JP2002085436A - Preventive ring for prolapse of uterus and prolapse of bladder, and preventive ring for prolapse of uterus and proctocele - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a preventive ring for the prolapse of the uterus and the prolapse of the bladder, which can prevent the prolapse of the uterus from occurring by the inserting it in the body, and can prevent the prolapse of the bladder from occurring as well without inviting dysuria. SOLUTION: This preventive ring 1 for the prolapse of the uterus and the prolapse of the bladder is equipped with an annular section 2 and a flexible curved bar-shape section 3. In this case, the flexible curved bar-shape section 3 is provided in such a manner that the beginning end and the final end may be connected with the annular section 2, and also, is formed in such a manner that an intermediate section 3a between the beginning end and the final end may be extended on the top of an annular plane formed by the annular section 2 in the central direction. The annular section 2 is equipped with an opening 4 which is partially formed by a defect.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

The present invention relates to a ring for preventing uterine prolapse and bladder prolapse and a ring for preventing uterine prolapse and rectal prolapse.

[0002]

2. Description of the Related Art In many cases, elderly women have uterine prolapse and bladder prolapse. With age, the strength of the tissue that suspends the uterus above and the muscles that support the uterus from below declines,
The uterus may fall out of position, exposing a portion of the uterus and the surrounding bladder wall to the outside of the body, which is uterine prolapse and bladder prolapse. For these treatments,
Vaginal hysterectomy is desired, but technically difficult and rarely performed. In older women, uterine prolapse and rectal prolapse may be combined. In this case, vaginal plasty for uterine prolapse and rectal prolapse is performed, but this is also technically difficult and is rarely performed.

[0003]

Therefore, it is desired to be able to simultaneously perform conservative therapy for both uterine prolapse and bladder prolapse without performing surgery. As a conservative treatment for uterine prolapse, a ring pessary can be inserted into the vagina to push up the droop, but the bladder neck and urethra may be compressed, making urination difficult. A first object of the present invention is to provide a ring for preventing uterine prolapse and bladder prolapse capable of preventing uterine prolapse by inserting the vagina into the vagina and preventing bladder prolapse without inducing dysuria. To provide. It is also desired that conservative therapy for both uterine prolapse and rectal prolapse can be performed simultaneously without performing surgery. A conservative treatment for uterine prolapse is to insert a ring pessary into the vagina and push the rectum up with the uterus, but it can cause bowel movements. A second object of the present invention is to provide a ring for preventing uterine prolapse and rectal prolapse that can be inserted into the vagina to prevent uterine prolapse, and also to prevent rectal prolapse without inducing defecation. To provide.

[0004]

A first object of the present invention is to provide a ring for preventing uterine prolapse and bladder prolapse, wherein an annular portion and a start end and an end of the ring are connected to the annular portion. Uterine prolapse and bladder prolapse provided with a flexible curved rod formed so that an intermediate portion between the starting end and the end extends upward and centrally above an annular plane formed by the annular portion. It is a ring for prevention. Further, what achieves the first object is a ring for preventing uterine prolapse and bladder prolapse, which is provided so that an annular portion, a starting end and an end are integrated and connected to the annular portion, and A uterine prolapse and bladder prophylaxis ring comprising: a flexible curved rod-like portion formed so as to extend upward and centrally above an annular plane formed by the annular portion. What achieves the first object is a ring for preventing uterine prolapse and bladder prolapse, wherein an annular portion and one end are connected to the annular portion, and the other end is branched into at least two branches. A ring for preventing uterine prolapse and bladder prolapse comprising a flexible curved rod-shaped portion formed so as to extend upward and centrally above an annular plane formed by the annular portion.

It is preferable that the annular portion has an opening partly missing. Further, it is preferable that an end of the annular portion forming the opening is curved in an inner direction of the annular portion. Further, it is preferable that the flexible curved rod-shaped portion and the opening are formed to face each other. Further, it is preferable that a central portion of the flexible curved rod-shaped portion is curved toward the annular portion. What achieves the first object is a ring for preventing uterine prolapse and bladder prolapse, which is provided on an annular portion, and is provided on the annular portion, and is located above and in the center of an annular plane formed by the annular portion. A ring for preventing uterine prolapse and bladder prolapse comprising a tongue-like flexible flat plate portion extending to the front. And it is preferable that the said flexible flat part is provided with the some opening penetrated this flat part. Further, it is preferable that an end of the flexible flat plate is curved toward the annular portion. Further, the annular portion preferably has an opening in which the annular portion is partially missing. Further, it is preferable that an end of the annular portion forming the opening is curved in an inner direction of the annular portion. Further, it is preferable that the flexible flat plate portion and the opening are formed so as to face each other. And it is preferable that the said cyclic | annular part is formed by the low softening point resin softened at 50-100 degreeC.

In order to achieve the second object, a flexible annular member having an opening due to a partial defect is formed, and both ends of the annular member forming the opening are formed by the annular member. It is a ring for preventing uterine prolapse and rectal prolapse curved inwardly of the member. And it is preferable that the said cyclic | annular part is formed by the low softening point resin softened at 50-100 degreeC.

[0007]

DESCRIPTION OF THE PREFERRED EMBODIMENTS A ring for preventing uterine prolapse and bladder prolapse according to the present invention will be described with reference to an embodiment shown in the drawings. FIG.
1 is a front view of a ring for preventing uterine prolapse and bladder prolapse according to an embodiment of the present invention. FIG. 2 is a sectional view taken along line AA of FIG. FIG. 3 is a sectional view taken along line BB of FIG. FIG.
FIG. 4 is an explanatory view illustrating a state in which the ring for preventing uterine prolapse and bladder prolapse shown in FIGS. 1 to 3 is inserted into a body.

The ring 1 for preventing uterine prolapse and bladder prolapse according to the present invention is provided so that an annular portion 2, a starting end and an end are connected to the annular portion 2, and an intermediate portion 3a between the starting end and the end is an annular portion 2. And a flexible curved rod-shaped portion 3 formed so as to extend above and toward the center of the annular plane formed by. As shown in FIG. 1, the ring 1 of this embodiment includes an annular portion 2 for preventing uterine prolapse, a flexible curved rod-shaped portion 3 for preventing bladder prolapse, and an annular portion for preventing rectal prolapse. It has an opening 4 formed by a partial defect. Therefore, the ring 1 of this embodiment is of a type that can prevent uterine prolapse, bladder prolapse and rectal prolapse.

The ring 1 comprises an annular portion 2 and a curved rod-shaped portion 3 connected to the annular portion. The annular portion 2 is a substantially circular annular body, and has an opening 4 formed by partially missing. By providing this opening, insertion and removal from the living body can be facilitated, rectal prolapse can be prevented without causing defecation trouble, and furthermore, rotation of the ring in the living body can be prevented. Further, ends 2 a and 2 b of the annular portion 2 forming the opening 4 are curved in the inner direction of the annular portion 2. By doing so, it is possible to prevent the ends 2a and 2b of the annular portion 2 from directly abutting on the living tissue, specifically, the uterus. The annular portion 2 is not limited to a perfect circle, but may be an ellipse, a deformed circle, or the like. Further, as shown in FIGS. 2 and 3, the annular portion 2 is a curved cylindrical body having a circular cross section. In addition,
The annular portion 2 may be a curved polygonal prism having a chamfered corner, a curved elliptical cylinder, or the like. Although the size of the annular portion varies depending on the physique and the like of the patient, the diameter is preferably about 40 to 120 mm. Further, the entire annular portion 2 does not have to have the same thickness (diameter). For example, the vicinity of the portion facing the opening 4 may be thinner than other portions. By doing so, the deformation of the annular portion becomes easier.

The diameter of the pillar constituting the annular portion is preferably about 4 to 12 mm (maximum diameter). In addition, the size of the opening 4, that is, the size of the arc that is lost by the opening 4 is １ ／ to １ ／ of the circumference of the annular portion.
It is preferably 0, and particularly preferably 1/9 to 1/20. When the opening 4 is provided as in the embodiment of FIG. 1, the distance between the ends 2a and 2b of the annular portion 2 is preferably about 10 to 30 mm. Further, it is preferable that the ends 2a and 2b of the annular portion 2 bend inwardly of the annular portion 2 and be formed so as to be substantially parallel to each other.

