CN208756037U - A kind of minimally invasive comfort urinary incontinence sling apparatus - Google Patents
A kind of minimally invasive comfort urinary incontinence sling apparatus Download PDFInfo
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- CN208756037U CN208756037U CN201721697793.2U CN201721697793U CN208756037U CN 208756037 U CN208756037 U CN 208756037U CN 201721697793 U CN201721697793 U CN 201721697793U CN 208756037 U CN208756037 U CN 208756037U
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- suspender belt
- comfort
- urinary incontinence
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Abstract
The utility model discloses a kind of minimally invasive comfort urinary incontinence sling apparatus, it is characterized in that being made of locking holdfast, operation net suspender belt and piercing assembly, the directed ends of the operation net suspender belt realize fixation and the implantation of single incision suspender belt by locking holdfast, and the free end for net suspender belt of performing the operation realizes fixation and implantation through closed pore suspender belt by piercing assembly；Wherein directed ends are fixed on the Retropubic perienchyma in side or obturator fascia, and free end is worn by piercing assembly in the micropunch for connecing and being positioned at stomach wall and femoribus internus or on obturator fascia.The minimally invasive comfort urinary incontinence sling apparatus of the utility model is applied to suspender belt implant surgery, its advantage is apparatus structure simply and is easy to one-handed performance, alleviate wound sense brought by patient's Multiple insion, reduce traditional TVT operation suspender belt dosage it is big and meanwhile overcome traditional SIS operation sling-tension adjust inconvenience, difficulty are big, TOT it is postoperative have a pain in the leg pain the problems such as.
Description
Technical field
The utility model belongs to surgical operating instrument, and in particular to a kind of for treating the operation mesh belt of stress incontinence
Operation mesh belt tension adjustment is carried out after implantation and what is locked just uses type device.
Background technique
Female incontinence is women common disease, and at present according to world statistics, illness rate is close to 50%, and wherein about half is pressure
The property urinary incontinence (Stress Urinary Incontinence, SUI).Stress incontinence refers to that bladder pressure is greater than maximum urethra
When pressure, in the state that no detrusor urinae of bladder is shunk, also per urethram collar extension overflows urine in spite of oneself, mostly increases suddenly in abdominal pressure
Added-time is for example: occurring whens laugh, sneeze, cough etc..Post menopausal crowd more susceptible disease.Pathogenic factor majority produces when because giving a birth
Wound, the decline of postmenopausal estrogen level, Pen Di soft tissue relaxation etc..SUI started to be considered as influencing the mankind in the mid-90
One of the five big diseases of health, referred to as " social cancer ".Especially in China, as population is further aging, SUI is increasingly
It is valued by people.Nearest one simple Beijing area urinary incontinence morbidity survey finds that 23%-45% has in women population
The different degrees of urinary incontinence, 7% or so has apparent incontinence, wherein about 50% is stress incontinence.It is one group external
Report 60 years old or more urinary incontinence disease incidence women 37.7%.For this purpose, seeking the method for effectively treating SUI, have urgent, again
Big clinical meaning.
No-station pole canopy vaginal tape (Tension-free the vaginal tape, TVT) in operative treatment
It is the goldstandard of SUI treatment.It is now recognized that TVT cure rate is high, easy to operate, wound is small, post-operative recovery is fast, few intercurrent disease, answers
The low advantage of hair rate is simultaneously widely applied clinically.But the suspender belt of the operation method, which needs to cut, to be abandoned, therefore suspender belt is used
Amount and waste are very huge.It in recent years, is to reduce wound face, a kind of single incision Hysteromyomectomy by vagina (SIS) is just
Come into being and practicality it is increasingly mature.Using the operation mesh belt of both ends connection closed pore anchor, divide two sides successively fixed on closed pore anchor
Operation can be completed in adjusting operation mesh belt tension and position on corresponding obturator fascia, and moderately, and operating time substantially drops
Low and wound healing fast speed.And since notch breadth is limited in existing such surgical procedure, it is located in the implantation of closed pore anchor
On the basis of the difficulty of obturator fascia is overcome, the adjusting for mesh belt tension of performing the operation is locked to positioning becomes related doctor's progress
When operation institute extremely headache the step of, and the required instrumentation used is cumbersome.Situation operation net i.e. poor in visual condition
Band tension adjustment is inconvenient, and when progress positioning lock knot under mesh belt tension adjustment suitable conditions of perform the operation caused by tension variation width
It spends larger, and exists simultaneously because obturator fascia is torn caused by tension adjustment is improper, the risks such as fixed holdfast falls off are unsuitable for doctor
Efficiently and reliably complete such operation.
