CN112089504A - Implanted urine control structure - Google Patents

Implanted urine control structure Download PDF

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Publication number
CN112089504A
CN112089504A CN201910528239.9A CN201910528239A CN112089504A CN 112089504 A CN112089504 A CN 112089504A CN 201910528239 A CN201910528239 A CN 201910528239A CN 112089504 A CN112089504 A CN 112089504A
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China
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control
state
urethra
urine
urinary
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CN201910528239.9A
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Chinese (zh)
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不公告发明人
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Shanghai Clinical Engine Technology Development Cl
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Shanghai Clinical Engine Technology Development Cl
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Priority to CN201910528239.9A priority Critical patent/CN112089504A/en
Priority to PCT/CN2020/088277 priority patent/WO2020253402A1/en
Publication of CN112089504A publication Critical patent/CN112089504A/en
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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
    • A61F2/00Filters 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
    • A61F2/0004Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse
    • A61F2/0031Closure 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
    • A61F2/0036Closure 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
    • 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
    • A61F2/00Filters 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
    • 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
    • A61F2/00Filters 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
    • A61F2/0004Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse
    • A61F2/0031Closure 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
    • A61F2/0036Closure 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
    • A61F2/0045Support slings
    • 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body

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  • Health & Medical Sciences (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Cardiology (AREA)
  • Urology & Nephrology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)
  • External Artificial Organs (AREA)

Abstract

The application provides an implanted urine control structure, which mainly comprises a urine control assembly and a control assembly, wherein the control assembly is connected with the urine control assembly and is used for controlling the urine control assembly to be switched between a bound state and a release state, and when the urine control assembly is in the bound state, a urethra can be deformed for urine control; can make the urethra resume former shape and supply to urinate when accuse urine subassembly is in the release state, borrow this application can provide the accuse urine and the urination function of urethra for the patient, and produce through making the urethra and warp in order to control urine, can alleviate the not smooth problem of blood flow in the use to improve patient's use comfort.

