CN208481425U - Basin bottom operation puncturing device and puncture outfit combination set - Google Patents
Basin bottom operation puncturing device and puncture outfit combination set Download PDFInfo
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- CN208481425U CN208481425U CN201720961332.5U CN201720961332U CN208481425U CN 208481425 U CN208481425 U CN 208481425U CN 201720961332 U CN201720961332 U CN 201720961332U CN 208481425 U CN208481425 U CN 208481425U
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- bar portion
- basin bottom
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- leading portion
- puncture outfit
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Abstract
The utility model discloses a kind of basin bottom operation puncturing device and puncture outfit combination sets, basin bottom operation puncturing device includes shank, bar portion and puncturing head, the both ends of the bar portion are respectively equipped with shank and puncturing head, the first leading portion or the second leading portion and puncturing head of the bar portion are integrally arc-shaped, and the extrados of the bar portion is being equipped with hook-shaped gap close at the puncturing head, it is blind to hook suture on the hook-shaped gap from the outside of the bar portion when wearing.The purpose designed in this way is can to accomplish that silk thread will be guided to be suspended on the gap of puncture outfit by blind spy method completely.Puncture outfit provided by the utility model is not only convenient for deep operation operation, advantageously reduces operation risk, and puncture in place, effectively prevents musculus obturator internus and tears the displacement of point of puncture caused by wound, ensure that and puncture the accurate of anchor point, bathozone top is supported to be protected.In particular, puncture outfit combination set provided by the utility model can cover whole basin bottom operations.
Description
Technical field
The utility model relates to a kind of surgical instrument of female pelvic operation, especially one kind can be adapted for Via vagina
The puncture outfit of all operations in basin bottom.
Background technique
Female pelvic dysfunction (Female Pelvic Floor Dysfunction, FPFD) disease is person in middle and old age
Women common disease refers to illness caused by basin bottom support structure defect, damage and dysfunction, and disease incidence is about 40%, main to wrap
Include pelvic organ prolapse (Pelvic Organ Prolapse, POP) and stress incontinence (Stress Urinary
Incontinence,SUI).The current research in relation to such disease, has formd a new disciplines, i.e., Gynecological Urology with
Female pelvic reconstructive surgery.Often fascia in the pelvic cavity for supporting female urethra and neck of urinary bladder and anterior vaginal wall are likened into hammock in the industry
Structure.Pelvic floor tissue (fascia, muscle, nerve, blood vessel etc.) and pelvic cavity viscera are safeguarded jointly and complete normal pelvic floor function.Basin
Wall fascia, to obviously thickening between ischial spine, forms tendinous arch of pelvic fascia in pubis pelvic surface of sacrum, is musculus levator ani origin or beginning and fascia, diaphragmatis pewlvis superior
Attachment at.The effect of tendinous arch of pelvic fascia is similar to the carrier cable of hammock, provides the holding power that urethra is suspended to urethra antetheca
Amount, and prevention anterior vaginal wall and proximal urethra when abdominal pressure increases caudad shift, and maintain urine from taboo.When negative pressure increases, basin
The contraction of levator ani muscle being connected around fascia with tendinous arch of pelvic fascia tenses suspension bed structure, and urethra is crushed, and keeps pressure energy in urethra effective
Raised intra-abdominal pressure is resisted, and controls urine discharge.If these hammocks for playing supporting function are destroyed, vesicourethral was generated
Degree activity, when abdominal pressure increases, urethra is unable to normally closed and increases drag, so that the urinary incontinence occur.Parietal pelvic fascia is in pubis basin
Face forms tendinous arch of pelvic fascia to obviously thickening between ischial spine, is at the attachment of musculus levator ani origin or beginning and fascia, diaphragmatis pewlvis superior.
