CN209661604U - Auxiliary tool is used in lateral incision suture - Google Patents

Abstract

The utility model discloses a kind of lateral incision suture auxiliary tools, including extension diameter section and the isometrical section of housing constituted, wherein, it is provided with action pane on extension diameter section, puts on be provided with ring head outside, reservoir screw channel is provided at the inner edge of ring head, housing slot is provided at the outer rim of ring head, it is provided with inserting section on isometrical section, connection is plugged together between inserting section and housing slot, the flared edge of housing is provided with valgus arm.It is provided with reservoir in housing, eccentric protuberance is provided on reservoir, the side of bias protuberance is provided with blind nut, and the other side is provided with long handle；Long handle, eccentric protuberance inner hollow.The utility model structure is simple, it is easy to use, it is capable of the visual field of rationally exposed side joint-cutting conjunction, make the case where polluting Episiomy Wounds without blood in sewing process, and it can be for carrying out cold light illumination at lateral incision, operating space is big when doctor operates suture, and stitching speed is fast, can precisely be detected to bleeding after suture.

Description

Auxiliary tool for side cutting and suturing

Technical field:

The utility model relates to the technical field of medical instruments, in particular to an auxiliary tool for side cutting and suturing.

Background technique:

Episiotomy is a commonly used operation in vaginal delivery in obstetrics to shorten the second stage of labor. However, for lateral incision suture after delivery, how to reduce the difficulty of suturing for doctors, how to achieve fast suture, how to reduce the degree of maternal pain, and speed up postoperative healing are subjects that need to be studied. The current lateral incision suture, such as "Chinese Medicine Guide". The research on the clinical effect of small-angle episiotomy suture technology in obstetrics published in August 2018 proposed the use of small-angle suture, which requires relatively less tissue to be cut, so that small-angle suture can be used. Small damage, good for suturing, low incidence of postoperative swelling and pain, good for incision healing, and can promote the physical recovery of puerpera. However, with the improvement of people's living standards, the rate of macrosomia is high, and the rate of cutting and reducing tissue to adopt small-angle episiotomy and suturing is not high.

The current operating mode of side cutting and suturing has the following defects: 1. When the side incision is extended or the laceration is serious, two nurses are required to pull the vaginal wall with pull hooks because of the many vaginal folds or the obese pregnant women are not easy to expose. Expose the suture field of view, even so, in view of the elastic folds of the vagina, only a flat field of view can be exposed, and the doctor has a small space for suturing operations, resulting in a long time-consuming suture; During the process, it is necessary to probe at any time to observe the situation of pulling apart, which leads to the situation where a doctor and two nurses are both probed under the shadowless lamp, which causes the shadowless lamp to be blocked. When the doctor performs side incision suture, the vision is unclear and it is more difficult to operate, resulting in a low suture speed. It takes a long time. 3. During the suturing process, the doctor needs to repeatedly wipe the blood flowing out of the uterus with gauze to avoid blood contamination of the sutured wound. Once the blood soaks the side incision, the suture operation must be stopped and the blood should be wiped with gauze before continuing to suture. This results in suturing time for side cuts usually between 30-45 minutes, and even longer than an hour if there are other lacerations caused by the delivery process. During the suturing process, every point is painful for the parturient (suture without anesthesia). Therefore, in order to avoid the problem of blood soaking the side incision, a cushion is also used to insert the vault at the end of the vagina to maintain a bloodless environment in the vagina and speed up the suturing speed. 4. After the side incision and suture are completed, it is necessary to observe for two hours. If there is no massive bleeding within two hours (the volume of vaginal delivery is greater than 500cc, and the volume of cesarean delivery is greater than 1000cc), the patient can be sent back to the ward. However, there is no scientific method for detecting the amount of bleeding at present, and it relies entirely on the experience of doctors or nurses, using estimation methods, such as observing the blood-soaked range of the pad to estimate the amount of bleeding, or using gauze weighing method, which is about The blood-stained gauze is weighed to calculate the amount of bleeding. Although this is considered relatively scientific, there are still many mistakes. The improvement of the detection of this postpartum hemorrhage, such as Chinese Patent Application Publication No. CN 205359809 U, from the improvement of this technology, it can be seen that it is still a traditional detection method of hemorrhage, and it is also weighed and calculated by soaking the dressing pad with blood Bleeding volume (CN 205359809 U's technology is: disposable postpartum metering pad, comprising a water-permeable layer, a water-absorbing layer, a cold compress bag and a water-proof layer successively from top to bottom, wherein the edge of the water-permeable layer is fixed on the top of the water-proof layer surface, and the distance from the fixing point to the edge of the water-repellent layer is 1-2cm, the edge of the bottom surface of the water-repellent layer is provided with a micro-measurement hand scale, and the bottom surface of the water-repellent layer is symmetrically provided with two sets of sticking tapes. The utility model has the beneficial The effects are: (1) By adding the structural feature of the cold compress bag, it can effectively relieve postpartum genital pain and edema, and can relieve incision pain, hematoma, and edema for cesarean section puerpera and episiotomy natural puerpera, and improve the wound healing rate; ( 2) Add an antibacterial layer to play the role of antibacterial and sterilizing, and avoid wound infection; (3) At the same time, accurately measure the actual amount of bleeding after childbirth, so as to detect signs of postpartum hemorrhage early, so as to take corresponding treatment measures). The error rate of this estimation or weighing method is very high, and it is easy to cause hemorrhagic shock of the patient. In the clinical process, the utility model has seen a patient whose blood loss is estimated to be 600cc, but hemoglobin has dropped 4g. , which means that the patient's actual bleeding volume has reached 1300cc, and he is already in a state of massive bleeding. However, this estimation method is still regarded as a normal and safe controllable range, which greatly increases the chance of misdiagnosis.

