CN103340701B - Quantitative adjustable urethra middle section suspension device - Google Patents

Quantitative adjustable urethra middle section suspension device Download PDF

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CN103340701B
CN103340701B CN201310224002.4A CN201310224002A CN103340701B CN 103340701 B CN103340701 B CN 103340701B CN 201310224002 A CN201310224002 A CN 201310224002A CN 103340701 B CN103340701 B CN 103340701B
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reel
suspension
end cover
middle section
base
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CN103340701A (en
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宋红娟
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Abstract

The invention discloses a quantitative adjustable urethra middle section suspension device, and belongs to the field of gynecological medical equipment. The quantitative adjustable urethra middle section suspension device is an adjustable urethra middle section suspension device free of tension passing through a vagina, and is particularly suitable for treatment of female stress urinary incontinence. The quantitative adjustable urethra middle section suspension device comprises a suspension strap 2, and winders 1 used for adjusting the length of a suspension rope are connected to the two ends of the suspension strap through the suspension rope 3. According to the quantitative adjustable urethra middle section suspension device, because the length of the suspension rope can be accurately and quantitatively adjusted through the winders 1, the tightness degree of the suspension strap can be conveniently adjusted after an implanting operation, the tightness degree of the suspension strap can be conveniently adjusted by an operation doctor, the adjustment times of the suspension strap are reduced after the implanting operation, the problem that when the suspension strap is adjusted for many times, the tightness degree of the suspension strap is adjusted to the same excessively loose or excessively tight position repeatedly is avoided, and the times of fine-adjustment operations after the implanting operation and operative wound and operation expenses of a patient are reduced.

