CN113398360A - Gynecological radiotherapy flusher - Google Patents

Gynecological radiotherapy flusher Download PDF

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Publication number
CN113398360A
CN113398360A CN202110824958.2A CN202110824958A CN113398360A CN 113398360 A CN113398360 A CN 113398360A CN 202110824958 A CN202110824958 A CN 202110824958A CN 113398360 A CN113398360 A CN 113398360A
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CN
China
Prior art keywords
rod
sleeve body
gynecological
supporting
flushing
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Granted
Application number
CN202110824958.2A
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Chinese (zh)
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CN113398360B (en
Inventor
张汉群
孙轶
何馨云
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Guizhou Provincial Peoples Hospital
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Guizhou Provincial Peoples Hospital
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Priority to CN202110824958.2A priority Critical patent/CN113398360B/en
Publication of CN113398360A publication Critical patent/CN113398360A/en
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Publication of CN113398360B publication Critical patent/CN113398360B/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M3/00Medical syringes, e.g. enemata; Irrigators
    • A61M3/02Enemata; Irrigators
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M29/00Dilators with or without means for introducing media, e.g. remedies
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M3/00Medical syringes, e.g. enemata; Irrigators
    • A61M3/02Enemata; Irrigators
    • A61M3/0279Cannula; Nozzles; Tips; their connection means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M3/00Medical syringes, e.g. enemata; Irrigators
    • A61M3/02Enemata; Irrigators
    • A61M3/0279Cannula; Nozzles; Tips; their connection means
    • A61M3/0283Cannula; Nozzles; Tips; their connection means with at least two inner passageways, a first one for irrigating and a second for evacuating
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M31/00Devices for introducing or retaining media, e.g. remedies, in cavities of the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2210/00Anatomical parts of the body
    • A61M2210/14Female reproductive, genital organs
    • A61M2210/1475Vagina

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hematology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Radiation-Therapy Devices (AREA)

Abstract

The embodiment of the invention relates to a medical instrument, in particular to a gynecological radiotherapy flusher, which comprises: the device comprises a shell, a sliding sleeve, a flushing rod, an expansion mechanism and a driving device; the shell is provided with a slideway from the top side to the bottom side; the sliding sleeve includes: an inner sleeve body arranged in the slideway and an outer sleeve body coaxially arranged with the inner sleeve body, wherein a ring groove into which the shell can be inserted is formed between the inner sleeve body and the outer sleeve body, and the flushing rod is arranged at the top of the inner sleeve body; the expanding mechanism includes: a plurality of support lamella that sets up around preset axis direction, with the only connecting rod that corresponds the setting of each support lamella, each support lamella has: the connecting rod is rotatably connected with the shell, and the other end of the connecting rod is rotatably connected with the supporting valve; the driving device is connected with the inner sleeve body and used for driving the sliding sleeve to slide along the direction of the preset axis. Compared with the prior art, can not cause the damage to the vaginal wall, and the expansion of the vagina through the expansion mechanism makes the washing effect of the washing rod to the vagina better.

Description

Gynecological radiotherapy flusher
Technical Field
The embodiment of the invention relates to a medical instrument, in particular to a gynecological radiotherapy flusher.
Background
Gynecological diseases are a disease seriously threatening the health of women, and cervical cancer is one of the most common malignant tumors in the gynecological diseases and is the first of female reproductive tract malignant tumors in China. In recent years, the incidence of disease has been on the rise, and patients tend to be younger. The middle disease stage of the patient is mostly middle and late stage, and the early operation chance is lost; among the comprehensive treatment methods for the middle and advanced cervical cancer, radiotherapy is the preferred method. In radiotherapy, the vagina is also included in the target area of radiation and is necessarily irradiated by the radiation, and in particular, intracavitary radiation therapy can cause vaginal radiation inflammation; in addition, patients with cervical cancer of middle and late stages often have cervical and vaginal local infection and necrosis, and necrotic tissues can fall off in the course of radiotherapy. If the patient cares (cleans) the pudendum carelessly, the infection chance is increased, the inflammation is aggravated, the vaginal mucosa is edematous and hyperemia, the radiotherapy effect is influenced, and the problems of vaginal adhesion, vaginal stenosis and the like after the radiotherapy can be caused; therefore, patients undergoing radiotherapy require regular vaginal irrigation.
However, the current common irrigation method is to connect the irrigation rod to a drug delivery device and then insert the irrigation rod directly into the vagina to irrigate the vagina. Although the vagina can be flushed to a certain extent by the flushing mode, the problems of vaginal stenosis, vaginal closure and the like caused by local vaginal adhesion and contracture often occur for long-term patients who have cervical cancer radiotherapy, and at the moment, if the flushing rod is forcibly plugged into the vagina, secondary damage can be undoubtedly caused to the vaginal wall, and meanwhile, the vaginal wall can be completely attached to the surface of the flushing rod by the narrow vagina, so that the flushing rod is not beneficial to flushing the vagina.
