WO2014162363A1 - Outil de soutien intravaginal et dispositif d'injection de fluide - Google Patents

Outil de soutien intravaginal et dispositif d'injection de fluide Download PDF

Info

Publication number
WO2014162363A1
WO2014162363A1 PCT/JP2013/002378 JP2013002378W WO2014162363A1 WO 2014162363 A1 WO2014162363 A1 WO 2014162363A1 JP 2013002378 W JP2013002378 W JP 2013002378W WO 2014162363 A1 WO2014162363 A1 WO 2014162363A1
Authority
WO
WIPO (PCT)
Prior art keywords
fluid
internal support
injection
bag
vagina
Prior art date
Application number
PCT/JP2013/002378
Other languages
English (en)
Japanese (ja)
Inventor
圭 本田
Original Assignee
テルモ株式会社
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by テルモ株式会社 filed Critical テルモ株式会社
Priority to PCT/JP2013/002378 priority Critical patent/WO2014162363A1/fr
Publication of WO2014162363A1 publication Critical patent/WO2014162363A1/fr

Links

Images

Classifications

    • 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
    • A61F6/00—Contraceptive devices; Pessaries; Applicators therefor
    • A61F6/06—Contraceptive devices; Pessaries; Applicators therefor for use by females
    • A61F6/08—Pessaries, i.e. devices worn in the vagina to support the uterus, remedy a malposition or prevent conception, e.g. combined with devices protecting against contagion
    • 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
    • A61F2/005—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 with pressure applied to urethra by an element placed in the vagina
    • 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
    • A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0003—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having an inflatable pocket filled with fluid, e.g. liquid or gas
    • 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
    • A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0004—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable

