CN207575292U - A kind of tissue compression device - Google Patents
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Abstract
Description
技术领域technical field
本实用新型实施例涉及医疗器械技术领域,尤其涉及一种组织压缩装置。The embodiment of the utility model relates to the technical field of medical devices, in particular to a tissue compression device.
背景技术Background technique
由于组织、器官的退行性病变、盆底外伤、手术并发症等原因引起的漏尿甚至尿失禁等男性排尿功能障碍,是困扰着众多患者的一大顽疾。目前临床上治疗男性尿失禁的主要方法之一是通过在男性患者体内植入一系列套件,包括尿道约束装置、储液囊、机械开关和液路连接管等结构,由于该类植入装置结构复杂,手术创伤大,术后恢复时间长,而且其开关需要手动按压,一方面使得储液囊表面最终会形成组织纤维化,使得储液囊性能下降影像假体使用效果。Male voiding dysfunction such as urinary leakage or even urinary incontinence caused by degenerative diseases of tissues and organs, pelvic floor trauma, and surgical complications is a major chronic disease that plagues many patients. At present, one of the main clinical methods for treating male urinary incontinence is to implant a series of kits in male patients, including structures such as urethral restraint devices, fluid storage bags, mechanical switches, and fluid connection tubes. Due to the structure of this type of implant It is complicated, the surgical trauma is large, the postoperative recovery time is long, and the switch needs to be pressed manually. On the one hand, tissue fibrosis will eventually form on the surface of the reservoir, which will reduce the performance of the reservoir and reduce the effect of imaging prosthesis.
另一严重缺点在于,压缩、夹紧或限制身体器官的元件可能伤害尿道组织壁。这样,所述元件对器官的压缩行为导致所述元件可能随时间侵入器官中,甚至有可能穿透被压缩的器官壁部分。此外,被压缩的器官组织壁部分中的血液循环最终由于所述元件施加的压力而阻塞,因此会造成血液循环不良或血液循环停止导致被压缩组织恶化。Another serious disadvantage is that elements compressing, pinching or confining the body organ may injure the tissue wall of the urethra. In this way, the compressive action of the element on the organ results in the possible invasion of the element over time into the organ, possibly even penetrating the compressed part of the organ wall. Furthermore, the blood circulation in the compressed organ tissue wall portion is eventually blocked due to the pressure exerted by the element, thus resulting in poor blood circulation or blood circulation stop leading to deterioration of the compressed tissue.
综合以上因素,目前尚无针对男性漏尿或尿失禁方面疾病的理想治疗器具。Based on the above factors, there is no ideal treatment device for male leakage of urine or urinary incontinence.
实用新型内容Utility model content
鉴于上述问题,本实用新型提供一种组织压缩装置,包括泵、储液室、导管和压缩装置,所述储液室与泵耦合,所述储液室中存储预定容积的流体,所述储液室通过导管与压缩装置连通,所述泵为流体在储液室和压缩装置之间传输提供动力,所述压缩装置用于相对于所述组织的轴线非线性地压缩所述组织壁。In view of the above problems, the utility model provides a tissue compression device, including a pump, a liquid storage chamber, a catheter and a compression device, the liquid storage chamber is coupled with the pump, and a predetermined volume of fluid is stored in the liquid storage chamber. The fluid chamber is in communication with a constriction device via a conduit, and the pump powers the transfer of fluid between the fluid reservoir and the constriction device for non-linearly compressing the tissue wall relative to the tissue axis.
可选地,在本实用新型实施例中,还包括控制装置,所述控制装置用于控制所述泵的运行。Optionally, in the embodiment of the present utility model, a control device is also included, and the control device is used to control the operation of the pump.
可选地,在本实用新型实施例中,患者从体外控制所述控制装置。Optionally, in the embodiment of the present utility model, the patient controls the control device from outside the body.
可选地,在本实用新型实施例中,所述压缩装置还包括至少一个中空的挠性基板,所述压迫元件设于基板上,且所述压迫元件与基板从内部连通。Optionally, in the embodiment of the present utility model, the compressing device further includes at least one hollow flexible substrate, the pressing element is arranged on the substrate, and the pressing element communicates with the substrate from inside.
可选地,在本实用新型实施例中,所述基板具有闭合或非闭合曲面。Optionally, in the embodiment of the present utility model, the substrate has a closed or non-closed curved surface.
可选地,在本实用新型实施例中,所述闭合或非闭合曲面包括一凹形表面,所述凹形表面与组织相配合。Optionally, in the embodiment of the present utility model, the closed or non-closed curved surface includes a concave surface, and the concave surface fits with the tissue.
可选地,在本实用新型实施例中,所述非闭合曲面的截面形状基本上呈圆弧形。Optionally, in the embodiment of the present utility model, the cross-sectional shape of the non-closed curved surface is substantially arc-shaped.
可选地,在本实用新型实施例中,所述基板上设有固定件,用于把所述基板固定于组织的外围。Optionally, in the embodiment of the present utility model, a fixing member is provided on the base plate for fixing the base plate to the periphery of the tissue.
可选地,在本实用新型实施例中,所述固定件包括一卡扣,所述卡扣可与所述导管耦合。Optionally, in the embodiment of the present utility model, the fixing member includes a buckle, and the buckle can be coupled with the catheter.
可选地,在本实用新型实施例中,所述固定件包括一卡扣和一卡座,所述卡扣与卡座互相配合,把所述基板固定于组织的外围。Optionally, in the embodiment of the present utility model, the fixing member includes a buckle and a card seat, and the buckle and the card seat cooperate with each other to fix the substrate on the periphery of the tissue.
可选地,在本实用新型实施例中,所述储液室中的流体导入压缩装置时,所述压缩装置相对于所述组织的轴线非线性地压缩所述组织壁,流体流回储液室时,所述压缩装置不对所述组织壁施加压力。Optionally, in the embodiment of the present utility model, when the fluid in the liquid storage chamber is introduced into the compression device, the compression device compresses the tissue wall non-linearly relative to the axis of the tissue, and the fluid flows back into the storage liquid. When the chamber is closed, the constriction device does not apply pressure to the tissue wall.
可选地,在本实用新型实施例中,所述压缩装置包括至少三个中空的压迫元件,所述至少三个压迫元件沿组织轴线方向呈非线性排列。Optionally, in the embodiment of the present invention, the compression device includes at least three hollow compression elements, and the at least three compression elements are arranged in a non-linear manner along the tissue axis.
可选地,在本实用新型实施例中,所述任意两个压迫元件中心点的连线均不与组织的轴线平行。Optionally, in the embodiment of the present invention, the line connecting the central points of any two pressing elements is not parallel to the axis of the tissue.
可选地,在本实用新型实施例中,所述任意两个压迫元件的中心点垂直于组织轴线的截面不在同一平面内。Optionally, in the embodiment of the present invention, the cross-sections of the center points of any two pressing elements perpendicular to the tissue axis are not in the same plane.
可选地,在本实用新型实施例中,所述压迫元件具有弧形轮廓,所述弧形轮廓螺旋地向组织的轴线方向收拢。Optionally, in the embodiment of the present utility model, the pressing element has an arc profile, and the arc profile is helically converged toward the axis of the tissue.
可选地,在本实用新型实施例中,所述导管为两根,每根导管的一端耦合至基板上,另一端耦合至泵。Optionally, in the embodiment of the present utility model, there are two conduits, one end of each conduit is coupled to the substrate, and the other end is coupled to the pump.
可选地,在本实用新型实施例中,所述导管上还设有阀门,所述阀门用于改变流体的流动方向。Optionally, in the embodiment of the present invention, the conduit is further provided with a valve, and the valve is used to change the flow direction of the fluid.
可选地,在本实用新型实施例中,所述阀门为单向阀,以控制流体单向流动。Optionally, in the embodiment of the present utility model, the valve is a one-way valve to control the one-way flow of fluid.
可选地,在本实用新型实施例中,所述导管设有自由端,所述导管的自由端可与组织压缩装置和泵之至少其中一者集成或分离。Optionally, in the embodiment of the present utility model, the catheter is provided with a free end, and the free end of the catheter can be integrated with or separated from at least one of the tissue compression device and the pump.
可选地,在本实用新型实施例中,所述导管的自由端设有第一耦合件,所述泵设有第二耦合件,所述第一耦合件和第二耦合件为过盈配合。Optionally, in the embodiment of the present utility model, the free end of the conduit is provided with a first coupling, the pump is provided with a second coupling, and the first coupling and the second coupling are interference fit .
可选地,在本实用新型实施例中,所述第一耦合件为安装棘齿,所述第二耦合件为安装孔。Optionally, in the embodiment of the present utility model, the first coupling part is a mounting ratchet, and the second coupling part is a mounting hole.
可选地,在本实用新型实施例中,所述组织选自阴茎、尿道、膀胱、血管、胃、肠道、输卵管、胆囊、肝管、胆管所组成群组中之其中任意一者。Optionally, in the embodiment of the present utility model, the tissue is selected from any one of the group consisting of penis, urethra, bladder, blood vessel, stomach, intestinal tract, fallopian tube, gallbladder, hepatic duct, and bile duct.
可选地,在本实用新型实施例中,还包括电源,所述电源与泵耦合,向所述泵提供电能。Optionally, in the embodiment of the present utility model, a power supply is also included, and the power supply is coupled with the pump to provide electric energy to the pump.
可选地,在本实用新型实施例中,还包括控制装置,所述控制装置用于控制所述泵的运行。Optionally, in the embodiment of the present utility model, a control device is also included, and the control device is used to control the operation of the pump.
可选地,在本实用新型实施例中,所述控制装置为行程开关,所述行程开关与泵串联,用于限制泵的行程。Optionally, in the embodiment of the present utility model, the control device is a stroke switch, which is connected in series with the pump and used to limit the stroke of the pump.
可选地,在本实用新型实施例中,患者从体外控制所述控制装置。Optionally, in the embodiment of the present utility model, the patient controls the control device from outside the body.
可选地,在本实用新型实施例中,所述控制装置包括体外遥控装置和体内感应装置,所述体内感应装置用于与体外无线遥控装置进行无线耦合,并根据耦合信号控制压缩装置。Optionally, in the embodiment of the present utility model, the control device includes an external remote control device and an internal body induction device, and the internal body induction device is used for wireless coupling with the external wireless remote control device, and controls the compression device according to the coupling signal.
可选地,在本实用新型实施例中,所述电源与体内感应装置耦合,体外遥控装置与体内感应装置通过无线耦合对所述电源充电。Optionally, in the embodiment of the present utility model, the power supply is coupled to the in-body induction device, and the external remote control device and the in-body induction device charge the power supply through wireless coupling.
可选地,在本实用新型实施例中,还包括传感器,用于感应患者体内的生理参数和/或所述组织压缩装置的功能参数,并将所述生理参数和/或功能参数发送至控制装置,所述控制装置根据所述生理参数和/或功能参数调节流体的传输。Optionally, in the embodiment of the present utility model, a sensor is further included for sensing the physiological parameters in the patient and/or the functional parameters of the tissue compression device, and sending the physiological parameters and/or functional parameters to the control A device, said control device regulates the delivery of fluid according to said physiological parameter and/or functional parameter.
可选地,在本实用新型实施例中,所述控制装置为体外无线遥控装置。Optionally, in the embodiment of the present utility model, the control device is an external wireless remote control device.
可选地,在本实用新型实施例中,所述生理参数为患者体内的压力,所述功能参数为压缩装置的压力。Optionally, in the embodiment of the present invention, the physiological parameter is the pressure in the patient's body, and the functional parameter is the pressure of the compression device.
可选地,在本实用新型实施例中,所述泵在电能驱动下将储液室中的流体经导管输送至压缩装置,在机械能驱动下将流体经导管输送回所述储液室。Optionally, in the embodiment of the present utility model, the pump is driven by electric energy to transport the fluid in the liquid storage chamber to the compressing device through a conduit, and is driven by mechanical energy to transport the fluid back to the liquid storage chamber through a conduit.
可选地,在本实用新型实施例中,所述泵包括泵体、泵头和弹簧,所述泵头通过弹簧与泵体连接,所述泵头通过往复性活动调节储液室的容积,所述弹簧至少部分地驱动泵头调节储液室的容积。Optionally, in the embodiment of the present utility model, the pump includes a pump body, a pump head and a spring, the pump head is connected to the pump body through a spring, and the pump head adjusts the volume of the liquid storage chamber through reciprocating activities, The spring at least partially drives the pump head to adjust the volume of the liquid storage chamber.