In order to solve the technical problem of the first point above, Chinese patent application CN 202619729 U discloses a kind of episiotomy suturing helper for normal childbirth episiotomy of puerpera. The device consists of two pressing plates and a handle, each of which has a length of 7 to 9 cm and a width of 1.3 to 1.5 cm. The angle between the two pressing plates is 35 to 50 degrees. The handle is fixed on two At the junction of the pressure plates, the angle between the handle and one of the pressure plates with the largest angle is 150 to 160 degrees, and the length of the handle is 9 to 12 cm. The utility model solves the problem that the fingers are sore and tired due to the long and deep incision, the finger is not long enough, and the time is too long, and it facilitates the operation during suturing, and can avoid accidental pricking operation during suturing fingers and may cause infection from the patient's incision. Another example is the Chinese patent application CN200973910Y which discloses a vaginal dilator, including a handle, a reverse handle, a shaft and a head end. Two elliptical metal pieces are arranged at the head end, and the vagina is expanded through the two metal pieces to expose the field of view. The above two ways of exposing the field of view will play a role similar to that of a retractor, but their defects are still obvious: one is that the vagina Only one seam can be opened, that is, the exposed field of view is a strip-shaped gap, but the suture needle is a semicircular arc-shaped needle, and the strip-shaped seam does not expose enough field of view and is not suitable for suturing with arc-shaped needles, which leads to During the suturing process, the needles frequently pierce the opposite vaginal wall, which increases the pain of suturing for the patient. In addition, these two kinds of expansion mechanisms must have handles on the outside, which are basically in line with the doctor's operating arm, which further hinders the doctor's suturing operation. The resulting suture effect is not as good as the two nurses' traction hooks, at least there is no hindrance during the suture operation.

For the technical improvement of the above-mentioned 2nd and 3rd defects, no practical technical improvement scheme has been found yet. In view of the technical defects of points 1-4 in the prior art, this utility model aims to combine years of clinical experience to provide a simple structure, easy to use, and can reasonably expose the field of view of side incision suture, so that there is no blood pollution in the suture process. It is an auxiliary tool for lateral incision and suture that can be used for cold light illumination at the side incision. The surgeon has a large operating space and fast suture speed when performing suture. After suturing, it can accurately detect the bleeding situation.

Utility model content:

The purpose of this utility model is to overcome the shortcomings in the prior art, to provide a simple structure, easy to use, can reasonably expose the field of view of side incision suture, so that there is no blood contamination of side incision wound in the suture process, and it can be used for side incision. With cold light lighting, the surgeon has a large operating space and fast suturing speed when operating sutures. It is an auxiliary tool for lateral incision sutures that can accurately detect bleeding after suturing.

In order to achieve the above object, the utility model provides an auxiliary tool for side cutting and suturing, which includes an outer casing composed of an enlarged diameter section and an equal diameter section, wherein the enlarged diameter section is provided with an operation window, and the outer casing is provided with an annular ring The inner edge of the ring head is provided with a reservoir screw groove, the outer edge of the ring head is provided with a jacket slot, and the equal-diameter section is provided with a plug-in section, and the plug-in section and the jacket slot are plugged and connected. The flaring edge of the coat is integrally formed with outreach arms.

Further, a reservoir is arranged inside the jacket, and an eccentric protrusion is arranged on the reservoir, a screw cover is provided on one side of the eccentric protrusion, and a long handle is provided on the other side; the long handle and the eccentric protrusion are hollow inside; the screw cap, the eccentric protrusion, The handle and the reservoir are integrally formed during manufacture.

Further, the ring head is integrally formed with a ring head through hole, and the screw cap is integrally formed with a reservoir through hole; the screw cap is threadedly connected with the reservoir screw groove so that the ring head through hole communicates with the reservoir through hole ; A liquid channel is formed among the ring head through hole, the reservoir through hole, the eccentric bulge and the long handle.

Further, a liquid bag is connected to the long handle through catheter insertion, and a metering mark is integrally formed on the liquid bag.

Further, a plurality of fixing grooves are integrally formed on the jacket slot, and a plurality of protrusions are integrally formed on the plug-in section, and the protrusions are inserted and connected with the fixing grooves.

