CN109009594A - A kind of active urine bladder force assistance device and application method - Google Patents

A kind of active urine bladder force assistance device and application method Download PDF

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Publication number
CN109009594A
CN109009594A CN201810665316.0A CN201810665316A CN109009594A CN 109009594 A CN109009594 A CN 109009594A CN 201810665316 A CN201810665316 A CN 201810665316A CN 109009594 A CN109009594 A CN 109009594A
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Prior art keywords
bladder
power
receptor
detrusor
film
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Granted
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CN201810665316.0A
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Chinese (zh)
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CN109009594B (en
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江海红
李海燕
卿凌
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First Affiliated Hospital of Wenzhou Medical University
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First Affiliated Hospital of Wenzhou Medical University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices

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  • Health & Medical Sciences (AREA)
  • Nursing (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • External Artificial Organs (AREA)

Abstract

The invention discloses a kind of active urine bladder force assistance device and application methods, including shrink film, power-equipment and receptor, the shrink film is placed in the gap between detrusor urinae of bladder muscle layer and placenta percreta, the receptor is sticked in detrusor muscle layer, the receptor and power-equipment couple, the power-equipment and shrink film link, the shrink film includes fixed film and film spreading, the edge of the fixed film and film spreading is mutually permanently connected, power fluid is filled in the accommodation space, the power-equipment includes the kinetic pump for storing the storage chamber of power fluid He being arranged in storage chamber.Active urine bladder force assistance device of the invention, pass through the setting of shrink film, power-equipment and receptor, it can effectively realize and occur after urine has expired in bladder, receptor can be experienced timely, and then power-equipment driving shrink film shrinks and then assists that detrusor urinae of bladder is promoted to shrink urination.

Description

A kind of active urine bladder force assistance device and application method
Technical field
The present invention relates to a kind of Medical Devices, more particularly to a kind of active urine bladder force assistance device.
Background technique
Clinically vesical dysfunction mainly includes two aspects, i.e. realization bladder low pressure urine storage dysfunction and realization bladder In urination, effective systolic pressure power, which is moderately increased, excludes urine obstacle, the specific lower urinary tract symptom and bladder and phase relation that it is related to System property kinds of Diseases are various, can show the urine storage dysfunction of pure, the urination impairment of pure and Combination Or detrusor and sphincter that the low pressure urine storage and contraction urination double combination obstacle or even associated nervous disorder of complexity cause The performance such as dyssynergia.Vesical dysfunction is found in each age level, and masculinity femininity may all occur, and sees heredity in the cause of disease Exception, bladder function degeneration, wound, neuropathy or basin perineum and spinal cord brain lesions and postoperative etc..At present for intractable Vesical dysfunction does not have particularly effective treatment means and a device, especially when bladder capacity it is small cannot effective urine storage when, or When the low dynamic contraction bladder urination obstacle out of strength of bladder or even the serious retention of urine, bladder disorders minimal invasive treatment's matter of such feature Measure the excessively poor or even later period can concurrently the urinary incontinence of many types, skin of perineum fester, repeatedly urethral infection, vesical calculus, Hydroureter backflows and the not congruent complication of renal function or even crisis life.
Summary of the invention
For existing clinical treatment means scarcity and the implantable technical equipment missing for specifically treating vesical dysfunction, originally Goal of the invention is that providing one kind can effectively assist realizing detrusor urinae of bladder low pressure urine storage and enhance detrusor urinae of bladder contraction The active urine bladder force assistance device of drained of urine.
To achieve the above object, it the present invention provides the following technical scheme that a kind of active urine bladder force assistance device, including receives Contracting film, power-equipment and receptor, the shrink film is arranged in the gap between detrusor muscle layer and placenta percreta, for driving Dynamic detrusor contractions, cut when device is implanted in operation on bladder and separate corresponding level, can carry out on original bladder, new wing Carried out on Guang, after bladder with partial resection, after cystectasy when implantation is installed, the receptor is sticked in detrusor flesh On layer, urine signal is forced for experiencing bladder inner capacities and pressure and exporting, the receptor and power-equipment couple, the power Equipment links with shrink film, and to receive the driving shrink film contraction after forcing urine signal of receptor output, the shrink film includes solid Determine film and film spreading, the edge of the fixed film and film spreading is mutually permanently connected, and constitutes accommodation space, the appearance in-between It receives filled with power fluid in space, the power-equipment includes for storing the storage chamber of power fluid and being arranged in storage chamber Kinetic pump offers communication port in the cavity wall of the storage chamber, the communication port by conduit be connected to fixed film and film spreading it Between accommodation space in, and be interconnected with the accommodation space, the kinetic pump and receptor couple, to receive receptor output Force urine signal driving power fluid be injected into accommodation space so that film spreading towards detrusor expanding extruding shrink detrusor.
