CN103340680A - Novel minimally invasive therapy device used for preventing intrauterine adhesion - Google Patents
Novel minimally invasive therapy device used for preventing intrauterine adhesion Download PDFInfo
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- CN103340680A CN103340680A CN2013103024696A CN201310302469A CN103340680A CN 103340680 A CN103340680 A CN 103340680A CN 2013103024696 A CN2013103024696 A CN 2013103024696A CN 201310302469 A CN201310302469 A CN 201310302469A CN 103340680 A CN103340680 A CN 103340680A
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- outer tube
- intrauterine adhesion
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Abstract
The invention discloses a novel minimally invasive therapy device used for preventing intrauterine adhesion. The novel minimally invasive therapy device used for preventing intrauterine adhesion comprises a membrane coated silk-braiding net-shaped separator and a matched imbedding device, wherein the membrane coated silk-braiding net-shaped separator is loaded in an inner cavity in the front end of an outer pipe after being compressed and is located at the front side of a middle pipe. The membrane coated silk-braiding net-shaped separator comprises a separator and a taking-out device. The matched imbedding device comprises the outer pipe, the middle pipe, a locking nut, a supporting sleeve, a front end sealing ring, a front handle, a tail end sealing ring, a locking bolt and a rear handle, wherein the middle pipe is longer than the outer pipe, the front side of the middle pipe is partially sleeved inside the outer pipe, the rear side of the middle pipe is partially exposed out of the outer pipe, and the rear side of the middle pipe partially penetrates through the supporting sleeve, the front end sealing ring, the rear end sealing ring and the locking nut. When the novel minimally invasive therapy device used for preventing intrauterine adhesion is used, a front handle is moved backwards, and the membrane coated silk-braiding net-shaped separator is separated from the outer pipe and returns to the original shape. The novel minimally invasive therapy device used for preventing intrauterine adhesion can be used for preventing uterine cavity and cervical canals adhesion, and is safer, simpler and more rapid to operate, and leaves minimal wounds.
Description
Technical field
The invention belongs to a kind of gynecological Asherman's syndrom curer tool, relate in particular to a kind of novel device for prevention intrauterine adhesion minimally-invasive treatment.
Background technology
Intrauterine adhesion is because the impaired back of inner membrane of uterine cavity forms the pathological phenomenon of part or all of adhesion.Intrauterine adhesion can cause lower abdomen bob pain usually, menstrual blood volume is very few, and serious adhesion can cause amenorrhea.If adhesion enclosure portion uterine cavity, easily miscarry, premature labor, ectopic pregnancy, fetal death in utero, Placenta Hominis implantation, placental adherence and infertile.Simultaneously, because cervical canal inflammation and operation on uterus cause wound for cervix uteri, also can cause the cervical canal adhesion.
Treat for the intrauterine adhesion mode of separating of mainly taking to perform the operation at present, because postoperative inner membrane of uterine cavity poor growth, as easy as rolling off a logly cause adhesion again.In order to solve adhesion problems again, the main postoperative uterine cavity that adopts is inserted intrauterine device (mostly being uterus shape contraceptive ring) at present.But because intrauterine device can not cover the uterine cavity wound surface fully, make postoperative prevent the generation poor effect of adhesion again, birth control apparatus is because side effect such as the material (mostly being copper alloy) of itself hemorrhage, infection in addition, stomachache, lumbagos, and easy and the adhesion of uterine cavity wound surface, need reappose new intrauterine device, the needs of patients repeat surgery that has three to four times.Bring great physiology misery and stress to the patient when increasing the treatment cost, even can repeatedly suffer wound and cause serious consequences such as lifelong infertile in factor palace.And for the cervical canal adhesion, then do not have effective prevention method.
Summary of the invention
Goal of the invention: in order to overcome the deficiencies in the prior art, the invention provides a kind of novel device for prevention intrauterine adhesion minimally-invasive treatment, can be used for prophylactic treatment uterine cavity, cervical canal adhesion, operation safe, Wicresoft, easy.