Disclosure of Invention
In order to solve the above problems or at least partially solve the above technical problems, in one embodiment of the present application, there is provided a gynecological radiation therapy irrigator comprising:
a housing; along the preset axis direction, the shell has: a top side, a bottom side opposite the top side; the shell is provided with a slide way from the top side to the bottom side;
a sliding sleeve; around the predetermined axis direction, the sliding sleeve includes: the inner sleeve body is arranged in the slideway, and the outer sleeve body is coaxially arranged with the inner sleeve body; the sliding sleeve can slide along the direction of the preset axis, and a ring groove into which the shell can be inserted is formed between the inner sleeve body and the outer sleeve body;
the flushing rod is arranged at the top of the inner sleeve body along the direction of the preset axis;
an expansion mechanism; the expansion mechanism includes: the connecting rod is arranged in a unique corresponding mode with each supporting flap; each of the support petals has: the supporting petals are arranged on the outer sleeve body and are in rotating connection with the outer sleeve body, and the supporting petals are arranged on the outer sleeve body and are in rotating connection with the outer sleeve body; one end of each connecting rod is rotatably connected with the shell, and the other end of each connecting rod is rotatably connected with the supporting flap;
the driving device is connected with the inner sleeve body and used for driving the sliding sleeve to slide along the direction of the preset axis;
the sliding sleeve is used for synchronously driving each supporting flap to turn over relative to the flushing rod when sliding; when each supporting flap is turned over towards the direction far away from the flushing rod, the flushing rod gradually extends out of the accommodating space along the preset axis direction; when each supporting flap is turned towards the direction of the flushing rod, the flushing rod gradually enters the accommodating space along the direction of the preset axis.
Each supporting flap is formed by bending and extending from the root part to the head part in the direction away from the flushing rod.
In addition, the head part of each supporting flap is bent and extends towards the direction of the flushing rod; when each supporting flap is turned to the limit position in the direction towards the flushing rod, the head of each supporting flap is tightly attached.
In addition, along the preset axis direction, the housing is provided with an insertion hole communicated with the slideway from the bottom side to the top side, and the inner diameter of the insertion hole is smaller than that of the slideway, and the driving device comprises:
the transfer line includes in proper order along predetermineeing the axis direction: the sliding rail comprises a threaded section arranged in the sliding rail and a smooth section arranged in the insertion hole, wherein part of the smooth section penetrates out of the bottom side of the shell and is exposed outside the shell;
the driven gear is coaxially connected with the smooth section;
a driving gear engaged with the driven gear;
the main shaft of the motor is coaxially fixed with the driving gear;
the inner side wall surface of the inner sleeve body is provided with an internal thread screwed with the thread section, and the outer sleeve body is connected with the shell in a sliding mode along the preset axis direction.
In addition, the gynaecology still includes with radiotherapy flusher:
the torque sensor is arranged on the motor and used for detecting the torque of the motor;
the remote terminal is in communication connection with the torque sensor and the motor respectively;
after the motor is started, the remote terminal is used for controlling the motor to stop working when the torque sensor detects that the torque of the motor reaches a preset torque.
In addition, the transfer line has the intercommunication along predetermineeing the axis direction the passageway of slide, gynaecology still includes with radiotherapy flusher:
a water supply pipe inserted into the passage; the water supply pipe has: the water inlet end and the water outlet end opposite to the water inlet end are arranged on the water inlet pipe; the water supply pipe and the transmission rod rotate relative to each other around the direction of the preset axis;
a water passing connecting piece; the water passing connecting piece comprises: the flexible pipe comprises a flexible pipe, a first connecting piece arranged at one end of the flexible pipe and a second connecting piece arranged at the other end of the flexible pipe; the first connecting piece is connected with the water inlet side of the flexible pipe, and the second connecting piece is connected with the flushing rod.
In addition, the first connecting piece and the second connecting piece are both threaded connecting pieces.
In addition, the flexible pipe is a spring pipe, and the spring pipe is used for freely stretching and retracting when the sliding sleeve slides along the preset axial direction.
In addition, the gynaecology still includes with radiotherapy flusher:
flexible expansion sheet: around the preset axial direction, the flexible expansion sheet has: the outer sleeve body is sleeved on the outer sleeve body, the inner side face is fixedly connected with the outer surface of the outer sleeve body, and the outer side face is connected with each supporting flap;
the flexible expansion sheet is used for being stretched and gradually expanded by each supporting flap when each supporting flap is turned towards the direction far away from the flushing rod; the flexible expansion sheet is also used for gradually contracting when each supporting flap is overturned towards the direction of the flushing rod.
In addition, the flexible expansion sheet is provided with a plurality of annular folding parts which are connected in sequence from the outer side surface to the inner side surface.
Compare in prior art, when in-service use, medical personnel's accessible is to drive device's control, carry out linear motion along predetermineeing the axis direction by drive arrangement drive sliding sleeve, make the sliding sleeve can drive each support lamella of expanding mechanism when the motion overturn for the direction of washing the stick, thereby make each support lamella can be outer to interior gradual struts the vaginal wall, enlarge the narrow space of vagina, the vaginal wall is when being strutted simultaneously, medical personnel still can be gradually stretch into the vagina with expanding mechanism, make each support lamella more abundant to the expansion of vagina. In addition, because each support flap struts the vaginal wall, the washing rod can also gradually extend out of the accommodating space surrounded by each support flap along the preset axis direction, so that the washing rod can not cause damage to the vaginal wall due to local adhesion of the vaginal wall or vaginal stenosis in the process of extending into the accommodating space and entering the vagina, and meanwhile, in the washing process, because each support flap of the expansion mechanism fully expands the vagina, the vaginal wall can be prevented from being attached to the surface of the washing rod, and the washing effect of the washing rod on the vagina is better.
Drawings
In order to more clearly illustrate the embodiments of the present application or the technical solutions in the prior art, the drawings used in the description of the embodiments or the prior art will be briefly described below. It should be clear that the drawings in the following description are only intended to illustrate some embodiments of the present application, and that for a person skilled in the art, it is possible to derive from these drawings, without inventive effort, technical features, connections or even method steps not mentioned in the other drawings.
