CN118000960A - Method of use for an artificial sphincter physician - Google Patents

Method of use for an artificial sphincter physician Download PDF

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Publication number
CN118000960A
CN118000960A CN202410217735.3A CN202410217735A CN118000960A CN 118000960 A CN118000960 A CN 118000960A CN 202410217735 A CN202410217735 A CN 202410217735A CN 118000960 A CN118000960 A CN 118000960A
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China
Prior art keywords
piece
block
urethra
physician
artificial
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CN202410217735.3A
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Chinese (zh)
Inventor
刘雷
林力
庄嘉俊
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Shanghai Pall Medical Technology Co ltd
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Shanghai Pall Medical Technology Co ltd
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Priority to CN202410217735.3A priority Critical patent/CN118000960A/en
Publication of CN118000960A publication Critical patent/CN118000960A/en
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Abstract

The invention relates to the technical field of artificial sphincters, in particular to a use method of an artificial sphincters doctor, and when the artificial sphincters are used, three prepared artificial urethra sphincters are used as a set: the sleeve, the catheter and the control device are connected, the sleeve is wrapped on the penis, and then physiological saline is introduced into the sleeve through the control device; after the artificial urethral sphincter is connected with the human body, the external attachment is wound on the waist and abdomen of the patient, the adjusting device on the external attachment is connected with the placement component, and the control device is placed in the placement component; when urination is performed, the oversleeves are regulated by the control device, so that urine in the bladder can be smoothly discharged; the invention controls the expansion and contraction of the extrusion bag through the control device; when the extrusion bag is expanded, the extrusion bag extrudes the urethra, so that the urethra is in a blocking state, and the condition of urine leakage is avoided; when the squeezing bag contracts, the squeezing bag loses squeezing force on the urethra, the urethra is opened, and urine in the bladder is discharged out of the body.

