Sterile uterine manipulator capable of achieving multi-angle supporting
By introducing the bending mechanism and control mechanism in the palace instrument, the activity rod can be supported at multiple angles, solving the problem of irregularity of traditional palace lifts, and improving the field of vision, operating space, and safety of surgery.
Patent Information
- Application Number
- CN202411410863.6
- Authority / Receiving Office
- CN · China
- Patent Type
- Applications(China)
- Current Assignee / Owner
- Filing Date
- 2024-10-10
- Publication Date
- 2025-01-24
- Estimated Expiration
- 2044-10-10
AI Technical Summary
The central guide rod design of the traditional uterine lifting device is not adjustable, which makes it impossible for doctors to adjust the angle and position of the uterine lifting as needed during the operation, affecting the vision, operating space, efficiency and safety of the operation.
A sterile palace lift in the active rod and a fixed rod is designed. By setting the bending mechanism and the control mechanism, the activity rod can be bent in all directions, and the angle and direction need to be adjusted according to the actual operation.
The multi-angle support design expands the surgical field of view and operating space, reduces the difficulty of surgical operations, meets various surgical needs, and avoids gas leakage through the gas delivery of the sealed capsule.
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Figure CN119344836A_ABST
Abstract
Description
Technical Field
[0001] The present invention relates to the technical field of medical devices, and more specifically, to a sterile uterine manipulator capable of achieving multi-angle support. Background Art
[0002] The uterine manipulator is a surgical instrument commonly used for uterine manipulation in gynecological surgery. It is usually made of stainless steel and has a special design and shape. The uterine manipulator consists of a central guide rod, a cervical fixator, a dome cup, etc. It can be used for laparoscopically assisted vaginal hysterectomy and laparoscopic hysterectomy, laparoscopic fallopian tube dyeing and perfusion examination, and various laparoscopic surgeries. Before the appearance of the uterine manipulator, a guide rod was generally used to operate the uterus and lift the uterus to the required position. However, the guide rod is limited by its small diameter, and the uterus is easy to shake during the operation. The positioning and control effects are often not ideal, which may prolong the operation. Not only can the ideal surgical effect not be achieved, but surgical accidents may even occur.
[0003] Traditional uterine manipulators have certain defects. The design of traditional uterine manipulators includes three main parts: a central guide rod, a cervical fixator and a uterine lifting cup. The central guide rod is not adjustable, which means that during the operation, the doctor cannot adjust the angle and position of the uterine lifting according to the needs, which will affect the surgical field of view and operating space, and may affect the efficiency and safety of the operation. Therefore, a sterile uterine manipulator that can achieve multi-angle support is proposed. Summary of the invention
[0004] The central guide rod of the traditional uterine manipulator in the prior art is not designed to be adjustable, which means that during the operation, the doctor cannot adjust the angle and position of the uterine manipulator as needed, which will affect the surgical field of view and operating space, and may thus affect the efficiency and safety of the operation. The purpose of the present invention is to provide a sterile uterine manipulator that can achieve multi-angle support.
[0005] To solve the above problems, the present invention adopts the following technical solutions.
[0006] A sterile uterine manipulator capable of achieving multi-angle support, comprising a rod body, wherein the rod body is provided with a uterine cavity support, a uterine lifting cup and a vaginal seal in sequence from top to bottom, wherein the rod body comprises a movable rod and a fixed rod, wherein a bending mechanism is provided between the movable rod and the fixed rod, wherein the bending mechanism is located between the uterine lifting cup and the vaginal seal, and wherein the bending mechanism can enable the movable rod to rotate around the end of the fixed rod;
[0007] The cam is an angular channel formed between a pair of camshafts and a plurality of camshafts, the cam being arranged on a pair of camshafts which are connected along the axis of the camshaft and the axis of the pivot position.
[0008] Optionally, the control mechanism includes a rotating seat, a rotating groove and a handle, the rotating seat surface is provided with a rotating groove adapted to the fixed rod, the fixed rod one end away from the movable rod is fitted in the rotating groove, one end of the pull rod passes through the rotating seat and is fixedly connected to the handle, the pull rod surface is provided with limiting holes distributed in a linear array along its moving direction, the fixed rod is provided with a surrounding insertion hole on the surface of the rotating seat where it is located in the rotating groove, the rotating seat surface is provided with a limiting rod inserted along its axial direction, and the limiting rod can be moved in or out from the limiting hole and the insertion hole.