FIG. 1 is a schematic view of a first embodiment of the expansion mechanism of a gynecological radiation therapy flusher of the present invention when closed;
FIG. 2 is a schematic view of the expansion mechanism of the gynecological radiation therapy flusher of the first embodiment of the present invention when opened;
FIG. 3 is a schematic view illustrating the assembly of the sliding sleeve and the housing according to the first embodiment of the present invention;
FIG. 4 is a schematic structural view of a rinse rod according to a first embodiment of the present invention;
FIG. 5 is an assembled view of the housing, the driving lever and the water supply pipe according to the first embodiment of the present invention;
FIG. 6 is a block diagram of a circuit module of the first embodiment of the present invention;
FIG. 7 is a schematic view of the expansion mechanism of the gynecological radiation therapy flusher of the second embodiment of the present invention when opened;
FIG. 8 is an enlarged view of a portion A of FIG. 7;
FIG. 9 is a schematic view of the connection of a linkage to a support flap in a second embodiment of the present invention;
FIG. 10 is a schematic view of the expanding mechanism of the gynecological radiation therapy flusher of the third embodiment of the present invention when closed;
FIG. 11 is a schematic view of the expansion mechanism of the gynecological radiation therapy flusher of the third embodiment of the present invention when opened;
FIG. 12 is a schematic view showing the structure of a flexible expansion sheet according to a third embodiment of the present invention.
Description of the reference numerals
1-a shell; 11-top side; 12-a bottom side; 13-a slide; 14-an insertion hole; 15-a chute; 16-external thread section;
2-a sliding sleeve; 21-inner sleeve body; 22-an outer casing; 221-kidney shaped hole; 23-an annular connection; 24-a slide block; 25-a ring groove; 26-a threaded hole;
3-washing the rod; 31-an inner surface; 32-an outer surface; 33-a jet channel; 34-flushing holes;
4-an expansion mechanism; 41-supporting flaps; 411-root; 412-a head; 42-connecting rod; 43-an accommodating space; 44-shaft body;
5-a drive device; 51-a transmission rod; 511-a threaded segment; 512-smooth section; 513-channel; 52-driven gear; 53-a drive gear; 54-a motor;
6-bearing sleeve; 61-an outer ring; 62-inner ring;
7-a water supply pipe; 71-water inlet end; 72-water outlet end;
8-a water passing connecting piece; 81-flexible tube; 811-water intake side; 82-a first connector; 83-second connection;
9-bearing sleeve; 91-outer ring; 92-an inner ring;
10-a spacing ring; 101-internal thread section;
20-a flexible expansion sheet; 20-outer side; 202-medial side; 203-circular fold.
Detailed Description
In order to make the objects, technical solutions and advantages of the embodiments of the present application clearer, the technical solutions in the embodiments of the present application will be clearly and completely described below with reference to the drawings in the embodiments of the present application, and it is obvious that the described embodiments are some embodiments of the present application, but not all embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present application.
In the prior art, the current common irrigation mode is to connect an irrigation rod with a medicine supply device and then insert the irrigation rod directly into the vagina to irrigate the vagina. Although the vagina can be flushed to a certain extent by the flushing mode, the problems of vaginal stenosis, vaginal closure and the like caused by local vaginal adhesion and contracture often occur for long-term patients who suffer from cervical cancer radiotherapy, and at the moment, if the flushing rod is forcibly plugged into the vagina, secondary damage can be undoubtedly caused to the vagina, and meanwhile, the vaginal wall of the narrow vagina can be completely attached to the surface of the flushing rod, so that the flushing rod is not beneficial to flushing the vagina.
Implementation mode one
In order to solve the above problem, in one embodiment of the present application, there is provided a gynecological radiotherapy flusher, as shown in fig. 1 and 2, including: the device comprises a shell 1, a sliding sleeve 2, a flushing rod 3, an expansion mechanism 4 and a driving device 5.
In the present embodiment, as shown in fig. 1 and 2, first, the housing 1 includes, in the preset axial direction: a top side 11, a bottom side 12 opposite the top side 11. Next, the housing 1 is provided with a slide 13 from the top side 11 towards the bottom side 12. In addition, as shown in fig. 3, the sliding sleeve 2 includes, around a predetermined axis direction: set up the inner cover body 21 in the slide 13, with the outer jacket body 22 of the coaxial setting of inner cover body 21, connect the annular connecting portion 23 of the inner cover body 21 and outer jacket body 22, and, the whole slidable along predetermineeing the axis direction of sliding sleeve 2, simultaneously, still form between the inner cover body 21 and the outer jacket body 22 and can be by casing 1 male annular 25, and wash excellent 3 along predetermineeing the axis direction and set up in the top of the inner cover body 21, make sliding sleeve 2 when sliding along predetermineeing the axis direction, can drive and wash excellent 3 concerted movement.
In addition, in the present embodiment, as shown in fig. 1 and 2, the expanding mechanism 4 includes: a plurality of supporting petals 41 arranged around the preset axial direction and a connecting rod 42 uniquely corresponding to each supporting petal 41. Wherein each support flap 41 has: a root 411 rotatably connected with the outer casing 22, and a head 412 far away from the root 411, wherein each support petal 41 encloses a containing space 43 capable of containing the flushing rod 3 around the preset axial direction. One end of each link 42 is rotatably connected to the housing 1, and the other end of the link 42 is rotatably connected to the support flap 41.
In addition, in the present embodiment, as shown in fig. 1 and 2, the driving device 5 is connected to the inner sheath 21 of the sliding sleeve 2, so that the driving device 5 can be used to drive the sliding sleeve 2 to slide along the preset axial direction.