可选地,在本实用新型实施例中,所述泵头包括一活塞,所述弹簧与活塞耦合,所述活塞与储液室内壁耦合,所述活塞和弹簧之至少其中一者在非电能驱动下将流体输送回储液室。Optionally, in the embodiment of the present utility model, the pump head includes a piston, the spring is coupled to the piston, the piston is coupled to the inner wall of the liquid storage chamber, and at least one of the piston and the spring is Driven to deliver fluid back to the reservoir.
可选地,在本实用新型实施例中,所述压缩装置还包括至少一个中空的挠性基板,所述压迫元件设于基板上,且所述压迫元件与基板从内部连通。Optionally, in the embodiment of the present utility model, the compressing device further includes at least one hollow flexible substrate, the pressing element is arranged on the substrate, and the pressing element communicates with the substrate from inside.
可选地,在本实用新型实施例中,所述基板具有闭合或非闭合曲面。Optionally, in the embodiment of the present utility model, the substrate has a closed or non-closed curved surface.
可选地,在本实用新型实施例中,所述闭合或非闭合曲面包括一凹形表面,所述凹形表面与组织相配合。Optionally, in the embodiment of the present utility model, the closed or non-closed curved surface includes a concave surface, and the concave surface fits with the tissue.
可选地,在本实用新型实施例中,所述非闭合曲面的截面形状基本上呈圆弧形。Optionally, in the embodiment of the present utility model, the cross-sectional shape of the non-closed curved surface is substantially arc-shaped.
可选地,在本实用新型实施例中,所述基板上设有固定件,用于把所述基板固定于组织的外围。Optionally, in the embodiment of the present utility model, a fixing member is provided on the base plate for fixing the base plate to the periphery of the tissue.
可选地,在本实用新型实施例中,所述固定件包括一卡扣,所述卡扣可与所述导管耦合。Optionally, in the embodiment of the present utility model, the fixing member includes a buckle, and the buckle can be coupled with the catheter.
可选地,在本实用新型实施例中,所述固定件包括一卡扣和一卡座,所述卡扣与卡座互相配合,把所述基板固定于组织的外围。Optionally, in the embodiment of the present utility model, the fixing member includes a buckle and a card seat, and the buckle and the card seat cooperate with each other to fix the substrate on the periphery of the tissue.
可选地,在本实用新型实施例中,所述储液室中的流体导入压缩装置时,所述压缩装置相对于所述组织的轴线非线性地压缩所述组织壁,流体流回储液室时,所述压缩装置不对所述组织壁施加压力。Optionally, in the embodiment of the present utility model, when the fluid in the liquid storage chamber is introduced into the compression device, the compression device compresses the tissue wall non-linearly relative to the axis of the tissue, and the fluid flows back into the storage liquid. When the chamber is closed, the constriction device does not apply pressure to the tissue wall.
可选地,在本实用新型实施例中,所述压缩装置包括至少三个中空的压迫元件,所述至少三个压迫元件沿组织轴线方向呈非线性排列。Optionally, in the embodiment of the present invention, the compression device includes at least three hollow compression elements, and the at least three compression elements are arranged in a non-linear manner along the tissue axis.
可选地,在本实用新型实施例中,所述任意两个压迫元件中心点的连线均不与组织的轴线平行。Optionally, in the embodiment of the present invention, the line connecting the central points of any two pressing elements is not parallel to the axis of the tissue.
可选地,在本实用新型实施例中,所述任意两个压迫元件的中心点垂直于组织轴线的截面不在同一平面内。Optionally, in the embodiment of the present invention, the cross-sections of the center points of any two pressing elements perpendicular to the tissue axis are not in the same plane.
可选地,在本实用新型实施例中,所述压迫元件具有弧形轮廓,所述弧形轮廓螺旋地向组织的轴线方向收拢。Optionally, in the embodiment of the present utility model, the pressing element has an arc profile, and the arc profile is helically converged toward the axis of the tissue.
可选地,在本实用新型实施例中,所述导管为两根,每根导管的一端耦合至基板上,另一端耦合至泵。Optionally, in the embodiment of the present utility model, there are two conduits, one end of each conduit is coupled to the substrate, and the other end is coupled to the pump.
可选地,在本实用新型实施例中,所述导管上还设有阀门,所述阀门用于改变流体的流动方向。Optionally, in the embodiment of the present invention, the conduit is further provided with a valve, and the valve is used to change the flow direction of the fluid.
可选地,在本实用新型实施例中,所述阀门为单向阀,以控制流体单向流动。Optionally, in the embodiment of the present utility model, the valve is a one-way valve to control the one-way flow of fluid.
可选地,在本实用新型实施例中,所述电源向阀门提供电能,所述控制装置控制阀门改变流体的流动方向。Optionally, in the embodiment of the present invention, the power supply provides electric energy to the valve, and the control device controls the valve to change the flow direction of the fluid.
可选地,在本实用新型实施例中,所述导管设有自由端,所述导管的自由端可与组织压缩装置和泵之至少其中一者集成或分离。Optionally, in the embodiment of the present utility model, the catheter is provided with a free end, and the free end of the catheter can be integrated with or separated from at least one of the tissue compression device and the pump.
可选地,在本实用新型实施例中,所述导管的自由端设有第一耦合件,所述泵设有第二耦合件,所述第一耦合件和第二耦合件为过盈配合。Optionally, in the embodiment of the present utility model, the free end of the conduit is provided with a first coupling, the pump is provided with a second coupling, and the first coupling and the second coupling are interference fit .
可选地,在本实用新型实施例中,所述第一耦合件为安装棘齿,所述第二耦合件为安装孔。Optionally, in the embodiment of the present utility model, the first coupling part is a mounting ratchet, and the second coupling part is a mounting hole.
可选地,在本实用新型实施例中,还包括控制装置,所述控制装置用于控制所述泵的运行。Optionally, in the embodiment of the present utility model, a control device is also included, and the control device is used to control the operation of the pump.
可选地,在本实用新型实施例中,所述控制装置为行程开关,所述行程开关与泵串联,用于限制泵的行程。Optionally, in the embodiment of the present utility model, the control device is a stroke switch, which is connected in series with the pump and used to limit the stroke of the pump.
可选地,在本实用新型实施例中,患者从体外控制所述控制装置。Optionally, in the embodiment of the present utility model, the patient controls the control device from outside the body.
可选地,在本实用新型实施例中,所述控制装置包括体外遥控装置和体内感应装置,所述体内感应装置用于与体外无线遥控装置进行无线耦合,并根据耦合信号控制压缩装置。Optionally, in the embodiment of the present utility model, the control device includes an external remote control device and an internal body induction device, and the internal body induction device is used for wireless coupling with the external wireless remote control device, and controls the compression device according to the coupling signal.
可选地,在本实用新型实施例中,所述电源与体内感应装置耦合,体外遥控装置与体内感应装置通过无线耦合对所述电源充电。Optionally, in the embodiment of the present utility model, the power supply is coupled to the in-body induction device, and the external remote control device and the in-body induction device charge the power supply through wireless coupling.
可选地,在本实用新型实施例中,还包括传感器,用于感应患者体内的生理参数和/或所述组织压缩装置的功能参数,并将所述生理参数和/或功能参数发送至控制装置,所述控制装置根据所述生理参数和/或功能参数调节流体的传输。Optionally, in the embodiment of the present utility model, a sensor is further included for sensing the physiological parameters in the patient and/or the functional parameters of the tissue compression device, and sending the physiological parameters and/or functional parameters to the control A device, said control device regulates the delivery of fluid according to said physiological parameter and/or functional parameter.
可选地,在本实用新型实施例中,所述控制装置为体外无线遥控装置。Optionally, in the embodiment of the present utility model, the control device is an external wireless remote control device.
可选地,在本实用新型实施例中,所述生理参数为患者体内的压力,所述功能参数为压缩装置的压力。Optionally, in the embodiment of the present invention, the physiological parameter is the pressure in the patient's body, and the functional parameter is the pressure of the compression device.
可选地,在本实用新型实施例中,所述组织选自阴茎、尿道、膀胱、血管、胃、肠道、输卵管、胆囊、肝管、胆管所组成群组中之其中任意一者。Optionally, in the embodiment of the present utility model, the tissue is selected from any one of the group consisting of penis, urethra, bladder, blood vessel, stomach, intestinal tract, fallopian tube, gallbladder, hepatic duct, and bile duct.
本实用新型的组织压缩装置结构简单,所占空间较小,植入简单,功耗低,操作简单。The tissue compression device of the utility model has the advantages of simple structure, small space occupation, simple implantation, low power consumption and simple operation.
本实用新型的组织压缩装置的压缩装置相对于所述组织的轴线非线性地压缩所述组织壁,例如通过在压缩装置上设置至少三个中空的压迫元件,所述至少三个压迫元件沿组织轴线方向呈非线性排列,这样布置的优点是,避免如现有技术中所述的组织束缚机构对组织进行360°环向压迫,以致极易导致组织组织缺血坏死,从而引起严重的并发症。The compression device of the tissue compression device of the present utility model compresses the tissue wall non-linearly relative to the axis of the tissue, for example, by setting at least three hollow compression elements on the compression device, and the at least three compression elements are arranged along the tissue wall. The axial direction is arranged in a non-linear manner. The advantage of this arrangement is that it avoids 360° circumferential compression of the tissue by the tissue restraint mechanism described in the prior art, which can easily lead to tissue ischemia and necrosis, thereby causing serious complications .
所述任意两个压迫元件中心点的连线均不与组织的轴线平行,进一步避免两个压迫元件同时对组织的同一个部位反复压迫。The line connecting the central points of any two pressing elements is not parallel to the axis of the tissue, further avoiding repeated pressing of the same part of the tissue by the two pressing elements at the same time.
压迫元件并不作用在组织的同一个垂直于轴线的横截面上,即至少一个压迫元件垂直于轴线的横截面与其他压迫元件垂直于轴线的横截面不在同一个平面上,进一步将对组织施加的压力分散开,并且避开不同方向的压力施加到同一段组织上。The compression elements do not act on the same cross-section perpendicular to the axis of the tissue, that is, the cross-section perpendicular to the axis of at least one compression element is not on the same plane as the cross-section perpendicular to the axis of other compression elements, further exerting pressure on the tissue The pressure is spread out, and pressure from different directions is applied to the same section of tissue.
压迫元件设于基本上呈圆弧形的轮廓的基板上,基板上分布压迫元件,使得圆弧形的基板可以稳定的包围在组织周围,但弯折成圆弧状的基板并不对组织造成直接压迫,而是当固定在其上的压迫元件受压隆起时,才对组织形成压迫,从而实现对组织内尿液流量的控制,从而避免了组织组织缺血坏死。The compression element is arranged on the substrate with a substantially arc-shaped outline, and the compression elements are distributed on the substrate, so that the arc-shaped substrate can be stably surrounded around the tissue, but the substrate bent into an arc-shaped substrate does not cause direct damage to the tissue. Compression, but when the compression element fixed on it is pressed and bulges, it forms compression on the tissue, thereby realizing the control of the urine flow in the tissue, thereby avoiding tissue ischemia and necrosis.
所述电源与泵和储液室一体式结构,并且泵头通过弹簧与泵体连接,所述泵头通过往复性活动调节储液室的容积,所述弹簧至少部分地驱动泵头调节储液室的容积,所述的泵301向外泵水过程由电动机驱动,回水过程可以靠弹簧拉力作用,也可以靠活塞作用,也可以二者配合作用,从而在一定程度上降低功耗,提高效率。The power supply is integrated with the pump and the liquid storage chamber, and the pump head is connected to the pump body through a spring, the pump head adjusts the volume of the liquid storage chamber through reciprocating activities, and the spring at least partially drives the pump head to adjust the liquid storage The volume of the chamber, the process of the pump 301 pumping water outward is driven by the motor, and the process of returning water can be effected by spring tension, or by a piston, or both, so as to reduce power consumption to a certain extent and improve efficiency.
优选地,组织压缩装置还包括传感器,用于感应患者体内的生理参数和/或所述组织压缩装置的功能参数,并将所述生理参数和/或功能参数发送至控制装置,所述控制装置根据所述生理参数和/或功能参数调节流体的传输。组织压缩装置处于通电待机状态,当患者体内的生理参数和/或所述组织压缩装置的功能参数超过阈值或开始增大时,例如患者咳嗽、打喷嚏时,传感器向控制器发出信号,压缩装置迅速对组织施压,避免患者咳嗽、打喷嚏时组织出现漏液的现象。Preferably, the tissue compression device further includes a sensor for sensing physiological parameters in the patient and/or functional parameters of the tissue compression device, and sending the physiological parameters and/or functional parameters to the control device, the control device The delivery of fluid is adjusted according to said physiological and/or functional parameters. The tissue compression device is in a power-on standby state. When the physiological parameters in the patient and/or the functional parameters of the tissue compression device exceed a threshold or begin to increase, for example, when the patient coughs or sneezes, the sensor sends a signal to the controller, and the compression device Quickly apply pressure to the tissue to avoid tissue leakage when the patient coughs or sneezes.