Description

Method of use for an artificial sphincter physician
Technical Field
The invention relates to the technical field of artificial sphincters, in particular to a use method of an artificial sphincters doctor.
Background
The artificial urethral sphincter is commonly called as an artificial urethral switch and is used for closing the urethra, the urethral switch strength of a patient suffering from urinary incontinence is insufficient, the artificial urethral sphincter is equivalent to a tourniquet and closes the urethra, but proper pressure, such as 60-70cmH20 pressure, is required to be ensured, and urine cannot leak out through the urethra in most cases. But the pressure cannot be too high so as not to seal the blood vessels and micro-blood vessels for the urethra, which leads to continuous ischemia, atrophy and even saturation of the urethra.
The force of the artificial urethral sphincter comes from a balloon which holds physiological saline aside, usually 22mL of physiological saline is beaten, and the pressure of 60-70cm H20 is caused, and the force is transmitted to the urethra, so that the effect of closing the urethra can be achieved. When the patient needs to urinate, the pressure pump is pressed, urine can easily pass through the urethra, and the patient can urinate for 2-3 minutes. Thus, the patient does not leak urine at ordinary times after the artificial urinary sphincter operation, and urination can be controlled by the switch when urinating.
The Chinese patent with the application number of CN202010040409.1 discloses an external artificial urethral sphincter device, which comprises a pressure regulating bag fixedly bound on the body of a patient and in a ring shape, a pump arranged in the ring shape of the pressure regulating bag and communicated with the pressure regulating bag, a hose with one end connected with the pump, and a sleeve bag sleeved on the penis of the patient and connected with the other end of the hose. The cuff comprises an outer layer, an inner layer sleeved on the penis of the patient, an inflatable bag arranged between the outer layer and the inner layer, arranged at the lower side of the inner layer and connected with the hose, a buffer layer arranged between the outer layer and the inner layer, and a penis through hole arranged in the inner layer and used for the penis of the patient to penetrate.
Although the discharge of urine can be controlled by the pump in the prior art, the control pump is placed in the body for a long time to easily cause inflammation and the like, and the control pump is placed in the device outside the body in the prior art, but is easy to shake and collide with the body in the process of moving or normally walking of a patient, so that the comfort of the patient is affected, and unnecessary damage is caused.
Accordingly, there is a need for an inventive method of use for an artificial sphincter physician to address the above-described problems.
Disclosure of Invention
The invention aims to provide a using method of an artificial sphincter doctor, so as to solve the technical problem that the artificial sphincter provided in the background art is uncomfortable to a human body during use.
In order to achieve the above purpose, the present invention provides the following technical solutions:
a method of use by an artificial sphincter physician, said method of use comprising the steps of:
Step one: the physician detects the urethra by using a urethroscope or other medical instruments to obtain the diameter of the urethra, and obtains the water quantity of the physiological saline injected into the sleeve according to the diameter of the urethra;
step two: three pieces of prepared artificial urinary sphincter were set: the sleeve, the catheter and the control device are connected, the sleeve is wrapped on the penis, and then physiological saline is introduced into the sleeve through the control device;
Step three: after the artificial urethral sphincter is connected with the human body, the external attachment is wound on the waist and abdomen of the patient, the adjusting device on the external attachment is connected with the placement component, and the control device is placed in the placement component;
Step four: when urination is performed, the oversleeves are regulated by the control device, so that urine in the bladder can be smoothly discharged;
step five: during normal walking, the adjusting device adjusts the position of the placement component, so that the placement component is stable on the abdominal wall.
Preferably, the placement component comprises a fixing piece, a clamping groove connected with the adjusting device is formed in the periphery of the fixing piece, and a placement groove is formed in the middle of the fixing piece.
The adjusting device comprises an annular block arranged on the outer side of the fixing piece, an inner ring of the annular block is provided with an array-distributed movable cavity, an electromagnetic block is arranged on the inner top of the movable cavity, a connecting block is connected to the inner side of the movable cavity in a sliding mode, a magnetic block is arranged in the connecting block, an elastic telescopic rod is arranged at the bottom of the connecting block, and the bottom of the elastic telescopic rod is connected with the movable cavity.
The connecting block middle part is equipped with the haulage rope, the one end that the haulage rope kept away from the connecting plate wears out the activity chamber, the one end that the haulage rope worn out the activity chamber is connected with the joint spare, joint spare and joint groove looks joint.
According to the invention, the adjusting device and the external accessory are arranged at the same time, the states of the fixed block and the external accessory can be obtained by detecting the expansion and contraction amounts of the elastic telescopic rods in the movable cavity, when the fixed block is inclined, the fixed block returns to the initial state by adjusting the contraction amounts of the elastic telescopic rods at the upper side and the lower side of the annular block, the phenomenon that a patient generates discomfort is avoided, when the external accessory is deviated, the expansion amount of the air bag is adjusted by the adjusting piece, the air bag clamps the waist and abdomen, further deviation is avoided, and meanwhile, the contraction amounts of the elastic telescopic rods at the left side and the right side of the annular block are adjusted, so that the fixed block maintains the stable state, and the phenomenon that the patient generates discomfort is avoided.
