WO2017004833A1 - Vaginal expansion rod - Google Patents

Vaginal expansion rod Download PDF

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Publication number
WO2017004833A1
WO2017004833A1 PCT/CN2015/083688 CN2015083688W WO2017004833A1 WO 2017004833 A1 WO2017004833 A1 WO 2017004833A1 CN 2015083688 W CN2015083688 W CN 2015083688W WO 2017004833 A1 WO2017004833 A1 WO 2017004833A1
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WO
WIPO (PCT)
Prior art keywords
rod
vaginal
water
dilating
expansion rod
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Application number
PCT/CN2015/083688
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French (fr)
Chinese (zh)
Inventor
罗光楠
潘宏信
Original Assignee
深圳市罗湖区人民医院
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
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Publication date
Application filed by 深圳市罗湖区人民医院 filed Critical 深圳市罗湖区人民医院
Priority to CN201580001680.1A priority Critical patent/CN107106824B/en
Priority to PCT/CN2015/083688 priority patent/WO2017004833A1/en
Publication of WO2017004833A1 publication Critical patent/WO2017004833A1/en

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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
    • 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
    • A61M29/02Dilators made of swellable material

Definitions

  • the present invention relates to vaginal prosthetics, and more particularly to a vaginal dilatation rod.
  • Congenital vaginal disorders can be constructed by laparoscopic vaginoplasty.
  • Laparoscopic vaginoplasty requires freeing the peritoneum, then a vaginal tunnel, and then pulling the peritoneum into the vaginal tunnel and suturing the vestibule to cover the vaginal tunnel to form an artificial vagina.
  • the vaginal tunnel is formed mainly by the operator operating the dilatation blunt dilatation incision. Therefore, it is necessary to first make a small tunnel and then slowly expand to the desired size. Therefore, the current operation requires a variety of expansion rods, first with a small expansion rod for expansion, and then pulled out, replace the larger expansion rod, and so on, until the vaginal tunnel is formed.
  • the expansion rod is repeatedly pulled out, which easily leads to outflow of gas in the abdominal cavity, which causes the abdominal pressure to decrease and affects the operation field of the laparoscope.
  • pulling out the expansion rod can also cause the vaginal tunnel to collapse and easily cause false roads.
  • the present invention aims to solve at least one of the technical problems existing in the prior art. To this end, the present invention is required to provide a vaginal dilatation rod.
  • a vaginal dilating rod includes an inner rod and a cylindrical water jacket sleeved on the inner rod, the water bladder sleeve being adapted to expand under water injection to have different outer diameters of the vaginal dilatation rod.
  • the inner rod is made of a rigid material.
  • the inner rod has an outer diameter of less than or equal to 15 mm.
  • the inner rod has a tapered head that emerges from the water bladder.
  • the inner rod has a length greater than 18 cm.
  • the inner rod has a hollow structure
  • the head of the vaginal dilation rod is formed with an opening
  • the vaginal dilating rod further includes a sealing cap that closes the opening
  • the sealing cap is formed with a cone a through hole having a top portion of the tapered through hole facing the inner rod.
  • the inner rod has an inner diameter of 11 mm.
  • the sealing cap includes an inner and outer portion that engages the head and an outer bowl that exposes the opening, the inner bowl portion mating with the inner wall of the head.
  • the water jacket determines the thickness of each portion according to the water injection position and the distribution characteristics of the water pressure to uniformly expand the water bladder under water pressure.
  • the vaginal dilatation rod further includes a water injector for injecting water into the water bladder as needed.
  • the vaginal dilatation rod further comprises a body lubricant coated on the water bladder.
  • the water capsule is not filled with water or the water is injected less, so that the vaginal dilatation rod has a smaller size and the incision of the vaginal tunnel is expanded, and then the needle is not pulled out.
  • the water injection is gradually added, so that the vaginal dilatation rod gradually expands to the required size under the action of water injection, thereby avoiding the drop of abdominal pressure caused by the vaginal expansion rod and the formation of false roads.
  • FIG. 1 is a schematic perspective view of a vaginal dilation rod according to an embodiment of the present invention.
  • FIG. 2 is a schematic view of a vaginal dilatation rod according to an embodiment of the present invention.
  • first and second are used for descriptive purposes only and are not to be construed as indicating or implying relative importance. Or implicitly indicate the number of technical features indicated. Thus, features defining “first” or “second” may include one or more of the described features either explicitly or implicitly. In the description of the present invention, the meaning of "a plurality" is two or more unless specifically and specifically defined otherwise.
  • connection In the description of the present invention, it should be noted that the terms “installation”, “connected”, and “connected” are to be understood broadly, and may be fixed or detachable, for example, unless otherwise explicitly defined and defined. Connected, or integrally connected; may be mechanically connected, may be electrically connected or may communicate with each other; may be directly connected, or may be indirectly connected through an intermediate medium, may be internal communication of two elements or interaction of two elements relationship.
