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TW201026298A - Instrument for treating or preventing pelvic organ prolapse - Google Patents

Instrument for treating or preventing pelvic organ prolapse Download PDF

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Publication number
TW201026298A
TW201026298A TW098134248A TW98134248A TW201026298A TW 201026298 A TW201026298 A TW 201026298A TW 098134248 A TW098134248 A TW 098134248A TW 98134248 A TW98134248 A TW 98134248A TW 201026298 A TW201026298 A TW 201026298A
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TW
Taiwan
Prior art keywords
layer
cover
support member
covering
contact
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TW098134248A
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Chinese (zh)
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TWI402056B (en
Inventor
Keiko Mitsui
Makoto Shimada
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Women S Medical Res Inc
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F13/15Absorbent pads, e.g. sanitary towels, swabs or tampons for external or internal application to the body; Supporting or fastening means therefor; Tampon applicators
    • A61F13/45Absorbent pads, e.g. sanitary towels, swabs or tampons for external or internal application to the body; Supporting or fastening means therefor; Tampon applicators characterised by the shape
    • A61F13/47Sanitary towels, incontinence pads or napkins
    • A61F13/472Sanitary towels, incontinence pads or napkins specially adapted for female use
    • A61F13/47218Sanitary towels, incontinence pads or napkins specially adapted for female use with a raised crotch region, e.g. hump
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F13/15Absorbent pads, e.g. sanitary towels, swabs or tampons for external or internal application to the body; Supporting or fastening means therefor; Tampon applicators
    • A61F13/45Absorbent pads, e.g. sanitary towels, swabs or tampons for external or internal application to the body; Supporting or fastening means therefor; Tampon applicators characterised by the shape
    • A61F13/47Sanitary towels, incontinence pads or napkins
    • A61F13/472Sanitary towels, incontinence pads or napkins specially adapted for female use
    • A61F13/47209Sanitary towels, incontinence pads or napkins specially adapted for female use having only interlabial part, i.e. with no extralabial parts
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F13/15Absorbent pads, e.g. sanitary towels, swabs or tampons for external or internal application to the body; Supporting or fastening means therefor; Tampon applicators
    • A61F13/56Supporting or fastening means
    • A61F13/66Garments, holders or supports not integral with absorbent pads
    • A61F13/74Garments, holders or supports not integral with absorbent pads having means to retain absorbent pads
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices ; Anti-rape devices
    • A61F5/01Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces
    • A61F5/24Trusses
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices ; Anti-rape devices
    • A61F5/01Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces
    • A61F5/30Pressure pads

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  • Health & Medical Sciences (AREA)
  • Epidemiology (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)
  • Nursing (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)

Abstract

Disclosed is an instrument for treating or preventing female pelvic organ prolapse that produces less pain and discomfort to the patient on contact with the genitalia. An instrument (1) for treating or preventing female pelvic organ prolapse which is fitted to contact the genitals of a patient comprises a receiving member (10) of which at least the surface thereof in contact with the female genitals is soft, and a supporting member (20) which supports the receiving member and is relatively more rigid than the receiving member, wherein the receiving member is slidable and extendible with respect to the supporting member.

Description

