CN117481866A - Device for adjusting and fixing tension of surgical mesh and surgical application of device - Google Patents
Device for adjusting and fixing tension of surgical mesh and surgical application of device Download PDFInfo
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- CN117481866A CN117481866A CN202311635870.1A CN202311635870A CN117481866A CN 117481866 A CN117481866 A CN 117481866A CN 202311635870 A CN202311635870 A CN 202311635870A CN 117481866 A CN117481866 A CN 117481866A
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- 238000004804 winding Methods 0.000 claims description 27
- 238000001356 surgical procedure Methods 0.000 claims description 8
- 239000011324 bead Substances 0.000 claims description 7
- 238000002324 minimally invasive surgery Methods 0.000 claims description 2
- 230000000149 penetrating effect Effects 0.000 claims description 2
- 238000000034 method Methods 0.000 abstract description 14
- 239000000725 suspension Substances 0.000 abstract description 8
- 230000008859 change Effects 0.000 abstract description 5
- 230000008569 process Effects 0.000 abstract description 5
- 206010046543 Urinary incontinence Diseases 0.000 description 8
- 206010066218 Stress Urinary Incontinence Diseases 0.000 description 7
- 210000004872 soft tissue Anatomy 0.000 description 6
- 210000003708 urethra Anatomy 0.000 description 5
- 206010052428 Wound Diseases 0.000 description 3
- 208000027418 Wounds and injury Diseases 0.000 description 3
- 238000013459 approach Methods 0.000 description 3
- 238000002513 implantation Methods 0.000 description 3
- 208000022170 stress incontinence Diseases 0.000 description 3
- 210000004876 tela submucosa Anatomy 0.000 description 3
- 210000000689 upper leg Anatomy 0.000 description 3
- 210000000626 ureter Anatomy 0.000 description 3
- 230000003187 abdominal effect Effects 0.000 description 2
- 230000006378 damage Effects 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 239000012528 membrane Substances 0.000 description 2
- 210000003903 pelvic floor Anatomy 0.000 description 2
- 210000004197 pelvis Anatomy 0.000 description 2
- 210000003689 pubic bone Anatomy 0.000 description 2
- 238000000926 separation method Methods 0.000 description 2
- 210000002700 urine Anatomy 0.000 description 2
- 208000021657 Birth injury Diseases 0.000 description 1
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- 206010028980 Neoplasm Diseases 0.000 description 1
- 210000003815 abdominal wall Anatomy 0.000 description 1
- 230000032683 aging Effects 0.000 description 1
- 238000004873 anchoring Methods 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 210000004204 blood vessel Anatomy 0.000 description 1
- 201000011510 cancer Diseases 0.000 description 1
- 230000008602 contraction Effects 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 238000006073 displacement reaction Methods 0.000 description 1
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- 229940011871 estrogen Drugs 0.000 description 1
- 239000000262 estrogen Substances 0.000 description 1
- PCHJSUWPFVWCPO-UHFFFAOYSA-N gold Chemical compound [Au] PCHJSUWPFVWCPO-UHFFFAOYSA-N 0.000 description 1
- 230000036541 health Effects 0.000 description 1
- 239000000017 hydrogel Substances 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 238000011835 investigation Methods 0.000 description 1
- 230000009245 menopause Effects 0.000 description 1
- 239000002245 particle Substances 0.000 description 1
- 230000008506 pathogenesis Effects 0.000 description 1
- 229920000642 polymer Polymers 0.000 description 1
- 238000006116 polymerization reaction Methods 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 206010041232 sneezing Diseases 0.000 description 1
- 230000008093 supporting effect Effects 0.000 description 1
- 208000024891 symptom Diseases 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
- 210000001215 vagina Anatomy 0.000 description 1
- 230000002792 vascular Effects 0.000 description 1
- 230000000007 visual effect Effects 0.000 description 1
- 230000029663 wound healing Effects 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/0004—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse
- A61F2/0031—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse for constricting the lumen; Support slings for the urethra
- A61F2/0036—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse for constricting the lumen; Support slings for the urethra implantable
- A61F2/0045—Support slings
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Urology & Nephrology (AREA)
- Veterinary Medicine (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Vascular Medicine (AREA)
- Surgery (AREA)
- Transplantation (AREA)
- Cardiology (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Molecular Biology (AREA)
- Surgical Instruments (AREA)
Abstract
The invention discloses a device for adjusting and fixing tension by an operation net and an operation application thereof. The device obtained by the technical scheme reduces the operation difficulty and operation time of single incision transvaginal tensionless mid-urethra suspension operation, provides a reliable implementation scheme for adjusting and locking the sling tension and the position by single-hand operation, and avoids the change of the sling tension in the operation process. And provides diversified examples, and can meet the selection of doctors with different operation habits for operation.