Summary of the invention
In view of the defect of the above-mentioned prior art, the purpose of this utility model is directed to a kind of minimally invasive comfort urinary incontinence and hangs
Band device.
The utility model realizes that the technical solution of said one purpose is a kind of minimally invasive comfort urinary incontinence suspender clothes
It sets, it is characterised in that: the sling apparatus is made of locking holdfast, operation net suspender belt and piercing assembly, wherein the lock anchor
Nail only one and the directed ends for being fixed in operation net suspender belt, the locking holdfast are fixed on the Retropubic perienchyma in side or close
On the fascia of hole, the free end that the operation net suspender belt relative orientation end other side extends, which passes through piercing assembly Tension Adjustable and wears, to be connect
It is positioned in the micropunch of stomach wall and femoribus internus or obturator fascia extroversion periphery.
Further, the operation net suspender belt is length between single incision suspender belt length and no-station pole canopy pubis back strap length
Between medium-length suspender belt.
Further, the length of the operation net suspender belt is between 7.5cm-30cm.
Further, the length of the operation net suspender belt is between 9cm-23cm.
Further, the operation net suspender belt is the finished product disposably customized according to length specification, or for through closed pore without
The improved goods of the affixed locking holdfast in power suspender belt one end.
Using the minimally invasive comfort urinary incontinence sling apparatus of the utility model in suspender belt implant surgery, its advantage is that: the dress
It sets structure simply and is easy to one-handed performance, alleviate wound sense brought by patient's Multiple insion, reduce traditional TVT operation suspender belt
Dosage is big, overcomes traditional SIS operation sling-tension simultaneously adjust inconvenient, difficulty is big, it is postoperative have a pain in the leg pain the problems such as.
Detailed description of the invention
Fig. 1 is the structure and its operation application schematic diagram of the minimally invasive comfort urinary incontinence sling apparatus of the utility model.
Fig. 2 is another operation application schematic diagram of utility model device.
Fig. 3 is that utility model device is further performed the operation application schematic diagram.
Fig. 4 is the another operation application schematic diagram of utility model device.
Specific embodiment
Just attached drawing in conjunction with the embodiments below, is described in further detail specific embodiment of the present utility model, so that this
Utility model technical solution is more readily understood, grasps, to make relatively sharp define to the protection scope of the utility model.
Operation net suspender belt implantation instrument and its operation of the utility model designer for traditional treatment stress incontinence
Application method has made intensive studies, and developing Thinking Creation proposes a kind of minimally invasive comfort urinary incontinence sling apparatus, to solve
Certainly current procedure net suspender belt implantation instrument and its many-sided insufficient problem of operation.
As shown in Figure 1, being the structure and its operation application signal of the minimally invasive comfort urinary incontinence sling apparatus of the utility model
Figure.As a preferred embodiment, the minimally invasive comfort urinary incontinence sling apparatus is by locking holdfast 5, operation net suspender belt 6 and punctures
Component is (not shown) to be constituted, and wherein the locking holdfast 5 only needs in the present apparatus using one, and is fixed in operation net suspender belt 6
Directed ends.Here so-called directed ends refer to the doctor of opposite surgical procedure smoothly for property, sling-tension is adjusted occur where
The other side or patient's body unilateral side moving obstacle another side.In addition, the operation net suspender belt 6 is that length is hung between single incision
Band (SIS) length and no-station pole canopy are through the medium-length suspender belt between closed pore suspender belt (TVT-O) length.The orientation of the operation net suspender belt 6
Side pubis perienchyma is fixed at end, is left obturator foramen fascia 42 in visible the present embodiment from illustrating.And operation net suspender belt 6
Free end worn by piercing assembly (not shown) per urethra bottom side and connect right obturator foramen fascia 41, and worn on the inside of patient thigh
Out, it is positioned and fixed in the micropunch of femoribus internus after adjusting operation net sling-tension to appropriate level with surgical thread 7.From operation
For in classification, utility model device only needs to open up a kerf in top vaginal wall on surgical procedure, and exists on demand therewith
Stomach wall is implemented to puncture, that is, single incision adds the operation of single hole.It can be regarded as the modus operandi of 1.5 notch, correspondingly, on
" 1.5 notch suspender belt " or TVT mixing suspender belt, TVT-C etc. can also be named as by stating operation net suspender belt.Moreover, from the point of view of application angle,
The operation net suspender belt can be the finished product disposably customized according to length specification, be also possible to solid through closed pore no-station pole canopy suspender belt one end
Connect the improved goods of locking holdfast.From the point of view of length specification, the length of the operation net suspender belt is 7.5cm -30cm, and clinical application is built
Speaker's degree is 9cm-23cm.And according to the further development and test of the utility model designer, the operation net suspender belt is another in implantation
When the length in operation (TVT-A) that remaining segment is fixed by soft tissue extruding force after the obturator fascia of side is 9cm or so more
Properly, easy-to-use, and the length of operation net suspender belt is then suitable for selecting when being applied to unilateral side and being pierced by micropunch positioning operation (TVT-O)
It is advisable within 23cm.
