Examination device for gynecological examination of uterine prolapse patient

Abstract

The utility model relates to the technical field of gynecologic examination, in particular to an examination device for gynecologic examination of uterine prolapse patients, which comprises a holding handle and a fixing shaft, the holding handle is positioned at the lower end of the examination device, an adjusting component is sleeved outside the holding handle, the top end of the holding handle is fixedly connected with a lower blade, and the lower blade is fixedly connected with the fixing shaft. When the vaginal prolapse detector is used, the included angle between the upper blade and the lower blade is 10 degrees, the opening angle of the upper blade and the lower blade of the detector can be adjusted by pushing the sliding sleeve according to different prolapse degrees and vaginal widths, the lower blade is provided with scales, and the vaginal prolapse detector can be used for accurately measuring the prolapse degrees of the vaginal wall, the vaginal top end and the cervix uteri. After the inspector is taken out, the vulva can be measured through the scale surface, the length of the vaginal fissure, the length of the perineum body and the total length of the vagina can be accurately measured, the difference caused by the fact that an inspector estimates numerical values through visual inspection clinically at present is reduced, and therefore pelvic organ prolapse indexing is accurately carried out, and a follow-up treatment scheme is guided.

Description

TECHNICAL FIELD

[0001] The utility model relates to gynecological examination technical field especially, a kind of for gynecological examination of uterine prolapse patient's examiner. BACKGROUND

[0002] Vaginal examiner is the medical instrument commonly used in gynecological screening or gynecological disease examination. The traditional vaginal examiner is mostly duck-billed two-wing vaginal dilator. The examiner of this structure is not good for the view of clinical doctors when using, especially for severe uterine prolapse patients. In addition, the internationally recognized POP-Q quantitative grading method is needed for pelvic organ prolapse patients in the present clinic, that is, the distance from two anatomical points of the anterior and posterior vaginal walls and the top of the vagina to the hymen is measured to define the degree of prolapse, and the length of the vaginal slit, the length of the perineal body and the total length of the vagina are also measured. The measurement values are expressed in centimeters. POP-Q grading method requires that different individuals use a 3x3 table to record the above measurement values first, and then objectively reflect the specific values of each part of the pelvic organ prolapse changes. However, the current clinical doctors mostly estimate the distance by visual observation, which has large subjective differences and affects the accuracy of prolapse grading. Therefore, we propose a kind of examiner for gynecological examination of uterine prolapse patients. SUMMARY

[0003] To solve the above problems, the utility model provides an examiner for gynecological examination of uterine prolapse patients to more accurately solve the above problems.

[0004] The utility model realizes the following technical scheme:

[0005] The utility model provides an examiner for gynecological examination of uterine prolapse patients, which comprises a holding handle and a fixed shaft. The holding handle is located at the lower end of the examiner. An adjusting assembly is externally sleeved on the holding handle. A lower leaf is fixedly connected to the top end of the holding handle. A limiting assembly is arranged on the upper side of the holding handle.

[0006] The adjusting assembly comprises a push sliding sleeve. A fixed block is fixedly installed on the top of the push sliding sleeve.

[0007] The limiting assembly comprises an upper leaf. The right end of the upper leaf has a protrusion. Fixed shafts are rotatably connected to the protrusion. The fixed shafts are fixedly connected to the corresponding fixed blocks by penetrating the protrusion. The limiting assembly can rotate around the fixed shaft. The upper leaf is fixedly connected to a clamping plate through the protrusion.

[0008] Further, a fixed tooth is arranged on the side of the push sliding sleeve close to the clamping plate.

[0009] Further, the pushing teeth are arranged on the outer side of the holding handle close to the fixing teeth, and the pushing teeth with opposite directions are arranged on the inner wall of the pushing sleeve corresponding to the positions of the pushing teeth.

[0010] Further, the maximum opening angle of the lower leaf and the upper leaf is 10°.

[0011] Further, the upper half of the pushing sleeve is a U-shaped hollow structure, and the lower half of the pushing sleeve is a sleeve.

