CN101001584A - Apparatus for the prevention of urinary incontinence in females - Google Patents
Apparatus for the prevention of urinary incontinence in females Download PDFInfo
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- CN101001584A CN101001584A CN 200580016245 CN200580016245A CN101001584A CN 101001584 A CN101001584 A CN 101001584A CN 200580016245 CN200580016245 CN 200580016245 CN 200580016245 A CN200580016245 A CN 200580016245A CN 101001584 A CN101001584 A CN 101001584A
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Abstract
An apparatus for treating urinary incontinence, comprising a node; a support section adapted for providing urethral support attached to the node; and, an anchoring section adapted for resisting movement of the apparatus attached to the node; wherein the node is no longer than 30% of the entire length of the apparatus comprising the node, support section and the anchoring section together.
Description
Technical field
The application is general relevant with female incontinence, for example, the invention provides the utensil that is used to prevent women's incontinence.
Related application
The application is that the PCT that Mays 20 in 2004, order was submitted to applies for PCT/IL2004/000433 number part continuation application, this PCT application requires to enjoy the priority of No. 157117, Israel's patent application of No. 156070, Israel's patent application proposing on May 22nd, 2003 and proposition on July 27th, 2003, and their disclosed contents are as the reference of asking in the basis.According to USC119 (3), the application also requires to enjoy the priority of following application: the U.S. Provisional Application 60/553 that on March 18th, 2004 proposed, No. 964, the U.S. Provisional Application 60/555 that on March 25th, 2004 proposed, No. 977, the U.S. Provisional Application 60/570 that on May 13rd, 2004 proposed, No. 469, the U.S. Provisional Application 60/570 that on May 13rd, 2004 proposed, No. 535, the U.S. Provisional Application that proposed on August 5th, 2004 number 60/598, No. 835, the U.S. Provisional Application 60/602 that on August 19th, 2004 proposed, No. 636, the disclosed content of these files is as the application's reference.
Background technology
Urinary incontinence is a big problem that extensively is present among the women.Estimation can by mistake be omitted urine occasionally up to 50% women.In order to deal with this problem, there is 25% women can seek doctor's help in some aspects approximately.Stress incontinence, this modal urinary incontinence are meant during motion, cough, sneeze, laugh etc. the urine of mistake unintentionally that raises and cause because of abdominal pressure that takes place.When stress incontinence takes place, drop to owing to urethra and neck of bladder are improper normally that the height that is lower than pelvic floor causes.Though many different factors all may cause stress incontinence, modal is to occur in 35-65 year age bracket and live through between the women of repeatedly vaginal delivery.Stress incontinence is not only frustrating but also make us not feeling well for the women, but also pretty troublesome.In order to deal with urinary incontinence problems, many women dress sanitary belt or diaper, can not really deal with problems like this and very inconvenient and unreliable.In order neck of bladder to be risen on the pelvic floor and whereby to bladder, neck of bladder and mid-urethra dispense pressure equally, therapeutic method of surgery can comprise paraurethral fixation of tissue on the periosteum or rectus face (rectus facia) of pubis.Recently, developed a kind of being called " TVT " method of (" no tension force vagina band "), wherein below mid-urethra, implanted guipure, formed hammock, urethra can knot (kink) during intra-abdominal pressure raises on hammock.Yet operation only is suitable for severe case, and the women that great majority suffer from urinary incontinence does not need to solve with operation.
A kind of form of non-operative treatment comprises uses the utensil that inserts vagina, both can also can be operated by the women by the medical worker.Most of utensils are designed to and can exert pressure to neck of bladder, so that forbid or stop that fully urine flow crosses urethra.A lot of in the art this utensils are widely known by the people.For example, No. 2002/0183711, the U.S. Patent application that is called " Urinary Incontinence Device " with reference to the name of Moster application; The name that is issued to people such as Jensen is called No. 6,739,340, the United States Patent (USP) of " Device for prevention ofinvoluntary urination "; The name that is issued to people such as Zunker is called No. 6,679,831, the United States Patent (USP) of " Resilient incontinence insert and a method of making the same "; The name that is issued to James is called No. 6,460,542, the United States Patent (USP) of " Female incontinence control device "; The name that is issued to Biswas is called No. 6,413,206, the United States Patent (USP) of " Intra-vaginal device "; The name that is issued to Kresch is called No. 5,785,640, the United States Patent (USP) of " Method for Treating FemaleIncontinence "; The name that is issued to people such as Martelly is called No. 5,771,899, the United States Patent (USP) of " Pessary "; The name that is issued to Reimer is called the United States Patent (USP) 5 of " Device forArrangement in the Vagina for Prevention of Involuntary Urination with Femalesand an Applicator for use in Insertion ofthe Device ", 618, No. 256; The name that is issued to Juma is called No. 5,417,226, the United States Patent (USP) of " Female Anti-Incontinence Device "; The name that is issued to Biswas is called No. 5,386,836, the United States Patent (USP) of " Urinary Incontinence Device "; The name that is issued to Enhorning is called No. 5,007,894, the United States Patent (USP) of " Female Incontinence Device "; And the name that is issued to Biswas is called No. 4,920,986, the United States Patent (USP) of " Urinary IncontinenceDevice ", and the disclosed content of these files is as the application's reference.
The problem that a lot of utensil listed above exists is that these utensils have stopped urethra fully, therefore just these utensils need be removed or made its shrinkage for the women is urinated.The vagina utensil that have special shape in order to overcome this defective, to have developed, does not stop neck of bladder fully, but these utensils are all bigger than normal, comfortable and need to insert inadequately.This might cause vagina inflammation or pain.
Another common drawback is, most of utensil well known in the art is very difficult or cause pain when inserting and/or take out.In order correctly to limit flowing of urine, these utensils correctly need be positioned in the vaginal canal.The possibility of result requires the doctor correctly to lay utensil.In most cases, this appliances can be retained in intravaginal (considering the time and the expense of the medical professional insertion utensil that need train) for a long time.Certainly, if utensil is placed on intravaginal for a long time, utensil may cause vaginal infection, necrosis or hemorrhage.
Summary of the invention
An aspect of some embodiments of the present invention relates to a kind of utensil of the women's of treatment incontinence, and this utensil comprises at least one node (node).The length that can randomly make this node only for whole utensil length 30% or littler.In some embodiments of the present invention, this utensil also comprises fixture and support member.In some embodiments of the present invention, functional in order to improve, the structure of node is controling appliance more neatly.Can randomly place flexible cervical region at the node place of utensil.Flexibility especially can improve the comfort of wearer at the center core place.In some embodiments of the present invention, the utensil that is used for the treatment of women's incontinence that provides is disposable.Can randomly make utensil be integrative-structure.Can utensil be made by homogenous material.Can randomly utensil be made various sizes.For example, in some embodiments of the present invention, the utensil total length that provides is between 30mm and 50mm.Can be randomly make these utensils either large or small according to different users's needs.In some embodiments of the present invention, insert this utensil with applicator.
