CN109124824B - Closed loop type sling guide - Google Patents
Closed loop type sling guide Download PDFInfo
- Publication number
- CN109124824B CN109124824B CN201811031680.8A CN201811031680A CN109124824B CN 109124824 B CN109124824 B CN 109124824B CN 201811031680 A CN201811031680 A CN 201811031680A CN 109124824 B CN109124824 B CN 109124824B
- Authority
- CN
- China
- Prior art keywords
- guide
- needle
- rod
- closed loop
- guide rod
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
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- 206010061213 Iatrogenic injury Diseases 0.000 abstract description 2
- 208000027418 Wounds and injury Diseases 0.000 description 5
- 238000000034 method Methods 0.000 description 5
- 210000001215 vagina Anatomy 0.000 description 4
- 206010066218 Stress Urinary Incontinence Diseases 0.000 description 3
- 210000003029 clitoris Anatomy 0.000 description 3
- 230000006378 damage Effects 0.000 description 3
- 238000005516 engineering process Methods 0.000 description 3
- 208000014674 injury Diseases 0.000 description 3
- 230000004048 modification Effects 0.000 description 3
- 238000012986 modification Methods 0.000 description 3
- 210000000689 upper leg Anatomy 0.000 description 3
- 208000012880 Finger injury Diseases 0.000 description 2
- 210000003689 pubic bone Anatomy 0.000 description 2
- 239000000725 suspension Substances 0.000 description 2
- 208000012260 Accidental injury Diseases 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- 230000035515 penetration Effects 0.000 description 1
- 238000007789 sealing Methods 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 210000003708 urethra Anatomy 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/08—Muscles; Tendons; Ligaments
- A61F2/0805—Implements for inserting tendons or ligaments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3468—Trocars; Puncturing needles for implanting or removing devices, e.g. prostheses, implants, seeds, wires
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/0059—Cosmetic or alloplastic implants
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Vascular Medicine (AREA)
- Transplantation (AREA)
- Cardiology (AREA)
- Pathology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Rheumatology (AREA)
- Rehabilitation Therapy (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Surgical Instruments (AREA)
- Infusion, Injection, And Reservoir Apparatuses (AREA)
Abstract
The invention provides a closed loop type sling guide, which comprises a guide rod, a guide needle and an adapter rod; one end of the switching rod is connected with one end of the guide rod in a telescopic way; one end of the guide needle is provided with a needle head, and a guide hole is arranged at the needle head; the other end of the guide needle is rotatably connected with the adapter rod so that the needle head extends into the guide rod; the guide device provided by the invention is reliable and convenient to position, can strengthen the stability of the guide device, improves the puncture efficiency and precision, and avoids iatrogenic injury.
Description
Technical Field
The invention belongs to the technical field of medical appliances, and particularly relates to a closed loop type sling guide.
Background
Female stress urinary incontinence is a common female disease, severely affecting the quality of life of the patient; mid-urethral suspension (TVT) is a widely developed method for treating stress urinary incontinence in clinic, but the puncture method should be through the retropubic space, which may damage surrounding organs during surgery and even cause serious complications; in recent years, tension-free suspension (TOT or TVT-O) of transvaginal urethra middle section through obturator approach is gradually accepted by urologists, and has the advantages of simple method and small wound.
As shown in fig. 1, the conventional TVT-O operation adopts an open ring needle sling introducer, i.e. a small wound is made on the horizontal skin of the clitoris at the root of thigh fold, a ring guide needle passes through the wound and is penetrated close to the back of the anterior pubic ramus, a doctor stretches into the finger from the incision of the anterior vaginal wall to the back of the pubic ramus, and a needle head of the ring needle is touched to guide the needle head to penetrate out from the incision of the anterior vaginal wall; because of the poor stability of the open loop needle sling introducer by handle manipulation, the positioning and penetration path may deviate from a guide finger that may puncture the vaginal wall and accidental injury.
Based on the technical problems existing in the above-mentioned introducer, no related solution exists; there is therefore an urgent need to seek an effective solution to the above problems.
Disclosure of Invention
The invention aims to solve the problems of poor stability, poor puncture efficiency and poor precision of the existing guide.
The invention provides a closed loop type sling guide, which comprises a guide rod, a guide needle and an adapter rod; one end of the switching rod is connected with one end of the guide rod in a telescopic way; one end of the guide needle is provided with a needle head, and a guide hole is arranged at the needle head; the other end of the guide needle is rotatably connected with the adapter rod so that the needle head extends into the guide rod.
Further, a positioning key is arranged in the other end of the guide rod; the needle head stretches into the guide rod and is clamped by the positioning key.
Further, the guide needle rotates around the adapter to extend the needle head into the guide rod, so that the guide rod, the guide needle and the adapter rod form a closed ring.
Further, the guide needle is rotatably connected with the switching rod through the hinge piece; the hinge is a rivet or bolt.
Further, one end of the adapter is sleeved at one end of the guide rod, and a telescopic section is formed.
Further, the utility model also comprises a holding handle; the holding handle is fixedly arranged on the guide rod and is positioned at one end of the guide rod, which is connected with the adapter.
