via the cervix, and emerges even from the pudendum via the vagina. The umbilical cord preexisting (presentation of umbilical cord) is also known as a recessive prolapse of the umbilical cord, and refers to the position of the umbilical cord in front of or to one side of the fetal preexisting portion when the fetal membrane is unbroken. The occurrence rate is 0.4-10%. The prolapse of the umbilical cord has great harm to the fetus, and the umbilical cord is extruded between the preexisting part and the basin wall during uterine contraction, so that the blood circulation of the umbilical cord is blocked, the fetus is anoxic, and serious intrauterine embarrassment occurs, if the blood flow is completely blocked for more than 7-8 min, the fetus is rapidly choked and dead.
If the fetal presenting part and the plane of the pelvic inlet are not tightly joined, there is a gap between them, and the umbilical cord prolapse can occur. The main reasons are as follows:
1. abnormal fetal first is the main cause of the occurrence of umbilical cord prolapse. It is counted that about 500 cases of head first dew occur (only accounting for 0.2%), 1 case of hip first dew occurs (accounting for 4%) every 25 cases, and the shoulder first dew occurs more frequently, 1 case of 7 cases (accounting for 14%). The ratio of the head position, the hip position and the transverse position to the umbilical cord prolapse is about l:20:70, so that the umbilical cord prolapse is closely related to abnormal first exposure. Most of the hip-first dew occurs in the foot-first dew, while single hip-first dew can be closely connected with the pelvic cavity, so that the occurrence of umbilical cord prolapse is less. Abnormal head such as occipital position and facial position is exposed first or composite is exposed first, often does not completely fill the pelvic inlet, and the fetal head is connected after rupture of the membrane, so that the umbilical cord prolapse is easily induced.
2. The fetal head floats to narrow the pelvis or the fetus excessively develops, the fetal head is not suitable for the pelvic inlet (the head basin is not called), or the fetal head still floats after the midwife abdominal wall is relaxed, the fetal membrane is broken, and the umbilical cord can be separated by the impulsive force of amniotic fluid flowing out. Particularly flat pelvis, there is often a gap between the exposed portion and the pelvic inlet, and the fetal head is difficult to enter the basin, and the fetal membranes are early broken, which is liable to induce prolapse of umbilical cord.
3. If the umbilical cord is too long or the placenta is low (or has both umbilical cord marginal attachment) as the exposed portion is commensurate with the pelvis, the length of the umbilical cord is not the main cause of prolapse of the umbilical cord, but if the fetal head cannot be attached, prolapse is likely to occur due to too long umbilical cord. 1 of every 10 cases of prolapse of the umbilical cord is counted to have a length exceeding 75cm. The probability of prolapse is 10 times greater for umbilical cord lengths exceeding 75cm than for normal (50-55 cm) umbilical cord lengths.
4. The latter of premature or twin pregnancy, which occurs before the delivery of the 2 nd fetus, may be associated with too small a fetus, a fetal presenting part that does not closely engage the pelvic inlet, or a high incidence of fetal abnormality.
5. Others such as early rupture of membranes and excessive amniotic fluid. When the fetal membranes are broken, the umbilical cord can be flushed out by amniotic fluid to form umbilical cord prolapse due to too high pressure in the uterine cavity and too urgent amniotic fluid outflow.
Factors affecting the prenatal exposure engagement, such as the presence of more space between the fetal exposure and the pelvic inlet, can cause prolapse of the umbilical cord, such as hip, lateral, pelvic stenosis, head-basin dissatisfaction, and smaller fetuses. There are also factors such as premature rupture of the membranes, too long umbilical cord, excessive amniotic fluid, etc. The chance of prolapse of the umbilical cord occurs over 75cm in length 10 times that of normal. When amniotic fluid is too much, the pressure in the amniotic cavity is high, and the umbilical cord is easy to wash out when the membrane is broken.
After rupture of the membrane, the fetal heart rate suddenly slows down, the possibility of prolapse of the umbilical cord is high, and anal examination and/or vaginal examination should be performed immediately, for example, if a pulsating rope like a finger in the uterine opening is found, the umbilical cord is exposed first. If the umbilical cord is left outside the cervical orifice, the prolapse of the umbilical cord can be diagnosed. The examiner's hand touches the umbilical cord to beat, which can monitor the condition of the fetus in the uterus. It cannot be touched hard to avoid aggravating the cord compression.