In the present invention's one illustrative embodiments, this utensil has standing part and the support section that disposes arm.The shape of arm and quantity can change arbitrarily.Can randomly be provided with four supports and/or fixed arm.Can randomly make arm greater or less than four.Can randomly make each arm have difformity.The compliance of each arm, rigidity and elasticity all can change arbitrarily.Each arm can be provided with soft end or pad arbitrarily.In some embodiments of the present invention, arm and utensil central axis and/or angle each other can change.Optional is to make the support arm bending.Can randomly make fixed arm substantially vertically be radial from node.In some embodiments of the present invention, the size and dimension of support arm and the size and dimension of fixed arm are irrelevant.Can randomly make these arms is cantilever.
In the present invention's one illustrative embodiments, utensil comprises supplementary structure, and this structure is directly exerted pressure to improve the incontinence treatment effect to urethra.Can randomly during the sports of fierceness, use the utensil of this band supplementary structure.In some embodiments of the present invention, directly exert pressure to urethra by the ring-type pole that is connected with some arms of support section.What can choose wantonly is that pole can comprise straightway.Optional is that pole can comprise inside arc.
The utensil that relates in one aspect to a kind of women's of treatment incontinence of some embodiments of the present invention, this utensil are provided with the urethral support part of adjustable dimension.Optionally be, mechanically regulate the size of this support member, for example regulate with the stretching, extension plug-in unit.Optional is that the some parts of utensil is a cantilever.Optional is that in order to revise the size of support member, this stretching, extension plug-in unit can stretch plug-in unit with other and exchange.The variation of shape and size can be adaptive with wearer better, and can carry out more effective treatment in some cases.
An aspect of some embodiments of the present invention relates to a kind of utensil of the women's of treatment incontinence, and this utensil comprises the utensil extractor as cotton rope and so on.In the present invention's one illustrative embodiments, in case apply taking-up power on cotton rope, some arms of utensil will reduce the profile of utensil to node shrinkage (collapse), make to be easy to and misery is taken out utensil less.Can randomly cotton rope directly be attached on the support arm, when when cotton rope applies power, the support arm shrinkage is so that take out at least.Can randomly cotton rope be attached to sling sample utensil or cover, when when cotton rope applies power, sling sample utensil applies power and makes their shrinkages so that take out to arm.Can randomly make the patient needn't contact self and just can take out this utensil.
Therefore, provide a kind of apparatus for the treatment of urinary incontinence, it comprises: node; Be attached to the support section that is suitable for providing urethral support on the described node; Be attached to described node and be used to the standing part that stops described apparatus to move; Wherein, described node is no longer than comprising 30% of described node, support section and described standing part described apparatus total length together.Can randomly make described node no longer than 20% of the total length of the apparatus of described treatment urinary incontinence.Can randomly make node no longer than 15% of the total length of the apparatus of described treatment urinary incontinence.In some embodiments of the present invention, support section is provided with at least two support arms.In some embodiments of the present invention, standing part is provided with at least two fixed arms.What can choose wantonly is that described apparatus also comprises lid.What can choose wantonly is that described lid wraps into described node, support section and described standing part in the capsule (encapsulate) substantially.In some embodiments of the present invention, described support section and described standing part are flexible.What can choose wantonly is that described node is flexible.In some embodiments of the present invention, this apparatus also comprises the utensil extractor.What can choose wantonly is described utensil extractor can be attached on the described support section.In some embodiments of the present invention, this apparatus also comprises the support pole with described support arm interconnection.In some embodiments of the present invention, this apparatus also comprises and is suitable for described apparatus is inserted intravaginal applicator.
So, a kind of apparatus for the treatment of urinary incontinence is provided, it comprises: the support section that is used to provide urethral support; With the stretching, extension plug-in unit that is used for regulating described support section diameter.In some embodiments of the present invention, this apparatus also comprises node and the standing part that stops described apparatus to move.In some embodiments of the present invention, this apparatus also comprises lid.What can choose wantonly is that described lid wraps into described node, support section, described standing part and stretching, extension plug-in unit in the capsule substantially.In some embodiments of the present invention, this apparatus also comprises the utensil extractor.What can choose wantonly is the utensil extractor can be attached on the described support section.In some embodiments of the present invention, this apparatus also comprises the applicator that is suitable for described apparatus is inserted vagina.
So, provide a kind of apparatus for the treatment of urinary incontinence, it comprises: the body that is used for the treatment of incontinence when inserting vagina; With the utensil extractor that described apparatus is moved.What can choose wantonly is that described utensil extractor is a cotton rope.In the present invention's one illustrative embodiments, described apparatus be flexibility and under described cotton rope effect, be out of shape.
Thus, provide a kind of using method that is used for the treatment of the utensil of urinary incontinence, comprising: insert described treatment of urinary incontinence apparatus; Launch described treatment of urinary incontinence apparatus so that provide support in a position to mid-urethra.What can choose wantonly is to promote to insert by means of applicator.In some embodiments of the present invention, this method also comprises takes out described apparatus.What can choose wantonly is that described taking-up is to carry out under the help of utensil extractor.
Therefore, provide a kind of apparatus of vagina with utensil that be used to insert, it comprises: comprise the shell and the retainer of described vagina with utensil, wherein, described retainer prevents undue insertion.What can choose wantonly is, described retainer is positioned at a part on the described shell, makes that described vagina was in described intravaginal tram with utensil so that launch when described apparatus inserted described vagina and arrive the position of described retainer.In the present invention's one illustrative embodiments, described retainer adjustable ground is positioned on the described shell.
