CN111714078B - Vaginal expansion device, device for placing the device, and method for using the same - Google Patents

Vaginal expansion device, device for placing the device, and method for using the same Download PDF

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CN111714078B
CN111714078B CN202010611511.2A CN202010611511A CN111714078B CN 111714078 B CN111714078 B CN 111714078B CN 202010611511 A CN202010611511 A CN 202010611511A CN 111714078 B CN111714078 B CN 111714078B
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CN111714078A (en
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许婷
宋佳佳
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Second Affiliated Hospital and Yuying Childrens Hospital of Wenzhou Medical University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/32Devices for opening or enlarging the visual field, e.g. of a tube of the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/303Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the vagina, i.e. vaginoscopes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/10Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
    • A61B90/14Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins
    • A61B90/17Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins for soft tissue, e.g. breast-holding devices
    • 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
    • A61M2210/00Anatomical parts of the body
    • A61M2210/14Female reproductive, genital organs
    • A61M2210/1475Vagina

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Abstract

A device for expanding vagina and its placement device are composed of a soft and elastic protecting shell and a supporting structure for changing its size, and features that the size of said supporting structure is changed by mechanical structure or the water-sucking expansion principle. The design has the beneficial effects that the user can have more comfortable experience, the direct vision condition is provided for the membrane rupture operation, the difficulty of the manual membrane rupture operation is further reduced, and the design is beneficial to pregnant women and new doctors.

Description

一种扩阴装置以及该装置的放置装置及其使用方法Vaginal expansion device, device for placing the device, and method for using the device

技术领域technical field

本发明属于医疗设备领域,具体涉及一种扩阴装置以及该装置的放置装置及其使用方法。The invention belongs to the field of medical equipment, and in particular relates to a vaginal dilation device, a device for placing the device and a method for using the device.

背景技术Background technique

为了避免产程延长和促进宫缩,产程中人工破膜和缩宫素应用是常见的干预措施。人工破膜这项技术是于18世纪中叶由一位英国的产科医生Thomas Denman首次提出,是指采取医疗干预的方式使用一种锐利的医疗器械刺破、钩破或者夹破羊膜的一种常见医疗操作,使羊水流出,可在产程进展停滞时加强宫缩、加速产程,也可用来观察羊水性状评估胎儿是否存在缺氧,是在经阴道分娩过程中常常使用的一种医疗干预措施,在发展中国家中被广泛应用。在宫缩乏力、潜伏期出现延长趋势、胎心监护异常等首先可考虑行人工破膜。通常临床上以使用组织钳与针头行人工破膜术。研究表明,使用组织钳行人工破膜术大大降低了术者损伤、孕妇损伤、胎儿损伤的发生率,且使用组织钳行人工破膜术成功率也高于使用针头行人工破膜术。故临床上常以组织钳行人工破膜术。In order to avoid prolonged labor and promote uterine contractions, artificial rupture of membranes and application of oxytocin during labor are common interventions. The technique of artificial membrane rupture was first proposed by a British obstetrician Thomas Denman in the middle of the 18th century. Medical operation, making the amniotic fluid flow out, can strengthen the uterine contraction and accelerate the labor process when the progress of the labor process is stagnant. It can also be used to observe the properties of the amniotic fluid to evaluate whether the fetus is hypoxic. It is a medical intervention that is often used during vaginal delivery. widely used in developing countries. Artificial rupture of membranes may be considered first in cases of uterine atony, prolongation of the incubation period, and abnormal fetal heart rate monitoring. Usually clinically, artificial membrane rupture is performed using tissue forceps and needles. Studies have shown that artificial membrane rupture using tissue forceps greatly reduces the incidence of operator injury, maternal injury, and fetal injury, and the success rate of artificial membrane rupture using tissue forceps is also higher than that of artificial membrane rupture using needles. Therefore, artificial membrane rupture is often performed clinically with tissue forceps.