Description
Technical Field
The invention belongs to the technical field of surgical instruments and methods, and particularly relates to a device for adjusting and fixing tension by an operation net and an operation application thereof.
Background
Female urinary incontinence is a common illness in women, with prevalence approaching 50% currently being statistically global, about half of which is stress urinary incontinence (Stress Urinary Incontinence, SUI). Stress incontinence refers to urinary incontinence in which urine does not overflow autonomously from the external urethral orifice in the absence of bladder detrusor contraction when the bladder pressure is greater than the maximum urethral pressure, and often occurs when the abdominal pressure suddenly increases, for example: laughing, sneezing, coughing, etc. Postmenopausal populations are more prone to morbidity. Most of the pathogenesis is that the birth injury is caused during the delivery, the estrogen level is reduced after menopause, the pelvic floor soft tissue is relaxed, and the like. SUI was initially recognized as one of five major diseases affecting human health in the mid 90 s, known as "social cancer". Particularly in China, SUI is more and more valued with further aging of population. A recent investigation of the incidence of urinary incontinence in Beijing alone has found that 23% -45% of women have varying degrees of urinary incontinence, about 7% have significant urinary incontinence symptoms, and about 50% are stress urinary incontinence. A group abroad reported 37.7% of women with urinary incontinence over 60 years old. For this reason, effective methods for treating SUI are sought, which are of urgent and significant clinical significance.
In order to treat urinary incontinence, techniques for inserting an elastic insert into the interior of the vagina or injecting hydrogel (polymer) particles into soft tissues around the urethra or ureter are described in various documents such as U.S. patent publication No. 6808485, japanese laid-open patent publication No. JP1998-155897, korean laid-open patent publication No. KR2003-34218, etc. Tension-free transvaginal mid-urethral suspension (TVT, tension-free vaginal tape) is the gold standard for SUI treatment in surgical treatment. The TVT is considered to have the advantages of high cure rate, simple and convenient operation, small wound, quick postoperative recovery, less complications, low recurrence rate and the like at present, and is widely applied clinically.
There have been various methods for the treatment of stress incontinence historically, with the efficacy of surgical treatment being the most desirable and urethral or bladder neck sling procedures being the most effective method of surgical treatment. With advances in technology and in-depth understanding of the principles of urinary incontinence generation in recent years, a variety of minimally invasive approaches have been employed to achieve optimal therapeutic results by employing surgical procedures and techniques that minimize patient damage. One current treatment for stress incontinence is tension-free suspension of the mid-section of the transvaginal urethra, i.e., an incision of about 2cm is made in the anterior vaginal wall, and a sling to be placed at the bottom of the mid-section of the urethra is placed into the soft tissue space in the body by a puncturing device to enhance the supporting action of the pelvic floor soft tissue on the urethra. Thus, when the abdominal pressure increases, the amplitude of the downward movement of the urethra is limited by the implanted sling, and the ureter is pressed and closed, so that the urine leakage of the patient is controlled.
The two ends of the implanted sling can generally run in the body through two ways, after the skin is led out, the external part of the sling is sheared off, and the internal part plays an anchoring role on the sling along with the growth of surrounding soft tissues. One is the retropubic approach, where the piercing instrument brings the ends of the sling along the back of the pubis from the abdominal wall, which has the potential to damage the bladder or other soft tissue behind the pubis, such as the vascular plexus, leading to serious complications. The other is a transobturator approach, a puncture instrument passes through obturator foramens, and two ends of a sling are pulled along the vaginal submucosa towards the obturator foramens of pelvis at two sides, and are led out of the body from the skin at the inner side of thigh. The operation adopting the latter way is called a transobturator mid-urethra suspension operation, and is a method which is more commonly adopted at present because of the fact that the main blood vessels are far away from the bladder and the pelvis, complications are rare, the operation is simple, and popularization is facilitated.
