CN112206412A - Recoverable sacral nerve stimulation electrode - Google Patents

Recoverable sacral nerve stimulation electrode Download PDF

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Publication number
CN112206412A
CN112206412A CN202011149096.XA CN202011149096A CN112206412A CN 112206412 A CN112206412 A CN 112206412A CN 202011149096 A CN202011149096 A CN 202011149096A CN 112206412 A CN112206412 A CN 112206412A
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China
Prior art keywords
barb
stimulation electrode
sacral nerve
nerve stimulation
plate
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CN202011149096.XA
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Chinese (zh)
Inventor
李伟
汤洋
方平
王晓彤
李紫菲
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SECOND HOSPITAL OF TIANJIN MEDICAL UNIVERSITY
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SECOND HOSPITAL OF TIANJIN MEDICAL UNIVERSITY
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Priority to CN202011149096.XA priority Critical patent/CN112206412A/en
Publication of CN112206412A publication Critical patent/CN112206412A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/02Details
    • A61N1/04Electrodes
    • A61N1/05Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/0551Spinal or peripheral nerve electrodes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/02Details
    • A61N1/04Electrodes
    • A61N1/05Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/0551Spinal or peripheral nerve electrodes
    • A61N1/0558Anchoring or fixation means therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/36007Applying electric currents by contact electrodes alternating or intermittent currents for stimulation of urogenital or gastrointestinal organs, e.g. for incontinence control
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/3606Implantable neurostimulators for stimulating central or peripheral nerve system adapted for a particular treatment
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/372Arrangements in connection with the implantation of stimulators
    • A61N1/375Constructional arrangements, e.g. casings
    • A61N1/37518Anchoring of the implants, e.g. fixation

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  • Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • Biomedical Technology (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Neurology (AREA)
  • Neurosurgery (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Cardiology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Electrotherapy Devices (AREA)

Abstract

The invention discloses a recoverable sacral nerve stimulation electrode, which comprises a stimulation electrode main body and a barb assembly, and is characterized in that the barb assembly at least comprises 4 groups of barb units, and a barb recovery structure is arranged on a tail end barb unit, namely a group of barb units which firstly extend out of a tube sheath; the barb component is fixedly connected with the stimulating electrode main body. In the operation process, the sacral nerve stimulation electrode needs to be placed into a tube sheath, the tube sheath plays a guiding role, the sacral nerve stimulation electrode is pushed out of the tube sheath after reaching a target position, barb units on a sacral nerve stimulation electrode body in current clinical use are automatically opened after the sacral nerve stimulation electrode is pushed out of the tube sheath, the position of the sacral nerve stimulation electrode is fixed, and the barb recovery structure is arranged on a group of barb units which are firstly stretched out of the tube sheath, so that the tail end barb units can be flexibly recovered into the tube sheath, and the position of the sacral nerve stimulation electrode is adjusted.

Description

Recoverable sacral nerve stimulation electrode
Technical Field
The invention belongs to the technical field of medical instruments, and particularly relates to a recyclable sacral nerve stimulation electrode.
Background
Sacral nerve stimulator used in Sacral Nerve Modulation (SNM) is an active implantable medical device commonly used for treating diseases related to lower urinary tract dysfunction.
The sacral nerve stimulator comprises two components of a pulse generator and an electrode, wherein the pulse generator sends an electric pulse to the electrode and continuously applies the electric pulse to a specific sacral nerve so as to excite or inhibit a nerve channel and adjust abnormal sacral nerve reflex arcs, and then influences and adjusts the functions of sacral nerve innervated target organs such as a bladder, a urethra/anal sphincter, a pelvic floor and the like, thereby achieving the treatment effect.
The sacral nerve stimulator can be used for treating urgent micturition syndrome, urge incontinence, non-obstructive urinary retention, defecation dysfunction and the like, particularly overactive bladder, non-obstructive urinary retention, neurogenic bladder, interstitial cystitis, neurogenic intestine and the like, and is also commonly used for treating sexual dysfunction clinically.
Generally, when sacral nerve modulation is performed in some suitable patients, it is performed in two stages, i.e., two operations. The first operation can be referred to as the "experience" phase, i.e., the procedure of placement around the sacral nerve by puncture. The second operation is to place it under the skin through a small incision in the skin, which completes the sacral neuromodulation operation. In the experience period, the sacral nerve stimulation electrode needs to be implanted into the sacral 3 nerve hole, the electrode fixation is realized through four barbs on the electrode, the position of the electrode cannot be adjusted once the barbs are released, the outer sheath needs to be removed in the barb releasing process in the operation, the electrode displacement often occurs at the moment, and the electrode depth adjustment cannot be carried out due to the barb releasing, so that the operation curative effect is influenced.
The invention aims at the problems and provides a recyclable sacral nerve stimulation electrode.
Disclosure of Invention
To overcome the problems set forth in the background, the present invention provides a recoverable sacral nerve stimulation electrode.
