WO2017213604A1 - A retropubic needle system - Google Patents

A retropubic needle system Download PDF

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Publication number
WO2017213604A1
WO2017213604A1 PCT/TR2017/000046 TR2017000046W WO2017213604A1 WO 2017213604 A1 WO2017213604 A1 WO 2017213604A1 TR 2017000046 W TR2017000046 W TR 2017000046W WO 2017213604 A1 WO2017213604 A1 WO 2017213604A1
Authority
WO
WIPO (PCT)
Prior art keywords
mala
needle
protective
button
retroprubic
Prior art date
Application number
PCT/TR2017/000046
Other languages
French (fr)
Inventor
Orhan Seyfi Aksakal
Original Assignee
Orhan Seyfi Aksakal
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 Orhan Seyfi Aksakal filed Critical Orhan Seyfi Aksakal
Priority to CN201780027644.1A priority Critical patent/CN109152593A/en
Publication of WO2017213604A1 publication Critical patent/WO2017213604A1/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3494Trocars; Puncturing needles with safety means for protection against accidental cutting or pricking, e.g. limiting insertion depth, pressure sensors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/0218Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06066Needles, e.g. needle tip configurations
    • A61B17/06109Big needles, either gripped by hand or connectable to a handle
    • 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
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08Accessories or related features not otherwise provided for
    • A61B2090/0813Accessories designed for easy sterilising, i.e. re-usable
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2217/00General characteristics of surgical instruments
    • A61B2217/002Auxiliary appliance
    • A61B2217/007Auxiliary appliance with irrigation system

Definitions

  • the invention relates to a retropubic needle system (seperating via water/liquid) with hydrodis sector, which does not cause to bladder injury in connection with passing rack stripe between pubic bone and bladder/vesica safely during urocleusia operations.
  • Retropubic rack techniques are being applied for a long time for the purpose of supporting urinary exit tubulus, namely urethra for the purpose of preventing urocleusia.
  • This rack is being located by means of a needle. Needle, which is employed for progressing rack from both sides of the urinary tubulus till stomach wall, progresses between the bone and bladder.
  • this sharp needle has the potential to damage vesica, in other words, bladder.
  • invention opening the region, through which it shall pass, without damaging by means of a needle special mechanisms.
  • One of the mechanisms is the mechnical system, keeping organ / bladder away from needle axis by means of a button movement and covering both sides of the needle, and other one is the tubular system, spraying liquid assisting to push organs away with widening the operation area with liquid.
  • mala enclosing the need from both sides, are monolithic.
  • easy cleaning of the apparatus is maintained by the invention.
  • Fig.1 Side view of internal details of the system.
  • Fig.2 Oblique view of the internal mechanism.
  • Fig.3 Side view of the liquid spraying system.
  • Fig.4 View of the mala movements by means of button actions.
  • Fig.5 View of extracting the needle by means of pressing needle button.
  • Fig.6 View of usage of the cleaning system.
  • Fig.7 Close detail view of the cleaning system.
  • Fig.8 Oblique view of the single- use system in demounted form. Reference number of the parts illustrated in the drawings:
  • Body (1) is grasped by hand, and tumb is placed into the indentation (3) on the protective mala movement button (2). Once tumb is pressed downwards, button revolves from its revolving point (4), and pushes protective mala (5) forward at both sides of the needle (6). This action of the button is transmitted to the mala by means of protective mala drive shaft (7).
  • protective mala drive shaft (7) There is a mala drive shaft channel (8) under the mala movement button. This channel allows protective mala to move downwards during cleaning process.
  • Rope at the end of material, to be progressed through the tunnel opened by the needle shall pass through rope hole (22).
  • cleaning button (14) shal first be pressed forwards and then downwards within the cleaning button channel (15), and pull back parts of the protective mala along with it.
  • Protective mala revolves on the guide shaft (9), and seperate from the needle. Thus, cleaning shall be facilitated.
  • mechanism is pressed to the bearing on the body (23), and fixed after passing screw (24) from the hole (25).
  • the retropubic needle system also appropriate for single -use, which serves to the above mentioned goals can be produced, and used within the corresponding branch of the industry, and has a structure applicable to the industry .

Abstract

The invention relates to a retropubic needle system (seperating via water/liquid) with hydrodis sector which does not cause bladder injury in connection with passing rack stripe between pubic bone and bladder/vesica safely during urocleusia operations.