201026298 六、發明說明: I發明所屬之技術領域】 本發明是關於一種用來治療或預防骨盆内之臟器落入 陰道而從女性生殖器脫出的器具。 I先前技術】 所謂骨盆臟器脫垂(又稱生殖器脫垂),是指子宮、膀 ❿ 胱'尿道'小腸、直腸等骨盆内之贜器落入陰道而和陰道 壁一起從女性生殖器脫出至外部或陰道壁本身從女性生殖 器脫出至外部(此症狀尤稱為陰道殘端脫垂)的疾病。隨著 脫出之臟器的不同,可稱為子宮脫垂、膀胱瘤、尿道結石、 小勝瘤、直腸瘤等症狀’也有複數個臟器一起飛此的情況。 骨盆臟器脫垂一般不會有生命危險。 然而’骨盆内之臟器從女性生殖器脫出至外部,會導 致臟器之黏膜曝曬於空氣中而變得乾燥、受到摩擦而出血 ® 及步行變得困難等。又,膀胱脫出會對尿道有影響,也可 能引起尿道失禁或排尿困難等症狀。再者,若為直腸脫出, 則可能引起排便困難等症狀。 骨盆臟器脫垂之症狀分類根據落入陰道或從女性生殖 器脫出至外部的程度,可分為第一級至第四級。輕度症狀 為只下垂至陰道,此為第一級症狀,到達陰道之出口為第 -級症狀’從陰道脫出至外部則為第三級症狀,完全脫出 至外部為第四級症狀。此種骨盆臟器脫垂為明顯妨礙日常 生活的疾病’即所謂的帆(Quamy Gi Liie)疾患,多見 201026298 於更年期以後的女性。 另外,瘁靜脈阻塞且擴張而產生的痒療脫出至肚門外 稱為脫肛,作為緩和這種痛苦的器具,專利文獻m揭示之 發月已為人所知。此器具將由紙張、木材、橡膠(特別是硬 質橡勝)、石膏等之類的適當材料所形成的承接器貼合於患 部,藉此,將痒瘡壓入肛門内,以緩和劇烈疼痛。 [專利文獻1]特開平9-220253號公報 【發明内容】 【發明所欲解決的課題】 所欲解決的課題為,藉由向上按壓應收納於骨盆中之 子宮、膀胱、尿道、小腸、直腸等臟器之位置落下至陰道 内且從女性生殖器脫ifc至外部的臟器來治療或預防骨盆臟 器脫垂時無法解除與女性生殖器之接觸所導致之疼痛及不 適感這一點》 【用以解決課題的手段】 本發明以至少具有柔軟性之材料構成與患者之女性生 殖器接觸的包覆元件’另一方面,以相對上具有剛性之材 料構成用來支持包覆元件之支持元件,使包覆元件可相對 於支持元件搖動或伸縮,藉此,解決上述課題。 【發明效果】 根據本發明,由於與患者之女性生殖器接觸的包覆元 201026298 件由具有柔軟性之材料所構成並使包覆元件可相對於支持 元件搖動或伸縮,所以’可解除疼痛及不適感,另一方面, 用來支持包覆元件之支持元件由相對上具有剛性之材料所 構成,所以’可阻擋將從女性生殖器脫出至外部的骨盆職 器。 【實施方式】 〇 《第1實施型態》 在此參照第1圖至第4圖來說明本發明本發明其中一實 施型態之器具1。 本例之器具1為用來治療或預防上逃各種骨盆臟器脫 垂的器具’其與患者(包含為了預防雨安裝該器具之患者) 之女性生殖器接觸而安裝。本例之器具J如第1(a)调至第 1(e)圈所示’包括包覆元件1〇及支持元件 _ 包覆7L件10主要具有呈半球狀或半橢凪球狀且被覆該 包覆元件10表面的罩子U及與此罩子n背面接觸而設置的 彈性體12。 第2(a)圖為表示本例之罩子“的平面圖,第圖為 側面圖,第2(c)圖為a-a剖面圖,第2(d)圃為B_B剖面囷, 罩子11如第1(d)圖及第i(e)圖所示,以包入彈性體a之方 式來進行覆蓋,藉此,被覆包覆元件1〇之表面。另外,罩 子11之下端之結構為’彎曲至内側而形成鼙曲基端部13, 藉此’包圍並支持彈性體12之底面周邊。 又’在罩子11之下端部’朝向彎曲基端部13與相反側 201026298 (外側)形成腹側基端部14及背侧基端部15。此外,在此所 謂腹側,是指當患者使本例之器具1與女性生殖器接觸而安 裝時位於患者之腹側,同樣地,所謂背侧,是指位於患者 之背部那侧。後述之支持元件2〇之腹側支持部22相較於背 側支持部23’形成更寬之寬度’所以與此相應,罩子I〗之 腹側基端部14之寬度形成得比背側基端部15還寬。關於此 點’形成之理由為,將本例之器具1安裝於女性生殖器時, 腹側銜接至較寬之下腹部,相對於此,背側銜接至臀部之 下部,如此形成寬窄之不同,以解除不適感。 罩子11之彎曲基端部13、腹側基端部及背側基端部 15如第1(d)圖及第i(e)圖所示,使用接著劑等分別固定於 支持元件20之腹側支持部22及背侧支持部23之表面。 罩子11與患者之女性生殖器直接接觸而安裝,所以, 與從女性生殖器脫出之骨盆臟器及女性生殖器本身接觸。 因此,當步行及進行曰常動作時,可能因骨盆臟器及女性 生殖器受到摩擦而感到疼痛。在本例中,由具有柔軟性之 材料如軟質矽橡膠之類的熱硬化性樹脂系彈性體或熱塑性 彈性想構成罩子Π,藉此’緩和患者之疼痛。柔軟性之程 度可為日本工業規格K6253中規定之A型硬度計所測出 之硬度中之〇度至8〇度,宜為5至50度,15至40度則更好。 本例之彈性髏12由氨酯海綿(發泡氨酯樹脂)之類的發 泡樹脂等具有彈性的材料所構成,與罩子11之背面接觸而 設置,如第3(a)圖至第3(e)圖所示,沿著罩子丨丨之背面, 形成凸狀部16。此外,可根據患者之症狀,使彈性體。之 201026298 凸狀部16及後述之支持元件20之凸狀部21之直徑形成得較 大並使彈性體12之厚度形成得較薄。藉此,可變動本例之 器具1所具有之彈性之範圍,且可提供根據骨盆臟器脫垂之 症狀分類的器具例如,症狀分類越接近輕度症狀,就使 彈性體12之厚度越薄’越接近嚴重症狀,就使彈性體I?之 厚度越厚。 本例之支持元件20由相對於包覆元件1〇具有剛性如上 © 述K6253之A型硬度計所測量出之硬度3〇至8〇度之熱硬 化性彈性體或熱塑性彈性體所構成,如第4(a)圈至第4(c) 圖所示,在中央形成凸狀部21,在其兩端形成腹侧支持部 22及背側支持部23。如上所述,支持元件之中央之凸狀 部21具有與患者之女性生殖器相當的寬度尺寸,腹側支持 部&gt;22及背侧支持部2 3具有比此更窄之尺寸,背側支持部23 形成得比腹側支祷部_22更窄。 _ 此外’罩子Π及支持元件20於罩子11之下端部接合, 所以’若由相同材質之樹脂構成,也可藉由熱融焊接技術 萼接合方法來接合。又’關於罩子^及支持元件2〇之硬度, 罩子11只要是可缓和舆女性生殖器接觸時所產生之摩擦的 硬度即可,相對於此,支持元件2〇只要是具有可將包覆元 件10確實固定於後述之固定片2上的硬度之剛性即可。 在本例之支持元件20之凸狀部_21之約略if部上,形成 貫通孔24。此貫通孔24將罩子11之彎曲基端部13、腹侧基 端部14及背侧基端部15接合至支持元件2 〇上,藉此形成之 内部空間由彈性體12密封住,所以,該彈性體12可作為伸 7 201026298 縮時之消氣孔。 於是,若加大貫通孔24之直徑,伸縮性變高,柔軟性 變得更顯著,相對於此,若減少貫通孔24之直徑,伸縮性 變低,剛性瞬間變高。利用此種作用,亦即,從複數種直 徑中選擇一個適當的直徑,可在柔軟性或瞬間剛性之間選 擇其中一者,且可提供根據骨盆臟器脫垂之症狀來調整的 器具 接著’說明上述器具1之安裝裝置。 第5圖為平面圖及A-A剖面圖,表示用來將上述器具1 安裝於患者之女性生殖器或保持該器具〗的固定片3。本例 之固定片3具有由滑布所構成的第一層31、設置於此第一層 31者面且具有彈力之第二層32、設置於此第二層32背面且 可吸收漏尿或陰道分泌物的第三層33、設置於此第三層33 背面且由防水材料所構成的第四層34及設置於此第四層 背面且具有防滑功能的第五層。所謂滑布,是指液體浸 透時具有不可逆性的布,亦即,具有液體從第一層31向第 二層32浸透但不從第二層32向第一層31浸透之特性的布。 在第一層31上’形成使器具1之包覆元件1〇露出至外部 的小孔31A,又,在第一層31與第二層32之間,形成與小孔 31Α連通且插入支持元件2〇之腹側支持部22及背側支持部 23的狹缝31B,31C。在此狭縫31B,31C上,插入腹側支持 部22及背側支持部23,藉此,器具】以可裝卸之狀態固定於 固定片3上。 另外’固又片3將第6圖所示之女用内褲5之既定位置, 201026298 亦即’包覆元件10之罩子11對著作為骨盆臟器脫出部位之 女性生瘦器的位置,固定於具有面狀緊固件或防滑功能之 第五層35,藉此,可將器具1固定於患者之身體上。 再者’當使包覆元件1 0與作為骨盆臟器脫出部位之女 性生殖器進一步強力密合時,亦可使用第6圖及第7圏所示 之保持帶4。第6圖為表示保持帶4的正面面,第7面為背面 圖’此可針對作為骨盆臟器脫出部位之女性生殖器調節包 © 覆元件10之相對位置且以可自由裝卸之狀態安裝的保持 帶。 本例之保持帶4具有腰帶41、在此腰帶41正面隔開間隔 從兩處延伸.出的調整帶42及與包覆元件1〇之安裝位置對應 的安裝片43。.2個調整帶42通過分別形成於安裝片43之正面 及背面的孔’在腰帶41之背面隔開間隔固定於兩處。 又’在卡止於患者之腰骨上之腰圍的腰帶41上,設有 @ 用來調整其長度、類似])管的調整器44。同樣地,在兩處之 調整帶42 ’也分別設有用來調整其長度、類似d管的調整器 45。藉由緊固此調整器45,將包覆元件;[〇朝女性生殖器強 力按壓’並可提高骨盆臟器之包覆性。 如上所述,根據本例之器具〗,從患者之女性生殖器脫 出之骨盆臟器受到摩擦所產生之疼痛等壓力及不適感不會 發生’又’可良好地平衡並包括可確實阻擋從女性生殖器 脫出來之骨盆臟器的柔軟性及剛性,所以,為骨盆臟器脫 垂所導致之各種症狀而煩惱的女性不會在日常生活中感到 不便,而且可以輕鬆愉快地生活。 9 201026298 除此之外,根據本例之 (1)因安裝子宮避孕器 交 器且1 、 亦可得到下述之效果。 無法性交的女性變得可以性 (2) 由於不用動手術,所以可以生產。 (3) 可防止因安裝子宮避 .. 器而仵到之感染症狀。 (4) 即使不是在醫療機構 自杆推—近也可不仰賴醫療機構而 自灯進仃簡便的治療或預防。 《第2實施型態》 第8⑷圖至第8(c)圖分別為表示本發明之其他實施型 態的主要剖面圖,”表示出與第⑽相當之器具卜此外, 在概念上與第i圖所示之器具!之結構元件共通的元件附 上相同之符號。又’第5圖所示之固定片3及第6圖所示之保 持帶4可與上述第〗實施型態相同或改變。 在第8 (a)圖所示之器具2中,包覆元件1〇可藉由支持元 件20之轴部打之部分對支持元件2〇搖動的結構與第】货施 型態不同。亦即,支持元件20與第i實施型態相同,由較具 有剛性之材料所構成,但在腹側支持部22、背側支持部23 及凸狀部21之間形成既定長度之轴部25,藉此,固定於凸 狀部21之包覆元件1〇可藉由轴部24本身之彈性來搖動。 如此,當為包覆元件1〇可對支持元件20搖動的結構 時’即使在第5圖所示之固定片3及第6圖所示之保持帶4上 固定器具1之支持元件20,包覆元件10也會隨著患者之動作 而搖動。於是,可大大制止患者之女性生殖器與包覆元件 10表面之間的摩擦,進一步緩和因此點所造成之疼痛。 201026298 此外,包覆元件ίο之形狀除了第8(a)囷所示之香兹狀 之外,亦可為第8(b)®所示之球狀等各種形狀。又,如第 8(b)圖所示,亦可隨著包覆元件1〇之形狀之不同將支持 元件20之凸狀部21之形狀變更為球狀等。 與上述第1實施型態之器具1不同的其他特點為,包覆 元件10不是由所謂罩子〗〗及彈性體12這種其他元件所構 成,而是以單一的元件一體成形。