Uterine manipulator

Abstract

The invention belongs to the technical field of medical instruments. In order to solve the problems that when an existing uterus manipulator is used, a balloon needs to be injected with water many times, operation is inconvenient, and postoperative endometrial repair and functional recovery are not facilitated, the novel uterus manipulator is arranged and comprises a supporting base, a uterus lifting rod, the balloon, a first cooling mechanism and a second cooling mechanism; the whole device is placed on an operating bed through the supporting base, then water is injected into the balloon through the first cooling mechanism so that the balloon can be expanded, in the using process, the water injection amount of the balloon can be adjusted in time according to the size of the balloon, operation is easy and convenient, meanwhile, water in the balloon can be kept in a flowing state, and the service life of the balloon is prolonged. Therefore, the temperature of the endometrium is reduced, mechanical and thermal radiation damage of surgical instruments to the endometrium in an operation is reduced, the occurrence risk of complications such as postoperative endometrial adhesion, bleeding and uterine cavity infection is reduced, and postoperative endometrial repair and functional recovery are promoted.

Description

TECHNICAL FIELD

[0001] The application belongs to the technical field of medical devices, and particularly relates to a uterine manipulator. BACKGROUND

[0002] The uterine manipulator is mainly used for fixing and lifting the uterus in total or subtotal hysterectomy surgery, and is suitable for moving the uterus or positioning during hysteroscopy or laparoscopy surgery, thereby facilitating the operation of doctors.

[0003] In the field of gynecological surgery, especially in the surgery of uterine mass ablation and hysteroscopic resection, the fixation of the uterus and the protection of the endometrium are key links for the success of the surgery. Under the traditional surgical method, the uterus is prone to displacement due to the lack of stable support, which leads to poor surgical field and increased operation difficulty, and there is a risk of misinjury to the adjacent organs such as the bladder and the intestinal tract. At the same time, the heat generated during the surgery and the operation of the instruments will cause mechanical damage and thermal radiation damage to the endometrium, which easily leads to postoperative complications such as endometrial adhesion, intrauterine infection, and seriously affects the reproductive function and reproductive health of the patient. With the popularization of minimally invasive gynecological surgery, there is an increasingly urgent demand for new medical devices that can accurately fix the uterus and efficiently protect the endometrium.

[0004] The patent with the publication number CN218419924U discloses a novel uterine manipulator with a balloon uterine rod, which comprises two horizontally arranged uterine rods and a sleeve tube connecting the two uterine rods. The ends of the two uterine rods away from the sleeve tube are respectively connected with a uterine rod handle and a balloon. A water pipe is inserted into the uterine rod and the sleeve tube. One end of the water pipe is connected with a one-way valve outside the uterine rod. The other end of the water pipe is in communication with one end of the balloon inside the uterine rod. A sealing head is installed at the end of the balloon away from the uterine rod. A uterine cup is installed on the outside of the uterine rod near the sealing head. During use, the one-way valve is connected to a water inlet pipe or an air inlet pipe. One end of the uterine rod handle is held, and the other end of the uterine rod is held. The handle is rotated to adjust the length of the entire uterine manipulator. Then the entire uterine manipulator is inserted into the vagina. The sealing head and the balloon enter the uterus. Water or gas is injected through the one-way valve to make the balloon inserted into the uterus expand to the size required by the doctor.

[0005] The above technical solution can inject water or gas into the balloon to make it expand to the size required by the doctor. However, the doctor needs to inject water multiple times to accurately control the size of the balloon. If too much water is injected at one time, the balloon will expand too much and damage the uterus, or even cause uterine rupture. The operation is very inconvenient. During the surgical treatment, the surgical instruments will cause mechanical and thermal radiation damage to the endometrium, thereby increasing the risk of postoperative complications such as endometrial adhesion, fluid, and intrauterine infection. It is not conducive to the repair and functional recovery of the postoperative endometrium. The above technical solution cannot solve this problem. SUMMARY

[0006] The uterus lifting device of the present application is used for lifting the uterus of a patient during a surgery, and is characterized in that the uterus lifting device comprises a supporting base, a uterus lifting rod, a balloon, a first cooling mechanism and a second cooling mechanism.

[0007] In order to achieve the above-mentioned purpose, the present application adopts the technical idea of providing a new uterus lifting device, which comprises a supporting base, a uterus lifting rod, a balloon, a first cooling mechanism and a second cooling mechanism.

[0008] Based on the above-mentioned technical idea, the technical scheme adopted by the present application is as follows: A uterus lifting device comprises a balloon, and further comprises: a supporting base, which is placed on a surgery bed; a uterus lifting rod, which is connected with the balloon and the supporting base respectively; a first cooling mechanism, which is connected with the supporting base, the uterus lifting rod and the balloon respectively.

[0009] In order to facilitate the adjustment of the deflection direction of the balloon, in the above-mentioned technical scheme, preferably, the uterus lifting rod comprises: a first rod body, one end of which is connected with the supporting base; a rotator, one end of which is connected with the other end of the first rod body; a second rod body, one end of which is connected with the other end of the rotator; a first sleeve, which is connected with the other end of the second rod body through a rotating connecting piece and is sleeved with the balloon.

[0010] In order to facilitate the connection of the rotator with the second rod body, the above-mentioned technical scheme is further limited in that the rotator comprises: a rotating ring, one end of which is connected with the second rod body; a first reset spring, which is located in the first rod body, one end of the first reset spring being connected with the rotating ring and the other end being connected with the first rod body.