Prolapse of the umbilical cord is often accompanied by cord compression, which is the life line of the fetus, and once this occurs, the timeliness of rescue and the correctness of the treatment become critical to the survival of the perinatal child. Different operating schemes should be applied to prolapse treatments corresponding to different situations. If the cervix is not fully dilated and the fetus is good, there is no condition of caesarean section or the parturient and family members do not agree with the person doing caesarean section, or if the umbilical cord beats slowly or stops during the preparation and proceeding of the operation, it indicates that the umbilical cord is pressed and blood circulation is blocked, and the umbilical cord is still submitted immediately except for taking the buttocks high position. The purpose is to make the removed umbilical cord re-placed in the uterine cavity along with the anal canal, to release the compression, to confirm the success of the umbilical cord recovery, and to rapidly transfer to the conditional hospital caesarean section or to perform the oxytocic treatment.
The umbilical cord can be used in a variety of ways, in principle, with the advantages of rapid, simple and convenient operation, and less touch, and can be selected according to the experience of the operator. The gauze reposition method on the manual is to use sterile gauze to loosen and wrap the prolapsed umbilical cord, push up the first exposed part by hand, send the umbilical cord group back to the uterine cavity from the gap together with the gauze, then press the uterine bottom to push down the fetal head, and expose the umbilical cord at the top by the blockage of the gauze piece, so as to prevent the umbilical cord from sliding out again. However, this method is generally used for those with greater dilation of the uterus, otherwise gauze is not easy to fill. Obviously, the cervical opening condition is not good, so the method given in the manual is not practical.
Some hospitals exist that use home-made storage devices for storage, but use, for example, rod-shaped devices, the front end assisting in the delivery of the umbilical cord into the uterus with fixed components such as gauze ties, etc. The success rate of such similar susceptors is generally poor and few hospitals have been available. This is mainly related to the anatomical physiological characteristics of the umbilical cord. The umbilical cord has a thicker vein and 2 arteries spiraling around its outside. The umbilical artery consisted of 4 groups of smooth muscles: 1, an inner ring layer; 2, an inner longitudinal layer; 3, large spiral; 4, small spiral smooth muscle. Wherein, the smooth muscle of the inner longitudinal layer is insensitive to the response of substances such as epinephrine, norepinephrine, acetylcholine and the like with different concentrations, but can obviously shrink to mechanical stimulus, even completely close blood vessels. When the operation is carried out, an operator always fixes the umbilical cord firstly and tries to receive the umbilical cord into the uterine cavity more than the exposed part, in the process, the fixing mode causes obvious foreign matters and mechanical stimulation (generally using gauze to tie up) to the umbilical cord, and in the process of feeding, the fixing position of the umbilical cord is pulled when the opposite resistance is met, so that the mechanical force and the foreign matters are more obvious, at the moment, the umbilical vessel is obviously stimulated to be strongly contracted, and the blood flow is blocked to quickly cause fetal death.
The success rate of the recovery is poor due to the reasons, however, once the recovery is needed under the necessary conditions, the recovery of the umbilical cord is a problem that the gynaecology and obstetrics staff cannot bypass. Therefore, the technical problem is directly faced, so that the success rate of umbilical cord recovery is improved through the improvement of recovery tools and the optimization of recovery operation, thereby ensuring that the survival rate of the perinatal infants can be greatly improved and ensured if the puerpera condition needing to carry out umbilical cord recovery is met, and solving the technical problem of obstetrical department. Based on the initial consideration, the resultant force of the department can be used for deeply analyzing the problem, and the effective experience of technicians in related industries is widely consulted. From the improvement of the tool for receiving the umbilical cord, a tool for receiving the umbilical cord is designed, which is convenient to operate, can greatly reduce the mechanical stimulation to the umbilical cord and is friendly to contact. The specific technical scheme is as follows.
Comprises a bowl body 1, a cylinder body 2, a frame body 3, a plug and a rod piece;
for convenience of description, the end directed to the parturient is defined as the front end, and the end for operation is defined as the rear end (the view angle is the same as the operator).
The bowl body 1, the cylinder body 2 and the frame body 3 are sequentially connected from front to back.
The bowl body 1 is U-shaped bowl-shaped structure, is equipped with the cavity of U type on its front end terminal surface, the bottom surface central authorities of bowl body 1 are equipped with adapter 5, bowl body 1 passes through adapter 5 and is connected with barrel 2, the front end of adapter 5 and the rear end terminal surface fixed connection of bowl body 1, the rear end and the barrel 2 fixed connection of adapter 5 because this example considers disposable medical supplies, do not involve links such as disinfection that reuse, so use fixed connection, not limited to this example if want as detachable structure, also can, but this example wholly consider to use antibiotic plastic part equipment, so have compressed the cost to minimum, compare other disposable medical supplies not high, so in order to conveniently open aseptic package just can use, the convenient storage reduces the cost and the link of maintaining, avoids disinfection, the possible pollution probability of maintenance links such as depositing, more has the practicality.