The curved rod 3 has a start end 3b and an end 3c.
Has a substantially w-shape provided so as to be connected to the annular portion 2. Further, as shown in FIGS. 2 and 3, the curved rod-shaped portion 3 is formed such that the intermediate portion 3 a between the start end and the end extends upward and centrally above the annular plane formed by the annular portion 2. The length X of the curved rod-shaped portion shown in FIG.
About 0 to 50 mm is preferable. The height Y of the curved rod-shaped portion shown in FIG. 3 is preferably about 20 to 40 mm.
The angle α between the curved rod portion and the annular portion shown in FIG.
About 150 ° is preferable, and particularly, 30 ° to 60 ° is preferable. The width W of the curved rod portion shown in FIG.
mm is preferable. In the ring 1 of this embodiment, the central portion 3a of the flexible curved rod 3 is curved toward the annular portion 2. Therefore, the central portion of the flexible curved rod-shaped portion is prevented from strongly contacting the living tissue, and the entire flexible curved rod-shaped portion comes into contact with the living tissue.

The bending distance Z of the central portion 3a in FIG. 3 is preferably about 10 to 20 mm. The curved bar 3 of the ring 1 is formed so as to be entirely on the same plane as shown in FIG.
May be deformed toward the center of the annular portion 2. In this case, the curved rod-shaped portion 3 is not entirely on the same plane but in a state in which the intermediate portion is lowered. The curved bar 3 and the opening 4 are formed so as to face each other. Further, as shown in FIGS. 1 to 3, the curved rod-shaped portion 3 is formed of a curved columnar body having a circular cross section. Note that the curved rod-shaped portion 3 may be a curved polygonal prism having a chamfered corner, a curved elliptical prism, or the like. The diameter (maximum diameter) of the pillar constituting the curved rod-shaped portion is 4-1.
About 2 mm is preferable. Further, the curved rod-shaped body does not need to have the same thickness (diameter) as a whole. For example, the intermediate portion 3a may be thinner than other portions. In the ring 1 of this embodiment, the whole is formed of a material having a certain degree of flexibility. Preferably, the material for forming the curved rod-shaped portion 3 is higher in flexibility than the material for forming the annular portion 2.

As the material for forming the ring, polycarbonate, acrylic resin (for example, polyacrylate, polymethyl methacrylate, polyacrylamide, acrylonitrile-styrene copolymer, acrylonitrile-butadiene-styrene copolymer, etc.), polyester (for example, polyethylene) Terephthalate, polybutylene terephthalate), polyolefin (eg, polyethylene,
Polypropylene, ethylene-propylene copolymer, ethylene-vinyl acetate copolymer, a mixture of polypropylene and polyethylene or polybutene), styrene resin (eg, polystyrene, methacrylate-styrene copolymer, methacrylate-butylene-styrene copolymer), polyamide (For example, nylon 6 and nylon 66), semi-hard materials such as polysulfone, urethane rubber,
Synthetic rubber such as silicone rubber and butadiene rubber, natural rubber such as latex rubber, olefin-based elastomer (eg, polyethylene elastomer, polypropylene elastomer), amide-based elastomer (eg, polyamide elastomer), styrene-based elastomer (eg, styrene-butadiene- Styrene copolymer, styrene-isoprene-styrene copolymer, styrene-ethylenebutylene-styrene copolymer), polyurethane (for example, polyester-based polyurethane, polyether-based polyurethane), urethane-based elastomer (for example,
Flexible materials such as thermoplastic polyurethane, specifically, thermoplastic polyether polyurethane, thermoplastic polyester polyurethane) can be used. And it is preferable to use a thermoplastic thing among the above-mentioned materials. In particular, a resin that softens at a low temperature of about 50 ° C. to 100 ° C. is preferable. The entire ring may be formed of such a low softening point resin, but at least the annular portion 2
May be formed of a low softening point resin. By using such a low softening point resin, by heating to the above temperature, the annular portion can be deformed into a shape conforming to the shape of the insertion site of the patient, and then the deformed shape is maintained by cooling. Can be done. By doing so, it is possible to reduce the discomfort at the time of detachment and insertion of the ring from the living body insertion site. Further, by using such a low softening point resin, by heating to the above temperature, the angle of the curved rod-shaped member can be arbitrarily changed when necessary.

The material forming the annular body and the material forming the curved rod-shaped member may be different from each other. Specifically, a semi-rigid material may be used for the annular body, and a flexible material may be used for the curved bar-shaped member. In this case, the two may be bonded to each other by adhesion, but it is preferable to form them as a single body by a two-color molding method. When using the two-color molding method, the combination of materials is preferably a combination having high compatibility. Specifically, a polyolefin elastomer is selected as a flexible material using polyolefin as a semi-hard material, a polyester elastomer is selected as a flexible material using an ester resin as a semi-hard material, and a styrene resin is used as a flexible material as a semi-hard material. It is conceivable to select a styrene-based elastomer as the material.

The operation of the ring 1 will be described with reference to FIG. This ring 1 is used by inserting it into a vagina 61 as shown in FIG. As shown in FIG.
Is inserted obliquely so that the opening of the annular portion 2 is located at the back of the uterus 62, the drooping portion of the uterus slightly enters the opening, and the lower portion of the bladder 63 is positioned in the curved rod 3 Is done. In this state, the uterus 62 is pushed up from below by the annular portion 2, the bladder 63 is supported from below by the curved rod 3, and the rectal wall 64 is pushed up by the annular portion 2 via the vaginal wall. This alleviates the symptoms of uterine prolapse, bladder prolapse, and rectal prolapse. In addition, since the annular body 2 is provided with the opening, the annular body 2 is provided with a portion that does not press the rectum, thereby suppressing occurrence of a bowel movement obstruction.

As the ring, the curved bar-shaped portion 3 may be shorter than those shown in FIGS. 1 to 3 like a ring 1a shown in FIG. In this case, referring to FIG. 3, the length X of the curved rod-shaped portion is 2
It is preferably about 0 to 50 mm, and the height Y of the curved rod portion is preferably about 20 to 40 mm. The other points are the same as those of the ring 1 described above.

Further, as shown in FIG. 5, a ring 1b shown in FIG.
d may face each other. In the ring 1b, the size of the opening 4, that is, the size of the arc that is lost by the opening 4 is １ ／ of the circumference of the annular portion.
To 1/30, particularly 1/9 to 1/30.
It is preferably 20. In addition, the end 2 of the annular portion 2
It is preferable that the distance between c and 2d is about 10 to 30 mm. The other points are the same as those of the ring 1 described above.

The ring may be such that the annular portion 2 is not provided with an opening, like the ring 1c shown in FIG. The ring 1c is effective for patients who present with symptoms of uterine prolapse and bladder prolapse but do not show symptoms of rectal prolapse. The other points are the same as those of the ring 1 described above.

The ring 70 for preventing uterine prolapse and bladder prolapse shown in FIGS. 27, 28 and 29 is used.
As shown in FIG.
3c is provided so as to be connected to the annular portion 2 and has a start end 73b and an end 7b as compared with the ring shown in FIG.
3c is close, in other words, the starting end 73b and the ending 73c.
It may have a modified w-shape with a short distance. FIG. 27 is a front view of a ring for preventing uterine prolapse and bladder prolapse according to another embodiment of the present invention. FIG. 28 shows FIG.
FIG. 7 is a sectional view taken along line MM of FIG. 7. FIG. 29 is a cross-sectional view of FIG.
It is a line sectional view.

As shown in FIGS. 28 and 29, the intermediate portion 73a between the start end and the end of the curved rod portion 73 is an annular portion 72a.
Is formed so as to extend above the annular plane formed in the center direction. The length Xe of the curved rod portion shown in FIG. 29 is preferably about 20 to 50 mm. The height Ye of the curved rod portion shown in FIG. 29 is preferably about 20 to 40 mm. The angle αe between the curved rod portion and the annular portion shown in FIG. 29 is preferably about 30 ° to 150 °,
30 ° to 60 ° is preferred. The width We of the curved rod portion shown in FIG. 27 is preferably about 30 to 60 mm. Also,
The width W2 between the start end and the end of the curved rod portion shown in FIG.
About 30 mm is suitable. Ring 70 of this embodiment
Also, the central portion 73a of the flexible curved rod 73 is
It is curved toward the annular portion 72. Therefore, the central portion of the flexible curved rod-shaped portion is prevented from strongly contacting the living tissue, and the entire flexible curved rod-shaped portion comes into contact with the living tissue.

