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CN203169363U - Implanted magnetic sphincter enhancing ring - Google Patents

Implanted magnetic sphincter enhancing ring Download PDF

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Publication number
CN203169363U
CN203169363U CN 201320177155 CN201320177155U CN203169363U CN 203169363 U CN203169363 U CN 203169363U CN 201320177155 CN201320177155 CN 201320177155 CN 201320177155 U CN201320177155 U CN 201320177155U CN 203169363 U CN203169363 U CN 203169363U
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magnetic
sphincter
connecting rod
hole
beads
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Expired - Fee Related
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CN 201320177155
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Chinese (zh)
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郭修田
金文琪
陆金根
曹永清
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Longhua Hospital Affiliated to Shanghai University of TCM
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Longhua Hospital Affiliated to Shanghai University of TCM
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Abstract

本实用新型提供一种植入式磁性括约肌增强环,植入式磁性括约肌增强环包括两个以上磁珠,所述磁珠由珠体和设置在珠内的磁性物质组成,相邻两个磁珠之间设有连接杆,所述连接杆的两端分别插入相邻的两个磁珠内使得磁珠串联成环。与现有技术相比,本实用新型提供的植入式磁性括约肌增强环能大幅度降低大便失禁患者的治疗成本,而且不会损伤原有括约肌形态及部分功能,与原有括约肌协同作用有效缓解失禁症状。

Figure 201320177155

The utility model provides an implantable magnetic sphincter reinforcing ring. The implantable magnetic sphincter reinforcing ring includes more than two magnetic beads. The magnetic beads are composed of a bead body and a magnetic substance arranged in the bead. There is a connecting rod between them, and the two ends of the connecting rod are respectively inserted into two adjacent magnetic beads so that the magnetic beads are connected in series to form a ring. Compared with the prior art, the implantable magnetic sphincter reinforcement ring provided by the utility model can greatly reduce the treatment cost of patients with fecal incontinence, and will not damage the original sphincter shape and some functions, and effectively alleviate Incontinence symptoms.