Definitions

  • the present invention relates to a vaginal internal support that can be used for the treatment of pelvic organ prolapse and that can be expanded and contracted while inserted into the vagina, and in particular, is intended to ensure conformity to the shape of the patient's vagina.
  • the present invention also relates to a fluid injection device for inflating the vaginal internal support, and particularly to facilitate fluid injection operation.
  • Pelvic organ prolapse is a disease in which the uterus, bladder, rectum, and other organs in the pelvis droop and escape from the body in severe cases. Such as symptoms.
  • vaginal births develop with aging and the number of potential patients in the country is 3.5 million.
  • a pessary usually consists of an elastically deformable ring body, which is inserted and placed in the patient's vagina by a doctor to support the drooping of the cervix, the anterior wall of the vagina, the posterior wall of the vagina, etc. Suppress.
  • a circular ring body is inserted into the vagina with an elliptical shape. While the inserted ring body is restored from an elliptical shape to a circular shape, the radial direction of the restored circular ring body is substantially perpendicular to the direction from the vaginal entrance to the back of the vagina. Is pressed against a region near the cervix side of a hard tissue derived from the pubic bone (hereinafter referred to as “pubic tissue”) in the anterior vaginal wall, and is locked to the pubic tissue through the anterior vaginal wall in the region. Is held in the vagina.
  • pubic tissue a hard tissue derived from the pubic bone
  • the surrounding soft vagina wall can be pushed and deformed, whereas in areas where the pubic tissue is deep, the depth leading to the pubic tissue The above indentation deformation is difficult.
  • the pessary is pressed against the region slightly behind the vagina than the region where the pubic tissue exists in the deep part of the vagina (that is, the region near the cervix side of the pubic tissue on the anterior vagina)
  • a recess is formed by the deformable region and the region in which push-in deformation is difficult, and the pessary is locked in the recess.
  • pessaries may cause off-flavors or bleeding from pressure points if left in the body for a long period of time. Or a new one needs to be inserted and placed.
  • the pessary has a ring body whose outer diameter is considerably larger than that of the vaginal entrance, and is not easy to remove. For this reason, as an alternative to the pessary, a vaginal internal support that can expand and contract in the vagina has been proposed.
  • the vaginal internal support described in Patent Document 1 is disposed on the vaginal entrance side and is inflatable via the valve, and is disposed on the back side of the vagina and inflated via another valve. And other shrinkable bags.
  • the vaginal internal support device described in Patent Document 1 cannot always be surely adapted to the shape of the patient's vagina. For this reason, the effect of suppressing pelvic organ prolapse has not been sufficiently obtained, and a compression site has been produced, causing problems such as bleeding and erosion.
  • the present invention has been developed in view of the above-described present situation, and an object thereof is to provide an intravaginal support that can be surely adapted to the intravaginal shape of a patient. It is another object of the present invention to provide a fluid injection device for inflating such a vaginal internal support, which can be easily injected with a fluid.
  • the intravaginal support device of the present invention is used for the treatment of pelvic organ prolapse, and in the intravaginal support device that can be inflated and contracted while inserted into the vagina, the open state where fluid is allowed to pass and the blocking of passage of fluid are blocked.
  • a balloon having an opening / closing portion that can be switched between states, and a bag portion that is inflatable by inflow of fluid through the opening / closing portion and contractable by outflow of fluid through the opening / closing portion.
  • an outer bag body which accommodates the bag portion of the balloon and can be inflated and contracted as the bag portion expands and contracts.
  • fluid means fluids, such as air, other gas, a liquid, or a viscous body, for example.
  • the vaginal internal support device of the present invention includes two or more balloons, and the outer bag body stores both of the bag portions of the two or more balloons, and the bag portions are expanded and contracted. It is preferable that it can expand and contract.
  • At least one of the two or more balloons can press the bag portion of the other balloon toward the anterior wall of the vagina by the expansion of the bag portion of the balloon. preferable.
  • the two or more balloons have different elastic compliances.
  • the elastic compliance is the reciprocal of the elastic modulus and is a physical quantity indicating the ease of deformation of the object.
  • a recess that can fit the cervix is formed on the outer surface of the outer bag body by inflating the two or more balloons.
  • the vaginal internal support device of the present invention further includes a ring-shaped pressing portion that surrounds all of the opening / closing portions of the one or more balloons, and each opening / closing portion allows fluid to flow into each bag portion.