The bending distance Z of the central portion 73a in FIG.
e is preferably about 10 to 20 mm. In addition,
As shown in FIG. 29, the curved rod-shaped portion 3 of the ring 1
Although the whole is formed so as to be on the same plane, the intermediate portion 73a may be deformed so as to be directed toward the center of the annular portion 72. In this case, the curved rod 73
Is not in the same plane as a whole, but in a state in which the middle part is lowered. The curved bar 73 and the opening 74 are formed so as to face each other.

Further, the curved rod-shaped portion 3 is provided in FIGS.
As shown in FIG. 9, it is formed of a curved cylindrical body having a circular cross section. Note that the curved rod-shaped portion 73 may be a curved polygonal prism having a chamfered corner, a curved elliptical prism, or the like. The diameter (maximum diameter) of the pillar constituting the curved rod portion is 4 to
About 12 mm is preferable. Further, the curved rod-shaped body does not need to have the same thickness (diameter) as a whole. For example, the intermediate part 3a
May be thinner than other parts. The ring 70 of this embodiment is also entirely formed of a material having a certain degree of flexibility. Preferably, the material for forming the curved rod-shaped portion 3 is higher in flexibility than the material for forming the annular portion 72.

As a ring, the curved bar-shaped portion 73 may be shorter than the ring 70 shown in FIGS. 27 to 29, as in a ring 70a shown in FIG. In this case, referring to FIG. 29, the length Xe of the curved bar portion is preferably about 20 to 50 mm, and the height Ye of the curved bar portion is 20 to 40 mm.
The degree is preferred. The other points are the same as those of the ring 70 described above. Also, as a ring,
As in a ring 70b shown in FIG. 31, the ends 72c and 72d in the opening of the annular portion 72 may face each other. In this ring 70b, the opening 74
, That is, the size of the arc to be lost by the opening 74 is preferably 1/5 to 1/30 of the circumference of the annular portion, and particularly 1/9 to 1/20. Is preferred. The distance between the ends 72c and 72d of the annular portion 72 is preferably about 10 to 30 mm. The other points are the same as those of the ring 70 shown in FIGS. 27 to 29 and described above. Further, as the ring, as shown in a ring 70c shown in FIG.
2 may not have an opening. The ring 70c is effective for a patient who exhibits symptoms of uterine prolapse and bladder prolapse, but does not show symptoms of rectal prolapse. For other points, FIGS.
9 and is the same as the ring 70 described above.

Next, the ring 10 for preventing uterine prolapse and bladder prolapse of the embodiment shown in FIGS. 7 to 9 will be described. The difference between the ring 10 and the above-described ring 1 is only the curved rod portion, and the other points are the same as the above-described ring 1. FIG. 7 is a front view of a ring for preventing uterine prolapse and bladder prolapse according to another embodiment of the present invention. FIG. 8 is a sectional view taken along line CC of FIG. FIG. 9 is a sectional view taken along line DD of FIG. In the ring 10 of this embodiment, the curved bar-shaped portion 13 has a substantially U-shape provided such that the start end 13 b and the end 13 c are connected to the annular portion 12. Further, as shown in FIG. 8 and FIG.
An intermediate portion 13a between the start end and the end has a small diameter. Thereby, in the curved rod-shaped portion 13, the middle portion has higher flexibility. The curved bar-shaped portion 13 is formed so as to extend above the annular plane formed by the annular portion 12 and in the center direction, similarly to the ring 1 described above.

The length Xa of the curved rod portion shown in FIG. 9 is preferably about 20 to 50 mm. The height Ya of the curved rod portion shown in FIG. 9 is preferably about 20 to 40 mm. Angle αa between the curved rod-shaped part and the annular part shown in FIG.
Is preferably about 45 ° to 80 °. The width Wa of the curved rod portion shown in FIG. 7 is preferably about 30 to 50 mm. Note that the curved rod-shaped portion 13 of the ring 10 is the same as that shown in FIG.
As shown in (1), the whole is formed so as to be on the same plane, but the central portion 13a may be deformed so as to be directed toward the center of the annular portion 12. In this case,
The curved bar-shaped portion 13 is not in the same plane as a whole, but in a state in which the center portion is lowered. The curved bar 13 and the opening 14 are formed so as to face each other.

Also, the curved rod-shaped portion 13 is provided in FIGS.
As shown in (1), it is formed of a curved cylindrical body having a circular cross section. Note that the curved rod-shaped portion 13 may be a curved polygonal prism having a chamfered corner, a curved elliptical cylinder, or the like. The diameter of the column (the maximum diameter) constituting the curved rod-shaped portion 13 is 4
About 12 mm is preferable. In this embodiment, the curved bar 13 is not uniform in thickness,
The vicinity of the center of “a” has the smallest diameter. The diameter (maximum diameter) of the curved rod-shaped portion 13 near the center of the central portion 13a is preferably about 3 to 10 mm.

The ring may be such that the ends 12c and 12d of the opening 14 of the annular portion 12 face each other, such as a ring 10a shown in FIG. In the ring 10a, the size of the opening 14, that is, the size of the arc that is lost by the opening 14 is
It is preferably about 1/5 to 1/30 of the circumference of the annular portion. Further, the distance between the ends 12c and 12d of the annular portion 12 is preferably about 10 to 30 mm. In addition,
The curved rod-shaped portion is the same as the ring 10 described above, and the size of the annular portion, the material for forming the ring, and the like are the same as the ring 1 described above. In addition, as a ring, as in a ring 10b shown in FIG.
2 may not have an opening. The ring 10b is effective for a patient who exhibits symptoms of uterine prolapse and bladder prolapse, but does not show symptoms of rectal prolapse. In addition, about the curved rod-shaped part, the above-mentioned ring 1
0, and the same as the above-described ring 1 regarding the size of the annular portion, the material for forming the ring, and the like.

Next, another type of ring for preventing uterine prolapse and bladder prolapse according to the present invention will be described. FIG. 12 is a front view of a ring for preventing uterine prolapse and bladder prolapse according to another embodiment of the present invention. FIG. 13 is a sectional view taken along line EE of FIG. FIG. 14 is a sectional view taken along line FF of FIG. The ring 20 for preventing uterine prolapse and bladder prolapse of the present invention includes an annular portion 22.
And a tongue-shaped flexible flat plate portion 23 provided on the annular portion 22 and extending upward and centrally above an annular plane formed by the annular portion 22. The ring 20 of this embodiment is shown in FIG.
As shown in the figure, the annular portion 22 for preventing uterine prolapse, the tongue-shaped flexible flat plate portion 23 for preventing bladder prolapse, and the annular portion for preventing rectal prolapse are formed by partial deletion. The opening 4 is provided. Therefore, the ring 20 of this embodiment
Is a type that can prevent uterine prolapse, bladder prolapse and rectal prolapse.

The ring 20 includes an annular portion 22 and a tongue-shaped flexible flat plate portion 23 connected to the annular portion 22. Annular part 22
Is an approximately perfect circular ring-shaped body, and has an opening 24 formed by partially missing. By providing this opening, insertion and removal from the living body can be facilitated, rectal prolapse can be prevented without causing defecation trouble, and furthermore, rotation of the ring in the living body can be prevented. Further, the end 2 of the annular portion 22 forming the opening 24
2 a and 22 b are curved in the inner direction of the annular portion 22. By doing so, the end portion 22 of the annular portion 22
a, 22b can be prevented from directly contacting the living tissue, specifically, the uterus. The annular portion 22 is not limited to a perfect circle, but may be an ellipse, a deformed circle, or the like.
As shown in FIGS. 13 and 14, the annular portion 22 is a curved cylindrical body having a circular cross section. In addition,
The annular portion 22 may be a curved polygonal prism having a chamfered corner, a curved elliptical cylinder, or the like. Although the size of the annular portion varies depending on the physique and the like of the patient, the diameter is preferably about 40 to 120 mm. The diameter (maximum diameter) of the pillar constituting the annular portion 22 is preferably about 4 to 12 mm. Further, the annular portion 22 does not have to have the same thickness (diameter) as a whole. For example, the vicinity of the portion facing the opening 24 may be thinner than other portions. By doing so, the deformation of the annular portion becomes easier.

