TWI402056B - Treatment or prevention of bone organ prolapse of the apparatus - Google Patents

Description

Apparatus for treating or preventing vertebral organ prolapse

The present invention relates to an apparatus for treating or preventing an organ in a pelvis from falling into the vagina and coming out of the female genitalia.

The so-called pelvic organ prolapse (also known as genital prolapse) means that the organs in the pelvis such as the uterus, bladder, urethra, small intestine, rectum, etc. fall into the vagina and come out from the female genitalia to the outside or the vaginal wall itself together with the vaginal wall. A disease that occurs from the female genitalia to the outside (this symptom is especially called vaginal stump prolapse). With the difference in organ removal, it can be called uterine prolapse, bladder tumor, urethral calculi, small bowel tumor, rectal tumor and other symptoms, but also a number of organs fly together. Pelvic organ prolapse is generally not life-threatening.

However, the organ in the pelvis is removed from the female genitalia to the outside, which causes the mucous membrane of the organ to be exposed to the air to become dry, rubbed and bleeding, and difficulty in walking. In addition, bladder prolapse can affect the urinary tract, and may also cause symptoms such as urinary incontinence or dysuria. Furthermore, if the rectum is prolapsed, symptoms such as difficulty in defecation may occur.

The classification of symptoms of pelvic organ prolapse can be divided into first to fourth levels according to the degree of falling into the vagina or from the female genitalia to the outside. Mild symptoms are only sagging to the vagina. This is the first-grade symptom. The exit to the vagina is a second-grade symptom. The third-grade symptom is from the vagina to the outside, and the fourth-grade symptom is completely released to the outside. Such pelvic organ prolapse is a disease that obviously hinders daily life, so-called QOL (Quality of Life) disease, more common Women after menopause.

In addition, the acne which is blocked and expanded by the iliac vein is released to the anus and is called the prolapsed anus. As an apparatus for alleviating such pain, the invention disclosed in Patent Document 1 is known. This device attaches a receptacle formed of a suitable material such as paper, wood, rubber (especially hard rubber), gypsum, etc. to the affected part, thereby pressing the acne into the anus to alleviate severe pain.

[Patent Document 1] JP-A-9-220253

The problem to be solved is to treat or prevent by pressing up on an organ that is placed in the pelvis, such as the uterus, bladder, urethra, small intestine, rectum, etc., which falls into the vagina and is released from the female genitalia to the outside. When the pelvic organ prolapses, the pain and discomfort caused by contact with the female genitalia cannot be relieved.

The invention comprises a covering element which is in contact with the female genitalia of the patient with at least a soft material, and on the other hand, a supporting element for supporting the covering element is formed by a relatively rigid material, so that the covering element can be opposite to the supporting element The support element is shaken or stretched, thereby solving the above problems.

According to the present invention, the coated element is in contact with the female genitalia of the patient The member is made of a flexible material and the covering member can be rocked or stretched relative to the supporting member, so that pain and discomfort can be relieved. On the other hand, the supporting member for supporting the covering member is relatively rigid. The material is constructed so that pelvic organs that will escape from the female genitalia to the outside can be blocked.

"First Embodiment"

Here, an apparatus 1 of one embodiment of the present invention will be described with reference to Figs. 1 to 4 .

The device 1 of the present example is an instrument for treating or preventing the above-mentioned various pelvic organ prolapses, which is installed in contact with a female genitalia of a patient (including a patient who is installed for prevention). The apparatus 1 of this example includes a covering member 10 and a supporting member 20 as shown in Figs. 1(a) to 1(e).

The covering member 10 mainly has a cover 11 which is hemispherical or semi-elliptical in shape and covers the surface of the covering member 10, and an elastic body 12 which is provided in contact with the back surface of the cover 11.

Fig. 2(a) is a plan view showing the cover 11 of the present example, Fig. 2(b) is a side view, Fig. 2(c) is a cross-sectional view taken along line AA, and Fig. 2(d) is a BB sectional view, cover 11 As shown in Fig. 1(d) and Fig. 1(e), the surface of the covering member 10 is covered by covering the elastic body 12. Further, the lower end of the cover 11 is configured to be bent to the inner side to form the curved base end portion 13, thereby surrounding and supporting the periphery of the bottom surface of the elastic body 12.