Description

Implanted urine control structure
Technical Field
The embodiment of the application relates to the technical field of medical instruments, in particular to an implanted urine control structure with a urethral urine control function.
Background
The problems of urine leakage and even urinary incontinence caused by trauma, nerve dysfunction, surgical complications, aging and the like are important reasons for serious image patients to cause diseases such as urinary tract infection and the like, and for the problems, various technologies are developed for solving the problems at present, and main solutions are divided into two types, namely an operative treatment mode and a non-operative treatment mode.
The operation treatment mode comprises an implanted artificial urethral sphincter technology (an implanted urine control structure) represented by EP2810616A1 and US20080146868A1, the technology mainly comprises a urethral constraint device, a switch device and a connecting device, in practical application, the urethral constraint device is difficult to idealize in tightness adjustment in operation, the urethra constraint device is possibly too tight, and accordingly urination difficulty is caused, and if the urethral constraint device is loose, the urine leakage problem still can be caused.
Furthermore, the urine control structures disclosed in EP2810616a1 and US20080146868a1 all adopt a water bag structure, so that the risk of liquid leakage is easy to occur during the use process.
In addition, most of the existing implanted urine control structures adopt a mode of closing urethra to achieve the urine control effect, but the mode has the problem that the patient is easy to have unsmooth blood flow in the using process due to overlarge binding force aiming at the urethra, and obvious uncomfortable use feeling is also existed.
In view of the above, how to provide an implantable urine control structure to overcome various problems existing in the prior art is a technical problem to be solved by the present application.
Disclosure of Invention
In view of the above problems, the main object of the present invention is to provide an implantable urinary catheterizing structure, which can relieve the problem of unsmooth blood flow during use by controlling urine by bending the urethra, so as to improve the comfort of the patient.
The implantable urinary catheterizing structure of the present application provides the patient with urinary catheterizing and urination functions by implanting in the patient, comprising: the urine control device comprises a urine control component and a control component, wherein the urine control component is fixed on the urethra and can be switched between a binding state and a releasing state; the control component is connected to the urine control component and used for controlling the urine control component to switch between the restraining state and the releasing state; wherein the control component controls the urine control component to be switched to the bound state so as to enable the urethra to deform for urine control; and the urine control assembly is controlled to be switched to the release state, so that the urethra is restored to the original shape for urination.
Optionally, in this embodiment of the present application, the urine control assembly further includes a urine control body having a urethra receiving body, and the urine control assembly is fixed on the urethra by receiving a part of the urethra in the urine receiving body; and the adjusting piece can move relative to the urine control body to switch between the bound state and the release state so as to enable the urethra contained in the urethra containing body to deform for urine control or enable the urethra contained in the urethra containing body to restore to the original shape for urination.
Optionally, in this embodiment of the application, the adjusting element is configured to deform the urethral containing body to form a urine control containing space or a urination containing space inside the urethral containing body, wherein when the urine control containing space is formed inside the urethral containing body, the urethra contained in the urethral containing body can be deformed; when the urination containing space is formed in the urethra containing body, the urethra contained in the urethra containing body can be restored to the original shape.
Optionally, in this embodiment of the application, by moving the adjusting member relative to the urethral accommodation body, a force is applied to the urethra in the urethral accommodation body, so that the urethra accommodated in the urethral accommodation body is deformed under the combined action of the urethral accommodation body and the adjusting member; or the adjusting piece can move relative to the urethra containing body to release the acting force applied to the urethra, so that the urethra contained in the urethra containing body restores the original shape.
Optionally, in an embodiment of the present application, the control assembly further includes a control body, in which a urine control position, a urination position, and a movement range defined by the urine control position and the urination position are defined; the state control piece is connected with the adjusting piece and can move relative to the control body in the moving range, so that the adjusting piece is controlled to be switched between the restraining state and the releasing state; and a state holder for positioning the state controller in the urine control position.
Optionally, in this embodiment of the present application, the control body further has a housing unit, and the housing unit defines therein the urination control position, the urination position, and the movement range defined by the urination control position and the urination position; the state control piece is arranged in the accommodating unit and can move in the moving range of the accommodating unit; and the state maintaining piece is used for positioning the state control piece at the urine control position in the accommodating unit.
Optionally, in an embodiment of the present application, the status maintaining element further includes a magnetic attraction element, so that the status controlling element is positioned at the urine control position by a magnetic attraction force generated by the magnetic attraction element; or the state maintaining piece also comprises an elastic element, wherein when the state control piece is stressed to move from the urine control position to the urine discharging position, the elastic element is deformed to generate an elastic restoring force, and when the stress of the state control piece is relieved, the state control piece returns from the urine discharging position and is positioned at the urine control position by the elastic restoring force generated by the elastic element.
