CN106510894A - Program-controlled implantable micro-electrical stimulation synthetic sling for treating uracratia - Google Patents
Program-controlled implantable micro-electrical stimulation synthetic sling for treating uracratia Download PDFInfo
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- CN106510894A CN106510894A CN201610924229.3A CN201610924229A CN106510894A CN 106510894 A CN106510894 A CN 106510894A CN 201610924229 A CN201610924229 A CN 201610924229A CN 106510894 A CN106510894 A CN 106510894A
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- Prior art keywords
- suspender belt
- electrical stimulation
- module
- micro
- signal
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/0004—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse
- A61F2/0031—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse for constricting the lumen; Support slings for the urethra
- A61F2/0036—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse for constricting the lumen; Support slings for the urethra implantable
- A61F2/0045—Support slings
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/36007—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation of urogenital or gastrointestinal organs, e.g. for incontinence control
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Urology & Nephrology (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- General Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Transplantation (AREA)
- Vascular Medicine (AREA)
- Heart & Thoracic Surgery (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Cardiology (AREA)
- Gastroenterology & Hepatology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Radiology & Medical Imaging (AREA)
- Electrotherapy Devices (AREA)
- Prostheses (AREA)
Abstract
The invention provides a program-controlled implantable micro-electrical stimulation synthetic sling for treating uracratia, which can greatly improve the success rate of an uracratia overhanging operation, can reduce post-operation symptoms, and can treat stimulation symptoms and prevent and delay relapses. The state that uracratia is improved passivity in treatment of uracratia can be changed fundamentally, and the uracratia can be really corrected from active and passive factors. Urine control factors are suitably enhanced passively, and active shrinkage factores of urine control can be greatly improved; and the lower urinary tract symptoms can be improved through the electrical simulation principle, and a feedback treatment effect can be achieved.
Description
Technical field
Present invention relates particularly to Medical Instruments technical field, and in particular to a kind of with program control implantable treatment urinary incontinence
Micro-electrical stimulation synthesizes suspender belt.
Background technology
The current operation implantation property synthesis conduction band for the treatment of urinary incontinence, it is especially the most frequently used by stage casing urethral slings side
Method, is the standard care means of current operative treatment stress incontinence.Although the synthesis suspender belt operative approach mode being related to
Difference, design slightly have difference, but the overall principle is that the synthesis suspender belt placement of fine strip shape is implanted in midstream urine using guide handle
Under road, between urethra rear wall and anterior vaginal wall.So the Posterior urethral of suspention on the one hand can with respect to anatomical reduction, in addition one
Aspect, the similar hammock sample of suspender belt of implantation support urethra.Thus, can avoid in cough, the urine that firmly etc. abdominal pressure increase causes
Hydrorrhea goes out.Synthesis suspender belt material is commonly the macromolecule polymer of the netted establishment of nonabsorable, such as polypropylene.Healed after surgery
Cheng Zhong, the fusion for strengthening suspender belt between the synthetic material and tissue during healing reaction support fixation.So, typically
In the case of, urinary incontinence sling surgery is in the recent period or even mid-term success rate is all higher.But the synthesis suspender belt that commonly uses at present and attached
Equipment is suffered from the drawback that：
Suspender belt is physics suspention urethra, the larger urethra of the correction swing that different modus operandis and suspender belt can be different degrees of, with
Recover urethra antagonism as far as possible as abdominal pressure is applied to the ability of the urine spilling of bladder initiation, improve urinary incontinence generation.But suspender belt
When suspention urethra itself can not increase sphincter of urethra muscle tonus and antagonism abdominal pressure, sphincter of urethra flesh and Pelvic floor are received strongly
The ability of contracting, suspender belt simply correct by a passive dissection, does not have the ability for strengthening urethral contraction control urine of active.Most pressures
The contraction that power urinary incontinence all has different degrees of sphincter of urethra and Pelvic floor is poor, even without contractility, such as 3 type pressures
Power urinary incontinence is then the problem of the sphincter of urethra under extreme case.In this case urinary incontinence suspender belt suspension treating is imitated
It is really poor.
The nearly mid-term effect of suspender belt treatment urinary incontinence very well, by different suspender belts, slightly has difference, art between distinct methods and approach
Urinary continence entangles and reaches more than 80% afterwards.But As time goes on, even without under the normal condition of postoperative complication, one
As after 1-2, urinary incontinence state gradually recurs, or even is exacerbated to preoperative state.
