CN201356677Y - Implant for treatment of male stress incontinence - Google Patents

Implant for treatment of male stress incontinence Download PDF

Info

Publication number
CN201356677Y
CN201356677Y CNU2009200008328U CN200920000832U CN201356677Y CN 201356677 Y CN201356677 Y CN 201356677Y CN U2009200008328 U CNU2009200008328 U CN U2009200008328U CN 200920000832 U CN200920000832 U CN 200920000832U CN 201356677 Y CN201356677 Y CN 201356677Y
Authority
CN
China
Prior art keywords
buffer unit
implant according
band
implant
urethra
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.)
Expired - Lifetime
Application number
CNU2009200008328U
Other languages
Chinese (zh)
Inventor
威廉·鲍尔
马丁·埃哈德
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
AMI Agency for Medical Innovations GmbH
Original Assignee
AMI Agency for Medical Innovations GmbH
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by AMI Agency for Medical Innovations GmbH filed Critical AMI Agency for Medical Innovations GmbH
Application granted granted Critical
Publication of CN201356677Y publication Critical patent/CN201356677Y/en
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

Links

Images

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
    • A61F2/0004—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse
    • A61F2/0031—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse for constricting the lumen; Support slings for the urethra
    • A61F2/0036—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse for constricting the lumen; Support slings for the urethra implantable
    • A61F2/0045—Support slings
    • 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
    • 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
    • A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts

Landscapes

  • Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Biomedical Technology (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Vascular Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Transplantation (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Urology & Nephrology (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Pulmonology (AREA)
  • Prostheses (AREA)

Abstract

The utility model relates to an implant for treatment of male stress incontinence, which comprises a belt (1) with a widened area (2). A buffer device (5) capable of being filled with fluids is arranged in the widened area, the buffer device is connected with a pipeline (6), and the pipeline extending on the outer portion of the belt (1) is used for supplying and removing fluids. When the belt (1) and the buffer device (5) are placed on the urethra of a patient, a ring can be formed on the inferior ramus of pubis and be operationally fixed under tension. After the implant is implanted and the ring is formed, a free end portion (3) of the belt (1) can be fixed to the widened area for treating the implant in a better way on the widened area, the pipeline (6) is arranged to connect with a refilling end port (8) used for supplying and removing fluids, and the refilling end port (8) is capable of being disposed subcutaneously and can be made of titanium and silicon resin preferably.