Preferably, one end of the fixing piece is provided with a rubber ring, and the rubber ring is positioned at the end part of the placement groove.
The other end of mounting is equipped with the installation piece, the middle part of installation piece is equipped with the movable groove, the one end that the installation piece kept away from the mounting is equipped with the expansion member.
Preferably, the clamping piece comprises a fixed block, elastic strips are symmetrically arranged on the outer sides of the fixed block, clamping blocks are arranged on the outer sides of the elastic strips, and the clamping blocks are clamped with clamping grooves formed in the clamping grooves.
Preferably, the junction of expansion member and installation piece is equipped with the vent pipe of array distribution, the one end and the expansion member of vent pipe are linked together, the vent pipe other end is equipped with the annular, the annular is located the inside of installation piece, be equipped with the gas-supply pipeline on the outer wall of annular, the one end that the gas-supply pipeline kept away from the annular is equipped with external joint, external joint is located the week side of mounting.
Preferably, the inner part of the sleeve is provided with a connecting pipeline, the inner ring of the sleeve is provided with a flexible part, the bottom of the flexible part is provided with a squeezing bag, and the squeezing bag is communicated with the connecting pipeline.
The control device comprises a shell, a miniature water pump is arranged in the shell, a storage bag is arranged at one end of the miniature water pump, a guide pipe is arranged at the other end of the miniature water pump and is communicated with a connecting pipe, a control switch is arranged on the outer side wall of the shell, and the control switch is electrically connected with the miniature water pump.
Preferably, after the clamping of the clamping block and the clamping groove is completed, a traction rope between the fixing piece and the annular block is in an inclined stretching state, and the traction rope generates traction force to the fixing piece.
Preferably, the outer attachment piece comprises an attaching piece connected with the annular block, two ends of the attaching piece are connected with the same binding piece together, two ends of the binding piece are symmetrically provided with air bags respectively, and an adjusting piece is arranged at the joint of the air bags and the binding piece.
Preferably, the regulating part comprises a mounting cylinder arranged on the binding part, an air hole is formed in the top of the mounting cylinder, the mounting cylinder is communicated with the air bag through the air hole, a pushing part is arranged in the mounting cylinder, a sealing plate is arranged at the telescopic end of the pushing part, and the periphery of the sealing plate is in sealing sliding connection with the inside of the mounting cylinder.
Preferably, a control terminal is arranged in the annular block, a control system is arranged in the control terminal, and the control system is used for controlling all electric elements in the device to act.
The invention has the technical effects and advantages that:
1. According to the invention, the expansion and contraction of the extrusion bag can be controlled by arranging the miniature water pump and the extrusion bag and controlling the forward and reverse rotation of the miniature water pump; when the extrusion bag is expanded, the extrusion bag extrudes the urethra, so that the urethra is in a blocking state, and the condition of urine leakage is avoided; when the squeezing bag contracts, the squeezing bag loses squeezing force on the urethra, the urethra is opened, and urine in the bladder is discharged out of the body.
2. According to the invention, the state of the fixed block and the external accessory can be obtained by detecting the expansion and contraction amount of the elastic telescopic rod in the movable cavity, when the fixed block is inclined, the fixed block returns to the initial state by adjusting the contraction amount of the elastic telescopic rods at the upper side and the lower side of the annular block, the phenomenon that a patient generates discomfort is avoided, when the external accessory is deviated, the expansion amount of the air bag is adjusted by the adjusting piece, the air bag clamps the waist and abdomen, further deviation is avoided, and meanwhile, the contraction amount of the elastic telescopic rods at the left side and the right side of the annular block is adjusted, so that the fixed block maintains a stable state, and the phenomenon that the patient generates discomfort is avoided.
Drawings
FIG. 1 is a schematic diagram of the main structure of the present invention.
FIG. 2 is a schematic diagram of the connection of the adjusting device and the mounting assembly according to the present invention.
Figure 3 is a schematic illustration of the connection of the placement module of the present invention to an artificial urinary sphincter.
Fig. 4 is a schematic view of the internal cross-sectional structure of the sleeve of the present invention.
FIG. 5 is a schematic view of the internal cross-section of the control device of the present invention
Fig. 6 is a schematic cross-sectional view of a placement module of the present invention.
FIG. 7 is a schematic cross-sectional view of an annular block of the present invention
Fig. 8 is an enlarged view of the invention at a in fig. 7.
Fig. 9 is a schematic cross-sectional view of an adjustment member according to the present invention.
FIG. 10 is a flow chart of the method of the present invention.