[0012] Further, the upper half of the clamping plate is also a U-shaped hollow structure, and the lower half of the clamping plate is provided with a plurality of clamping teeth close to the side surface of the holding handle, and the clamping teeth and the fixing teeth can be clamped and fixed with each other.

[0013] Further, the outer shape of the upper leaf and the lower leaf is half of a duckbill shape, and the front and rear outer surfaces of the lower leaf are provided with scales.

[0014] Further, the contact positions of the upper leaf and the lower leaf with the patient are treated by chamfering.

[0015] The beneficial effects of the utility model are as follows:

[0016] 1. The utility model provides an examiner for gynecological examination of uterine prolapse patients, when using, the angle between the upper leaf and the lower leaf is 10°, the U-shaped hollow structure ensures a larger examination field of view, according to different prolapse degrees and the width of the vagina, the opening angle of the upper leaf and the lower leaf of the examiner can be adjusted through the pushing sleeve, especially for patients with severe vaginal wall prolapse and uterine prolapse, the field of view can be better exposed, and the examination of doctors is facilitated.

[0017] 2. The utility model provides an examiner for gynecological examination of uterine prolapse patients, the front and rear outer surfaces of the lower leaf are provided with scales, the length of the vaginal wall and the cervical prolapse and the vulva can be accurately measured and systematically described and recorded, which is helpful for accurately performing POP-Q grading and guiding subsequent treatment. DRAWINGS

[0018] Figure 1 It is a front structure schematic view of the utility model;

[0019] Figure 2 It is a back structure schematic view of the utility model;

[0020] Figure 3 It is an upper leaf structure schematic view of the utility model;

[0021] Figure 4 It is a lower leaf structure schematic view of the utility model.

[0022] The signs are as follows:

[0023] 1, holding handle; 2, lower lobe; 3, push sliding sleeve; 4, fixed block; 5, upper lobe; 6, clamping plate; 7, fixed shaft; 8, fixed tooth; 9, clamping tooth; 10, push tooth. DETAILED DESCRIPTION

[0024] In order to more clearly and completely illustrate the technical scheme of the utility model, the utility model will be further described below with reference to the drawings.

[0025] Please refer to Figure 1 Figure 4 The utility model provides a kind of for gynecological examination of uterine prolapse patient's examiner, including holding handle 1 and fixed shaft 7, holding handle 1 is located at the lower end of examiner, it is convenient for doctor to hold when using, the shape design of handle meets the ergonomic principle, there is certain camber, and hand part is equipped with texture or rubber coating, increase friction, so that doctor can hold examiner more firmly, prevent examiner from slipping from hand in the operation process, holding handle 1 is externally equipped with adjusting assembly, the top of holding handle 1 is fixedly connected with lower lobe 2, the external shape of lower lobe 2 is half of duckbill shape, its camber is designed according to human vagina shape, edge is generally relatively smooth, avoid to cause damage and harm to human in examination process, the inside of lower lobe 2 is concave arc, it is convenient for doctor to obtain greater visual field range and examination space when examining, more conducive to the observation to the part to be examined, understand illness, holding handle 1 upper side is equipped with limiting assembly.

[0026] The front and rear outer surfaces of lower lobe 2 are equipped with scale, the front end arc-shaped end of lower lobe 2 is not equipped with scale, the scale number on lower lobe 2 is the scale that continues front end length after calculating the length of front end, when examining pelvic organ prolapse patient, the length of vagina wall and cervix prolapse and vulva can be measured and recorded respectively, and pelvic organ prolapse is graded objectively and accurately, to guide subsequent treatment plan.

[0027] Adjusting assembly, including push sliding sleeve 3, push sliding sleeve 3 top is fixedly installed with fixed block 4, the upper half of push sliding sleeve 3 is U-shaped hollow structure, the lower half of push sliding sleeve 3 is sliding sleeve, can slide on holding handle 1, to facilitate doctor to adjust examiner, not to block the examination visual field of doctor, convenient for doctor to observe.