As a further improvement of the present invention, the receptor includes experiencing pedestal and several experience line, and several Described one end for experiencing line with experience pedestal and connect, the other end is fixedly connected with detrusor, constitutes the impression for encasing detrusor Net, as the expansion of detrusor is reduced and stretches and bounces back, described to experience pedestal and kinetic pump and couple, and forces urine signal to dynamic with output In power pump, experiencing for several has length threshold in line, when experiencing line and being elongated to length threshold, experiences pedestal output and urine is forced to believe Number in kinetic pump.
As a further improvement of the present invention, described to experience sensing unit that line includes several and adjacent for connecting The connection buckle of sensing unit, the connection buckle includes the pin thread and female thread connecting respectively with two adjacent sensing units, described Pin thread and female thread are made by conductive material, are connected between the pin thread and female thread by elastic membrane, when pin thread and female thread When being interlocked, elastic membrane is in reset state, it is described experience total nor gate and several branch nor gates are equipped in pedestal, the branch or The quantity of NOT gate is corresponded with the quantity for experiencing line, the input terminal which has quantity equal with female thread and and female thread It connecting one to one, the pin thread connects to power supply, and total nor gate has the input terminal equal with branch nor gate quantity, The output end of several branch nor gates corresponds with the input terminal of total nor gate couple respectively, the output end of total nor gate It is coupled with kinetic pump.
As a further improvement of the present invention, the storage chamber is made of the reservoir of elasticity, the reservoir of the elasticity Side capsule bread is wrapped up on the outer wall of bladder, and the communication port is the Nang Kou of reservoir.
As a further improvement of the present invention, the kinetic pump includes the pump housing and the driving motor for driving the pump housing to operate And it is fixed on the rechargeable battery on the fuselage of driving motor, the pump housing has input port, delivery outlet and drive shaft, the drive The fuselage of dynamic motor is fixedly connected with reservoir, and the drive shaft is coaxially fixed in the shaft of driving motor, the input port It is fixedly connected and is interconnected with the Nang Kou of reservoir, the delivery outlet is fixedly connected and is interconnected with conduit, the charging Battery is electrically connected with receptor, and to provide power to driving motor and receptor, the driving motor is electrically connected with receptor, with Controlled and acted by receptor, be pasted with charge coil on the rechargeable battery, the charge coil and extraneous mutual inductance, and with charging Battery electrical connection, with charge after extraneous mutual inductance into rechargeable battery.
As a further improvement of the present invention, the pump housing includes pump case and the impeller that is rotatably arranged in pump case, The pump case includes drive disk, the input section fixed with reservoir Nang Kou and the deferent segment fixed with conduit of inner hollow, The input section, drive disk and output end are connected with each other and are interconnected, and the input port is arranged in input section, the output Mouth is arranged in deferent segment, and the drive shaft is rotatable to be penetrated into drive disk, and the impeller is fixed on drive shaft and penetrates drive On one end of Moving plate, the impeller is made of the wheel piece of two strips connection across, and criss-cross junction is fixed on On the end of drive shaft, the end of the wheel piece and the inner wall of drive disk fit, and the input section and deferent segment are each attached to drive It on the disk side of Moving plate, and is between the two in straight line, wherein when this passes straight through drive disk, deviate the core of drive disk.
It as a further improvement of the present invention, further include remote controler, the kinetic pump is connected with Wireless Transmitter, this is wireless Transmitter and remote controler are wirelessly connected, to receive control kinetic pump movement after remote controller signal.
