CN109350343A - A kind of pessary and its application method - Google Patents
A kind of pessary and its application method Download PDFInfo
- Publication number
- CN109350343A CN109350343A CN201811468329.5A CN201811468329A CN109350343A CN 109350343 A CN109350343 A CN 109350343A CN 201811468329 A CN201811468329 A CN 201811468329A CN 109350343 A CN109350343 A CN 109350343A
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- cavity
- base body
- pessary
- bag body
- body portion
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- 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
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- 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
The invention discloses a kind of pessary and its application methods, belong to medical instrument technical field, including keep cricoid base body in a state of use, and the base body is made of biocompatible materials, and the base body has flexibility, are provided with an opening on the base body.A kind of pessary provided by the invention and its application method, by the way that uterus care set is lifted uterus on the outside of uterus, it only needs a surgical operation that can be used for a long time, does not need that patient is needed to put it into and take out daily as current pessary, it is very convenient to use.
Description
Technical field
The invention belongs to medical instrument technical fields, and in particular to a kind of pessary, the invention further relates to this uterus
The application method of support.
Background technique
Uterine prolapse (uterine prolapse) refers to that uterus declines from normal position along vagina, and cervical orifice reaches ischium
Spine is below horizontal or even uterus all emerges in other than introitus, is often associated with anterior vaginal wall and (or) rear wall bulging.Before vagina
Rear wall is again adjacent with bladder, rectum, therefore uterine prolapse can also be simultaneously with vesicourethral and Rectocele.Uterine prolapse and branch
Each laxity of ligament and pelvis collet power for holding uterus weaken woman that is related, therefore being more common in fecund, malnutrition and manual labor
Female, disease incidence are 1%~4%.
The method for the treatment of uterine prolapse now is broadly divided into operative treatment and pessary treatment.
Currently, the prolapsus of laparoscopic surgical procedure womb, kysthoptosis are a kind of very popular operation, including abdominal cavity
Utero-sacral promontory fixation, uterosacral ligament desmopyknosis, uterosacral ligament fornix vagina suspension, sacral colpopexy etc. under mirror.
But these surgical procedures are more complex, need to dissect the danger zones such as ureter, presacral space, very high to patient's technical requirements, and one
Denier generation complication is more serious, is not easy to promote and apply.The utility model patent that Authorization Notice No. is 201469459 U of CN is public
It has opened a kind of for treating the suspention sticking patch and sticking patch packet of womb prolapsus, kysthoptosis, the suspention sticking patch and sticking patch packet energy
Keep therapeutic modality more simple, minimally invasive and safe, but surgical procedure is still not convenient enough.
Pessary is a kind of medical apparatus for treating female uterine prolapse, generally by polyethylene and silastic material system
At.The model that pessary has all size different is to adapt to different people.In use, uterus without prolapse is first pushed into intravaginal, then
Pessary is pushed into intravaginal with loxosis slowly.After pessary is first-class, patient should stand or squat down, and firmly increase abdominal pressure, with
Whether test pessary can be deviate from.If abjection, indicates that the pessary selected is too small, should separately change a biggish support.Current
Pessary requires patient and puts support morning and take out at night, uses inconvenience.
Summary of the invention
In view of this, keeping its more convenient to use it is an object of the present invention to provide a kind of pessary.The invention further relates to
The application method of this pessary.
According to the first aspect of the invention, a kind of pessary is proposed, including base body annular in shape in a state of use, institute
It states base body to be made of biocompatible materials, the base body has flexibility, is provided with an opening on the base body.
Further, cavity is equipped in the base body.
Further, the cavity is arranged along the length direction of the base body, and the cavity is closed structure, the base body
It is equipped with the filling mouth for the filling content into the cavity being connected to the cavity, the filling mouth has filling logical
Road, the filling channel can be opened or closed.
Further, the cavity is arranged along the length direction of the base body, and the cavity is closed structure, the cavity
It is inside equipped with the first bag body, the second bag body and the operating member for destroying first bag body and second bag body, it is described
First bag body is provided with the first reactant, and second bag body is provided with the second reactant, first reactant and described
Gas is generated after the contact of two reactants, the gas makes the expandable cavity.