A recoverable sacral nerve stimulation electrode comprises a stimulation electrode body and a barb assembly, and is characterized in that the barb assembly at least comprises 4 groups of barb units, and a barb recovery structure is arranged on a tail end barb unit, namely a group of barb units which firstly extend out of a tube sheath; the barb component is fixedly connected with the stimulating electrode main body. In the operation process, the sacral nerve stimulation electrode needs to be placed into a tube sheath, the tube sheath plays a guiding role, the sacral nerve stimulation electrode is pushed out of the tube sheath after reaching a target position, barb units on a sacral nerve stimulation electrode body in current clinical use are automatically opened after the sacral nerve stimulation electrode is pushed out of the tube sheath, the position of the sacral nerve stimulation electrode is fixed, and the barb recovery structure is arranged on a group of barb units which are firstly stretched out of the tube sheath, so that the tail end barb units can be flexibly recovered into the tube sheath, and the position of the sacral nerve stimulation electrode is adjusted.
Further, the barb unit comprises 3 barb structures at least, and each barb structure is the equidistant range. This arrangement can function as a multipoint fixture.
Further, preferably set up 4 groups the barb unit, every barb unit preferably sets up 3 the barb structure.
Further, the end barb unit is composed of an end barb structure.
Further, the barb structure is including stretching out board, fixed knot structure and connection structure, fixed knot structure and stimulation electrode main part fixed connection, and connection structure and fixed knot structure body coupling stretch out the board and rotate with connection structure and be connected. The arrangement enables the extension plate to have a rotating function, and the barb assembly and the stimulation electrode are movably connected.
Further, the fixed knot constructs for columniform fixed cylinder, and fixed cylinder cup joints in the periphery of stimulating electrode main part, the inner wall and the stimulating electrode main part fixed connection of fixed cylinder. This arrangement fixes the position of the barb structure.
Furthermore, the connecting structure comprises a connecting plate, a connecting shaft and an elastic structure, the connecting plate is arranged on the outer side wall of the fixed cylinder, the connecting shaft penetrates through the connecting plate and the bottom of the extending plate, and the extending plate rotates through the connecting shaft; one end of the elastic structure is connected with the extension plate, the other end of the elastic structure is connected with the outer side wall of the fixed cylinder, and the elastic structure enables the extension plate to be bounced off under the action of elasticity of the elastic structure. The arrangement enables the barb structure to be automatically opened to a preset degree after extending out of the tube sheath due to the elastic action of the elastic structure, and the arrangement of the connecting shaft enables the barb structure to realize the opening function.
Further, the barb structure is equidistant to be distributed at the lateral wall of a fixed section of thick bamboo.
Further, set up two the connecting plate, two connecting plates all with the lateral wall body coupling of fixed section of thick bamboo, stretch out the board setting between two connecting plates, the connecting axle gets into from one side connecting plate, stretches out from the opposite side connecting plate after passing and stretching out the board bottom. This kind of setting makes the swing joint who stretches out board and connection structure have more stability.
Further, a through hole allowing the connecting shaft to pass through is formed in the bottom of the protruding plate. This arrangement ensures that the extension plate can rotate about the connecting shaft.
Further, the both ends of connecting axle all set up the anticreep and go out board, anticreep goes out board and connecting axle body coupling, prevents deviating from the size that the size is greater than the size of connecting axle. The arrangement prevents the connecting shaft from being separated, and guarantees the firmness of the connecting structure and the extending plate.
Further, the elastic structure is provided as a spring, and the elastic force of the spring can open the extension plate to a proper degree.
Further, the barb is retrieved the structure and is included retrieving line and go-between, and the go-between setting is on terminal barb structure's the board that stretches out, go-between and stretch out a board body coupling, retrieve wherein one end and go-between fixed connection of line, the other end is doctor's operation end. During the use, after the end barb unit stretches out the tube sheath, when no tractive power acted on, the board that stretches out of end barb structure was opened automatically under the spring action of spring, when needing the adjustment electrode position, thereby the line is retrieved in then tractive makes the board return that stretches out of end barb structure get into the tube sheath, then removes electrode to suitable position again.
Further, the recovery line is made of a material which can be absorbed by a human body, and can be as follows: catgut, high molecular chemical synthetic thread, and pure natural collagen suture. After the electrode is placed into a human body, the recovery wire is degraded and absorbed, the human body does not need to be taken out, and the operation flow of a doctor is simplified.
Further, each the terminal barb all sets up barb recovery structure on the structure, sets up the hand power ring that is used for connecting each recovery line doctor operation end, and the hand power ring is connected with each recovery line one. When the recovery wire is used, the recovery wire can be controlled by pulling the hand pull ring.
Or the barb recovery structure comprises a control rod, and the control rod is detachably connected with the end barb structure. During the use, when needing to retrieve terminal barb structure to the tube-sheath in, then tractive control lever, outside stimulating electrode pushed out the tube-sheath after the stimulation electrode position was confirmed, all barb structures all released the back, broke away from control lever and terminal barb structure to take out external with control lever.
Further, one end of the control rod is provided with an external thread, a matched internal thread sleeve is arranged on the extending plate of the terminal barb structure, and the control rod is connected with the extending plate through a thread.