[0011] In order to achieve the inflation of the balloon by water injection and the maintenance of the flowing state of the water in the balloon in order to reduce the temperature inside the uterus and reduce the mechanical and thermal radiation damage caused by surgical instruments during surgical treatment, the above-mentioned technical scheme is further limited in that the first cooling mechanism comprises: a water injection tank, which is connected with the supporting base; The cooling pipeline is arranged in the interior of the uterine manipulator and connected with the water injection tank and the balloon respectively. The driving assembly is arranged at the end of the uterine manipulator close to the support base and in contact with the outer surface of the cooling pipeline. The cooling assembly is connected with the driving assembly.

[0012] In order to ensure the normal water injection to the balloon, the driving assembly comprises: The driver is arranged in the uterine manipulator, and the output end of the driver is located in the interior of the support base after passing through the uterine manipulator; The first rotating wheel is connected with the output end of the driver; The second rotating wheel is coaxially arranged with the first rotating wheel and connected with the output end of the driver; The water feeder is arranged in the uterine manipulator and connected with the first rotating wheel through the first conveying belt; The third rotating wheel is arranged in the support base and connected with the second rotating wheel through the second conveying belt.

[0013] The water feeder comprises: The U-shaped plate is arranged in the interior of the uterine manipulator and clamped with the cooling pipeline; The rotating rod is sleeved with the U-shaped plate at one end and provided with the fourth rotating wheel at the other end, and the fourth rotating wheel is connected with the first conveying belt; The two extrusion blocks are arranged at the end of the rotating rod away from the first conveying belt, and one side of each extrusion block is connected with the rotating rod and the other side is in contact with the outer surface of the cooling pipeline.

[0014] In order to further improve the cooling effect on the uterine cavity while the driving assembly is water injecting to the balloon, the cooling assembly comprises: The cooling unit is arranged on the inner wall of the top of the water injection tank; The stirring unit is arranged on the inner wall of the bottom of the water injection tank; The first driving rod is connected with the cooling unit at one end and with the third rotating wheel at the other end; The fifth rotating wheel is arranged on one side of the third rotating wheel; The second driving rod is connected with the stirring unit at one end and provided with the sixth rotating wheel at the other end, and the sixth rotating wheel is connected with the fifth rotating wheel through the third conveying belt.

[0015] In order to further improve the cooling effect on the uterine cavity and improve the visibility inside the uterine cavity, the uterine manipulator is provided with the second sleeve outside, and the second sleeve and the uterine manipulator are further provided with the second cooling mechanism.

[0016] The second cooling mechanism comprises: The water injection pipe is connected with the water injection device at one end and passes through the first sleeve to be located outside the first sleeve at the other end. The water suction pipe is connected with the water suction device at one end and passes through the first sleeve to be located outside the first sleeve at the other end.

[0017] In order to facilitate the balloon to adhere to the intrauterine wall of different patients, the first rod body is further provided with a first angle adjusting member on the outer side surface thereof; the first angle adjusting member comprises: The connecting column is arranged on the side surface of the supporting base. The knob is connected with the first rod body after passing through the connecting column and the supporting base at one end, and the other end of the knob is provided with a plurality of scale protrusions arranged in a circumferential direction. The fixing hook is arranged on the connecting column and is in contact with the scale protrusions. Beneficial effects

[0018] The present application combines the uterine lifting rod, the first cooling mechanism and the balloon, and the size of the balloon can be adjusted in real time through the first cooling mechanism to avoid damage to the uterus due to excessive expansion of the balloon. The first cooling mechanism can also keep the water in the balloon flowing at all times, i.e., the water in the balloon flows to reduce the temperature inside the uterine cavity, thereby reducing the mechanical and thermal radiation damage to the endometrium caused by surgical instruments, thereby reducing the risk of postoperative complications such as endometrial adhesion, effusion and intrauterine infection, and promoting the repair and functional recovery of the postoperative endometrium.

[0019] The present application combines the uterine lifting rod, the first angle adjusting member and the supporting base, and the medical staff only needs to rotate the knob in the first angle adjusting member to achieve the inclination angle of the uterine lifting rod, so as to adapt to patients of different body shapes to facilitate the uterine lifting rod to enter the patient's uterus and ensure smooth operation. The medical staff does not need to hold the uterine lifting rod during the entire use process, thereby reducing the work intensity and saving manpower.

[0020] Since the positions of the lesions in the uteruses of different patients are different, the present application combines the first rod body, the second rod body, the rotator, the second angle adjusting member and the balloon, and the medical staff can adjust the inclination direction of the second rod body and the balloon by rotating the rotator and the second angle adjusting member, so as to fix the uterine position to the best operation angle for different patients.

[0021] The first cooling mechanism provided by the present invention includes a cooling pipe and a cooling component. Under the action of the driving component, the cooling pipe can keep the water flow in the balloon in a constant state so as to carry the heat in the uterine cavity out of the patient's body, thereby achieving cooling of the uterine cavity. At the same time, the cooling component can further cool the water flow in the cooling pipe, thereby reducing the overall temperature of the water flow in the cooling pipe and preventing the water temperature in the cooling pipe from rising due to prolonged use.

[0022] This invention, through the combined design of a drive component, a cooling component, and a cooling pipeline, achieves good performance by simultaneously cooling the water flow within the cooling pipeline while the cooling pipeline injects water into the balloon.

[0023] This invention, through the combined design of the first and second cooling mechanisms, can not only cool the flowing water inside the balloon, but also inject flowing water into the uterine cavity to further reduce the uterine cavity temperature. Moreover, it can improve the visibility inside the uterine cavity so that the surgery can be performed smoothly.

[0024] The cooling pipe, water injection pipe, water extraction pipe, first sleeve and second sleeve provided by the present invention are all disposable structures. After one use, the pipe can be replaced for the next use. Attached Figure Description

[0025] To more clearly illustrate the technical solutions in the embodiments of the present invention or the prior art, the drawings used in the description of the embodiments or the prior art will be briefly introduced below. Obviously, the drawings described below are only some embodiments of the present invention. For those skilled in the art, other drawings can be obtained based on these drawings without creative effort.

