阅读说明：本技术 脐带脱垂用支撑装置 (Support device for umbilical cord prolapse ) 是由 韩清 鲁静 于 2019-08-14 设计创作，主要内容包括：本发明公开了脐带脱垂用支撑装置,主要涉及妇产设施领域。包括支护模块,支护模块上设有能够左右相对并拢或展开的塞件,塞件上设有用于进入产道的塞部,塞件根据塞部的形状不同包括第一塞件和/或第二塞件,第一塞件的塞部截面为顶部宽底部窄的弧形结构,第一塞件的塞部的低端向外拱起,使当两侧的塞部顶端并拢相接触后,其低端之间的距离不小于3cm；第二塞件的塞部前侧薄于后侧,且其顶部端面形成前端低后端高的楔形结构,第二塞件的塞部里侧设有前后贯通的容纳腔；垫体模块,用于产妇臀下抬高臀位,配合支护模块使其能够沿垫体模块长度方向上的不同位置支撑和限位。本发明的有益效果在于：能够配合脐带脱垂情况下对产妇抬高臀位和解除脐带受压。(The invention discloses a supporting device for umbilical cord prolapse, and mainly relates to the field of gynecological facilities. The device comprises a supporting module, wherein a plug piece capable of being relatively closed or unfolded left and right is arranged on the supporting module, a plug part used for entering an birth canal is arranged on the plug piece, the plug piece comprises a first plug piece and/or a second plug piece according to the shape difference of the plug part, the cross section of the plug part of the first plug piece is of an arc-shaped structure with a wide top and a narrow bottom, and the lower end of the plug part of the first plug piece is arched outwards, so that after the top ends of the plug parts on two sides are closed and connected, the distance between the lower ends is not less than 3 cm; the front side of the plug part of the second plug part is thinner than the rear side, the top end surface of the second plug part forms a wedge-shaped structure with a lower front end and a higher rear end, and the inner side of the plug part of the second plug part is provided with an accommodating cavity which is communicated from front to back; the pad body module is used for lifting the hip position under the hip of a lying-in woman, and the pad body module is matched with the supporting module to enable the pad body module to support and limit different positions in the length direction. The invention has the beneficial effects that: can cooperate and raise the buttock position and remove the umbilical cord pressurized to the lying-in woman under the umbilical cord prolapse condition.)

1. Support device for umbilical cord prolapse, characterized by, includes:

the supporting module is provided with a plug piece which can be relatively closed or unfolded left and right, the plug piece is provided with a plug part for entering the birth canal, the plug piece comprises a first plug piece and/or a second plug piece according to the shape difference of the plug part,

the section of the plug part of the first plug part is of an arc structure with a wide top and a narrow bottom, and the lower end of the plug part of the first plug part is arched outwards, so that the distance between the lower ends of the plug parts is not less than 3cm after the top ends of the plug parts at two sides are closed and contacted;

the front side of the plug part of the second plug part is thinner than the rear side, the top end surface of the second plug part forms a wedge-shaped structure with a lower front end and a higher rear end, and the inner side of the plug part of the second plug part is provided with an accommodating cavity which is communicated with the front and the rear;

the pad body module is used for lifting the hip position under the hip of a lying-in woman, and the pad body module is matched with the supporting module to enable the pad body module to support and limit different positions in the length direction.

2. The support device for umbilical cord prolapse according to claim 1, wherein the plug portion of the first plug member comprises an inner layer of a skeleton layer and an outer layer of a flexible layer, the skeleton layer being of a rigid plastic structure, the flexible layer being of a flexible sponge structure;

and/or the presence of a gas in the gas,

the second plug part is an integrally formed silica gel part.

3. The support device for umbilical cord prolapse of claim 1 wherein the plug member comprises a mounting rod and a plug portion, one end of the mounting rod is fixedly connected to the plug portion and the other end of the mounting rod is adapted to be detachably connected to the support module.

4. The support device for umbilical cord prolapse of claim 3 wherein the mounting bar is Z-shaped with the plug portion below the hinge of the connecting rod.

5. The supporting device for the prolapse of umbilical cord as claimed in claim 1, wherein the supporting module comprises an X-shaped hinged frame, the X-shaped hinged frame comprises two connecting rods with central rotary connection, fixed blocks are fixed at two ends of the connecting rods, matching blocks are rotatably connected on the fixed blocks, vertical rods with branch extensions are symmetrically arranged on two sides of the X-shaped hinged frame, the lower ends of the vertical rods are connected with matching blocks on the same side of the bottom, the tops of the vertical rods penetrate through and are slidably connected in the matching blocks on the same side of the upper part, and the middle parts of the vertical rods are provided with mounting seats for detachably mounting the plug parts,

and a telescopic device is arranged between the two matching blocks at the bottom, a spring is arranged on the telescopic device, and the spring has acting force for opening the X-shaped hinged frame left and right.