The instrument such as titanium of existing basin bottom operation is happy, and Ahmedabad, AMS etc. has devised a series of bathozone, shallow band and the way of escape
Puncture outfit.But these puncture outfits have some problems, such as the puncture outfit of Ahmedabad, although puncturing in place, precisely, can only do
At medical disposable material, and the country is delisting, and the reuse puncture outfit of the designs such as other producers such as titanium pleasure, He Mei is deposited
In the difficulty of needle out, pelvic diaphragm muscle tears wound, etc. drawbacks, more or less affect the accurate of positioning.Also, above-mentioned instrument can be completed
TVT-O (tension-free vaginal tape), preceding Pelvic pain syndrome, rear Pelvic pain syndrome, but TVT-E is unable to complete (through pubis Posterior urethral
No-station pole canopy suspension is placed in wide about 1 centimetre of suspender belt below female urethra middle section, only is occurring increasing abdominal pressure movement
When, the urethra that support moves down is closed urethra).Also, operation in Via vagina basin bottom operation key point be it is blind through
Position, if not in place, what is directly affected arrives the effect and recurrence rate of basin bottom operation.Wherein, the bathozone of preceding Pelvic pain syndrome art punctures
Being the largest the ideal position of difficult point in place is the tendinous arch of pelvic fascia initial part on the outside of ischial spine, if punctured in place, can be allowed
Play the important function to the anterior fornix of vagina and top support in bathozone.Therefore, how to solve the operation of basin bottom it is blind through position, it is shallow
Band and bathozone puncture are the difficult point of puncture outfit in place.
Utility model content
To solve the above-mentioned problems, the utility model provides a kind of basin bottom operation puncturing device, may be implemented blind to wear and puncture
In place, it effectively prevents musculus obturator internus and tears the displacement of point of puncture caused by wound.
Further, the utility model provides a kind of combination set of puncture outfit, with minimum number of packages, completes all basin bottom hands
Art.
In order to achieve the above objectives, the utility model provides following solution:
A kind of basin bottom operation puncturing device, including shank, bar portion and puncturing head, the both ends of the bar portion be respectively equipped with shank and
Puncturing head, the first leading portion or the second leading portion and puncturing head of the bar portion are integrally arc-shaped, and the extrados of the bar portion is connecing
It is equipped with hook-shaped gap at the nearly puncturing head, it is blind to hook suture on the hook-shaped gap from the outside of the bar portion when wearing.
Further, puncture outfit is using deep hook structure, and the bar portion includes the first leading portion and the first back segment, before completing
The anterior vaginal wall bathozone guiding puncture of Pelvic pain syndrome；First leading portion is the semicircle of lateral openings；First back segment is
Longitudinal straight-bar and it is connected to the shank；First leading portion and the first back segment are generally aligned in the same plane and interconnecting piece is that fillet is curved
Folding.
Further, the circular radius of first leading portion is 35-37mm.
Further, the horizontal cross of the central axes of the extrados outermost end of first leading portion and first back segment away from
It is 126-128mm from the longitudinal length for 43.5-45.5mm, the bar portion.
Further, puncture outfit uses shallow hook structure, and the bar portion includes the second leading portion and the second back segment, before completing
The anterior vaginal wall of Pelvic pain syndrome is shallowly with guiding puncture；Second leading portion is arc, and second back segment is straight-bar and is connected to
The shank, the radius of second leading portion are 167-169mm.
Further, the lateral distance of the puncturing head and the second leading portion of bar portion outermost end is 46-48mm, described wears
The fore-and-aft distance of the initial position of tartar and second back segment of bar portion is 114-116mm.
Further, the length of second back segment of bar portion is 89-91mm.
Further, the metal round rod that the bar portion is one of the forming, the diameter of the bar portion are 3mm.
In order to cover whole basin bottom operations, conceived based on foregoing invention, the utility model provides a kind of basin bottom operation
Puncture outfit combination set, including two puncture outfits, wherein a puncture outfit uses such as above-mentioned deep hook structure, before completing
Anterior vaginal wall bathozone guiding puncture, sacrospinous ligament suspension and the operation of TVT-E basin bottom of Pelvic pain syndrome；Another puncture outfit is using such as
The upper shallow hook structure, the anterior vaginal wall for Pelvic pain syndrome before completing shallowly perform the operation by band guiding puncture and TVT-O basin bottom.It is preferred that
Ground, the metal round rod that the bar portion of the puncture outfit of basin bottom operation puncturing device combination set is one of the forming, diameter 3mm.
