CN107997790A - A kind of minimally invasive comfort urinary incontinence sling apparatus and its application - Google Patents
A kind of minimally invasive comfort urinary incontinence sling apparatus and its application Download PDFInfo
- Publication number
- CN107997790A CN107997790A CN201711294573.XA CN201711294573A CN107997790A CN 107997790 A CN107997790 A CN 107997790A CN 201711294573 A CN201711294573 A CN 201711294573A CN 107997790 A CN107997790 A CN 107997790A
- Authority
- CN
- China
- Prior art keywords
- suspender belt
- pubis
- urinary incontinence
- comfort
- minimally invasive
- Prior art date
- Legal status (The legal status 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 status listed.)
- Pending
Links
- 206010046543 Urinary incontinence Diseases 0.000 title claims abstract description 31
- 210000003195 fascia Anatomy 0.000 claims abstract description 40
- 238000002513 implantation Methods 0.000 claims abstract description 19
- 239000011148 porous material Substances 0.000 claims abstract description 14
- 210000002784 stomach Anatomy 0.000 claims abstract description 13
- 210000003689 pubic bone Anatomy 0.000 claims description 41
- 210000003708 urethra Anatomy 0.000 claims description 13
- 238000011282 treatment Methods 0.000 claims description 5
- 210000004394 hip joint Anatomy 0.000 claims description 3
- 210000001215 vagina Anatomy 0.000 claims description 3
- 230000001771 impaired effect Effects 0.000 claims 1
- 230000009916 joint effect Effects 0.000 claims 1
- 238000009738 saturating Methods 0.000 claims 1
- 238000001356 surgical procedure Methods 0.000 abstract description 6
- 230000002980 postoperative effect Effects 0.000 abstract description 5
- 208000002193 Pain Diseases 0.000 abstract description 4
- 206010033425 Pain in extremity Diseases 0.000 abstract description 2
- 239000007943 implant Substances 0.000 abstract description 2
- 238000010586 diagram Methods 0.000 description 6
- 238000000034 method Methods 0.000 description 6
- 206010066218 Stress Urinary Incontinence Diseases 0.000 description 5
- 206010052428 Wound Diseases 0.000 description 5
- 208000027418 Wounds and injury Diseases 0.000 description 5
- 201000010099 disease Diseases 0.000 description 4
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 4
- 208000022170 stress incontinence Diseases 0.000 description 4
- 210000000988 bone and bone Anatomy 0.000 description 3
- 210000003205 muscle Anatomy 0.000 description 3
- 210000004872 soft tissue Anatomy 0.000 description 3
- 238000012421 spiking Methods 0.000 description 3
- 206010021639 Incontinence Diseases 0.000 description 2
- 210000003815 abdominal wall Anatomy 0.000 description 2
- 210000002414 leg Anatomy 0.000 description 2
- 210000001519 tissue Anatomy 0.000 description 2
- 210000000689 upper leg Anatomy 0.000 description 2
- 206010011224 Cough Diseases 0.000 description 1
- 206010019233 Headaches Diseases 0.000 description 1
- 208000000112 Myalgia Diseases 0.000 description 1
- 206010028980 Neoplasm Diseases 0.000 description 1
- 230000003187 abdominal effect Effects 0.000 description 1
- 230000032683 aging Effects 0.000 description 1
- 201000011510 cancer Diseases 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 229940011871 estrogen Drugs 0.000 description 1
- 239000000262 estrogen Substances 0.000 description 1
- 231100000869 headache Toxicity 0.000 description 1
- 230000001788 irregular Effects 0.000 description 1
- 208000013465 muscle pain Diseases 0.000 description 1
- 230000001717 pathogenic effect Effects 0.000 description 1
- 230000002093 peripheral effect Effects 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 210000002700 urine Anatomy 0.000 description 1
- 230000000007 visual effect Effects 0.000 description 1
- 239000002699 waste material Substances 0.000 description 1
- 230000029663 wound healing Effects 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
-
- 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
- A61F2/02—Prostheses implantable into the body
- A61F2/08—Muscles; Tendons; Ligaments
- A61F2/0811—Fixation devices for tendons or ligaments
-
- 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
- A61F2/02—Prostheses implantable into the body
- A61F2/08—Muscles; Tendons; Ligaments
- A61F2/0811—Fixation devices for tendons or ligaments
- A61F2002/0847—Mode of fixation of anchor to tendon or ligament
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Veterinary Medicine (AREA)
- General Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Public Health (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Rheumatology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Vascular Medicine (AREA)
- Transplantation (AREA)
- Cardiology (AREA)
- Rehabilitation Therapy (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Prostheses (AREA)
Abstract
