CN107260360A - A kind of suspender belt implantation instrument and its application method for treating stress incontinence - Google Patents
A kind of suspender belt implantation instrument and its application method for treating stress incontinence Download PDFInfo
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- CN107260360A CN107260360A CN201710559775.6A CN201710559775A CN107260360A CN 107260360 A CN107260360 A CN 107260360A CN 201710559775 A CN201710559775 A CN 201710559775A CN 107260360 A CN107260360 A CN 107260360A
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- China
- Prior art keywords
- suspender belt
- coiled casing
- stress incontinence
- implantation instrument
- puncture
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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
-
- 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
- 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
- A61F2/005—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 with pressure applied to urethra by an element placed in the vagina
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- Health & Medical Sciences (AREA)
- Urology & Nephrology (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
Present invention is disclosed a kind of suspender belt implantation instrument for treating stress incontinence, there is the coiled casing of coiling-resistant including an implantation female patient ureter bottom side in the suspender belt of hanging shape and one, it is exposed shape before the tape surgery managed, the length dimension of the coiled casing adapts to penetrate suspender belt from the opening of vagina roof one, pass through pubis proparea, back zone or pubis closed pore and in stomach wall, and the coiled casing has the first section for the puncture and lead needle for being tightly sleeved conveyer and is connected to main paragraph therein for suspender belt with flat state activity.Using the suspender belt implantation instrument and its application method of the present invention, the carrying capacity needed for suspender belt through soft tissue and stomach wall is reduced, suspender belt can be allowed to keep flat state implantation soft tissue, clamping of the soft tissue to suspender belt is added（Adhesion）Power simultaneously reduces the risk for being subjected to displacement slip after suspender belt implantation；Meanwhile, the present invention, which has changed traditional suspender belt, to wear the cumbersome high-leveled and difficult operation for connecing and being separated in art in groups with reference to sheath, beneficial to raising procedure efficiency and post surgery stabilization.
Description
Technical field
The invention belongs to surgical operating instrument and method and technology field, and in particular to one kind is used to treat stress incontinence
Suspender belt implantation surgical operating instrument and operate with method.
Background technology
Female incontinence is women common disease, at present according to world statistics, and illness rate is close to 50%, and wherein about half is pressure
The property urinary incontinence（Stress Urinary Incontinence, SUI）.Stress incontinence refers to that bladder pressure is more than maximum urethra
During pressure, in the state of being shunk without detrusor urinae of bladder, also per urethram collar extension overflows urine in spite of oneself, increases suddenly in abdominal pressure more
Added-time is for example：Occur when laugh, sneeze, cough etc..Post menopausal crowd more susceptible disease.Pathogenic factor is most because being produced when giving a birth
Wound, postmenopausal estrogen level declines, Pen Di soft tissue relaxations etc..SUI starts to be considered as the influence mankind in the mid-90
One of five big diseases of health, are referred to as " social cancer ".Particularly in China, with the further aging of population, SUI is increasingly
It is valued by people.Nearest one simple Beijing area urinary incontinence morbidity survey finds that 23%-45% has in women population
The different degrees of urinary incontinence, 7% or so has obvious incontinence, wherein about 50% is stress incontinence.It is external one group
Report more than 60 years old urinary incontinence incidence of disease women 37.7%.Therefore, seek effective treatment SUI method, with urgent, again
Big clinical meaning.
In order to treat the urinary incontinence, US granted patent US6808485, Japanese Laid-Open Patent JP1998-155897, Korea Spro
Described in multiple data such as state's publication publication KR2003-34218 and elastic plugin is inserted to the inside of vagina or in urethra
Or injection hydrogel in periureteric soft tissue（hydrogel）Particle（Polymer：polymer）Technology.Controlled in operation
No-station pole canopy vaginal tape in treatment（Tension-free vaginal tape, TVT）It is the gold mark of SUI treatments
It is accurate.It is now recognized that TVT cure rates are high, easy to operate, wound is small, post-operative recovery is fast, few intercurrent disease, the low advantage of recurrence rate and
Clinically it is used widely.