Further, the outer wall of the jacket is provided with jacket inflatable folds, the outer wall of the ring head is provided with ring head inflatable folds, and a one-way valve is arranged in the fixing groove, and the one-way valve communicates with the ring head inflatable folds.

Further, the end face of the outreach arm is provided with an air inflation port, and the protrusion on the plug-in section is embedded with a trachea, and the air pipe extends to the outreach arm along the equal-diameter section and the enlarged-diameter section and communicates with the inflatable port; etc. The trachea at the diameter section and the diameter expansion section communicate with the inflatable folds of the jacket.

Further, cold light beads are embedded inside the equal-diameter section, button batteries and switches are provided on the outreach arms, and the button batteries, switches, and cold light beads are electrically connected.

Further, the equal-diameter section, the enlarged-diameter section, the plug-in section, the operation window and the jacket are integrally formed during manufacture, and the operation window is trapezoidal in shape.

Further, the jacket, ring head and reservoir are transparent plastic products.

Further, the rotation angle of the threaded connection between the screw cap and the reservoir screw groove is 10-15 degrees, a water-stop adhesive strip is bonded inside the screw cap, and a mark can be set between the screw cap and the reservoir screw groove, Insert the reservoir into the jacket along its mark, and rotate 10-15 degrees to complete the connection between the reservoir and the ring head. Due to the function of the water-stop adhesive strip, ensure that the ring head through hole, the reservoir through hole, and the eccentric bulge , The liquid channel formed between the long handles has no leakage.

Further, the extension arm is provided with a hook sleeve (which is a curved buckle), and the hook sleeve is used to connect the long handle with the extension arm to prevent the long handle from vibrating inside the coat and affecting the suture.

Further, the enlarged diameter section, the equal diameter section, the operation window, and the plug-in section can be integrally formed with the casing during manufacture.

Further coat and coat inflatable folds are bonded; the coat inflatable folds can expand outwards along the outer wall of the coat after being inflated; the ring head is bonded to the ring head inflated folds; the ring head inflated folds can go outward along the ring head outer wall after being inflated up open.

The utility model is simple in structure, easy to use, can reasonably expose the field of view of side incision suture, so that there is no blood pollution in the side incision wound during the suturing process, and can perform cold light illumination on the side incision, so that the doctor can operate with large operating space and fast suture speed. The bleeding can be accurately detected after suturing.

When the utility model is used, the steps are as follows:

A. The sleeve slot of the ring head is plugged with the splice section of the sleeve, and the protrusion of the splice section is inserted into the fixing groove (the purpose is to prevent the ring head from turning while the sleeve is rotating in the vagina), turn on the switch, and the cold light bead When it is turned on, the cold light can shine through the through hole of the ring head. It is used as lighting. After being inserted into the vagina, it is convenient to observe whether it has reached the vault position. After reaching the vault position, rotate the coat so that the operation window of the coat corresponds to the side incision wound. The coat is stretched, and the shape of the stretch is cylindrical, which is convenient for curved suturing for side incision wounds (no need for two nurses to use retractors to pull the vagina, and it also solves the lighting problem, with a good view and a large space for suturing, which is convenient for doctors to suture) .

B. In order to solve the problem of submerging the side incision wound caused by blood outflow in the uterus, the reservoir is inserted along the jacket, so that the screw cap is threadedly connected with the reservoir screw groove, and the reservoir and the ring head are connected as one, the screw cap and the reservoir The rotation angle of the threaded connection between the screw grooves is 10-15 degrees. There is a water-stop adhesive strip glued inside the screw cover. A mark can be set between the screw cover and the screw groove of the reservoir. Insert it into the jacket, and rotate it 10-15 degrees to complete the connection between the reservoir and the ring head. Due to the function of the waterproof rubber strip, the liquid formed between the through hole of the ring head, the through hole of the reservoir, the eccentric bulge, and the long handle is guaranteed. There is no leakage in the channel. (This method of operation does not need to insert a cushion into the vagina of the parturient, and does not need to repeatedly wipe the blood in the vagina with gauze. At this time, the space in the coat and the reservoir belong to two spaces, and the blood-free environment in the coat is maintained. The side cut wound at the operation window has no blood staining, which reduces the operation steps of repeatedly wiping blood, and greatly speeds up the speed of side cut suture: it can be controlled within 10-20 minutes to complete the suture).

C. Since the coat and the ring head are plugged in, there is only forward force when it is sent into the vagina, and there will be no falling off due to the connection between the protrusion and the fixing groove when it is rotated; after the suture is completed, push it inward with one hand Holding the long handle, turn the abduction arm outwards with the other hand. Since the coat and the ring head are plugged in, the coat can be directly taken off from the ring head and the coat can be separated from the vagina. At this time, the ring head is still in the dome position, and then the long handle of the reservoir is connected to the fluid bag (the fluid bag can be a urine bag) through a catheter, which can accurately monitor the bleeding volume for 2 hours, changing the traditional estimation method. Or the method of weighing with blood-soaked gauze has high precision and no error, which greatly reduces the misdiagnosis of patients with hemorrhage. After monitoring for two hours, when the patient is in good condition, just turn the handle and pull out the reservoir and the ring head (the reservoir and the ring head are threaded, no falling off).

