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CN201692011U - Surgery puncture needle for treating stress incontinence - Google Patents

Surgery puncture needle for treating stress incontinence Download PDF

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Publication number
CN201692011U
CN201692011U CN2010201130673U CN201020113067U CN201692011U CN 201692011 U CN201692011 U CN 201692011U CN 2010201130673 U CN2010201130673 U CN 2010201130673U CN 201020113067 U CN201020113067 U CN 201020113067U CN 201692011 U CN201692011 U CN 201692011U
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China
Prior art keywords
puncture needle
fluid
head end
puncture
needle
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Expired - Fee Related
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CN2010201130673U
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Chinese (zh)
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赵继懋
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Individual
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Abstract

Disclosed is a surgery puncture needle for treating stress incontinence, which is provided with a cavity and a needle core, and is divided into a handle, a body part, a head end and a tail end and the like. The part of the needle entering the body has a certain curvature, so as to adapt to the anatomical curvature of the body from a puncture starting point to a puncture terminal point. The puncture needle can penetrate the skin and muscle fascia after inserting the needle core thereto. The tail end of the needle can be connected with the fluid and pressure produced by the fluid so as to guide the fluid and the pressure to the opening part of the head end after taking out the needle core, so as to separate normal tissue clearances, and the puncture needle can move forward with little tissue damage and without resistance. Under the guiding of the first finger of an intravaginal vagina extra-mucosa operation surgeon, the needle sneaks to the cut at the middle part of the anterior vaginal wall to be connected with one end of a sling by sutures. The puncture instrument exits along the original puncture path, and implants the sling into the back wall of the urethra middle section of the body to cure stress incontinence.

