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CN219783493U - Contrast liquid-passing instrument - Google Patents

Contrast liquid-passing instrument Download PDF

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Publication number
CN219783493U
CN219783493U CN202321086233.9U CN202321086233U CN219783493U CN 219783493 U CN219783493 U CN 219783493U CN 202321086233 U CN202321086233 U CN 202321086233U CN 219783493 U CN219783493 U CN 219783493U
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cervical
inner tube
clamping piece
cervix
fixed bracket
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段立艳
孙海翔
朱家樑
李昆明
梅洁
彭林
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Nanjing Drum Tower Hospital
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Nanjing Drum Tower Hospital
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Abstract

The utility model relates to a contrast liquid-passing instrument, which comprises an inner tube and an outer tube; the inner pipe is arranged in the outer pipe in a penetrating way; the far end of the inner tube is provided with an injection port, and the other end of the inner tube is provided with a conical head; the outer tube is provided with a cervical cladding device. The advantages are as follows: through setting up conical head and cervical cladding device, in the in-process of using, only need put into the cervical intraductal can, avoid the contrast medium to flow out to with the cervical pipe shutoff, the inner tube of making a shadow only need insert at the ectocervical mouth can, avoided the sacculus pipe that tradition used, need the catheter head to get into the palace chamber, cause painful sense and uncomfortable sense to and the sacculus shelters from palace chamber and oviduct opening, the misdiagnosis's that easily causes the condition takes place. Secondly, through setting up the cooperation of cervical cladding device and cone, can be to the better supporting role of cone, prevent that the cone roll-off from leading to the radiography failure.

Description

一种造影通液器械A kind of contrast fluid passing device

技术领域Technical field

本实用新型涉及医疗器械技术领域,具体地说,是一种造影通液器械。The utility model relates to the technical field of medical devices, specifically, it is an imaging fluid-passing device.

背景技术Background technique

在女性不孕不育症的发生因素中,输卵管阻塞占很大的比例,有统计为30%-50%,诊断输卵管阻塞最简单、有效的方法为子宫输卵管造影,而治疗输卵管阻塞的方法除传统的妇科手术外,目前用介入的方法进行再通因操作简单、方便有效,技术要求不高,在各级医院开展的非常普遍。Among the causes of female infertility, fallopian tube obstruction accounts for a large proportion, with statistics ranging from 30% to 50%. The simplest and most effective way to diagnose fallopian tube obstruction is hysterosalpingography, and there are other methods to treat fallopian tube obstruction. In addition to traditional gynecological surgeries, interventional methods for recanalization are currently very common in hospitals at all levels because they are simple to operate, convenient and effective, and have low technical requirements.

目前应用最多的输卵管造影术是运用球囊导管插入宫腔后进行造影剂的注入,在操作中,有时需要用宫颈钳夹住宫颈并牵拉,打入造影剂之前充盈的球囊会占到超过一半的宫腔空间,这些都会造成不同程度的疼痛和不适。从而刺激了分布在这些区域的神经末梢,绝大部分患者能通过神经系统自身调节,但也有少数患者由于植物神经稳定性较差,迷走神经自身反射增强,使体内释放出大量的乙酰胆碱,促使冠状动脉痉挛,心肌收缩力减弱,心脏排血量减少,从而出现恶心呕吐、胸闷、面色苍白、血压下降、心律失常等,严重者还可能出现昏迷、抽搐、休克等一系列症状。并且使用球囊导管进行输卵管造影时,在注射造影剂后,球囊会在宫腔内充盈,如此一来可能会导致宫腔内的一些粘连、息肉等被遮挡而观察不到,同时,由于导管可能被球囊挤压到一边,造影剂流动不畅,另一边的输卵管中因为没有造影剂而未显影,造成输卵管不通的假象。并且在导管上无刻度,不能判断进入宫腔的距离。Currently, the most commonly used fallopian tube angiography is to use a balloon catheter to insert into the uterine cavity and then inject contrast agent. During the operation, it is sometimes necessary to use cervical forceps to clamp the cervix and pull it. The filled balloon before injecting the contrast agent will occupy the More than half of the uterine cavity space, these can cause varying degrees of pain and discomfort. This stimulates the nerve endings distributed in these areas. Most patients can regulate themselves through the nervous system. However, there are also a few patients who have poor autonomic nerve stability and enhanced vagus nerve reflexes, which causes the body to release a large amount of acetylcholine and promote coronary artery disease. Spasm, weakened myocardial contractility, reduced cardiac blood output, resulting in nausea and vomiting, chest tightness, pale complexion, drop in blood pressure, arrhythmia, etc. In severe cases, a series of symptoms such as coma, convulsions, and shock may occur. And when using a balloon catheter for salpingography, after the contrast agent is injected, the balloon will be filled in the uterine cavity. This may cause some adhesions, polyps, etc. in the uterine cavity to be blocked and cannot be observed. At the same time, due to The catheter may be squeezed to one side by the balloon, causing the contrast agent to flow sluggishly, and the fallopian tube on the other side is not visualized because there is no contrast agent, causing the false impression that the fallopian tube is blocked. And there is no scale on the catheter, so the distance into the uterine cavity cannot be judged.

中国专利文献CN110812669A,申请日2019-11-22,专利名称为:输卵管造影导管装置,公开了一种输卵管造影导管装置,其中包括第一管体,所述第一管体的内腔具有第一通道和至少一个第二通道,所述第一通道的内径大于第二通道的内径,所述第一管体的后部连接有接头,所述第一管体的各第二通道靠近所述接头的部位分别与一充气导管连通,各所述充气导管的另一端分别与动力机构连接,所述第一管体的外表面前部密封连接有一个或两个球囊,各所述球囊内充有气体或液体,各所述球囊分别与一所述第二通道连通。Chinese patent document CN110812669A, application date 2019-11-22, patent name: fallopian tube contrast catheter device, discloses a fallopian tube contrast catheter device, which includes a first tube body, the inner cavity of the first tube body has a first channel and at least one second channel, the inner diameter of the first channel is greater than the inner diameter of the second channel, a joint is connected to the rear of the first pipe body, and each second channel of the first pipe body is close to the joint The parts are connected to an inflatable conduit respectively, and the other end of each inflatable conduit is connected to a power mechanism respectively. One or two balloons are sealingly connected to the outer front of the first tube body, and each balloon is filled with There is gas or liquid, and each of the balloons is connected to one of the second channels.