Another aspect of the present invention provides a kind of application method of above-mentioned apparatus, includes the following steps:
Step 1 partially opens the bladder wall placenta percreta by operation on bladder, with appear detrusor muscle layer, it is free two layers it Between gap;
Step 2, by shrink film be implanted to detrusor muscle layer, it is two layers free between gap in, film spreading is attached to detrusor In muscle layer, fixed film is attached on placenta percreta, and power-equipment is arranged in human body on juxtavesical position, and will sense Receiver is attached in detrusor muscle layer;
Step 3, power-equipment and shrink film are linked across the bladder wall, and receptor and power-equipment are connected by conducting wire It connects;
Step 4 starts receptor and power-equipment.
Beneficial effects of the present invention pass through the setting of shrink film, power-equipment and receptor, so that it may effectively pass through sense Whether receiver experiences bladder pressure, and according to bladder urine capacity and pressure condition, need to urinate in conjunction with patient, grasps bladder Full situation and pressure condition, so can effectively realize a kind of auxiliaring effect of bladder low pressure urine storage, then in receptor It experiences that urine fills with or when pressure reaches threshold value, transmission is forced in urine signal to power-equipment, then passes through power Device drives shrink film is shunk, and then is so realized one with detrusor contractions by shrink film well and needed to urinate When, shrink film can be carried out effectively contraction and assist intravesical detrusor contractions, and then realize an auxiliary bladder row The effect of urine, just do not need so compared in technology reduce bladder outlet resistance promote bladder emptying therapy intervention or oneself Intermittence emptying, and by the way that shrink film is arranged to fixed film and film spreading, whether can be filled out using kinetic pump driving power fluid The mode in accommodation space is charged to realize the contraction of shrink film, so realizes an enhancing auxiliary detrusor contractions row well The effect of empty urine.
Detailed description of the invention
Fig. 1 is the overall structure figure of active urine bladder force assistance device of the invention;
Fig. 2 is the overall structure figure of the kinetic pump in Fig. 1;
Fig. 3 is the overall structure figure of the receptor in Fig. 1;
Fig. 4 is the enlarged drawing in the portion A in Fig. 3;
Fig. 5 is the circuit diagram for experiencing chassis interior.
Specific embodiment
The present invention is described in further detail below in conjunction with embodiment given by attached drawing.
Shown in 5, a kind of active urine bladder force assistance device of the present embodiment, including shrink film 1, power-equipment 3 And receptor 2, the shrink film 1 is arranged in the gap between detrusor muscle layer and placenta percreta, for driving detrusor to receive Contracting, the receptor 2 are sticked in detrusor muscle layer, force urine signal for experiencing bladder inner capacities and pressure and exporting, described Receptor 2 and power-equipment 3 couple, and the power-equipment 3 links with shrink film 1, force urine signal with receive the output of receptor 2 Driving shrink film 1 is shunk afterwards, and the shrink film 1 includes fixed film 11 and film spreading 12, the fixed film 11 and film spreading 12 Edge is mutually permanently connected, and constitutes accommodation space in-between, is filled with power fluid, the power-equipment in the accommodation space 3 include for storing the storage chamber 31 of power fluid and the kinetic pump 32 being arranged in storage chamber 31, the cavity wall of the storage chamber 31 On offer communication port, which is connected in the accommodation space between fixed film 11 and film spreading 12 by conduit, and with The accommodation space is interconnected, and the kinetic pump 32 is coupled with receptor 2, urinates signal driving to receive forcing for the output of receptor 2 Power fluid is injected into accommodation space, so that film spreading 12 shrinks detrusor towards detrusor expanding extruding, is using this implementation Example auxiliary device during need to carry out by using method using, thus can be according to operation on bladder when, including On original bladder, on new bladder, bladder portion cut after, after bladder sticking patch, it is such related for bladder after cystectasy etc. After disease and vesical dysfunction treatment on bladder, partially open the bladder wall placenta percreta, appear detrusor muscle layer, dissociate two layers it Between