KR20090030815A

KR20090030815A - Devices for treatment of urinary incontinence

Info

Publication number: KR20090030815A
Application number: KR1020070096384A
Authority: KR
Inventors: 이웅용
Original assignee: 이웅용
Priority date: 2007-09-21
Filing date: 2007-09-21
Publication date: 2009-03-25

Abstract

A urinary incontinence treatment device is provided to perform the urinary incontinence operation by controlling the position of a mesh tape. A urinary incontinence treatment device includes a mesh tape unit(110), a controller(120), and a fixing unit(130). The mesh tape unit has a predetermined length and a predetermined width. The mesh tape unit supports urethra. The controller includes a first controller(121) and a second controller(122). The first controller is connected to a first end of the mesh tape unit. The first controller includes a first string(121a) and a second string(121b). The second controller is connected to the second end of the mesh tape unit. The second controller includes a third string(122a) and a fourth string(122b). The controller controls the position of the mesh tape unit. The fixing unit is connected to the controller. The fixing unit fixes the mesh tape unit passing through a vaginal incision part to a skin.

Description

Devices for treatment of urinary incontinence

The present invention relates to an apparatus for treating female urinary incontinence surgery, and more particularly, to an apparatus for treating urinary incontinence for facilitating treatment of urinary incontinence.

Urinary incontinence means that the urine in the bladder leaks out through the urethra regardless of one's will.

The cause of urinary incontinence is a weak closing force due to impairment or damage to the support base of the urethra itself.The bladder neck and urethra are ruptured and weakened by pelvic muscles or ligaments supporting the bladder and urethra due to repeated pregnancy, childbirth or surgery. In case of sagging down, when the nerve supporting the sphincter is partially damaged during childbirth, and the sphincter is weakened, when the blood vessels in the urethra are contracted after menopause, which greatly weakens urethral resistance, neurological diseases after surgery such as uterine cancer or rectal cancer If there are such.

Urinary incontinence is present in 30-47% of healthy middle-aged women, with an average age of late 30s and, in severe cases, giving up social activities or suffering from depression.

Treatment methods for urinary incontinence include medication, behavioral therapy such as pelvic floor muscle training, and non-surgical treatment and surgical treatment, depending on the cause. The drug treatment method has the disadvantage that the drug should be taken regularly for a long time, and side effects such as anxiety, tremor, drowsiness, and anemia caused by the drug for a long time. Due to the disadvantage that the effect can be seen, the surgical treatment method is preferred.

The most innovative surgical procedure for the treatment of urinary incontinence is a tVt (tension-free vaginal tape) that supports the bladder and urethra by inserting a tape-like material through the vaginal area.

However, the conventional tVt (tension-free vaginal tape) surgery method has a disadvantage in that the mesh tape penetrating the skin is easily bent and the mesh tape is difficult to control.

In addition, there is a cumbersome disadvantage of the surgical method because it has to go through the process of sewing and fixing the mesh tape out of the skin.

An object of the present invention for solving the above problems is to provide an apparatus for treating urinary incontinence for facilitating urinary incontinence surgery.

Urinary incontinence treatment apparatus according to an aspect of the present invention for achieving the above object of the present invention has a predetermined length and width, the mesh tape for supporting the urethra, the first adjustment connected to the first end of the mesh tape portion And a second adjusting portion connected to the second end of the mesh tape portion, the adjusting portion for facilitating position adjustment of the mesh tape portion, and connected to the adjusting portion to fix the mesh tape portion passing through the vaginal incision to the skin. It may include a fixing for making. The adjusting part includes a first adjusting part including a first string and a second string connected to a first end of the mesh tape part, and a second adjusting part including a third string and a fourth string connected to a second end of the mesh tape part. It may include. The fixing part includes a first fixing part including a fifth string connected to the combined portions of the first string and the second string and a sixth string connected to the combined portions of the third string and the fourth string. It may include two fixing parts. The fixing part may be a bioabsorbable filament. The urinary incontinence treatment device may further include a first surgical needle connected to the first fixing part and a second surgical needle connected to the second fixing part.

