KR20090030418A - Instrument for treating female uninary incontinence - Google Patents

Instrument for treating female uninary incontinence Download PDF

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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
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Application number
KR1020070095707A
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Korean (ko)
Inventor
김종기
Original Assignee
(주)다우메딕스
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Priority to KR1020070095707A priority Critical patent/KR20090030418A/en
Publication of KR20090030418A publication Critical patent/KR20090030418A/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12009Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F13/15Absorbent pads, e.g. sanitary towels, swabs or tampons for external or internal application to the body; Supporting or fastening means therefor; Tampon applicators
    • A61F13/56Supporting or fastening means
    • A61F13/64Straps, belts, ties or endless bands
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/0004Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse
    • A61F2/0031Closure 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
    • A61F2/0036Closure 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
    • A61F2/0045Support slings
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/0063Implantable repair or support meshes, e.g. hernia meshes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00743Type of operation; Specification of treatment sites
    • A61B2017/00805Treatment of female stress urinary incontinence
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12009Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
    • A61B2017/12018Elastic 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

An instrument for treating female incontinence of urine is provided to improve fixation force by forming the boss on the fixing member for the human body. The tape(10) supports the urethra canal of female. The fixing member(20) has bosses(21,23) protruded to the outer side. And it is prepared in both end part of the tape. The boss has the sawtooth shape. The boss is protruded to the lateral part of the edge of the fixing member. The connection rope(30) is comprised of stitching fiber. The stitching fiber has water-absorption. The connection rope has the closed loop part connected to the fixing member.

Description

Instrument for Treating Female Uninary Incontinence

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 tape 10 for supporting the urethra of the woman and a fixing member 20 provided on each end of the tape do.

The tape 10 may be configured in a mesh shape, that is, a mesh shape, and supports the lower side of the middle part of the urethra through the vaginal wall. The material is polypropylene, but other materials are used if they are harmless to humans. Also available.

In more detail, the tape 10 may have a certain level of strength and elasticity that is not easily broken while being friendly to the cell tissue so that the cell tissue grows well after transplantation, and may be woven in single yarn.

And the fixing member 20 is fixed to the lower abdomen of the female so that the tape 10 supports the urethra.

Here, the fixing member 20 has protrusions 21 and 23 protruding outward, so that the fixing member 20 is firmly fixed in the tissue to serve as a rigid support so that the tape does not flow after implantation. do. The protrusions 21 and 23 may be configured in various shapes such as an uneven shape or a washboard shape, but in the present embodiment, the sawtooth-shaped protrusion 21 is disclosed.

In the present embodiment, the protrusion 21 is configured to have a portion protruding laterally from the edge of the fixing member 20. Cross-sectional shape of the protrusion may be configured in a variety of shapes, such as a triangle or a square, the fixing member 20 is a flat plate shape is convenient for transplantation into lower abdominal tissue.

In addition, a protrusion may be formed on an upper side and / or a lower side of the fixing member 20, and for example, various shapes such as a protrusion 23 of a washboard shape may be provided.

Of course, the protrusion may include protrusions or irregularities formed on the surface (upper surface and / or lower surface) of the fixing member 20 as shown in FIG. 7.

In addition to the above configuration, a groove or a through hole 22 is formed in one side of the fixing member 20, and tissue is regenerated therebetween so that the fixing member 20 is firmly fixed in the tissue of the female lower abdomen. It becomes possible.

In addition, the fixing member 20 is configured to have a shape that narrows toward the front end so as to minimize the damage of the tissue in the process of being inserted through the vaginal wall and to be inserted smoothly. For example, the tip shape of the fixing member 20 may be formed in a substantially triangular shape, or both edges of the tip may be streamlined.

The fixing member 20 is configured as described above is preferably made of an absorbent material. For example, the fixing member 20 may be made of poly-p-dioxanone (Poly-p-dioxanone), or may be made of PGA (Polyglycolic Acid), which is a material of a synthetic absorbent suture, but is not limited thereto. It is not.

In addition to the above configuration, the connecting member 30 is connected to the fixing member 20, respectively. The connecting strap 30 is to reduce the length of the tape 10 to reduce the material, the connecting strap 30 can be applied mainly when the incontinence treatment instrument is implanted in the body by the TOT surgery method have.

Surgical suture may be used as the connecting strap 30, it is preferable that the absorbent material for the convenience of surgery.

And the connection string 30 is preferably configured to have a closed loop (closed loop) portion connected to the fixing member (20). Thus, the connecting string 30 may be composed of only the closed loop portion as shown in Figure 1a, not shown, but a separate portion (for example, '1' shaped thread connected to the closed loop portion) It may further include.

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 string 30 is detachable from the fixing member (20).

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 member 20 with a sliding material, and when cutting a portion of the closed loop part exposed to the outside of the human body, The closed loop part may be separated from the fixing member 20 while sliding in the connection hole.