[0026] Figure 1 This is a schematic diagram of the structure of a uterine lifting device provided in an embodiment of the present invention; Figure 2 for Figure 1 A schematic diagram of the device after the second sleeve has been removed. Figure 3 for Figure 2 Enlarged view of point A in the middle; Figure 4 for Figure 2 Enlarged view of point B in the middle; Figure 5 for Figure 4 Half-section view of the first angle adjustment component; Figure 6 for Figure 2 A schematic diagram of the device after the second rod has been removed. Figure 7 for Figure 6 Enlarged view of point C in the middle; Figure 8 As Figure 6 Enlarged view of D in the middle; Figure 9 As Figure 6 Structural schematic diagram of the device from another perspective.

[0027] Figure 10 As Figure 9 Enlarged view of E in the middle; Figure 11 As the cross-sectional view of the water inlet valve; Figure 12 As Figure 6 Structural schematic diagram of the device after removing the support base; Figure 13 As Figure 12 Structural schematic diagram of the device after removing the first rod; Figure 14 As Figure 3 Enlarged view of F in the middle; Figure 15 As the structural schematic diagram of the first cooling structure; Figure 16 As Figure 15 Structural schematic diagram of the water feeder from another perspective; Figure 17 As Figure 1 Structural schematic diagram of the device after removing the first rod; Figure 18 As Figure 17 Enlarged view of G in the middle; Figure 19 As Figure 1 Half cross-sectional view of the water injection tank.

[0028] 1, support base; 2, uterus lifting rod; 21, first rod; 22, rotator; 22a, rotating ring; 22b, first return spring; 23, second rod; 24, first sleeve; 25, rotating connecting piece; 25a, connecting rod; 3, first cooling mechanism; 31, water injection tank; 32, cooling pipeline; 32a, fixed part; 32b, movable part; 32c, water inlet valve; 32d, water outlet valve; 33, driver; 34, water feeder; 34a, U-shaped plate; 34b, rotating rod; 34c, extrusion block; 35, first conveying belt; 36, second conveying belt; 37, cooling unit; 37a, first driving rod; 38, stirring unit; 38a, second driving rod; 39, third conveying belt; 4, balloon; 5, second sleeve; 6, second cooling mechanism; 61, water injection pipe; 62, water suction pipe; 7, first angle adjusting member; 71, connecting column; 72, knob; 73, fixing hook; 73a, fixing hook body; 73b, pressing rod 73b; 73c, second reset spring; 8, second angle adjusting member; 81, synchronous belt; 9, contrast tube. DETAILED DESCRIPTION

[0029] In order to make the objects, technical solutions and advantages of the embodiments of the present application clearer, the technical solutions in the embodiments of the present application will be described clearly and completely below with reference to the drawings in the embodiments of the present application.

[0030] In the description of the present application, it should be understood that the orientation or positional relationship indicated by the terms "length direction", "upper", "lower", "front", "rear", "left", "right", "top", "bottom", "inner", "outer", "axial", "radial", "circumferential" and the like is based on the orientation or positional relationship shown in the drawings, and is only for the convenience of describing the present application and simplifying the description, and does not indicate or imply that the device or element referred to must have a particular orientation, be constructed and operated in a particular orientation, and therefore cannot be understood as a limitation on the present application. In addition, the features with "first" and "second" can be explicitly or implicitly included one or more of the features. In the description of the present application, unless otherwise specified, the meaning of "a plurality of" is two or more.

[0031] In the description of the present application, it should be noted that, unless otherwise specified and limited, the terms "mounting", "connecting", "connecting" should be understood broadly, for example, it can be fixedly connected, or it can be detachably connected, or integrally connected; it can be mechanically connected, or it can be electrically connected; it can be directly connected, or it can be indirectly connected through an intermediate medium; it can be the communication inside two elements. For those skilled in the art, the specific meaning of the above terms in the present application can be understood according to the specific circumstances.

[0032] The inventor found that the current uterine manipulator needs to be filled with water by the doctor several times in use in order to accurately control the size of the balloon, if more water is filled at one time, the balloon will be inflated larger, which will damage the uterus, and even cause uterine rupture, which is very inconvenient to operate. In addition, in surgical treatment, surgical instruments can cause mechanical and thermal radiation damage to the endometrium, thereby increasing the risk of postoperative endometrial adhesion, fluid, and uterine cavity infection, which is not conducive to the repair and functional recovery of the postoperative endometrium, and the current uterine manipulator cannot solve this technical problem.

[0033] Based on the above findings, this application proposes a uterine lifting device, comprising a support base 1, a lifting rod 2, a first cooling mechanism 3, a balloon 4, a second sleeve 5, a second cooling mechanism 6, a first angle adjusting component 7, and a second angle adjusting component 8. This application achieves more precise adjustment of the balloon's expansion volume and better performance through the following design: 1. The first cooling mechanism 3 can continuously inject water into the balloon 4, and adjust the size of the balloon by controlling the size of the inlet valve 32c and the outlet valve 32d in the first cooling mechanism 3. It can also circulate the water in the balloon 4 throughout the entire use process, so as to carry the heat in the patient's uterine cavity out of the patient's body and reduce the temperature inside the uterine cavity. 2. The lifting rod 2 is connected to the support base 1 through the first angle adjustment component 7, which can adjust the tilt angle of the lifting rod 2 as it enters the patient's uterine cavity, so that the operation can be carried out smoothly; 3. The second cooling mechanism 6 can further reduce the temperature inside the uterine cavity and also improve the visibility inside the uterine cavity; 4. The first angle adjustment component 7 can adjust the overall tilt angle of the lifting rod 2 so that the front end of the lifting rod 2 can smoothly enter the patient's uterine cavity; 5. The second angle adjustment component 8 can adjust the tilt angle of the front end of the uterine lifting rod 2 so that the balloon 4 can fit against the inner wall of the patient's uterus.