本例之包覆元件1〇可由 ❹具有柔軟性之材料如膠狀之軟質矽橡膠之類的熱硬化性樹 脂系彈性體或熱塑性彈性體構成。柔軟性之程度可為扫本 工業規格JIS K6253中規定之A型硬度計所測出之硬度中之 〇度至50度’最好為〇至.30度。在此情況下,可在包覆元件 10之表面形成被覆層。 在第8(c)圖所示之器具1中,由氣球(風帆元件)構成包 覆元件10,再者,將支特元件20形成於氣球1〇之基端部上, 與其一髏成形’在此設置用來注入空氣之充氣球26,這一 9 點與第1實施型態不同。亦即,氣球1 〇由橡膠等熱硬化性彈 性艘所構成’形狀為球狀或根據患者之陰道形狀所成之既 定形狀。此外’可將氣球10之頂部之厚度形成得較厚,以 提高骨盆臟器之包覆剛性。 另外’在氣球10沒氣的狀態下將該氣球1〇插入陰道, 將針插入充氣球26,藉由泵浦p注入空氣。藉此,氣球10 可在陰道内膨脹’包覆骨盆臟器。如本例所示,當以氣球 1 〇構成包覆元件時’泵浦p所產生之空氣注入量可由患者自 行調節,所以’即使女性生殖器有個人差異,也可提供汎 11 201026298 用性高之器具。 在第8(a)圖至第8(c)圖所示之器具1中,可將腹側支 持部22及背侧支持部23插入第5圖所示之固定片3之狭鏠 31B,31C中而得到固定,不過,亦可在不使用固定片3的狀 態下與女性生殖器接觸。在此情況下,可將腹側支持部22 及背側支持部23作為卸下器具1時之握把(把持部)來使用。 【圖式簡單說明】201026298 VI. INSTRUCTIONS: TECHNICAL FIELD OF THE INVENTION The present invention relates to an apparatus for treating or preventing an organ in a pelvis from falling into the vagina and coming out of the female genitalia. I prior art] The so-called pelvic organ prolapse (also known as genital prolapse) refers to the uterus, bladder, cysteous urethra, small intestine, rectum and other pelvis in the pelvis falling into the vagina and coming out of the female genitalia together with the vaginal wall A disease that occurs to the outside or the vaginal wall itself from the female genitalia to the outside (this symptom is especially called vaginal stump prolapse). With the difference in organ removal, it can be called uterine prolapse, bladder tumor, urethral calculus, small tumor, rectal tumor and other symptoms. There are also cases where multiple organs fly together. Pelvic organ prolapse is generally not life-threatening. However, when the organ in the pelvis is removed from the female genitalia to the outside, it may cause the mucous membrane of the organ to be exposed to the air to become dry, rubbed and bleeding, and the walking becomes difficult. In addition, bladder detachment may affect the urinary tract, and may also cause symptoms such as urinary incontinence or dysuria. Furthermore, if the rectum is prolapsed, symptoms such as difficulty in defecation may occur. The classification of symptoms of pelvic organ prolapse can be classified into first to fourth levels depending on the degree of fall into the vagina or from the female genitalia to the outside. Mild symptoms are only sagging to the vagina. This is a first-grade symptom. The exit to the vagina is a first-grade symptom. The third-grade symptom is from the vagina to the outside, and the fourth-grade symptom is completely removed to the outside. Such pelvic organ prolapse is a disease that obviously hinders daily life, that is, the so-called Quamy Gi Liie disease, more common in 201026298 after menopause. In addition, the itch treatment caused by the obstruction and expansion of the iliac vein is called the prolapse of the anus, and as an apparatus for alleviating such pain, the publication of the patent document m is known. This device attaches a receptacle formed of a suitable material such as paper, wood, rubber (especially hard rubber), gypsum, etc. to the affected part, thereby pressing the itch into the anus to alleviate severe pain. [Problem to be Solved by the Invention] The problem to be solved is to press the uterus, the bladder, the urethra, the small intestine, and the rectum which should be stored in the pelvis by pressing upward. When the position of the organ falls into the vagina and the female genitalia is removed from the external organs to treat or prevent pelvic organ prolapse, the pain and discomfort caused by contact with the female genitalia cannot be relieved. Means for Solving the Problem The present invention constitutes a covering member that is in contact with a female genitalia of a patient with at least a material having flexibility. On the other hand, a supporting member for supporting the covering member is formed of a material having a relatively rigid material. The covering member can be swung or telescoped with respect to the supporting member, thereby solving the above problems. [Effect of the Invention] According to the present invention, since the covering member 201026298 which is in contact with the female genitalia of the patient is composed of a material having flexibility and the covering member can be shaken or stretched with respect to the supporting member, 'the pain and discomfort can be relieved. Sense, on the other hand, the support element used to support the cladding element consists of a relatively rigid material, so 'blocks the pelvic device that will escape from the