Optionally, in an embodiment of the present application, the control assembly further includes: a control body having a rotation structure; a state control member which is connected with the adjusting member and can rotate around the rotating structure relative to the control body to switch between a urine control state and a urination discharging state so as to control the adjusting member to switch between the restraining state and the releasing state; and a state keeping member for keeping the state control member in the urine control state.
Optionally, in an embodiment of the present application, the urine control state further includes at least a first urine control state and a second urine control state, and the state retaining member further includes a segmented urine control structure for providing at least a first urine control position and a second urine control position, so as to maintain the first urine control state or the second urine control state by positioning the state control member at the first urine control position or the second urine control position, respectively, thereby adjusting the degree of deformation of the urethra in the restrained state.
Optionally, in an embodiment of the present application, the status maintaining member further includes a status releasing unit, and when the status releasing unit is stressed, the status maintaining member is deformed to cause the status controlling member in the urine control status to be released.
Optionally, in an embodiment of the present application, the implantable urine control structure further includes a connection assembly respectively connecting the urine control assembly and the control assembly, and the connection assembly further includes: and the linkage structure is respectively connected with the adjusting piece and the state control piece so that the adjusting piece can be linked with the state control piece along with the action of the state control piece.
Optionally, in an embodiment of the present application, the interlocking structure utilizes a mechanical interlocking principle or a hydraulic principle to interlock the adjusting member with the actuation of the state control member.
Optionally, in the embodiment of the present application, the urine control assembly is disposed at a specific position of the urethra, and the urethral containing body circumferentially surrounds the urethra; the control assembly is placed at a specific location subcutaneously in or near the scrotum to facilitate the patient's operation.
Optionally, in an embodiment of the present application, the adjusting member has a guiding unit for guiding the adjusting member to move relative to the urine control body, and a pressing unit for pressing the urethra accommodated in the urethra accommodating body to generate the deformation.
Optionally, in this application embodiment, the guide unit is perpendicular to the extrusion unit, and the whole adjusting part is in an L-shaped structure or a T-shaped structure.
Optionally, in an embodiment of the present application, the urine control assembly further includes an isolation unit, and the isolation unit is configured to cover the urine control assembly and the control assembly respectively, or to cover the implantable urine control structure integrally.
According to the technical scheme, the implanted urine control structure provided by the application can control urine in a mode that the urethra is bent but not completely bound, can relieve the problem that the blood flow is not smooth easily due to too tight binding of the conventional implanted urine control structure, and can improve the use comfort of a user.
Furthermore, the implanted urine control structure of this application adopts mechanical structure to replace the water pocket structure, can avoid taking place the risk of liquid leakage in the use, can improve the safety in utilization.
Drawings
In order to more clearly illustrate the embodiments of the present application or the technical solutions in the prior art, the drawings needed to be used in the description of the embodiments or the prior art will be briefly described below, it is obvious that the drawings in the following description are only some embodiments described in the embodiments of the present application, and other drawings can be obtained by those skilled in the art according to the drawings.
Fig. 1A and 1B are schematic diagrams illustrating an overall structure of an implantable urinary catheter structure according to an embodiment of the present disclosure in different states;
FIGS. 2A and 2B are side views of the structures of FIGS. 1A and 1B, respectively;
FIG. 3 is a schematic diagram showing the overall structure of an implantable urinary continence structure according to another embodiment of the present application;
fig. 4A and 4B are schematic diagrams illustrating the overall structure of the implantable urinary catheter structure of fig. 3 according to the present application in different states;
fig. 5A to 5G are schematic views illustrating the whole and detailed structure of an implantable urinary catheter according to another embodiment of the present application; and
fig. 6A and 6B are schematic diagrams illustrating an embodiment of an isolation unit according to the present application.
Element number
Figure BDA0002098903460000051
Figure BDA0002098903460000061
Figure BDA0002098903460000071
Detailed Description
In order to make those skilled in the art better understand the technical solutions in the embodiments of the present application, the technical solutions in the embodiments of the present application will be described clearly and completely below with reference to the drawings in the embodiments of the present application, and it is obvious that the described embodiments are only a part of the embodiments of the present application, but not all embodiments. All other embodiments obtained by a person of ordinary skill in the art based on the embodiments in the present application shall fall within the scope of the protection of the embodiments in the present application.
Fig. 1A and 1B are schematic overall structural diagrams of an implantable urine control structure 1 according to a first embodiment of the present application, where fig. 1A is a schematic diagram showing a state in which a urine control component 11 is restrained, and fig. 1B is a schematic diagram showing a state in which the urine control component 11 is released. The implantable urinary catheterizing structure 1 of the present application can be implanted in a patient for providing the patient with urinary catheterizing and urination functions, and as shown in the figure, it mainly includes a urinary catheterizing component 11 and a control component 13. Wherein the urine control assembly 11 is fixed on the urethra of the patient and can be switched between a binding state (as shown in fig. 1A) and a releasing state (as shown in fig. 1B), and the control assembly 13 is connected to the urine control assembly 11 and is used for controlling the urine control assembly 11 to be switched between the binding state and the releasing state. Specifically, when the urine control assembly 11 is in a restrained state under the control of the control assembly 13, the urethra of the patient can be deformed (e.g. bent) for urine control; when the urine control assembly 11 is released under the control of the control assembly 13, the urethra of the patient can be restored to the original shape, so that the patient can urinate.
