CN108209991A - Operation net adjusts and fixes the device of tension and its operation application - Google Patents
Operation net adjusts and fixes the device of tension and its operation application Download PDFInfo
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- CN108209991A CN108209991A CN201711442828.2A CN201711442828A CN108209991A CN 108209991 A CN108209991 A CN 108209991A CN 201711442828 A CN201711442828 A CN 201711442828A CN 108209991 A CN108209991 A CN 108209991A
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- tension
- tension adjustment
- adjustment rope
- locking
- anchor
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- 210000000080 chela (arthropods) Anatomy 0.000 claims 1
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- 230000008859 change Effects 0.000 abstract description 5
- 210000003689 pubic bone Anatomy 0.000 abstract description 3
- 238000010586 diagram Methods 0.000 description 23
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- 238000000034 method Methods 0.000 description 9
- 238000011282 treatment Methods 0.000 description 7
- 210000003708 urethra Anatomy 0.000 description 7
- 206010066218 Stress Urinary Incontinence Diseases 0.000 description 6
- 206010046543 Urinary incontinence Diseases 0.000 description 6
- 210000004872 soft tissue Anatomy 0.000 description 6
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- 208000027418 Wounds and injury Diseases 0.000 description 5
- 239000000243 solution Substances 0.000 description 5
- 230000035882 stress Effects 0.000 description 5
- 208000022170 stress incontinence Diseases 0.000 description 5
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
-
- 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
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Urology & Nephrology (AREA)
- Veterinary Medicine (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Vascular Medicine (AREA)
- Surgery (AREA)
- Transplantation (AREA)
- Cardiology (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Molecular Biology (AREA)
- Surgical Instruments (AREA)
Abstract
It is adjusted present invention is disclosed a kind of net of performing the operation and fixes the device of tension and its operation application, it is characterised in that including：A piece tension adjustment rope and locator, the pubis closed pore anchor that the guiding of tension adjustment rope is connected in locator and is associated with suspender belt end and is implanted into afterwards adjust sling-tension, and piece locking suture cooperation locator of tension adjustment rope or increase can fix sling-tension and position.Using the obtained device of above-mentioned technical proposal of the present invention, reduce the operation difficulty and operating time of single notch Hysteromyomectomy by vagina, it provides one-hand control to carry out sling-tension adjusting and lock the reliable embodiment of sling-tension and position, avoids change of the sling-tension in surgical procedure.And the example of diversification is provided, the doctor that can meet different operation custom carries out the choosing performed the operation.
Description
Technical field
The invention belongs to surgical operating instruments and method and technology field, and in particular to a kind of operation net adjusts and fixed tension
Device and its operation application.
Background technology
Female incontinence is women common disease, at present according to world statistics, illness rate close to 50%, wherein about half be pressure
The property urinary incontinence（Stress Urinary Incontinence, SUI）.Stress incontinence refers to that bladder pressure is more than maximum urethra
During pressure, in a state that no detrusor urinae of bladder is shunk, also per urethram collar extension overflows urine in spite of oneself, mostly increases suddenly in abdominal pressure
Added-time is for example：Occur whens laugh, sneeze, cough etc..Post menopausal crowd more susceptible disease.Pathogenic factor majority when giving a birth because produce
Wound, postmenopausal estrogen level decline, Pen Di soft tissue relaxations etc..SUI started to be considered as to influence the mankind in the mid-90
One of five big diseases of health, are referred to as " social cancer ".Particularly in China, as population is further aging, 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 apparent incontinence, wherein about 50% is stress incontinence.It is one group external
Report 60 years old or more urinary incontinence incidence women 37.7%.For this purpose, seeking the method for effectively treating SUI, have urgent, again
Big clinical meaning.
In order to treat the urinary incontinence, US granted patent US6808485, Japanese Laid-Open Patent JP1998-155897, Korea Spro
It is described in multiple data such as state's publication bulletin KR2003-34218 to vagina inside and is inserted into elastic plugin or in urethra
Or injection hydrogel in periureteric soft tissue（hydrogel）Particle（Polymer：polymer）Technology.It is 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 the advantages such as TVT cure rates are high, easy to operate, wound is small, post-operative recovery is fast, few intercurrent disease, recurrence rate are low and
Clinically it is used widely.
For stress incontinence treatment in history there are many method, wherein operative treatment the effect of it is ideal, urine
Road or bladder neck suspender art are most efficient methods in operative treatment.It is 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 minimum surgical procedure and skill to patient by taking
Art method obtains best therapeutic effect.At present for a kind for the treatment of of stress incontinence for Via vagina mid-urethral without
Power suspension, i.e., do the notch of a 2cm or so in anterior vaginal wall, and a suspender belt for preparing to be placed in mid-urethral bottom passes through puncture
Instrument is put into internal soft tissue gap, supporting role of the enhancing basin bottom soft tissue to urethra.In this way when abdominal pressure increase,
The suspender belt limitation that the amplitude that urethra moves down is implanted, oppresses and is closed ureter, controlled the leakage of urine phenomenon of patient.
The suspender belt both ends of implantation generally can be by two kinds of approach travelings in vivo, after drawing skin, suspender belt outer body
It is wiped out, internal body portion plays the role of anchoring with growing into for surrounding soft tissue to suspender belt.One kind is approach after pubis, is worn
Thorn instrument takes at the both ends of suspender belt from abdomen stomach wall out of along behind pubis, and this approach has damage bladder or Retropubic other soft
Tissue, such as the possibility of plexus vasculosus, so as to which serious complication occur.Another kind is through closed pore approach, and puncture instrument passes through closed pore,
Suspender belt both ends are drawn along vagina mucosa lower floor to both sides pelvis closed pore direction, outside medial thigh skin lead body.After
A kind of operation of approach is referred to as through closed pore reconstructed urethra, due to far from the important big blood vessel of bladder and pelvic cavity, complication
It is rare, it is easy to operate, conducive to popularization, be at present compared with frequently with method.
Pass through closed pore there are two types of mode through closed pore reconstructed urethra puncture instrument.In from anterior vaginal wall notch to thigh
Side skin（From inside to outside）It, by closed pore to anterior vaginal wall notch, retracts and takes it out after being connect with suspender belt with outside thigh（By
Outside inwards）.Both modes will use surgical scissors passivity or the separation of sharp property between vaginal incision to closed pore under vagina mucosa
Layer, in favor of puncture instrument by and place suspender belt.Vagina mucosa lower floor is normally open texture, and separation level is correct
When operative hemorrhage it is seldom.
In recent years, to reduce wound face, a kind of list notch Hysteromyomectomy by vagina（SIS）Just meet the tendency of and
Raw and practicality it is increasingly ripe.Using the suspender belt of both ends connection closed pore anchor, closed pore anchor point both sides are successively positioned at corresponding
On obturator membrane, and moderately operation can be completed in adjusting sling-tension and position, and operating time is greatly reduced and wound healing speed
Comparatively fast.And since notch breadth is limited in existing such surgical procedure, it is located in the difficulty quilt gram of obturator membrane in the implantation of closed pore anchor
On the basis of clothes, adjusting and positioning for sling-tension be locked become when related doctor performs the operation extremely headache step
Suddenly, the required instrumentation used is cumbersome.It is inconvenient to be adjusted in the poor situation sling-tension of visual condition, and works as suspender belt
Under tension adjustment suitable conditions carry out positioning lock knot when caused by tension variation amplitude it is larger, be unsuitable for doctor efficiently and reliably
Complete such operation.
Invention content
In view of the defects of above-mentioned prior art, the purpose of the present invention is directed to a kind of net of performing the operation and adjusts and fix tension
Device and its operation application solve the problems, such as that sling-tension is adjusted in SIS arts and the one-handed performance of positioning lock knot can perform.
The present invention realizes that a technical solution of above-mentioned first purpose is, operation net adjusts and the dress of fixed tension
It puts, it is characterised in that including：A piece tension adjustment rope, a locking suture and locator, the tension adjustment rope guiding, which is worn, to be connect
In locator and it is associated with suspender belt end and the closed pore anchor that is implanted into afterwards adjusts sling-tension, the locking suture cooperation locator is forever
Fixed suspender belt position and tension long.
Further, the locator is the casing with reel, the tension adjustment rope and locking suture it is in the same direction one
End be pierced by suspender belt end a distance and with closed pore anchor Joint, the other end of tension adjustment rope is connected in casing and is wire-wrapped in
Reel locks the other end of suture and is locked to tension adjustment rope in outside of sleeve to correspond to sling-tension appropriate around being rolled into empty knot, push away
In the case of joint with suspender belt end.
Further, the tension adjustment rope is sub-thread bare wire, and tension adjustment rope is set at the lock knot of locking suture
The strong knot that once Yi Shang coiling forms.
Further, the tension adjustment rope is the beading line with more than two locking balls, is separated by between each locking ball
0.2mm-5mm, the lock knot of the locking suture, which pushes away, to be locked to one of locking ball and fixes.
Further, the hollow tube group that the locator is nested for inner and outer tubes, axial direction is interactive, the end outer wall of inner tube
Equipped with non-closed into knot slot, outer tube into the outer wall seamless of knot slot inner wall of end in the same direction and inner tube with slipping, the tension
Adjusting rope and locking suture are connected in the axocoel of inner tube together, the affixed suspender belt end in one end of tension adjustment rope and the other end from
Inner tube is penetrated into the nozzle where knot slot and is pierced by pendency, for tension adjustment from far-end mouths, and the one end for locking suture affixed is closed
Hole anchor and on knot slot around be rolled into empty knot, the other end is pierced by pendency, for zipper void knot from inner tube far-end mouths.
Further, the tension adjustment rope is sub-thread bare wire, and tension adjustment rope is based on outer tube and is equipped with more than primary
The strong void that coiling forms, which is tied and pushed away, to be locked at the lock knot of locking suture.
Further, the tension adjustment rope is the beading line with more than two locking balls, is separated by between each locking ball
0.2mm-5mm, the lock knot of the locking suture, which pushes away, to be locked to one of locking ball and fixes.
Further, the locator includes penetration pipe and is fixed in the first locking buckle of closed pore anchor, the first lock knot
It detains and opening, the tension adjustment rope is formed between the end and ring bodies of the ring bodies with elastic clipping strip and elastic clipping strip to be interior
For the beading line with more than two locking balls, respectively it is separated by 0.2mm-5mm between locking ball, the diameter for locking ball meets elastic clipping strip
Stress when can be resetted from the opening to become larger by, elastic clipping strip when being bent can block in the opening to become smaller, the tension adjustment
Rope and locking suture activity are connected in penetration pipe and an end in the same direction is freely dangled, and the other end of tension adjustment rope passes through the first lock
It knots and affixed suspender belt end, the affixed elastic clipping strip of the other end of the locking suture is to draw elastic clipping strip Bending Deformation.
Further, the locator includes penetration pipe and is fixed in the first locking buckle of closed pore anchor, the first lock knot
It detains and opening, the tension adjustment rope is formed between the end and ring bodies of the ring bodies with elastic clipping strip and elastic clipping strip to be interior
It is connected in penetration pipe with locking suture activity and an end in the same direction is freely dangled, the tension adjustment rope is sub-thread bare wire and thickness
Degree when can be resetted from the opening to become larger by, elastic clipping strip when meeting the bending of elastic clipping strip stress can preliminary pinching be positioned at change
Small opening, the affixed elastic clipping strip of the other end of the locking suture are hung with drawing elastic clipping strip Bending Deformation around knot is rolled into
On the tension adjustment rope of belt tension appropriateness situation lower opening.
Further, the close end of the elastic clipping strip is equipped with line of fall slot, and the locking suture is tied close to the first lock
One end of button is equipped with locking ball and passes through and locks ball and be located by clamping in line of fall slot.