female genitalia to the outside. [Embodiment] 第 "First Embodiment" Here, an apparatus 1 of one embodiment of the present invention will be described with reference to Figs. 1 to 4 . The device 1 of the present example is an instrument for treating or preventing the escape of various pelvic organs from being detached from the female genital contact of a patient (including a patient who is installed to prevent rain from installing the device). The apparatus J of this example is adjusted to the 1st (e) circle as shown in the 1st (a) circle, including the covering member 1〇 and the supporting member _ the covering 7L member 10 mainly has a hemispherical or semi-ellipsoidal shape and is covered. The cover U on the surface of the covering member 10 and the elastic body 12 provided in contact with the back surface of the cover n. Fig. 2(a) is a plan view showing the cover of the present example, the figure is a side view, the second (c) is aa cross-sectional view, the second (d) is a B_B profile, and the cover 11 is as a first ( d) and the i-th (e) figure, covering the elastic body a, thereby covering the surface of the covering member 1. Further, the structure of the lower end of the cover 11 is 'bent to the inner side The end portion 13 of the tortuous base is formed to thereby "enclose and support the periphery of the bottom surface of the elastic body 12." The lower end portion of the cover 11 is formed at the lower end portion of the cover 11 toward the curved base end portion 13 and the opposite side 201026298 (outer side). 14 and the dorsal base end portion 15. In addition, the term "ventral side" as used herein refers to the ventral side of the patient when the patient installs the device 1 of the present example in contact with the female genitalia. Similarly, the so-called back side means that it is located. On the side of the back of the patient, the ventral support portion 22 of the support member 2 described later forms a wider width than the back support portion 23'. Therefore, the width of the ventral base end portion 14 of the cover I is correspondingly determined. It is formed wider than the back side base end portion 15. The reason for the formation of this point is that the device 1 of this example is attached to a female In the case of the genital device, the ventral side is connected to the lower abdomen, and the back side is connected to the lower part of the buttocks, so that the difference in width is formed to relieve the discomfort. The curved base end portion 13 and the ventral base end of the cover 11 As shown in FIGS. 1(d) and 1(e), the portion and the back base end portion 15 are respectively fixed to the surfaces of the front side support portion 22 and the back side support portion 23 of the support member 20 by using an adhesive or the like. The cover 11 is installed in direct contact with the female genitalia of the patient, so that it is in contact with the pelvic organs and the female genitalia itself that are removed from the female genitalia. Therefore, when walking and performing regular movements, the pelvic organs and female genitalia may be affected. In this case, the cover is made of a thermosetting resin-based elastomer or thermoplastic elastomer such as a soft material such as soft enamel rubber, thereby reducing the pain of the patient. It can be the hardness measured by the type A durometer specified in Japanese Industrial Standard K6253 to 8 degrees, preferably 5 to 50 degrees, and more preferably 15 to 40 degrees. The elastic 髅12 of this example is made of ammonia. Ester sponge (foaming urethane resin) The foamed resin or the like is made of an elastic material, and is provided in contact with the back surface of the cover 11, as shown in the third (a) to the third (e), along the back surface of the cover. Further, the convex portion 16 can be made to have a larger diameter of the elastic portion of the 201026298 convex portion 16 and the support member 20 to be described later, and the thickness of the elastic body 12 is formed in accordance with the symptoms of the patient. Thus, the range of elasticity of the device 1 of the present example can be varied, and an appliance classified according to the symptoms of pelvic organ prolapse can be provided, for example, the closer the symptom classification is to the mild symptom, the thickness of the elastic body 12 is made. The thinner the closer to the severe symptoms, the thicker the thickness of