Technical scheme: for achieving the above object, of the present inventionly provide following technical scheme:
A kind of novel device for prevention intrauterine adhesion minimally-invasive treatment comprises overlay film silk netting shape isolator and supporting inserter; Described overlay film silk netting shape isolator comprises isolator, withdrawing device, described isolator is the netted woven bag structure that possesses the soft material matter of shape memory function, the surface of described isolator is covered with one deck medical silica-gel film, and described withdrawing device is arranged on the tail end of isolator; Described supporting inserter comprises outer tube, middle pipe, lock nut, support set, forward end seal circle, front hand grip, tail end sealing circle, clamping screw and back handle; The length of pipe is greater than outer tube in described, and described middle pipe front part is set in the outer tube, and rear section reveals to be put outside outer tube, under the original state, and the certain distance of front end of pipe during the front end of outer tube is outstanding; The rear section of pipe passes support set, forward end seal circle, tail end sealing circle and clamping screw successively in described; The external screw thread of described clamping screw is threaded with the rear end of front hand grip, and the two sides, front and back of described tail end sealing circle contact respectively between front hand grip and the clamping screw, pipe in the locking after the tail end sealing circle is squeezed; Be socketed with support set in the front end inner chamber of described front hand grip, by the sealing of front end sealing ring, the lock nut that passes through of the front end of described front hand grip is connected with the rear end of outer tube between described front hand grip and the support set; Described back handle is connected with the rear end of middle pipe; Under the original state, be loaded in the front end inner chamber of outer tube after the compression of described overlay film silk netting shape isolator and be arranged in the front side of pipe; During use, mobile front hand grip backward makes overlay film silk netting shape isolator break away from outer tube and resiles.
Described supporting inserter is advanced to the relevant position of uterine cavity, outer tube moves backward, make overlay film silk netting shape isolator be trapped in the uterine cavity, because overlay film silk netting shape isolator is the netted braiding structure that possesses the soft material matter of shape memory function, be in the uterine cavity, overlay film silk netting shape isolator returns to original inverted triangle build shape gradually by compressive state, uterine cavity is expanded open, and can prevent and treat the disease of intrauterine adhesion.
Further, described isolator is shaped as inverted triangle build shape.The shape of described isolator can also be the cylindrical inverted triangle build of leukorrhagia end shape; The inverted triangle body upper end of described isolator 11 caves inward, and described concave face is provided with opening; Inverted triangle body two waists of described isolator 11 are circular arc; The material that described isolator adopts is Nitinol.Being shaped as inverted triangle build shape and can preventing intrauterine adhesion of isolator, isolator be shaped as the cylindrical inverted triangle build of leukorrhagia end, can also be used for the prevention adhesions of cervix.Inverted triangle body upper end at described isolator 11 caves inward, described concave face is provided with opening, upper end open then is conducive to the eliminating of intrauterine hydrops and inner membrance cast, adopt the opening of circular arc and the two waists design of circular arc, avoid described isolator to reach during operation in the taking-up process endometrium and cervical canal are caused damage, adopting Nitinol is the isolator that material is made, and possesses good compliance and shape recovery ratio.
Further, described withdrawing device makes things convenient for the recovery of isolator for reclaiming silk or reclaiming the sheath pipe.
Further, the material of described outer tube and middle pipe is politef, bends the position to adapt to different uterus, avoids aligning body of uterus.
Further, the front end port of described middle pipe is connected with and cuts somebody's hair; Under the original state, be loaded in the front end inner chamber of outer tube after the compression of described overlay film silk netting shape isolator and be positioned at the front side of cutting somebody's hair.Cut somebody's hair can increase in pipe overlay film silk netting shape isolator is pushed effect.
Further, described outer tube is provided with scale marker, and its scale originates in the front end of outer tube, ends at outer tube and lock nut junction, can measure the length that supporting inserter enters the human body cavity of uterus, avoids excessively pushing.Pipe is provided with scale marker in described, pipe and back handle junction during its scale originates in, and the scale total length is 10cm, can measure the propelling movement distance of pipe in the supporting inserter.
Beneficial effect: the invention provides a kind of novel device for prevention intrauterine adhesion minimally-invasive treatment, structural design by device, and the scale marker on middle pipe and the outer tube, mobile outer tube backward, make overlay film silk netting shape isolator be trapped in the uterine cavity, expand into the uterine cavity shape, reach preventive effect, safety is very high; And apparatus of the present invention are simple in structure, and are easy and simple to handle, only overlay film silk netting shape isolator need be sent into uterine cavity once, can reach preventive effect, and convenient to remove.Alleviate patient's misery greatly and reduced the treatment cost.
Description of drawings
Accompanying drawing 1 is structural representation of the present invention.
Accompanying drawing 2 is the structural representation of the supporting inserter of the present invention.
Accompanying drawing 3 is the structural representation of inverted triangle build overlay film silk netting shape isolator of the present invention.