Description of drawings
Come non-limiting embodiments more of the present invention are described below in conjunction with the description of referenced drawings to some illustrative embodiments.Usually, accompanying drawing illustrates not in scale, and virtually any size all only means and is exemplary and not restrictive.In these accompanying drawings, represent with identical Reference numeral more than the same structure, element or the parts that occur in the width of cloth accompanying drawing, wherein:
Figure 1A is the profile diagram of the inner bracing member in the present invention's one illustrative embodiments;
Figure 1B is the vertical view of the inner bracing member in the present invention's one illustrative embodiments;
Fig. 1 C is the perspective view of the inner bracing member in the present invention's one illustrative embodiments;
Fig. 1 D is the profile diagram of the inner bracing member with optional narrow flexible neck in the present invention's one illustrative embodiments;
Fig. 2 A is the profile diagram of the optional inner bracing member in the present invention's one illustrative embodiments;
Fig. 2 B is the vertical view of the optional inner bracing member in the present invention's one illustrative embodiments;
Fig. 2 C is the upward view of the optional supporting member in the present invention's one illustrative embodiments;
Fig. 2 D is the profile diagram of the optional inner bracing member with outwardly directed arm end in the present invention's one illustrative embodiments;
Fig. 3 A is the profile diagram of the optional inner bracing member with urethral support ring in the present invention's one illustrative embodiments;
Fig. 3 B is the profile of the optional inner bracing member with urethral support ring in the present invention's one illustrative embodiments;
Fig. 3 C is the vertical view of the optional inner bracing member with urethral support ring in the present invention's one illustrative embodiments;
Fig. 3 D is the perspective view of the optional inner bracing member with support ring in the present invention's one illustrative embodiments;
Fig. 4 A is the profile diagram of extensible inner bracing member in the present invention's one illustrative embodiments;
Fig. 4 B is the vertical view of extensible inner bracing member in the present invention's one illustrative embodiments;
Fig. 4 C is the perspective view of extensible inner bracing member in the present invention's one illustrative embodiments;
Fig. 5 A is the profile of the deployable inner bracing member that is in collapsed shape in the present invention's one illustrative embodiments;
Fig. 5 B is the profile that is in the extensible inner bracing member of expansion shape in the present invention's one illustrative embodiments;
Fig. 6 A is a profile diagram optional in the present invention's one illustrative embodiments, extensible inner bracing member;
Fig. 6 B is a vertical view optional in the present invention's one illustrative embodiments, extensible inner bracing member;
Fig. 6 C is a upward view optional in the present invention's one illustrative embodiments, deployable inner bracing member;
Fig. 7 A is optional in the present invention's one illustrative embodiments, as to be in the deployable inner bracing member of collapsed shape profile;
Fig. 7 B is optional in the present invention's one illustrative embodiments, as to be in the deployable inner bracing member of expansion shape profile;
Fig. 8 A is the profile diagram that stretches plug-in unit in the present invention's one illustrative embodiments;
Fig. 8 B is the perspective view that stretches plug-in unit in the present invention's one illustrative embodiments;
Fig. 8 C is the vertical view that stretches plug-in unit in the present invention's one illustrative embodiments;
Fig. 9 A is the sketch map of lid optional in the present invention's one illustrative embodiments;
Fig. 9 B shows the optional inner bracing member that is positioned at lid in the present invention's one illustrative embodiments with cutting;
Figure 10 A is the perspective view of applicator in the present invention's one illustrative embodiments;
Figure 10 B is the perspective view of another kind of applicator in the present invention's one illustrative embodiments;
Figure 11 is the profile that the incontinence in the applicator of the present invention's one illustrative embodiments prevents utensil;
Figure 12 A is the view in female pelvic cavity zone, and it illustrates unfolded incontinence utensil in the present invention's one illustrative embodiments;
The female pelvic cavity area schematic of Figure 12 B shows the incontinence utensil that is in original position in the present invention's one illustrative embodiments;
Figure 12 C is in the close sketch map of the incontinence of original position with utensil in the present invention's one illustrative embodiments;
Figure 12 D is the insertion process flow chart of the present invention's one illustrative embodiments;
The female pelvic cavity area view of Figure 13 A shows the incontinence utensil that is removed of the present invention's one illustrative embodiments;
Figure 13 B is the taking-up process flow diagram flow chart of the present invention's one illustrative embodiments;
Figure 13 C is the perspective view that has the optional internal structure of the holding appliance that is fixed to the withdrawal on the support arm in the present invention's one illustrative embodiments;
Figure 13 D be in the present invention's one illustrative embodiments when retracting force is applied on the holding appliance of withdrawal the perspective view of optional internal structure.
The specific embodiment
Foreword
The invention provides a kind of some modification that are used for the treatment of the utensil and this utensil of female incontinence.Utensil of the present invention can be that only the short time dresses and to abandon subsequently and with the disposable utensil of new replacement (if necessary).Perhaps, this utensil carries out disinfection between using and can reuse.Utensil of the present invention is simply easy to use, and can tampon be inserted vagina, user are grasped easily and be familiar with mode and insert arbitrarily easily and use to be similar between menstrual period.With big in the prior art and be that plug-type utensil is opposite, utensil of the present invention is comfortable, and in case insert, the women needn't consider its existence again before taking-up.When raising unconscious the urinating that occurs often because of intravesical pressure, neck of bladder or urethra do not have compensatory back-pressure (compensating counter-pressure) to this pressure.This normally neck of bladder and urethra drop to the result of lower position unusually, thereby away from the intraabdominal pressure system.Usually said " hyperkinesia (hypemobility) " causes some injuries of supporting mechanism, and this supporting mechanism makes urethra and neck of bladder remain on the place, high position along the pubis dorsal part usually.For example, when women's cough, sneeze or laugh, the reduction of neck of bladder and urethra position will cause unconsciously omits urine.
The utensil of treatment incontinence
With reference to Figure 1A, the figure shows the profile diagram of urinary incontinence with an illustrative embodiments of utensil 100.For convenience of explanation, utensil 100 centers on central axis 150 layouts and is divided into three parts.Top 106 is used for this utensil is stabilized in intravaginal as " fixing " element.Two kinds of fixed forms are arranged, the axial restraint that works along the vagina central axial direction, and from the side to the side or be basically perpendicular to radially fixing that the vagina central axis works.Bottom 110 is used to form urethral support as " support " element.In some embodiments of the present invention, form support in the mid-urethra position.In some embodiments of the present invention, lower support portion 110 provides at least a fixed form to help fixer 100 in place.In some embodiments of the present invention, the length overall of utensil 100 is between 30mm and 50mm.What can choose wantonly is, according to the individual patients needs, described utensil 100 is changeable.
In addition, mid portion 108 is as " node ", and it is connected and fixed part 106 and support section 110.In some embodiments of the present invention, the length of the node 108 of described this utensil and many other utensils only accounts for the sub-fraction of utensil total length.In some embodiments of the present invention, node ' s length is less than 15% of the utensil length overall.In some embodiments of the present invention, node ' s length is less than 20% of the utensil length overall.In other embodiment of the present invention, node ' s length is less than 30% of the utensil length overall.In some embodiments of the present invention, the utensil short with respect to the length overall node has better motility aspect the hardness, comfort level and the size that change utensil 100.What can choose wantonly is, needn't make an axis of node be longer than other axis, and these axial length equate (for example sphere or cube).In the present invention's one illustrative embodiments, compare the behavior that less node can be controlled the fixing and support arm that below will describe better with the utensil length overall.