In the figure: 1. an artificial urinary sphincter; 101. a sleeve; 1011. a connecting pipe; 1012. a flexible portion; 1013. extruding the bag; 102. a conduit; 103. a control device; 1031. a housing; 1032. a micro water pump; 1033. a control switch; 1034. a storage bag; 2. a placement assembly; 201. a fixing member; 202. a clamping groove; 203. a placement groove; 3. a rubber ring; 4. an outer accessory; 401. a fitting member; 402. a tie-down; 403. an air bag; 5. an adjusting device; 501. an annular block; 502. a movable cavity; 503. an electromagnetic block; 504. a connecting block; 505. a magnetic block; 506. an elastic telescopic rod; 507. a traction rope; 508. a clamping piece; 5081. a fixed block; 5082. an elastic strip; 5083. a clamp block; 6. an adjusting member; 601. a mounting cylinder; 602. air holes; 603. a pushing member; 604. a sealing plate; 7. a mounting block; 8. a movable groove; 9. an expansion member; 10. a ventilation duct; 11. a ring groove; 12. an external joint.
Detailed Description
The following description of the embodiments of the present invention will be made clearly and completely with reference to the accompanying drawings, in which it is apparent that the embodiments described are only some embodiments of the present invention, but not all embodiments. All other embodiments, which can be made by those skilled in the art based on the embodiments of the invention without making any inventive effort, are intended to be within the scope of the invention.
Example 1
Referring to fig. 1-10, a method of use for an artificial sphincter physician, the method of use comprising the steps of:
Step one: the physician detects the urethra by using a urethroscope or other medical instruments to obtain the diameter of the urethra, and obtains the amount of water injected with physiological saline into the sleeve 101 according to the diameter of the urethra;
step two: three sets of prepared artificial urinary sphincter 1: the sleeve 101, the catheter 102 and the control device 103 are connected, the sleeve 101 is wrapped on the penis, and then physiological saline is introduced into the sleeve 101 through the control device 103;
Step three: after the artificial urethral sphincter 1 is connected with a human body, the external accessory 4 is wound on the waist and abdomen of the patient, the adjusting device 5 on the external accessory 4 is connected with the placement component 2, and the control device 103 is placed in the placement component 2;
Step four: during urination, the control device 103 is used for adjusting the sleeve 101, so that urine in the bladder can be smoothly discharged;
step five: during normal walking, the adjusting device 5 adjusts the position of the placement component 2, so that the placement component 2 is kept stable on the abdominal wall.
Specifically, a connecting pipe 1011 is provided inside the sleeve 101, a flexible portion 1012 is provided at an inner ring of the sleeve 101, a squeeze bag 1013 is provided at a bottom of the flexible portion 1012, and the squeeze bag 1013 is communicated with the connecting pipe 1011.
The control device 103 includes a housing 1031, a micro water pump 1032 is provided in the housing 1031, a storage bag 1034 is provided at one end of the micro water pump 1032, a conduit 102 is provided at the other end of the micro water pump 1032, the conduit 102 is connected with a connecting pipe 1011, a control switch 1033 is provided on the outer side wall of the housing 1031, and the control switch 1033 is electrically connected with the micro water pump 1032.
The artificial urinary sphincter 1 is composed of a cuff 101, a water storage bag and a control device 103. The artificial urethral sphincter (1) has the action mechanism that the special urethral cuff (101) is wrapped around the urethra, and the inflation and the deflation of the urethral cuff (101) are controlled by the water storage bag and the control device (103), so that the purposes of controlling urine and discharging urine are achieved.
When in use, a doctor can bind the control device 103 on the leg, then wrap the sleeve 101 on the penis, enable the squeeze bag 1013 on the sleeve 101 to correspond to the position of the urethra on the penis, then press the control switch 1033 on the shell 1031 to start the micro water pump 1032, the micro water pump 1032 discharges the liquid (physiological saline) in the storage bag 1034 into the connecting pipeline 1011 inside the sleeve 101 through the conduit 102, the connecting pipeline 1011 introduces the physiological saline into the squeeze bag 1013, the squeeze bag 1013 expands and squeezes the urethra, thereby the urethra is in a blocking state, and the condition of urine leakage is avoided.
When urination, the control switch 1033 on the shell 1031 is pressed again, so that the micro water pump 1032 reverses, the micro water pump 1032 returns the physiological saline in the squeeze bag 1013 to the storage bag 1034, at the moment, the squeeze bag 1013 loses the squeezing force to the urethra, the urethra is opened, and urine in the bladder is discharged; after urination, the control switch 1033 on the housing 1031 is pressed again, so that the micro water pump 1032 rotates in the forward direction, and the squeeze bulb 1013 expands again and squeezes the urethra.
It should be noted that: when the pressing bag 1013 presses the urethra, the pressing force is concentrated at the position of the urethra (as shown in detail) and does not damage the main body of the penis, and meanwhile, the flexible part 1012 is arranged at the inner side of the sleeve 101 to protect the main body of the penis and prevent the main body of the penis from being excessively pressed.
It should be noted that: after the cuff 101 is wrapped between the penis, a doctor needs to detect the urethra by using a urethroscope or other medical instruments to obtain the diameter of the urethra, and a proper amount of physiological saline is injected into the storage bag 1034 according to the diameter of the urethra, so that after the micro water pump 1032 is started, the expansion amount of the squeeze bag 1013 is controlled, the condition that the main body of the penis is injured due to excessive expansion of the squeeze bag 1013 is avoided, and meanwhile, the condition that the urethra cannot be effectively blocked due to too little expansion of the squeeze bag 1013 is avoided.
The invention controls the expansion and contraction of the squeeze bag 1013 by arranging the micro water pump 1032 and the squeeze bag 1013 and controlling the positive and negative rotation of the micro water pump 1032; when the squeeze bag 1013 expands, the squeeze bag 1013 squeezes the urethra to make the urethra in a blocking state, so as to avoid the occurrence of urine leakage; when the squeeze bag 1013 is contracted, the squeeze bag 1013 loses the squeezing force on the urethra, the urethra is opened, and urine in the bladder is discharged outside the body.