Description

A kind of operation puncturing pin for the treatment of stress incontinence
Technical field
The present invention relates to medical apparatus and instruments, relate in particular to surgical operating instrument, particularly medical puncture needle is specifically related to a kind of operation puncturing pin that is used for the treatment of stress incontinence.
Background technology
Middle aged and aged women is because fertility and along with the factors such as increase at age, and the pathologic change will take place supporting tissue at the bottom of the basin, and wherein symptoms of incontinence appears in the part patient, particularly stress incontinence.The patient causes urine independently not flow out owing to bladder neck and urethra excessively move down when abdominal pressure such as walking, laugh, work increase, and has a strong impact on quality of life.A nearest simple Beijing area urinary incontinence morbidity survey finds that 23%-45% has urinary incontinence in various degree among the women crowd, and about 7% have tangible urinary incontinence symptom, and wherein about 50% is stress incontinence.External one group of report urinary incontinence sickness rate women 37.7% more than 60 years old.Along with growth in the living standard, the demand that stress incontinence is treated constantly increases, and need carry out this work in more hospital.
Treatment for stress incontinence has several different methods in history, and wherein the curative effect of operative treatment is ideal, and urethra or bladder neck suspender art are effective methods in the operative treatment.Along with the progress of science and technology with to the deep understanding of urinary incontinence occurring principle, multiple invasive methods is applied, and promptly by taking that the patient is damaged minimum operation technique and technical method, obtains best therapeutic effect in recent years.A kind of treatment for stress incontinence is that transvaginal urethra stage casing does not have the tension force suspension at present, promptly do otch about a 2cm at anterior vaginal wall, a preparation places the suspender belt of bottom, urethra stage casing to put into the in-vivo tissue gap by puncture needle, strengthens the supporting role of pelvic floor tissue to urethra.When abdominal pressure increased, the suspender belt restriction that the amplitude that urethra moves down is implanted made patient's leakage of urine phenomenon controlled like this.
Two kinds of approach travelings in vivo generally can pass through in the suspender belt two ends of implanting, draw skin after, the suspender belt outer body is wiped out, and partly along with growing into of surrounding tissue suspender belt is played the effect of grappling in the body.A kind of is approach behind the pubis, and puncture needle is taken the two ends of suspender belt out of along the pubis back from the abdominal part stomach wall, and this approach has damage bladder or Retropubic its hetero-organization, as the possibility of vascular plexus, thereby serious complication takes place.Another kind is that puncture needle passes closed pore through the closed pore approach, the suspender belt two ends is drawn along pelvis closed pore direction in course both sides under the vaginal mucosa, outside the medial thigh skin lead body.Adopting the operation of a kind of approach in back to be called through closed pore urethra stage casing suspension, because away from bladder and the important trunk of pelvic cavity, complication is rare, and is simple to operate, is beneficial to popularization, is the normal at present method that adopts.
The suspension puncture needle has dual mode to pass through closed pore through closed pore urethra stage casing.From the anterior vaginal wall otch to medial thigh skin (from inside to outside) and outside thigh by closed pore to the anterior vaginal wall otch, it is taken out of (from outside to inside) with returning after suspender belt is connected.This dual mode all will be with vaginal mucosa lower floor between surgical scissors passivity or the separation of sharp property are from the vaginal incision to the closed pore, be beneficial to puncture needle by and place suspender belt.Be open texture under the vaginal mucosa lower floor normal condition, operative hemorrhage seldom when the separation aspect was correct.But for the few doctor of surgical experience, if the lock out operation anatomical layer of this vaginal mucosa lower floor is unclear bigger to patient's damage; Misoperation also has the danger of damage obturator vessel plexus nervorum, causes severe complication.In addition, in the existing method from outside to inside, after puncture needle passes closed pore, need the forefinger of doctor's another hands to enter under the vaginal mucosa from the inboard biopsy needle guide of closed pore from the anterior vaginal wall otch, therefore need be in the too much separation of vaginal mucosa lower floor, to hold finger, cause too much damage and hemorrhage.From this angle, the method runs counter to Wicresoft's principle.
Summary of the invention
The purpose of this invention is to provide a kind of operation puncturing pin that is used for the treatment of stress incontinence, change the deficiency of above-mentioned Therapeutic Method, make through the damage of closed pore urethra stage casing suspension suspender belt implantation process littler, safer.
Solving the problems of the technologies described above the technical scheme of taking is: lancet design is from outside to inside become to have luminal structure, be divided into handle, body, parts such as head end and tail end.End surface and breech face respectively have the opening of a puncture needle tube chamber.A nook closing member is set in the puncture needle tubular cavity, and described nook closing member is made with the material with certain intensity, and head end is sharp property tip, stretches out at the most preceding side outlet of puncture needle head end to form taper shape piercing needle, is beneficial to puncture needle and passes tough sex organization.After the puncture needle head end passes under the closed pore arrival vaginal mucosa, extract nook closing member, a kind of fluid brought out mouth to the end from tail end by tube chamber around, by in the suitable pressurization of external convection cell, pressure passes to head end by the fluid in the puncture needle, separate potential interstice under the puncture needle head end vaginal mucosa by fluidic expansive force, replace sharp property or the passivity separation process carried out with mechanical force in the past.While the convection cell pressurization of advancing, form puncture needle and continue progressive space.Operation doctor's another hands can touch the puncture needle head end in intravaginal vaginal mucosa outside, and guides puncture needle to move ahead towards predetermined direction.The puncture needle head end links to each other with an end of suspender belt after arriving the anterior vaginal wall otch, and return on former road, and suspender belt is introduced in the body.
An advantage of the invention is that puncture needle has tube chamber, can guide fluid.In use strut normal anatomic tissue gap with fluid pressure, be full of loose connective tissue under the normal condition of this dissection gap, less fluid pressure can strut and form a fluid space.Clinical subcutaneous injection commonly used and mucosa are invaded profit anesthesia, with syringe medicinal liquid are injected this space exactly.Because just to organizing slight tractive, organizational structure that toughness is bigger and nervus vasculairs are damage not, operation process is still less hemorrhage.Then puncture on local anaesthesia limit in limit but in fluid, add anaesthetic, save operating time; Adding a little pressor medicine in fluid then more reduces hemorrhage.And but the fluid transvaginal antetheca otch that operating process interstice uses flows out, and the small amount of residual fluid can be organized absorption.