Description

A RETROPUBIC NEEDLE SYSTEM
DESCRIPTION
Technical Field: The invention relates to a retropubic needle system (seperating via water/liquid) with hydrodis sector, which does not cause to bladder injury in connection with passing rack stripe between pubic bone and bladder/vesica safely during urocleusia operations.
Background of the Invention: Retropubic rack techniques are being applied for a long time for the purpose of supporting urinary exit tubulus, namely urethra for the purpose of preventing urocleusia. This rack is being located by means of a needle. Needle, which is employed for progressing rack from both sides of the urinary tubulus till stomach wall, progresses between the bone and bladder. However, this sharp needle has the potential to damage vesica, in other words, bladder.
Technical problems intended to be solved by the invention:lnvention is opening the region, through which it shall pass, without damaging by means of a needle special mechanisms. One of the mechanisms is the mechnical system, keeping organ / bladder away from needle axis by means of a button movement and covering both sides of the needle, and other one is the tubular system, spraying liquid assisting to push organs away with widening the operation area with liquid. In addition to the currently available system, mala, enclosing the need from both sides, are monolithic.Besides, easy cleaning of the apparatus is maintained by the invention.
Brief Description of the Drawings:
The invention is elucidated with the attached drawings whereas;
Fig.1 : Side view of internal details of the system. Fig.2: Oblique view of the internal mechanism. Fig.3: Side view of the liquid spraying system. Fig.4: View of the mala movements by means of button actions. Fig.5: View of extracting the needle by means of pressing needle button. Fig.6: View of usage of the cleaning system. Fig.7: Close detail view of the cleaning system. Fig.8: Oblique view of the single- use system in demounted form. Reference number of the parts illustrated in the drawings:
I . Body
2. Protective mala movement button
3. Button finger indentation
4. Button revolving point
5. Protective mala
6. Needle
7. Drive shaft of protective mala
8. Drive shaft channel of protective mala
9. Guide shaft of protective mala
10. Guide shaft channel of protective mala
I I . End point mark of mala
12. Cleaning button channel of protective mala
13. Cleaning button shaft
14. Cleaning button
15. Cleaning button channel
16. Needle extraction button
17. Pointed tip of the needle
18. Pressurized water input
19. Liquid pipe
20. Liquid spraying end
21. Protective mala pin indentation
22. Rope hole
23. Single-use mechanism bearing
24. Screw
25. Screw hole
Description of the Invention:
Body (1) is grasped by hand, and tumb is placed into the indentation (3) on the protective mala movement button (2). Once tumb is pressed downwards, button revolves from its revolving point (4), and pushes protective mala (5) forward at both sides of the needle (6). This action of the button is transmitted to the mala by means of protective mala drive shaft (7). There is a mala drive shaft channel (8) under the mala movement button. This channel allows protective mala to move downwards during cleaning process. There is a guide shaft (9) at the end sections of mala. Mala are bound to each other from both sides of the needle by means of this shaft. This shaft moves through guide shaft channel (10), located close to the pointed tip of the needle (17). Once finger is lifted up till marked location (11), mala come backwards. There is a protective mala cleaning button channel (12) at the back ends of mala. Cleaning button shaft (13) passes through this channel. Back and forth movements of mala are done on this shaft. This shaft and cleaning button (14) are located slightly constricted at the top horizontal section of cleaning button channel (15) on the body. Thus, they do not prolapse during mala movements. If a tissue, such as facia tissue required to be punctured, is faced other end of the mala movement button (2) is pressed. This section shall be referred as needle extraction button (16), in other words, there is a needle extraction button (16) at the other end of mala movement button (2) for puncturing the tissue. In such case, protective mala shall be fully withdrawn, and the pointed tip of the needle (17) shall emerge. After passing the location to be punctured, organs shall be removed from the movement shaft of the needle by means of up and down repeating movements of the mala movement button. Meanwhile, in order to further increase the security, pressurized water/liquid is given from the liquid input end (18). Liquid which reaches to the liquid output end (20) at the tip from the pipe within the needle (19), forms a pocket, and establishes a security zone between the needle and the organ. Indentations (21 ) just under the swallowed region at the tips of protective mala, maintain support for progression, in other words, they cause swallowed location at the tip to attach to the tissue and maintain protection of current location while returning. Therefore, they at least help system not to return. Rope at the end of material, to be progressed through the tunnel opened by the needle, shall pass through rope hole (22). After completion of the operation, for the purpose of cleaning, cleaning button (14) shal first be pressed forwards and then downwards within the cleaning button channel (15), and pull back parts of the protective mala along with it. Protective mala revolves on the guide shaft (9), and seperate from the needle. Thus, cleaning shall be facilitated. When produced for single- use, mechanism is pressed to the bearing on the body (23), and fixed after passing screw (24) from the hole (25). Industrial application of the invention:
The retropubic needle system, also appropriate for single -use, which serves to the above mentioned goals can be produced, and used within the corresponding branch of the industry, and has a structure applicable to the industry .