Figure 201320177155

Description

Implanted magnetic sphincter strengthens ring
Technical field
This utility model relates to the medical therapy technical field, relates in particular to a kind of implanted magnetic sphincter enhancing ring that sphincters contract power is alleviated anal incontinence that strengthens.
Background technology
Out of contior excrement matter that fecal incontinence (FI) refers to take place is repeatedly discharged, symptom continues at least 3 months, comprises that the unconscious feces of passive-type FI(patient leaks outside), urgent type FI(patient consciously but subjective uncontrollable) and leak excrement (following 1 subnormal defecation feces afterwards closely spills).Normal defecation restraining mechanism relates to flesh and function of nervous system etc. at the bottom of intestinal motive force, anal orifice and rectal intestine sensation, faecal volume and denseness, anal sphincter, the basin, any or number of mechanisms is impaired can to cause FI, painful and the life inconvenience of huge body and mind can be caused, even personality changes can be caused.Because most of patients is ashamed of going to a doctor, so primary disease is easily out in the cold clinically.
The therapeutic purposes of fecal incontinence (FI) are to recover fecal continence, improve patient's quality of life.Based on symptomatic treatment, treat underlying diseases simultaneously, treatment is divided into following several: Supporting Therapy, Drug therapy, biological feedback treatment and surgical operation therapy.
To Supporting Therapy and the invalid FI patient of Drug therapy, especially sphincter dilatation and (or) the rectal sensation sufferer, first-selected biological feedback treatment, the asynergic movement of flesh at the bottom of anal sphincter and the basin when its objective is enhancing anal sphincter contraction force, raising rectal sensation threshold value, correction defecation.Mainly contain 3 kinds of training methodes at present, i.e. strength building, sense culture and exercise for coordination.According to patient's pathophysiological mechanism, can be separately or use in conjunction.Because the research majority of this treatment is nonrandom controlled trial, and therapy, the course for the treatment of and curative effect judging standard that different researcher adopts are different, therefore still lack at present the curative effect of biological feedback treatment and other therapies relatively.
Surgical operation therapy is a kind of conventional means invalid at medical treatment or that have the patient of clear and definite indication to take.Surgical operation mode commonly used comprises: sphincteroplasty, anus rear kposthesis, dynamic property gracilis transposition, artificial anal sphincter, sacral nerve stimulation and colostomy.Sphincteroplasty is traditional F I modus operandi, is applicable to that external sphincter decreases the wounded, short term effect still can, but late result is not good enough.Anus rear kposthesis is only applicable to the unable but patient of N/D of sphincter, its curative effect in time prolongation and descend.The principle of dynamic property gracilis transposition and artificial anal sphincter is similar, can form new sphincter, and implantation success person curative effect is better, but relapse rate is higher, risk is bigger, is not suitable for promoting.Sacral nerve stimulation is the method that occurs recently, has advantages such as safe and effective, that invasive is little, is applicable to serious symptom FI patient, and particularly anatomical structure is complicated and have the patient of physiological defective, but its late result is uncertain.
Though it is multiple that the modus operandi of present treatment fecal incontinence has, all there are pros and cons in each method, and various Therapeutic Method all need strict indication and the contraindication grasped, and postoperative effect can not be very satisfactory.
The utility model content
This utility model is at there being weak point in the prior art, provide a kind of implanted magnetic sphincter to strengthen ring, this magnetic sphincter enhancing ring is compared the present conventional artificial sphincter transplanting of using and is compared, reduce the treatment cost significantly, and transplant than artificial sphincter and can not damage original sphincter form and partial function, effectively alleviate the incontinence symptom with original sphincter synergism.
To achieve these goals, the technology that this utility model adopts is that a kind of implanted magnetic sphincter strengthens ring, implanted magnetic sphincter strengthens ring and comprises two above magnetic beads, described magnetic bead is made up of pearl body and the magnetisable material that is arranged in the pearl, be provided with connecting rod between adjacent two magnetic beads, the two ends of described connecting rod are inserted respectively and are made magnetic bead series connection ring formation in two adjacent magnetic beads.
