KR200332522Y1 - Apparatus for remedy of incontinenece of urine and bladder - Google Patents

Abstract

The present invention relates to a bladder correction combined urinary incontinence treatment device, by using a urinary incontinence treatment device to lift the sagging urethral support and fixed a plurality of retractors spirally sutured to the fascia of the urethra by surgery As a result, urinary incontinence treatment and bladder flow correction were performed at the same time.

To this end, the bladder flow correction combined urinary incontinence treatment device 100 of the present invention is a sharp curved body 11 is formed with a rear end portion (10b) having a coupling portion coupled to the handle while forming a sharp tip portion (10a) And two needles 10 formed through the body and having a plurality of retractor insertion holes 14 into which a plurality of retractors 13 sewn to the fascia of the urethra are respectively inserted and fixed. Both ends are respectively coupled to the rear end of the mesh outer portion is provided with the interior of the hollow cut out a predetermined position of the central portion, and in the mesh outer portion, both ends are respectively coupled to the rear end of each needle After the operation, the mesh tape 30 having a predetermined length and width is inserted and installed to support and fix the urethra, and the cut outer portion of the mesh outer portion checks the position of the mesh tape. Position will make the tape 40 is adhered.

Description

Bladder Correction Combined Incontinence Therapy Apparatus {APPARATUS FOR REMEDY OF INCONTINENECE OF URINE AND BLADDER}

The present invention relates to a urinary incontinence treatment apparatus for treating urinary incontinence, which is one of diseases caused by childbirth and menopause, and more specifically, to lift and support a sagging urinary tract to fix urinary incontinence. The present invention relates to a urinary bladder correction combined urinary incontinence treatment apparatus for correcting the position of the bladder.

In general, urinary incontinence is a symptom of urine coming out of the urethra regardless of one's intention, that is, involuntary urination that interferes with daily life. Etc.

The urinary incontinence may be caused by a short urethra with a weak urethral sphincter, a weak closing force due to deterioration or damage to the support base of the urethra itself, and support of the bladder and urethra through repeated pregnancy, childbirth, or surgery. If the pelvic muscles or ligaments are ruptured and weakened, the bladder neck and urethra sag down.If the nerves supporting the sphincter are partially damaged during childbirth and the sphincter is weakened, blood vessels in the urethra atrophy after menopause, leading to extreme In case of weakening, there is a case of neurological disease after surgery such as uterine cancer or rectal cancer.

Because of the above reasons, when the abdominal pressure rises due to laughter, coughing, sneezing, and exercise, the pressure of the bladder is higher than the pressure in the urethra, and suddenly unconsciously urinates without urinary bladder muscle contraction. The urine comes out while walking or sitting.

Urinary incontinence is present in 30-47% of healthy middle-aged women, with one-third of those on average being 38 years old. As a result, many people with urinary incontinence give up social activities or suffer severe depression.

The urinary incontinence treatment method depends on the cause and classification of urinary incontinence. The classification is generally known by the patient's medical history and physical examination, but radiological examination, urinedynamic examination, and endoscopy are used for accurate diagnosis and treatment. Depending on the cause, various treatments such as drug treatment, medical treatment, behavioral therapy such as pelvic floor muscle training, and non-surgical treatment, and surgical surgical treatment are applied.

However, the drug treatment method as described above is not easy to properly maintain the drug, such as the need to take the drug regularly for a long time, as well as side effects such as anxiety, tremor, drowsiness, anemia caused by the drug when taking the drug for a long time In addition, there was a problem that is inappropriate to use in patients with hypertension.

The pelvic floor muscle training method is a treatment method for preventing and treating urinary incontinence by increasing the closing force of the urethra through contraction and relaxation of the pelvic floor muscles that surround and support the urethra, vagina, and anal periphery about 100 to 200 times a day. It takes a long time to obtain an effective pelvic floor muscle strengthening effect, and there was a problem that it is quite difficult to accurately exercise the pelvic floor muscles.