D. In view of the difference in fat, thinness and weight of the parturient, an external air pump is used to insert the inflation port on the outreach arm, and the inflation port sends gas along the trachea buried in the jacket to the inflation folds of the jacket so that it can be inflated along the outer wall of the jacket Expand outward; the protrusion of the plug-in section and the one-way valve inserted into the ring head, the inflatable folds of the ring head can expand outward along the outer wall of the ring head after being inflated. The one-way valve can ensure that after the jacket is separated from the ring head, the ring head does not leak air and keeps the state of expanding. This structure makes the coat and the ring head adapt to different types of puerpera, except that the inflation is adapted to different types of patients, and the operation method is consistent with the above-mentioned steps A, B, and C.

To sum up, the advantages of this utility model are: 1. Use the jacket to expand the vagina, and obtain an operating space suitable for arc-shaped needle suture, and the operation window on the jacket matches the side incision wound, without the need for nurses to pull and assist, which is convenient for doctors to suture ;2. Using cold light beads, it solves the problem of unclear vision caused by traditional shadowless lamps, whether it is feeding the coat and ring head into the vagina or suturing. 3. Use the reservoir to guide the blood in the vagina, so that the suture area in the jacket is separated from the fluid area in the reservoir, so as to avoid the blood soaking the side incision and affecting the suture; 4. After the jacket is removed, the reservoir can be used The long handle is connected to the liquid bag to monitor the bleeding volume of the parturient, especially in this point, even if the patient has no lateral incision, the utility model can also be used to monitor the patient's bleeding volume alone, which solves the traditional estimation method, gauze soaked blood weighing method The problem of large errors.

Description of drawings:

Fig. 1 is a schematic diagram of the jacket structure of the first embodiment of the utility model.

Fig. 2 is a schematic diagram of the structure of the ring head in Embodiment 1 of the present utility model.

Fig. 3 is a schematic top view of the ring head according to Embodiment 1 of the present utility model.

Fig. 4 is a state diagram of an embodiment of the utility model in which the jacket and the ring head are connected together.

Fig. 5 is a schematic structural diagram of a reservoir according to an embodiment of the present utility model.

Fig. 6 is a three-dimensional state diagram of a reservoir according to an embodiment of the present invention.

Fig. 7 is a view of the use state of the embodiment of the present utility model in which the jacket, the ring head and the reservoir are connected together.

Fig. 8 is a state view showing only the ring head and the reservoir after taking off the coat according to Embodiment 1 of the present utility model.

Fig. 9 is a state diagram of a ring head and a reservoir indwelling in the body and connected with a fluid bag according to an embodiment of the present invention.

Fig. 10 is a state diagram when side cutting and suturing are performed according to Embodiment 1 of the present utility model.

Fig. 11 is a state diagram of blood loss observation after one side incision and suture in the embodiment of the present utility model.

Fig. 12 is a schematic structural diagram of an inflatable jacket according to Embodiment 2 of the present utility model.

Fig. 13 is a schematic diagram of the structure of the inflatable ring head in Embodiment 2 of the present invention.

Fig. 14 is a schematic plan view of the inflatable jacket according to Embodiment 2 of the present invention.

Fig. 15 is a schematic diagram of the inflated structure of the inflatable jacket according to Embodiment 2 of the present utility model.

Fig. 16 is a state diagram of only the inflatable ring head and the reservoir after taking off the inflatable jacket in the second embodiment of the present utility model.

Drawing logo:

1. Operation window 2. Jacket 3. Outreach arm 4. Switch

5. Cold light lamp bead 6. Diameter expansion section 7. Equal diameter section 8. Plug-in section

9. Reservoir screw groove 10. Jacket slot 11. Fixing groove 12. Ring head

13. Long handle 14. Eccentric protrusion 15. Screw cap 16. Reservoir

17. Ring head through hole 18. Catheter 19. Fluid bag 20. Reservoir through hole

21. Overcoat inflation folds 22. One-way valve 23. Ring head inflation folds 24. Uterus

25. Vault 26. Vagina 31. Inflatable port

Detailed ways:

Below in conjunction with accompanying drawing, the utility model is described.

Implementation mode one:

As shown in Figs. 1-11, Fig. 1 is a schematic diagram of the structure of the coat according to Embodiment 1 of the present utility model. Fig. 2 is a schematic diagram of the structure of the ring head in Embodiment 1 of the present utility model. Fig. 3 is a schematic top view of the ring head according to Embodiment 1 of the present utility model. Fig. 4 is a state diagram of an embodiment of the utility model in which the jacket and the ring head are connected together. Fig. 5 is a schematic structural diagram of a reservoir according to an embodiment of the present utility model. Fig. 6 is a three-dimensional state diagram of a reservoir according to an embodiment of the present invention. Fig. 7 is a view of the use state of the embodiment of the present utility model in which the jacket, the ring head and the reservoir are connected together. Fig. 8 is a state view showing only the ring head and the reservoir after taking off the coat according to Embodiment 1 of the present utility model. Fig. 9 is a state diagram of a ring head and a reservoir indwelling in the body and connected with a fluid bag according to an embodiment of the present invention. Fig. 10 is a state diagram when side cutting and suturing are performed according to Embodiment 1 of the present utility model. Fig. 11 is a state diagram of blood loss observation after one side incision and suture in the embodiment of the present utility model.