[0034] Example 1 This embodiment provides a uterine lifting device, such as Figures 1-19 As shown, it includes a support base 1, a lifting rod 2, a first cooling mechanism 3, a balloon 4, a second sleeve 5, a second cooling mechanism 6, a first angle adjusting component 7, and a second angle adjusting component 8.

[0035] The support base 1 has an inverted T-shaped structure, and the upper end of the support base 1 is provided with a groove for rotating connection with the uterine lift rod 2. In actual use, the support base 1 can be placed on the operating table so that the front end of the uterine lift rod 2 can enter the patient's uterus. Throughout the entire use, medical staff do not need to hold it at all times, reducing the workload of medical staff and saving manpower.

[0036] The lifting rod 2 includes a first rod body 21, a rotator 22, a second rod body 23, a first sleeve 24, and a rotating connector 25; wherein, the first rod body 21 and the second rod body 23 are both tubular structures.

[0037] Specifically, one end of the first rod 21 is rotatably connected to the support base 1 via the first angle adjustment component 7, and the other end is connected to the rotator 22.

[0038] The first angle adjustment assembly 7 includes a connecting post 71, a knob 72, and a fixing hook 73.

[0039] Specifically, the connecting column 71 is fixedly connected with the side of the support base 1.

[0040] The knob 72 is in a cylindrical structure, and a scale line protrusion is fixedly arranged on the side surface thereof; specifically, one end of the knob 72 is fixedly connected with the first rod body 21 through the support base 1; it should be noted that the fixed connection manner of the knob 72 and the first rod body 21 is not limited in the embodiment of the present application, for example, the fixed connection manner is integrally formed connection, welding, buckle connection or welding.

[0041] The fixed hook 73 comprises a fixed hook body 73a, a pressing rod 73b and a second reset spring 73c. The fixed hook body 73a is located at one side of the knob 72, and specifically, the fixed hook body 73a is in a V-shaped structure, and the center corner of the fixed hook body 73a is rotationally connected with the connecting column 71 through a rotating rod; wherein, one end of the fixed hook body 73a close to the knob 72 is provided with a limiting protrusion, and the other end away from the knob 72 is fixedly connected with the pressing rod 73b. One end of the pressing rod 73b away from the fixed hook body 73a is fixedly connected with the second reset spring 73c. One end of the second reset spring 73c away from the pressing rod 73b is embeddedly arranged in the groove on the upper end of the connecting column 71.

[0042] In this way, the medical staff presses one end of the fixed hook body 73a away from the knob 72, at this time, the second reset spring 73c is compressed, and one end of the fixed hook body 73a close to the knob 72 is lifted upward, and then the medical staff can manually rotate the knob 72, the knob 72 drives the first rod body 21 to rotate through the connecting column 71, so as to realize the inclination angle adjustment of the first rod body 21.

[0043] The rotator 22 comprises a rotating ring 22a and a first reset spring 22b.

[0044] Specifically, the rotating ring 22a is arranged at the end of the second rod body 23, and the rotating ring 22a is sleeved with the first reset spring 22b located in the first rod body 21, wherein, one end of the rotating ring 22a close to the first rod body 21 is provided with a gear ring, which is used for meshing connection with the first rod body 21 away from the support base; The first reset spring 22b is arranged in the first rod body 21, and one end of the first reset spring 22b away from the rotating ring 22a is fixedly connected with the first rod body 21; wherein, one end of the first rod body 21 away from the support base is provided with a groove for meshing connection with the gear ring of the rotating ring 22a.

[0045] One end of the second rod body 23 is fixedly connected with the rotating ring 22a, and the other end is rotationally connected with the first sleeve 24 through a rotating connecting piece 25.

[0046] The rotating connector 25 has a U-shaped structure, and a connecting rod 25a is fixedly provided at the center of the rotating connector 25. Both ends of the connecting rod 25a are rotatably connected to the second rod body 23, and the other end is inserted into the first sleeve 24; wherein, the end of the rotating rod 25a is connected to the second angle adjusting member 8.

[0047] The balloon 4 is fitted onto the first sleeve 24. It should be noted that the balloon 4 provided in this embodiment of the invention is prior art, and this embodiment of the invention does not improve upon it.

[0048] The structure of the second angle adjusting member 8 is the same as that of the first angle adjusting member 7; Specifically, the connecting post of the second angle adjusting component 8 is fixedly installed on the outer surface of the second rod 22; One end of the knob of the second angle adjustment component 8 passes through the second rod 22 and is located inside the second rod 22, while the other end is located outside the second rod 22; wherein, the end of the knob located inside the second rod 22 is provided with a first gear, and the first gear is connected to a second gear fixedly set at the end of the rotating rod 25a through a timing belt 81; In this way, similar to the first angle adjustment component 7, medical staff can press the end of the fixed hook body in the second angle adjustment component 8 away from the knob. At this time, the second reset spring is compressed, and the end of the fixed hook body near the knob is lifted up. Then, the medical staff rotates the knob in the second angle adjustment component 8. The knob drives the rotating rod 25a to rotate through the synchronous belt 81. The rotating rod 25a drives the first sleeve 24 to rotate through the rotating connector 25, so that the balloon 4 located on the first sleeve 24 is tilted so that the outer surface of the balloon 4 fits against the inner wall of the patient's uterus. The tilt direction of the balloon 4 can be adjusted by combining it with the rotator 22, so as to adjust the lifting direction of the lifting rod 2 according to the location of the patient's lesion.