The adapter seat 5 is centrally provided with an annular rubber sealing sleeve 6 for realizing sealing fit with the rod body, and the specific structure is described in detail later. The adapter seat 5 is provided with 3 through holes 7 which are arranged in an annular array around the sealing sleeve 6 and used for communicating the inner cavity of the bowl body 1 with the inner cavity of the cylinder body 2.
The bowl is characterized in that a flexible bag 4 is arranged in the bowl body 1, a rubber film material is adopted, the bowl is stretched, ductile and flexible, the edge of the bag 4 is fixed on the circumferential edge of the bowl opening at the front side of the bowl body 1, the bag 4 and the inner wall of the concave cavity jointly form a closed bag body, and the adapter seat 5 is communicated with the inside of the bag 4.
The rod body comprises a linear extending polish rod 8, a supporting block 9 is arranged at the front end of the polish rod 8, a pull handle 10 is arranged at the rear end of the polish rod 8 upwards, and a first limit sliding block 11 is arranged at the rear end downwards.
The shoe 9 is a circular assembly as shown in the drawings and has a rounded design to provide a smooth and friendly support interface for the incoming umbilical cord. The front end face of the supporting block 9 is fixed on the inner side of the central position of the bag 4, so that the shape of the bag 4 can be changed when the polish rod 8 is pushed forward or pushed backward. When the bowl body is pushed back to the bottom of the bowl body 1, the bag 4 can form a U-shaped concave structure which is matched with the concave cavity.
The cylinder body 2 is of a hollow tube structure with a cylindrical cavity, a sealing cap 12 matched with threads is arranged at the rear end of the cylinder body 2, and the front end of the frame body 3 is fixed on the sealing cap 12.
The plug is arranged in the cylinder body 2 and comprises a piston 13, a plug pipe 14 and a fin plate 15;
the piston 13 is configured to cooperate with the cylindrical hollow piston 13 of the cylinder 2, so that the space inside the cylinder 2 (i.e. the accommodating cavity) at the front end of the piston 13 and the bag 4 form a closed independent space, in which the medium 16 is filled, and in this example, a liquid oil medium 16 is used, which is not limited to this example, but an aqueous medium 16 such as water, or a gaseous medium 16 such as air, nitrogen, etc. may be used. The liquid medium 16 can be heated, and the tool is put in a microwave oven or water-proof heating to heat the liquid medium 16 to about body temperature before the device is used, so that discomfort is reduced and irritation is avoided, and the stimulation can be greatly reduced by contacting the umbilical cord.
The position of the liquid medium 16 can be changed by pushing the piston 13, because the independent sealing space is formed by the sac 4, the concave cavity and the cylinder 2 at the front end of the piston 13. When the piston 13 retreats to the rear end of the cylinder 2, the medium 16 is positioned in the cylinder 2, and the bag 4 is in a vacuum structure which is empty. When the piston 13 is pushed to the front end of the cylinder 2, the medium 16 is pushed into the bag 4, and the bag 4 is filled with the medium 16 and swells to a filled state.
The front end of the plug tube 14 is fixedly connected with the end face of the rear end of the piston 13, the top surface and the bottom surface of the plug tube are all provided with a yielding groove 17 in a penetrating mode, and the yielding groove 17 extends centrally along the length direction of the plug tube 14 and is used for yielding the pull handle 10 and the first limiting slide block 11.
The center of the piston 13 is provided with a matching hole, the matching hole is used for penetrating the polish rod 8, and the matching hole can enable the polish rod 8 to slide back and forth in the hole under the condition of keeping sealing.
The number of the fin plates 15 is two, and the fin plates are oppositely fixed at the rear end of the plug tube 14.
A second limit sliding block 18 is arranged on the bottom surface of the fin plate 15.
The length extension direction of the frame body 3 corresponds to the length direction of the cylinder body 2, and comprises an upper arc plate 19 and a lower arc plate 20, wherein the end face of the bottom side of the lower arc plate 20 is an arc face, and the frame body is smoothly connected with the cylinder body 2, so that a lying-in woman cannot be scratched.
The top surface terminal surface of support body 3 is last to be equipped with first spout 21 and second spout 22 along its length direction, first spout 21 set up in the middle and with first spacing slider 11 sliding connection, second spout 22 bilateral symmetry sets up relative first spout 21, just second spout 22 and second spacing slider 18 sliding connection. The plug and the rod piece are conveniently limited in the circumferential direction, and the device is conveniently positioned and operated.