There are two ways to pass the obturator instrument through the obturator canal in the mid-urethral suspension. From the anterior vaginal wall incision to the skin on the inner thigh (inside-out) and from the outer thigh through the obturator foramen to the anterior vaginal wall incision, and back out (outside-in) after connection with the sling. Both of these procedures require blunt or sharp separation of the vaginal submucosa from the vaginal incision to the obturator foramen with surgical scissors to facilitate passage of the penetrating device and placement of the sling. The vaginal submucosa is normally loose tissue and the surgical bleeding is very small when the separation layer is correct.
In recent years, a single incision transvaginal tensionless mid-urethral suspension (SIS) has been developed and practiced to reduce the trauma area. The hanging strips with two ends connected with the obturator anchors are adopted, two sides of the obturator anchors are positioned on the corresponding obturator membranes in sequence, the tension and the position of the hanging strips are moderately adjusted, the operation can be completed, the operation time is greatly reduced, and the wound healing speed is higher. In the existing operation process, because the incision breadth is limited, on the basis that the difficulty of implanting and positioning the obturator anchor in the obturator membrane is overcome, the adjustment and positioning and locking of the sling tension become very painful steps for a relevant doctor to perform the operation, and the required instruments are complex in operation. Namely, the tension of the sling is inconvenient to adjust under the condition of poor visual conditions, and the tension change amplitude caused by positioning and locking is large when the tension of the sling is adjusted properly, so that the sling is not suitable for doctors to efficiently and reliably complete the operation.
Disclosure of Invention
In view of the above-mentioned drawbacks of the prior art, the present invention aims to propose a device for adjusting and fixing tension of a surgical mesh and its surgical application, solving the problem of one-hand operation performability of sling tension adjustment and positioning locking in SIS surgery.
The technical solution of the invention for achieving the above purpose is that the device for adjusting and fixing the tension of the operation net comprises a tension adjusting rope, a locking suture and a positioner, wherein the tension adjusting rope is guided to be penetrated in the positioner and is connected with the end part of a sling and a closed hole anchor implanted later to adjust the tension of the sling, and the locking suture is matched with the positioner to permanently fix the position and the tension of the sling; the locator comprises a sleeve with two winding wheels and a fixed anchor, wherein the fixed anchor is an inverted cone sleeve with a top ring and a bottom locking tooth which are elastically polymerized, one end of the tension adjusting rope is fixedly connected with the end part of a hanging belt, and the other end of the tension adjusting rope penetrates the sleeve and the fixed anchor from a preset hole of the closed hole anchor and is wound on one winding wheel; the locking suture penetrates into a preset hole of the closed hole anchor, one end of the locking suture penetrates into the sleeve to be connected with the fixed anchor, the other end of the locking suture penetrates into the sleeve to be connected with the other winding wheel in a winding mode, the fixed anchor is pulled to abut against the closed hole anchor under the condition that the tension of the hanging belt is moderate, and the hanging belt is reversely locked in the fixed anchor.
Further, the inverted cone-shaped sleeve pipe passes through the strip-shaped net belt in a unidirectional way and is locked reversely, and the other end of the tension adjusting rope and the hanging belt penetrate into the sleeve pipe and the fixed anchor.
Further, the tension adjusting rope is a bead string with more than two locking balls, the locking balls are separated by 0.2mm-5mm, the inverted cone-shaped sleeve passes through the bead string in a unidirectional way and is locked reversely, only the tension adjusting rope penetrates through the sleeve and the fixed anchor, and the hanging belt is pulled by the tension adjusting rope to be locked.
The technical solution for achieving the other purpose is that a device for adjusting and fixing tension by using a surgical mesh is used for connecting a closed hole anchor implanted in a body and a sling, and is applied to open surgery or minimally invasive surgery.
Compared with the traditional devices, the device provided by the invention has the outstanding substantive characteristics and remarkable progress: the device reduces the operation difficulty and operation time of single incision transvaginal tensionless mid-urethra suspension operation, provides a reliable implementation scheme for adjusting and locking the sling tension and the position by single hand operation, and avoids the change of the sling tension in the operation process. And provides diversified examples, and can meet the selection of doctors with different operation habits for operation.