Present invention is disclosed a kind of minimally invasive comfort urinary incontinence sling apparatus and its application, it is characterized in that it is made of locking holdfast, operation net suspender belt and piercing assembly, the directed ends of the operation net suspender belt realize fixation and the implantation of single notch suspender belt by locking holdfast, and the free end for net suspender belt of performing the operation realizes fixation and implantation through closed pore suspender belt by piercing assembly；Wherein directed ends are fixed on the Retropubic perienchyma in side or obturator fascia, and free end is worn by piercing assembly in the micropunch for connecing and being positioned at stomach wall and femoribus internus or on obturator fascia.The minimally invasive comfort urinary incontinence sling apparatus of the present invention is applied to suspender belt implant surgery, its advantage is simple and be easy to one-handed performance for apparatus structure, alleviate wound sense caused by patient's Multiple insion, reduce traditional TVT operation suspender belt dosage it is big and meanwhile overcome traditional SIS operations sling-tension adjust inconvenience, difficulty are big, TOT it is postoperative have a pain in the leg pain the problems such as.
Description
Technical field
The invention belongs to surgical operating instrument, and in particular to a kind of operation guipure implantation for being used to treat stress incontinence
Operation guipure tension adjustment is carried out afterwards just uses type device and its application with what is locked.
Background technology
Female incontinence is women common disease, at present according to world statistics, illness rate close to 50%, wherein about half be pressure
The property urinary incontinence（Stress Urinary Incontinence, SUI）.Stress incontinence refers to that bladder pressure is more than maximum urethra
During pressure, in the state of no detrusor urinae of bladder is shunk, also per urethram collar extension overflows urine in spite of oneself, increases suddenly in abdominal pressure more
Added-time is for example：Occur when laugh, sneeze, cough etc..Post menopausal crowd more susceptible disease.Pathogenic factor is most because being produced when giving a birth
Wound, postmenopausal estrogen is horizontal to be declined, Pen Di soft tissue relaxations etc..SUI starts to be considered as to influence the mankind in the mid-90
One of five big diseases of health, are referred to as " social cancer ".Particularly in China, as population is further aging, SUI is increasingly
It is valued by people.Nearest one simple Beijing area urinary incontinence morbidity survey finds that 23%-45% has in women population
The different degrees of urinary incontinence, 7% or so has obvious incontinence, wherein about 50% is stress incontinence.It is one group external
Report more than 60 years old urinary incontinence incidence women 37.7%.For this reason, seeking the method for effectively treatment SUI, have urgent, again
Big clinical meaning.
The no-station pole canopy vaginal tape in operative treatment（Tension-free vaginal tape, TVT）
It is the goldstandard of SUI treatments.It is now recognized that TVT cure rates are high, easy to operate, wound is small, post-operative recovery is fast, few intercurrent disease, multiple
The low advantage of hair rate is simultaneously widely applied clinically.But the suspender belt of the operation method, which needs to cut, to be abandoned, therefore suspender belt is used
Amount and waste are very huge.In recent years, it is reduction wound face, a kind of list notch Hysteromyomectomy by vagina（SIS）Just
Come into being and practicality it is increasingly ripe.Using the operation guipure of both ends connection closed pore anchor, divide both sides successively fixed on closed pore anchor
On corresponding obturator fascia, and moderately adjusting operation guipure tension force and position can complete to perform the operation, and operating time significantly drops
Low and wound healing speed.And since notch breadth is limited in existing such surgical procedure, it is positioned in the implantation of closed pore anchor
On the basis of the difficulty of obturator fascia is overcome, the adjusting for guipure tension force of performing the operation is locked to positioning becomes related doctor's progress
During operation institute extremely headache the step of, and the required instrumentation used is cumbersome.I.e. in the poor situation operation net of visual condition
Belt tension adjusts inconvenience, and tension variation width caused by when carrying out positioning lock knot under guipure tension adjustment suitable conditions of performing the operation
Spend larger, and have caused by tension adjustment is improper that obturator fascia is torn at the same time, fixed holdfast comes off equivalent risk, is unsuitable for doctor
Efficiently and reliably complete such operation.