Further, at the lower end portion of the cover 11, the front side base end portion 14 and the back side base end portion 15 are formed toward the curved base end portion 13 and the opposite side (outer side). Further, the term "ventral side" as used herein refers to the ventral side of the patient when the patient attaches the device 1 of the present example to the female genitalia, and the so-called back side refers to the side of the patient's back. The ventral side support portion 22 of the support member 20 to be described later has a wider width than the back side support portion 23, and accordingly, the width of the ventral base end portion 14 of the cover 11 is formed to be larger than that of the back side base portion. 15 is still wide. In this regard, the reason for the formation is that when the instrument 1 of the present example is attached to the female genitalia, the ventral side is connected to the lower abdomen, and the back side is connected to the lower part of the buttocks, so that the difference in width is formed. Uncomfort discomfort.

The curved proximal end portion 13, the ventral proximal end portion 14, and the back proximal end portion 15 of the cover 11 are respectively fixed to the support member 20 by using an adhesive or the like as shown in the first (d) and first (e) views. The surfaces of the front side support portion 22 and the back side support portion 23.

The cover 11 is mounted in direct contact with the female genitalia of the patient, so that it is in contact with the pelvic organs that are removed from the female genitalia and the female genitalia itself. Therefore, when walking and performing daily activities, it may be painful due to friction between the pelvic organs and the female genitals. In this example, the cover 11 is made of a flexible material such as a thermosetting resin-based elastomer or a thermoplastic elastomer such as soft rubber, thereby alleviating pain in the patient. The degree of softness may be from 0 to 80 degrees, preferably from 5 to 50 degrees, more preferably from 10 to 40 degrees, as measured by the hardness of the type A durometer specified in Japanese Industrial Standard JIS K6253.

The elastic body 12 of the present embodiment is made of an elastic material such as a foamed resin such as a urethane sponge (foamed urethane resin), and is provided in contact with the back surface of the cover 11, as in the third (a) to the third. (e) As shown in the figure, a convex portion 16 is formed along the back surface of the cover 11. Further, the diameter of the convex portion 16 of the elastic body 12 and the convex portion 21 of the support member 20 to be described later can be made large and the thickness of the elastic body 12 can be made thin according to the symptoms of the patient. Thereby, the range of elasticity of the appliance 1 of this example can be varied, and the appliance 1 classified according to the symptoms of pelvic organ prolapse can be provided. For example, the closer the symptom classification is to the mild symptom, the thinner the thickness of the elastic body 12, and the closer to the severe symptom, the thicker the thickness of the elastic body 12.

The support member 20 of the present example is composed of a thermosetting elastomer or a thermoplastic elastomer having a rigidity of 30 to 80 degrees as measured by a type A durometer of JIS K6253 with respect to the covering member 10, as in the fourth ( a) As shown in Fig. 4(c), the convex portion 21 is formed at the center, and the front side support portion 22 and the back side support portion 23 are formed at both ends thereof. As described above, the convex portion 21 at the center of the support member 20 has a width dimension comparable to that of the female genitalia of the patient, and the ventral support portion 22 and the back side support portion 23 have a narrower size, and the back side support portion 23 is formed. It is narrower than the ventral support portion 22.

Further, since the cover 11 and the support member 20 are joined to the lower end portion of the cover 11, they may be joined by a bonding method such as a hot-melt welding technique if they are made of a resin of the same material. Further, regarding the hardness of the cover 11 and the support member 20, the cover 11 may have a hardness that can alleviate the friction generated when it comes into contact with the female genitals. On the other hand, the support member 20 has a shape in which the cover member 10 can be surely fixed. Hardness on the fixing piece 2 to be described later The rigidity can be.

A through hole 24 is formed on the approximate top of the convex portion 21 of the support member 20 of this example. The through hole 24 joins the curved base end portion 13 of the cover 11 to the front side base end portion 14 and the back side base end portion 15 to the support member 20, whereby the internal space formed is sealed by the elastic body 12, so that The elastic body 12 can be used as a vent hole during expansion and contraction.

