JP6816242B2 - Preventive device for pelvic organ prolapse - Google Patents
Preventive device for pelvic organ prolapse Download PDFInfo
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- JP6816242B2 JP6816242B2 JP2019212035A JP2019212035A JP6816242B2 JP 6816242 B2 JP6816242 B2 JP 6816242B2 JP 2019212035 A JP2019212035 A JP 2019212035A JP 2019212035 A JP2019212035 A JP 2019212035A JP 6816242 B2 JP6816242 B2 JP 6816242B2
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- 230000003449 preventive effect Effects 0.000 title claims description 79
- 208000013823 pelvic organ prolapse Diseases 0.000 title claims description 29
- 230000000630 rising effect Effects 0.000 claims description 45
- 230000002093 peripheral effect Effects 0.000 claims description 27
- 210000001215 vagina Anatomy 0.000 claims description 24
- 210000003708 urethra Anatomy 0.000 claims description 12
- 210000000664 rectum Anatomy 0.000 claims description 10
- 229920002050 silicone resin Polymers 0.000 claims description 7
- 239000000463 material Substances 0.000 claims description 3
- 206010066218 Stress Urinary Incontinence Diseases 0.000 description 9
- 210000000056 organ Anatomy 0.000 description 9
- 208000012287 Prolapse Diseases 0.000 description 6
- 229920005989 resin Polymers 0.000 description 5
- 239000011347 resin Substances 0.000 description 5
- 238000004519 manufacturing process Methods 0.000 description 4
- 210000004291 uterus Anatomy 0.000 description 4
- 206010015995 Eyelid ptosis Diseases 0.000 description 2
- 206010046814 Uterine prolapse Diseases 0.000 description 2
- 230000002411 adverse Effects 0.000 description 2
- 210000003679 cervix uteri Anatomy 0.000 description 2
- 230000006835 compression Effects 0.000 description 2
- 238000007906 compression Methods 0.000 description 2
- 230000002265 prevention Effects 0.000 description 2
- 201000003004 ptosis Diseases 0.000 description 2
- 230000032683 aging Effects 0.000 description 1
- 238000003287 bathing Methods 0.000 description 1
- 210000003756 cervix mucus Anatomy 0.000 description 1
- 230000035606 childbirth Effects 0.000 description 1
- 238000004140 cleaning Methods 0.000 description 1
- 239000003433 contraceptive agent Substances 0.000 description 1
- 230000002254 contraceptive effect Effects 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 229940079593 drug Drugs 0.000 description 1
- 210000002429 large intestine Anatomy 0.000 description 1
- 210000003041 ligament Anatomy 0.000 description 1
- 210000003205 muscle Anatomy 0.000 description 1
- 210000004197 pelvis Anatomy 0.000 description 1
- 230000028327 secretion Effects 0.000 description 1
- 238000007493 shaping process Methods 0.000 description 1
- 238000004659 sterilization and disinfection Methods 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 208000024891 symptom Diseases 0.000 description 1
- 210000003932 urinary bladder Anatomy 0.000 description 1
- 210000001835 viscera Anatomy 0.000 description 1
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- Orthopedics, Nursing, And Contraception (AREA)
- Surgical Instruments (AREA)
Description
本発明は、骨盤臓器脱及び腹圧性尿失禁を予防する器具に関する。 The present invention relates to a device for preventing pelvic organ prolapse and stress urinary incontinence.
骨盤臓器脱は加齢や出産により、骨盤の底を支える筋肉や靱帯が緩み、内部の臓器である子宮、膀胱、大腸等が脱出する症状を有する疾患である。骨盤臓器脱に対しては、薬物による治療ができず、手術により修復をするか、避妊具であるリングペッサリー等の膣内装具を装着して脱を元の位置にもどすことが行われる（特許文献１参照）。 Pelvic organ prolapse is a disease in which the muscles and ligaments that support the bottom of the pelvis loosen due to aging and childbirth, and the internal organs such as the uterus, bladder, and large intestine prolapse. Pelvic organ prolapse cannot be treated with drugs and can be repaired by surgery or vaginal brace such as ring pessary, which is a contraceptive, can be attached to return the prolapse to its original position (patented). Reference 1).