上述专利文献的输卵管造影导管装置,该发明发明输卵管造影导管装置结构设计简单,能安全进入宫颈口,并能安全、可靠、便捷的用臭氧治疗宫腔炎症。但是关于一种减少患者不适,对宫颈进行包覆稳定性好的技术方案则未见相应的公开。The fallopian tube imaging catheter device of the above-mentioned patent document has a simple structure design, can safely enter the cervix, and can safely, reliably and conveniently treat uterine inflammation with ozone. However, there is no corresponding disclosure regarding a technical solution that reduces patient discomfort and has good stability in covering the cervix.

综上所述,亟需一种减少患者不适,对宫颈进行包覆稳定性好的无痛性子宫输卵管造影通液器械。而这种无痛性子宫输卵管造影通液器械目前还未见报道。In summary, there is an urgent need for a painless hysterosalpingography fluid-draining device that reduces patient discomfort and can cover the cervix with good stability. However, this kind of painless hysterosalpingography fluid-passing device has not yet been reported.

发明内容Contents of the invention

本实用新型的目的是,提供一种减少患者不适,对宫颈进行包覆稳定性好的无痛性子宫输卵管造影通液器械。The purpose of this utility model is to provide a painless hysterosalpingography fluid-passing device that reduces patient discomfort and has good stability in covering the cervix.

为实现上述目的,本实用新型采取的技术方案是:In order to achieve the above purpose, the technical solution adopted by this utility model is:

一种造影通液器械,所述的造影通液器械包括内管、外管;所述的内管穿设在外管中;所述的内管的远端设置有注射口,另一端设置有锥形头;所述的外管上设置有宫颈包覆装置;所述的宫颈包覆装置包括夹持片、连杆机构、第一固定支架、第二固定支架、往复运动杆;所述的夹持片安装在连杆机构上;所述的连杆机构一端固定在第一固定支架上,另一端固定在第二固定支架上;所述的第一固定支架设置在往复运动杆上;所述的第二固定支架设置在外管上;所述的往复运动杆上设置有滑齿;所述的宫颈包覆装置上还设置有调节旋钮;所述的调节旋钮上设置有锥形齿;所述的锥形齿与往复运动杆上的滑齿相啮合。An imaging fluid-passing device, which includes an inner tube and an outer tube; the inner tube is passed through the outer tube; the far end of the inner tube is provided with an injection port, and the other end is provided with a cone shaped head; the outer tube is provided with a cervical coating device; the cervical coating device includes a clamping piece, a linkage mechanism, a first fixed bracket, a second fixed bracket, and a reciprocating rod; the clamp The holding piece is installed on the linkage mechanism; one end of the linkage mechanism is fixed on the first fixed bracket, and the other end is fixed on the second fixed bracket; the first fixed bracket is arranged on the reciprocating rod; The second fixed bracket is arranged on the outer tube; the reciprocating rod is provided with sliding teeth; the cervical coating device is also provided with an adjustment knob; the adjustment knob is provided with conical teeth; The conical teeth mesh with the sliding teeth on the reciprocating rod.

作为一种优选的技术方案,所述的调节旋钮顺时针转动时,锥形齿同步顺时针转动,并带动往复运动杆向后运动;当往复杆向后运动时,带动连杆机构向内扩张,从而带动夹持片向内收紧;所述的调节旋钮逆时针转动时,锥形齿同步逆时针转动,并带动往复运动杆向前运动;当往复杆向前运动时,带动连杆机构向外扩张,从而带动夹持片向外扩张。As a preferred technical solution, when the adjustment knob rotates clockwise, the conical teeth rotate clockwise synchronously and drive the reciprocating rod to move backward; when the reciprocating rod moves backward, the linkage mechanism is driven to expand inward. , thus driving the clamping piece to tighten inward; when the adjustment knob rotates counterclockwise, the conical teeth rotate counterclockwise synchronously and drive the reciprocating rod to move forward; when the reciprocating rod moves forward, the linkage mechanism is driven Expand outward, thereby driving the clamping piece to expand outward.

作为一种优选的技术方案,所述的锥形头在使用状态下位于人体宫颈内口位置处;所述的宫颈包覆装置位于宫颈前端位置处。As a preferred technical solution, the cone-shaped head is located at the internal cervix of the human body when in use; the cervical covering device is located at the front end of the cervix.

作为一种优选的技术方案,所述的锥形头采用硅胶材料制作而成As a preferred technical solution, the conical head is made of silicone material

作为一种优选的技术方案,所述的内管上设置有刻度尺。As a preferred technical solution, the inner tube is provided with a scale.

作为一种优选的技术方案,所述的锥形头13的长度为3.2-3.8cm。As a preferred technical solution, the length of the conical head 13 is 3.2-3.8cm.

本实用新型优点在于:The advantages of this utility model are:

1、本实用新型的输卵管造影器械,通过设置锥形头和宫颈包覆装置,在使用的过程中,只需将锥形头置入宫颈管内即可,避免造影液流出,并将宫颈管封堵,打造影的内管只需要插在宫颈外口即可,避免了传统使用的球囊导管,需要导管头进入宫腔,造成疼痛感以及不适感,以及球囊遮挡宫腔及输卵管开口,易造成的误诊的情况发生。其次,通过设置宫颈包覆装置与锥形头的配合,能够对锥形头更好的支撑作用,防止锥形头滑出,导致造影失败。1. The utility model's fallopian tube imaging instrument is equipped with a conical head and a cervical covering device. During use, the conical head only needs to be placed into the cervical canal to prevent the contrast fluid from flowing out and seal the cervical canal. Blocking, the inner tube for imaging only needs to be inserted into the external cervical opening, which avoids the traditional use of balloon catheters, which require the catheter head to enter the uterine cavity, causing pain and discomfort, and the balloon blocks the uterine cavity and fallopian tube opening. It is easy to cause misdiagnosis. Secondly, by arranging the cooperation between the cervical covering device and the cone head, the cone head can be better supported and prevented from slipping out, causing angiography failure.