[0009] Optionally, a return spring is sleeved on the surface of the pull rod located outside the rotating seat, one end of the return spring is fixedly connected to the rotating seat, and the other end of the return spring is fixedly connected to the handle. When the return spring is in a natural state, the rotating plate and the connecting rod remain vertical.
[0010] Optionally, the vaginal seal includes a cavity, an air hole, a sealing sac and an air supply pipeline, the cavity is opened on the inner wall of the fixed rod, the sealing sac is sleeved on the outer surface of the fixed rod, and the cavity is located inside the sealing sac, and an air hole is opened on the surface of the cavity, the air hole connects the sealing sac and the cavity, one end of the air supply pipeline is connected to the cavity, and the other end of the air supply pipeline is located on the outer side of the lower part of the fixed rod.
[0011] Optionally, the uterine cavity support member includes a cystic support member, which includes a supporting cyst body, a through hole, an air inlet pipe and a hollow tube. The hollow tube is fixedly mounted on the upper end of the movable rod, the through holes are evenly distributed on the surface of the hollow tube, the supporting cyst body is sleeved on the outer surface of the hollow tube, the through hole connects the supporting cyst body and the hollow tube, one end of the air inlet pipe is through-connected with the end of the hollow tube, and the other end of the air inlet pipe is located on the outer side of the lower part of the fixed rod.
[0012] Optionally, the uterine cavity support member includes a rod-shaped support member, and the rod-shaped support member includes an electric push rod, an electromagnet, a pressure plate, a sleeve and a telescopic rod. The electric push rod is fixedly installed inside the fixed rod, and the telescopic end of the electric push rod is fixedly connected to the electromagnet. The electric push rod can move the electromagnet at the upper end of the fixed rod. The pressure plate is fixedly installed at one end of the electromagnet located outside the fixed rod. The sleeve is provided with two groups, both groups of the sleeves are magnetic, and both groups of the sleeves are rotatably installed on the upper end of the movable rod through a rotating shaft. The electromagnet power supply is turned on and off to control the deflection of the sleeve. When the electromagnet is powered off, the sleeve deflects to both sides, and the pressure plate can form a moving interference with the sleeve in the rotation direction of the sleeve.
[0013] Optionally, a telescopic rod is provided inside the sleeve, and the telescopic rod can move at the end of the sleeve away from the rotating shaft. The end of the telescopic rod located inside the sleeve is fixedly connected with a piston, and the piston and the sleeve are slidingly sealed. The outer surface of the part of the telescopic rod located inside the sleeve is sleeved with a telescopic spring, one end of the telescopic spring is fixedly connected to the inner surface of the sleeve, and the other end of the telescopic spring is fixedly connected to the piston part of the telescopic rod. The end of the sleeve away from the telescopic rod is connected with a connecting pipe, and the other end of the connecting pipe is located on the outer side of the lower part of the fixed rod.
[0014] Optionally, the air intake pipe, the air delivery pipe and the connecting pipe are all provided with a joint at one end outside the fixing rod, and the joint can be connected to an external air delivery component.
[0015] Optionally, the inner walls of the movable rod and the fixed rod are pre-opened with installation grooves adapted to the air intake pipe, the air delivery pipe and the connecting pipe, and the air intake pipe, the air delivery pipe and the connecting pipe are respectively installed in the corresponding installation grooves.
[0016] Optionally, handles are fixedly connected to both sides of the outer surface of the lower portion of the fixing rod, and the handles are arranged radially along the fixing rod.