附图说明Description of drawings
为了更清楚地说明本实用新型实施例或现有技术中的技术方案,下面将对实施例或现有技术描述中所需要使用的附图作简单地介绍,显而易见地,下面描述中的附图仅仅是本实用新型实施例中记载的一些实施例,对于本领域普通技术人员来讲,还可以根据这些附图获得其他的附图。In order to more clearly illustrate the technical solutions in the embodiments of the present invention or the prior art, the following will briefly introduce the accompanying drawings that need to be used in the description of the embodiments or the prior art. Obviously, the accompanying drawings in the following description These are only some embodiments described in the embodiments of the present utility model, and those skilled in the art can also obtain other drawings according to these drawings.
图1是本实用新型一种组织压缩装置的一实施例的示意图。Fig. 1 is a schematic diagram of an embodiment of a tissue compression device of the present invention.
图2A-2D是图1中压缩装置的4个实施例的示意图。2A-2D are schematic diagrams of four embodiments of the compression device of FIG. 1 .
图3是基于图2A-2D的优选实施例的示意图。Fig. 3 is a schematic diagram of a preferred embodiment based on Figs. 2A-2D.
图4是图3所对应的组织压缩装置的实施例1的示意图。FIG. 4 is a schematic diagram of Embodiment 1 of the tissue compression device corresponding to FIG. 3 .
图5是图2B所对应的组织压缩装置未使用状态的示意图。Fig. 5 is a schematic diagram of the unused state of the tissue compression device corresponding to Fig. 2B.
图6是图2B所对应的组织压缩装置使用状态的示意图。Fig. 6 is a schematic diagram of the use state of the tissue compression device corresponding to Fig. 2B.
图7是图3所对应的组织压缩装置的实施例2的示意图。FIG. 7 is a schematic diagram of Embodiment 2 of the tissue compression device corresponding to FIG. 3 .
图8是图7所对应的组织压缩装置基板弯曲后的示意图。FIG. 8 is a schematic diagram of the substrate of the tissue compression device corresponding to FIG. 7 after being bent.
图9是图7中压缩装置的示意图。FIG. 9 is a schematic diagram of the compression device in FIG. 7 .
图10是图7所对应的组织压缩装置未使用状态的示意图。FIG. 10 is a schematic diagram of the tissue compression device corresponding to FIG. 7 in an unused state.
图11是图7所对应的组织压缩装置使用状态的示意图。Fig. 11 is a schematic diagram of the use state of the tissue compression device corresponding to Fig. 7 .
图12是图1中导管结构的示意图。FIG. 12 is a schematic diagram of the catheter structure in FIG. 1 .
图13是图12的导管结构的放大示意图。FIG. 13 is an enlarged schematic view of the catheter structure of FIG. 12 .
图14是图1中泵的实施例的结构示意图。Fig. 14 is a schematic structural view of an embodiment of the pump in Fig. 1 .
图15是本实用新型一种组织压缩装置的优选实施例的示意图。Fig. 15 is a schematic diagram of a preferred embodiment of a tissue compression device of the present invention.
具体实施方式Detailed ways
当然,实施本实用新型实施例的任一技术方案不必一定需要同时达到以上的所有优点。Of course, implementing any technical solution of the embodiments of the present invention does not necessarily need to achieve all the above advantages at the same time.
为了使本领域的人员更好地理解本实用新型实施例中的技术方案,下面将结合本实用新型实施例中的附图,对本实用新型实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅是本实用新型实施例一部分实施例,而不是全部的实施例。基于本实用新型实施例中的实施例,本领域普通技术人员所获得的所有其他实施例,都应当属于本实用新型实施例保护的范围。In order to enable those skilled in the art to better understand the technical solutions in the embodiments of the utility model, the technical solutions in the embodiments of the utility model will be clearly and completely described below in conjunction with the accompanying drawings in the embodiments of the utility model, obviously , the described embodiments are only some of the embodiments of the present utility model, but not all of them. All other embodiments obtained by persons of ordinary skill in the art based on the embodiments in the embodiments of the present invention shall fall within the protection scope of the embodiments of the present invention.
所述“轴向”是指沿组织长度延伸的方向。所述“流体”包括,但不限于液体、气体,例如无菌水、生理盐水、空气等。By "axial" is meant a direction extending along the length of the tissue. The "fluid" includes, but is not limited to, liquid, gas, such as sterile water, physiological saline, air and the like.
下面结合本实用新型实施例附图进一步说明本实用新型实施例具体实现。The specific implementation of the utility model embodiment will be further described below in conjunction with the accompanying drawings of the utility model embodiment.
参见图1,在本实用新型一具体实现中,所述组织压缩装置包括泵301、储液室1.5、导管2和压缩装置3,所述储液室1.5与泵301耦合,所述储液室1.5中存储预定容积的流体,所述储液室1.5通过导管2与压缩装置3连通,所述泵301为流体在储液室1.5和压缩装置3之间传输提供动力,所述压缩装置3用于相对于所述组织的轴线非线性地压缩所述组织壁。Referring to Fig. 1, in a specific implementation of the utility model, the tissue compression device includes a pump 301, a liquid storage chamber 1.5, a conduit 2 and a compression device 3, the liquid storage chamber 1.5 is coupled with the pump 301, and the liquid storage chamber 1.5 stores a predetermined volume of fluid, the liquid storage chamber 1.5 communicates with the compression device 3 through the conduit 2, and the pump 301 provides power for the transmission of the fluid between the liquid storage chamber 1.5 and the compression device 3, and the compression device 3 uses The tissue wall is compressed non-linearly about an axis relative to the tissue.
可选地,在本实用新型实施例中,所述储液室中的流体导入压缩装置3时,所述压缩装置3相对于所述组织的轴线非线性地压缩所述组织壁,流体流回储液室1.5时,所述压缩装置3不对所述组织壁施加压力。Optionally, in the embodiment of the present utility model, when the fluid in the liquid storage chamber is introduced into the compression device 3, the compression device 3 compresses the tissue wall non-linearly relative to the axis of the tissue, and the fluid flows back When the liquid storage chamber is 1.5, the compression device 3 does not exert pressure on the tissue wall.
可选地,在本实用新型实施例中,所述压缩装置3包括至少三个中空的压迫元件,所述至少三个压迫元件沿组织轴线方向呈非线性排列Optionally, in the embodiment of the present utility model, the compression device 3 includes at least three hollow compression elements, and the at least three compression elements are arranged nonlinearly along the tissue axis direction
所述至少三个压迫元件沿组织轴线方向呈非线性排列包括,但不限于所述至少三个压迫元件的中心点连线不与组织的轴线平行,例如,组织伸长后,其轴线为直线,所述至少三个压迫元件的中心点连线为直线或曲线,并且与组织的轴线相交或其延长线与组织的轴线相交。The non-linear arrangement of the at least three compression elements along the axis of the tissue includes, but is not limited to, that the line connecting the center points of the at least three compression elements is not parallel to the axis of the tissue, for example, after the tissue is stretched, its axis is a straight line , the line connecting the central points of the at least three pressing elements is a straight line or a curve, and intersects the axis of the tissue or its extension line intersects the axis of the tissue.
可选地,在本实用新型一实施例中,任意两个压迫元件中心点的连线均不与组织的轴线平行。Optionally, in an embodiment of the present invention, the line connecting the center points of any two pressing elements is not parallel to the axis of the tissue.
可选地,在本实用新型一实施例中,所述任意两个压迫元件的中心点垂直于组织轴线的截面不在同一平面内。具体地,任意两个压迫元件的中心点垂直于组织轴线所在的平面都不在同一平面内。Optionally, in an embodiment of the present invention, the cross-sections of the center points of any two pressing elements perpendicular to the tissue axis are not in the same plane. Specifically, the planes where the central points of any two pressing elements are perpendicular to the tissue axis are not in the same plane.
优选地,这些压迫元件并不作用在组织的同一个垂直于轴线的横截面上,即至少一个压迫元件垂直于轴线的横截面与其他压迫元件垂直于轴线的横截面不在同一个平面上,这样布置的优点是,避免如现有技术中所述的组织束缚机构对组织进行360°环向压迫,以致极易导致组织组织缺血坏死,从而引起严重的并发症。Preferably, these compression elements do not act on the same cross-section perpendicular to the axis of the tissue, that is, the cross-section perpendicular to the axis of at least one compression element is not in the same plane as the cross-section perpendicular to the axis of the other compression elements, so that The advantage of the arrangement is that it avoids 360° circumferential compression of the tissue by the tissue restraint mechanism as described in the prior art, so that it is very easy to cause ischemia and necrosis of the tissue, thereby causing serious complications.
可选地,在本实用新型一实施例中,所述压缩装置3还包括至少一个中空的挠性基板,所述压迫元件设于基板上,且所述压迫元件与基板从内部连通。Optionally, in an embodiment of the present utility model, the compression device 3 further includes at least one hollow flexible substrate, the pressing element is disposed on the substrate, and the pressing element communicates with the substrate from inside.
可选地,在本实用新型实施例中,所述基板具有闭合或非闭合曲面。Optionally, in the embodiment of the present utility model, the substrate has a closed or non-closed curved surface.
可选地,在本实用新型实施例中,所述闭合或非闭合曲面包括一凹形表面,所述凹形表面与组织相配合。Optionally, in the embodiment of the present utility model, the closed or non-closed curved surface includes a concave surface, and the concave surface fits with the tissue.
可选地,在本实用新型实施例中,所述非闭合曲面的截面形状基本上呈圆弧形。Optionally, in the embodiment of the present utility model, the cross-sectional shape of the non-closed curved surface is substantially arc-shaped.
可选地,在本实用新型实施例中,所述基板上设有固定件,用于把所述基板固定于组织的外围。Optionally, in the embodiment of the present utility model, a fixing member is provided on the base plate for fixing the base plate to the periphery of the tissue.
优选地,,所述固定件包括一卡扣,所述卡扣可与所述导管耦合。Preferably, the fixing member includes a buckle, and the buckle can be coupled with the catheter.
优选地,所述固定件包括一卡扣和一卡座,所述卡扣与卡座互相配合,把所述基板固定于组织的外围。Preferably, the fixing member includes a buckle and a card seat, and the buckle and the card seat cooperate with each other to fix the substrate on the periphery of the tissue.
可选地,在本实用新型实施例中,所述压迫元件具有弧形轮廓,所述弧形轮廓螺旋地向组织的轴线方向收拢。Optionally, in the embodiment of the present utility model, the pressing element has an arc profile, and the arc profile is helically converged toward the axis of the tissue.
可选地,在本实用新型实施例中,还包括控制装置,所述控制装置用于控制所述泵的运行。Optionally, in the embodiment of the present utility model, a control device is also included, and the control device is used to control the operation of the pump.
可选地,在本实用新型实施例中,所述控制装置为行程开关,所述行程开关与泵串联,用于限制泵的行程。例如,行程开关通常处于常闭状态,当泵将流体完全泵入压缩装置时,行程开关断开,泵停止运行。Optionally, in the embodiment of the present utility model, the control device is a stroke switch, which is connected in series with the pump and used to limit the stroke of the pump. For example, the limit switch is usually in a normally closed state. When the pump completely pumps the fluid into the compression device, the limit switch is disconnected and the pump stops running.
可选地,在本实用新型实施例中,所述导管为两根,每根导管的一端耦合至基板上,另一端耦合至泵。Optionally, in the embodiment of the present utility model, there are two conduits, one end of each conduit is coupled to the substrate, and the other end is coupled to the pump.
可选地,在本实用新型实施例中,所述导管上还设有阀门,所述阀门用于改变流体的流动方向。Optionally, in the embodiment of the present invention, the conduit is further provided with a valve, and the valve is used to change the flow direction of the fluid.
优选地,所述电源向阀门提供电能,所述控制装置控制阀门改变流体的流动方向。在本实用新型一优选实施例中,所述阀门为电磁阀。阀门可由控制装置控制,例如泵将流体由储液室泵入压缩装置时,阀门在流体冲击作用下不需电能驱动即可自动开启,当流体由压缩装置流回储液室时,阀门通电,控制装置控制阀门开启,完成压缩装置的排水。Preferably, the power supply provides electric energy to the valve, and the control device controls the valve to change the flow direction of the fluid. In a preferred embodiment of the utility model, the valve is a solenoid valve. The valve can be controlled by the control device. For example, when the pump pumps the fluid from the liquid storage chamber into the compression device, the valve can be automatically opened under the impact of the fluid without electric energy. When the fluid flows back from the compression device to the liquid storage chamber, the valve is energized. The control device controls the opening of the valve to complete the drainage of the compression device.