The top side end face of the upper arc plate 19 is an arc face matched with the lower arc plate 20, and the upper arc plate 19 and the lower arc plate 20 are detachably clamped, so that the installation and the processing are facilitated. The rear end of the lower arc plate 20 is provided with a downward turnover curved surface design, is in a horn mouth shape, and is used for being conveniently held and blocked outside the birth canal.
The top side of going up the arc 19 is equipped with first bar hole 23 in the middle, the both sides of going up the arc 19 all are equipped with second bar hole 24, pull handle 10 runs through first bar hole 23 and its top exposes in the outside, the fin 15 also exposes in the outside through running through second bar hole 24, conveniently pulls the operation.
The structure of the tool is further described below in connection with specific application methods:
when the prolapse of the umbilical cord is found after the rupture of the membrane, rescue should be performed in seconds. If the cervix uteri of the pregnant woman is not fully expanded, the fetus is good, the condition of caesarean section does not exist or the pregnant woman and family members do not agree with the person who performs caesarean section, the pregnant woman takes the head, has low buttocks and is high, if the pregnant woman has the first exposure, the pregnant woman is pushed back first and supported by hands, and in addition, the following operations are performed by people:
the steps are as follows:
1) Placing the packaged umbilical cord accommodating device into a microwave oven or hot water for scalding, and preheating (flexibly selecting according to site conditions);
2) The umbilical cord accommodating device with independent sterile package is opened, so that the opening of the bowl body 1 is flushed to the puerpera;
3) The rod is controlled by controlling the pull handle 10 and the plug is controlled by controlling the fin 15.
The initial position is kept by pushing the plug back, so that the medium 16 oil is kept in the cylinder 2, and the bag 4 is in a state of empty holding.
The initial position is kept to be that the rod piece pushes forwards, so that the supporting block 9 is flush with the bowl opening of the bowl body 1 or extends out of the bowl opening.
4) Placing the sterilized umbilical cord on the support block 9 or at the bowl mouth;
5) Pushing the rod back, and slowly dropping the umbilical cord into a concave cavity formed by the bag 4 in the bowl mouth after the umbilical cord is sterilized;
6) After the umbilical cord falls into a proper part, the plug is pushed forward, so that the medium 16 oil enters the bag 4, thereby wrapping the umbilical cord around the umbilical cord with soft humidity, and achieving a moderate fixing effect;
7) The tool is gently sent into the birth canal to the uterus under the guidance of hands;
8) The plug piece is retracted, so that the bag 4 is empty and the umbilical cord is not wrapped;
9) The rod piece is pushed forward to push the umbilical cord out of the bowl part, and the umbilical cord is completed to be received.
The method implemented by using the tool has the following advantages:
first, the whole process is to the contact, fix, send into, release of navel cord, will not cause obvious mechanical stimulation to the navel cord, wrap up the navel cord through the wrapping up in of the bag 4, it is much smaller to the stimulus of navel cord than the way such as being tied with gauze.
Second, the bladder 4 collapses prior to fixation and fills with medium 16 oil during re-fixation, and the medium 16 oil warms to body temperature during heating, thereby providing a soft and gentle coating of the umbilical cord with a suitable temperature.
Through the two aspects, the umbilical cord is fixed by using the tool, the stimulation to the umbilical cord can be obviously reduced, the contraction can not be caused basically, and the concern of medical staff on carrying out the still-receiving operation is solved. Improving the delivery survival rate of the perinatal infants.
And after successful delivery, fetal distress is improved, and the caesarean section is selected by breaking, preferably without moving, and if necessary, the uterus opening is filled with hands or gauze rolls, namely, the delivery room is reserved. After the infant is received, the heart sounds of the fetus are still not good or even disappear, or the infant is still not received, so that the safety of the mother is guaranteed, and the puerperal infection is prevented.