There are a variety of methods in history for the treatment of stress incontinence, the curative effect of wherein operative treatment is ideal, urinate
Road or bladder neck suspender art are most efficient methods in operative treatment.Sent out recently as scientific and technological progress and to the urinary incontinence
The deep understanding of raw principle, a variety of invasive methods are applied, i.e., damage the operation technique and skill of minimum to patient by taking
Art method, obtains optimal therapeutic effect.At present for stress incontinence a kind for the treatment of for Via vagina mid-urethral without
Power suspension, i.e., do a 2cm or so otch in anterior vaginal wall, and one prepares to be placed in the suspender belt of mid-urethral bottom by puncturing
Apparatus is put into internal soft tissue gap, supporting role of the enhancing basin bottom soft tissue to urethra.So when abdominal pressure increase,
The suspender belt limitation that the amplitude that urethra is moved down is implanted, oppresses and closes ureter, controlled the leakage of urine phenomenon of patient.
It can typically be drawn by two kinds of approach travelings in vivo after skin, suspender belt outer body at the suspender belt two ends of implantation
Wiped out, internal body portion plays a part of grappling with growing into for surrounding soft tissue to suspender belt.One kind is approach after pubis, is worn
Thorn apparatus takes at the two ends of suspender belt from belly stomach wall out of along behind pubis, and this approach has damage bladder or Retropubic other soft
Tissue, the possibility of such as plexus vasculosus, so as to occur serious complication.Another is that, through closed pore approach, puncture instrument passes through closed pore,
Suspender belt two ends are drawn along vagina mucosa lower floor to both sides pelvis closed pore direction, draw external from medial thigh skin.After
A kind of operation of approach is referred to as through closed pore reconstructed urethra, due to away from bladder and the important big blood vessel of pelvic cavity, complication
It is rare, it is simple to operate, beneficial to popularization, be at present compared with frequently with method.
There is two ways to pass through closed pore through closed pore reconstructed urethra puncture instrument.In from anterior vaginal wall otch to thigh
Side skin（From inside to outside）With outside thigh by closed pore to anterior vaginal wall otch, retract and take it out after being connected with suspender belt（By
Outside inwards）.Both modes will be separated between vaginal incision to closed pore under vagina mucosa with surgical scissors passivity or sharp property
Layer, in favor of puncture instrument by and place suspender belt.Vagina mucosa lower floor is normally open texture, and separation aspect is correct
When operative hemorrhage it is seldom.
In existing treatment SUI TVT implant surgeries, suspender belt used is mostly thickness 1mm, width 10mm, length 40mm
The polypropylene woven net of left and right, and often edge is very coarse for this kind of suspender belt, and directly the soft tissue undergone is produced using meeting
Stimulate or damage, suspender belt be will also tend to be pulled out of shape or damage, therefore suspender belt is often closed among a thin polyethylene jacket, is made
Edge-smoothing is obtained, while preventing the hidden danger of suspender belt deformed damaged in draw process.Although such suspender belt is such
Continued to use in operation for ten several years, but the clinical operation of experience considerable amount, the combining structure of the suspender belt and polyethylene jacket is increasingly
Operation and the postoperative effect of operation are have impact on more.Worn in the lump to find out its cause, needing doctor that the suspender belt is connected into sheath in the operation
Enter soft tissue, and the polyethylene jacket is separated with suspender belt again after the intense adjustment of sling-tension is completed, soft tissue is extracted out.The mistake
It is high to the level requirement of operator doctor in journey, suspender belt displacement occurs when such as press-offing, then the suspender belt pressure carefully adjusted will be sent out
It is raw to change, or cause sling-tension tension, patient can not urine, or sling-tension pine excessively is not reaching to the mesh of the treatment urinary incontinence
, so as to be unable to reach expected effect.And the operation is unsuitable for secondary operation, without invertibity.Therefore, in order to keep
Tension stability after suspender belt implantation process and implantation, pole is necessary to improve traditional instruments, so as to further optimize related
Operation technique.