Further, the close end of the elastic clipping strip is equipped with line of fall slot, and the locking suture is sub-thread bare wire and ties up
It connects and is positioned in line of fall slot.
Further, the locator includes hollow pillar canal and the positioning disk with suspender belt end Joint, and positioning disk is set
Have for two kinds of freely through perforation of suture, one end side wall of the hollow pillar canal far from perforation offers pressure regulation locating slot, described
Power adjusting rope and locking suture one end in the same direction be pierced by perforation and with closed pore anchor Joint, the tension adjustment rope for two, band with
The beading line of upper locking ball, is respectively separated by 0.2mm-5mm between locking ball, the other end of tension adjustment rope corresponds to sling-tension appropriateness
In the case of be pierced by and be positioned at pressure regulation locating slot, lock the other end coiling of suture in locking suture, the tension tune of another side of perforating
Into unijunction or multiple junction on section rope or two kinds of sutures.
Further, the locator includes the casing of two reels of band and fixed anchor, the fixed anchor are justified for top
The back taper casing of ring, bottom lock tooth flexible polymer, one-way trip, reverse locking on strip-shaped net band, the tension adjustment rope
The affixed suspender belt end in one end, and preset hole threading and fixation of the other end of tension adjustment rope together with suspender belt Self-closed hole anchor
Anchor is simultaneously wire-wrapped in a reel, it is described locking suture penetrate closed pore anchor preset hole and one end threading with fixation anchor phase
Connect, other end threading and be wire-wrapped in another reel, in the case that the fixed anchor traction of sling-tension appropriateness against
In closed pore anchor, the suspender belt reverse locking in fixed anchor.
Further, the locator includes the casing of two reels of band and fixed anchor, the fixed anchor are justified for top
The back taper casing of ring, bottom lock tooth flexible polymer, one-way trip, reverse locking on beading line, the tension adjustment rope are
Beading line with more than two locking balls is respectively separated by 0.2mm-5mm, the affixed suspender belt end in one end of tension adjustment rope between locking ball
Portion, the preset hole threading of other end Self-closed hole anchor and fixed anchor are simultaneously wire-wrapped in a reel, and the locking suture penetrates
The preset hole of closed pore anchor and one end threading connect with fixed anchor, other end threading and are wire-wrapped in another reel,
Closed pore anchor is resisted against in the fixed anchor traction of sling-tension appropriateness, the tension adjustment rope is inversely locked in fixed anchor
Only.
Further, the locator includes the casing of two reels of band and is fixed in the support chip of suspender belt end, institute
It states support chip and is all higher than bore inner diameter equipped with circular hole and a unidirectional cone, the maximum gauge and the outer diameter of casing unidirectionally bored, institute
The affixed closed pore anchor in one end of tension adjustment rope, the other end are stated from circular hole threading and is wire-wrapped in a reel, the locking
Suture one end threading and be wire-wrapped in another reel, the other end is pierced by circular hole and is connected with unidirectional cone, in suspender belt
The unidirectional cone is stopped circular hole by locking suture traction plug in the case of power appropriateness, and the tension adjustment cord lock terminates in circular hole and positions branch
Blade and suspender belt.
Further, the locator includes the casing of one reel of band and is fixed in the support chip of suspender belt end, institute
State support chip equipped with circular hole and one consolidation fixation suture, casing diameter be more than bore inner diameter, the tension adjustment rope and
Each one end of locking suture penetrates circular hole and is all consolidated on closed pore anchor, the other end threading of tension adjustment rope and coiling in
Reel supplies tension adjustment, lock the other end of suture with outside fixed suture free end together pendant body；In sling-tension appropriateness
In the case of the locking suture stitch of the fixed suture and enlatic state in circular hole.
Further, the locator includes a pair of axially hollow taper hole pipe and tapered plug, and the taper hole pipe, which is fixed in, to be hung
Strap end portion and flaring is towards in the middle part of suspender belt, the tapered plug socket is slided on locking suture and taper hole pipe, institute are goed deep into corresponding flaring
State the one end of the affixed taper hole pipe in one end of tension adjustment rope far from flaring, the cone tip part of the locking affixed tapered plug in suture one end,
And the preset hole of the other end Self-closed hole anchor of two kinds of sutures wears and returns and be pierced by pendency or solderless wrapped connection reel from the cone bottom of tapered plug,
Power adjusting rope drives taper hole pipe and suspender belt end displacement adjusts sling-tension, and lock suture band in sling-tension appropriateness
Mantle plug is towards taper hole pipe slot to compression, two kinds of sutures of locking.
Another technical solution of above-mentioned first purpose of present invention realization is perform the operation net adjusting and fixed tension
Device, it is characterised in that including：A piece tension adjustment rope and locator, the tension adjustment rope guiding are connected in locator simultaneously
Association suspender belt end and the closed pore anchor that is implanted into afterwards adjust sling-tension, and tension adjustment rope cooperation locator fix sling-tension and
Position.
Further, the locator is the lock cell containing two threading grooves, and the inner wall of at least one threading groove is set
There is hangnail, the locator is mutually leaned on suspender belt end；The tension adjustment rope is the beading line with more than two locking balls, each to lock
Determine to be separated by 0.2mm-5mm between ball, one end of tension adjustment rope penetrates a threading groove and, tension adjustment affixed with suspender belt end
The preset hole of the other end Self-closed hole anchor of rope, which is worn, to be returned and is pierced by pendency, for tension adjustment from another threading groove, and tension adjustment
The locking ball of rope is unidirectionally locked to hangnail.
Further, the locator is the cyclic annular frame of waist in band, and the first side lever and the closed pore anchor of relatively middle waist side are protected
It holds constant distance to connect, the bottom surface plucking of the second side lever of relatively middle waist opposite side or equipped with convex thorn, the tension adjustment rope one
It holds waist in affixed suspender belt end, other end coiling and is pierced by from the second side lever bottom side, suspended in midair in the second side lever by external force
Tension adjustment rope band moves suspender belt and adjusts tension, and the second side lever bottom side is locked in the second side lever external force zero suspender belt.
Further, the locator is equipped with the taper of resilient ratchet for appearance and dehisces rubber plug, and suspender belt end is equipped with support
Piece, and support chip and closed pore anchor are equipped with threading hole, the maximum gauge of the locator is more than threading hole internal diameter, and locator exists
Threading hole is freely passed under resilient ratchet pressured state, terminates in threading hole, the tension in resilient ratchet Self-resetting state lower block
The affixed blade edges in one end of adjusting rope, the threading hole of other end Self-closed hole anchor are pierced by and penetrate locator, in sling-tension
External force pushes in locator to any threading hole and makes to dehisce to be closed in the case of appropriateness, locks tension adjustment rope.
Further, the locator includes the casing of one reel of band and is fixed in the support chip of suspender belt end, institute
State threading hole and a line hole there are one being set on support chip, the affixed closed pore anchor in one end of the tension adjustment rope, tension adjustment
The other end of rope is penetrated from threading hole, around wearing line hole, threading and being wire-wrapped in reel, and the end of casing supports line hole
Tension adjustment rope guiding is passed freely through for tension adjustment under state, and is detached from card in the cased end of sling-tension appropriateness situation
String holes, tension adjustment rope deflecting clamping lock are in the hole slot of line hole.
Further, the locator includes the casing of one reel of band and is fixed in the support chip of suspender belt end, institute
It states and is set on support chip there are one threading hole and a line hole, the tension adjustment rope is the beading with more than two locking balls
Line, each lock are separated by 0.2mm-5mm between ball, the affixed closed pore anchor in one end of the tension adjustment rope, tension adjustment rope it is another
End is penetrated from threading hole, around wearing line hole, threading and be wire-wrapped in reel；The end of casing supports lower of line hole state
Power adjusting rope guiding is passed freely through for tension adjustment, and is detached from line hole in the cased end of sling-tension appropriateness situation, is opened
The deflecting of power adjusting rope simultaneously passes through and locks ball clamping lock and positioned in the hole slot of line hole.
Further, the locator is the support chip for being fixed in suspender belt end, set on the support chip there are one close
Tadpole-shaped hole, and the slot seam in tadpole-shaped hole is intended to closed pore anchor, and the tension adjustment rope, which is that band is more than two, locks balls
Beading line, each lock are separated by 0.2mm-5mm between ball, the affixed closed pore anchor in one end of the tension adjustment rope, tension adjustment rope
The other end is pierced by from tadpole-shaped hole, and is directed in the wide opening circle in tadpole-shaped hole and is passed freely through for tension adjustment by external force,
Tension adjustment rope is slipped into slot seam and is passed through and locks ball clamping lock and positioned in tadpole-shaped hole in the case of sling-tension appropriateness.
Further, the locator is the support chip for being fixed in suspender belt end, sets that there are one vertical on the support chip
Set on the fin and fin of shape there are one from close to the root of support chip towards opening to the open loop slot gradually to close up, the tension tune
It is the beading lines with more than two locking balls that section, which is restricted, is separated by 0.2mm-5mm, one end of the tension adjustment rope between each locking ball
Affixed support chip end, the preset hole of the other end Self-closed hole anchor of tension adjustment rope are pierced by for adjusting tension, and in sling-tension
Tension adjustment rope is caught in open loop slot in the case of appropriateness, and the locking ball clamping lock is in the root of open loop slot.
Further, the casing of the locator including one reel of band and it is fixed in suspender belt end and axially hollow
Cylindricality latches, and by main support and socket, lock pillar is formed the cylindricality lock in axial sliding thereon, and main support surface is formed with recessed
The axially hollow place of guide surface and recess locally connected of convex, lock pillar one end form jaw, one end of the tension adjustment rope
Affixed closed pore anchor, the other end of tension adjustment rope latch threading from cylindricality and are wire-wrapped in reel, supported in the end of casing
It holds tension adjustment rope guiding under main support and cylindricality lock unlocked state and passes freely through cylindricality lock for tension adjustment, and hanging
Lock pillar is clamped at main support surface indentation by external force displacement, jaw and locks tension adjustment rope in the case of belt tension appropriateness.
Further, the locator includes the casing and a clip of one reel of band, is axially set in the clip
Have and wear the annular distance connect for tension adjustment rope is bifilar, the two wing plate opposite faces that clip opening and closing open and close, which are equipped with, is engaged interlocking double wedge, institute
The one end for stating tension adjustment rope penetrates affixed suspender belt end from the outside of annular distance, and the other end Self-closed hole anchor of tension adjustment rope is preset
Hole is pierced by, clip, threading is pierced by from the outside of annular distance and is wire-wrapped in reel for adjusting tension, in sling-tension appropriateness situation
Lower natural compression both wings plate closing simultaneously locks tension adjustment rope and suspender belt end.
Further, the locator includes the unidirectional lock with elastic lock tongue and the unidirectional lock one-way trip of matching, inverse
To the band of locking, the unidirectional lock is fixed in suspender belt one end, and band one end is indirect directly or by no-station pole canopy surgical thread
Closed pore anchor is fixed in, and band is connected among unidirectional lock, the affixed band other end in tension adjustment rope one end, and tension
The adjusting rope other end dangles or solderless wrapped connection reel, the band are towed under by external force tilting state in tension tune in elastic lock tongue
Section rope passes freely through unidirectional lock for tension adjustment, and the locking band in the case where external force discharges elastic lock tongue reset state.
The present invention realizes that the technical solution of above-mentioned second purpose is, a kind of net of performing the operation adjusts and the dress of fixed tension
It puts, the closed pore anchor and suspender belt to implant is connected, applied to open surgery or Minimally Invasive Surgery.
