Visual multi-functional in utero device for taking out of intrauterine contraceptive device (IUD) manufacture method and implement the device for taking out of intrauterine contraceptive device (IUD) of this method
Technical field
The present invention relates to the medical instruments field technology, particularly a kind of visuality multi-functional in utero device for taking out of intrauterine contraceptive device (IUD) manufacture method and implement the device for taking out of intrauterine contraceptive device (IUD) of this method.
Background technology
Intrauterine device is a kind of contraception device that is placed in the cavity of uterus, because mostly the device of initial stage use is ring-type, is intrauterine device usually.Intrauterine device disturbs less to whole body, act on the part, does not influence fertility after the taking-up, has safe, effective, reversible, easy, economic dispatch advantage, is one of the most frequently used birth control apparatus.Usually in the women uterus, place intrauterine contraceptive device in utero in order to practise contraception.Intrauterine device has different shape, and annulus, T type ring, triangle ring are arranged, and intrauterine device has nothing in common with each other in intrauterine position and shape, and also have nothing in common with each other standing time, and long reaches 20~30 years, and short has only 3~5 years, or shorter; The intrauterine device that has produces the incarceration phenomenon in uterine cavity, win very difficult.
The existing intrauterine contraceptive device in utero apparatus of winning comprises two kinds substantially with device: a kind of is that blind looking won intrauterine contraceptive device in utero, blindly look to win birth control bail diameter be that 3 millimeters stainless steel silks are made, its head steel wire diameter is 1.3 millimeters, the radius that has is the crotch of 1.8 millimeter, the doctor is when winning intrauterine device, entirely with its experiential operating, owing to be blind looking, in winning the intrauterine contraceptive loop process, be difficult to find intrauterine device, operating time is long, be easy to damage normal structure, even cause the perforation of uterus, then be difficult to take out for the more serious intrauterine device of incarceration, need take other means even adopt operation, bring misery to the patient.Another kind is the visual intrauterine device device of winning, though be at the visual condition work of finishing drilling, but get the Hook for removal of intrauterine device design defectiveness of ring mirror sheath head, the Hook for removal of intrauterine device design is formed by mirror sheath body at the cephalic par of mirror sheath, major defect is the too close head of Hook for removal of intrauterine device, away from the visual field of endoscope, endoscope can't see Hook for removal of intrauterine device at all, has seen intrauterine device and can't see Hook for removal of intrauterine device in operation, can not find the relative position of Hook for removal of intrauterine device and intrauterine device, thereby can't realize the visual intrauterine device operation of winning.The head that this visual another shortcoming of winning the intrauterine device device is Hook for removal of intrauterine device and mirror sheath external diameter are on sustained height, in operation, be difficult to be hooked to intrauterine device, operate very inconveniently, be difficult to guarantee safety and the effectiveness of performing the operation, very easily damage normal structure, cause accident surgery.
Summary of the invention
At above-mentioned deficiency, one of the object of the invention is, provides a kind of simple, is easy to realize and result of use is good, easy to operate, the omnidistance visual visual multi-functional in utero device for taking out of intrauterine contraceptive device (IUD) manufacture method in real time of operation.
The present invention also aims to, provide a kind of reasonable in design, easy to operate, effective raising to get the device for taking out of intrauterine contraceptive device (IUD) of the safety of annuloplasty surgery.
The present invention for achieving the above object, the technical scheme that provides is:
The multi-functional in utero device for taking out of intrauterine contraceptive device (IUD) of a kind of visuality manufacture method, it comprises the steps:
(1) according to different operation technique requirements, prepares required clamping apparatus;
(2) arranging one can stretch into intrauterine and can observe the endoscope of the situation of intrauterine device (IUD), corresponding to described endoscope be provided with one with the suitable instrument channel of the appearance profile of clamping apparatus, described clamping apparatus can stretch into intrauterine and undergos surgery by this instrument channel.
Clamping apparatus in the described step (1) is the self-locking nipper.
