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CN114469229A - Accurate regulation formula uterus hemostasis sacculus device of pressure - Google Patents

Accurate regulation formula uterus hemostasis sacculus device of pressure Download PDF

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CN114469229A
CN114469229A CN202210071635.5A CN202210071635A CN114469229A CN 114469229 A CN114469229 A CN 114469229A CN 202210071635 A CN202210071635 A CN 202210071635A CN 114469229 A CN114469229 A CN 114469229A
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balloon
liquid injection
injection tube
hemostatic
uterine
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王楠
刘心利
高舟
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Third Xiangya Hospital of Central South University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/12Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12027Type of occlusion
    • A61B17/1204Type of occlusion temporary occlusion
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/12Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12099Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/12Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12131Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
    • A61B17/12136Balloons
    • 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
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • A61M25/1011Multiple balloon catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • A61M25/1018Balloon inflating or inflation-control devices
    • A61M25/10181Means for forcing inflation fluid into the balloon
    • A61M25/10182Injector syringes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • A61M25/1025Connections between catheter tubes and inflation tubes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
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    • A61B17/12Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B2017/12004Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for haemostasis, for prevention of bleeding
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/42Gynaecological or obstetrical instruments or methods
    • A61B2017/4216Operations on uterus, e.g. endometrium
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2210/00Anatomical parts of the body
    • A61M2210/14Female reproductive, genital organs
    • A61M2210/1433Uterus

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Abstract

本发明公开了一种压力精确调节式子宫止血球囊装置,具体涉及妇产科医疗器械技术领域,包括注液管,所述注液管的端部侧面开设有引流口,所述注液管的外表面靠近引流口的一侧安装有止血球囊,所述注液管内腔安装有加强条,所述注液管的外表面远离止血球囊和引流口的一侧分别安装有排污管和第二注射管,所述第二注射管远离注液管的一端固定安装有第二注射器,且第二注射管的中部设置有压力计,所述注液管的外表面还活动安装有支撑罩和宫颈口堵塞球囊。本发明所述的一种压力精确调节式子宫止血球囊装置,通过设置有宫角囊、支撑罩和宫颈口堵塞球囊,保证了对宫角的止血效果,整个球囊均具有较为良好的止血效果,且操作简单便捷,适宜推广使用。

Figure 202210071635

The invention discloses a pressure-adjusted uterine hemostatic balloon device, in particular to the technical field of obstetrics and gynecology medical devices, comprising a liquid injection tube, a drainage port is opened on the side of the end of the liquid injection tube, and the liquid injection tube A hemostatic balloon is installed on the side of the outer surface of the liquid injection pipe close to the drainage port, a reinforcing strip is installed in the inner cavity of the liquid injection pipe, and a sewage discharge pipe and a drainage pipe are installed on the side of the outer surface of the liquid injection pipe away from the hemostatic balloon and the drainage port, respectively. The second injection tube, the end of the second injection tube away from the liquid injection tube is fixedly installed with a second syringe, and the middle of the second injection tube is provided with a pressure gauge, and the outer surface of the liquid injection tube is also movably installed with a support cover and cervical orifice occlusion balloon. The pressure-adjusted uterine hemostatic balloon device of the present invention ensures the hemostatic effect on the uterine horn by being provided with a uterine horn bag, a support cover and a cervical orifice blocking balloon, and the entire balloon has a relatively good effect on the uterine horn. Hemostatic effect, simple and convenient operation, suitable for popularization and use.

Figure 202210071635

Description

一种压力精确调节式子宫止血球囊装置A pressure-adjustable uterine hemostatic balloon device

技术领域technical field

本发明涉及妇产科医疗器械技术领域,特别涉及一种压力精确调节式子宫止血球囊装置。The invention relates to the technical field of obstetrics and gynecology medical devices, in particular to a pressure-adjusted uterine hemostatic balloon device.

背景技术Background technique

止血球囊是用于产后止血的一种疗法,止血球囊产生一种由宫腔内向宫腔外的静水压,该压力大于子宫动脉压,注水后的球囊直接作用于子宫中下端,即子宫动脉入口,可有效降低流入到子宫中的血液流量,该疗法的操作较为简单,耗时少,可以快速发挥止血作用,术后取出也较为容易此种方法对动静脉出血、毛细血管渗血均有良好的控制效果尤其是在阴道分娩后发生的产后大出血,目前提倡阴道分娩,降低剖宫产率,宫腔球囊填塞更是治疗自然产后出血的简单有效的手段。The hemostatic balloon is a therapy for postpartum hemostasis. The hemostatic balloon generates a hydrostatic pressure from the uterine cavity to the outside of the uterine cavity, which is greater than the uterine arterial pressure. The balloon after water injection directly acts on the middle and lower ends of the uterus. That is, the entrance of the uterine artery can effectively reduce the blood flow into the uterus. The operation of this therapy is relatively simple, takes less time, and can quickly stop bleeding. It is also easier to remove after surgery. Blood has a good control effect, especially for postpartum hemorrhage that occurs after vaginal delivery. At present, vaginal delivery is advocated to reduce the rate of cesarean section, and uterine balloon packing is a simple and effective method to treat natural postpartum hemorrhage.