Using the device of the invention, have prominent substantive distinguishing features and significant progress compared to the such instrument of tradition
Property：The device reduces the operation difficulty and operating time of single notch Hysteromyomectomy by vagina, provides list
Manual operating carries out sling-tension adjusting and locks the reliable embodiment of sling-tension and position, and sling-tension is avoided to perform the operation
Change in journey.And the example of diversification is provided, the doctor that can meet different operation custom carries out the choosing performed the operation.
Description of the drawings
Fig. 1 is the structure and use state diagram of the 1st embodiment of the invention.
Fig. 2 is the structure and use state diagram of the 2nd embodiment of the invention.
Fig. 3 is the structure and use state diagram of the 3rd embodiment of the invention.
Fig. 4 is the structure and use state diagram of the 4th embodiment of the invention.
Fig. 5 is the structure and use state diagram of the 5th embodiment of the invention.
Fig. 6 is the structure and use state diagram of the 6th embodiment of the invention.
Fig. 7 is the structure and use state diagram of the 7th embodiment of the invention.
Fig. 8 is the structure and use state diagram of the 8th embodiment of the invention.
Fig. 9 is the structure and use state diagram of the 9th embodiment of the invention.
Figure 10 is the structure and use state diagram of the 10th embodiment of the invention.
Figure 11 is the structure and use state diagram of the 11st embodiment of the invention.
Figure 12 is the structure and use state diagram of the 12nd embodiment of the invention.
Figure 13 is the structure and use state diagram of the 13rd embodiment of the invention.
Figure 14 is the structure and use state diagram of the 14th embodiment of the invention.
Figure 15 is the structure and use state diagram of the 15th embodiment of the invention.
Figure 16 is the structure and use state diagram of the 16th embodiment of the invention.
Figure 17 is the structure and use state diagram of the 17th embodiment of the invention.
Figure 18 is the structure and use state diagram of the 18th embodiment of the invention.
Figure 19 is the structure and use state diagram of the 19th embodiment of the invention.
Specific embodiment
Just attached drawing in conjunction with the embodiments below, the embodiment of the present invention is described in further detail, so that of the invention
Technical solution is more readily understood, grasps, so as to make relatively sharp define to protection scope of the present invention.
Designer of the present invention is carrying out single notch Via vagina for the suspender belt implantation instrument of existing treatment stress incontinence
The problem of causing surgical procedure difficulty big in Tension-free vaginal tap has made intensive studies, and developing thinking is pushed away from various
Into and locking structure grafting using being improved to suspender belt implantation instrument, adjusted and fixed so as to propose a kind of operation net
The device of tension and its operation application, it is cumbersome so as to solve current suspender belt implant surgery, it can not the singlehanded or more doctors of needs
Cooperating completes the problem of operation.
Under normal conditions, when carrying out such operation, the notch of a below 2cm first is opened up until urine output in vagina roof
Pipe is visual.And first the closed pore anchor that suspender belt one end connects in advance from notch is penetrated and is positioned at side closed pore anchor.Can left side, can also
Right side is smoothly selected depending on doctor.And the technical solution of the invention be then in order to wear connect opposite side closed pore anchor while, side
Just the instrument used needed for sling-tension to appropriate level and latched position is adjusted, from the point of view of being broadly described, which is adjusted
And the device of fixed tension, it is characterised in that including：A piece tension adjustment rope and locator, it is fixed that the guiding of tension adjustment rope is connected to
In the device of position and it is associated with suspender belt end and the closed pore anchor that is implanted into afterwards adjusts sling-tension, and tension adjustment rope cooperation locator can be fixed
Sling-tension and position.Certainly, the wherein optional type of tension adjustment rope is various, such as can be suture, hawser, kernmantle, rope
Rope, beading line, band etc..And with the type and structure change of locator, a locking suture can also be re-introduced into, by locking
Determine suture cooperation locator and fix sling-tension and position.In this way, in the completed after the implantation of closed pore anchor, only need simply into
The operation of row drawing tension adjustment rope, push suspender belt can complete sling-tension adjusting in limited cut and hang, also only need
Using it is pre- wear connect, pre-wound or other predefined mode winding tension adjusting ropes or locking suture, you can it is convenient and successfully
Complete the surgical operation of suspender belt implantation.
In view of locator has polynary feasible embodiment, so structure and corresponding seam below in conjunction with all kinds of locators
Wearing for line connects mode of operation, and details are as follows for embodiment respectively.
Embodiment one
As shown in Figure 1, it is the casing 011 with reel 012 that the operation net, which adjusts and fixes the locator in the device of tension, it is whole
Body forms a surgical handle 01.And tension adjustment rope and locking suture 4 one end in the same direction be pierced by 1 end a distance of suspender belt and with
2 Joint of closed pore anchor, the other end of tension adjustment rope are connected in casing 011 and are wire-wrapped in reel 012, locking suture 4
The other end in outside of sleeve around be rolled into empty knot 01A, push away be locked to tension adjustment rope correspond in the case of sling-tension appropriateness with suspender belt end
The joint 01B in portion.
From diagram as it can be seen that the tension adjustment rope is sub-thread bare wire 3a, to ensure that locking suture 4 ties up sub-thread line of fall 3a
Knot firmness prevents from deviating from from 1 end of suspender belt.Mentioned strain adjusting rope 3a is further provided with primary at the lock knot of locking suture
The strong knot that more than coiling forms.
The device of the embodiment in surgical operation operation needs that tension adjustment rope and locking suture are first passed through suspender belt together
End, and the closed pore anchor being implanted into after being secured to, then by tension adjustment rope other end threading and around being connected to reel.It completes
Closed pore anchor is implanted using specific purpose tool after the preparation work, the tension adjustment then gradually wound on tightening reel
Rope pushes casing and suspender belt end is driven to adjust sling-tension close to closed pore anchor gradually, spiral can be reversed if high strung of the tension
Wheel suitably loosens tension adjustment rope, and suspender belt end is made to retract slightly；It is another with the locking suture of catenary after completing tension adjustment
End is wound in empty knot based on casing, then is promoted towards suspender belt end and tighten into tie and two lines can be completed determined in suspender belt end
Position is fixed.
The derivative embodiment of embodiment one
As the optimization of above-described embodiment one, which can also be the beading line with more than two locking balls, each to lock
Determine to be separated by 0.2mm-5mm between ball.Thus then in surgical operation operation, the lock knot of the locking suture 4, which pushes away, is locked to one of them
It locks ball and completes positioning fixation, but need to meet and will not deviate from from suspender belt end.
Embodiment two
As shown in Fig. 2, the operation net adjust and fix in the device of tension the locator 02 be nested for inner tube 022 and outer tube 021,
Axial interactive hollow tube group, the end outer wall of inner tube 022 be equipped with it is non-closed into knot slot 0221, outer tube 021 with into knot slot
The outer wall seamless of 0221 inner wall of end and inner tube in the same direction slips, and tension adjustment rope and locking suture 4 are connected to inner tube 022 together
Axocoel in, the nozzle where affixed 1 end of suspender belt in one end of tension adjustment rope and other end self-contained knot slot 0221 penetrates inner tube
It 022 and is pierced by pendency, for tension adjustment from far-end mouths, locks the affixed closed pore anchor 2 in one end of suture 4 and on knot slot 0221
Around being rolled into, void ties 02A, the other end is pierced by pendency, for zipper void knot from 022 far-end mouths of inner tube.
From diagram as it can be seen that the tension adjustment rope is the beading line 3b of the more than two locking ball 31b of band, each locking ball 31b it
Between be separated by 0.2mm-5mm, thus then in surgical operation operation, the lock knot of locking suture 4, which pushes away, is locked to one of locking ball i.e.
Positioning is completed to fix.
The device of the embodiment in surgical operation operation needs that tension adjustment rope first is fixed on suspender belt end and from inner tube
Penetrate inner tube at one end into knot slot, will locking suture into tying on slot around being rolled into empty knot, it is one end and closed pore anchor Joint, another
End penetrates inner tube in tension adjustment rope in the same direction.Closed pore anchor is implanted using specific purpose tool after completing the preparation work, then
Gradually tightening tension adjustment rope adjusts the spacing of suspender belt and closed pore anchor to suitable tension, at this time tension adjustment rope zero resistance in inner tube
Power passes through, therefore the unrestricted tension adjustment facility of folding and unfolding is feasible.After completing tension adjustment, need to only operate makes inner tube be moved back with respect to outer tube
It contracts, then outer tube end comes off the locking suture pushed into the solderless wrapped connection of knot slot institute from inner tube, and tensing locking suture again at this time can make
Void knot tightening, is fixed between the locking ball of corresponding moderate tension, you can completes positioning of two lines in suspender belt end and fixes.
The derivative embodiment of embodiment two
As the optional optimization of above-described embodiment two, which can also be sub-thread bare wire.Thus then in surgical operation
In operation, which needs to be equipped with the strong empty knot that primary Yi Shang coiling forms again based on outer tube and push away to be locked to locking seam
At the lock knot of line, you can complete positioning and fix.
Embodiment three
Include penetration pipe 032 and be fixed in close as shown in figure 3, the operation net adjusts and fixes the locator 03 in the device of tension
First locking buckle 031 of hole anchor, first locking buckle 031 is to be interior to the ring bodies with elastic clipping strip 0311 and elastic clipping strip 0311
End and ring bodies between formed opening 0312.And the tension adjustment rope as conventional necessary component is the more than two lockings of band
It is separated by 0.2mm-5mm between the beading line 3b of ball 31b, each locking ball 31b, the diameter of locking ball 31b meets elastic clipping strip 0311
Stress when can be resetted from the opening 0312 to become larger by, elastic clipping strip 0311 when being bent can block in the opening 0312 to become smaller,
And tension adjustment rope and locking 4 activity of suture be connected in penetration pipe 032 and one in the same direction end freely dangle, tension adjustment rope it is another
One end passes through the first locking buckle 031 and 1 end of affixed suspender belt, and the affixed elastic clipping strip 0311 of the other end for locking suture 4 is to lead
Draw 0311 Bending Deformation of elastic clipping strip.
From visible further details are illustrated, the close end of the elastic clipping strip 0311 is equipped with line of fall slot 0311a, and locks seam
Line 4 locks ball and is located by clamping in line of fall slot 0311a being equipped with locking ball close to one end of the first locking buckle 031 and pass through, by
This is slight, and traction locking suture 4 may be such that 0311 Bending Deformation of elastic clipping strip or Self-resetting.
The device of the embodiment in surgical operation operation needs that tension adjustment rope first is fixed on suspender belt end and from first
The opening of locking buckle penetrates that penetration pipe is exposed, at the same by the locking ball for locking suture one end be clamped into positioned at line of fall slot it
In, that the other end penetrates penetration pipe is exposed.Closed pore anchor is implanted using specific purpose tool after completing the preparation work, then suitable
On the basis of degree traction locking suture makes elastic clipping strip Bending Deformation, gradually tighten tension adjustment rope and adjust suspender belt and closed pore anchor
Spacing to suitable tension, at this time tension adjustment rope zero resistance in penetration pipe passes through, therefore the unrestricted tension adjustment facility of folding and unfolding
It is feasible.Complete tension adjustment after, only need to operate loosen locking suture elastic clipping strip is made to automatically reset, will opening shrink so as to stop
The locking ball of tension adjustment rope passes through, you can the positioning completed between suspender belt and closed pore anchor is fixed.