[0049] The first cooling mechanism 3 includes a water tank 31, a cooling pipeline 32, a driver 33, a water supply device 34, a first conveyor belt 35, a second conveyor belt 36, a cooling unit 37, a stirring unit 38, and a third conveyor belt 39.

[0050] The water tank 31 is fixedly mounted on the support base 1 and is connected to the cooling pipe 32, the cooling unit 37, and the stirring unit 38. Specifically, the water tank 31 is provided with heat dissipation holes.

[0051] The cooling pipe 32 includes a first water pipe and a second water pipe; the first water pipe and the second water pipe have the same structure, both including a fixed part and a movable part.

[0052] Specifically, the fixed part 32a of the first water pipe is provided with three joints, the first joint is communicated with the fixed part 32a of the second water pipe, the second joint is located outside the second rod body 23 after sequentially passing through the first rod body 21, the rotator 22 and the second rod body 23, so as to be communicated with the movable part located outside the uterus lifting rod 2, and the third joint is communicated with the water injection tank 31; One end of the movable part 32b of the first water pipe is detachably connected with the fixed part by inserting a joint, and the other end is communicated with the inside of the balloon 4 after penetrating into the first sleeve 24; The second water pipe is the same as the first water pipe in structure and connection relationship, and details are not repeated here.

[0053] In this way, the first water pipe, the second water pipe, the balloon 4 and the water injection tank 31 form a closed loop, so that the water in the balloon 4 flows.

[0054] In order to facilitate the adjustment of the water quantity in the balloon 4, the water inlet valve 32c is arranged on the branch of the first water pipe connected with the water injection tank 31, and the water outlet valve 32d is arranged on the branch of the second water pipe connected with the water injection tank 31; The water inlet valve 32c and the water outlet valve 32d are the same in structure, and each includes a ball valve provided with a through hole, and an adjusting handle connected with the ball valve; specifically, the ball valve is located inside the corresponding water pipe, one end of the adjusting handle penetrates into the water pipe and is fixedly connected with the ball valve, and the other end is located outside the corresponding water pipe, so as to be gripped and rotated by medical staff. In the initial state, the central through hole of the ball valve in the water inlet valve 32c is parallel to the inner wall of the first water pipe, and the water in the water injection tank 31 enters other branches of the first water pipe through the central through hole; if the ball valve in the water inlet valve 32c is rotated by the adjusting handle, the central through hole of the ball valve in the water inlet valve 32c is perpendicular to the inner wall of the first water pipe, at this time, the water in the water injection tank 31 cannot pass through the central through hole, that is, the water inlet valve 32c is closed. Similarly, when the central through hole of the ball valve in the water outlet valve 32d is parallel to the inner wall of the second water pipe, the water in other branches of the second water pipe will flow back to the water injection tank 31 through the central through hole; if the ball valve in the water outlet valve 32d is rotated by the adjusting handle, the central through hole of the ball valve in the water outlet valve 32d is perpendicular to the inner wall of the second water pipe, at this time, the water in other branches of the second water pipe cannot pass through the central through hole, that is, the water outlet valve 32d is closed.

[0055] In actual use, the water in the water injection tank 31 enters the balloon 4 through the first water pipe, and then flows back to the water injection tank 31 from the second water pipe, at this time, the water quantity in the balloon 4 can be adjusted by adjusting the valve size of the water inlet valve 32c and the water outlet valve 32d; specifically, the adjustment of the water quantity in the balloon 4 is divided into three cases: Case one, When the water inlet valve 32c is fully opened and the water outlet valve 32d is closed, the water in the water injection tank 31 continuously enters the balloon 4, so that the balloon 4 continuously expands; Case two, When the water inlet valve 32c is fully opened and the water outlet valve 32d is fully opened, the amount of water flowing into the closed loop through the water inlet valve 32c is the same as the amount of water flowing out of the closed loop through the water outlet valve 32d. At this time, the size of the balloon 4 does not change, and the water in the balloon 4 always maintains a flowing state. Case three, When the water inlet valve 32c is closed and the water outlet valve 32d is fully opened, the water in the water injection tank 31 cannot enter the closed loop, and the water in the closed loop continuously flows out of the water outlet valve 32d. At this time, the balloon 4 continuously becomes smaller.

[0056] In order to further ensure the direction of water flow in the closed loop, the driver 33 and the water feeder 34 are arranged in the first rod body 21, and the driver 33 and the water feeder 34 are fixedly connected with the inner wall of the first rod body 21.

[0057] A first rotating wheel and a second rotating wheel are fixedly arranged on the output end of the driver 33, and the first rotating wheel and the second rotating wheel are arranged in parallel with each other. The first rotating wheel is connected with the water feeder 34 through a first conveying belt 35, and the second rotating wheel is connected with the cooling assembly through a second conveying belt 36. Specifically, the first rotating wheel and the second rotating wheel are both cylindrical structures.

[0058] It should be noted that the driver 33 provided in the embodiment of the present application is a prior art, and the embodiment of the present application does not improve it. For example, the driver 33 is a motor, and the model of the motor can be Fuhong F150.

[0059] The water feeder 34 includes a U-shaped plate 34a, a rotating rod 34b, and two extrusion blocks 34c. Each extrusion block 34c is a cylindrical structure.

[0060] Specifically, the U-shaped plate 34a is fixedly connected with the inner wall of the first rod body 21. A U-shaped clamping groove is arranged on the U-shaped plate 34a, which is used to fix the connection ends of the first water pipe and the second water pipe. The rotating rod 34b is arranged perpendicularly to the U-shaped plate 34a and is rotatably connected with the U-shaped plate 34a. Specifically, one end of the rotating rod 34b is fixedly connected with the two extrusion blocks 34c located on the side of the U-shaped plate 34a after penetrating through the U-shaped plate 34a, and the other end of the rotating rod 34b is provided with a fourth rotating wheel. The fourth rotating wheel is connected with the first rotating wheel arranged on the output end of the driver 33 through the first conveying belt 35. The two extrusion blocks 34c are located inside the U-shaped clamping groove of the U-shaped plate 34a and are in contact with the outer surface of the cooling pipeline 32.