Further, the utility model also comprises a hanging belt; the hanging belt passes through the guide hole and is fixed on the guide needle.
Further, the guide rod is of a sleeve structure; a conical jack is arranged in the other end of the guide rod; the needle head stretches into the guide rod and is clamped by the conical jack.
Further, a needle head protecting part is arranged in the positioning key; the needle head protecting part is a sponge or rubber ring.
Further, the guide rod, the guide needle and the adapter rod are connected to form a circular guide.
According to the technical scheme, the threading end of the guide device is an annular guide needle, the needle head is provided with a sling guide hole, the guide rod is an annular needle sleeve ring, a positioning key is arranged in the sleeve ring, after the guide device is opened, the head end of the guide rod is placed from the incision of the front wall of the vagina to the rear of the anterior ramus pubis and fixed, the guide needle is rotated to penetrate from the horizontal skin incision of the clitoris of the wrinkled root part of the thigh, the arc-shaped advance is carried out until the guide needle head extends into the guide rod to form a closed loop, the whole guide device is rotated downwards until the head of the guide needle is out of the incision of the front wall of the vagina, then the closed loop is opened, a sling traction wire penetrates into the guide hole of the guide needle, and finally the traction wire is led out from the skin incision by pulling back the guide needle, so that the purpose of operation is achieved; the guide device is reliable and convenient to position, and can effectively avoid the risks of vaginal wall injury and finger injury of medical staff.
Drawings
The invention will be described in further detail with reference to the drawings and the detailed description.
The invention will be further described with reference to the accompanying drawings in which:
FIG. 1 is a schematic diagram of the operation of a prior art closed loop sling introducer;
FIG. 2 is a schematic view of a closed loop type sling guide of the present invention;
FIG. 3 is a schematic view showing a state that a guide needle of a closed loop type sling guide of the present invention is separated from a guide rod positioning key;
FIG. 4 is a schematic view of an open state of a closed loop type sling guide according to the present invention.
In the figure: 1. a guide rod; 2. a guide needle; 3. a holding handle; 4. a positioning key; 5. a hinge; 6. a needle; 7. a guide hole; 8. a telescoping section; 9. and (5) a connecting rod is converted.
Detailed Description
It should be noted that, in the case of no conflict, the embodiments and features in the embodiments may be combined with each other. The invention will be described in detail below with reference to the drawings in connection with embodiments.
As shown in fig. 2 to 4, the present invention provides a closed loop type sling guide, which comprises a guide rod 1, a guide needle 2 and an adapter rod 9; one end of the switching rod 9 is connected with one end of the guide rod 1 in a telescopic way; one end of the guide needle 2 is provided with a needle head 6, and a guide hole 7 is arranged at the needle head 6 of the guide needle 2; the other end of the guide needle 2 is rotatably connected with the switching rod 9, so that the needle head 6 extends into the guide rod 1 for sealing; further, a sling (not shown) is included; the hanging belt passes through the guide hole 7 and is fixed on the guide needle 2; by adopting the scheme, the stability of the guide device can be enhanced, the puncture efficiency and the puncture precision are improved, iatrogenic injury is avoided, the needle head of the guide device can be effectively protected, and a patient or an operator is prevented from being injured in the operation process; the guide device has a simple and practical structure, and is suitable for treating female stress urinary incontinence TOT operation at present.
Preferably, in combination with the above-mentioned scheme, as shown in fig. 2 to 4, in this embodiment, a positioning key 4 is disposed in the other end of the guide rod, so that the needle 6 can extend into the guide rod 1 and be positioned and clamped by the positioning key 4; specifically, a needle head protection part is arranged in the positioning key 4, and the needle head protection part is a sponge or rubber ring; by adopting the scheme, the needle head can be effectively protected, and the needle head is prevented from being worn by the guide rod in the clamping process.
Preferably, in combination with the above-mentioned scheme, as shown in fig. 2 to 4, in this embodiment, the guiding needle 2 rotates around the rotating connector 9 to extend the needle head 6 into the guiding rod 1, so that the guiding rod 1, the guiding needle 2 and the switching rod 9 form a closed loop; further, the guide rod 1, the guide needle 2 and the adapter rod 9 are connected to form a circular guide; the structure can be conveniently contracted and opened, and is compact in structure and convenient to use.
Preferably, in combination with the above, as shown in fig. 2 to 4, in this embodiment, the guide needle 2 is rotatably connected to the adapter rod 9 through the hinge 5; the articulation 5 may be a rivet or a bolt, which serves to articulate the guide needle 2 and the adapter rod 9.
Preferably, in combination with the above solution, as shown in fig. 2 to 4, the present embodiment further includes a handle 3; one end of the adapter 9 is sleeved at one end of the guide rod 1 and is provided with a telescopic section 8, so that the needle 6 can conveniently extend into the guide rod 1; the telescopic section 8 is matched with the depth of the needle 6 extending into the guide rod 1; specifically, the handle 3 is fixedly arranged on the guide rod 1 and is positioned at one end of the guide rod 1 connected with the adapter 9, so that the push-pull use is facilitated.