Description

Quantitative adjustable urethra middle section suspension device
Technical field
The present invention relates to a kind of quantitative adjustable urethra middle section suspension device, belong to field of gynecological medical equipment.Be a kind of adjustable no-station pole canopy transvaginal mid-urethral suspension apparatus, be particularly useful for treating female stress urinary incontinence.
Background technology
Female incontinence is women's commonly encountered diseases, at present according to world statistics, prevalence is close to 50%, wherein about half is stress incontinence (Stress Urinary Incontinence, when SUI) referring to that bladder pressure is greater than maximal urethral pressure, under the state of shrinking without detrusor of bladder, urine also in spite of oneself per urethram collar extension overflow, how when abdominal pressure increases suddenly such as: generation when laughs, sneeze, cough etc.Post menopausal crowd more susceptible disease.Pathogenic factor is most, and because of maternal infuries during childbirth, postmenopausal estrogen level declines, and pelvic floor tissue is lax.SUI, in the mid-90 one of five large diseases starting to be considered to affect human health, is called as " social cancer ".Particularly in China, along with the further aging of population, SUI is more and more subject to people's attention.Seek the method for effectively treating SUI, there is urgent, great clinical meaning.
In operative treatment, no-station pole canopy vaginal tape (tension-free vaginal tape, TVT) is the goldstandard of SUI treatment.Think that the advantages such as TVT cure rate is high, easy and simple to handle, wound is little, post-operative recovery is fast, few intercurrent disease, relapse rate are low are also used widely clinically at present.But TVT Post operation, patient age increases, pelvic floor tissue relaxes further, the degree of tightness of suspender belt is applicable to situation and can changes and again cause SUI, the synthetic material of suspender belt also can cause the erosion organized blood vessel etc. and cause complication at a specified future date in addition, and this is a great problem perplexing TVT operation at present.And the elasticity of the TVT suspender belt assessed under narcotism in operation is not the elasticity be applicable to during patient really lives, too pine, surgical effect is bad; Too tight, postoperative patients's dysuria.And after TVT surgical effect is not good enough, operative correction is very difficult again, does not substantially accomplish at present.TVT is postoperative thus can the elasticity of quantitative scalable suspender be very necessary and important.
Summary of the invention
For solving above-mentioned prior art and dosing device Problems existing, the invention provides a kind of quantitative adjustable urethra middle section suspension device, volume is little, and structure is simple, easy to use.
For achieving the above object, the technical solution adopted in the present invention is as follows: a kind of quantitative adjustable urethra middle section suspension device, comprises suspender belt, and suspender belt two ends are connected with the winder for regulating suspension rope length by suspension rope; Described winder comprises base, is respectively provided with a lacing hole passed through for suspension rope in the two bottom sides of base; Volume payingoff mechanism is installed in base, described volume payingoff mechanism comprises reel with tooth bar on an inwall, installs the holder of band assembled shaft within the roll, is arranged on the bottom end cover of reel lower end and is arranged on the reel upper end cover of reel upper end, the bottom end cover of reel and the center of upper end cover all have hole, and bottom end cover is connected with reel by screw thread with upper end cover; Also comprise the outer end cap being threaded connection and being arranged on base upper end; The outer wall of described holder there is the symmetrically arranged telescopic flexible block matched with the internal tooth on reel, holder is within the roll nested, its assembled shaft one end is fixed on the bottom of base through the hole on bottom end cover, and the other end withstands on the outer end cap of base through the hole of upper end cover; , when spool turns tooth bar touches flexible block, flexible block energy automatic retracted, when spool turns is to needs position, flexible block stretches out and reel is located; On reel, both sides are provided with cord hole, and suspension rope is wrapped on reel, and suspension rope is connected with suspender belt two ends with the lacing hole on base through the cord hole of reel both sides; Reel is provided with the scale that display suspension rope regulates length.
Beneficial effect of the present invention: this device can regulate suspension rope to regulate length by accurate quantification, after facilitating implant surgery, the tightness of suspender belt is regulated, facilitate operative doctor to regulate suspender belt tightness simultaneously, the number of times after reducing implant surgery, suspender belt regulated, avoid when repeatedly regulating, suspender belt elasticity is adjusted to the identical position crossing pine or tension repeatedly, finely tunes the number of times of operation, decrease patient's operation wound and surgery cost after decreasing implant surgery.
Accompanying drawing explanation
Fig. 1 is structural representation of the present invention;
Fig. 2 is winder structure schematic diagram;
Fig. 3 is the structural representation of serving state of the present invention.