Furthermore, the control rod is provided with at most three circles of external threads, and the internal thread sleeve is provided with at most three circles of internal threads. The arrangement can quickly separate the control rod from the end barb structure.
Furthermore, an operating handle is arranged at the doctor operating end of the operating rod and is integrally connected with the operating rod. The arrangement is convenient for a doctor to operate by holding the control rod.
Further, the extending plates of the end barb structures are positioned at the spatial positions between the adjacent extending plates of other barb units. This arrangement provides a space for the barb retrieval structure.
Compared with the sacral nerve stimulator in the prior art, the technical scheme of the invention can recover the terminal barb unit into the duct sheath so as to adjust the position of the electrode, overcomes the problem that the position of the electrode cannot be adjusted once the sacral nerve stimulator barb releases the electrode, and has the advantages of simple operation, low production cost, economy and environmental protection.
The working principle of the invention is as follows: stimulating electrode is located the tube-in-sheath, the tube-in-sheath provides the guide effect for stimulating electrode gets into the internal target location of patient, after reaching predetermined position, stimulating electrode stretches out the tube-in-sheath gradually, terminal barb structure stretches out and opens automatically under the spring action behind the tube-in-sheath, if stimulating electrode's position needs to be adjusted, then retrieve into the tube-in-sheath with terminal barb structure through barb recovery structure, then release terminal barb structure again after adjustment stimulating electrode to suitable position, progressively release the barb structure of other barb units after the electrode position is confirmed to stimulating electrode, thereby will stimulate electrode's rigidity.
Drawings
Fig. 1 is a schematic view of an overall structure of a disposable retrieval string for a recoverable sacral nerve stimulation electrode according to the present invention;
fig. 2 is a partially enlarged structural view of a recoverable sacral nerve stimulation electrode provided with a recovery wire according to the present invention;
FIG. 3 is an enlarged schematic view of a barb assembly of a recoverable sacral nerve stimulation electrode of the present invention;
fig. 4 is an enlarged schematic view of a distal barb structure with a retrieval line and an attachment ring for a retrievable sacral nerve stimulation electrode of the present invention;
fig. 5 is a schematic structural view of a recoverable sacral nerve stimulation electrode according to the present invention, wherein a pull ring is disposed at the end of the recovery wire;
fig. 6 is a schematic view of the overall structure of a recoverable sacral nerve stimulation electrode placement joystick of the present invention;
FIG. 7 is a schematic view of a barb assembly for a recoverable sacral nerve stimulation electrode of the present invention;
fig. 8 is a partially enlarged view of a recoverable sacral nerve stimulation electrode deployment lever of the present invention;
fig. 9 is an enlarged view of a barb unit of a recoverable sacral nerve stimulation electrode placement control rod of the present invention;
fig. 10 is an enlarged view of a threaded connection between a recoverable sacral nerve stimulation electrode steering rod and an extension plate according to the present invention;
fig. 11 is an enlarged view of a retractable sacral nerve stimulation electrode extension plate with an internally threaded sleeve;
fig. 12 is an enlarged view of an externally threaded end of a recoverable sacral nerve stimulation electrode joystick in accordance with the present invention;
fig. 13 is a schematic view of a recoverable sacral nerve stimulation electrode of the present invention with an operating handle on the lever;
in the figure, 1, a stimulation electrode body; 2. a barb assembly; 21. a barb unit; 22. a barb structure; 221. extending the plate; 222. a fixed cylinder; 223. a connecting plate; 224. a spring; 3. recovering the wire; 31. a connecting ring; 32. a hand-pulling ring; 4. a control lever; 41. an internal thread sleeve; 42. the handle is operated.
Detailed Description
The technical solutions in the embodiments of the present invention are clearly and completely described below by specific embodiments, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, rather than all embodiments, and other advantages and effects of the present invention can be easily understood by those skilled in the art from the disclosure of the present specification. The present invention can be implemented or applied by other different specific embodiments, and the features in the following embodiments and embodiments can be combined with each other without conflict, and all other embodiments obtained by a person of ordinary skill in the art without creative efforts based on the embodiments of the present invention belong to the protection scope of the present invention.
EXAMPLE 1A recyclable sacral nerve stimulating electrode
A recoverable sacral nerve stimulation electrode comprises a stimulation electrode body 1 and a barb assembly 2, and is characterized in that the barb assembly 2 at least comprises 4 groups of barb units 21, and a barb recovery structure is arranged on the tail end barb unit 21, namely a group of barb units 21 which firstly extend out of a tube sheath; the barb component 2 is fixedly connected with the stimulating electrode main body 1. In the operation process, the sacral nerve stimulation electrode needs to be placed into a tube sheath, the tube sheath plays a guiding role, the sacral nerve stimulation electrode is pushed out of the tube sheath after reaching a target position, the barb units 21 on the sacral nerve stimulation electrode main body 1 in clinical use are automatically opened after the sacral nerve stimulation electrode is pushed out of the tube sheath, so that the position of the sacral nerve stimulation electrode is fixed, and the barb recovery structure is arranged on a group of barb units 21 which are firstly stretched out of the tube sheath, so that the tail end barb units 21 can be flexibly recovered into the tube sheath, and the position of the sacral nerve stimulation electrode is adjusted.