The content of the invention
In view of the defect of above-mentioned prior art, the purpose of the present invention is directed to one kind and treats the plant of stress incontinence suspender belt
The surgical instruments and its application method entered.
The present invention realizes that the technical solution of above-mentioned first purpose is, a kind of suspender belt for treating stress incontinence is planted
Enter apparatus, it is characterised in that including：One implantation female patient ureter bottom side has coiling-resistant in the suspender belt of hanging shape and one
It is exposed shape before coiled casing, the tape surgery managed, the length dimension of the coiled casing adapts to open suspender belt from vagina roof one
Mouthful penetrate, pass through pubis proparea, back zone or pubis closed pore and in stomach wall, and the coiled casing has and is tightly sleeved conveyer
Puncture and lead needle first section and main paragraph therein is connected to flat state activity for suspender belt.
Further, the coiled casing perpendicular to length to cross sectional shape be at least annular, oval ring or mouth
Lip ring shape.It is preferred that more flat oval ring, can keep suspender belt to keep flat state conveying.
Further, the endpiece of the coiled casing is set to horn mouth.
Further, the circumferentially distributed cutting of the horn mouth has the seam of more than two, is received in favor of penetrating during soft tissue
Mouthful, it is to avoid surrounding soft tissue is damaged.
Further, the first section end of the coiled casing is closed or opening shape.
Further, the suspender belt be porous polypropylene woven net, and suspender belt length to two ends be made hardness increase
And the puncture and lead needle of elongated shape, it is easy to from coiled casing pass patient body-surface.
Further, the suspender belt is provided with colored mark line in place in length to center.
Further, the conveyer has the handle of near-end and the puncture and lead needle of distal end extension, and the puncture and lead needle is provided with suitable
Should be open the dissection curvature that penetrate, be passed through pubis and in stomach wall from vagina roof one, and the conveyer have it is two or more
The specification of correspondence puncture and lead needle diameter.
The present invention realizes that the technical solution of above-mentioned second purpose is, one kind treats the implantation of stress incontinence suspender belt
Surgical instruments application method, it is characterised in that including：
Ith, puncture and lead needle insertion coiled casing to the first section of conveyer is tightly sleeved, the horn mouth of coiled casing is close to conveyer
Handle；
IIth, a longitudinal cut is cut in the position of vagina roof correspondence ureter, the conveyer for being socketed with coiled casing is certainly vertical
Inserted to incision, pubis peripheral soft tissues are passed through along the side of ureter one, abdominal skin is passed and terminate in horn mouth to approach and indulged
To otch, conveyer and its puncture and lead needle are extracted out；
IIIth, one end of suspender belt is penetrated into the coiled casing being first put into from horn mouth and keeps flat form to suspender belt to pass stomach wall skin
Skin, keeps extracting coiled casing from abdominal skin out in the case of suspender belt stable state, suspender belt is stayed in into soft group of the side of ureter one
In knitting；
IVth, repeat step I and associative operation is put into coiled casing along along another side repeat step II of ureter, by the another of suspender belt
Coiled casing that one end is put into after being penetrated from horn mouth simultaneously keeps suspender belt to pass abdomen in flat form to suspender belt below ureter
Wall skin；
Vth, the tension force of the activity regulation suspender belt in the coiled casing being put into based on suspender belt after, and needed for suspender belt reaches
The suspender belt that penetrates at coiled casing horn mouth is fixed during tension force, in the case where not changing sling-tension by coiled casing from stomach wall
Skin is extracted out, and suspender belt is intactly stayed in the soft tissue around it, the exposed suspender belt of abdominal skin is wiped out.
The application method of surgical instruments of the present invention, further from the point of view of, coiled casing described in step II and step IV is put
Enter operation to be applied to suspender belt being placed on before pubis, after pubis and through the operation plan in pubis hole.