また、特許文献２には、子宮下部を支持して子宮脱又は子宮下垂を抑制するための子宮脱又は子宮下垂治療用リングペッサリーであって、前記リングペッサリーは樹脂リングを含み、前記樹脂リングの外直径が５〜９ｃｍで、前記外直径を２ｃｍまで圧縮するのに必要な荷重が２〜１０Ｎであり、除荷後３０秒における前記樹脂リングの外寸法が、前記樹脂リングの前記外直径の７０％以上であることを特徴とするリングペッサリーが記載されている。 Further, Patent Document 2 describes a ring pessary for treating uterine prolapse or uterine ptosis for supporting the lower part of the uterus and suppressing uterine prolapse or uterine ptosis. The ring pessary includes a resin ring, and the resin ring includes a resin ring. The outer diameter is 5 to 9 cm, the load required to compress the outer diameter to 2 cm is 2 to 10 N, and the outer dimension of the resin ring 30 seconds after unloading is the outer diameter of the resin ring. Ring pessaries characterized by 70% or more are described.
さらに、特許文献３には、子宮頸部の部分を覆う子宮頸部キャップにおいて、ドーム部，リム部及び開口端部と、前記ドーム部及び前記リム部間に配置され、かつ前記開口端部に隣接した前記キャップの内面の周囲に沿って延設された隆起セクションとから構成され、前記隆起セクションは前記内面から内側に向かって突出している少なくとも第１及び第２の隆起部を有し、前記隆起セクションは前記キャップが子宮頸部の部分上に配置されたときに子宮頸部の外面をつかむように適合されていることを特徴とする子宮頸部キャップが記載されている。 Further, in Patent Document 3, in the cervical cap covering the cervical portion, the dome portion, the rim portion and the open end portion are arranged between the dome portion and the rim portion, and the open end portion is provided. Consisting of a raised section extending along the perimeter of the inner surface of the adjacent cap, the raised section has at least first and second raised portions projecting inward from the inner surface, said. The ridge section describes a cervical cap characterized in that the cap is adapted to grab the outer surface of the cervix when placed over a portion of the cervix.
ここで、特許文献１に記載の、手術は患者の負担が大きいし、膣内装具は、数か月に一度医療機関で入れ替える必要がある。また、外側に器具を装着するタイプのものは、下着をつけなければ使用できず、入浴時例えば温泉等の公衆浴場を利用できない。さらに、このような症状が現れる患者は腹圧性尿失禁を発症することもあり、同時に腹圧性尿失禁を予防することも望まれる。 Here, the operation described in Patent Document 1 imposes a heavy burden on the patient, and the vaginal brace needs to be replaced at a medical institution once every few months. In addition, the type with equipment attached to the outside cannot be used without wearing underwear, and public baths such as hot springs cannot be used when bathing. Furthermore, patients who develop such symptoms may develop stress urinary incontinence, and at the same time, it is desired to prevent stress urinary incontinence.
また、特許文献２及び特許文献３に記載のものは、装着時において尿道や直腸を圧迫してしまうという問題があった。 Further, the ones described in Patent Documents 2 and 3 have a problem that they press the urethra and the rectum at the time of wearing.
出願人は上記観点から、新たな骨盤臓器脱の予防器具を提案している（特許文献４参照）。この骨盤臓器脱の予防器具は、患者自身により容易に着脱が可能ありさらに腹圧性尿失禁を予防することができる。 From the above viewpoint, the applicant has proposed a new preventive device for pelvic organ prolapse (see Patent Document 4). This preventive device for pelvic organ prolapse can be easily attached and detached by the patient himself, and further prevents stress urinary incontinence.
しかしながら、特許文献４に記載のものは質量が大きいため装着時に落下するおそれがある他、形状が複雑であるため、製造に手間と費用がかかるという問題があった。 However, the one described in Patent Document 4 has a problem that it may fall at the time of mounting due to its large mass and that it takes time and cost to manufacture because of its complicated shape.