然而现有技术中的大多数子宫止血球囊还存在下列亟需解决的问题:1、对于宫角出血尚无有效的治疗和止血措施:当胎盘附着于宫角处,易出现胎盘粘连或胎盘滞留,当手剥胎盘或刮宫后,胎盘附着面出血量较大,由于该部位与子宫体腔有成角,现有球囊不能进行有效压迫宫角部位,止血效果差,产后出血量多;2、操作过程中,如遇宫腔粘连、宫腔形态异常(子宫过度前倾或后倾),宫体部宫腔狭小,则球囊不易置入到宫底部,而且极易打折滑出。球囊头部较宽,硅胶材质软,没有支撑结构,不容易放入;3、在传统的子宫止血球囊放置后,需要医生在阴道内填塞纱条来阻止球囊滑脱及宫腔内的血液流出,但是,纱布具有吸水性,容易吸收血夜,导致医护人员无法准确测量出血量,且在进行填塞或取出阴道纱条时可能会对阴道带来二次创伤,引起擦伤或裂伤。However, most of the uterine hemostatic balloons in the prior art still have the following problems that need to be solved urgently: 1. There is no effective treatment and hemostatic measures for uterine horn bleeding: when the placenta is attached to the uterine horn, placental adhesion or placental adhesion is easy to occur. Retention, when the placenta is removed by hand or curettage, the amount of bleeding on the attachment surface of the placenta is large, because this part forms an angle with the uterine body cavity, the existing balloon cannot effectively compress the uterine horn, and the hemostatic effect is poor, and the amount of postpartum hemorrhage is large; 2 . During the operation, in the event of intrauterine adhesions, abnormal uterine cavity morphology (excessive anteversion or retroversion of the uterus), and narrow uterine cavity in the uterine body, the balloon is not easy to insert into the fundus of the uterus, and it is easy to break and slip out. The balloon head is wide, the silicone material is soft, and there is no supporting structure, so it is not easy to put in; 3. After the traditional uterine hemostatic balloon is placed, the doctor needs to pack gauze in the vagina to prevent the balloon from slipping and the uterine cavity. Blood flows out, however, gauze is absorbent and absorbs blood easily, making it impossible for medical staff to accurately measure the amount of bleeding, and may cause secondary trauma to the vagina when packing or removing vaginal gauze, causing abrasions or lacerations .

故此,我们提出了一种压力精确调节式子宫止血球囊装置。Therefore, we propose a pressure-adjustable uterine hemostatic balloon device.

发明内容SUMMARY OF THE INVENTION

本发明的主要目的在于提供一种压力精确调节式子宫止血球囊装置,可以有效解决背景技术中的问题。The main purpose of the present invention is to provide a pressure-adjustable uterine hemostatic balloon device, which can effectively solve the problems in the background technology.

为实现上述目的,本发明采取的技术方案为:To achieve the above object, the technical scheme adopted in the present invention is:

一种压力精确调节式子宫止血球囊装置,包括注液管,所述注液管的端部侧面开设有引流口,所述注液管的外表面靠近引流口的一侧固定安装有止血球囊,且引流口位于止血球囊外部,所述注液管内腔靠近引流口的一端壁轴心处固定安装有连接台,且连接台远离注液管的一端固定安装有加强条,所述加强条远离连接台的一端贯穿注液管延伸至其外部并固定安装有固定球,所述注液管的外表面远离止血球囊和引流口的一侧分别固定安装有排污管和第二注射管,所述第二注射管远离注液管的一端固定安装有第二注射器,且第二注射管的中部设置有压力计,所述注液管的外表面还活动安装有支撑罩和宫颈口堵塞球囊,所述宫颈口堵塞球囊的外表面下部还固定安装有第一注射管,所述第一注射管远离宫颈口堵塞球囊的一端固定安装有第一注射器,所述注液管的管壁内还设置有注射腔;A pressure-adjustable uterine hemostatic balloon device includes a liquid injection tube, a drainage port is opened on the side of the end of the liquid injection pipe, and a hemostatic ball is fixedly installed on the side of the outer surface of the liquid injection tube close to the drainage port The drainage port is located outside the hemostatic balloon, the inner cavity of the liquid injection tube is fixedly installed with a connecting table at the axial center of one end wall of the drainage port, and the end of the connecting table away from the liquid injection pipe is fixedly installed with a reinforcing strip. One end of the strip away from the connection platform extends through the liquid injection pipe to the outside thereof and is fixedly installed with a fixed ball, and the side of the outer surface of the liquid injection pipe away from the hemostatic balloon and the drainage port is respectively fixed with a sewage discharge pipe and a second injection pipe. A second syringe is fixedly installed at one end of the second injection tube away from the liquid injection tube, and a pressure gauge is arranged in the middle of the second injection tube. The outer surface of the liquid injection tube is also movably installed with a support cover and a cervical orifice plug. The balloon, the lower part of the outer surface of the cervical orifice blocking balloon is also fixedly installed with a first injection tube, and the end of the first injection tube away from the cervical orifice blocking balloon is fixedly installed with a first syringe, and the end of the liquid injection tube is fixedly installed with a first syringe. An injection cavity is also arranged in the pipe wall;

所述止血球囊靠近表面靠近引流口的部分两侧对称固定连接有两个宫角囊,且止血球囊的外表面均匀分布有若干个微型副囊;The part of the hemostatic balloon close to the surface close to the drainage port is symmetrically connected with two corneal sacs on both sides, and the outer surface of the hemostatic balloon is evenly distributed with several miniature auxiliary sacs;

所述宫颈口堵塞球囊为环形结构,且宫颈口堵塞球囊的中部开设有第二通孔,所述宫颈口堵塞球囊的表面交错设置有凸起部和凹陷部。The cervical orifice blocking balloon has a ring-shaped structure, and a second through hole is opened in the middle of the cervical orifice blocking balloon, and the surface of the cervical orifice blocking balloon is staggered with raised portions and concave portions.