The auxiliary tool for side cutting and suturing of this example comprises an overcoat 2 composed of an enlarged diameter section 6 and an equal diameter section 7, wherein the enlarged diameter section is provided with an operation window 1, and the overcoat 2 is provided with an annular ring head 12, the ring The inner edge of the head 12 is provided with a reservoir screw groove 9, the outer edge of the ring head 12 is provided with a jacket slot 10, and the equal diameter section 7 is provided with a plug-in section 8, between the plug-in section 8 and the jacket slot Plug-in connection, the flaring edge of the jacket 2 is integrally formed with an outreach arm 3 . A reservoir 16 is arranged inside the jacket 2, and an eccentric protrusion 14 is arranged on the reservoir 16. A screw cover 15 is arranged on one side of the eccentric protrusion 14, and a long handle 13 is arranged on the other side; the long handle 13 and the eccentric protrusion 14 are hollow inside; The screw cap 15, the eccentric protrusion 14, the long handle 13 and the reservoir 16 are integrally formed during manufacture. The ring head is integrally formed with a ring head through hole 17, and the screw cover 15 is integrally formed with a reservoir through hole 20; the screw cover 15 is threadedly connected with the reservoir screw groove 9 so that the ring head through hole 17 is connected with the reservoir The through hole 20 communicates; the ring head through hole 17, the reservoir through hole 20, the eccentric bulge 14, and the long handle form a liquid channel. The long handle 13 is inserted and connected with a fluid bag 19 through a conduit 18, and the fluid bag 19 is integrally formed with a metering mark. A plurality of fixing grooves 11 are integrally formed on the sleeve slot 10, and a plurality of protrusions are integrally formed on the insertion section 8, and the protrusions are inserted and connected with the fixing grooves. The interior of the equal-diameter section 7 is embedded with a cold light lamp bead 5, and the outreach arm 3 is provided with a button battery and a switch 4, and the button battery, the switch 4, and the cold light lamp bead 5 are electrically connected. The equal-diameter section 7, the enlarged-diameter section 6, the plug-in section 8, the operation window 1 and the jacket are integrally formed during manufacture, and the operation window 1 is trapezoidal in shape. Overcoat 2, ring head 12 and reservoir 16 are transparent plastic products. The rotation angle of the threaded connection between the screw cap and the reservoir screw groove is 10-15 degrees. There is a water-stop adhesive strip glued inside the screw cap, and a mark can be set between the screw cap and the reservoir screw groove. Its mark inserts the reservoir into the jacket, and rotates 10-15 degrees to complete the connection between the reservoir and the ring head. Due to the effect of the waterproof rubber strip, the ring head through hole 17, the reservoir through hole 20, and the eccentric bulge 14 are guaranteed , The liquid channel formed between the long handles has no leakage. The extension arm is provided with a hook sleeve (which is an arc-shaped buckle), and the hook sleeve is used to connect the long handle with the outreach arm to prevent the long handle from vibrating in the coat and affecting suturing. The enlarged diameter section, the equal diameter section, the operation window, and the plug-in section can be integrally formed with the jacket during manufacture.

When the utility model is in use: the outer sleeve slot of the ring head is plugged with the splicing section of the outer sleeve, and the protrusion of the splicing section is inserted into the fixing groove (the purpose is to prevent the ring head from rotating while the outer sleeve is rotating in the vagina), and the switch is turned on , the cold light lamp bead lights up, and the cold light can shine through the through hole of the ring head. It is used as lighting. After being inserted into the vagina, it is convenient to observe whether it has reached the position of the vault. After reaching the position of the vault, rotate the jacket so that the operation window of the jacket corresponds to the side incision wound. At this time, the vagina is stretched by the coat, and the shape of the stretch is cylindrical, which is convenient for curved suturing for side incision wounds (no need for two nurses to use retractors to pull the vagina, and also solves the lighting problem, with a good view and a large space for suturing. It is convenient for the physician to suture).

B. In order to solve the problem of submerging the side incision wound caused by blood outflow in the uterus, the reservoir is inserted along the jacket, so that the screw cap is threadedly connected with the reservoir screw groove, and the reservoir and the ring head are connected as one, the screw cap and the reservoir The rotation angle of the threaded connection between the screw grooves is 10-15 degrees. There is a water-stop adhesive strip glued inside the screw cover. A mark can be set between the screw cover and the screw groove of the reservoir. Insert it into the jacket, and rotate it 10-15 degrees to complete the connection between the reservoir and the ring head. Due to the function of the waterproof rubber strip, the liquid formed between the through hole of the ring head, the through hole of the reservoir, the eccentric bulge, and the long handle is guaranteed. There is no leakage in the channel. The hook sleeve on the extension arm is used to connect the long handle with the outreach arm to prevent the long handle from vibrating in the coat and affecting the suture (this operation method does not need to insert a mat into the vagina of the parturient, and does not need to repeatedly wipe the vagina with gauze At this time, the space in the coat and the storage tank belong to two spaces, so as to maintain a blood-free environment in the coat, and the side cut wound at the operation window is not stained with blood, which reduces the operation steps of repeatedly wiping blood and greatly speeds up the process. The speed of side cutting suture: can be controlled within 10-20 minutes to complete the suture).

