Vagina wound exposure device and operation auxiliary instrument

Abstract

The utility model discloses a vagina wound exposer and surgical auxiliary instrument.The vagina wound exposer comprises a shell, the shell is in the shape of a circular truncated cone, an operation cavity penetrating through the two bottom faces of the shell is formed in the shell, a receding groove is formed in the side wall of the shell, and the operation cavity is communicated with the operation cavity. The receding groove is formed in the upper middle portion of the shell along the edge of the bottom face with the large diameter, and the receding groove is used for exposing a vagina wound. Due to the fact that the shell in the shape of the circular truncated cone is arranged and the receding groove is formed in the side wall of the shell, when a vagina wound is sutured, the vagina can be opened through the shell, the wound is exposed in the receding groove so that suturing can be facilitated, and the wound portions in the vagina can be checked and operated one by one by rotating the shell in an operation. A good operation space can be provided through the supporting effect of the shell, discomfort of a patient caused by pulling the vagina can be avoided, and the suturing efficiency and the suturing effect can be effectively improved.

Description

Technical Field

[0001] The utility model relates to the technical field of surgical auxiliary instruments, in particular to a vaginal wound exposer and a surgical auxiliary instrument. Background Art

[0002] During the delivery process of parturients, vaginal laceration wounds are often complicated due to complications, fetal distress, premature infants, precious infants, large fetal weight, abnormal fetal position, abnormal labor process, abnormal uterine contraction force, abnormal birth canal, forceps delivery, vacuum extraction, and breech delivery assistance. There is extensive bleeding in multiple places, and medical staff need to suture the wounds. If the wound suture is improper, wound dehiscence, hematoma, shock, and even life-threatening may occur.

[0003] In the prior art, for the treatment of vaginal wounds, mainly medical staff use their left hand to spread open the vagina to expose the wound and the right hand to suture. For more severe and complex wounds inside the vagina, multiple medical staff need to use vaginal retractors to cooperate in dilating the vagina to provide an operating space. However, the use of vaginal retractors will cause strong discomfort to the patient. At the same time, it is easy to have insufficient wound exposure, resulting in the consumption of more human resources, a long suture time, and an unsatisfactory suture effect.

[0004] Therefore, the prior art still needs to be improved and developed. Summary of the Utility Model

[0005] In order to solve the problems in the prior art that when medical staff suture vaginal wounds, they use the method of spreading open the vagina with the palm or using a vaginal retractor to dilate the vagina to increase the operating space. However, this method is likely to cause discomfort to the patient, consumes more human resources, and is prone to a long suture time and an unsatisfactory suture effect due to insufficient wound exposure during suture. Therefore, the utility model proposes a vaginal wound exposer and a surgical auxiliary instrument.

[0006] The utility model is realized through the following technical solutions:

[0007] A vaginal wound exposer, wherein the vaginal wound exposer comprises:

[0008] A housing, the housing is in the shape of a frustum of a cone. An operation cavity penetrating through the two bottom surfaces of the housing is arranged inside the housing. A relief groove is arranged on the side wall of the housing. The relief groove is arranged from the edge of the bottom surface with a larger diameter to the upper middle part of the housing. The relief groove is used for exposing the vaginal wound.

[0009] In the described vaginal wound exposer, an installation ring is arranged on the bottom surface of the housing corresponding to the smaller diameter dimension. The installation ring is arranged at a predetermined angle and is fixedly connected to the housing;

[0010] The vaginal wound exposure device also includes a hemostatic component, which is detachably arranged on the mounting ring.

[0011] The vaginal wound exposing device, wherein the hemostatic piece is a flexible pad, the hemostatic piece is sleeved in the inner hole of the mounting ring, one end of the hemostatic piece is detachably connected to the mounting ring, and the other end of the hemostatic piece is abutted against the inner wall of the shell.

[0012] The vaginal wound exposing device is characterized in that a plurality of engaging holes are arranged around the mounting ring, one side of the engaging hole is arranged to be in communication with the inner hole of the mounting ring, and the hemostatic element is engaged with the engaging hole along the inner hole of the mounting ring.