Then, when the diameter of the through hole 24 is increased, the stretchability is increased, and the flexibility is more remarkable. On the other hand, when the diameter of the through hole 24 is reduced, the stretchability is lowered, and the rigidity is instantaneously increased. With this effect, that is, selecting an appropriate diameter from a plurality of diameters, one of flexibility or momentary rigidity can be selected, and the instrument 1 adjusted according to the symptoms of pelvic organ prolapse can be provided.

Next, a mounting device of the above-described appliance 1 will be described.

Fig. 5 is a plan view and a cross-sectional view taken along line A-A showing a female genital device for attaching the above-described device 1 to a patient or a fixing piece 3 for holding the device 1. The fixing piece 3 of the present example has a first layer 31 composed of a sliding cloth, a second layer 32 provided on the back surface of the first layer 31 and having elasticity, and is disposed on the back surface of the second layer 32 to absorb urine leakage or vagina The third layer 33 of the secretion, the fourth layer 34 which is provided on the back surface of the third layer 33 and is made of a waterproof material, and the fifth layer 35 which is provided on the back surface of the fourth layer 34 and has a non-slip function. The sliding cloth refers to a cloth which is irreversible when the liquid is saturated, that is, a cloth having a property that the liquid penetrates from the first layer 31 to the second layer 32 but does not permeate from the second layer 32 to the first layer 31.

On the first layer 31, the cladding element 10 of the appliance 1 is exposed to The outer small hole 31A, and further, between the first layer 31 and the second layer 32, slits 31B, 31C which are in communication with the small holes 31A and are inserted into the front side support portion 22 and the back side support portion 23 of the support member 20 are formed. . The front side support portion 22 and the back side support portion 23 are inserted into the slits 31B, 31C, whereby the device 1 is detachably fixed to the fixing piece 3.

Further, the fixing piece 3 has a predetermined position of the female underpants 5 shown in Fig. 6, that is, the position of the cover 11 of the covering member 10 on the female genitalia of the pelvic organ removal site, and is fixed to have a planar shape. A fifth layer 35 of fasteners or anti-slip functions whereby the appliance 1 can be secured to the body of the patient.

Further, when the covering member 10 is further strongly adhered to the female genitalia as the pelvic organ removal site, the holding tape 4 shown in Figs. 6 and 7 can be used. Fig. 6 is a front view showing the holding belt 4, and Fig. 7 is a rear view, which is capable of adjusting the relative position of the covering member 10 as a female genital detachment site of the pelvic organ and being detachably mounted. band.

The holding belt 4 of this example has a waist belt 41, an adjustment belt 42 extending from the front portion of the waist belt 41 at intervals, and a mounting piece 43 corresponding to the mounting position of the covering member 10. The two adjusting belts 42 are formed separately. The holes on the front and back sides of the mounting piece 43 are fixed to the back of the belt 41 at intervals.

Further, an adjuster 44 for adjusting the length of the waistband 41 that is locked to the waist of the patient's waist is provided. Similarly, the adjustment belts 42 at two places are also respectively provided to adjust the length thereof, similar to D Tube adjuster 45. By tightening the adjuster 45, the covering member 10 is strongly pressed toward the female genitalia, and the covering property of the pelvic organ can be improved.

As described above, according to the device 1 of the present example, the pressure and discomfort caused by the friction caused by the friction of the pelvic organs which are removed from the female genitalia of the patient do not occur, and the balance can be well balanced and can be surely blocked from the female. The pelvic organs that come out of the genitals are soft and rigid. Therefore, women who are troubled by various symptoms caused by pelvic organ prolapse will not feel inconvenience in daily life and can live happily and happily.

In addition, according to the appliance 1 of this example, the following effects can also be obtained.

(1) Women who are unable to have sex due to the installation of a uterine contraceptive can become sexual intercourse.

(2) It can be produced because there is no need for surgery.

(3) It can prevent the symptoms of infection caused by the installation of the uterine device.

(4) Even if you are not in the vicinity of a medical institution, you can do simple treatment or prevention without relying on the medical institution.