  • Connected, or integrally connected may be mechanically connected, may be electrically connected or may communicate with each other; may be directly connected, or may be indirectly connected through an intermediate medium, may be internal communication of two elements or interaction of two elements relationship.
  • the specific meanings of the above terms in the present invention can be understood on a case-by-case basis.
  • the first feature "on” or “under” the second feature may include direct contact of the first and second features, and may also include first and second features, unless otherwise specifically defined and defined. It is not in direct contact but through additional features between them.
  • the first feature “above”, “above” and “above” the second feature includes the first feature directly above and above the second feature, or merely indicating that the first feature level is higher than the second feature.
  • the first feature “below”, “below” and “below” the second feature includes the first feature directly above and above the second feature, or merely the first feature level being less than the second feature.
  • a vaginal dilating rod 10 according to an embodiment of the present invention includes an inner rod 110 and a cylindrical water jacket 120 that is sleeved on the inner rod 110.
  • the water capsule 120 is used to expand under the action of water to make the vaginal dilating rod 10 Have different outer diameters.
  • the water bladder 120 is not filled with water or the water is injected less, so that the vaginal dilating rod 10 has a small size and is incision to the vaginal tunnel (not shown).
  • the expansion is performed, and then the water is gradually added without pulling out the vaginal dilating rod 10, so that the vaginal dilating rod 10 is gradually expanded to the required size under the action of water injection, thereby avoiding the decrease of the abdominal pressure caused by the removal of the vaginal dilatation rod 10 and The formation of false roads.
  • the inner rod 110 is made of a rigid material such as plastic or stainless steel.
  • the inner rod 110 has a higher stiffness and can provide rigidity to the vaginal dilation rod 10 to achieve blunt separation.
  • the inner rod 100 has an outer diameter of 15 mm or less.
  • the vaginal dilating rod 10 can provide a small outer diameter at the beginning of expansion, for example, 15 mm, and according to the physiological structure and clinical experience of the human body, the edging is first expanded with a smaller outer diameter, and then the outer diameter is gradually increased. The incision of the vaginal tunnel can be protected from tearing while expanding smoothly.
  • the outer diameter of the inner diameter 100 is 15 mm, which is determined according to the physiological structure and clinical experience of the human body.
  • other sizes may be adopted according to requirements, and are not limited to the embodiment. .
  • the inner rod 110 has a tapered head portion 111 that emerges from the water bladder 120.
  • the vaginal dilation rod 10 can provide a tapered head structure that facilitates blunt separation. It can be understood that, in actual operation, even if the expansion is performed in a small size, the tapered head structure of the vaginal dilation rod 10 is required, which is more advantageous for the gradual expansion.
  • the inner rod 110 has a length greater than 18 cm.
  • the vaginal dilation rod 10 can have a suitable expanded length, for example 20 cm, depending on the physiological structure and clinical experience of the human body, although other lengths can be used as desired in other embodiments.
  • the length of the water bladder 120 is generally less than the length of the inner rod 110.
  • the inner rod 110 has a hollow structure, and the head portion 111 is formed with an opening 112.
  • the vaginal dilating rod 10 further includes a sealing cap 130 having a closed opening, and the sealing cap 130 is formed with a tapered through hole 113, and the top of the tapered through hole 113 faces inward Inside the rod 110.
  • the sealing cap 130 is inverted by the pressure of the abdominal cavity, so that the inner walls of the tapered passage 113 are fitted together and thus sealed, thereby sealing the opening 112. Thereby, the outflow of the airflow in the abdominal cavity is prevented, the abdominal pressure is lowered, and the operational field of view of the laparoscope is affected.
  • a laparoscopic suturing instrument (not shown) can enter the inside of the inner rod 110 and then eject the sealing cap 130, so that the sealing cap 130 is everted, exposing the tapered through hole 113, Therefore, the laparoscopic suturing instrument can enter the abdominal cavity through the tapered through hole 113 to pull out the peritoneum, thereby suturing the vestibule of the vaginal tunnel, and covering the vaginal tunnel with the peritoneum.
  • the inner rod 110 has an inner diameter of 11 mm.
  • the vaginal dilation rod 10 can provide a more suitable passage for laparoscopic suturing instruments. However, this is also based on clinical experience, although other internal diameters may be employed as desired in other embodiments.
  • the sealing cap 130 includes an inner bowl portion 131 that engages with the head portion 111 and an outer bowl portion 131 that exposes the outside of the opening 112.
  • the inner bowl portion 131 closely matches the inner wall of the head portion 111.
  • the inner bowl portion 131 is also tapered so as to closely fit the inner wall of the head portion 111, thereby increasing the degree of sealing of the sealing cap 130.
