KR20090030418A - Instrument for treating female uninary incontinence - Google Patents
Instrument for treating female uninary incontinence Download PDFInfo
- Publication number
- KR20090030418A KR20090030418A KR1020070095707A KR20070095707A KR20090030418A KR 20090030418 A KR20090030418 A KR 20090030418A KR 1020070095707 A KR1020070095707 A KR 1020070095707A KR 20070095707 A KR20070095707 A KR 20070095707A KR 20090030418 A KR20090030418 A KR 20090030418A
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- KR
- South Korea
- Prior art keywords
- urinary incontinence
- tape
- fixing member
- treatment apparatus
- incontinence treatment
- Prior art date
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12009—Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F13/00—Bandages or dressings; Absorbent pads
- A61F13/15—Absorbent pads, e.g. sanitary towels, swabs or tampons for external or internal application to the body; Supporting or fastening means therefor; Tampon applicators
- A61F13/56—Supporting or fastening means
- A61F13/64—Straps, belts, ties or endless bands
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/0004—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse
- A61F2/0031—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse for constricting the lumen; Support slings for the urethra
- A61F2/0036—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse for constricting the lumen; Support slings for the urethra implantable
- A61F2/0045—Support slings
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/0063—Implantable repair or support meshes, e.g. hernia meshes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00743—Type of operation; Specification of treatment sites
- A61B2017/00805—Treatment of female stress urinary incontinence
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12009—Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
- A61B2017/12018—Elastic band ligators
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Vascular Medicine (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- General Health & Medical Sciences (AREA)
- Urology & Nephrology (AREA)
- Surgery (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Molecular Biology (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Reproductive Health (AREA)
- Epidemiology (AREA)
- Surgical Instruments (AREA)
Abstract
Description
The present invention relates to a device for treating urinary incontinence, and more particularly, to an incontinence treatment apparatus for treating urinary incontinence by implanting in the human body to support the urethra.
The urinary incontinence treatment apparatus is an apparatus for treating urinary incontinence, which is one of diseases caused by birth and menopause of a woman, and the present invention relates to an urinary incontinence treatment apparatus used for the treatment of the urinary incontinence.
Urinary incontinence is a condition that affects women and the elderly in general, and refers to the involuntary leakage of urine. In other words, the urinary incontinence is a symptom of urinary outflow of the bladder through the urethra irrespective of the human will to the outside, involuntary urination phenomenon that interferes with daily life.
Types of urinary incontinence include urinary incontinence, stress urinary incontinence (tension incontinence), urge incontinence, first-class incontinence, etc. The causes of the incontinence are tissues or ligaments connecting the vaginal wall, pelvic muscles and pubic bone (Pubic bone) There may be a case of ligament dysfunction or a weak urethral sphincter. Common causes include repeated deformation of the pelvic muscles, pregnancy and childbirth, surgery, and loss of pelvic muscle tension.
Urinary incontinence caused by the above-mentioned various causes, urinary outflow through the urethra unconsciously with an increase in abdominal pressure due to laughter, coughing, sneezing, exercise, etc. do.
Examples of surgical methods adopted for the treatment of urinary incontinence include TOT surgery and TVT surgery, and this operation is already well known in the art, and further description thereof will be omitted.
As a prior art in the art, Korean Utility Model Registration No. 20-332533 discloses an incontinence treatment apparatus for treating female incontinence.
The mesh tape constituting the urinary incontinence treatment apparatus disclosed in the registered utility model is manufactured to a long length so as to penetrate the lower abdomen through the vaginal wall of a woman and exposed to the outside, and is generally known in the medical field, a transobturator vaginal tape (TOT). It is implanted into the human body by surgery.
However, the mesh tape disclosed in the above-described registered utility model and the conventional general mesh tape provided for the treatment of urinary incontinence of the TOT operation method, both ends of the lower abdomen after both ends sequentially penetrate the vaginal wall of the female and pass through the inside of the lower abdominal tissue It is a structure exposed to the outside through wealth. In addition, in order to stably fix the mesh tape in the lower abdominal tissue to support the urethra without flowing or slipping, both sides of the mesh tape must be implanted into the lower abdominal tissue very long in addition to the central portion of the mesh setoff supporting the urethra.
Therefore, the portion of the mesh tape exposed to the outside through the lower abdomen is cut again and discarded, and the mesh tape is manufactured to a considerably long length because the mesh tape must be stably supported without flow or slipping by being bitten in the lower abdominal tissue. There was a problem in that the tissue was damaged in the course of passing the tissue in the lower abdomen of the human body, which consumed a lot of material and a long length of the tape.