[0013] The vaginal wound exposing device, wherein a fitting layer is provided on the side of the mounting ring facing away from the operating cavity, and the fitting layer is detachably fitted and connected to the mounting ring and the hemostatic element.

[0014] The vaginal wound exposing device, wherein the mounting ring is integrally formed with the shell.

[0015] The vaginal wound exposing device, wherein the mounting ring is an elastic mounting ring, and the shell is an elastic shell.

[0016] The vaginal wound exposing device, wherein the outer wall of the shell is smoothly arranged, and the shell is a waterproof shell.

[0017] The vaginal wound exposing device, wherein the corner portion of the give way groove is smoothly transitionally arranged.

[0018] A surgical auxiliary instrument, wherein the surgical auxiliary instrument includes the above-mentioned vaginal wound exposing device.

[0019] The beneficial effect of the utility model is that the utility model provides a truncated cone-shaped shell and a clearance groove on the side wall of the shell. When suturing a vaginal wound, the vagina can be opened by the shell to expose the wound in the clearance groove for suturing. During the operation, the shell can be rotated to check and operate on the wound sites in the vagina one by one. The supporting effect of the shell can provide a better operating space, and the discomfort caused to the patient by pulling the vagina can be avoided, which can effectively improve the suturing efficiency and suturing effect. BRIEF DESCRIPTION OF THE DRAWINGS

[0020] Figure 1 This is a schematic diagram of the disassembled state of the vaginal wound exposure device of the utility model;

[0021] Figure 2 The utility model is a vaginal wound exposure device. Figure 1 A-node structure enlarged diagram;

[0022] Figure 3 is a schematic diagram of the combined state of the vaginal wound exposer of the present utility model;

[0023] Figure 4 is a schematic diagram of the usage state of the vaginal wound exposer of the present utility model.

[0024] In Figures 1 to 4 : 100, housing; 110, operation cavity; 120, relief groove; 130, mounting ring; 131, engaging hole; 200, hemostatic member. Specific embodiments

[0025] To make the objectives, technical solutions and effects of the present utility model clearer and more definite, the following further elaborates on the present utility model with reference to the accompanying drawings and by way of examples. It should be understood that the specific embodiments described herein are only used to explain the present utility model and are not used to limit the present utility model.

[0026] It should be noted that if there are directional indications (such as up, down, left, right, front, back...) involved in the embodiments of the present utility model, the directional indications are only used to explain the relative positional relationship and movement conditions between components in a specific posture (as shown in the accompanying drawings). If the specific posture changes, the directional indications will also change accordingly.

[0027] In addition, if there are descriptions involving "first", "second", etc. in the embodiments of the present utility model, the descriptions of "first", "second", etc. are only for descriptive purposes and cannot be understood as indicating or implying their relative importance or implicitly specifying the quantity of the indicated technical features. Thus, the features defined with "first" and "second" may explicitly or implicitly include at least one of the features. In addition, the technical solutions between various embodiments can be combined with each other, but it must be based on the ability of those of ordinary skill in the art to implement. When the combination of technical solutions results in contradictions or cannot be implemented, it should be considered that such a combination of technical solutions does not exist and is not within the scope of protection required by the present utility model.

[0028] In the prior art, for the treatment of vaginal wounds, mainly the medical staff use their left hand to spread open the vagina to expose the wound and the right hand to suture. For relatively severe and complex wounds inside the vagina, additional assistants are required to use vaginal retractors to expand the vagina to provide an operating space. However, the use of vaginal retractors will cause strong discomfort to the patient, and at the same time, it is easy to have the problem that the wound is not fully exposed, resulting in a long suture time and an unsatisfactory suture effect.