[0061] The working principle of the water feeder 34 provided by the embodiment of the present application is as follows: The water inlet valve 32c is opened, the rotating rod 34b drives the two extrusion blocks 34c to rotate around the rotating rod 34 under the action of the driver 33, and then the extrusion blocks 34c push the outer surface of the cooling pipeline 32, so that the water flow in the cooling pipeline 32 continuously enters the balloon 4 through the first water pipe, and the water injection expansion of the balloon 4 is realized. After the balloon 4 reaches the required size, the water outlet valve 32d can be opened, at this time, the water flow in the balloon 4 flows back to the water injection tank 31 through the second water pipe, and the amount of water entering the balloon 4 is the same as the amount of water flowing out of the balloon 4, so that the size of the balloon 4 remains unchanged, and the water flow in the balloon 4 is always in a flowing state, so as to reduce the temperature inside the uterine cavity. The size of the balloon 4 can be adjusted in real time.

[0062] The cooling unit 37 and the stirring unit 38 are both arranged in the water injection tank 31, and the cooling unit 37 is rotationally connected to the inner top surface of the water injection tank 31, and the stirring unit 38 is rotationally connected to the inner bottom surface of the water injection tank 31.

[0063] It should be noted that the embodiment of the present application does not limit the cooling unit 37 and the stirring unit 38, and the embodiment of the present application is described by taking the cooling unit 37 as a fan and the stirring unit 38 as including a plurality of stirring blades as an example.

[0064] Specifically, the connecting end of the cooling unit 37 penetrates through the top surface of the water injection tank 31 and is fixedly connected to the first bevel gear located outside the water injection tank 31; the first bevel gear is meshingly connected to the first driving rod 37a horizontally embedded in the support base 1, and the end of the first driving rod 37a away from the first bevel gear is provided with a third rotating wheel, and the third rotating wheel is connected to the second rotating wheel arranged on the driver 33 through the second transmission belt 36; wherein the end of the first driving rod 37a provided with the third rotating wheel is also fixedly provided with a fifth rotating wheel; and the fifth rotating wheel is connected to the third transmission belt 39. The connecting end of the stirring unit 38 penetrates through the bottom surface of the water injection tank 31 and is fixedly connected to the second bevel gear located outside the water injection tank 31; the second bevel gear is meshingly connected to the second driving rod 38a horizontally embedded in the support base 1, and the end of the second driving rod 38a away from the second bevel gear is fixedly provided with a sixth rotating wheel, and the sixth rotating wheel is connected to the third transmission belt 39.

[0065] The working principle of the first cooling assembly 3 provided by the embodiment of the present application is as follows: The driver 33 rotates, driving the first rotating wheel and the second rotating wheel arranged on the driver 33 to rotate in the same direction at the same time; The first rotating wheel drives the fourth rotating wheel arranged on the rotating rod 34b to rotate through the first conveying belt 35, the fourth rotating wheel drives the two extrusion blocks 34c to rotate around the rotating rod 34b through the rotating rod 34b, and then the extrusion blocks 34c push the outer surface of the cooling pipeline 32, so that the water flow in the cooling pipeline 32 continuously enters the balloon 4 after passing through the first water pipe, realizing the water injection expansion of the balloon 4; After the balloon 4 reaches the required size, the water outlet valve 32d can be opened, at this time, the water flow in the balloon 4 flows back to the water injection tank 31 through the second water pipe, and the amount of water entering the balloon 4 is the same as the amount of water flowing out of the balloon 4, so that the size of the balloon 4 remains unchanged, and the water flow in the balloon 4 is always in a flowing state, so as to reduce the temperature inside the uterine cavity; The second rotating wheel drives the first driving rod 37a to rotate through the second conveying belt 36, and then the first driving rod 37a drives the cooling assembly 37 to rotate, so as to reduce the temperature of the liquid in the water injection tank 31; at the same time, the first driving rod 37a drives the second driving rod 38a to rotate through the third conveying belt 39, and then the second driving rod 38a drives the stirring unit 38 to rotate through the second bevel gear, so as to stir the water in the water injection tank 31, further improving the cooling efficiency of the liquid in the water injection tank 31.

[0066] Embodiment 2 Based on embodiment 1, different from embodiment 1, the uterus lifting device provided by the embodiment of the application further comprises a second sleeve 5 and a second cooling mechanism 6.

[0067] The second sleeve 5 is sleeved outside the uterus lifting rod 2, so as to protect the second cooling mechanism 6.

[0068] The second cooling mechanism 6 is arranged between the second sleeve 5 and the uterus lifting rod 2, and the second cooling mechanism 6 comprises a water injection pipe 61 and a water suction pipe 62.

[0069] Specifically, one end of the water injection pipe 61 is connected with an external water injection device, the other end penetrates between the second sleeve 5 and the uterus lifting rod 2, then penetrates into the first sleeve 24, then penetrates out of the first sleeve 24, and is in communication with the outside; One end of the water suction pipe 62 is connected with an external water suction device, and the other end is the same as the water injection pipe 61, that is, the other end penetrates between the second sleeve 5 and the uterus lifting rod 2, then penetrates into the first sleeve 24, then penetrates out of the first sleeve 24, and is in communication with the outside.

[0070] In this way, the water in the water injection pipe 61 enters the uterine cavity and then flows out of the water outlet pipe 62, so that the temperature inside the uterine cavity can be further reduced, and the visibility inside the uterine cavity can be improved.