the elastomer I. The support member 20 of this example is rigid with respect to the cladding member 1〇 as measured by the type A durometer of K6253 as described above. It is composed of a thermosetting elastomer or a thermoplastic elastomer of 8 degrees, and as shown in Figs. 4(a) to 4(c), a convex portion 21 is formed at the center, and a ventral side is formed at both ends thereof. The support portion 22 and the back side support portion 23. As described above, the convex portion 21 at the center of the support member has a width dimension comparable to that of the female genitalia of the patient, and the ventral support portion &gt; 22 and the back side support portion 23 have a narrower size, the back side support portion 23 is formed narrower than the ventral prayer section _22. Further, the cover Π and the support member 20 are joined to the lower end portion of the cover 11, so that if it is made of a resin of the same material, it can be joined by a hot-melt welding technique. Further, regarding the hardness of the cover 2 and the supporting member 2, the cover 11 may have a hardness which can alleviate the friction generated when the female genitals are in contact with each other. In contrast, the supporting member 2 may have the covering member 10 as long as it is It is sufficient to fix the rigidity of the hardness on the fixing piece 2 to be described later. A through hole 24 is formed in the approximate if portion of the convex portion _21 of the support member 20 of this example. The through hole 24 joins the curved base end portion 13, the front side base end portion 14, and the back side base end portion 15 of the cover 11 to the support member 2, whereby the internal space formed by the cover 12 is sealed by the elastic body 12, The elastic body 12 can be used as a venting hole for the extension of the 2010. Then, when the diameter of the through hole 24 is increased, the stretchability is increased, and the flexibility is more remarkable. On the other hand, when the diameter of the through hole 24 is reduced, the stretchability is lowered, and the rigidity is instantaneously increased. By using this effect, that is, selecting an appropriate diameter from a plurality of diameters, one of flexibility or momentary rigidity can be selected, and an instrument that is adjusted according to the symptoms of pelvic organ prolapse can be provided. The mounting device of the above device 1 will be described. Fig. 5 is a plan view and a cross-sectional view taken along line A-A showing a fixing piece 3 for attaching the above-mentioned device 1 to a female genital or holding the instrument. The fixing piece 3 of the present example has a first layer 31 composed of a sliding cloth, a second layer 32 provided with an elastic force on the surface of the first layer 31, and is disposed on the back surface of the second layer 32 to absorb urine leakage or A third layer 33 of vaginal secretions, a fourth layer 34 disposed on the back surface of the third layer 33 and composed of a waterproof material, and a fifth layer disposed on the back surface of the fourth layer and having an anti-slip function. The term "slip cloth" refers to a cloth which is irreversible when the liquid is impregnated, that is, a cloth having a property that the liquid penetrates from the first layer 31 to the second layer 32 but does not permeate from the second layer 32 to the first layer 31. On the first layer 31, 'a small hole 31A for exposing the covering member 1 of the device 1 to the outside is formed, and further, between the first layer 31 and the second layer 32, a small hole 31 is formed and inserted into the supporting member. The slits 31B and 31C of the front side support portion 22 and the back side support portion 23 of the second side. The front side support portion 22 and the back side support portion 23 are inserted into the slits 31B, 31C, whereby the device is detachably fixed to the fixing piece 3. In addition, the 'solid piece 3 will be the position of the female underpants 5 shown in Fig. 6, 201026298, that is, the position of the cover 11 of the covering member 10 for the female thinner which is the part of the pelvic organ. It is attached to a fifth layer 35 having a planar fastener or anti-slip function whereby the appliance 1 can be attached to the body of the patient. Further, when the covering member 10 is further strongly adhered to the female genitalia as the pelvic organ removal