  • each of the check valves has a check valve for blocking outflow of fluid from each bag portion, and each of the check valves presses the ring-shaped pressing portion inward at a predetermined circumferential position. It is preferable to allow fluid outflow from the bag portion.
  • the fluid injection device for inflating the vaginal internal support device of the present invention is connected to the vaginal internal support device and has an injection port having an injection port communicating with the opening and closing unit, and is sent to the injection port of the injection unit
  • the injection part is connected to the vaginal internal support device including two or more balloons, and the two or more communication parts communicate with the opening / closing parts of the two or more balloons.
  • the adjustment operation unit can adjust the amount of fluid sent to each injection port of the injection unit, and the injection operation unit supplies the amount of fluid adjusted by the adjustment operation unit, respectively.
  • each injection port of the injection unit be pumped.
  • the bag portion is inflated by inserting the intravaginal support device into the vagina and allowing fluid to flow into the bag portion of the balloon through the opening / closing portion. Accordingly, since the outer bag body that accommodates the bag portion can be inflated, the mutual positional relationship between the bag portion and the outer bag body, the shape and the expansion characteristics of the bag portion and the outer bag body (for example, By properly setting the direction of expansion, such as whether it can expand in all directions or only in a specific direction, and the size of elastic compliance, etc. It can be surely adapted to the shape of the vagina.
  • the injection part of the fluid injection device is connected to the vaginal internal support inserted into the vagina, or the vaginal internal support to which the injection part of the fluid injection device is connected is connected to the vagina. Since the fluid of the amount inserted and adjusted by the adjustment operation unit can be pumped to the injection port of the injection unit by the injection operation unit, the vaginal internal support can be expanded by an easy operation.
  • FIG. 4 is a partial longitudinal sectional view of the fluid injection device of FIG. 3.
  • FIG. 4 is a longitudinal sectional view showing a state where the fluid injection device of FIG. 3 is connected to the vaginal internal support of FIG. 1 and air is injected. It is a partial longitudinal cross-sectional view which shows the state which has arrange
  • FIG. 9 is a cross-sectional view taken along the line AA in FIG.
  • FIG. 7 is a modification of the vagina internal support of FIG. 7, Comprising:
  • One of the bag parts is comprised with the material with low elastic compliance, and the example arrange
  • FIG. 7 It is a perspective view which shows the other modification of the vagina internal support tool of FIG. 7, and shows the example which provided the hollow part. It is a perspective view which shows the further another modification of the vagina inside support tool of FIG. 7, (a) is the example which formed the convex part in the outer surface of a bag part, (b) is a protrusion on the outer surface of a bag part. Examples of arrangement are shown respectively. It is a perspective view which shows the further another modification of the vagina inner support tool of FIG. 7, (a) shows the example which uses a balloon-shaped balloon, (b) shows the example which has arrange
  • FIG. 7 shows the example using a ring-shaped balloon, (b) shows the example using a holding member, respectively. It is a perspective view which shows the further another modification of the vagina internal support tool of FIG. 7, and shows the example which provided the recessed part. It is a side view which shows the further another modification of the vagina internal support tool of FIG. 7, and shows the example which provided the groove part.
  • FIG. 1 is a perspective view of a vaginal internal support of this example, where (a) shows an expanded state and (b) shows a contracted state.
  • FIG. 2 is a longitudinal sectional view of the internal vagina support of this example, where (a) shows an expanded state and (b) shows a contracted state.
  • the vaginal internal support 1 includes a balloon 20, an outer bag body 30, and a ring body (pressing portion) 40.
  • the balloon 20 includes a mouth portion 21, an opening / closing portion 22 that is continuous with the mouth portion 21, and a bag portion 23 that is continuous with the opening / closing portion 22.
  • the mouth portion 21 is formed with a tapered surface 21 a that is inclined toward the bag portion 23 toward the center of the mouth portion 21.
  • the tapered surface 21a forms a connection portion to which an inlet of a fluid injection device described later is connected.
  • the opening / closing part 22 can be switched between an open state in which fluid, in this example, air is allowed to pass, and a shut-off state, in which the passage of fluid is blocked.