优选的,所述支撑罩的为漏斗状结构,所述宫颈口堵塞球囊的外表面下部与支撑罩的内侧壁固定连接,所述支撑罩的下端还固定安装有侧柱,所述第一注射管与宫颈口堵塞球囊内腔相互连通,且第一注射管远离宫颈口堵塞球囊的一端贯穿支撑罩延伸至其下方,所述注液管滑动连接在第一通孔和第二通孔内。Preferably, the support cover is a funnel-shaped structure, the lower part of the outer surface of the cervical orifice blocking balloon is fixedly connected with the inner side wall of the support cover, and the lower end of the support cover is also fixedly installed with a side post, and the first The injection tube and the inner cavity of the cervical orifice blocking balloon are communicated with each other, and the end of the first injection tube away from the cervical orifice blocking balloon extends through the support cover to the bottom thereof, and the liquid injection tube is slidably connected to the first through hole and the second through hole. inside the hole.

优选的,所述注液管内腔固定安装有至少三组支撑构件,所述支撑构件由若干个加强杆组成,若干个加强杆环形阵列排布固定连接在加强条外表面,且加强杆远离加强条的一端与注液管内壁固定连接。Preferably, at least three groups of support members are fixedly installed in the inner cavity of the liquid injection tube, and the support members are composed of a plurality of reinforcing rods, and the plurality of reinforcing rods are arranged in an annular array and fixedly connected to the outer surface of the reinforcing bar, and the reinforcing rods are far away from the reinforcing rods. One end of the strip is fixedly connected with the inner wall of the liquid injection pipe.

优选的,所述加强杆与加强条均采用医用硅胶制成,且加强条与加强条为一体成型结构。Preferably, the reinforcing rod and the reinforcing bar are made of medical silica gel, and the reinforcing bar and the reinforcing bar are integrally formed.

优选的,所述注液管的外表面开设有与注射腔相互连通的出液口,且出液口位于止血球囊内,所述注射腔通过出液口与止血球囊内腔相互连通。Preferably, the outer surface of the liquid injection tube is provided with a liquid outlet that communicates with the injection cavity, and the liquid outlet is located in the hemostatic balloon, and the injection cavity communicates with the inner cavity of the hemostatic balloon through the liquid outlet.

优选的,所述第二注射管与注射腔内腔相互连通,且第二注射管与注液管内腔互不相通,所述排污管与注液管内腔相互连通,且排污管与注射腔互不相通。Preferably, the second injection tube is communicated with the inner cavity of the injection cavity, and the second injection tube and the inner cavity of the liquid injection tube are not communicated with each other, the sewage discharge tube and the inner cavity of the liquid injection tube are communicated with each other, and the sewage discharge tube and the injection cavity are mutually connected. Not compatible.

优选的,两个所述宫角囊均与止血球囊一体成型,且每个宫角囊的内腔容积为止血球囊的容积的0.25倍。Preferably, the two corneal sacs are integrally formed with the hemostatic balloon, and the inner cavity volume of each corneal sac is 0.25 times the volume of the hemostatic balloon.

优选的,所述微型副囊的半径为r,所述r的取值范围为3-6mm。Preferably, the radius of the micro sub-capsule is r, and the value range of r is 3-6 mm.

与现有技术相比,本发明具有如下有益效果:Compared with the prior art, the present invention has the following beneficial effects:

1、本发明通过在止血球囊上设置有宫角囊,当将止血球囊和宫角囊伸入到产妇子宫内部时,充水后利用两个宫角囊能够对宫角起到良好的压迫作用,进而保证了对宫角的止血效果。1. The present invention is provided with a uterine horn capsule on the hemostatic balloon. When the hemostatic balloon and the uterine horn sac are inserted into the uterus of the parturient, the two uterine horn sacs can be used to provide a good effect on the uterine horn after being filled with water. Compression, thereby ensuring the hemostatic effect on the uterine horn.

2、本发明通过设置有引流口和加强条,加强杆与加强条均采用医用硅胶制成,且加强条与加强条为一体成型结构,利用加强杆与加强条配合,在可以起到引流的作用的同时,还可有效提高整个注液管的强度,使其不易打折,更加有利于将止血球囊放入产妇子宫内。2. The present invention is provided with a drainage port and a reinforcing strip, the reinforcing rod and the reinforcing strip are made of medical silica gel, and the reinforcing strip and the reinforcing strip are integrally formed into a structure. At the same time, the strength of the entire liquid injection tube can be effectively improved, so that it is not easy to be broken, and it is more beneficial to put the hemostatic balloon into the uterus of the puerpera.