Drawings
Fig. 1 is a schematic diagram of a structure and a usage state of an embodiment of the present invention.
Fig. 2 is a schematic diagram of the structure and use state of another embodiment of the present invention.
Detailed Description
The following detailed description of the embodiments of the present invention is provided with reference to the accompanying drawings, so that the technical scheme of the present invention is easier to understand and grasp, and the protection scope of the present invention is defined more clearly.
The invention provides a device for adjusting and fixing tension by an operation net and an operation application thereof, which solve the problems that the operation of the prior sling implantation device for treating the stress urinary incontinence is complicated and can not be completed by one hand or multiple doctors in a cooperative mode.
Typically, in performing such procedures, an incision of less than 2cm is made in the vaginal top wall until the ureter is visible. And the obturator anchor pre-connected with one end of the sling is penetrated through the incision and positioned on one obturator anchor. Either left or right, with the physician selecting the right hand. The technical scheme of the invention is to conveniently adjust the tension of the hanging belt to a proper degree and lock the instrument needed by the position while the closed hole anchor on the other side is penetrated and connected, and the device for adjusting and fixing the tension of the operation net comprises a tension adjusting rope and a positioner, wherein the tension adjusting rope is guided to be penetrated and connected in the positioner and is related with the hanging belt end part and the closed hole anchor implanted later to adjust the tension of the hanging belt, and the tension adjusting rope is matched with the positioner to fix the tension and the position of the hanging belt. Of course, the tension adjusting cords may be of a wide variety of types and may be, for example, sutures, cables, braided cords, ropes, beaded cords, ties, and the like. And along with the variety and the structural change of the positioner, a locking suture can be introduced again, and the tension and the position of the hanging belt are fixed by the locking suture matched with the positioner. The tension adjusting rope comprises a tension adjusting rope, a tension adjusting rope and a tension adjusting rope, wherein the tension adjusting rope comprises a sleeve with two winding wheels and a fixed anchor, the fixed anchor is formed into an inverted cone sleeve with a top ring and a bottom locking tooth which are elastically polymerized, one end of the tension adjusting rope is fixedly connected with the end part of a hanging belt, and the other end of the tension adjusting rope penetrates the sleeve and the fixed anchor from a preset hole of the closed hole anchor and is wound on one winding wheel; the locking suture thread penetrates into a preset hole of the closed hole anchor, one end of the locking suture thread penetrates into the sleeve to be connected with the fixed anchor, the other end of the locking suture thread penetrates into the sleeve to be connected with the other winding wheel in a winding mode, the fixed anchor is pulled to be abutted against the closed hole anchor under the condition that the tension of the hanging belt is moderate, and then the hanging belt can be reversely locked in the fixed anchor. Therefore, after the implantation of the later closed hole anchor is finished, the tension adjustment of the sling can be finished within a limited incision range by simply pulling the tension adjusting rope and pushing the sling, and the operation of the implantation of the sling can be conveniently and smoothly finished by winding the tension adjusting rope or locking the suture by utilizing the pre-threading, pre-winding or other pre-defined modes.
In view of the multiple possible embodiments of the retainers, the following description of the various configurations of retainers and the corresponding threading operation of the suture will be provided in detail.
As shown in fig. 1, in one embodiment of the device for adjusting and fixing tension of the surgical mesh, the positioner 05 comprises a sleeve 051 with two winding wheels 052 and a fixed anchor 053, wherein the fixed anchor 053 is an inverted cone sleeve with elastically polymerized top circular ring and bottom locking teeth, and the locking teeth pass through the mesh holes on the strip-shaped mesh belt (hanging belt) in a unidirectional way and are locked in a reverse way (namely, the locking teeth penetrate the mesh holes and are positioned in a unidirectional way respectively). The tension adjusting rope as a conventional necessary component is a single-strand bare wire 3a, one end of the tension adjusting rope is fixedly connected with the end part of the hanging strip 1, the other end of the tension adjusting rope penetrates into the sleeve 051 and the fixed anchor 053 together with the preset hole 21 of the hanging strip 1 from the closed hole anchor 2 and is wound on one winding wheel, the locking suture 4 penetrates into the preset hole 21 of the closed hole anchor 2, one end penetrates into the sleeve 051 to be connected with the fixed anchor 053, the other end penetrates into the sleeve 051 and is wound on the other winding wheel, and therefore the two winding wheels 052 respectively act on the position of the hanging strip 1 and the tension of the hanging strip and adjust the position of the fixed anchor 053, the fixed anchor 053 is pulled to be abutted against the closed hole anchor 2 under the condition that the tension of the hanging strip 1 is moderate, and the hanging strip 1 is reversely locked in the fixed anchor 053.