  • the outer bowl portion 132 can cooperate with the head portion 111 to form a continuous tapered outer contour to facilitate the gradual expansion of the vaginal tunnel.
  • the water jacket 120 determines the thickness of each portion according to the water injection position and the distribution characteristics of the water pressure so that the water bladder 120 is balancedly expanded under the action of water pressure.
  • the vaginal dilation rod 10 can still provide the desired approximately columnar structure after the balloon sleeve 120 is expanded, thereby meeting the surgical needs.
  • the inner rod 110, the water jacket 120 and the sealing cap 130 are required to be autoclaved by internal high temperature. Moreover, if it is manufactured by a molding process, it generally needs to be molded once and is not easily damaged.
  • the vaginal dilatation rod 10 further includes a water injector 140 for injecting water into the water bladder 120 as needed.
  • the size of the vaginal dilation rod 10 can be expanded as desired.
  • the vaginal dilatation rod 10 also includes a human body lubricant (not shown) coated on the outer surface of the vaginal dilation rod 10.
  • vaginal dilatation rod 10 can be smoothly expanded to prevent the muscle from pulling excessively.

Abstract

A vaginal expansion rod (10), comprising an inner rod (110) and a cylindrical water bag sleeve (120) sleeved on the inner rod (110), the water bag sleeve (120) being for causing the vaginal expansion rod (10) to expand under the action of filling with water so as to have a different outer diameter. In the process of an operation using the vaginal expansion rod (10), the water bag sleeve (120) at first has no or little water filled therein, and the vaginal expansion rod expands a vaginal tunnel incision and has a small dimension, and subsequently the vaginal expansion rod (10) is gradually filled with water, without pulling out the vaginal expansion rod (10), such that the vaginal expansion rod (10) gradually expands to a required size under the action of filling with water, thus avoiding a drop in abdominal pressure and the formation of false tunnels caused by pulling out the vaginal expansion rod (10).

Description

阴道扩张棒Vaginal expansion rod 技术领域Technical field
本发明涉及阴道成形技术,特别涉及一种阴道扩张棒。The present invention relates to vaginal prosthetics, and more particularly to a vaginal dilatation rod.
背景技术Background technique
先天性无阴道症可以通过腹腔镜阴道成形手术构造阴道。腹腔镜阴道成形手术需要把腹膜游离后,然后打一个阴道隧道,再将腹膜拉进阴道隧道与前庭缝合以覆盖阴道隧道形成人工阴道。Congenital vaginal disorders can be constructed by laparoscopic vaginoplasty. Laparoscopic vaginoplasty requires freeing the peritoneum, then a vaginal tunnel, and then pulling the peritoneum into the vaginal tunnel and suturing the vestibule to cover the vaginal tunnel to form an artificial vagina.
目前主要通过施手术者操作扩张棒钝性扩张切口形成阴道隧道,因此,需要先打一个小隧道,然后慢慢扩张达到所需的大小。所以目前手术需采用多种型号的扩张棒,先用小号的扩张棒进行扩张,然后拔出,更换较大号的扩张棒,如此反复,直到阴道隧道形成。At present, the vaginal tunnel is formed mainly by the operator operating the dilatation blunt dilatation incision. Therefore, it is necessary to first make a small tunnel and then slowly expand to the desired size. Therefore, the current operation requires a variety of expansion rods, first with a small expansion rod for expansion, and then pulled out, replace the larger expansion rod, and so on, until the vaginal tunnel is formed.
然后反复拔出扩张棒,容易导致腹腔内气体外流,造成腹压降低,影响腹腔镜的操作视野。另外,拔出扩张棒还会导致阴道隧道坍塌,容易造成假道。Then, the expansion rod is repeatedly pulled out, which easily leads to outflow of gas in the abdominal cavity, which causes the abdominal pressure to decrease and affects the operation field of the laparoscope. In addition, pulling out the expansion rod can also cause the vaginal tunnel to collapse and easily cause false roads.
发明内容Summary of the invention
本发明旨在至少解决现有技术中存在的技术问题之一。为此,本发明需要提供一种阴道扩张棒。The present invention aims to solve at least one of the technical problems existing in the prior art. To this end, the present invention is required to provide a vaginal dilatation rod.
本发明较佳实施方式的阴道扩张棒包括内棒及套设在内棒上的筒状水囊套,所述水囊套用于在注水作用下扩张使所述阴道扩张棒具有不同外径。A vaginal dilating rod according to a preferred embodiment of the present invention includes an inner rod and a cylindrical water jacket sleeved on the inner rod, the water bladder sleeve being adapted to expand under water injection to have different outer diameters of the vaginal dilatation rod.
在某些实施方式中,所述内棒采用刚性材料制成。In certain embodiments, the inner rod is made of a rigid material.
在某些实施方式中,所述内棒外径小于等于15mm。In certain embodiments, the inner rod has an outer diameter of less than or equal to 15 mm.