Description

The implant that is used for the treatment of male's stress incontinence
Technical field
This utility model relates to a kind of implant of the male's of being used for the treatment of stress incontinence, it comprises the band with widened section, but the buffer unit of fill fluid is arranged on this zone, this buffer unit links to each other with a conduit, this conduit is in the outside extension of this band, be used for supply and remove fluid, when this band and buffer unit set aside on patient's the urethra, can form ring and under tension force, perform the operation fixing on the infra pubic branch, wherein, the free end of band can be fixed on the described widened section in implanted back and after forming ring.
Background technology
Urinary incontinence is the common disease of masculinity and femininity, particularly old people.For the male, the main cause of stress incontinence is to have carried out surgical operation, particularly radical prostatectomy in true pelvis, and has carried out the chamber mirror and get involved on prostate and urethra, and these can cause the sphincter damage.
So-called stress incontinence is a kind of form of urinary incontinence, and it is unconsciously to pass through urine under physical pressure.Gymnastics or the body feedback therapy and the electrostimulation that can for example be used to strengthen pelvic floor at the commitment of disease by conservative measure.Along with urinary incontinence enters the serious stage, operative treatment is inevitable.
For the women, the method for modal operative treatment stress incontinence comprises implants so-called " TVT " (" no tension force vaginal tape "), and its rear portion at urethra forms ring, and its free end is fixed on the inboard of the stomach wall above the pubis.In this way, anamorphic zone rests in the urethra below in tension-free mode, and under the load effect, for example when cough and sneeze, it prevents that urethra from descending, thus the sealing urethra.
Patent documentation WO 02/02031 A1 for example shows the implant of this women's of being used for the treatment of stress incontinence.
Because being unsuitable for the male, different anatomical structures, no tension force implant use.
At present, can obtain to be provided with bringing of bone fixation device and treat male's stress incontinence, on urethra, apply sufficiently high pressure so that can give.By like this, the band that supports urethra is fixed on the pubis, and therefore realizes efficient pressure under the compressing situation on urethra.Usually, by miniature screw and bone fixation device band is fixed on the pubis, these screws and bone fixation device mainly are made of titanium.The retaining element that is fixed in the bone requires more complicated operation to get involved, and in addition, these objects are allochthons, can cause rejection and problem.
Patent documentation WO 2006/012653A1 has described the implant that is used for the treatment of male's stress incontinence, and it can effectively be treated, without any side effect.This implant allows to be provided for respectively to supply fluid to the pressure in the buffer unit on the widened section of band and the pressure of release fluids.Because optimized pressure setting, the patient can the emptying bladder, needn't activate implant or take other measures.Implant does not need to be fixed on the pubis, but by setting aside on the urethra and the free end guiding of band be placed on the desired position by the opening in the pubis, and by will band the end is fixed to realization is permanently attached on the pubis on the widened section.But the end that is arranged on the pipeline in the scrotum usually by puncturing is provided with the pressure of buffer unit, can cause the appearance of problem, because find the closed ends of pipeline and can not carry out in the mode of the best by the skin penetrating pipeline safely.
The utility model content
The purpose of this utility model is a kind of in the above-mentioned implant, and it can guarantee that patient or qualified physicians better handle.And correspondingly reduce or avoided the shortcoming of the implant of known type.
The purpose of this utility model realizes that by pipeline is connected to recharge on the port this recharges port and can subcutaneously arrange.By making pipeline be connected to this this measure that recharges port, be easy to find recharge port, so that this port that particularly punctures is used to recharge fluid or sucking-off fluid.The closed end of pipeline must be arranged in patient's the scrotum, can be arranged on optimum and the easiest approaching position and recharge port.Therefore, can regulate the pressure of the buffer unit that is applied to the implant on the urethra by accommodating fluid or sucking-off fluid, not need surgery to get involved in simple mode.
Preferably, the described port that recharges comprises main body that is formed by titanium and the barrier film that punctures that is formed by silicones.These materials are verified to be particularly suitable for implant, because the rejection that is caused is minimum.
According to another feature of the present utility model, the part that is positioned at described widened section outside of described band by the protectiveness sheath around, described protectiveness sheath has smooth surface, and can remove after implanted.Like this, made things convenient for implantation, and the wrinkling and/or distortion in tissue of anti-leukorrhagia stopping.Because the protectiveness sheath is set, the littler power of doctor's needs is moved band and is passed tissue.Prevent to take up wrinkle and twist the arrangement of also having quickened implant, obviously reduced by solving the disorderly danger of for example assembling the complication of bringing that infection caused by exotic.
Preferably, described protectiveness sheath is formed by polyethylene.
Advantageously, the widened section of described band is arranged in the position of the longitudinal center basically of described band.The length of described band is chosen to regulate according to anatomy and once forms ring on pubis, and the free end of band can be fixed to widened section on, this widened section is for example by stitching or splicing and urethra adjacency.End at the implant devices band also can switch to required length.
Advantageously, described buffer unit is arranged on the side of implantation back to urethra of described band.