优选地,所述导管上分别设有单向阀,以控制流体单向流动。Preferably, one-way valves are respectively provided on the conduits to control the one-way flow of fluid.
可选地,在本实用新型实施例中,所述导管设有自由端,所述导管的自由端可与组织压缩装置和泵之至少其中一者集成或分离。Optionally, in the embodiment of the present utility model, the catheter is provided with a free end, and the free end of the catheter can be integrated with or separated from at least one of the tissue compression device and the pump.
可选地,在本实用新型实施例中,所述导管的自由端设有第一耦合件,所述泵设有第二耦合件,所述第一耦合件和第二耦合件为过盈配合。Optionally, in the embodiment of the present utility model, the free end of the conduit is provided with a first coupling, the pump is provided with a second coupling, and the first coupling and the second coupling are interference fit .
优选地,所述第一耦合件为安装棘齿,所述第二耦合件为安装孔。Preferably, the first coupling part is a mounting ratchet, and the second coupling part is a mounting hole.
可选地,在本实用新型实施例中,所述组织选自阴茎、尿道、膀胱、血管、胃、肠道、输卵管、胆囊、肝管、胆管所组成群组中之其中任意一者。Optionally, in the embodiment of the present utility model, the tissue is selected from any one of the group consisting of penis, urethra, bladder, blood vessel, stomach, intestinal tract, fallopian tube, gallbladder, hepatic duct, and bile duct.
在本实用新型一实施例中,所述泵301为手动泵。患者用手挤压泵301,使得泵301推动储液室1.5中的流体,通过所述导管2流入压迫元件3.1的腔体,使得压迫元件3.1膨胀,对组织施加压力,也可以手动地控制流体从压迫元件3.1的腔体流回储液室1.5。可选地,在本实用新型实施例中,所述导管上设有单向阀,以控制流体单向流动。In an embodiment of the present utility model, the pump 301 is a manual pump. The patient squeezes the pump 301 by hand, so that the pump 301 pushes the fluid in the liquid storage chamber 1.5, and flows into the cavity of the compression element 3.1 through the catheter 2, so that the compression element 3.1 expands and exerts pressure on the tissue. The fluid can also be controlled manually From the cavity of the pressing element 3.1 the fluid flows back into the reservoir 1.5. Optionally, in the embodiment of the present invention, a one-way valve is provided on the conduit to control the one-way flow of fluid.
导管2为中空导管,管壁内衬可具有强度增加结构,例如增加强度的网状编织结构。所述导管2为一根或多根,优选地,所述导管2为两根,每根导管的一端耦合至基板3a上,另一端耦合至泵301。The conduit 2 is a hollow conduit, and the lining of the conduit wall may have a strength-increasing structure, such as a mesh braiding structure for increasing strength. There are one or more conduits 2, preferably, two conduits 2, one end of each conduit is coupled to the base plate 3a, and the other end is coupled to the pump 301.
在本实用新型一实施例中,所述泵301为电动泵。可选地,在本申请实施例中,还包括电源,所述电源与泵耦合,向所述泵提供电能。In an embodiment of the present utility model, the pump 301 is an electric pump. Optionally, in the embodiment of the present application, a power supply is further included, the power supply is coupled to the pump, and provides electric energy to the pump.
可选地,在本实用新型实施例中,所述泵在电能驱动下将储液室中的流体经导管输送至压缩装置,在机械能驱动下将流体经导管输送回所述储液室。Optionally, in the embodiment of the present utility model, the pump is driven by electric energy to transport the fluid in the liquid storage chamber to the compressing device through a conduit, and is driven by mechanical energy to transport the fluid back to the liquid storage chamber through a conduit.
如图14所示,可选地,在本实用新型实施例中,所述泵包括泵体1.2、泵头1.3和弹簧1.4,所述泵头1.3通过弹簧1.4与泵体1.2连接,所述泵头1.3通过往复性活动调节储液室的容积,所述弹簧1.4至少部分地驱动泵头1.3调节储液室的容积。As shown in Figure 14, optionally, in this utility model embodiment, the pump includes a pump body 1.2, a pump head 1.3 and a spring 1.4, the pump head 1.3 is connected to the pump body 1.2 through a spring 1.4, and the pump The head 1.3 adjusts the volume of the liquid storage chamber through reciprocating movement, and the spring 1.4 at least partially drives the pump head 1.3 to adjust the volume of the liquid storage chamber.
可选地,在本实用新型实施例中,所述泵头1.3包括一活塞,所述弹簧1.4与活塞耦合,所述活塞与储液室内壁耦合,所述活塞和弹簧1.4之至少其中一者在非电能驱动下将流体输送回储液室。Optionally, in the embodiment of the present utility model, the pump head 1.3 includes a piston, the spring 1.4 is coupled to the piston, the piston is coupled to the inner wall of the liquid storage chamber, and at least one of the piston and the spring 1.4 The fluid is returned to the reservoir under non-electrical drive.
所述储液室1.5和泵301可以是独立的两个装置,或者储液室1.5和泵301为一体结构。所述泵301可以为单向泵301或双向泵301。The liquid storage chamber 1.5 and the pump 301 can be two independent devices, or the liquid storage chamber 1.5 and the pump 301 are integrally structured. The pump 301 can be a one-way pump 301 or a two-way pump 301 .
以下是储液室1.5和泵301为独立的两个装置的实施例:The following is an embodiment in which the liquid storage chamber 1.5 and the pump 301 are two independent devices:
泵301在储液室1.5和压缩装置3之间,泵301与储液室1.5和压缩装置3分别通过导管连接,泵301可以为单向泵301或双向泵301。泵301从储液室1.5中将流体泵出,并将流体再输送至压缩装置上的压迫元件,使得压迫元件膨胀,当需要组织恢复通畅时,泵301从压迫元件将流体泵回,并再输送回储液室1.5中。泵301与储液室1.5和组织之间可以设一个或多个阀门,以控制流体的流动。可选地,在本实用新型实施例中,泵301与储液室1.5之间通过两根导管连接,每根导管的一端耦合至基板上,另一端耦合至泵。The pump 301 is between the liquid storage chamber 1.5 and the compression device 3 , and the pump 301 is connected to the liquid storage chamber 1.5 and the compression device 3 through conduits respectively. The pump 301 can be a one-way pump 301 or a two-way pump 301 . The pump 301 pumps the fluid out of the liquid storage chamber 1.5, and delivers the fluid to the compression element on the compression device, so that the compression element expands. When the tissue needs to be restored to patency, the pump 301 pumps the fluid back from the compression element, and again It is sent back to the liquid storage chamber 1.5. One or more valves can be set between the pump 301 and the liquid storage chamber 1.5 and the tissue to control the flow of fluid. Optionally, in this embodiment of the present invention, the pump 301 is connected to the liquid storage chamber 1.5 through two conduits, one end of each conduit is coupled to the substrate, and the other end is coupled to the pump.
可选地,在本实用新型实施例中,所述导管上分别设有单向阀,以控制流体单向流动。Optionally, in the embodiment of the present utility model, one-way valves are respectively provided on the conduits to control the one-way flow of fluid.
以下是储液室1.5和泵301为一体结构的实施例:The following is an embodiment of the integrated structure of the liquid storage chamber 1.5 and the pump 301:
泵301和储液室1.5合为一体,中间通过隔膜、活塞或其他适当的结构隔开,当泵301启动时,泵301挤压储液室1.5,使得储液室1.5的容积缩小,流体便从储液室1.5中流出。The pump 301 and the liquid storage chamber 1.5 are integrated, separated by a diaphragm, a piston or other appropriate structures in the middle. When the pump 301 is started, the pump 301 squeezes the liquid storage chamber 1.5, so that the volume of the liquid storage chamber 1.5 shrinks, and the fluid Outflow from reservoir 1.5.
储液室1.5和泵301单独的(独立装置)或共同地(一体式结构)由壳体包覆。所述的壳体由具有生物相容性材料制成,如不锈钢、钛合金、钴铬合金、硅胶等材料制成,并且所述壳体表面可喷涂或镀覆聚对二甲苯、特氟龙、多糖类聚合物、改性硅酮等材料,用于提高壳体表面性能,增强生物相容性与稳定性。The liquid storage chamber 1.5 and the pump 301 are encased by the housing individually (stand-alone device) or jointly (one-piece structure). The shell is made of biocompatible materials, such as stainless steel, titanium alloy, cobalt-chromium alloy, silica gel, etc., and the surface of the shell can be sprayed or plated with parylene, Teflon , polysaccharide polymers, modified silicone and other materials are used to improve the surface properties of the shell and enhance biocompatibility and stability.
可选地,在本实用新型一实施例中,还包括电源,所述电源与泵301耦合,向所述泵301提供电能。所述电源为电池或其他能提供电能的装置。Optionally, in an embodiment of the present invention, a power supply is also included, and the power supply is coupled with the pump 301 to provide electric energy to the pump 301 . The power source is a battery or other devices that can provide electric energy.
所述电源可以与储液室1.5、泵301分开,或与泵301两者合为一体,或与储液室1.5、泵301三者合为一体。所述电源可以与储液室1.5、泵301设于阴囊中或人体下腹部位。The power supply can be separated from the liquid storage chamber 1.5 and the pump 301, or integrated with the pump 301, or integrated with the liquid storage chamber 1.5 and the pump 301. The power supply can be set in the scrotum or the lower abdomen of the human body together with the liquid storage chamber 1.5 and the pump 301 .
优选地,还包括控制装置,所述控制装置用于控制所述泵301的运行。可选地,在本实用新型实施例中,患者从体外控制所述控制装置。在本实施例中,所述控制装置可以为开关。Preferably, a control device is also included, and the control device is used to control the operation of the pump 301 . Optionally, in the embodiment of the present utility model, the patient controls the control device from outside the body. In this embodiment, the control device may be a switch.
在本实用新型一实施例中,所述控制装置位于阴囊中,当患者从体外通过对阴囊施加外力而启动开关时,电源向泵301提供例如电能等动力,泵301启动,推动储液室1.5中的流体,通过所述导管2流入压迫元件3.1的腔体,开关关闭时,流体从压迫元件3.1的腔体流回储液室1.5。In one embodiment of the present invention, the control device is located in the scrotum. When the patient activates the switch by applying external force to the scrotum from outside the body, the power supply provides power such as electric energy to the pump 301, and the pump 301 starts to push the liquid storage chamber 1.5. The fluid in the fluid flows into the cavity of the pressing element 3.1 through the conduit 2, and when the switch is closed, the fluid flows from the cavity of the pressing element 3.1 back to the liquid storage chamber 1.5.
优选地,泵301还包括能将电能转换为机械运动的电动机或电动机与传动机构组成的动力系统,所述的电动机可为旋转电机、直线电机,所述的传动机构可为齿轮、涡轮、滚珠丝杠等常用传动机构。Preferably, the pump 301 also includes a motor that can convert electrical energy into mechanical motion or a power system composed of a motor and a transmission mechanism. The motor can be a rotary motor or a linear motor, and the transmission mechanism can be a gear, a worm gear, a ball Screws and other common transmission mechanisms.
可选地,在本实用新型一实施例中,所述泵301在电能驱动下将储液室1.5中的流体经导管输送至压缩装置3,在机械能驱动下将流体经导管2输送回所述储液室1.5。Optionally, in an embodiment of the present utility model, the pump 301 is driven by electric energy to transport the fluid in the liquid storage chamber 1.5 to the compressing device 3 through a conduit, and is driven by mechanical energy to transport the fluid back to the Liquid reservoir 1.5.
可选地,在本实用新型一实施例中,所述控制装置包括体外遥控装置和体内感应装置,所述体内感应装置用于与体外无线遥控装置进行无线耦合,并根据耦合信号控制压缩装置。Optionally, in an embodiment of the present utility model, the control device includes an external remote control device and an internal sensing device, and the internal sensing device is used for wireless coupling with the external wireless remote control device, and controls the compression device according to the coupling signal.
可选地,在本实用新型实施例中,所述电源与体内感应装置耦合,体外遥控装置与体内感应装置通过无线耦合对所述电源充电。Optionally, in the embodiment of the present utility model, the power supply is coupled to the in-body induction device, and the external remote control device and the in-body induction device charge the power supply through wireless coupling.