[0071] Embodiment 3 Different from both Embodiment 1 and Embodiment 2, the second sleeve 5 further has a channel for facilitating the passage of the contrast tube 9, so as to ensure the normal operation of the surgery.

[0072] Application case: S1: preoperative preparation; specifically, the step includes the following steps: S101: check the equipment: Confirm that each component of the uterine manipulator device is intact, including the uterine manipulator rod 2, the balloon 4, the support base 1, the first cooling mechanism 3, etc. Check the sealing and biocompatibility of the balloon 4 to ensure that there is no liquid leakage. S102: disinfection: Use medical disinfectants to thoroughly disinfect the uterine manipulator device, especially the parts that come into contact with the human body, such as the balloon 4 and the uterine manipulator rod 2.

[0073] After disinfection, place the device in a sterile environment for standby.

[0074] S103: prepare the liquid: Prepare an appropriate amount of normal saline or other suitable liquid for water injection and circulation of the balloon 4.

[0075] Ensure that the temperature of the liquid is appropriate to avoid thermal damage to the endometrium.

[0076] S2: installation and fixation; specifically, the step includes the following steps: S201: fix the support base 1: Specifically, install the support base 1 on the operating bed to ensure its firmness and stability, meeting the needs of the surgery. S202: connect the uterine manipulator rod 2: Specifically, connect the uterine manipulator rod 2 with the support base 1 and check whether the first angle adjustment member 7 at the connection is working properly to ensure that it will not loosen during the surgery. S203: install the cooling pipeline 32, the first sleeve 24, the second sleeve 5, and the second cooling mechanism 6. Specifically, first, connect the movable part 32b of the first water pipe in the cooling pipeline 32 with the fixed part 32a of the first water pipe, and then pass the other end of the movable part 32b into the first sleeve 24 to communicate with the balloon 4; the second water pipe in the cooling pipeline 32 is connected in the same way as the first water pipe. Secondly, place the water injection pipe 61 and the water suction pipe 62 between the second sleeve 5 and the second rod 32. One end of the water injection pipe 61 is connected with the water injection device outside, and the other end penetrates between the second sleeve 5 and the uterine manipulator 2, and then penetrates into the first sleeve 24, and then penetrates out of the first sleeve 24 and is in communication with the outside; One end of the water injection pipe 61 is connected with the water injection device outside, and the other end penetrates between the second sleeve 5 and the uterine manipulator 2, and then penetrates into the first sleeve 24, and then penetrates out of the first sleeve 24 and is in communication with the outside; Finally, the second sleeve 5 is sleeved on the water injection pipe 61 and the water injection pipe 62; S3: Adjust the inclination angle of the uterine manipulator 2 so that the front end of the uterine manipulator 2 is sent into the patient's uterus; Specifically, the medical staff presses the fixed hook body 73a away from the one end of the knob 72, at this time, the second reset spring 73c is compressed, and the one end of the fixed hook body 73a close to the knob 72 is lifted up, and then the medical staff rotates the knob 72, the knob 72 drives the first rod body 21 to rotate through the connecting column 71, so as to adjust the inclination angle of the uterine manipulator 2, so that it can adapt to the position of the uterus and the operation demand; Wherein, the scale outside the knob 72 is used to directly confirm the adjusted angle, and the accuracy of the angle is ensured; S4: The balloon 4 is inflated by water injection; specifically, the step includes the following steps: S401: Start the driver 33, the driver 33 rotates to drive the first rotating wheel and the second rotating wheel arranged on the driver 33 to rotate in the same direction at the same time; In this step, the first rotating wheel drives the fourth rotating wheel arranged on the rotating rod 34b to rotate through the first conveying belt 35, the fourth rotating wheel drives the two extrusion blocks 34c to rotate around the rotating rod 34b through the rotating rod 34b, and then the extrusion blocks 34c push the outer surface of the cooling pipeline 32, so that the water flow in the cooling pipeline 32 continuously enters the balloon 4 after passing through the first water pipe, that is, the liquid flows from the water inlet end to the balloon 4, and then flows out from the water outlet end, realizing the circulation of the liquid and the inflation of the balloon 4 by water injection; The second rotating wheel drives the first driving rod 37a to rotate through the second conveying belt 36, and then the first driving rod 37a drives the cooling assembly 37 to rotate, so as to reduce the temperature of the liquid in the water injection tank 31; at the same time, the first driving rod 37a drives the second driving rod 38a to rotate through the third conveying belt 39, and then the second driving rod 38a drives the stirring unit 38 to rotate through the second bevel gear, so as to stir the water in the water injection tank 31, and further improve the cooling efficiency of the liquid in the water injection tank 31; S402: Open the water inlet valve 32c, and inject the liquid in the water injection tank 31 into the balloon 4 through the water inlet valve 32c; During the water injection process, the inflation of the balloon 4 is observed to ensure that the balloon 4 can be uniformly inflated and closely attached to the endometrial surface; S403: After the balloon 4 reaches the required size, the water outlet valve 32d can be opened, at this time, the water flow in the balloon 4 flows back to the water injection tank 31 through the second water pipe, and the amount of water entering the balloon 4 is the same as the amount of water flowing out of the balloon 4, so that the size of the balloon 4 remains unchanged, and the water flow in the balloon 4 is always in a flowing state in order to reduce the temperature inside the uterine cavity; S5: Lock the inclination angle of the balloon 4: After the balloon is inflated to the appropriate size, the medical staff press the end of the fixed hook body away from the knob in the second angle adjusting piece 8, at this time, the second reset spring is compressed, the end of the fixed hook body close to the knob is lifted up, and then the medical staff rotate the knob, the knob drives the first gear to rotate through the connecting column, the first gear drives the second gear to rotate through the synchronous belt 81, and the second gear drives the rotating rod to rotate, so that the rotating rod drives the first sleeve 24 to rotate through the rotating connecting piece 25, so that the balloon 4 located on the first sleeve 24 is inclined, so that the balloon 4 is attached to the uterine wall of the patient and in good contact with the endometrium; S6: Connect the water injection pipe 61 with the external water injection device, and connect the water suction pipe 62 with the external water suction device, so as to inject flowing water into the uterine cavity, further reduce the temperature of the uterine cavity, and improve the visibility in the uterine cavity; S7: Under the protection of the balloon 4, the uterine mass ablation or other surgical operation is performed; due to the fixation and protection of the balloon, the surgical site can be observed more clearly during the operation, and the mechanical and thermal radiation damage to the endometrium is reduced; S8: Postoperative treatment; specifically, this step includes the following steps: S801: Drain the balloon 4; Specifically, close the water inlet valve 32, so that all the liquid in the balloon 4 is discharged from the water outlet valve 32d under the action of the water feeder 34, so that the balloon 4 gradually shrinks, and finally the driver 33 is closed; S802: After the balloon 4 is completely shrunk, slowly remove the device from the patient's body, and pay attention to gentle action during the removal process to avoid secondary damage to the endometrium.