3、本发明通过设置有支撑罩和宫颈口堵塞球囊,通过利用侧柱将支撑罩和宫颈口堵塞球囊送入产妇阴道内,并且使得宫颈口堵塞球囊贴近宫颈口,然后通过第一注射器和第一注射管向宫颈口堵塞球囊内注入生理盐水,使得宫颈口堵塞球囊膨胀,利用凸起部和凹陷部配合,使得宫颈口堵塞球囊宫颈口进行封堵,进而利用支撑罩使得宫颈口趋向闭合达到防止子宫能的血液流到阴道内的目的,无需在阴道内填塞纱条,其止血更好,也避免了二次创伤。3. The present invention is provided with a support cover and a cervical orifice blocking balloon, and the support cover and the cervical orifice blocking balloon are sent into the vagina of the parturient by using the side post, and the cervical orifice blocking balloon is made close to the cervical orifice, and then passes through the first cervix. The syringe and the first injection tube inject physiological saline into the cervical orifice blocking balloon, so that the cervical orifice blocking balloon is inflated, and the convex part and the concave part cooperate to make the cervical orifice block the cervical orifice of the balloon for blocking, and then use the support cover The cervix tends to be closed to prevent the blood of the uterus from flowing into the vagina, no need to pack gauze in the vagina, the bleeding is better, and secondary trauma is avoided.

附图说明Description of drawings

图1为本发明的整体结构示意图;Fig. 1 is the overall structure schematic diagram of the present invention;

图2为本发明的止血球囊和注液管的剖切示意图;Fig. 2 is the cutaway schematic diagram of the hemostatic balloon and the liquid injection tube of the present invention;

图3为本发明的支撑罩与宫颈口堵塞球囊的连接示意图;3 is a schematic diagram of the connection between the support cover of the present invention and the cervical occlusion balloon;

图4为本发明的宫颈口堵塞球囊的剖切示意图;Fig. 4 is the cutaway schematic diagram of the cervix occlusion balloon of the present invention;

图5为本发明的图2中A处结构放大图;Fig. 5 is an enlarged view of the structure at place A in Fig. 2 of the present invention;

图6为本发明的图2中B处结构放大图。FIG. 6 is an enlarged view of the structure at B in FIG. 2 of the present invention.

图中:1、注液管;2、止血球囊;3、引流口;4、宫角囊;5、支撑罩;6、宫颈口堵塞球囊;7、侧柱;8、第一注射管;9、第一注射器;10、第二注射管;11、第二注射器;12、压力计;13、加强条;14、固定球;15、微型副囊;16、连接台;17、排污管;18、注射腔;19、第一通孔;20、第二通孔;21、凸起部;22、凹陷部;23、加强杆;24、出液口。In the figure: 1. Liquid injection tube; 2. Hemostatic balloon; 3. Drainage port; 4. Corner sac; 5. Support cover; 6. Cervical orifice blocking balloon; ; 9, the first syringe; 10, the second syringe; 11, the second syringe; 12, the pressure gauge; 13, the reinforcement strip; 14, the fixed ball; ; 18, the injection cavity; 19, the first through hole; 20, the second through hole; 21, the convex part; 22, the concave part;

具体实施方式Detailed ways

为使本发明实现的技术手段、创作特征、达成目的与功效易于明白了解,下面结合具体实施方式,进一步阐述本发明。In order to make the technical means, creative features, achievement goals and effects realized by the present invention easy to understand, the present invention will be further described below with reference to the specific embodiments.

如图1-6所示,一种压力精确调节式子宫止血球囊装置,包括注液管1,注液管1的端部侧面开设有引流口3,注液管1的外表面靠近引流口3的一侧固定安装有止血球囊2,且引流口3位于止血球囊2外部,注液管1内腔靠近引流口3的一端壁轴心处固定安装有连接台16,且连接台16远离注液管1的一端固定安装有加强条13,加强条13远离连接台16的一端贯穿注液管1延伸至其外部并固定安装有固定球14,注液管1的外表面远离止血球囊2和引流口3的一侧分别固定安装有排污管17和第二注射管10,第二注射管10远离注液管1的一端固定安装有第二注射器11,且第二注射管10的中部设置有压力计12,注液管1的外表面还活动安装有支撑罩5和宫颈口堵塞球囊6,宫颈口堵塞球囊6的外表面下部还固定安装有第一注射管8,第一注射管8远离宫颈口堵塞球囊6的一端固定安装有第一注射器9,注液管1的管壁内还设置有注射腔18。As shown in Figures 1-6, a pressure-adjustable uterine hemostatic balloon device includes a liquid injection tube 1, a drainage port 3 is opened on the side of the end of the liquid injection tube 1, and the outer surface of the liquid injection tube 1 is close to the drainage port A hemostatic balloon 2 is fixedly installed on one side of the 3, and the drainage port 3 is located outside the hemostatic balloon 2. The inner cavity of the liquid injection tube 1 is fixedly installed at the axis of one end wall of the drainage port 3, and the connection table 16 is fixedly installed. A reinforcing strip 13 is fixedly installed at one end away from the liquid injection tube 1, and one end of the reinforcement strip 13 away from the connection table 16 extends through the liquid injection tube 1 to the outside thereof and is fixedly installed with a fixed ball 14, and the outer surface of the liquid injection tube 1 is away from the hemostatic cell. A drain pipe 17 and a second injection pipe 10 are fixedly installed on one side of the bladder 2 and the drainage port 3, respectively, and a second syringe 11 is fixedly installed at one end of the second injection pipe 10 away from the liquid injection pipe 1, and the second injection pipe 10 is fixed on the side. The middle is provided with a pressure gauge 12, the outer surface of the liquid injection tube 1 is also movably installed with a support cover 5 and a cervical orifice blocking balloon 6, and the lower part of the outer surface of the cervical orifice blocking balloon 6 is also fixedly installed with a first injection tube 8, A first syringe 9 is fixedly installed at one end of an injection tube 8 away from the cervical orifice blocking balloon 6 , and an injection cavity 18 is also provided in the tube wall of the liquid injection tube 1 .