The operation of above-described embodiment describes, and the length for net suspender belt of performing the operation can also be limited with passing through right obturator foramen fascia, and
It is not passed through right lateral thigh muscle, i.e. the operation net suspender belt of 9.5cm length can meet TVT-A operation application, so as to effectively drop
The low postoperative possible leg muscle pain occurred.
In addition, it should be noted that, above-mentioned piercing assembly is widely used in current TVT operation, there is larger equipment
The washability of range, those skilled in the art and doctor are known, therefore illustration omitted and specific descriptions and restriction.And for the ease of
Diagram is only substituted with irregular surgical thread, and the instrument in actual use with more specific, stronger operation ease for use is optional.
The utility model minimally invasive comfort urinary incontinence sling apparatus has concentrated no-station pole canopy pubis back strap (TVT), nothing
Clinical advantages of the power through closed pore suspender belt (TVT-O) and single incision suspender belt (SIS), and the single method of any of the above is avoided simultaneously
Disadvantage.Operation net suspender belt is fixed on obturator fascia using fixed holdfast by single incision suspender belt implantation by side, and another
Side still uses no-station pole canopy pubis back strap implantation (TVT) or tradition through closed pore suspender belt implantation (TVT-O), is opening
Operation net suspender belt can be hung operation net by piercing assembly (or being substituted with surgical thread or other drafting tools) after the completion of power is adjusted
Band pulls in and passes through pubis perienchyma (or obturator fascia) and is pierced by from underbelly or femoribus internus, and the tension for net suspender belt of performing the operation
It can effectively be fixed under extruding force effect by obturator fascia and surrounding soft tissue.Since most doctors are with the right side
Hand is main manipulator's, and the device during surgery, consolidate by operation net suspender belt directed ends in the present embodiment as shown in Figure 1 thus
Determine the left side that holdfast is arranged on patient, and the right side of patient then punctures obturator fascia and draws and fix operation net suspender belt and is easier to cure
The opposite operation of teacher.
However the utility model device is not limited by handedness, it, can be in specific operative process
According to doctor, smoothly situation changes the prepackage direction that directed ends fix holdfast.
In addition to the implementation, the utility model minimally invasive comfort urinary incontinence sling apparatus is in 1.5 incision surgeries
Using that can also have many feasible embodiments, right hand operation citing two as follows.
Another preferred embodiment: as shown in Fig. 2, the operation net suspender belt is then that tradition is hung through closed pore no-station pole canopy in the present embodiment
Improved goods with the affixed locking holdfast in one end.During surgical operation, locking holdfast 5 is first passed through into the special tools such as puncture handle
Have after being fixed on pubis among fascia layer 2, and performs the operation 6 other end of net suspender belt then with the modus operandi of traditional TVT by 3 bottom of urethra
Side, puncture " embracing bone " (the right side pubis wall for being close to patient) are worn using after fascia layer 2 after pubis by the stomach wall 1 of patient's underbelly
Out, the similar J-shaped implantation shape of mirror image is formed.Certainly, it also needs to adjust hand after completing operation the spiking through of net suspender belt
Tension needed for art net suspender belt is worn to be fixed in the micro- of stomach wall using the extruding force of pubis perienchyma and abdominal wall tissue
Kong Zhong.
Another preferred embodiment: as shown in figure 3, the operation net suspender belt is similarly tradition through closed pore no-station pole canopy in the present embodiment
The improved goods of the affixed locking holdfast in suspender belt one end.During surgical operation, it is dedicated by puncturing handle etc. will first to lock holdfast 5
Tool is fixed among obturator fascia 42, and performs the operation 6 other end of net suspender belt then with the modus operandi of traditional TVT by 3 bottom of urethra
Side, puncture " embracing bone " (the right side pubis wall for being close to patient) are worn using after fascia layer 2 after pubis by the stomach wall 1 of patient's underbelly
Out, the implantation shape of similar L-shaped is formed.Certainly, it is also required to adjust operation net after completing operation the spiking through of net suspender belt
Tension needed for suspender belt, to be fixed in the micropunch of stomach wall using the extruding force of pubis perienchyma and abdominal wall tissue
In.