The content of the invention
In view of the defects of above-mentioned prior art, the purpose of the present invention is directed to a kind of minimally invasive comfort urinary incontinence suspender clothes
Put and its apply.
The present invention realizes that the technical solution of said one purpose is, a kind of minimally invasive comfort urinary incontinence sling apparatus,
It is characterized in that：The sling apparatus is made of locking holdfast, operation net suspender belt and piercing assembly, wherein lock anchor nail is only
One and be fixed in operation net suspender belt directed ends, it is described locking holdfast be fixed on the Retropubic perienchyma in side or closed pore muscle
On film, the free end of the operation net suspender belt relative orientation end opposite side extension is by piercing assembly Tension Adjustable and wears and connects positioning
In the micropunch of stomach wall and femoribus internus or obturator fascia extroversion periphery.
Further, the operation net suspender belt is length between single notch suspender belt length and no-station pole canopy pubis back strap length
Between medium-length suspender belt.
Further, the length of the operation net suspender belt is between 7.5cm-30cm.
Further, the length of the operation net suspender belt is between 9cm-23cm.
Further, the operation net suspender belt is the finished product disposably customized according to length specification, or for through closed pore without
The improved goods of the affixed locking holdfast in power suspender belt one end.
The present invention realizes that the technical solution of another above-mentioned purpose is, a kind of minimally invasive comfort urinary incontinence sling apparatus
Application, it is characterised in that：Described device is applied to single notch that hip joint moving obstacle patient treats the implantation of urinary incontinence suspender belt
Single hole is added to perform the operation, wherein the directed ends of operation net suspender belt are fixed on side pubis peripheral group by single notch suspender belt implantation
Knit, the free end for net suspender belt of performing the operation is suspended in midair implantation and adjusted tension force and wear to connect by Via vagina mid-urethral is fixed on opposite side
In pubis perienchyma and micropunch.
Further, single notch adds in single hole operation, and the locking holdfast is fixed on the obturator fascia of side, the hand
The free end per urethra bottom side of art net suspender belt penetrates the obturator fascia and femoribus internus of opposite side, adjusts operation net sling-tension simultaneously
It is fixed in the micropunch of femoribus internus.
Further, single notch adds in single hole operation, and the locking holdfast is fixed on the obturator fascia of side, the hand
The free end per urethra bottom side of art net suspender belt, penetrate after pubis fascia layer after pubis, and is pierced by by patient's underbelly, adjusts operation
Net sling-tension is simultaneously fixed in stomach wall micropunch.
Further, single notch adds during single hole performs the operation, and the locking holdfast is fixed on after the pubis of side on fascia layer, institute
State the free end per urethra bottom side of operation net suspender belt, penetrate after pubis fascia layer after pubis, and be pierced by by patient's underbelly, adjusted
Operation net sling-tension is simultaneously fixed in stomach wall micropunch.
Further, single notch adds during single hole performs the operation, and the locking holdfast is fixed on after the pubis of side on fascia layer, institute
State the free end per urethra bottom side of operation net suspender belt, penetrate after pubis fascia layer after pubis, and be pierced by by patient's underbelly and hand
The connected surgical thread of art net suspender belt traction, adjusts operation net sling-tension and is fixed on after pubis in fascia layer.
It is in suspender belt implant surgery, its advantage using minimally invasive comfort urinary incontinence sling apparatus of the invention：The device knot
Structure is simple and is easy to one-handed performance, alleviates wound sense caused by patient's Multiple insion, reduces traditional TVT operations suspender belt dosage
Greatly at the same overcome traditional SIS operation sling-tension adjust inconvenience, difficulty it is big, it is postoperative have a pain in the leg pain the problems such as.