其中,注液管1的外表面开设有与注射腔18相互连通的出液口24,且出液口24位于止血球囊2内,注射腔18通过出液口24与止血球囊2内腔相互连通,第二注射管10与注射腔18内腔相互连通,且第二注射管10与注液管1内腔互不相通,排污管17与注液管1内腔相互连通,且排污管17与注射腔18互不相通。Wherein, the outer surface of the liquid injection tube 1 is provided with a liquid outlet 24 that communicates with the injection cavity 18, and the liquid outlet 24 is located in the hemostatic balloon 2, and the injection cavity 18 communicates with the inner cavity of the hemostatic balloon 2 through the liquid outlet 24. The second injection tube 10 and the inner cavity of the injection cavity 18 communicate with each other, and the second injection tube 10 and the inner cavity of the liquid injection tube 1 are not communicated with each other, the sewage pipe 17 and the inner cavity of the liquid injection pipe 1 communicate with each other, and the sewage pipe 17 and the injection cavity 18 do not communicate with each other.

需要特别说明的是,本发明中,止血球囊2靠近表面靠近引流口3的部分两侧对称固定连接有两个宫角囊4,且止血球囊2的外表面均匀分布有若干个微型副囊15;通过设置有两个宫角囊4,当将止血球囊2和宫角囊4伸入到产妇子宫内部时,充水后利用两个宫角囊4能够对宫角起到良好的压迫作用,进而保证了对宫角的止血效果,并且利用多个微型副囊15,能够利用凸起的微型副囊15对子宫内壁起到良好的压迫作用,同时可避免滑落,另外,两个宫角囊4均与止血球囊2一体成型,且每个宫角囊4的内腔容积为止血球囊2的容积的0.25倍,微型副囊15的半径为r,r的取值范围为3-6mm;在实践中,经过多次模拟试验得知,当宫角囊4的容积为止血球囊2的容积的0.25倍、微型副囊15的半径r的取值范围为3-6mm时,利用止血球囊2以及宫角囊4配合,对子宫内腔的支撑想效果最佳。It should be noted that, in the present invention, two corneal sacs 4 are symmetrically and fixedly connected on both sides of the part of the hemostatic balloon 2 close to the surface close to the drainage port 3, and the outer surface of the hemostatic balloon 2 is evenly distributed with a number of micro pairs. Capsule 15; by being provided with two uterine horn capsules 4, when the hemostatic balloon 2 and uterine angular capsule 4 are extended into the uterus of the parturient, the two uterine angular capsules 4 can play a good role in the uterine horn after being filled with water. Compression effect, thereby ensuring the hemostatic effect on the uterine horn, and by using a plurality of micro auxiliary capsules 15, the convex micro auxiliary capsule 15 can be used to exert a good compression effect on the inner wall of the uterus, and at the same time, it can avoid slipping. In addition, two The corneal sacs 4 are integrally formed with the hemostatic balloon 2, and the inner cavity volume of each corneal sac 4 is 0.25 times the volume of the hemostatic balloon 2. The radius of the miniature auxiliary capsule 15 is r, and the value range of r is 3-6mm; in practice, after many simulation tests, it is known that when the volume of the corneal capsule 4 is 0.25 times the volume of the hemostatic balloon 2 and the value range of the radius r of the miniature auxiliary capsule 15 is 3-6mm , using the hemostatic balloon 2 and the uterine horn bag 4 to cooperate, the support to the uterine cavity has the best effect.

如图3和图4所示,宫颈口堵塞球囊6为环形结构,且宫颈口堵塞球囊6的中部开设有第二通孔20,宫颈口堵塞球囊6的表面交错设置有凸起部21和凹陷部22;通过第一通孔19和第二通孔20,能够使得支撑罩5和宫颈口堵塞球囊6能够在注液管1表面滑动,进而便于调整宫颈口堵塞球囊6的位置,支撑罩5的为漏斗状结构,或者形似漏斗状,利用支撑罩5能够对宫颈口堵塞球囊6起到良好的支撑作用,宫颈口堵塞球囊6的外表面下部与支撑罩5的内侧壁固定连接,支撑罩5的下端还固定安装有侧柱7,第一注射管8与宫颈口堵塞球囊6内腔相互连通,且第一注射管8远离宫颈口堵塞球囊6的一端贯穿支撑罩5延伸至其下方,注液管1滑动连接在第一通孔19和第二通孔20内。As shown in FIG. 3 and FIG. 4 , the cervical orifice blocking balloon 6 has a ring-shaped structure, and a second through hole 20 is opened in the middle of the cervical orifice blocking balloon 6 , and the surface of the cervical orifice blocking balloon 6 is staggered with raised portions. 21 and recess 22; through the first through hole 19 and the second through hole 20, the support cover 5 and the cervical orifice blocking balloon 6 can slide on the surface of the liquid injection tube 1, thereby facilitating adjustment of the cervical orifice blocking balloon 6. Position, the support cover 5 is a funnel-shaped structure, or the shape is like a funnel, and the support cover 5 can play a good supporting role on the cervical occlusion balloon 6, and the lower part of the outer surface of the cervical occlusion balloon 6 and the support cover 5. The inner side wall is fixedly connected, the lower end of the support cover 5 is also fixedly installed with a side post 7, the first injection tube 8 is communicated with the inner cavity of the cervical orifice blocking balloon 6, and the first injection tube 8 is away from one end of the cervical orifice blocking balloon 6 Extending through the support cover 5 to the bottom thereof, the liquid injection pipe 1 is slidably connected in the first through hole 19 and the second through hole 20 .