在某些实施方式中,所述内棒具有锥形的、自所述水囊套露出的头部。In certain embodiments, the inner rod has a tapered head that emerges from the water bladder.
在某些实施方式中,所述内棒的长度大于18cm。In certain embodiments, the inner rod has a length greater than 18 cm.
在某些实施方式中,所述内棒具有中空结构,所述阴道扩张棒的头部形成有开口,所述阴道扩张棒还包括有封闭所述开口的密封帽,所述密封帽形成有锥形通孔,所述锥形通孔的顶部朝向所述内棒内。In some embodiments, the inner rod has a hollow structure, the head of the vaginal dilation rod is formed with an opening, and the vaginal dilating rod further includes a sealing cap that closes the opening, the sealing cap is formed with a cone a through hole having a top portion of the tapered through hole facing the inner rod.
在某些实施方式中,所述内棒的内径为11mm。In certain embodiments, the inner rod has an inner diameter of 11 mm.
在某些实施方式中,所述密封帽包括与所述头部卡合的内外部及露出所述开口外的外碗部,所述内碗部与所述头部的内壁密切配合。 In some embodiments, the sealing cap includes an inner and outer portion that engages the head and an outer bowl that exposes the opening, the inner bowl portion mating with the inner wall of the head.
在某些实施方式中,所述水囊套根据注水位置及水压的分布特点确定各部分的厚度以使所述水囊套在水压作用下均衡扩张。In some embodiments, the water jacket determines the thickness of each portion according to the water injection position and the distribution characteristics of the water pressure to uniformly expand the water bladder under water pressure.
在某些实施方式中,所述阴道扩张棒还包括注水器,用于根据需求向所述水囊套注水。In certain embodiments, the vaginal dilatation rod further includes a water injector for injecting water into the water bladder as needed.
在某些实施方式中,所述阴道扩张棒还包括涂覆在所述水囊套上的人体润滑剂。In certain embodiments, the vaginal dilatation rod further comprises a body lubricant coated on the water bladder.
本发明实施方式的阴道扩张棒,在施手术过程中,水囊套先不注水或者注水较少,使得阴道扩张棒具有较小尺寸的情况下对阴道隧道的切口进行扩张,然后在不拔出阴道扩张棒的情况下逐步加入注水,使得阴道扩张棒在注水作用下逐步扩张到所需的大小,从而避免拔出阴道扩张棒造成的腹压下降及假道的形成。In the vaginal dilatation rod of the embodiment of the present invention, during the operation, the water capsule is not filled with water or the water is injected less, so that the vaginal dilatation rod has a smaller size and the incision of the vaginal tunnel is expanded, and then the needle is not pulled out. In the case of a vaginal dilatation stick, the water injection is gradually added, so that the vaginal dilatation rod gradually expands to the required size under the action of water injection, thereby avoiding the drop of abdominal pressure caused by the vaginal expansion rod and the formation of false roads.
本发明的附加方面和优点将在下面的描述中部分给出,部分将从下面的描述中变得明显,或通过本发明的实践了解到。The additional aspects and advantages of the invention will be set forth in part in the description which follows.
附图说明DRAWINGS
本发明的上述和/或附加的方面和优点从结合下面附图对实施方式的描述中将变得明显和容易理解,其中:The above and/or additional aspects and advantages of the present invention will become apparent and readily understood from
图1是本发明实施方式的阴道扩张棒的立体示意图。1 is a schematic perspective view of a vaginal dilation rod according to an embodiment of the present invention.
图2是本发明实施方式的阴道扩张棒的示意图。2 is a schematic view of a vaginal dilatation rod according to an embodiment of the present invention.
具体实施方式detailed description
下面详细描述本发明的实施方式,所述实施方式的示例在附图中示出,其中自始至终相同或类似的标号表示相同或类似的元件或具有相同或类似功能的元件。下面通过参考附图描述的实施方式是示例性的,仅用于解释本发明,而不能理解为对本发明的限制。The embodiments of the present invention are described in detail below, and the examples of the embodiments are illustrated in the drawings, wherein the same or similar reference numerals indicate the same or similar elements or elements having the same or similar functions. The embodiments described below with reference to the drawings are intended to be illustrative of the invention and are not to be construed as limiting.