In some embodiments of the present invention, the effect of each parts of utensil 100 is the inner supporting structures as lid, shown in Fig. 9 A and B.Should also be noted that for some women utensil described herein also can be used for the treatment prolapsus.
In an illustrative embodiments, retaining element 106 and support component 110 have four (4) arms 112 and 114 respectively.In the present invention's one illustrative embodiments, all be provided with four arms on each part, to exert pressure to bladder usually for wherein two, exert pressure near two common vagina bottoms intestinal.In some embodiments of the present invention, in two support arms that bladder is exerted pressure are placed on the natural slit (natural slots) of urethra both sides.What can choose wantonly is that fixing and support component is provided with the amount doesn't matter arm.For example, if consider and do not wish that utensil 100 moves, retaining element just can have more arm.In other embodiment of the present invention, these arms and node 108 and/or angle each other can change.What can choose wantonly is that arm 112 and 114 is flexibility or rigidity, and is made by biocompatible material.In the present invention's one illustrative embodiments, retaining element does not apply too big pressure to the vagina and/or the urethra of wearer, improves comfortableness whereby.In some embodiments of the present invention, can be used in and to support urethra in the support section or can prevent that in standing part other structure that utensil inadvertently moves from substituting arm.For example, available at least one taperer, outthrust and/or the extension that is attached to node fixed and supported.
The fixed arm of utensil prevents that utensil from inadvertently departing from the position.In the present invention's one illustrative embodiments, arm is flexible.This flexibility can improve fixed arm and prevent that utensil is further to the inner ability that moves of vagina.When power itself makes every effort to be applied on the utensil and make utensil shift-in vagina, flexible fixed arm will launch.This expansion action of fixed arm has increased the frictional force between utensil and the vaginal wall, prevents to move.Though arm is elastic, should be noted in the discussion above that their rigidity will be enough to also to prevent that utensil from producing moving to vaginal orifice undesirably.What can choose wantonly is, is softish but arm is inflexible node, and node can provide flexible fixing and support like this.Can stop moving by means of those arms that just are positioned on rear side vaginal opening, the intravaginal ridge to vaginal orifice.These parts work independently and with the protuberance state that utensil remains on the origin-location that helps of above-mentioned vaginal wall explicitly.
Another characteristics of utensil 100 fixed arms are that they can be operated away from support arm ground.This has reduced utensil and has affacted pressure on the urethra.Can select or additionally be, calculate the distance and position of the relative support component of fixed arm, make when support arm provides the mid-urethra urethral support, fixed arm self just in time can be placed on for vaginal opening on the rear side for the intravaginal ridge.This structure has improved the comfort of wearer, prevents from unnecessarily to damage near the tissue of utensil, improves the fixation of utensil, in some embodiments of the present invention, wearer needn't just can arbitrarily be urinated by mobile utensil.
Figure 1B and 1C help to illustrate utensil 100, especially arm 112 in the present invention's one illustrative embodiments and 114 structure.The arm 112 that forces utensil 100 to remain on the retaining element 106 of vagina original position can not move in or out or rotate basically.A reason that this situation occurs is that vaginal wall tends to folding and formation locking chamber especially.These arms of utensil cause the wall " protuberance " at its top, cause node 108 wall on every side sagging, make utensil 100 stable thus.The arm 114 of support component 110 makes the tissue protuberance around the mid-urethra, plays hammock.This hammock supports mid-urethra with no tensionless mode, and this more resembles the TVT operation.The women is during the vigorous motion (raising when cough, sneeze etc. cause abdominal pressure) and when omitting urine, though urethra is sagging, run into the hammock of mid portion.Meeting of urethra and hammock causes that the urethra internal pressure raises (similar urethra knot), and the result can control and urinate.In some embodiments of the present invention, it is that 25mm is to 50mm that the radial support arms 114 of utensil 100 makes the diameter of whole utensil in vaginal canal.This diameter can be randomly changeable according to the indivedual needs of patient.
In the present invention's one illustrative embodiments, retaining element arm 112 stops utensils to move to the uterus, because these arms have increased the angle of they and node 108.This has increased radially operation effectively, thereby stops utensil further to move in intravaginal.In some embodiments of the present invention, in order to increase fixed effect, retaining element arm 112 is very big with the angle of node.Should be noted in the discussion above that this fixed effect that has improved only can observe when reaching maximum angle.
Fig. 1 D shows the narrower illustrative embodiments of node 118.In some embodiments of the present invention, narrow node 118 has increased the flexibility of whole utensil 100 and possible moving range.What can choose wantonly is in order to increase the flexibility of utensil 100, to be embedded with similar lead and/or the such utensil of spring at cervical region.The comfort that this auxiliary flexibility can improve the women when dressing utensil 100.Any embodiment described herein all selectively uses narrow node 118.
The embodiment of optional basic vertical fixing arm
Refer now to Fig. 2 A, there is shown the another embodiment of the utensil 200 that is used to challenge female incontinence.This embodiment comprises retaining element 206, support component 210 and node 208.In this embodiment of the present invention, retaining element is provided with arm 212, and they are and are basically perpendicular to node 208 radially.Though the motion at both direction all is restricted, for careless the moving of vaginal orifice, this retaining element arm configuration is particularly useful for the utensil that prevents urinary incontinence.As can seeing from Figure 1A, support component arm 214 can make the shape to utensil 200 central axis bendings, and the central axis that utensil is not left on the top 218 of arm substantially stretches out.This is opposite with the embodiment 220 shown in Fig. 2 D, and the central axis extension of utensil 200 is left on the top 222 of arm 214 significantly among Fig. 2 D.In addition, point to the comfort that inner arm end has improved wearer, in some embodiments of the present invention, when the top that their shape provides does not reach in the vaginal wall, also help extractor tool 200.The effect and the utensil shown in Figure 1A 100 of this embodiment are similar.
Utensil 220 shown in Fig. 2 D has constituted urinary incontinence another illustrative embodiments with utensil.As mentioned above, arm end 222 central axis that leaves utensil 220 radially extends.This embodiment provides support the elongated portion of urethra.The different shape and the size that should be noted in the discussion above that the arm of describing among the application can be exchanged according to each women's needs.
Be used to provide the incontinence utensil of supplemental support
For urinary incontinence, can not treat all women and all activity with identical utensil.For example, Fig. 3 A-D shows utensil 300, and this utensil is applicable to directly oppresses urethra during violent sports.What can choose wantonly is, this embodiment can be used to treat the more serious women of incontinence, and other embodiments of having described above are little for this situation effect.In the present invention's one illustrative embodiments, this utensil 300 is provided with retaining element, support component and node.What can choose wantonly is that utensil 300 is provided with retaining element arm 312 and support component arm 314.