Brief description of the drawings
Fig. 1 is the structure and its operation application schematic diagram of the minimally invasive comfort urinary incontinence sling apparatus of the present invention.
Fig. 2 is another operation application schematic diagram of apparatus of the present invention.
Fig. 3 is that apparatus of the present invention are further performed the operation application schematic diagram.
Fig. 4 is the another operation application schematic diagram of apparatus of the present invention.
Embodiment
Just attached drawing in conjunction with the embodiments below, is described in further detail the embodiment of the present invention, so that of the invention
Technical solution is more readily understood, grasps, so as to make relatively sharp define to protection scope of the present invention.
Designer of the present invention is directed to the operation net suspender belt implantation instrument of traditional treatment stress incontinence and its operates with
Method has made intensive studies, and developing Thinking Creation proposes a kind of minimally invasive comfort urinary incontinence sling apparatus and its application, from
And solve the problems, such as current procedure net suspender belt implantation instrument and its many-sided deficiency of operation.
As shown in Figure 1, it is the structure and its operation application schematic diagram of the minimally invasive comfort urinary incontinence sling apparatus of the present invention.Make
For a preferred embodiment, the minimally invasive comfort urinary incontinence sling apparatus is by locking holdfast 5, operation net suspender belt 6 and piercing assembly
（It is not shown）Form, wherein the locking holdfast 5 only needs to use one in the present apparatus, and is fixed in the orientation of operation net suspender belt 6
End.Here so-called directed ends, refer to the doctor of opposite surgical procedure smoothly for property, sling-tension adjusts another where occurring
Side, or the another side of patient's body one side moving obstacle.In addition, the operation net suspender belt 6 for length between single notch suspender belt
（SIS）Length and no-station pole canopy are through closed pore suspender belt（TVT-O）Medium-length suspender belt between length.The directed ends of the operation net suspender belt 6
Side pubis perienchyma is fixed on, is left obturator foramen fascia 42 from illustrating in visible the present embodiment.And operation net suspender belt 6
Free end passes through piercing assembly（It is not shown）Per urethra bottom side, which is worn, connects right obturator foramen fascia 41, and is pierced by the inside of patient thigh,
It is fixed on being positioned after adjusting operation net sling-tension to the appropriate level of surgical thread 7 in the micropunch of femoribus internus.From operation point
For in class, apparatus of the present invention only need to open up a kerf in top vaginal wall on surgical procedure, and real in stomach wall on demand therewith
Puncture is applied, that is, single notch adds the operation of single hole.The modus operandi of 1.5 notch is can be regarded as, correspondingly, above-mentioned operation
Net suspender belt can also be named as " 1.5 notch suspender belt " or TVT mixing suspender belts, TVT-C etc..Moreover, from the point of view of application angle, the operation
Net suspender belt can be the finished product that is disposably customized according to length specification or through the affixed locking in closed pore no-station pole canopy suspender belt one end
The improved goods of holdfast.From the point of view of length specification, the length of the operation net suspender belt is 7.5cm -30cm, the suggestion length of clinical practice
For 9cm-23cm.And develop and test according to the further of designer of the present invention, the operation net suspender belt is in implantation opposite side closed pore muscle
The operation that remaining segment is fixed by soft tissue extruding force after film（TVT-A）In length for 9cm or so when it is more suitable, easy-to-use,
And work as and be pierced by micropunch positioning operation applied to one side（TVT-O）The length of Shi Shoushu net suspender belts is then suitable for selecting within 23cm
Preferably.
The operation description of above-described embodiment, the length of operation net suspender belt can also be limited to pass through right obturator foramen fascia, and
Right lateral thigh muscle is not passed through, i.e. the operation net suspender belt of 9.5cm length can meet TVT-A operation applications, so as to effectively drop
The low postoperative leg muscle pain that may occur.
Furthermore, it is necessary to explanation, above-mentioned piercing assembly is widely used in current TVT operations, has larger equipment
The washability of scope, those skilled in the art and doctor are known, therefore illustration omitted and specific descriptions and restriction.And for the ease of
Diagram is only substituted with irregular surgical thread, and the apparatus in actual use with more specific, stronger operation ease for use is optional.