在本发明的描述中,需要理解的是,术语“中心”、“纵向”、“横向”、“长度”、“宽度”、“厚度”、“上”、“下”、“前”、“后”、“左”、“右”、“竖直”、“水平”、“顶”、“底”、“内”、“外”、“顺时针”、“逆时针”等指示的方位或位置关系为基于附图所示的方位或位置关系,仅是为了便于描述本发明和简化描述,而不是指示或暗示所指的装置或元件必须具有特定的方位、以特定的方位构造和操作,因此不能理解为对本发明的限制。此外,术语“第一”、“第二”仅用于描述目的,而不能理解为指示或暗示相对重要性 或者隐含指明所指示的技术特征的数量。由此,限定有“第一”、“第二”的特征可以明示或者隐含地包括一个或者更多个所述特征。在本发明的描述中,“多个”的含义是两个或两个以上,除非另有明确具体的限定。In the description of the present invention, it is to be understood that the terms "center", "longitudinal", "transverse", "length", "width", "thickness", "upper", "lower", "front", " Orientations of "post", "left", "right", "vertical", "horizontal", "top", "bottom", "inside", "outside", "clockwise", "counterclockwise", etc. The positional relationship is based on the orientation or positional relationship shown in the drawings, and is merely for the convenience of the description of the present invention and the simplified description, and is not intended to indicate or imply that the device or component referred to has a specific orientation, and is constructed and operated in a specific orientation. Therefore, it should not be construed as limiting the invention. Moreover, the terms "first" and "second" are used for descriptive purposes only and are not to be construed as indicating or implying relative importance. Or implicitly indicate the number of technical features indicated. Thus, features defining "first" or "second" may include one or more of the described features either explicitly or implicitly. In the description of the present invention, the meaning of "a plurality" is two or more unless specifically and specifically defined otherwise.
在本发明的描述中,需要说明的是,除非另有明确的规定和限定,术语“安装”、“相连”、“连接”应做广义理解,例如,可以是固定连接,也可以是可拆卸连接,或一体地连接;可以是机械连接,也可以是电连接或可以相互通讯;可以是直接相连,也可以通过中间媒介间接相连,可以是两个元件内部的连通或两个元件的相互作用关系。对于本领域的普通技术人员而言,可以根据具体情况理解上述术语在本发明中的具体含义。In the description of the present invention, it should be noted that the terms "installation", "connected", and "connected" are to be understood broadly, and may be fixed or detachable, for example, unless otherwise explicitly defined and defined. Connected, or integrally connected; may be mechanically connected, may be electrically connected or may communicate with each other; may be directly connected, or may be indirectly connected through an intermediate medium, may be internal communication of two elements or interaction of two elements relationship. For those skilled in the art, the specific meanings of the above terms in the present invention can be understood on a case-by-case basis.
在本发明中,除非另有明确的规定和限定,第一特征在第二特征之“上”或之“下”可以包括第一和第二特征直接接触,也可以包括第一和第二特征不是直接接触而是通过它们之间的另外的特征接触。而且,第一特征在第二特征“之上”、“上方”和“上面”包括第一特征在第二特征正上方和斜上方,或仅仅表示第一特征水平高度高于第二特征。第一特征在第二特征“之下”、“下方”和“下面”包括第一特征在第二特征正上方和斜上方,或仅仅表示第一特征水平高度小于第二特征。In the present invention, the first feature "on" or "under" the second feature may include direct contact of the first and second features, and may also include first and second features, unless otherwise specifically defined and defined. It is not in direct contact but through additional features between them. Moreover, the first feature "above", "above" and "above" the second feature includes the first feature directly above and above the second feature, or merely indicating that the first feature level is higher than the second feature. The first feature "below", "below" and "below" the second feature includes the first feature directly above and above the second feature, or merely the first feature level being less than the second feature.
下文的公开提供了许多不同的实施方式或例子用来实现本发明的不同结构。为了简化本发明的公开,下文中对特定例子的部件和设置进行描述。当然,它们仅仅为示例,并且目的不在于限制本发明。此外,本发明可以在不同例子中重复参考数字和/或参考字母,这种重复是为了简化和清楚的目的,其本身不指示所讨论各种实施方式和/或设置之间的关系。此外,本发明提供了的各种特定的工艺和材料的例子,但是本领域普通技术人员可以意识到其他工艺的应用和/或其他材料的使用。The following disclosure provides many different embodiments or examples for implementing different structures of the present invention. In order to simplify the disclosure of the present invention, the components and arrangements of the specific examples are described below. Of course, they are merely examples and are not intended to limit the invention. In addition, the present invention may be repeated with reference to the numerals and/or reference numerals in the various examples, which are for the purpose of simplicity and clarity, and do not indicate the relationship between the various embodiments and/or arrangements discussed. Moreover, the present invention provides examples of various specific processes and materials, but one of ordinary skill in the art will recognize the use of other processes and/or the use of other materials.
请参阅图1,本发明实施方式的阴道扩张棒10包括内棒110及套设在内棒110上的筒状水囊套120,水囊套120用于在注水作用下扩张使阴道扩张棒10具有不同外径。Referring to FIG. 1 , a vaginal dilating rod 10 according to an embodiment of the present invention includes an inner rod 110 and a cylindrical water jacket 120 that is sleeved on the inner rod 110. The water capsule 120 is used to expand under the action of water to make the vaginal dilating rod 10 Have different outer diameters.