人工破膜方法:产妇取膀胱截石位,常规消毒外阴,术者戴无菌手套,一只手中指和食指伸入宫颈管,检查宫颈扩张情况,了解羊膜囊大小,另一只手持组织钳通过前一只手两指中间轻轻夹破羊膜囊后退出宫颈及阴道,前一只手停留原位,等待羊水流出。 但这种常规的操作在非直视下凭触觉借助器械而实施,往往不方便, 且组织钳锋利, 容易损伤产妇阴道壁、宫颈组织、胎儿头皮等,因此,产科医生和助产人员的对破膜技术掌握的熟练与否非常重要。尤其是新手医师,往往对人工破膜术不熟悉,不仅耗时长,还会给产妇带来更多的身心不适感及压力,同时也增加了自身受伤的风险。Artificial membrane rupture method: the puerpera takes the bladder lithotomy position, routinely disinfects the vulva, the operator wears sterile gloves, inserts one middle finger and index finger into the cervical canal, checks the dilatation of the cervix, and understands the size of the amniotic sac, and holds tissue forceps with the other hand Gently pinch the amniotic sac between the two fingers of the previous hand and exit the cervix and vagina. The previous hand stays in place and waits for the amniotic fluid to flow out. However, this routine operation is often inconvenient under non-direct vision with the help of tactile instruments, and the tissue forceps are sharp, which can easily damage the vaginal wall, cervical tissue, and fetal scalp of the parturient. The proficiency of membrane rupture technology is very important. Especially novice doctors are often unfamiliar with artificial membrane rupture, which not only takes a long time, but also brings more physical and mental discomfort and pressure to the parturient, and also increases the risk of self-injury.

根据临床经验,新手医师行人工破膜术时由于熟练程度不够,常常耗时较长,且容易对孕妇造成损伤,极易增加孕妇的不适感及紧张度。同时,多次人工破膜术的失败也增加新手医师的挫败感及自我怀疑。设计一款产品提供直视条件,进一步降低了人工破膜术的难度,对孕妇及新手医师而言皆有益可言。According to clinical experience, novice doctors often take a long time to perform artificial membrane rupture due to lack of proficiency, and it is easy to cause damage to pregnant women, which can easily increase the discomfort and tension of pregnant women. At the same time, repeated failures of artificial membrane rupture also increased the frustration and self-doubt of novice physicians. Designing a product to provide direct vision conditions further reduces the difficulty of artificial membrane rupture, which is beneficial to both pregnant women and novice physicians.

往常使用窥阴器观察阴道及宫颈情况。而无论是一次性窥阴器还是可回收窥阴器材料偏硬质,其进入女性阴道内或多或少造成女性不适感。设计一款产品材料柔软,且初始体积较小,缓慢的扩开阴道及宫颈,予女性缓冲过程,提高女性的体验满意度,更加的人性化。Usually use a speculum to observe the vagina and cervix. Regardless of whether it is a disposable speculum or a recyclable speculum, the material is relatively hard, and its entry into the female vagina will more or less cause female discomfort. Design a product with soft material and small initial volume, slowly expand the vagina and cervix, buffer the process for women, improve women's experience satisfaction, and be more humane.

发明内容Contents of the invention

针对上述现有技术,本发明的目的是提出一种扩阴装置以及该装置的放置装置及其使用方法。In view of the above-mentioned prior art, the object of the present invention is to provide a vaginal dilation device, a device for placing the device and a method for using the device.

本发明的技术方案是这样实现的:一种扩阴装置,包括柔软且具有弹性的保护壳和设置在保护壳内部可改变大小的支撑结构,支撑结构通过机械结构的运转或通过吸水膨胀原理来实现大小结构的改变。The technical solution of the present invention is achieved in the following way: a vaginal dilation device, including a soft and elastic protective shell and a support structure that can be changed in size inside the protective shell. Realize the change of size structure.

这样设计的有益效果是可以让使用者有更舒适的体验,为破膜手术提供直视条件,进一步降低了人工破膜术的难度,对孕妇及新手医师而言皆有益可言。The beneficial effect of this design is that it can allow users to have a more comfortable experience, provide direct vision conditions for membrane rupture surgery, and further reduce the difficulty of artificial membrane rupture surgery, which is beneficial to both pregnant women and novice doctors.

进一步地,保护壳外包裹润滑层,润滑层采用吸水材料制成且紧密贴合在保护壳上,这样设计起到更好的润滑效果使得使用更舒适。Furthermore, the protective shell is wrapped with a lubricating layer, which is made of water-absorbing material and tightly attached to the protective shell, so that the design has a better lubricating effect and makes the use more comfortable.