可选地,在本实用新型实施例中,还包括传感器,用于感应患者体内的生理参数和/或所述组织压缩装置的功能参数,并将所述生理参数和/或功能参数发送至控制装置,所述控制装置根据所述生理参数和/或功能参数调节流体的传输。优选地,所述控制装置为体外无线遥控装置。优选地,所述生理参数为患者体内的压力,所述功能参数为压缩装置的压力。Optionally, in the embodiment of the present utility model, a sensor is further included for sensing the physiological parameters in the patient and/or the functional parameters of the tissue compression device, and sending the physiological parameters and/or functional parameters to the control A device, said control device regulates the delivery of fluid according to said physiological parameter and/or functional parameter. Preferably, the control device is an external wireless remote control device. Preferably, the physiological parameter is the pressure in the patient and the functional parameter is the pressure of the compression device.
储液室1.5和泵301单独的(独立装置)或共同地(一体式结构)由壳体包覆。所述的壳体由具有生物相容性材料制成,如不锈钢、钛合金、钴铬合金、硅胶等材料制成,并且所述壳体表面可喷涂或镀覆聚对二甲苯、特氟龙、多糖类聚合物、改性硅酮等材料,用于提高壳体表面性能,增强生物相容性与稳定性。The liquid storage chamber 1.5 and the pump 301 are encased by the housing individually (stand-alone device) or jointly (one-piece structure). The shell is made of biocompatible materials, such as stainless steel, titanium alloy, cobalt-chromium alloy, silica gel, etc., and the surface of the shell can be sprayed or plated with parylene, Teflon , polysaccharide polymers, modified silicone and other materials are used to improve the surface properties of the shell and enhance biocompatibility and stability.
所述压迫元件可以布置在包覆层上或空心的基板上。The pressing element can be arranged on the coating or on the hollow base plate.
压迫元件可以布置在包覆层上时,所述压迫元件包覆在组织的外周压迫元件和外表面的包覆层具有生物相容性与延展性能,以使得其与周围组织形成良好的相容性与稳定性。包覆层可由高分子聚合材料制成,如PTFE,TPU,PU,硅胶,硅酮,热塑性弹性体、改性材料、复合材料等材料。When the compression element can be arranged on the coating layer, the compression element is coated on the periphery of the tissue. The compression element and the coating layer on the outer surface have biocompatibility and ductility, so that it forms a good compatibility with the surrounding tissue sex and stability. The cladding layer can be made of high molecular polymer materials, such as PTFE, TPU, PU, silica gel, silicone, thermoplastic elastomers, modified materials, composite materials and other materials.
图2A-2D是图1中压缩装置3的4个实施例的示意图。2A-2D are schematic diagrams of four embodiments of the compression device 3 in FIG. 1 .
参见图2A,所述压缩装置3包括三个中空的压迫元件,每个压迫元件为沿组织圆周向伸长的凸起,所述凸起经过中心点的横截面形状包括,但不限于半圆形、梯形、三角形、圆形、四边形、圆弧形或类椭圆形。Referring to Fig. 2A, the compression device 3 includes three hollow compression elements, each compression element is a protrusion elongated along the circumferential direction of the tissue, and the cross-sectional shape of the protrusion passing through the center point includes, but is not limited to, a semicircle shape, trapezoid, triangle, circle, quadrilateral, arc or ellipse.
压迫元件可分别直接与泵301连通,或通过一共同的中转机构与泵301连通,泵301可将流体经导管2直接输送至压迫元件,使其隆起,从而形成对组织5的压迫作用,以实现对组织内流体流量的控制;或者泵301可将流体先输送至中转机构,再由中转机构将流体分配至压迫元件。所述中转机构可为任何适合的容器,所述中转机构可以位于泵301和压迫元件之间,或与其中一者连接。The compression elements can be directly communicated with the pump 301 respectively, or communicate with the pump 301 through a common transfer mechanism. The pump 301 can directly transport the fluid to the compression element through the catheter 2 to make it bulge, thereby forming a compression effect on the tissue 5, so as to Realize the control of the fluid flow in the tissue; or the pump 301 can deliver the fluid to the transfer mechanism first, and then the transfer mechanism distributes the fluid to the compression element. The transfer mechanism can be any suitable container, and the transfer mechanism can be located between the pump 301 and the pressing element, or connected to one of them.
任意两个压迫元件的中心点垂直于组织轴线的横截面不在同一个平面上,因此压缩装置3在组织任意节段的横截面均不会同时显示两个或两个以上的压迫元件经过中心点的完整横截面(未示出)。该种设计有效地保证了任意两个压迫元件对组织沿轴线方向的压迫作用是不重复的。The cross-sections with the center points of any two compression elements perpendicular to the tissue axis are not on the same plane, so the cross-section of the compression device 3 at any segment of the tissue will not show two or more compression elements passing through the center point at the same time A complete cross-section (not shown). This design effectively ensures that the compressing action of any two pressing elements on the tissue along the axial direction is non-repetitive.
参见图2B,所述压缩装置3包括三个中空的压迫元件,所述压迫元件具有横向水平延长的轮廓,即压迫元件沿垂直于组织轴线的方向水平延长。所述轮廓可以为椭圆形、不规则形状、柱形、梯形、圆锥形等。Referring to FIG. 2B , the compressing device 3 includes three hollow compressing elements, and the compressing elements have a horizontally extended profile, that is, the compressing elements extend horizontally along a direction perpendicular to the tissue axis. The profile may be oval, irregular, cylindrical, trapezoidal, conical, etc.
参见图2C,所述压缩装置3包括三个中空的压迫元件,所述压迫元件具有斜向延长的轮廓,即压迫元件既不水平也不垂直于组织轴线的方向延长。所述轮廓可以为椭圆形、不规则形状、柱形、梯形、圆锥形等。Referring to FIG. 2C , the compression device 3 includes three hollow compression elements, and the compression elements have an obliquely elongated profile, that is, the compression elements are neither extended horizontally nor perpendicular to the tissue axis. The profile may be oval, irregular, cylindrical, trapezoidal, conical, etc.
参见图2D,所述压缩装置3包括三个中空的压迫元件,所述压迫元件具有弧形轮廓,所述弧形轮廓螺旋地向组织收拢。与图2A-2C不同的是,所述弧形轮廓的轴线为非直线。Referring to FIG. 2D , the compression device 3 includes three hollow compression elements, the compression elements have an arcuate profile, and the arcuate profile is helically drawn toward the tissue. Unlike Figures 2A-2C, the axis of the arcuate profile is non-linear.
图3是基于图2A-2D的优选实施例的示意图,所述压缩装置3还包括至少一个中空的挠性基板3a,所述压迫元件设于基板3a上,且所述压迫元件与基板3a从内部连通。泵301可将流体经导管2输送至基板3a内,当流体压力达到一定阈值后,基板3a内的流体可将压迫元件隆起,从而形成对组织5的压迫作用,以实现对组织内流体流量的控制。所述阈值可以是流体基本充满基板3a时对基板3a形成的压力或是其他的压力值。3 is a schematic diagram of a preferred embodiment based on FIGS. 2A-2D , the compression device 3 also includes at least one hollow flexible substrate 3a, the compression element is arranged on the substrate 3a, and the compression element and the substrate 3a are separated from each other. internal connectivity. The pump 301 can deliver the fluid to the base plate 3a through the catheter 2. When the fluid pressure reaches a certain threshold, the fluid in the base plate 3a can lift the pressing element, thereby forming a compressive effect on the tissue 5, so as to realize the control of the fluid flow in the tissue. control. The threshold may be the pressure formed on the substrate 3a when the fluid substantially fills the substrate 3a or other pressure values.
图4是图3所对应的组织压缩装置的实施例1的示意图,压缩装置3包括一基板和位于基板上的压迫元件,所述基板具有非闭合曲面,在本实施例中,所述非闭合曲面包括一凹形表面,所述凹形表面与组织相配合。所述的基板为整体截面形状呈弧形的密闭中空结构,在本实用新型一实施例中,所述基板具有基本上呈圆弧形的轮廓。基板的内部空腔与导管2连通,压迫元件分散固定在基板上。Fig. 4 is a schematic diagram of Embodiment 1 of the tissue compression device corresponding to Fig. 3, the compression device 3 includes a base plate and a pressing element located on the base plate, the base plate has a non-closed curved surface, in this embodiment, the non-closed The curved surface includes a concave surface that conforms to tissue. The base plate is an airtight hollow structure with an overall arc-shaped cross-section. In an embodiment of the present invention, the base plate has a substantially arc-shaped profile. The inner cavity of the substrate communicates with the conduit 2, and the pressing elements are scattered and fixed on the substrate.
所述基板的外表面形状不限于凹形和水平面的组合,还可以包括一个或多个凸形、平面、曲面、网状平面或曲面、不规则表面或其他任意适合的形状或其组合。优选地,所述基板的外表面具有一凹形上表面和水平的下表面,上表面和下表面之间由竖直的平面连接。连接基板的两根导管分别位于下表面的两个直角区域,以保证上表面和下表面之间的厚度最小化。The shape of the outer surface of the substrate is not limited to a combination of a concave shape and a horizontal surface, and may also include one or more convex shapes, flat surfaces, curved surfaces, meshed flat or curved surfaces, irregular surfaces, or any other suitable shapes or combinations thereof. Preferably, the outer surface of the substrate has a concave upper surface and a horizontal lower surface, and the upper surface and the lower surface are connected by a vertical plane. The two conduits connecting the substrate are respectively located in two right-angle areas of the lower surface to ensure that the thickness between the upper surface and the lower surface is minimized.
可选地,在本申请实施例中,所述基板上设有固定件,用于把所述基板固定于组织的外围。例如,所述基板可以包括两片可弯曲的中空基板,至少一个基板上设有压迫元件。一个基板的两端分别固定一卡座,另外一个基板的两端分别固定一卡扣,每个卡扣分别可固定于相邻的卡座上,从而把两片基板通过卡扣和卡座的配合固定于组织的外围,从而避免基板长期完全覆盖组织,造成组织损坏。优选地,所述基板的直径稍大于组织的直径,从而所述基板可以相对于组织滑动,进一步避免基板对于同一段组织长期重复压缩。所述卡扣和卡座可以为任何的设计或形状,在本实用新型一实施例中,卡扣一端固定在基板上,另一端为环形套,卡座上有对应的凹槽,环形套正好可以套在凹槽上。在本实用新型又一实施例中,卡座上设有可粘贴或可吸附的材料,卡扣一端固定在基板上,另一端可粘贴或可吸附到卡座的可粘贴或可吸附的材料上。装置1包括了储液室和泵。Optionally, in the embodiment of the present application, a fixing member is provided on the base plate for fixing the base plate to the periphery of the tissue. For example, the substrate may include two bendable hollow substrates, at least one of which is provided with a pressing element. Two ends of one substrate are respectively fixed with a card seat, and two ends of the other substrate are respectively fixed with a buckle. Cooperate and fix on the periphery of the tissue, so as to avoid the substrate completely covering the tissue for a long time and causing tissue damage. Preferably, the diameter of the base plate is slightly larger than that of the tissue, so that the base plate can slide relative to the tissue, further avoiding long-term repeated compression of the same section of tissue by the base plate. The buckle and the card seat can be of any design or shape. In an embodiment of the present invention, one end of the buckle is fixed on the base plate, and the other end is an annular sleeve. There is a corresponding groove on the card seat, and the annular sleeve just Can fit over grooves. In yet another embodiment of the present invention, the card seat is provided with a stickable or absorbable material, one end of the buckle is fixed on the substrate, and the other end is stickable or absorbable to the stickable or absorbable material of the card seat . Device 1 includes a liquid storage chamber and a pump.
图5是图2B所对应的组织压缩装置未使用状态的示意图。组织压缩装置在未使用状态下,组织处于开放状态,基板3a和压迫元件3.1a都是疲软状态。Fig. 5 is a schematic diagram of the unused state of the tissue compression device corresponding to Fig. 2B. When the tissue compression device is not in use, the tissue is in an open state, and both the base plate 3a and the pressing element 3.1a are in a weak state.
图6是图2B所对应的组织压缩装置使用状态的示意图。组织压缩装置启动后,泵301泵出的流体经导管2输送至基板3a内,当流体压力达到一定阈值后,基板3a内的流体可将压迫元件3.1a隆起,从而形成对组织的压迫作用,以实现对组织内流体流量的控制。Fig. 6 is a schematic diagram of the use state of the tissue compression device corresponding to Fig. 2B. After the tissue compression device is activated, the fluid pumped by the pump 301 is delivered to the substrate 3a through the conduit 2. When the fluid pressure reaches a certain threshold, the fluid in the substrate 3a can bulge the compression element 3.1a, thereby forming a compression effect on the tissue. In order to realize the control of the fluid flow in the tissue.