The central scope of the utility model is one flower-pot cover bottom instrument of design, covers all vagina basin bottom operations, including
TVT-O, TVT-E, preceding Pelvic pain syndrome and rear Pelvic pain syndrome, and avoid using hose, and have the positioning accurate of soft guiding material
Quasi- advantage.Wherein the puncture outfit with shallow hook structure can complete the shallow band guiding puncture of TVT-O and preceding Pelvic pain syndrome, arc
The design of degree is realized can be from inside, can also wearing outward from interior outside, and bar portion uses 3mm diameter, can within wear outward do it is small
The TVT-O of notch, damage are slight.And the radian of another puncture outfit with deep hook structure, Pelvic pain syndrome before can completing
Bathozone guiding puncture, rear Pelvic pain syndrome, sacrospinous ligament suspension and TVT-E operation.In order to achieve the effect that it is blind wear, this is practical new
Hook-shaped gap is particularly arranged on the extrados of the bar portion of puncture outfit and close to the puncturing head position by type, and traditional wears
Piercing device is disposed on the intrados of bar portion.The purpose designed in this way is can to accomplish that silk thread (suture will be guided completely
Line) it is suspended on the gap of puncture outfit by blind spy method, guidance silk thread will then be taken out of together in vivo when puncture outfit goes out needle.
In terms of the using effect of above-mentioned puncture outfit, it is not only convenient for patient and carries out deep operation operation, advantageously reduce operation
Risk, and musculus obturator internus will not be caused to tear wound because of to turn out piercing needle, musculus obturator internus exit points would not be caused
Displacement, thus ensure that puncture anchor point it is accurate, therefore bathozone top support be protected.
Detailed description of the invention
Following schematic diagram can be better understood referring to embodiment, this be it is illustrative, there is no any pair of sheet it is practical
The limitation of novel technical solution.
Fig. 1 is the main view that the utility model is embodiment one, and puncture outfit as shown in the figure has deep hook structure；
Fig. 2 is the left view of the utility model embodiment one；
Fig. 3 is the main view that the utility model is embodiment two, and puncture outfit as shown in the figure has shallow hook structure；
Fig. 4 is the left view of the utility model embodiment two.
Specific embodiment
The utility model is described in further detail with reference to the accompanying drawings and detailed description.
The material of the puncture outfit of the utility model, the material including shank, bar portion can be identical, is also possible to difference
, it can also be integrally formed with one-pass molding with secondary operation, the selection of material, which is suitable for operation puncturing, to be advisable, including
But be not limited to medical stainless steel material, medical alloy material etc., it is not limited here.
The tolerance of length involved in this patent, diameter, radius in production is 1mm.
As shown in Figure 1, 2, the utility model provides a kind of puncture outfit 1 with deep hook structure, including shank 11, bar portion 12
With puncturing head 13, the both ends of the bar portion 12 are respectively equipped with shank 11 and puncturing head 13, the first leading portion 121 and the puncture of bar portion 12
First 13 is whole arc-shaped, and the extrados of bar portion 12 is being equipped with hook-shaped gap 14 close at puncturing head 13, it is blind when wearing from bar portion 12
Outside hook suture on hook-shaped gap 14.Preferably, puncturing head is formed in the front end of the first leading portion of bar portion 121
13。
Specifically, puncture outfit 1 is using deep hook structure, and the anterior vaginal wall bathozone of Pelvic pain syndrome punctures before can be used for completing
Guidance, sacrospinous ligament suspension and the operation of TVT-E basin bottom.Wherein, the metal round rod that bar portion 12 is one of the forming, including the first leading portion
121 and first back segment 122, the processing method of bar portion 12 can be using any form in the prior art, wherein puncturing head
13 with bar portion 12 be same material by disposably shaping, can also be in bar portion using secondary or be repeatedly processed into and wear
The shape of tartar；First leading portion 121 is the semicircle of lateral openings；First back segment 122 is longitudinal straight-bar and connection
In shank 11；First leading portion 121 and the first back segment 122 are generally aligned in the same plane and interconnecting piece 123 is fillet bending.Wherein,
The diameter of phi of bar portion 12 is 3mm, and the circular radius R of the first leading portion 121 is 36mm, the extrados outermost end A point of the first leading portion 121
Horizontal cross distance with the central axes B point of first back segment 122 is 44.5mm, and the longitudinal length L1 of bar portion is 127mm.