Further, first bag body and the second bag body are bonded on the inner wall of the cavity, are opened on the base body
There is a through-hole, the operating member includes sheath body portion and with body portion, and the sheath body portion has open end and closed end, the body
The open end in portion is connect with the through-hole, and the closed end of the sheath body portion is extend into the cavity and outside and described first
Bag body and second bag body bonding, described one end with body portion connect with the inside of the closed end of the sheath body portion, the other end
For free end；Bonding force between first bag body and the inner wall of the cavity is greater than first bag body and the body
Bonding force between the closed end in portion, the bonding force between second bag body and the inner wall of the cavity are greater than described second
Bonding force between bag body and the closed end of the sheath body portion.
Further, at least one end positioned at the opening of the base body is equipped with the company for making the opening closure
Connection device.
Further, the attachment device includes that first in one end of the opening of the base body is arranged in
The second magnetic patch in magnetic patch and the other end.
Further, the attachment device is suture.
Further, the attachment device is the adhesive tape that one end positioned at the opening of the base body is arranged in, institute
Stating adhesive tape includes substrate, colloid and release paper.
According to the second aspect of the invention, a kind of method using pessary described above is proposed, including is walked as follows
It is rapid:
The pessary is implanted in pelvic cavity by way of surgical operation；
The pessary is annularly covered in the outside of lower uterine segment.
Beneficial effects of the present invention: a kind of pessary provided by the invention and its application method, by the way that uterus care set is existed
Uterus is lifted on the outside of uterus, only needs a surgical operation that can be used for a long time, does not need to need as current pessary
Patient is placed and taken out, very convenient to use.
Detailed description of the invention
Fig. 1 is the structural schematic diagram of the first embodiment of the present invention；
Fig. 2 is the portion the A enlarged diagram in Fig. 1；
Fig. 3 is the structural schematic diagram of the second embodiment of the present invention；
Fig. 4 is the portion the B enlarged diagram in Fig. 3；
Fig. 5 be Fig. 4 in the first bag body and the second bag body be destroyed after structural schematic diagram；
Fig. 6 is the structural schematic diagram of the third embodiment of the present invention；
Fig. 7 is the structural schematic diagram of the fourth embodiment of the present invention；
Fig. 8 is the structural schematic diagram of the fifth embodiment of the present invention.
Specific embodiment
To be easy to understand the technical means, the creative features, the aims and the efficiencies achieved by the present invention, below with reference to
Specific embodiment, the present invention is further explained.
As shown in figures 1-8, the present invention provides a kind of pessary, including keeps cricoid base body 10 in a state of use, support
Body 10 is made of biocompatible materials, and base body 10 has flexibility, and an opening 11 is provided on base body 10.Due to be implanted to
In human body, therefore base body 10 must be made of biocompatible materials.Since base body 10 is used to hold up uterus, the i.e. work of base body 10
With position in uterus, therefore base body 10 must have flexibility, if it is rigidity, exist to make troubles and work as to user and touch
The disadvantages of endangering is brought when hitting generation.It is therefore preferable that base body is made of medical macromolecular materials.Setting opening 11 on base body 10
Purpose is to open base body 10 by the opening 11, to be sleeved on outside uterus.
Base body 10 can be solid construction, in such a situation it is preferred to which base body 10 also has elasticity, such base body 10 simultaneously
It in human body in use process, can restore being squeezed deformation to original state, guarantee lasting to uterus to lift effect.It examines
Consider the above-mentioned characteristic of base body 10, preferably base body 10 is made of medical silica-gel, is not only able to satisfy above-mentioned condition, but also have at low cost
Advantage.In this case, the volume of base body 10 can be larger, thus will cause biggish incision of abdominal wall, but the side of operating
Just.