需要说明的是,在实践中,使用本发明时,通过利用侧柱7将支撑罩5和宫颈口堵塞球囊6送入产妇阴道内,并且使得宫颈口堵塞球囊6贴近宫颈口,然后通过第一注射器9和第一注射管8向宫颈口堵塞球囊6内注入生理盐水,使得宫颈口堵塞球囊6膨胀,利用凸起部21和凹陷部22配合,使得宫颈口堵塞球囊6宫颈口进行封堵,进而利用支撑罩5使得宫颈口趋向闭合达到防止子宫能的血液流到阴道内的目的。It should be noted that, in practice, when using the present invention, the support cover 5 and the cervix occlusion balloon 6 are sent into the vagina of the parturient by using the side post 7, and the cervix occlusion balloon 6 is made close to the cervix, and then passes through the cervix. The first syringe 9 and the first injection tube 8 inject physiological saline into the cervical orifice blocking balloon 6, so that the cervical orifice blocking balloon 6 is inflated, and the convex portion 21 and the concave portion 22 are used to cooperate to make the cervical orifice blocking the balloon 6 cervical. The orifice is blocked, and then the support cover 5 is used to make the cervical orifice tend to be closed to prevent the blood of the uterus from flowing into the vagina.

如图5所示,注液管1内腔固定安装有至少三组支撑构件,支撑构件由若干个加强杆23组成,若干个加强杆23环形阵列排布固定连接在加强条13外表面,且加强杆23远离加强条13的一端与注液管1内壁固定连接。As shown in FIG. 5 , at least three groups of support members are fixedly installed in the inner cavity of the liquid injection pipe 1, and the support members are composed of a plurality of reinforcing rods 23, and the plurality of reinforcing rods 23 are arranged in a circular array and fixedly connected to the outer surface of the reinforcing bar 13, and One end of the reinforcing rod 23 away from the reinforcing bar 13 is fixedly connected to the inner wall of the liquid injection pipe 1 .

需要说明的是,加强杆23与加强条13均采用医用硅胶制成,且加强条13与加强条13为一体成型结构,利用加强杆23与加强条13配合,在可以起到引流的作用的同时,还可有效提高整个注液管1的强度,使其不易打折,更加有利于将止血球囊2放入产妇子宫内。It should be noted that the reinforcing rod 23 and the reinforcing bar 13 are both made of medical silica gel, and the reinforcing bar 13 and the reinforcing bar 13 are integrally formed. At the same time, the strength of the entire liquid injection tube 1 can be effectively improved, so that it is not easy to be broken, and it is more beneficial to put the hemostatic balloon 2 into the uterus of the puerpera.

本发明的具体使用方法为:使用前检查整个装置是否泄漏,检查完毕后,利用注液管1将止血球囊2和宫角囊4送入到产妇子宫内部,然后并且使得两个宫角囊4分别抵住子宫角,然后通过侧柱7将支撑罩5和宫颈口堵塞球囊6送入产妇阴道内,并且使得宫颈口堵塞球囊6贴近宫颈口,利用支撑罩5对宫颈口堵塞球囊6进行支撑,通过第一注射器9和第一注射管8向宫颈口堵塞球囊6内注入生理盐水,使得宫颈口堵塞球囊6膨胀,利用凸起部21和凹陷部22配合,使得宫颈口堵塞球囊6宫颈口进行封堵,然后通过第二注射器11利用第二注射管10和注射腔18配合向止血球囊2内注入生理盐水,并且通过压力计12时刻观察压力状况,实时调节注入量。The specific use method of the present invention is as follows: check whether the whole device leaks before use, and after the check is completed, use the liquid injection tube 1 to send the hemostatic balloon 2 and the corneal capsule 4 into the uterus of the parturient, and then make the two corneal capsules 4 respectively against the uterine horn, then through the side column 7, the support cover 5 and the cervical orifice blocking balloon 6 are sent into the vagina of the parturient, and the cervical orifice blocking balloon 6 is made close to the cervical orifice, and the cervical orifice blocking ball is used by the support cover 5. The balloon 6 is supported, and physiological saline is injected into the cervical orifice blocking balloon 6 through the first syringe 9 and the first injection tube 8, so that the cervical orifice blocking balloon 6 is inflated, and the convex portion 21 and the concave portion 22 are used to cooperate, so that the cervical orifice is blocked. The cervix is blocked by the mouth blocking balloon 6, and then the second syringe 11 is used to inject physiological saline into the hemostatic balloon 2 by using the second syringe 10 and the injection cavity 18. injection volume.