本発明は、上記実情を鑑みてなされたものであり、軽量であり、単純な構造を備えて製造が容易である骨盤臓器脱の予防器具を提供することを目的とする。 The present invention has been made in view of the above circumstances, and an object of the present invention is to provide a device for preventing pelvic organ prolapse, which is lightweight, has a simple structure, and is easy to manufacture.
前記課題を解決する請求項１に記載の発明は、膣内に挿入して内部で拡開して固定する骨盤臓器脱の予防器具であって、柔軟な素材で一体に形成され、体内挿入時に中央に開口を備えた円板状の基部と、前記基部の外周縁に形成された周縁部と、前記周縁部のうち前記開口を挟んだ一方側から立上がり形成され、尿道確保用凹部を備えた尿道側立上壁部と、前記周縁部のうち前記開口を挟んだ他方側から立上がり形成され、直腸確保用平面部を備えた直腸側立上壁部とを備え、前記尿道側立上壁部と前記直腸側立上壁部とは、前記周縁部に沿って立設された接続壁で接続され、前記接続壁は、前記周縁部の上側に前記周縁部と連続して設けられて前記尿道側立上壁部と前記直腸側立上壁部とを接続し、前記尿道側立上壁部と前記直腸側立上壁部との間にアーチ状の縁部を備え、前記尿道側立上壁部には尿道確保用凹部が設けられると共に、前記直腸側立上壁部には直腸確保用平面部が設けられていることを特徴とする骨盤臓器脱の予防器具。 The invention according to claim 1 that solves the above problems is a preventive device for urethral organ prolapse that is inserted into the vagina and expanded and fixed internally, and is integrally formed of a flexible material when inserted into the body. A disc-shaped base having an opening in the center, a peripheral edge formed on the outer peripheral edge of the base, and a recess formed to rise from one side of the peripheral edge sandwiching the opening and provided with a recess for securing a urethra. The urethral side rising wall portion and the rectal side rising wall portion formed by rising from the other side of the peripheral edge portion sandwiching the opening and having a rectal securing flat portion, and the urethral side rising wall portion. And the rectal side rising wall portion are connected by a connecting wall erected along the peripheral edge portion, and the connecting wall is provided on the upper side of the peripheral edge portion continuously with the peripheral edge portion and the urethra. The lateral ridge is connected to the rectal ridge, and an arched edge is provided between the urethral ridge and the rectal ridge to provide the urethral rise. A device for preventing pelvic organ prolapse, characterized in that a recess for securing a urethra is provided on the wall portion and a flat portion for securing the rectum is provided on the rising wall portion on the rectal side .
同じく請求項２に記載の発明は、請求項１に記載の骨盤臓器脱の予防器具前記尿道確保用凹部の先端部に指掛環部を形成したことを特徴とする。 Similarly, the invention according to claim 2 is characterized in that a finger hook ring portion is formed at the tip end portion of the recess for securing the urethra, which is the preventive device for prolapse of the pelvic organ according to claim 1.
同じく請求項３に記載の発明は、請求項１に記載の骨盤臓器脱の予防器具において、シリコーン樹脂で形成されていることを特徴とする。 Similarly, the invention according to claim 3 is characterized in that the preventive device for pelvic organ prolapse according to claim 1 is made of a silicone resin.
本発明に係る骨盤臓器脱の予防器具によれば、膣に折り曲げた状態で挿入し、所定の形状で保持して膣内に固定し骨盤臓器の逸脱や腹圧性尿失禁を予防することができ、予防器具の着脱は自己により簡単に行え、尿道や直腸を圧迫せず、しかも予防器具を装着した状態では予防器具は外部に露出等しないので公衆浴場等においても使用可能であるとともに、軽量であるため安定して装着することができる他、形状が単純であるため製造に手間や費用がかからない。 According to the preventive device for pelvic organ prolapse according to the present invention, it is possible to insert it into the vagina in a bent state, hold it in a predetermined shape and fix it in the vagina to prevent deviation of the pelvic organ and stress urinary incontinence. , The preventive device can be easily attached and detached by oneself, it does not press the urethra and rectum, and the preventive device is not exposed to the outside when the preventive device is attached, so it can be used in public baths and is lightweight. Because of this, it can be installed stably, and because of its simple shape, it does not require labor or cost to manufacture.