进一步地,支撑结构由多个且截面成圆弧形的长条刚性瓦片连接到一起形成管状的支撑体使得转动或移动部分瓦片可改变支撑体的大小,这样可以有更好的支撑,增加使用的可靠性。Furthermore, the support structure is connected by multiple long rigid tiles with arc-shaped sections to form a tubular support body so that turning or moving some tiles can change the size of the support body, which can provide better support. Increase the reliability of use.

进一步地,瓦片沿长度方向设有两个通孔使得相邻两个瓦片可以通过U形轴连接到一起形成连杆结构可相互间相对转动,这样使得瓦片运动更稳定一致。Further, the tiles are provided with two through holes along the length direction so that two adjacent tiles can be connected together by a U-shaped shaft to form a link structure that can rotate relative to each other, which makes the movement of the tiles more stable and consistent.

进一步地,瓦片采用磁性材料制成,比如可以使用磁铁这样设计增加瓦片的支撑稳定性且结构简单。Furthermore, the tiles are made of magnetic materials, for example, magnets can be used to increase the support stability of the tiles and have a simple structure.

进一步地,该扩阴装置的放置装置包括转盘、底座和多个滑块,底座内表面成锥面与滑块接触且底座端面与转盘接触,转盘可相对底座转动且设有燕尾槽使得滑块可以在同一锥面上相对转盘直线移动,多个滑块成环形分布且外表面设有与底座内表面的锥形内螺纹匹配的锥形外螺纹使得底座转动后滑块可沿锥面移动既有轴向移动又有径向移动,滑块外端设有定位杆可插入瓦片上设置的定位孔内,这样设计可靠性大大提升。Further, the placement device of the venereal expansion device includes a turntable, a base and a plurality of sliders, the inner surface of the base is in contact with the sliders and the end surface of the base is in contact with the turntable, the turntable can rotate relative to the base and is provided with a dovetail groove so that the sliders It can move linearly on the same conical surface relative to the turntable. Multiple sliders are distributed in a ring and the outer surface is provided with a tapered external thread that matches the tapered internal thread on the inner surface of the base so that the slider can move along the conical surface after the base rotates. There are axial movement and radial movement, and the outer end of the slider is provided with a positioning rod that can be inserted into the positioning hole provided on the tile, so that the reliability of the design is greatly improved.

进一步地,转盘外表面设有防滑结构,滑块外表面设有刻度使得滑块伸缩的长度可以直观的转换为直径的扩大量,可以包裹橡胶或者设置凹凸不平的表面来增加摩察力,这样使用更方便更灵活。Furthermore, the outer surface of the turntable is provided with a non-slip structure, and the outer surface of the slider is provided with a scale so that the stretchable length of the slider can be intuitively converted into the expansion of the diameter, and rubber can be wrapped or an uneven surface can be set to increase friction, so that It is more convenient and flexible to use.

进一步地,底座内设有振动结构,这样可以提高使用舒适度。Furthermore, a vibrating structure is provided in the base, which can improve the comfort of use.

一种扩阴装置使用方法 ,首先将润滑剂均匀涂抹在润滑层上,静置五分钟使得润滑剂充分被润滑层吸收,其次将扩阴装置通过阴道口置入阴道,再次通过放置装置将扩阴装置放大,待使用者有轻微撕裂感时开启振动装置,振动五分钟后静置五分钟再扩大6毫米,之后每次扩大3毫米至使用者有一定的疼痛感为止,最后进行破膜手术后再使用放置装置缩小扩阴装置后取出即可。A method of using a vaginal dilation device. First, apply lubricant evenly on the lubricating layer, and let it stand for five minutes to allow the lubricant to be fully absorbed by the lubricating layer. The vaginal device is enlarged, and the vibrating device is turned on when the user feels a slight tearing sensation. After vibrating for five minutes, it is left to stand for five minutes and then enlarged by 6mm. After that, it is enlarged by 3mm each time until the user feels a certain pain, and finally the membrane is ruptured. After surgery, use the placement device to shrink the vaginal dilation device and take it out.