以上显示和描述了本发明的基本原理和主要特征和本发明的优点。本行业的技术人员应该了解,本发明不受上述实施例的限制,上述实施例和说明书中描述的只是说明本发明的原理,在不脱离本发明精神和范围的前提下,本发明还会有各种变化和改进,这些变化和改进都落入要求保护的本发明范围内。本发明要求保护范围由所附的权利要求书及其等效物界定。The basic principles and main features of the present invention and the advantages of the present invention have been shown and described above. Those skilled in the art should understand that the present invention is not limited by the above-mentioned embodiments. The above-mentioned embodiments and descriptions only illustrate the principle of the present invention. Without departing from the spirit and scope of the present invention, the present invention will also have Various changes and modifications fall within the scope of the claimed invention. The claimed scope of the present invention is defined by the appended claims and their equivalents.

Claims (8)

1.一种压力精确调节式子宫止血球囊装置,包括注液管(1),其特征在于:所述注液管(1)的端部侧面开设有引流口(3),所述注液管(1)的外表面靠近引流口(3)的一侧固定安装有止血球囊(2),且引流口(3)位于止血球囊(2)外部,所述注液管(1)内腔靠近引流口(3)的一端壁轴心处固定安装有连接台(16),且连接台(16)远离注液管(1)的一端固定安装有加强条(13),所述加强条(13)远离连接台(16)的一端贯穿注液管(1)延伸至其外部并固定安装有固定球(14),所述注液管(1)的外表面远离止血球囊(2)和引流口(3)的一侧分别固定安装有排污管(17)和第二注射管(10),所述第二注射管(10)远离注液管(1)的一端固定安装有第二注射器(11),且第二注射管(10)的中部设置有压力计(12),所述注液管(1)的外表面还活动安装有支撑罩(5)和宫颈口堵塞球囊(6),所述宫颈口堵塞球囊(6)的外表面下部还固定安装有第一注射管(8),所述第一注射管(8)远离宫颈口堵塞球囊(6)的一端固定安装有第一注射器(9),所述注液管(1)的管壁内还设置有注射腔(18);1. A pressure-accurately regulated uterine hemostatic balloon device, comprising a liquid injection pipe (1), characterized in that: the end side of the liquid injection pipe (1) is provided with a drainage port (3), and the liquid injection pipe (1) is provided with a drainage port (3). A hemostatic balloon (2) is fixedly installed on the side of the outer surface of the tube (1) close to the drainage port (3), and the drainage port (3) is located outside the hemostatic balloon (2), and inside the liquid injection pipe (1) A connecting table (16) is fixedly installed at the axial center of one end wall of the cavity close to the drainage port (3), and a reinforcing strip (13) is fixedly installed at one end of the connecting table (16) away from the liquid injection pipe (1). (13) One end away from the connection platform (16) extends through the liquid injection tube (1) to the outside thereof and is fixedly installed with a fixed ball (14), and the outer surface of the liquid injection tube (1) is away from the hemostatic balloon (2) A drain pipe (17) and a second injection pipe (10) are fixedly installed on one side of the drainage port (3), respectively, and a second injection pipe (10) is fixedly installed at one end of the second injection pipe (10) away from the liquid injection pipe (1). A syringe (11) is provided with a pressure gauge (12) in the middle of the second syringe (10), and a support cover (5) and a cervical orifice blocking balloon ( 6), the lower part of the outer surface of the cervical orifice blocking balloon (6) is also fixedly installed with a first injection tube (8), and the first injection tube (8) is fixed away from one end of the cervical orifice blocking balloon (6) A first syringe (9) is installed, and an injection cavity (18) is also provided in the pipe wall of the liquid injection pipe (1); 所述止血球囊(2)靠近表面靠近引流口(3)的部分两侧对称固定连接有两个宫角囊(4),且止血球囊(2)的外表面均匀分布有若干个微型副囊(15);The part of the hemostatic balloon (2) that is close to the surface and close to the drainage port (3) is symmetrically and fixedly connected with two corneal sacs (4) on both sides; bag(15); 所述宫颈口堵塞球囊(6)为环形结构,且宫颈口堵塞球囊(6)的中部开设有第二通孔(20),所述宫颈口堵塞球囊(6)的表面交错设置有凸起部(21)和凹陷部(22)。The cervical orifice blocking balloon (6) has an annular structure, and a second through hole (20) is opened in the middle of the cervical orifice blocking balloon (6), and the surface of the cervical orifice blocking balloon (6) is staggered and provided with a second through hole (20). A raised portion (21) and a recessed portion (22). 2.根据权利要求1所述的一种压力精确调节式子宫止血球囊装置,其特征在于:所述支撑罩(5)的为漏斗状结构,所述宫颈口堵塞球囊(6)的外表面下部与支撑罩(5)的内侧壁固定连接,所述支撑罩(5)的下端还固定安装有侧柱(7),所述第一注射管(8)与宫颈口堵塞球囊(6)内腔相互连通,且第一注射管(8)远离宫颈口堵塞球囊(6)的一端贯穿支撑罩(5)延伸至其下方,所述注液管(1)滑动连接在第一通孔(19)和第二通孔(20)内。