Preferably 4 sets of barb unit 21, every barb unit 21 preferably sets up 3 barb structure 22, each barb structure 22 is equidistant to be arranged. This arrangement can function as a multipoint fixture.
The end barb unit 21 is comprised of an end barb structure 22.
Barb structure 22 is including stretching out board 221, fixed knot structure and connection structure, fixed knot structure and stimulation electrode main part 1 fixed connection, and connection structure and fixed knot structure body coupling stretch out board 221 and be connected with connection structure rotation. The arrangement enables the extension plate 221 to have a rotation function, and the barb assembly 2 and the stimulation electrode are movably connected.
A through hole allowing the connection shaft to pass therethrough is provided at the bottom of the protruding plate 221. This arrangement ensures that the extension plate 221 can rotate about the connecting shaft.
The both ends of connecting axle all set up the anticreep and go out board, anticreep goes out board and connecting axle body coupling, prevents deviating from the size of plate and is greater than the size of connecting axle. This arrangement prevents the connecting shaft from coming off, and ensures the firmness of the connecting structure and the extension plate 221.
The barb is retrieved the structure and is included retrieving line 3 and go-between 31, and go-between 31 sets up on terminal barb structure 22 stretches out board 221, go-between 31 with stretch out board 221 body coupling, retrieve wherein one end and go-between 31 fixed connection of line 3, the other end is doctor's operation end. When the electrode is used, after the terminal barb unit 21 extends out of the tube sheath, when no traction force acts, the extending plate 221 of the terminal barb structure 22 is automatically opened under the elastic force action of the spring 224, when the position of the electrode needs to be adjusted, the pulling recovery wire 3 enables the extending plate 221 of the terminal barb structure 22 to return to enter the tube sheath, and then the electrode is moved to a proper position.
The protruding plates 221 of the end barb structures 22 are located on the protruding plates 221 of the other barb units 21. This arrangement provides a space for the barb retrieval structure.
EXAMPLE 2A recyclable sacral nerve stimulating electrode
A recoverable sacral nerve stimulation electrode comprises a stimulation electrode body 1 and a barb assembly 2, and is characterized in that the barb assembly 2 at least comprises 4 groups of barb units 21, and a barb recovery structure is arranged on the tail end barb unit 21, namely a group of barb units 21 which firstly extend out of a tube sheath; the barb component 2 is fixedly connected with the stimulating electrode main body 1. In the operation process, the sacral nerve stimulation electrode needs to be placed into a tube sheath, the tube sheath plays a guiding role, the sacral nerve stimulation electrode is pushed out of the tube sheath after reaching a target position, the barb units 21 on the sacral nerve stimulation electrode main body 1 in clinical use are automatically opened after the sacral nerve stimulation electrode is pushed out of the tube sheath, so that the position of the sacral nerve stimulation electrode is fixed, and the barb recovery structure is arranged on a group of barb units 21 which are firstly stretched out of the tube sheath, so that the tail end barb units 21 can be flexibly recovered into the tube sheath, and the position of the sacral nerve stimulation electrode is adjusted.
Preferably 4 sets of barb unit 21, every barb unit 21 preferably sets up 3 barb structure 22, each barb structure 22 is equidistant to be arranged. This arrangement can function as a multipoint fixture.
The end barb unit 21 is comprised of an end barb structure 22.
Barb structure 22 is including stretching out board 221, fixed knot structure and connection structure, fixed knot structure and stimulation electrode main part 1 fixed connection, and connection structure and fixed knot structure body coupling stretch out board 221 and be connected with connection structure rotation. The arrangement enables the extension plate 221 to have a rotation function, and the barb assembly 2 and the stimulation electrode are movably connected.
The fixing structure is a cylindrical fixing cylinder 222, the fixing cylinder 222 is sleeved on the periphery of the stimulation electrode main body 1, and the inner wall of the fixing cylinder 222 is fixedly connected with the stimulation electrode main body 1. This arrangement fixes the position of the barb structure 22. The connecting structure comprises a connecting plate 223, a connecting shaft and an elastic structure, the connecting plate 223 is arranged on the outer side wall of the fixed cylinder 222, the connecting shaft penetrates through the connecting plate 223 and the bottom of the extending plate 221, and the extending plate 221 rotates through the connecting shaft; one end of the elastic structure is connected to the protruding plate 221, and the other end is connected to the outer sidewall of the fixed cylinder 222, and the elastic structure bounces the protruding plate 221 by its elastic force. Due to the arrangement, the barb structure 22 can be automatically opened to a preset degree after extending out of the tube sheath due to the elastic action of the elastic structure, and the barb structure 22 can be opened due to the arrangement of the connecting shaft.
The barb structures 22 are distributed on the outer side wall of the fixed barrel 222 at equal intervals.