  • the opening / closing part 22 has a through hole 22a penetrating inside and outside of the bag part 23, and the opening on the bag part 23 side of the through hole 22a is sealed by a cantilevered check valve 22b. ing. Therefore, in the opening / closing part 22, the check valve 22b allows the inflow of air into the bag part 23, and the air outflow from the bag part 23 is blocked.
  • the bag portion 23 is made of an airtight elastic material, can be expanded by inflow of air through the opening / closing portion 22, and can be contracted by outflow of air through the opening / closing portion 22.
  • the outer bag 30 is made of an airtight elastic material.
  • the outer bag 21, the opening / closing part 22, and the bag part 23 of the balloon 20 are accommodated, and the bag part 23 is inflated and contracted. It can shrink.
  • a space S is formed between the inner surface of the outer bag body 30 and the outer surface of the bag portion 23 in a region opposite to the mouth portion 21. In other areas, the outer bag 30 and the balloon 20 are joined to each other.
  • the space S is filled with air, but instead of air, for example, a gas other than air, a liquid, or a fluid such as a viscous material can be filled.
  • the ring body 40 is provided on the outer bag body 30 so as to surround the opening / closing part 22.
  • the ring body 40 is integrated with the outer surface of the outer bag body 30 in a region surrounding the opening / closing part 22 by, for example, bonding. Therefore, by pressing the ring body 40 inward at a predetermined circumferential position, the check valve 22b can be deformed to open the through hole 22a, and the outflow of air from the bag portion 23 can be allowed.
  • FIG. 3 is a perspective view of the fluid injection device of this example.
  • FIG. 4 is a partial longitudinal sectional view of the fluid injection device of this example.
  • the fluid injection device 2 includes an injection unit 50, an adjustment operation unit 60, and an injection operation unit 70.
  • the injection part 50 is connected to the tapered surface 21a (connection part) of the vaginal internal support 1 described with reference to FIG. 2, and the injection port 51 communicating with the opening / closing part 22 is connected to the adjustment operation part 60.
  • a tube 52 provided continuously.
  • the adjustment operation unit 60 includes an inner cylinder 61, an inner pusher 62, and a knob 63.
  • the end of the tube 52 opposite to the inlet 51 of the tube 52 is screwed and fixed to the tip of the inner cylinder 61.
  • the tip of the inner pusher rod 62b is screwed into the inner gasket 62a, and the inner pusher flange 62c is integrally provided at the rear end of the inner pusher rod 62b.
  • the injection operation unit 70 includes an outer cylinder 71 that houses the inner cylinder 61 and the inner pusher 62, an outer pusher 72, and a cap 73.
  • a slit 71a is formed on the side wall to expose the knob 63 and a part of the side wall of the inner cylinder 61. From the slit 71a, the scale 61a displayed on the inner cylinder 61 is visible. Further, the inner cylinder 61 is made of a transparent material, and as a result, the position of the inner gasket 62a can be confirmed through the scale 61a.
  • the outer pusher 72 has a front end of the outer pusher rod 72b screwed into the outer gasket 72a, and an outer pusher flange 72c is integrally provided at the rear end of the outer pusher rod 72b. ing.
  • the cap 73 is screwed and fixed to the open end 71 b on the opposite side of the injection portion 50 of the outer cylinder 71.
  • the knob 63 of the adjustment operation unit 60 by operating the knob 63 of the adjustment operation unit 60 and adjusting the position of the inner gasket 62a to an appropriate scale position so that a desired amount of air determined by, for example, a doctor's examination is injected,
  • the amount of air sent to the injection port 51 of the injection unit 50 can be adjusted.
  • the outer pusher flange 72c of the injection operation unit 70 is pushed in, the inner pusher 62 is pushed in by the outer gasket 72a, and the amount of air adjusted by the adjustment operation unit 60 is pumped to the injection port 51 of the injection unit 50. can do.
  • the inlet 51 is connected to the tapered surface 21a (connecting portion) of the vagina internal support 1 and communicated with the opening / closing portion 22.
  • the amount of air adjusted by the adjusting operation portion is supplied to the inlet 51 by the injecting operation portion.
  • the check valve 22b of the opening / closing part 22 can be opened, air can flow into the bag part 23 of the balloon 20, and the bag part 23 can be inflated. Further, with the expansion of the bag portion 23, the space S between the inner surface of the outer bag body 30 and the outer surface of the bag portion 23 is pushed, and the outer bag body 30 in the region forming the space S is expanded. be able to.
  • vaginal internal support 1 that can be surely adapted to the shape of the patient's vagina.
  • the patient can use the finger or an insertion device, for example, with the vagina internal support 1 in a contracted state or a partially expanded state as shown in FIG. ),
  • the vaginal internal support 1 is inserted into the vagina, the injection part 50 of the fluid injection device 2 is inserted into the vagina and connected to the vaginal internal support 1, and as described above, the vaginal internal support 1 6 is removed, the injection part 50 of the fluid injection device 2 is removed from the vaginal internal support 1 and the fluid injection device 2 is taken out of the vagina, whereby the internal vaginal support 1 is removed from the vagina as shown in FIG. Can be placed in.
