81 results about "Uterine manipulator" patented technology

The present invention relates to a uterine manipulator comprising at least (i) a handle (1) which has a longitudinal axis (10), (ii) an arm (2) which also has a longitudinal axis (20) with a distal end (21) connecting it to the handle (1) and a proximal end (22), and (iii) a head (3) which has a longitudinal axis (30) and which is attached to the proximal end (22) of the arm (2), the shape and length of said arm (2) being sufficient to allow the head (3) of said arm to be introduced into the vaginal cavity, characterized in that said head (3) is provided with a sectioning device (4) arranged on a support (5), allowing the vaginal wall to be sectioned, this sectioning device (4) being arranged at a certain distance from the longitudinal axis (30) of the head (3) and being able to perform a rotating movement, preferably of 360 degrees, about said longitudinal axis (30).

A uterine manipulator includes a sound and a body. The sound has a selectively actuatable anchor disposed proximate a distal end and an operating mechanism spaced from the anchor for controlling actuation of the anchor. The body has a passage therethrough adapted to receive the sound passed proximally through the body to a position in which the operating mechanism is accessible proximally of the body and the anchor extends distally.

A uterine manipulator designed to perform a total laparoscopic hysterectomy in an easy, safe and effective manner, which simplifies the surgical procedure by improving the anatomical angle of access to round ligaments, salpinges, utero-ovarian ligaments, broad ligaments, uterine vessels, anterior endopelvic fascia, lateral endopelvic fascia, but very especially to the posterior endopelvic fascia due to innovative design of said manipulator that allows the anteversoflexion movement of uterus. In addition, the invention moves ureters away from the risk zone when tying the uterine vessels, and protects and prevents the mobilization of the bladder and rectum, as a result of improving the angle of access. Additionally, the manipulator has the advantage of being easily manageable because of the anatomical design of its handle and its strong design allows for total hysterectomy uterus, still too big and heavy uteri.

A uterine manipulator operable to detach the uterus and cervix from the vagina. The uterine manipulator includes a shaft with a first end and a second end, a handle coupled to the first end, and a tip assembly coupled to the second end and adapted for insertion into the uterus. The uterine manipulator also includes a cutting assembly coupled around the shaft and adapted to receive the cervix when the tip assembly is inserted into the uterus. The cutting assembly includes a cup portion and a cutter wire. The cup portion is configured to be positioned at a juncture between the cervix and the vagina and includes with two grooves around its circumference. The cutter wire is configured to be positioned between the two grooves when in a stored position, and then pulled from between the two grooves through tissue at the juncture to cut the tissue.

A uterus manipulator includes a shank, in which a hollow probe is guided, whose distal end section is envisaged and designed for introduction into a uterus through the cervical canal. A handle is provided on the proximal side. A distally open bell and a vaginal seal, arranged proximally displaced thereto, as well as a suction channel which connects to at least one suction opening in the distal end section, are provided for receiving a cervix. The bell is designed as a suction bell, wherein at least one suction channel runs into the bell.

A medical instrument, especially a uterus manipulator, comprises a shaft, an actuator movable relative to said shaft in order to move a tool and a locking device to lock the actuator relative to the shaft. It is now proposed that the locking device comprises a clamping element which is slidably arranged therein.

The present invention relates to postpartum uterine manipulators and methods of use thereof. According to certain embodiments of the invention, the devices generally comprise (a) a primary shaft having a proximal end and a distal end, and which encapsulates an interior shaft; (b) a handle located at the proximal end of the primary shaft, which comprises a ratchet, two fixed rings and a movable thumb piece coupled to the interior shaft; and (c) a tip located at the distal end of the primary shaft, which comprises multiple sections connected by joints that forms a triangular configuration when in an open position.

A uterine manipulator includes a sound and a body. The sound has a selectively actuatable anchor disposed proximate a distal end and an operating mechanism spaced from the anchor for controlling actuation of the anchor. The body has a passage therethrough adapted to receive the sound passed proximally through the body to a position in which the operating mechanism is accessible proximally of the body and the anchor extends distally.

An inter-vaginal device for performing a uterine suspension includes a rigid body for manipulating the uterus and implanting a suspension member, such as a mesh, for securing the uterus to an anchoring site (e.g., into a pelvic muscle or ligament). In one embodiment, a method includes inserting at least a portion of a uterine suspension member through an anterior or posterior vaginal incision. An end of the suspension member is anchored to a selected portion of a pelvic tissue. At least a portion of the suspension member is attached to a vaginal apex. A uterine manipulator is advanced in a direction toward the selected portion of the pelvic tissue such that at least a portion of a uterus is moved upward.