Based on the body size of a general woman, the tape 10 is about 6 cm to about 8 cm in detail, and the overall length of the tape 10 and both fixing members 20 combined is a general female body condition. Is manufactured to be about 8 ~ 10cm to fit, but is not limited to this may be changed within a certain range to suit the physical conditions.

And the combined length of both the tape 10, both side fixing member 20 and both side connecting string 30 is such that the end of the connecting string 30 is greater than the length to be exposed to the outside through the lower belly both incisions It is good.

In addition, it is preferable that the identification mark 11 is formed in the middle portion of the tape 10. The identification mark 11 is for facilitating the treatment of the urinary incontinence treatment apparatus according to the present invention. When the identification mark 11 is positioned below the urethra during the procedure, the center of the tape 10 is the urethra. It can be easily aligned to the lower side of (a; see Figure 2a) can improve the convenience of transplant surgery and balance the right and left fixation.

The identification mark 11 may be formed by displaying a reference line at the center of the longitudinal direction of the tape 10, but is not limited thereto.

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 string 30 can reduce the consumption of the tape (10). In addition, the fixing member 20 in which the protrusions 21 and 23 are formed is firmly fixed in the lower abdominal tissue to stably maintain / support the tape's supporting force to the urethra, and at the same time, the tape 10 is out of position. This can minimize the tape consumption.

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 grooves 2a and 3a are connected to the front end of the implantation apparatus 30. Is formed.

In more detail, each implant mechanism comprises a handle 1 and implant needles (2, 3) provided on the top of the handle. The implant needles 2 and 3 may be configured to be bent in a spiral shape as shown in FIG. 1B or to be bent in curvature as shown in FIG. 1C, and the locking grooves described above may be formed at the ends of the implant needles 2 and 3. (2a, 3a) are formed, respectively.

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 strings 30 is hooked to the engaging grooves 2a and 3a of the tip, and then the transplantation is performed. When the instrument is operated in the direction opposite to the initial insertion direction, the one-side connecting string 30 is inserted through the incision part f of the vaginal wall and passes through the lower abdomen tissue and then exposed to the lower abdomen g.

Accordingly, the fixing member 30 connected to the one-side connecting string is inserted through the cutout f of the vaginal wall and firmly fixed in the lower abdominal tissue of the human body.

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 members 20 are firmly fixed in the lower abdominal tissue of the human body, so that the tape 10 supports the lower side of the urethra (a) and treats urinary incontinence in place of weakened muscle role.

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 connection string 30 exposed to the outside of the human body, the connection string 30 As shown in FIG. 2B, the fixing member 20 is separated from the fixing member 20, so that only the tape 10 and the fixing member 20 remain in the lower abdominal tissue.

Of course, when the connecting strap 30 is an absorbent material, it will not be necessary to separate the connecting strap 30 and the fixing member 20.

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 tape 10 for supporting the urethra of a woman, and a connection string 30 connected to both sides of the tape 10, respectively.

In addition, the connecting strap 30 may be connected to the tape 10 through fixing members 25 provided at both ends of the tape 10, respectively. It is effective to prevent 30 from involuntarily separating from the tape.

In the present embodiment, the fixing member 25 is formed in a narrow rectangular shape and is not provided with the above-described protrusion, but is not limited thereto. The material is preferably made of an absorbent material, and the fixing member 25 At least one connection hole for the connection of the connecting string 30 is formed.

And when the connecting strap 30 is a non-absorbent material, the connecting strap is preferably configured to have the above-described closed loop portion. Except for the shape and configuration of the fixing member described above, the basic configuration and operation method thereof are the same as in the above-described first embodiment, and thus description thereof is omitted.

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 tape 10 and a connection string 35 connected to both sides of the tape 10, and a needle 40 connected to each connection string 35, respectively. .

In addition, the connecting strap 35 may be connected to the tape 10 through fixing members 25 provided at both ends of the tape 10. 4 illustrates a fixing member 25 having the same shape as the fixing member in the above-described second embodiment, but may be configured in various shapes such as the shape of the fixing member shown in the first embodiment or FIG. have.

The needle 40 is inserted through the vaginal wall of the woman is connected to the connecting strap 35 so that it can be exposed to the outside of the body through the lower belly. In more detail, the needle 40 has a pointed shape, penetrates the inside of the vaginal wall and the lower abdomen tissue, penetrates the lower abdomen, and is exposed to the outside.

In this case, when the connecting strap 35 is an absorbent material, after the needle 40 is completely exposed to the outside through a predetermined portion of the lower belly, the connecting strap 35 and the needle 40 are separated. The connection between the connecting strap 35 and the fixing member 25 does not have to be a closed loop shape as described above, and may be connected in various ways such as a "Y" shape or a "1" shape.

And, if the connecting strap 35 is a non-absorbent material, the connecting strap 35 is connected to the fixing member 25 in the form of a closed loop and the needle 40 is external through a predetermined portion of the lower belly Immediately after being completely exposed or after a certain time has elapsed by cutting the connecting string, the connecting string 35 is separated from the fixing member 25.

