Multi-channel hysteroscopic surgery operating system
Through the multi-path hysteroscopic surgery operating system, the flexible structure and high-pressure circulating water space are used to solve the problem of restriction of hard cervical protective sheath, realizing independent free steering and collaborative operation of multiple devices, improving the convenience and efficiency of hysteroscopic surgery.
Patent Information
- Application Number
- CN202111089583.6
- Authority / Receiving Office
- CN · China
- Patent Type
- Patents(China)
- Current Assignee / Owner
- Filing Date
- 2021-09-17
- Publication Date
- 2025-08-01
- Estimated Expiration
- 2041-09-17
AI Technical Summary
In existing hysteroscopy, the hard cervical protective sheath occupies space, limiting the access and steering of the instrument, resulting in difficulty and inconvenience in operation.
A multi-path hysteroscopic operating system is adopted, including a cervical cap, long sheath base and control push rod, and a flexible structure and high-pressure circulating water space are used to achieve independent and free steering of multiple devices and mutually coordinated uterine cavity operation.
It realizes that multiple instruments enter the uterine cavity at the same time and independently and freely turn, avoids the space limitations of the hard cervical protective sheath, and improves the convenience and efficiency of operation.
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Figure CN113786159B_ABST
Abstract
Description
Technical Field
[0001] The present invention relates to an auxiliary device for hysteroscopic surgery. Background Art
[0002] In order to ensure high-pressure water injection and drainage during hysteroscopic surgery, and to enable visualization through the hysteroscope and simultaneous operation of surgical instruments, currently in hysteroscopic surgery, a rigid cervical dilator is inserted into the narrow cervical canal through the vagina, and mechanical means are used to forcibly dilate the cervical canal. Then, a cervical protection sheath is inserted, high-pressure water is injected into the uterine cavity to expand it, and a cylindrical hysteroscope is inserted through the rigid cervical protection sheath for observation. Due to the limitation of the narrow cervical canal, especially the fact that the rigid cervical protection sheath occupies the space of the cervical canal, the inner diameter of the rigid cervical protection sheath is further restricted. Under the observation of the inserted hysteroscope, currently only a surgical instrument with a long handle can pass through the rigid cervical protection sheath into the uterine cavity for surgical operation. Obviously, this single-channel hysteroscopic surgery is like a one-handed operation. Due to the lack of assistance, it is often difficult to operate. Moreover, both the hysteroscopic observation and the operation of the surgical instrument must follow the fixed straight path of the rigid cervical protection sheath. The long-handled instrument cannot turn independently and freely, making the operation inconvenient. Summary of the Invention
[0003] The present invention aims to avoid the deficiencies of the above-mentioned prior art. By abandoning the rigid cervical protection sheath used in traditional hysteroscopic surgery, it gets rid of the trouble of the rigid cervical protection sheath occupying space and restricting the independent and free turning of the cylindrical laparoscope and the long-handled instrument. It gives full play to the space of the cervical canal and the elastic activity performance of the cervical canal tissue, and utilizes the space and airtight effect of the vaginal apical fornix. A high-pressure circulating water space is formed jointly by the uterine cavity, the cervical canal, and the vaginal fornix, enabling multiple channels and multiple instruments to enter the high-pressure circulating water space of the uterine cavity, and enabling multiple instruments to cooperate with each other in surgical operation after entering the uterine cavity, and being able to turn independently and freely without interfering with each other.
[0004] The present invention adopts the following technical solutions to solve the technical problems:
[0005] 1. A multi-channel hysteroscopic surgery operating system, characterized by consisting of a cervical cap (1), a long sheath base (2), and a control push rod (3). The hemispherical surface (15) of the cervical cap is connected to the long sheath base (2), and the front-end annular sealing ring (12) is connected to the control push rod (3).
[0006] 2. A multi-channel hysteroscopic surgery operating system, characterized in that the cervical cap (1) is a hollow hemispherical structure, provided with a hemispherical surface (15), an annular sealing ring (12), and an elastic washer (11). The hemispherical surface (15) is a flexible structure, the hemispherical surface (15) is connected to the proximal ends of a plurality of long sheaths (21), and the outer end of the annular sealing ring (12) is provided with an elastic washer (11).
[0007] 3. The multi-channel hysteroscopic surgical operation system is characterized in that the elastic washer (11) is a solid or hollow elastic structure, and is externally connected to a washer inflating tube (13) and a control valve (14).
[0008] 4. The multi-channel hysteroscopic surgical operation system is characterized in that the manipulation push rod (3) is composed of a pressing plate handle (31) and an annular ring (32). The annular ring (32) is a rigid structure and is composed of an elastic limit rotating shaft (321) and an annular ring (322). An annular sealing ring groove (3221) is arranged on the annular ring (322). The pressing plate handle (31) is snap-connected to the elastic limit rotating shaft (321). The horizontal baffle limit step (314) on the plane of the pressing plate handle (31) can control the plane of the pressing plate handle (31) to be perpendicular to the plane (3222) of the annular ring (32).