Preferably, in combination with the above solution, in this embodiment, the guide rod is a sleeve structure; a conical jack is arranged in the other end of the guide rod; the needle head stretches into the guide rod and is clamped by the conical jack.
According to the technical scheme, the threading end of the guide device is an annular guide needle, the needle head is provided with a sling guide hole, the guide rod is an annular needle sleeve ring, a positioning key is arranged in the sleeve ring, after the guide device is opened, the head end of the guide rod is placed from the incision of the front wall of the vagina to the rear of the anterior ramus pubis and fixed, the guide needle is rotated to penetrate from the horizontal skin incision of the clitoris of the wrinkled root part of the thigh, the arc-shaped advance is carried out until the guide needle head extends into the guide rod to form a closed loop, the whole guide device is rotated downwards until the head of the guide needle is out of the incision of the front wall of the vagina, then the closed loop is opened, a sling traction wire penetrates into the guide hole of the guide needle, and finally the traction wire is led out from the skin incision by pulling back the guide needle, so that the purpose of operation is achieved; the guide device is reliable and convenient to position, and can effectively avoid the risks of vaginal wall injury and finger injury of medical staff.
The above description is only a preferred embodiment of the present invention, and is not intended to limit the present invention in any way. Many possible variations and modifications of the disclosed technology can be made by anyone skilled in the art, or equivalent embodiments with equivalent variations can be made, without departing from the scope of the disclosed technology. Therefore, the technology according to the invention is all that does not deviate from the technical proposal of the invention
Any modification, equivalent variation and modification of the above embodiments belong to the protection scope of the present technical solution.
Claims (8)
1. The closed loop type sling introducer is characterized by comprising a guide rod, a guide needle and an adapter rod; one end of the switching rod is connected with one end of the guide rod in a telescopic manner; a needle head is arranged at one end of the guide needle, and a guide hole is formed in the needle head; the other end of the guide needle is rotatably connected with the adapter rod so that the needle head extends into the guide rod; one end of the adapter is sleeved at one end of the guide rod, and a telescopic section is formed; the utility model also comprises a holding handle; the holding handle is fixedly arranged on the guide rod and is positioned at one end of the guide rod, which is connected with the adapter.
2. The closed loop type sling guide as defined in claim 1, wherein a locating key is provided in the other end of said guide rod; the needle head stretches into the guide rod and is clamped by the positioning key.
3. The closed loop type sling guide as defined in claim 1, wherein rotation of said introducer needle about said adapter extends said needle into said guide rod such that said guide rod, said introducer needle and said adapter rod form a closed loop.
4. The closed loop type sling guide as defined in claim 1, wherein said introducer needle is rotatably connected to said adapter rod by a hinge; the hinge is a rivet or bolt.
5. The closed loop type sling guide as defined in any one of claims 1-4, further comprising a sling; the sling passes through the guide hole and is fixed on the guide needle.
6. The closed loop type sling guide as defined in claim 1, wherein said guide rod is a sleeve structure; a conical jack is arranged in the other end of the guide rod; the needle head stretches into the guide rod and is clamped by the conical jack.
7. The closed loop type sling guide as defined in claim 2, wherein said positioning key has a needle guard inside; the needle head protection part is a sponge or rubber ring.
8. The closed loop type sling guide as defined in claim 1, wherein said guide rod, said introducer needle and said adapter rod are connected to form a circular guide.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201811031680.8A CN109124824B (en) | 2018-09-05 | 2018-09-05 | Closed loop type sling guide |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201811031680.8A CN109124824B (en) | 2018-09-05 | 2018-09-05 | Closed loop type sling guide |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN109124824A CN109124824A (en) | 2019-01-04 |
| CN109124824B true CN109124824B (en) | 2024-02-09 |
Family
ID=64827092
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201811031680.8A Active CN109124824B (en) | 2018-09-05 | 2018-09-05 | Closed loop type sling guide |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN109124824B (en) |
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| CN207125815U (en) * | 2016-12-09 | 2018-03-23 | 刘艳霞 | A kind of New Percutaneous aorta petal is implanted into guide wire |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| US7338504B2 (en) * | 2002-10-03 | 2008-03-04 | Gibbens Group, L.L.C. | Cycling suturing and knot-tying device |
| US7338502B2 (en) * | 2002-12-18 | 2008-03-04 | Rosenblatt Associates, Llc | Systems and methods for soft tissue reconstruction |
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| CN102300507A (en) * | 2008-11-25 | 2011-12-28 | 远藤发展有限责任公司 | Apparatus And Method For Minimally Invasive Suturing |
| CN201469329U (en) * | 2009-08-24 | 2010-05-19 | 成都市第五人民医院 | Thread guiding needle |
| CN201692011U (en) * | 2010-02-12 | 2011-01-05 | 赵继懋 | Surgery puncture needle for treating stress incontinence |
| CN201814650U (en) * | 2010-10-26 | 2011-05-04 | 汲燕 | Novel steel wire guiding device |
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Also Published As
| Publication number | Publication date |
|---|---|
| CN109124824A (en) | 2019-01-04 |
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