Another advantage of the present invention is that the puncture needle tube chamber can be inserted nook closing member, nook closing member is inserted back puncture needle head end have certain penetration capacity, can easily pass skin, closed pore muscle and fascia.Head end was designed to passivity conehead shape when puncture needle took out nook closing member, and moving under water under mucosa to prevent the damage of puncture needle to the vaginal wall mucosa.
The head end cross-sectional diameter is less around the puncture needle fluid issuing of the present invention, forms the less fluid space of a sealing easily at the puncture needle head end, prevents that liquid from refluxing around puncture needle, thereby has certain expansive force, struts interstice.
Cylinder that coincide with puncture needle tail end internal diameter of puncture nook closing member tail end of the present invention design, an external circumferential step, with nook closing member and puncture needle strong bonded, the shape of piercing process maintenance piercing needle.
Puncture needle fluid of the present invention introduce mode can be divided into multiple, give an example a kind of be that the piercing needle end opening is designed to fluidic flow export, tail end is fluidic access port, also can be the mouth that imports into of fluid pressure.In order not influence the operation of operative doctor, the puncture needle tail end is connected with outer source fluid or pressure by a connection tube.
Puncture needle of the present invention enters the puncture needle that partly can be designed to have certain curvature in the body, to be fit to the dissection curvature from the puncture starting point to puncture terminal point human body.
Puncture needle of the present invention enters that part can design according to desired structure of human dissection and length in the body, carries out non-opening thereby can be used for any needs, carries out interstice's separation process by puncture.
The fluid that uses in the puncture needle of the present invention operation can be the harmless liquid that can be used for human body that any national health permission department is agreed.For example a kind of is clinical normal saline commonly used, and the vasoconstrictive medicine of adding is an epinephrine.
The suspender belt that puncture needle of the present invention uses can be the harmless implant that can be used for human body that any national health permission department is agreed.For example a kind of is at present clinical suspender belt, the guipure that the sub-thread polypropylene woven forms or the net sheet of repairing at the bottom of urinary incontinence and the basin that be used for the treatment of commonly used.
Puncture needle fluid access port of the present invention and pressure import mouth into and are not limited to the puncture needle tail end.
Puncture needle of the present invention, puncture needle needle body and nook closing member material can adopt stainless steel.Nook closing member tail end and step can adopt but be not limited to harmless duroplasts.Handle can adopt duroplasts or aluminum material.
Description of drawings
Fig. 1 is an embodiment of the invention hook-type puncture needle vertical view.
Fig. 2 is an embodiment of the invention puncture needle nook closing member vertical view.
Fig. 3 is the head end and the tail end enlarged drawing of embodiment of the invention puncture needle and nook closing member, and handle and needle body are omitted.On be illustrated as nook closing member, middle graph is shown not contact pin core of puncture needle, down is illustrated as puncture needle to plug nook closing member.
1 handle among the figure, 2 bodies, 3 cavitys, 4 head ends, 5 tail ends, 6 nook closing member tail end steps, 7 nook closing member bars, 8 nook closing member head ends, 9 puncture needle walls, the distolateral hole of 10 piercing needles, 11 puncture needle tail end external screw threads, 12 nook closing member tail ends
The specific embodiment
Below in conjunction with diagram this utility model embodiment is done deep explanation, invention of the present utility model is not limited to present embodiment.
As Fig. 1, shown in 2, puncture needle is by handle (1), body (2), and head end (4) and tail end (5) are formed one.Puncture needle cavity (3) extends through tail end (5) from head end (4), and respectively at head end (4) and tail end (5) opening.Puncture needle enters part (2) in the body, and (3), (4) are designed to have radian, to be fit to the dissect physiology curvature of human body middle part otch from the closed pore to the anterior vaginal wall.Present embodiment is a hook-type.The puncture needle nook closing member is by head end (8), nook closing member bar (7), and tail end (12) and tail end step (6) are formed.Needle length is for entering part (2) in the body, and (3), (4) and handle (1) length sum, the nook closing member total length is consistent with needle length.Present embodiment puncture needle total length 350mm, nook closing member total length 357mm.
As shown in Figure 3, embodiment of the invention puncture needle needle body cross section overall diameter 4mm, tube chamber (3) cross section interior diameter 3mm, pipe thickness 0.5mm.Head end (4) is designed to the tack cone, and it is open cross-section diameter 2mm foremost.It is 2mm that puncture needle nook closing member head end (8) is designed to the bottom surface diameter, height is the tip cone of 3mm, its rear end connects bottom surface diameter 2mm, height is the cylinder of 3mm, nook closing member bar (7) diameter of section 0.4mm, long 344mm, its rear end connects diameter of section and length successively and is the tail end step (6) that the cylindrical tail end (12) of 3mm and diameter of section and length are 4mm.After nook closing member inserted puncture needle fully, nook closing member tail end (12) inserted fixedly nook closing member of puncture needle tail end (5).Nook closing member head end (8) stretches out 3mm at head end (4) opening just, forms tip shape head end with head end (4), makes puncture needle have certain penetration capacity.After extracting nook closing member, puncture needle head end (4) is blunt nosed, and moving under water under the vaginal mucosa layer to prevent that puncture needle from damaging vaginal mucosa.
Present embodiment is at symmetric two apertures of puncture needle head end (4) design as shown in Figure 3, and diameter 0.6mm communicates with tube chamber, and one can be used as fluidic outlet, and two can be used for threading, and suspender belt and puncture needle are fixed.
As shown in Figure 3, present embodiment puncture needle tail end (5) inserts the position for fluid.The screw thread of the wide 5mm of the outer design of tail end (5) pipe is connected with the connection tube that has nut.The connection tube other end is connected with clinical syringe commonly used.
The work process of present embodiment: get the about 1cm of a little otch in anterior vaginal wall urethra stage casing, reach tela submucosa deeply.Puncture needle inserts nook closing member, thrust skin and pass closed pore at femoribus internus, when the finger of intravaginal closed pore inboard touches puncture needle head end (4) under the vaginal mucosa, extract nook closing member, tail end (5) is connected with the fluid connection tube, the pressurization of syringe convection cell, and fluid is end opening from the beginning, flow out in the distolateral hole of two statures (10), the chorista gap.The intravaginal doigte is pushed ahead puncture needle behind mucosal protrusion, while the convection cell pressurization of advancing.Puncture needle moves under water under vaginal mucosa under the guiding of intravaginal finger.Head end (4) arrives the anterior vaginal wall incision site and by suture suspender belt one end is connected with the puncture needle head end, and return on the former road of puncture needle, and suspender belt one end is drawn from femoribus internus; Operate at offside with method.Suspender belt is implanted.