Provide in the preferred embodiment at this utility model, wherein said magnetic bead is provided with the through hole that connects magnetic bead, can hold connecting rod in the through hole and be arranged on the retainer ring at connecting rod two ends, described through hole both ends open place is provided with block with holes respectively, described connecting rod stretches out the pearl body by this hole, and the external diameter of described retainer ring is greater than the internal diameter of circular hole.
Provide in the preferred embodiment at this utility model, be provided with the annular cavity of a built-in magnetisable material in the wherein said pearl body, described through hole passes from the middle part of annular cavity.
Provide in the preferred embodiment at this utility model, wherein said pearl body is made up of the upper and lower, and described top is provided with protuberance, and described bottom is provided with recess, and described top protuberance embeds lower recess and forms complete pearl body.
Provide in the preferred embodiment at this utility model, have through hole on the wherein said magnetisable material, described protuberance passes described through hole and is embedded into recess.
Provide in the preferred embodiment at this utility model, the through hole of wherein said perforation magnetic bead passes protuberance and recess.
Provide in the preferred embodiment at this utility model, wherein said connecting rod middle part is provided with knuckle, and the angle of described knuckle is 90 ° ~ 170 °.
Provide in the preferred embodiment at this utility model, wherein said magnetisable material is Magnet.
Provide in the preferred embodiment at this utility model, wherein said magnetic sphincter strengthens ring to be made up of 5 ~ 15 magnetic beads, as 6,8,12,13.Further in the preferred embodiment, wherein magnetic sphincter enhancing ring is made up of 10 magnetic beads.
Compared with prior art, the implanted magnetic sphincter that this utility model provides strengthens ring can reduce fecal incontinence patient's treatment cost significantly, and can not damage original sphincter form and partial function, effectively alleviate the incontinence symptom with original sphincter synergism.
Description of drawings
Fig. 1 is the structure chart that the magnetic sphincter among the embodiment 1 strengthens magnetic bead in the ring.
Fig. 2 is the structure chart that the magnetic sphincter among the embodiment 2 strengthens magnetic bead in the ring
Fig. 3 is the state diagram that quiescent condition magnetic sphincter strengthens ring.
Fig. 4 is that the master of feces pressure magnetic sphincter enhancing ring looks state diagram.
Fig. 5 is the state diagram of overlooking that feces pressure magnetic sphincter strengthens ring.
Fig. 6 is the axonometric chart that feces pressure magnetic sphincter strengthens ring.
The specific embodiment
This utility model provides a kind of implanted magnetic sphincter to strengthen ring, around surgical operation implantation anal sphincter, alleviates the incontinence of anus to strengthen sphincters contract power.
By the following examples the content of this utility model to the invention is described in further detail, in order to better understand the content of the invention, but the content of embodiment does not limit the protection domain of the invention.
This utility model proposes implanted magnetic sphincter at existing treatment fecal incontinence scheme weak point and strengthens ring, and this magnetic sphincter strengthens ring and is levitron.According to the difference of patient's figure, generally constituted by 10 ~ 15 magnetic beads.By operating mode, magnetic bead is implanted in sphincter position on every side respectively.Strengthen sphincteral contractility under the state of tranquillization, anal orifice is closed, and impels the anus of incontinence not allow feces arbitrarily flow out.After the stool of rectum top ran up to a certain degree, downward pressure increased, and the opposing sphincter strengthens the resistance of ring, and sphincter coextends with strengthening ring, and stool is flowed out.Control incontinent patients times of defecation is to alleviate society, the mental anguish that incontinence was brought.
Embodiment 1
Implanted magnetic sphincter strengthens ring and is combined to form by two above magnetic beads 10 and connecting rod 22.As shown in Figure 1, magnetic bead 10 is made up of pearl body and the magnetisable material 21 that is arranged in the pearl, and the pearl body is that biological material preparation forms, and magnetisable material 21 is Magnet.The pearl body is made up of top 11 and bottom 12 two parts, and 11 are provided with protuberance on top, and described bottom 12 is provided with the recess that is complementary with top 11 protuberances, and described top 11 protuberances embed bottom 12 recesses and form complete pearl body.Be provided with a cavity in the pearl body, be built-in with Magnet at this cavity, the Magnet in the adjacent magnetic bead 10 attracts each other, thereby tightens up anal orifice.Be provided with connecting rod 22 between adjacent two magnetic beads 10, the two ends of connecting rod 22 are inserted respectively and are made magnetic bead connect in two adjacent magnetic beads 10.The pearl body that biomaterial is made seals Magnet within it, and the back Magnet that implants can directly not contact with tissue, and then can prevent untoward reaction such as rejection, infection.