gap, then by between the implantation of shrink film 1, wherein film spreading 12 is attached in detrusor muscle layer, and fixed film 11 is attached to serous coat On layer, while receptor 2 being also attached in detrusor muscle layer, power-equipment 3 is arranged in human body and leans on juxtavesical pelvic cavity position Set, wherein the operation on bladder in the present embodiment be the existing conventional open operation cut or sutured for bladder, Minimally Invasive Surgery or the inferior surgical procedure of robot assisted, such whole device will start to work, be full of in bladder under hysteroscope When urine or bladder pressure reach certain threshold value, that is, indicate to carry out urinating at this time, thus receptor 2 can experience urine Liquid has filled up detrusor muscle layer, realizes that auxiliary bladder carries out the movement of low pressure urine storage, thus forces urine signal to power with regard to sending In equipment 3, power-equipment 3 will be acted, in kinetic pump 32 rotate, the power fluid in storage chamber 31 is injected into fixed film In accommodation space between 11 and film spreading 12, such film spreading 12 will be expanded under the extruding of power fluid towards detrusor, Detrusor is squeezed, so that detrusor contractions, thus the space inside detrusor is reduced, it so realizes the urine inside detrusor Liquid squeezes out the effect for realizing urination from urethral orifice, so passes through the setting of receptor 2, power-equipment 3 and shrink film 1, so that it may The effective intravesical detrusor for realizing auxiliary people shrink the effect of urination, thus there is no need to compared in technology one Sample indirectly reduces bladder outlet resistance or oneself interrupted catheterization treatment empties to promote to urinate, and greatly facilitates the life of patient It is living, the freedom degree and comfort of patient's daily life are increased, also can avoid or delay the correlation occurred in prior art processing concurrent Disease, and in such a way that power-equipment 3 is arranged to storage chamber 31, kinetic pump 32 and power fluid, it can be simply and effectively and solid Determine cooperation between film 11 and film spreading 12 and realize the effect that driving is shunk, and overall structure is simple, component is less, thus is being implanted into When into the human body, complicated implant surgery is not needed, wherein the kinetic pump 32 in the present embodiment is in auxiliary detrusor row After urine is completed, movement will be inverted, power fluid is injected back into again in storage chamber 31, avoided with this because power fluid is still deposited The problem of caused detrusor can not be expanded with the filling of urine, and the movement of above-mentioned kinetic pump 32 can pass through impression Device 2 controls, or is realized according to the mode of bladder capacity size calculating action time when the holding low pressure of patient.
As a kind of improved specific embodiment, the receptor 2 includes experiencing pedestal 21 to experience line with several 22, several described one end for experiencing line 22 with experience pedestal 21 and connect, the other end is fixedly connected with detrusor, and composition encases The impression net of detrusor, as the expansion of detrusor is reduced and stretches and bounces back, described to experience pedestal 21 and the coupling of kinetic pump 32, with Output is forced in urine signal to kinetic pump 32, and experiencing for several has length threshold in line 22, is elongated to length threshold when experiencing line 22 When value, experience the output of pedestal 22 and force in urine signal to kinetic pump 32, since detrusor is integrally substantially in sphere shape, at it During interior urine storage, detrusor will integrally expand, then the diameter of its sphere just will increase naturally, if therefore passing through Dry item is experienced line 22 and is extended as detrusor muscle layer expands, and can so be detected in the way of experiencing whether line 22 extend Whether the urine in detrusor muscle layer, which is full of needs, is urinated, and detection that can be comprehensive, avoids inspection caused by single-point detection The incomplete problem of result is surveyed, wherein experiencing line 22 and can also feel by experiencing one end of pedestal 21 backwards in the present embodiment It is all fixedly connected when encased detrusor by line, forms the sphere for encasing detrusor, line will be experienced to realize with this 22 are fixed on detrusor, so there is no need to experience line 22 and detrusor to be attached operation, reduce patient's body wound Hurt.