Except said elements, also be provided with supplemental support element 320, it is linked on the support component arm 314.According to the size of the outer subordinate's urethra pressure that applies by auxiliary supports 320, can be at random one section finite time of urethral obstruction whole or in part.Can be by utilizing notch 322 or using any other connected mode well known in the art that supplemental support element 320 is attached on the utensil 300.
Though what represent among these figure is a kind of annulus supplemental support element 320 of routine, yet should be noted in the discussion above that and arbitrarily to adopt the Any shape that supplemental support can be provided for urethra.For example, the curvature of supplemental support section 320 can be setovered to central axis (forming the support of plus sign shape) or supplemental support 320 can be formed (forming box-like) by straightway substantially.According to each wearer's needs, can adopt difformity arbitrarily.Additional or alternatively be, supplemental support 320 is constant diameter on whole length, and perhaps diameter is different with width.
The incontinence utensil of variable geometry
As previously mentioned, not all women can be with treating with a kind of utensil.Though every women has identical basic anatomical features usually, the size of these features and mutual relation may be slightly different.Therefore, be difficult to provide the utensil of " being suitable for proprietary a kind of size ".Utensil shown in Figure 1 solves this problem by the flexible instrument that can be fit to multiple geometry is provided.Though more possible women can not use utensil shown in Figure 1, the amount of size that need provide can be provided some features of this utensil.A kind of optional approach of head it off is shown among Fig. 4 A-C.What can choose wantonly is, shown in utensil 400 form (being retaining element 406, support component 410 and node 408) by the primary element identical with other embodiments, but have some modification to change applicable to the geometry of utensil 400.Can see that from Fig. 4 A the geometry of the support component arm 414 in the utensil 400 can be regulated according to patient's special requirement.
Stretching, extension plug-in unit 800 shown in Fig. 8 A-C can be located at zone by 414 restrictions of support component arm.The axial region 806 that stretches plug-in unit 800 penetrates in the preform passage of utensil 400 inside along central axis.Stretch plug-in unit and can lead to retaining element 406 along the central axis of utensil 400.Yet, in the present invention's one illustrative embodiments, stretch plug-in unit 800 and only can lead to retaining element 406, do not leave retaining element 406.What can choose wantonly is to provide to comprise two utensils that stretch plug-in unit that lay respectively at the every side of node center axis.This embodiment can be controlled the variation of the geometry of retaining element arm 412 and support component arm 414.
Refer now to Fig. 5 A, the utensil 400 of the variable geometryization of the incontinence of treatment shown in the figure.Shape notation implement 400 shown in Fig. 5 A is in basic status, is not stretched plug-in unit 800 and changes geometry.But Fig. 5 B shows and stretches how plug-in unit 800 interacts with utensil 400 and the situation of angle that changes the central axis of support component arm 414 relative utensils 400.Can see, when stretch plug-in unit 800 through the central axis of utensils 400 when retaining element 406 moves, support component arm 414 and central axis present the angle of increase.
In the present invention's one illustrative embodiments, stretching plug-in unit also provides assosting effect for utensil 400.It also plays the effect that the supplemental support element is provided for arm 414, mainly is under the larger-diameter situation of needs, to offset the counteracting force from vaginal wall.
The incontinence embodiment of utensil that has the geometry-variable of vertical fixed arm
Fig. 6 A-C also shows the present invention's one illustrative embodiments 600, and wherein geometry can change according to the position of stretching plug-in unit 800.Operation to variable motion is basic identical with Fig. 4 A-C illustrated embodiment, yet should be noted in the discussion above that the shaped slightly difference of retaining element arm 612.The arm of this shape (promptly being basically perpendicular to utensil 600 central axis extends) is identical with retaining element arm 212 roles shown in Fig. 2 A-D.Should be understood that, embodiment shown in these figure only is exemplary, and the incontinence of any variable geometry of description here or suggestion can be adopted with utensil and stretch plug-in unit and needn't consider the size of utensil, the quantity of arm, the structure of arm and/or the shape of arm.
Refer now to Fig. 7 A and B, there is shown the multiple geometric attribute of utensil 600.Shape shown in Fig. 7 A has illustrated that utensil 600 is in basic status, and stretch plug-in unit 800 this moment does not make geometry change.And Fig. 7 B has illustrated that stretching plug-in unit 800 is how to interact with utensil 600 and change support component arm 614 relative utensil 600 central axis on the support component 610 and the angle of node 608.What can understand is that when stretching plug-in unit 800 process utensils 600 central axis when retaining element 606 moves, support component arm 614 increases with the angle of central axis.
Fig. 8 A-C illustrates in greater detail the stretching, extension plug-in unit 800 of an illustrative embodiments.In this illustrative embodiments of the present invention, three basic elements of character that stretch plug-in unit 800 are head 804, axle 806 and end 808.During operation, the axle 806 of stretching, extension plug-in unit 800 is pushed into along in the passage of the central axis setting of any geometry-variable utensil described herein.In the present invention's one illustrative embodiments, make the size of end 808 be slightly larger than the diameter of central axis passage.And, end 808 is help and inserts in the passage but stop the shape that comes off in the passage.Optionally be, by inner periphery a series of projections are set along passage, extensible plug-in unit is remained in the center-aisle, make and to pass through, still prevent that the wider portion of the end 808 of plug-in unit 800 from oppositely moving towards support component when arrow shaped ends when retaining element moves 808.Optionally be, the extensible plug-in unit of various sizes can be provided, can be according to the needs with the central axis corner dimension are exchanged.In the present invention's one illustrative embodiments, extensible plug-in unit is provided, it can be positioned dissimilar arm to make it with the central axis of utensil different angles is arranged with incontinence.Optional is that some arms are not subjected to the influence of extensible plug-in unit.It is rotating also can selecting extensible plug-in unit.Also may be selected to the head 804 that stretches plug-in unit 800 and make, make its easier insertion be illustrated in the applicator 1100 among Figure 11 by flexible material.