A through hole allowing the connection shaft to pass therethrough is provided at the bottom of the protruding plate 221. This arrangement ensures that the extension plate 221 can rotate about the connecting shaft.
The both ends of connecting axle all set up the anticreep and go out board, anticreep goes out board and connecting axle body coupling, prevents deviating from the size of plate and is greater than the size of connecting axle. This arrangement prevents the connecting shaft from coming off, and ensures the firmness of the connecting structure and the extension plate 221.
The elastic structure is provided as a spring 224, and the elastic force of the spring 224 may open the protruding plate 221 to a suitable degree.
The barb is retrieved the structure and is included retrieving line 3 and go-between 31, and go-between 31 sets up on terminal barb structure 22 stretches out board 221, go-between 31 with stretch out board 221 body coupling, retrieve wherein one end and go-between 31 fixed connection of line 3, the other end is doctor's operation end. When the electrode is used, after the terminal barb unit 21 extends out of the tube sheath, when no traction force acts, the extending plate 221 of the terminal barb structure 22 is automatically opened under the elastic force action of the spring 224, when the position of the electrode needs to be adjusted, the pulling recovery wire 3 enables the extending plate 221 of the terminal barb structure 22 to return to enter the tube sheath, and then the electrode is moved to a proper position.
The recovery line 3 is made of a material which can be absorbed by human body, and can be as follows: catgut, high molecular chemical synthetic thread, and pure natural collagen suture. After the electrode is placed into a human body, the recovery wire 3 is degraded and absorbed, the human body does not need to be taken out, and the operation flow of a doctor is simplified.
The protruding plates 221 of the end barb structures 22 are located on the protruding plates 221 of the other barb units 21.
EXAMPLE 3A recyclable sacral nerve stimulating electrode
A recoverable sacral nerve stimulation electrode comprises a stimulation electrode body 1 and a barb assembly 2, and is characterized in that the barb assembly 2 at least comprises 4 groups of barb units 21, and a barb recovery structure is arranged on the tail end barb unit 21, namely a group of barb units 21 which firstly extend out of a tube sheath; the barb component 2 is fixedly connected with the stimulating electrode main body 1. In the operation process, the sacral nerve stimulation electrode needs to be placed into a tube sheath, the tube sheath plays a guiding role, the sacral nerve stimulation electrode is pushed out of the tube sheath after reaching a target position, the barb units 21 on the sacral nerve stimulation electrode main body 1 in clinical use are automatically opened after the sacral nerve stimulation electrode is pushed out of the tube sheath, so that the position of the sacral nerve stimulation electrode is fixed, and the barb recovery structure is arranged on a group of barb units 21 which are firstly stretched out of the tube sheath, so that the tail end barb units 21 can be flexibly recovered into the tube sheath, and the position of the sacral nerve stimulation electrode is adjusted.
Preferably 4 sets of barb unit 21, every barb unit 21 preferably sets up 3 barb structure 22, each barb structure 22 is equidistant to be arranged. This arrangement can function as a multipoint fixture.
The end barb unit 21 is comprised of an end barb structure 22.
Barb structure 22 is including stretching out board 221, fixed knot structure and connection structure, fixed knot structure and stimulation electrode main part 1 fixed connection, and connection structure and fixed knot structure body coupling stretch out board 221 and be connected with connection structure rotation. The arrangement enables the extension plate 221 to have a rotation function, and the barb assembly 2 and the stimulation electrode are movably connected.
The fixing structure is a cylindrical fixing cylinder 222, the fixing cylinder 222 is sleeved on the periphery of the stimulation electrode main body 1, and the inner wall of the fixing cylinder 222 is fixedly connected with the stimulation electrode main body 1. This arrangement fixes the position of the barb structure 22. The connecting structure comprises a connecting plate 223, a connecting shaft and an elastic structure, the connecting plate 223 is arranged on the outer side wall of the fixed cylinder 222, the connecting shaft penetrates through the connecting plate 223 and the bottom of the extending plate 221, and the extending plate 221 rotates through the connecting shaft; one end of the elastic structure is connected to the protruding plate 221, and the other end is connected to the outer sidewall of the fixed cylinder 222, and the elastic structure bounces the protruding plate 221 by its elastic force. Due to the arrangement, the barb structure 22 can be automatically opened to a preset degree after extending out of the tube sheath due to the elastic action of the elastic structure, and the barb structure 22 can be opened due to the arrangement of the connecting shaft.
The barb structures 22 are distributed on the outer side wall of the fixed barrel 222 at equal intervals.
Two connecting plates 223 are arranged, the two connecting plates 223 are integrally connected with the outer side wall of the fixed cylinder 222, the extending plate 221 is arranged between the two connecting plates 223, and the connecting shaft enters from the connecting plate 223 on one side and extends out from the connecting plate 223 on the other side after penetrating through the bottom of the extending plate 221. This arrangement provides greater stability to the articulation of the extension plate 221 to the attachment structure.
A through hole allowing the connection shaft to pass therethrough is provided at the bottom of the protruding plate 221. This arrangement ensures that the extension plate 221 can rotate about the connecting shaft.