Being provided with connecting rod 22 on the surface of magnetic bead, stretches with adjacent magnetic bead 10 respectively and links to each other in the two ends of described connecting rod 22.Be provided with knuckle at connecting rod 22 middle parts, the angle of knuckle is 100 ° ~ 160 °, is preferably 160 ° knuckle.According to patient's figure difference, the magnetic bead on the implanted magnetic sphincter enhancing ring adjusts accordingly usually.
Embodiment 2
Implanted magnetic sphincter strengthens ring and is combined to form by magnetic bead 12 and connecting rod 22.As shown in Figure 2, magnetic bead 10 is made up of pearl body and the magnetisable material 21 that is arranged in the pearl, and the pearl body is that biological material preparation forms, and magnetisable material 21 is Magnet.The pearl body is made up of top 11 and bottom 12 two parts, and 11 are provided with protuberance on top, and described bottom 12 is provided with the recess that is complementary with the top protuberance, and described top 11 protuberances embed bottom 12 recesses and form complete pearl body.Be provided with the through hole 13,14 that communicates up and down at magnetic bead 10, can hold connecting rod 22 in the through hole 13,14.Through hole 13,14 both ends open places are provided with block with holes, and described connecting rod 22 stretches out the pearl body by this hole, and the external diameter of described retainer ring is greater than the internal diameter in this hole, and the magnetic bead 10 that links to each other joins end to end by the retainer ring on the connecting rod 22.Be provided with the annular cavity of a built-in magnetisable material 21 in the pearl body, cavity is built-in with the Magnet that has through hole.Described through hole 13,14 passes from the middle part of annular cavity, and the through hole 13,14 that connects magnetic bead 10 passes protuberance and recess, and protuberance passes described through hole and is embedded into recess.Magnet in the adjacent magnetic bead 10 attracts each other, thereby tightens up anal orifice.The pearl body that biomaterial is made seals Magnet within it, and the back Magnet that implants can directly not contact with tissue, and then can prevent untoward reaction such as rejection, infection.
Be provided with knuckle at connecting rod 22 middle parts, the angle of knuckle is 100 ° ~ 160 °, is preferably 160 ° knuckle.Two ends at connecting rod 22 are provided with retainer ring, and the external diameter of described retainer ring makes that greater than the internal diameter of through hole connecting rod 22 can be movable in magnetic bead 10, and connecting rod 22 1 ends are set to be slightly less than half of magnetic bead 10 inner via hole distances to the distance of knuckle.The connecting rod 22 that links to each other on the magnetic bead 10 joins end to end by retainer ring, strengthens ring thereby form annular.
The implanted magnetic sphincter that this utility model provides strengthens ring according to everyone figure practical situation, strengthens ring and is made of 10 ~ 15 magnetic beads.Magnetic bead with connecting rod be linked to be a lot of after, the magnetic bead at two ends is equipped with annulus outward respectively, do a kerf with operating mode at an end of sphincter periphery, a string magnetic bead is entered by this otch, behind sphincter one circle, pass from this otch again, surgery knotting connection between two annulus attracts each other between each magnetic bead after fixing, and strength is about 100gr between the single magnet.Shown in Figure 3 is to attract each other under naturalness, and implanted magnetic sphincter strengthens the state diagram of ring.Shown in Fig. 4,5,6, be that implanted magnetic sphincter enhancing ring is strutted when being under the feces pressure, thereby carry out defecation.After finishing defecation, last each magnetic bead of sphincter enhancing ring tightens up under the effect of magnetic and returns to naturalness, and each magnetic bead strengthens sphincteral effect by playing mutually.
The operation back is owing to stool time and the amount of every day are not quite similar, therefore the time that strengthens the expansion of ring pressurized has difference, therefore should formulate logical diet time and amount for a long time after implanting, make and oneself form timing every day bowel habit, thereby under the situation of not damaging original sphincter form and partial function, the magnetic sphincter strengthens ring and original sphincter synergism, alleviates the incontinence symptom.
More than specific embodiment of the utility model is described in detail, but it is as example, this utility model is not restricted to specific embodiment described above.To those skilled in the art, any equivalent modifications that this practicality is carried out and substituting also all among category of the present utility model.Therefore, not breaking away from impartial conversion and the modification of doing under the spirit and scope of the present utility model, all should be encompassed in the scope of the present utility model.