Claims

1) A retropubic needle system comprising a mechanism to keep organ/bladder away from needle axis by means of a button movement and eclosuring both sides of the needle, and a water/liquid spraying pipe, which serves as a connection extension of this mechanism and helps organs to move away with widening the area via liquids.
2) A retroprubic needle system according to Claim 1 , wherein the said system comprise a body (1), protective mala movement button (2), button finger indentation
(3), button revolving point
(4), protective mala
(5), needle
(6), protective mala drive shaft
(7), protective mala drive shaft channel
(8), protective mala guide shaft
(9), protective mala guide shaft channel
(10), mala final point mark
(11), protective mala cleaning button channel
(12), cleaning button shaft
(13), cleaning button
(14), cleaning button channel
(15), needle extraction button
(16), pointed tip of the needle
(17), pressurized liquid input
(18), liquid pipe
(19), liquid spraying end
(20), protective mala end indentation
(21), rope hole
(22), single-use mechanism bearing (23), screw (24) and screw hole (25).
3) A retroprubic needle system according to Claim 2, wherein the protective mala movement button (2) includes an indentation (3), ensuring the tumb to be placed on.
4) A retroprubic needle system according to Claim 2, wherein the protective mala (5) includes a protective mala drive shaft (7) in order to maintain forward pushing movements at both sides of the needle (6) by pressing the tumb downwards.
5) A retroprubic needle system according to Claim 4, wherein during cleaning process downward movements of the protective mala are being ensured by means of the protective mala drive shaft channel (8) at the bottom of the mala movement button (2).
6) A retroprubic needle system according to Claim 4 or 5, wherein the system includes a guide shaft (9), moving through a guide shaft channel (10) located close to the tip of the needle thus, binding mala (5) at both sides. 7) A retroprubic needle system according to Claim 6, wherein the system provides a protective mala cleaning button channel (12), through which cleaning button shaft (13) passes for maintaining back and forth movements of mala and at the back ends of mala (5). 8) A retroprubic needle system according to Claim 3, wherein the said system includes a needle extraction button (16) for tissue puncturing at the other end of the mala movement button (2).
9) A retroprubic needle system according to Claim 8, wherein the possessed pointed tip of the needle (17) emerges by withdrawing the protective mala till to the final point in order to puncture the tissue.
10) A retroprubic needle system according to Claim 9,wherein removal of organs from the movement axis of the needle is maintained by means of up and down repeating movements of mala movement button (2).
11) A retroprubic needle system according to Claim 10, wherein the pipe within the needle (19) provides a water/liquid input end (18) and an output end (20) in order to form a liquid pocket by means of pressurized water as a security region between needle and organ.
12) A retroprubic needle system according to Claim 9, wherein the protective mala provide indentations (21) at its ends in order to protect current locations and to maintain progress of the mala.
13) A retroprubic needle system according to Claim 12, wherein the said system includes a protective mala guide shaft (9) enabling seperation of the protective mala (5) from the needle (6) by means of revolving.
14) A retroprubic needle system according to Claim 13, wherein the said system provides a cleaning button channel (15) for pulling back parts of the protective mala downwards along with it by means of first pushing cleaning button (14) forward and then downward.
15) A retroprubic needle system as set forth in any of the preceding claims, wherein the said system is appropriate for single- use by means of fixing mechanism via pushing it to the bearing
(23) on the body and passing screw
(24) from the hole (25).
PCT/TR2017/000046 2016-05-06 2017-05-04 A retropubic needle system WO2017213604A1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201780027644.1A CN109152593A (en) 2016-05-06 2017-05-04 Needle system after a kind of pubis

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
TR2016/05951 2016-05-06
TR2016/05951A TR201605951A2 (en) 2016-05-06 2016-05-06 RETROPUBIC NEEDLE SYSTEM

Publications (1)

Publication Number Publication Date
WO2017213604A1 true WO2017213604A1 (en) 2017-12-14

Family

ID=60001980

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/TR2017/000046 WO2017213604A1 (en) 2016-05-06 2017-05-04 A retropubic needle system

Country Status (3)

Country Link
CN (1) CN109152593A (en)
TR (1) TR201605951A2 (en)
WO (1) WO2017213604A1 (en)

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20110054249A1 (en) * 2009-09-01 2011-03-03 Coloplast A/S Apparatus, system and method of minimally invasive repair of pelvic organ prolapse
WO2015060804A2 (en) * 2013-10-26 2015-04-30 Orhan Seyfi Aksakal A prepubic needle system not causing bladder injury
US20150126990A1 (en) * 2008-10-06 2015-05-07 Virender K. Sharma Method and Apparatus for Tissue Ablation

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20150126990A1 (en) * 2008-10-06 2015-05-07 Virender K. Sharma Method and Apparatus for Tissue Ablation
US20110054249A1 (en) * 2009-09-01 2011-03-03 Coloplast A/S Apparatus, system and method of minimally invasive repair of pelvic organ prolapse
WO2015060804A2 (en) * 2013-10-26 2015-04-30 Orhan Seyfi Aksakal A prepubic needle system not causing bladder injury

Also Published As

Publication number Publication date
TR201605951A2 (en) 2017-11-21
CN109152593A (en) 2019-01-04

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