Provided are uterine manipulators comprising in combination: a vaginal occlusion portion comprising a resilient deformable member (e.g., bulb, cone, cylinder, etc.) having a channel therethrough having a proximal opening sized to fit, during use of the device, snuggly against a manipulation rod or tube, and a relatively larger distal opening suitable to provide for angular and / or rotational movement of the rod or tube passing through the member via the distal and proximal openings while minimizing movement of the vaginal occlusion member when the tube is subjected to manipulation, and wherein the member is suitably configured to fit snugly against the contours of an inner vaginal tissue surface; and a cervical fitting portion which is securable to the cervix. Also provided are surgical methods using said elements to provide for a snug fit with the cervix while sealing the vagina, wherein maintaining abdominal insufflation during surgery is afforded.

A vaginal cervical retractor used to maneuver and visualize the uterus during various medical examinations and procedures would include an inner tube provided with a movable assembly of plastic cups (cervical cup and vaginal cup) designed to be inserted into the uterine cavity and a retractable electrosurgical needle. A cervical cup is molded to a hollow outer shaft to form the movable cup assembly. This hollow shaft is provided through which the inner tube can be inserted. By utilizing a vaginal cervical retractor elevator provided with an inner rigid tubing, freely sliding vaginal cup and cervical cup designed to move on the inner tubing, attached to a hollow, plastic outer shaft into which the inner tubing can be inserted, and a retractable, flexible, electrosurgical needle, the colpotomy procedure can be performed with the improved uterine manipulator.

A cup-like structure for engaging a cervix of a patient includes a rim, and includes a base defining an aperture through which one or more tubular members of a uterine manipulator may extend into the uterus. The cup-like structure is made from one or more of a polyphthalamide (PPA) material and a polyetheretherketone (PEEK) material. A uterine manipulator including a cup-like structure is also disclosed.

A uterine manipulator device includes a shaft including a proximal end and a distal end, a cervical cup positioned on the shaft near the distal end, and a cutting tool. The cervical cup includes a first base and an annular wall with a rim. The cutting tool positioned along the rim of the cervical cup is rotatably coupled to the rim.

A uterine manipulator operable to detach the uterus and cervix from the vagina. The uterine manipulator includes an umbrella-like tip that creates a secure connection between the uterine manipulator and the uterus and cervix. The uterine manipulator also includes a pneumooccluder that enables rotation of the manipulator shaft while maintaining pneumoperitoneum. The uterine manipulator further includes a cutter that travels in a circle at the junction of the cervix and the vagina, permitting detachment of the uterus and cervix from the top of the vagina.

The invention discloses a self-help uterine manipulator of a laparoscope, which is convenient for a doctor to use, has simple operation and improves the work efficiency. The self-help uterine manipulator of the laparoscope comprises a base and an uterine manipulator, wherein the uterine manipulator is connected with the base and comprises a vertical rod, a main screw rod and an uterine manipulation screw rod; one end of the vertical rod is connected with the base, the other end of the vertical rod is connected with the main screw rod, the front end of the main screw rod is connected with the uterine manipulation screw rod by a universal rotating shaft, and an uterine neck plug or an uterine neck cup are sleeved on the uterine manipulation screw rod. Compared with the prior art, the invention has the advantages that the uterine manipulator is fixed on the uterus of a patient by adopting the base, the first screw rod and the second screw rod, the position of the uterus is moved to expose a visual field by regulating a fixing sleeve or a direction regulating rod, and the self-help uterine manipulator is beneficial to pelvic cavity, uterus or adnexa operation, is operated by a laparoscope holder of a laparoscope operation, is used for controlling the position of the uterus, has simple operation, is not needed to be controlled by specific persons, can save manpower and operation time and improve the work efficiency.

A uterine manipulator includes a sound and a body. The sound has a selectively actuatable anchor disposed proximate a distal end and an operating mechanism spaced from the anchor for controlling actuation of the anchor. The body has a passage therethrough adapted to receive the sound passed proximally through the body to a position in which the operating mechanism is accessible proximally of the body and the anchor extends distally.

A vaginal cervical retractor used to maneuver and visualize the uterus during various medical examinations and procedures would include an inner tube provided with a movable assembly of plastic cups (cervical cup and vaginal cup) designed to be inserted into the uterine cavity and a retractable electrosurgical needle. A cervical cup is molded to a hollow outer shaft to form the movable cup assembly. This hollow shaft is provided through which the inner tube can be inserted. By utilizing a vaginal cervical retractor elevator provided with an inner rigid tubing, freely sliding vaginal cup and cervical cup designed to move on the inner tubing, attached to a hollow, plastic outer shaft into which the inner tubing can be inserted, and a retractable, flexible, electrosurgical needle, the colpotomy procedure can be performed with the improved uterine manipulator.