Thus, a lot of surgical procedures are used to incise (open) the abdomen, and in the case of surgery by the surgical method, the surgery according to the open surgery is very complicated and the risk of surgery is large. In addition, there is a significant mental and economic burden, such as a longer bone incision, longer hospitalization, as well as many cases of urinary incontinence.

The present invention has been made to solve the above problems, to provide a urinary incontinence treatment device equipped with a mesh tape and needle for surgical operation to lift the sacred urethral area using the incontinence treatment device Because the urethra is fixed, the urinary incontinence surgery is not only made simple but also intended to obtain a therapeutic effect immediately.

In addition, since a plurality of retractors spirally sutured to the fascia of the urethra are combined with the needle of the urinary incontinence treatment apparatus to operate, the bladder and urethra are corrected as the bladder and urethra are positioned at the correct position by the retractor. The purpose is to make it.

1 is an exploded perspective view showing the configuration of the present invention bladder flow correction combined incontinence treatment apparatus.

Figure 2 is a perspective view showing a combined state of the present invention cyst flow correction combined incontinence treatment apparatus.

Figure 3a to 3d is a state diagram sequentially showing a state of treating bladder flow correction and incontinence using the present invention bladder flow correction combined incontinence treatment device.

Figure 4 is a state diagram showing a state of completion of cyst flow correction and incontinence treatment.

Figure 5a is a half sectional view showing a state in which each configuration of the handle of the subject innovation is combined.

Figure 5b is a front view showing a state in which each configuration of the handle of the subject innovation is combined.

* Description of the symbols for the main parts of the drawings *

10: Needle 13: Retractor

14: retractor insertion hole 20: mesh exterior

30: mesh tape 40: positioning tape

100: bladder correction combined urinary incontinence treatment apparatus

In order to achieve the above object, the present invention is a urinary incontinence treatment apparatus for treating urinary incontinence to support and fix the urethra, the urinary incontinence treatment apparatus is inserted through the vagina and pointed to escape through the lower abdomen to the outside of the body A smooth curved body having a rear end portion having a coupling portion coupled to a handle and forming a front end portion, and a plurality of dogs each having a plurality of retractors inserted into and fixed to the fascia of the urethra for correction of the bladder flow Two needles (Needle) formed through the insertion hole is inserted, and both ends are respectively coupled to the rear end of each needle, a predetermined position of the center is cut, and a mesh exterior part formed with an empty space is installed. In the mesh exterior portion, both ends are respectively coupled to the rear end portion of each needle like the mesh exterior portion. After installation, insert a mesh tape having a certain length and width to support and fix the urethra while supporting the position, and check the position of the mesh tape on the cut outer portion of the outer portion of the mesh exterior part. There is provided a bladder flow corrective combined incontinence treatment device characterized in that the tape is adhered.

In addition, the mesh tape is a mesh tape positioned at the center to support and fix the urethra, and one end is coupled to both ends of the centrally located mesh tape, and the other end is coupled to the rear end of each needle, respectively. There is provided a bladder flow correction combined incontinence treatment device, characterized in that the mesh tape.

Hereinafter, an embodiment of the present invention will be described in detail with reference to FIGS. 1 to 5b as follows.

1 is an exploded perspective view showing the configuration of the present invention bladder flow correction combined incontinence treatment device, Figure 2 is a perspective view showing a combined state of the invention bladder correction combined urinary incontinence treatment device, Figures 3a to 3d A state diagram sequentially showing a state of treating bladder flow correction and urinary incontinence using a urinary incontinence treatment device, Figure 4 is a state diagram showing a state of completion of the cyst flow correction and incontinence treatment, Figure 5a is a combined state of each of the handle of the subject innovation handle It is a half sectional view showing, Figure 5b is a front view showing a state in which the respective components of the present handle is coupled.

The present invention treats urinary incontinence to prevent urinary leakage through the urethra (b) by supporting and fixing the urethra (b) to support it, and at the same time the position of the urethra (b) and the bladder, that is, the bladder flow accurately The bladder flow correction combined incontinence treatment device 100 to correct the bladder flow to be placed is provided.