附图说明Description of drawings

图1为本发明一种扩阴装置立体示意图;Fig. 1 is a three-dimensional schematic view of a vaginal expansion device of the present invention;

图2为本发明一种扩阴装置正面示意图;Fig. 2 is a schematic front view of a vagina expanding device of the present invention;

图3为本发明一种扩阴装置放置前缩小状态示意图;Fig. 3 is a schematic diagram of a shrinking state of a vaginal expansion device of the present invention before placement;

图4为本发明一种扩阴装置拆卸U形轴示意图;Fig. 4 is a schematic diagram of disassembling the U-shaped shaft of a vagina expanding device of the present invention;

图5为本发明一种扩阴装置瓦片示意图;Fig. 5 is a schematic diagram of a tile of a shade expanding device according to the present invention;

图6为本发明一种扩阴装置U形轴示意图;Fig. 6 is a schematic diagram of a U-shaped shaft of a vagina expanding device according to the present invention;

图7为本发明一种扩阴装置放置装置立体示意图。Fig. 7 is a three-dimensional schematic diagram of a device for placing a vaginal dilation device according to the present invention.

具体实施方式Detailed ways

根据需要,在本文中公开了本发明的详细实施例,但应了解所公开的实施例只是示范本发明,本发明可以不同和替代形式实施。附图未必按照比例绘制,且某些特点可被夸大或缩小以示出特定构件的细节。因此,本文所公开的具体结构和功能细节不应被理解为具有限制意义,而是仅作为代表性基础以教导本领域技术人员不同地采用本发明。基于本发明中的实施例,本领域普通技术人员在没有作出创造性劳动前提下所获得的所有其他实施例,都属于本发明保护的范围。As required, detailed embodiments of the invention are disclosed herein, but it is to be understood that the disclosed embodiments are merely exemplary of the invention, which may be embodied in different and alternative forms. The figures are not necessarily to scale and certain features may be exaggerated or minimized to show details of particular components. Therefore, specific structural and functional details disclosed herein are not to be interpreted in limiting senses, but merely as a representative basis for teaching one skilled in the art to variously employ the present invention. Based on the embodiments of the present invention, all other embodiments obtained by persons of ordinary skill in the art without creative efforts fall within the protection scope of the present invention.

如图1图2图3图4所示,一种扩阴装置,包括柔软且具有弹性的保护壳1和设置在保护壳1内部可改变大小的支撑结构2,支撑结构2通过机械结构的运转或通过吸水膨胀原理来实现大小结构的改变,保护壳1外包裹润滑层,润滑层采用吸水材料制成且紧密贴合在保护壳1上,支撑结构2由多个且截面成圆弧形的长条刚性瓦片4连接到一起形成管状的支撑体使得转动或移动部分瓦片4可改变支撑体的大小,瓦片4沿长度方向设有两个通孔5使得相邻两个瓦片4可以通过U形轴3连接到一起形成连杆结构可相互间相对转动,瓦片4采用磁性材料制成。As shown in Fig. 1, Fig. 2, Fig. 3 and Fig. 4, a vaginal dilation device includes a soft and elastic protective shell 1 and a support structure 2 which is arranged inside the protective shell 1 and whose size can be changed. The support structure 2 is operated by the mechanical structure. Or the size and structure can be changed through the principle of water absorption expansion. The protective shell 1 is wrapped with a lubricating layer. The lubricating layer is made of water-absorbing material and is closely attached to the protective shell 1. The supporting structure 2 is composed of multiple arc-shaped cross-sections The long rigid tiles 4 are connected together to form a tubular support so that the size of the support can be changed by turning or moving part of the tiles 4. The tiles 4 are provided with two through holes 5 along the length direction so that two adjacent tiles 4 They can be connected together by U-shaped shafts 3 to form a connecting rod structure that can rotate relative to each other, and the tiles 4 are made of magnetic materials.

如图1图2图3图4所示,该扩阴装置的放置装置包括转盘6、底座7和多个滑块8,底座7内表面成锥面与滑块8接触且底座7端面与转盘6接触,转盘6可相对底座7转动且设有燕尾槽使得滑块8可以在同一锥面上相对转盘6直线移动,多个滑块8成环形分布且外表面设有与底座7内表面的锥形内螺纹匹配的锥形外螺纹使得底座7转动后滑块8可沿锥面移动既有轴向移动又有径向移动,滑块8外端设有定位杆9可插入瓦片4上设置的定位孔内10。转盘6外表面设有防滑结构,滑块8外表面设有刻度使得滑块8伸缩的长度可以直观的转换为直径的扩大量,底座7内设有振动结构。As shown in Fig. 1, Fig. 2, Fig. 3 and Fig. 4, the placement device of the vaginal expansion device includes a turntable 6, a base 7 and a plurality of sliders 8, the inner surface of the base 7 forms a tapered surface and contacts with the slider 8, and the end surface of the base 7 is in contact with the turntable. 6 contacts, the turntable 6 can rotate relative to the base 7 and is provided with a dovetail groove so that the slider 8 can move linearly on the same conical surface relative to the turntable 6, and a plurality of sliders 8 are distributed in a ring and the outer surface is provided with the inner surface of the base 7. The tapered external thread matched with the tapered internal thread enables the slider 8 to move along the conical surface after the base 7 rotates, both axially and radially. The outer end of the slider 8 is provided with a positioning rod 9 that can be inserted into the tile 4 Set 10 inside the positioning hole. The outer surface of the turntable 6 is provided with an anti-slip structure, the outer surface of the slider 8 is provided with scales so that the telescopic length of the slider 8 can be intuitively converted into an enlarged amount of the diameter, and the base 7 is provided with a vibration structure.