本发明实施方式的阴道扩张棒10,在施手术过程中,水囊套120先不注水或者注水较少,使得阴道扩张棒10具有较小尺寸的情况下对阴道隧道的切口(图未示)进行扩张,然后在不拔出阴道扩张棒10的情况下逐步加入注水,使得阴道扩张棒10在注水作用下逐步扩张到所需的大小,从而避免拔出阴道扩张棒10造成的腹压下降及假道的形成。 In the vaginal dilating rod 10 of the embodiment of the present invention, during the operation, the water bladder 120 is not filled with water or the water is injected less, so that the vaginal dilating rod 10 has a small size and is incision to the vaginal tunnel (not shown). The expansion is performed, and then the water is gradually added without pulling out the vaginal dilating rod 10, so that the vaginal dilating rod 10 is gradually expanded to the required size under the action of water injection, thereby avoiding the decrease of the abdominal pressure caused by the removal of the vaginal dilatation rod 10 and The formation of false roads.
本实施方式中,内棒110采用刚性材料制成,例如塑料或者不锈钢等。In the present embodiment, the inner rod 110 is made of a rigid material such as plastic or stainless steel.
如此,内棒110具有较高的刚度,可以为阴道扩张棒10提供刚度,从而实现钝性分离。As such, the inner rod 110 has a higher stiffness and can provide rigidity to the vaginal dilation rod 10 to achieve blunt separation.
内棒100外径小于等于15mm。The inner rod 100 has an outer diameter of 15 mm or less.
如此,阴道扩张棒10可以在开始扩张时提供较小的外径,例如为15mm,而根据人体的生理结构及临床经验,先以较小的外径进行钝性扩张后再逐渐增加外径,可以在顺利扩张的同时保护阴道隧道的切口不被撕裂。In this way, the vaginal dilating rod 10 can provide a small outer diameter at the beginning of expansion, for example, 15 mm, and according to the physiological structure and clinical experience of the human body, the edging is first expanded with a smaller outer diameter, and then the outer diameter is gradually increased. The incision of the vaginal tunnel can be protected from tearing while expanding smoothly.
本实施方式中,内径100的外径为15mm,这是根据人体的生理结构及临床经验而确定的,当然,在其他实施方式中,可以根据需求而采用其他的尺寸,并不限于本实施方式。In the present embodiment, the outer diameter of the inner diameter 100 is 15 mm, which is determined according to the physiological structure and clinical experience of the human body. Of course, in other embodiments, other sizes may be adopted according to requirements, and are not limited to the embodiment. .
内棒110具有锥形的、自水囊套120露出的头部111。The inner rod 110 has a tapered head portion 111 that emerges from the water bladder 120.
如此,无论水囊套120是否扩张,阴道扩张棒10都可以提供锥形的头部结构,有利于实现钝性分离。可以理解,实际操作中,即使以较小的尺寸进行扩张,也需要阴道扩张棒10的锥形的头部结构,如此,更利于进行逐渐扩张。Thus, regardless of whether the balloon sleeve 120 is expanded, the vaginal dilation rod 10 can provide a tapered head structure that facilitates blunt separation. It can be understood that, in actual operation, even if the expansion is performed in a small size, the tapered head structure of the vaginal dilation rod 10 is required, which is more advantageous for the gradual expansion.
内棒110的长度大于18cm。The inner rod 110 has a length greater than 18 cm.
如此,阴道扩张棒10可以具有合适的扩张长度,例如为20cm,这也是根据人体的生理结构及临床经验而定的,当然,在其他实施方式中可以根据需要采用其他的长度。As such, the vaginal dilation rod 10 can have a suitable expanded length, for example 20 cm, depending on the physiological structure and clinical experience of the human body, although other lengths can be used as desired in other embodiments.
可以理解,为了露出头部111,或者进一步的,根据需要要漏出内棒110的尾部,水囊套120的长度一般小于内棒110的长度。It will be appreciated that in order to expose the head 111, or further, the tail of the inner rod 110 is to be leaked as needed, the length of the water bladder 120 is generally less than the length of the inner rod 110.
内棒110具有中空结构,且头部111形成有开口112,阴道扩张棒10还包括有封闭开口的密封帽130,密封帽130形成有锥形通孔113,锥形通孔113的顶部朝向内棒110内。The inner rod 110 has a hollow structure, and the head portion 111 is formed with an opening 112. The vaginal dilating rod 10 further includes a sealing cap 130 having a closed opening, and the sealing cap 130 is formed with a tapered through hole 113, and the top of the tapered through hole 113 faces inward Inside the rod 110.