すなわち、請求項１に記載の骨盤臓器脱の予防器具によれば、折り曲げた状態で膣内に挿入した予防器具を体内で拡開して、予防器具を膣内に固定できる。これにより、患者自身の操作で予防器具を膣内に挿入して固定でき、骨盤臓器の膣からの脱落を予防できるとともに、膀胱を保持して腹圧性尿失禁を予防できる。 That is, according to the preventive device for pelvic organ prolapse according to claim 1, the preventive device inserted into the vagina in a bent state can be expanded in the body to fix the preventive device in the vagina. As a result, the preventive device can be inserted into the vagina and fixed by the patient's own operation, the pelvic organs can be prevented from falling out of the vagina, and the bladder can be held to prevent stress urinary incontinence.
さらに、膣からの分泌物は基部に形成された開口を経て排出され、膣内に分泌物が蓄留するのを防止できる。そして、請求項１に記載の骨盤臓器脱の予防器具によれば、予防器具を使用するとき、骨盤臓器脱の予防器具の縁部がアーチ状であるので、予防器具を小さな力で折り曲げることができ内部で元の形に復帰する。 In addition, vaginal secretions are expelled through an opening formed in the base, preventing the secretions from accumulating in the vagina. According to the preventive device for pelvic organ prolapse according to claim 1, when the preventive device is used, the edge of the preventive device for pelvic organ prolapse is arched, so that the preventive device can be bent with a small force. It can be restored to its original shape inside.
また、請求項２に記載の骨盤臓器脱の予防器具によれば、挿入した骨盤臓器脱の予防器具を指かけ環部に手指をかけて簡単に取り外すことができる。 Further, according to the pelvic organ prolapse preventive device according to claim 2, the inserted pelvic organ prolapse preventive device can be easily removed by putting a finger on the ring portion.
さらに、請求項３に記載の骨盤臓器脱の予防器具によれば、骨盤臓器脱の予防器具は人体に無害で、安定した性状のシリコーン樹脂で形成されているので、人体に悪影響を及ぼすことがなく、安全に使用できる。 Further, according to the pelvic organ prolapse preventive device according to claim 3, since the pelvic organ prolapse preventive device is harmless to the human body and is made of a silicone resin having stable properties, it may adversely affect the human body. It can be used safely.
本発明を実施するための形態に係る骨盤臓器脱の予防器具について説明する。図１は本発明の実施形態に係る骨盤臓器脱の予防器具を示すものであり、（ａ）は予防器具の平面図、（ｂ）は予防器具の側面図、（ｃ）は（ａ）中のＣ−Ｃ線に相当する断面図、（ｄ）は（ａ）中のＤ−Ｄ線に相当する断面図、図２は同骨盤臓器脱の予防器具を示す斜視図、図３は同骨盤臓器脱の予防器具の装着状態を示す人体の断面模式図である。 A preventive device for pelvic organ prolapse according to a mode for carrying out the present invention will be described. FIG. 1 shows a preventive device for pelvic organ prolapse according to an embodiment of the present invention, (a) is a plan view of the preventive device, (b) is a side view of the preventive device, and (c) is in (a). FIG. 2 is a cross-sectional view corresponding to the line CC, FIG. 2D is a cross-sectional view corresponding to the line DD in (a), FIG. It is sectional drawing of the human body which shows the wearing state of the preventive device for organ prolapse.