[0017] Compared with the prior art, the technical solution provided by the present invention has at least the following beneficial effects:
[0018] In the above scheme, by setting the control mechanism and the bending mechanism in cooperation, the movable rod can be bent in various directions, so as to adjust the angle and direction of the movable rod according to the actual operation needs, so as to expand the surgical field of view, expand the surgical operation space, reduce the difficulty of surgical operation, and meet various surgical needs;
[0019] By delivering gas into the sealing balloon, the sealing balloon expands and fits against the inner wall of the vagina, thereby sealing the vagina, thereby preventing gas leakage when the vaginal wall is cut;
[0020] By arranging a uterine cavity support, a vaginal support and a bending mechanism, the uterus and vaginal area can be effectively fixed, and the uterus can be swung at any time by utilizing the bending mechanism to meet surgical needs. BRIEF DESCRIPTION OF THE DRAWINGS
[0021] The accompanying drawings, which are incorporated herein and constitute a part of the specification, illustrate embodiments of the invention and, together with the description, further serve to explain the principles of the invention and to enable those skilled in the relevant art to make and use the invention.
[0022] Figure 1 It is a schematic diagram of the three-dimensional structure of the first embodiment of the present invention;
[0023] Figure 2 It is a structural cross-sectional view of the first embodiment of the present invention;
[0024] Figure 3 It is a structural schematic diagram of the bending mechanism of the present invention;
[0025] Figure 4 It is a structural schematic diagram of the control mechanism of the present invention;
[0026] Figure 5 is a schematic structural diagram of a cystic support member of the present invention;
[0027] Figure 6 It is a schematic diagram of the structure of the vaginal seal of the present invention;
[0028] Figure 7 It is a schematic diagram of the three-dimensional structure of the second embodiment of the present invention;
[0029] Figure 8 It is a structural cross-sectional view of the second embodiment of the present invention;
[0030] Fig. 9 It is a partial structural cross-sectional view of the second embodiment of the present invention;
[0031] Fig.10 For the present invention Fig. 9 The enlarged view of point A in the middle;
[0032] Fig.11 It is an expanded view of the rod-shaped support member of the present invention.
[0033] [Reference Signs]
[0034] 1. Rod body; 11. Movable rod; 12. Fixed rod;
[0035] 2. Cystic support member; 21. Support sac body; 22. Through hole; 23. Air intake pipe; 24. Hollow tube;
[0036] 3. Raise the palace cup;
[0037] 4. vaginal seal; 41. cavity; 42. air hole; 43. sealing sac; 44. gas pipeline;
[0038] 5. Handle;
[0039] 6. Rod-shaped support member; 61. Electric push rod; 62. Electromagnet; 63. Press plate; 64. Sleeve; 65. Telescopic rod; 66. Telescopic spring; 67. Connecting pipe; 68. Rotating shaft;
[0040] 7. Bending mechanism; 71. Connecting sleeve; 72. Rotating plate; 73. Annular groove; 74. Connecting rod; 75. Sliding groove; 76. Connecting shaft; 77. Pull rod;
[0041] 8. Control mechanism; 81. Rotating seat; 82. Rotating slot; 83. Handle; 84. Return spring; 85. Limit hole; 86. Limit rod; 87. Socket.
[0042] As shown in the figure, in order to clearly implement the structure of the embodiment of the present invention, specific structures and devices are marked in the figure, but this is only for illustrative purposes and is not intended to limit the present invention to the specific structure, device and environment. According to specific needs, ordinary technicians in this field can adjust or modify these devices and environments. DETAILED DESCRIPTION
[0043] The following is a detailed description of a sterile uterine manipulator capable of achieving multi-angle support provided by the present invention in conjunction with the accompanying drawings and specific embodiments. At the same time, it is explained here that in order to make the embodiments more detailed, the following embodiments are the best and preferred embodiments, and those skilled in the art may also adopt other alternative methods to implement some known technologies; and the accompanying drawings are only for a more specific description of the embodiments, and are not intended to specifically limit the present invention.
[0044] It should be noted that the references to "one embodiment", "embodiment", "exemplary embodiments", "some embodiments" and the like in the specification indicate that the embodiments described may include specific features, structures or characteristics, but not every embodiment may include the specific features, structures or characteristics. In addition, when a specific feature, structure or characteristic is described in conjunction with an embodiment, it should be within the knowledge of a person skilled in the art to implement such feature, structure or characteristic in conjunction with other embodiments (whether or not explicitly described).