Accompanying drawing 4 is the structural representation of the cylindrical inverted triangle build of leukorrhagia end of the present invention overlay film silk netting shape isolator.
Accompanying drawing 5 reclaims silk and isolator connection diagram for the present invention.
The specific embodiment
Below in conjunction with accompanying drawing the present invention is done further explanation.
As shown in Figure 1, a kind of novel device for prevention intrauterine adhesion minimally-invasive treatment comprises overlay film silk netting shape isolator 10 and supporting inserter 20.
As shown in Figure 3, described overlay film silk netting shape isolator 10 comprises isolator 11, withdrawing device 12, and described isolator 11 is for the netted braiding structure of the soft material matter that possesses shape memory function and possess good biocompatibility.The network structure of described isolator 11, adopt the combination of different braiding head numbers, silk footpath, helical pitch, to reach proper supporting power and compliance, have good compliance and shape recovery ratio, can reach outer tube 21 neutralization that compression is loaded into described supporting inserter 20 and enter in the uterine cavity and resile.Width, height and the overall dimensions of described isolator 11 upper end inverted triangle bodies are with reference to uterus anatomy size design.The preferred material that isolator 11 of the present invention adopts is Nitinol, the shape memory function of nickel-titanium alloy material is mainly reflected in: under 37 ℃ of situations of room temperature, isolator 11 is carried out the typing of uterine cavity profile, when isolator 11 enters in the human body cavity of uterus, under the body temperature environment, return to original shaping size, reach the purpose of isolating each wall of uterus fully.Macromolecule polymer material also can be realized the effect of similar Nitinol.For avoiding 11 materials of isolator to embed new intima, isolator 11 surfaces are covered with one deck medical silica-gel film.The inverted triangle body upper end of described isolator 11 caves inward, and described concave face is provided with opening, and upper end open is conducive to the eliminating of intrauterine hydrops and inner membrance cast; Upper end open is circular arc and interior receipts, and inverted triangle body two waists of isolator 11 are circular arc, adopts upper end open and the design of circular arc two waists of circular arc, avoids described isolator 11 to reach during operation in the taking-up process endometrium and cervical canal are caused damage.Described withdrawing device 12 is arranged on the afterbody opening of inverted triangle body isolator 11, described withdrawing device 12 is for reclaiming silk or reclaiming the sheath pipe, as shown in Figure 5, the grid in the described recovery every interval of silk penetrates or passes the afterbody opening that is connected in isolator 10, the operation suture thread of described recovery silk 12 for absorbing.When treatment finishes, adopt withdrawing device 12 to take out overlay film silk netting shape isolator 10.
As shown in Figure 4, the shape of described isolator 11 can also be the cylindrical inverted triangle build of leukorrhagia end, than do not had this cylindrical isolator more than 11 prevention adhesions of cervix therapeutic effect.Determining with reference to the Cervical anatomy size of human body of the cylindrical diameter in described isolator 11 lower ends and length.
Described supporting inserter 20 comprises outer tube 21, cut somebody's hair 22, middle pipe 23, lock nut 24, support set 25, forward end seal circle 26, front hand grip 27, tail end sealing circle 28, clamping screw 29 and back handle 30; The length of pipe 23 is greater than outer tube 21 in described, and described middle pipe 23 front part are set in the outer tube 21, and rear section reveals to be put outside outer tube 21, under the original state, manages 23 the certain distance of front end during the front end of outer tube 21 is outstanding;
The rear section of pipe 23 passes support set 25, forward end seal circle 26, tail end sealing circle 28 and clamping screw 29 successively in described; The external screw thread of described clamping screw 29 is threaded with the rear end of front hand grip 27, and the two sides, front and back of described tail end sealing circle 28 contact respectively between front hand grip 27 and the clamping screw 29, manages 23 in the locking after tail end sealing circle 28 is squeezed; Be socketed with support set 25 in the front end inner chamber of described front hand grip 27, by 26 sealings of front end sealing ring, the lock nut 24 that passes through of the front end of described front hand grip 27 is connected with the rear end of outer tube 21 between described front hand grip 27 and the support set 25; Described back handle 30 is connected with the rear end of middle pipe 23; The front end port of pipe 23 is connected with and cuts somebody's hair 22 in described; Under the original state, be loaded in the front end inner chamber of outer tube 21 after 10 compressions of described overlay film silk netting shape isolator and be positioned at 22 the front side of cutting somebody's hair.