The bladder flow correction combined urinary incontinence treatment device 100 is inserted through the incision cut in the upper wall of the vagina (a) located in the lower part of the urethra (b) to cut the incision of the belly (e) Two needles 10 are provided to penetrate and exit the body.

Each needle 10 has a gentle curved body 11 is formed to facilitate the urinary incontinence surgery, the body 11 is passed through the vagina (a) so that the end is smoothly exit through the lower abdomen A pointed tip 10a is formed, and the body 11 is formed with a rear end 10b having a coupling portion 12 to facilitate engagement with the handle 50 used for incontinence surgery.

The handle 50 is provided separately to allow the needle 10 to be used more conveniently and easily during urinary incontinence surgery.

As shown in FIGS. 5A and 5B, the handle 50 is provided with a handle 51 for the doctor to hold by hand, and the handle 50 has a front outer periphery of the handle 50. The rotating member 52 which is rotated to tighten and fix the rear end portion 10b of the needle 10 inserted into the front side is detachably coupled, and the inside of the front side of the handle part 51 of the needle 10 to be inserted. A plurality of fixing members 53 are brought into contact with the rear end 10b to tightly fix the rear end 10b of the needle 10.

That is, the fixing member 53 of the handle 50 is tightened the front surface of the handle portion 51 by the rotating member 52 is rotated toward the rear of the handle 50 while the rotating member 52 rotates. When the fixing member 53 and the rear end 10b of the needle 10 are fixed in close contact, the fixing member 53 is divided into two or more as shown in the drawing, but the fixing member 53 is intended for use. It may be divided into two or more by effects or effects.

In addition, the coupling of the handle 51 and the rotating member 52 of the handle 50 is the thread formed on the handle 51 and the screw thread formed inside the rotating member 52 as shown in the drawing is engaged with each other In accordance with the rotation of the rotating member 52, the handle portion 51 and the rotating member 52 is coupled and detached, that is detachable, as well as the needle 10 as the rotating member 52 is rotated The front end of the handle portion 51 into which the rear end portion 10b is inserted is tightened and released by the rotation member 52.

A plurality of retractor insertion holes 14 through which the both ends of the plurality of retractors 13 sewn on the fascia c of the urethra b are inserted into and fixed to the body 11 of the needle 10 are formed therethrough. It is.

Each of the retractor insertion holes 14 are formed at the rear end portion 10b side of the needle 10 and one at the distal end portion 10a side as shown in the drawing. 14) can be adjusted in various positions depending on the purpose, effect and method of use.

Here, the retractor 13 passes through the lower abdomen with the needle 10 exiting to the outside of the body and exits to the outside of the body, while holding both ends of the pulled out retractor 13 to adjust the urethra ( b) and the position of the bladder, ie the bladder flow.

That is, a plurality of retractors 13 are spirally sewn onto the cardinal ligament and the pubic cervical fascia (c) of the urethra (b), which are spaced apart from the vaginal wall and bladder neck except for the vaginal mucosa. That is, after sealing, both ends of the sutured retractor 13 are inserted into the retractor insertion hole 14 of each needle 10, respectively, and both ends are externally attached to the outside of the body together with the needle 10 penetrating the lower belly. Along with the exit, it is to correct the bladder flow while holding and adjusting both ends of the pulled out (13).

On the other hand, each of the needles 10 is a light material, the strength is strong, there is no corrosion and no harm to human body is mainly used titanium, in addition to stainless steel is also used.

Both ends of the mesh exterior portion (Sheath) 20 are formed in the rear end portion 10b of each of the needles 10 to form an empty space, and cut at a predetermined position in the central portion of the mesh exterior portion 20. It is.

As the material of the mesh exterior part 20, synthetic resins such as polyvinyl (polyvinyl) or polypropylene, which are harmless to the human body and are inexpensive and easy to mold, are mainly used.

Both ends of the mesh exterior portion 20 are coupled to the rear ends 10b of the needles 10 together with the mesh exterior portion 20, respectively, and the support is fixed while supporting the urethra (b) after the operation. A mesh tape 30 is installed to be enclosed by the mesh exterior part 20 so as to be inserted into the mesh exterior part 20.