Using the surgical instruments and its application method of the present invention, possesses prominent reality compared to traditional such apparatus and method
Matter feature and significant progressive：The surgical instruments significantly reduces the carrying capacity needed for suspender belt through soft tissue and stomach wall,
Suspender belt can be allowed to keep flat state to be transferred to soft tissue from coiled casing, clamping of the soft tissue to suspender belt is added（Adhesion）Power simultaneously drops
The risk of displacement and slip after low suspender belt implantation, thus reduces operating technology requirement and the operating time of medicine equipment, and
Avoid change of the sling-tension in surgical procedure；Meanwhile, the present invention thoroughly changed traditional suspender belt must combine sheath into
Group wears the cumbersome high-leveled and difficult operation for connecing and being separated in art, is conducive to improving the curative effect of procedure efficiency and post surgery stabilization.
Brief description of the drawings
Fig. 1 treats the suspender belt implantation instrument stereochemical structure total figure of stress incontinence for the present invention.
Fig. 2 is the detailed structure schematic diagram of suspender belt in suspender belt implantation instrument shown in Fig. 1.
Fig. 3 is the detailed structure schematic diagram of coiled casing in suspender belt implantation instrument shown in Fig. 1.
Fig. 4 is the structural representation of conveyer required when suspender belt implantation instrument of the present invention is used.
Fig. 5 is the cross section structure schematic diagram of another embodiment of coiled casing in suspender belt implantation instrument of the present invention.
Fig. 6 is the cross section structure schematic diagram of the another embodiment of coiled casing in suspender belt implantation instrument of the present invention.
Fig. 7 is the process status schematic diagram of suspender belt implantation instrument application method of the present invention.
Embodiment
Just accompanying drawing in conjunction with the embodiments below, the embodiment to the present invention is described in further detail, so that of the invention
Technical scheme is more readily understood, grasped, so as to make relatively sharp define to protection scope of the present invention.
Designer of the present invention enters for the suspender belt implantation instrument and its operate with method of traditional treatment stress incontinence
Go further investigation, the summary and induction root of existing multiple operation drawbacks, developing thinking is from the overall situation to suspender belt implantation instrument
Improved, so that a kind of suspender belt implantation instrument and its application method for treating stress incontinence is proposed, so as to solve
Current suspender belt implant surgery difficulty is big, the problem of suspender belt implantation backward pull effect is not satisfactory.
First from the point of view of the architectural characteristic of the suspender belt implantation instrument：The suspender belt implantation instrument of the treatment stress incontinence,
It is main as shown in Figure 1 to include the flexibility that an implantation female patient ureter bottom side has coiling-resistant in the suspender belt 1 and one of hanging shape
The two parts of sleeve pipe 2, also include the grade conventional instrument of conveyer 3 used needed for other arts, as shown in Figure 4 certainly.It is different from biography
The instrument characteristics of system：As shown in Fig. 2 it is exposed shape that the suspender belt 1 is preoperative, i.e., without any film sheath, only needed when actual use
Taken out from disposable hygienic packaging bag.The visible suspender belt 1 of diagram is porous polypropylene woven net, with commercially available extensively
Product maturity.However, the creation the length of suspender belt 1 to two ends be made hardness increase and elongated shape puncture and lead needle 11,
Passed in and out so as to make it easy to the free shuttling from coiled casing.