The urine control assembly 11 further comprises a urine control body 111 and an adjusting member 113, wherein the urine control body 111 has a urethra containing body 112, and a part of the urethra of the patient can be disposed in the urethra containing body 112, so that the urine control assembly 11 can be integrally positioned on the urethra of the patient. The adjusting member 113 can move relative to the urine control body 111 to switch between a bound state and a released state, so as to deform or restore the urethra accommodated in the urethra accommodating body 112 for carrying out the operation of urine control or urination.
In one embodiment, the adjusting element 113 is used for adjusting the accommodating urethra container 112 to deform the accommodating urethra container 112, so as to form a urine control accommodating space or a urination accommodating space inside the accommodating urethra container 112. Wherein, when the urethra containing body 112 forms the urine control containing space therein, the urethra contained in the urethra containing body 112 can be deformed to control urine; when the urethral containing body 112 forms a urination containing space therein, the urethra contained in the urethral containing body 112 can be restored to its original shape for urination.
In another embodiment, the adjusting member 113 can be moved relative to the urethral accommodating body 112 to deform or restore the urethra accommodated in the urethral accommodating body 112.
Specifically, please refer to fig. 1A and 1B, and fig. 2A and 2B. In this embodiment, the accommodating urethra container 112 includes an accommodating channel 1120 for accommodating a part of the urethra of the patient therein, wherein the accommodating channel 1120 is a half-open accommodating space and has a fixed side (i.e. the bottom of the accommodating channel 1120 shown in fig. 1A) and an open side (i.e. the top of the accommodating channel 1120 shown in fig. 1A), and a first buckling portion 1121 and a second buckling portion 1122 for buckling the urethra in the accommodating channel 1120 are further formed at two ends of the open side of the accommodating channel 1120, and a buckling direction of the first buckling portion 1121 is opposite to a buckling direction of the second buckling portion 1122, so as to achieve a better buckling effect, so that the urethra can be firmly positioned in the accommodating channel 1120 and is not easily dropped. However, it is not limited thereto, the first latching portion 1121 and the second latching portion 1122 can be designed to have the same latching direction (as shown in fig. 3).
In addition, a groove 1123 is formed at a middle position of the fixed side of the receiving channel 1120 (i.e., the bottom of the receiving channel 1120 shown in fig. 1A), wherein the adjusting member 113 can be received in the groove 1123 without affecting the urethra in the receiving channel 1120, or the adjusting member 113 can extend out of the groove 1123 into the receiving channel 1120 to press the urethra in the receiving channel 1120. In addition, in the embodiment shown in fig. 1A, 1B, 2A and 2B, the adjusting member 113 is formed with an arc-shaped contact surface which is adapted to the external shape of the urethra, so as to achieve better control effect. However, it is not limited thereto, and the adjusting member 113 may also be designed to be a pushing structure as shown in fig. 3, fig. 4A and fig. 4B or other structural shapes.
Referring to fig. 1A and fig. 2A in combination, when urine control is needed, the adjusting element 113 can extend out from the groove 1123 and into the accommodating channel 1120, in this state, the adjusting element 113 presses the urethra in the accommodating channel 1120 upwards from the middle position of the bottom of the accommodating channel 1120, and since the first buckling part 1121 and the second buckling part 1122 are respectively located at the two ends of the accommodating channel 1120, the middle section of the urethra arches upwards under the pressing action of the adjusting element 113 to deform, so as to achieve the purpose of urine control.
With continued reference to fig. 1B and fig. 2B, when urination is required, the adjusting member 113 can be retracted from the containing channel 1120 and received in the groove 1123, and in this state, the pressing force exerted by the adjusting member 113 on the urethra is released, so that the arched middle portion of the urethra is restored to its original shape for urination.
The control assembly 13 includes a control body 131, a state control member 132, and a state maintaining member 133 (see fig. 2A and 2B).
The control body 131 defines a urine control position (located at the top of the control body 131 shown in fig. 2A), a urination position (located at the bottom of the control body 131 shown in fig. 2A), and a movement range defined by the urine control position and the urination position.
The state control member 132 is connected to the adjusting member 113 of the urine control assembly 11, and can move relative to the control body 131 within a moving range defined by the urine control position and the urination position, so as to control the adjusting member 113 to switch between the restrained state and the released state.
In the present application, the urine control component 11 can be disposed at a specific position of the urethra of a male patient, for example, and the urethra containing body 112 circumferentially surrounds the urethra of the patient, and the control component 13 can be disposed at a specific position subcutaneously in or near the scrotum of the patient, for example, so as to facilitate the operation of the patient. The implantable urinary control structure 1 may further comprise a connecting assembly 12 for connecting the urinary control assembly 11 and the control assembly 13, respectively, wherein the connecting assembly 12 is preferably deformable, flexible and capable of force transmission in the axial direction. In the present application, the connecting component 12 may be made of a material capable of axially transmitting force and deforming, such as a polymer tube, a braided tube, or a spring tube, and is suitable for being disposed in a patient. A linking structure is further disposed inside the connecting component 12, and is respectively connected to the adjusting component 113 and the status control component 132, so that the adjusting component 113 can be linked with the status control component 132.