That is, the mesh tape 30 is provided at both ends of the mesh tape 30a positioned at the center to support the urethra b and the mesh tape 30a positioned at the center to support and fix the urethra b. One end is coupled to each other, and the other end is composed of a mesh tape 30b, the other end is coupled to the rear end 10b of each needle 120, the mesh tape 30a and the mesh tape 30b to be easily separated Are combined.

In other words, the mesh tape 30b is removed when only the mesh tape 30a is removed to support the urethra b in each needle 10 passing through the incision portion e of the lower abdomen and the mesh outer surface 20 is removed. ) And the mesh tape 30a and the mesh tape 30b are easily separated so as to smoothly escape with the mesh outer portion 20.

On the other hand, the length and width of the mesh tape 30a of the state wrapped by the mesh exterior portion 20 is formed to have a length that both ends of the mesh tape 30a can come out of the body after the incontinence surgery The mesh tape 30 is formed to have a constant width to support a certain width of the sagging urethra (b).

The width of the mesh tape 30 is preferably 1.1 cm so as to support and fix the urethra (b) sufficiently while reducing the amount of material without waste of material. However, when the width of the mesh tape 30 is less than 1.1 cm, the effect of urinary incontinence treatment is reduced by insufficient support of the sagging urethra (b), and when the width is more than 1.1 cm, the mesh tape ( The waste of material 30) is not only excessively expensive, but also a problem of having to further cut the wall of the vagina a by the width of the mesh tape 30.

The mesh tape 30 uses a cloth in the form of a mesh that is harmless to the human body and has a certain strength that is not easily broken, and that is resistant to moisture and moisture, that is, no adsorption of components such as a surgical suture chamber.

On the other hand, the mesh outer portion 20 protects the mesh tape 30 from contamination such as bacteria that can be transmitted from the outside, as well as during surgery, that is, when passing through the upper wall and the belly of the incised vagina (a) In addition to preventing the body from being damaged by the mesh tape 30, the mesh exterior part 20 is smoothly separated from the mesh tape 30 with the center portion cut after the operation as the mesh exterior part 20. Only the separated mesh tape 30 is to support and fix the urethra (b).

The mesh tape 30 is placed on the cut outer portion of the mesh exterior part 20 so that the mesh tape 30 is placed at the correct position when the mesh tape 30 is lifted and fixed by the urethra b. Positioning tape 40 is bonded to confirm the position of.

The operation of the present invention configured as described above is as follows.

First, the mesh tape 30 supporting and fixing the urethra (b) portion is wrapped by the mesh outer portion 20 in which the center portion is cut, and after each needle 10 in which a plurality of retractor insertion holes 14 are formed. Both ends of the mesh tape 30 are coupled to the end portion 10b together with both ends of the mesh exterior portion 20 surrounding the mesh tape 30.

That is, the mesh tape 30 is mesh tape 30b coupled to both ends of the mesh tape 30a together with the mesh tape 30a positioned at the center thereof, respectively, and the mesh tape 30 Since 30 is inserted into the mesh exterior part 20, bladder flows are formed by combining both ends of the mesh exterior part 20 and both ends of each mesh tape 30b together with the rear end 10b of each needle 10. Orthodontic combined use incontinence treatment device 100 is completed as shown in FIG.

The bladder flow correction combined urinary incontinence treatment device 100 manufactured as described above is used to treat urinary incontinence, that is, to correct the bladder and to be placed at the correct position of the bladder and urethra (b).

First, in the state where the bladder is empty, a medical knife is used to cut the upper wall of the vagina (a), which is located below the urethra (b), in part (d), that is, about 1, 2 cm, Each needle 10 of 100) is cut out at about 0.5 cm on both sides of the lower abdomen, 2 cm above the lower abdominal pubic bone and 2 cm above the center of the lower abdomen. .

At this time, the passage of the needle 10, which is the incision of the lower abdomen and the state of the wound, is the middle part of the pubic bone, which is very important for anatomical knowledge as it passes over the groin area and the side of the pelvis.