Claims (7)

1. puncture needle that is used for the treatment of stress incontinence, it is characterized in that having handle (1), body (2), head end (4) and tail end (5), one cavity that runs through (3) is arranged from head end (4) to tail end (5), and described cavity is respectively at head end (4) and tail end (5) opening.
2. a kind of puncture needle that is used for the treatment of stress incontinence according to claim 1 is characterized in that having a nook closing member, and described nook closing member passes at puncture needle head end (4), makes puncture needle have certain penetration capacity.
3. a kind of puncture needle that is used for the treatment of stress incontinence according to claim 1, it is characterized in that entering part in the body, comprise head end (4) and body (2), outward appearance has certain curvature, to adapt to the dissection curvature from the puncture starting point to puncture terminal point human body.
4. a kind of puncture needle that is used for the treatment of stress incontinence according to claim 1 is characterized in that head end (4) can be connected at the anterior vaginal wall otch with an end of any suspender belt, and the traction suspender belt places under the vaginal mucosa of urethra stage casing.
5. a kind of puncture needle that is used for the treatment of stress incontinence according to claim 1 is characterized in that head end (4) has fluid issuing, and the fluid with pressure produces a fluid pressure on every side at head end (4) and struts normal anatomic tissue gap.
6. a kind of puncture needle that is used for the treatment of stress incontinence according to claim 1 is characterized in that tail end (5) has fluid intake, can connect fluid source, and fluid pressure is passed to around head end (4) fluid issuing with puncture needle cavity inner fluid.
7. a kind of puncture needle that is used for the treatment of stress incontinence according to claim 1 is characterized in that tail end (5) has fluid intake, can connect the fluid source with certain pressure.
CN2010201130673U 2010-02-12 2010-02-12 Surgery puncture needle for treating stress incontinence Expired - Fee Related CN201692011U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN2010201130673U CN201692011U (en) 2010-02-12 2010-02-12 Surgery puncture needle for treating stress incontinence