The improvement of symptom is responsible in the improvement of the nbjective symptom of suspender belt treatment urinary incontinence postoperative patient significantly better than patient.Investigation
Research shows, such as urinates dynamometry etc., it is found that leakage of urine is pressed and be obviously improved, but often patient supervisor feels class symptom and life
Analyze the collaboration of no and objective evidence to improve in terms of quality, simple suspender belt implantation may change the local ring at urethra and basin bottom
Border, and produce new symptom or affect quality of life.
As the urinary incontinence of postoperative different phase recurs, so many patients receive suspender belt sling operation again to again
Recover control urine.But secondary repetition is replanted into suspender belt, because existing suspender belt and local scar, operation risk is relatively big for the first time, and
Postoperative effect does not totally have former good operation effect, in addition, Management of postoperative short-term complications yet showed increased.
Partial pressure uracratia patients merge and there is frequent micturition, urgent micturition and bladder lower urinary tract irritation, or even typically
Urge incontinence, and mixed urinary incontinence.The suspender belt suspention operation on urethra of pure, tends not to correct this kind of urgency well
Urgent symptom.Sometimes, in addition cause and increase this kind of bladder lower urinary tract symptom.The postoperative emerging overactive bladder of urinary incontinence
Disease is much reported, and is considered as one of postoperative common adverse effect class symptom being likely to occur.
In order to be able to reach postoperative control urine state well, correction is there may be when operation on urethra is suspended in midair excessively, causes wing
The outlet obstructed symptom of Guang.By the order of severity can have urine line attenuate, trouble urinating, even dysuria, urine retention etc..Handss are pressed typically
Postoperative urinary flow and residual urine situation are deciding whether to carry out in the recent period operation and loosen etc. to intervene.But investigation shows, some patientss hang
Hanging Post operation and there is residual urine gradually increases, bladder outlet obstruction (BOO), or even last bladder contraction decompensation phenomenon.Entangle in passive
In the case of just suspending urethra in midair, maintain control urine and reduce it is outlet obstructed between the two, sometimes suspender belt suspend in midair when be difficult assurance
Between balance.
Due to due to the above so that common synthesis suspender belt treatment urinary incontinence is obtaining the same of good passive control urine effect
When, also urgently there are more preferable Therapeutic Method means to avoid and improve drawbacks described above, at the same time it is wished that can be from tightening and improving urethra
This active aspect of sphincter itself maintains good initiative control urine treating urinary incontinence.
The content of the invention
In order to solve the deficiencies in the prior art, the present invention there is provided a kind of with the micro- of program control implantable treatment urinary incontinence
Electricity irritation synthesizes suspender belt.
The present invention adopt technical solution be：A kind of micro-electrical stimulation synthesis with program control implantable treatment urinary incontinence
Suspender belt, including connection suspender belt body, described connection suspender belt body are provided with signal acquisition module and treatment module, and described is micro-
Electricity irritation synthesis suspender belt also includes signal control module and positioned at external signal processing module, and described signal acquisition module is adopted
Abdominal pressure pressure conduction moment when basin bottom pressure dynamic during monitor set urine storage, cough are exerted oneself changes, bladder capacity and urethra are urinated
Liquid is flowed into and overflows situation.Signal acquisition module collection monitoring also includes flow rate of liquid during urination, intravesical pressure dynamic, urination
Signal control is given in residual urine volume parameter index change after opportunity urination, the signal transmission that these signal acquisition module are collected
Module, described signal control module by the signal transmission for receiving to signal processing module, described signal processing module according to
The signal control treatment module continuous discharge for receiving collection stimulates, and reaches and adjusts the sensation of bladder and urethra, autonomous and non-autonomous
The purpose that motion is shunk, curative alleviation bladder abnormal contraction, urine urgency-frequency symptom and promotion sphincter of urethra maintenance are received
Contracting and the function of emergent control urine.
Described signal acquisition module is that, by the sensor of microelectrode connection, described sensor outer surface is fixed on connection
On suspender belt body surface.
Described suspender belt body surface is elastic net structure, and described suspender belt body is synthesis polypropylene mesh material system
Into.
Connected by thin wire between described sensor and signal control module, and crosslinking is bundled in suspender belt as needed
On body.