It is preferable that the size of the opening 24, that is, the size of the arc that is lost by the opening 24 is about 1/5 to 1/30 of the circumference of the annular portion. When the opening 24 is provided as in the embodiment of FIG. 12, the distance between the ends 22a and 22b of the annular portion 22 is 1
It is preferable to set it to about 0 to 30 mm. Further, it is preferable that the ends 22a and 22b of the annular portion 22 bend inwardly of the annular portion 22 and be formed so as to be substantially parallel to each other. The flexible flat plate portion 23
One end has a tongue shape provided to be connected to the annular portion 22. Further, as shown in FIGS. 13 and 14, the flexible flat plate portion 23 is formed so as to extend above the annular plane formed by the annular portion 22 and toward the center. The length Xb of the flexible flat plate portion shown in FIG.
About 0 mm is preferable. The height Yb of the flexible flat portion shown in FIG. 14 is preferably about 20 to 40 mm.
The angle αb between the flexible flat portion and the annular portion shown in FIG.
About 5 ° to 80 ° is preferable. The width Wb of the flexible flat portion shown in FIG. 12 is preferably about 30 to 50 mm.

The distal end of the flexible flat plate 23 is curved in a tongue or arc shape. Further, the flexible flat plate portion 23 has a plurality of openings 25 penetrating the flat plate portion 23. By providing such an opening 25, excessive close contact between the flexible flat plate portion 23 and the living tissue can be prevented. In addition, the accumulation of metabolites between the flexible flat plate portion 23 and the living tissue can be prevented. The size of the opening 25 is preferably about 1 to 4 mm. The number of the openings 25 is 1 to 3 / cm.
^{About 2} is preferred. The flexible flat portion 23 of the ring 20 is formed so as to be entirely on the same plane as shown in FIG. 14, but the central portion 23a is directed toward the center of the annular portion 22. May be deformed. In this case, the flexible flat plate portion 23 is not on the same plane as a whole, but is in a state in which the central portion is lowered. The flexible flat plate 23 and the opening 24 are formed so as to face each other. As shown in FIGS. 12 to 14, the flexible flat plate portion 23 is formed of a thin plate having a substantially uniform thickness. The thickness of the flexible flat plate is 3 to 8 m
About m is preferable. The ring 20 of this embodiment is entirely made of a material having a certain degree of flexibility. Preferably, the material for forming the flexible flat plate portion 23 has higher flexibility than the material for forming the annular portion 22.

As the material for forming the ring, polycarbonate, acrylic resin (for example, polyacrylate, polymethyl methacrylate, polyacrylamide, acrylonitrile-styrene copolymer, acrylonitrile-butadiene-styrene copolymer, etc.), polyester (for example, polyethylene) Terephthalate, polybutylene terephthalate), polyolefin (eg, polyethylene,
Polypropylene, ethylene-propylene copolymer, ethylene-vinyl acetate copolymer, a mixture of polypropylene and polyethylene or polybutene), styrene resin (eg, polystyrene, methacrylate-styrene copolymer, methacrylate-butylene-styrene copolymer), polyamide (For example, nylon 6 and nylon 66), semi-hard materials such as polysulfone, urethane rubber,
Synthetic rubbers such as silicone rubber and butadiene rubber, natural rubbers such as latex rubber, olefin-based elastomers (eg, polyethylene elastomer, polypropylene elastomer), amide-based elastomers (eg, polyamide elastomer), styrene-based elastomers (eg, styrene-butadiene- Styrene copolymer, styrene-isoprene-styrene copolymer, styrene-ethylenebutylene-styrene copolymer), polyurethane (for example, polyester-based polyurethane, polyether-based polyurethane), urethane-based elastomer (for example,
Flexible materials such as thermoplastic polyurethane, specifically, thermoplastic polyether polyurethane, thermoplastic polyester polyurethane) can be used. And it is preferable to use a thermoplastic thing among the above-mentioned materials. In particular, a resin that softens at a low temperature of about 50 ° C. to 100 ° C. is preferable. The entire ring may be formed of such a low softening point resin, but at least the annular portion 2
2 only needs to be formed of a low softening point resin. By using such a low softening point resin, by heating to the above temperature, the annular portion can be deformed into a shape conforming to the shape of the insertion site of the patient, and then the deformed shape is maintained by cooling. Can be done. By doing so, it is possible to reduce the discomfort at the time of detachment and insertion of the ring from the living body insertion site. Further, by using such a low softening point resin, by heating to the above temperature, the angle of the curved rod-shaped member can be arbitrarily changed when necessary.

Further, the material forming the annular body and the material forming the flexible flat member may be different from each other. Specifically, a semi-rigid material may be used for the annular body, and a flexible material may be used for the flexible flat member. In this case, the two may be bonded to each other by adhesion, but it is preferable to form them as a single body by a two-color molding method. When using the two-color molding method, the combination of materials is preferably a combination having high compatibility. Specifically, a polyolefin elastomer is selected as a flexible material using polyolefin as a semi-hard material, a polyester elastomer is selected as a flexible material using an ester resin as a semi-hard material, and a styrene resin is used as a flexible material as a semi-hard material. It is conceivable to select a styrene-based elastomer as the material.

The operation of the ring 20 will be described with reference to FIG. As shown in FIG.
1 to be used. 44, the opening of the annular portion 22 is located at the back of the uterus 62, the drooping portion of the uterus slightly enters the opening, and the bladder 63 is inserted into the flexible flat plate 23 as shown in FIG. Insert diagonally so that the lower part of is located. In this state, the uterus 62 is
2, the bladder 63 is supported from below by the flexible flat plate portion 23, and the rectal wall 64 is pushed up by the annular portion 22 via the vaginal wall. This alleviates the symptoms of uterine prolapse, bladder prolapse, and rectal prolapse. Since the annular portion 22 has an opening, the annular portion 22 has a portion that does not press the rectum, thereby suppressing occurrence of a bowel movement obstruction.

The ring may be such that the flexible flat plate portion 23 is shorter than those shown in FIGS. 12 to 14, like the ring 20a shown in FIG. In this case, referring to FIG. 14, the length Xb of the flexible flat portion is preferably about 20 to 50 mm, and the height Yb of the flexible flat portion is about 20 to 40 mm. It is suitable. The other points are the same as those of the ring 20 described above. As a ring, FIG.
The ends 22c and 22d of the opening of the annular portion 22 may face each other like a ring 20b shown in FIG. In the ring 20b, the size of the opening 24, that is, the size of the arc that is lost by the opening 24, is about 1/5 to 1/30 of the circumference of the annular section, and more preferably 1/9 to 1/30. It is preferably about 1/20.
The distance between the ends 22c and 22d of the annular portion 22 is 1
It is preferable to set it to about 0 to 30 mm. The other points are the same as those of the ring 20 described above. Further, the ring may be such that the annular portion 22 is not provided with an opening as in a ring 20c shown in FIG. The ring 20c is effective for a patient who exhibits symptoms of uterine prolapse and bladder prolapse, but does not show symptoms of rectal prolapse. The other points are the same as those of the ring 20 described above.

Next, the ring 30 for preventing uterine prolapse and bladder prolapse of the embodiment shown in FIGS. 18 to 20 will be described. FIG. 18 is a front view of a ring for preventing uterine prolapse and bladder prolapse according to another embodiment of the present invention. FIG. 19 shows G in FIG.
It is a G line sectional view. FIG. 20 is a sectional view taken along line HH of FIG. The ring 30 and the ring 20 described above are used.
The difference from this is only the flexible flat plate portion, and the rest is the same as the ring 20 described above. Flexible flat plate 3
Reference numeral 3 denotes a tongue piece provided so that one end is connected to the annular portion 22. Further, the flexible flat plate portion 33 is provided in the manner shown in FIG.
As shown in FIG. 8 and FIG. 20, it is formed so as to extend above the annular plane formed by the annular portion 22 and toward the center. The length Xc of the flexible flat plate portion shown in FIG.
About 0 to 50 mm is preferable. The height Yc of the flexible flat portion shown in FIG. 20 is preferably about 20 to 40 mm. Angle αc between flexible flat portion and annular portion shown in FIG.
Is preferably about 30 ° to 150 °. The width Wc of the flexible flat portion shown in FIG. 18 is preferably about 30 to 60 mm.