In addition, the mesh tape provided as a urinary incontinence treatment apparatus using a conventional tension-free vaginal tape (TVT) surgery method has a weak fixation force and thus has an unstable procedure.
The present invention has been made to solve the above-described problems, the object of the present invention is to minimize the material consumption of the tape consumed in the urinary incontinence treatment device, the urinary incontinence of the structure that is stably supported after implantation into the human body is improved It is for providing a therapeutic apparatus.
Another object of the present invention is to provide a device for treating urinary incontinence having a simple structure and minimizing damage to human tissue.
In order to achieve the above object, the present invention is a tape for supporting the urethra of women; And it has a protrusion protruding outward, and is provided on each of both ends of the tape to provide a urinary incontinence treatment apparatus comprising a fixing member fixed to the lower abdomen of the woman so that the tape supports the urethra.
Here, the protrusion may be configured to have a sawtooth shape, but is not limited thereto.
The protrusion protrudes laterally from the edge of the fixing member.
In addition to the above configuration, the urinary incontinence treatment apparatus according to the present invention may further comprise a connection strap connected to the fixing member.
The connecting strap is preferably composed of a surgical suture. And, the surgical suture is preferably absorbent.
And the connecting strap is configured to have a closed loop (closed loop) connected to the fixing member, by cutting and pulling a portion of the closed loop portion exposed to the outside of the human body is configured to be detachable from the fixing member May be
In addition, the urinary incontinence treatment apparatus according to the present invention may be configured to further include a needle connected to the connecting strap to be inserted through the vaginal wall of the female to penetrate the lower belly to the outside.
Preferably, the fixing member is made of an absorbent material, and an identification mark is formed at an intermediate portion of the tape.
As another aspect, the present invention is a tape for supporting the urethra of women; And it provides a urinary incontinence treatment apparatus comprising a connecting strap connected to each side of the tape.
In addition to the above configuration, another form of the urinary incontinence treatment apparatus according to the present invention, further comprises a needle connected to the connecting strap to be inserted through the vaginal wall of the woman to penetrate the lower abdomen and be exposed to the outside of the body. It may be.
The connecting strap may be connected to the tape through a fixing member provided at both ends of the tape.
The urinary incontinence treatment apparatus according to the present invention has the following effects.
First, since the urinary incontinence treatment apparatus according to the present invention has a protrusion formed in the fixing member for fixing the tape to the human body to improve fixation force, the urinary incontinence treatment apparatus can be stably maintained after being implanted in the human body and the length of the tape Can be minimized.
Second, the urinary incontinence treatment apparatus according to the present invention is provided with a connecting strap on both sides, so that the material consumption of the tape required to be exposed to the lower belly through the vaginal wall can be reduced, manufacturing costs can be reduced.
Third, the urinary incontinence treatment apparatus according to the present invention is provided with a connecting suture provided on both sides as a surgical suture to minimize damage to human tissue, and can be easily separated from the absorbing and / or fixing member The structure is easy to operate because of the advantages.
Fourth, the urinary incontinence treatment apparatus according to the present invention has the advantage that the needle is provided at the front end of the connecting string, respectively, for the procedure for transplantation.
Fifthly, the urinary incontinence treatment apparatus according to the present invention has an advantage that the identification mark is formed in the middle of the tape to support the urethra in the correct position, and the operation of implanting the urinary incontinence treatment instrument in the correct position is advantageous.
The urinary incontinence treatment apparatus according to the present invention is a mechanism for treating urinary incontinence which prevents inadvertent leakage of urine through the urethra by smoothly supporting and supporting the urethra.
Examples of a method for implanting the urinary incontinence treatment device into the human body are largely TOT surgery and TVT surgery, the method of operation is well known by the obstetrics and gynecologists and those skilled in the art according to the present invention One explanation is omitted.
Hereinafter, with reference to the accompanying drawings, preferred embodiments of the present invention that can specifically realize the above object will be described. In describing the present embodiment, the same names and symbols are used for the same components, and additional descriptions and redundant descriptions thereof will be omitted below.
Of the accompanying drawings, Figure 1a is a plan view showing a first embodiment of the urinary incontinence treatment apparatus according to the present invention, Figures 1b and 1c is a first embodiment of the incontinence treatment apparatus shown in Figure 1a to the human body 2A and 2B are views illustrating a process of detaching a connecting string after a first embodiment of the urinary incontinence treatment device shown in FIG. 1A is implanted in a human body.