Urinary incontinence treatment apparatus according to another aspect of the present invention for achieving the above object of the present invention has a predetermined length and width, the first tape connected to the mesh tape portion for supporting the urethra and the first end of the mesh tape portion And a second fixing part connected to the second end of the mesh tape part and a fixing part for fixing the mesh tape part to the skin. The fixing unit may be characterized in that to be fixed by direct attachment to the skin. The fixing part may include a plurality of spike-shaped fixing members for fixing a mesh tape part to the skin. Each of the first fixing part and the second fixing part includes a first fixing member having a plurality of spikes for fixing the mesh tape part to the skin, and a second fixing member including a plurality of receiving members for receiving the plurality of spikes. It may include a member. The urinary incontinence treatment device includes a needle connecting portion including a first needle connecting portion connected to the first fixing portion and a second needle connecting portion connected to the second fixing portion, and a first needle and second needle connecting portion connected to the first needle connecting portion. It may be configured to further include a needle portion including a second needle connected.

As described above, by using the urinary incontinence treatment apparatus according to the embodiments of the present invention, the mesh tape can be prevented from being bent in the process of performing the operation for treating urinary incontinence, and the position of the mesh tape can be easily adjusted to operate the incontinence treatment This can be done more effectively and quickly.

In addition, as described above, by using the urinary incontinence treatment apparatus according to the embodiments of the present invention, the fixation of the mesh tape to the skin is simple, and thus, the operation for treating the urinary incontinence can be more easily performed.

As the invention allows for various changes and numerous embodiments, particular embodiments will be illustrated in the drawings and described in detail in the written description. However, this is not intended to limit the present invention to specific embodiments, it should be understood to include all modifications, equivalents, and substitutes included in the spirit and scope of the present invention. In describing the drawings, similar reference numerals are used for similar elements.

Terms such as first and second may be used to describe various components, but the components should not be limited by the terms. The terms are used only for the purpose of distinguishing one component from another. For example, without departing from the scope of the present invention, the first component may be referred to as the second component, and similarly, the second component may also be referred to as the first component. The term and / or includes a combination of a plurality of related items or any item of a plurality of related items.

When a component is referred to as being "connected" or "connected" to another component, it may be directly connected to or connected to that other component, but it may be understood that other components may be present in between. Should be. On the other hand, when a component is said to be "directly connected" or "directly connected" to another component, it should be understood that there is no other component in between.

The terminology used herein is for the purpose of describing particular example embodiments only and is not intended to be limiting of the present invention. Singular expressions include plural expressions unless the context clearly indicates otherwise. In this application, the terms "comprise" or "have" are intended to indicate that there is a feature, number, step, operation, component, part, or combination thereof described in the specification, and one or more other features. It is to be understood that the present invention does not exclude the possibility of the presence or the addition of numbers, steps, operations, components, components, or a combination thereof.

Hereinafter, with reference to the accompanying drawings, it will be described in detail a preferred embodiment of the present invention. Hereinafter, the same reference numerals are used for the same components in the drawings, and duplicate descriptions of the same components are omitted.

1 is a view showing the urinary incontinence treatment apparatus according to an embodiment of the present invention.

Referring to FIG. 1, the urinary incontinence treatment apparatus may include a mesh tape unit 110, an adjusting unit 120, and a fixing unit 130.

Mesh tape portion 110 has a predetermined length and width to support and fix the urethra. If the length of the mesh tape unit 110 is short, it is difficult to adjust, and if the length is long, it may cause waste of materials. When the width of the mesh tape portion 110 is less than 1.1 cm, it is difficult to support and fix it to raise the urethra. When the width of the mesh tape 110 is 1.1 cm or more, the incision is widened to a length of about 1.1 cm.

The mesh tape unit 110 has a certain strength that is harmless to the human body and is not easily broken, and is resistant to water or moisture, and may use a mesh cloth having no adsorption to the surgical suture chamber.

The adjusting unit 120 is configured to facilitate adjustment when the mesh tape unit 110 moves to an appropriate position to support and fix the urethra.

The adjusting unit 120 includes a first adjusting unit 121 connected to the first end of the mesh tape unit 110 and a second adjusting unit 122 connected to the second end of the mesh tape unit 110.

The first adjusting unit 121 includes a first string 121a and a second string 121b, and are combined into one in the first fixing portion 130a of the first string 121a and the second string 121b. Since the first adjusting part 121 is composed of the first string 121a and the second string 121b, the first adjusting part 121 is easy to adjust and move to an appropriate position even with a small change in force, and the force is dispersed even in a strong force. Can withstand

The second adjusting part 122 includes a third string 122a and a fourth string 122b, and are combined into one in the third string 122a and the fourth string 122b and the second fixing part 130b. Since the second adjusting part 122 is composed of the third string 122a and the fourth string 122b, the second adjusting part 122 can be easily adjusted even with a small change in force, and the accuracy of the adjusting can be increased. This is made to endure.