In the ring 30 of this embodiment, the flexible flat portion 33 is formed of a thick plate. For this reason, the flat plate portion 33 and the annular portion 22 are integrated at the mounting portion. Further, the periphery of the flexible flat plate portion 33 is chamfered so that there is no corner. The thickness of the flexible flat portion is preferably about 3 to 8 mm. Further, the distal end of the flexible flat plate portion 33 is curved in a tongue shape or an arc shape.
Further, the flexible flat plate portion 33 includes a plurality of openings 35 penetrating the flat plate portion 33. By providing such an opening 35, it is possible to prevent the flexible flat plate portion 33 from being excessively adhered to the living tissue. In addition, the accumulation of metabolites between the flexible flat plate portion 33 and the living tissue can be prevented. The size of the opening 35 is preferably about 1 to 4 mm. The number of the openings 35 is preferably about 1 to 3 / cm ² .

Next, the ring 40 for preventing uterine prolapse and bladder prolapse of the embodiment shown in FIGS. 21 to 23 will be described. FIG. 21 is a front view of a ring for preventing uterine prolapse and bladder prolapse according to another embodiment of the present invention. FIG.
FIG. 2 is a sectional view taken along line I. FIG. 23 is a sectional view taken along line JJ of FIG. The ring 40 and the ring 20 described above are used.
The difference from this is only the flexible flat plate portion, and the rest is the same as the ring 20 described above. Flexible flat plate part 4
Reference numeral 3 denotes a tongue piece provided so that one end is connected to the annular portion 22. Further, the flexible flat plate portion 43 is provided as shown in FIG.
As shown in FIG. 1 and FIG. 23, it is formed so as to extend above the annular plane formed by the annular portion 22 and toward the center. The length Xd of the flexible flat portion shown in FIG.
About 0 to 50 mm is preferable. The height Yd of the flexible flat portion shown in FIG. 23 is preferably about 20 to 40 mm. Angle αd between flexible flat portion and annular portion shown in FIG.
Is about 30 ° to 150 °, more preferably 30 ° to
About 60 ° is preferable. The width Wd of the flexible flat portion shown in FIG. 21 is preferably about 30 to 60 mm.

In the ring 40 of this embodiment, the flexible flat plate portion 43 is formed in a thin plate shape as a whole, and has a peripheral portion curved toward the annular portion. In particular, in this embodiment, the periphery of the flexible flat plate portion is further curved toward the annular portion, and the end of the curved peripheral portion faces the flat plate portion. That is, the periphery is curled. For this reason, it becomes difficult for the peripheral edge of the flexible flat plate to directly contact the living tissue, and the living tissue is not damaged.

The thickness of the flexible flat plate is 3 to 8 mm
The degree is preferred. In addition, the tip of the flexible flat plate 43
It is curved in the shape of a tongue or an arc. Further, the flexible flat plate portion 43 has a plurality of openings 35 penetrating the flat plate portion 43. By providing such an opening 45,
Excessive contact between the flexible flat plate 43 and the living tissue can be prevented.
In addition, the accumulation of metabolites between the flexible flat plate portion 43 and the living tissue can be prevented. The size of the opening 45 is preferably about 1 to 4 mm. The number of the openings 45 is 1 to 3 / c.
m ² is preferred.

Next, a ring for preventing uterine prolapse and bladder prolapse according to another embodiment of the present invention will be described with reference to the embodiment shown in the drawings. FIG. 33 is a front view of a ring for preventing uterine prolapse and bladder prolapse according to another embodiment of the present invention. FIG.
FIG. 4 is a sectional view taken along line -O. FIG. 35 is a sectional view taken along line PP of FIG. Ring 8 for preventing uterine prolapse and bladder prolapse of the present invention
Reference numeral 0 denotes an annular portion 82, one end of which is connected to the annular portion 82, the other end of which is at least bifurcated, and a flexible curve formed so as to extend upward and centrally above an annular plane formed by the annular portion 82. A bar 83 is provided.

In the ring 80 of this embodiment, similarly to the ring 1 described above, an annular portion 82 for preventing uterine prolapse.
And a flexible curved rod-shaped portion 83 for preventing bladder prolapse, and an opening 84 formed by partially missing an annular portion for preventing rectal prolapse. Therefore, the ring 8 of this embodiment
0 is of a type that can prevent uterine prolapse, bladder prolapse and rectal prolapse. The ring 80 includes an annular portion 82
And a curved bar-shaped portion 83 connected thereto. Annular part 8
Numeral 2 is a substantially circular ring-shaped body, and has an opening 84 formed by partially missing. By providing this opening, insertion and removal from the living body can be facilitated, rectal prolapse can be prevented without causing defecation trouble, and furthermore, rotation of the ring in the living body can be prevented. Further, ends 82 a and 82 b of the annular portion 82 forming the opening 84 are curved in the inner direction of the annular portion 82. By doing so, the end 82 of the annular portion 82
a, 82b can be prevented from directly contacting the living tissue, specifically, the uterus. The annular portion 82 is not limited to a perfect circle, but may be an ellipse, a deformed circle, or the like.
Further, the annular portion 82 is a curved cylindrical body having a circular cross section, as shown in FIGS. In addition,
The annular portion 82 may be a curved polygonal prism having a chamfered corner, a curved elliptical cylinder, or the like. Although the size of the annular portion varies depending on the physique and the like of the patient, the diameter is preferably about 40 to 120 mm. Further, the annular portion 82 does not have to have the same thickness (diameter) as a whole. For example, the vicinity of a portion facing the opening 84 may be thinner than other portions. By doing so, the deformation of the annular portion becomes easier.

The diameter (maximum diameter) of the pillar constituting the annular portion is preferably about 4 to 12 mm. In addition, the size of the opening 84, that is, the size of the arc that is lost by the opening 84, is 1/5 to 1 of the circumference of the annular portion.
/ 30, preferably 1/9 to 1/20
It is preferable that In the case where the opening 84 is provided as in the embodiment of FIG.
The distance between 2a and 82b is preferably about 10 to 30 mm. Further, the ends 82a, 82 of the annular portion 82
b is curved in the inner direction of the annular portion 82,
It is preferable that both are formed so as to be substantially parallel.

The curved bar-shaped portion 83 has one end 83
a are connected to each other and the other ends are branched into two free ends 83c and 8c.
It has a substantially inverted Y-shape which is 3d. further,
As shown in FIG. 33 and FIG. 35,
A central portion of the free ends 83c and 83d branched into two branches, in other words, a branch portion 83b is formed so as to extend upward and centrally above an annular plane formed by the annular portion 82. FIG.
The length Xf of the curved rod portion shown in FIG.
About m is preferable. Height Y of the curved bar shown in FIG.
f is preferably about 20 to 40 mm. FIG.
The angle αf between the curved rod portion and the annular portion shown in FIG.
About 50 ° is preferable, and particularly, 30 ° to 60 ° is preferable. The width Wf of the curved rod portion shown in FIG.
About 0 mm is preferable.

As shown in FIGS. 33 to 35, the curved rod portion 83 is formed of a curved cylindrical body having a circular cross section. Note that the curved rod-shaped portion 83 may be a curved polygonal prism having a chamfered corner, a curved elliptical cylinder, or the like. The diameter (maximum diameter) of the pillar constituting the curved rod-shaped portion is 4
About 12 mm is preferable. Further, the curved rod-shaped body does not need to have the same thickness (diameter) as a whole. For example, the branch unit 8
3b may be thicker than other parts. In particular,
In the illustrated embodiment, one end 83a of the curved rod 83 is
In order to increase the connection strength with the annular portion 82, it is formed thicker than other portions. Also, a free end 83 branched into two branches
The tips of c and 83d are rounded hemispheres. The ring 80 of this embodiment is entirely formed of a material having a certain degree of flexibility. Preferably,
It is preferable that the material for forming the curved bar-shaped portion 83 has higher flexibility than the material for forming the annular portion 82.

As the material for forming the ring, those described for the ring 1 can be suitably used. And it is preferable to use a thermoplastic thing among the above-mentioned materials.
In particular, a resin that softens at a low temperature of about 50 ° C. to 100 ° C. is preferable. The entire ring may be formed of such a low softening point resin, but it is sufficient if at least the annular portion 2 is formed of a low softening point resin. By using such a low softening point resin, by heating to the above temperature, the annular portion can be deformed into a shape conforming to the shape of the insertion site of the patient, and then the deformed shape is maintained by cooling. Can be done. By doing so, it is possible to reduce the discomfort at the time of detachment and insertion of the ring from the living body insertion site. Further, by using such a low softening point resin, by heating to the above temperature, the angle of the curved rod-shaped member can be arbitrarily changed when necessary.