[0009] 5. The multi-channel hysteroscopic surgical operation system is characterized in that the elastic limit rotating shaft (321) is provided with a return spring (3211), a free rotating shaft (3212) and a limit cushion (3213). Limiting grooves (32121) are arranged at both ends of the elastic limit rotating shaft (321). A return spring (3211) is installed on one side of the elastic limit rotating shaft (321), and limit cushions (3213) are respectively installed on both sides of the shaft.
[0010] 6. The multi-channel hysteroscopic surgical operation system is characterized in that the pressing plate handle (31) is made of solid material, a pin shaft locking arc (311) is arranged at its connection part, the size of the lower end slot opening (312) is smaller than that of the pin shaft locking arc (311), an elastic release arc (313) is arranged near the distal end of the pin shaft locking arc (311), a horizontal baffle limit step (314) is arranged on the plane of the pressing plate handle (31), and a handle (315) is arranged at the distal end of the pressing plate handle (31).
[0011] 7. The multi-channel hysteroscopic surgical operation system is characterized in that the long sheath base (2) is a hollow tubular structure. One end is a sheath tube (21), and its proximal end is connected to the hemispherical surface (15) of the cervical cap (1). The other end is a base (22), which contains a one-way valve (221) and is externally connected to a three-way pipe (222).
[0012] Compared with the prior art, the beneficial effects of the present invention are embodied in:
[0013] 1. A high-pressure circulating water space is jointly formed by the uterine cavity, the cervical canal and the vaginal fornix. There is no hard cervical protection sheath tube occupying the space of the cervical canal. Therefore, the role of the cervical canal space can be fully exerted, and multiple channels and multiple instruments can enter the high-pressure circulating water space of the uterine cavity.
[0014] 2. There is no trouble that the hard cervical protection sheath tube restricts the independent and free turning of the columnar endoscope and the long-handled instrument. It gives full play to the space of the cervical canal and the elastic movement space of the cervical canal tissue, and utilizes the space and airtight effect of the vaginal apical fornix to enable multiple instruments to enter the uterine cavity to cooperate with the surgical operation, and they can turn independently and freely without interfering with each other.
[0015] 3. The circulating water in a high-pressure state in the vaginal fornix, cervical canal and uterine cavity has the effect of actively dilating the cervical canal, which is beneficial for surgical instruments to enter the uterine cavity and avoids mechanical dilation of the cervical canal. BRIEF DESCRIPTION OF THE DRAWINGS
[0016] Figure 1 Schematic diagram of the principle of the usage state
[0017] Figure 2 Schematic diagram of the structure of the multi-channel hysteroscopic surgery operating system
[0018] Figure 3 Schematic diagram of the structure of the cervical cap and the sheath base
[0019] Figure 4 Schematic diagram of the structure of the control push rod
[0020] Figure 5 Schematic diagram of the structure of the annular ring
[0021] Figure 6 Schematic diagram of the structure of the elastic limit rotating shaft fitting
[0022] Figure 7 Schematic diagram of the structure of the pressing plate handle DETAILED DESCRIPTION OF THE INVENTION
[0023] Assemble the annular ring (322) and the elastic limit rotating shaft (321) to form the annular ring (32). First, snap the limit cushion (3213) into the limit card slot (32121) at any end of the free rotating shaft (3212), put the return spring (3211) on the shaft, insert the free rotating shaft (3212) into the shaft hole at the right end of the annular ring (322), and use a pressing tool to make the other end of the free rotating shaft (3212) expose from the left side of the annular ring (322) to the limit card slot (32121) and snap in another limit cushion (3213). The free rotating shaft (3212) is controlled at the middle position of the shaft hole of the annular ring (322) under the action of the limit card slot (32121) and the return spring (3211).
[0024] Grip the pressing plate handle (31) and hook the slot (312) at its lower end onto the free rotation shaft (3212) of the annular ring (32). The annular ring (32) can rotate along the free rotation shaft (3212). When the annular ring (32) rotates to a perpendicular angle with the pressing plate handle (31), the horizontal baffle limiting step (314) on the plane of the pressing plate handle (31) can control the plane of the pressing plate handle (31) to be perpendicular to the plane (3222) of the annular ring (322).