Under the original state, be loaded in the front end inner chamber of outer tube 21 after 10 compressions of described overlay film silk netting shape isolator and be arranged in and manage 23 front side; During use, mobile front hand grip 27 backward makes overlay film silk netting shape isolator 10 break away from outer tubes 21 and resiles.
Described outer tube 21 is provided with scale marker, and its scale originates in the front end of outer tube 21, ends at outer tube 21 and lock nut 24 junctions, can measure the length that supporting inserter 20 enters the human body cavity of uterus, avoids excessively pushing; Pipe 23 is provided with scale marker in described, pipe 23 and back handle 30 junctions during its scale originates in, and the scale total length is 10cm, can measure the propelling movement distance of pipe 23 in the supporting inserter 20.
The material of described outer tube 21 and middle pipe 23 is politef, to increase described supporting inserter 20 compliances, adapts to different uterus and bends the position, avoids aligning body of uterus.The material of described outer tube 21 and middle pipe 23 can also adopt the other materials that can realize function of the present invention, as rustless steel, polyethylene.
During the work of this device, will be described be loaded into supporting inserter 20 after 10 compressions of overlay film silk netting shape isolator, pipe 23 contacts with described overlay film silk netting shape isolator 10 in the propelling movement, screws clamping screw 29, manage 23 in the locking, making can not relative motion between outer tube 21 and the middle pipe 23.Apparatus of the present invention under the guidance of outer tube 21 sign scales, are stretched into cavity of uterus with outer tube 21.Keep under the motionless situation of back handle 30, unscrew clamping screw 29, slowly move back and send front hand grip 27, in conjunction with the length of described overlay film silk netting shape isolator 10 and the scale marker on the middle pipe 23, guarantee that described overlay film silk netting shape isolator 10 breaks away from fully from outer tube 21, and be trapped in the uterine cavity, stop to move back and send front hand grip 27, overlay film silk netting this moment shape isolator 10 returns to original shape, and uterine cavity is expanded, and reaches the purpose for the treatment of.Withdraw from supporting inserter 20 integral body from human body this moment.
After effect to be treated reaches, by withdrawing device 12 described overlay film silk netting shape isolator 10 is taken out in cavity of uterus.
The above only is preferred implementation of the present invention; be noted that for those skilled in the art; under the prerequisite that does not break away from the principle of the invention, can also make some improvements and modifications, these improvements and modifications also should be considered as protection scope of the present invention.
Claims (10)
1. a novel device for prevention intrauterine adhesion minimally-invasive treatment is characterized in that: comprise overlay film silk netting shape isolator (10) and supporting inserter (20);
Described overlay film silk netting shape isolator (10) comprises isolator (11), withdrawing device (12), described isolator (11) is the netted braiding structure that possesses the soft material matter of shape memory function, the surface of described isolator (11) is covered with one deck medical silica-gel film, and described withdrawing device (12) is arranged on the tail end of isolator (11);
Described supporting inserter (20) comprises outer tube (21), cut somebody's hair (22), middle pipe (23), lock nut (24), support set (25), forward end seal circle (26), front hand grip (27), tail end sealing circle (28), clamping screw (29) and back handle (30); The length of pipe (23) is greater than outer tube (21) in described, pipe (23) front part is set in the outer tube (21) in described, rear section reveals to be put outside outer tube (21), under the original state, and the certain distance of front end of pipe (23) during the front end of outer tube (21) is outstanding;
The rear section of pipe (23) passes support set (25), forward end seal circle (26), front hand grip (27) tail end sealing circle (28) and clamping screw (29) successively in described; The external screw thread of described clamping screw (29) is threaded with the rear end of front hand grip (27), the two sides, front and back of described tail end sealing circle (28) contact respectively between front hand grip (27) and the clamping screw (29), pipe (23) in the locking after tail end sealing circle (28) is squeezed; Be socketed with support set (25) in the front end inner chamber of described front hand grip (27), by front end sealing ring (26) sealing, the lock nut (24) that passes through of the front end of described front hand grip (27) is connected with the rear end of outer tube (21) between described front hand grip (27) and the support set (25); Described back handle (30) is connected with the rear end of middle pipe (23);
Under the original state, be loaded in the front end inner chamber of outer tube (21) after described overlay film silk netting shape isolator (10) compression and be arranged in the front side of pipe (23); During use, mobile front hand grip (27) backward makes overlay film silk netting shape isolator (10) break away from outer tube (21) and resiles.