site, the holding tape 4 shown in Figs. 6 and 7 can be used. Fig. 6 is a front view showing the holding belt 4, and the seventh side is a rear view. This can be mounted in a detachable state with respect to the relative position of the female genital adjustment package © the pelvic organ removal site. Keep the belt. The holding tape 4 of this example has a waist belt 41, an adjustment tape 42 extending from the two places at intervals on the front surface of the waist belt 41, and a mounting piece 43 corresponding to the mounting position of the covering member 1〇. The two adjustment belts 42 are fixed to the two places at intervals on the back surface of the waist belt 41 by holes ' respectively formed on the front and back surfaces of the attachment piece 43. Further, on the waist belt 41 which is locked to the waist of the patient's waist, a adjuster 44 for adjusting the length of the tube is provided. Similarly, the adjustment belts 42' at the two places are also provided with adjusters 45 for adjusting the length thereof, similar to the d-tubes. By tightening the adjuster 45, the covering member; [squeezing against the female genitalia] can improve the covering property of the pelvic organ. As described above, according to the apparatus of the present example, the pressure and discomfort caused by the friction caused by the friction of the pelvic organs which are removed from the female genitalia of the patient do not occur, and the balance can be well balanced and can be reliably blocked from the female. The pelvic organs that come out of the genitals are soft and rigid. Therefore, women who are troubled by various symptoms caused by pelvic organ prolapse will not feel inconvenience in daily life and can live happily and happily. 9 201026298 In addition, according to the example (1), the following effects can be obtained by installing the uterine device and 1 . Women who can't have sex can become sexual (2) Because they don't need surgery, they can be produced. (3) It can prevent the symptoms of infection caused by the installation of the uterus. (4) Even if you are not in a medical institution, you can rely on a medical institution and rely on a simple treatment or prevention. <<Second Embodiment>> Sections 8(4) to 8(c) are main cross-sectional views showing other embodiments of the present invention, respectively, showing an apparatus equivalent to (10), and conceptually and i The components common to the structural elements shown in the drawings are denoted by the same reference numerals. The fixing piece 3 shown in Fig. 5 and the holding tape 4 shown in Fig. 6 may be the same as or changed from the above-described embodiment. In the device 2 shown in Fig. 8(a), the structure of the covering member 1 can be shaken by the portion of the shaft portion of the supporting member 20 to the supporting member 2, and the configuration is different from that of the first embodiment. In other words, the support member 20 is formed of a relatively rigid material in the same manner as the i-th embodiment, but a shaft portion 25 having a predetermined length is formed between the front side support portion 22, the back side support portion 23, and the convex portion 21, Thereby, the covering member 1A fixed to the convex portion 21 can be shaken by the elasticity of the shaft portion 24 itself. Thus, when the covering member 1 can swing the supporting member 20, even in the fifth The fixing piece 3 shown in the figure and the supporting member 20 of the fixing device 1 on the holding tape 4 shown in Fig. 6, the covering member 10 is also The patient's movement is shaken. Therefore, the friction between the female genitalia and the surface of the covering member 10 can be greatly prevented, and the pain caused by the point can be further alleviated. 