In practical applications, when the driving device 5 drives the sliding sleeve 2 to slide along the predetermined axial direction, the outer casing 22 of the sliding sleeve 2 can also synchronously drive the supporting flaps 41 to turn over relative to the washing rod 3. Specifically, when each supporting flap 41 is turned away from the flushing rod 3, as shown in fig. 2, the flushing rod 3 can gradually extend out of the accommodating space 43 along the predetermined axial direction. When the supporting flaps 41 are turned over toward the washing rod 3, as shown in fig. 1, the washing rod 3 can gradually enter the accommodating space 43 along the predetermined axial direction. Meanwhile, as shown in fig. 1 and 2, the outer casing 22 is further provided with a kidney-shaped hole 221 corresponding to each connecting rod 42 along the preset axial direction, and the connecting rod 42 can directly penetrate through the outer casing 22 through the kidney-shaped hole 221, so that the two ends of the connecting rod 42 can be respectively rotatably connected with the casing 1 and the support flaps 41, and the swinging of the connecting rod 42 can be realized through each kidney-shaped hole 221 when each support flap 41 is turned over relative to the wash rod 3, thereby avoiding the blocking phenomenon of the support flaps 41 during the turning over process.
It can be seen from the above that, in practical use, medical staff can drive the sliding sleeve 2 to perform linear motion along the preset axis direction by controlling the driving device 5 through the driving device 5, so that the sliding sleeve 2 can drive each supporting flap 41 of the expanding mechanism 4 to turn over relative to the direction of the flushing rod 3 during motion, and thus each supporting flap 41 can gradually expand the vaginal wall from outside to inside, thereby expanding the narrow space of the vagina. In addition, because each supporting petal 41 is opening the vaginal wall, the rinsing rod 3 can also gradually extend out of the accommodating space 43 enclosed by each supporting petal 41 along the preset axis direction, so that the rinsing rod 3 can not cause damage to the vaginal wall due to local adhesion of the vaginal wall or vaginal stenosis when extending into the accommodating space 43 and entering the vagina, meanwhile, in the rinsing process, because each supporting petal 41 of the expanding mechanism 4 fully expands the vagina, the vaginal wall can be prevented from being attached to the surface of the rinsing rod 3, and the rinsing effect of the rinsing rod 3 on the vagina is better. In addition, as can be easily found from fig. 1, in the process that the supporting petals 41 are turned back towards the position far away from the flushing rod 3, the flushing rod 3 can gradually extend out of the accommodating space 43 under the driving of the sliding sleeve 2, so that when the flushing rod 3 flushes the vaginal wall, the supporting petals 41 cannot interfere with the flushing of the flushing rod 3, and therefore, the flushing effect on the vaginal wall can be further improved.
Specifically, in the present embodiment, as shown in fig. 1 and 2, the supporting petals 41 are formed by bending and extending the entire body from the root 411 to the head 412 in a direction away from the irrigation rod 3, so that the outer surface of the entire supporting petals 41 forms a circular arc curved surface, which ensures that the supporting petals 41 can better adhere to the vaginal wall when the vaginal wall is expanded, and effectively prevents the supporting petals 41 from damaging the vaginal wall when the vaginal wall is expanded. However, as shown in fig. 1 and fig. 2, preferably, the head 412 of each supporting flap 41 is further bent and extended toward the direction of the wash rod 3, so that when each supporting flap 41 is turned to the limit position in the direction toward the wash rod 3, as shown in fig. 2, the head 412 of each supporting flap 41 can be tightly attached to each other, and at this time, the whole accommodating space 43 is a closed space, so that the wash rod 3 can be effectively prevented from being contaminated by foreign matters entering the accommodating space 43.
In addition, it is worth mentioning that in the present embodiment, as shown in fig. 1 and 2, the washing rod 3 is detachably connected to the top of the inner sheath 21, for example: as shown in fig. 3 and 4, the outer surface of the washing rod 3 is provided with an external thread 35, and the top of the inner sleeve 21 is provided with a threaded hole 26, so that the washing rod 3 and the inner sleeve 21 can be connected by threads, thereby ensuring that the washing rod 3 in the embodiment can be replaced at any time, avoiding cross infection and adopting different types of washing rods 3 according to the requirements of different patients. For example, the present embodiment can use the irrigation rod 3 with different outer diameters to irrigate the vaginal wall according to the different vaginal dilation degrees. For example, the irrigation rod 3 may comprise a threaded section and a body section coaxially connected to the threaded section, wherein the threaded section is of a standard size to be threadedly connected to the threaded hole 26 at the top of the inner sheath 21, and the outer diameter of the body section may have various sizes depending on the degree of dilation of the vaginal wall. Alternatively, the flushing rod 3 can also adopt flushing rods 3 with different flushing hole structures to flush the vaginal wall according to different flushing requirements. For example, in some embodiments, the structure of the wash rod 3 is as shown in fig. 4, the wash rod 3 has an inner surface 31 and an outer surface 32 opposite to the inner surface 31 around a predetermined axis direction, wherein the inner surface 31 surrounds and forms a spray channel 33 around the predetermined axis direction, and a plurality of wash holes 34 communicating with the spray channel 33 are distributed in the direction from the outer surface 32 to the inner surface 31 of the wash rod 3, each wash hole 34 is distributed in an equidistantly surrounding manner along the predetermined axis direction, and the axis of each wash hole 34 forms an angle with the predetermined axis. However, as a preferred embodiment, the included angle between the axis of each circle of the irrigation holes 34 arranged around and the preset axis is different, for example, as shown in fig. 4, the included angle between the axis of each circle of the irrigation holes 34 arranged around and the preset axis is gradually increased from top to bottom, so that the irrigation rod 3 can perform no dead angle irrigation on the vaginal wall, and the irrigation effect of the irrigation rod 3 on the vaginal wall is further improved. However, it should be noted that, in the practical application, the included angle between the axis of each flushing hole 34 and the preset axis may be the same, and this is not particularly limited in this embodiment. In addition, it should be noted that the aperture of each flushing hole 34 can be completely different, for example, the aperture of each circle of flushing holes 34 is gradually increased towards the direction away from the inner sheath 21, so that the flow rate of each flushing hole 34 close to the inner sheath 21 is substantially the same as the flow rate of each flushing hole 34 away from the inner sheath 21, thereby further improving the flushing effect of the flushing rod 3 on the vaginal wall.