Example two
Although the above embodiment can control the discharge of urine through the inflation and deflation of the cuff 101, since the control device 103 is disposed outside the body, the control device 103 easily generates shaking and collision friction with the body during the movement or normal walking of the patient, which affects the comfort of the patient and causes unnecessary injury; in view of the technical improvement based on the first embodiment, a specific improvement scheme is as follows.
Referring to fig. 1 to 10, in detail, the mounting assembly 2 includes a fixing member 201, a clamping groove 202 connected with the adjusting device 5 is provided at a circumferential side of the fixing member 201, and a mounting groove 203 is provided at a middle portion of the fixing member 201.
The adjusting device 5 comprises an annular block 501 arranged on the outer side of the fixing piece 201, an inner ring of the annular block 501 is provided with an array-distributed movable cavity 502, an electromagnetic block 503 is arranged on the inner top of the movable cavity 502, a connecting block 504 is connected inside the movable cavity 502 in a sliding mode, a magnetic block 505 is arranged inside the connecting block 504, an elastic telescopic rod 506 is arranged at the bottom of the connecting block 504, and the bottom of the elastic telescopic rod 506 is connected with the movable cavity 502.
The middle part of the connecting block 504 is provided with a traction rope 507, one end of the traction rope 507, which is far away from the connecting plate, penetrates out of the movable cavity 502, one end of the traction rope 507, which penetrates out of the movable cavity 502, is connected with a clamping piece 508, and the clamping piece 508 is clamped with the clamping groove 202.
According to the invention, the adjusting device 5 and the outer attachment 4 are arranged at the same time, the states of the fixed block 5081 and the outer attachment 4 can be obtained by detecting the expansion and contraction amount of the elastic expansion rod 506 in the movable cavity 502, when the fixed block 5081 is inclined, the fixed block 5081 returns to the initial state by adjusting the contraction amount of the elastic expansion rod 506 at the upper side and the lower side of the annular block 501, the discomfort phenomenon of a patient is avoided, when the outer attachment 4 is deviated, the expansion amount of the air bag 403 is adjusted by the adjusting piece 6, the air bag 403 clamps the waist and abdomen, further deviation is avoided, and meanwhile, the contraction amount of the elastic expansion rod 506 at the left side and the right side of the annular block 501 is adjusted, so that the fixed block 5081 maintains a stable state, and the discomfort phenomenon of the patient is avoided.
Specifically, one end of the fixing member 201 is provided with a rubber ring 3, and the rubber ring 3 is located at the end of the placement groove 203.
The other end of the fixing piece 201 is provided with a mounting block 7, the middle part of the mounting block 7 is provided with a movable groove 8, and one end of the mounting block 7 far away from the fixing piece 201 is provided with an expansion piece 9.
Specifically, the clamping piece 508 includes a fixed block 5081, an elastic strip 5082 is symmetrically arranged on the outer side of the fixed block 5081, a clamp block 5083 is arranged on the outer side of the elastic strip 5082, and the clamp block 5083 is clamped with a clamp groove formed in the clamping groove 202.
Specifically, the junction of expansion member 9 and installation piece 7 is equipped with the vent pipe 10 of array distribution, and the one end and the expansion member 9 of vent pipe 10 are linked together, and the vent pipe 10 other end is equipped with annular 11, and annular 11 is located the inside of installation piece 7, is equipped with the gas-supply pipeline on the outer wall of annular 11, and the one end that the gas-supply pipeline kept away from annular 11 is equipped with external joint 12, and external joint 12 is located the week side of mounting 201.
Specifically, a connecting pipe 1011 is provided inside the sleeve 101, a flexible portion 1012 is provided at an inner ring of the sleeve 101, a squeeze bag 1013 is provided at a bottom of the flexible portion 1012, and the squeeze bag 1013 is communicated with the connecting pipe 1011.
The control device 103 includes a housing 1031, a micro water pump 1032 is provided in the housing 1031, a storage bag 1034 is provided at one end of the micro water pump 1032, a conduit 102 is provided at the other end of the micro water pump 1032, the conduit 102 is connected with a connecting pipe 1011, a control switch 1033 is provided on the outer side wall of the housing 1031, and the control switch 1033 is electrically connected with the micro water pump 1032.
Specifically, after the clamping of the clamping block 5083 and the clamping groove 202 is completed, the traction rope 507 between the fixing member 201 and the annular block 501 is in an inclined stretching state, and the traction rope 507 generates traction force on the fixing member 201.
Specifically, the outer attachment 4 includes a fitting member 401 connected with the annular block 501, two ends of the fitting member 401 are connected with a same binding member 402 together, two ends of the binding member 402 are symmetrically provided with an air bag 403 respectively, and a joint between the air bag 403 and the binding member 402 is provided with an adjusting member 6.
Specifically, the adjusting member 6 includes a mounting cylinder 601 disposed on the restraint 402, an air hole 602 is disposed at the top of the mounting cylinder 601, the mounting cylinder 601 is communicated with the air bag 403 through the air hole 602, a pushing member 603 is disposed in the mounting cylinder 601, a sealing plate 604 is disposed at a telescopic end of the pushing member 603, and a peripheral side of the sealing plate 604 is in sealing sliding connection with the interior of the mounting cylinder 601.
Specifically, a control terminal is disposed inside the annular block 501, and a control system is disposed inside the control terminal, where the control system is used to control all electrical components inside the device 103 to perform actions.