C. Since the coat and the ring head are plugged in, there is only forward force when it is sent into the vagina, and there will be no falling off due to the connection between the protrusion and the fixing groove when it is rotated; after the suture is completed, push it inward with one hand Holding the long handle, turn the abduction arm outwards with the other hand. Since the coat and the ring head are plugged in, the coat can be directly taken off from the ring head and the coat can be separated from the vagina. At this time, the ring head is still in the dome position, and then the long handle of the reservoir is connected to the fluid bag (the fluid bag can be a urine bag) through a catheter, which can accurately monitor the bleeding volume for 2 hours, changing the traditional estimation method. Or the method of weighing with blood-soaked gauze has high precision and no error, which greatly reduces the misdiagnosis of patients with hemorrhage. After monitoring for two hours, when the patient is in good condition, just turn the handle and pull out the reservoir and the ring head (the reservoir and the ring head are threaded, no falling off). Even if the patient has a normal delivery without lateral incision, the utility model can be used to monitor the bleeding volume of the patient alone, so as to solve the problem of large errors in the traditional estimation method and the gauze soaked blood weighing method.

Embodiment two

As shown in Figures 12-16, Figure 12 is a schematic structural diagram of an inflatable jacket according to Embodiment 2 of the present utility model. Fig. 13 is a schematic diagram of the structure of the inflatable ring head in Embodiment 2 of the present invention. Fig. 14 is a schematic plan view of the inflatable jacket according to Embodiment 2 of the present invention. Fig. 15 is a schematic diagram of the inflated structure of the inflatable jacket according to Embodiment 2 of the present utility model. Fig. 16 is a state diagram of only the inflatable ring head and the reservoir after taking off the inflatable jacket in the second embodiment of the present utility model.

The auxiliary tool for side cutting and suturing of this example comprises an overcoat 2 composed of an enlarged diameter section 6 and an equal diameter section 7, wherein the enlarged diameter section is provided with an operation window 1, and the overcoat 2 is provided with an annular ring head 12, the ring The inner edge of the head 12 is provided with a reservoir screw groove 9, the outer edge of the ring head 12 is provided with a jacket slot 10, and the equal diameter section 7 is provided with a plug-in section 8, between the plug-in section 8 and the jacket slot Plug-in connection, the flaring edge of the jacket 2 is integrally formed with an outreach arm 3 . A reservoir 16 is arranged inside the jacket 2, and an eccentric protrusion 14 is arranged on the reservoir 16. A screw cover 15 is arranged on one side of the eccentric protrusion 14, and a long handle 13 is arranged on the other side; the long handle 13 and the eccentric protrusion 14 are hollow inside; The screw cap 15, the eccentric protrusion 14, the long handle 13 and the reservoir 16 are integrally formed during manufacture. The ring head is integrally formed with a ring head through hole 17, and the screw cover 15 is integrally formed with a reservoir through hole 20; the screw cover 15 is threadedly connected with the reservoir screw groove 9 so that the ring head through hole 17 is connected with the reservoir The through hole 20 communicates; the ring head through hole 17, the reservoir through hole 20, the eccentric bulge 14, and the long handle form a liquid channel. The long handle 13 is inserted and connected with a fluid bag 19 through a conduit 18, and the fluid bag 19 is integrally formed with a metering mark. A plurality of fixing grooves 11 are integrally formed on the sleeve slot 10, and a plurality of protrusions are integrally formed on the insertion section 8, and the protrusions are inserted and connected with the fixing grooves. The outer wall of the outer jacket 2 is provided with jacket inflatable folds 21, the outer wall of the ring head 12 is provided with ring head inflatable folds 23, and the fixed groove 11 is provided with a one-way valve 22, and the check valve 22 is connected with the ring head inflatable folds. 23 connected. The end face of the outreach arm 3 is provided with an inflation port 31, and the protrusion on the insertion section 8 is embedded with a trachea. The trachea at the equal-diameter section 7 and the enlarged-diameter section 6 are in communication with the inflatable folds 21 of the jacket. The interior of the equal-diameter section 7 is embedded with a cold light lamp bead 5, and the outreach arm 3 is provided with a button battery and a switch 4, and the button battery, the switch 4, and the cold light lamp bead 5 are electrically connected. The equal-diameter section 7, the enlarged-diameter section 6, the plug-in section 8, the operation window 1 and the jacket are integrally formed during manufacture, and the operation window 1 is trapezoidal in shape. Overcoat 2, ring head 12 and reservoir 16 are transparent plastic products. The rotation angle of the threaded connection between the screw cap and the reservoir screw groove is 10-15 degrees. There is a water-stop adhesive strip glued inside the screw cap, and a mark can be set between the screw cap and the reservoir screw groove. Its mark inserts the reservoir into the jacket, and rotates 10-15 degrees to complete the connection between the reservoir and the ring head. Due to the effect of the waterproof rubber strip, the ring head through hole 17, the reservoir through hole 20, and the eccentric bulge 14 are guaranteed , The liquid channel formed between the long handles has no leakage. The extension arm is provided with a hook sleeve (which is an arc-shaped buckle), and the hook sleeve is used to connect the long handle with the outreach arm to prevent the long handle from vibrating in the coat and affecting suturing. The enlarged diameter section, the equal diameter section, the operation window, and the plug-in section can be integrally formed with the jacket during manufacture. Coat and coat inflatable pleats are bonded; the inflatable folds of the coat can expand outward along the outer wall of the coat after being inflated; the ring head is bonded to the inflatable folds of the ring head; the inflatable folds of the ring head can expand outward along the outer wall of the ring head after being inflated . (In this example, the inside of the jacket can be a cavity structure in which the trachea is coiled)