Further, the material forming the annular body may be different from the material forming the curved rod-shaped member. Specifically, a semi-rigid material may be used for the annular body, and a flexible material may be used for the curved bar-shaped member. In this case, the two may be bonded to each other by adhesion, but it is preferable to form them as a single body by a two-color molding method. When using the two-color molding method, the combination of materials is preferably a combination having high compatibility. Specifically, a polyolefin elastomer is selected as a flexible material using polyolefin as a semi-hard material, a polyester elastomer is selected as a flexible material using an ester resin as a semi-hard material, and a styrene resin is used as a flexible material as a semi-hard material. It is conceivable to select a styrene-based elastomer as the material.

As a ring, the curved bar-shaped portion 83 may be shorter than the ring 80 shown in FIGS. 33 to 35, like a ring 80a shown in FIG. In this case, referring to FIG. 35, the length Xf of the curved rod portion is preferably about 20 to 50 mm, and the height Yf of the curved rod portion is 20 to 40 mm
The degree is preferred. The other points are the same as those of the ring 80 described above. Also, as a ring,
As in a ring 80b shown in FIG. 37, the ends 82c and 82d of the opening of the annular portion 82 may face each other. In this ring 80b, the opening 84
, That is, the size of the arc to be lost by the opening 84 is preferably 1/5 to 1/30 of the circumference of the annular portion, and particularly 1/9 to 1/20. Is preferred. Further, the distance between the ends 82c and 82d of the annular portion 82 is preferably about 10 to 30 mm. The other points are the same as those of the ring 80 shown in FIGS. 33 to 35 and described above. In addition, as a ring, as in a ring 80c shown in FIG.
2 may not have an opening. The ring 80c is effective for a patient who exhibits symptoms of uterine prolapse and bladder prolapse, but does not show symptoms of rectal prolapse. In addition, for other points, FIGS.
5 and is the same as the ring 80 described above.

Next, a ring for preventing uterine prolapse and bladder prolapse according to another embodiment of the present invention will be described with reference to the embodiment shown in the drawings. Uterine prolapse and bladder prophylaxis ring 90 of this embodiment
Is a portion 9 in which the start and end are integrated with the annular portion 92.
3b, a flexible curved rod-like member provided so as to be connected to the annular portion 92 and having an intermediate portion 93a between the start end and the end extending upward and centrally above the annular plane formed by the annular portion 92. A portion 93 is provided. FIG. 39 is a front view of a ring for preventing uterine prolapse and bladder prolapse according to another embodiment of the present invention. FIG. 40 is a sectional view taken along line QQ of FIG. FIG. 41 is a sectional view taken along line RR of FIG. FIG. 42 is a front view of a ring for preventing uterine prolapse and bladder prolapse according to another embodiment of the present invention. FIG. 43 is a front view of a ring for preventing uterine prolapse and bladder prolapse according to another embodiment of the present invention.

In the ring 90 of this embodiment, similarly to the ring 1 described above, an annular portion 92 for preventing uterine prolapse.
And a flexible curved rod 93 for preventing bladder prolapse, and an opening 94 formed by partially missing an annular portion for preventing rectal prolapse. Therefore, the ring 9 of this embodiment
0 is of a type that can prevent uterine prolapse, bladder prolapse and rectal prolapse. The ring 90 includes an annular portion 92
And a curved rod-shaped portion 93 connected thereto. Annular part 9
Numeral 2 is a substantially perfect circular ring-shaped body and has an opening 94 formed by partially missing. By providing this opening, insertion and removal from the living body can be facilitated, rectal prolapse can be prevented without causing defecation trouble, and furthermore, rotation of the ring in the living body can be prevented. Further, ends 92 a and 92 b of the annular portion 92 forming the opening 94 are curved in the inner direction of the annular portion 92. By doing so, the end portion 92 of the annular portion 92
a, 92b can be prevented from directly contacting the living tissue, specifically, the uterus. The annular portion 92 is not limited to a perfect circle, but may be an ellipse, a deformed circle, or the like.
Further, as shown in FIGS. 40 and 41, the annular portion 92 is a curved cylindrical body having a circular cross section. In addition,
The annular portion 92 may be a curved polygonal prism having a chamfered corner, a curved elliptical cylinder, or the like. Although the size of the annular portion varies depending on the physique and the like of the patient, the diameter is preferably about 40 to 120 mm. Further, the entire annular portion 92 does not have to have the same thickness (diameter). For example, the vicinity of the portion facing the opening 94 may be thinner than other portions. By doing so, the deformation of the annular portion becomes easier. In addition, the thickness of the column that constitutes the annular portion is the diameter (maximum diameter)
However, about 4 to 12 mm is preferable. The opening 94
, That is, the size of the arc to be lost by the opening 94 is preferably 1/5 to 1/30 of the circumference of the annular portion, and particularly 1/9 to 1/20. Is preferred. When the opening 94 is provided as in the embodiment of FIG. 39, the distance between the end portions 92a and 92b of the annular portion 92 is preferably about 10 to 30 mm. Further, the ends 92a and 92b of the annular portion 92 are
Are preferably formed so as to be curved inward and to be substantially parallel to each other.

The curved rod portion 93 has an inverted heart shape in which an integrated portion 93b at one end and the end is connected to the annular portion 92. Further, the curved rod-shaped portion 93 is different from that shown in FIGS.
As shown in the figure, the central portion 93a is formed so as to extend above the annular plane formed by the annular portion 92 and in the central direction. The length Xg of the curved rod-shaped portion shown in FIG.
About 50 mm is preferable. The height Yg of the curved rod-shaped portion shown in FIG. 41 is preferably about 20 to 40 mm. The angle αg between the curved rod portion and the annular portion shown in FIG.
About 30 ° to 150 ° is preferable, and particularly, 30 ° to 6 °.
0 ° is preferred. The width Wg of the maximum portion of the curved rod portion shown in FIG. 39 is preferably about 30 to 60 mm.

Further, as shown in FIGS. 39 to 41, the curved rod portion 93 is formed of a curved columnar body having a circular cross section. Note that the curved rod-shaped portion 93 may be a curved polygonal prism having a chamfered corner, a curved elliptical cylinder, or the like. The diameter (maximum diameter) of the pillar constituting the curved rod-shaped portion is 4
About 12 mm is preferable. Further, the curved rod-shaped body does not need to have the same thickness (diameter) as a whole. For example, the central part 9
3a may be thicker than other parts. Also,
The integrated portion 93b of the curved rod-shaped body 93 may be formed thicker than other portions in order to increase the connection strength with the annular portion 92. The ring 90 of this embodiment is entirely formed of a material having a certain degree of flexibility. Preferably,
It is preferable that the material for forming the curved rod portion 93 has higher flexibility than the material for forming the annular portion 92.

As the material for forming the ring, those described for the ring 1 can be suitably used. And it is preferable to use a thermoplastic thing among the above-mentioned materials.
In particular, a resin that softens at a low temperature of about 50 ° C. to 100 ° C. is preferable. The entire ring may be formed of such a low softening point resin, but it is sufficient if at least the annular portion 2 is formed of a low softening point resin. By using such a low softening point resin, by heating to the above temperature, the annular portion can be deformed into a shape conforming to the shape of the insertion site of the patient, and then the deformed shape is maintained by cooling. Can be done. By doing so, it is possible to reduce the discomfort at the time of detachment and insertion of the ring from the living body insertion site. Further, by using such a low softening point resin, by heating to the above temperature, the angle of the curved rod-shaped member can be arbitrarily changed when necessary.

Further, the material forming the annular body and the material forming the curved rod-shaped member may be different. Specifically, a semi-rigid material may be used for the annular body, and a flexible material may be used for the curved bar-shaped member. In this case, the two may be bonded to each other by adhesion, but it is preferable to form them as a single body by a two-color molding method. When using the two-color molding method, the combination of materials is preferably a combination having high compatibility. Specifically, a polyolefin elastomer is selected as a flexible material using polyolefin as a semi-hard material, a polyester elastomer is selected as a flexible material using an ester resin as a semi-hard material, and a styrene resin is used as a flexible material as a semi-hard material. It is conceivable to select a styrene-based elastomer as the material.