  • the injection 50 of the fluid injection device 2 are connected to the vaginal internal support 1, and the vaginal internal support 1, the injection part 50 of the fluid injection device 2, and the tube 52 are inserted into the vagina with fingers so that the vaginal internal support 1 is placed deep inside the vagina. You may make it insert in.
  • the bag part 23 of the vaginal internal support 1 is held in the vagina by being locked to the pubic tissue C via the outer bag body 30 and the anterior wall of the vagina.
  • the pubic tissue C means a hard tissue derived from the pubic bone, as described above with respect to the arrangement procedure of the conventional pessary.
  • the bag portion 23 is a region near the cervix N side of the pubic tissue C on the anterior vagina wall (that is, between the pubic tissue C and the cervix N).
  • the pressing force is applied to the region closer to the pubic tissue C than the cervix N), and the holding force of the vagina internal support 1 in the vagina is also strengthened from this point. Therefore, it is possible to support the cervix N from below by the vaginal internal support device 1 and / or suppress drooping of the anterior wall of the vagina and / or inhibit drooping of the posterior wall of the vagina and inhibit pelvic organ prolapse. It becomes.
  • the patient contracts the vagina internal support device 1 by squeezing the ring body 40 inward at a predetermined circumferential position with a finger, and causes the ring body 40 to contract. Just pull it out with your finger.
  • FIG. 7 is a perspective view showing the vagina internal support of the present example in an expanded state.
  • FIG. 8 is a longitudinal sectional view showing the vagina internal support of the present example in an expanded state.
  • 9 is a cross-sectional view taken along the line AA in FIG.
  • the intravaginal support 1 ′ includes three balloons in this example, that is, a first balloon 80 disposed on the vagina rear wall side, a first balloon 80 disposed on the vagina front wall side, and a vagina inlet side.
  • positioned in the vaginal front wall side and the back side of vagina, the outer bag body 30, and the ring body (pressing part) 40 are comprised.
  • each of the first balloon 80, the second balloon 80 ′, and the third balloon 80 ′′ has a small bag portion 83, 83 ′, 83 ′′, and the peripheral walls of the mouth portion are integrated with each other.
  • the structure is the same as that of the balloon 20 in the example described with reference to FIG.
  • the opening / closing portions 82, 82 ′, 82 ′′ of the first balloon 80, the second balloon 80 ′, and the third balloon 80 ′′ are symmetrical around the axis O of the ring body 40. Has been placed. Further, all of these check valves are cantilevered in the same direction (in this example, upward in FIGS. 8 and 9).
  • the outer bag body 30 stores all of the first balloon 80, the second balloon 80 ′, and the third balloon 80 ′′ in this example. It can be expanded and contracted with the expansion and contraction of 83 ′ and 83 ′′.
  • the ring body 40 has a ring shape surrounding each of the open / close portions 82, 82 ′, 82 ′′. 9 at the 3 o'clock and 9 o'clock positions), each check valve is deformed to allow fluid outflow from each bag portion.
  • FIG. 10 is a perspective view of the fluid injection device of this example.
  • the fluid injection device 2 ′ of this example corresponds to the three opening / closing portions 82, 82 ′, 82 ′′ of the vaginal internal support 1 ′ described with reference to FIGS. 3 is the same as the fluid injection device 2 described with reference to FIG. 3 and FIG.
  • the injection part 50 is connected to the connection part of each balloon of the vaginal internal support 1 ′, and the three injections communicating with the opening / closing parts 82, 82 ′, 82 ′′, respectively. It has inlets 51, 51 ', 51' '.
  • the injection unit 50 includes three inner tubes (not shown) that connect the respective injection ports 51, 51 ′, 51 ′′ to the corresponding adjustment operation units 60, 60 ′, 60 ′′, respectively. Have inside.
  • Each adjustment operation unit 60, 60 ′, 60 ′′ has the same configuration as that of the adjustment operation unit 60 in the example described with reference to FIGS. 3 and 4, and each knob 63, 63 ′, 63 ′. By manipulating ', the amount of fluid sent to each inlet 51, 51', 51 '' can be adjusted.
  • the injection operation unit 70 has the same configuration as the injection operation unit 70 in the example described with reference to FIGS. 3 and 4, and each adjustment is performed by an outer gasket (not shown) when the outer pusher flange 72c is pushed in.
  • Each of the inner pushers (not shown) of the operation units 60, 60 ′, 60 ′′ is pushed in, and the amount of air adjusted by each adjustment operation unit 60, 60 ′, 60 ′′ is respectively injected into the injection unit 50. Can be pumped to the respective inlets 51, 51 ′, 51 ′′.
  • the injection part 50 of the fluid injection device 2 ′ is connected to the tapered surface 21a (connection part) of the vaginal internal support 1 ′ to open and close the injection ports 51, 51 ′, 51 ′′. , 82, 82 ′, 82 ′′ are communicated with each of the adjustment operation units 60, 60 ′, 60 ′′.
