JPH0747032B2 - Pessary for uterine prolapse - Google Patents
Pessary for uterine prolapseInfo
- Publication number
- JPH0747032B2 JPH0747032B2 JP4309532A JP30953292A JPH0747032B2 JP H0747032 B2 JPH0747032 B2 JP H0747032B2 JP 4309532 A JP4309532 A JP 4309532A JP 30953292 A JP30953292 A JP 30953292A JP H0747032 B2 JPH0747032 B2 JP H0747032B2
- Authority
- JP
- Japan
- Prior art keywords
- pessary
- shape
- uterine prolapse
- vulva
- stop shaft
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Lifetime
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/0004—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse
- A61F2/0031—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse for constricting the lumen; Support slings for the urethra
- A61F2/005—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse for constricting the lumen; Support slings for the urethra with pressure applied to urethra by an element placed in the vagina
Landscapes
- Health & Medical Sciences (AREA)
- Urology & Nephrology (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Orthopedics, Nursing, And Contraception (AREA)
Description
【０００１】[0001]
【産業上の利用分野】この発明は子宮脱治療用のペッサ
リーの改良に関するものである。BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to an improved pessary for uterine prolapse therapy.
【０００２】[0002]
【従来の技術】従来、高齢婦人における子宮脱疾患の保
存療法（手術しない治療法）には環状のペッサリーが使
用されている。ペッサリーは数種類のサイズが用意され
ていて、サイズの合うものが用いられる。2. Description of the Related Art Conventionally, a ring-shaped pessary has been used for conservative therapy (treatment without surgery) for uterine prolapse disease in elderly women. Pessaries are available in several sizes, and the ones that match the size are used.
【０００３】[0003]
【発明が解決しようとする課題】しかしながら、ペッサ
リーは治療者の外陰部より膣部に挿入する際、大変挿入
しにくい問題がある。すなわち、外陰部より膣径の方が
大きいことより、外陰部よりやや大きめのサイズのペッ
サリーを使用しなければならず、また、解剖学的に外陰
部がたて長のため、挿入の際に痛みをともなうこととな
る。そこで、本発明の課題は従来のペッサリーにおける
前記した不都合な問題点を解消せんとしたものであっ
て、挿入し易くかつ挿入後はその機能を充分に発揮し得
る子宮脱治療用のペッサリーを提供することにある。However, there is a problem that the pessary is very difficult to insert when inserting it into the vagina from the vulva of the therapist. In other words, because the vaginal diameter is larger than the vulva, a pessary slightly larger than the vulva must be used, and because the vulva is anatomically long, it is necessary to use it when inserting it. It will be painful. Therefore, an object of the present invention is to solve the above-mentioned inconvenient problems in conventional pessaries, and to provide a pessary for uterine prolapse therapy which is easy to insert and can sufficiently exhibit its function after insertion. To do.
【０００４】[0004]
【課題を解決するための手段】上記した課題を達成する
ために、本発明の手段は、子宮脱治療用の環状形のペッ
サリーであって、両弧状体の両端部を各々対向させて各
端部に止め軸を挿着し た環状形に形成され、かつ前記両
弧状体を前記環状形に復元可能に折曲げるための止め軸
による折曲げ手段が設けられてなることを特徴とする。In order to achieve the above-mentioned object, the means of the present invention is an annular pessary for uterine prolapse treatment, in which both ends of both arcuate bodies are opposed to each other.
It is formed in an annular shape with a stop shaft inserted into the end , and
Retaining shaft for reversibly bending the arcuate body into the annular shape
Folding means by wherein the is provided.
【０００５】[0005]
【作用】ペッサリーを外陰に挿入する際は折曲げて外径
幅を小さくする。折曲げたペッサリーは外陰通過に都合
がよい。膣内挿入後は折曲げたペッサリーを所定の環状
形に戻す。環状形のペッサリーは膣内において子宮を押
付け状に配置される。[Function] When inserting the pessary into the vulva, bend it to reduce the outer diameter width. The folded pessary is convenient for vulva passage. After insertion in the vagina, the bent pessary is returned to the prescribed annular shape. The ring-shaped pessary presses the uterus in the vagina.