The minimally invasive comfort urinary incontinence sling apparatus of the invention has concentrated no-station pole canopy pubis back strap（TVT）, no-station pole canopy warp
Closed pore suspender belt（TVT-O）With single notch suspender belt（SIS）Clinical advantages, and avoid at the same time the single method of any of the above lack
Point.Operation net suspender belt is fixed on obturator fascia by side using fixed holdfast by single notch suspender belt implantation, and another
Side still uses no-station pole canopy pubis back strap implantation（TVT）Or tradition is through closed pore suspender belt implantation（TVT-O）, in tension force
Performing the operation net suspender belt after the completion of adjusting can be by piercing assembly（Or substituted with surgical thread or other drafting tools）By net suspender belt of performing the operation
Pull in and by pubis perienchyma（Or obturator fascia）And be pierced by from underbelly or femoribus internus, and the tension force for net suspender belt of performing the operation can
Effectively fixed under extruding force effect by obturator fascia and surrounding soft tissue.Since most doctors are with the right hand
For main manipulator, the device is in operation in the present embodiment as shown in Figure 1 for this, the fixation for net suspender belt directed ends of performing the operation
Holdfast is arranged on the left side of patient, and the right side of patient then punctures obturator fascia and draws and fix operation net suspender belt and is easier to doctor
To operation.
, can basis in specific operative process but the device of the invention is not limited by handedness
Smoothly situation changes the prepackage direction that directed ends fix holdfast to doctor.
In addition to the implementation, the application of the minimally invasive comfort urinary incontinence sling apparatus in 1.5 incision surgeries of the invention
There can also be many feasible embodiments, the citing of right hand operation two is as follows.
Another preferred embodiment：As shown in Fig. 2, the operation net suspender belt then hangs for tradition through closed pore no-station pole canopy in the present embodiment
Improved goods with the affixed locking holdfast in one end.During surgical operation, first by locking holdfast 5 by puncturing the special tools such as handle
Tool is fixed on after pubis among fascia layer 2, and is performed the operation 6 other end of net suspender belt and then passed through 3 bottom of urethra with the modus operandi of traditional TVT
Side, puncture " embracing bone "（It is close to the right side pubis wall of patient）, again worn after pubis after fascia layer 2 by the stomach wall 1 of patient's underbelly
Go out, form the J-shaped implantation shape of similar mirror image.Certainly, also need to adjust hand after operation the spiking through of net suspender belt is completed
Tension force needed for art net suspender belt, wears to be fixed in the micro- of stomach wall using the extruding force of pubis perienchyma and abdominal wall tissue
Kong Zhong.
Another preferred embodiment：As shown in figure 3, the operation net suspender belt is similarly tradition through closed pore no-station pole canopy in the present embodiment
The improved goods of the affixed locking holdfast in suspender belt one end.It is first that locking holdfast 5 is special by puncturing handle etc. during surgical operation
Instrument is fixed among obturator fascia 42, and is performed the operation 6 other end of net suspender belt and then passed through 3 bottom of urethra with the modus operandi of traditional TVT
Side, puncture " embracing bone "（It is close to the right side pubis wall of patient）, again worn after pubis after fascia layer 2 by the stomach wall 1 of patient's underbelly
Go out, form the implantation shape of similar L-shaped.Certainly, it is also required to adjust operation net after operation the spiking through of net suspender belt is completed
Tension force needed for suspender belt, to be fixed in the micropunch of stomach wall using the extruding force of pubis perienchyma and abdominal wall tissue
In.
Another embodiment：As shown in figure 4, the operation net suspender belt is disposably fixed according to length specification in the present embodiment
The finished product of system（Single notch suspender belt）.During surgical operation, first the locking holdfast 5 that 6 one end of net suspender belt of performing the operation is connected is passed through
The specific purpose tool such as handle is punctured to be fixed on after pubis among fascia layer 2, and 6 other end of net suspender belt of performing the operation then connects tension adjustment use
Surgical thread, and with the modus operandi of traditional TVT by 3 bottom side of urethra, puncture " embrace bone "（It is close to the right side pubis wall of patient）、
Again after pubis after fascia layer 2, only surgical thread 7 is pierced by by the stomach wall 1 of patient's underbelly, forms the implantation shape of similar U-shaped
Shape.Certainly, it is also required to adjust the tension force needed for operation net suspender belt after the spiking through of surgical thread 7 is completed, and utilizes pubis week
The extruding force of Selvage Stitch is fixed in after pubis in fascia layer 2.