It is described to experience the sensing unit 221 and be used for that line 22 includes several as a kind of improved specific embodiment Connect the connection buckle 222 of adjacent sensing unit 221, the connection buckle 222 include respectively with two adjacent sensing units 221 The pin thread 2221 and female thread 2222 of connection, the pin thread 2221 and female thread 2222 are made by conductive material, the pin thread It is connected between 2221 and female thread 2222 by elastic membrane, when pin thread 2221 is interlocked with female thread 2222, elastic membrane, which is in, to be resetted State, it is described experience total nor gate 211 and several branch nor gates 212 are equipped in pedestal 21, the quantity of the branch nor gate 212 with The quantity for experiencing line 22 corresponds, the branch nor gate 212 have the quantity input terminal equal with female thread 2222 and with female thread one One is correspondingly connected with, and the pin thread 2221 connects to power supply, and total nor gate 211 has equal with 212 quantity of branch nor gate Input terminal, the output end of several branch nor gates 212 respectively with the input terminal of total nor gate 211 correspond couple, it is described The output end and kinetic pump 32 of total nor gate 211 couple, and use pin thread 2221 and female thread 2222 and total nor gate 211 and branch The setting of nor gate 212 can be realized using the logical relation of total nor gate 211 and branch nor gate 212 for experiencing line 22 The information of feedback is effectively handled, and above-mentioned two logical relation is desirably integrated on a logic chip, therefore can be with The volume for experiencing pedestal 21 is further decreased, can preferably be implanted to the internal of patient, and line 22 will be experienced by taking The design of multisection type may be implemented to experience the convergent force that line 22 is exported during detrusor expands, be elastic membrane quilt The elastic force of stretching, and when an elastic membrane is stretched to certain length, other elastic membranes will be stretched, with this Guarantee that the convergent force for experiencing line 22 is the elastic force that an elastic membrane is stretched, so can effectively avoid because experiencing line 22 Detrusor caused by convergent force is excessive can not comfortable diastole the problem of, while can also be using elastic membrane be set in the present embodiment It is set to connecting rope, two magnet to attract each other are then respectively set on pin thread 2221 and female thread 2222, utilize the suction of magnet Power realizes that will experience line 22 bounces back, in case detection next time, and since the suction of magnet is being more than that will lose after certain distance Effect, thus can be good at avoiding the problem that because experience 22 convergent force of line it is excessive caused by detrusor can not comfortable diastole, An auxiliary bladder low pressure urine storage is effectively so realized, avoids ureteral vesicoureteral reflux, uronephrosis and protection renal function Effect.
As a kind of improved specific embodiment, the storage chamber 31 is made of the reservoir of elasticity, the storage of the elasticity The side capsule bread of liquid capsule is wrapped up on the outer wall of bladder, and the communication port is the Nang Kou of reservoir, and storage chamber 31 is arranged to liquid storage Capsule, and be wrapped on the outer wall of bladder, it on the one hand can be good at realization and be implanted in storage chamber 31 in patient body, another party Face on the outer wall for being distributed to bladder of the space uniform of storage chamber 31, can will be avoided can not because 31 volume of storage chamber is excessive The problem of being implanted in patient body well.
As a kind of improved specific embodiment, the kinetic pump 32 is including the pump housing 321 and for driving the pump housing 321 to transport The driving motor 322 of work and the rechargeable battery 323 being fixed on the fuselage of driving motor 322, the pump housing 321 have input Mouth, delivery outlet and drive shaft, the fuselage of the driving motor 322 are fixedly connected with reservoir, and the drive shaft is coaxially fixed on In the shaft of driving motor 322, the input port is fixedly connected and is interconnected with the Nang Kou of reservoir, the delivery outlet with lead Pipe is fixedly connected and is interconnected, and the rechargeable battery 323 is electrically connected with receptor 2, to provide power to 322 He of driving motor Receptor 2, the driving motor 322 are electrically connected with receptor 2, are acted, the rechargeable battery 323 with being controlled by receptor 2 On be pasted with charge coil 324, the charge coil 324 and extraneous mutual inductance, and be electrically connected with rechargeable battery 323, with mutual with the external world It charges after sense into rechargeable battery 323, during kinetic pump 32, receptor 2 work is supplied by rechargeable battery 323 Electricity, and by the setting of the charge coil 324 on rechargeable battery 323, it can be by way of charge coil 324 and external mutual inductance It charges to rechargeable battery 323, does not just need when dead battery so, need to perform the operation taking-up displacement and extraction charging cable And wound is manufactured on human body, while an induction charging device can be installed on the bed of patient in the present embodiment, in disease People just gives rechargeable battery 323 to charge when sleep, to avoid the caused a series of problem out of power of rechargeable battery 323.