图7是图3所对应的组织压缩装置的实施例2的示意图。与图4对应的实施例1不同的是,所述基板3b具有闭合曲面。所述基板3b上设有固定件,用于把所述基板3b固定于组织的外围。在本实施例中,所述固定件为卡扣3.2b,所述卡扣3.2b可与所述导管2耦合,以将所述基板3b弯曲后固定于组织周围。所述卡扣3.2b和卡座(位于导管2上)可以为任何的设计或形状,在本实用新型一实施例中,卡扣3.2b一端固定在基板上,另一端为环形套,卡座上有对应的凹槽,环形套正好可以套在凹槽上。在本实用新型又一实施例中,卡座上设有可粘贴或可吸附的材料,卡扣3.2b一端固定在基板上,另一端可粘贴或可吸附到卡座的可粘贴或可吸附的材料上。FIG. 7 is a schematic diagram of Embodiment 2 of the tissue compression device corresponding to FIG. 3 . The difference from Embodiment 1 corresponding to FIG. 4 is that the substrate 3b has a closed curved surface. Fixing parts are provided on the base plate 3b for fixing the base plate 3b on the periphery of the tissue. In this embodiment, the fixing member is a buckle 3.2b, and the buckle 3.2b can be coupled with the catheter 2, so as to fix the substrate 3b around the tissue after being bent. The buckle 3.2b and the holder (located on the conduit 2) can be of any design or shape. In one embodiment of the utility model, one end of the buckle 3.2b is fixed on the substrate, the other end is an annular sleeve, and the holder There are corresponding grooves, and the annular sleeve can just fit on the grooves. In yet another embodiment of the present invention, there is a stickable or absorbable material on the deck, one end of the buckle 3.2b is fixed on the base plate, and the other end can be sticky or absorbable to the sticky or absorbable material of the deck. material.
优选地,所述导管2一端是固定卡口,一端是自由端2.2,所述的导管2固定卡口固定在所述基板上,所述导管2自由端2.2可穿过该导管2固定卡口,并相对卡口牢靠固定,从而使得弯折成圆环形的基板可以稳定的包围在组织周围,但弯折成圆弧状的基板并不对组织造成直接压迫,而是当固定在其上的压迫元件受压隆起时,才对组织形成压迫,从而实现对组织内尿液流量的控制。Preferably, one end of the conduit 2 is a fixed bayonet, and the other end is a free end 2.2, the fixed bayonet of the conduit 2 is fixed on the base plate, and the free end 2.2 of the conduit 2 can pass through the fixed bayonet of the conduit 2 , and firmly fixed relative to the bayonet, so that the base plate bent into a circular shape can surround the tissue stably, but the base plate bent into a circular arc does not directly compress the tissue, but when fixed on it When the compression element is pressed and protrudes, the tissue is compressed, thereby realizing the control of the urine flow in the tissue.
压迫元件内部为中空连通结构,由泵301泵出的液体经导管2输送至基板内,当液体压力达到一定阈值后,基板内的液体可将压迫元件隆起,从而形成对组织的压迫作用,以实现对组织内尿液流量的控制。The interior of the compression element is a hollow communication structure, and the liquid pumped by the pump 301 is transported into the substrate through the conduit 2. When the pressure of the liquid reaches a certain threshold, the liquid in the substrate can bulge the compression element, thereby forming a compression effect on the tissue, and Realize the control of the flow of urine in the tissue.
参见图8和图9,所述的基板3b呈平面状密闭中空结构,其内部空腔与所述的导管2连通,所述的基板3b由弹性材料制成,可根据需要将基板3b弯折成圆环形,弯折成圆环形的基板3b可允许组织从中间穿过。Referring to Fig. 8 and Fig. 9, the base plate 3b is a planar airtight hollow structure, and its internal cavity communicates with the conduit 2. The base plate 3b is made of elastic material, and the base plate 3b can be bent as required It is circular, and the base plate 3b bent into a circular shape can allow tissue to pass through the middle.
参见图10,当组织压缩装置不工作时,此时所述的压迫元件3.1b布置于圆环形基板3b的内侧面上。Referring to Fig. 10, when the tissue compression device is not working, the pressing element 3.1b is arranged on the inner side of the annular base plate 3b.
参见图11,当所述的压迫元件3.1b隆起时,可以对包围在圆环形基板3b内部的组织形成压迫,从而实现对组织内尿液流量的控制。Referring to FIG. 11 , when the pressing element 3.1b protrudes, it can form compression on the tissue surrounded by the annular base plate 3b, thereby realizing the control of the urine flow in the tissue.
图12是图1中导管2结构的示意图。图13是图12的导管2结构的放大示意图。所述导管2设有自由端2.2,所述导管2的自由端2.2可与组织压缩装置和泵301之至少其中一者集成或分离。所述导管2的一端或两端设有自由端2.2,为了安装的方便,可仅在导管2的一端设有自由端2.2。所述自由端2.2可安装或拆卸。FIG. 12 is a schematic diagram of the structure of the catheter 2 in FIG. 1 . FIG. 13 is an enlarged schematic view of the structure of the catheter 2 in FIG. 12 . The catheter 2 is provided with a free end 2.2 which can be integrated or separated from at least one of the tissue compression device and the pump 301 . One or both ends of the conduit 2 are provided with a free end 2.2, for the convenience of installation, only one end of the conduit 2 may be provided with a free end 2.2. The free end 2.2 can be installed or removed.
优选地,所述导管2的自由端2.2可安装到泵301上或从泵301上拆卸下来,以便于在植入时泵301和压迫元件3.1分别植入后,通过导管2的自由端2.2连接,操作简单。Preferably, the free end 2.2 of the catheter 2 can be installed on the pump 301 or detached from the pump 301, so that the pump 301 and the pressing element 3.1 can be connected through the free end 2.2 of the catheter 2 after implantation. ,easy to use.
可选地,所述导管2为两根,每根导管的一端耦合至基板上,另一端耦合至泵301。所述导管2上分别设有单向阀,以控制流体单向流动。Optionally, there are two conduits 2 , one end of each conduit is coupled to the substrate, and the other end is coupled to the pump 301 . The conduits 2 are respectively provided with one-way valves to control the one-way flow of fluid.
如图13所示,所述导管2的自由端2.2设有第一耦合件,所述泵301设有第二耦合件,所述第一耦合件和第二耦合件为过盈配合。优选地,所述第一耦合件为安装棘齿2.2.1,第二耦合件为安装孔1.6。第一耦合件和第二耦合件还可以是其他的过盈配合方式。安装时可将导管2自由端2.2插入泵301上的安装孔1.6内即可,安装棘齿2.1.1与安装孔1.6的过盈配合可以保证插接安装的稳定性。As shown in FIG. 13 , the free end 2.2 of the conduit 2 is provided with a first coupling part, and the pump 301 is provided with a second coupling part, and the first coupling part and the second coupling part are interference fit. Preferably, the first coupling part is a mounting ratchet 2.2.1, and the second coupling part is a mounting hole 1.6. The first coupling part and the second coupling part may also be in other interference fit manners. During installation, the free end 2.2 of the conduit 2 can be inserted into the installation hole 1.6 on the pump 301. The interference fit between the installation ratchet 2.1.1 and the installation hole 1.6 can ensure the stability of the plug-in installation.
图14是图1的泵301的实施例结构示意图。所述电源与泵301耦合,向所述泵301提供电能。所述泵301包括泵体1.2、泵头1.3和弹簧1.4,所述泵头1.3包括一活塞和推杆,泵头1.3通过弹簧1.4与泵体1.2连接,所述泵头1.3通过往复性活动调节储液室的容积,所述弹簧1.4至少部分地驱动泵头1.3调节储液室的容积。FIG. 14 is a schematic structural diagram of an embodiment of the pump 301 in FIG. 1 . The power supply is coupled with the pump 301 to provide electric energy to the pump 301 . The pump 301 includes a pump body 1.2, a pump head 1.3 and a spring 1.4. The pump head 1.3 includes a piston and a push rod. The pump head 1.3 is connected to the pump body 1.2 through a spring 1.4. The pump head 1.3 is adjusted by reciprocating movement. The volume of the liquid storage chamber, the spring 1.4 at least partially drives the pump head 1.3 to adjust the volume of the liquid storage chamber.
所述的泵301包括壳体、电源、泵体1.2、泵头1.3,其与储液室1.5组成一体式结构,所述的壳体由具有生物相容性材料制成,如不锈钢、钛合金、钴铬合金、硅胶等材料制成,并且所述壳体表面可喷涂或镀覆聚对二甲苯、特氟龙、多糖类聚合物、改性硅酮等材料,用于提高壳体表面性能,增强生物相容性与稳定性;所述电源可为泵体1.2和泵301的开关(未示出)供电,所述电源还可为设置在导管2上的电磁阀供电,从而实现导管2内液路的开关控制。The pump 301 includes a housing, a power supply, a pump body 1.2, and a pump head 1.3, which form an integrated structure with the liquid storage chamber 1.5. The housing is made of biocompatible materials, such as stainless steel, titanium alloy , cobalt-chromium alloy, silica gel and other materials, and the surface of the shell can be sprayed or plated with parylene, Teflon, polysaccharide polymers, modified silicone and other materials to improve the shell surface performance, enhanced biocompatibility and stability; the power supply can supply power to the pump body 1.2 and the switch (not shown) of the pump 301, and the power supply can also supply power to the solenoid valve arranged on the catheter 2, thereby realizing the catheter 2 Switch control of the internal liquid circuit.
所述的泵体1.2为将电能转换为机械运动的电动机或电动机与传动机构组成的动力系统,所述的电动机可为旋转电机、直线电机,所述的传动机构可为齿轮、涡轮、滚珠丝杠等常用传动机构,本实用新型中优选为选用直线电机作为泵体1.2动力系统,所述泵体1.2用于驱动泵头1.3做远离泵体1.2运动,从而使得泵头1.3上的活塞挤压储液室1.5内的液体,经导管2灌入压迫元件3.1或基板3a内;所述的泵头1.3由推杆1和活塞组成,推杆1受泵体1.2驱动从而可以推动活塞对储液室1.5内的液体施加压力,并使之经导管2灌入压迫元件3.1内;所述活塞与储液室1.5内壁可形成密封腔,在活塞的推拉运动下,可实现将储液室1.5内的液体推出储液室1.5和抽回储液室1.5;优选的,本实用新型中的泵头1.3与泵体1.2之间设有拉伸弹簧1.4,既当泵头1.3被泵体1.2推向最大行程处过程中,该拉伸弹簧1.4被拉伸,又当泵体1.2处于非激励状态且导管2上的电磁阀处于液路打开状态,此时在拉伸弹簧1.4的拉力作用下,泵头1.3被慢慢拉回至起始位置,同时压迫元件3.1内的液体被缓慢抽回至储液室1.5内;所述的泵301向外泵301水过程由电动机驱动,回水过程靠弹簧1.4拉力和/或活塞作用,而无需其他能量消耗,以致将电源的能效发挥到最大。The pump body 1.2 is a motor that converts electrical energy into mechanical motion or a power system composed of a motor and a transmission mechanism. The motor can be a rotary motor or a linear motor, and the transmission mechanism can be a gear, a turbine, a ball wire Commonly used transmission mechanisms such as bars, the utility model preferably selects a linear motor as the power system of the pump body 1.2, and the pump body 1.2 is used to drive the pump head 1.3 to move away from the pump body 1.2, so that the piston on the pump head 1.3 is extruded The liquid in the liquid storage chamber 1.5 is poured into the pressing element 3.1 or the base plate 3a through the conduit 2; the pump head 1.3 is composed of a push rod 1 and a piston, and the push rod 1 is driven by the pump body 1.2 to push the piston to store liquid. The liquid in the chamber 1.5 exerts pressure and pours it into the pressing element 3.1 through the conduit 2; the piston and the inner wall of the liquid storage chamber 1.5 can form a sealed cavity, and under the push-pull movement of the piston, it can realize the pressure in the liquid storage chamber 1.5. The liquid is pushed out of the liquid storage chamber 1.5 and drawn back into the liquid storage chamber 1.5; preferably, a tension spring 1.4 is arranged between the pump head 1.3 and the pump body 1.2 in the present utility model, both when the pump head 1.3 is pushed toward the pump body 1.2 During the process of the maximum stroke, the tension spring 1.4 is stretched, and when the pump body 1.2 is in the non-energized state and the solenoid valve on the conduit 2 is in the open state of the liquid circuit, at this time, under the tension of the tension spring 1.4, the pump The head 1.3 is slowly pulled back to the initial position, and at the same time, the liquid in the pressing element 3.1 is slowly drawn back into the liquid storage chamber 1.5; the pump 301 is driven by an electric motor to pump water outward, and the water return process relies on a spring 1.4 Pull force and/or piston action without other energy consumption, so as to maximize the energy efficiency of the power supply.