本実施形態に係る骨盤臓器脱の予防器具１０は、図３に示すように、折り曲げて縮小した状態で膣３１内に挿入して、膣３１の内部で拡開して固定可能な所定の形状に復元させる。これにより、膣３１内に骨盤臓器脱の予防器具１０を固定して子宮３２、膀胱３３、直腸３４等の骨盤臓器が脱落するのを防止するとともに、腹圧性尿失禁を防止する。なお、以下「骨盤臓器脱の予防器具１０」を単に「予防器具１０」という場合がある。 As shown in FIG. 3, the pelvic organ prolapse preventive device 10 according to the present embodiment has a predetermined shape that can be inserted into the vagina 31 in a bent and contracted state and expanded and fixed inside the vagina 31. Restore to. As a result, the pelvic organ prolapse prevention device 10 is fixed in the vagina 31 to prevent the pelvic organs such as the uterus 32, the bladder 33, and the rectum from falling off, and to prevent stress urinary incontinence. In addition, hereinafter, "preventive device 10 for pelvic organ prolapse" may be simply referred to as "preventive device 10".
図１に示すように、予防器具１０は、柔軟な素材、好ましくはシリコーン樹脂で一体に構成された部材である。予防器具１０は、基部１１と、基部１１の外周縁に形成された周縁部１２と、周縁部１２のうち前記開口を挟んだ一方側から立上がり形成された尿道側立上壁部１４と、周縁部１２のうち開口１３を挟んだ他方側から立上がり形成された直腸側立上壁部１７とを備える。 As shown in FIG. 1, the preventive device 10 is a member integrally made of a flexible material, preferably a silicone resin. The preventive device 10 includes a base portion 11, a peripheral edge portion 12 formed on the outer peripheral edge of the base portion 11, a urethral side rising wall portion 14 formed rising from one side of the peripheral edge portion 12 sandwiching the opening, and a peripheral edge portion 12. A rectal side rising wall portion 17 formed by rising from the other side of the portion 12 with the opening 13 sandwiched therein is provided.
基部１１は、図１（ｂ）、（ｃ）、（ｄ）に示すように、薄板状、例えば数ミリメートルの厚さに形成され、中央に円形の開口１３が形成されている。 As shown in FIGS. 1B, 1C, and 1D, the base portion 11 is formed in a thin plate shape, for example, having a thickness of several millimeters, and a circular opening 13 is formed in the center.
周縁部１２は、図１（ｂ）、（ｃ）、（ｄ）に示すように、尿道側立上壁部１４及び直腸側立上壁部１７の形成された部分以外は断面が円形に形成されている。 As shown in FIGS. 1B, 1C, and 1D, the peripheral edge portion 12 has a circular cross section except for the portion where the urethral side rising wall portion 14 and the rectal side rising wall portion 17 are formed. Has been done.
尿道側立上壁部１４は、周縁部１２のうち開口１３を挟む一方側、すなわち装着時において膀胱側に立設されている。また、尿道側立上壁部１４の外側面には、内側に向けて凹設された弧状の尿道確保用凹部１５が尿道側立上壁部１４の立設方向に沿って形成されている。 The urethral side rising wall portion 14 is erected on one side of the peripheral edge portion 12 that sandwiches the opening 13, that is, on the bladder side when worn. Further, on the outer surface of the urethral side rising wall portion 14, an arc-shaped urethral securing recess 15 recessed inward is formed along the erection direction of the urethral side rising wall portion 14.
また、尿道側立上壁部１４の先端、すなわち、装着時における手前側（外側）の端部には指掛環部１８が形成されている尿道側立上壁部１４の先端部に指掛環部１８が形成されている。 Further, a finger hook is formed on the tip of the urethral side rising wall portion 14, that is, a finger hook ring portion 18 is formed on the front side (outside) end portion when worn. The ring portion 18 is formed.
直腸側立上壁部１７は、周縁部１２のうち開口１３を挟む他方側、すなわち装着時において直腸側に立設されている。また、直腸側立上壁部１７の外側面には、直腸確保用平面部１６が形成されている。 The rectal side rising wall portion 17 is erected on the other side of the peripheral edge portion 12 that sandwiches the opening 13, that is, on the rectal side when worn. Further, a flat surface portion 16 for securing the rectum is formed on the outer surface of the rectal side rising wall portion 17.