Below by taking pelvic organ prolapse patient's row improves preceding Pelvic pain syndrome art as an example, illustrate that above-mentioned deep hook puncture outfit is being performed the operation
In application.Anesthesia method selects caudal anaesthesia, is opened using the Pu Liling mesh sheet one that Johnson Co. produces, mesh main body
It is trimmed to class butterfly shape, while trimming out 4 suspender belts (wing), lead arm of the suspender belt as butterfly shape mesh sheet, with guidance silk thread
(suture) is fixed on 4 suspender belts of butterfly mesh sheet.Patient's 2cm longitudinal incision anterior vaginal wall mucous membrane below urethral orifice, trip
Retain vaginal wall epipubis cervical fascia simultaneously from bladder, blunt to two sides, sharp separation is until touch tendinous arch of pelvic fascia.Using existing
Positioning in operation guides piercing method, and left and right is each to make two skin outlets for placing two groups of suspender belts of the depth.In the open visual field
Under, entered with deep hook puncture outfit 1 above-mentioned from one of skin outlet ecto-entad, finger is always in bladder vagina gap
Guide, will guide silk thread by blind spy method (the hanging wire process of silk thread and hook-shaped gap 14 not in the opening visual field, also not by
Any display device checks the position of hook-shaped gap 14) it is suspended on the hook-shaped gap 14 of puncture outfit 1, complete putting for a suspender belt
It sets.Equally under the guidance of finger, it is sequentially completed the placement of the suspender belt of other three positions.Finally, make butterfly through closed pore path
Mesh sheet passes through the pubocervical fascia and tendinous arch of pelvic fascia of preceding pelvic cavity, forms hammock type and is placed in bladder and vagina gap.
As shown in Figure 3,4, the utility model provides a kind of puncture outfit 2 with shallow hook structure, for basin bottom weight before completing
The anterior vaginal wall built shallowly perform the operation by band guiding puncture and TVT-O basin bottom.It includes shank 21, bar portion 22 and puncturing head 23, bar portion 22
Both ends be respectively equipped with shank 21 and puncturing head 23, the second leading portion 221 and puncturing head 23 of bar portion 22 are whole arc-shaped, and bar portion
22 extrados is being equipped with hook-shaped gap 24 close at the puncturing head 23, it is blind when wearing from the outside of bar portion 22 in its hook-shaped gap 24
Upper hook suture.
The puncture outfit 2 is using shallow hook structure, the metal round rod that bar portion 22 is one of the forming, diameter of phi 3mm, including the
Two leading portions 221 and the second back segment 222, preferably bar portion front end are formed with puncturing head 23；Second leading portion 221 is arc, partly
Diameter R is 168mm, and the second back segment 222 is straight-bar and is connected to shank 21.Puncturing head 23 and 221 outermost end of the second leading portion of bar portion
Lateral distance L2 is 47mm, puncturing head 23 and the fore-and-aft distance of 222 upper end of the second back segment of bar portion are 115mm, the second back segment of bar portion
Length L3 be 90mm.