[0028] ​The limiting assembly comprises an upper leaf 5, the outer shape of the upper leaf 5 is also half of a duckbill shape, the curvature is matched with the shape of a human vagina, the edge is smooth, and a certain closed structure can be formed with the lower leaf 2, the right end of the upper leaf 5 has a protrusion, the protrusion part is rotationally connected with a fixing shaft 7 respectively, the fixing shaft 7 is fixedly connected with the corresponding fixing block 4 through the protrusion, the limiting assembly can rotate around the fixing shaft 7, the upper leaf 5 is fixedly connected with a clamping plate 6 through the protrusion, the upper half of the clamping plate 6 is also a U-shaped hollow structure, and the lower half of the clamping plate 6 is provided with a plurality of clamping teeth 9 close to the side surface of the holding handle 1.

[0029] The side surface close to the clamping plate 6 of the outer part of the push sleeve 3 is provided with a fixing tooth 8, and the fixing tooth 8 can be clamped and fixed with the clamping tooth 9.

[0030] The outer side surface close to the fixing tooth 8 of the holding handle 1 is provided with a push tooth 10, and the inner wall of the push sleeve 3 is provided with a push tooth 10 with opposite directions and corresponding curvature at the position corresponding to the push tooth 10, and the push tooth 10 on the inner wall of the push sleeve 3 and the push tooth 10 on the holding handle 1 can slide with each other.

[0031] When the upper and lower leaves are closed, the included angle of the lower leaf 2 and the upper leaf 5 is 0°, when the common detector is used for examination, after the upper and lower leaves enter the inside of the vagina, the angle of the upper and lower leaves of the detector is widened through the adjusting device, and the angle between the upper and lower leaves generally reaches 90°, and even can reach 130°, if the vagina of the patient is relatively tight, the upper leaf 5 cannot be opened to a large angle, otherwise the patient will feel obvious pain and discomfort, on the contrary, if the pelvic organ prolapse of the patient is serious and the vagina is relatively loose, the doctor may need to appropriately increase the included angle, so as to prevent the detector from sliding in the vagina or unable to fully open the vaginal wall to observe the internal situation, the maximum included angle of the lower leaf 2 and the upper leaf 5 of the device is only 10° when the common detector is used, and the angle of the common detector is smaller, so that the harm to the patient is minimized, and the U-shaped hollow structure at the end ensures a larger examination field of view, which is convenient for the doctor to examine and reduce the pain of the patient, reduces the harm to the patient, and ensures the physical and mental health of the patient.

[0032] In the embodiment, when in use, after the doctor cleans and disinfects the inspection device, the doctor instructs the patient to take a deep breath and exhale as much as possible, and then the doctor measures the length of the anatomical points corresponding to the vaginal wall, the top of the vagina and the cervix from the hymen by using the lower leaf 2, and if the prolapse is serious, the prolapsed organs are put back into the vagina, and then the doctor inserts the inspection device into the vagina of the patient, the doctor presses the clamping plate 6, the clamping plate 6 is pressed on the pushing sleeve 3, the fixing teeth 8 are in contact with the clamping teeth 9, the clamping plate 6 and the pushing sleeve 3 are clamped and fixed, at this time, the lower leaf 2 and the upper leaf 5 are separated, and the angle is 10°, the doctor pushes the thumb 6 and the pushing sleeve 3 to move along the direction of the holding handle 1, the pushing teeth 10 on the inner wall of the pushing sleeve 3 and the pushing teeth 10 on the holding handle 1 can slide with each other, the lower leaf 2 and the upper leaf 5 are opened, the vagina of the patient is expanded, and the cervix and the vaginal wall are exposed, so that the doctor can check conveniently.