In addition, in order to enable the driving device 5 to drive the sliding sleeve 2 to perform linear motion along the preset axial direction, in the present embodiment, as shown in fig. 5, the housing 1 is opened with an insertion hole 14 communicating with the slideway 13 from the bottom side 12 to the top side 11 along the preset axial direction, and the inner diameter of the insertion hole 14 is smaller than that of the slideway 13, so that a supporting surface (not shown) abutting against the inner sleeve body 21 is formed between the slideway 13 and the insertion hole 14. Meanwhile, as shown in fig. 1 and 2, the driving device 5 includes: a transmission rod 51, a driven gear 52, a driving gear 53 and a motor 54. As shown in fig. 5, the driving rod 51 sequentially includes, along the preset axis direction: a threaded section 511 arranged in the slideway 13, a smooth section 512 arranged in the insertion hole 14, and a part of the smooth section 512 penetrates out of the bottom side 12 of the shell 1 and is exposed outside the shell 1. In addition, the driven gear 52 is coaxially connected with the smooth section 512 and meshed with the driving gear 53, and simultaneously, the main shaft of the motor 54 is coaxially fixed with the driving gear 53. In addition, it should be noted that the inner side wall surface of the inner sleeve 21 is provided with an internal thread (not shown) screwed with the threaded section 511 of the transmission rod 51, and the outer sleeve 22 is slidably connected with the housing 1 along a predetermined axial direction.
It will be understood that in practical applications, as shown in fig. 1 and 2, the driving gear 53 and, therefore, the driven gear 52 may be driven by the motor 54 to rotate, and the driven gear 52 may be driven to rotate, while the driving gear 51 may follow the driven gear 52 to rotate synchronously by virtue of the coaxial connection with the smooth section 512 of the driving rod 51. In addition, since the inner sleeve 21 of the sliding sleeve 2 is connected with the threaded section 511 of the transmission rod 51 in a threaded manner, and meanwhile, the outer sleeve 22 of the sliding sleeve 2 is connected with the housing 1 in a sliding manner along the preset axial direction, when the transmission rod 51 rotates, as shown in the combination 5, the sliding sleeve 2 can change the rotation motion of the transmission rod 51 into a linear sliding motion along the preset axial direction, so that the flushing rod 3 can extend out of or enter the accommodating space 43 under the sliding action of the sliding sleeve 2. Meanwhile, each supporting flap 41 can also be turned over relative to the irrigation rod under the sliding action of the sliding sleeve 2 by taking the connecting end of the root 411 and the outer sleeve 22 as a pivot point and under the supporting and limiting action of the connecting rod 42, so as to realize the supporting and expanding of the vaginal wall.
Moreover, it should be noted that, in the present embodiment, in order to enable the outer sleeve 22 of the sliding sleeve 2 to be slidably connected with the housing 1, as shown in fig. 3, a plurality of sliding slots 15 are distributed on the outer surface of the housing 1 along the preset axial direction, and at the same time, a plurality of sliding blocks 24 are further disposed on the inner side wall surface of the outer sleeve 22, and the number of the sliding blocks 24 is the same as the number of the sliding slots 15 and uniquely corresponds to the number of the sliding slots 15, and each sliding block 24 is respectively embedded into the uniquely corresponding sliding slot 15, so that each sliding block 24 can slide along the length direction of the uniquely corresponding sliding slot 15, thereby it is not difficult to see that, in combination with fig. 5, when the transmission rod 51 rotates, the sliding sleeve 2 can effectively avoid the rotational movement of the sliding sleeve 2, so that the sliding sleeve 2 at this time can slide only along the preset axial direction by means of the threaded engagement with the threaded section 511 of the transmission rod 51, thereby achieving the up-and-down movement of the rinse rod 3.
Meanwhile, it is worth noting that in order to avoid friction between the transmission rod 51 and the housing 1 when the transmission rod 51 rotates, as shown in fig. 5, the bearing sleeves 6 are respectively arranged at two ends of the insertion hole 14 along the preset axial direction, the outer ring 61 of the bearing sleeve 6 is fixedly connected with the housing 1, the inner ring 62 of the bearing sleeve 6 is fixedly connected with the transmission rod 51, the transmission rod 51 can be prevented from being in hard contact with the housing 1 when the transmission rod 51 rotates through the bearing sleeves 6, and the rotation performance of the transmission rod 51 is improved while the friction coefficient is reduced. In addition, as a preferable aspect, the radiotherapy flusher for gynecology of the present embodiment further includes: the torque sensor is used for detecting the torque of the motor, and meanwhile, as shown in fig. 6, the torque sensor and the motor 54 are both in communication connection with the remote terminal, and the remote terminal is used for acquiring a torque value detected by the torque sensor and controlling the motor 54 in real time according to the acquired torque value. For example, when the vagina of the patient is gradually expanded by each supporting flap 41, the counterforce exerted on each supporting flap 41 by the vaginal wall is gradually increased, and then the torque of the motor 54 is increased, so as to avoid the transition expansion of the vagina by each supporting flap 41 and prevent the vaginal wall from being torn, the medical staff can firstly use the remote terminal to set the torque value of the motor 54, and when the torque value acquired by the remote terminal reaches the preset value, the motor 54 is controlled to stop working, so that the vaginal wall of the patient can be protected from being torn while the vagina is expanded.