The manufacture method of described self-locking nipper specifically may further comprise the steps:
(1.1) fixed handle is set;
(1.2) flexible handle is set;
(1.3) back-moving spring is set;
(1.4) pull bar is set;
(1.5) sleeve pipe is set;
(1.6) binding clip is set;
(1.7) arrange one and regulate spacing ring;
(1.8) binding clip is arranged on the front end of described sleeve pipe, and the rear end of this sleeve pipe is fixed on the described fixed handle;
(1.9) described fixed handle and flexible handle are rotationally connected with steady pin;
(1.10) described pull bar is stretched in the described sleeve pipe, and its front end is linked to each other with described binding clip, tail end runs through described fixed handle and is connected with described flexible handle;
(1.11) described back-moving spring is set in the afterbody of described pull bar, and an end of this back-moving spring is conflicted on described fixed handle, the other end is conflicted on described flexible handle;
(1.12) come the adjusting spacing ring of corresponding selection respective length according to the active length of the required binding clip of operation, the adjusting spacing ring should be set on the sleeve pipe then.
Described step (2) specifically may further comprise the steps:
(2.1) a main mirror operating grip is set;
(2.2) a minisize pick-up head module is set;
(2.3) arrange one and stretch into bar;
(2.4) with the described upwards bending of front end of stretching into bar, and this tail end level that stretches into bar is prolonged, and be fixed on the described main mirror operating grip;
(2.5) described instrument channel is arranged on the bottom of described main mirror operating grip, and the tail end of this instrument channel runs through described main mirror operating grip, and front end axially runs through the described bar that stretches into, and extends to the lower position that this stretches into the front end bending place of bar; The afterbody of described instrument channel be provided with one with the suitable expansion mouth of described adjusting spacing ring;
(2.6) described minisize pick-up head module is arranged on the described upper position that stretches into the front end bending place of bar, and towards inferoanterior.
A kind of device for taking out of intrauterine contraceptive device (IUD) of implementing the multi-functional in utero device for taking out of intrauterine contraceptive device (IUD) of above-mentioned visuality manufacture method, it comprises a clamping apparatus and an endoscope, this endoscope be provided with one with the suitable instrument channel of the appearance profile of described clamping apparatus.
Described clamping apparatus is the self-locking nipper.
Described self-locking nipper comprises fixed handle, flexible handle, back-moving spring, pull bar, sleeve pipe and binding clip, this binding clip is arranged on the front end of described sleeve pipe, the rear end of this sleeve pipe is fixed on the described fixed handle, described fixed handle and flexible handle are rotationally connected with steady pin, described pull bar stretches in the described sleeve pipe, and its front end links to each other with described binding clip, tail end runs through described fixed handle and is connected with described flexible handle, described back-moving spring is set in the afterbody of described pull bar, and an end is conflicted on described fixed handle, and the other end is conflicted on described flexible handle.
Described self-locking nipper comprises that also one can regulate the adjusting spacing ring of the active length of described binding clip, and this adjusting spacing ring is set on the sleeve pipe.
Described endoscope comprises that a main mirror operating grip, a minisize pick-up head module and stretch into bar, this stretches into the upwards bending of front end of bar, the tail end level prolongs, and be fixed on the described main mirror operating grip, described instrument channel is positioned at the bottom of described main mirror operating grip, and the tail end of this instrument channel runs through described main mirror operating grip, front end axially runs through the described bar that stretches into, and extend to the lower position that this stretches into the front end bending place of bar, described minisize pick-up head module is arranged on the described upper position that stretches into the front end bending place of bar, and towards inferoanterior.
The afterbody of described instrument channel be provided with one with the suitable expansion mouth of described adjusting spacing ring, the corresponding position of regulating between spacing ring and the described fixed handle is arranged with a buffer spring on described sleeve pipe.
Beneficial effect of the present invention is: method provided by the invention is simple, is easy to realize that cost is low; Device for taking out of intrauterine contraceptive device (IUD) design provided by the invention is ingenious, rational in infrastructure, be equipped with instrument channel in endoscope, when observing the situation of intrauterine device, can also the clamping apparatus be stretched into by this instrument channel and in utero win intrauterine device or cleaning foreign body, be implemented in and to operate down according to circumstances, prevent the blind ring damage palace wall of getting down according to circumstances, effectively improve the safety of getting annuloplasty surgery, reduce the generation of malpractice; And under visibility status, operate, can shorten operating time greatly, reduce the patient suffering, simple to operate, expense is low, reduces the dependence to doctor's technology, improves accuracy and the success rate of operation; In addition, endoscope can make up and separate easily with the clamping apparatus, makes things convenient for the doctor to operate and makes things convenient for endoscope and clamping apparatus are carried out cleaning and sterilizing.