如此,当阴道扩张棒10伸入腹腔后,在腹腔压力的作用下,密封帽130内翻,使得锥形通道113的内壁贴合在一起因此密闭,从而密封开口112。从而防止腹腔内的气流外流,造成腹压降低,影响腹腔镜的操作视野。另一方面,在阴道隧道打好后,腹腔镜缝合器械(图未示)可以进入内棒110的内部然后通过顶出密封帽130,从而使得密封帽130外翻,露出锥形通孔113,因此,腹腔镜缝合器械可以通过锥形通孔113进入腹腔以拉出腹膜,从而与阴道隧道的前庭缝合,利用腹膜覆盖阴道隧道。Thus, when the vaginal dilatation rod 10 is inserted into the abdominal cavity, the sealing cap 130 is inverted by the pressure of the abdominal cavity, so that the inner walls of the tapered passage 113 are fitted together and thus sealed, thereby sealing the opening 112. Thereby, the outflow of the airflow in the abdominal cavity is prevented, the abdominal pressure is lowered, and the operational field of view of the laparoscope is affected. On the other hand, after the vaginal tunnel is opened, a laparoscopic suturing instrument (not shown) can enter the inside of the inner rod 110 and then eject the sealing cap 130, so that the sealing cap 130 is everted, exposing the tapered through hole 113, Therefore, the laparoscopic suturing instrument can enter the abdominal cavity through the tapered through hole 113 to pull out the peritoneum, thereby suturing the vestibule of the vaginal tunnel, and covering the vaginal tunnel with the peritoneum.
内棒110的内径为11mm。 The inner rod 110 has an inner diameter of 11 mm.
如此,阴道扩张棒10可以提供较为合适的通道供腹腔镜缝合器械进出。然而,这也是根据临床经验而定的,当然,在其他实施方式中可以根据需要采用其他的内径。As such, the vaginal dilation rod 10 can provide a more suitable passage for laparoscopic suturing instruments. However, this is also based on clinical experience, although other internal diameters may be employed as desired in other embodiments.
密封帽130包括与头部111卡合的内碗部131及露出开口112外的外碗部131,内碗部131与头部111的内壁密切配合。The sealing cap 130 includes an inner bowl portion 131 that engages with the head portion 111 and an outer bowl portion 131 that exposes the outside of the opening 112. The inner bowl portion 131 closely matches the inner wall of the head portion 111.
也即是说,内碗部131也呈锥形,从而与头部111的内壁紧密配合,从而提高密封帽130的密封程度。而外碗部132可以与头部111配合形成连续的锥形外轮廓,从而有利于阴道隧道的逐渐扩张。That is, the inner bowl portion 131 is also tapered so as to closely fit the inner wall of the head portion 111, thereby increasing the degree of sealing of the sealing cap 130. The outer bowl portion 132 can cooperate with the head portion 111 to form a continuous tapered outer contour to facilitate the gradual expansion of the vaginal tunnel.
水囊套120根据注水位置及水压的分布特点确定各部分的厚度以使水囊套120在水压作用下均衡扩张。The water jacket 120 determines the thickness of each portion according to the water injection position and the distribution characteristics of the water pressure so that the water bladder 120 is balancedly expanded under the action of water pressure.
如此,使得阴道扩张棒10在水囊套120扩张后仍可以提供所需的近似柱状的结构,从而,满足手术的需求。In this manner, the vaginal dilation rod 10 can still provide the desired approximately columnar structure after the balloon sleeve 120 is expanded, thereby meeting the surgical needs.
另外,为了满足医疗器材的卫生要求,内棒110、水囊套120及密封帽130需采用内高温内高压消毒的制成。再有,若通过成型工艺制造,一般需一次成型,不易损坏。In addition, in order to meet the sanitary requirements of medical equipment, the inner rod 110, the water jacket 120 and the sealing cap 130 are required to be autoclaved by internal high temperature. Moreover, if it is manufactured by a molding process, it generally needs to be molded once and is not easily damaged.
在另外的实施方式中,阴道扩张棒10还包括注水器140,用于根据需求向水囊套120注水。In other embodiments, the vaginal dilatation rod 10 further includes a water injector 140 for injecting water into the water bladder 120 as needed.
如此,可以根据需求扩张阴道扩张棒10的尺寸。As such, the size of the vaginal dilation rod 10 can be expanded as desired.
阴道扩张棒10还包括涂覆在阴道扩张棒10外表面的人体润滑剂(图未示)。The vaginal dilatation rod 10 also includes a human body lubricant (not shown) coated on the outer surface of the vaginal dilation rod 10.
如此,可以帮助阴道扩张棒10顺利进行扩张,防止阻力过大出现肌肉拉扯现象。In this way, the vaginal dilatation rod 10 can be smoothly expanded to prevent the muscle from pulling excessively.