Base body 10 can also be hollow structure, specifically, cavity 12 is equipped in base body 10.The quantity of cavity 12 can be
One, it is also possible to multiple.Cavity 12 can be closed, be also possible to open.The purpose that cavity 12 is arranged is easy for leading to
It crosses and folds to reduce the volume of base body 10, can thus reduce incision of abdominal wall.It is preferred that cavity 12 is for closed structure and along base body 10
Length direction setting.Due to base body 10 be it is flexible, when it is with cavity 12, base body 10 can become it is more soft, be easier
Deformation, ineffective so as to cause lifting, therefore, can take makes gassy or liquid in closed cavity 12, to make
Base body 10 is easier to maintain ring-type, and then guarantee base body 10 lifts effect.Make the mode of gassy or liquid in cavity 12
There are mainly two types of:
Embodiment one: as shown in Figs. 1-2, it is equipped with the filling into cavity 12 that is used for being connected to cavity 12 on base body 10 and holds
Receive the filling mouth 13 of object, the material of filling mouth 13 is also chosen in biocompatible materials.The filling mouth is provided on base body 10
13 position preferably carries out thickening processing, to reinforce base body 10 and fill the bonding strength between mouth 13.Filling mouth 13, which has, to be filled
Fill channel, filling channel can be opened or closed.Fig. 4 shows a kind of structure of simple filling mouth 13, the filling mouth 13 packet
Pedestal 131 and check valve 133 are included, filling channel 132 is provided on pedestal 131, check valve 133 is arranged in filling channel 132
End, check valve 133 ensure that filling gas, liquid (such as water) or other media (such as liquid silica gel) into cavity 12
Afterwards, charges will not be flowed out out of cavity 12.A plug 134 can also be arranged in the other end in filling channel 132, when having filled
Bi Hou is further turned off by the plug 134 by channel 132 is filled.
Embodiment two: as in Figure 3-5, the first bag body 60, the second bag body 80 are equipped in cavity 12 and for destroying
The operating member 15 of first bag body 60 and second bag body 80, preferably the first bag body 60 and the second bag body 80 are bonded in sky
On the inner wall of chamber 12.First bag body 60 is provided with the first reactant 70, and the second bag body 80 is provided with the second reactant 90, and first
Gas is generated after reactant 70 and the contact of the second reactant 90, gas expands cavity 12.First reactant 70 and the second reaction
Object 90 is preferably aluminum sulfate and sodium bicarbonate, starts to react after aluminum sulfate and sodium bicarbonate contact, will generate a large amount of titanium dioxide
Carbon gas, carbon dioxide gas expand cavity 12.Operating member 15, which can be, to be integrally located in cavity 12, and part is also possible to
In cavity 12.In view of the use environment of base body, operation when for convenient for operation, a part of operating member 15 is located at sky
Chamber 12 is interior, another part is located at outside cavity 12, makes the part being located in cavity 12 by operating the part being located at outside cavity 12
Work, so that the first bag body 60 and the second bag body 80 be made to destroy.Specifically, operating member 15 is including sheath body portion 16 and with body portion
17, sheath body portion 16 has open end and closed end.To cooperate sheath body portion 16, it is provided with a through-hole 14 on base body, sheath body portion 16 is opened
It puts end to connect with the through-hole 14 and keep sealing, i.e., after sheath body portion 16 is connect with through-hole 14, cavity 12 still maintains sealing knot
Structure.The closed end of sheath body portion 16 is extend into cavity 12 and outside is Nian Jie with the first bag body 60 and the second bag body 80.It is preferred that first
Bag body 60 and the second bag body 80 are located at the two sides of the closed end of sheath body portion 16.The envelope of one end with body portion 17 and sheath body portion 16
The inside connection of closed end, the other end are free end.In addition, the bonding force between the first bag body 60 and the inner wall of cavity 12 is greater than
Bonding force between first bag body 60 and the closed end of sheath body portion 16, similarly, between the second bag body 80 and the inner wall of cavity 12
Bonding force be greater than bonding force between the second bag body 80 and the closed end of sheath body portion 16.By 10 sets of base body in the outer of lower uterine segment
After side, the free end with body portion 17 is pulled out, drives the closed end of sheath body portion 16 to be displaced outwardly with body portion 17, thus body
The closed end in portion 16 can tear the surface layer of the first bag body 60 and the second bag body 80, make the first reactant 70 in the first bag body 60
Expose and contact with the second reactant 90 in the second bag body 80, and then the first reactant 70 and the second reactant 90 generate chemistry
It reacts and generates gas.Embodiment two is compared with embodiment one, and structure is simpler, reasonable, more convenient operation.