如图1图2图3图4所示,一种扩阴装置使用方法 ,首先将润滑剂均匀涂抹在润滑层上,静置五分钟使得润滑剂充分被润滑层吸收,其次将扩阴装置通过阴道口置入阴道,再次通过放置装置将扩阴装置放大,待使用者有轻微撕裂感时开启振动装置,振动五分钟后静置五分钟再扩大6毫米,之后每次扩大3毫米至使用者有一定的疼痛感为止,最后进行破膜手术后再使用放置装置缩小扩阴装置后取出即可。As shown in Fig. 1, Fig. 2, Fig. 3 and Fig. 4, a method of using the vaginal expansion device, firstly apply the lubricant evenly on the lubricating layer, let it stand for five minutes so that the lubricant is fully absorbed by the lubricating layer, and then pass the vaginal expansion device through Put the vaginal opening into the vagina, place the device again to enlarge the vaginal expansion device, and turn on the vibration device when the user feels a slight tear, vibrate for five minutes, let it stand for five minutes, and then expand it by 6 mm, and then expand it by 3 mm each time until it is used Until the patient feels a certain degree of pain, the membrane rupture operation is finally performed, and then the placement device is used to reduce the vaginal expansion device and take it out.

Claims (3)

1.一种扩阴装置的放置装置,其特征在于:包括转盘(6)、底座(7)和多个滑块(8),所述底座(7)内表面成锥面与滑块(8)接触且底座(7)端面与转盘(6)接触,所述转盘(6)可相对底座(7)转动且设有燕尾槽使得滑块(8)可以在同一锥面上相对转盘(6)直线移动,所述多个滑块(8)成环形分布且外表面设有与底座(7)内表面的锥形内螺纹匹配的锥形外螺纹使得底座(7)转动后滑块(8)可沿锥面移动既有轴向移动又有径向移动,所述滑块(8)外端设有定位杆(9)可插入瓦片(4)上设置的定位孔内(10)。1. a placement device for a vaginal expansion device, characterized in that: comprise a rotating disk (6), a base (7) and a plurality of slide blocks (8), the inner surface of the base (7) becomes a tapered surface and slide block (8) ) contact and the end face of the base (7) is in contact with the turntable (6), the turntable (6) can rotate relative to the base (7) and is provided with a dovetail groove so that the slider (8) can be on the same conical surface relative to the turntable (6) Moving in a straight line, the plurality of sliders (8) are distributed in a ring and the outer surface is provided with a tapered external thread that matches the tapered internal thread of the inner surface of the base (7) so that the base (7) rotates and the slider (8) It can move both axially and radially along the tapered surface. The outer end of the slider (8) is provided with a positioning rod (9) which can be inserted into the positioning hole (10) provided on the tile (4). 2.根据权利要求1所述的扩阴装置的放置装置,其特征在于:所述转盘(6)外表面设有防滑结构,所述滑块(8)外表面设有刻度使得滑块(8)伸缩的长度可以直观的转换为直径的扩大量。2. The placement device of the vaginal expansion device according to claim 1, characterized in that: the outer surface of the rotating disk (6) is provided with an anti-skid structure, and the outer surface of the slider (8) is provided with a scale so that the slider (8) ) stretching length can be intuitively converted to the expansion of the diameter. 3.根据权利要求2所述的扩阴装置的放置装置,其特征在于:所述底座(7)内设有振动结构。3. The device for placing the vaginal dilation device according to claim 2, characterized in that: the base (7) is provided with a vibrating structure.
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