A uterine manipulator is described that includes an elongated, hollow shaft having a proximal end and a distal end. The hollow shaft defines a channel and has a non-opaque distal tip. A handle is positioned on a proximal portion of the shaft and an inflatable balloon is supported on a distal portion of the shaft. The inflatable balloon is transitional from a deflated state to an inflated state. A cervical cup is movably positioned along the shaft from a distal position to a proximal position. The channel of the shaft is dimensioned to receive an endoscope to facilitate visualization of a body lumen through the non-opaque distal tip of the shaft. In embodiments, the cervical cup defines a rim that is positioned to abut the inflatable balloon when the cervical cup is in its distal position. The rim includes a plurality of distally facing lights that function to identify placement of the cervical cup in relation to the cervix.

A uterine manipulator operable to detach the uterus and cervix from the vagina. The uterine manipulator includes a shaft with a first end and a second end, a handle coupled to the first end, and a tip assembly coupled to the second end and adapted for insertion into the uterus. The uterine manipulator also includes a cutting assembly coupled around the shaft and adapted to receive the cervix when the tip assembly is inserted into the uterus. The cutting assembly includes a cup portion and a cutter wire. The cup portion is configured to be positioned at a juncture between the cervix and the vagina and includes with two grooves around its circumference. The cutter wire is configured to be positioned between the two grooves when in a stored position, and then pulled from between the two grooves through tissue at the juncture to cut the tissue.

A uterine manipulator comprising a mobilization rod comprising a central tubular body connected in an articulated manner at one end to a first control grip and at the other end to a screw and means for transmitting commands from said first control grip to said screw and a complementary unit comprising a sleeve suitable for being associated coaxially and slidingly with said central tubular body of said mobilization rod, for guiding its movement, wherein the complementary unit has a sectioning device positioned at a distal end of the sleeve, which sectioning device is selected from the group comprising a knife-blade and an ultrasonic cutter.

The invention relates to a medical instrument, in particular to a cup-adjustable uterine manipulator. The cup-adjustable uterine manipulator comprises a uterine manipulator cup, a guide rod and a hollow operating rod connected with the uterine manipulator cup, wherein the uterine manipulator cup consists of at least two blades distributed along the same circumference; the middle of each blade in the axial direction is hinged to a support frame; the lower end of each blade is hinged to a hollow adjusting rod; the hollow adjusting rod moves up and down to drive each blade to rotate around the support frame and is arranged in the inner chamber of the operating rod; and the guide rod penetrates the inner chamber of the adjusting rod to be connected with the support frame and can move up and down along the inner chamber of the adjusting rod. According to the cup-adjustable uterine manipulator, the adjusting rod moves up and down to drive the lower ends of the blades to move and to enable the blades to rotate around the fixed axis, so that the blades are stretched or gathered to realize adjustment of the cup size, and the purpose that the uterine manipulator is suitable for different cervical diameters is achieved.

Exemplary embodiments of the present invention comprise a laparoscopic uterine manipulator device assembly. The laparoscopic uterine manipulator assembly comprises a laparoscopic control device configured for insertion into the abdomen-pelvic cavity of a patient. The laparoscopic uterine manipulator assembly further comprises a uterine manipulator device, the uterine manipulator device configured for insertion and advancement through a vaginal and uterine cavity. A primary member of a device coupling mechanism of the uterine manipulator device is mechanically engaged with a secondary member of the device coupling mechanism of the laparoscopic control device, resulting in the construction of an assembly comprising the laparoscopic control device and the uterine manipulator device. Assembled, the laparoscopic uterine manipulator assembly allows an individual user to utilize the device to engage and reposition the patient's uterus in a manner that allows for the performance of a gynecological laparoscopic medical procedure for the maximum benefit of the patient.

A uterine manipulator operable to detach the uterus and cervix from the vagina. The uterine manipulator includes an umbrella-like tip that creates a secure connection between the uterine manipulator and the uterus and cervix. The uterine manipulator also includes a pneumooccluder that enables rotation of the manipulator shaft while maintaining pneumoperitoneum. The uterine manipulator further includes a cutter that travels in a circle at the junction of the cervix and the vagina, permitting detachment of the uterus and cervix from the top of the vagina.