In one embodiment, the linking structure of the present application uses a mechanical principle to link the adjusting member 113 with the state control member 132. Specifically, as shown in fig. 2A and 2B, in the present embodiment, the connection assembly 12 further includes a sheath 121 and a mandrel 122 disposed inside the sheath 121 to serve as a linking structure, wherein both the sheath 121 and the mandrel 122 can be made of soft material, both ends of the sheath 121 are respectively connected to the urine control body 111 and the control body 131 of the urine control assembly 11, the mandrel 122 is movably disposed inside the sheath 121, and both ends of the mandrel 122 are respectively connected to the adjusting member 113 and the state control member 132, so that the adjusting member 113 can be linked with the movement of the state control member 132, in the present embodiment, when the state control member 132 is moved to the urine control position, the adjusting member 113 can be driven by the mandrel 122 to be switched to the binding state, so that the urethra accommodated in the urethra accommodating body 112 is deformed to control urine (as shown in fig. 2A), and when the state control member 132 is moved to the urination position, the adjusting member 113 is driven by the mandrel 122 to switch to a constrained state, so that the urethra accommodated in the urethra accommodating body 112 is restored to its original shape for urination (as shown in fig. 2B).
The status holding member 133 is used to position the status control member 132 in the urine control position. In the present application, the state maintaining member 133 can be implemented by various embodiments:
referring to fig. 2A and 2B, in an embodiment, the state retaining member 133 can achieve the above-mentioned positioning effect by using a magnetic attraction principle of a magnetic attraction component. Specifically, in the present embodiment, the control body 131 further has a receiving unit 130, and the receiving unit 130 defines a urine control position, a urine discharge position, and a movement range defined by the urine control position and the urine discharge position. In the embodiment shown in fig. 2A and 2B, the urine control position is defined at the top of the containing unit 130, and the urination position is defined at the bottom of the containing unit 130. The state control member 132 is disposed in the accommodating unit 130 and can move within the moving range of the accommodating unit 130; the status holder 133 is used to position the status control member 132 at the urine control position on the top of the housing unit 130.
The state holder 133 can be designed as a magnetic component, as shown in the figure, the magnetic component is composed of a first magnetic component 1331A and a magnetic component 1331B, wherein the first magnetic component 1331A is fixedly disposed at the urine control position at the top of the accommodating unit 130, and the second magnetic component 1331B is fixedly disposed on the state controller 132. As shown in fig. 2A, in a normal state, the first magnetic element 1331A and the second magnetic element 1331B are attracted to each other by a magnetic principle, so that the state control element 132 is positioned at the urine control position of the accommodating unit 130. The state control member 132 can be moved from the urination controlling position in the containing unit 130 to the urination position (as shown in fig. 2B) by applying a force to the state control member 132 for urination. In addition, when the acting force applied to the state control member 132 is released, the second magnetic element 1331B is attracted by the first magnetic element 1331A and moves toward the first magnetic element 1331A until the first magnetic element 1331A and the second magnetic element 1331B are attracted to each other, so that the state control member 132 returns to the urine control position from the urination position in the accommodating unit 130.
Referring to fig. 3, in another embodiment, the state keeping element 133 can also be designed as an elastic element 1332, as shown in the figure, two ends of the elastic element 1332 are respectively and fixedly connected to the state control element 132 and the urination position in the control body 131, wherein the elastic element 1332 can keep the state control element 132 positioned at the urination control position in the control body 131 in the initial state, when urination is required, the state control element 132 can be forced to move from the urination control position to the urination position by applying an acting force to the state control element 132, and in this state, the elastic element 1332 generates an elastic restoring force due to compression deformation; when urination is over, the force applied to the status controlling member 132 is released, so that the status controlling member 132 returns from the current urination position to the urination controlling position by the elastic restoring force generated by the elastic member 1332.
Please continue to refer to fig. 5A to 5G, which are schematic diagrams illustrating an implantable urinary catheter 1 according to another embodiment of the present application. The overall structure of the implantable urinary catheter structure 1 of this embodiment is substantially the same as that of the implantable urinary catheter structure 1 shown in fig. 1A to 1B, and for simplifying the description and making the technical focus of this embodiment more clear to those skilled in the art, only the differences in this embodiment will be described in detail below.
In this embodiment, the adjusting member 113 further has a guiding unit 1131 and a squeezing unit 1132, wherein the guiding unit 1131 is used for guiding the adjusting member 113 to move integrally relative to the urine control body 111, and the squeezing unit 1132 is used for squeezing the urethra accommodated in the urethra accommodating body 112 to generate the deformation when the adjusting member 113 moves to the constrained state. As shown in fig. 5B, the guiding unit 1131 and the pressing unit 113 are disposed vertically in the present embodiment, the adjusting member 113 can be designed to be L-shaped, but not limited thereto, and the adjusting member 113 can also be designed to be T-shaped, so that by the structural design, the contact area between the pressing unit 113 and the urethra can be increased, and a better urine control effect can be achieved.