The fixing part 130 includes a first fixing part 130a and a second fixing part 130b. The first fixing part 130a includes a fifth string connected to the combined portions of the first string 121a and the second string 121b. The second fixing part 130b includes a sixth string connected to the combined portion of the third string 122a and the fourth string 122b. Fixing portion 130 is sewn to the skin so that the urinary incontinence treatment device 100 passed through the vaginal incision can be fixed.

The fixing part 130 may be composed of a bioabsorbable filament. Bioabsorbable filaments refer to threads absorbed by the body's inflammatory response. Surgical bioabsorbable filaments include glycolide acid polymers, lactide polymers, glycolide acid-lactide copolymers, glycolide caprolactone Copolymers, poly hydroxy butyric acid copolymers, poly-P-dioxanone polymers, or trimethylene carbonate polymers can be used. have.

The adjusting unit 120 may be made of the same material as the fixing unit 130. That is, the adjusting unit 120 may be composed of a bioabsorbable filament. Alternatively, the adjusting unit 120 may be made of a material that is not the same as the fixing unit 130. For example, the adjuster 120 may be made of a bioabsorbable material.

Figure 2 illustrates a device for treating urinary incontinence according to another embodiment of the present invention.

Referring to FIG. 2, the urinary incontinence treatment apparatus according to another embodiment of the present invention may include a first surgical needle 140a and a second fixing portion connected to the first fixing portion 130a of the urinary incontinence treatment apparatus of FIG. 1. It further includes a second surgical needle (140b) connected to 130b).

The first surgical needle 140a is connected to the first fixing part 130a, and the second surgical needle 140b is connected to the second fixing part 130b to guide the mesh tape part 110 to the guide part 804. ) To guide the incision path.

Figure 3 shows a device for treating urinary incontinence according to another embodiment of the present invention.

3, the urinary incontinence treatment apparatus according to another embodiment of the present invention is composed of a mesh tape portion 210 and the fixing portion 220.

Since the mesh tape unit 210 has the same material, operation, and effects as the mesh tape unit 110 described with reference to FIG. 1, a description thereof will be omitted below.

The fixing part 220 includes a first fixing part 220a connected to the first end of the mesh tape part 210 and a second fixing part 220b connected to the second end of the mesh tape part 210. The fixing part 220 allows the mesh tape part 210 to be fixed to the skin.

The fixing part 220 includes spike-shaped fixing members 221a and 221b. The fixing members 221a and 221b may have a hemispherical shape with a sharp upper end so as to be able to withstand the force well and have strong adhesive force.

Figure 4 shows a device for treating incontinence according to another embodiment of the present invention.

The urinary incontinence treatment apparatus according to another embodiment of the present invention has a difference in the configuration of the urinary incontinence treatment apparatus and the fixing unit 220 of FIG.

The fixing part 220 includes a first fixing part 220c connected to the first end of the mesh tape part 210 and a second fixing part 220d connected to the second end of the mesh tape part 210. do.

The first fixing part 220c includes a first fixing member 222a having a plurality of spikes 221a and a second fixing member including a receiving member 223b for receiving the plurality of spikes 221a ( 224a). The second fixing part 220d includes a first fixing member 222b having a plurality of spikes 221b and a second fixing member including a receiving member 223b for receiving the plurality of spikes 221b ( 224b).

The first fixing part 220c, the first fixing member 222a and the second fixing member 224a are engaged with each other and fixed to the skin. In addition, the first fixing member 222b and the second fixing member 224b of the second fixing part 220d are engaged with each other and fixed to the skin.

Figure 5 shows a device for treating urinary incontinence according to another embodiment of the present invention.

5, the urinary incontinence treatment apparatus according to another embodiment of the present invention further includes a needle connecting portion 230 and a needle portion 240 coupled to the fixing portion 220 of the urinary incontinence treatment apparatus of FIG. 3. It includes more.

The needle connector 230 includes a first needle connector 230a connected to the first fixing part 220a and a second needle connector 230b connected to the second fixing part 220b. And fixing part 220 is connected.