201026298 In addition, the shape of the covering member ίο is in addition to the eighth ( a) in addition to the chevron shape shown in 囷, it may be various shapes such as a sphere as shown in Fig. 8(b)®. Also, as shown in Fig. 8(b), it may be along with the cladding member 1 The shape of the convex portion 21 of the support member 20 is changed to a spherical shape or the like. The other characteristic different from the above-described first embodiment is that the covering member 10 is not made of a so-called cover and elasticity. The body 12 is formed of such other elements, but is integrally formed by a single element. The covering element 1 of the present example can be made of a soft material such as a gel-like soft enamel rubber or the like. Or a thermoplastic elastomer. The degree of softness can be from 50 to 50 degrees in the hardness measured by the type A durometer specified in the industrial standard JIS K6253, preferably 〇 to .30 degrees. Underneath, a coating layer can be formed on the surface of the covering member 10. In the device 1 shown in Fig. 8(c), the covering member 10 is constituted by a balloon (a sail member), and further, the stagger member 20 is formed on the base end portion of the balloon 1〇, and is formed integrally with it. Here, the inflatable ball 26 for injecting air is provided, and this 9 points is different from the first embodiment. That is, the balloon 1 is made of a thermosetting elastic boat such as rubber, and the shape is spherical or according to the patient's vagina. The shape is formed into a predetermined shape. In addition, the thickness of the top of the balloon 10 can be formed thicker to increase the covering rigidity of the pelvic organ. In addition, the balloon 1 is inserted into the vagina in a state where the balloon 10 is not in a gas state. The needle is inserted into the inflatable ball 26, and the air is injected by the pump p. Thereby, the balloon 10 can be inflated in the vagina to cover the pelvic organ. As shown in this example, when the balloon 1 is used to form the cladding element, the amount of air injected by the pump p can be adjusted by the patient. Therefore, even if there is a personal difference in the female genitalia, it can provide a high degree of use. appliance. In the device 1 shown in Figs. 8(a) to 8(c), the front side support portion 22 and the back side support portion 23 can be inserted into the narrow pieces 31B, 31C of the fixing piece 3 shown in Fig. 5 . It is fixed in the middle, but it can also be in contact with the female genitalia without using the fixing piece 3. In this case, the abdominal support portion 22 and the back support portion 23 can be used as the grip (grip portion) when the instrument 1 is removed. [Simple description of the map]

第1(a)〜(e)圖為表示本發明其中一實施型態之器具之 整體結構的平面圖、側面圖、底面圖、A_A剖面屬及剖 面囷。 第2(a)〜(d)圈為表示第i圖之罩子之結構的平面圖、侧 面圖、B-B剖面圖及A-A剖面圖。 第3(a)~(e)圖為表示第i圖之彈性體之結構的平面 圖、側面圖、A-A剖面圖、B_B剖面圖及正面圖。 第4(a)~(d)圖為表示第i圖之支持元件之結構的平面@ 圖、側面圖、A-A剖面圖及剖面圖。 第5(a)、(_為表示本發明其中—實施型態之固定片 之結構的平面囷及Α-Α剖面圖。 第6圈為表示本發明其中一眚 开τ贯施型態之保持帶之結構 面圖 第7圖為表示第6圖之保持帶的背面圖。 第8(a)~(c)圖為表示本發明另一實施型態之器 具的剖 12 201026298 :【主要元件符號說明j 1器具 10包覆元件 11罩子 12彈性體 13彎曲基端部 14腹侧基端部 0 15背側基端部 16凸狀部 20支持元件 .21凸狀部 2.2腹側支持部 23背侧支持部 24消氣用貫通孔 _2 5轴部1(a) to (e) are plan, side, bottom, A_A, and cross-sectional views showing the entire structure of an apparatus according to one embodiment of the present invention. The second (a) to (d) circles are a plan view, a side view, a B-B cross-sectional view, and an A-A cross-sectional view showing the structure of the cover of the i-th. 3(a) to (e) are a plan view, a side view, an A-A cross-sectional view, a B_B cross-sectional view, and a front view showing the structure of the elastic body of Fig. i. 4(a) to 4(d) are plane @, side, A-A, and cross-sectional views showing the structure of the supporting member of Fig. i. 5(a) and (_ are plane 囷 and Α-Α cross-sectional views showing the structure of the fixing sheet of the present invention. The sixth lap represents the retention of one of the open modes of the present invention. Fig. 7 is a rear view showing the holding belt of Fig. 6. Fig. 8(a) to (c) are sectional views showing the apparatus of another embodiment of the present invention. 201026298: [Main component symbol Description j 1 Appliance 10 Covering element 11 Cover 12 Elastomer 13 Curved base end portion 14 Ventral base end portion 0 15 Back side base end portion 16 Projection portion 20 Support member. 21 Projection portion 2.2 Ventral support portion 23 back Side support portion 24 through hole for gas removal _2 5 shaft portion

A 胃 26充氣球 3固定片 31第一層 3.1 A小孔 31B,31C 狹縫 3 2第二層 33第三層 34第四層 35第五層 13 201026298 4保持帶 41腰帶 42調整帶 43安裝片 44,45調整器 5女用内褲A stomach 26 inflatable ball 3 fixed piece 31 first layer 3.1 A small hole 31B, 31C slit 3 2 second layer 33 third layer 34 fourth layer 35 fifth layer 13 201026298 4 retaining belt 41 belt 42 adjustment belt 43 installation Sheet 44, 45 adjuster 5 women's underwear

1414

Claims (1)