After base body 10 is put into pelvic cavity, preferably will 11 closure of opening, on the one hand can to avoid pelvic cavity inner tissue or
Person uterus is squeezed into the opening 11 to user's bring sense of discomfort, on the other hand can be to avoid base body 10 from from uterus
The possibility to fall off on outer wall.Therefore the company for making 11 closure of opening is equipped at least one end positioned at opening 11 of base body 10
Connection device, attachment device may have a variety of structures, and the present invention passes through following preferred reality on the basis of example 2
Example is applied to be illustrated:
Embodiment three: as shown in fig. 6, attachment device includes that in one end of opening 11 of base body 10 is arranged in
The second magnetic patch 30 in one magnetic patch 20 and the other end, the first magnetic patch 20 and the second magnetic patch 30 are all wrapped in its base body 10.?
Under use state, the first magnetic patch 20 and the second magnetic patch 30 are in opposite position, keep attracting each other under the magnetic force
Trend, thus make opening 11 closure.By 10 sets of base body after the outer wall of uterus, make the both ends positioned at opening 11 of base body 10
Relatively, even if the first magnetic patch 20 and the second magnetic patch 30 are opposite, to be made by the attraction of the first magnetic patch 20 and the second magnetic patch 30
11 closure of opening.In the present embodiment, the slightly aobvious complexity of the structure of attachment device, but it is easy to use.
Example IV: as shown in fig. 7, attachment device is suture 40, it is preferable that directly opened in being located at for base body 10
Mouthful place 11 both ends 2~4 suturees 40 are respectively set, by 10 sets of base body outside uterus after, directly pass through knotting
Mode makes two suturees 40 link together, to make 11 closure of opening, but, operate inconvenience in surgical procedure
But practicability is high.
Embodiment five: as shown in figure 8, attachment device is the adhesive tape that one end positioned at opening 11 of base body 10 is arranged in
50, adhesive tape 50 includes substrate, colloid and release paper.In use, release paper is torn, by the colloid on adhesive tape 50 by base body 10
Positioned at opening 11 the other end connect, thus make opening 11 closure.In the present embodiment, attachment device structure is simple, uses
Also facilitate.
Certainly, attachment device can also be other structures, such as clamping structure.Or base body 10 is located at opening 11
Both ends are directly pasted together by adhesive of medical.
The present invention also provides the application methods of above-mentioned pessary, include the following steps:
S1, pessary is implanted in pelvic cavity by way of surgical operation；
S2, above-mentioned pessary is annularly covered in the outside of lower uterine segment.
In step s 2, pessary, which is annularly covered, is in use state at the outside of lower uterine segment.
The present invention only needs a surgical operation that can make for a long time by the way that uterus care set is lifted uterus on the outside of uterus
With, it does not need to need patient to be placed and taken out as current pessary, it is very convenient to use.
The above shows and describes the basic principles and main features of the present invention and the advantages of the present invention, for this field skill
For art personnel, it is clear that invention is not limited to the details of the above exemplary embodiments, and without departing substantially from spirit of the invention or
In the case where essential characteristic, the present invention can be realized in other specific forms.Therefore, in all respects, should all incite somebody to action
Embodiment regards exemplary as, and is non-limiting, the scope of the present invention by appended claims rather than on state
Bright restriction, it is intended that including all changes that fall within the meaning and scope of the equivalent elements of the claims in the present invention
It is interior.
In addition, it should be understood that although this specification is described in terms of embodiments, but not each embodiment is only wrapped
Containing an independent technical solution, this description of the specification is merely for the sake of clarity, and those skilled in the art should
It considers the specification as a whole, the technical solutions in the various embodiments may also be suitably combined, forms those skilled in the art
The other embodiments being understood that.
Claims (10)
1. a kind of pessary, it is characterised in that: including base body (10) annular in shape in a state of use, the base body (10) is by giving birth to
Object compatibility material is made, and the base body (10) has flexibility, is provided with an opening (11) on the base body (10).