After the cuff 101 is connected with the human body, the control device 103 is inserted into the placement groove 203 of the fixing piece 201, the guide tube 102 between the control device 103 and the cuff 101 is positioned in the movable groove 8 (specifically shown in fig. 6), then the adjusting device 5 and the outer attachment piece 4 are wound around the waist and abdomen of the patient, wherein the inner ring of the annular block 501 is positioned at the periphery side of the fixing piece 201 (specifically shown in fig. 7), the restraint piece 402 is wound around the waist of the patient, the air bags 403 on the restraint piece 402 are distributed at two sides of the waist, then the traction ropes 507 distributed on the annular block 501 are respectively connected with the clamping grooves 202 distributed on the fixing piece 201, fingers squeeze the elastic strips 5082 on the fixing block 5081 when the connection is performed, so that one end of the elastic strips 5082 away from the fixing block 5081 is inclined towards the direction of the fixing block 5081, the diameter of the clamping piece 508 is reduced, after the fixing block 5081 enters the clamping groove 202, the restraint on the elastic strips 5082 is released, the clamping blocks 5083 on the elastic strips 5082 can be clamped with the clamping grooves 202 (specifically shown in fig. 8).
It should be noted that: after the control device 103 is inserted into the placement groove 203 of the fixing piece 201, the inner ring of the rubber ring 3 is in extrusion contact with the outer wall of the control device 103, and the rubber ring 3 fixes the control device 103 in the placement groove 203, so that the control device 103 is prevented from shaking in the placement groove 203.
It should be noted that: after the abutting joint of the clamp block 5083 and the clamping groove 202 is completed, the traction rope 507 between the fixing piece 201 and the annular block 501 is in an inclined stretching state (as shown in fig. 2 in detail), and the traction rope 507 generates a certain traction force on the fixing piece 201, so that the fixing effect of the fixing piece 201 and the abdomen is improved to a certain extent.
After the tie-down 402 is connected with the human body, an external air supply device is connected with an external joint 12 (the internal structure of the external joint 12 is similar to a valve core structure on a tire), and then the external air supply device is driven to introduce air into the annular groove 11, and the air enters the interior of the expansion piece 9 through an air supply pipeline, so that the expansion piece 9 expands and is extruded with the abdominal wall; the connection part of the expansion piece 9 and the mounting block 7 is provided with a pressure sensor which is electrically connected with a control system. After the expansion member 9 is sufficiently pressed against the abdominal wall, the value detected by the pressure sensor at this time is set as a set value.
In this embodiment, a control system is provided in the annular block 501, and after the clamp block 5083 is abutted to the clamping groove 202, the control system can obtain the states of the fixed block 5081 and the outer attachment 4 by detecting the expansion amount of the elastic expansion rod 506 in the movable cavity 502.
Because four traction ropes 507 are provided in the embodiment, and the four traction ropes 507 are respectively distributed on quadrant points of the fixing member 201, the elastic telescopic rods 506 corresponding to the four traction ropes 507 are respectively distributed on quadrant points of the inner ring of the annular block 501.
Taking fig. 7 as an example, when the control system detects that the contraction amount of the elastic expansion link 506 located at the top of the annular block 501 is greater than the contraction amount of the elastic expansion link 506 located at the bottom of the annular block 501, it indicates that the fixing member 201 is subjected to downward pulling force (i.e. the patient is subjected to downward pulling force by the control device 103 during walking), so that the pulling force of the top pulling rope 507 on the connecting plate is enhanced, the connecting plate at the top compresses the elastic expansion link 506, the elongation of the top elastic expansion link 506 is reduced, the pulling force of the bottom pulling rope 507 on the connecting plate is reduced, and the connecting plate at the bottom moves towards the direction of the electromagnetic block 503 under the elastic restoring force of the elastic expansion link 506, so that the elongation of the bottom elastic expansion link 506 is increased.
At this time, the control system introduces current into the electromagnetic block 503 located at the top of the annular block 501 according to the shrinkage of the elastic telescopic rod 506 at the bottom, the electromagnetic block 503 generates suction force which is attracted with the magnetic block 505 after power is obtained, the electromagnetic block 503 drives the connecting plate to move towards the electromagnetic block 503 through the magnetic block 505, the connecting plate pulls the traction rope 507 at the top, so that the fixing piece 201 drives the traction rope 507 at the bottom to pull the connecting plate until the elastic telescopic rod 506 at the bottom is restored to an initial state, and thus the influence of downward pulling of the catheter 102 on the control device 103 by the patient in the normal walking process is avoided, and the discomfort phenomenon of the patient is caused.
It should be noted that: although the elastic telescopic rods 506 located at the left and right sides are also compressed and contracted to some extent when the fixing member 201 is pulled by the catheter 102, the elastic telescopic rods 506 located at the left and right sides are also restored to the original state after the elastic telescopic rods 506 at the bottom are restored to the original state.
It should be noted that: in the process of adjusting the fixing piece 201 through the traction rope 507, the fixing piece 201, the mounting piece and the expansion piece 9 belong to an integrally-mounted arrangement; in the process of adjusting the fixing piece 201 by the traction rope 507, the movement generated by the fixing piece 201 can synchronously drive the expansion piece 9 to act, so that the expansion piece 9 can generate a certain massage effect on a human body, and meanwhile, the expansion piece 9 also has a certain ventilation effect in the action process, and the effect that the expansion piece 9 is in long-time contact with the human body to cause discomfort to the human body is avoided.