The derivative embodiment of embodiment three
As the optional optimization of above-described embodiment three, the retainer body structure and connection structure are close with embodiment, only area
It is not tension adjustment rope and locking suture activity is connected in penetration pipe and an end in the same direction is freely dangled, which is
Sub-thread bare wire and fineness degree can be just when can be resetted from the opening to become larger by, elastic clipping strip when meeting the bending of elastic clipping strip stress
Step pinching is positioned at the opening to become smaller, locks the affixed elastic clipping strip of the other end of suture to draw elastic clipping strip Bending Deformation.By
The positioning action of ball opposed open is not locked in tension adjustment rope, and the locking suture in the present embodiment is in sling-tension appropriateness feelings
Coiling is fixed in the positioning on the tension adjustment rope of opening between completion suspender belt and closed pore anchor under condition.
Furthermore the close end of above-mentioned elastic clipping strip 0311 is equipped with line of fall slot 0311a, and above-mentioned locking suture 4 can also be
The not sub-thread bare wire of locking ball needs bind to be positioned in line of fall slot in surgical operation operation, can complete traction bullet
Property strip is without accidental release.
Example IV
As shown in figure 4, the operation net, which adjusts and fixes the locator 04 in the device of tension, includes hollow pillar canal 041 and and suspender belt
The positioning disk 042 of end Joint, and positioning disk 042 is equipped with for the freely through perforation 0421 of two kinds of sutures, hollow pillar canal 041
One end side wall far from perforation 0421 offers pressure regulation locating slot 0411.And the tension adjustment rope as conventional necessary component is band
It is separated by 0.2mm-5mm between the beading line 3b of two or more locking ball, each locking ball 31b, tension adjustment rope and locking suture 4 are same
To one end be pierced by perforation 0421 and with 2 Joint of closed pore anchor, the other end of tension adjustment rope corresponds to sling-tension appropriateness situation
Under be pierced by and be positioned at pressure regulation locating slot 0411, lock suture 4 locking suture of the other end coiling in 0421 another side of perforating,
Into unijunction or multiple junction in power adjusting rope or two kinds of sutures.
The device of the embodiment is needed first in surgical operation operation by one end in the same direction of tension adjustment rope and locking suture
It is separately fixed on closed pore anchor, and the other end in the same direction is pierced by from perforation together, wherein locking suture dangles naturally, and tension
Adjusting rope penetrates hollow pillar canal.Closed pore anchor is implanted using specific purpose tool after completing the preparation work, then appropriateness traction
Tension adjustment rope pushes positioning disk by hollow pillar canal and adjusts suspender belt with the spacing of closed pore anchor to suitable tension, at this time by tension
The locking ball of adjusting rope exposed junction, which is connected in temporarily in pressure regulation locating slot, completes pre-determined bit, will then lock suture coiling in perforation
Locking suture, the tension adjustment rope of another side form unijunction or multiple junction, and the positioning completed between suspender belt and closed pore anchor is fixed.Certainly
It can be into knot on two kinds of sutures.
Embodiment five
As shown in figure 5, the operation net adjusts and fixes the set that the locator 05 in the device of tension includes two reels 052 of band
Pipe 051 and fixed anchor 053, which is top annulus, the back taper casing of bottom lock tooth flexible polymer, in strip-shaped net
Band（Suspender belt）Upper one-way trip, reverse locking（That is lock tooth respectively penetrates mesh and unidirectionally positions）.And it is used as conventional necessary component
Tension adjustment rope for sub-thread bare wire 3a, affixed 1 end of suspender belt of one end, and the other end of tension adjustment rope together with suspender belt 1 from
21 threading 051 of preset hole of closed pore anchor 2 and fixed anchor 053 are simultaneously wire-wrapped in a reel, and lock suture 4 and penetrate closed pore
The preset hole 21 of anchor 2 and one end threading 051 connect with fixed anchor 053, other end threading 051 and are wire-wrapped in another
Reel, thus two reels 052, which are respectively acting on, adjusts 1 position of suspender belt and tension and adjusts the position for fixing anchor 053,
The fixation anchor 053 traction is resisted against closed pore anchor 2, and the reverse locking in fixed anchor 053 of suspender belt 1 in the case of 1 tension appropriateness of suspender belt.
The device of the embodiment in surgical operation operation needs that the affixed suspender belt in tension adjustment rope one end first is locked suture
The top annulus of the affixed fixed anchor in one end penetrates fixed anchor spike towards casing, then by tension adjustment rope and locking suture
The other end in the same direction sequentially passes through preset hole, casing and the fixed anchor of closed pore anchor and is wire-wrapped in respectively on each reel.It completes
Closed pore anchor using specific purpose tool is implanted after the preparation work, then operates one of reel appropriateness tightening tension adjustment
Rope, by together with suspender belt end drawn together into casing to reach suitable sling-tension, grasped again after the completion of tension adjustment
Make reel two pull fixed anchor to closed pore anchor, due to the fixed attaching mode of anchor and self structure characteristic, are closed in its direction
Outer automatically, the lock tooth of flexible polymer in the displacement process of hole anchor, therefore activity is unrestricted, and after against closed pore anchor due to
The Self-resetting effect of the flexible polymer of tooth is locked, fixed anchor is unidirectionally locked with respect to suspender belt and sling-tension is also effectively fixed.
Embodiment six
As shown in fig. 6, the operation net adjusts and fixes the set that the locator 06 in the device of tension includes two reels 062 of band
Pipe 061 and fixed anchor 063, which is top annulus, the back taper casing of bottom lock tooth flexible polymer, in beading line
The upper one-way trips of 3b, reverse locking（The locking ball of beading line has the ability that word ejects lock tooth from inside to outside, but can not be from the outside to the core
Pass through from the lock tooth of polymeric form）.And the tension adjustment rope as conventional necessary component is the string with more than two locking ball 31b
It is separated by 0.2mm-5mm between pearl line 3b, each locking ball 31b, affixed 1 end of suspender belt in one end of tension adjustment rope, the other end are self-closing
21 threading 061 of preset hole of hole anchor 2 and fixed anchor 063 are simultaneously wire-wrapped in a reel, and lock suture 4 and penetrate closed pore anchor
2 preset hole 21 and one end threading 061 connect with fixed anchor 063, other end threading 061 and are wire-wrapped in another volume
Line wheel, thus two reels 062, which are respectively acting on, adjusts 1 position of suspender belt and tension and adjusts the position for fixing anchor 063, is hanging
The fixation anchor 063 traction is resisted against closed pore anchor 2 in the case of 1 tension appropriateness of band, and tension adjustment rope is inversely locked in fixed anchor 063
Only.
The device of the embodiment in surgical operation operation needs that the affixed suspender belt in tension adjustment rope one end first is locked suture
The top annulus of the affixed fixed anchor in one end penetrates fixed anchor spike towards casing, then by tension adjustment rope and locking suture
The other end in the same direction sequentially passes through preset hole, casing and the fixed anchor of closed pore anchor and is wire-wrapped in respectively on each reel.It completes
Closed pore anchor using specific purpose tool is implanted after the preparation work, then operates one of reel appropriateness tightening tension adjustment
The locking ball of beading line is drawn into casing and drives fixed anchor to tubing depth to displacement so as to reach suitable suspender belt by rope
Power, operate reel after the completion of tension adjustment again two pull fixed anchor to closed pore anchor, due to fixed anchor attaching mode and from
Body structure characteristic, outer automatically, therefore activity is unrestricted, the lock tooth of flexible polymer in its displacement process towards closed pore anchor,
The lock tooth that ball passes through fixed anchor one by one is locked, and due to the Self-resetting effect of the flexible polymer of lock tooth after against closed pore anchor, Gu
Determine anchor with respect to suspender belt unidirectionally lock and sling-tension is also effectively fixed.
In addition to this, the present embodiment can also advanced optimize, and do appropriate improvement in itself to device, you can realize using small
Tension adjustment rope is fixed in the locking ring of structure.Specifically, the reel of casing is changed to one, and setting one in front of casing
The locking ring of a hollow cylindrical.Implementation line as tension adjustment rope can be the linen thread of sub-thread bare wire or establishment shape, this
The fixed anchor of power adjusting rope one end connection, the other end are wire-wrapped in after sequentially passing through suspender belt end, locking ring, casing on reel.Its
In the locking ring inner wall be equipped with hangnail, for the tension adjustment rope of sub-thread bare wire, the fine and closely woven degree of the hangnail, which needs to meet, to be connected to
Tension adjustment rope therein is locked by enough frictional force, and for working out the tension adjustment rope of shape linen thread, which can be with
It is relatively thick, it also needs to meet and is connected to tension adjustment rope therein and is locked by enough frictional force.Thus it can open
It is unidirectionally slided and reverse stop in power adjusting rope.Thus it in surgical operation operation is carried out, completes tension adjustment rope and consolidates
After the respective prepackage for determining anchor, it need to first operate reel and adjust suspender belt to suitable tension, then using external ejector sleeve by locking ring
It pushes away and is locked to suspender belt end lock tension.There is polynary alternative on the locking ring material, plastics such as bio-compatible,
Stainless steel, Nitinol or silicon rubber loop.
Embodiment seven
As shown in fig. 7, the operation net adjusts and fixes the set that the locator 07 in the device of tension includes two reels 072 of band
Pipe 071 and the support chip 073 for being fixed in 1 end of suspender belt, the support chip 073 are equipped with circular hole 0731 and a unidirectional cone 0732,
The maximum gauge of unidirectional cone 0732 and the outer diameter of casing 071 are all higher than the internal diameter of circular hole 0731.As conventional necessary component
Power adjusting rope selects kernmantle 3c in the present embodiment, with certain rugosity and surface roughness.The one of kernmantle 3c
Affixed closed pore anchor 2, the other end are held from 0731 threading 071 of circular hole and is wire-wrapped in a reel, which wears
Enter casing 071 and be wire-wrapped in another reel, the other end is pierced by circular hole 0731 and is connected with unidirectional cone 0732, in suspender belt
The unidirectional cone 0732 is stopped circular hole 0731 by the locking traction plug of suture 4 in the case of power appropriateness, thus tension adjustment rope（That is kernmantle）
It is locked in circular hole 0731 and positions support chip and suspender belt.
The device of the embodiment is needed in surgical operation operation first by the affixed closed pore anchor in kernmantle one end, then will be another
End is pierced by circular hole and is wire-wrapped in a reel after threading in the form of sub-thread lead-out wire, and locking suture one end is pierced by circle
Hole is simultaneously connected to unidirectional cone, and locks the suture other end and be then wire-wrapped in another reel after threading.Unidirectional cone is opposite at this time
Circular hole is in vacant state, i.e. kernmantle can have free passage in circular hole.It completes closed pore anchor after the preparation work using special
Tool implants, and then operates reel appropriateness tight weave rope and passes through in circular hole, and pushing support chip by casing is adjusted
Suitable tension position pushes positioning disk by hollow pillar canal and adjusts suspender belt with the spacing of closed pore anchor to suitable tension, completes to open
After power is adjusted, it need to only operate another reel and tense locking suture, unidirectional cone is driven to be moved towards circular hole and thoroughly close circular hole, by
This kernmantle is effectively fixed in circular hole, you can the positioning completed between suspender belt and closed pore anchor is fixed.
Embodiment eight
As shown in figure 8, the operation net adjusts and fixes the set that the locator 08 in the device of tension includes one reel 081 of band
Pipe 082 and the support chip 083 for being fixed in 1 end of suspender belt, the support chip 083 are equipped with circular hole 0831 and the fixed seam of a consolidation
Line 42, casing 082 and diameter are more than 0831 internal diameter of circular hole.The tension adjustment rope as conventional necessary component is sub-thread bare wire
Each one end of 3a, tension adjustment rope and locking suture 41 penetrates circular hole 0831 and is all consolidated on closed pore anchor 2, tension adjustment rope
Simultaneously coiling is in reel 081 for tension adjustment for other end threading 082, and the other end of locking suture 41 is with fixing suture 42 certainly
By holding outside pendant body together；In the case that 41 stitch of locking suture of 1 tension appropriateness of the suspender belt fixation suture 42 and enlatic state in
At circular hole 0831.