More than multiple embodiments be discussed in detail as it can be seen that the minimally invasive comfort urinary incontinence sling apparatus of the invention be better than without
Power pubis back strap（TVT）With single notch suspender belt（SIS）Clinical practice, moreover, for there is unilateral hip joint moving obstacle
Patient, the 1.5 notch suspender belt and its modus operandi equally have significant application and practicality.
To sum up the detailed description on pulling type tune locking device embodiment of the present invention is as it can be seen that it is applied to suspender belt implantation hand
Art, its advantage are：The apparatus structure is simple and is easy to one-handed performance, alleviates wound sense caused by patient's Multiple insion, reduces
Traditional TVT operation suspender belts dosage is big while overcomes traditional SIS operations sling-tension and adjusts that inconvenience, difficulty are big, postoperative have a pain in the leg
The problems such as pain.
Claims (10)
- A kind of 1. minimally invasive comfort urinary incontinence sling apparatus, it is characterised in that：The sling apparatus is hung by locking holdfast, operation net Band and piercing assembly are formed, wherein the lock anchor follows closely only one and is fixed in the directed ends of operation net suspender belt, the lock anchor Nail is fixed on the Retropubic perienchyma in side or obturator fascia, the operation net suspender belt relative orientation end opposite side extension Free end is connect by piercing assembly Tension Adjustable and wearing to be positioned in the micropunch of stomach wall and femoribus internus or obturator fascia is export-oriented Periphery.
- 2. minimally invasive comfort urinary incontinence sling apparatus according to claim 1, it is characterised in that：The operation net suspender belt is length Spend the medium-length suspender belt between single notch suspender belt length and no-station pole canopy pubis back strap length.
- 3. minimally invasive comfort urinary incontinence sling apparatus according to claim 1 or claim 2, it is characterised in that：The operation net suspender belt Length between 7.5cm-30cm.
- 4. minimally invasive comfort urinary incontinence sling apparatus according to claim 3, it is characterised in that：The length of the operation net suspender belt Degree is between 9cm-23cm.
- 5. minimally invasive comfort urinary incontinence sling apparatus according to claim 1, it is characterised in that：The operation net suspender belt is root The finished product disposably customized according to length specification, or be the improved goods through the affixed locking holdfast in closed pore no-station pole canopy suspender belt one end.
- A kind of 6. application of minimally invasive comfort urinary incontinence sling apparatus, it is characterised in that：Described device is applied to hip joint activity Single notch of impaired patients treatment urinary incontinence suspender belt implantation adds single hole to perform the operation, wherein the directed ends of operation net suspender belt pass through single notch Suspender belt implantation is fixed on side pubis perienchyma, and the free end for net suspender belt of performing the operation is suspended in midair by Via vagina mid-urethral plants Enter mode and adjust tension force and wear to connect to be fixed in opposite side pubis perienchyma and micropunch.
- 7. the application of minimally invasive comfort urinary incontinence sling apparatus according to claim 6, it is characterised in that：Single notch adds single hole In operation, the locking holdfast is fixed on the obturator fascia of side, and the free end per urethra bottom side of the operation net suspender belt is worn The obturator fascia and femoribus internus of saturating opposite side, adjust operation net sling-tension and are fixed in the micropunch of femoribus internus.
- 8. the application of minimally invasive comfort urinary incontinence sling apparatus according to claim 6, it is characterised in that：Single notch adds single hole In operation, it is described locking holdfast be fixed on the obturator fascia of side, it is described operation net suspender belt free end per urethra bottom side, from Fascia layer after pubis is penetrated after pubis, and is pierced by by patient's underbelly, operation net sling-tension is adjusted and is fixed on the micro- of stomach wall and wear Kong Zhong.