The both ends of connecting axle all set up the anticreep and go out board, anticreep goes out board and connecting axle body coupling, prevents deviating from the size of plate and is greater than the size of connecting axle. This arrangement prevents the connecting shaft from coming off, and ensures the firmness of the connecting structure and the extension plate 221.
The elastic structure is provided as a spring 224, and the elastic force of the spring 224 may open the protruding plate 221 to a suitable degree.
The barb is retrieved the structure and is included retrieving line 3 and go-between 31, and go-between 31 sets up on terminal barb structure 22 stretches out board 221, go-between 31 with stretch out board 221 body coupling, retrieve wherein one end and go-between 31 fixed connection of line 3, the other end is doctor's operation end. When the electrode is used, after the terminal barb unit 21 extends out of the tube sheath, when no traction force acts, the extending plate 221 of the terminal barb structure 22 is automatically opened under the elastic force action of the spring 224, when the position of the electrode needs to be adjusted, the pulling recovery wire 3 enables the extending plate 221 of the terminal barb structure 22 to return to enter the tube sheath, and then the electrode is moved to a proper position.
The recovery line 3 is made of a material which can be absorbed by human body, and can be as follows: catgut, high molecular chemical synthetic thread, and pure natural collagen suture. After the electrode is placed into a human body, the recovery wire 3 is degraded and absorbed, the human body does not need to be taken out, and the operation flow of a doctor is simplified.
All set up barb on the terminal barb structure 22 and retrieve the structure, set up the hand power ring 32 that is used for connecting 3 doctor's operation ends of each recovery line, hand power ring 32 is connected with 3 each recovery lines. When in use, the recovery wire 3 can be controlled by pulling the hand pull ring 32.
The protruding plates 221 of the end barb structures 22 are located on the protruding plates 221 of the other barb units 21.
EXAMPLE 4A recyclable sacral nerve stimulation electrode
A recoverable sacral nerve stimulation electrode comprises a stimulation electrode body 1 and a barb assembly 2, and is characterized in that the barb assembly 2 at least comprises 4 groups of barb units 21, and a barb recovery structure is arranged on the tail end barb unit 21, namely a group of barb units 21 which firstly extend out of a tube sheath; the barb component 2 is fixedly connected with the stimulating electrode main body 1. In the operation process, the sacral nerve stimulation electrode needs to be placed into a tube sheath, the tube sheath plays a guiding role, the sacral nerve stimulation electrode is pushed out of the tube sheath after reaching a target position, the barb units 21 on the sacral nerve stimulation electrode main body 1 in clinical use are automatically opened after the sacral nerve stimulation electrode is pushed out of the tube sheath, so that the position of the sacral nerve stimulation electrode is fixed, and the barb recovery structure is arranged on a group of barb units 21 which are firstly stretched out of the tube sheath, so that the tail end barb units 21 can be flexibly recovered into the tube sheath, and the position of the sacral nerve stimulation electrode is adjusted.
Preferably 4 sets of barb unit 21, every barb unit 21 preferably sets up 3 barb structure 22, each barb structure 22 is equidistant to be arranged. This arrangement can function as a multipoint fixture.
The end barb unit 21 is comprised of an end barb structure 22.
Barb structure 22 is including stretching out board 221, fixed knot structure and connection structure, fixed knot structure and stimulation electrode main part 1 fixed connection, and connection structure and fixed knot structure body coupling stretch out board 221 and be connected with connection structure rotation. The arrangement enables the extension plate 221 to have a rotation function, and the barb assembly 2 and the stimulation electrode are movably connected.
The fixing structure is a cylindrical fixing cylinder 222, the fixing cylinder 222 is sleeved on the periphery of the stimulation electrode main body 1, and the inner wall of the fixing cylinder 222 is fixedly connected with the stimulation electrode main body 1. This arrangement fixes the position of the barb structure 22. The connecting structure comprises a connecting plate 223, a connecting shaft and an elastic structure, the connecting plate 223 is arranged on the outer side wall of the fixed cylinder 222, the connecting shaft penetrates through the connecting plate 223 and the bottom of the extending plate 221, and the extending plate 221 rotates through the connecting shaft; one end of the elastic structure is connected to the protruding plate 221, and the other end is connected to the outer sidewall of the fixed cylinder 222, and the elastic structure bounces the protruding plate 221 by its elastic force. Due to the arrangement, the barb structure 22 can be automatically opened to a preset degree after extending out of the tube sheath due to the elastic action of the elastic structure, and the barb structure 22 can be opened due to the arrangement of the connecting shaft.
The barb structures 22 are distributed on the outer side wall of the fixed barrel 222 at equal intervals.
Two connecting plates 223 are arranged, the two connecting plates 223 are integrally connected with the outer side wall of the fixed cylinder 222, the extending plate 221 is arranged between the two connecting plates 223, and the connecting shaft enters from the connecting plate 223 on one side and extends out from the connecting plate 223 on the other side after penetrating through the bottom of the extending plate 221. This arrangement provides greater stability to the articulation of the extension plate 221 to the attachment structure.