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN2010201130673U CN201692011U (en) 2010-02-12 2010-02-12 Surgery puncture needle for treating stress incontinence

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Publication Number Publication Date
CN201692011U true CN201692011U (en) 2011-01-05

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Cited By (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102151166A (en) * 2010-02-12 2011-08-17 赵继懋 Operational puncture instrument and method for treating stress urinary incontinence
CN105073039A (en) * 2013-04-01 2015-11-18 泰尔茂株式会社 Puncture device
CN105997270A (en) * 2016-04-29 2016-10-12 复旦大学附属上海市第五人民医院 Integrally formed Transobturator transvaginal urethra midurethral tape positioned
CN107854163A (en) * 2017-10-20 2018-03-30 南京鼓楼医院 A kind of circular arc sting device
CN109124824A (en) * 2018-09-05 2019-01-04 湖州市中医院 A kind of ring-like suspender belt guide of closing
CN111588427A (en) * 2020-06-03 2020-08-28 北京桀亚生物医学研究有限公司 Puncture guiding device and application method thereof
CN111888047A (en) * 2020-07-15 2020-11-06 温州医科大学附属第一医院 Direct-in visual lower injury-preventing urinary incontinence hanging strip guiding device
CN115486907A (en) * 2022-09-19 2022-12-20 贝普医疗科技股份有限公司 Controllable telescopic guide sling puncture outfit

Cited By (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102151166B (en) * 2010-02-12 2014-06-25 赵继懋 Operational puncture instrument and method for treating stress urinary incontinence
CN102151166A (en) * 2010-02-12 2011-08-17 赵继懋 Operational puncture instrument and method for treating stress urinary incontinence
CN105073039A (en) * 2013-04-01 2015-11-18 泰尔茂株式会社 Puncture device
CN105997270A (en) * 2016-04-29 2016-10-12 复旦大学附属上海市第五人民医院 Integrally formed Transobturator transvaginal urethra midurethral tape positioned
CN105997270B (en) * 2016-04-29 2018-07-17 复旦大学附属上海市第五人民医院 It is a kind of integrally formed through closed pore Via vagina mid-urethral tape surgery managed locator
CN107854163B (en) * 2017-10-20 2019-10-11 南京鼓楼医院 A circular arc puncture device
CN107854163A (en) * 2017-10-20 2018-03-30 南京鼓楼医院 A kind of circular arc sting device
CN109124824A (en) * 2018-09-05 2019-01-04 湖州市中医院 A kind of ring-like suspender belt guide of closing
CN109124824B (en) * 2018-09-05 2024-02-09 湖州市中医院 Closed loop type sling guide
CN111588427A (en) * 2020-06-03 2020-08-28 北京桀亚生物医学研究有限公司 Puncture guiding device and application method thereof
CN111588427B (en) * 2020-06-03 2025-01-21 北京桀亚生物医学研究有限公司 Puncture guide device and application method thereof
CN111888047A (en) * 2020-07-15 2020-11-06 温州医科大学附属第一医院 Direct-in visual lower injury-preventing urinary incontinence hanging strip guiding device
CN115486907A (en) * 2022-09-19 2022-12-20 贝普医疗科技股份有限公司 Controllable telescopic guide sling puncture outfit

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C14 Grant of patent or utility model
GR01 Patent grant
DD01 Delivery of document by public notice

Addressee: Zhao Jimao

Document name: Notification of Termination of Patent Right

CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20110105

Termination date: 20140212