所述电源为电池或可充电电池,蓄电池1.1的类型包括锂离子电池、锂-碘电池、石墨烯电池等。The power supply is a battery or a rechargeable battery, and the types of the storage battery 1.1 include lithium-ion batteries, lithium-iodine batteries, graphene batteries, and the like.
图15是本实用新型一种组织压缩装置用于治疗尿失禁的实施例1的示意图。所述组织压缩装置包括泵301、储液室1.5、导管2和压缩装置3,所述储液室1.5与泵301耦合,所述储液室1.5中存储预定容积的流体,所述储液室1.5通过导管2与压缩装置3耦合;所述压缩装置3包括三个中空的压迫元件,压迫元件呈三角形布置在基板3a的弧形平面上。Fig. 15 is a schematic diagram of Embodiment 1 of a tissue compression device of the present invention for treating urinary incontinence. The tissue compression device includes a pump 301, a liquid storage chamber 1.5, a conduit 2 and a compression device 3. The liquid storage chamber 1.5 is coupled to the pump 301, and a predetermined volume of fluid is stored in the liquid storage chamber 1.5. The liquid storage chamber 1.5 is coupled with the compression device 3 through the conduit 2; the compression device 3 includes three hollow compression elements arranged in a triangle on the arc-shaped plane of the base plate 3a.
所述控制装置包括体外遥控装置和体内感应装置,所述体内感应装置用于与体外无线遥控装置进行无线耦合,并根据耦合信号控制压缩装置。所述电源与体内感应装置耦合,体外遥控装置与体内感应装置通过无线耦合对所述电源充电。The control device includes an external remote control device and an internal induction device, the internal induction device is used for wireless coupling with the external wireless remote control device, and controls the compression device according to the coupling signal. The power supply is coupled with the in-body induction device, and the external remote control device and the in-body induction device charge the power supply through wireless coupling.
所述体外遥控装置为遥控器,包括显示单元、体外控制单元、体外无线模块和体外电源,体内感应装置包括体内控制单元、体内无线模块和体内电源,体内电源与泵301的电动机或马达连接,用于向其供电。The external remote control device is a remote controller, including a display unit, an external control unit, an external wireless module, and an external power supply. The in vivo induction device includes an internal control unit, an internal wireless module, and an internal power supply. The internal power supply is connected to the motor or motor of the pump 301. for powering it.
使用者通过显示单元发出控制信号至体外控制单元,体外控制单元将信号(例如电磁波信号或其他类型的无线信号)发送至体外无线模块,体外无线模块和体内无线模块通过无线耦合,将无线信号转换为电流,对体内电源充电,体内电源向泵301提供电能。同时,电流传输至体内控制单元,用于控制泵301启动。The user sends a control signal to the external control unit through the display unit, and the external control unit sends the signal (such as electromagnetic wave signal or other type of wireless signal) to the external wireless module, and the external wireless module and the internal wireless module convert the wireless signal through wireless coupling. For current, the internal power supply is charged, and the internal power supply provides electric energy to the pump 301 . At the same time, the current is transmitted to the internal control unit for controlling the pump 301 to start.
组织压缩装置还包括传感器,用于感应患者体内的生理参数和/或所述组织压缩装置的功能参数,并将所述生理参数和/或功能参数发送至体内控制装置或体外无线遥控装置,体内控制装置或体外无线遥控装置根据所述生理参数和/或功能参数调节流体的传输。The tissue compression device also includes a sensor, which is used to sense the physiological parameters in the patient's body and/or the functional parameters of the tissue compression device, and send the physiological parameters and/or functional parameters to the internal control device or the external wireless remote control device. A control device or an external wireless remote control device regulates the delivery of the fluid according to said physiological and/or functional parameters.
优选地,所述生理参数为患者体内的压力,所述功能参数为压缩装置的压力。Preferably, the physiological parameter is the pressure in the patient and the functional parameter is the pressure of the compression device.
例如,传感器将感应到的患者体内的压力和压缩装置的压力实时、间歇或不定时地传输至体外无线遥控装置,若患者体内的压力快速增大或超过系统设定的某一阈值时(例如患者咳嗽时),若压缩装置的压力未超出阈值(例如最大值),则体外无线遥控装置自动控制泵向压缩装置泵入流体,以压缩组织,防止组织中的液体漏出。For example, the sensor transmits the sensed pressure in the patient's body and the pressure of the compression device to the external wireless remote control device in real time, intermittently or irregularly. If the pressure in the patient's body increases rapidly or exceeds a certain threshold set by the system (such as When the patient coughs), if the pressure of the compression device does not exceed the threshold (such as the maximum value), the external wireless remote control device automatically controls the pump to pump fluid into the compression device to compress the tissue and prevent the liquid in the tissue from leaking out.
所述的导管2共计两根,为连接泵301与压缩装置的管路,两根导管2内设置有液体流动方向恰好相反的单向阀,用以保证液体在由泵301、导管2和压缩装置组成的密闭液路内的流动方向是单一的,从而能够实现简洁结构下整个电动排尿控制装置的高效、安全、稳定运行;所述的导管2一端与所述压缩装置为一体结构,另一端为自由端2.2,所述导管2自由端2.2上具有安装棘齿2.2.1,安装时可将导管2自由端2.2插入泵301上的安装孔1.6内即可,所述的安装棘齿2.2.1与安装孔1.6为过盈配合,从而保证插接安装的稳定性。There are two conduits 2 in total, which are the pipelines connecting the pump 301 and the compression device. The two conduits 2 are provided with a one-way valve with the opposite flow direction of the liquid to ensure that the liquid flows through the pump 301, the conduit 2 and the compression device. The flow direction in the closed liquid path formed by the device is single, so that the efficient, safe and stable operation of the entire electric urination control device under a simple structure can be realized; one end of the conduit 2 is integrated with the compression device, and the other end It is the free end 2.2, and the free end 2.2 of the conduit 2 has an installation ratchet 2.2.1. When installing, the free end 2.2 of the conduit 2 can be inserted into the installation hole 1.6 on the pump 301. The installation ratchet 2.2. 1 is an interference fit with the mounting hole 1.6, thereby ensuring the stability of the plug-in installation.
优选的,布置在基板3a上的压迫元件为三个或以上,且这些压迫元件并不作用在组织横截面的同一平面上,即有至少一个压迫元件处于与其他压迫元件不同的组织横截面上。这样布置的优点是,避免如现有技术中描述的那样,组织束缚结构对组织进行360°环向压迫,以致极易导致组织组织缺血坏死,从而引起严重的并发症。Preferably, there are three or more compression elements arranged on the substrate 3a, and these compression elements do not act on the same plane of the tissue cross-section, that is, at least one compression element is on a tissue cross-section different from other compression elements . The advantage of such an arrangement is that it avoids the 360° circumferential compression of the tissue by the tissue restraint structure as described in the prior art, so that tissue ischemia and necrosis are easily caused, thereby causing serious complications.
将本实用新型的组织压缩装置用于尿失禁治疗时,通过外科手术的方式将所述的泵301植入在患者阴囊内或下腹部皮下,再将患者阴茎组织侧皮肤切开,将组织与皮肤筋膜钝性分离开,置入所述压缩装置,取所述压迫元件3.1面与组织贴合,再将所述导管2自由端2.2插接在所述泵301安装孔1.6内,完成安装,通过所述遥控装置4测试本电动排尿控制装置执行有效之后,行皮肤缝合,完成植入手术。When the tissue compression device of the present utility model is used for the treatment of urinary incontinence, the pump 301 is surgically implanted in the patient's scrotum or under the skin of the lower abdomen, and then the skin on the side of the patient's penis tissue is cut open, and the tissue and The skin and fascia are bluntly separated, the compression device is placed, the surface of the compression element 3.1 is taken to fit the tissue, and then the free end 2.2 of the catheter 2 is inserted into the installation hole 1.6 of the pump 301 to complete the installation After testing the effectiveness of the electric urination control device through the remote control device 4, skin suturing is performed to complete the implantation operation.
在另一实施例2中,所述基板3b上设有卡扣,所述导管2一端是固定卡口,一端是自由端2.2,所述的导管2固定卡口固定在所述基板3b上,所述导管2自由端2.2可穿过该导管2固定卡口,并相对卡口牢靠固定,从而使得弯折成圆环形的基板3b可以稳定的包围在组织周围。In another embodiment 2, the base plate 3b is provided with buckles, one end of the conduit 2 is a fixed bayonet, and the other end is a free end 2.2, the fixed bayonet of the conduit 2 is fixed on the base plate 3b, The free end 2.2 of the catheter 2 can pass through the fixing bayonet of the catheter 2 and be firmly fixed relative to the bayonet, so that the base plate 3b bent into a circular shape can stably wrap around the tissue.
所述的基板3b呈平面状密闭中空结构,其内部空腔与所述的导管2连通;本实施例中所述基板3b的一个表面上布置有3个压迫元件3.1b,各个压迫元件3.1b沿组织方向呈非线性排列,既任意两个压迫元件3.1b中心点的连线均不与组织轴线平行The substrate 3b has a planar airtight hollow structure, and its internal cavity communicates with the conduit 2; in this embodiment, three compression elements 3.1b are arranged on one surface of the substrate 3b, and each compression element 3.1b Arranged in a non-linear manner along the tissue direction, that is, the line connecting the center points of any two compression elements 3.1b is not parallel to the tissue axis
使用时,取本电动排尿控制装置,通过外科手术的方式将所述的泵301植入在患者阴囊内或下腹部皮下,再将患者阴茎组织侧皮肤切开,将组织圆周与周围组织钝性分离开,长度与所述基板3b宽度相当,约为10mm,将所述基板3a上的压迫元件3.1面对准组织,将基板3b绕组织弯折成圆环状,包覆在组织周围,再将所述导管2自由端2.2穿过所述的导管2固定卡口3.2b并相对卡口牢靠固定,再将导管2自由端2.2插接在所述泵301安装孔1.6内,完成安装,通过所述遥控装置4测试本电动排尿控制装置执行有效之后,行皮肤缝合,完成植入手术。When in use, take the electric urination control device, implant the pump 301 in the patient's scrotum or under the skin of the lower abdomen by surgical operation, then cut the skin on the side of the patient's penis tissue, and blunt the tissue circumference and surrounding tissue. Separated, the length is equivalent to the width of the substrate 3b, about 10mm, align the pressing element 3.1 on the substrate 3a with the tissue, bend the substrate 3b around the tissue into a ring shape, wrap it around the tissue, and then Pass the free end 2.2 of the conduit 2 through the fixed bayonet 3.2b of the conduit 2 and securely fix it relative to the bayonet, and then insert the free end 2.2 of the conduit 2 into the installation hole 1.6 of the pump 301 to complete the installation. After the remote control device 4 tests that the electric urination control device is effective, the skin is sutured to complete the implantation operation.
本实用新型的组织压缩装置适于治疗人或动物的器官的功能障碍。例如,用于治疗尿失禁、肛门失禁、便秘、阳痿、胃、肠道、胆结石、肝管等部位发生的问题,并且适于控制血管中的血液流动或雌性子宫的排卵。The tissue compression device of the present invention is suitable for treating dysfunction of human or animal organs. For example, it is used to treat urinary incontinence, anal incontinence, constipation, impotence, problems occurring in the stomach, intestines, gallstones, liver ducts, etc., and is suitable for controlling blood flow in blood vessels or ovulation in the female uterus.
当本实用新型的组织压缩装置用于控制通过患者胃部的食物或肠内容物的流动时,压缩装置3轻柔地压缩所述患者胃部或肠部的组织壁的至少一部分以影响所述胃部中的食物流动或肠内容物的流动。When the tissue compression device of the present invention is used to control the flow of food or intestinal contents through a patient's stomach, the compression device 3 gently compresses at least a portion of the tissue wall of the patient's stomach or intestines to affect the The flow of food in the stomach or the flow of intestinal contents.
当本实用新型的组织压缩装置用于控制组织或尿膀胱中的尿流动时,压缩装置3轻柔地压缩所述患者组织或尿膀胱中的尿流动。When the tissue compression device of the present invention is used to control the tissue or the urine flow in the urinary bladder, the compression device 3 gently compresses the patient's tissue or the urine flow in the urinary bladder.