A through hole allowing the connection shaft to pass therethrough is provided at the bottom of the protruding plate 221. This arrangement ensures that the extension plate 221 can rotate about the connecting shaft.
The both ends of connecting axle all set up the anticreep and go out board, anticreep goes out board and connecting axle body coupling, prevents deviating from the size of plate and is greater than the size of connecting axle. This arrangement prevents the connecting shaft from coming off, and ensures the firmness of the connecting structure and the extension plate 221.
The elastic structure is provided as a spring 224, and the elastic force of the spring 224 may open the protruding plate 221 to a suitable degree.
The barb recovery structure includes a control rod 4, and the control rod 4 is detachably connected with the end barb structure 22. During the use, when needing to retrieve terminal barb structure 22 to the tube-sheath in, then tractive control lever 4, outside stimulating the electrode position determination after then pushing out the tube-sheath with stimulating the electrode, all barb structures 22 all released the back, break away from control lever 4 and terminal barb structure 22 to take out external with control lever 4.
One end of the control rod 4 is provided with an external thread, the extension plate 221 of the end barb structure 22 is provided with a matched internal thread sleeve 41, and the control rod 4 is connected with the extension plate 221 through a thread.
The protruding plates 221 of the end barb structures 22 are located on the protruding plates 221 of the other barb units 21.
EXAMPLE 5A recyclable sacral nerve stimulating electrode
A recoverable sacral nerve stimulation electrode comprises a stimulation electrode body 1 and a barb assembly 2, and is characterized in that the barb assembly 2 at least comprises 4 groups of barb units 21, and a barb recovery structure is arranged on the tail end barb unit 21, namely a group of barb units 21 which firstly extend out of a tube sheath; the barb component 2 is fixedly connected with the stimulating electrode main body 1. In the operation process, the sacral nerve stimulation electrode needs to be placed into a tube sheath, the tube sheath plays a guiding role, the sacral nerve stimulation electrode is pushed out of the tube sheath after reaching a target position, the barb units 21 on the sacral nerve stimulation electrode main body 1 in clinical use are automatically opened after the sacral nerve stimulation electrode is pushed out of the tube sheath, so that the position of the sacral nerve stimulation electrode is fixed, and the barb recovery structure is arranged on a group of barb units 21 which are firstly stretched out of the tube sheath, so that the tail end barb units 21 can be flexibly recovered into the tube sheath, and the position of the sacral nerve stimulation electrode is adjusted.
Preferably 4 sets of barb unit 21, every barb unit 21 preferably sets up 3 barb structure 22, each barb structure 22 is equidistant to be arranged. This arrangement can function as a multipoint fixture.
The end barb unit 21 is comprised of an end barb structure 22.
Barb structure 22 is including stretching out board 221, fixed knot structure and connection structure, fixed knot structure and stimulation electrode main part 1 fixed connection, and connection structure and fixed knot structure body coupling stretch out board 221 and be connected with connection structure rotation. The arrangement enables the extension plate 221 to have a rotation function, and the barb assembly 2 and the stimulation electrode are movably connected.
The fixing structure is a cylindrical fixing cylinder 222, the fixing cylinder 222 is sleeved on the periphery of the stimulation electrode main body 1, and the inner wall of the fixing cylinder 222 is fixedly connected with the stimulation electrode main body 1. This arrangement fixes the position of the barb structure 22. The connecting structure comprises a connecting plate 223, a connecting shaft and an elastic structure, the connecting plate 223 is arranged on the outer side wall of the fixed cylinder 222, the connecting shaft penetrates through the connecting plate 223 and the bottom of the extending plate 221, and the extending plate 221 rotates through the connecting shaft; one end of the elastic structure is connected to the protruding plate 221, and the other end is connected to the outer sidewall of the fixed cylinder 222, and the elastic structure bounces the protruding plate 221 by its elastic force. Due to the arrangement, the barb structure 22 can be automatically opened to a preset degree after extending out of the tube sheath due to the elastic action of the elastic structure, and the barb structure 22 can be opened due to the arrangement of the connecting shaft.
The barb structures 22 are distributed on the outer side wall of the fixed barrel 222 at equal intervals.
Two connecting plates 223 are arranged, the two connecting plates 223 are integrally connected with the outer side wall of the fixed cylinder 222, the extending plate 221 is arranged between the two connecting plates 223, and the connecting shaft enters from the connecting plate 223 on one side and extends out from the connecting plate 223 on the other side after penetrating through the bottom of the extending plate 221. This arrangement provides greater stability to the articulation of the extension plate 221 to the attachment structure.
A through hole allowing the connection shaft to pass therethrough is provided at the bottom of the protruding plate 221. This arrangement ensures that the extension plate 221 can rotate about the connecting shaft.
The both ends of connecting axle all set up the anticreep and go out board, anticreep goes out board and connecting axle body coupling, prevents deviating from the size of plate and is greater than the size of connecting axle. This arrangement prevents the connecting shaft from coming off, and ensures the firmness of the connecting structure and the extension plate 221.