2. pessary according to claim 1, it is characterised in that: be equipped with cavity (12) in the base body (10).
3. pessary according to claim 2, it is characterised in that: length side of the cavity (12) along the base body (10)
To setting, the cavity (12) is closed structure, and the base body (10) is used for equipped with what is be connected to the cavity (12) to institute
The filling mouth (13) of filling content in cavity (12) is stated, the filling mouth (13) has filling channel (132), and the filling is logical
Road (132) can be opened or closed.
4. pessary according to claim 2, it is characterised in that: length side of the cavity (12) along the base body (10)
To setting, the cavity (12) is closed structure, be equipped in the cavity (12) the first bag body (60), the second bag body (80), with
And the operating member (15) for destroying first bag body (60) and second bag body (80), first bag body (60) are interior
Equipped with the first reactant (70), second bag body (80) is provided with the second reactant (90), first reactant (70) and
Gas is generated after second reactant (90) contact, the gas expands the cavity (12).
5. pessary according to claim 4, it is characterised in that: first bag body (60) and the second bag body (80) bonding
It on the inner wall of the cavity, is provided on the base body through-hole (14), the operating member (15) includes sheath body portion (16)
With band body portion (17), the sheath body portion (16) has open end and closed end, and the open end of the sheath body portion (16) leads to described
Hole (14) connection, the closed end of the sheath body portion (16) is extend into the cavity (12) and outside and first bag body
(60) it is bonded with second bag body (80), the inside of the closed end of the one end and sheath body portion (16) in band body portion (17)
Connection, the other end are free end；Bonding force between first bag body (60) and the inner wall of the cavity is greater than described the
Bonding force between one bag body (60) and the closed end of the sheath body portion (16), second bag body (80) are interior with the cavity
Bonding force between wall surface is greater than the bonding force between second bag body (80) and the closed end of the sheath body portion (16).
6. pessary described in -5 according to claim 1, it is characterised in that: the base body (10) is located at the opening (11)
At least one end be equipped with for make it is described opening (11) be closed attachment device.
7. pessary according to claim 5, it is characterised in that: the attachment device includes being arranged in the base body (10)
Be located at it is described opening (11) at one end in the first magnetic patch (20) and the other end in the second magnetic patch (30).
8. pessary according to claim 5, it is characterised in that: the attachment device is suture (40).
9. pessary according to claim 5, it is characterised in that: the attachment device is to be arranged in the base body (10)
The adhesive tape (50) of one end at the opening (11), the adhesive tape (50) includes substrate, colloid and release paper.
10. a kind of application method of such as described in any item pessaries of claim 1-9, characterized by the following steps:
The pessary is implanted in pelvic cavity by way of surgical operation；
The pessary is annularly covered in the outside of lower uterine segment.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201811468329.5A CN109350343A (en) | 2018-12-03 | 2018-12-03 | A kind of pessary and its application method |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201811468329.5A CN109350343A (en) | 2018-12-03 | 2018-12-03 | A kind of pessary and its application method |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN109350343A true CN109350343A (en) | 2019-02-19 |
Family
ID=65330984
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201811468329.5A Pending CN109350343A (en) | 2018-12-03 | 2018-12-03 | A kind of pessary and its application method |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN109350343A (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111616832A (en) * | 2020-06-25 | 2020-09-04 | 贵阳市第二人民医院 | A easily take type uterus support subassembly for gynaecology and obstetrics |
| CN113730082A (en) * | 2021-08-06 | 2021-12-03 | 西安交通大学医学院第一附属医院 | Medical assembly for preventing and treating pelvic organ prolapse based on magnetic force |
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Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111616832A (en) * | 2020-06-25 | 2020-09-04 | 贵阳市第二人民医院 | A easily take type uterus support subassembly for gynaecology and obstetrics |
| CN111616832B (en) * | 2020-06-25 | 2022-12-20 | 贵阳市第二人民医院 | A easily take type uterus support subassembly for gynaecology and obstetrics |
| CN113730082A (en) * | 2021-08-06 | 2021-12-03 | 西安交通大学医学院第一附属医院 | Medical assembly for preventing and treating pelvic organ prolapse based on magnetic force |
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