Be provided with the adjusting spacing ring, can come the adjusting spacing ring of corresponding selection respective length according to the active length of the required binding clip of operation, thereby realize that adjustment self-locking nipper stretches into the active length in the endoscope, can remind doctor and restriction clamping apparatus to stretch into intrauterine length, avoid causing the situation of the perforation of uterus, avoid the generation of accident surgery.
Simultaneously, can also prepare corresponding apparatus and carry out corresponding operation technique according to different operation technique requirements, for example: use biopsy forceps to carry out the biopsy operation.
Description of drawings
Fig. 1 is structural representation of the present invention;
Fig. 2 is the decomposition texture sketch map of Fig. 1;
Fig. 3 is the complete section structural representation of Fig. 1.
The specific embodiment
Embodiment: referring to Fig. 1 to Fig. 3, the embodiment of the invention provides the multi-functional in utero device for taking out of intrauterine contraceptive device (IUD) of a kind of visuality manufacture method, and it comprises the steps:
(1) according to different operation technique requirements, prepares required clamping apparatus 1; Clamping apparatus 1 in the described step (1) is the self-locking nipper.Easy to use, simple to operate, guarantee safety and the effectiveness of performing the operation.The manufacture method of this self-locking nipper specifically may further comprise the steps: (1.1) arrange a fixed handle 11; (1.2) flexible handle 12 is set; (1.3) back-moving spring 13 is set; (1.4) pull bar is set; (1.5) sleeve pipe 14 is set; (1.6) binding clip 15 is set; (1.7) arrange one and regulate spacing ring 16; (1.8) binding clip 15 is arranged on the front end of described sleeve pipe 14, and the rear end of this sleeve pipe 14 is fixed on the described fixed handle 11; (1.9) described fixed handle 11 and flexible handle 12 usefulness steady pins are rotationally connected; (1.10) described pull bar is stretched in the described sleeve pipe 14, and its front end is linked to each other with described binding clip 15, tail end runs through described fixed handle 11 and is connected with described flexible handle 12; (1.11) described back-moving spring 13 is set in the afterbody of described pull bar, and an end of this back-moving spring 13 is conflicted on described fixed handle 11, the other end is conflicted on described flexible handle 12; (1.12) come the adjusting spacing ring 16 of corresponding selection respective length according to the active length of the required binding clip 15 of operation, adjusting spacing ring 16 should be set on the sleeve pipe 14 then.
(2) arranging one can stretch into intrauterine and can observe the endoscope 2 of the situation of intrauterine device (IUD), corresponding to described endoscope 2 be provided with one with the suitable instrument channel 3 of the appearance profile of clamping apparatus 1, described clamping apparatus 1 can stretch into intrauterine and undergos surgery by this instrument channel 3.Described step (2) specifically may further comprise the steps: (2.1) arrange a main mirror operating grip 21; (2.2) a minisize pick-up head module 22 is set; (2.3) arrange one and stretch into bar 23; (2.4) with the described upwards bending of front end of stretching into bar 23, and this tail end level that stretches into bar 23 is prolonged, and be fixed on the described main mirror operating grip 21; (2.5) described instrument channel 3 is arranged on the bottom of described main mirror operating grip 21, and the tail end of this instrument channel 3 runs through described main mirror operating grip 21, front end axially runs through described and stretches into bar 23, and extends to the lower position that this stretches into the front end bending place of bar 23; The afterbody of described instrument channel 3 be provided with one with the suitable expansion mouth 31 of described adjusting spacing ring 16; Not only make things convenient for the operation of clamping apparatus 1, and its with the interaction of regulating spacing ring 16 under, limit clamping apparatus 1 effectively and stretch into intrauterine length, avoid causing the situation of the perforation of uterus, avoid the generation of accident surgery.(2.6) described minisize pick-up head module 22 is arranged on the described upper position that stretches into the front end bending place of bar 23, and towards inferoanterior.
A kind of device for taking out of intrauterine contraceptive device (IUD) of implementing the multi-functional in utero device for taking out of intrauterine contraceptive device (IUD) of above-mentioned visuality manufacture method, it comprises a clamping apparatus 1 and an endoscope 2, this endoscope 2 be provided with one with the suitable instrument channel 3 of the appearance profile of described clamping apparatus 1.