The elastic structure is provided as a spring 224, and the elastic force of the spring 224 may open the protruding plate 221 to a suitable degree.
The barb recovery structure includes a control rod 4, and the control rod 4 is detachably connected with the end barb structure 22. During the use, when needing to retrieve terminal barb structure 22 to the tube-sheath in, then tractive control lever 4, outside stimulating the electrode position determination after then pushing out the tube-sheath with stimulating the electrode, all barb structures 22 all released the back, break away from control lever 4 and terminal barb structure 22 to take out external with control lever 4.
One end of the control rod 4 is provided with an external thread, the extension plate 221 of the end barb structure 22 is provided with a matched internal thread sleeve 41, and the control rod 4 is connected with the extension plate 221 through a thread.
Three circles of external threads are arranged on the operating rod 4, and at most three circles of internal threads are arranged in the internal thread bush 41. This arrangement allows for quick disengagement of the lever 4 from the end barb structure 22.
The control rod 4 is made of hard plastics or solid metal or solid alloy materials.
An operating handle 42 is provided at the doctor operating end of the operating lever 4, and the operating handle 42 is integrally connected to the operating lever 4. The arrangement is convenient for a doctor to hold the control rod 4 for operation.
The protruding plates 221 of the end barb structures 22 are located on the protruding plates 221 of the other barb units 21.
The above description of the embodiments is only for the understanding of the present invention. It should be noted that modifications could be made to the invention without departing from the principle of the invention, which would also fall within the scope of the claims of the invention.

Claims (10)

1. A recoverable sacral nerve stimulation electrode comprises a stimulation electrode body and a barb assembly, and is characterized in that the barb assembly at least comprises 4 groups of barb units, and a barb recovery structure is arranged on a tail end barb unit, namely a group of barb units which firstly extend out of a tube sheath; the barb component is fixedly connected with the stimulating electrode main body.
2. The recoverable sacral nerve stimulation electrode of claim 1, wherein the barb elements comprise at least 3 barb structures, each barb structure being arranged at an equal distance, the end barb elements comprising end barb structures.
3. The recoverable sacral nerve stimulation electrode as recited in claim 2, wherein the barb structure comprises an extension plate, a fixation structure and a connection structure, the fixation structure being fixedly connected to the stimulation electrode body, the connection structure being integrally connected to the fixation structure, the extension plate being rotatably connected to the connection structure.
4. The recoverable sacral nerve stimulation electrode as recited in claim 3, wherein the fixation structure is a cylindrical fixation cylinder, the fixation cylinder is sleeved on the periphery of the stimulation electrode body, and the inner wall of the fixation cylinder is fixedly connected with the stimulation electrode body.
5. The recoverable sacral nerve stimulation electrode according to claim 4, wherein the connecting structure comprises a connecting plate, a connecting shaft and an elastic structure, the connecting plate is arranged on an outer side wall of the fixed cylinder, the connecting shaft penetrates through the connecting plate and the bottom of the protruding plate, and the protruding plate realizes rotation through the connecting shaft; one end of the elastic structure is connected with the extension plate, the other end of the elastic structure is connected with the outer side wall of the fixed cylinder, and the elastic structure enables the extension plate to be bounced off under the action of elasticity of the elastic structure.
6. The retrievable sacral nerve stimulation electrode as recited in claim 5, wherein two of the connecting plates are provided, the two connecting plates are each integrally connected to an outer sidewall of the fixation cylinder, and the extension plate is provided between the two connecting plates, the connecting shaft entering from one connecting plate and extending from the other connecting plate after passing through a bottom of the extension plate.
7. The recoverable sacral nerve stimulation electrode of claim 3, wherein the barb retrieval structure comprises a retrieval line and a connecting ring, the connecting ring is disposed on the protruding plate of the end barb structure, the connecting ring is integrally connected with the protruding plate, one end of the retrieval line is fixedly connected with the connecting ring, and the other end of the retrieval line is a doctor operating end.
8. The recoverable sacral nerve stimulation electrode of claim 3, wherein the barb retrieval structure comprises a lever removably connected to the end barb structure.
9. The retrievable sacral nerve stimulation electrode as recited in claim 8, wherein the lever has an external thread on one end and a matching internal thread sleeve on the protruding plate of the end barb arrangement, the lever being threadably connected to the protruding plate.
10. The recoverable sacral nerve stimulation electrode of any of claims 3-9, wherein the protruding plates of the end barb structure are positioned in a spatial location between adjacent protruding plates of other barb units.
CN202011149096.XA 2020-10-23 2020-10-23 Recoverable sacral nerve stimulation electrode Withdrawn CN112206412A (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112893665A (en) * 2021-01-25 2021-06-04 南昌航空大学 Electric pulse assisted pipe necking thickening forming device and method

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112893665A (en) * 2021-01-25 2021-06-04 南昌航空大学 Electric pulse assisted pipe necking thickening forming device and method
CN112893665B (en) * 2021-01-25 2022-07-22 南昌航空大学 Forming device and method for electric pulse assisted pipe necking thickening

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