When using this example, the steps are as follows:

A. The sleeve slot of the ring head is plugged with the splice section of the sleeve, and the protrusion of the splice section is inserted into the fixing groove (the purpose is to prevent the ring head from turning while the sleeve is rotating in the vagina), turn on the switch, and the cold light bead When it is turned on, the cold light can shine through the through hole of the ring head, and it can be used as lighting. After being inserted into the vagina, it is convenient to observe whether it has reached the vault position. After reaching the vault position,

If the patient is obese and the position of the ring head cannot smoothly correspond to the closed vault, use an external air pump to insert the inflation port on the outreach arm, and the inflation port sends air along the trachea embedded in the jacket to the inflation folds of the jacket so that it can be inflated along the jacket The outer wall of the ring head expands outward; the protrusion of the plug-in section and the one-way valve inserted into the ring head, the inflatable folds of the ring head can expand outward along the outer wall of the ring head after being inflated.

Due to the function of the cold tube lamp beads, you can clearly observe the corresponding situation of the ring head and the vault along the jacket. After the correspondence is appropriate, unplug the air pump and rotate the jacket so that the operation window of the jacket corresponds to the side incision wound. At this time, the vagina is stretched by the jacket, and The stretched shape is cylindrical, which is convenient for the suture of the curved side incision wound.

(There is no need for two nurses to use retractors to pull the vagina, and the lighting problem is also solved. The vision is good, and the suturing operation space is large, which is convenient for doctors to suture).

B. In order to solve the problem of submerging the side incision wound caused by blood outflow in the uterus, the reservoir is inserted along the jacket, so that the screw cap is threadedly connected with the reservoir screw groove, and the reservoir and the ring head are connected as one, the screw cap and the reservoir The rotation angle of the threaded connection between the screw grooves is 10-15 degrees. There is a water-stop adhesive strip glued inside the screw cover. A mark can be set between the screw cover and the screw groove of the reservoir. Insert it into the jacket, and rotate it 10-15 degrees to complete the connection between the reservoir and the ring head. Due to the function of the waterproof rubber strip, the liquid formed between the through hole of the ring head, the through hole of the reservoir, the eccentric bulge, and the long handle is guaranteed. There is no leakage in the channel. (This method of operation does not need to insert a cushion into the vagina of the parturient, and does not need to repeatedly wipe the blood in the vagina with gauze. At this time, the space in the coat and the reservoir belong to two spaces, and the blood-free environment in the coat is maintained. The side cut wound at the operation window has no blood staining, which reduces the operation steps of repeatedly wiping blood, and greatly speeds up the speed of side cut suture: it can be controlled within 10-20 minutes to complete the suture).

C. Since the coat and the ring head are plugged in, there is only forward force when it is sent into the vagina, and there will be no falling off due to the connection between the protrusion and the fixing groove when it is rotated; after the suture is completed, push it inward with one hand Holding the long handle, turn the abduction arm outwards with the other hand. Since the coat and the ring head are plugged in, the coat can be directly taken off from the ring head and the coat can be separated from the vagina.

Due to the function of the one-way valve on the ring head, it can be ensured that the ring head does not leak air after the outer jacket is separated from the ring head, and the ring head remains in an expanded state. This structure makes the jacket and ring head adaptable to different types of maternity.

After the coat is detached from the vagina, the ring head is still in the dome position at this time, and then the long handle of the reservoir is connected to the fluid bag (the fluid bag can be a urine bag) through the catheter, which can accurately monitor the bleeding volume for 2 hours, changing the The traditional operation method of estimation method or blood-soaked gauze weighing method has high accuracy and no error, which greatly reduces the misdiagnosis of patients with massive bleeding. After monitoring for two hours, when the patient is in good condition, just turn the handle and pull out the reservoir and the ring head (the reservoir and the ring head are threaded, no falling off).