Below by taking TVT-O performs the operation as an example, illustrate how using the shallow hook puncture outfit 2 in above-described embodiment.By existing operation
Method, by puncture outfit 2, small notch, urethra both sides through patient's anterior vaginal wall, the merging on the inside of thigh root closed pore, by one
The U-shaped Suspending fixation of polypropylene net band is below mid-urethral, in art in the case where not visible, the suture that is connect with mesh belt
Line can be hung on the hook-shaped gap 24 of puncture outfit 2 in a manner of directly first passing through blind wear；Then it adjusts under mesh belt tension-free state
The not excessive suspender belt position of urine is controlled, the tack of mesh belt keeps it fixed self and need not suture.The mesh belt of operation merging can
" hammock sample " structure, substitution relaxation, extended pelvic floor support structure and pubis urine are constituted together with hyperplastic tissue around
Road ligament restores so that the normal urethral of urine incontinence be enable to close function.Since suspender belt has the characteristics that no-station pole canopy,
It is referred to as the no-station pole canopy suspender belt treatment technology of Via vagina.
Arcus tendineus is divided into tendinous arch of pelvic fascia and tendinous arch of levator ani muscle near pubis end, and tendinous arch of pelvic fascia, which is also referred to as fascial white line, is
At the origin of pubocervical fascia, tendinous arch of levator ani muscle is at the origin of musculus levator ani, and also known as flesh white line, arcus tendineus are POP operation weights
The line of demarcation wanted.It, can be with using its specially designed length and radian, in operation using the puncture outfit 1,2 in above-described embodiment
Direct perforantes are in place.For example, inside (superficial) skin penetrating point before preceding road: flat urethral orifice level touches outside at inferior ramus of pubis tuberosity
At the 1cm of side, in puncture to tendinous arch of levator ani muscle at pubic arch lower edge 1cm.Outside (deep) puncture path is from front behind preceding road
On the outside of skin penetrating point at 1cm, downside 2cm, pelvic fascia key bow is pierced by ischial spine 1cm in puncture to tendinous arch of levator ani muscle.
3cm point of intersection is to puncture entrance after posterior-route puncture path is the outer 3cm of anus, and per anum levator plate, puncture outfit sequentially passes through ischium anus
Door nest and ligamentum sacrospinosum.
Puncture outfit 1,2 provided by the utility model can be used with unilateral or bilateral, reusable after disinfection.It only needs to make
With two puncture outfits, can meet the needs of whole basin bottoms operation.Patient can be any to select according to type of surgery and position
Use one of or two kinds of puncture outfits.
The utility model is not limited to embodiment discussed above.Above the description of specific embodiment is intended to explain
With explanation the utility model relates to technical solution.Above-described specific embodiment is used to disclose the best of the utility model
Implementation method so that those skilled in the art can using the utility model numerous embodiments and a variety of replace
Reach the purpose of this utility model for mode.Based on the utility model enlightenment it is obvious transformation or substitute should also be as by
Think to fall into the protection scope of the utility model.
Claims (10)
1. a kind of basin bottom operation puncturing device, including shank, bar portion and puncturing head, the both ends of the bar portion are respectively equipped with shank and wear
Tartar, which is characterized in that the first leading portion or the second leading portion and puncturing head of the bar portion are integrally arc-shaped, and the bar portion is outer
Cambered surface is being equipped with hook-shaped gap close at the puncturing head, blind to be hooked on the hook-shaped gap when wearing from the outside of the bar portion
Suture.
2. basin bottom operation puncturing device as described in claim 1, which is characterized in that puncture outfit is using deep hook structure, the bar portion
Anterior vaginal wall bathozone guiding puncture including the first leading portion and the first back segment, for Pelvic pain syndrome before completing；First leading portion
For the semicircle of lateral openings；First back segment is longitudinal straight-bar and is connected to the shank；First leading portion and first
Back segment is generally aligned in the same plane and interconnecting piece is fillet bending.