Described treatment module includes micro-electrical stimulation device, and described micro-electrical stimulation device is sustainable or electric discharge thorn as needed
Swash.Connected by thin wire between described treatment module and signal control module, and crosslinking is bundled in suspender belt sheet as needed
On body.
Described micro-electrical stimulation synthesis suspender belt also includes wireless vitro program controlled module, and described wireless vitro program controlled module is also
Wireless signal receiver is provided with, described wireless signal receiver receives the signal of signal control module so as to real time record
Store the parameter from sensor module.Wireless signal receiver, described wireless communication are additionally provided with described suspender belt body
Number reception device receives the signal of wireless vitro program controlled module so as to adjusting real-time stimulus parameter and arranging relevant parameter before stimulating.
The invention has the beneficial effects as follows：The invention provides a kind of micro-electrical stimulation with program control implantable treatment urinary incontinence
Synthesis suspender belt, is mainly used in operative treatment urinary incontinence, promotes the control ability rehabilitation of postoperative urine and delay and prevent urinary incontinence to recur,
Taking into account improves the urge incontinence symptom for existing, the such as lower urinary tract symptom such as frequent micturition, urgent micturition.In addition, by micro-electrical stimulation, can be with
Reach treatment to alleviate related urinary system, basin bottom and reproduction related symptoms and combine external program control device, carry out stimulating immediately and slow
Property adjust sexual stimuluses, with reach i.e. time control urine and the long-term symptom of chronic improvement.By obtaining good control urine and improving the electricity of symptom
Stimulus information is optimized process, adjusts stimulus modelity, reaches feedback optimized and long-term efficacy, and delays and reduce urinary incontinence
Recurrence and remove related symptoms.
Description of the drawings
Fig. 1 is flow chart of the present invention.
Fig. 2 is schematic structural view of the invention figure.
1- connections suspender belt body in figure, 2- signal acquisition module, 3- treatment modules, 4- signal control modules, at 5- signals
Reason module, 6- is wireless vitro program controlled module, 7- wireless signal receivers.
Specific embodiment
The present invention is further described in conjunction with Fig. 1, Fig. 2, it is a kind of with the micro- of program control implantable treatment urinary incontinence
Electricity irritation synthesizes suspender belt, including connection suspender belt body（1）, it is characterised in that described connection suspender belt body（1）It is provided with signal
Acquisition module（2）With treatment module（3）, described micro-electrical stimulation synthesis suspender belt is also including signal control module（4）With positioned at body
Outer signal processing module（5）, described signal acquisition module（2）Bladder and Periurethral when gathering when monitoring urine storage and urinating
Parameter index changes and transmits a signal to signal control module（4）, described signal control module（4）The signal transmission that will be received
To signal processing module（5）, described signal processing module（5）According to the signal control treatment module for receiving collection（3）Continue
Electric discharge stimulates, and reaches regulation bladder sensation or shrinks purpose, the function of curative alleviation bladder contraction.
Described signal acquisition module（2）It is that, by the sensor of microelectrode connection, described sensor outer surface is fixed on
Connection suspender belt body（1）On surface.
Described connection suspender belt body（1）Surface is network structure, described connection suspender belt body（1）To synthesize polypropylene
Web materials are made.
Described sensor and signal control module（4）Between by thin wire connect.
Described treatment module（3）Including micro-electrical stimulation device, described micro-electrical stimulation device is sustainable or discharges as needed
Stimulate, reach stimulation urethra itself or sphincter of urethra and Pelvic floor shrink purpose, curative raising control urine, reduction leakage of urine,
And relief of symptoms.
Described micro-electrical stimulation synthesis suspender belt also includes wireless vitro program controlled module（6）, described, described connection suspender belt
Body（1）On be additionally provided with wireless signal receiver（7）, described wireless signal receiver（7）Receive wireless vitro program controlled
Module（6）Signal so as to adjust real-time stimulus parameter and stimulate before arrange relevant parameter.
The invention provides a kind of micro-electrical stimulation synthesis suspender belt of the program control implantable treatment urinary incontinence of novel belt, invention energy
The postoperative success rate of urinary incontinence sling operation is enough greatly improved, postsurgery symptoms is reduced, prevent and is delayed recurrence possible.Fundamentally change
The state of the passive improvement urinary incontinence of current treatment urinary incontinence is become, has been really achieved while from actively and passively factor is entangled on both side
Positive urinary incontinence.In appropriate passive reinforcement urine control factor, it is to avoid while excessively suspention increases resistance, the great master for improving urine control
Dynamic shrinkage factor；Electricity irritation Principles of Regulation, the kind lower urinary tract symptom are utilized to reach feedback treating purpose simultaneously.