2、内管上设置有锥形头,在使用状态下,锥形头是位于宫颈管内,对宫颈管起到固定作用,只需将内管植入宫颈管到达宫颈管内口即可造影,无需达到子宫腔。不会占据子宫腔空间,患者感觉舒适,且不存在遮挡输卵管的问题,能够精准判断输卵管是否通畅的问题。2. The inner tube is equipped with a cone-shaped head. When in use, the cone-shaped head is located in the cervical canal and plays a role in fixing the cervical canal. You only need to insert the inner tube into the cervical canal and reach the internal os of the cervical canal to perform imaging. No need for Reach the uterine cavity. It does not occupy the uterine cavity space, the patient feels comfortable, and there is no problem of blocking the fallopian tube, and it can accurately determine whether the fallopian tube is open.

3、锥形头采用硅胶材料制作而成,具有一定可塑变形特点,在置入时可顺应不同患者的宫颈管的形态进行压缩,从而更好的封堵宫颈管,尤其适用于有生育史或做过宫颈手术,引起宫颈外口变大或呈现不规则形的患者。3. The tapered head is made of silicone material and has certain plastic deformation characteristics. When inserted, it can be compressed according to the shape of the cervical canal of different patients, thereby better sealing the cervical canal. It is especially suitable for patients with a history of childbirth or those with a history of childbirth. Patients who have undergone cervical surgery, causing the external cervix to become enlarged or irregularly shaped.

4、外管上设置有宫颈包覆装置,通过对宫颈的包覆作用,确保宫颈的位置固定,从而使得锥形头以及内管前端不会因生理蠕动作用进入到宫腔中。对于患者不会造成疼痛感以及不适感。4. The outer tube is equipped with a cervical covering device. By covering the cervix, it ensures that the position of the cervix is fixed, so that the conical head and the front end of the inner tube will not enter the uterine cavity due to physiological peristalsis. It will not cause pain or discomfort to the patient.

5、将宫颈包覆装置设计成纯机械的结构形式,在连杆机构以及往复运动杆的配合下,通过手动控制旋钮控制,就能实现对宫颈的包覆以及释放。设计巧妙,手动控制,患者舒适度好。5. The cervical coating device is designed as a purely mechanical structure. With the cooperation of the linkage mechanism and the reciprocating rod, and controlled by the manual control knob, the cervical coating and release can be achieved. Clever design, manual control, and good patient comfort.

6、宫颈包覆装置采用气动形式控制,可以根据宫颈的形状自动调整,在抓取表面光滑对象时,不会滑出,其次,过对宫颈的包覆作用,确保宫颈的位置固定,从而使得锥形头以及内管前端不会因生理蠕动作用进入到宫腔中。对于患者不会造成疼痛感以及不适感。6. The cervical covering device adopts pneumatic control and can automatically adjust according to the shape of the cervix. It will not slip out when grabbing objects with smooth surfaces. Secondly, by covering the cervix, it ensures that the position of the cervix is fixed, so that The tapered head and the front end of the inner tube will not enter the uterine cavity due to physiological peristalsis. It will not cause pain or discomfort to the patient.

7、宫颈包覆装置采用气动形式控制,具有良好的依从性,柔软性好,可以根据宫颈的形状自动调整,能够对不同形状的宫颈进行包覆,在抓取表面光滑对象时,不会滑出,另外,采用气动形式,与其它采用机械结构形式相比,不会造成机械损伤。7. The cervical coating device adopts pneumatic control and has good compliance and softness. It can be automatically adjusted according to the shape of the cervix and can cover cervixes of different shapes. It will not slip when grabbing objects with smooth surfaces. In addition, the pneumatic form will not cause mechanical damage compared with other mechanical structure forms.

8、通过压力传感器,能够检测到夹持片上气压的大小,并反馈给驱动器,该驱动器根据压力大小,控制电磁阀进行调压,使得夹持片上的压力大小可调节,避免压力过大或者过小,患者没有疼痛感或者不适合。8. Through the pressure sensor, the air pressure on the clamping piece can be detected and fed back to the driver. The driver controls the solenoid valve to adjust the pressure according to the pressure, so that the pressure on the clamping piece can be adjusted to avoid excessive or excessive pressure. Small, the patient has no pain or is not suitable.

9、驱动器上设置有控制气泵的正压开关和负压开关,当正压开关启动时,气泵经通气片向夹持片通气,夹持片在气压作用下向外打开。当负压开关关闭时,当负压开关启动时,使得夹持片形成真空向内收获进行夹持宫颈。设计巧妙,通过气压力学的方式来实现夹持片对宫颈的抓紧和释放,一方面能够适应于不同大小的宫颈进行包住(因女性生育小孩后,有的宫颈大,有的宫颈小,本方案能够自适应不同大小的宫颈)。9. The driver is equipped with a positive pressure switch and a negative pressure switch that control the air pump. When the positive pressure switch is activated, the air pump ventilates the clamping piece through the ventilation piece, and the clamping piece opens outwards under the action of air pressure. When the negative pressure switch is turned off, and when the negative pressure switch is turned on, the clamping piece forms a vacuum and is harvested inward to clamp the cervix. The design is clever, and the clamping piece uses pneumatic pressure to grasp and release the cervix. On the one hand, it can be adapted to wrap cervixes of different sizes (because after women give birth to children, some cervixes are large and some are small. The program can adapt to different cervix sizes).

附图说明Description of the drawings

附图1是本实用新型的一种造影通液器械的总体结构示意图。Figure 1 is a schematic diagram of the overall structure of a contrast-enhancing fluid-passing device of the present invention.

附图2是宫颈包覆装置的结构示意图。Figure 2 is a schematic structural diagram of the cervical covering device.

附图3是内管结构示意图。Figure 3 is a schematic diagram of the inner tube structure.

附图4本实用新型的输卵管造影器械在使用状态夹持片收紧状态示意图。Figure 4 is a schematic diagram of the tightening state of the clamping piece of the fallopian tube imaging instrument of the present invention when in use.