3. basin bottom operation puncturing device as claimed in claim 2, which is characterized in that the circular radius of first leading portion is 35-
37mm。
4. basin bottom operation puncturing device as claimed in claim 3, which is characterized in that the extrados outermost end of first leading portion with
The lateral distance of the central axes of first back segment is 43.5-45.5mm, and the longitudinal length of the bar portion is 126-128mm.
5. basin bottom operation puncturing device as described in claim 1, which is characterized in that puncture outfit uses shallow hook structure, the bar portion
Including the second leading portion and the second back segment, the anterior vaginal wall for Pelvic pain syndrome before completing is shallowly with guiding puncture；Second leading portion
For arc, second back segment is straight-bar and is connected to the shank, and the radius of second leading portion is 167-169mm.
6. basin bottom operation puncturing device as claimed in claim 5, which is characterized in that the puncturing head and second leading portion of bar portion
The lateral distance of outermost end is 46-48mm, the puncturing head and the fore-and-aft distance of the initial position of second back segment of bar portion are
114-116mm。
7. basin bottom operation puncturing device as claimed in claim 6, which is characterized in that the straight-bar length of second back segment of bar portion is
89-91mm。
8. the basin bottom operation puncturing device as described in any in claim 1-7, which is characterized in that the bar portion was one of the forming
Metal round rod, the diameter of the bar portion are 3mm.
9. a kind of basin bottom operation puncturing device combination set, including two puncture outfits as described in claim 1, wherein one is worn
Device is pierced using the deep hook structure as described in claim 2-4 is any, the anterior vaginal wall bathozone for Pelvic pain syndrome before completing punctures
Guidance, sacrospinous ligament suspension and the operation of TVT-E basin bottom；Another puncture outfit is using shallow as described in any in claim 5-7
Hook structure, the anterior vaginal wall for Pelvic pain syndrome before completing shallowly perform the operation by band guiding puncture and TVT-O basin bottom.
10. operation puncturing device combination set in basin bottom as claimed in claim 9, which is characterized in that the bar portion of the puncture outfit is
Integrally formed metal round rod, the diameter of the bar portion are 3mm.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201720961332.5U CN208481425U (en) | 2017-08-03 | 2017-08-03 | Basin bottom operation puncturing device and puncture outfit combination set |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201720961332.5U CN208481425U (en) | 2017-08-03 | 2017-08-03 | Basin bottom operation puncturing device and puncture outfit combination set |
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| Publication Number | Publication Date |
|---|---|
| CN208481425U true CN208481425U (en) | 2019-02-12 |
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ID=65253892
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201720961332.5U Active CN208481425U (en) | 2017-08-03 | 2017-08-03 | Basin bottom operation puncturing device and puncture outfit combination set |
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| CN (1) | CN208481425U (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110731810A (en) * | 2019-10-18 | 2020-01-31 | 宁波市鄞州人民医院 | urinary incontinence tension-free suspension device for obstetrical department |
| CN114711908A (en) * | 2022-03-11 | 2022-07-08 | 四川大学华西医院 | Puncture kit for uterine abdominal wall suspension operation |
-
2017
- 2017-08-03 CN CN201720961332.5U patent/CN208481425U/en active Active
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110731810A (en) * | 2019-10-18 | 2020-01-31 | 宁波市鄞州人民医院 | urinary incontinence tension-free suspension device for obstetrical department |
| CN114711908A (en) * | 2022-03-11 | 2022-07-08 | 四川大学华西医院 | Puncture kit for uterine abdominal wall suspension operation |
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| TR01 | Transfer of patent right |
Effective date of registration: 20230614 Address after: 400013 No. 64, Jintang street, Yuzhong District, Chongqing Patentee after: Chongqing maternal and Child Health Hospital (Chongqing obstetrics and Gynecology Hospital, Chongqing Institute of genetics and reproduction) Address before: 1603, Building 6, Group 2, Longhu Crystal Licheng, Yubei District, Chongqing 400014 Patentee before: Liu Lubin Patentee before: NANJING CHANGFENG BIOTECHNOLOGY Co.,Ltd. |