[0029] Based on the above problems in the prior art, the present utility model provides a vaginal wound exposer, as Figure 1As shown, the vaginal wound exposing device includes: a shell 100, the shell 100 is in the shape of a truncated cone, the interior of the shell 100 is provided with an operating cavity 110 penetrating through the two bottom surfaces of the shell 100, and a clearance groove 120 is provided on the side wall of the shell 100. The clearance groove 120 is set along the bottom edge with a larger diameter to the upper and middle part of the shell 100, and the clearance groove 120 is used to expose the vaginal wound.

[0030] The utility model provides a truncated cone-shaped shell 100 and a clearance groove 120 on the side wall of the shell 100. When suturing a vaginal wound, the vagina can be opened by the shell 100 to expose the wound in the clearance groove 120 for suturing. During the operation, the shell 100 can be rotated to check and operate on the wound sites in the vagina one by one. The supporting effect of the shell 100 can provide a better operating space, avoid pulling the vagina to cause discomfort to the patient, and effectively improve the suturing efficiency and suturing effect.

[0031] In the above embodiment, if Figure 1 As shown, the main body of the vaginal wound exposure device of the utility model is a shell 100. When specifically set, the shell 100 is set in a truncated cone shape, and its interior is hollow. For the convenience of the specification, the hollow part in the shell 100 is called an operation chamber 110 in the following embodiments. The shell 100 is made of non-toxic and harmless materials. When actually used, it is used to be set inside the patient's vagina to form a support for the inner wall of the vagina. The operation chamber 110 is used to provide an operating space for medical staff. In this embodiment, in order to realize the exposure of the internal vaginal wound, A clearance groove 120 is provided on the side wall of the shell 100. The clearance groove 120 is hollowed out and extends along the edge of the bottom surface with a larger diameter on the shell 100 to the upper and middle part of the shell 100, that is, the corresponding part of the bottom surface with a smaller diameter on the shell 100 is still connected, and the overall shape of the shell 100 can be maintained, while the clearance groove 120 can expose the wound part in the patient's vagina. In actual operation, medical staff can rotate the shell 100 to make the clearance groove 120 correspond to different parts in the patient's vagina, thereby achieving suturing of the circumferential wound inside the vagina.

[0032] In this embodiment, according to the different locations of the wound inside the patient's vagina, multiple models of vaginal wound exposers can be preset, wherein the multiple models specifically refer to the differences in the diameter of the shell 100 being divided into multiple models, the differences in the length of the shell 100 being divided into multiple models, and the differences in the depth of the give way groove 120 being divided into multiple models. This application does not limit this, and technical personnel in this field can set it according to actual usage requirements.

[0033] In another feasible embodiment of the present utility model, during the surgical process of suturing the wound inside the patient's vagina, medical staff often also face difficulties in suturing caused by factors such as intrauterine bleeding and vaginal wall bleeding of the patient. Since the present utility model adopts a frustum-shaped housing 100, it covers part of the inner vaginal wall during actual use, thus eliminating the influence of vaginal wall bleeding on the suturing process. Regarding the influence of intrauterine bleeding of the patient on the suturing operation of medical staff, in this embodiment, as Figure 1 and Figure 2 shown, on the bottom surface of the housing 100 corresponding to the smaller diameter, there is also provided an installation ring 130. The installation ring 130 is specifically an annular structure, whose outer diameter dimension is adapted to the bottom surface of the housing 100 with a smaller diameter. An inner hole is provided inside it. When the installation ring 130 is actually arranged, it is arranged at a predetermined angle. This predetermined angle can be an obtuse angle with the outer wall of the housing 100, so that the installation ring 130 is arranged in the form of a convex head, or the installation ring 130 can be a plane. Correspondingly, in this embodiment, the vaginal wound exposer further includes a hemostatic member 200. The hemostatic member 200 is used to stop the intrauterine bleeding of the patient to ensure a suitable suturing environment. During actual use, as Figure 3 shown, the hemostatic member 200 is detachably arranged on the installation ring 130. Before the operation, medical staff fix the hemostatic member 200 on the installation ring 130. When the housing 100 is inserted into the patient's vagina, the installation ring 130 corresponds to the patient's cervical part, and the hemostatic member 200 abuts against the cervical part, which can achieve a certain hemostatic effect or block the bleeding, thereby creating a better suturing environment.