附图5为本实用新型的输卵管造影器械中在使用状态夹持片打开示意图。Figure 5 is a schematic diagram of the opening of the clamping piece in the use state of the fallopian tube imaging instrument of the present invention.

附图6是本实用新型的另一种造影通液器械的总体结构示意图。Figure 6 is a schematic diagram of the overall structure of another contrast-enhancing fluid passing device of the present invention.

附图7实施例二中宫颈包覆装置的结构框图。Figure 7 is a structural block diagram of the cervical coating device in the second embodiment.

附图8是夹持片的内部空腔结构结构示意图。Figure 8 is a schematic diagram of the internal cavity structure of the clamping piece.

附图中涉及的附图标记和组成部分如下所示:The reference signs and components involved in the drawings are as follows:

1.内管 11.注射口1. Inner tube 11. Injection port

12.刻度尺 13.锥形头12. Scale 13. Taper head

2.外管 3.宫颈包覆装置2. External tube 3. Cervical covering device

31.夹持片 32.连杆机构31. Clamping piece 32. Link mechanism

33.第一固定架 34.第二固定架33. The first fixed frame 34. The second fixed frame

35.往复运动杆 36.滑齿35. Reciprocating rod 36. Sliding gear

37.调节旋钮 38锥形齿37. Adjustment knob 38 conical teeth

4.驱动器 41.气管4. Driver 41. Trachea

42.气泵 43.电磁阀42. Air pump 43. Solenoid valve

44.压力传感器 45.夹持正面44. Pressure sensor 45. Clamping front

46.夹持反面 47.气体型腔46. Clamping reverse side 47. Gas cavity

48.正压开关 49.负压开关48. Positive pressure switch 49. Negative pressure switch

5.子宫腔 6.宫颈5. Uterine cavity 6. Cervix

7.宫颈管。7. Cervical canal.

具体实施方式Detailed ways

下面结合实施例并参照附图对本实用新型作进一步描述。The utility model will be further described below with reference to the embodiments and the accompanying drawings.

实施例1Example 1

请参照图1,图1是本实用新型的一种造影通液器械的总体结构示意图。一种造影通液器械;所述的造影通液器械包括内管1、外管2;所述的内管1穿设在外管2中;所述的内管1的远端设置有注射口11,另一端设置有锥形头13;所述的外管2上设置有宫颈包覆装置3。Please refer to Figure 1 , which is a schematic diagram of the overall structure of a contrast-enhanced fluid-passing device of the present invention. An imaging fluid-passing device; the contrast-enhancing fluid passing device includes an inner tube 1 and an outer tube 2; the inner tube 1 is inserted into the outer tube 2; the far end of the inner tube 1 is provided with an injection port 11 , the other end is provided with a conical head 13; the outer tube 2 is provided with a cervical covering device 3.

请参照图2,图2是宫颈包覆装置3的结构示意图。所述的宫颈包覆装置3包括夹持片31、连杆机构32、第一固定支架33、第二固定支架34、往复运动杆35;所述的夹持片31安装在连杆机构32上;所述的连杆机构32一端固定在第一固定支架33上,另一端固定在第二固定支架34上;所述的第一固定支架33设置在往复运动杆35上;所述的第二固定支架34设置在外管2上;所述的往复运动杆35上设置有滑齿36;所述的宫颈包覆装置3上还设置有调节旋钮37;所述的调节旋钮37上设置有锥形齿38;所述的锥形齿38与往复运动杆35上的滑齿36相啮合。Please refer to Figure 2, which is a schematic structural diagram of the cervical covering device 3. The cervical coating device 3 includes a clamping piece 31, a linkage mechanism 32, a first fixed bracket 33, a second fixing bracket 34, and a reciprocating rod 35; the clamping piece 31 is installed on the linkage mechanism 32. ; One end of the linkage mechanism 32 is fixed on the first fixed bracket 33, and the other end is fixed on the second fixed bracket 34; the first fixed bracket 33 is provided on the reciprocating rod 35; the second The fixed bracket 34 is provided on the outer tube 2; the reciprocating rod 35 is provided with sliding teeth 36; the cervical coating device 3 is also provided with an adjustment knob 37; the adjustment knob 37 is provided with a tapered Teeth 38; the conical teeth 38 mesh with the sliding teeth 36 on the reciprocating rod 35.

所述的调节旋钮37顺时针转动时,锥形齿38同步顺时针转动,并带动往复运动杆35向后运动;当往复杆向后运动时,带动连杆机构32向内扩张,从而带动夹持片31向内收紧;所述的调节旋钮37逆时针转动时,锥形齿38同步逆时针转动,并带动往复运动杆35向前运动;当往复杆向前运动时,带动连杆机构32向外扩张,从而带动夹持片31向外扩张。When the adjustment knob 37 rotates clockwise, the conical teeth 38 rotate clockwise synchronously and drive the reciprocating rod 35 to move backward; when the reciprocating rod moves backward, it drives the linkage mechanism 32 to expand inward, thereby driving the clamp. The holding piece 31 tightens inward; when the adjustment knob 37 rotates counterclockwise, the conical teeth 38 rotate counterclockwise synchronously and drive the reciprocating rod 35 to move forward; when the reciprocating rod moves forward, the linkage mechanism is driven 32 expands outward, thereby driving the clamping piece 31 to expand outward.

请参照图3,图3是内管1结构示意图。所述的注射口11上设置有防回流阀;所述的锥形头13的长度为3.2-3.8cm,作为一种优选,锥形头13的长度为3.5cm;所述的内管1的前端设置开口;所述的内管1上设置有刻度尺12。Please refer to Figure 3, which is a schematic structural diagram of the inner tube 1. The injection port 11 is provided with an anti-backflow valve; the length of the conical head 13 is 3.2-3.8cm. As a preference, the length of the conical head 13 is 3.5cm; the length of the inner tube 1 An opening is provided at the front end; a scale 12 is provided on the inner tube 1 .