在本说明书的描述中,参考术语“一个实施方式”、“一些实施方式”、“示意性实施方式”、“示例”、“具体示例”或“一些示例”等的描述意指结合实施方式或示例描述的具体特征、结构、材料或者特点包含于本发明的至少一个实施方式或示例中。在本说明书中,对上述术语的示意性表述不一定指的是相同的实施方式或示例。而且,描述的具体特征、结构、材料或者特点可以在任何的一个或多个实施方式或示例中以合适的方式结合。In the description of the specification, the descriptions of the terms "one embodiment", "some embodiments", "illustrative embodiments", "example", "specific examples" or "some examples" and the like are meant to be combined with the embodiments or The specific features, structures, materials, or characteristics described in the examples are included in at least one embodiment or example of the invention. In the present specification, the schematic representation of the above terms does not necessarily mean the same embodiment or example. Furthermore, the particular features, structures, materials, or characteristics described may be combined in a suitable manner in any one or more embodiments or examples.
尽管已经示出和描述了本发明的实施方式,本领域的普通技术人员可以理解:在不脱离本发明的原理和宗旨的情况下可以对这些实施方式进行多种变化、修改、替换和变型,本发明的范围由权利要求及其等同物限定。 While the embodiments of the present invention have been shown and described, the embodiments of the invention may The scope of the invention is defined by the claims and their equivalents.

Claims (11)

  1. 一种阴道扩张棒,其特征在于,包括:A vaginal dilating rod characterized by comprising:
    内棒;及套设在内棒上的筒状水囊套,所述水囊套用于在注水作用下扩张使所述阴道扩张棒具有不同外径。An inner rod; and a tubular water jacket disposed on the inner rod, the water jacket for expanding under the action of water injection to have different outer diameters of the vaginal expansion rod.
  2. 如权利要求1所述的阴道扩张棒,其特征在于,所述内棒采用刚性材料制成。A vaginal dilation rod according to claim 1 wherein said inner rod is made of a rigid material.
  3. 如权利要求1所述的阴道扩张棒,其特征在于,所述内棒外径小于等于15mm。The vaginal dilating rod according to claim 1, wherein said inner rod has an outer diameter of 15 mm or less.
  4. 如权利要求1所述的阴道扩张棒,其特征在于,所述内棒具有锥形的、自所述水囊套露出的头部。The vaginal dilation rod of claim 1 wherein said inner rod has a tapered head that emerges from said water bladder.
  5. 如权利要求1所述的阴道扩张棒,其特征在于,所述内棒的长度大于18cm。The vaginal dilation rod of claim 1 wherein said inner rod has a length greater than 18 cm.
  6. 如权利要求1所述的阴道扩张棒,其特征在于,所述内棒具有中空结构,所述阴道扩张棒的头部形成有开口,所述阴道扩张棒还包括有封闭所述开口的密封帽,所述密封帽形成有锥形通孔,所述锥形通孔的顶部朝向所述内棒内。The vaginal dilating rod according to claim 1, wherein said inner rod has a hollow structure, said head of said vaginal dilatation rod is formed with an opening, and said vaginal dilating rod further comprises a sealing cap for closing said opening The sealing cap is formed with a tapered through hole, and a top of the tapered through hole faces the inner rod.
  7. 如权利要求6所述的阴道扩张棒,其特征在于,所述内棒的内径为11mm。The vaginal dilation rod of claim 6 wherein said inner rod has an inner diameter of 11 mm.
  8. 如权利要求6所述的阴道扩张棒,其特征在于,所述密封帽包括与所述头部卡合的内外部及露出所述开口外的外碗部,所述内碗部与所述头部的内壁密切配合。A vaginal dilating rod according to claim 6, wherein said sealing cap includes an inner and outer portion that engages with said head portion and an outer bowl portion that exposes said opening, said inner bowl portion and said head portion The inner wall of the department closely cooperates.
  9. 如权利要求1所述的阴道扩张棒,其特征在于,所述水囊套根据注水位置及水压的分布特点确定各部分的厚度以使所述水囊套在水压作用下均衡扩张。The vaginal dilating rod according to claim 1, wherein said water bladder sleeve determines the thickness of each portion according to a water injection position and a distribution characteristic of water pressure so that said water bladder sleeve is balancedly expanded under water pressure.
  10. 如权利要求1所述的阴道扩张棒,其特征在于,所述阴道扩张棒还 包括注水器,用于根据需求向所述水囊套注水。The vaginal dilation rod of claim 1 wherein said vaginal dilation rod is further A water injector is included for injecting water into the water bladder as needed.
  11. 如权利要求1所述的阴道扩张棒,其特征在于,所述阴道扩张棒还包括涂覆在所述水囊套上的人体润滑剂。 The vaginal dilatation rod of claim 1 wherein said vaginal dilatation rod further comprises a body lubricant coated on said water bladder.
PCT/CN2015/083688 2015-07-09 2015-07-09 Vaginal expansion rod WO2017004833A1 (en)

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CN117442239B (en) * 2023-12-22 2024-02-27 四川省医学科学院·四川省人民医院 Liquid sac and endoscope tip cap and endoscope using same

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