Advantageously normal saline solution is as fluid, even this solution can not bring adverse effect to health yet under the situation that buffer unit leaks.
Described buffer unit is glued onto on the respective side of widened section of described band.By like this, adopt the suitable glue that can not cause any rejection and can in long-term the implantation, not lose the gummed effect.
Also can so that described buffer unit and described be with integrally formed.
Specifically, at buffer unit and under with integrally formed situation, described buffer unit is reinforced on the side of implantation back to urethra.The reinforcement back to the side of urethra of buffer unit allow to guarantee buffer unit during fill fluid basically only towards urethra extension, suitable pressure can be applied on the urethra.This reinforcement makes this side of buffer unit compare dimensionally stable and not yielding with the side of flexibility as far as possible in the face of urethra of buffer unit.
Here, can realize the reinforcement of this side of buffer unit by bigger thickness, for example the thickness of the reinforcement side of described buffer unit is 1 to 4mm, is preferably 2mm.In addition, can be for example by obtaining improved dimensional stability on this reinforcement side that fiber is integrated into buffer unit.
For the ease of implanting, fixedly silk thread can be arranged on the reinforcement side of described buffer unit.These have been integrated into the rear side that fixedly silk thread in the buffer unit is used at band the end of band being fixed to after the opening (closed pore) by pubis has formed ring buffer unit.Be integrated under the situation of fixedly silk thread in the fiber that is fixed on one in the reinforcement side of buffer unit and can be securely fixed in the buffer unit.
Preferably, described fixedly silk thread is made by polypropylene.
Advantageously, described band comprises synthetic fibers, particularly polypropylene fibre.Described material has shown good performance in other implants.
Described band can be soaked in the silicones.
According to another feature of the present utility model, buffer unit is formed by elastic synthesis material, particularly silicones.
In order further to be convenient to implant, eye hook or analog can be arranged on the end of described band, are used for fixing suture.
Description of drawings
Now with reference to accompanying drawing this utility model is described in more detail, wherein:
Fig. 1 shows expansion, paves the band of state;
Fig. 2 shows band, and it is connected with buffer, and is connected to and recharges port;
Fig. 3 shows along the sectional view of the band of the transversal III-III of Fig. 2;
Fig. 4 shows the detailed view according to the band of Fig. 2, has wherein arranged the protectiveness sheath;
Fig. 5 shows the view of seeing from rear side according to the band of Fig. 4; And
Fig. 6 shows along the sectional view of the band of the transversal VI-VI of Fig. 5.
The specific embodiment
Fig. 1 shows and is with 1, is used to form the implant that is used for the treatment of male's stress incontinence, and this band comprises widened section 2, and it is located substantially on longitudinal center.Free end 3 with 1 can be arranged to taper.Eye hook 4 or analog can be arranged on the free end 3, are used for fixing suture.Be with 1 preferably to form by synthetic fibers, polypropylene fibre for example, it can for example be soaked in the silicones.Described material has excellent biological compatibility, and in being usually used in surgical operation.In addition, these materials can be produced by the mode of relatively economical.Size with 1 of the present utility model is suitable for various conditions.Total length L with 1 can for example arrive in the scope of 600mm 500.Widened section with 1 exemplarily comprises the long L of 50mm BHigh H with 40mm BWith 1 width exemplary be 15mm.To be with 1 to implant by invasive methods, and in the method, urethra be carried out little otch, and be with 1 to install by corresponding implanting instrument, these implanting instruments for example are used to implant the amenorrhea pore area so that the treatment female incontinence.
Fig. 2 shows and is with 1, and buffer unit 5 is arranged in the widened section 2, and after implantation, this buffer is placed on patient's urethra, and applies constant pressure by supply and removal fluid on patient's urethra.
The buffer unit 5 of a plurality of interconnection also can be set.Buffer unit 5 can be glued onto to be with on 1 or to be integrally formed therewith.For the ease of filling patient's emptying buffer unit 5 subsequently, described buffer unit is connected on the pipeline 6, and the free end 7 of pipeline 6 is connected to and recharges on the port 8.Recharge port 8 and can for example comprise titanium body and the barrier film that punctures that for example forms by silicones.Recharge the suitable position that port 8 is arranged in the patient.Can come buffering dress child's 5 accommodating fluids or sucking-off fluid by syringe skin puncture and the barrier film that recharges on the port 8.
From the sectional view of Fig. 3 as can be seen, buffer unit 5 be with 1 integrally formed.Be applied on patient's the urethra can being reinforced implanting the side 9 of back of buffer unit 5 to urethra in order to ensure fluidic pressure.The reinforcement of the side 9 of buffer unit 5 makes this buffer unit dimensionally stable and indeformable.This can by bigger thickness d for example 1 to 4mm preferred 2mm realize.In addition, fiber can be integrated in the reinforcement side 9.
Fig. 4 shows the enlarged drawing of a part of implant, wherein with the regional protected sheath 10 (shown in the dotted line) outside 1 the widened section 2 around, these protectiveness sheaths are preferably formed by polyethylene.These protectiveness sheaths 10 with smooth surface be convenient to implant and can prevent complicated, for example wrinkling or distortion.
Fig. 5 shows a part from the bottom and is with 1, and wherein fixedly filament 11 is integrated on the reinforcement side 9 of buffer unit 5.This for example have integrated permission feasible free end 3 with 1 after filament has been conducted through opening and ring formation of the fixedly filament of polypropylene formation to be fixed on the pubis simpler.
Fig. 6 show according to Fig. 5 with 1 sectional view along transversal VI-VI.