6. The support device for umbilical cord prolapse of claim 5, wherein an operating handle is fixedly connected to the top end of the connecting rod, and the operating handle is two inwardly recessed arc-shaped handles.

7. The support device for umbilical cord prolapse according to claim 5, wherein an extension bar is fixedly connected to a lower end of the connecting rod, the extension bar being an arc-shaped bar arched outward,

the pad body module is provided with a groove in the middle along the length direction, one side of the pad body module, which is far away from a lying-in woman, is provided with an opening to form a semi-through groove structure, and the side walls of the two sides of the groove are provided with corrugated protrusions and recesses for matching with an extension rod to form limiting.

8. The supporting device for the umbilical cord prolapse according to claim 1 or 7, wherein the pad body module comprises a pad and a pad, the pad is a flexible sheet, the four corners of the pad are provided with ring-shaped handles, the pad body is fixed on the top end surface of the pad and is integrally formed with the pad body, the cross section of the pad body is a triangle with an obtuse angle at the vertex angle, and the highest position of the pad body is 1/4 near one end.

9. The supporting device for prolapse of umbilical cord as claimed in claim 5, wherein the connecting rod has a hinge plate at the middle part thereof, two of the connecting rods are hinged via the hinge plate, the two hinge plates are pivotally connected at the center thereof, and a light supplement source is provided at the side of the hinge plate adjacent to the parturient.

Technical Field

The invention relates to the field of obstetric facilities, in particular to a supporting device for umbilical cord prolapse.

Background

When the umbilical cord is pulled out from the lower part of the fetal presenting part, the umbilical cord enters the vagina through the cervix and even emerges from the pudendum through the vagina, which is called the prolapse of the umbilical cord. When the fetal membrane is broken, the amniotic fluid flows out too quickly due to overhigh pressure in the uterine cavity, and the umbilical cord can be flushed out by the amniotic fluid to form the prolapse of the umbilical cord. The umbilical cord prolapse has little influence on the parturient, only increases the operation yield, but has great harm to the fetus. When the umbilical cord is prolapsed, the umbilical cord is pressed between the fetal presenting part and the pelvis to cause acute hypoxia of the fetus, and the fetal heart rate is changed or even completely disappears. If the cord blood circulation is blocked for more than 7 minutes, fetal death in the uterus may result. Therefore, every time the parturient with the umbilical cord prolapse is treated, the treatment is the highest examination in all directions of the level of obstetrical staff, the level of a team and the level of management. Is a race of the life running with time.

In this process, the most critical treatment operation is to relieve the umbilical cord from compression. Because the emergence of prolapse is all urgent, in the time of birth canal inspection, in case discover, can only bare-handed support relieve the pressurized fast, and in case the upper hand, just must stick to delivery and accomplish the foetus and take out, this not only has occupied valuable personnel resource, for the reply of this kind of emergency more add the pressure, and rely on the manual posture of half squatting of firmly and hand fixation gesture support for a long time, later stage physical power is difficult to support, not only is difficult to support again and targets in place, and also to personnel's physical endurance be the inspection of handing over greatly. A corresponding facility is urgently needed to solve the emergency problem.

Disclosure of Invention

The invention aims to provide a supporting device for umbilical cord prolapse, which can meet the treatment requirements of a parturient under the condition of umbilical cord prolapse, including hip elevation, umbilical cord pressure relief and treatment requirements before the delivery of a convoying parturient is completed.

In order to achieve the purpose, the invention is realized by the following technical scheme:

a support device for umbilical cord prolapse, comprising:

the supporting module is provided with a plug piece which can be relatively closed or unfolded left and right, the plug piece is provided with a plug part for entering the birth canal, the plug piece comprises a first plug piece and/or a second plug piece according to the shape difference of the plug part,

the section of the plug part of the first plug part is of an arc structure with a wide top and a narrow bottom, and the lower end of the plug part of the first plug part is arched outwards, so that the distance between the lower ends of the plug parts is not less than 3cm after the top ends of the plug parts at two sides are closed and contacted;

the front side of the plug part of the second plug part is thinner than the rear side, the top end surface of the second plug part forms a wedge-shaped structure with a lower front end and a higher rear end, and the inner side of the plug part of the second plug part is provided with an accommodating cavity which is communicated with the front and the rear;

the pad body module is used for lifting the hip position under the hip of a lying-in woman, and the pad body module is matched with the supporting module to enable the pad body module to support and limit different positions in the length direction.

Further, the plug part of the first plug part comprises an inner layer framework layer and an outer layer flexible layer, the framework layer is of a hard plastic structure, and the flexible layer is of a flexible sponge structure;

and/or the presence of a gas in the gas,

the second plug part is an integrally formed silica gel part.