The length dimension of the coiled casing 2 adapts to penetrate suspender belt from the opening of vagina roof one, through pubis proparea, back zone or
Pubis closed pore is simultaneously passed in stomach wall.And architectural feature is tightly sleeved connecting for conveyer 3 as shown in figure 3, the coiled casing 2 has
The first section 21 and confession suspender belt 1 of pin 31 are connected to main paragraph 22 therein with flat state activity.Here, coiled casing 2 has on the whole
There is a certain degree of flexibility, slip is connect in order to comply with puncture and lead needle bending, worn in soft tissue, and keep certain knot again
Structure toughness, prevent it is excessively soft and after puncture and lead needle extraction by soft tissue oppresses deformation, inaccessible cavity volume or directly curl it is bad
Situation occurs.Relatively low, first section 21 is for ease of being connected to soft tissue, and end is generally in cone shape, with puncture and lead needle efficiently
Worn in soft tissue and connect and reduce degree of injury.And main paragraph 22 is then worn for the ease of suspender belt 1 and connect, generally have maximum inner diameter big
In the cavity of suspender belt width.And the radial cross-sectional shape of its in the present embodiment is annular.Connect suspender belt of course for being easy to wear and protect
Hold its flat, prevent axial twist, aforementioned body section 22a radial cross-sectional shape can also be elliptical ring as shown in Figure 5
Shape, or main paragraph 22b can also be lip annulars as shown in Figure 6.
From shown in Fig. 1 and Fig. 3, the endpiece 23 of the coiled casing 2 is set to horn mouth.The purpose so designed be in order to
It is easy to the end of suspender belt to align insertion, and the process passed is penetrated into from coiled casing suitable for observation suspender belt, ensures suspender belt
Flat state.It is preferred that, the circumferentially distributed cutting of the horn mouth has the seam of more than two, is closed up in favor of penetrating during soft tissue, it is to avoid
Surrounding soft tissue is damaged, way preferably is symmetrically to cut two seams.Certain asymmetric is cut, or is cut more
A plurality of seam is also to be feasible.As long as ensureing can close up when coiled casing is extracted out from soft tissue, it is to avoid burst apart skin incision.
As the further refinement of above preferred embodiment, the one side suspender belt 1 is in length to center provided with colored
Mark line 12 in place, can be with the middle position of accurate observation suspender belt 1, especially so during the use of the suspender belt implantation instrument
It is in tension adjustment stages.On the other hand, the end of first section 21 of the coiled casing 2 can be closed or opening
Shape.The embodiment of closed can be used when conveyer puncture and lead needle is meticulous, so as to reduce needle point to soft tissue
Degree of injury.
In addition, the process status schematic diagram of suspender belt implantation instrument application method as shown in Figure 7 is visible, wherein used
Conveyer 3 has the handle 32 of near-end and the puncture and lead needle 31 of distal end extension, and the puncture and lead needle 31, which is provided with, to be adapted to open from vagina roof one
The dissection curvature that mouth is penetrated, passed through pubis and in stomach wall, and the conveyer has the rule of two or more correspondence puncture and lead needle diameters
Lattice.
Secondly, the application method feature of the suspender belt implantation instrument of stress incontinence is treated from this kind.As shown in fig. 7, from
Series of operation steps is completely shown below.
Ith, the puncture and lead needle 31 of conveyer 3 is inserted into coiled casing 2 to first section 21 first to be tightly sleeved with the end of puncture and lead needle 31,
Handle 32 of the horn mouth of coiled casing 2 close to conveyer 3.Herein, puncture and lead needle insertion need to act soft, it is to avoid expose used flexible bush
The tube wall of pipe；And diminish when puncture and lead needle reaches first section due to internal diameter, be progressively brought into close contact with puncture and lead needle and be moderately tensioned first section
Tube wall.
IIth, a longitudinal cut, the usual 2cm of size incision or so then are cut in the position of vagina roof correspondence ureter.
The conveyer 3 for being socketed with coiled casing 2 is inserted from longitudinal cut, along the side of ureter one（Left side or right side are arbitrarily optional
One）Through pubis peripheral soft tissues, pass abdominal skin and terminate in horn mouth close to longitudinal cut.Here with puncture and lead needle
Dissection curvature can shuttle in soft tissue exactly, reach desired position.Extract conveyer 3 and its puncture and lead needle 31 out, it is so flexible
Sleeve pipe 2, which is persisted, to be positioned in soft tissue.