[0034] In this embodiment, the hemostatic member 200 can specifically use vaginal gauze, hemostatic cotton, hemostatic gauze, etc. in the prior art, and can be used in combination with applying hemostatic agents or used independently. The present application does not limit this, but it should be noted that the hemostatic member 200 should be made of flexible materials to facilitate the installation of the hemostatic member 200 on the installation ring 130 and other operations (as described below).

[0035] Based on the above embodiment, in a specific embodiment of the present utility model, as Figure 1 and Figure 3 shown, when the above-mentioned hemostatic member 200 is actually installed, the hemostatic member 200 is wound into an annular structure and sleeved in the inner hole of the installation ring 130. One end of the hemostatic member 200 is detachably connected to the installation ring 130, and the other end of the hemostatic member 200 abuts against the inner wall of the housing 100. After the housing 100 is inserted into the predetermined position in the patient's vagina, the part of the hemostatic member 200 connected to the installation ring 130 corresponds to the circumference of the cervical orifice. At this time, as Figure 4As shown, medical staff can bend a part of the hemostatic member 200 located in the operation cavity 110 towards the inner hole of the mounting ring 130 through tools such as curved forceps, so that this part of the hemostatic member 200 forms a seal for the inner hole of the mounting ring 130, thereby compressing and stopping bleeding at the cervical orifice of the patient, achieving a further effect of preventing blood from flowing.

[0036] In this embodiment, since one end of the hemostatic member 200 is detachably connected to the mounting ring 130, that is, the hemostatic member 200 and the mounting ring 130 are fixedly connected during use, it is also possible to avoid the situation where the hemostatic member 200 remains in the vagina after the operation, achieving a better anti-fooling effect and ensuring the surgical safety of the patient.

[0037] In another feasible embodiment of the present utility model, the above-mentioned mounting ring 130 and the housing 100 can also be set as a detachable connection structure. For example, a plurality of tenons are arranged at intervals on the outer circumferential side of the mounting ring 130, and a slot structure adapted to the tenons is arranged on the inner side of the bottom surface with a smaller diameter of the housing 100. With such a setting, when installing the hemostatic member 200, the hemostatic member 200 can be first combined with the mounting ring 130, and then the mounting ring 130 is pushed in from one side of the bottom surface with a larger diameter of the housing 100 until it forms a snap connection at one end of the bottom surface with a smaller diameter for use. One advantage of such a setting is that it is convenient for medical staff to install the hemostatic member 200, and at the same time, further binding can be carried out when specifically using vaginal gauze or the like as the hemostatic member to prevent the hemostatic member from falling off from the mounting ring 130.

[0038] Based on the above embodiments, more specifically, as Figure 1 and Figure 2 shown, the detachable structure of the above-mentioned mounting hole and the hemostatic member 200 can be specifically set as follows: a plurality of engaging holes 131 are arranged on the circumference of the mounting ring 130, and one side of the engaging hole 131 is communicated with the inner hole of the mounting ring 130, so that a plurality of engaging structures are formed in the mounting ring 130. Since the hemostatic member 200 is made of a flexible material, during installation, medical staff can use tools such as tweezers to circumferentially engage the fabric of the hemostatic member 200 in a plurality of engaging holes 131, and then bend the end to form a structural state that fits the mounting ring 130. After the housing 100 enters the patient's vagina, when medical staff bend other parts of the hemostatic member 200 to the inner hole of the mounting ring 130, the engaging effect of the engaging holes 131 on the hemostatic member 200 is further stabilized. Therefore, the situation where the hemostatic member 200 falls off from the mounting ring 130 can be effectively avoided, facilitating the medical staff to remove the hemostatic member 200 after the operation.