  • Each check valve of each opening / closing part 82, 82 ′, 82 ′′ is opened by pressure feeding to 51 ′′, and air flows into the bag part of each balloon 80, 80 ′, 80 ′′.
  • the part can be inflated.
  • the bag portions of the second balloon 80 ′ and the third balloon 80 ′′ are pressed toward the vaginal front wall by the expansion of the bag portion of the first balloon 80 disposed on the vagina rear wall side. be able to.
  • the procedure for disposing the vagina internal support 1 ′ in this example in the vagina is the same as in the example described with reference to FIGS. 1 to 6, but in this example, a plurality of bags are provided. Nevertheless, it is possible to inject an adjusted amount of air into each bag part by a single operation of operating the injection operation part 70 of the fluid injection device 2 ′. Therefore, according to the fluid injection device 2 ′ of this example, the operation of inflating the vagina inner support 1 ′ can be greatly facilitated. Further, when removing the vaginal internal support 1 ′ from the vagina, air can be discharged from all the bag portions by a single operation of pressing the ring body 40 inward at a predetermined circumferential position. Therefore, according to the vaginal internal support 1 'of this example, the operation for removing the vaginal internal support 1' from the vagina can be greatly facilitated.
  • the vaginal internal support comprises two or more balloons, and at least one of the two or more balloons is made of a material in which a balloon bag is less elastic compliant than at least one other balloon bag.
  • the bag portion 83 of the first balloon 80 has lower elastic compliance than the bag portions 83 ′ and 83 ′′ of the second balloon 80 ′ and the third balloon 80 ′′. It can be made of material and placed on the vagina posterior wall side.
  • the vaginal internal support device includes two or more balloons, and by inflating both of the two or more balloons, a hollow portion that can fit the cervix is formed on the outer surface of the outer bag body.
  • the entire vagina internal support device can be inserted into the vagina while pushing the cervix hanging down at the depression.
  • the bag portion 83 of the first balloon 80 is partially surrounded by the bag portions 83 ′ and 83 ′′ of the second balloon 80 ′ and the third balloon 80 ′′, thereby forming the depression U. Can be formed.
  • a convex portion P is formed on the outer surface of the bag portion by forming a partial region of the bag portion with a material having high elastic compliance.
  • the protrusion Q is arranged on the outer surface of the bag portion, so that either the protrusion P or the protrusion Q is connected to the pubic tissue C shown in FIGS. 6 (a) and 6 (b).
  • the inner vaginal support can be securely held in the vagina by engaging the outer bag body with the outer bag body and the front wall of the vagina or by fitting the recess in the vagina wall with the outer bag body.
  • the intravaginal support device includes two or more balloons, and at least one of the two or more balloons has a balloon bag portion having an elongated shape than the other at least one balloon bag portion. Also good.
  • a balloon having a bellows-like bag portion 90 and two balloons having an elongated bag portion 91 are provided, and around two elongated bag portions 91 arranged in parallel.
  • it is configured such that a vine-shaped bag portion 90 is wound.
  • a plurality of convex portions can be formed on the surface of the vagina internal support, and any one of the plurality of convex portions is applied to the pubic tissue C shown in FIG.
  • the internal support for the vagina can be securely held in the vagina by being locked through the front wall or adapted to the recess in the vagina wall.
  • the elongate bag portion 92 is folded and stored in the outer bag body, so that the outer bag body expands in the vaginal front-rear direction (arrow direction in the figure) when inflated.
  • the outer bag body is easily locked to the pubic tissue C shown in FIG. 6 through the anterior vagina wall.
  • the intravaginal support device includes two or more balloons, and the two or more balloons are each made of a material having a lower elastic compliance than that of the balloon, such as an elastomer or plastic. It can also be set as the structure joined by the member R.
  • a recess W for a patient to hook a finger when removing the vagina inner support from the vagina can be provided on the outer surface of the vagina inner wall on the vagina rear wall side.
  • a groove T extending from the back of the vagina toward the vagina inlet side may be provided on the outer surface of the vagina internal support, and the vaginal secretion can be discharged through the groove T.
  • a through hole that penetrates the vagina internal support may be provided.
  • the outer bag body has been described as accommodating the mouth portion, the opening / closing portion, and the entire bag portion of the balloon.
  • the outer bag body is not necessarily limited to such a configuration, and the outer bag body may accommodate the balloon bag portion. That's fine.
  • the number of balloons provided in the vaginal internal support may be two, or four or more.