[0045] In general, a term can be understood, at least in part, from its use in context. For example, depending, at least in part, on the context, the term "one or more" as used herein can be used to describe any feature, structure, or characteristic in the singular sense, or can be used to describe a combination of features, structures, or characteristics in the plural sense. Additionally, the term "based on" can be understood as not necessarily intended to convey an exclusive set of factors, but can instead, depending, at least in part, on the context, allow for the presence of other factors that are not necessarily explicitly described.
[0046] It will be understood that the meanings of “on,” “over,” and “above” in the present invention should be interpreted in the broadest manner, so that “on” not only means “directly on” something, but also includes the meaning of being “on” something with intervening features or layers therebetween, and “on” or “over” not only means “on” or “above” something, but also includes the meaning of being “on” or “above” something with no intervening features or layers therebetween.
[0047] Additionally, spatially relative terms such as "under," "beneath," "lower," "above," "upper," and the like may be used herein for descriptive convenience to describe the relationship of one element or feature to another element or features, as shown in the accompanying drawings. Spatially relative terms are intended to encompass different orientations of the device in use or operation in addition to the orientation depicted in the accompanying drawings. The device may be oriented in other ways, and the spatially relative descriptors used herein may be similarly interpreted accordingly.
[0048] Embodiment 1: Figures 1 to 6 As shown, an embodiment of the present invention provides a sterile uterine manipulator capable of achieving multi-angle support, comprising a rod body 1, wherein the rod body 1 is provided with a uterine cavity support, a uterine lifting cup 3 and a vaginal seal 4 in sequence from top to bottom, the rod body 1 comprises a movable rod 11 and a fixed rod 12, a bending mechanism 7 is provided between the movable rod 11 and the fixed rod 12, the bending mechanism 7 is located between the uterine lifting cup 3 and the vaginal seal 4, and the bending mechanism 7 can make the movable rod 11 rotate around the end of the fixed rod 12;
[0049] The bending mechanism 7 includes a connecting sleeve 71, a rotating plate 72, an annular groove 73, and a connecting rod 74. The connecting sleeve 71 is flexible, and the two ends of the connecting sleeve 71 are respectively fixedly sleeved on the outer surfaces of the ends of the movable rod 11 and the fixed rod 12. The annular groove 73 is opened around the inner surface of the movable rod 11. A rotating plate 72 adapted to it is installed inside the annular groove 73, and the rotating plate 72 is arranged along the diameter of the annular groove 73. The connecting rod 74 is arranged at the center of the movable rod 11, and a sliding groove 75 is opened inside the movable rod 11. The rotating plate 72 is installed in the sliding groove 7 through a connecting shaft 76. 5, a pull rod 77 is provided at a position where the rotating plate 72 deviates from the connecting shaft 76, a groove is provided on the surface of the rotating plate 72, the top of the pull rod 77 is horizontally inserted into the groove, and the top of the pull rod 77 can move in the groove, and the top of the pull rod 77 can rotate with the rotating plate 72, one end of the pull rod 77 and the connecting rod 74 are extended to one end of the fixed rod 12 and are provided with a control mechanism 8, the control mechanism 8 is located at one end of the surface of the fixed rod 12 away from the movable rod 11, and the control mechanism 8 controls the rotation direction and angle of the movable rod 11 by controlling the movement of the rotating plate 72.
[0050] The control mechanism 8 includes a rotating seat 81, a rotating groove 82 and a handle 83. The rotating seat 81 has a rotating groove 82 on its surface that matches the fixed rod 12. The fixed rod 12 is installed in the rotating groove 82 at one end away from the movable rod 11. One end of the pull rod 77 passes through the rotating seat 81 and is fixedly connected to the handle 83. The pull rod 77 has limiting holes 85 distributed in a linear array on its surface along its moving direction. The fixed rod 12 is provided with a surrounding insertion hole 87 on its surface at the rotating groove 82. The rotating seat 81 has a limiting rod 86 inserted along its axial direction on its surface. The limiting rod 86 can be moved in or out from the limiting hole 85 and the insertion hole 87.
[0051] A return spring 84 is sleeved on the surface of the pull rod 77 located outside the rotating seat 81. One end of the return spring 84 is fixedly connected to the rotating seat 81, and the other end of the return spring 84 is fixedly connected to the handle 83. When the return spring 84 is in a natural state, the rotating plate 72 and the connecting rod 74 remain vertical.