The invention relates to a multifunctional cup type uterine manipulator which is convenient to use. The multifunctional cup type uterine manipulator comprises an inner rod, an adjustment sleeve, a uterus lifting cup and a visible device, wherein the inner rod is inserted in the adjustment sleeve, the front end of the adjustment sleeve is connected with the uterus lifting cup in a threaded mode, the inner rod is of a hollow structure, a U-shaped clamping groove is formed in the front end of the inner rod, and a pair of telescopic claw forceps is arranged in the clamping groove; a draw bar is inserted in the inner rod; the rear end of the draw bar stretches out from the rear portion of the inner rod; sealing rings allowing the draw bar to pass through are arranged at the front end and the rear end of the inner rod respectively; the visual device comprises an LED lamp, a minitype camera, a displayer, a storage battery, a connecting handle, a first electric socket and a second electric socket. According to the multifunctional visible cup type uterine manipulator, the uterus can be lifted up, pressed down, rotated and the like by stretching the telescopic claw forceps during an operation; the operation process can be monitored in real time during the operation through the visible device, in this way, operation of gynecological minimally invasive surgery is made more convenient, and both time and labor are saved.

An inter-vaginal device for performing a uterine suspension includes a rigid body for manipulating the uterus and implanting a suspension member, such as a mesh, for securing the uterus to an anchoring site (e.g., into a pelvic muscle or ligament). In one embodiment, a method includes inserting at least a portion of a uterine suspension member through an anterior or posterior vaginal incision. An end of the suspension member is anchored to a selected portion of a pelvic tissue. At least a portion of the suspension member is attached to a vaginal apex. A uterine manipulator is advanced in a direction toward the selected portion of the pelvic tissue such that at least a portion of a uterus is moved upward.

A uterine manipulator device includes: an elongated cannulated tube comprising a proximal end and a distal end; a cervical cup having a top proximal portion of a first diameter and a base distal portion of a second smaller diameter, wherein: the base distal portion includes a hole formed therein having a perimeter including a distal end and a proximal end, and including a longitudinal axis positioned therethrough; one of the proximal end of the perimeter and the distal end of the perimeter is angled away from the longitudinal axis and the other of the proximal end of the perimeter and the distal end of the perimeter is in line with the longitudinal axis; and the elongated cannulated tube is positioned through the hole in the cervical cup.

A uterine manipulator is described that includes an elongated, hollow shaft having a proximal end and a distal end. The hollow shaft defines a channel and has a non-opaque distal tip. A handle is positioned on a proximal portion of the shaft and an inflatable balloon is supported on a distal portion of the shaft. The inflatable balloon is transitional from a deflated state to an inflated state. A cervical cup is movably positioned along the shaft from a distal position to a proximal position. The channel of the shaft is dimensioned to receive an endoscope to facilitate visualization of a body lumen through the non-opaque distal tip of the shaft. In embodiments, the cervical cup defines a rim that is positioned to abut the inflatable balloon when the cervical cup is in its distal position. The rim includes a plurality of distally facing lights that function to identify placement of the cervical cup in relation to the cervix.

A uterine manipulator device includes: an elongated cannulated tube having proximal and distal ends, a cervical cup positioned on the elongated cannulated tube with a top distal portion of a first diameter and a base proximal portion of a second smaller diameter, and an occluder assembly comprising an occluder positioned proximally from the cervical cup on the elongated cannulated tube, the occluder having a body with at least one primary rib and at least two secondary ribs, wherein a diameter of at least one secondary rib is smaller than the diameter of the primary rib.

The invention relates to a medical instrument, in particular to a uterine manipulator capable of achieving accurate positioning. The uterine manipulator comprises a uterine lifting cup, a hollow operating rod and a guide rod, wherein the hollow operating rod is connected to the uterine lifting cup and the guide rod is arranged in an inner cavity of the operating rod and is capable of extending out of the uterine lifting cup; the uterine lifting cup is composed of two parts, namely an upper part and a lower part; the lower part is fixedly connected to the operating rod, and the lower part, in the axial direction of the peripheral wall thereof, is provided with a plurality of annular grooves which are spaced from each other; and the upper part includes a plurality of blades which are fixedly connected to the lower part and are spaced from each other in a circumferential direction. By virtue of the plurality of the grooves which are arranged on the uterine lifting cup, a doctor, in a cervical carcinoma lesion resection, can determine the length of vagina to be resected according to the positions of the corresponding grooves, so that a lesion can be accurately and completely resected; in addition, the operating rod is provided with two scales of which one is capable of judging the invasion depth of the operating rod and the other one is capable of judging the length of the guide rod extending into a uterine cavity. Therefore, the uterine manipulator disclosed by the invention can achieve accurate positioning by virtue of the uterine lifting cup, the operating rod and the guide rod.