[0033] With the doctor pushing the thumb 6 and the pushing sleeve 3 to move along the direction of the holding handle 1 for a greater distance, the inspection angle area is gradually expanded, the difference of different patients can be adapted, the doctor can observe and diagnose the inside of the vagina through the larger U-shaped hollow structure, and the angle between the upper leaf and the lower leaf is smaller, so that the vagina of the patient is not opened roughly, and the physical and mental harm of the patient is avoided.

[0034] After the inspection of the cervix and the vaginal wall is completed, the clamping plate 6 is loosened, the vagina is contracted, the lower leaf 2 and the upper leaf 5 are combined, the clamping plate 6 is lifted and separated from the clamping and fixing range of the pushing sleeve 3, the head end of the inspection device is placed at the top of the posterior fornix of the vagina, and the corresponding scale on the lower leaf 2 is read at the vaginal orifice to measure the length of the vagina. The inspection device is taken out from the vagina, the length of the urethral opening (the distance from the posterior edge of the hymen to the posterior edge of the urethral opening) and the length of the perineal body (the distance from the posterior edge of the urethral opening to the midpoint of the anus) are measured by using the scale side of the lower leaf 2, and after the inspection is completed, the inspection device is cleaned and disinfected for subsequent use.

[0035] Of course, the utility model also can have other various implementation manners, based on the embodiment, other implementation manners obtained by the ordinary skilled person in the art without any creative labor belong to the range protected by the utility model.

Claims

1. An examiner for gynecological examination of a patient with uterine prolapse, comprising a holding handle (1) and a fixation shaft (7), characterized in that: The holding handle (1) is located at the lower end of the inspector, an adjusting assembly is externally sleeved on the holding handle (1), the top end of the holding handle (1) is fixedly connected with a lower blade (2), and a limiting assembly is arranged on the upper side of the holding handle (1); The adjusting assembly comprises a push sliding sleeve (3), and the top of the push sliding sleeve (3) is fixedly installed with a fixed block (4); The limiting assembly comprises an upper blade (5), the right end of the upper blade (5) is provided with a protrusion, the protrusion is rotationally connected with fixed shafts (7) respectively, the fixed shafts (7) are fixedly connected with corresponding fixed blocks (4) penetrating through the protrusion, the limiting assembly can rotate around the fixed shafts (7), and the upper blade (5) is fixedly connected with a clamping plate (6) through the protrusion.

2. An examiner for gynecological examination of a patient with uterine prolapse according to claim 1, characterized in that: One side of the push sliding sleeve (3) close to the clamping plate (6) is provided with a fixed tooth (8).

3. An examiner for gynecological examination of a patient with uterine prolapse according to claim 1, characterized in that: The outer side of the holding handle (1) close to the fixed tooth (8) is provided with a push tooth (10), and the inner wall of the push sliding sleeve (3) is provided with a push tooth (10) with opposite direction corresponding to the push tooth (10).

4. An examiner for gynecological examination of a patient with uterine prolapse according to claim 1, characterized in that: The maximum opening angle of the lower blade (2) and the upper blade (5) is 10°.

5. An examiner for gynecological examination of a patient with uterine prolapse according to claim 1, characterized in that: The upper half of the push sliding sleeve (3) is a U-shaped hollow structure, and the lower half of the push sliding sleeve (3) is a sliding sleeve.

6. An examiner for gynecological examination of a patient with uterine prolapse according to claim 1, characterized in that: The upper half of the clamping plate (6) is also a U-shaped hollow structure, the lower half of the clamping plate (6) is provided with a plurality of clamping teeth (9) close to the side surface of the holding handle (1), and the clamping teeth (9) and the fixed tooth (8) can be clamped and fixed.

7. An examiner for gynecological examination of a patient with uterine prolapse according to claim 1, characterized in that: The external shapes of the upper blade (5) and the lower blade (2) are both half of duckbill shapes, and the front and rear outer surfaces of the lower blade (2) are both provided with scales.

8. An examiner for gynecological examination of a patient with uterine prolapse according to claim 7, characterized in that: The contact positions of the upper blade (5) and the lower blade (2) with the patient are all treated by chamfering.

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