The above is only the preferred embodiment of the present invention, and protection scope of the present invention is not limited merely to above-mentioned enforcement
Example, all technical schemes belonged under thinking of the present invention belong to protection scope of the present invention.It should be pointed out that for the art
Those of ordinary skill for, some improvements and modifications without departing from the principles of the present invention, these improvements and modifications
Should be regarded as protection scope of the present invention.
Claims (6)
1. a kind of micro-electrical stimulation synthesis suspender belt with program control implantable treatment urinary incontinence, including connection suspender belt body（1）, which is special
Levy and be, described connection suspender belt body（1）It is provided with signal acquisition module（2）With treatment module（3）, described micro-electrical stimulation
Synthesis suspender belt also includes signal control module（4）With positioned at external signal processing module（5）, described signal acquisition module
（2）During collection monitoring urination, flow rate of liquid, intravesical pressure dynamic, bladder capacity parameter index change and transmit a signal to signal
Control module（4）, described signal control module（4）By the signal transmission for receiving to signal processing module（5）, described signal
Processing module（5）According to the signal control treatment module for receiving collection（3）Continuous discharge stimulates, and reaches regulation bladder sensation or receipts
Contracting purpose, the function of curative alleviation bladder contraction.
2. a kind of micro-electrical stimulation with program control implantable treatment urinary incontinence according to claim 1 synthesizes suspender belt, and which is special
Levy and be, described signal acquisition module（2）It is that, by the sensor of microelectrode connection, described sensor outer surface is fixed on company
Connect suspender belt body（1）On surface.
3. a kind of micro-electrical stimulation with program control implantable treatment urinary incontinence according to claim 2 synthesizes suspender belt, and which is special
Levy and be, described connection suspender belt body（1）Surface is network structure, described connection suspender belt body（1）To synthesize polypropylene
Web materials are made.
4. a kind of micro-electrical stimulation with program control implantable treatment urinary incontinence according to claim 2 synthesizes suspender belt, and which is special
Levy and be, described sensor and signal control module（4）Between by thin wire connect.
5. a kind of micro-electrical stimulation with program control implantable treatment urinary incontinence according to claim 1 synthesizes suspender belt, and which is special
Levy and be, described treatment module（3）Including micro-electrical stimulation device, described micro-electrical stimulation device it is sustainable or as needed electric discharge thorn
Swash.
6. a kind of micro-electrical stimulation with program control implantable treatment urinary incontinence according to claim 1 synthesizes suspender belt, and which is special
Levy and be, described micro-electrical stimulation synthesis suspender belt also includes wireless vitro program controlled module（6）, described, described connection suspender belt
Body（1）On be additionally provided with wireless signal receiver（7）, described wireless signal receiver（7）Receive wireless vitro program controlled
Module（6）Signal so as to adjust real-time stimulus parameter and stimulate before arrange relevant parameter.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610924229.3A CN106510894A (en) | 2016-10-24 | 2016-10-24 | Program-controlled implantable micro-electrical stimulation synthetic sling for treating uracratia |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610924229.3A CN106510894A (en) | 2016-10-24 | 2016-10-24 | Program-controlled implantable micro-electrical stimulation synthetic sling for treating uracratia |
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| Publication Number | Publication Date |
|---|---|
| CN106510894A true CN106510894A (en) | 2017-03-22 |
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| CN201610924229.3A Pending CN106510894A (en) | 2016-10-24 | 2016-10-24 | Program-controlled implantable micro-electrical stimulation synthetic sling for treating uracratia |
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111888048A (en) * | 2020-07-16 | 2020-11-06 | 温州医科大学附属第一医院 | Magnetoelectricity controllable hanging strip |
| CN116173404A (en) * | 2022-12-27 | 2023-05-30 | 中国医学科学院北京协和医院 | In-vitro pelvic floor muscle electric stimulation instrument and electric stimulation method |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN111888048A (en) * | 2020-07-16 | 2020-11-06 | 温州医科大学附属第一医院 | Magnetoelectricity controllable hanging strip |
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