Referring to Figure 1a, a first embodiment of the urinary incontinence treatment device according to the present invention comprises a
The
In more detail, the
And the
Here, the
In the present embodiment, the
In addition, a protrusion may be formed on an upper side and / or a lower side of the
Of course, the protrusion may include protrusions or irregularities formed on the surface (upper surface and / or lower surface) of the
In addition to the above configuration, a groove or a through
In addition, the
The
In addition to the above configuration, the connecting
Surgical suture may be used as the connecting
And the
The closed loop part is, for example, a rubber ring (rubber band) means that one side is connected to the other side to form a through hole of a predetermined size, but a thread such as a surgical suture is amorphous (weak strength and maintain a constant shape Since the round shape is not maintained as it is, it may exist in various forms such as a long elliptic ring shape according to the state in which the force is applied as shown in FIG. 1A.
Here, the closed loop portion is inserted through the incision of the vaginal wall (f; see FIG. 1D) and passes through the lower abdominal tissue of the human body to a length such that a part thereof may be exposed to the outside through the incision of the lower abdomen (g). It is made of, and by cutting and pulling a portion of the closed loop portion exposed to the outside of the human body is the connecting
To this end, the closed loop part is connected to the fixing member by penetrating a connection hole formed at the tip of the fixing
Based on the body size of a general woman, the
And the combined length of both the
In addition, it is preferable that the
The
Accordingly, according to the urinary incontinence treatment apparatus according to the present invention, it is possible to minimize the implant material remaining in the human tissue after surgery and to minimize the consumption of the tape.
On the contrary, in the case of the conventional incontinence treatment apparatus, both sides of the tape implanted through the lower abdominal tissue in addition to the portion supporting the urethra of the conventional tape are pressed and fixed between the tissues, thereby supporting the tape's support force against the urethra. In order to prevent the tape from slipping, very long tapes need to be implanted into the lower abdominal tissue.
In addition, in order for the conventional tape to be exposed to the outside through the belly incisions (g), the length of the tape should be generally 35 cm or more, and the parts exposed to the outside through the belly incisions (g) are cut and discarded. Therefore, the consumption of materials is high.
However, even if the entire length of the urinary incontinence treatment apparatus according to the present invention (length including both the connecting strap and the fixing member and the tape) to the same length as before, 8cm is sufficient for general female physical conditions.
Therefore, according to the urinary incontinence treatment apparatus according to the present invention, a substantial portion of the entire length can be replaced by the connecting
1B and 1C are embodiments of an implantation apparatus for implanting a first embodiment of the urinary incontinence treatment apparatus according to the present invention into a human body, and the locking
In more detail, each implant mechanism comprises a
By operating the handle (1) of the implantation device configured as described above, the tip of the implant needle (2, 3) is inserted through the incision (g) on both sides of the lower abdomen and incision through the lower abdominal tissue and then formed in the vaginal wall Exposed to the vagina through (f), Figure 1d is a view showing a state in which the implantation mechanism shown in Figure 1b operated as described above.
As described above, when the tips of the implant needles 2 and 3 are exposed to the vagina, the one end of the above-mentioned two connecting
Accordingly, the fixing
Next, the other one of the fixing members is inserted into the lower abdominal tissue of the human body in the same manner and firmly fixed. In this case, as the implantation apparatus used, a transplantation apparatus having a shape symmetrical with FIG. 2A is used, and a basic procedure thereof is also sufficiently disclosed in Korean Utility Model Registration No. 20-332533 described in the background of the present specification. Omit.
As described above, both fixing
And after the urinary incontinence treatment apparatus according to the present invention is implanted in the lower abdomen of the human body as described above, as shown in Figure 2a by cutting and pulling the
Of course, when the connecting
Figures 1D and 2A and 2B schematically show the relevant parts of the lower abdomen of a woman, with the symbol a representing the urethra, b the vagina, c the bladder, d the pubis and e the abdominal wall, respectively.
Next, a second embodiment of the urinary incontinence treatment apparatus according to the present invention will be described with reference to FIG.
In the description of the present embodiment, the same reference numerals and names are used for the same components as the above-described first embodiment, and repeated description thereof will be omitted.
The urinary incontinence treatment apparatus according to the present embodiment includes a
In addition, the connecting
In the present embodiment, the fixing
And when the connecting
Figure 4 is a plan view showing a third embodiment of the urinary incontinence treatment apparatus according to the present invention. In describing the present embodiment, the same reference numerals and names are used for the same configurations as the above-described first and / or second embodiments, and repeated description thereof will be omitted.