そして、尿道側立上壁部１４と直腸側立上壁部１７とは、周縁部１２に沿って立設された接続壁１９で接続されている。図２（ｂ）及び図３に示すように、接続壁１９は、周縁部１２の上側に周縁部１２と連続して設けられ、尿道側立上壁部１４と直腸側立上壁部１７とを接続する。接続壁１９は、尿道側立上壁部１４と直腸側立上壁部１７との間にアーチ状の縁部１９ａを備え、両者の中央部において周縁部１２と同位置になり、尿道側立上壁部１４と直腸側立上壁部１７とを連結する。 The urethral side rising wall portion 14 and the rectal side rising wall portion 17 are connected by a connecting wall 19 erected along the peripheral edge portion 12. As shown in FIGS. 2B and 3, the connecting wall 19 is provided on the upper side of the peripheral edge portion 12 in succession with the peripheral edge portion 12, and includes the urethral side rising wall portion 14 and the rectal side rising wall portion 17. To connect. The connecting wall 19 is provided with an arch-shaped edge portion 19a between the urethral side rising wall portion 14 and the rectal side rising wall portion 17, and is positioned at the same position as the peripheral portion 12 at the central portion of both, and is urethral side standing. The upper wall portion 14 and the rectal side rising wall portion 17 are connected.
予防器具１０は、シリコーン樹脂を用いて一体成型されている。シリコーン樹脂は、人体に無害で、安定した性状であるので、人体に悪影響を及ぼすことがなく、予防器具１０を安全に使用できる。また、予防器具１０の変形や折り曲げを容易にして、膣内への挿入を容易なものとできる。また、予防器具１０の表面は継ぎ目なしで滑らかに形成され、凹凸、突起、線条が形成されていない。 The preventive device 10 is integrally molded using a silicone resin. Since the silicone resin is harmless to the human body and has stable properties, the preventive device 10 can be safely used without adversely affecting the human body. In addition, the preventive device 10 can be easily deformed and bent, and can be easily inserted into the vagina. Further, the surface of the preventive device 10 is formed smoothly without any seams, and no irregularities, protrusions, or streaks are formed.
予防器具１０において、尿道側立上壁部１４に尿道確保用凹部１５を設けることにより尿道の圧迫を防止する。また、直腸側立上壁部１７に直腸確保用平面部１６を設けることにより直腸の圧迫を防止する。 In the preventive device 10, compression of the urethra is prevented by providing a recess 15 for securing the urethra in the urethral side rising wall portion 14. Further, by providing the rectal securing flat surface portion 16 on the rectal side rising wall portion 17, compression of the rectum is prevented.
さらに、本実施形態に係る予防器具１０では、指掛環部１８を備えることにより、挿入した予防器具１０を指掛環部１８に手指をかけて引くことで、簡単に取り外すことができる。 Further, in the preventive device 10 according to the present embodiment, by providing the finger hook ring portion 18, the inserted preventive device 10 can be easily removed by pulling the inserted preventive device 10 with a finger on the finger hook ring portion 18.
本実施形態に係る予防器具１０は、シリコーン樹脂の型整形により、継ぎ目のなしに一体形状として構成されている。このため、予防器具１０は滑らかな表面を備えるため汚物が溜まったりすることがなく、洗浄や消毒を良好に行うことができる。このため、予防器具１０を清潔に保つことができる。 The preventive device 10 according to the present embodiment is formed as an integral shape without a seam by shaping the silicone resin. Therefore, since the preventive device 10 has a smooth surface, filth does not accumulate, and cleaning and disinfection can be performed satisfactorily. Therefore, the preventive device 10 can be kept clean.
予防器具１０は、例えば、基部１１の外径ｄ１を約９０ｍｍ、開口１３の直径ｄ２を約１０ｍｍ、全体の高さｈを約５０ｍｍとすることができる。なお、各寸法は適宜変更することができる。全体の高さｈ、基部１１の外径ｄ１等が異なる複数のもの、例えば０．５ｃｍずつ異なるものを準備しておくと、患者に適合するものを選択できる。 The preventive device 10 can have, for example, an outer diameter d1 of the base 11 of about 90 mm, a diameter d2 of the opening 13 of about 10 mm, and an overall height h of about 50 mm. In addition, each dimension can be changed as appropriate. If a plurality of items having different overall heights h, outer diameter d1 of the base 11 and the like, for example, items having different values of 0.5 cm each are prepared, ones suitable for the patient can be selected.