As shown in FIG. 42, a ring 90a shown in FIG.
2c and 92d may face each other. In the ring 90a, the size of the opening 94, that is, the size of the arc that is lost by the opening 94 is preferably 1/5 to 1/30 of the circumference of the annular portion.
In particular, it is preferably 1/9 to 1/20. Also,
The distance between the ends 92c and 92d of the annular portion 92 is 10 to 3
It is preferable to set it to about 0 mm. The other points are the same as those of the ring 90 shown in FIGS. 39 to 41 and described above. Further, the ring may be one in which an opening is not provided in the annular portion 92, such as a ring 90b shown in FIG. In the case of this ring 90b,
It is effective for patients who show symptoms of uterine prolapse and bladder prolapse, but do not show symptoms of rectal prolapse. The other points are the same as those of the ring 1 shown in FIGS. 1 to 3 and described above.

Next, the ring for preventing uterine prolapse and rectum prolapse of the present invention will be described. FIG. 24 is a front view of a ring for preventing uterine prolapse and bladder prolapse according to another embodiment of the present invention.
FIG. 25 is a sectional view taken along line KK of FIG. FIG.
FIG. 25 is a sectional view taken along line LL of FIG. 24. The ring 50 for preventing uterine prolapse and rectal prolapse of the present invention has a partially defective opening 5.
4 and both ends 52a, 5a of the annular member forming the opening 54.
2b is curved in the inner direction of the annular member 52. The annular member 52 is a substantially circular annular body, and has an opening 54 formed by partially removing the annular member.
It has. By providing this opening, insertion and removal from the living body can be facilitated, rectal prolapse can be prevented without causing defecation trouble, and furthermore, rotation of the ring in the living body can be prevented. Further, ends 52 a and 52 b of the annular member 52 forming the opening 54 are curved in the inner direction of the annular member 52. By doing this,
It is possible to prevent the ends 52a and 52b of the annular member 52 from directly abutting on the living tissue, specifically, the uterus. The annular member 52 is not limited to a perfect circle, but may be an ellipse, a deformed circle, or the like. Further, as shown in FIGS. 25 and 26, the annular member 52 is a curved cylindrical body having a circular cross section. In addition, the annular member 52 may be a curved polygonal prism having a chamfered corner, a curved elliptical cylinder, or the like. Although the size of the annular portion varies depending on the physique and the like of the patient, the diameter is preferably about 40 to 120 mm. The diameter (maximum diameter) of the pillar constituting the annular member 52 is 4 to
About 12 mm is preferable. Further, the annular member 52 does not have to have the same thickness (diameter) as a whole. For example, the opening 5
The portion near the portion facing 4 may be thinner than other portions. By doing so, the deformation of the annular portion becomes easier.

Further, the size of the opening 54, that is, the size of the arc which is lost by the opening 54, is about 1/5 to 1/30 of the circumference of the annular portion, and more preferably 1/9 to 1/30.
It is preferably about 1/20. In addition, the annular member 5
It is preferable that the distance between the two ends 52a, 52b is about 10 to 30 mm. Further, it is preferable that the ends 52a and 52b of the annular member 52 bend inwardly of the annular member 52 and be formed so as to be substantially parallel to each other. The ring 50 of this embodiment is entirely made of a material having a certain degree of flexibility.

As the material for forming the ring, polycarbonate, acrylic resin (for example, polyacrylate, polymethyl methacrylate, polyacrylamide, acrylonitrile-styrene copolymer, acrylonitrile-butadiene-styrene copolymer, etc.), polyester (for example, polyethylene) Terephthalate, polybutylene terephthalate), polyolefin (eg, polyethylene,
Polypropylene, ethylene-propylene copolymer, ethylene-vinyl acetate copolymer, a mixture of polypropylene and polyethylene or polybutene), styrene resin (eg, polystyrene, methacrylate-styrene copolymer, methacrylate-butylene-styrene copolymer), polyamide (For example, nylon 6 and nylon 66), semi-hard materials such as polysulfone, urethane rubber,
Synthetic rubbers such as silicone rubber and butadiene rubber, natural rubbers such as latex rubber, olefin-based elastomers (eg, polyethylene elastomer, polypropylene elastomer), amide-based elastomers (eg, polyamide elastomer), styrene-based elastomers (eg, styrene-butadiene- Styrene copolymer, styrene-isoprene-styrene copolymer, styrene-ethylenebutylene-styrene copolymer), polyurethane (for example, polyester-based polyurethane, polyether-based polyurethane), urethane-based elastomer (for example,
Flexible materials such as thermoplastic polyurethane, specifically, thermoplastic polyether polyurethane, thermoplastic polyester polyurethane) can be used. And it is preferable to use a thermoplastic thing among the above-mentioned materials. In particular, a resin that softens at a low temperature of about 50 ° C. to 100 ° C. is preferable. By using such a low softening point resin, by heating to the above temperature, the annular portion can be deformed into a shape that matches the shape of the insertion site of the patient,
Thereafter, the deformed shape can be maintained by cooling. By doing so, it is possible to reduce the discomfort at the time of detachment and insertion of the ring from the living body insertion site. Further, by using such a low softening point resin, by heating to the above temperature, the angle of the curved rod-shaped member can be arbitrarily changed when necessary.

The operation of the ring 50 will be described. This ring 50 is used by being inserted into the vagina 61 in the same manner as that shown in FIG. As shown in FIG. 44, the insertion is performed diagonally so that the opening of the annular member 52 is located at the back of the uterus 62 and the drooping part of the uterus enters the opening slightly. In this state, the uterus 62 is
2, the rectal wall 64 is pushed up by the annular member 52 through the vaginal wall. This allows
The symptoms of uterine prolapse and rectal prolapse are alleviated. In addition, since the annular member is provided with the opening, the annular member is provided with a portion that does not press the rectum, thereby suppressing occurrence of a bowel movement obstruction.

[0060]

The ring for preventing uterine prolapse and bladder prolapse of the present invention is provided so that an annular portion and a start end and an end are connected to the annular portion, and an intermediate portion between the start end and the end is the annular portion. And a flexible curved rod-shaped portion formed so as to extend upward and in the center direction of the annular plane formed by. For this reason, this ring is inserted into the vagina diagonally so that one end side is located in the back of the uterus and the lower part of the bladder is located on the curved rod-shaped part, thereby pushing the uterus up from below by the annular part,
The bladder can be supported from below by the curved rod, and the symptoms of uterine prolapse and bladder prolapse can be alleviated without performing surgical invasion.

The ring for preventing uterine prolapse and bladder prolapse according to the present invention is a ring for preventing uterine prolapse and bladder prolapse.
An annular portion, a start end and an end are provided so as to be integrated and connected to the annular portion, and an intermediate portion between the start end and the end is formed so as to extend upward and centrally above an annular plane formed by the annular portion. Flexible curved rod-shaped part. For this reason, this ring is inserted into the vagina obliquely so that one end is located at the back of the uterus and the lower part of the bladder is located on the curved rod-shaped part, thereby pushing the uterus up from below with the annular part and bending the bladder It can be supported from below by the rod-shaped part, and the symptoms of uterine prolapse and bladder prolapse can be alleviated without performing surgical invasion.

Further, the ring for preventing uterine prolapse and bladder prolapse according to the present invention is a ring for preventing uterine prolapse and bladder prolapse.
An annular portion, a flexible curved rod-shaped portion having one end connected to the annular portion, the other end branched into at least two branches, and extending upward and centrally above an annular plane formed by the annular portion; It has. For this reason, this ring is inserted into the vagina obliquely so that one end is located at the back of the uterus and the lower part of the bladder is located on the curved rod-shaped part, thereby pushing the uterus up from below with the annular part and bending the bladder It can be supported from below by the rod-shaped part, and the symptoms of uterine prolapse and bladder prolapse can be alleviated without performing surgical invasion.

The ring for preventing uterine prolapse and bladder prolapse of the present invention is provided with an annular portion and a tongue-shaped flexible member provided on the annular portion and extending upward and centrally above an annular plane formed by the annular portion. A flat plate portion. For this reason, by inserting this ring obliquely into the vagina so that one end is located in the back of the uterus and the lower part of the bladder is located on the flexible flat plate,
The uterus can be pushed up from below by the annulus, and the bladder can be supported from below by the flexible flat plate, and the symptoms of uterine prolapse and bladder prolapse can be alleviated without performing surgical invasion.