The urinary incontinence treatment apparatus according to the present embodiment includes a
In addition, the connecting
The
In this case, when the connecting
And, if the connecting
The rest of the configuration except for the shape and configuration of the fixing member described above is the same as in the above-described first embodiment, and a description thereof will be omitted.
Next, a fourth embodiment of the urinary incontinence treatment apparatus according to the present invention will be described with reference to FIG.
The urinary incontinence treatment apparatus according to the present embodiment includes a
Here, the fixing
To this end, the fixing
In addition, the protrusion is configured such that the tooth-shaped
In addition, a protrusion may be formed on an upper surface of the fixing
In addition, a groove or a through
On the other hand, the fixing
Accordingly, the surgeon performing the urinary incontinence treatment apparatus according to the present embodiment inserts an implant mechanism (not shown) corresponding to the inside of the groove formed by the
Then, when the implantation apparatus is removed, the tip of the implantation mechanism is naturally separated from the fixing
6 is a state in which the urinary incontinence treatment apparatus according to the present embodiment is completely implanted in the lower abdomen of the human body in the above manner.
Since the structure or shape of the
7 is a view showing a fifth embodiment of the urinary incontinence treatment apparatus according to the present invention, except that the
As described above, the preferred embodiments of the present invention have been described, and the fact that the present invention can be embodied in other specific forms in addition to the above-described embodiments without departing from the spirit or scope thereof has ordinary skill in the art. It is obvious to them.
Therefore, the above-described embodiments should be regarded as illustrative rather than restrictive, and thus, the present invention is not limited to the above description and may be modified within the scope of the appended claims and their equivalents.
Figure 1a is a plan view showing a first embodiment of the urinary incontinence treatment apparatus according to the present invention.
1B and 1C are views showing embodiments of an implantation apparatus for implanting the first embodiment of the urinary incontinence treatment instrument shown in FIG. 1A into a human body, and FIG. 1D is a view showing the operation of the implantation apparatus shown in FIG. A part of the process of implanting the urinary incontinence treatment apparatus according to the invention.
Figures 2a and 2b is a view showing a process of removing the connecting strap after the first embodiment of the incontinence treatment device shown in Figure 1a implanted in the human body.
Figure 3 is a plan view showing a second embodiment of the urinary incontinence treatment apparatus according to the present invention.
Figure 4 is a plan view showing a third embodiment of the urinary incontinence treatment apparatus according to the present invention.
5A and 5B are a plan view and a side view showing a fourth embodiment of the urinary incontinence treatment apparatus according to the present invention.
6 is a view showing a state in which the fourth embodiment of the urinary incontinence treatment apparatus according to the present invention implanted in the human body.
7 is a plan view showing a third embodiment of the urinary incontinence treatment apparatus according to the present invention.
Explanation of symbols on the main parts of the drawings
10: tape 11: identification mark
20, 60, 70: fixing
22, 62: through
40: needle 65: hook
Claims (13)
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
KR1020070095707A KR20090030418A (en) | 2007-09-20 | 2007-09-20 | Instrument for treating female uninary incontinence |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
KR1020070095707A KR20090030418A (en) | 2007-09-20 | 2007-09-20 | Instrument for treating female uninary incontinence |
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Publication Number | Publication Date |
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KR20090030418A true KR20090030418A (en) | 2009-03-25 |
Family
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Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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KR1020070095707A KR20090030418A (en) | 2007-09-20 | 2007-09-20 | Instrument for treating female uninary incontinence |
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Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2015060594A1 (en) * | 2013-10-22 | 2015-04-30 | 이정윤 | Urethra pressing and tensioning device for treating urinary incontinence |
KR20150137550A (en) * | 2014-05-30 | 2015-12-09 | 두재균 | Sling procedure for urinary incontinence |
WO2016144065A1 (en) * | 2015-03-06 | 2016-09-15 | 두재균 | Sling for urinary incontinence surgery |
-
2007
- 2007-09-20 KR KR1020070095707A patent/KR20090030418A/en not_active Application Discontinuation
Cited By (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2015060594A1 (en) * | 2013-10-22 | 2015-04-30 | 이정윤 | Urethra pressing and tensioning device for treating urinary incontinence |
KR20150137550A (en) * | 2014-05-30 | 2015-12-09 | 두재균 | Sling procedure for urinary incontinence |
WO2016144065A1 (en) * | 2015-03-06 | 2016-09-15 | 두재균 | Sling for urinary incontinence surgery |
US10383716B2 (en) | 2015-03-06 | 2019-08-20 | Jae Kyun Doo | Sling for urinary incontinence surgery |
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