The incision portion (d) of the upper vaginal wall is positioned below the urethra (b) to cover the middle portion of the urethra (b), and the incision state of the upper wall and the lower abdomen of the vagina (a) is mesh tape (30). Minimize the surgical site by limiting the path to the minimum.

As described above, when the upper wall incision (d) of the vagina (a) and the incision of the lower abdomen (e) are completed, the vaginal wall layer and the bladder neck part except the vaginal mucosa through the cut (d) of the upper wall of the vagina (a) A plurality of retractors 13 are each sewn spirally as shown in FIG. 3A on the cardinal ligament site and the fasciavic fascia (c) of the urethra (b), which are spaced apart from each other.

Then, both ends of each of the retractor 13 is inserted into and fixed to each retractor insertion hole 14 formed in the body 11 of each needle 10.

Then, the coupling portion 12 formed at the rear end portion 10b of each needle 10 is inserted into the handle 50 and then coupled to the handle portion 50 of the coupling portion 12 of each needle 10. ), The tip 10a of the needle 10 is positioned at the cutout portion d of the upper wall of the vagina a, and then the needle 10 is inserted into the cutout portion d.

Then, the needle 10 is directed to the outside of the body through the incision portion e of the lower abdomen through both sides of the sagging urethra b so that the pointed tip 10 a of the needle 10 does not touch the urethra b. Pull out as in 3b.

In other words, the needle (10) is punctured from the upper wall incision (d) of the vagina (a) to the incision of the lower abdominal pubic bone (e), so that the needle does not touch the genital area and each organ in the body. Inserting a middle finger or a long finger in the middle of inserting the needle 10 into the vagina (a) while gently adjusting the progress and direction while feeling the feeling of the needle 10 from the vaginal wall to the fingertips When the tip 10a of the needle 10 is positioned at the incision portion e of the lower abdomen while supporting the needle 10 safely, the needle 10 is pulled out through the incision portion e.

In the same manner as above, the other needle 10 is drilled from the upper wall incision (d) of the vagina (a) to the incision of the lower abdomen (e).

Here, when a part of perforation is completed, the bladder should be checked for damage to the bladder and urethra (b).

As such, each needle 10 exits through each incision portion e of the lower abdomen as shown in FIG. 3C, and both ends of the mesh tape 30 come out of the body. The mesh exterior portion 20 is brought into contact with the lowered sagging urethra b without tension.

Then, while holding both ends of the mesh outer portion 20 to adjust the position of the mesh tape 30, that is, the positioning tape 40 adhered to the central portion of the mesh outer portion 20 of the urethra (b) After confirming that it is correctly positioned in the lower part, the positioning tape 40 is removed from the mesh exterior part 20 through the cutout part d of the upper wall of the vagina (a).

Then, when the mesh tape 30a of the mesh tape 30 is fixed, the mesh tape 30a and the mesh tape 30b are separated by pulling the needles 10 and the mesh exterior part 20. As shown in FIG. 3d, each of the needles 10, the mesh exterior part 20, and the mesh tape 30b are separated from the mesh tape 30a.

At this time, both ends of the mesh tape (30a) is a predetermined length from the outside of the lower abdomen, that is, the abdomen end, as described above to hold both ends of the mesh tape (30a) from the end of the abdomen and the mesh tape (30a) Adjust the position of again.

That is, while holding both ends of the mesh outer portion 20 as shown in Figure 3c while checking the position of the mesh tape 30 while looking at the positioning tape 40, as shown in Figure 3d both ends of the mesh tape 30a Once again, the mesh tape 30a is once again raised enough to let the urine out of the sacrificial urethra (b) by one or two drops. Adjust

On the other hand, when separating the needle 10 and the mesh outer portion 20 from the mesh tape 30, carefully removed using scissors or tweezers to prevent the unnecessary tension is applied to the urethra (b) do. When a force is applied to remove the mesh exterior part 20 too quickly, a problem arises in that both ends of the mesh tape 30, that is, the mesh tape 30a are located inside the body, as well as the mesh tape 30a. It is very inconvenient and difficult to adjust the position.