[0052] The two sides of the lower outer surface of the fixing rod 12 are fixedly connected with handles 5 , and the handles 5 are arranged along the radial direction of the fixing rod 12 .
[0053] Specifically, the user holds the handle 5 with one hand and the rotating seat 81 with the other hand, and drives the connecting rod 74, the rotating plate 72 and the pull rod 77 to rotate axially around the fixed rod 12 by rotating the rotating seat 81, thereby adjusting the position of the rotating plate 72 and controlling the rotation direction of the rotating plate 72. In addition, the user can use one finger to pull the handle 83 at the same time to drive the pull rod 77 to move, so that the rotating plate 72 is tilted, thereby driving the movable rod 11 to bend, wherein the bending angle of the movable rod 11 is controlled by the moving distance of the pull rod 77. Finally, by setting a limit rod 86 to be inserted into the limit hole 85 and the socket 87, the pull rod 77, the rotating seat 81 and the connecting rod 74 are fixed, so that the movable rod 11 and the fixed rod 12 remain vertical or bent.
[0054] It should be noted that the inner diameter of the movable rod 11 is much larger than the outer diameter of the connecting rod 74 , and the gap between the connecting rods 74 can provide a certain movable space for the movable rod 11 . In addition, the material of the connecting sleeve 71 can be rubber, which can be deformed to ensure that the movable rod 11 can be bent relative to the fixed rod 12 .
[0055] In this embodiment, by setting up a control mechanism 8 and using it in conjunction with the bending mechanism 7, the movable rod 11 can be bent in various directions, so that the angle and direction of the movable rod 11 can be adjusted according to actual operation needs, thereby expanding the surgical field of view, expanding the surgical operation space, reducing the difficulty of surgical operations, and meeting various surgical needs.
[0056] It should be noted that: when the pull rod 77 drives the rotating plate 72 to tilt and the movable rod 11 and the fixed rod 12 are bent, the reset spring 84 undergoes elastic deformation; when the bent movable rod 11 and the fixed rod 12 need to be transformed into vertical movable rods 11 and fixed rods 12, it is only necessary to move the limiting rod 85 out of the limiting hole 86 and the insertion hole 87, and the reset spring 84 can drive the pull rod 77 to reset, so that the rotating plate 72 rotates back to be perpendicular to the connecting rod 74, thereby transforming the bent movable rod 11 and the fixed rod 12 into vertical movable rods 11 and fixed rods 12.
[0057] The vaginal seal 4 includes a cavity 41, an air hole 42, a sealing bag body 43 and an air supply pipe 44. The cavity 41 is opened on the inner wall of the fixing rod 12, the sealing bag body 43 is sleeved on the outer surface of the fixing rod 12, and the cavity 41 is located inside the sealing bag body 43. The air hole 42 is opened on the surface of the cavity 41, and the air hole 42 connects the sealing bag body 43 and the cavity 41. One end of the air supply pipe 44 is connected to the cavity 41, and the other end of the air supply pipe 44 is located on the outer side of the lower part of the fixing rod 12.
[0058] After the vaginal seal 4 is delivered into the vagina by the rod body 1, gas is delivered by the gas pipeline 44. The gas enters the sealing bag 43 through the gas pipeline 44, the cavity 41 and the air hole 42, so that the sealing bag 43 expands and fits against the inner wall of the vagina, thereby blocking the vagina and preventing gas leakage when cutting the vaginal wall.
[0059] The uterine cavity support member includes a cystic support member 2, which includes a supporting cystic body 21, a through hole 22, an air intake pipe 23 and a hollow tube 24. The hollow tube 24 is fixedly installed on the upper end of the movable rod 11, and the through holes 22 are evenly distributed on the surface of the hollow tube 24. The supporting cystic body 21 is sleeved on the outer surface of the hollow tube 24. The through hole 22 connects the supporting cystic body 21 and the hollow tube 24. One end of the air intake pipe 23 is connected to the end of the hollow tube 24, and the other end of the air intake pipe 23 is located on the outer side of the lower part of the fixed rod 12.