Further, the plug member includes installation pole and cock assembly, the one end and the cock assembly fixed connection of installation pole, and the other end of installation pole is used for strutting the module and can dismantle with strutting and be connected.

Further, the mounting rod is of a Z-shaped structure, so that the plug part is lower than the hinged part of the connecting rod.

Furthermore, the support module comprises an X-shaped hinged frame, the X-shaped hinged frame comprises two connecting rods, the centers of the connecting rods are rotatably connected, fixed blocks are fixed at two ends of each connecting rod, matching blocks are rotatably connected onto the fixed blocks, vertical rods extending from branches are symmetrically arranged on two sides of the X-shaped hinged frame, the low ends of the vertical rods are connected with matching pieces on the same side of the bottom, the tops of the vertical rods penetrate through and are slidably connected into the matching pieces on the same side of the upper portion, a mounting seat for detachably mounting a plug piece is arranged in the middle of each vertical rod,

and a telescopic device is arranged between the two matching blocks at the bottom, a spring is arranged on the telescopic device, and the spring has acting force for opening the X-shaped hinged frame left and right.

Furthermore, the top end of the connecting rod is fixedly connected with an operating handle which is two arc-shaped handles which are sunken inwards.

Furthermore, the lower end of the connecting rod is fixedly connected with an extension rod which is an arc rod arched outwards,

the pad body module is provided with a groove in the middle along the length direction, one side of the pad body module, which is far away from a lying-in woman, is provided with an opening to form a semi-through groove structure, and the side walls of the two sides of the groove are provided with corrugated protrusions and recesses for matching with an extension rod to form limiting.

Further, the cushion body module comprises a gasket and a cushion block, the gasket is a flexible sheet, the end points of the four corners of the gasket are respectively provided with an annular handle 26, the cushion body is fixed on the top end face of the gasket and integrally formed with the gasket, the cross section of the cushion body is a triangle with an obtuse angle at the vertex angle, and the highest position of the cushion body is 1/4 close to one end.

Furthermore, the middle part of connecting rod is equipped with articulated dish, two it is articulated through articulated dish, two the central authorities of articulated dish rotate to be connected, one side that articulated dish and lying-in woman are adjacent is equipped with the light filling light source.

Compared with the prior art, the invention has the beneficial effects that:

the device can meet the treatment requirement of the parturient under the condition of umbilical cord prolapse. Including raising the hip position and relieving the umbilical cord from pressure. The treatment requirement before the delivery of the convoy puerpera is completed. Particularly, fill up the buttock that the body module can be pertinence lift the umbilical cord prolapse lying-in woman, the action that the choke plug passes through getting into the birth canal, replaces bare-handed support umbilical cord simultaneously, and the front end of choke plug is used for pushing back and withstands the child head, perhaps, supports the child head, can be used for making the umbilical cord pass through between the choke plug to break away from the umbilical cord from the pressurized state and come out, and keep the protection to the umbilical cord, the umbilical cord that makes the prolapse go out of palace mouth can both keep effectual blood circulation before the childbirth is accomplished.

The device replaces bare-handed operation, not only can guarantee the supporting effect on the umbilical cord all the time, avoids the weak support caused by the manual support and the limp and numb muscles of the hand, and guarantees the operation effect. But also relieves a medical staff with rich experience for delivery, increases the number of hands and improves the orderly execution of the emergency cesarean section operation.

Drawings

Figure 1 is a simplified illustration of the present invention's umbilical cord prolapse (arrow direction is the device or hand position).

Fig. 2 is an overall schematic view (from the rear side, i.e., the operation side) of the present invention.

Fig. 3 is an overall schematic view of the invention (seen from the anterior root, i.e. towards the side of the parturient).

Fig. 4 is an enlarged view of the portion I of fig. 3 according to the present invention.

Fig. 5 is a view of the present invention from the front side.

Fig. 6 is a view of the present invention from the rear side.

Figure 7 is a front view of the support module of the present invention with the X-hinge bracket open.

Figure 8 is a schematic view of the support module of the present invention with the X-shaped hinged brackets open.

Figure 9 is a partial schematic view of an X-shaped hinged housing portion of the present invention.

FIG. 10 is a schematic view of a mat module of the present invention.

FIG. 11 is a top view of the mat module of the present invention.

FIG. 12 is a side view of the mat module of the present invention.

FIG. 13 is a schematic view of a first plug of the present invention.

Figure 14 is a schematic view of a first plug and mounting block of the present invention.

FIG. 15 is a side view of a second plug member of the present invention.

FIG. 16 is a front side view of a second plug of the present invention.

FIG. 17 is a schematic view of a second plug of the present invention.

FIG. 18 is a schematic view of a second plug of the present invention.