当本实用新型的组织压缩装置被用作阳痿治疗设备时,压缩装置3轻柔地压缩所述患者阴茎或阴茎海绵体之一或二者兼具,限制血液流动离开阴茎,以实现阴茎的坚挺。When the tissue compressing device of the present invention is used as an impotence treatment device, the compressing device 3 gently compresses one or both of the patient's penis or the corpus cavernosum, restricting blood flow away from the penis, so as to achieve penis firmness.
当本实用新型的组织压缩装置用于控制患者的血管中的血液流动时,压缩装置3轻柔地压缩所述患者血管的组织壁的至少一部分以控制所述血管中的血液流动。When the tissue compression device of the present invention is used to control blood flow in a blood vessel of a patient, the compression device 3 gently compresses at least a part of the tissue wall of the blood vessel of the patient to control the blood flow in the blood vessel.
当本实用新型的组织压缩装置用于控制患者的卵子流动到雌性子宫中时,压缩装置3轻柔地压缩每条雌性输卵管以限制其通路,以及松开所述输卵管以允许存在于所述输卵管的通路中的卵子进入所述子宫腔。When the tissue compression device of the present invention is used to control the flow of a patient's eggs into a female's uterus, the compression device 3 gently compresses each female fallopian tube to restrict its passage, and loosens the fallopian tube to allow the An egg in passage enters the uterine cavity.
当本实用新型的组织压缩装置用于控制患者的胆结石的流动时,压缩装置3压缩患者的胆囊、肝管或胆管的组织壁的一部分,使得所述组织壁部分逐渐收缩,从而使出现在所述管中的一个或多个胆结石沿朝向十二指肠的方向移动。When the tissue compression device of the present invention is used to control the flow of gallstones in a patient, the compression device 3 compresses a part of the tissue wall of the patient's gallbladder, hepatic duct or bile duct, so that the tissue wall part gradually shrinks, so that the One or more gallstones in the tube move in a direction towards the duodenum.
现有技术中用于防止由于血液循环不良导致组织恶化的一种方案是沿器官组织壁部分分别施加两个或更多个分立操作的压缩元件,并依次操作所述元件,由此,每个组织壁部分将有时间恢复,即,恢复正常的血液循环,而同时压缩其它组织壁部分中的一个。不过,根据这种解决方案设计的设备具有多个缺点。首先,这种设备将需要大量空间,从而使其实际上不可植入。第二,这种设备操作以在压缩和非压缩位置之间日夜移动压缩元件,将需要大量动力供应。这样的大量动力供应使得有必要植入非常大的高容量电池和/或用于从患者体外持续传送无线能量而为被植入的可再充电电池频繁充电的复杂系统。这样,这种设备由于其大尺寸和高功耗而将是不实用的或甚至是不现实的。第三,需要复杂控制系统控制移动的元件。最后,这样的前述类型的复杂设备将会显著增大治疗组织机能障碍的成本。而本实用新型的组织压缩装置结构简单,所占空间较小,植入简单,功耗低,操作简单。One solution in the prior art for preventing tissue deterioration due to poor blood circulation is to apply two or more separately operated compression elements along sections of the tissue wall of the organ and to operate the elements sequentially, whereby each The tissue wall portion will have time to recover, ie to resume normal blood circulation, while simultaneously compressing one of the other tissue wall portions. However, devices designed according to this solution have several disadvantages. First, such a device would require a lot of space, making it practically impossible to implant. Second, the operation of such a device to move the compression element between compression and non-compression positions day and night would require a substantial power supply. Such a large power supply necessitates the implantation of very large high capacity batteries and/or complex systems for frequent recharging of implanted rechargeable batteries for the continuous delivery of wireless energy from outside the patient's body. Thus, such a device would be impractical or even unrealistic due to its large size and high power consumption. Third, complex control systems are required to control the moving elements. Finally, such a complex device of the aforementioned type would significantly increase the cost of treating tissue dysfunction. However, the tissue compression device of the utility model has a simple structure, takes up less space, is easy to implant, has low power consumption, and is easy to operate.
本实用新型的组织压缩装置的压缩装置3包括至少三个中空的压迫元件,所述至少三个压迫元件沿组织轴线方向呈非线性排列,这样布置的优点是,避免如现有技术中所述的组织束缚机构对组织进行360°环向压迫,以致极易导致组织组织缺血坏死,从而引起严重的并发症。The compression device 3 of the tissue compression device of the present utility model includes at least three hollow compression elements, and the at least three compression elements are arranged in a non-linear manner along the tissue axis. The unique tissue binding mechanism compresses the tissue in a 360-degree direction, which can easily lead to ischemic necrosis of the tissue and cause serious complications.
所述任意两个压迫元件中心点的连线均不与组织的轴线平行,进一步避免两个压迫元件同时对组织的同一个部位反复压迫。The line connecting the central points of any two pressing elements is not parallel to the axis of the tissue, further avoiding repeated pressing of the same part of the tissue by the two pressing elements at the same time.
压迫元件并不作用在组织的同一个垂直于轴线的横截面上,即至少一个压迫元件垂直于轴线的横截面与其他压迫元件垂直于轴线的横截面不在同一个平面上,进一步将对组织施加的压力分散开,并且避开不同方向的压力施加到同一段组织上。The compression elements do not act on the same cross-section perpendicular to the axis of the tissue, that is, the cross-section perpendicular to the axis of at least one compression element is not on the same plane as the cross-section perpendicular to the axis of other compression elements, further exerting pressure on the tissue The pressure is spread out, and pressure from different directions is applied to the same section of tissue.
压迫元件设于基本上呈圆弧形的轮廓的基板上,基板上分布压迫元件,使得圆弧形的基板可以稳定的包围在组织周围,但弯折成圆弧状的基板并不对组织造成直接压迫,而是当固定在其上的压迫元件受压隆起时,才对组织形成压迫,从而实现对组织内尿液流量的控制,从而避免了组织组织缺血坏死。The compression element is arranged on the substrate with a substantially arc-shaped outline, and the compression elements are distributed on the substrate, so that the arc-shaped substrate can be stably surrounded around the tissue, but the substrate bent into an arc-shaped substrate does not cause direct damage to the tissue. Compression, but when the compression element fixed on it is pressed and bulges, it forms compression on the tissue, thereby realizing the control of the urine flow in the tissue, thereby avoiding tissue ischemia and necrosis.
所述电源与泵301和储液室1.5一体式结构,并且活塞通过弹簧1.4与泵体1.2连接,活塞通过往复性活动调节储液室1.5的容积,所述弹簧1.4至少部分地驱动活塞调节储液室1.5的容积,所述的泵301向外泵301水过程由电动机驱动,回水过程靠弹簧1.4拉力作用,而无需其他能量消耗,以致将电源的能效发挥到最大。The power supply is integrated with the pump 301 and the liquid storage chamber 1.5, and the piston is connected to the pump body 1.2 through a spring 1.4. The piston adjusts the volume of the liquid storage chamber 1.5 through reciprocating activities, and the spring 1.4 at least partially drives the piston to adjust the storage chamber. The volume of the liquid chamber 1.5, the pump 301 outward pump 301 water process is driven by the motor, and the water return process relies on the tension of the spring 1.4 without other energy consumption, so that the energy efficiency of the power supply is maximized.
综上所述,本实用新型的组织压缩装置结构简单,所占空间较小,植入简单,功耗低,操作简单。In summary, the tissue compression device of the present invention has a simple structure, takes up less space, is easy to implant, has low power consumption, and is easy to operate.
本实用新型的组织压缩装置的压缩装置相对于所述组织的轴线非线性地压缩所述组织壁,例如通过在压缩装置上设置至少三个中空的压迫元件,所述至少三个压迫元件沿组织轴线方向呈非线性排列,这样布置的优点是,避免如现有技术中所述的组织束缚机构对组织进行360°环向压迫,以致极易导致组织组织缺血坏死,从而引起严重的并发症。The compression device of the tissue compression device of the present utility model compresses the tissue wall non-linearly relative to the axis of the tissue, for example, by setting at least three hollow compression elements on the compression device, and the at least three compression elements are arranged along the tissue wall. The axial direction is arranged in a non-linear manner. The advantage of this arrangement is that it avoids 360° circumferential compression of the tissue by the tissue restraint mechanism described in the prior art, which can easily lead to tissue ischemia and necrosis, thereby causing serious complications .
所述任意两个压迫元件中心点的连线均不与组织的轴线平行,进一步避免两个压迫元件同时对组织的同一个部位反复压迫。The line connecting the central points of any two pressing elements is not parallel to the axis of the tissue, further avoiding repeated pressing of the same part of the tissue by the two pressing elements at the same time.
压迫元件并不作用在组织的同一个垂直于轴线的横截面上,即至少一个压迫元件垂直于轴线的横截面与其他压迫元件垂直于轴线的横截面不在同一个平面上,进一步将对组织施加的压力分散开,并且避开不同方向的压力施加到同一段组织上。The compression elements do not act on the same cross-section perpendicular to the axis of the tissue, that is, the cross-section perpendicular to the axis of at least one compression element is not on the same plane as the cross-section perpendicular to the axis of other compression elements, further exerting pressure on the tissue The pressure is spread out, and pressure from different directions is applied to the same section of tissue.
压迫元件设于基本上呈圆弧形的轮廓的基板上,基板上分布压迫元件,使得圆弧形的基板可以稳定的包围在组织周围,但弯折成圆弧状的基板并不对组织造成直接压迫,而是当固定在其上的压迫元件受压隆起时,才对组织形成压迫,从而实现对组织内尿液流量的控制,从而避免了组织组织缺血坏死。The compression element is arranged on the substrate with a substantially arc-shaped outline, and the compression elements are distributed on the substrate, so that the arc-shaped substrate can be stably surrounded around the tissue, but the substrate bent into an arc-shaped substrate does not cause direct damage to the tissue. Compression, but when the compression element fixed on it is pressed and bulges, it forms compression on the tissue, thereby realizing the control of the urine flow in the tissue, thereby avoiding tissue ischemia and necrosis.
所述电源与泵和储液室一体式结构,并且泵头通过弹簧与泵体连接,所述泵头通过往复性活动调节储液室的容积,所述弹簧至少部分地驱动泵头调节储液室的容积,所述的泵301向外泵水过程由电动机驱动,回水过程可以靠弹簧拉力作用,也可以靠活塞作用,也可以二者配合作用,从而在一定程度上降低功耗,提高效率。The power supply is integrated with the pump and the liquid storage chamber, and the pump head is connected to the pump body through a spring, the pump head adjusts the volume of the liquid storage chamber through reciprocating activities, and the spring at least partially drives the pump head to adjust the liquid storage The volume of the chamber, the process of the pump 301 pumping water outward is driven by the motor, and the process of returning water can be effected by spring tension, or by a piston, or both, so as to reduce power consumption to a certain extent and improve efficiency.
优选地,组织压缩装置还包括传感器,用于感应患者体内的生理参数和/或所述组织压缩装置的功能参数,并将所述生理参数和/或功能参数发送至控制装置,所述控制装置根据所述生理参数和/或功能参数调节流体的传输。组织压缩装置处于通电待机状态,当患者体内的生理参数和/或所述组织压缩装置的功能参数超过阈值或开始增大时,例如患者咳嗽、打喷嚏时,传感器向控制器发出信号,压缩装置迅速对组织施压,避免患者咳嗽、打喷嚏时组织出现漏液的现象。Preferably, the tissue compression device further includes a sensor for sensing physiological parameters in the patient and/or functional parameters of the tissue compression device, and sending the physiological parameters and/or functional parameters to the control device, the control device The delivery of fluid is adjusted according to said physiological and/or functional parameters. The tissue compression device is in a power-on standby state. When the physiological parameters in the patient and/or the functional parameters of the tissue compression device exceed a threshold or begin to increase, for example, when the patient coughs or sneezes, the sensor sends a signal to the controller, and the compression device Quickly apply pressure to the tissue to avoid tissue leakage when the patient coughs or sneezes.
最后应说明的是:以上实施例仅用以说明本实用新型实施例的技术方案,而非对其限制;尽管参照前述实施例对本实用新型进行了详细的说明,本领域的普通技术人员应当理解:其依然可以对前述各实施例所记载的技术方案进行修改,或者对其中部分技术特征进行等同替换;而这些修改或者替换,并不使相应技术方案的本质脱离本实用新型各实施例技术方案的精神和范围。Finally, it should be noted that: the above embodiments are only used to illustrate the technical solutions of the embodiments of the present invention, but not to limit them; although the present invention has been described in detail with reference to the foregoing embodiments, those of ordinary skill in the art should understand : It can still modify the technical solutions recorded in the foregoing embodiments, or perform equivalent replacements to some of the technical features; and these modifications or replacements do not make the essence of the corresponding technical solutions deviate from the technical solutions of the various embodiments of the present utility model. spirit and scope.
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