Landscapes

  • Health & Medical Sciences (AREA)
  • Reproductive Health (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

La présente invention concerne un outil de soutien intravaginal (1) comprenant : un ballonnet (20) comportant une pièce d'ouverture/de fermeture (22) qui peut être actionnée de sorte à être commutée entre un état ouvert qui laisse un fluide passer au travers et un état bloqué qui bloque le passage du fluide ; et une pièce formant une poche (23) qui peut être gonflée par le flux entrant du fluide à travers la pièce d'ouverture/de fermeture (22) et qui peut être dégonflée par le flux sortant du fluide à travers la pièce d'ouverture/de fermeture (22) ; et un corps de poche externe (30) qui accueille la pièce formant une poche (23) du ballonnet (20), et qui peut être gonflé/dégonflé parallèlement au gonflement/dégonflement de la pièce formant une poche (23).
PCT/JP2013/002378 2013-04-05 2013-04-05 Outil de soutien intravaginal et dispositif d'injection de fluide WO2014162363A1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
PCT/JP2013/002378 WO2014162363A1 (fr) 2013-04-05 2013-04-05 Outil de soutien intravaginal et dispositif d'injection de fluide

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/JP2013/002378 WO2014162363A1 (fr) 2013-04-05 2013-04-05 Outil de soutien intravaginal et dispositif d'injection de fluide

Publications (1)

Publication Number Publication Date
WO2014162363A1 true WO2014162363A1 (fr) 2014-10-09

Family

ID=51657698

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/JP2013/002378 WO2014162363A1 (fr) 2013-04-05 2013-04-05 Outil de soutien intravaginal et dispositif d'injection de fluide

Country Status (1)

Country Link
WO (1) WO2014162363A1 (fr)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108135732A (zh) * 2015-08-20 2018-06-08 沃特金斯-康迪产品股份有限公司 柔性锥形阴道内支撑装置
EP3906900A1 (fr) 2020-05-06 2021-11-10 Stichting Radboud universitair medisch centrum Dispositif vaginal pour le traitement du prolapsus

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4669478A (en) * 1985-03-21 1987-06-02 Robertson Jack R Device for diagnosing and relieving female incontinence
JP2009513215A (ja) * 2005-10-25 2009-04-02 エシコン・インコーポレイテッド 骨盤底支持のための調節可能な膣副子

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4669478A (en) * 1985-03-21 1987-06-02 Robertson Jack R Device for diagnosing and relieving female incontinence
JP2009513215A (ja) * 2005-10-25 2009-04-02 エシコン・インコーポレイテッド 骨盤底支持のための調節可能な膣副子

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108135732A (zh) * 2015-08-20 2018-06-08 沃特金斯-康迪产品股份有限公司 柔性锥形阴道内支撑装置
CN108135732B (zh) * 2015-08-20 2020-08-14 沃特金斯-康迪产品股份有限公司 柔性锥形阴道内支撑装置
EP3906900A1 (fr) 2020-05-06 2021-11-10 Stichting Radboud universitair medisch centrum Dispositif vaginal pour le traitement du prolapsus
WO2021224332A1 (fr) 2020-05-06 2021-11-11 Stichting Radboud Universitair Medisch Centrum Dispositif vaginal pour traitement de prolapsus

Similar Documents

Publication Publication Date Title
JP4824090B2 (ja) 骨盤底支持のための調節可能な膣副子
JP2014530678A (ja) 便失禁を治療するための膣内デバイスおよび方法
US20040122463A1 (en) Cervical medical device, system and method
BRPI0617888A2 (pt) aparelho vaginal ajustável para suporte de assoalho pélvico
JP5960327B2 (ja) 便失禁のための膣内デバイス
ES2842380T3 (es) Dispositivo de incontinencia
US10765520B2 (en) Penile implant with a length-adjustable tube
US10813762B2 (en) Inflatable penile prosthesis with reinforced cylinder
US10980637B2 (en) Inflatable penile prosthesis with pump bulb
JP6068618B2 (ja) 膣内部支持具及び膣内部支持具セット
AU2019268044A1 (en) Inflatable penile prosthesis with reversible flow pump assembly
WO2014162363A1 (fr) Outil de soutien intravaginal et dispositif d'injection de fluide
KR20180008718A (ko) 질 분만 동안 골반저를 보호하기 위한 장치
US11324596B2 (en) Inflatable penile prosthesis with reinforced cylinder
US10874517B2 (en) Inflatable penile prosthesis with reinforced members
WO2014162362A1 (fr) Outil de soutien intravaginal et dispositif d'injection de fluide
CN116269920B (zh) 一种空盆腔支撑囊体
US20150351886A1 (en) Surgical vaginal support device for surgical treatment of pelvic organ prolapse
AU2011227265B2 (en) Intra-vaginal device for fecal incontinence

Legal Events

Date Code Title Description
121 Ep: the epo has been informed by wipo that ep was designated in this application

Ref document number: 13881041

Country of ref document: EP

Kind code of ref document: A1

NENP Non-entry into the national phase

Ref country code: DE

122 Ep: pct application non-entry in european phase

Ref document number: 13881041

Country of ref document: EP

Kind code of ref document: A1

NENP Non-entry into the national phase

Ref country code: JP