Lid
Fig. 9 A illustrates with covering the 900 incontinence utensils that use.In the present invention's one illustrative embodiments, lid 900 is made by soft, slick braided material.Also can select to cover 900 folliculus (sack) shapes among being designed to utensil 904 is wrapped in, this utensil plays the effect of inner supporting structure, shown in Fig. 9 B.When using this utensil, use covers 900 may provide one or more benefits.Friction when for example, lid can reduce insertion between applicator and the utensil.Friction when in addition, lid also can reduce to insert between vagina and the utensil.In some embodiments of the present invention, lid 900 be stretched in twine between each arm of utensil has the sling sample to urethra supporting role.The women is during the vigorous motion (raising when cough, sneeze etc. cause abdominal pressure) and when omitting urine, and urethra is sagging but run into the lid 900 that is positioned at the middle part.This will cause the intrinsic pressure rising of urethra, and the result can control and urinate.As mentioned above, in the present invention's one illustrative embodiments, this utensil can not exerted pressure to urethra or neck of bladder, and only provides support when abdominal pressure raises.Also can select utensil is directly exerted pressure to urethra and/or neck of bladder.In some embodiments of the present invention, lid 900 is disposable.Also can be chosen in use and reuse between to the lid disinfection and reuse.Also can randomly decorate lid.
In some embodiments of the present invention, lid 900 can help to take out utensil from vagina.At first, lid 900 can reduce the friction between incontinence usefulness utensil and the vaginal wall.Secondly, can at random make and cover 900 the utensil extractor that provides for utensil is provided, such as cotton rope 902.In the present invention's one illustrative embodiments, cotton rope 902 is attached to and covers on 900.Optional is that lid 900 and cotton rope 902 are made by same sheet material.Cotton rope 902 helps to take out this utensil in many ways.Pulling cotton rope 902 makes and covers 900 and tighten.Lid 900 is tightened and is caused that vaginal wall becomes straight.Vaginal wall becomes the straight effect that reduces above-mentioned protuberance, and alleviates the pressure that affacts on the utensil, therefore can make things convenient for and takes out utensil from vagina reposefully.In addition, pulling cotton rope 902 can make each arm folding to central axis a little, can reduce size thus and convenient and take out utensil from vagina reposefully.In the present invention's one illustrative embodiments, make support arm move (and spurring standing part thus forward) by pulling cotton rope 902 to vaginal orifice, release repeats this process then suddenly, just can make utensil " walk " vagina.
Applicator and plug-in unit
With reference now to Figure 10 A,, there is shown and be used for utensil is inserted intravaginal applicator.Utilize the mode that this applicator can the conventional tampon of similar insertion to finish this insertion operation.Incontinence is remained on far-end 1002 places that are inserted into vagina with utensil.When promoting near-end 1004, this utensil is pushed over outlet 1006, in case applicator is taken out from vagina, this utensil is action at once just.Should be noted in the discussion above that in the present invention's one illustrative embodiments, outlet 1006 remain closed up to promote near-end 1004 and incontinence with utensil stressed leave applicator till.Optional is that outlet 1006 is flower-shaped.Cotton rope 902 can be seen, stretches out the opening 1008 of near-end 1004.The cross-section illustration of applicator 1000 is in Figure 11.In the time of in utensil still is in applicator 1000, its flexible arm 1112 and 1114 is to the central axis convergence, and its profile is more much smaller than unfolded shape, and can put into via the minor diameter applicator.
Figure 10 B has described the applicator 1050 of the present invention's one illustrative embodiments.Though it is the same with applicator 1000, applicator 1050 is equipped with near-end 1054, far-end 1052 and exports 1056, this embodiment comprises the retainer of laying along applicator 1,050 1058 in addition, make that user is caught retainer 1058 when inserting, and make applicator 1050 enter intravaginal till the distal edge 1060 that reaches retainer 1058 earlier, applicator 1050 interior utensils are scattered carry out, so that effective treatment is provided at the inner appropriate depth of vagina place.Use the embodiment of this applicator to finish the scattering of this utensil and be to finish, also utilize retainer 1058 to carry out conventional depth and measure according to mode similar to the above.Optional is for individual, can set the position of retainer selectively corresponding to the women of different statures.
In some embodiments of the present invention, employing can be injected intravaginal applicator with the incontinence treatment utensil easily.For example, any utensil described herein can be placed on the applicator or in the applicator according to inserting intravaginal shrinkage and/or collapsed shape easily.In the present invention's one illustrative embodiments, with applicator this utensil is put into intravaginal, make utensil keep the mechanism of collapsed shape just can make spring be expansion shape by release then.In the present invention's one illustrative embodiments, with the utensil extractor releasable knot is fastened around utensil, be placed in come-at-able position and just unclamp this knot in case utensil is inserted intravaginal and utensil extractor, thereby can take out utensil by the using appliance extractor.
In the present invention's one illustrative embodiments, make fixed arm remain on the very little state of profile till launching (deployment) by these arms are tied with the cotton rope that can take out.Optionally be, this taking-up cotton rope is strapped in fixed arm together in the mode of easy knotting-relieving accumulation of pathogens, and a backguy rope just can relieving accumulation of pathogens after utensil was inserted into, and ties to unclamp and make the Convenient table springing in place.In the present invention's one illustrative embodiments, the cotton rope that can take out stretches out or keeps in its vicinity from vaginal orifice, so as after can take out utensil sometime.Optionally be that each arm of utensil is provided with and is used for holding the stria that is used for cotton rope that each arm is held together.In some embodiments of the present invention, before the use, can strengthen these strias during collection, prevent cotton rope infringement utensil.
With reference now to Figure 12 A,, applicator 1000 is placed into intravaginal so that its inner incontinence is launched with utensil as we can see from the figure.The proximal part 1004 of applicator 1000 is partly pushed to far-end 1002, and incontinence has launched to enter intravaginal with the standing part of utensil 1200.Continuation is pushed near-end 1004 to far-end 1002 will make utensil 1200 break away from applicator 1000 fully.When utensil 1200 launches fully, take out applicator from intravaginal, this utensil is stayed put.Because the compatibility of utensil shape and the internal structure that presents in intravaginal, utensil 1200 is shifted to suitable treatment position naturally.For example, in some illustrative embodiments of the present invention, support arm is adapted to be mounted to can be in the gauffer that each side of urethra finds.Support arm tends to be in these gauffers naturally.Inconsistent is that in some embodiments of the present invention, this utensil is designed to support urethra from such position.The result who obtains from above is, and is in place if utensil has been placed because the geometry of utensil and vagina is very identical, just begins to stop undesirable motion.In the present invention's one illustrative embodiments, the utensil extractor 902 of utensil stays all the time and is connected with utensil 1200.Can randomly not use applicator that utensil 1200 is launched in intravaginal yet.