The device of the embodiment is needed first in surgical operation operation by tension adjustment rope and locking suture one end point in the same direction
It is not fixed on closed pore anchor, and the other end in the same direction is pierced by from circular hole together, wherein locking suture dangles naturally, and tension tune
Section rope threading and around being connected on reel.Closed pore anchor is implanted using specific purpose tool after completing the preparation work, and
Reel drawing tension adjusting rope is operated afterwards, and pushing support chip by casing adjusts suspender belt with the spacing of closed pore anchor to suitable
Power at this time tenses locking suture on the basis of tension adjustment rope and casing Primary Location, then will fixed suture and locking
Suture around be rolled into it is empty tie and push away be locked at circular hole, you can the positioning completed between suspender belt and closed pore anchor is fixed.
Embodiment nine
As shown in figure 9, the operation net, which adjusts and fixes the locator 09 in the device of tension, includes a pair of axially hollow taper hole
Pipe 091 and tapered plug 092, wherein the taper hole pipe 091 are fixed in 1 end of suspender belt and flaring is towards suspender belt middle part, and tapered plug 092 is socketed
It slides on locking suture 4 and taper hole pipe 091 is goed deep into corresponding flaring.The tension adjustment rope as conventional necessary component is sub-thread
Bare wire 3a, and the one end of the affixed taper hole pipe 091 in one end of tension adjustment rope far from flaring, and lock the affixed tapered plug in 4 one end of suture
092 cone tip part, and the preset hole 21 of the other end Self-closed hole anchor 2 of two kinds of sutures wears and returns and be pierced by from the cone bottom of tapered plug 092
Pendency or solderless wrapped connection reel.The tension adjustment rope can drive taper hole pipe 091 and 1 end displacement of suspender belt to adjust suspender belt as a result,
Power, and in the case that sling-tension appropriateness locking suture 4 can by leash mantle plug 092 towards 091 slot of taper hole pipe to compression,
So as to two kinds of sutures of locking.
The device of the embodiment in surgical operation operation needs that tension adjustment rope and locking suture first are respectively positioned in cone
Hole is managed in tapered plug, and the one end of suspender belt is integrally then solidly connected to taper hole pipe, then by tension adjustment rope and locking suture
Free end is each passed through the preset hole of closed pore anchor and turns back and penetrates the cone tip part of tapered plug, is pierced by from cone bottom and does exercises outside pendant body
It is used.Closed pore anchor using specific purpose tool is implanted after completing the preparation work, then operates reel or directly manual
Drawing tension adjusting rope adjusts suspender belt with the spacing of closed pore anchor to suitable tension by the fixed pulley effect of closed pore anchor, then grasps
Make reel or direct hand traction locking suture so that tapered plug is towards the slot of taper hole pipe to compression, so as to the cone of tapered plug
Portion is pressurized tightening, can effective two kinds of sutures of locking, you can the positioning between completion suspender belt and closed pore anchor is fixed.
Embodiment ten
As shown in Figure 10, it is containing two threading grooves 101,102 which, which adjusts and fix the locator 10 in the device of tension,
Lock cell, and the inner wall of at least one threading groove be equipped with hangnail, it is illustrated that in embodiment for threading groove 102 inner wall be equipped with fall
Thorn 1021, which usually mutually leans on suspender belt end or integrally connects.The tension adjustment rope as conventional necessary component is
Beading line 3b with more than two locking balls is respectively separated by 0.2mm-5mm, it is illustrated that wear one end of middle tension adjustment rope between locking ball
Enter a threading groove 101 and affixed with 1 end of suspender belt, the preset hole 21 of the other end Self-closed hole anchor 2 of tension adjustment rope, which is worn, to be returned simultaneously
Pendency is pierced by from another threading groove 102, for tension adjustment, and the locking ball of tension adjustment rope is unidirectionally locked to hangnail 1021,
I.e. when lock ball forward direction by when hangnail be easily expanded that locking ball is made under by certain resistance to pass through, and when locking ball need it is reversed
The hangnail being closed during movement will no longer stress be expanded, and locking ball is firmly fixed wherein.
The device of the embodiment in surgical operation operation needs that one end of tension adjustment rope first is penetrated the one of lock cell
In threading groove, and it is made also to connect with suspender belt end, the other end of tension adjustment rope is then passed through to the preset hole of closed pore anchor
After penetrate in another threading groove, the passage resistance increase of tension adjustment rope, and is reversed forbidden moves in the threading groove, and
Be pierced by the threading groove 102 tension adjustment rope can with pendant body outside or connect band reel handle.After completing the preparation work
Closed pore anchor using specific purpose tool is implanted, reel or direct hand traction tension adjustment rope is then operated, passes through closed pore
The fixed pulley effect adjusting suspender belt of anchor and the spacing of closed pore anchor to suitable tension, under the resistance and reversed stopping function of hangnail,
The tension adjustment of tension adjustment rope has one-way, i.e., ought reach needs to stop drawing immediately under required moderate tension, and suitable
Gesture, the locking ball of tension adjustment rope is clamped in hangnail one by one immediately, you can completes the positioning between suspender belt and closed pore anchor
It is fixed.
Embodiment 11
As shown in figure 11, which adjusts and fixes the cyclic annular frame that the locator 11 in the device of tension is waist 112 in band, phase
First side lever 111 of 112 side of centering waist keeps constant distance with closed pore anchor 2 and connects, the second side of relatively middle 112 opposite side of waist
The bottom surface of bar 113 is equipped with convex thorn 114, and certainly, in addition to this which can also be set as the high rubbing surface of plucking, only need to meet energy
Suspender belt displacement is prevented with reticular substance bonding.The tension adjustment rope as conventional necessary component is suspender belt end itself
Extension guipure 3d, the wrapping system of relative positioning device 11 for one end integrally extends suspender belt end and in other end coiling
Waist 112 is simultaneously pierced by from 13 bottom side of the second side lever.And tension is suspended in midair by external force in second side lever based on aforementioned convex thorn 114
Adjusting rope can freely be stretched around middle waist, be loosened, and suspender belt is driven to adjust tension, and in the second side lever external force zero in the
Two side levers, which sink and pass through convex thorn, to be punctured and is engaged extension guipure 3d so that suspender belt is locked in the second side lever bottom side.
The device of the embodiment is needed in surgical operation operation first by tension adjustment rope（Extend guipure 3d）Self-positioning device
Bottom side between middle waist and the first side lever is pierced by upwards and waist in solderless wrapped connection, then therefrom top side line between waist and the second side lever by it
Under penetrate and be pierced by from the second side lever bottom side.Closed pore anchor is implanted using specific purpose tool after completing the preparation work, then
The second side lever force is lifted using external device so that convex thorn is detached with extending guipure.Take this to draw the extension guipure in
Waist is freely stretched, is loosened, and suspender belt bidirectional displacement is driven to adjust tension, and the is lifted when lower of moderate tension for reaching required need to discharge
The external force of two side levers makes the second side lever reset, and is pierced through using convex thorn and is engaged extension guipure, you can completes suspender belt and closes
Positioning between the anchor of hole is fixed.
Embodiment 12
As shown in figure 12, which adjusts and fix the locator 12 in the device of tension is equipped with resilient ratchet 121 for appearance
Taper dehisce rubber plug, 1 end of suspender belt is equipped with support chip 5, and support chip 5 is equipped with threading hole 51, and closed pore anchor 2 is equipped with threading hole
21, the maximum gauge of the locator 12 is more than arbitrary threading hole internal diameter, and locator 12 under 121 pressured state of resilient ratchet from
By penetrating threading hole, terminating in threading in 121 Self-resetting state lower block of resilient ratchet.The tension adjustment as conventional necessary component
It restricts as sub-thread bare wire 3a.Affixed 5 edge of support chip in one end of the tension adjustment rope, the threading hole 21 of other end Self-closed hole anchor 2 are worn
Go out and penetrate locator 12 to pass freely through, need to wear to any by external force push locator 12 in sling-tension appropriateness
In string holes and make to dehisce to be closed, so as to lock the further action of tension adjustment rope.
The device of the embodiment needs that tension adjustment rope first is fixed on blade edges, then in surgical operation operation
To be pierced by the preset hole of its Self-closed hole anchor, then by the direction of narrow diameter to wide diameter penetrate taper dehisce rubber plug and by end it is exposed outstanding
It falls in external.Closed pore anchor is implanted using specific purpose tool after completing the preparation work, then using external force traction tension tune
Section rope adjusts the spacing of suspender belt and closed pore anchor to suitable tension by the effect of the fixed pulley of closed pore anchor, when reaching required appropriateness
Lower of tension need to use external tool that taper rubber plug of dehiscing is pushed into any one threading hole, make to dehisce to be closed, so as to lock
Tension adjustment rope, while the positioning completed between suspender belt and closed pore anchor is fixed.
Embodiment 13
As shown in figure 13, which, which adjusts and fix the locator 13 in the device of tension, includes one reel of band（Do not scheme
Show）Casing 132 and be fixed in the support chip 131 of suspender belt end, and set on the support chip 131 there are one threading hole 1311 and one
A line hole 1312, the tension adjustment rope as conventional necessary component is sub-thread bare wire 3a, and one end of tension adjustment rope is consolidated
Connect closed pore anchor 2, the other end of tension adjustment rope penetrates from threading hole 1311, around wearing line hole 1312, threading 132 and solderless wrapped connection
In reel, the end of casing 132 supports tension adjustment rope guiding under 1312 state of line hole and passes freely through for tension adjustment, and
Line hole 1312, tension adjustment rope deflecting clamping lock are detached from the end of sling-tension appropriateness situation setting of casing 132 in line hole
In 1312 hole slot.
The device of the embodiment is needed in surgical operation operation first by the affixed closed pore anchor in tension adjustment rope one end, then complete
It is operated into above-mentioned threading and coiling.Closed pore anchor using specific purpose tool is implanted after completing the preparation work, is then operated
Reel drawing tension adjusting rope pushes support chip by casing and adjusts the spacing of suspender belt and closed pore anchor to suitable tension, at this time
It keeps recalling casing, and make tension adjustment rope deflecting clamping lock in the hole slot of line hole on the basis of support chip position, you can complete
It is fixed into the positioning between suspender belt and closed pore anchor, it is easy to operate to have some idea of.
Embodiment 14
As shown in figure 14, which adjusts and fixes the casing that the locator 14 in the device of tension includes one reel of band
142 and the support chip 141 of suspender belt end is fixed in, and sets that there are one threading hole 1411 and a line holes on the support chip 141
1412, the tension adjustment rope as conventional necessity component is the beading line 3b with two or more locking balls, between each locking ball
It is separated by 0.2mm-5mm, the affixed closed pore anchor 2 in one end of the tension adjustment rope, the other end of tension adjustment rope is worn from threading hole 1411
Enter, around wearing line hole 1412, threading 142 and be wire-wrapped in reel（It is not shown）；The end of casing 142 supports line hole
Tension adjustment rope guiding is passed freely through for tension adjustment, and at the end of sling-tension appropriateness situation setting of casing 142 under 1412 states
Portion is detached from line hole 1412, the deflecting of tension adjustment rope and passes through and lock ball clamping lock and positioned in the hole slot of line hole 1412.