In addition, as shown in fig. 1, 2 and 5, the transmission rod 51 is further provided with a channel 513 communicating with the slideway along the preset axial direction, and the gynecological radiotherapy flusher of the present embodiment further includes: a water supply pipe 7 and a water passing connecting piece 8. Wherein the water supply pipe 7 is inserted into the passage 513 in a preset axial direction, and the water supply pipe 7 has: the water supply device comprises a water inlet end 71 and a water outlet end 72 opposite to the water inlet end 71, meanwhile, the water supply pipe 7 and the transmission rod 51 can rotate relative to each other around the direction of a preset axis, and in order to realize the relative rotation of the water supply pipe 7 and the transmission rod 51, a matching mode similar to that between the transmission rod 51 and the shell 1 can be adopted between the water supply pipe 7 and the transmission rod 51, specifically, as shown in fig. 5, bearing sleeves 9 for fixing the water supply pipe 7 are respectively arranged at two ends of a channel 513 of the transmission rod 51 along the direction of the preset axis, an outer ring 91 of each bearing sleeve 9 is fixedly connected with the inner side wall surface of the transmission rod 51, an inner ring 92 of each bearing sleeve 9 is fixedly connected with the water supply pipe 7, and the transmission rod 51 can be prevented from being in hard contact with the water supply pipe 7 during rotation through the bearing sleeves 9, so that the phenomenon that the water supply pipe 7 is prevented from being twisted effectively. In addition, in the present embodiment, as shown in fig. 1 and 2, the water passing connector 8 includes: a flexible tube 81, a first connecting piece 82 arranged at one end of the flexible tube 81, and a second connecting piece 83 arranged at the other end of the flexible tube 81, wherein the first connecting piece 82 is connected with the water inlet side 811 of the flexible tube 81, and the second connecting piece 83 is connected with the water inlet side of the flushing rod 3. Therefore, in practical application, the water inlet end 71 of the water supply pipe 7 can be externally connected with a medicine supply device, so that the medicine supply device can supply medicine liquid into the flushing rod 3 through the flexible pipe 81 by means of the water supply pipe 7, and flushing of the flushing rod 3 on the vaginal wall is realized. And, when the sliding sleeve 2 drives the flushing rod 3 to do linear motion along the preset axis direction, the flexible pipe 81 can also realize stretching in different degrees according to the motion position of the flushing rod 3, and the motion of the flushing rod 3 cannot be influenced while the medicine supply is ensured. In this embodiment, the flexible tube 81 may be a spring tube, and the flexible tube may satisfy the requirement that the flushing rod 3 is freely stretched during movement due to the telescopic property of the spring tube. Simultaneously, first connecting piece 82 and second connecting piece 83 can all adopt threaded connection spare, with the help of threaded connection spare to make cross water connecting piece 8 can adopt the screw thread to revolve the mode of closure respectively with the side of intaking of wash-out wand 3 and the play water end 72 realization butt joint of delivery pipe 7, when not influencing the medicine feed device and supply the medicine to wash-out wand 3, still make whole cross water connecting piece 8 can realize changing, make the radiotherapy flusher of this embodiment have more the practicality.
Second embodiment
The second embodiment of the present application provides a gynecological radiation therapy irrigator, which is a further improvement on the basis of the first embodiment, and the main improvement thereof is that, when the vaginal of a patient is irrigated, the radiotherapy irrigator of the present embodiment needs to be realized by means of the support expansion of the support petals 41 on the vaginal wall, so that the support petals 41 must be always attached to the vaginal wall, which inevitably causes the secretion on the vaginal wall to be attached to the support petals 41, and in order to avoid cross infection of the irrigator during use, the use cost of the irrigator can be reduced, as shown in fig. 7, the gynecological radiation therapy irrigator of the present embodiment further comprises: a stop ring 10 detachably arranged on the top side 11 of the housing 1, and each sliding slot 15 on the housing 1 is unclosed on the top side 11 of the housing 1, i.e. each sliding slot 15 directly penetrates the top side 11 of the housing 1. Meanwhile, the detachable connection mode can be adopted between one end of the connecting rod 42 rotatably connected with the supporting valve 41 and the supporting valve 41.
Specifically, in the present embodiment, in order to realize the detachable connection of the limiting ring 10 and the housing 1, as shown in fig. 7 and 8, a part of the top side 11 of the housing 1 protrudes along the predetermined axial direction to form an external thread section 16, and at the same time, the inner surface of the limiting ring 10 is provided with an internal thread section 101 screwed with the external thread section 16, the limiting ring 10 can be fixed on the top side 11 of the housing 1 by the threaded engagement of the internal thread section 101 of the limiting ring 10 and the external thread section 16 of the housing 1, the sliding distance of the sliding sleeve 2 can be limited by the limiting ring 10, and the sliding sleeve 2 is prevented from being separated from the transmission rod 51 when sliding.