请参照图4和图5,图4本实用新型的输卵管造影器械在使用状态夹持片31收紧状态示意图。图5为本实用新型的输卵管造影器械中在使用状态夹持片31打开示意图。所述的锥形头13在使用状态下位于人体宫颈6内口位置处;所述的宫颈包覆装置3位于宫颈6前端位置处。Please refer to Figures 4 and 5. Figure 4 is a schematic diagram of the tightening state of the clamping piece 31 of the salpingography instrument of the present invention in use. Figure 5 is a schematic diagram of the clamping piece 31 opening in the use state of the fallopian tube imaging instrument of the present invention. The conical head 13 is located at the inner mouth of the human cervix 6 when in use; the cervical covering device 3 is located at the front end of the cervix 6 .

该实施例需要说明的是:What needs to be explained in this embodiment is:

所述的内管1上设置有锥形头13,在使用状态下,锥形头13是位于宫颈管7内,对宫颈管7起到固定作用,只需将内管1植入宫颈管7到达宫颈管7内口即可造影,无需达到子宫腔7。不会占据子宫腔7空间,患者感觉舒适,且不存在遮挡输卵管的问题,能够精准判断输卵管是否通畅的问题。而传统的方案中,采用将球囊置入子宫腔7进行造影,在操作中,有时需要用宫颈6钳夹住宫颈6并牵拉,打入造影剂之前会充盈的球囊会占到超过一半的宫腔空间,这些都会造成不同程度的疼痛和不适。从而刺激了分布在这些区域的神经末梢,绝大部分患者能通过神经系统自身调节,但也有少数患者由于植物神经稳定性较差,迷走神经自身反射增强,使体内释放出大量的乙酰胆碱,促使冠状动脉痉挛,心肌收缩力减弱,心脏排血量减少,从而出现恶心呕吐、胸闷、面色苍白、血压下降、心律失常等,严重者还可能出现昏迷、抽搐、休克等一系列症状。并且使用球囊导管进行输卵管造影时,在注射造影剂后,球囊会在宫腔内充盈,如此一来可能会导致宫腔内的一些粘连、息肉等被遮挡而观察不到,同时,由于导管可能被球囊挤压到一边,造影剂流动不畅,另一边的输卵管中因为没有造影剂而未显影,造成输卵管不通的假象。The inner tube 1 is provided with a conical head 13. In the use state, the conical head 13 is located in the cervical canal 7 and plays a role in fixing the cervical canal 7. It is only necessary to implant the inner tube 1 into the cervical canal 7. Imaging can be done as soon as it reaches the internal opening of the cervical canal 7 without reaching the uterine cavity 7 . It does not occupy the 7 space of the uterine cavity, the patient feels comfortable, and there is no problem of blocking the fallopian tube, and it can accurately determine whether the fallopian tube is unobstructed. In the traditional plan, a balloon is inserted into the uterine cavity 7 for contrast. During the operation, it is sometimes necessary to use cervical forceps to clamp the cervix 6 and pull it. The balloon that will be filled before injecting the contrast agent will account for more than Half of the uterine cavity space, these can cause varying degrees of pain and discomfort. This stimulates the nerve endings distributed in these areas. Most patients can regulate themselves through the nervous system. However, there are also a few patients who have poor autonomic nerve stability and enhanced vagus nerve reflexes, which causes the body to release a large amount of acetylcholine and promote coronary artery disease. Spasm, weakened myocardial contractility, reduced cardiac blood output, resulting in nausea and vomiting, chest tightness, pale complexion, drop in blood pressure, arrhythmia, etc. In severe cases, a series of symptoms such as coma, convulsions, and shock may occur. And when using a balloon catheter for salpingography, after the contrast agent is injected, the balloon will be filled in the uterine cavity. This may cause some adhesions, polyps, etc. in the uterine cavity to be blocked and cannot be observed. At the same time, due to The catheter may be squeezed to one side by the balloon, causing the contrast agent to flow sluggishly, and the fallopian tube on the other side is not visualized because there is no contrast agent, causing the false impression that the fallopian tube is blocked.

作为一种优选,所述的锥形头13采用硅胶材料制作而成,具有一定可塑变形特点,在置入时可顺应不同患者的宫颈管7的形态进行压缩,从而更好的封堵宫颈管7,尤其适用于有生育史或做过宫颈6手术,引起宫颈6外口变大或呈现不规则形的患者。As a preference, the cone-shaped head 13 is made of silicone material and has certain plastic deformation characteristics. When inserted, it can be compressed according to the shape of the cervical canal 7 of different patients, thereby better sealing the cervical canal. 7. It is especially suitable for patients who have a history of childbirth or have undergone cervical uterine surgery, which has caused the external orifice of the cervix to become enlarged or irregular.

所述的锥形头13外侧设置有防滑螺纹,有效增加了接触面积,防止锥形头13向外滑出。所述的锥形头13可设置成在内管1上滑动,适用于宫颈6深度不同患者进行调节。The outer side of the conical head 13 is provided with anti-slip threads, which effectively increases the contact area and prevents the conical head 13 from sliding out. The tapered head 13 can be configured to slide on the inner tube 1 and is suitable for adjustment by patients with different cervical 6 depths.

所述的内管1上设置有刻度尺12,便于医务人员辅助判断内管1进入宫腔的距离。The inner tube 1 is provided with a scale 12 to facilitate medical personnel to assist in judging the distance of the inner tube 1 into the uterine cavity.

所述的外管2上设置有宫颈包覆装置3,通过对宫颈6的包覆作用,确保宫颈6的位置固定,从而使得锥形头13以及内管1前端不会因生理蠕动作用进入到宫腔中。对于患者不会造成疼痛感以及不适感。The outer tube 2 is provided with a cervical covering device 3. By covering the cervix 6, it is ensured that the position of the cervix 6 is fixed, so that the conical head 13 and the front end of the inner tube 1 will not enter due to physiological peristalsis. In the uterine cavity. It will not cause pain or discomfort to the patient.