The device of the embodiment is operated in surgical operation substantially with embodiment 13, is needed first that tension adjustment rope one end is affixed
Closed pore anchor then completes above-mentioned threading and coiling operation.Closed pore anchor is implanted into using specific purpose tool after completing the preparation work
In vivo, reel drawing tension adjusting rope is then operated, the dimensions satisfaction for locking ball here passes freely through casing, passes through set
Pipe pushes support chip and adjusts suspender belt with the spacing of closed pore anchor to suitable tension, keeps recalling set on the basis of support chip position at this time
Pipe, and make the locking ball deflecting clamping lock of tension adjustment rope in the hole slot of line hole, you can it completes between suspender belt and closed pore anchor
Positioning is fixed, and degree easy to operate is same as above.
Embodiment 15
As shown in figure 15, it is the branch for being fixed in 1 end of suspender belt which, which adjusts and fix the locator 15 in the device of tension,
Blade 15 is set on the support chip 15 there are one the tadpole-shaped hole 151 closed, and so-called tadpole-shaped hole 151 is that circular hole side is outside
A narrow slit is extended into, pole is similar to tadpole in shape.And the slot seam 1512 in tadpole-shaped hole 151 is intended to closed pore anchor 2.As routine
The tension adjustment rope of necessary component is the beading line 3b with more than two locking balls, is separated by 0.2mm-5mm between each locking ball,
The affixed closed pore anchor 2 in one end of the tension adjustment rope, the other end of tension adjustment rope are pierced by from tadpole-shaped hole 151, and by external force
It is directed in the wide opening circle 1511 in tadpole-shaped hole and passes freely through for tension adjustment, in sling-tension appropriateness tension adjustment rope
It slips into slot seam 1512 and passes through and lock ball clamping lock and positioned in tadpole-shaped hole.
The device of the embodiment is needed in surgical operation operation first by the affixed closed pore anchor in tension adjustment rope one end, then complete
It is operated into above-mentioned threading.Closed pore anchor using specific purpose tool is implanted after completing the preparation work, then operates supporting sleeve
The external tools such as pipe cause the wide opening circle in beading line alignment tadpole-shaped hole, and drawing tension adjusting rope is adjusted between suspender belt and closed pore anchor
Away to suitable tension, keep recalling external tool on the basis of support chip position at this time, the locking ball of removal support force is naturally sliding
Enter the slot slot in tadpole-shaped hole, ball is locked under the conditions of suspender belt some tension to be deviate from from tadpole-shaped hole, it is possible thereby to complete
It is fixed into the positioning between suspender belt and closed pore anchor.
Embodiment 16
As shown in figure 16, it is the branch for being fixed in 1 end of suspender belt which, which adjusts and fix the locator 16 in the device of tension,
Blade 16, sets that there are one from close to support chip 16 there are one being set on the fin 161 of vertical configuration and fin 161 on the support chip 16
Towards opening to the open loop slot 1611 gradually to close up, the tension adjustment rope as conventional necessary component is the more than two locks of band for root
Determine the beading line 3b of ball, be separated by 0.2mm-5mm between each locking ball, affixed 16 end of support chip in one end of the tension adjustment rope,
The preset hole 21 of the other end Self-closed hole anchor 2 of tension adjustment rope is pierced by for adjusting tension, and in sling-tension appropriateness
Power adjusting rope is caught in open loop slot 1611, which is not easy escape in the root of open loop slot 161.
The device of the embodiment is needed in surgical operation operation first by the affixed closed pore anchor in tension adjustment rope one end, then complete
It is operated into above-mentioned threading.Closed pore anchor using specific purpose tool is implanted after completing the preparation work, then operates supporting sleeve
The external tools such as pipe allow beading line to have free passage on the outside of fin, and drawing tension adjusting rope adjusts suspender belt and closed pore anchor
Spacing keeps recalling external tool on the basis of support chip position at this time to suitable tension, the locking ball of removal support force along
The slot of open loop slot is slipped into naturally close to the root of support chip, and locking ball under the conditions of suspender belt some tension can not be from open loop slot
Abjection, it is possible thereby to which the positioning completed between suspender belt and closed pore anchor is fixed.
Embodiment 17
As shown in figure 17, which adjusts and fixes the casing that the locator 17 in the device of tension includes one reel of band
It 171 and is fixed in suspender belt end and axially hollow cylindricality and latches, cylindricality lock is axial sliding thereon by main support 172 and socket
Dynamic lock pillar 173 is formed, which is formed in concavo-convex guide surface and 1721 locally connected's axial direction of recess
Vacancy, 173 one end of lock pillar form jaw 1731, which driven on the guide surface of main support can dehisce, be closed.Make
The tension adjustment rope for conventional necessary component is sub-thread bare wire 3a, and the affixed closed pore anchor 2 in one end of tension adjustment rope, tension tune
The other end for saving rope latches threading 171 from cylindricality and is wire-wrapped in reel（It is not shown）, master is supported in the end of casing 171
Tension adjustment rope guiding passes freely through cylindricality lock for tension adjustment, and hanging under stent 172 and cylindricality lock unlocked state
Lock pillar 173 by external force displacement, the clamping main support surface indentation of jaw 1,731 1721 and locks tension in the case of belt tension appropriateness
Adjusting rope.
The device of the embodiment in surgical operation operation needs that tension adjustment rope one end first is fixed in closed pore anchor, and incite somebody to action
The other end reverse hang or is directly wire-wrapped on reel from cylindricality lock shaft to being pierced by and threading.At this point, cylinder locks
The lock pillar of button is at outermost section, i.e., a certain recess of main support is in outer dewiness, concatenates tension adjustment rope therein as visibility status.
Closed pore anchor using specific purpose tool is implanted after completing the preparation work, is then adjusted using direct hand traction or reel
Tension adjustment rope drives suspender belt bidirectional displacement to adjust tension, is fitted when reaching required by the effect that pushes of casing and main support
It after spending tension, needs to keep the main support Primary Location of cylindricality lock, lower lock pillar direction is then operated using surgical instrument
Suspender belt displacement, the jaw of lock pillar changes along the guide surface opening and closing of main support during being somebody's turn to do, until falling into recess occlusion tension tune
Section rope, while the positioning completed between suspender belt and closed pore anchor is fixed.
Embodiment 18
As shown in figure 18, which adjusts and fixes the casing that the locator 18 in the device of tension includes one reel of band
181 and a clip 182, it is axially arranged in the clip 182 and wears the annular distance 1822 connect for tension adjustment rope is bifilar, clip 182 is opened
It closes the two wing plate opposite faces opened and closed and is equipped with the interlocking double wedge 1821 of occlusion.The tension adjustment rope as conventional necessary component is single
Stock bare wire 3a, and one end of tension adjustment rope penetrates affixed 1 end of suspender belt, the other end of tension adjustment rope from 1822 outside of annular distance
The preset hole 21 of Self-closed hole anchor 2 is pierced by, is pierced by clip 182, threading 181 from 1822 outside of annular distance and is wire-wrapped in reel
（It is not shown）For adjusting tension, in sling-tension appropriateness natural compression both wings plate closing and lock tension adjustment rope and hang
Strap end portion.
The device of the embodiment needs first to penetrate tension adjustment rope one end from the outside of annular distance affixed in surgical operation operation
In suspender belt, so-called outside is referred to close to the side of closed pore anchor.And by the preset hole of the other end Self-closed hole anchor 2 of tension adjustment rope
It 21 is pierced by, then from the outside of annular distance is pierced by clip, outside threading pendant body or be wire-wrapped in reel.Clip is kept at this time
Two wing plates is open shape.Closed pore anchor is implanted using specific purpose tool after completing the preparation work, then using directly manually
Traction or reel adjust tension adjustment rope, suspender belt bidirectional displacement are driven to adjust tension by the effect that pushes of casing and annular distance,
It after required moderate tension is reached, needs to keep clip Primary Location, then using the two of surgical instrument operation clip
Wing plate is closed, double wedge is engaged, so as to clamp tension adjustment rope make its can not axial displacement, while complete suspender belt and closed pore anchor
Between positioning fix.Further to promote chuck strength, above-mentioned annular distance can be set as the flexible rubber ring of axial displacement, in two wing plates
It can driven displacement and lock ring clip after closure.
Embodiment 19
As shown in figure 19, which, which adjusts and fix the locator 19 in the device of tension, includes the list with elastic lock tongue 1911
To lock 191 and the unidirectional lock one-way trip of matching, the band of reverse locking, this unidirectionally latches 191 and is fixed in 1 one end of suspender belt
Portion, 192 one end of band are fixed in closed pore anchor 2 indirectly directly or by no-station pole canopy surgical thread, and band 192 is another to being connected to
Among unidirectional lock 191.The tension adjustment rope as conventional necessary component is sub-thread bare wire 3a, and the tension adjustment rope one end
Affixed 192 other end of band, and tension adjustment rope other end pendency or solderless wrapped connection reel, based on above structure, under normal conditions
Band is towed to pass freely through unidirectionally to latch in tension adjustment rope under by external force tilting state in elastic lock tongue can provide suspender belt
Power is adjusted, and the locking band in the case where external force discharges elastic lock tongue reset state.
In addition, in diagram embodiment, this is used to providing, and elastic lock tongue tilts external force is the internal lock of one group of slip that socket-connects
Determine casing 61 and fixed sleeves pipe 62.Wherein interior locking casing 61 is socketed on band 192 and is set close to one end of unidirectional lock 191
Have a pair of of gaping encircles arm 612 and therebetween a ligule card 611, which simultaneously stays on list
To 1911 bottom of elastic lock tongue of lock 191.Thickness is to pointed at ora terminalis for the ligule card 611, and ligule card 611
Warp resistance intensity be more than and encircle the warp resistance intensity of arm.And the shorter than interior locking casing 61 of the fixed sleeves pipe 62, and it is outer solid
Determine casing 62 and be resilient tensioning state in the socket place for encircling arm 612 and coating unidirectional lock 191.
The device of the embodiment needs first to carry out one by one as follows in surgical operation operation：One end of suspender belt is connected
Pre- implantation closed pore anchor is connect, and the other end of suspender belt is integrally arranged in unidirectional lock bottom surface.It is planted after then one end of band is connected
Enter closed pore anchor, and the band other end is pierced by from unidirectional lock, and also cross inside and outside fixed sleeving by tension adjustment line around
It is connected to the reel or directly exposed of handle.In the case where elastic lock tongue is not by jack-up state, band positioning is locked in during one-way lock buckles,
Band is prohibited to movement, to adjust to close to rear implantation closed pore anchor and tighten tension adjustment line, and be pushed forward interior locking casing, with
It is pushed forward stroke a pair and encircles that arm void embraces unidirectional lock and ligule card is inserted into elastic lock tongue bottom and is jacked up gradually.Defensive position again
It is dynamic to be pushed forward fixed sleeves pipe, make its socket place that the arm of encircling that cladding unidirectionally latches is sandwiched tensioning.Unidirectional lock is opposite as a result, pricks
Band can free displacement, adjust the position of unidirectional lock and suspender belt, suspender belt driven to adjust tension.It completes two after the preparation work
Using specific purpose tool, from top vaginal wall notch, successively in place, drawing tension adjusts line or is moved by tool single closed pore anchor for attaching
The tension of suspender belt is adjusted to lock.After the tension for adjusting suspender belt is appropriate, fixed sleeves pipe is withdrawn, then a pair of interior locking casing
Arm release is encircled, then recalls interior locking casing, elastic lock tongue is unloaded power reset, and unidirectional lock is with suspender belt position by naturally permanent
It is fixed；Operation can be completed in the band for cutting off redundance after unidirectionally latching.
To sum up the detailed description of diagram is combined for many embodiments of the present invention as it can be seen that using the device of the invention, compared with
Have prominent substantive distinguishing features and significant progress in the such instrument of tradition：The device reduce single notch Via vagina without
The operation difficulty and operating time of power reconstructed urethra provide one-hand control and carry out sling-tension adjusting and locking suspender belt
Tension and the reliable embodiment of position, avoid change of the sling-tension in surgical procedure.And provide the reality of diversification
Example, the doctor that can meet different operation custom carry out the choosing performed the operation.