2. a kind of novel device for prevention intrauterine adhesion minimally-invasive treatment according to claim 1 is characterized in that: described isolator (11) be shaped as inverted triangle build shape.
3. a kind of novel device for prevention intrauterine adhesion minimally-invasive treatment according to claim 1 is characterized in that: described isolator (11) be shaped as the cylindrical inverted triangle build of leukorrhagia end shape.
4. according to claim 2 or 3 described a kind of novel devices for prevention intrauterine adhesion minimally-invasive treatment, it is characterized in that: the inverted triangle body upper end of described isolator (11) caves inward, and described concave face is provided with opening; Inverted triangle body two waists of described isolator (11) are circular arc.
5. according to claim 1 a kind of novel for the device that prevents the intrauterine adhesion minimally-invasive treatment, it is characterized in that: the material that described isolator (11) adopts is Nitinol.
6. according to claim 1 a kind of novel for the device that prevents the intrauterine adhesion minimally-invasive treatment, it is characterized in that: described withdrawing device (12) is for reclaiming silk or reclaiming the sheath pipe.
7. according to claim 1 a kind of novel for the device that prevents the intrauterine adhesion minimally-invasive treatment, it is characterized in that: the material of described outer tube (21) and middle pipe (23) is politef.
8. according to claim 1 a kind of novel for the device that prevents the intrauterine adhesion minimally-invasive treatment, it is characterized in that: the front end port of pipe (23) is connected with cut somebody's hair (22) in described; Under the original state, be loaded in the front end inner chamber of outer tube (21) after described overlay film silk netting shape isolator (10) compression and be positioned at the front side of cut somebody's hair (22).
9. according to claim 1 a kind of novel for the device that prevents the intrauterine adhesion minimally-invasive treatment, it is characterized in that: described outer tube (21) is provided with scale marker, its scale originates in the front end of outer tube (21), ends at outer tube (21) and lock nut (24) junction.
10. according to claim 1 a kind of novel for the device that prevents the intrauterine adhesion minimally-invasive treatment, it is characterized in that: pipe (23) is provided with scale marker in described, its scale originates in middle pipe (23) and back handle (30) junction, and the scale total length is 10cm.
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| CN201310302469.6A CN103340680B (en) | 2013-07-18 | 2013-07-18 | Novel minimally invasive therapy device used for preventing intrauterine adhesion |
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| CN103340680B CN103340680B (en) | 2015-01-28 |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2016149563A1 (en) * | 2015-03-17 | 2016-09-22 | Ahluwalia Prabhat | Uterine manipulator |
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| US20030032953A1 (en) * | 2000-02-24 | 2003-02-13 | Vandusseldorp Gregg A. | Partial ablation procedure and device therefor |
| US20050171569A1 (en) * | 2000-04-25 | 2005-08-04 | Impres Medical, Inc. | Method and apparatus for creating intrauterine adhesions |
| CN101073514A (en) * | 2007-06-25 | 2007-11-21 | 西安远鸿科技有限责任公司 | Invivo-lithotriptor electrode or fiberoptic positioner |
| CN102120059A (en) * | 2011-03-11 | 2011-07-13 | 东南大学 | Medicinal stent-graft for preventing and treating intrauterine adhesion |
| CN203354626U (en) * | 2013-07-18 | 2013-12-25 | 东南大学 | Novel minimally invasive treatment device for preventing intrauterine adhesion |
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2013
- 2013-07-18 CN CN201310302469.6A patent/CN103340680B/en active Active
Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20030032953A1 (en) * | 2000-02-24 | 2003-02-13 | Vandusseldorp Gregg A. | Partial ablation procedure and device therefor |
| US20050171569A1 (en) * | 2000-04-25 | 2005-08-04 | Impres Medical, Inc. | Method and apparatus for creating intrauterine adhesions |
| CN101073514A (en) * | 2007-06-25 | 2007-11-21 | 西安远鸿科技有限责任公司 | Invivo-lithotriptor electrode or fiberoptic positioner |
| CN102120059A (en) * | 2011-03-11 | 2011-07-13 | 东南大学 | Medicinal stent-graft for preventing and treating intrauterine adhesion |
| CN203354626U (en) * | 2013-07-18 | 2013-12-25 | 东南大学 | Novel minimally invasive treatment device for preventing intrauterine adhesion |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2016149563A1 (en) * | 2015-03-17 | 2016-09-22 | Ahluwalia Prabhat | Uterine manipulator |
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