"Second Embodiment"

8(a) to 8(c) are main cross-sectional views showing other embodiments of the present invention, and an apparatus 1 corresponding to Fig. 1 is shown. In addition, elements that are conceptually the same as those of the device 1 shown in FIG. 1 are denoted by the same reference numerals. Further, the fixing piece 3 shown in Fig. 5 and the holding tape 4 shown in Fig. 6 may be the same as or different from those of the above-described first embodiment.

In the device 1 shown in Fig. 8(a), the covering member 10 can be supported by The configuration in which the portion of the shaft portion 25 of the holding member 20 swings the support member 20 is different from that of the first embodiment. In other words, the support member 20 is formed of a relatively rigid material as in the first embodiment, but a shaft portion 25 having a predetermined length is formed between the front side support portion 22, the back side support portion 23, and the convex portion 21. Thereby, the covering member 10 fixed to the convex portion 21 can be shaken by the elasticity of the shaft portion 24 itself.

Thus, when the covering member 10 can swing the supporting member 20, even if the supporting member 20 of the fixture 1 is fixed to the fixing piece 3 shown in FIG. 5 and the holding tape 4 shown in FIG. Element 10 also oscillates as the patient moves. Thus, the friction between the female genitalia of the patient and the surface of the covering member 10 can be greatly suppressed, and the pain caused by the point can be further alleviated.

Further, the shape of the covering member 10 may be various shapes such as a spherical shape as shown in Fig. 8(b) in addition to the mushroom shape shown in Fig. 8(a). Further, as shown in Fig. 8(b), the shape of the convex portion 21 of the support member 20 may be changed to a spherical shape or the like depending on the shape of the covering member 10.

Another feature different from the above-described first embodiment is that the covering member 10 is not integrally formed by the so-called cover 11 and the elastic member 12, but is integrally formed by a single member. The covering member 10 of this example may be composed of a flexible material such as a thermosetting resin-based elastomer such as a gel-like soft rubber or a thermoplastic elastomer. The degree of softness may be from 0 to 50 degrees, preferably from 0 to 30 degrees, in the hardness measured by the type A durometer specified in Japanese Industrial Standard JIS K6253. In this case, a coating layer can be formed on the surface of the covering member 10.

In the device 1 shown in Fig. 8(c), the covering member 10 is constituted by a balloon (a sail member), and further, the supporting member 20 is formed on the base end portion of the balloon 10, and is integrally formed therewith. This is different from the first embodiment in that the air ball 26 for injecting air is used. That is, the balloon 10 is made of a thermosetting elastomer such as rubber, and has a spherical shape or a predetermined shape according to the shape of the patient's vagina. In addition, the thickness of the top of the balloon 10 can be made thicker to increase the covering rigidity of the pelvic organ.

Further, the balloon 10 is inserted into the vagina in a state where the balloon 10 is deflated, the needle is inserted into the inflatable ball 26, and the air is injected by the pump P. Thereby, the balloon 10 can be inflated in the vagina to cover the pelvic organs. As shown in this example, when the balloon 10 constitutes the covering member, the amount of air injected by the pump P can be adjusted by the patient, so that even if there is a personal difference in the female genitalia, a highly versatile device can be provided.

In the device 1 shown in Figs. 8(a) to 8(c), the front side support portion 22 and the back side support portion 23 can be inserted into the slits 31B, 31C of the fixing piece 3 shown in Fig. 5 . It is fixed in the middle, but it can also be in contact with the female genitalia without using the fixing piece 3. In this case, the abdominal support portion 22 and the back support portion 23 can be used as the grip (grip portion) when the instrument 1 is removed.

1‧‧‧ Appliances

10‧‧‧Cover components

11‧‧‧ hood

12‧‧‧ Elastomers

13‧‧‧ bending base end

14‧‧‧ ventral basal end

15‧‧‧Back side of the dorsal

16‧‧‧ convex

20‧‧‧Support components

21‧‧‧ convex

22‧‧‧ Ventral support

23‧‧‧ Back side support

24‧‧‧through hole for degassing

25‧‧‧Axis

26‧‧‧Inflatable ball

3‧‧‧Fixed tablets

31‧‧‧ first floor

31A‧‧‧Small hole

31B, 31C‧‧‧ slit

32‧‧‧ second floor

33‧‧‧ third floor

34‧‧‧ fourth floor

35‧‧‧5th floor

4‧‧‧Retaining belt

41‧‧‧ belt

42‧‧‧Adjustment belt

43‧‧‧Installation

44,45‧‧‧ adjuster

5‧‧‧Female underwear

1(a) to (e) are plan, side, bottom, A-A, and B-B cross-sectional views showing the entire structure of an apparatus according to one embodiment of the present invention.