Claims (29)
1. operation net adjusts and the device of fixed tension, it is characterised in that including：A piece tension adjustment rope, a lock-in line and fixed
Position device, the closed pore anchor that the tension adjustment rope guiding is connected in locator and is associated with suspender belt end and is implanted into afterwards adjust suspender belt
Power, the locking suture cooperation locator are permanently fixed suspender belt position and tension.
2. operation net adjusts and fixes the device of tension according to claim 1, it is characterised in that：The locator is that band is rolled up
The casing of line wheel, the tension adjustment rope and lock-in line one end in the same direction are pierced by suspender belt end a distance and mutually solid with closed pore anchor
It connects, the other end of tension adjustment rope is connected in casing and is wire-wrapped in reel, and the other end of lock-in line is in outside of sleeve coiling
Into empty knot, push away and be locked to tension adjustment rope and correspond to joint in the case of sling-tension appropriateness with suspender belt end, permanent locking tension.
3. operation net adjusts and fixes the device of tension according to claim 2, it is characterised in that：The tension adjustment rope is
Sub-thread bare wire, and tension adjustment rope is equipped with the strong knot that primary Yi Shang coiling forms at the lock knot of lock-in line.
4. operation net adjusts and fixes the device of tension according to claim 2, it is characterised in that：The tension adjustment rope is
Beading line with more than two locking balls is respectively separated by 0.2mm-5mm between locking ball, and the lock knot of the lock-in line, which pushes away, is locked to two
It is fixed between locking ball.
5. operation net adjusts and fixes the device of tension according to claim 1, it is characterised in that：The locator is inner tube
Be nested with outer tube, axial interactive hollow tube group, the end outer wall of inner tube be equipped with it is non-closed into knot slot, outer tube with into knot slot
Inner wall of end in the same direction and the outer wall seamless of inner tube slip, and the tension adjustment rope is connected to the axis of inner tube with locking suture together
In chamber, the nozzle where the affixed suspender belt end in one end of tension adjustment rope and other end self-contained knot slot penetrates inner tube and from distal tube
Mouthful be pierced by pendency, for tension adjustment, the affixed closed pore anchor in one end of lock-in line and on knot slot around being rolled into empty knot, the other end in
Pipe far-end mouths are pierced by pendency, for zipper void knot.
6. operation net adjusts and fixes the device of tension according to claim 5, it is characterised in that：The tension adjustment rope is
Sub-thread bare wire, and tension adjustment rope is tied equipped with the strong void that primary Yi Shang coiling forms based on outer tube and pushes away the lock for being locked to lock-in line
At knot.
7. operation net adjusts and fixes the device of tension according to claim 5, it is characterised in that：The tension adjustment rope is
Beading line with more than two locking balls is respectively separated by 0.2mm-5mm between locking ball, the lock knot of the locking suture, which pushes away, is locked to two
It is fixed between a locking ball.
8. operation net adjusts and fixes the device of tension according to claim 1, it is characterised in that：The locator includes wearing
Spool and the first locking buckle for being fixed in closed pore anchor, first locking buckle are interior to ring bodies and elastic card with elastic clipping strip
Opening is formed between the end of item and ring bodies, the tension adjustment rope is the beading line with more than two locking balls, each to lock
It is separated by 0.2mm-5mm between ball, locking can be from the opening to become larger by, bullet when the diameter of ball meets the bending of elastic clipping strip stress
Property strip when resetting can block in the opening to become smaller, the tension adjustment rope and locking suture activity are connected in penetration pipe and one
End is freely dangled in the same direction, and the other end of tension adjustment rope passes through the first locking buckle and affixed suspender belt end, the locking suture
The affixed elastic clipping strip of the other end is to draw elastic clipping strip Bending Deformation.
9. operation net adjusts and fixes the device of tension according to claim 1, it is characterised in that：The locator includes wearing
Spool and the first locking buckle for being fixed in closed pore anchor, first locking buckle are interior to ring bodies and elastic card with elastic clipping strip
Opening is formed between the end of item and ring bodies, the tension adjustment rope and locking suture activity are connected in penetration pipe and together
Freely dangle to end, the tension adjustment rope is that sub-thread bare wire and fineness degree meet when elastic clipping strip stress is bent can be from becoming larger
When being resetted in opening by, elastic clipping strip can preliminary pinching be positioned at the opening to become smaller, the other end of the locking suture is affixed
Elastic clipping strip is to draw elastic clipping strip Bending Deformation, and around the tension adjustment rope for being rolled into knot sling-tension appropriateness situation lower opening
On.
10. operation net adjusts and fixes the device of tension according to claim 8 or claim 9, it is characterised in that：The elastic clipping strip
Close end be equipped with line of fall slot, the locking suture is being equipped with locking ball close to one end of the first locking buckle and is passing through and locks ball card
It connects and is positioned in line of fall slot.
11. operation net adjusts and fixes the device of tension according to claim 8 or claim 9, it is characterised in that：The elastic clipping strip
Close end be equipped with line of fall slot, the locking suture is positioned at for sub-thread bare wire and bind in line of fall slot.
12. the device of single notch implantation suspender belt and Tension Adjustable according to claim 1, it is characterised in that：The locator
Positioning disk including hollow pillar canal and with suspender belt end Joint, and positioning disk is equipped with for two freely through perforation of suture,
One end side wall of the hollow pillar canal far from perforation offers pressure regulation locating slot, tension adjustment rope one end in the same direction with locking suture
Be pierced by perforation and with closed pore anchor Joint, the tension adjustment rope is the beading lines of the more than two locking balls of band, each locking ball it
Between be separated by 0.2mm-5mm, the other end of tension adjustment rope, which corresponds to, to be pierced by the case of sling-tension appropriateness and is positioned at pressure regulation positioning
Slot, lock the other end coiling of suture on locking suture, tension adjustment rope or the two kinds of sutures for another side of perforating into unijunction or multiple
Knot.
13. operation net adjusts and fixes the device of tension according to claim 1, it is characterised in that：The locator includes
Casing and fixation anchor with two reels, the fixed anchor is top annulus, the back taper casing of bottom lock tooth flexible polymer,
One-way trip, reverse locking on strip-shaped net band, the affixed suspender belt end in one end of the tension adjustment rope, and tension adjustment rope
The other end is together with the preset hole threading of suspender belt Self-closed hole anchor and fixed anchor and is wire-wrapped in a reel, the locking suture
It penetrates the preset hole of closed pore anchor and one end threading connects with fixed anchor, other end threading and is wire-wrapped in another spiral
Wheel is resisted against closed pore anchor, the suspender belt reverse locking in fixed anchor in the fixed anchor traction of sling-tension appropriateness.
14. operation net adjusts and fixes the device of tension according to claim 1, it is characterised in that：The locator includes
Casing and fixation anchor with two reels, the fixed anchor is top annulus, the back taper casing of bottom lock tooth flexible polymer,
One-way trip, reverse locking on beading line, the tension adjustment rope are the beading line with more than two locking balls, respectively lock ball
Between be separated by 0.2mm-5mm, the affixed suspender belt end in one end of tension adjustment rope, the preset hole threading of other end Self-closed hole anchor
With fixed anchor and be wire-wrapped in a reel, the locking suture penetrates the preset hole of closed pore anchor and one end threading and fixation
Anchor connects, other end threading and is wire-wrapped in another reel, in the fixed anchor traction of sling-tension appropriateness
It is resisted against closed pore anchor, the tension adjustment rope reverse locking in fixed anchor.
15. operation net adjusts and fixes the device of tension according to claim 1, it is characterised in that：The locator includes
Casing with two reels and the support chip for being fixed in suspender belt end, the support chip are equipped with circular hole and a unidirectional cone,
The maximum gauge and the outer diameter of casing unidirectionally bored are all higher than bore inner diameter, the affixed closed pore anchor in one end of the tension adjustment rope, another
One end is from circular hole threading and is wire-wrapped in a reel, and locking suture one end threading is simultaneously wire-wrapped in another volume
Line wheel, the other end are pierced by circular hole and are connected with unidirectional cone, in the sling-tension appropriateness unidirectional cone by locking suture
Traction plug stops circular hole, and the tension adjustment cord lock terminates in circular hole and positions support chip and suspender belt.
16. operation net adjusts and fixes the device of tension according to claim 1, it is characterised in that：The locator includes
Casing with a reel and the support chip for being fixed in suspender belt end, the support chip are consolidated equipped with what circular hole and one consolidated
Determine suture, casing diameter is more than bore inner diameter, the tension adjustment rope and locks each one end of suture and penetrates circular hole and all consolidate
In on closed pore anchor, the other end threading and coiling of tension adjustment rope, for tension adjustment, lock the another of suture in reel
End with outside fixed suture free end together pendant body；In the locking of the sling-tension appropriateness fixed suture and enlatic state
Suture stitch is in circular hole.
17. operation net adjusts and fixes the device of tension according to claim 1, it is characterised in that：The locator includes
A pair of axially hollow taper hole pipe and tapered plug, the taper hole pipe are fixed in suspender belt end and are flared towards in the middle part of suspender belt, the cone
Plug sleeve, which connects to slide on locking suture and correspond to be flared, gos deep into taper hole pipe, and the affixed taper hole pipe in one end of the tension adjustment rope is separate
One end of flaring, the cone tip part of the locking affixed tapered plug in suture one end, and the other end Self-closed hole anchor of two kinds of sutures is default
Hole, which is worn, to be returned and is pierced by pendency or solderless wrapped connection reel, tension adjustment rope band mantle hole pipe and suspender belt end displacement from the cone bottom of tapered plug
Sling-tension is adjusted, and tapered plug is driven towards taper hole pipe slot to compression, locking two in sling-tension appropriateness locking suture
Root suture.
18. operation net adjusts and the device of fixed tension, it is characterised in that including：A piece tension adjustment rope and locator, it is described
The closed pore anchor that the guiding of tension adjustment rope is connected in locator and is associated with suspender belt end and is implanted into afterwards adjusts sling-tension, and tension
Adjusting rope cooperation locator fixes sling-tension and position.
19. the operation net according to claim 18 adjusts and the device of fixed tension, it is characterised in that：The locator be containing
The lock cell of two threading grooves, and the inner wall of at least one threading groove is equipped with hangnail, the locator is mutually leaned on suspender belt end；
The tension adjustment rope is the beading line with more than two locking balls, is separated by 0.2mm-5mm, tension adjustment rope between each locking ball
One end penetrate a threading groove and affixed with suspender belt end, the preset hole of the other end Self-closed hole anchor of tension adjustment rope, which is worn, to be returned simultaneously
Pendency is pierced by from another threading groove, for tension adjustment, and the locking ball of tension adjustment rope is unidirectionally locked to hangnail.
20. the operation net according to claim 18 adjusts and the device of fixed tension, it is characterised in that：The locator is band
The cyclic annular frame of middle waist, the first side lever of relatively middle waist side keep constant distance with closed pore anchor and connect, relatively middle waist opposite side
The bottom surface plucking of second side lever or equipped with convex thorn, waist is simultaneously in the affixed suspender belt end in described tension adjustment rope one end, other end coiling
It is pierced by from the second side lever bottom side, by external force is suspended in midair tension adjustment rope band in the second side lever and move suspender belt and adjust tension, the
Suspender belt is locked in the second side lever bottom side in the case of two side lever external force zero.