[0077] The contents not described in detail in the specification belong to the prior art known to those skilled in the art.

Claims

1. A uterine lifting device, comprising a balloon (4), characterized in that, Also includes: Support base (1), located on the operating table; The lifting rod (2) is connected to the balloon (4) and the support base (1) respectively; The first cooling mechanism (3) is connected to the support base (1), the lifting rod (2) and the balloon (4) respectively.

2. The uterine lifting device according to claim 1, characterized in that, Lifting the uterus pole (2) includes: The first rod (21) is connected at one end to the support base (1); Rotator (22), one end of which is connected to the other end of the first rod (21); The second rod (23) is connected at one end to the other end of the rotator (22); The first sleeve (24) is connected to the other end of the second rod (23) via a rotating connector (25) and is sleeved with the balloon (4).

3. A uterine lifting device according to claim 2, characterized in that, Rotator (22) includes: A rotating ring (22a) is connected at one end to a second rod (23); The first return spring (22b) is located inside the first rod (21), and one end of the first return spring (22b) is connected to the rotating ring (22a), and the other end is connected to the first rod (21).

4. A uterine lifting device according to claim 1, characterized in that, The first cooling mechanism (3) includes: Water tank (31) is connected to support base (1); Cooling pipe (32) is installed inside the lifting rod (2) and is connected to the water injection tank (31) and the balloon (4) respectively; The drive assembly is located at one end of the lifting rod (2) near the support base (1) and is in contact with the outer surface of the cooling pipe (32); The cooling component is connected to the drive component.

5. A uterine lifting device according to claim 4, characterized in that, The driver components include: The driver (33) is located inside the lifting rod (2), and the output end of the driver (33) extends out of the lifting rod (2) and is located inside the support base (1); The first rotating wheel is connected to the output end of the driver (33); The second rotating wheel is coaxially arranged with the first rotating wheel and connected to the output end of the driver (33); Water supply device (34) is installed inside the lifting rod (2) and connected to the first rotating wheel via the first conveyor belt (35); The third rotating wheel is located inside the support base (1), and the third rotating wheel is connected to the second rotating wheel via the second conveyor belt (36).

6. A uterine lifting device according to claim 5, characterized in that, The water supply unit (34) includes: The U-shaped plate (34a) is installed inside the lifting rod (2), and the U-shaped plate (34a) is snapped into the cooling pipe (32); The rotating rod (34b) is sleeved at one end with the U-shaped plate (34a) and the other end is provided with a fourth rotating wheel, which is connected to the first conveyor belt (34). Two extrusion blocks (34c) are both located at one end of the rotating rod (34b) away from the first conveyor belt (35), and one side of each extrusion block (34c) is connected to the rotating rod (34b), while the other side is in contact with the outer surface of the cooling pipe (32).

7. A uterine lifting device according to claim 5, characterized in that, The cooling components include: The cooling unit (37) is installed on the inner wall of the top of the water tank; A stirring unit (38) is installed on the inner wall of the bottom of the water tank; The first drive rod (37a) is connected at one end to the cooling unit and at the other end to the third rotating wheel; The fifth rotating wheel is located on one side of the third rotating wheel; The second drive rod (38a) is connected to the stirring unit at one end and has a sixth rotating wheel at the other end. The sixth rotating wheel is connected to the fifth rotating wheel through the third conveyor belt (39).

8. A uterine lifting device according to claim 2, characterized in that, A second sleeve (5) is fitted on the outside of the lifting rod (2), and a second cooling mechanism (6) is provided between the second sleeve (5) and the lifting rod (2).

9. A uterine lifting device according to claim 8, characterized in that, The second cooling mechanism includes: Water injection pipe (61), one end of which is connected to water injection device, and the other end passes through the first sleeve (24) and is located outside the first sleeve (24); The pumping pipe (62) is connected to the pumping device at one end and passes through the first sleeve (24) at the other end, which is located outside the first sleeve (24).

10. A uterine lifting device according to claim 2, characterized in that, The outer surface of the first rod (21) is also provided with a first angle adjustment component (7); the first angle adjustment component (7) includes: A connecting column (71) is provided on the side of the support base (1); The knob (72) passes through the connecting post (71) and the support base (1) at one end and is connected to the first rod body (21). The other end of the knob (72) is provided with multiple scale protrusions arranged in a circle. A fixing hook (73) is provided on the connecting post (71) and is in contact with the scale protrusion.

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