In the operation of the device of the embodiment, one end of the tension adjusting rope is fixedly connected with the hanging belt, one end of the locking suture is fixedly connected with the top circular ring of the fixed anchor, the tip of the fixed anchor is penetrated towards the sleeve, and then the other end of the tension adjusting rope and the locking suture in the same direction sequentially penetrates through the preset hole of the closed hole anchor, the sleeve and the fixed anchor and is respectively wound on each winding wheel. After the preparation operation is finished, the closed hole anchor is implanted into the body by adopting a special tool, one of the winding wheels is operated to moderately tighten the tension adjusting rope, the tension adjusting rope and the end part of the hanging strip are pulled into the sleeve together, so that the proper hanging strip tension is achieved, the two-way closed hole anchor of the winding wheels is operated to pull the fixed anchor after the tension adjustment is finished, and due to the attachment mode and the self structural characteristics of the fixed anchor, the locking teeth which are elastically polymerized in the displacement process of the fixed anchor towards the closed hole anchor automatically stretch outwards, so that the movement is not limited, and when the fixed anchor is abutted against the closed hole anchor, the fixed anchor is locked in a one-way mode relative to the hanging strip due to the self-resetting effect of the elastic polymerization of the locking teeth, and the hanging strip tension is also effectively fixed.
In another embodiment of the device for adjusting and fixing tension of the surgical mesh, as shown in fig. 2, the positioner 06 comprises a sleeve 061 with two reels 062 and a fixed anchor 063, wherein the fixed anchor 063 is an inverted cone sleeve with elastically polymerized top ring and bottom locking teeth, and is one-way passed and reversely locked on the bead wire 3b (the locking balls of the bead wire have the capability of ejecting the locking teeth from the inside to the outside but cannot pass through the locking teeth in the polymerized state from the outside to the inside). The tension adjusting rope as a conventional necessary component is a beaded wire 3b with more than two locking balls 31b, the intervals between the locking balls 31b are 0.2mm-5mm, one end of the tension adjusting rope is fixedly connected with the end part of the hanging strip 1, the other end of the tension adjusting rope penetrates through the sleeve 061 and the fixed anchor 063 from the preset hole 21 of the closed-hole anchor 2 and is wound on one winding wheel, the locking suture 4 penetrates through the preset hole 21 of the closed-hole anchor 2, one end of the locking suture penetrates through the sleeve 061 to be connected with the fixed anchor 063, the other end of the locking suture penetrates through the sleeve 061 and is wound on the other winding wheel, and therefore the two winding wheels 062 respectively act on the position of the hanging strip 1 and the tension of the fixed anchor 063 to be adjusted, the fixed anchor 063 is pulled to abut against the closed-hole anchor 2 under the moderate tension of the hanging strip 1, and the tension adjusting rope is reversely locked in the fixed anchor 063.
In the operation of the device of the embodiment, one end of the tension adjusting rope is fixedly connected with the hanging belt, one end of the locking suture is fixedly connected with the top circular ring of the fixed anchor, the tip of the fixed anchor is penetrated towards the sleeve, and then the other end of the tension adjusting rope and the locking suture in the same direction sequentially penetrates through the preset hole of the closed hole anchor, the sleeve and the fixed anchor and is respectively wound on each winding wheel. After the preparation operation is finished, the closed hole anchor is implanted into a body by adopting a special tool, then one of the winding wheels is operated to moderately tighten the tension adjusting rope, the locking ball of the bead string is pulled into the sleeve to drive the fixed anchor to move to the depth direction of the sleeve so as to achieve proper sling tension, and then the two-way closed hole anchor of the winding wheel is operated to pull the fixed anchor after the tension adjustment is finished.