In figure: 1, winder, 2, suspender belt, 3-suspension rope; 1.1-outer end cap; 1.2-reel upper end cover; 1.3-cord hole; 1.4-reel; 1.5-flexible block; 1.6-holder; 1.7-reel bottom end cover; 1.8-base; 1.9-lacing hole; 1.10-block, 1.11, zero graduation line; 1.12, tooth bar; 1.13, flexure strip; 1.14, pulling hole; 1.15, groove.
Detailed description of the invention
Below in conjunction with accompanying drawing, the invention will be further described.
As shown in Figure 1, the present invention is by suspender belt 2, and suspender belt two ends are connected with for regulating the winder 1 of suspension rope length to form by suspension rope 3.As shown in Figures 2 and 3, described winder comprises base 1.8, is respectively provided with a lacing hole 1.9 passed through for suspension rope 3 in the two bottom sides of base 1.8; Base 1.8 is provided with zero graduation line 1.11, volume payingoff mechanism is installed in base 1.8, described volume payingoff mechanism comprise the reel 1.4 with tooth bar 1.12 on an inwall, the band assembled shaft be arranged in reel 1.4 holder 1.6, be arranged on the bottom end cover 1.7 of reel lower end and be arranged on the reel upper end cover 1.2 of reel upper end, bottom end cover 1.7 is connected with reel 1.4 by screw thread with upper end cover 1.2; Also comprise the outer end cap 1.1 being threaded connection and being arranged on base 1.8 upper end; The outer wall of described holder 1.6 there is the symmetrically arranged telescopic flexible block 1.5 matched with the internal tooth on reel 1.4, holder 1.6 is nested in reel 1.4, the bottom end cover 1.7 of reel and the center of upper end cover 1.2 all have hole, assembled shaft one end of holder 1.6 is fixed on the bottom of base 1.8 through the hole on bottom end cover 1.7, the other end withstands on the outer end cap 1.1 of base 1.8 through the hole of upper end cover 1.2; When reel 1.4 rotate tooth bar touch flexible block 1.5 time, flexible block energy automatic retracted, when reel 1.4 turn to need position time, flexible block stretches out and reel 1.4 is located; On reel 1.4, both sides are provided with cord hole 1.3, and suspension rope 3 is wrapped on reel 1.4, and suspension rope 3 is connected with suspender belt 2 two ends with the lacing hole on base 1.8 through the cord hole 1.3 of reel 1.4 both sides; Reel 1.4 is provided with the scale that display suspension rope regulates length; The length that on the suspender belt that loosens away and screw into, suspension rope regulates can be demonstrated by accurate quantification.
The present embodiment suspension rope 3 is nylon wire.For convenience of the taking off or installing of outer end cap 1.1, outer end cap 1.1 has at least two symmetrically arranged pulling holes 1.14, reel upper end cover 1.2 outer face being provided with symmetrical at least one pair of for the groove 1.15 that rotates matches with the hole on outer end cap 1.1.Described flexible block 1.5 comprises the block 1.10 that holder 1.6 periphery can be stretched out in top, is fixedly connected with block with one end, and the other end is fixed on the flexure strip 1.13 in the installation shaft of holder 1.6 center.
This device can solve the SUI recurrence that suspender belt causes along with time variations, under this device patients with implantation hypogastric region fat and between theca of rectus abdominis muscle, by the elasticity regulating the length of nylon wire to control suspender suspention mid-urethral, treatment female stress urinary incontinence.This assembly dia 2.5cm, height 0.8cm, small volume, does not have foreign body sense of discomfort between Operation hypogastric region fatty tissue and theca of rectus abdominis muscle.In addition, this device is regulated by the scale on device, and accurate quantification metering elasticity, can be recorded into medical history information, avoids because cannot be quantitative, causes Repeated Operation incision hypogastric region skin and subcutaneous layer of fat repeatedly to regulate on same position to utilize device.This device employs the high temperature resistant medical plastic of Radel5500PESU and is made, 30-60 in implantable.
Using method and principle are: first, suspension rope 3 is pierced into from the lacing hole 1.9 bottom base 1.8, wherein suspension rope 3 one end puts in 6mm by the cord hole 1.3 of reel 1.4 side, the other end puts in the cord hole 1.3 of opposite side, put in 6mm equally, then close reel upper end cover 1.2 and reel bottom end cover 1.7, and reel upper end cover 1.2 and reel bottom end cover 7 are tightened on compression nylon wire after on reel makes it fix; Secondly, when nylon wire is fixed on after on reel 1.4, the groove 1.15 on reel upper end cover 1.2 is pinched with tweezers, reel 1.4 is turned clockwise, tooth bar 1.12 now on mandrel interior wall extrudes flexible block 1.5 makes it shrink, the contraction in length of nylon wire, and suspender belt 2 tightens up; Reel 1.4 rotates smoothly, nylon wire is shunk and is wrapped on reel 1.4, often crosses a boss nylon wire and shrinks 10mm.The length of nylon rope contraction is shown by the scale on reel upper end cover 1.2.Write down the scale on reel upper end cover 1.2 corresponding to zero graduation line 1.11 on now base 1.8.When suspender belt 2 being loosened, pinch the groove 1.15 on reel upper end cover 1.2 with tweezers, reel 4 is rotated counterclockwise, the tooth bar 1.12 now on mandrel interior wall extrudes flexible block 1.5 makes it shrink, and the length elongation of nylon wire, suspender belt 2 loosens.By contrasting with the scale write down before, the quantitative elongation of nylon wire can be realized.
Zero graduation line on the head-pulley upper end cover 1.2 of use must align with the zero graduation line 1.11 on base 1.8, to facilitate the length of record nylon wire 9.