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 tape 10 for supporting the urethra (a) and a fixing member 60 provided at both ends of the tape and fixed to the lower abdomen of a woman. The urinary incontinence treatment apparatus according to the present embodiment can be implanted into the lower abdomen of a woman in a form implanted in the human body by inserting the fixing member 60 through the incision of the vaginal wall, for example, by a TVT.

Here, the fixing member 60 has a structure capable of minimizing or preventing flow of the urinary incontinence treatment apparatus according to the present invention after implantation into the human body by improving fixation force.

To this end, the fixing members 60 are formed with protrusions 61 and 63 protruding outward, and the protrusions 61 and 63 may be formed in various shapes such as irregularities and washboard shapes. The protrusion 61 of a shape is disclosed.

In addition, the protrusion is configured such that the tooth-shaped protrusion 61 protrudes laterally from the edge of the fixing member 60. Of course, the cross-sectional shape of the protrusion may be configured in a variety of shapes, such as a triangle or a square, the fixing member 60 is configured in a flat plate shape is convenient for surgery.

In addition, a protrusion may be formed on an upper surface of the fixing member 60, and for example, various shapes such as a protrusion 63 of a washboard shape may be provided.

In addition, a groove or a through hole 62 is preferably formed on the upper surface of the fixing member 60, and tissue is regenerated therebetween so that the fixing member 60 can be firmly fixed in the tissue of the lower abdomen of the female. Will be.

On the other hand, the fixing member 60 is provided with a locking portion for pushing the fixing member through the incision of the vaginal wall, the locking portion in the present embodiment is provided on the bottom surface of the fixing member 60 is the tape ( 10) is configured to include a hook 64 of the "b" type to form a groove toward the side.

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 hook ring 64 to fix the member 60. After connecting the implant and the implant, the implant along with the fixing member 60 is inserted into the lower abdominal tissue through the incision of the vaginal wall.

Then, when the implantation apparatus is removed, the tip of the implantation mechanism is naturally separated from the fixing member 60, and only the fixing member 60 remains in the lower abdominal tissue to be fixed.

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 tape 10 and the fixing member 60 except for the above-described configuration is the same as in the above-described first embodiment, an additional description thereof will be omitted.

7 is a view showing a fifth embodiment of the urinary incontinence treatment apparatus according to the present invention, except that the protrusions 71 for improving fixation force are formed of protrusions formed on one surface of the fixing member 70. Since the configuration is the same as that of the fourth embodiment, further description thereof will be omitted.

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 member 21, 23, 61, 63, 71: protrusion

22, 62: through hole 30, 35: connecting string

40: needle 65: hook

Claims (13)

Tape for supporting the urethra in women; And An urinary incontinence treatment apparatus having a protrusion protruding outward, each fixing portion is provided at both ends of the tape and is fixed to a lower abdomen of a woman so that the tape supports the urethra. The urinary incontinence treatment apparatus according to claim 1, wherein the protrusion has a sawtooth shape. The urinary incontinence treatment apparatus according to claim 1 or 2, wherein the protrusion protrudes laterally from an edge of the fixing member. The urinary incontinence treatment apparatus of claim 1 or 2, further comprising a connection string connected to the fixing member. The urinary incontinence treatment apparatus according to claim 4, wherein the connecting string is composed of a surgical suture. 6. The device of claim 5, wherein the surgical suture is absorbent. The method of claim 4, wherein the connecting strap is configured to have a closed loop portion (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 the connecting strap in the fixing member Urinary incontinence treatment device, characterized in that detachable. The urinary incontinence treatment apparatus according to claim 4, further comprising a needle connected to the connecting string so as to be inserted through the vaginal wall of the woman and exposed to the outside through the lower abdomen. The urinary incontinence treatment apparatus according to claim 1, wherein the fixing member is made of an absorbent material. The urinary incontinence treatment apparatus according to claim 1, wherein an identification mark is formed at an intermediate portion of the tape. Tape for supporting the urethra in women; And Urinary incontinence treatment apparatus comprising a connecting strap connected to each side of the tape. The urinary incontinence treatment apparatus according to claim 11, further comprising a needle connected to the connecting string so as to be inserted through the vaginal wall of the woman and penetrate the lower abdomen to be exposed to the outside of the body. The method according to claim 11 or 12, wherein The connecting strap is a urinary incontinence treatment device, characterized in that connected to the tape via a fixing member provided on both ends of the tape.
KR1020070095707A 2007-09-20 2007-09-20 Instrument for treating female uninary incontinence KR20090030418A (en)

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

Publications (1)

Publication Number Publication Date
KR20090030418A true KR20090030418A (en) 2009-03-25

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Application Number Title Priority Date Filing Date
KR1020070095707A KR20090030418A (en) 2007-09-20 2007-09-20 Instrument for treating female uninary incontinence

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Country Link
KR (1) KR20090030418A (en)

Cited By (3)

* Cited by examiner, † Cited by third party
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

Cited By (4)

* Cited by examiner, † Cited by third party
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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