【０００６】[0006]
【実施例】次に、本発明の一実施例を図面に基づいて説
明する。図１に示すように、本例のペッサリー１は環状
形をなし、直径方向の二個所に設けた折曲げ手段１０
Ａ，１０Ｂを介して折曲げ可能に形成されている。すな
わち、ペッサリー１となすための半円形の２個の弧状体
２は図２に示すように断面ほぼ円形の適度な剛性を有す
る合成樹脂（あるいは金属の場合もある）とされ、弧状
体２の各端部３は図１に示すように段差状に形成され、
かつ端面４は止め軸７を中心とした曲面（図２，図３の
端面４の形状参照）に形成されていて、図１に示すよう
に、各端部３は対向状に合致させ、止め軸７を挿着する
ことで折曲げ手段１０Ａ，１０Ｂとされている。そし
て、一方の折曲げ手段１０Ａには、ペッサリー１の折曲
げ、すなわち弧状体２の一方の止め軸７における折曲げ
をロック及びロック解除する操作レバー１１が設けられ
ている。DESCRIPTION OF THE PREFERRED EMBODIMENTS Next, one embodiment of the present invention will be described with reference to the drawings. As shown in FIG. 1, the pessary 1 of this example has an annular shape, and the bending means 10 is provided at two diametrical positions.
It is formed to be bendable via A and 10B. That is, the two semicircular arcuate bodies 2 for forming the pessary 1 are made of synthetic resin (or metal in some cases) having an appropriate rigidity and having a substantially circular cross section as shown in FIG. Each end 3 is formed in a stepped shape as shown in FIG.
In addition, the end face 4 is formed into a curved surface (see the shape of the end face 4 in FIGS. 2 and 3) centered around the stop shaft 7, and as shown in FIG. Bending means 10A and 10B are formed by inserting the shaft 7. Further, one bending means 10A is provided with an operating lever 11 for locking and unlocking the bending of the pessary 1, that is, the bending of the one stop shaft 7 of the arcuate body 2.
【０００７】この操作レバー１１及びこの関連部分は、
図３〜図６に示す構造よりなる。折曲げ手段１０Ａ部分
における一方の弧状体２の端面（曲面）４は、操作レバ
ー１１の後述する係止部１２に係合するように、図５，
図６に示すように、曲面形状が加工され、係合溝５と係
止突起６が設けられている。折曲げ手段１０Ａに係わる
他方の弧状体２の止め軸７側には、操作レバー１１の装
着凹部１６が凹設されている。図５，図６に示すよう
に、装着凹部１６は止め軸７側に係止突起６の挿入凹部
１７が設けられ、かつ後部側は斜状の深溝１８とされ、
深溝１８の一部は凹状のばね座１８Ａとされている。操
作レバー１１は前記係止溝５に係脱可能な鉤状の係止部
１２を先端に有しかつ後部内側に凹状のばね座１１Ａが
設けられている。The operating lever 11 and its related parts are
It has the structure shown in FIGS. The end surface (curved surface) 4 of the one arcuate body 2 in the bending means 10A portion is engaged with a locking portion 12 of the operation lever 11 which will be described later.
As shown in FIG. 6, the curved shape is processed and the engaging groove 5 and the locking projection 6 are provided. A mounting recess 16 for the operating lever 11 is provided on the side of the stop shaft 7 of the other arcuate body 2 related to the bending means 10A. As shown in FIGS. 5 and 6, the mounting recess 16 is provided with an insertion recess 17 for the locking projection 6 on the stop shaft 7 side, and a slanting deep groove 18 on the rear side.
A part of the deep groove 18 is a recessed spring seat 18A. The operating lever 11 has a hook-shaped engaging portion 12 which can be engaged with and disengaged from the engaging groove 5, and a concave spring seat 11A is provided inside the rear portion.