As a kind of improved specific embodiment, the pump housing 321 includes pump case 3211 and is rotatably arranged on pump Impeller 3212 in shell 3211, the pump case 3211 include the drive disk of inner hollow, the input section fixed with reservoir Nang Kou And the deferent segment fixed with conduit, the input section, drive disk and output end are connected with each other and are interconnected, the input port It is arranged in input section, the delivery outlet is arranged in deferent segment, and the drive shaft is rotatable to be penetrated into drive disk, described Impeller 3212 is fixed on drive shaft and penetrates on one end of drive disk, and the impeller 3212 connects into ten by the wheel piece of two strips Font is constituted, and criss-cross junction is fixed on the end of drive shaft, and the end of the wheel piece and the inner wall of drive disk fit, The input section and deferent segment are each attached on the disk side of drive disk, and are between the two in straight line, wherein the straight line is worn Overdrive disk when, deviate the core of drive disk, using straight line deviate core setting, can when detrusor contractions, Power fluid in accommodation space will flow into the pump case 3211 of the pump housing 321, then will impact impeller 3212, such impeller 3212 will because of power fluid impact and reversely rotate and enter reservoir, the mistake that can be expanded in this way in detrusor Cheng Zhong, power fluid step into reservoir with the expansion of detrusor, just do not need design driven motor 322 so It is rotating forward in emptying detrusor after urine, it is also necessary to which reversion sends back to power fluid in reservoir.
It further include remote controler 4 as a kind of improved specific embodiment, the kinetic pump 32 is connected with Wireless Transmitter 325, the Wireless Transmitter 325 and remote controler 4 are wirelessly connected, and are acted, are passed through with receiving control kinetic pump 32 after 4 signal of remote controler The setting of remote controler 4 can control kinetic pump 32 by Wireless Transmitter 325, realize that people manually controls the effect of kinetic pump 32 Fruit.
In conclusion the auxiliary device of the present embodiment, by receptor 2, power-equipment 3 and shrink film 1 with cooperation With can realize the expansion for experiencing detrusor by receptor 2, and then pass through the mating reaction of power-equipment 3 and shrink film 1 Realize auxiliary detrusor contractions urination.
The above is only a preferred embodiment of the present invention, protection scope of the present invention is not limited merely to above-mentioned implementation Example, all technical solutions belonged under thinking of the present invention all belong to the scope of protection of the present invention.It should be pointed out that for the art Those of ordinary skill for, several improvements and modifications without departing from the principles of the present invention, these improvements and modifications It should be regarded as protection scope of the present invention.

Claims (8)

1. a kind of active urine bladder force assistance device, it is characterised in that: including shrink film (1), power-equipment (3) and receptor (2), the shrink film (1) is arranged in the gap between detrusor muscle layer and placenta percreta, described for driving detrusor contractions Receptor (2) is sticked in detrusor muscle layer, forces urine signal, the receptor for experiencing bladder inner capacities and pressure and exporting (2) it is coupled with power-equipment (3), the power-equipment (3) and shrink film (1) are linked, and force urine with receive receptor (2) output Shrink film (1) is driven to shrink after signal, the shrink film (1) includes fixed film (11) and film spreading (12), the fixed film (11) it is mutually permanently connected with the edge of film spreading (12), constitutes accommodation space in-between, be filled in the accommodation space Power fluid, the power-equipment (3) include for storing the storage chamber of power fluid (31) and being arranged in storage chamber (31) dynamic Power pumps (32), offers communication port in the cavity wall of the storage chamber (31), which is connected to fixed film (11) by conduit In accommodation space between film spreading (12), and it is interconnected with the accommodation space, the kinetic pump (32) and receptor (2) Coupling, with receive receptor (2) output force urine signal driving power fluid be injected into accommodation space so that film spreading (12) court To detrusor expanding extruding detrusor contractions bladder.
2. active urine bladder force assistance device according to claim 1, it is characterised in that: the receptor (2) includes impression Pedestal (21) and several experience line (22), several described one end for experiencing line (22) with experience pedestal (21) and connect, The other end is fixedly connected with detrusor, constitutes the impression net for encasing detrusor, as the expansion of detrusor is reduced and is stretched and is bounced back, It is described to experience pedestal (21) and kinetic pump (32) coupling, it is forced in urine signal to kinetic pump (32) with output, several are experienced line (22) there is length threshold in, when experiencing line (22) and being elongated to length threshold, experience pedestal (22) output and force urine signal to dynamic Power pumps in (32).