As will be seen from a review of the detailed description of the various embodiments of the invention in conjunction with the drawings, the application of the device of the invention provides outstanding substantial features and significant advances over conventional devices of this type: the device reduces the operation difficulty and operation time of single incision transvaginal tensionless mid-urethra suspension operation, provides a reliable implementation scheme for adjusting and locking the sling tension and the position by single hand operation, and avoids the change of the sling tension in the operation process. And provides diversified examples, and can meet the selection of doctors with different operation habits for operation.
Claims (4)
1. A device for adjusting and fixing tension of a surgical mesh, characterized in that: the tension adjusting rope is guided to be connected in the positioner in a penetrating way and is related to the end part of the sling and a closed hole anchor implanted later to adjust the tension of the sling, and the locking suture is matched with the positioner to permanently fix the position and the tension of the sling; the locator comprises a sleeve with two winding wheels and a fixed anchor, wherein the fixed anchor is an inverted cone sleeve with a top ring and a bottom locking tooth which are elastically polymerized, one end of the tension adjusting rope is fixedly connected with the end part of a hanging belt, and the other end of the tension adjusting rope penetrates the sleeve and the fixed anchor from a preset hole of the closed hole anchor and is wound on one winding wheel; the locking suture penetrates into a preset hole of the closed hole anchor, one end of the locking suture penetrates into the sleeve to be connected with the fixed anchor, the other end of the locking suture penetrates into the sleeve to be connected with the other winding wheel in a winding mode, the fixed anchor is pulled to abut against the closed hole anchor under the condition that the tension of the hanging belt is moderate, and the hanging belt is reversely locked in the fixed anchor.
2. The surgical mesh tension adjusting and fixing device according to claim 1, wherein: the reverse taper sleeve passes through the strip-shaped net belt in a unidirectional way and is locked reversely, and the other end of the tension adjusting rope penetrates into the sleeve and the fixed anchor together with the hanging belt.
3. The surgical mesh tension adjusting and fixing device according to claim 1, wherein: the tension adjusting rope is a bead string with more than two locking balls, the intervals among the locking balls are 0.2mm-5mm, the inverted cone-shaped sleeve pipe passes through the bead string in a unidirectional way and is locked reversely, only the tension adjusting rope penetrates into the sleeve pipe and the fixed anchor, and the hanging belt is pulled by the tension adjusting rope to be locked.
4. A surgical mesh tension adjusting and fixing device as defined in claim 1, 2 or 3, wherein: the device is connected with a closed hole anchor and a hanging belt which are implanted in the body, and is applied to open surgery or minimally invasive surgery.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202311635870.1A CN117481866A (en) | 2017-12-27 | 2017-12-27 | Device for adjusting and fixing tension of surgical mesh and surgical application of device |
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201711442828.2A CN108209991B (en) | 2017-12-27 | 2017-12-27 | Device for adjusting and fixing tension of surgical mesh and surgical application of device |
| CN202311635870.1A CN117481866A (en) | 2017-12-27 | 2017-12-27 | Device for adjusting and fixing tension of surgical mesh and surgical application of device |
Related Parent Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201711442828.2A Division CN108209991B (en) | 2017-12-27 | 2017-12-27 | Device for adjusting and fixing tension of surgical mesh and surgical application of device |
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| Publication Number | Publication Date |
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| CN117481866A true CN117481866A (en) | 2024-02-02 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN202311635865.0A Pending CN117752461A (en) | 2017-12-27 | 2017-12-27 | Device for adjusting and fixing tension of surgical mesh and surgical application thereof |