[0025] Insert the annular sealing ring (12) into the annular sealing ring slot (3221) of the annular ring (32). Grip the control push rod (3) and rotate it along the elastic limiting rotation shaft (321) to make the plane (3222) of the annular ring (322) parallel to the plane of the pressing plate handle (31). Insert the annular sealing ring (12) into the vagina, and at the same time, partially insert the hemispherical surface (15) and the long sheath base (2) into the vagina. Stretch the base (22) of the long sheath base (2) outside the body, so as to stretch the hemispherical surface (15) of the cervical cap (1), and then stretch the annular ring (322). The annular ring (322) rotates along the elastic limiting rotation shaft (321), and the horizontal baffle limiting step (314) on the plane of the pressing plate handle (31) restricts the continuous rotation of the annular ring (322), controlling the plane of the pressing plate handle (31) to be perpendicular to the plane (3222) of the annular ring (322). The elastic washer (11) on the outer periphery of the annular ring (32) tightly presses the vaginal wall annularly, and inflate the elastic washer inflatable tube or expand the elastic washer (11) with liquid to make it tightly seal and press the vaginal wall.
[0026] Inject liquid through the three-way pipe (222) of the base (22). The liquid passes through the sheath tube (21), is injected into the vaginal fornix (42), and enters the uterine cavity (44) through the cervical canal (43). Under high pressure, the liquid expands to enlarge the cervical os (41) and the cervical canal (43), and expand the uterine cavity (44).
[0027] Insert the hysteroscope (5) through the sheath base (22). The hysteroscope enters the uterine cavity (44) through the sheath tube (21), the vaginal fornix (42), and the cervical canal (43) to observe the lesions (45) in the uterine cavity. Enter the surgical instruments (6) through other sheath bases (22) respectively to reach the uterine cavity (44) and cooperate to remove the lesions (45) in the uterine cavity.
[0028] Open the three-way pipe (222) of the base to drain the liquid in the uterine cavity (44), the cervical canal (43), and the vaginal fornix (42). Pull the control push rod (3) outwards and rotate it along the elastic limiting rotation shaft (321) to make the plane (3222) of the annular ring (322) parallel to the plane of the pressing plate handle (31), and then side out the annular sealing ring (12) from the vagina to complete the operation.
[0029] The above embodiments only describe the preferred embodiments of the present invention and do not limit the scope of the present invention. Any equivalent transformation or modification made to the present invention without departing from the spirit and essence of the design of the present invention shall be covered within the protection scope of the present invention.
Claims
1. Multi-channel hysteroscopic surgery operating system, characterized in that It consists of a cervical cap (1), a long sheath base (2), and a control push rod (3). The hemispherical surface (15) of the cervical cap is connected to the long sheath base (2), and the front-end annular sealing ring (12) is connected to the control push rod (3). The cervical cap (1) is a hollow hemispherical structure, provided with a hemispherical surface (15), an annular sealing ring (12), and an elastic washer (11). Among them, the hemispherical surface (15) is a flexible structure, and the hemispherical surface (15) is connected to the proximal ends of multiple sheath tubes (21). The outer end of the annular sealing ring (12) is provided with an elastic washer (11). The elastic washer (11) is a solid or hollow elastic structure, externally connected to a washer inflatable tube (13) and a control valve (14). The long sheath base (2) is a hollow tubular structure. One end is a sheath tube (21), and its proximal end is connected to the hemispherical surface (15) of the cervical cap (1). The other end is a base (22), which contains a one-way valve (221) and is externally connected to a three-way pipe (222).
2. The multi-channel hysteroscopic surgery operating system according to claim 1, characterized in that the manipulation The push rod (3) consists of a pressing plate handle (31) and an annular ring (32). The annular ring (32) is a rigid structure, composed of an elastic limit rotating shaft (321) and an annular ring (322). An annular sealing ring slot (3221) is arranged on the annular ring (322). The pressing plate handle (31) is snap-connected to the elastic limit rotating shaft (321). The horizontal baffle limit step (314) on the plane of the pressing plate handle (31) can control the plane of the pressing plate handle (31) to be perpendicular to the plane (3222) of the annular ring (32).
3. The multi-channel hysteroscopy surgical operation system according to claim 2, characterized in that The elastic limit rotating shaft (321) is provided with a return spring (3211), a free rotating shaft (3212), and a limit cushion (3213). Both ends of the elastic limit rotating shaft (321) are provided with limit slots (32121). A return spring (3211) is installed on one side of the elastic limit rotating shaft (321), and limit cushions (3213) are respectively installed on both sides of the shaft.
4. The multi-channel hysteroscopic surgery operating system according to claim 2, characterized in that The pressing plate handle (31) is made of solid material. A pin shaft locking arc (311) is arranged at its connection part. The size of the slot opening (312) at the lower end is smaller than the pin shaft locking arc (311). An elastic release arc (313) is arranged near the distal end of the pin shaft locking arc (311). A horizontal baffle limit step (314) is arranged on the plane of the pressing plate handle (31), and a handle (315) is arranged at the distal end of the pressing plate handle (31).
Citation Information
Patent Citations
Full-sealing communicating supporting device for hysteroscope operation
CN106361389A
Multi-channel hysteroscope operation system
CN216535246U