On the other hand, each of the retractor 13 is pulled out of the body together with each needle 10 is removed from each retractor insertion hole 14 of the needle 10, and then both ends of the pulled retractor 13 Grasping and pulling both ends of the retractor 13, so that the bladder and urethra (b) is in the correct position, that is, correct the bladder flow and then tie the two ends of each retractor 13 as shown in Figure 3d.

As described above, when the mesh tape 30a of the mesh tape 30 is adjusted, and the adjustment of each of the towing yarns 13 is completed, both ends of the mesh tape 30a, which come out of the body, are in the lower belly. After cutting to enter into the lower abdomen (e) with a suture and sewn each of the retractors 13 together with both ends of the skin of the body and the mesh tape (30a) as shown in FIG.

In addition, the upper wall incision (d) of the vagina (a) is also sewn with a suture like the incision of the lower abdomen (e).

When the suture wound is healed, the urethra (b) portion is raised and supported by the mesh tape 30 as the retractor 13, which is tied to the outside of the body and cuts close to the body, is completed and the urinary incontinence treatment is completed. In addition, the bladder flow is corrected by the respective towing yarns 13.

Although the bladder correction combined urinary incontinence treatment apparatus according to the present invention as described above with reference to the illustrated drawings, the present invention is not limited by the embodiments and drawings disclosed herein to those skilled in the art within the technical scope of the invention Of course, various modifications can be made.

As described above, the present invention has a urinary urethra in which the mesh tape of the bladder orthodontic incontinence treatment apparatus is drooped by providing a bladder orthodontic combined incontinence treatment instrument having a needle, a mesh tape, and a mesh outer portion to perform a surgical operation. As the support is fixed while lifting the site, the urinary incontinence treatment method is simple, as well as reducing the time and cost required for the incontinence surgery.

In addition, the incision of the upper wall and the lower abdomen of the vagina is small enough to penetrate through the needle and the mesh tape, thereby minimizing the scar according to the suture, and has an effect of immediately obtaining the urinary incontinence treatment effect.

In addition, by inserting and fixing a plurality of retractors spirally sutured to the fascia of the urethra into a plurality of retractor insertion holes formed in the needle of the bladder flow correction combined urinary incontinence treatment device, each retractor that came out of the body during the incontinence surgery The adjustment also has the effect of correcting the bladder flow so that the bladder and urethra are in the correct position.

As described above, the urinary incontinence treatment and the cyst flow correction are also simultaneously performed by the bladder flow correcting incontinence treatment device, thereby increasing the therapeutic effect of the urinary incontinence and also preventing the recurrence of the urinary incontinence.

Therefore, as patients' reliability of urinary incontinence surgery is improved, the patients have less fear of surgery, and this is a very useful design that helps a lot of patients with urinary incontinence suffer from the incontinence.

Claims (3)

In the urinary incontinence treatment apparatus for treating urinary incontinence by supporting and fixing the urethra The urinary incontinence treatment apparatus A smooth curved body having a rear end portion having a coupling portion coupled with a handle, and a pointed tip portion inserted through the vagina and penetrating through the lower abdomen to escape to the outside of the body; Install two needles formed with a plurality of retractor insertion holes through which a plurality of retractors sewn to the fascia of the urethra are inserted and fixed respectively. Both ends are respectively coupled to the rear end of each needle, and a predetermined position of the central part is cut, and a mesh exterior part formed with an empty space is installed inside the needle. In the mesh outer portion, both ends are respectively coupled to the rear end of each needle like the mesh outer portion, and a mesh tape having a predetermined length and width is inserted and fixed to support and fix the urethra after surgery. and, Bladder flow correction combined incontinence treatment apparatus characterized in that the positioning tape for confirming the position of the mesh tape to the outer portion of the cut center portion of the mesh outer portion. The method of claim 1, The mesh tape is a mesh tape positioned at the center to support and fix the urethra and a mesh tape having one end coupled to both ends of the central mesh tape and the other end coupled to the rear end of each needle. Bladder flow correction combined incontinence treatment apparatus characterized in that consisting of. The method of claim 1, The bladder flow correction and incontinence treatment device is made of polyvinyl.