[0060] In this embodiment, after the uterine cavity support member is delivered into the uterus by the rod body 1, the gas is delivered by the air inlet pipe 23. The gas enters the support bladder 21 through the air inlet pipe 23, the hollow tube 24 and the through hole 22, causing the support bladder 21 to expand, thereby supporting the uterus.
[0061] Embodiment 2: Based on Embodiment 1, Figures 7 to 10 As shown, a uterine cavity support member with better supporting force is proposed, which includes a rod-shaped support member 6, and the rod-shaped support member 6 includes an electric push rod 61, an electromagnet 62, a pressure plate 63, a sleeve 64 and a telescopic rod 65. The electric push rod 61 is fixedly installed inside the fixed rod 12, and the telescopic end of the electric push rod 61 is fixedly connected to the electromagnet 62. The electric push rod 61 can move the electromagnet 62 at the upper end of the fixed rod 12, and the pressure plate 63 is fixedly installed at one end of the electromagnet 62 outside the fixed rod 12. The sleeve 64 is provided with two groups, and the two groups of sleeves 64 are both magnetic, and the two groups of sleeves 64 are rotatably installed on the upper end of the movable rod 11 through the rotating shaft 68. The power on and off of the electromagnet 62 controls the deflection of the sleeve 64. When the electromagnet 62 is powered off, the sleeve 64 deflects to both sides, and the pressure plate 63 can form a moving interference with the sleeve 64 in the rotation direction.
[0062] A telescopic rod 65 is provided inside the sleeve 64, and the telescopic rod 65 can move at the end of the sleeve 64 away from the rotating shaft 68. The end of the telescopic rod 65 located inside the sleeve 64 is fixedly connected to a piston, and the piston and the sleeve 64 are slidingly sealed. A telescopic spring 66 is sleeved on the outer surface of the part of the telescopic rod 65 located inside the sleeve 64, one end of the telescopic spring 66 is fixedly connected to the inner surface of the sleeve 64, and the other end of the telescopic spring 66 is fixedly connected to the piston part of the telescopic rod 65. The end of the sleeve 64 away from the telescopic rod 65 is connected with a connecting pipe 67, and the other end of the connecting pipe 67 is located on the outer side of the lower part of the fixed rod 12.
[0063] The rod-shaped support member 6 in this embodiment has a higher supporting force than the cystic support member 2. The rod-shaped support member 6 has two working states: folded and opened. The rod-shaped support member 6 in the folded state is easy to enter the uterine cavity, and the opened rod-shaped support member 6 is set to a T-shaped structure similar to the uterine structure, which can provide good support for the uterus. Specifically, the electric push rod 61 is used to make the electromagnet 62 extend out of the movable rod 11, and the power of the electromagnet 62 is turned on to make the electromagnet 62 generate magnetism, so that the electromagnet 62 can absorb the sleeve 64 and make the sleeve 64 fit on the surface of the electromagnet 62. This is the folded state of the rod-shaped support member 6; when the rod-shaped support member 6 needs to be switched to the opened state, it is only necessary to cut off the power of the electromagnet 62 to make the electromagnet 62 lose its magnetism, and then drive the electric push rod 61 to contract, so that the electromagnet 62 partially moves back to the movable rod 11. When the pressing plate 64 moves, the sleeve 64 will be pushed to deflect to both sides, and when the pressing plate 64 moves to the bottom of the sleeve 64, the pressing plate 63 will press on the surfaces of the two groups of sleeves 64, forming a moving interference with the sleeve 64 to prevent the sleeve 64 from deflecting. At this time, the two groups of sleeves 64 and the movable rod 11 form a T-shaped structure to support the uterus; when it is necessary to restore the rod-shaped support member 6 to the retracted state, the electric push rod 61 is extended to drive the electromagnet 62 to extend out of the movable rod 11, and the pressing plate 63 moves back with the movable rod 11, no longer pressing the sleeve 64, and then the electromagnet 62 is turned on again, and the electromagnet 62 is energized to attract the sleeve 64, so that the sleeve 64 rotates to the surface of the electromagnet 62, thereby completing the retraction of the sleeve 64.