III and then one end of suspender belt 1 is penetrated to the coiled casing 2 being first put into from horn mouth and flat form is kept to suspender belt
Abdominal skin is passed, keeps extracting coiled casing from abdominal skin out in the case of suspender belt stable state, suspender belt is stayed in into ureter one
In the soft tissue of side.Here, it is main that one is formed in the soft tissue needed for operation with support enough using coiled casing
The cavity volume passage of power, thus facilitate suspender belt therefrom smoothly penetrate by, reach desired position.And what suspender belt end was formed
The puncture and lead needle of higher hardness and elongated shape so that suspender belt has more accurately tracking ability.
IVth, then repeat step I and along another side of ureter（It is relative with side selected in step II）, repeat step
Associative operation is put into coiled casing in II, and the coiled casing being put into after the other end of suspender belt is penetrated from horn mouth simultaneously keeps suspender belt
Below ureter abdominal skin is passed in flat form to suspender belt.This is that in another side persist close with step II positions flexibility
The step of sleeve pipe, operating method and operation skill all same, only need to keep appropriateness soft, it is to avoid touch drawing step III and be implanted into
Suspender belt.
Vth, last, the activity in the coiled casing being put into based on suspender belt after adjusts the tension force of suspender belt, and is reached in suspender belt
To the suspender belt penetrated during required tension force at fixation coiled casing horn mouth, in the case where not changing sling-tension by used flexible bush
Pipe is extracted out from abdominal skin, and suspender belt is intactly stayed in the soft tissue around it, the exposed suspender belt of abdominal skin is wiped out.This
In, the supporting and space between soft tissue provided due to coiled casing so that the tension adjustment of suspender belt becomes easier to operation, and
Deform or pulled by soft tissue without having to worry about suspender belt.And because the fixed position of suspender belt does not interfere with the tension variation in affected part, therefore
Extract the process of coiled casing out is worth trusting to the stability of surgical effect.
Need additional description is：The operation that is put into of the application method of the suspender belt implantation instrument, wherein coiled casing 2 is applicable
In suspender belt 1 is placed on before pubis, after pubis and through a variety of operation plans in pubis hole.And in addition, operated more than
The detailed description of application method, it is conceivable that and understand, the suspender belt implantation instrument be equally applicable to treatment Male stress urine
Incontinence and the surgical operation of required implantation suspender belt, or treatment is any other needs to be implanted into the surgery that suspender belt provides soft tissue tension
Operation.
Detailed description to sum up on suspender belt implantation instrument of the present invention and its application method is visible, compared to traditional such device
Tool and method possess prominent substantive distinguishing features and significant progressive：The surgical instruments significantly reduces suspender belt through soft tissue
And the carrying capacity needed for stomach wall, suspender belt can be allowed to keep flat state to be transferred to soft tissue from coiled casing, soft tissue is added to hanging
The clamping of band（Adhesion）Power simultaneously reduces the displacement after suspender belt implantation and the risk slided, and thus reduces the operation skill of medicine equipment
Art requirement and operating time, and avoid change of the sling-tension in surgical procedure；Meanwhile, the present invention has thoroughly changed tradition
Suspender belt must wear the cumbersome high-leveled and difficult operation for connecing and being separated in art in groups with reference to sheath, be conducive to improving procedure efficiency and post surgery stabilization
Curative effect.
Claims (10)
1. a kind of suspender belt implantation instrument for treating stress incontinence, it is characterised in that including：One implantation female patient ureter
It is exposed shape, the coiled casing that bottom side, which has in the suspender belt of hanging shape and one before the coiled casing of coiling-resistant, the tape surgery managed,
Length dimension adapt to penetrate suspender belt from the opening of vagina roof one, wear through pubis proparea, back zone or pubis closed pore and in stomach wall
Go out, and the coiled casing has the first section for the puncture and lead needle for being tightly sleeved conveyer and is connected to it for suspender belt with flat state activity
In main paragraph.