Claims (10)

1.一种植入式磁性括约肌增强环,其特征在于,植入式磁性括约肌增强环包括两个以上磁珠,所述磁珠由珠体和设置在珠内的磁性物质组成,相邻两个磁珠之间设有连接杆,所述连接杆的两端分别插入相邻的两个磁珠内使得磁珠串联成环。 1. An implantable magnetic sphincter reinforcing ring is characterized in that the implantable magnetic sphincter reinforcing ring comprises more than two magnetic beads, and the magnetic beads are made up of beads and magnetic substances arranged in the beads, adjacent two A connecting rod is arranged between the magnetic beads, and the two ends of the connecting rod are respectively inserted into two adjacent magnetic beads so that the magnetic beads are connected in series to form a ring. 2.根据权利要求1所述植入式磁性括约肌增强环,其特征在于,所述磁珠上设有贯通磁珠的通孔,通孔内可容下连接杆及设置在连接杆两端的固定环,所述通孔两端开口处分别设有带孔的挡块,所述连接杆通过该孔伸出珠体,所述固定环的外径大于该孔的内径。 2. The implantable magnetic sphincter reinforcing ring according to claim 1, wherein the magnetic beads are provided with a through hole passing through the magnetic beads, and the connecting rod and the fixing rods arranged at both ends of the connecting rod can be accommodated in the through hole. The openings at both ends of the through hole are respectively provided with stoppers with holes through which the connecting rod protrudes from the bead body, and the outer diameter of the fixing ring is larger than the inner diameter of the hole. 3.根据权利要求2所述磁性括约肌增强环,其特征在于,所述珠体内设有一内置磁性物质的圆环形空腔,所述通孔从圆环形空腔的中部穿过。 3 . The magnetic sphincter reinforcing ring according to claim 2 , wherein an annular cavity with a built-in magnetic substance is arranged in the bead, and the through hole passes through the middle of the annular cavity. 4 . 4.根据权利要求1或2所述磁性括约肌增强环,其特征在于,所述珠体由上部和下部组成,所述上部上设有凸出部,所述下部上设有凹部,所述上部凸出部嵌入下部凹部形成完整的珠体。 4. according to the described magnetic sphincter reinforcing ring of claim 1 or 2, it is characterized in that, described bead body is made up of upper part and lower part, and described upper part is provided with protruding part, and described lower part is provided with recessed part, and described upper part The protruding part is embedded in the lower concave part to form a complete bead body. 5.根据权利要求4所述磁性括约肌增强环,其特征在于,所述磁性物质上带有通孔,所述凸出部穿过所述通孔嵌入到凹部。 5 . The magnetic sphincter reinforcement ring according to claim 4 , wherein the magnetic substance has a through hole, and the protrusion passes through the through hole and is embedded into the concave portion. 6 . 6.根据权利要求4所述磁性括约肌增强环,其特征在于,所述贯通磁珠的通孔穿过凸出部和凹部。 6 . The magnetic sphincter reinforcing ring according to claim 4 , wherein the through hole passing through the magnetic beads passes through the protrusion and the recess. 6 . 7.根据权利要求1或2所述磁性括约肌增强环,其特征在于,所述连接杆中部设有折角,所述折角的角度为90°~170°。 7. The magnetic sphincter reinforcing ring according to claim 1 or 2, wherein a knuckle is provided in the middle of the connecting rod, and the angle of the knuckle is 90°~170°. 8.根据权利要求1或2或3所述磁性括约肌增强环,其特征在于,所述磁性物质为磁铁。 8. The magnetic sphincter reinforcing ring according to claim 1, 2 or 3, wherein the magnetic substance is a magnet. 9.根据权利要求1或2所述磁性括约肌增强环,其特征在于,所述磁性括约肌增强环由5~15个磁珠组成。 9. The magnetic sphincter reinforcing ring according to claim 1 or 2, wherein the magnetic sphincter reinforcing ring is composed of 5-15 magnetic beads. 10.根据权利要求8所述磁性括约肌增强环,其特征在于,所述磁性括约肌增强环由10个磁珠组成。 10. The magnetic sphincter reinforcement ring according to claim 8, wherein the magnetic sphincter reinforcement ring is composed of 10 magnetic beads.
CN 201320177155 2013-04-10 2013-04-10 Implanted magnetic sphincter enhancing ring Expired - Fee Related CN203169363U (en)

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Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103462739A (en) * 2013-09-06 2013-12-25 上海交通大学医学院附属新华医院 Artificial anus device with functions of closure and bowel contracting and application thereof
CN105997296A (en) * 2016-06-30 2016-10-12 宁波胜杰康生物科技有限公司 Implanting instrument capable of preventing gastroesophageal reflux
CN110179572A (en) * 2019-06-20 2019-08-30 浙江省人民医院 Implantation equipment for physiotherapy
CN108294844B (en) * 2018-01-23 2020-02-21 宁波胜杰康生物科技有限公司 Auxiliary device for enhancing sphincter function
US11033375B2 (en) 2017-01-29 2021-06-15 Innomedex Llc Devices and methods for sphincter reinforcement

Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103462739A (en) * 2013-09-06 2013-12-25 上海交通大学医学院附属新华医院 Artificial anus device with functions of closure and bowel contracting and application thereof
CN103462739B (en) * 2013-09-06 2015-07-15 上海交通大学医学院附属新华医院 Artificial anus device with functions of closure and bowel contracting and application thereof
CN105997296A (en) * 2016-06-30 2016-10-12 宁波胜杰康生物科技有限公司 Implanting instrument capable of preventing gastroesophageal reflux
CN105997296B (en) * 2016-06-30 2018-11-02 宁波胜杰康生物科技有限公司 A kind of implantation instrument of anti-gastroesophageal reflux
US11033375B2 (en) 2017-01-29 2021-06-15 Innomedex Llc Devices and methods for sphincter reinforcement
CN108294844B (en) * 2018-01-23 2020-02-21 宁波胜杰康生物科技有限公司 Auxiliary device for enhancing sphincter function
CN110179572A (en) * 2019-06-20 2019-08-30 浙江省人民医院 Implantation equipment for physiotherapy

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Granted publication date: 20130904

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