| CN202311635870.1A Pending CN117481866A (en) | 2017-12-27 | 2017-12-27 | Device for adjusting and fixing tension of surgical mesh and surgical application of device |
| CN201711442828.2A Active CN108209991B (en) | 2017-12-27 | 2017-12-27 | Device for adjusting and fixing tension of surgical mesh and surgical application of device |
| CN202311635864.6A Pending CN117481865A (en) | 2017-12-27 | 2017-12-27 | Device for adjusting and fixing tension of surgical mesh and surgical application thereof |
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| CN202311635865.0A Pending CN117752461A (en) | 2017-12-27 | 2017-12-27 | Device for adjusting and fixing tension of surgical mesh and surgical application thereof |
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| CN201711442828.2A Active CN108209991B (en) | 2017-12-27 | 2017-12-27 | Device for adjusting and fixing tension of surgical mesh and surgical application of device |
| CN202311635864.6A Pending CN117481865A (en) | 2017-12-27 | 2017-12-27 | Device for adjusting and fixing tension of surgical mesh and surgical application thereof |
Country Status (2)
| Country | Link |
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| CN (4) | CN117752461A (en) |
| WO (1) | WO2019128491A1 (en) |
Families Citing this family (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN117752461A (en) * | 2017-12-27 | 2024-03-26 | 苏州优迈医疗器械有限公司 | Device for adjusting and fixing tension of surgical mesh and surgical application thereof |
| CN109099854B (en) * | 2018-08-29 | 2020-05-05 | 江苏省工程勘测研究院有限责任公司 | Device and method for measuring depth of water area |
| CN109528280B (en) * | 2018-12-19 | 2023-12-29 | 中国人民解放军第二军医大学第二附属医院 | Anti-displacement device and anti-displacement system for internal fixation |
| CN112294376B (en) * | 2019-08-29 | 2021-12-28 | 杭州德晋医疗科技有限公司 | A long-range suture locking device of staple and intervention formula for locking suture |
| CN111193166A (en) * | 2020-01-16 | 2020-05-22 | 东莞市谨瑞电子科技有限公司 | Wire clamping mechanism and electronic module assembling mechanism |
| CN113558561A (en) * | 2021-07-26 | 2021-10-29 | 重庆市黔江中心医院 | Vaginal speculum |
| CN114081557A (en) * | 2021-10-25 | 2022-02-25 | 运医之星(上海)科技有限公司 | Self-threading inserter |
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| JP3668263B2 (en) * | 1993-07-28 | 2005-07-06 | テルモ株式会社 | Knot forming device |
| US6776789B2 (en) * | 2001-04-16 | 2004-08-17 | Todd Bryant | Cinch suture and method for using |
| US20070156175A1 (en) * | 2005-12-29 | 2007-07-05 | Weadock Kevin S | Device for attaching, relocating and reinforcing tissue and methods of using same |
| JP2012500712A (en) * | 2008-08-25 | 2012-01-12 | エーエムエス リサーチ コーポレイション | Implants and methods with minimal invasion |
| US9381075B2 (en) * | 2011-01-31 | 2016-07-05 | Boston Scientific Scimed, Inc. | Deflection member for delivering implants and methods of delivering implants |
| AU2012223152A1 (en) * | 2011-03-03 | 2013-10-24 | Endo Pharmaceuticals Inc. | Systems and methods for treating urinary incontinence |
| US12064329B2 (en) * | 2013-03-15 | 2024-08-20 | Boston Scientific Scimed, Inc. | Surgical implant system and method |
| CN103340701B (en) * | 2013-06-06 | 2015-03-04 | 宋红娟 | Quantitative adjustable urethra middle section suspension device |
| CN106725656B (en) * | 2016-12-22 | 2019-01-08 | 中国人民解放军第二军医大学 | Through skin traction sting device |
| CN106943205A (en) * | 2017-03-16 | 2017-07-14 | 夏志军 | Internally-fixed urinary tract stage casing suspension sling components |
| CN107260360A (en) * | 2017-07-11 | 2017-10-20 | 李建民 | A kind of suspender belt implantation instrument and its application method for treating stress incontinence |
| CN117752461A (en) * | 2017-12-27 | 2024-03-26 | 苏州优迈医疗器械有限公司 | Device for adjusting and fixing tension of surgical mesh and surgical application thereof |
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- 2017-12-27 CN CN202311635870.1A patent/CN117481866A/en active Pending
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| CN108209991B (en) | 2023-11-24 |
| CN117481865A (en) | 2024-02-02 |
| WO2019128491A1 (en) | 2019-07-04 |
| CN108209991A (en) | 2018-06-29 |
| CN117752461A (en) | 2024-03-26 |
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