The needle part 240 includes a first needle 240a connected to the first needle connection part 230a and a second needle 240b connected to the second needle connection part 230b.

Since the needle part 240 has the same operation as the first surgical needle 140a and the second surgical needle 140b described with reference to FIG. 3, a description thereof will be omitted below.

6A and 6B sequentially illustrate one embodiment of a method of using a surgical instrument for women according to one embodiment of the present invention.

To perform the treatment, the patient first places a hyperflexed buttock over the abdomen to a dorsal lithotomy position and the bladder is emptied. A first incision 702 is indicated in the obturator membrane 707. The first cutout 702 is preferably located 2cm on the side and 2cm on the upper side of the urethra.

Next, a 2 cm second incision 705 is made along the centerline of the patient's anterior vaginal wall, and the first incision 702 in the pulmonary myocardial hole 707 at the second incision 705. Incision with scissors, etc. until it reaches). Preferably the incision scissors may be used mayo scissors.

The urinary incontinence treatment apparatus passes through the second incision 705 cut by the incision scissors to reach and exit the first incision 702 in the obstructive muscle 707 along the urinary tract.

At this time, the fixing mechanism 804 is fixed to open both sides of the first incision and the first fixing member (222a, 222a) and the second fixing member (224a, 224b) of Figure 4 in accordance with the present invention to be fixed to the skin do. In addition, at this time, it may be sewn with a surgical needle or the fixing portions 220a and 220b of FIG. 3 according to the present invention may be fixed by directly contacting the skin.

Removing the fixing device 804, and the other side in the same manner as above, the above steps, the urinary incontinence surgical instrument as shown in Figure 6b to support and fix the urethra.

While certain forms of the invention have been illustrated and described, various changes can be made without departing from the spirit and scope of the invention.

1 is a view showing the urinary incontinence treatment apparatus according to an embodiment of the present invention

6A and 6B are conceptual diagrams illustrating a method of incontinence surgery using an urinary incontinence treatment apparatus according to an embodiment of the present invention.

110: mesh tape unit 120: control unit

121: first adjusting unit 122: second adjusting unit

121a: first string 121b: second string

130: fixed part 702: first incision

707: second incision

Claims

In the urinary incontinence treatment apparatus for treating incontinence,

A mesh tape portion having a predetermined length and width and supporting the urethra;

An adjusting part including a first adjusting part connected to a first end of the mesh tape part and a second adjusting part connected to a second end of the mesh tape part, and for adjusting a position of the mesh tape part; And

A fixing part connected to the adjusting part to fix the mesh tape part passing through the vaginal incision to the skin

Urinary incontinence treatment apparatus comprising a.

The method of claim 1, wherein the control unit

A first adjusting part including a first string and a second string connected to the first end of the mesh tape portion; And

And a second adjusting portion including a third string and a fourth string connected to the second end of the mesh tape portion.

The method of claim 1, wherein the fixing portion

A first fixing part including a fifth string connected to a combined portion of the first string and the second string; And

And a second fixation portion comprising a sixth strap connected to the combined portion of the third strap and the fourth strap.

The urinary incontinence treatment device of claim 1, wherein the fixing part is made of a bioabsorbable filament.

The method of claim 1,

A first surgical needle connected to the first fixing part; And

And a second surgical needle connected to said second fixing portion.

In the urinary incontinence treatment apparatus for treating incontinence,

A mesh tape portion having a predetermined length and width and supporting the urethra; And

A fixing part connected to the first end of the mesh tape part and a second fixing part connected to the second end of the mesh tape part, the fixing part for fixing the mesh tape part to the skin

Urinary incontinence treatment apparatus comprising a.

7. The urinary incontinence treatment device of claim 6, wherein the fixing part is fixed by direct attachment to the skin.

The method of claim 6, wherein the fixing portion

And a plurality of spike-like fixing members for fixing said mesh tape portion to said skin.

The method of claim 6, wherein the first fixing portion and the second fixing portion each

A first fixing member having a plurality of spikes for fixing the mesh tape portion to the skin; and

And a second fixing member including a plurality of receiving members for receiving the plurality of spikes.

The method of claim 6,

A needle connector including a first needle connector connected to the first fixing unit and a second needle connector connected to the second fixing unit; And

Further comprising a needle part including a first needle connected to the first needle connection and a second needle connected to the second needle connection,

The needle connecting unit is incontinence treatment device, characterized in that connecting the needle and the needle.