3. active urine bladder force assistance device according to claim 2, it is characterised in that: described to experience line (22) include several A sensing unit (221) and the connection buckle (222) for connecting adjacent sensing unit (221), connection buckle (222) packet Include the pin thread (2221) and female thread (2222) connecting respectively with two adjacent sensing units (221), the pin thread (2221) and Female thread (2222) is made by conductive material, is connect between the pin thread (2221) and female thread (2222) by elastic membrane, When pin thread (2221) and female thread (2222) are interlocked, elastic membrane is in reset state, described to experience in pedestal (21) equipped with total Nor gate (211) and several branch nor gates (212), the quantity of the branch nor gate (212) and experience the quantity of line (22) one by one Corresponding, which has the quantity input terminal equal with female thread (2222) and connects one to one with female thread, described Pin thread (2221) connects to power supply, and total nor gate (211) has the input terminal equal with branch nor gate (212) quantity, The output end of several branch nor gates (212) corresponds with the input terminal of total nor gate (211) couple respectively, described total or non- The output end of door (211) and kinetic pump (32) couple.
4. active urine bladder force assistance device according to claim 1 or 2 or 3, it is characterised in that: the storage chamber (31) by The reservoir of elasticity is constituted, and the side capsule bread of the reservoir of the elasticity is wrapped up on the outer wall of bladder, and the communication port is reservoir Nang Kou.
5. active urine bladder force assistance device according to claim 4, it is characterised in that: the kinetic pump (32) includes the pump housing (321) and for driving the driving motor (322) of the pump housing (321) running and being fixed on the fuselage of driving motor (322) Rechargeable battery (323), the pump housing (321) have input port, delivery outlet and drive shaft, the fuselage of the driving motor (322) It is fixedly connected with reservoir, the drive shaft is coaxially fixed in the shaft of driving motor (322), the input port and reservoir Nang Kou be fixedly connected and be interconnected, the delivery outlet is fixedly connected and is interconnected with conduit, the rechargeable battery (323) It is electrically connected with receptor (2), to provide power to driving motor (322) and receptor (2), the driving motor (322) and sense Receiver (2) electrical connection, is acted with being controlled by receptor (2), is pasted on the rechargeable battery (323) charge coil (324), The charge coil (324) and extraneous mutual inductance, and be electrically connected with rechargeable battery (323), with after extraneous mutual inductance to rechargeable battery (323) charging in.
6. active urine bladder force assistance device according to claim 5, it is characterised in that: the pump housing (321) includes pump case (3211) and the impeller (3212) that is rotatably arranged in pump case (3211), the pump case (3211) includes the drive of inner hollow Moving plate, the input section fixed with reservoir Nang Kou and the deferent segment fixed with conduit, the input section, drive disk and output end It is connected with each other and is interconnected, the input port is arranged in input section, and the delivery outlet is arranged in deferent segment, the driving Axis is rotatable to be penetrated into drive disk, and the impeller (3212) is fixed on drive shaft and penetrates on one end of drive disk, the leaf Wheel (3212) is made of the wheel piece of two strips connection across, and criss-cross junction is fixed on the end of drive shaft On, the end of the wheel piece and the inner wall of drive disk fit, and the input section and deferent segment are each attached on the disk side of drive disk, It and is between the two in straight line, wherein when this passes straight through drive disk, deviate the core of drive disk.
7. active urine bladder force assistance device according to claim 1 or 2 or 3, it is characterised in that: it further include remote controler (4), The kinetic pump (32) is connected with Wireless Transmitter (325), and the Wireless Transmitter (325) and remote controler (4) are wirelessly connected, to connect Control kinetic pump (32) acts after receiving remote controler (4) signal.
8. a kind of application method of claim 1 to 7 any one auxiliary device, characterized by the following steps:
Step 1, by operation on bladder, such as original bladder, on new bladder, after bladder with partial resection, after cystectasy etc. In the case of, partially open the bladder wall placenta percreta, with appear detrusor muscle layer, it is two layers free between gap;
Step 2, by shrink film (1) be implanted to detrusor muscle layer, it is two layers free between gap in, film spreading (12), which is attached to, forces It urinates in flesh muscle layer, fixed film (11) are attached on placenta percreta, and power-equipment (3) are arranged in human body and lean on juxtavesical position On, and receptor (2) is attached in detrusor muscle layer;
Step 3 links power-equipment (3) and shrink film (1) across the bladder wall, and receptor (2) and power-equipment (3) are logical Cross conducting wire connection;
Step 4 starts receptor (2) and power-equipment (3).
CN201810665316.0A 2018-06-25 2018-06-25 Bladder motility auxiliary device and using method Active CN109009594B (en)

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