2. A pressure-adjustable uterine hemostatic balloon device according to claim 1, characterized in that: the support cover (5) is a funnel-shaped structure, and the cervical orifice blocks the outer surface of the balloon (6). The lower part of the surface is fixedly connected with the inner side wall of the support cover (5), the lower end of the support cover (5) is also fixedly installed with a side post (7), and the first injection tube (8) is connected to the cervical orifice blocking balloon (6). ) The inner cavities are communicated with each other, and one end of the first injection tube (8) away from the cervical orifice blocking balloon (6) extends through the support cover (5) to the bottom thereof, and the liquid injection tube (1) is slidably connected to the first port. inside the hole (19) and the second through hole (20). 3.根据权利要求1所述的一种压力精确调节式子宫止血球囊装置,其特征在于:所述注液管(1)内腔固定安装有至少三组支撑构件,所述支撑构件由若干个加强杆(23)组成,若干个加强杆(23)环形阵列排布固定连接在加强条(13)外表面,且加强杆(23)远离加强条(13)的一端与注液管(1)内壁固定连接。3. A pressure-adjustable uterine hemostatic balloon device according to claim 1, characterized in that: at least three groups of support members are fixedly installed in the inner cavity of the liquid injection tube (1), and the support members are composed of several A plurality of reinforcing rods (23) are arranged in a circular array and fixedly connected to the outer surface of the reinforcing bar (13). ) fixed connection to the inner wall. 4.根据权利要求3所述的一种压力精确调节式子宫止血球囊装置,其特征在于:所述加强杆(23)与加强条(13)均采用医用硅胶制成,且加强条(13)与加强条(13)为一体成型结构。4. The precise pressure-adjustable uterine hemostatic balloon device according to claim 3, wherein the reinforcing rod (23) and the reinforcing bar (13) are both made of medical silica gel, and the reinforcing bar (13) is made of medical silica gel. ) and the reinforcing strip (13) are integrally formed. 5.根据权利要求1所述的一种压力精确调节式子宫止血球囊装置,其特征在于:所述注液管(1)的外表面开设有与注射腔(18)相互连通的出液口(24),且出液口(24)位于止血球囊(2)内,所述注射腔(18)通过出液口(24)与止血球囊(2)内腔相互连通。5. A pressure-accurately regulated uterine hemostatic balloon device according to claim 1, characterized in that: the outer surface of the liquid injection tube (1) is provided with a liquid outlet that communicates with the injection cavity (18) (24), and the liquid outlet (24) is located in the hemostatic balloon (2), and the injection cavity (18) communicates with the inner cavity of the hemostatic balloon (2) through the liquid outlet (24). 6.根据权利要求1所述的一种压力精确调节式子宫止血球囊装置,其特征在于:所述第二注射管(10)与注射腔(18)内腔相互连通,且第二注射管(10)与注液管(1)内腔互不相通,所述排污管(17)与注液管(1)内腔相互连通,且排污管(17)与注射腔(18)互不相通。6. A uterine hemostatic balloon device with precise pressure adjustment according to claim 1, characterized in that: the second injection tube (10) and the inner cavity of the injection cavity (18) communicate with each other, and the second injection tube (10) The inner cavity of the liquid injection pipe (1) is not communicated with each other, the sewage discharge pipe (17) and the inner cavity of the liquid injection pipe (1) are communicated with each other, and the sewage discharge pipe (17) and the injection cavity (18) are not communicated with each other. . 7.根据权利要求1所述的一种压力精确调节式子宫止血球囊装置,其特征在于:两个所述宫角囊(4)均与止血球囊(2)一体成型,且每个宫角囊(4)的内腔容积为止血球囊(2)的容积的0.25倍。7. The pressure-adjustable uterine hemostatic balloon device according to claim 1, wherein the two uterine horn sacs (4) are integrally formed with the hemostatic balloon (2), and each uterus is integrally formed with the hemostatic balloon (2). The inner cavity volume of the corner capsule (4) is 0.25 times the volume of the hemostatic balloon (2). 8.根据权利要求1所述的一种压力精确调节式子宫止血球囊装置,其特征在于:所述微型副囊(15)的半径为r,所述r的取值范围为3-6mm。8 . The uterine hemostatic balloon device with precise pressure adjustment according to claim 1 , characterized in that: the radius of the micro sub-bag ( 15 ) is r, and the value range of r is 3-6 mm. 9 .
CN202210071635.5A 2022-01-21 2022-01-21 Accurate regulation formula uterus hemostasis sacculus device of pressure Withdrawn CN114469229A (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN118902531A (en) * 2024-09-20 2024-11-08 复旦大学附属妇产科医院 High-precision hemostatic bag and system
CN119055310A (en) * 2024-10-08 2024-12-03 复旦大学附属妇产科医院 Rapid hemostatic balloon and system

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN118902531A (en) * 2024-09-20 2024-11-08 复旦大学附属妇产科医院 High-precision hemostatic bag and system
CN118902531B (en) * 2024-09-20 2025-02-18 复旦大学附属妇产科医院 High-precision hemostatic balloon and system
CN119055310A (en) * 2024-10-08 2024-12-03 复旦大学附属妇产科医院 Rapid hemostatic balloon and system

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Application publication date: 20220513