【０００８】図５に示すように、操作レバー１１は装着
凹部１６に納められ、両ばね座１１Ａ，１８Ａ間には操
作レバー１１の後部の操作部位１３を外方へ付勢するス
プリング１９が介装され、かつ係止部１２が係止溝５に
係合可能な状態で中央部において止め軸１４にて装着凹
部１６の外側部位に軸支されている。操作レバー１１は
図５に示すように係止部１２を係止溝５に係合させたロ
ック状態が正規状態であり、この時のペッサリー１は図
１の正規の形状をなす。図６に示すように、操作レバー
１１の操作部位１３をスプリング１９の付勢力に抗して
押して係止部１２を係止溝５より外したロック解除（図
５の仮想線の係止部１２の位置参照）とした場合は、両
弧状体２を止め軸７を中心として係止部１２が係止突起
６に当接する位置まで曲げることができる（図８，図７
の形状参照）。なお、図７の形状に曲げたペッサリー１
を正規の形状に戻す場合は、両弧状体２を図１の円形状
になるように曲げ戻せば、操作レバー１１はスプリング
１９にて付勢されていることより、図６の状態から自動
的に図５の正規の形状になし得る。As shown in FIG. 5, the operating lever 11 is housed in the mounting recess 16, and a spring 19 for urging the operating portion 13 at the rear of the operating lever 11 outward is interposed between the spring seats 11A and 18A. It is mounted, and the locking portion 12 is axially supported by the stop shaft 14 at the outer side portion of the mounting recess 16 in a state where the locking portion 12 can be engaged with the locking groove 5. As shown in FIG. 5, the operating lever 11 is in the normal state when the locking portion 12 is engaged with the locking groove 5, and the pessary 1 at this time has the normal shape shown in FIG. As shown in FIG. 6, the operating portion 13 of the operating lever 11 is pushed against the biasing force of the spring 19 to release the locking portion 12 from the locking groove 5 (unlocking (locking portion 12 of phantom line in FIG. 5 2), it is possible to bend both arcuate bodies 2 around the stop shaft 7 to a position where the locking portion 12 contacts the locking projection 6 (FIGS. 8 and 7).
See the shape). The pessary 1 bent into the shape shown in FIG.
In order to restore the normal shape, the both arcuate bodies 2 should be bent back so as to have the circular shape shown in FIG. 1, and the operating lever 11 is automatically urged by the spring 19 from the state shown in FIG. The regular shape of FIG. 5 can be obtained.
【０００９】しかして、本例の（正規形状の）ペッサリ
ー１を使用する際は、操作レバー１１の操作部位１３を
押し、両弧状体２を曲げてペッサリー１の幅を狭くした
後（図７，図８の形状参照）、通常と同様に、治療者の
外陰部より膣部に挿入し、膣内において正規形状に復元
し子宮接触部分に配置して子宮脱の治療に用いることが
できる。本例のペッサリー１は幅を狭くした状態で外陰
部を通過させるので挿入し易い。また、外陰部通過後の
ペッサリー１は膣内にて簡単に正規の形状に戻すことが
出来、正規の形状のペッサリー１にて子宮を支持するの
で、ペッサリー１の本来の機能は従来と同様になし得
る。なお、正規の形状にしたペッサリー１は操作レバー
１１のロックによって折曲げ手段１０Ａがロックされて
いるので治療中に折曲がることはない。子宮の支持に使
用したペッサリー１を膣内より取外す場合は、適宜手段
にて操作レバー１１の操作部位１３を押し、折曲げ手段
１０Ａのロックを解き、ペッサリー１を押し曲げて幅狭
の状態で外陰部を通過させる。Therefore, when using the (regularly shaped) pessary 1 of this example, after pushing the operating portion 13 of the operating lever 11 and bending both arcuate bodies 2 to narrow the width of the pessary 1 (FIG. 7). , The shape of FIG. 8), as usual, it can be inserted into the vagina from the vulva of the therapist, restored to the normal shape in the vagina, and placed in the uterine contact portion to be used for treatment of uterine prolapse. Since the pessary 1 of this example has a narrow width and passes through the vulva, it is easy to insert. In addition, after passing the vulva, the pessary 1 can be easily restored to the normal shape in the vagina, and the uterus is supported by the pessary 1 having the normal shape. Therefore, the original function of the pessary 1 is the same as the conventional one. You can do it. The pessary 1 having a regular shape does not bend during treatment because the bending means 10A is locked by the lock of the operation lever 11. When the pessary 1 used to support the uterus is removed from the vagina, the operation portion 13 of the operation lever 11 is pushed by an appropriate means to unlock the bending means 10A, and the pessary 1 is pushed and bent to be in a narrow state. Pass through the vulva.
【００１０】操作レバー１１の操作にてロック及びロッ
ク解除される、ペッサリー１の折曲げ手段１０Ａは、本
例の構造のものに限定するものではなく、止め軸よりな
る折曲げ手段を有し、復元可能に折曲げ得る構造のもの
を広く採用することができる。The bending means 10A of the pessary 1 which is locked and unlocked by the operation of the operation lever 11 is not limited to the structure of this example, and is not limited to the stop shaft.
It is possible to widely adopt a structure having a folding means that can be bent so as to be restored.