Described clamping apparatus 1 is the self-locking nipper.Easy to use, simple to operate, guarantee safety and the effectiveness of performing the operation.Described self-locking nipper comprises fixed handle 11, flexible handle 12, back-moving spring 13, pull bar, sleeve pipe 14 and binding clip 15, this binding clip 15 is arranged on the front end of described sleeve pipe 14, the rear end of this sleeve pipe 14 is fixed on the described fixed handle 11, described fixed handle 11 and flexible handle 12 usefulness steady pins are rotationally connected, described pull bar stretches in the described sleeve pipe 14, and its front end links to each other with described binding clip 15, tail end runs through described fixed handle 11 and is connected with described flexible handle 12, described back-moving spring 13 is set in the afterbody of described pull bar, and an end is conflicted on described fixed handle 11, and the other end is conflicted on described flexible handle 12.
Described self-locking nipper comprises that also one can regulate the adjusting spacing ring 16 of the active length of described binding clip 15, and this adjusting spacing ring 16 is set on the sleeve pipe 14.Be provided with and regulate spacing ring 16, can come the adjusting spacing ring 16 of corresponding selection respective length according to the active length of the required binding clip 15 of operation, thereby realize adjusting the active length that clamping apparatus 1 stretches in the endoscope 2, can remind doctor and restriction clamping apparatus 1 to stretch into intrauterine length, avoid causing the situation of the perforation of uterus, avoid the generation of accident surgery.
Described endoscope 2 comprises a main mirror operating grip 21, one minisize pick-up head module 22 and one stretches into bar 23, this stretches into the upwards bending of front end of bar 23, the tail end level prolongs, and be fixed on the described main mirror operating grip 21, described instrument channel 3 is positioned at the bottom of described main mirror operating grip 21, and the tail end of this instrument channel 3 runs through described main mirror operating grip 21, front end axially runs through the described bar 23 that stretches into, and extend to the lower position that this stretches into the front end bending place of bar 23, described minisize pick-up head module 22 is arranged on the described upper position that stretches into the front end bending place of bar 23, and towards inferoanterior.
The afterbody of described instrument channel 3 be provided with one with the suitable expansion mouth 31 of described adjusting spacing ring 16, the corresponding position of regulating between spacing ring 16 and the described fixed handle 11 is arranged with a buffer spring 17 on described sleeve pipe 14.
Method provided by the invention is simple, is easy to realize that cost is low; Device for taking out of intrauterine contraceptive device (IUD) design provided by the invention is ingenious, rational in infrastructure, be equipped with instrument channel 3 in endoscope 2, when observing the situation of intrauterine device, can also clamping apparatus 1 be stretched into by this instrument channel 3 and in utero win intrauterine device or cleaning foreign body, be implemented in and to operate down according to circumstances, prevent the blind ring damage palace wall of getting down according to circumstances, effectively improve the safety of getting annuloplasty surgery, reduce the generation of malpractice; And under visibility status, operate, can shorten operating time greatly, reduce the patient suffering, simple to operate, expense is low, reduces the dependence to doctor's technology, improves accuracy and the success rate of operation; In addition, endoscope 2 can make up and separate easily with clamping apparatus 1, makes things convenient for the doctor to operate and make things convenient for endoscope 2 and clamping apparatus 1 are carried out cleaning and sterilizing.
In the present embodiment, described clamping apparatus 1 is the self-locking nipper, among other embodiment, can prepare corresponding apparatus and carry out corresponding operation technique according to different operation technique requirements, for example: use biopsy forceps to carry out the biopsy operation.
During use, after the doctor finds intrauterine device or foreign body by endoscope 2, at this moment, continue to keep the front end bending place of stretching into bar 23 of endoscope 2 at the dead ahead of object.By instrument channel 3 clamping apparatus 1 or other apparatus are stretched into until object then.Simultaneously, the doctor can also be according to real-time video, and is correspondingly mobile and change the position of clamping apparatus 1, rapidly, accurately, reliably intrauterine device or foreign body are caught, and detaches externally, finishes whole surgery.
As described in the above embodiment of the present invention, adopt structure same or similar with it and other device for taking out of intrauterine contraceptive device (IUD) and the manufacture method thereof that obtain, all in protection domain of the present invention.