Furthermore, referring to fig. 6A and fig. 6B, the urine control assembly 11 of the present application may further include an isolation unit 14, which is made of, for example, a biocompatible material and is used to respectively cover the urine control assembly 11 (as shown in fig. 6A) and the control assembly 13 (as shown in fig. 6B), or the isolation unit 14 may also integrally cover the implanted urine control structure 1, so that the relevant assemblies covered inside the isolation unit 14 are isolated from the body tissue, thereby preventing the body tissue fluid from infiltrating into and corroding the internal structure of the implanted urine control structure 1, and also preventing the implanted urine control structure 1 from causing infection in the patient during the use process.
In addition, in another embodiment, the linking structure in the connecting component 12 is designed to utilize the hydraulic principle to realize the linking relationship between the adjusting component 113 and the status controlling component 132. Specifically, as shown in fig. 5C, the linking structure of the present embodiment includes a sheath 121, a first piston 124, and a second piston 125, wherein a hydraulic structure 123 is disposed in the sheath 121, the first piston 124 and the second piston 125 disposed at two ends of the hydraulic structure 123 are respectively connected to the state control element 132 and the adjusting element 113, and when the state control element 132 moves relative to the control body 131, the first piston 124 is driven to move relative to the hydraulic structure 123, so that the hydraulic structure 123 generates hydraulic pressure to drive the second piston 125 to generate the linking effect, and the second piston 125 drives the adjusting element 113 to generate an action.
In addition, the structural design of the control component 13 in the present embodiment is also different from the above embodiments. Specifically, the control assembly 13 of the present embodiment includes a control body 131, a state control element 132 and a state maintaining element 133, wherein the control body 131 is provided with a rotating structure 1310, the state control element 132 is connected to the adjusting element 113 of the urine control assembly 11, and the state control element 132 is pivotally connected to the rotating structure 1310 and can rotate around the rotating structure 1310 relative to the control body 131 to switch between a urine control state and a urination discharging state, so as to control the adjusting element 113 to switch between the restraining state and the releasing state. Specifically, referring to fig. 5F, the state control member 132 of the present embodiment further includes a mounting shaft 1321, an annular sleeve 1322 is disposed at an end of the first piston 124, the annular sleeve 1322 is sleeved on the mounting shaft 1321, so that the annular sleeve 1322 can rotate relative to the mounting shaft 1321, when the state control member 132 rotates relative to the rotating structure 1310 (i.e., the control body 131), the first piston 124 is driven to linearly move along the axial direction of the sheath tube 121 through the structural design of the mounting shaft 1321 and the annular sleeve 1322, and the adjusting member 113 is driven to switch between the constrained state and the released state through the hydraulic structure 123 in the sheath tube 121.
The status holding member 133 is used to maintain the status controlling member 132 in the urine control status. In the present embodiment, the state maintaining member 133 further includes a segmented urine control structure for providing a plurality of urine control positions (including a first urine control position and a second urine control position), as shown in fig. 5G, the segmented urine control structure of the present application is, for example, a plurality of fastening portions 1333a,1333b formed on the control body 131, and the state controlling member 132 is engaged with different fastening portions 1333a,1333b to maintain the state controlling member 132 in the first urine control state or the second urine control state, so as to adjust the deformation degree of the urethra in the restrained state, so as to meet different use requirements, and thus the urine control structure design of the present application is more humanized. It should be noted that the number of the buckling parts in the sectional urine control structure is not limited to two, and can be increased according to the actual use requirement.
In addition, the status holding member 133 includes a status releasing unit 1334, wherein when the status releasing unit is applied with a force, the status holding member 133 is deformed to release the status controlling member 132 in the urine controlling state. Specifically, the state releasing unit 1334 is, for example, a cantilever structure formed on the body of the state holder 133, when the user needs to urinate, the state releasing unit (cantilever structure) 1334 can be used as a force application point and poke the end 132a of the state controller to rotate the state controller 132 around the rotating structure 1310 relative to the control body 131, at this time, the state releasing unit 1334 is pressed downwards to deform the state releasing unit 1334, so that the segmented urine control structure portion disposed on the state holder 133 is deformed therewith, the fastening state between the fastening portion 1333 a/fastening portion 1333b and the state controller 132 is loosened, and the state controller 132 in the urine control state is released. In conclusion, the implanted urine control structure provided by the application achieves the effect of urine control by bending the urethra instead of closing the urethra, can relieve the problem of unsmooth blood flow in the using process and improves the use comfort of a patient.
Furthermore, the implanted urine control structure of this application adopts mechanical structure to replace current water pocket structure, can avoid taking place to lead to the risk of liquid leakage because of the water pocket breaks in the use, can effectively improve the safety in utilization.
Finally, it should be noted that: the above embodiments are only used for illustrating the technical solutions of the embodiments of the present application, and are not limited thereto; although the present application has been described in detail with reference to the foregoing embodiments, it should be understood by those of ordinary skill in the art that: the technical solutions described in the foregoing embodiments may still be modified, or some technical features may be equivalently replaced; and such modifications or substitutions do not depart from the spirit and scope of the corresponding technical solutions in the embodiments of the present application.