- 9. the application of minimally invasive comfort urinary incontinence sling apparatus according to claim 6, it is characterised in that：Single notch adds single hole In operation, the locking holdfast is fixed on after the pubis of side on fascia layer, the free end per urethra bottom of the operation net suspender belt Side, penetrate after pubis fascia layer after pubis, and is pierced by by patient's underbelly, adjusts operation net sling-tension and is simultaneously fixed on stomach wall In micropunch.
- 10. the application of minimally invasive comfort urinary incontinence sling apparatus according to claim 6, it is characterised in that：Single notch adds list In the operation of hole, the locking holdfast is fixed on after the pubis of side on fascia layer, the free end per urethra of the operation net suspender belt Bottom side, penetrate after pubis fascia layer after pubis, and is pierced by the surgical thread being connected with operation net suspender belt traction, tune by patient's underbelly Section operation net sling-tension is simultaneously fixed on after pubis in fascia layer.
Priority Applications (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201711294573.XA CN107997790A (en) | 2017-12-08 | 2017-12-08 | A kind of minimally invasive comfort urinary incontinence sling apparatus and its application |
| PCT/CN2018/114752 WO2019109776A1 (en) | 2017-12-08 | 2018-11-09 | Minimally invasive comfortable urinary incontinence tape device and application thereof |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201711294573.XA CN107997790A (en) | 2017-12-08 | 2017-12-08 | A kind of minimally invasive comfort urinary incontinence sling apparatus and its application |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN107997790A true CN107997790A (en) | 2018-05-08 |
Family
ID=62057700
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201711294573.XA Pending CN107997790A (en) | 2017-12-08 | 2017-12-08 | A kind of minimally invasive comfort urinary incontinence sling apparatus and its application |
Country Status (2)
| Country | Link |
|---|---|
| CN (1) | CN107997790A (en) |
| WO (1) | WO2019109776A1 (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2019109776A1 (en) * | 2017-12-08 | 2019-06-13 | 苏州优迈医疗器械有限公司 | Minimally invasive comfortable urinary incontinence tape device and application thereof |
| CN112635022A (en) * | 2020-11-27 | 2021-04-09 | 易波 | Method and system for evaluating hydrophilic interface for holding biological tissue |
Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20100263674A1 (en) * | 2007-04-04 | 2010-10-21 | Ajay Rane | Kit For Levator Avulsion Repair |
| CN102137633A (en) * | 2008-08-25 | 2011-07-27 | Ams研究公司 | Minimally invasive implant and method |
| US20110288368A1 (en) * | 2009-02-10 | 2011-11-24 | Vandeweghe Andrew | Surgical articles and methods for treating urinary incontinence |
| US20120253107A1 (en) * | 2011-03-28 | 2012-10-04 | Gindele Paul J | Implants, tools, and methods for treatment of pelvic conditions |
| CN106943205A (en) * | 2017-03-16 | 2017-07-14 | 夏志军 | Internally-fixed urinary tract stage casing suspension sling components |
| CN208756037U (en) * | 2017-12-08 | 2019-04-19 | 苏州优迈医疗器械有限公司 | A kind of minimally invasive comfort urinary incontinence sling apparatus |
Family Cites Families (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN200948147Y (en) * | 2006-09-01 | 2007-09-19 | 舒耀民 | Surgical appliance for curing uroclepsia caused by pressure |
| US9282958B2 (en) * | 2007-12-28 | 2016-03-15 | Boston Scientific Scimed, Inc. | Devices and method for treating pelvic dysfunctions |
| CN107260360A (en) * | 2017-07-11 | 2017-10-20 | 李建民 | A kind of suspender belt implantation instrument and its application method for treating stress incontinence |
| CN107997790A (en) * | 2017-12-08 | 2018-05-08 | 苏州优迈医疗器械有限公司 | A kind of minimally invasive comfort urinary incontinence sling apparatus and its application |
-
2017
- 2017-12-08 CN CN201711294573.XA patent/CN107997790A/en active Pending
-
2018
- 2018-11-09 WO PCT/CN2018/114752 patent/WO2019109776A1/en active Application Filing