In the present invention's one illustrative embodiments, after the insertion, the flexible arm of utensil 1200 obtains predetermined tension and enlarge the diameter of utensil in vagina 1202, shown in Figure 12 B.Utensil makes below the bladder 1204 between the pubis 1208 that self is fixed on cervix uteri 1206 and supports mid-urethra 1210.Cotton rope 902 can stretch out arbitrarily outside the vaginal orifice 1212, just as common tampon can take out.Though at the utensil 1200 shown in Figure 12 B lid is arranged, should be appreciated that lid can set arbitrarily according to different patients' needs.
Figure 12 C is illustrated in the illustrative embodiments that correct position carries out incontinence treatment.Figure 12 C is this utensil close figure (closer view) of edge lid section in position, the figure shows inner supporting structure.As mentioned above, utensil 1200 is placed in the below of mid-urethra 1210 and between cervix uteri 1206 and pubis 1208.It should be noted that in the present invention's one illustrative embodiments utensil does not apply effective pressure to urethra basically.Or rather, owing to occurring as the fierceness action of cough and so on when causing that urethra moves down, this utensil is played a supporting role.Except vaginal wall has inherent protuberance characteristic can provide support, can randomly use lid supported and suspended between each arm of utensil 1200 as " hammock " shape.
Refer now to Figure 12 D, the flow chart 1218 shown in the figure has been described the process of the insertion incontinence of the present invention's one illustrative embodiments with utensil.In step 1220, the far-end 1002 of applicator 1000 is inserted in the vaginal orifice.Should be noted in the discussion above that in the present invention's one illustrative embodiments, applicator is put in any corner of vaginal orifice relatively.In step 1222, user pushes vagina with the strength of utensil with applicator 1000 to be enough to appropriately to open incontinence.In step 1224, push near-end 1004 to far-end 1002 then, support on the neck 1002 makes it basicly stable simultaneously.So near-end 1004 plays the effect of " plunger ", this plunger forces utensil to leave applicator through outlet 1006, as shown in figure 10.In step 1226, in case utensil breaks away from applicator 1000 fully and therefore when intravaginal is opened, takes out the applicator 1000 that comprises far-end 1002 and near-end 1004 from intravaginal by user.In the whole process, the utensil extractor 902 of utensil keeps being attached on the utensil and finally stretching out from vaginal orifice.Also can be chosen in and abandon applicator 1000 in the step 1228.
Take out
One illustrative embodiments according to the present invention can arbitrarily be taken out the incontinence utensil under the help of utensil extractor 1302.Figure 13 A represents to take out from vagina the process of utensil 1300.Though the basic process of taking out utensil has been described above, it should be noted that as described herein-in the downward power that acts on the cotton rope 1302 makes lid reduce utensil at intravaginal profile like that, feasiblely be more prone to take out utensil.Take out any utensil not with cover but that have identical advantageous effects below in conjunction with Figure 13 C and D description.
Refer now to Figure 13 B, described the flow chart 1310 that takes out utensil from vagina among the figure.In step 1312, user finds the utensil extractor and begins and applies the power of leaving vaginal orifice to the utensil extractor.Tension force on the utensil extractor causes that the lid of utensil exerts pressure to each arm of utensil.When each arm during to the shrinkage of utensil central axis, diameter has just reduced naturally.In step 1314, when utensil begins to leave vagina, apply the power of taking-up continuously to the utensil extractor.In step 1316, user keeps this power till utensil has broken away from vagina and abandoned by user.Also can be chosen in and abandon utensil in the step 1318.
Any embodiment that is easy to take out
In the present invention's one illustrative embodiments, provide treatment incontinence, the utensil 1380 that takes out from intravaginal easily.The incontinence utensil of being made up of standing part 1386, support section 1390 and node 1388 has been shown among Figure 13 C.Utensil extractor as cotton rope 1398 and so on directly is linked on the support component arm 1394 of utensil.As can be seen, when applying downward power (towards the power of vaginal orifice), support component arm 1394 is to the central axis shrinkage of utensil 1380 from Figure 13 D.Optionally be, the abutment between arm 1394 and the cotton rope is strengthened, damage each arm to prevent downward taking-up power.When applying power and arm 1394 shrinkages in addition the utensil diameter is diminished, just be easy to utensil 1380 is pulled out vagina.In addition, the using appliance extractor can allow the women take out utensil 1380 with the non-intruding and the hygienic way that do not touch self.Should be noted in the discussion above that this technology all works to rigidity or flexible support element arm 1394.For example under the situation of rigid arm, as long as node 1388 is made by flexible material, the power that acts on each arm 1394 will be that node 1388 absorbs the pressure that is applied on the rigid arm, makes arm to the central axis shrinkage.In some embodiments of the present invention, the top of arm is not from utensil central axis directed outwards, because the friction between utensil and vaginal wall is very little, therefore takes out easily.
Mode is described embodiments of the present invention in detail by way of example above, and these embodiments can not limit the scope of the invention certainly.Described embodiment comprises different features, does not need all features all to appear in all embodiments.Some embodiments of the present invention have only adopted Partial Feature or can be with these characteristics combination.Obviously, those skilled in the art can the described embodiment of the present invention of conversion and are comprised the embodiment of the present invention that the different characteristic mentioned in the described embodiment combines.In the time of in being used in claims, term " comprises ", " comprising ", " having " and their bonded implications are " including but not limited to ".Scope of the present invention only is defined by the following claims.
Claims (30)
1. apparatus for the treatment of urinary incontinence comprises:
Node;
Be attached to the support section that is used to provide urethral support on the described node; With
Be attached to and be used to the standing part that stops described apparatus to move on the described node;
Wherein, described node is no longer than 30% of the total length that described node, support section and described standing part is included in described apparatus together.
2. apparatus according to claim 1, wherein, described node is no longer than 20% of the total length of the described apparatus that is used for the treatment of urinary incontinence.
3. apparatus according to claim 2, wherein, described node is no longer than 15% of the total length of the described apparatus that is used for the treatment of urinary incontinence.
4. according to each described apparatus among the claim 1-3, wherein, described support section is provided with at least two support arms.
5. according to each described apparatus among the claim 1-3, wherein, described standing part is provided with at least two fixed arms.
6. according to each described apparatus among the claim 1-5, wherein, also comprise lid.
7. apparatus according to claim 6, wherein, described lid is wrapped in described node, support section and described standing part in the capsule substantially.
8. according to each described apparatus among the claim 1-7, wherein, described at least support section and described standing part are flexible.
9. according to each described apparatus among the claim 1-7, wherein, described at least node is flexible.
10. according to each described apparatus among the claim 1-9, wherein, also comprise the utensil extractor.
11. apparatus according to claim 10, wherein, described utensil extractor is linked on the described support section.
12., wherein, also comprise support pole with described support arm interconnection according to each described apparatus among the claim 4-11.