Claims (17)

1. implant that is used for the treatment of male's stress incontinence, it comprises band (1), described band has widened section (2), but the buffer unit of fill fluid (5) is arranged on the described widened section, described buffer unit links to each other with a pipeline (6), described pipeline is in the outside extension of described band (1), be used for supply and remove fluid, when described band (1) and described buffer unit (5) set aside on patient's the urethra, can form ring and under tension force, perform the operation fixing on the infra pubic branch, wherein, in implanted back and after forming ring, the free end (3) of described band (1) can be fixed on the described widened section, it is characterized in that, described pipeline (6) links to each other with the port (8) that recharges that can subcutaneous layout.
2. implant according to claim 1 is characterized in that, the described port (8) that recharges comprises main body that is formed by titanium and the barrier film that punctures that is formed by silicones.
3. according to claim 1 or 2 described implants; it is characterized in that; described band (1) be positioned at the outside part of described widened section (2) by protectiveness sheath (10) around, described protectiveness sheath (10) has smooth surface, and can remove after implanted.
4. implant according to claim 3 is characterized in that, described protectiveness sheath (10) is formed by polyethylene.
5. implant according to claim 1 is characterized in that, described widened section (2) is arranged in the position of the longitudinal center basically of described band (1).
6. implant according to claim 1 is characterized in that, described buffer unit (5) is arranged on the side of implantation back to urethra of described band (1).
7. implant according to claim 1 is characterized in that fluid comprises saline solution.
8. implant according to claim 1 is characterized in that, described buffer unit (5) is glued onto on the described band (1).
9. implant according to claim 1 is characterized in that, described buffer unit (5) and described band (1) are integrally formed.
10. implant according to claim 9 is characterized in that, described buffer unit (5) is reinforced on the side (9) of implantation back to urethra.
11. implant according to claim 10 is characterized in that, the thickness (d) of the reinforcement side (9) of described buffer unit (5) is 1 to 4mm, is preferably 2mm.
12. implant according to claim 10 is characterized in that, fixedly silk thread (11) is arranged on the reinforcement side (9) of described buffer unit (5).
13. implant according to claim 12 is characterized in that, described fixedly silk thread (11) is made by polypropylene.
14. implant according to claim 1 is characterized in that, described band (1) comprises synthetic fibers, particularly polypropylene fibre.
15. implant according to claim 14 is characterized in that, described band (1) is soaked in the silicones.
16. implant according to claim 1 is characterized in that, described buffer unit (5) by flexible composite material particularly silicones form.
17. implant according to claim 1 is characterized in that, eye hook (4) or analog are arranged on the end (3) of described band (1), are used for fixing suture.
CNU2009200008328U 2008-09-16 2009-01-13 Implant for treatment of male stress incontinence Expired - Lifetime CN201356677Y (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
ATGM495/2008 2008-09-16
AT0049508U AT10932U1 (en) 2008-09-16 2008-09-16 IMPLANT FOR THE TREATMENT OF MALE BRAIN HIC IN INCONTINENCE

Publications (1)

Publication Number Publication Date
CN201356677Y true CN201356677Y (en) 2009-12-09

Family

ID=41260034

Family Applications (1)

Application Number Title Priority Date Filing Date
CNU2009200008328U Expired - Lifetime CN201356677Y (en) 2008-09-16 2009-01-13 Implant for treatment of male stress incontinence

Country Status (3)

Country Link
KR (1) KR200470243Y1 (en)
CN (1) CN201356677Y (en)
AT (1) AT10932U1 (en)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104220025A (en) * 2012-04-16 2014-12-17 Gt泌尿学公司 Hydraulic urethral occlusive device
CN109875721A (en) * 2019-02-20 2019-06-14 广东工业大学 A kind of implanted manually controls urethra valve

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP2991583B1 (en) * 2013-05-03 2020-07-29 James W. Cullison A surgical implant for a female urethra

Family Cites Families (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2721198B1 (en) 1994-06-16 1996-10-31 Caravel Jean Baudoin Flexible implantable prosthesis, used in surgery for volume increase or soft tissue reconstruction, in particular breast prosthesis.
WO2004021935A1 (en) 2002-09-09 2004-03-18 Hb Medicals Corporation Novel implantable artificial breast silicon shell
AU2006208984A1 (en) * 2004-01-29 2006-08-03 Jonathan Hamilton A prosthesis and method of manufacturing a prosthesis

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104220025A (en) * 2012-04-16 2014-12-17 Gt泌尿学公司 Hydraulic urethral occlusive device
CN104220025B (en) * 2012-04-16 2017-03-22 Gt泌尿学公司 Hydraulic urethral occlusive device
CN109875721A (en) * 2019-02-20 2019-06-14 广东工业大学 A kind of implanted manually controls urethra valve

Also Published As

Publication number Publication date
KR20100003334U (en) 2010-03-25
AT10932U1 (en) 2010-01-15
KR200470243Y1 (en) 2013-12-06

Similar Documents

Publication Publication Date Title
US11654027B2 (en) Method of surgically providing a trans-male patient with a neopenis including malleable penile inserts inside an artificial tunica
RU2543032C2 (en) Anatomic reinforcement device
US8628463B2 (en) Adjustable tension incontinence sling assemblies
US9861460B2 (en) Suburethral hammock
US20140163696A1 (en) Porous implant with effective extensibility and methods of forming an implant
US20040249397A1 (en) Method and implant for curing cystocele
US20080146868A1 (en) Adjustable implantable male incontinence device
US20050256364A1 (en) Implantable device and method for adjustably restricting a body lumen
KR20070117548A (en) Needle design for male transobturator sling
AU2004229194A1 (en) Implant for treatment of a rectocele and device for placement of said implant
JP2010506688A (en) Implantable device for treatment of incontinence
CN201356677Y (en) Implant for treatment of male stress incontinence
EP3141220B1 (en) A penile prosthetic with an insertion tool contained inside an inflatable bladder
AU2005269231B2 (en) Implant for treatment of male urinary stress incontinence

Legal Events

Date Code Title Description
C14 Grant of patent or utility model
GR01 Patent grant
CX01 Expiry of patent term

Granted publication date: 20091209

CX01 Expiry of patent term