予防器具１０を使用するには、図３に示すように、尿道側立上壁部１４と直腸側立上壁部１７とを近接するように折り曲げた予防器具１０を膣３１内に挿入し、復元して固定する。このとき、縁部１９ａがアーチ状であるので、予防器具１０を小さな力で折り曲げることができ、予防器具１０は内部で元の形に復帰する。予防器具１０を膣３１に固定した状態において、予防器具１０が膀胱３３の下部に位置し、予防器具１０による膀胱３３の収縮を防止できる。 To use the preventive device 10, as shown in FIG. 3, the preventive device 10 bent so that the urethral side rising wall portion 14 and the rectal side rising wall portion 17 are close to each other is inserted into the vagina 31. Restore and fix. At this time, since the edge portion 19a is arched, the preventive device 10 can be bent with a small force, and the preventive device 10 internally returns to its original shape. With the preventive device 10 fixed to the vagina 31, the preventive device 10 is located below the bladder 33 and can prevent the bladder 33 from contracting due to the preventive device 10.
また、予防器具１０を膣３１内に固定したとき、尿道側立上壁部１４の尿道確保用凹部１５が尿道の位置に配置される。これにより、尿道が予防器具１０で圧迫されるのを防止することができる。 Further, when the preventive device 10 is fixed in the vagina 31, the urethral securing recess 15 of the urethral side rising wall portion 14 is arranged at the position of the urethra. This makes it possible to prevent the urethra from being compressed by the preventive device 10.
同様に、予防器具１０を膣３１内に固定したとき、直腸側立上壁部１７の直腸確保用平面部１６が直腸３４の位置に配置される。これにより、直腸３４が予防器具１０で圧迫されるのを予防することができる。 Similarly, when the preventive device 10 is fixed in the vagina 31, the rectal securing flat surface portion 16 of the rectal side rising wall portion 17 is arranged at the position of the rectum 34. This makes it possible to prevent the rectum 34 from being compressed by the preventive device 10.
本実施形態に係る予防器具１０を膣３１に装着するには、図３に示すように、予防器具１０を折り曲げる。そして、この状態の予防器具１０を所定の方向で膣３１に挿入して所定の位置に配置する。なお、予防器具１０の装着には円筒状の装着補助具（アプリケータ）等を使用することができる。 In order to attach the preventive device 10 according to the present embodiment to the vagina 31, the preventive device 10 is bent as shown in FIG. Then, the preventive device 10 in this state is inserted into the vagina 31 in a predetermined direction and placed at a predetermined position. A cylindrical mounting aid (applicator) or the like can be used to mount the preventive device 10.
そして、挿入した予防器具１０は自らの弾力で拡開した状態となり、この状態で予防器具１０は、膣３１内に固定される。 Then, the inserted preventive device 10 is in a state of being expanded by its own elasticity, and in this state, the preventive device 10 is fixed in the vagina 31.
これにより、膣３１内に予防器具１０を固定保持して骨盤臓器の逸脱や腹圧性尿失禁を予防することができる。また、予防器具１０の着脱は患者自己により簡単に行え、しかも予防器具を装着した状態では予防器具は外部に露出したり、下着等他の装具を使用したりする必要がない。このため、予防器具１０を着装した状態で公衆浴場等を利用できる。 As a result, the preventive device 10 can be fixedly held in the vagina 31 to prevent deviation of the pelvic organs and stress urinary incontinence. Further, the preventive device 10 can be easily attached / detached by the patient himself / herself, and it is not necessary to expose the preventive device to the outside or use other devices such as underwear when the preventive device is attached. Therefore, a public bath or the like can be used while wearing the preventive device 10.