所述的宫颈包覆装置3包括夹持片31、连杆机构32、第一固定支架33、第二固定支架34、往复运动杆35;其中,夹持片31至少为两片,便于在宫颈6上建立夹持点,实现对宫颈6的包覆;每个连杆机构32匹配一个夹持片31,通过往复运动杆35的往复运动,来控制连杆机构32摆动,从而实现连杆机构32上的夹持片31的夹持与收紧。第一固定支架33设置在往复运动杆35,跟随往复运动杆35一起运动,第二固定架设置在外管2上保持连杆机构32一端固定。The cervical coating device 3 includes a clamping piece 31, a linkage mechanism 32, a first fixed bracket 33, a second fixed bracket 34, and a reciprocating rod 35; wherein, the clamping piece 31 is at least two pieces, which is convenient for inserting the cervix into the cervix. A clamping point is established on the cervix 6 to cover the cervix 6; each linkage mechanism 32 is matched with a clamping piece 31, and the swing of the linkage mechanism 32 is controlled by the reciprocating motion of the reciprocating rod 35, thereby realizing the linkage mechanism. Clamping and tightening of the clamping piece 31 on 32. The first fixed bracket 33 is arranged on the reciprocating rod 35 and moves together with the reciprocating rod 35. The second fixed bracket is arranged on the outer tube 2 to keep one end of the link mechanism 32 fixed.

所述的往复运动杆35上设置有滑齿36,相应的调节旋钮37上设置有锥形齿38,这样调节旋钮37的旋转转动转化成往复移动杆的直线运动。设计巧妙,实现了手动控制夹持片31的抓取与打开。The reciprocating rod 35 is provided with sliding teeth 36, and the corresponding adjusting knob 37 is provided with conical teeth 38, so that the rotation of the adjusting knob 37 is converted into linear motion of the reciprocating rod. The clever design realizes manual control of the grabbing and opening of the clamping piece 31.

本实施例的宫颈包覆装置3,设计成纯机械的结构形式,在连杆机构32以及往复运动杆35的配合下,通过手动控制旋钮控制,就能实现对宫颈6的包覆以及释放。设计巧妙,手动控制,患者舒适度好。The cervical covering device 3 of this embodiment is designed to have a purely mechanical structure. With the cooperation of the linkage mechanism 32 and the reciprocating rod 35, and controlled by a manual control knob, the covering and releasing of the cervix 6 can be achieved. Clever design, manual control, and good patient comfort.

实施例2Example 2

请参照图6和图7,图6是本实用新型的另一种造影通液器械的总体结构示意图。图7实施例二中宫颈包覆装置3的结构框图。所述的造影再通器械包括所述的造影通液器械包括内管1、外管2;所述的内管1穿设在外管2中;所述的内管1的远端设置有注射口11,另一端设置有锥形头13;所述的外管2上设置有宫颈包覆装置3。Please refer to Figures 6 and 7. Figure 6 is a schematic diagram of the overall structure of another contrast-enhancing fluid-passing device of the present invention. Figure 7 is a structural block diagram of the cervical covering device 3 in the second embodiment. The contrast-enhanced recanalization device includes the contrast-enhanced fluid passage device including an inner tube 1 and an outer tube 2; the inner tube 1 is inserted into the outer tube 2; the distal end of the inner tube 1 is provided with an injection port. 11. The other end is provided with a tapered head 13; the outer tube 2 is provided with a cervical covering device 3.

所述的宫颈包覆装置3包括夹持片31、驱动器4、气管41、气泵42、电磁阀43、安装架;所述的夹持片31固定在安装架上;所述的气管41一端连接驱动器4,另一端连接夹持片31;所述的气泵42经电磁阀43与驱动器4的输入端建立连接;所述的驱动器4内设置有压力传感器44,所述的压力传感器44用于检测夹持片31的压力信号,并将该压力信号传递给驱动器4,该驱动器4对压力信号进行分析输出控制信号传递给电磁阀43,所述的电磁阀43收到该控制信号后控制气泵42输出气体压力的大小;The cervical coating device 3 includes a clamping piece 31, a driver 4, a trachea 41, an air pump 42, a solenoid valve 43, and a mounting frame; the clamping piece 31 is fixed on the mounting frame; one end of the trachea 41 is connected. The other end of the driver 4 is connected to the clamping piece 31; the air pump 42 is connected to the input end of the driver 4 through the solenoid valve 43; the driver 4 is provided with a pressure sensor 44, and the pressure sensor 44 is used to detect The pressure signal of the clamping piece 31 is transmitted to the driver 4. The driver 4 analyzes the pressure signal and outputs a control signal and transmits it to the solenoid valve 43. The solenoid valve 43 controls the air pump 42 after receiving the control signal. The size of the output gas pressure;

所述的夹持片31采用高分子硅胶材质制作而成;所述的驱动器4上设置有正压开关48和负压开关49;当正压开关48驱动时,气管41对夹持片31正压通气,夹持片31受到气流正压向内挤压;当负压开关49启动时,气管41对夹持片31负压通气,夹持片31受到气流负压向外扩开。The clamping piece 31 is made of polymer silica gel; the driver 4 is provided with a positive pressure switch 48 and a negative pressure switch 49; when the positive pressure switch 48 is driven, the trachea 41 is positive to the clamping piece 31. When the negative pressure switch 49 is activated, the trachea 41 ventilates the clamping piece 31 with negative pressure, and the clamping piece 31 expands outwards due to the negative pressure of the air flow.

作为一种优选,为了更加精准的调节气压力的大小,所述的气压管上设置有单向节流阀,用于调节气管41中的压力大小,从而调节夹持片31中的气体压力,从而调节夹持力大小。As a preference, in order to adjust the air pressure more accurately, the air pressure pipe is provided with a one-way throttle valve for adjusting the pressure in the air pipe 41, thereby adjusting the gas pressure in the clamping piece 31, Thereby adjusting the clamping force.

请参照图8,图8是夹持片31的内部空腔结构结构示意图。所述的夹持片31包括夹持正面45和夹持背面;所述的夹持正面45和夹持背面均设置有气体型腔47,且夹持正面45的气体型腔47的行程小于夹持反面46的气体型腔47。Please refer to FIG. 8 , which is a schematic diagram of the internal cavity structure of the clamping piece 31 . The clamping piece 31 includes a clamping front face 45 and a clamping back face; the clamping front face 45 and the clamping back face are both provided with a gas cavity 47, and the stroke of the gas cavity 47 of the clamping front face 45 is smaller than that of the clamping piece 31. Hold the gas cavity 47 on the opposite side 46.