[0064] In addition, gas is transported to the inside of the sleeve 64 through the connecting tube 67, and the gas can push the telescopic rod 65 to move out of the sleeve 64, so that the overall length of the horizontal part of the rod-shaped support member 6 in the open state, that is, the overall length of the sleeve 64 and the telescopic rod 65, can be adjusted, so as to support uteruses of different sizes, wherein the overall length of the sleeve 64 and the telescopic rod 65 is controlled by the input gas volume. During the movement of the telescopic rod 65, the telescopic spring 66 is compressed. After the operation, the gas can be extracted using the connecting tube 67. At this time, the compressed telescopic spring 66 is reset, driving the telescopic rod 65 to reset.
[0065] It should be noted that a battery assembly can be set inside the movable rod 11 or the fixed rod 12 to provide power to the electric push rod 61 and the electromagnet 62. A corresponding button can be set on the lower outer surface of the fixed rod 12. Pressing the button can control the switch of the electric push rod 61 or the electromagnet 62. The circuits and related driver programs involved are all existing conventional technologies and will not be repeated here.
[0066] The air inlet pipe 23 , the air delivery pipe 44 and the connecting pipe 67 are all provided with joints at one end outside the fixing rod 12 , and the joints can be connected to the external air delivery components.
[0067] The inner walls of the movable rod 11 and the fixed rod 12 are pre-opened with installation grooves adapted to the air intake pipe 23, the air delivery pipe 44 and the connecting pipe 67, and the air intake pipe 23, the air delivery pipe 44 and the connecting pipe 67 are respectively installed in the corresponding installation grooves.
[0068] In this embodiment, the external gas delivery component can be an existing micro air pump or other manual or automatic gas delivery equipment that can realize the gas delivery or gas extraction function. Among them, the joint needs to use an existing sealed detachable joint, such as a sealed threaded joint, etc., which will not be repeated here.
[0069] The specific working process of the technical solution provided by the present invention is as follows:
[0070] In actual use, the rod body 1 is inserted into the uterine cavity, so that the cup mouth of the uterine lifting cup 3 is close to the vaginal fornix, the uterine cavity support is used to fix and support the uterus, and the vaginal seal 4 is used to block the vagina. When the vaginal wall is cut during the operation, the vaginal seal 4 can effectively prevent the leakage of carbon dioxide gas;
[0071] In addition, the rotation direction and angle of the bending mechanism 7 can be controlled by the control mechanism 8 to adjust the angle of the uterus according to surgical needs to fully expose the surgical field of view.
[0072] The present invention covers any substitution, modification, equivalent method and scheme made on the essence and scope of the present invention. In order to make the public have a thorough understanding of the present invention, specific details are described in detail in the preferred embodiments of the present invention, but those skilled in the art can fully understand the present invention without the description of these details. In addition, in order to avoid unnecessary confusion about the essence of the present invention, well-known methods, processes, procedures, components and circuits are not described in detail.
[0073] The above is only a preferred embodiment of the present invention. It should be pointed out that for ordinary technicians in this technical field, several improvements and modifications can be made without departing from the principle of the present invention. These improvements and modifications should also be regarded as the scope of protection of the present invention.
Claims
1. A sterile uterine manipulator capable of achieving multi-angle support, comprising a rod body, characterized in that: The rod body is provided with a uterine cavity support, a uterine lifting cup and a vaginal seal in sequence from top to bottom. The rod body includes a movable rod and a fixed rod. A bending mechanism is provided between the movable rod and the fixed rod. The bending mechanism is located between the uterine lifting cup and the vaginal seal. The bending mechanism can make the movable rod rotate around the end of the fixed rod. The cam is an angular channel formed between a pair of camshafts and a plurality of camshafts, the cam being arranged on a pair of camshafts which are connected along the axis of the camshaft and the axis of the pivot position.
2. The sterile uterine manipulator capable of achieving multi-angle support according to claim 1, characterized in that: The control mechanism includes a rotating seat, a rotating groove and a handle. The rotating seat surface is provided with a rotating groove adapted to the fixed rod. The end of the fixed rod away from the movable rod is fitted in the rotating groove. One end of the pull rod passes through the rotating seat and is fixedly connected to the handle. The pull rod surface is provided with limiting holes distributed in a linear array along its moving direction. The surface of the fixed rod located in the rotating groove is provided with a surrounding insertion hole. The rotating seat surface is provided with a limiting rod inserted along its axial direction. The limiting rod can be moved in or out from the limiting hole and the insertion hole.