21. the operation net according to claim 18 adjusts and the device of fixed tension, it is characterised in that：The locator is outer
The taper that table is equipped with resilient ratchet is dehisced rubber plug, and suspender belt end is equipped with support chip, and support chip and closed pore anchor are equipped with threading hole,
The maximum gauge of the locator is more than threading hole internal diameter, and locator freely passes into threading under resilient ratchet pressured state
Hole terminates in threading hole in resilient ratchet Self-resetting state lower block, the affixed blade edges in one end of the tension adjustment rope, another
The threading hole of end Self-closed hole anchor is pierced by and penetrates locator, is worn in sling-tension appropriateness external force push locator to any
In string holes and make to dehisce to be closed, lock tension adjustment rope.
22. the operation net according to claim 18 adjusts and the device of fixed tension, it is characterised in that：The locator includes
Casing with a reel and the support chip for being fixed in suspender belt end, set that there are one threading holes and a card on the support chip
String holes, the affixed closed pore anchor in one end of the tension adjustment rope, the other end of tension adjustment rope penetrates from threading hole, around wearing card line
Hole, threading are simultaneously wire-wrapped in reel, and the end of casing supports tension adjustment rope guiding under line hole state and passes freely through confession
Tension adjustment, and line hole, tension adjustment rope deflecting clamping lock are detached from card line in the cased end of sling-tension appropriateness situation
In the hole slot in hole.
23. the operation net according to claim 18 adjusts and the device of fixed tension, it is characterised in that：The locator includes
Casing with a reel and the support chip for being fixed in suspender belt end, set that there are one threading holes and a card on the support chip
String holes, the tension adjustment rope are the beading line with more than two locking balls, are separated by 0.2mm-5mm between each locking ball, described
The affixed closed pore anchor in one end of tension adjustment rope, the other end of tension adjustment rope penetrates from threading hole, around wearing line hole, threading
And it is wire-wrapped in reel；The end of casing supports tension adjustment rope guiding under line hole state and passes freely through for tension adjustment, and
Line hole, the deflecting of tension adjustment rope are detached from the cased end of sling-tension appropriateness situation and passes through and locks ball clamping lock in card line
It is positioned in the hole slot in hole.
24. the operation net according to claim 18 adjusts and the device of fixed tension, it is characterised in that：The locator is solid
The support chip of suspender belt end is connected to, is set on the support chip there are one the tadpole-shaped hole closed, and the slot seam in tadpole-shaped hole becomes
To in closed pore anchor, the tension adjustment rope is the beading line with more than two locking balls, is separated by 0.2mm- between each locking ball
5mm, the affixed closed pore anchor in one end of the tension adjustment rope, the other end of tension adjustment rope are pierced by from tadpole-shaped hole, and by outer
Power is directed in the wide opening circle in tadpole-shaped hole and passes freely through for tension adjustment, is slided in sling-tension appropriateness tension adjustment rope
Enter in slot seam and pass through to lock ball clamping lock and position in tadpole-shaped hole.
25. the operation net according to claim 18 adjusts and the device of fixed tension, it is characterised in that：The locator is solid
Be connected to the support chip of suspender belt end, set on the support chip there are one vertical configuration fin and fin on set there are one from close to branch
Towards opening to the open loop slot gradually to close up, the tension adjustment rope is the beading line with more than two locking balls for the root of blade,
Be separated by 0.2mm-5mm between each locking ball, the affixed support chip end in one end of the tension adjustment rope, tension adjustment rope it is another
The preset hole of end Self-closed hole anchor is pierced by for adjusting tension, and be caught in open loop slot in sling-tension appropriateness tension adjustment rope
In, the locking ball clamping lock is in the root of open loop slot.
26. the operation net according to claim 18 adjusts and the device of fixed tension, it is characterised in that：The locator includes
Casing with a reel and be fixed in suspender belt end and axially hollow cylindricality and latch, the cylindricality lock by main support and
Lock pillar is formed in axial sliding thereon for socket, and main support surface is formed with concavo-convex guide surface and recess locally connected is axial
Middle vacancy, lock pillar one end form jaw, the affixed closed pore anchor in one end of the tension adjustment rope, and the other end of tension adjustment rope is from column
Shape latches threading and is wire-wrapped in reel, and tension under main support and cylindricality lock unlocked state is supported in the end of casing
Adjusting rope guiding passes freely through cylindricality lock for tension adjustment, and in sling-tension appropriateness lock pillar by external force displacement, pincers
Mouth clamps at main support surface indentation and locks tension adjustment rope.
27. the operation net according to claim 18 adjusts and the device of fixed tension, it is characterised in that：The locator includes
Casing and a clip with a reel are axially arranged in the clip and wear the annular distance connect, folder for tension adjustment rope is bifilar
It detains the two wing plate opposite faces that opening and closing open and close and is equipped with the interlocking double wedge of occlusion, one end of the tension adjustment rope is penetrated from the outside of annular distance
Affixed suspender belt end, the preset hole of the other end Self-closed hole anchor of tension adjustment rope are pierced by, are pierced by clip from the outside of annular distance, penetrate set
It manages and is wire-wrapped in reel for adjusting tension, in sling-tension appropriateness natural compression both wings plate closing and lock tension tune
Section rope and suspender belt end.
28. the operation net according to claim 18 adjusts and the device of fixed tension, it is characterised in that：The locator includes
Unidirectional lock with elastic lock tongue and the unidirectional lock one-way trip of matching, the band of reverse locking, the unidirectional lock are fixed in
Suspender belt one end, band one end is fixed in closed pore anchor indirectly directly or by no-station pole canopy surgical thread, and band is connected to one-way lock
Among button, the affixed band other end in tension adjustment rope one end, and tension adjustment rope other end pendency or solderless wrapped connection reel, institute
It states band and is towed under by external force tilting state in elastic lock tongue and pass freely through unidirectional lock for tension adjustment in tension adjustment rope,
And the locking band in the case where external force discharges elastic lock tongue reset state.
29. the operation net described in claim 1 or 18 adjusts and the device of fixed tension, it is characterised in that：The operation net is adjusted
Closed pore anchor and suspender belt that the device connection of tension implants are saved and fix, applied to open surgery or Minimally Invasive Surgery.
Priority Applications (5)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202311635870.1A CN117481866A (en) | 2017-12-27 | 2017-12-27 | Device for adjusting and fixing tension of surgical mesh and surgical application of device |
| CN201711442828.2A CN108209991B (en) | 2017-12-27 | 2017-12-27 | Device for adjusting and fixing tension of surgical mesh and surgical application of device |
| CN202311635864.6A CN117481865A (en) | 2017-12-27 | 2017-12-27 | Device for adjusting and fixing tension of surgical mesh and surgical application thereof |
| CN202311635865.0A CN117752461A (en) | 2017-12-27 | 2017-12-27 | Device for adjusting and fixing tension of surgical mesh and surgical application thereof |
| PCT/CN2018/114751 WO2019128491A1 (en) | 2017-12-27 | 2018-11-09 | Tension adjusting and fixing device for surgical mesh, and surgical application thereof |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201711442828.2A CN108209991B (en) | 2017-12-27 | 2017-12-27 | Device for adjusting and fixing tension of surgical mesh and surgical application of device |
Related Child Applications (3)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202311635865.0A Division CN117752461A (en) | 2017-12-27 | 2017-12-27 | Device for adjusting and fixing tension of surgical mesh and surgical application thereof |
| CN202311635864.6A Division CN117481865A (en) | 2017-12-27 | 2017-12-27 | Device for adjusting and fixing tension of surgical mesh and surgical application thereof |
| CN202311635870.1A Division CN117481866A (en) | 2017-12-27 | 2017-12-27 | Device for adjusting and fixing tension of surgical mesh and surgical application of device |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN108209991A true CN108209991A (en) | 2018-06-29 |
| CN108209991B CN108209991B (en) | 2023-11-24 |
Family
ID=62648072
Family Applications (4)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202311635865.0A Pending CN117752461A (en) | 2017-12-27 | 2017-12-27 | Device for adjusting and fixing tension of surgical mesh and surgical application thereof |
| CN201711442828.2A Active CN108209991B (en) | 2017-12-27 | 2017-12-27 | Device for adjusting and fixing tension of surgical mesh and surgical application of device |
| CN202311635864.6A Pending CN117481865A (en) | 2017-12-27 | 2017-12-27 | Device for adjusting and fixing tension of surgical mesh and surgical application thereof |
| CN202311635870.1A Pending CN117481866A (en) | 2017-12-27 | 2017-12-27 | Device for adjusting and fixing tension of surgical mesh and surgical application of device |
Family Applications Before (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202311635865.0A Pending CN117752461A (en) | 2017-12-27 | 2017-12-27 | Device for adjusting and fixing tension of surgical mesh and surgical application thereof |
Family Applications After (2)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202311635864.6A Pending CN117481865A (en) | 2017-12-27 | 2017-12-27 | Device for adjusting and fixing tension of surgical mesh and surgical application thereof |
| CN202311635870.1A Pending CN117481866A (en) | 2017-12-27 | 2017-12-27 | Device for adjusting and fixing tension of surgical mesh and surgical application of device |
Country Status (2)
| Country | Link |
|---|---|
| CN (4) | CN117752461A (en) |
| WO (1) | WO2019128491A1 (en) |
Cited By (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109099854A (en) * | 2018-08-29 | 2018-12-28 | 江苏省工程勘测研究院有限责任公司 | A kind of measuring device and measuring method of Larger water depths |
| CN109528280A (en) * | 2018-12-19 | 2019-03-29 | 中国人民解放军第二军医大学第二附属医院 | A kind of non-displacement device and anti-displacement system for interior fixation |
| 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 |
| CN112294376A (en) * | 2019-08-29 | 2021-02-02 | 杭州德晋医疗科技有限公司 | A long-range suture locking device of staple and intervention formula for locking suture |
| CN113558561A (en) * | 2021-07-26 | 2021-10-29 | 重庆市黔江中心医院 | Vaginal speculum |
| CN114081557A (en) * | 2021-10-25 | 2022-02-25 | 运医之星(上海)科技有限公司 | Self-threading inserter |
Families Citing this family (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111193166A (en) * | 2020-01-16 | 2020-05-22 | 东莞市谨瑞电子科技有限公司 | Wire clamping mechanism and electronic module assembling mechanism |
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- 2017-12-27 CN CN202311635865.0A patent/CN117752461A/en active Pending
- 2017-12-27 CN CN201711442828.2A patent/CN108209991B/en active Active
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- 2017-12-27 CN CN202311635870.1A patent/CN117481866A/en active Pending
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| Publication number | Priority date | Publication date | Assignee | Title |
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| 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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| CN109528280B (en) * | 2018-12-19 | 2023-12-29 | 中国人民解放军第二军医大学第二附属医院 | Anti-displacement device and anti-displacement system for internal fixation |
| CN112294376A (en) * | 2019-08-29 | 2021-02-02 | 杭州德晋医疗科技有限公司 | A long-range suture locking device of staple and intervention formula for locking suture |
| CN112294376B (en) * | 2019-08-29 | 2021-12-28 | 杭州德晋医疗科技有限公司 | A long-range suture locking device of staple and intervention formula for locking suture |
| CN113558561A (en) * | 2021-07-26 | 2021-10-29 | 重庆市黔江中心医院 | Vaginal speculum |
| CN114081557A (en) * | 2021-10-25 | 2022-02-25 | 运医之星(上海)科技有限公司 | Self-threading inserter |
Also Published As
| Publication number | Publication date |
|---|---|
| CN117481866A (en) | 2024-02-02 |
| WO2019128491A1 (en) | 2019-07-04 |
| CN117752461A (en) | 2024-03-26 |
| CN108209991B (en) | 2023-11-24 |
| CN117481865A (en) | 2024-02-02 |
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