[0039] In another embodiment, another installation method can be used, that is, a bonding layer is provided on the side of the mounting ring 130 away from the operating chamber 110, and the bonding layer is specifically a double-sided adhesive tape, which can be detachably bonded to the mounting ring 130 and the hemostatic member 200. In actual use, the bonding layer is provided on the mounting ring 130 in advance, and after the hemostatic member 200 is wound and sleeved on the inner hole of the mounting ring 130, the end of the hemostatic member 200 is bent to form a Figure 1 In the style shown, the bent portion contacts the bonding layer and forms a stable fit, thereby achieving the same fixing effect as in the above embodiment.

[0040] In the above two embodiments, after completing the suturing operation, the medical staff takes out the shell 100 and disassembles the hemostatic device 200 for centralized anti-infection treatment. At the same time, the shell 100 can be cleaned and disinfected for next use. In some embodiments, the shell 100 can also be used as a disposable tool.

[0041] In the above embodiment, in order to prevent the housing 100 and the mounting ring 130 from falling off during actual use, resulting in the hemostatic member 200 and the mounting ring 130 being left inside the patient's vagina, in this embodiment, the mounting ring 130 and the housing 100 are preferably made in an integrated manner. In addition, in the specific setting, it is also preferred that the mounting ring 130 and the housing 100 are made of elastic materials, such as silicone, rubber and other materials. The advantage of such a setting is that it is convenient for medical staff to hold and deform the housing 100 so as to smoothly sleeve the housing 100 in the vagina, and at the same time, it also avoids stress compression on the skin in the vagina, reducing the discomfort of the patient. On the other hand, the outer wall of the housing 100 should be smoothly set so that the medical staff can rotate the housing 100 during the surgical operation so that the clearance groove 120 corresponds to the inner wall of the vagina at different parts. The smooth outer wall of the housing 100 can reduce friction to reduce the pain of the patient.

[0042] In the above embodiment, the utility model does not limit the specific material of the shell 100, but it should be noted that the shell 100 should be made of waterproof material to avoid damage to the shell 100 due to blood or blood infiltration affecting the operating vision of medical staff.

[0043] In the above embodiment, the corner portion of the paving groove 120 should be smoothly transitioned, specifically including the corresponding portion between the paving groove 120 and the bottom surface of the shell 100, and the corresponding portion of the paving groove 120 in the upper middle portion of the shell 100. The smooth transition setting means that these portions are rounded to a certain size to avoid clamping the patient's vaginal flesh when the shell 100 is rotated, thereby avoiding discomfort to the patient caused by the operation.

[0044] Based on the above embodiments, the actual use process of the vaginal wound exposure device of the utility model is as follows:

[0045] First, if Figure 1 and Figure 3 As shown, the medical staff prepares the shell 100 and the hemostatic component 200, and wraps the hemostatic component 200 around the inside of the mounting ring 130, so that one end of the hemostatic component 200 is bent and fits against one side of the mounting ring 130, and the other end of the hemostatic component 200 abuts against the inner wall of the shell 100.

[0046] The installed vaginal wound exposing device is then inserted into the patient's vagina so that one end of the mounting ring 130 of the shell 100 abuts against the corresponding cervical opening of the patient. Then, surgical tools such as tweezers are used to bend the hemostatic component 200 in the shell 100 so that it accumulates toward the inner hole of the mounting ring 130, thereby forming a blockage and compression hemostasis for the patient's cervical opening, thereby providing a suitable environment for the suturing operation.

[0047] Finally, the shell 100 is rotated to determine the wound position and perform suturing through the corresponding position of the groove 120 and the inner wall of the patient's vagina. Due to the operating cavity 110 formed by the supporting effect of the shell 100 and the bleeding-blocking effect of the hemostatic element 200, medical staff can obtain a better operating field of view and operating space, which can improve the efficiency of medical staff in suturing wounds and reduce the discomfort of patients during the operation.