Reference numerals shown in the drawings:

1. a support module; 2. a cushion body module; 3. an X-shaped hinged frame; 4. erecting a rod; 5. an extension pole; 6. an operating handle; 7. a plug member; 8. a connecting rod; 9. a hinged disk; 10. a pin hole; 11. a fixed block; 12. a matching block; 13. a stopper; 14. a mounting seat; 15. a sleeve; 16. a telescopic rod; 17. a plug portion; 18. mounting a rod; 19. a limiting groove; 20. a jack; 21. a limiting bump; 22. a gasket; 23. cushion blocks; 24. a groove; 25. corrugated concave-convex; 26. and (4) a handle.

Detailed Description

The invention will be further illustrated with reference to the following specific examples. It should be understood that these examples are for illustrative purposes only and are not intended to limit the scope of the present invention. Further, it should be understood that various changes or modifications of the present invention may be made by those skilled in the art after reading the teaching of the present invention, and these equivalents also fall within the scope of the present application.

Every treatment of the umbilical cord prolapse condition is the challenge of the birth-death speed, not only is the test on the level of medical care personnel, but also the test on team cooperation, if the umbilical cord prolapse is simple, the treatment can be carried out through the knowledge of a guide, but complex conditions are often mixed, for example, the umbilical cord is stressed under the conditions of improper fetal position, partial fetal tissues (head raising, hip and limb) are exposed, the umbilical cord blood volume is reduced, the fetal heart rate is slowed down due to reflex stimulation of vagus nerves, for example, the blood flow is quickly recovered, and the fetal heart rate can be recovered. Otherwise, the heart of the fetus is lack of oxygen, the heart rate of the fetus is difficult to recover, and the fetus is dead. Therefore, the treatment principle of the umbilical cord prolapse is to push the fetal presenting part, inhibit uterine contraction, eliminate umbilical cord compression, improve the cord blood circulation and break the cord blood circulation and select a delivery mode.

Selection of a delivery mode: the parturition mode should be decided according to different conditions, except for those with no head basin at all or dead fetus, small fetus and no possibility of survival, all in minutes and seconds under local anesthesiaIn situCaesarean section is performed.

How to relieve the pressure on the umbilical cord is a precondition for the fetus to be born. Although the instructions and guidelines mostly require umbilical cord reduction, in practice, umbilical cord reduction can be used when the uterine orifice is not fully expanded and the fetal heart is good, but most of the umbilical cord reduction fails and is related to the anatomical and physiological characteristics of the umbilical cord. The umbilicus carries a thick vein and 2 arteries that spiral around its outside. The umbilical artery is composed of 4 groups of smooth muscles: 1, an inner ring layer; 2, inner longitudinal layers; 3, large circle; 4, small spiral smooth muscle. The inner longitudinal smooth muscle is insensitive to the response of adrenaline, noradrenaline, acetylcholine and other substances with different concentrations, but can obviously shrink under the mechanical stimulation, even completely close blood vessels. When reduction is performed, the operator always tries to reduce the umbilical cord into the uterine cavity beyond the point of presentation, and the umbilical vessels are stimulated significantly to contract so strongly that the vessels close to block blood flow and the fetus dies quickly. In the above-mentioned cases but with respect to how to relieve the cord from compression, more of our practical practice is to manually penetrate the vagina, pushing back or supporting the fetal head or limb pressing against the cord as the case may be, thereby relieving the cord from compression and restoring blood circulation.

Furthermore, the umbilical cord reacts quickly after compression, leaving the medical staff with a very limited time to rescue, so that the medical staff and the team need to deal with the problem of relieving the umbilical cord compression immediately once the joint is taken and the treatment is maintained until the delivery is completed. In many instances, once the medical personnel have got on their hands, they are in a difficult situation to leave. Specifically, when a medical worker inspects a lower parturition opening of a body, once prolapse is found, the medical worker firstly finds out the pulse of an umbilical cord and then closely reaches the parturition opening to inspect whether a pre-exposed fetal organ exists, and once the medical worker enters the parturition opening, hands of the medical worker often support and protect the umbilical cord immediately, and the posture of the medical worker often keeps the delivery ending. But all the cases are emergencies, under the condition, the medical staff for supporting is a very precious resource, and the support and protection of the umbilical cord completely occupies an experienced midwife or doctor, so that the tension of the staff is caused. Meanwhile, no matter in which posture and environment, the support to the fetus and the protection to the umbilical cord are kept, the posture matched with medical staff is usually quite awkward, and the physical strength is greatly tested after the medical staff insists on. The hands can keep the state by exerting force all the time by depending on belief support, and the body is matched with the squatting for a long time, so that the whole person can be tired of paralysis once the squatting is finished. In this case, we consider a plurality of cases, and discuss how to replace manual hand operation, decompress and protect umbilical cord, which forms a typical case and is exemplified as follows. For convenience of understanding, the explanation and the explanation are given by way of example.