In addition, in order to realize the detachable connection between the connecting rod 42 and the supporting petals 41, as shown in fig. 9, a shaft body 44 may be embedded in the inner side surface of each supporting petal 41, and a sleeve 46 rotatably connected with the shaft body 44 is disposed at one end of the connecting rod 42 rotatably connected with the supporting petal 41, so that the connecting rod 43 can be reversely rotated by taking the axis of the sleeve 46 as a pivot axis, and at the same time, the sleeve 46 and the connecting rod 42 are directly detachably connected, for example: and is screwed so that the sleeve 46 can be detached from the connecting rod 42, thereby achieving the detachable connection between the connecting rod 42 and the support flap 41. Note that, the separation between the boss 46 and the link 42 is avoided. As shown in fig. 9, the bushing 46 in the present embodiment includes: the main sleeve 461 rotatably connected to the shaft 44 and the sub-sleeve 462 threadedly connected to the link 42 are coaxially disposed, and the sub-sleeve 462 and the main sleeve 461 are rotatably connected in the coaxial direction, so that when the sub-sleeve 462 is released from the threaded connection with the link 44, the main sleeve 461 does not interfere with the rotation of the sub-sleeve 462.
Therefore, it is easy to see that, since the connection between each link 42 and each support flap 41 and the connection between the stop collar 10 and the housing 1 are detachable, when the stop collar 10 is removed from the top side 11 of the housing 1, the sliding sleeve 2 can be driven by the transmission rod 51, and by means of the sliding fit between each sliding block 24 and each sliding slot 15 on the housing 1, the sliding sleeve 2 can be detached from the top side of the housing 1, and after the sliding sleeve 2 is detached, the connection relationship between each link 42 and the shaft sleeve 46 is released, so that the whole sliding sleeve 2 and each support flap 41 can be directly detached from the top side of the housing 1, thereby realizing the replacement of each support flap 41, and therefore, the radiotherapy flusher of the present embodiment can avoid cross infection during use, and can also reduce the use cost of the flusher.
In addition, because each support flap 41 can be removed from the housing through the sliding sleeve 2, in practical application, the sliding sleeve 2 and each support flap 41 can be taken as an independent module, so that in the present embodiment, the support flaps 41 can have different structural characteristics according to practical use requirements, so as to meet the expansion requirements of different patients. For example, the curvature of the arc of the outer surface of the expansion lobes 41 can be of various types to meet different expansion requirements.
Moreover, as a preferable scheme, a protective layer (not shown) may be further disposed on the outer surface of each supporting flap 41, and the protective layer is made of a flexible skin-friendly material, so that when each supporting flap 41 supports and expands the vaginal wall, discomfort of the patient can be greatly reduced.
Third embodiment
The third embodiment of the present application provides a gynecological radiotherapy flusher, which is a further improvement on the first and second embodiments, and the main improvement is that, as shown in fig. 10, the gynecological radiotherapy flusher of the present embodiment further includes: the flexible expansion sheet 20, and as shown in fig. 12, the flexible expansion sheet 20 has, around a predetermined axial direction: lateral side 201, and medial side 202 opposite lateral side 201. Wherein, the inner side ring 202 of the flexible expansion sheet 20 is sleeved on the outer casing 22 of the sliding sleeve 2 and is fixedly connected with the outer surface of the outer casing 22, and meanwhile, the outer side 201 of the flexible expansion sheet 20 is fixedly connected with the inner surface of each supporting flap 41.
In actual use, when each supporting flap 41 is turned away from the flushing rod 3, as shown in fig. 11, the flexible expansion sheet 20 is pulled by each supporting flap 41 and can be gradually expanded by each supporting flap 41. When the supporting flaps 41 are turned in the direction of the wash rod 3, as shown in fig. 10, the flexible expansion sheet 20 is less pulled by the supporting flaps 41, so that it can be gradually contracted.
It can be seen from the above that, after the supporting flaps 41 complete the vaginal dilation, the flexible dilation sheet 20 can be stretched to approximate to an annular structure, and at this time, most of the liquid medicine ejected from the washing rod 3 can not directly flow out of the vagina after the vaginal wall is washed, but can be blocked by the flexible dilation sheet 20, so that the liquid medicine stays on the upper surface of the flexible dilation sheet 20, thereby effectively prolonging the contact time between the liquid medicine and the vaginal wall, enabling the medicine to better penetrate into the vaginal wall, and further improving the washing effect on the vaginal wall.
Specifically, in the present embodiment, as shown in fig. 10, 11 and 12, the flexible expansion sheet 20 has a plurality of annular folded portions 203 connected in series in the direction from the outer side surface 201 to the inner side surface 202, so that when the support flaps 41 are turned in the direction away from the wash rod 3, the annular folded portions 203 of the flexible expansion sheet 20 are sequentially folded open, so that the entire flexible expansion sheet 20 can be gradually extended as shown in fig. 11. When the supporting flaps 41 are turned toward the direction of the washing rod 3, the annular folded portions 203 of the flexible expansion sheet 20 are sequentially overlapped, as shown in fig. 10, so that the entire flexible expansion sheet 20 can be gradually contracted.
In addition, it should be noted that, when each supporting flap 41 and the sliding sleeve 2 are taken as a separate module, it is preferable that a part of the flexible expansion piece 20 is covered on the top side of the outer casing 22 from the inner side surface 202 to the outer side surface 201 of the flexible expansion piece 20, and the flexible expansion piece 20 and the top side of the outer casing 22 are locked and fixed by the locking member, so that the flexible expansion piece 20 and the outer casing 22 can be fixed by adopting a detachable connection manner, therefore, when the supporting flaps 41 need to be replaced, the flexible expansion piece 20 can be connected with each supporting flap 41 and removed from the top side 11 of the housing 1 together, thereby realizing the replacement of the flexible expansion piece 20.