2(a) to 2(d) are a plan view, a side view, a B-B cross-sectional view, and an A-A cross-sectional view showing the structure of the cover of Fig. 1.

3(a) to (e) are a plan view, a side view, an A-A cross-sectional view, a B-B cross-sectional view, and a front view showing the structure of the elastic body of Fig. 1.

4(a) to 4(d) are plan, side, A-A, and B-B cross-sectional views showing the structure of the supporting member of Fig. 1.

5(a) and 5(b) are a plan view and a cross-sectional view taken along line A-A showing the structure of a fixing piece according to an embodiment of the present invention.

Fig. 6 is a front elevational view showing the structure of a retaining belt of one embodiment of the present invention.

Fig. 7 is a rear view showing the holding tape of Fig. 6.

8(a) to (c) are cross-sectional views showing an apparatus according to another embodiment of the present invention.

1‧‧‧ Appliances

10‧‧‧Cover components

11‧‧‧ hood

12‧‧‧ Elastomers

13‧‧‧ bending base end

14‧‧‧ ventral basal end

15‧‧‧Back side of the dorsal

20‧‧‧Support components

21‧‧‧ convex

22‧‧‧ Ventral support

23‧‧‧ Back side support

24‧‧‧through hole for degassing

Claims (6)

An apparatus for treating or preventing vertebral organ prolapse, for installing a device for contacting a female genitalia of a patient and treating or preventing pelvic organ prolapse, characterized by comprising: a covering member, wherein at least the female genitalia is in contact with a surface having flexibility; and a supporting member supporting the covering member and having rigidity with respect to the covering member, wherein the covering member is swayable or expandable relative to the supporting member, and the covering member has: The thermosetting elastomer or the thermoplastic elastomer forms a flexible cover; and an elastic body provided to contact the base end portion of the cover, and the base end portion of the cover is fixed to the support member, and The elastic body covers the peripheral portion of the bottom surface of the elastic body, and the support member is formed with a through hole for air venting in a space drawn together with the cover. The apparatus for treating or preventing the disintegration of a disc organ according to the first aspect of the invention, wherein the cover member has a hardness of the cover (JIS K6253 type A durometer) of 10 to 40 degrees. An apparatus for treating or preventing a vertebral organ prolapse according to the first or second aspect of the patent application, wherein the elastic body has a shape including a convex portion along a back surface of the cover, and the support member is Forming a convex shape having a back surface contacting the above elastic body The shape of the portion is such that the through-hole for through air is formed at substantially the top of the convex portion of the support member. The apparatus for treating or preventing the disintegration of the organ of the pelvis according to the first or the second aspect of the patent application, wherein the support member is formed with a through hole selected from a plurality of through holes having different apertures as the ventilation through hole. An apparatus for treating or preventing the disintegration of a disc organ according to the first or second aspect of the patent application, wherein the elastomer is composed of a foamable resin. The device for treating or preventing the disintegration of a disc organ according to the first or second aspect of the patent application, further comprising a fixing piece for fixing the above supporting member, the fixing piece having: a first layer which is irreversible when liquid is transmitted The second layer is disposed on the back surface of the first layer and has an elastic force; the third layer is disposed on the back surface of the second layer and is composed of a material capable of absorbing urine leakage or vaginal secretions; Four layers disposed on the back surface of the third layer and composed of a waterproof material; and a fifth layer disposed on the back surface of the fourth layer and having an anti-slip function, wherein the receiving layer is exposed to the outside on the first layer The small hole is formed between the first layer and the second layer, and is formed to communicate with the small hole and is inserted into both ends of the supporting member to fix the receiving element The slit of the position of the piece.