また、予防器具１０は、軽量であるため安定して装着することができる他、形状が単純であるため製造に手間や費用がかからない。 Further, since the preventive device 10 is lightweight, it can be stably worn, and since it has a simple shape, it does not require labor and cost to manufacture.
以上のように、本発明に係る骨盤臓器脱の予防器具は、膣に縮小した状態で挿入し、自らの弾力で所定形状を保持して膣内に固定し骨盤臓器の逸脱や腹圧性尿失禁を予防することができ、予防器具の着脱は自己により簡単に行え、しかも予防器具を装着した状態では予防器具は外部に露出等しないので公衆浴場等においても使用可能であり、かつ軽量で製造がし易いため産業上の利用可能性がある。 As described above, the preventive device for prolapse of the pelvic organ according to the present invention is inserted into the vagina in a contracted state, holds a predetermined shape by its own elasticity and fixed in the vagina to cause deviation of the pelvic organ and stress urinary incontinence. The preventive device can be easily attached and detached by oneself, and the preventive device is not exposed to the outside when the preventive device is attached, so it can be used in public baths, etc., and it is lightweight and can be manufactured. It is easy to use and has industrial potential.
１０：予防器具
１１：基部
１２：周縁部
１３：開口
１４：尿道側立上壁部
１５：尿道確保用凹部
１６：直腸確保用平面部
１７：直腸側立上壁部
１８：指掛環部
１９：接続壁
１９ａ：凹部
３１：膣
３２：子宮
３３：膀胱
３４：直腸
10: Preventive device 11: Base 12: Peripheral part 13: Opening 14: Urethral side rising wall part 15: Urethral securing recess 16: Rectal securing flat part 17: Rectal side rising wall part 18: Finger hook ring part 19 : Connection wall 19a: Recess 31: Vagina 32: Uterus 33: Bladder 34: Rectum
Claims (3)
柔軟な素材で一体に形成され、
体内挿入時に中央に開口を備えた円板状の基部と、
前記基部の外周縁に形成された周縁部と、
前記周縁部のうち前記開口を挟んだ一方側から立上がり形成され、尿道確保用凹部を備えた尿道側立上壁部と、
前記周縁部のうち前記開口を挟んだ他方側から立上がり形成され、直腸確保用平面部を備えた直腸側立上壁部とを備え、
前記尿道側立上壁部と前記直腸側立上壁部とは、前記周縁部に沿って立設された接続壁で接続され、前記接続壁は、前記周縁部の上側に前記周縁部と連続して設けられて前記尿道側立上壁部と前記直腸側立上壁部とを接続し、前記尿道側立上壁部と前記直腸側立上壁部との間にアーチ状の縁部を備え、
前記尿道側立上壁部には尿道確保用凹部が設けられると共に、前記直腸側立上壁部には直腸確保用平面部が設けられていることを特徴とする骨盤臓器脱の予防器具。 It is a preventive device for pelvic organ prolapse that is inserted into the vagina and expanded and fixed inside.
Formed integrally with flexible material,
A disc-shaped base with an opening in the center when inserted into the body,
The peripheral edge formed on the outer peripheral edge of the base and the peripheral edge
A urethral-side rising wall portion formed by rising from one side of the peripheral edge portion sandwiching the opening and having a recess for securing the urethra.
It is provided with a rectal side rising wall portion which is formed to rise from the other side of the peripheral edge portion across the opening and has a rectal securing flat surface portion.
The urethral-side rising wall portion and the rectal-side rising wall portion are connected by a connecting wall erected along the peripheral portion, and the connecting wall is continuous with the peripheral portion on the upper side of the peripheral portion. The urethral side rising wall portion and the rectal side rising wall portion are connected to each other, and an arched edge portion is formed between the urethral side rising wall portion and the rectal side rising wall portion. Prepare,
A device for preventing pelvic organ prolapse, characterized in that the urethral-side rising wall portion is provided with a recess for securing the urethra, and the rectal-side rising wall portion is provided with a flat portion for securing the rectum .
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