Comparative test:

Take the patients of the same type of lateral incision in December 2018 as an example for comparison. (This type is episiotomy with 45° lateral incision, and the length of the incision is about 4cm)

10 cases were sutured using the traditional side cutting suture method, as group 1, with the utility model example 1 as the auxiliary tool to sew 10 cases were combined as group 2. Compare as follows: group horizon operating space Trauma to other parts during suturing Bleeding detection wipe vaginal blood average stitching time group 1 unclear slit Occasionally none frequently 48.2min group 2 clear wide mouth cylindrical none Yes and accurate once 17.5min

To sum up, the advantages of this utility model are: 1. Use the jacket to expand the vagina, and obtain an operating space suitable for arc-shaped needle suture, and the operation window on the jacket matches the side incision wound, without the need for nurses to pull and assist, which is convenient for doctors to suture ;2. Using cold light beads, it solves the problem of unclear vision caused by traditional shadowless lamps, whether it is feeding the coat and ring head into the vagina or suturing. 3. Use the reservoir to guide the blood in the vagina, so that the suture area in the jacket is separated from the fluid area in the reservoir, so as to avoid the blood soaking the side incision and affecting the suture; 4. After the jacket is removed, the reservoir can be used The long handle is connected to the liquid bag to monitor the bleeding volume of the parturient, especially in this point, even if the patient has no lateral incision, the utility model can also be used to monitor the patient's bleeding volume alone, which solves the traditional estimation method, gauze soaked blood weighing method The problem of large errors.

Claims (9)

1. An auxiliary tool for lateral incision and suture, comprising a jacket (2) composed of a diameter-expanding section (6) and an equal-diameter section (7), characterized in that the diameter-expanding section is provided with an operation window (1), and the jacket (2) ) is provided with an annular ring head (12), the inner edge of the ring head (12) is provided with a reservoir screw groove (9), and the outer edge of the ring head (12) is provided with a jacket slot (10) , the equal-diameter section (7) is provided with a plug-in section (8), the plug-in section (8) is plugged and connected with the sleeve slot (10), and the flared edge of the sleeve (2) is integrally formed with an outer sleeve Spread arms (3). 2. The auxiliary tool for side cutting and suturing according to claim 1, characterized in that, a reservoir (16) is arranged inside the jacket (2), and an eccentric protrusion (14) is arranged on the reservoir (16), and the eccentric protrusion (14) One side is provided with a screw cover (15), and the other side is provided with a long handle (13); the long handle (13), the eccentric bulge (14) is hollow inside; the screw cover (15), the eccentric bulge (14), and the long handle (13) and the reservoir (16) are integrally formed during manufacture. 3. The auxiliary tool for side cutting and suturing according to claim 2, characterized in that the ring head is integrally formed with a ring head through hole (17), and the screw cover (15) is integrally formed with a reservoir through hole ( 20); the screw cover (15) is threadedly connected with the reservoir screw groove (9) so that the ring head through hole (17) is communicated with the reservoir through hole (20); the ring head through hole (17), the reservoir through hole ( 20), a liquid channel is formed between the eccentric bulge (14) and the long handle (13). 4. The auxiliary tool for side cutting and suturing according to claim 2 or 3, characterized in that the long handle (13) is connected with a fluid bag (19) through a conduit (18), and the fluid bag (19) is integrally formed Set with metering logo. 5. The auxiliary tool for side cutting and suturing according to any one of claims 1-3, characterized in that, the sleeve slot (10) is integrally formed with a plurality of fixing grooves (11), and the insertion section (8) is integrated The molding is provided with a plurality of protrusions, and the protrusions are plugged and connected with the fixing grooves. 6. The auxiliary tool for side cutting and suturing according to claim 5, characterized in that, the outer wall of the outer jacket (2) is provided with jacket inflatable folds (21), and the outer wall of the ring head (12) is provided with a ring head Inflatable folds (23), a check valve (22) is arranged in the fixing groove (11), and the check valve (22) communicates with the ring head inflatable folds (23). 7. The auxiliary tool for side cutting and suturing according to claim 6, characterized in that, the end surface of the outreach arm (3) is provided with an inflation port (31), and the protrusion on the insertion section (8) is embedded with a trachea, The trachea extends along the equal-diameter section (7) and the expanding-diameter section (6) to the outreach arm (3) and communicates with the inflation port (31); the equal-diameter section (7) and the expanding-diameter section (6) The trachea communicates with the overcoat inflation fold (21). 8. The auxiliary tool for side cutting and suturing according to claim 5, characterized in that, the inside of the equal-diameter section (7) is embedded with cold light beads (5), and the outreach arm (3) is provided with a button battery and a switch (4 ), the button battery, the switch, and the cold light bead (5) are electrically connected. 9. The auxiliary tool for side cutting and suturing according to claim 5, characterized in that the equal-diameter section (7), the diameter-expanding section (6), the insertion section (8), the operation window (1) and the jacket are integrated during manufacture Formed, the operating window (1) is trapezoidal.