[0048] Based on the above embodiments, the utility model also provides a surgical auxiliary instrument, which includes the vaginal wound exposure device described in the above embodiments, and the vaginal wound exposure device includes: a shell, the shell is in the shape of a truncated cone, the interior of the shell is provided with an operating cavity that penetrates the two bottom surfaces of the shell, and the side wall of the shell is provided with a clearance groove, which is provided along the bottom edge with a larger diameter to the middle and upper part of the shell, and the clearance groove is used to expose the vaginal wound. The utility model provides a truncated cone-shaped shell and a clearance groove on the side wall of the shell. When suturing the vaginal wound, the vagina can be opened by the shell, so that the wound is exposed in the clearance groove for suturing. During the operation, the shell can be rotated to check and operate the wound sites in the vagina one by one. It can not only provide a better operating space through the supporting effect of the shell, but also avoid pulling the vagina to cause discomfort to the patient, which can effectively improve the suturing efficiency and suturing effect.

[0049] In summary, the utility model provides a vaginal wound exposure device and a surgical auxiliary instrument, wherein the vaginal wound exposure device comprises: a shell, the shell is in the shape of a truncated cone, the interior of the shell is provided with an operating cavity penetrating the two bottom surfaces of the shell, and the side wall of the shell is provided with a clearance groove, which is provided along the bottom edge with a larger diameter to the middle and upper part of the shell, and the clearance groove is used to expose the vaginal wound. The utility model provides a truncated cone-shaped shell and a clearance groove on the side wall of the shell. When suturing the vaginal wound, the vagina can be opened by the shell, so that the wound is exposed in the clearance groove for suturing. During the operation, the shell can be rotated to check and operate the wound sites in the vagina one by one. It can provide a better operating space through the supporting effect of the shell, and can avoid pulling the vagina to cause discomfort to the patient, which can effectively improve the suturing efficiency and suturing effect.

[0050] It should be understood that the application of the present invention is not limited to the above examples. For ordinary technicians in this field, improvements or changes can be made according to the above description. All these improvements and changes should fall within the scope of protection of the claims attached to the present invention.

Claims

1. A vaginal wound exposure device, characterized in that: The vaginal wound exposure device comprises: The shell is in the shape of a truncated cone, and an operating cavity penetrating the two bottom surfaces of the shell is arranged inside the shell. A clearance groove is arranged on the side wall of the shell, and the clearance groove is arranged along the bottom edge with a larger diameter to the middle and upper part of the shell, and the clearance groove is used to expose the vaginal wound.

2. The vaginal wound exposure device according to claim 1, characterized in that: A mounting ring is provided on the bottom surface of the shell corresponding to the smaller diameter, and the mounting ring is arranged along a predetermined angle and is fixedly connected to the shell; The vaginal wound exposure device also includes a hemostatic component, which is detachably arranged on the mounting ring.

3. The vaginal wound exposure device according to claim 2, characterized in that: The hemostatic piece is a flexible pad, which is sleeved in the inner hole of the mounting ring. One end of the hemostatic piece is detachably connected to the mounting ring, and the other end of the hemostatic piece is abutted against the inner wall of the shell.

4. The vaginal wound exposure device according to claim 3, characterized in that: A plurality of engaging holes are arranged around the mounting ring, one side of the engaging hole is connected to the inner hole of the mounting ring, and the hemostatic element is engaged with the engaging hole along the inner hole of the mounting ring.

5. The vaginal wound exposure device according to claim 3, characterized in that: A bonding layer is provided on the side of the mounting ring facing away from the operating cavity, and the bonding layer is detachably bonded to the mounting ring and the hemostatic element.

6. The vaginal wound exposure device according to claim 2, characterized in that: The mounting ring is integrally formed with the housing.

7. The vaginal wound exposure device according to claim 2, characterized in that: The shell is an elastic shell.

8. The vaginal wound exposure device according to claim 1, characterized in that: The outer wall of the shell is smoothly arranged, and the shell is a waterproof shell.

9. The vaginal wound exposure device according to claim 1, characterized in that: The corners of the relief grooves are smoothly transitioned.

10. A surgical assisting instrument, characterized in that: The surgical auxiliary instrument includes the vaginal wound exposure device described in any one of claims 1-9.

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