Claims (4)
1. The umbilical cord accommodating device is characterized by comprising a bowl body, a cylinder body and a frame body, wherein the bowl body, the cylinder body and the frame body are sequentially connected from front to back along the respective length directions;
the opening of the bowl body concave cavity is forward, the inner wall is sleeved with a bag which forms a sealing space with the concave cavity, the bag is a bag body with elasticity and flexibility, a telescopic rod piece is arranged in the bowl body, and the front end of the rod piece is centrally fixed with the inner surface of the bag;
the bowl comprises a bowl body, a piston, a sealing cavity, a medium, a sealing cavity and a sealing cavity, wherein the bowl body is internally provided with the sealing cavity communicated with the bowl body;
the frame body can slide back and forth in cooperation with the rod piece and the plug piece;
the rear end of the bowl body is fixedly connected and communicated with the front end of the cylinder body through an adapter seat, a rubber sealing sleeve is arranged in the middle of the section of the adapter seat, the sealing sleeve is used for enabling a rod piece to penetrate through, and the rod piece penetrates through the sealing sleeve and is in sliding sealing connection with the rod piece;
the adapter is provided with at least one through hole, and the through hole is used for enabling the accommodating cavity to be communicated with the bowl body;
the rod piece comprises a polish rod, the front end of the polish rod is provided with a supporting block, the inner surface of the bag is fixed on the front end surface of the supporting block, the rear end of the polish rod is provided with an upward extending pull handle, the rear end of the polish rod is provided with a downward extending first limit sliding block,
the plug comprises a piston, a plug tube and a fin plate which are sequentially and fixedly connected, the piston is matched with the piston of the inner cylinder, a matching hole is formed in the center of the piston and used for penetrating through a polished rod, the polished rod is in sealing sliding fit with the matching hole, the plug tube is sleeved outside the polished rod, the polished rod is in sealing sliding fit with the plug tube, a first abdicating groove which is matched with the polished rod is formed in the plug tube in a corresponding pull handle, a second abdicating groove which is matched with the first limit sliding block is formed in the plug tube in a corresponding first limit sliding block, the fin plate is symmetrically fixed at the rear end of the plug tube in a left-right mode, and a second limit sliding block is fixed at the bottom of the fin plate;
the frame body is provided with a first chute and a second chute, the first chute is in sliding connection with the first limit sliding block, and the second chute is in sliding connection with the second limit sliding block;
the rear end of the cylinder body is provided with a sealing cap which is connected with the cylinder body in a detachable way through threads, and the frame body is fixed on the sealing cap;
the frame body comprises an upper arc-shaped plate and a lower arc-shaped plate, the cross sections of the upper arc-shaped plate and the lower arc-shaped plate form a circular curved surface, the front end of the lower arc-shaped plate is fixed at the rear end of the cylinder body, the rod piece and the plug piece are respectively in sliding fit with the lower arc-shaped plate, and the upper arc-shaped plate and the lower arc-shaped plate are buckled and clamped on the lower arc-shaped plate.
2. The umbilical cord accommodator of claim 1, wherein the pouch is a rubber membrane pouch, and wherein the rim of the pouch is secured to the rim of the bowl.
3. The umbilical cord holder of claim 1, wherein the front end of the adaptor is threadably engaged with the bowl and the rear end of the adaptor is threadably engaged with the barrel.
4. The umbilical cord accommodation device as claimed in claim 1, wherein the rear end of the lower arc plate is provided with a flare.
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CN110584757B true CN110584757B (en) | 2023-05-30 |
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CN111616752B (en) * | 2020-06-09 | 2024-12-24 | 广州市妇女儿童医疗中心(广州市妇幼保健院、广州市儿童医院、广州市妇婴医院、广州市妇幼保健计划生育服务中心) | Return Device |
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CN101754721A (en) * | 2007-07-20 | 2010-06-23 | 技术设备开发有限公司 | Device for extracting elements from a cavity |
CN204797973U (en) * | 2015-06-10 | 2015-11-25 | 深圳市盐田区人民医院 | Ware is still received to omphaloproptosis |
CN106955145A (en) * | 2017-04-21 | 2017-07-18 | 朱锦明 | A kind of inversion of uterus rectification and recovery equipment |
CN108577947A (en) * | 2018-03-30 | 2018-09-28 | 汪丽萍 | A kind of pumpkin-shaped cerclage amnion feeder |
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US20170065298A1 (en) * | 2015-09-03 | 2017-03-09 | Adam Harris | Hand-Held Fetal Head Elevator |
US10238424B2 (en) * | 2017-01-20 | 2019-03-26 | Modern Surgical Solutions Llc | Obstetric apparatus and method |
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Publication number | Priority date | Publication date | Assignee | Title |
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CN101754721A (en) * | 2007-07-20 | 2010-06-23 | 技术设备开发有限公司 | Device for extracting elements from a cavity |
CN204797973U (en) * | 2015-06-10 | 2015-11-25 | 深圳市盐田区人民医院 | Ware is still received to omphaloproptosis |
CN106955145A (en) * | 2017-04-21 | 2017-07-18 | 朱锦明 | A kind of inversion of uterus rectification and recovery equipment |
CN108577947A (en) * | 2018-03-30 | 2018-09-28 | 汪丽萍 | A kind of pumpkin-shaped cerclage amnion feeder |
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