2. the suspender belt implantation instrument of stress incontinence is treated according to claim 1, it is characterised in that：The coiled casing
Perpendicular to length to cross sectional shape be at least annular, oval ring or lip annular.
3. the suspender belt implantation instrument of stress incontinence is treated according to claim 1, it is characterised in that：The coiled casing
Endpiece be set to horn mouth.
4. the suspender belt implantation instrument of stress incontinence is treated according to claim 3, it is characterised in that：The horn mouth week
The seam for there are more than two is cut to distribution.
5. the suspender belt implantation instrument of stress incontinence is treated according to claim 1, it is characterised in that：The coiled casing
First section end for closed or opening shape.
6. the suspender belt implantation instrument of stress incontinence is treated according to claim 1, it is characterised in that：The suspender belt is many
The polypropylene woven net in hole, and suspender belt length to two ends be made hardness increase and elongated shape puncture and lead needle.
7. the suspender belt implantation instrument of stress incontinence is treated according to claim 6, it is characterised in that：The suspender belt is in length
Du Xiang centers are provided with colored mark line in place.
8. the suspender belt implantation instrument of stress incontinence is treated according to claim 1, it is characterised in that：The delivery instrument
There are the handle of near-end and the puncture and lead needle of distal end extension, the puncture and lead needle is penetrated, through pubis provided with adaptation from the opening of vagina roof one
And the dissection curvature passed in stomach wall, and the conveyer has the specification of two or more correspondence puncture and lead needle diameters.
9. a kind of application method for the suspender belt implantation instrument for treating stress incontinence, it is characterised in that including：
Ith, puncture and lead needle insertion coiled casing to the first section of conveyer is tightly sleeved, the horn mouth of coiled casing is close to conveyer
Handle；
IIth, a longitudinal cut is cut in the position of vagina roof correspondence ureter, the conveyer for being socketed with coiled casing is certainly vertical
Inserted to incision, pubis peripheral soft tissues are passed through along the side of ureter one, abdominal skin is passed and terminate in horn mouth to approach and indulged
To otch, conveyer and its puncture and lead needle are extracted out；
IIIth, one end of suspender belt is penetrated into the coiled casing being first put into from horn mouth and keeps flat form to suspender belt to pass stomach wall skin
Skin, keeps extracting coiled casing from abdominal skin out in the case of suspender belt stable state, suspender belt is stayed in into soft group of the side of ureter one
In knitting；
IVth, repeat step I and associative operation is put into coiled casing along along another side repeat step II of ureter, by the another of suspender belt
Coiled casing that one end is put into after being penetrated from horn mouth simultaneously keeps suspender belt to pass abdomen in flat form to suspender belt below ureter
Wall skin；
Vth, the tension force of the activity regulation suspender belt in the coiled casing being put into based on suspender belt after, and needed for suspender belt reaches
The suspender belt that penetrates at coiled casing horn mouth is fixed during tension force, in the case where not changing sling-tension by coiled casing from stomach wall
Skin is extracted out, and suspender belt is intactly stayed in the soft tissue around it, the exposed suspender belt of abdominal skin is wiped out.
10. the application method of the suspender belt implantation instrument of stress incontinence is treated according to claim 9, it is characterised in that：
The operation that is put into of coiled casing described in step II and step IV is applied to suspender belt being placed on before pubis, after pubis and through shame
The operation plan of bone hole.
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| CN201710559775.6A CN107260360A (en) | 2017-07-11 | 2017-07-11 | A kind of suspender belt implantation instrument and its application method for treating stress incontinence |
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| WO2019109776A1 (en) * | 2017-12-08 | 2019-06-13 | 苏州优迈医疗器械有限公司 | Minimally invasive comfortable urinary incontinence tape device and application thereof |
| WO2019128491A1 (en) * | 2017-12-27 | 2019-07-04 | 苏州优迈医疗器械有限公司 | Tension adjusting and fixing device for surgical mesh, and surgical application thereof |
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