When the control system detects that the contraction amount of the elastic telescopic rod 506 at the top of the annular block 501 and the contraction amount of the elastic telescopic rod 506 at the bottom of the annular block 501 are both larger than the initial value, the phenomenon that the binding member 402 and the attaching member 401 deviate is indicated. At this time, the control system can determine the offset direction and the offset of the binding member 402 and the attaching member 401 according to the contraction amounts of the elastic telescopic rods 506 at the left and right sides of the annular block 501.
When the shrinkage of the elastic telescopic rod 506 at the left side of the annular block 501 is greater than that of the elastic telescopic rod 506 at the right side of the annular block 501, the phenomenon that the restraint 402 and the attaching piece 401 deviate leftwards is indicated, so that the pulling force of the left pulling rope 507 on the connecting plate is enhanced, the left connecting plate compresses the elastic telescopic rod 506, the elongation of the left elastic telescopic rod 506 is reduced, the pulling force of the right pulling rope 507 on the connecting plate is reduced, and the right connecting plate moves towards the direction of the electromagnetic block 503 under the elastic restoring force of the elastic telescopic rod 506, and the elongation of the right elastic telescopic rod 506 is increased.
At this time, the control system controls the adjusting part 6 positioned on the right side of the restraint 402 to be started, so that the two air bags 403 positioned on the right side of the restraint 402 are inflated, the air bags 403 clamp the waist and abdomen to a certain extent, further leftward deviation of the restraint 402 and the attaching part 401 is avoided, meanwhile, the control system supplies current to the electromagnetic block 503 positioned on the right side of the annular block 501 according to the shrinkage of the left elastic telescopic rod 506, the electromagnetic block 503 generates suction force which is attracted with the magnetic block 505 after power is supplied, the electromagnetic block 503 drives the connecting plate to move towards the electromagnetic block 503 through the magnetic block 505, and accordingly the right connecting plate pulls the fixing part 201 to deviate leftward through the traction rope 507 until the shrinkage of the elastic telescopic rods 506 on the upper side and the lower side of the annular block 501 is restored to an initial state. Thus avoiding the deflection of the tie down 402 when the patient walks, and the traction of the catheter 102 to the control device 103, which causes discomfort to the patient.
It should be noted that: when the amount of inflation of the airbag 403 is regulated by the regulating member 6, the control system pressurizes the gas inside the installation cylinder 601 by controlling the extension of the pushing member 603, and the gas is discharged into the inside of the airbag 403 through the gas hole 602, so that the airbag 403 is inflated.
When the control system detects that the contraction amounts of the elastic telescopic rods 506 positioned on the inner periphery of the annular block 501 are all larger than the set value, the patient is shown to walk, due to the influence of digestion, the bellies of the patient are reduced, the collision force of the abdominal wall to the inflatable air bags 403 is reduced, the inflatable air bags 403 cannot be tightly combined with the abdomen of a human body, the restraint piece 402 is in a sliding risk, at the moment, the control system supplies current to all electromagnetic blocks 503 inside the annular block 501, the electromagnetic blocks 503 generate attractive force with the magnetic blocks 505 after power is supplied, the electromagnetic blocks 503 drive the connecting plates to move towards the electromagnetic blocks 503 through the magnetic blocks 505, and the connecting plates drive all traction ropes 507 to pull the fixing pieces 201, so that the fixing pieces 201 push the inflatable pieces 9 to move towards the direction of the abdominal wall until the pressure sensor inside the inflatable pieces 9 returns to the set value.
According to the invention, the adjusting device 5 and the outer attachment 4 are arranged at the same time, the states of the fixed block 5081 and the outer attachment 4 can be obtained by detecting the expansion and contraction amount of the elastic expansion rod 506 in the movable cavity 502, when the fixed block 5081 is inclined, the fixed block 5081 returns to the initial state by adjusting the contraction amount of the elastic expansion rod 506 at the upper side and the lower side of the annular block 501, the discomfort phenomenon of a patient is avoided, when the outer attachment 4 is deviated, the expansion amount of the air bag 403 is adjusted by the adjusting piece 6, the air bag 403 clamps the waist and abdomen, further deviation is avoided, and meanwhile, the contraction amount of the elastic expansion rod 506 at the left side and the right side of the annular block 501 is adjusted, so that the fixed block 5081 maintains a stable state, and the discomfort phenomenon of the patient is avoided.
It is noted that relational terms such as first and second, and the like are used solely to distinguish one entity or action from another entity or action without necessarily requiring or implying any actual such relationship or order between such entities or actions. Moreover, the terms "comprises," "comprising," or any other variation thereof, are intended to cover a non-exclusive inclusion, such that a process, method, article, or apparatus that comprises a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such process, method, article, or apparatus.
Although embodiments of the present invention have been shown and described, it will be understood by those skilled in the art that various changes, modifications, substitutions and alterations can be made therein without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.