Further, the ring for preventing uterine prolapse and rectum prolapse of the present invention is formed of a flexible annular member having an opening partly missing, and both ends of the annular member forming the opening are formed. , Curved in the inner direction of the annular member. For this reason, by inserting this ring obliquely into the vagina so that the opening of the annular member is located at the back of the uterus and the droop of the uterus enters the opening slightly, The rectum wall can be pushed up by the annular member through the vaginal wall,
The symptoms of rectal prolapse can be alleviated without surgical intervention. Further, since the annular member has an opening,
The rectum is provided with a portion that does not press the rectum, whereby the occurrence of defecation disorders can be suppressed.

[Brief description of the drawings]

FIG. 1 is a front view of a ring for preventing uterine prolapse and bladder prolapse according to an embodiment of the present invention.

FIG. 2 is a sectional view taken along line AA of FIG. 1;

FIG. 3 is a sectional view taken along line BB of FIG. 1;

FIG. 4 is a front view of a ring for preventing uterine prolapse and bladder prolapse according to another embodiment of the present invention.

FIG. 5 is a front view of a ring for preventing uterine prolapse and bladder prolapse according to another embodiment of the present invention.

FIG. 6 is a front view of a ring for preventing uterine prolapse and bladder prolapse according to another embodiment of the present invention.

FIG. 7 is a front view of a ring for preventing uterine prolapse and bladder prolapse according to another embodiment of the present invention.

FIG. 8 is a sectional view taken along line CC of FIG. 7;

FIG. 9 is a sectional view taken along line DD of FIG. 7;

FIG. 10 is a front view of a ring for preventing uterine prolapse and bladder prolapse according to another embodiment of the present invention.

FIG. 11 is a front view of a ring for preventing uterine prolapse and bladder prolapse according to another embodiment of the present invention.

FIG. 12 is a front view of a ring for preventing uterine prolapse and bladder prolapse according to another embodiment of the present invention.

FIG. 13 is a sectional view taken along line EE of FIG. 12;

FIG. 14 is a sectional view taken along line FF of FIG. 12;

FIG. 15 is a front view of a ring for preventing uterine prolapse and bladder prolapse according to another embodiment of the present invention.

FIG. 16 is a front view of a ring for preventing uterine prolapse and bladder prolapse according to another embodiment of the present invention.

FIG. 17 is a front view of a ring for preventing uterine prolapse and bladder prolapse according to another embodiment of the present invention.

FIG. 18 is a front view of a ring for preventing uterine prolapse and bladder prolapse according to another embodiment of the present invention.

FIG. 19 is a sectional view taken along the line GG of FIG. 18;

FIG. 20 is a sectional view taken along line HH of FIG. 18;

FIG. 21 is a front view of a ring for preventing uterine prolapse and bladder prolapse according to another embodiment of the present invention.

FIG. 22 is a sectional view taken along the line II of FIG. 21;

FIG. 23 is a sectional view taken along the line JJ of FIG. 21;

FIG. 24 is a front view of a ring for preventing uterine prolapse and bladder prolapse according to another embodiment of the present invention.

FIG. 25 is a sectional view taken along the line KK of FIG. 24;

FIG. 26 is a sectional view taken along line LL of FIG. 24;

FIG. 27 is a front view of a ring for preventing uterine prolapse and bladder prolapse according to another embodiment of the present invention.

FIG. 28 is a sectional view taken along line MM of FIG. 27;

FIG. 29 is a sectional view taken along line NN of FIG. 27;

FIG. 30 is a front view of a ring for preventing uterine prolapse and bladder prolapse according to another embodiment of the present invention.

FIG. 31 is a front view of a ring for preventing uterine prolapse and bladder prolapse according to another embodiment of the present invention.

FIG. 32 is a front view of a ring for preventing uterine prolapse and bladder prolapse according to another embodiment of the present invention.

FIG. 33 is a front view of a ring for preventing uterine prolapse and bladder prolapse according to another embodiment of the present invention.

FIG. 34 is a sectional view taken along the line OO of FIG. 33;

FIG. 35 is a sectional view taken along the line PP of FIG. 33;

FIG. 36 is a front view of a ring for preventing uterine prolapse and bladder prolapse according to another embodiment of the present invention.

FIG. 37 is a front view of a ring for preventing uterine prolapse and bladder prolapse according to another embodiment of the present invention.

FIG. 38 is a front view of a ring for preventing uterine prolapse and bladder prolapse according to another embodiment of the present invention.

FIG. 39 is a front view of a ring for preventing uterine prolapse and bladder prolapse according to another embodiment of the present invention.

FIG. 40 is a sectional view taken along line QQ in FIG. 39.

FIG. 41 is a sectional view taken along line RR of FIG. 39;

FIG. 42 is a front view of a ring for preventing uterine prolapse and bladder prolapse according to another embodiment of the present invention.

FIG. 43 is a front view of a ring for preventing uterine prolapse and bladder prolapse according to another embodiment of the present invention.

FIG. 44 is an explanatory diagram for explaining the operation of the ring for preventing uterine prolapse and bladder prolapse according to the present invention.

[Explanation of symbols]

 Reference Signs List 1 ring for preventing uterine prolapse and bladder prolapse 2 annular part 3 flexible curved rod-shaped part 4 opening

Claims (16)

[Claims] 1. A ring for preventing uterine prolapse and bladder prolapse, wherein an annular portion, a start end and an end are provided so as to be connected to the annular portion, and an intermediate portion between the start end and the end is formed by the annular portion. A flexible curved rod-shaped portion formed so as to extend upward and centrally above the annular plane to be formed, and a ring for preventing uterine prolapse and bladder prolapse. 2. A ring for preventing uterine prolapse and bladder prolapse, wherein an annular portion, a start end and an end are provided so as to be integrated and connected to the annular portion, and an intermediate portion between the start end and the end is the annular portion. A flexible curved rod-shaped portion formed so as to extend upward and centrally above an annular plane formed by the portion, the ring for preventing uterine prolapse and bladder prolapse. 3. A ring for preventing uterine prolapse and bladder prolapse, comprising an annular portion, one end of which is connected to the annular portion, and the other end of which is at least bifurcated, above an annular plane formed by the annular portion. And a flexible curved rod-shaped portion formed so as to extend in the center direction. 4. The ring for preventing uterine prolapse and bladder prolapse according to claim 1, wherein the annular portion has an opening in which the annular portion is partially missing. 5. An end of an annular portion forming the opening,
5. The ring for preventing uterine prolapse and bladder prolapse according to claim 4, wherein the ring is curved inwardly of the annular portion. 6. The ring for preventing uterine prolapse and bladder prolapse according to claim 4, wherein the flexible curved rod-shaped portion and the opening are formed to face each other. 7. The ring for preventing uterine prolapse and bladder prolapse according to claim 1, wherein a central portion of the flexible curved rod-shaped portion is curved toward the annular portion. 8. A ring for preventing uterine prolapse and bladder prolapse, comprising: an annular portion; and a tongue-shaped flexible member provided on the annular portion and extending upward and centrally above an annular plane formed by the annular portion. A ring for preventing uterine prolapse and bladder prolapse, comprising a flat plate portion. 9. The ring for preventing uterine prolapse and bladder prolapse according to claim 8, wherein the flexible flat plate portion has a plurality of openings penetrating the flat plate portion. 10. The ring for preventing uterine prolapse and bladder prolapse according to claim 8, wherein a peripheral edge of the flexible flat plate is curved toward the annular portion. 11. The ring for preventing uterine prolapse and bladder prolapse according to claim 8, wherein the annular portion has an opening in which the annular portion is partially missing. 12. The ring for preventing uterine prolapse and bladder prolapse according to claim 11, wherein an end of the annular portion forming the opening is curved in an inward direction of the annular portion. 13. The ring for preventing uterine prolapse and bladder prolapse according to claim 12, wherein the flexible flat plate portion and the opening are formed so as to face each other. 14. The ring for preventing uterine prolapse and bladder prolapse according to claim 1, wherein the annular portion is formed of a low softening point resin that softens at 50 ° C. to 100 ° C. . 15. A ring for preventing uterine prolapse and rectal prolapse, which is formed by a flexible annular member having an opening partly missing, and both ends of the annular member forming the opening, A ring for preventing uterine prolapse and rectal prolapse, which is curved inwardly of the annular member. 16. The ring for preventing uterine prolapse and rectal prolapse according to claim 15, wherein the annular portion is formed of a low softening point resin that softens at 50 ° C. to 100 ° C.