该实施例需要说明的是:What needs to be explained in this embodiment is:

本实施例中设置有宫颈包覆装置3,不同于传统的机械夹爪依赖与被夹持件的形体以及尺寸,本实施例的宫颈包覆装置3采用气动形式控制,可以根据宫颈6的形状自动调整,在抓取表面光滑对象时,不会滑出,其次,过对宫颈6的包覆作用,确保宫颈6的位置固定,从而使得锥形头13以及内管1前端不会因生理蠕动作用进入到宫腔中。对于患者不会造成疼痛感以及不适感。This embodiment is provided with a cervical coating device 3. Unlike traditional mechanical clamps that rely on the shape and size of the clamped part, the cervical coating device 3 in this embodiment is controlled pneumatically and can be controlled according to the shape of the cervix 6 It is automatically adjusted so that it will not slip out when grabbing an object with a smooth surface. Secondly, by covering the cervix 6, it ensures that the position of the cervix 6 is fixed, so that the conical head 13 and the front end of the inner tube 1 will not move due to physiological peristalsis. Effect into the uterine cavity. It will not cause pain or discomfort to the patient.

本实施例中宫颈包覆装置3,包括夹持片31、驱动器4、气管41、气泵42、电磁阀43。其中,气泵42经气管41向夹持片31通气,电磁阀43用于控制气流大小,通过控制电磁阀43的开合大小来进行控制,使得气压泵输出不同压力幅度的气体,进而控制夹爪的张开位移,实现宫颈6的抓取以及夹持力的控制。In this embodiment, the cervical coating device 3 includes a clamping piece 31, a driver 4, a trachea 41, an air pump 42, and a solenoid valve 43. Among them, the air pump 42 ventilates the clamping piece 31 through the air pipe 41, and the solenoid valve 43 is used to control the size of the air flow. It is controlled by controlling the opening and closing size of the solenoid valve 43, so that the air pressure pump outputs gas with different pressure amplitudes, thereby controlling the clamping jaws. The opening displacement realizes the grasping of the cervix 6 and the control of the clamping force.

驱动器4上设置有控制气泵42的正压开关48和负压开关49,当正压开关48启动时,气泵42经通气片向夹持片31通气,夹持片31在气压作用下向外打开。当负压开关49关闭时,当负压开关49启动时,使得夹持片31形成真空向内收获进行夹持宫颈6。设计巧妙,通过气压力学的方式来实现夹持片31对宫颈6的抓紧和释放,一方面能够适应于不同大小的宫颈6进行包住(因女性生育小孩后,有的宫颈6大,有的宫颈6小,本方案能够自适应不同大小的宫颈6);其次,对宫颈6的包覆力采用气压来控制的,具有良好的依从性,柔软性好,能够对不同形状的宫颈6进行包覆。The driver 4 is provided with a positive pressure switch 48 and a negative pressure switch 49 that control the air pump 42. When the positive pressure switch 48 is activated, the air pump 42 ventilates the clamping piece 31 through the ventilation piece, and the clamping piece 31 opens outwards under the action of air pressure. . When the negative pressure switch 49 is turned off, or when the negative pressure switch 49 is turned on, the clamping piece 31 forms a vacuum and is harvested inward to clamp the cervix 6 . The design is clever, and the clamping piece 31 realizes the grasping and releasing of the cervix 6 through pneumatic pressure. On the one hand, it can be adapted to wrap the cervix 6 of different sizes (because after women give birth to children, some cervixes will be larger, and some will have larger cervixes). The cervix is small, and this solution can adapt to cervixes of different sizes); secondly, the covering force of the cervix is controlled by air pressure, which has good compliance and softness, and can cover cervixes of different shapes. cover.

所述的驱动器4内设置有压力传感器44,所述的压力传感器44用于检测夹持片31的压力信号,并将该压力信号传递给驱动器4,该驱动器4对压力信号进行分析输出控制信号传递给电磁阀43,所述的电磁阀43收到该控制信号后控制气泵42输出气体压力的大小。该设计的效果是:通过压力传感器44,能够检测到夹持片31上气压的大小,并反馈给驱动器4,该驱动器4根据压力大小,控制电磁阀43进行调压,使得夹持片31上的压力大小可调节,避免压力过大或者过小,患者没有疼痛感或者不适合。The driver 4 is provided with a pressure sensor 44. The pressure sensor 44 is used to detect the pressure signal of the clamping piece 31 and transmit the pressure signal to the driver 4. The driver 4 analyzes the pressure signal and outputs a control signal. It is passed to the solenoid valve 43. After receiving the control signal, the solenoid valve 43 controls the output gas pressure of the air pump 42. The effect of this design is: through the pressure sensor 44, the air pressure on the clamping piece 31 can be detected and fed back to the driver 4. The driver 4 controls the solenoid valve 43 to adjust the pressure according to the pressure, so that the pressure on the clamping piece 31 is The pressure can be adjusted to prevent the pressure from being too high or too low, causing the patient no pain or discomfort.

所述的夹持片31包括夹持正面45和夹持背面;所述的夹持正面45和夹持背面均设置有气体型腔47,且夹持正面45的气体型腔47的行程小于夹持反面46的气体型腔47。该设计的效果是:通过在夹持片31的正面和反面中不同结构的型腔,产生压力里差促使夹持片31产生不同的方向的形变,实现了夹持片31对宫颈6的包覆与释放。The clamping piece 31 includes a clamping front face 45 and a clamping back face; the clamping front face 45 and the clamping back face are both provided with a gas cavity 47, and the stroke of the gas cavity 47 of the clamping front face 45 is smaller than that of the clamping piece 31. Hold the gas cavity 47 on the opposite side 46. The effect of this design is: through the cavities with different structures on the front and back of the clamping piece 31, the pressure difference is generated to cause the clamping piece 31 to deform in different directions, thereby realizing the wrapping of the cervix 6 by the clamping piece 31. Cover and release.