Claims (16)

1. An implantable urinary catheterizing structure for providing a patient with urinary catheterizing and excreting functions of a urethra by being implanted in the patient, comprising:
a urine control assembly fixed to the urethra and switchable between a tethered state and a released state; and
the control component is connected with the urine control component and is used for controlling the urine control component to switch between the restraining state and the releasing state; wherein the content of the first and second substances,
the control component controls the urine control component to be switched to the bound state so as to enable the urethra to deform for urine control; and the urine control assembly is controlled to be switched to the release state, so that the urethra is restored to the original shape for urination.
2. The implantable urinary control structure of claim 1, wherein the urinary control assembly further comprises:
the urine control body is provided with a urethra accommodating body, and part of the urethra is accommodated in the urethra accommodating body so that the urine control assembly is fixed on the urethra; and
the adjusting piece can move relative to the urine control body to switch between the bound state and the release state so as to enable the urethra contained in the urethra containing body to deform for urine control or enable the urethra contained in the urethra containing body to restore to the original shape for urination.
3. The implantable urinary catheter structure according to claim 2, wherein the adjusting member is configured to deform the urethral accommodating body to form a urinary catheter accommodating space or a urination accommodating space inside the urethral accommodating body, and wherein the urethral canal accommodated in the urethral accommodating body is deformed when the urethral accommodating body forms the urinary catheter accommodating space; when the urination containing space is formed in the urethra containing body, the urethra contained in the urethra containing body can be restored to the original shape.
4. The implantable urinary control structure according to claim 2, wherein the urethra accommodated in the urethra accommodating body is deformed under the combined action of the urethra accommodating body and the regulating member by moving the regulating member relative to the urethra accommodating body to apply a force to the urethra in the urethra accommodating body; or the adjusting piece can move relative to the urethra containing body to release the acting force applied to the urethra, so that the urethra contained in the urethra containing body restores the original shape.
5. The implantable urinary control structure of claim 2, wherein the control assembly further comprises:
the urine control device comprises a control body, a urine control position, a urine discharging position and a moving range defined by the urine control position and the urine discharging position, wherein the urine control position, the urine discharging position and the moving range are defined in the control body;
the state control piece is connected with the adjusting piece and can move relative to the control body in the moving range, so that the adjusting piece is controlled to be switched between the restraining state and the releasing state; and
a status holder for positioning the status control member in the urine control position.
6. The implantable urinary control structure of claim 5,
the control body is also provided with a containing unit, and the containing unit is defined with the urine control position, the urination position and the movement range limited by the urine control position and the urination position;
the state control piece is arranged in the accommodating unit and can move in the moving range of the accommodating unit;
the state maintaining piece is used for enabling the state control piece to be positioned at the urine control position in the accommodating unit.
7. The implantable urinary control structure of claim 5,
the state maintaining piece also comprises a magnetic attraction component, so that the state control piece is positioned at the urine control position by means of the magnetic attraction force generated by the magnetic attraction component; or
The state maintaining piece also comprises an elastic element, wherein when the state control piece is stressed and moves from the urine control position to the urine discharging position, the elastic element deforms to generate elastic restoring force, and when the stress of the state control piece is relieved, the state control piece returns from the urine discharging position and is positioned at the urine control position by the elastic restoring force generated by the elastic element.
8. The implantable urinary control structure of claim 2, wherein the control assembly further comprises:
a control body having a rotation structure;
a state control member which is connected with the adjusting member and can rotate around the rotating structure relative to the control body to switch between a urine control state and a urination discharging state so as to control the adjusting member to switch between the restraining state and the releasing state; and
a status holder for maintaining the status control in the urine control status.
9. The implantable urinary control structure of claim 8, wherein the urinary control states further comprise at least a first urinary control state and a second urinary control state, and the state holder further comprises a segmented urinary control structure for providing at least a first urinary control position and a second urinary control position, so as to maintain the first urinary control state or the second urinary control state by positioning the state controller at the first urinary control position or the second urinary control position, respectively, thereby adjusting the degree of deformation of the urethra in the restrained state.
10. The implantable urinary control structure of claim 9, wherein the condition holder further comprises a condition releasing unit, which, when stressed, deforms the condition holder to cause the condition controlling member in the urinary control condition to be released.
11. The implantable urinary control structure according to claim 5 or 8, further comprising a coupling assembly that couples the urinary control assembly and the control assembly, respectively, and further comprising:
and the linkage structure is respectively connected with the adjusting piece and the state control piece so that the adjusting piece can be linked with the state control piece along with the action of the state control piece.
12. The implantable urine control structure according to claim 11, wherein the linkage structure utilizes mechanical linkage principle or hydraulic principle to make the adjusting member linkage with the state control member.
13. The implantable urinary control structure of claim 11, wherein the urinary control assembly is disposed at a specific location of the urethra and has the urethral container circumferentially surrounding the urethra; the control assembly is positioned at a specific location subcutaneously in or near the scrotum of the patient to facilitate operation by the patient.
14. The implantable urinary catheter structure according to claim 2, wherein the adjusting member has a guiding unit for guiding the adjusting member to move relative to the urinary catheter body and a squeezing unit for squeezing the urethra accommodated in the urethra accommodating body to cause the deformation thereof.
15. The implantable urinary control structure according to claim 14, wherein the guiding unit is perpendicular to the compressing unit, and the adjusting member is integrally formed in an L-shaped structure or a T-shaped structure.
16. The implantable urinary control structure according to claim 2, wherein the urinary control assembly further comprises an isolation unit for covering the urinary control assembly and the control assembly respectively, or for covering the implantable urinary control structure integrally.
CN201910528239.9A 2019-06-18 2019-06-18 Implanted urine control structure Pending CN112089504A (en)