13., wherein, also comprise being used for described apparatus is inserted intravaginal applicator according to each described apparatus among the claim 1-12.
14. an apparatus for the treatment of urinary incontinence comprises:
Be used to provide the support section of urethral support; With
Be used to regulate the stretching, extension plug-in unit of described support section diameter.
15. apparatus according to claim 14 wherein, also comprises node and the standing part that is used to stop described apparatus to move.
16., wherein, also comprise lid according to claim 14 or 15 described apparatuses.
17. apparatus according to claim 16, wherein, described lid is wrapped in described node, support section, described standing part and stretching, extension plug-in unit in the capsule substantially.
18., wherein, also comprise the utensil extractor according to each described apparatus among the claim 14-17.
19. apparatus according to claim 18, wherein, described utensil extractor is linked on the described support section.
20., wherein, also comprise the applicator that is used for described apparatus is inserted vagina according to each described apparatus among the claim 14-19.
21. an apparatus for the treatment of urinary incontinence comprises:
The body that is used for the treatment of incontinence when inserting vagina; With
Be used to utensil extractor that described apparatus is moved.
22. apparatus according to claim 21, wherein, described utensil extractor is a cotton rope.
23. apparatus according to claim 22, wherein, described apparatus be flexibility and under described cotton rope effect, be out of shape.
24. a using method that is used for the treatment of the apparatus of urinary incontinence comprises:
Insert described incontinence treatment apparatus; With
Launch described incontinence treatment apparatus so that provide support in a position to mid-urethra.
25. method according to claim 24, wherein, insertion is to carry out under the help of applicator.
26., wherein, also comprise and take out described apparatus according to claim 24 or 25 described methods.
27. according to each described method among the claim 24-26, wherein, described taking-up is to carry out under the help of utensil extractor.
28. one kind is used to insert the apparatus of vagina with utensil, comprises:
Be used to comprise the shell of described vagina with utensil; With
Retainer, wherein, described retainer prevents excessive insertion.
29. apparatus according to claim 28, wherein, described retainer is positioned at the position on the described shell, makes that described apparatus is inserted described vagina described vagina when the described retainer position is in described intravaginal tram with utensil so that launch.
30. according to claim 28 or 29 described apparatuses, wherein, described retainer adjustable ground is positioned on the described shell.
Applications Claiming Priority (8)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US55396404P | 2004-03-18 | 2004-03-18 | |
| US60/553,964 | 2004-03-18 | ||
| US60/555,977 | 2004-03-25 | ||
| US60/570,535 | 2004-05-13 | ||
| US60/570,469 | 2004-05-13 | ||
| ILPCT/IL2004/000433 | 2004-05-20 | ||
| US60/598,835 | 2004-08-05 | ||
| US60/602,636 | 2004-08-19 |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN101001584A true CN101001584A (en) | 2007-07-18 |
| CN100581503C CN100581503C (en) | 2010-01-20 |
Family
ID=38693291
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN200580016245A Active CN100581503C (en) | 2004-03-18 | 2005-03-17 | Apparatus for the prevention of urinary incontinence of females |
Country Status (3)
| Country | Link |
|---|---|
| CN (1) | CN100581503C (en) |
| ES (1) | ES2361600T3 (en) |
| ZA (1) | ZA200608650B (en) |
Cited By (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN103596741A (en) * | 2011-06-03 | 2014-02-19 | 麦克内尔-Ppc股份有限公司 | Cushioned resilient intravaginal urinary incontinence device and method of making same |
| CN104622620A (en) * | 2015-02-11 | 2015-05-20 | 宁波卫生职业技术学院 | Adjustable pessary |
| CN104706461A (en) * | 2008-04-23 | 2015-06-17 | 康蒂皮医疗有限公司 | Pessaries for prolapse alleviation |
| CN106618793A (en) * | 2016-11-23 | 2017-05-10 | 中国人民解放军第二军医大学 | Male urethral built-in urine leakage preventing device |
| CN113925665A (en) * | 2015-10-13 | 2022-01-14 | 康迪普医疗有限公司 | Device and system for relieving pelvic organ prolapse |
| WO2023226860A1 (en) * | 2022-05-23 | 2023-11-30 | 江苏泰科博曼医疗器械有限公司 | Auxiliary pressure applying device for stress urinary incontinence |
Families Citing this family (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20120259167A1 (en) * | 2011-04-11 | 2012-10-11 | Nancy Karapasha | Single use pessary devices |
| US8926493B2 (en) * | 2011-04-11 | 2015-01-06 | The Procter & Gamble Company | Pessary device |
-
2005
- 2005-03-17 CN CN200580016245A patent/CN100581503C/en active Active
- 2005-03-17 ES ES05718877T patent/ES2361600T3/en active Active
- 2005-03-17 ZA ZA200608650A patent/ZA200608650B/en unknown
Cited By (9)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN104706461A (en) * | 2008-04-23 | 2015-06-17 | 康蒂皮医疗有限公司 | Pessaries for prolapse alleviation |
| US9655769B2 (en) | 2008-04-23 | 2017-05-23 | Contipi Medical Ltd. | Pessaries for prolapse alleviation |
| CN103596741A (en) * | 2011-06-03 | 2014-02-19 | 麦克内尔-Ppc股份有限公司 | Cushioned resilient intravaginal urinary incontinence device and method of making same |
| CN103596741B (en) * | 2011-06-03 | 2016-03-30 | 第一次质量卫生公司 | Buffer-type elasticity intravaginal urinary incontinence device and manufacture method thereof |
| CN104622620A (en) * | 2015-02-11 | 2015-05-20 | 宁波卫生职业技术学院 | Adjustable pessary |
| CN113925665A (en) * | 2015-10-13 | 2022-01-14 | 康迪普医疗有限公司 | Device and system for relieving pelvic organ prolapse |
| CN106618793A (en) * | 2016-11-23 | 2017-05-10 | 中国人民解放军第二军医大学 | Male urethral built-in urine leakage preventing device |
| CN106618793B (en) * | 2016-11-23 | 2018-06-05 | 中国人民解放军第二军医大学 | Male urethra internally-arranged type urine-leakage device |
| WO2023226860A1 (en) * | 2022-05-23 | 2023-11-30 | 江苏泰科博曼医疗器械有限公司 | Auxiliary pressure applying device for stress urinary incontinence |
Also Published As
| Publication number | Publication date |
|---|---|
| CN100581503C (en) | 2010-01-20 |
| ZA200608650B (en) | 2008-05-28 |
| ES2361600T3 (en) | 2011-06-20 |
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Owner name: KIMBERLY-CLARK CORP. Free format text: FORMER OWNER: CONTIPI LTD. Effective date: 20140318 |
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