201026298 七、申請專利範圍:: 1. 一種器具’用來安裝接觸於患者之女性生殖器且治 療或預防骨盆臟器脫垂的器具, 其特徵在於包括: 包覆元件,其中至少與上述女性生殖器接觸之表面具 有柔軟性;及 支持元件,支持上述包覆元件且相對於上述包覆元件 ❹ 還要具有剛性; 上述包覆元件為可相對於上述支持元件搖動或伸縮。 2. 如申請專利範阗第1項之器具,其中,上述包覆元件 包含: 罩子,被覆該包覆元件之表面且具有硬度(JJS K6253 A 型硬度計)為10度至.40度之柔教度;及 彈性體,與上述罩子之背面接觸雨設置; 上述罩子以被覆該彈性體至上述彈性體,之底面之周邊 ® 部的方式,將上述罩子之基端部固定於上述支将元件上。 3·如申請專利範圍第2項之器具,其中,上述支持元件 與上述彈性體之背面接觸雨設置,在上述支持元件上,形 成由上述罩子及上述支持元件所形成之空間中之消氣用貫 通孔。 4.如申請專利範圍第3項之器具’其中,從孔徑不同之 複數個貫通孔中選擇出的貫通孔形成於上述支持元件上。 5·如申請專利範圍第2項之器具’其中,上述罩子由熱 硬化性彈性體或熱塑性彈性體所構成,上述彈性艘由發泡 15 201026298 性樹脂所構成。 6. 如申請專利範圍第1項之器具,其中, τ 上迷包覆元件 為一體成形,該包覆元件之表面具有被覆層。 7. 如申請專利範圍第6項之器具,其中’上述支持元件 具有以可搖動之狀態支持上述包覆元件的軸部。 8. 如申請專利範圍第6項之器具,其中,上述包覆元件 由硬度⑴S聽3 Α型硬度計)為〇度至⑽度之膠狀材料所 構成。 9. 如申請專利範圍第[項之器具,其 ^ r 上述包覆元件 包含可對内部注入空氣之氣球。 10. 如申請專利範圍第丨項之器具’其中,進一步包括 用來固定上述支持元件之固定片,上述固定片具有 第一層,由液體透過時具有不可逆性之布料所構成; 第二層,設置於上述第一層背面且具有彈力; •第三層,設置於上述第二層背面且由可吸收漏尿或陰 道分泌物之材料所構成; 成 第四層m述第三層背面且由防水材料所構 及 第五層,設置於上述第四層背面且具有防滑功能; 在上述第一層上,形成上述接收部露出至外部之小孔; 、:上述第一層與上述第二層之間,形成與上述小孔連 通而設置且插入上述支持元件之兩端部並固定上述接收部 之位置的狹缝。 16201026298 VII. Scope of Application: 1. An appliance for installing a female genital device that is in contact with a patient and for treating or preventing pelvic organ prolapse, characterized by comprising: a covering member, at least in contact with the female genital device described above The surface has flexibility; and a support member that supports the cover member and has rigidity with respect to the cover member ;; the cover member is swayable or expandable relative to the support member. 2. The device of claim 1, wherein the covering member comprises: a cover covering the surface of the covering member and having a hardness (JJS K6253 Type A durometer) of 10 degrees to .40 degrees And an elastic body that is in contact with the back surface of the cover; wherein the cover fixes the base end of the cover to the support member by covering the elastic body to the periphery of the bottom surface of the elastic body on. 3. The device of claim 2, wherein the support member is in contact with the back surface of the elastic body, and the support member is formed in the space formed by the cover and the support member. hole. 4. The apparatus of claim 3, wherein the through hole selected from the plurality of through holes having different apertures is formed on the support member. 5. The apparatus of claim 2, wherein the cover is composed of a thermosetting elastomer or a thermoplastic elastomer, and the elastic boat is composed of a foamed resin. 6. The device of claim 1, wherein the τ upper cladding member is integrally formed, and the surface of the covering member has a coating layer. 7. The device of claim 6, wherein the support member has a shaft portion that supports the cover member in a swingable state. 8. The device of claim 6, wherein the covering member is composed of a rubber material having a hardness of (1) S and a hardness of (10) degrees. 9. For the appliance of the scope of the patent application, ^ r The above cladding element contains a balloon that can inject air into the interior. 10. The device of claim 2, further comprising a fixing piece for fixing the supporting member, wherein the fixing piece has a first layer and is composed of a cloth having irreversibility when the liquid is transmitted; The third layer is disposed on the back surface of the first layer and has an elastic force; the third layer is disposed on the back surface of the second layer and is made of a material that can absorb urine leakage or vaginal secretions; The fifth layer of the waterproof material is disposed on the back surface of the fourth layer and has an anti-slip function; on the first layer, a small hole is formed in which the receiving portion is exposed to the outside; and: the first layer and the second layer Between the slits that are provided in communication with the small holes and that are inserted into the both end portions of the support member and fix the position of the receiving portion. 16
TW098134248A 2008-10-10 2009-10-09 Treatment or prevention of bone organ prolapse of the apparatus TWI402056B (en)

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JP5492339B1 (en) * 2013-09-12 2014-05-14 すみえ 馬渕 Women's underwear
WO2017175663A1 (en) * 2016-04-04 2017-10-12 合同会社アダム医健 Pelvic floor supporter, and clothing provided with pelvic floor supporter
EP3520744B1 (en) * 2016-09-30 2024-09-18 Kaohsiung Medical University Pessary for transvaginal haemostasis
WO2019065708A1 (en) * 2017-09-26 2019-04-04 株式会社女性医療研究所 Assistive device for supporting pelvic floor muscle
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