Patent Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20100263674A1 (en) * | 2007-04-04 | 2010-10-21 | Ajay Rane | Kit For Levator Avulsion Repair |
| CN102137633A (en) * | 2008-08-25 | 2011-07-27 | Ams研究公司 | Minimally invasive implant and method |
| US20110288368A1 (en) * | 2009-02-10 | 2011-11-24 | Vandeweghe Andrew | Surgical articles and methods for treating urinary incontinence |
| US20120253107A1 (en) * | 2011-03-28 | 2012-10-04 | Gindele Paul J | Implants, tools, and methods for treatment of pelvic conditions |
| CN106943205A (en) * | 2017-03-16 | 2017-07-14 | 夏志军 | Internally-fixed urinary tract stage casing suspension sling components |
| CN208756037U (en) * | 2017-12-08 | 2019-04-19 | 苏州优迈医疗器械有限公司 | A kind of minimally invasive comfort urinary incontinence sling apparatus |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2019109776A1 (en) * | 2017-12-08 | 2019-06-13 | 苏州优迈医疗器械有限公司 | Minimally invasive comfortable urinary incontinence tape device and application thereof |
| CN112635022A (en) * | 2020-11-27 | 2021-04-09 | 易波 | Method and system for evaluating hydrophilic interface for holding biological tissue |
| CN112635022B (en) * | 2020-11-27 | 2023-07-25 | 易波 | Evaluation method and system for hydrophilic interface for holding biological tissue |
Also Published As
| Publication number | Publication date |
|---|---|
| WO2019109776A1 (en) | 2019-06-13 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| Lockwood | Reduction mammaplasty and mastopexy with superficial fascial system suspension | |
| US20040249397A1 (en) | Method and implant for curing cystocele | |
| US20080086170A1 (en) | Minimally-invasive mastoplasty procedure and apparatus | |
| JP2003532480A (en) | Systems and methods for moving and stretching plastic tissue | |
| CN108209991B (en) | Device for adjusting and fixing tension of surgical mesh and surgical application of device | |
| CN203815515U (en) | Minimally invasive suturing device for tendo calcaneus and minimally invasive suturing aiming device for tendo calcaneus | |
| CN107997790A (en) | A kind of minimally invasive comfort urinary incontinence sling apparatus and its application | |
| Stone | Plastic operation for anal incontinence | |
| CN208756037U (en) | A kind of minimally invasive comfort urinary incontinence sling apparatus | |
| CN105380685A (en) | Phallic allogeneic accellular patch thickening and lengthening surgery | |
| Guerrerosantos | Secondary hip-buttock-thigh plasty | |
| Baek et al. | Arthroscopic-Assisted Lower Trapezius Tendon Transfer Using a Fasciae Lata Autograft in Treatment of Posterior Superior Irreparable Rotator Cuff Tears in Lateral Decubitus Position | |
| CN205359540U (en) | It leads a device to press from both sides shape skin | |
| CN106943205A (en) | Internally-fixed urinary tract stage casing suspension sling components | |
| Aibinder et al. | Arthroscopic lower trapezial transfer for irreparable rotator cuff tears | |
| CN107028631A (en) | A kind of minimally invasive suture combined apparatus of heel string | |
| RU2511522C1 (en) | Method for surgical correction of mammary glands in ptosis | |
| CN208481527U (en) | A kind of suspender belt implantation instrument for treating stress incontinence | |
| CN107260360A (en) | A kind of suspender belt implantation instrument and its application method for treating stress incontinence | |
| CN208769866U (en) | A kind of guiding device used for restoring rupture of heel tendon | |
| RU2020135066A (en) | Laparoscopic bilateral hysterocervicocoloposuspension using titanium mesh implants in patients with apical prolapse | |
| RU2257172C1 (en) | Method for removing pathological diastasis of pubic bones due to operative juncture and fixation | |
| CN209153790U (en) | A kind of beading pushing type operation mesh belt tension adjustment locking device | |
| CN220655797U (en) | Fixed cap after transoral endoscopic goiter excision | |
| RU2807863C1 (en) | Method of eliminating eyebrow ptosis |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| PB01 | Publication | ||
| PB01 | Publication | ||
| SE01 | Entry into force of request for substantive examination | ||
| SE01 | Entry into force of request for substantive examination |