Finally, it should be noted that those skilled in the art will appreciate that embodiments of the present application present many technical details for the purpose of enabling the reader to better understand the present application. However, the technical solutions claimed in the claims of the present application can be basically implemented without these technical details and various changes and modifications based on the above-described embodiments. Accordingly, in actual practice, various changes in form and detail may be made to the above-described embodiments without departing from the spirit and scope of the present application.

Claims (10)

1. A gynecological radiotherapy flusher is characterized by comprising:
a housing; along the preset axis direction, the shell has: a top side, a bottom side opposite the top side; the shell is provided with a slide way from the top side to the bottom side;
a sliding sleeve; around the predetermined axis direction, the sliding sleeve includes: the inner sleeve body is arranged in the slideway, and the outer sleeve body is coaxially arranged with the inner sleeve body; the sliding sleeve can slide along the direction of the preset axis, and a ring groove into which the shell can be inserted is formed between the inner sleeve body and the outer sleeve body;
the flushing rod is arranged at the top of the inner sleeve body along the direction of the preset axis;
an expansion mechanism; the expansion mechanism includes: the connecting rod is arranged in a unique corresponding mode with each supporting flap; each of the support petals has: the supporting petals are arranged on the outer sleeve body and are in rotating connection with the outer sleeve body, and the supporting petals are arranged on the outer sleeve body and are in rotating connection with the outer sleeve body; one end of each connecting rod is rotatably connected with the shell, and the other end of each connecting rod is rotatably connected with the supporting flap;
the driving device is connected with the inner sleeve body and used for driving the sliding sleeve to slide along the direction of the preset axis;
the sliding sleeve is used for synchronously driving each supporting flap to turn over relative to the flushing rod when sliding; when each supporting flap is turned over towards the direction far away from the flushing rod, the flushing rod gradually extends out of the accommodating space along the preset axis direction; when each supporting flap is turned towards the direction of the flushing rod, the flushing rod gradually enters the accommodating space along the direction of the preset axis.
2. The flusher for radiotherapy of the gynecology department according to claim 1, wherein each of said supporting petals is formed to be curved and extended from said root portion to said head portion in a direction away from said flushing rod as a whole.
3. The gynecological radiation therapy flusher of claim 2, wherein the head of each supporting flap is bent and extends towards the direction of the flushing rod;
when each supporting flap is turned to the limit position in the direction towards the flushing rod, the head of each supporting flap is tightly attached.
4. The gynecological radiation therapy flusher of claim 1, wherein along the preset axis direction, the housing is provided with an insertion hole communicated with the slide way from the bottom side to the top side, and the insertion hole has an inner diameter smaller than that of the slide way, and the driving device comprises:
the transfer line includes in proper order along predetermineeing the axis direction: the sliding rail comprises a threaded section arranged in the sliding rail and a smooth section arranged in the insertion hole, wherein part of the smooth section penetrates out of the bottom side of the shell and is exposed outside the shell;
the driven gear is coaxially connected with the smooth section;
a driving gear engaged with the driven gear;
the main shaft of the motor is coaxially fixed with the driving gear;
the inner side wall surface of the inner sleeve body is provided with an internal thread screwed with the thread section, and the outer sleeve body is connected with the shell in a sliding mode along the preset axis direction.
5. The gynecological radiation therapy irrigator of claim 4, further comprising:
the torque sensor is arranged on the motor and used for detecting the torque of the motor;
the remote terminal is in communication connection with the torque sensor and the motor respectively;
after the motor is started, the remote terminal is used for controlling the motor to stop working when the torque sensor detects that the torque of the motor reaches a preset torque.
6. The gynecological radiation treatment flusher of claim 4, wherein the transmission rod is provided with a channel communicated with the slide way along a preset axial direction, and the gynecological radiation treatment flusher further comprises:
a water supply pipe inserted into the passage; the water supply pipe has: the water inlet end and the water outlet end opposite to the water inlet end are arranged on the water inlet pipe; the water supply pipe and the transmission rod rotate relative to each other around the direction of the preset axis;
a water passing connecting piece; the water passing connecting piece comprises: the flexible pipe comprises a flexible pipe, a first connecting piece arranged at one end of the flexible pipe and a second connecting piece arranged at the other end of the flexible pipe; the first connecting piece is connected with the water inlet side of the flexible pipe, and the second connecting piece is connected with the flushing rod.
7. The gynecological radiation therapy irrigator of claim 6 wherein the first connector and the second connector are both threaded connectors.
8. The gynecological radiotherapy flusher of claim 6, wherein the flexible pipe is a spring pipe, and the spring pipe is used for freely extending and retracting when the sliding sleeve slides along the preset axial direction.
9. The gynecological radiation therapy irrigator of claim 1, further comprising:
flexible expansion sheet: around the preset axial direction, the flexible expansion sheet has: the outer ring is connected with the supporting petals, the outer ring is sleeved on the outer sleeve body, and the inner side surface opposite to the outer side surface is fixedly connected with the outer surface of the outer sleeve body;
the flexible expansion sheet is used for being stretched and gradually expanded by each supporting flap when each supporting flap is turned towards the direction far away from the flushing rod; the flexible expansion sheet is also used for gradually contracting when each supporting flap is overturned towards the direction of the flushing rod.
10. The gynecological radiotherapy flusher of claim 9, wherein the flexible expansion piece is formed into a plurality of annular folding parts which are connected in sequence from the outer side surface to the inner side surface.
CN202110824958.2A 2021-07-21 2021-07-21 Gynecological radiotherapy flusher Active CN113398360B (en)

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