Claims (10)

1. A method of use by an artificial sphincter physician, characterized by: the using method comprises the following steps:
Step one: the physician detects the urethra by using a urethroscope or other medical instruments to obtain the diameter of the urethra, and obtains the water quantity of the physiological saline injected into the sleeve according to the diameter of the urethra;
step two: three pieces of prepared artificial urinary sphincter were set: the sleeve, the catheter and the control device are connected, the sleeve is wrapped on the penis, and then physiological saline is introduced into the sleeve through the control device;
Step three: after the artificial urethral sphincter is connected with the human body, the external attachment is wound on the waist and abdomen of the patient, the adjusting device on the external attachment is connected with the placement component, and the control device is placed in the placement component;
Step four: when urination is performed, the oversleeves are regulated by the control device, so that urine in the bladder can be smoothly discharged;
step five: during normal walking, the adjusting device adjusts the position of the placement component, so that the placement component is stable on the abdominal wall.
2. The method of using the artificial sphincter physician of claim 1, characterized in that: the positioning assembly comprises a fixing piece, a clamping groove connected with the adjusting device is formed in the periphery of the fixing piece, and a positioning groove is formed in the middle of the fixing piece;
The adjusting device comprises an annular block arranged on the outer side of the fixing piece, an inner ring of the annular block is provided with movable cavities distributed in an array manner, an electromagnetic block is arranged on the inner top of each movable cavity, a connecting block is connected inside each movable cavity in a sliding manner, a magnetic block is arranged inside each connecting block, an elastic telescopic rod is arranged at the bottom of each connecting block, and the bottom of each elastic telescopic rod is connected with each movable cavity;
The connecting block middle part is equipped with the haulage rope, the one end that the haulage rope kept away from the connecting plate wears out the activity chamber, the one end that the haulage rope worn out the activity chamber is connected with the joint spare, joint spare and joint groove looks joint.
3. The method of using the artificial sphincter physician according to claim 2, characterized in that: one end of the fixing piece is provided with a rubber ring, and the rubber ring is positioned at the end part of the placement groove;
The other end of mounting is equipped with the installation piece, the middle part of installation piece is equipped with the movable groove, the one end that the installation piece kept away from the mounting is equipped with the expansion member.
4. The method of using the artificial sphincter physician according to claim 2, characterized in that: the clamping piece comprises a fixed block, elastic strips are symmetrically arranged on the outer sides of the fixed block, clamping blocks are arranged on the outer sides of the elastic strips, and the clamping blocks are clamped with clamping grooves formed in the clamping grooves.
5. A method of using the artificial sphincter physician according to claim 3, characterized in that: the expansion piece is equipped with the vent pipe that the array distributes with the junction of installation piece, the one end and the expansion piece of vent pipe are linked together, the vent pipe other end is equipped with the annular, the annular is located the inside of installation piece, be equipped with the gas-supply pipeline on the outer wall of annular, the one end that the annular was kept away from to the gas-supply pipeline is equipped with external joint, external joint is located the week side of mounting.
6. The method of using the artificial sphincter physician of claim 1, characterized in that: the inner part of the oversleeve is provided with a connecting pipeline, the inner ring of the oversleeve is provided with a flexible part, the bottom of the flexible part is provided with a squeezing bag, and the squeezing bag is communicated with the connecting pipeline;
The control device comprises a shell, a miniature water pump is arranged in the shell, a storage bag is arranged at one end of the miniature water pump, a guide pipe is arranged at the other end of the miniature water pump and is communicated with a connecting pipe, a control switch is arranged on the outer side wall of the shell, and the control switch is electrically connected with the miniature water pump.
7. The method of using the artificial sphincter physician of claim 4, characterized in that: after the clamping of the clamping block and the clamping groove is completed, a traction rope between the fixing piece and the annular block is in an inclined stretching state, and the traction rope generates traction force to the fixing piece.
8. The method of using the artificial sphincter physician of claim 1, characterized in that: the outer attachment piece comprises an attaching piece connected with the annular block, two ends of the attaching piece are connected with the same binding piece together, two ends of the binding piece are symmetrically provided with air bags respectively, and an adjusting piece is arranged at the joint of the air bags and the binding piece.
9. The method of using the artificial sphincter physician of claim 8, characterized in that: the regulating part is including setting up the installation section of thick bamboo on the constraint, the top of installation section of thick bamboo is equipped with the gas pocket, the installation section of thick bamboo is linked together with the gasbag through the gas pocket, the inside of installation section of thick bamboo is equipped with the impeller, the flexible end of impeller is equipped with the closing plate, the week side of closing plate and the inside sealing sliding connection of installation section of thick bamboo.
10. The method of using the artificial sphincter physician according to claim 2, characterized in that: the inside of annular piece is equipped with control terminal, and control terminal's inside is equipped with control system, and control system is used for the inside all electrical components of controlling means to move.
CN202410217735.3A 2024-02-27 2024-02-27 Method of use for an artificial sphincter physician Pending CN118000960A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202410217735.3A CN118000960A (en) 2024-02-27 2024-02-27 Method of use for an artificial sphincter physician

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202410217735.3A CN118000960A (en) 2024-02-27 2024-02-27 Method of use for an artificial sphincter physician

Publications (1)

Publication Number Publication Date
CN118000960A true CN118000960A (en) 2024-05-10

Family

ID=90948241

Family Applications (1)

Application Number Title Priority Date Filing Date
CN202410217735.3A Pending CN118000960A (en) 2024-02-27 2024-02-27 Method of use for an artificial sphincter physician

Country Status (1)

Country Link
CN (1) CN118000960A (en)

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