驱动器4设置有控制板,控制板的型号可采用stm32f103主控芯片,提高了气压控制了精度,实现气压精确控制。驱动器4中的压力传感器44可采用mems压力传感器44,信息采集灵敏度高。Driver 4 is equipped with a control board. The model of the control board can use the stm32f103 main control chip, which improves the accuracy of air pressure control and achieves precise control of air pressure. The pressure sensor 44 in the driver 4 can be a mems pressure sensor 44, which has high information collection sensitivity.

本实用新型的输卵管造影器械,通过设置锥形头13和宫颈包覆装置3,在使用的过程中,只需将锥形头13置入宫颈管7内即可,避免造影液流出,并将宫颈管7封堵,打造影的内管1只需要插在宫颈6外口即可,避免了传统使用的球囊导管,需要导管头进入宫腔,造成疼痛感以及不适感,以及球囊遮挡宫腔及输卵管开口,易造成的误诊的情况发生。其次,通过设置宫颈包覆装置3与锥形头13的配合,能够对锥形头13更好的支撑作用,防止锥形头13滑出,导致造影失败。The utility model's fallopian tube imaging instrument is provided with a conical head 13 and a cervical coating device 3. During use, the conical head 13 only needs to be inserted into the cervical canal 7 to prevent the contrast fluid from flowing out and to keep the contrast fluid from flowing out. Cervical canal 7 is blocked, and the inner tube 1 for imaging only needs to be inserted into the outer opening of cervix 6. This avoids the traditional use of balloon catheters, which require the catheter head to enter the uterine cavity, causing pain and discomfort, as well as obstruction by the balloon. The opening of the uterine cavity and fallopian tubes can easily lead to misdiagnosis. Secondly, by arranging the cooperation between the cervical covering device 3 and the cone-shaped head 13, the cone-shaped head 13 can be better supported and prevented from slipping out, resulting in failure of imaging.

以上所述仅是本实用新型的优选实施方式,应当指出,对于本技术领域的普通技术人员,在不脱离本实用新型原理的前提下,还可以做出若干改进和补充,这些改进和补充也应视为本实用新型的保护范围。The above are only the preferred embodiments of the present utility model. It should be pointed out that those of ordinary skill in the art can also make several improvements and supplements without departing from the principles of the present utility model. These improvements and supplements can also be made. It should be regarded as the protection scope of this utility model.

Claims (6)

1.一种造影通液器械,其特征在于,所述的造影通液器械包括内管、外管;所述的内管穿设在外管中;所述的内管的远端设置有注射口,另一端设置有锥形头;所述的外管上设置有宫颈包覆装置;所述的宫颈包覆装置包括夹持片、连杆机构、第一固定支架、第二固定支架、往复运动杆;所述的夹持片安装在连杆机构上;所述的连杆机构一端固定在第一固定支架上,另一端固定在第二固定支架上;所述的第一固定支架设置在往复运动杆上;所述的第二固定支架设置在外管上;所述的往复运动杆上设置有滑齿;所述的宫颈包覆装置上还设置有调节旋钮;所述的调节旋钮上设置有锥形齿;所述的锥形齿与往复运动杆上的滑齿相啮合。1. An imaging fluid-passing device, characterized in that the contrast-enhancing fluid passing device includes an inner tube and an outer tube; the inner tube is inserted into the outer tube; and the distal end of the inner tube is provided with an injection port. , the other end is provided with a tapered head; the outer tube is provided with a cervical coating device; the cervical coating device includes a clamping piece, a linkage mechanism, a first fixed bracket, a second fixed bracket, a reciprocating rod; the clamping piece is installed on the link mechanism; one end of the link mechanism is fixed on the first fixed bracket, and the other end is fixed on the second fixed bracket; the first fixed bracket is arranged on the reciprocating on the movement rod; the second fixed bracket is provided on the outer tube; the reciprocating rod is provided with sliding teeth; the cervical coating device is also provided with an adjustment knob; the adjustment knob is provided with Conical teeth; the conical teeth mesh with the sliding teeth on the reciprocating rod. 2.根据权利要求1所述的造影通液器械,其特征在于,所述的调节旋钮顺时针转动时,锥形齿同步顺时针转动,并带动往复运动杆向后运动;当往复杆向后运动时,带动连杆机构向内扩张,从而带动夹持片向内收紧;所述的调节旋钮逆时针转动时,锥形齿同步逆时针转动,并带动往复运动杆向前运动;当往复杆向前运动时,带动连杆机构向外扩张,从而带动夹持片向外扩张。2. The imaging fluid passing instrument according to claim 1, characterized in that when the adjustment knob rotates clockwise, the conical teeth rotate clockwise synchronously and drive the reciprocating rod to move backward; when the reciprocating rod moves backward When moving, the connecting rod mechanism is driven to expand inward, thereby driving the clamping piece to tighten inward; when the adjustment knob is rotated counterclockwise, the conical teeth rotate counterclockwise synchronously, and drive the reciprocating rod to move forward; when the reciprocating When the rod moves forward, it drives the connecting rod mechanism to expand outward, thereby driving the clamping piece to expand outward. 3.根据权利要求1所述的造影通液器械,其特征在于,所述的锥形头在使用状态下位于人体宫颈内口位置处;所述的宫颈包覆装置位于宫颈前端位置处。3. The imaging fluid-passing device according to claim 1, wherein the cone-shaped head is located at the internal cervix of the human body when in use; and the cervical covering device is located at the front end of the cervix. 4.根据权利要求1或3所述的造影通液器械,其特征在于,所述的锥形头采用硅胶材料制作而成。4. The imaging fluid passing device according to claim 1 or 3, characterized in that the tapered head is made of silicone material. 5.根据权利要求1所述的造影通液器械,其特征在于,所述的内管上设置有刻度尺。5. The imaging fluid passing instrument according to claim 1, characterized in that the inner tube is provided with a scale. 6.根据权利要求1所述的造影通液器械,其特征在于,所述的锥形头的长度为3.2-3.8cm。6. The imaging fluid passing instrument according to claim 1, characterized in that the length of the tapered head is 3.2-3.8cm.
CN202321086233.9U 2023-05-08 2023-05-08 Contrast liquid-passing instrument Active CN219783493U (en)

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