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CN201910528239.9A CN112089504A (en) 2019-06-18 2019-06-18 Implanted urine control structure
PCT/CN2020/088277 WO2020253402A1 (en) 2019-06-18 2020-04-30 Implantable urinary continence structure

Applications Claiming Priority (1)

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CN201910528239.9A CN112089504A (en) 2019-06-18 2019-06-18 Implanted urine control structure

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Cited By (1)

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Publication number Priority date Publication date Assignee Title
WO2023226874A1 (en) * 2022-05-23 2023-11-30 上海康路联医疗科技有限公司 Implantable control device

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WO2014205271A1 (en) * 2013-06-19 2014-12-24 Mohammadi Mahdi Artificial sphincter
GB2545667A (en) * 2015-12-21 2017-06-28 Balatech Ltd Flow control valves
CN108338853A (en) * 2017-01-24 2018-07-31 上海氪励铵勤科技发展有限公司 A kind of tissue compression device
CN110897757A (en) * 2018-09-18 2020-03-24 上海氪励铵勤科技发展有限公司 Implanted urine control structure
CN109875721A (en) * 2019-02-20 2019-06-14 广东工业大学 A kind of implanted manually controls urethra valve
CN210631344U (en) * 2019-06-18 2020-05-29 上海氪励铵勤科技发展有限公司 Implanted urine control structure

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2023226874A1 (en) * 2022-05-23 2023-11-30 上海康路联医疗科技有限公司 Implantable control device

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