Claims (4)

1. a quantitative adjustable urethra middle section suspension device, is characterized in that: comprise suspender belt (2), and suspender belt two ends are connected with the winder (1) for regulating suspension rope length by suspension rope (3); Described winder comprises base (1.8), is respectively provided with a lacing hole (1.9) passed through for suspension rope (3) in the two bottom sides of base (1.8); Base is provided with volume payingoff mechanism in (1.8), described volume payingoff mechanism comprise the reel (1.4) with tooth bar (1.12) on an inwall, the band assembled shaft be arranged in reel (1.4) holder (1.6), be arranged on the bottom end cover (1.7) of reel lower end and be arranged on the upper end cover (1.2) of reel upper end, the bottom end cover (1.7) of reel and the center of upper end cover (1.2) all have hole, and bottom end cover (1.7) is connected with reel (1.4) by screw thread with upper end cover (1.2); Also comprise the outer end cap (1.1) be threaded connection in base (1.8) upper end; The outer wall of described holder (1.6) there is the symmetrically arranged telescopic flexible block (1.5) matched with the inner rack on reel (1.4), holder (1.6) is nested in reel (1.4), its assembled shaft one end is fixed on the bottom of base (1.8) through the hole on bottom end cover (1.7), and the other end withstands on the outer end cap (1.1) of base (1.8) through the hole of upper end cover (1.2); When reel (1.4) rotate tooth bar touch flexible block (1.5) time, flexible block energy automatic retracted, when reel (1.4) turn to need position time, flexible block stretches out and reel (1.4) is located; The upper both sides of reel (1.4) are provided with cord hole (1.3), suspension rope (3) is wrapped on reel (1.4), and suspension rope 3 is connected with suspender belt (2) two ends with the lacing hole (1.9) on base (1.8) through the cord hole (1.3) of reel (1.4) both sides; Reel (1.4) is provided with the scale that display suspension rope regulates length.
2. quantitative adjustable urethra middle section suspension device according to claim 1, is characterized in that: described suspension rope (3) is nylon wire.
3. quantitative adjustable urethra middle section suspension device according to claim 1, it is characterized in that: on the outer end cap (1.1) of base, have at least two symmetrically arranged pulling holes (1.14), reel upper end cover (1.2) outer face being provided with symmetrical at least one pair of for the groove (1.15) that rotates matches with the pulling hole on outer end cap (1.1).
4. quantitative adjustable urethra middle section suspension device according to claim 1, it is characterized in that: described flexible block (1.5) comprises the block (1.10) that holder (1.6) periphery can be stretched out in top, be fixedly connected with block with one end, the other end is fixed on the flexure strip (1.13) in the installation shaft of holder (1.6) center.
CN201310224002.4A 2013-06-06 2013-06-06 Quantitative adjustable urethra middle section suspension device Active CN103340701B (en)

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Application Number Priority Date Filing Date Title
CN201310224002.4A CN103340701B (en) 2013-06-06 2013-06-06 Quantitative adjustable urethra middle section suspension device

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CN103340701A CN103340701A (en) 2013-10-09
CN103340701B true CN103340701B (en) 2015-03-04

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN117481865A (en) * 2017-12-27 2024-02-02 苏州优迈医疗器械有限公司 Device for adjusting and fixing tension of surgical mesh and surgical application thereof
CN111658231B (en) * 2020-07-10 2022-05-31 深圳市第二人民医院(深圳市转化医学研究院) Fixing device for joint dislocation or ligament reconstruction

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* Cited by examiner, † Cited by third party
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JP2000108846A (en) * 1998-10-01 2000-04-18 Tokai Rika Co Ltd Webbing winder
CN2710554Y (en) * 2004-04-23 2005-07-20 张士更 Air sac urinary catheter tractor
AU2005244221B2 (en) * 2004-05-03 2011-02-10 Ams Research Corporation Surgical implants and related methods
US8007429B2 (en) * 2007-07-05 2011-08-30 Gt Urological, Llc Vessel occlusive device and method of occluding a vessel
CN202936037U (en) * 2012-11-30 2013-05-15 东莞达电电子有限公司 Wireless type coiling device and single-pulling coiler and double-pulling coiler use the same
CN203291068U (en) * 2013-06-06 2013-11-20 宋红娟 Quantification adjustable urethra middle section hanging device

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