Another embodiment: as shown in figure 4, the operation net suspender belt is disposably fixed according to length specification in the present embodiment
The finished product (single incision suspender belt) of system.During surgical operation, the connected locking holdfast 5 in 6 one end of net suspender belt that will first perform the operation passes through
The specific purpose tools such as handle are punctured to be fixed on after pubis among fascia layer 2, and 6 other end of net suspender belt of performing the operation then connects tension adjustment use
Surgical thread, and with the modus operandi of traditional TVT by 3 bottom side of urethra, puncture " embrace bone " (the right side pubis wall for being close to patient),
After fascia layer 2 after pubis, only surgical thread 7 is pierced by by the stomach wall 1 of patient's underbelly, forms the implantation shape of similar U-shaped
Shape.Certainly, the tension needed for being also required to adjust operation net suspender belt after completing the spiking through of surgical thread 7, and utilize pubis week
The extruding force of side texture is fixed in after pubis in fascia layer 2.
Above multiple embodiments are discussed in detail as it can be seen that the utility model minimally invasive comfort urinary incontinence sling apparatus is better than
The clinical application of no-station pole canopy pubis back strap (TVT) and single incision suspender belt (SIS), moreover, for there is unilateral hip joint activity to hinder
The patient hindered, the 1.5 notch suspender belt and its modus operandi equally have significant application and practicability.
To sum up about the detailed description of the utility model pulling type tune locking device embodiment as it can be seen that it is implanted into applied to suspender belt
Operation, its advantage is that: the apparatus structure is simple and is easy to one-handed performance, alleviates wound sense brought by patient's Multiple insion, subtracts
It is big while overcoming traditional SIS operation sling-tension and adjust that inconvenience, difficulty be big, postoperative leg traditional TVT operation suspender belt dosage has been lacked
The problems such as pain.
Claims (5)
1. a kind of minimally invasive comfort urinary incontinence sling apparatus, it is characterised in that: the sling apparatus is hung by locking holdfast, operation net
Band and piercing assembly are constituted, wherein the lock anchor follows closely only one and is fixed in the directed ends of operation net suspender belt, the lock anchor
Nail is fixed on the Retropubic perienchyma in side or obturator fascia, what the operation net suspender belt relative orientation end other side extended
Free end is connect in the micropunch for being positioned at stomach wall and femoribus internus by piercing assembly Tension Adjustable and wearing or obturator fascia is export-oriented
Periphery.
2. minimally invasive comfort urinary incontinence sling apparatus according to claim 1, it is characterised in that: the operation net suspender belt is length
Spend the medium-length suspender belt between single incision suspender belt length and no-station pole canopy pubis back strap length.
3. minimally invasive comfort urinary incontinence sling apparatus according to claim 1 or claim 2, it is characterised in that: the operation net suspender belt
Length between 7.5cm-30cm.
4. minimally invasive comfort urinary incontinence sling apparatus according to claim 3, it is characterised in that: the length of the operation net suspender belt
Degree is between 9cm-23cm.
5. minimally invasive comfort urinary incontinence sling apparatus according to claim 1, it is characterised in that: the operation net suspender belt is root
The finished product disposably customized according to length specification, or be the improved goods through the affixed locking holdfast in closed pore no-station pole canopy suspender belt one end.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201721697793.2U CN208756037U (en) | 2017-12-08 | 2017-12-08 | A kind of minimally invasive comfort urinary incontinence sling apparatus |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201721697793.2U CN208756037U (en) | 2017-12-08 | 2017-12-08 | A kind of minimally invasive comfort urinary incontinence sling apparatus |
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| CN208756037U true CN208756037U (en) | 2019-04-19 |
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| CN201721697793.2U Active CN208756037U (en) | 2017-12-08 | 2017-12-08 | A kind of minimally invasive comfort urinary incontinence sling apparatus |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107997790A (en) * | 2017-12-08 | 2018-05-08 | 苏州优迈医疗器械有限公司 | A kind of minimally invasive comfort urinary incontinence sling apparatus and its application |
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2017
- 2017-12-08 CN CN201721697793.2U patent/CN208756037U/en active Active
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107997790A (en) * | 2017-12-08 | 2018-05-08 | 苏州优迈医疗器械有限公司 | A kind of minimally invasive comfort urinary incontinence sling apparatus and its application |
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