3. The sterile uterine manipulator capable of achieving multi-angle support according to claim 2, characterized in that: A return spring is sleeved on the surface of the pull rod located outside the rotating seat, one end of the return spring is fixedly connected to the rotating seat, and the other end of the return spring is fixedly connected to the handle. When the return spring is in a natural state, the rotating plate and the connecting rod remain in a vertical state.
4. The sterile uterine manipulator capable of achieving multi-angle support according to claim 1, characterized in that: The vaginal seal includes a cavity, an air hole, a sealing sac and an air pipeline. The cavity is opened on the inner wall of the fixed rod, the sealing sac is sleeved on the outer surface of the fixed rod, and the cavity is located inside the sealing sac. An air hole is opened on the surface of the cavity, and the air hole connects the sealing sac and the cavity. One end of the air pipeline is connected to the cavity, and the other end of the air pipeline is located on the outer side of the lower part of the fixed rod.
5. The sterile uterine manipulator capable of achieving multi-angle support according to claim 4, characterized in that: The uterine cavity support member includes a cystic support member, and the cystic support member includes a supporting cyst body, a through hole, an air intake pipe and a hollow tube. The hollow tube is fixedly installed on the upper end of the movable rod, and the through holes are evenly distributed on the surface of the hollow tube. The supporting cyst body is sleeved on the outer surface of the hollow tube. The through hole connects the supporting cyst body and the hollow tube. One end of the air intake pipe is through-connected with the end of the hollow tube, and the other end of the air intake pipe is located on the outer side of the lower part of the fixed rod.
6. The sterile uterine manipulator capable of achieving multi-angle support according to claim 4, characterized in that: The uterine cavity support member includes a rod-shaped support member, and the rod-shaped support member includes an electric push rod, an electromagnet, a pressure plate, a sleeve and a telescopic rod. The electric push rod is fixedly installed inside the fixed rod, and the telescopic end of the electric push rod is fixedly connected to the electromagnet. The electric push rod can move the electromagnet at the upper end of the fixed rod. The pressure plate is fixedly installed at one end of the electromagnet located outside the fixed rod. The sleeve is provided with two groups, both groups of the sleeves are magnetic, and both groups of the sleeves are rotatably installed on the upper end of the movable rod through a rotating shaft. The on-off power supply of the electromagnet controls the deflection of the sleeve. When the electromagnet is powered off, the sleeve deflects to both sides, and the pressure plate can form a moving interference with the sleeve in the direction of rotation.
7. The sterile uterine manipulator capable of achieving multi-angle support according to claim 6, characterized in that: A telescopic rod is provided inside the sleeve, and the telescopic rod moves at the end of the sleeve away from the rotating shaft. The end of the telescopic rod located inside the sleeve is fixedly connected with a piston, and the piston and the sleeve are slidingly sealed. A telescopic spring is sleeved on the outer surface of the part of the telescopic rod located in the sleeve, one end of the telescopic spring is fixedly connected to the inner surface of the sleeve, and the other end of the telescopic spring is fixedly connected to the piston part of the telescopic rod. The end of the sleeve away from the telescopic rod is connected with a connecting pipe, and the other end of the connecting pipe is located on the outer side of the lower part of the fixed rod.
8. The sterile uterine manipulator capable of achieving multi-angle support according to claim 5, characterized in that: The air inlet pipeline, the air delivery pipeline and the connecting pipe are all provided with a joint at one end outside the fixing rod, and the joint is connected to the external air delivery component.
9. The sterile uterine manipulator capable of achieving multi-angle support according to claim 8, characterized in that: The inner walls of the movable rod and the fixed rod are pre-opened with installation grooves adapted to the air intake pipe, the air delivery pipe and the connecting pipe, and the air intake pipe, the air delivery pipe and the connecting pipe are respectively installed in the corresponding installation grooves.
10. The sterile uterine manipulator capable of achieving multi-angle support according to claim 1, characterized in that: Both sides of the outer surface of the lower part of the fixing rod are fixedly connected with handles, and the handles are arranged along the radial direction of the fixing rod.
Citation Information
Patent Citations
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