【００１１】[0011]
【発明の効果】本発明は止め軸よりなる折曲げ手段を設
けたペッサリーであり、折曲げて横方向の外径幅を小さ
くした状態において外陰部に挿入し得るので、痛みを少
なくして容易に膣内へ挿入でき、膣内において元の環状
形に戻し、子宮に押付け状に配置して子宮脱の治療をな
し得る。The present invention is a pessary provided with a bending means composed of a stop shaft, which can be inserted into the vulva when bent to reduce the outer diameter width in the lateral direction. It can be inserted into the vagina, returned to its original annular shape in the vagina, and can be pressed onto the uterus to treat uterine prolapse.
【図１】本発明実施例のペッサリーの正面図。FIG. 1 is a front view of a pessary according to an embodiment of the present invention.
【図２】図１のＩＩ−ＩＩ線における断面図。FIG. 2 is a sectional view taken along line II-II of FIG.
【図３】操作レバー部分の側面図。FIG. 3 is a side view of an operation lever portion.
【図４】操作レバー部分の正面図。FIG. 4 is a front view of an operation lever portion.
【図５】操作レバー部分の構造図。FIG. 5 is a structural diagram of an operation lever portion.
【図６】操作レバーのロック解除状態図。FIG. 6 is an unlocked state diagram of an operation lever.
【図７】ペッサリーの折曲げ状態正面図。FIG. 7 is a front view of the pessary in a bent state.
【図８】ペッサリーの折曲げ状態平面図。FIG. 8 is a plan view of the pessary in a bent state.
【符号の説明】 １ ペッサリー ２ 弧状体 ５ 係止溝 ６ 係止突起 ７，１４ 止め軸 １０Ａ，１０Ｂ 折曲げ手段 １１ 操作レバー １２ 係止部 １３ 操作部位 １９ スプリング[Explanation of Codes] 1 Pessary 2 Arc-shaped body 5 Locking groove 6 Locking protrusion 7, 14 Stop shaft 10A, 10B Bending means 11 Operating lever 12 Locking portion 13 Operating portion 19 Spring
Claims (1)
って、両弧状体の両端部を各々対向させて各端部に止め軸を挿
着した環状形に形成され、かつ前記両弧状体を前記環状
形に復元可能に折曲げるための止め軸による 折曲げ手段
が設けられてなることを特徴としたペッサリー。1. An annular pessary for uterine prolapse treatment, wherein both end portions of both arcuate bodies are opposed to each other and a stop shaft is inserted at each end portion.
Are formed into a ring shape, and both arc-shaped bodies are formed into the ring shape.
A pessary characterized by being provided with a bending means by a stop shaft for bending so as to be able to restore its shape .
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP4309532A JPH0747032B2 (en) | 1992-10-23 | 1992-10-23 | Pessary for uterine prolapse |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP4309532A JPH0747032B2 (en) | 1992-10-23 | 1992-10-23 | Pessary for uterine prolapse |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| JPH06133996A JPH06133996A (en) | 1994-05-17 |
| JPH0747032B2 true JPH0747032B2 (en) | 1995-05-24 |
Family
ID=17994152
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP4309532A Expired - Lifetime JPH0747032B2 (en) | 1992-10-23 | 1992-10-23 | Pessary for uterine prolapse |
Country Status (1)
| Country | Link |
|---|---|
| JP (1) | JPH0747032B2 (en) |
Families Citing this family (16)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP1631211B1 (en) | 2003-05-22 | 2017-01-04 | Kimberly-Clark Worldwide, Inc. | Device for the prevention of urinary incontinence in females |
| DE602005026636D1 (en) | 2004-03-18 | 2011-04-14 | Contipi Ltd | DEVICE FOR PREVENTING HARNINE INCONTINENCE IN WOMEN |
| DE602005026638D1 (en) | 2004-03-18 | 2011-04-14 | Contipi Ltd | DEVICE TO TREAT ORGANIC INCIDENT IN THE FEMALE BASIN |
| MX345807B (en) | 2005-03-17 | 2017-02-15 | Kimberly-Clark Worldwide Inc * | Apparatuses for the amelioration of urinary incontinence in females. |
| IL176883A (en) | 2005-09-22 | 2013-09-30 | Eliahu Eliachar | Apparatus for the amelioration of urinary incontinence in females |
| EP2160149B1 (en) | 2007-06-11 | 2016-04-13 | ConTIPI Medical Ltd. | Adjustable tension ring for amelioration of urinary incontinence in females |
| WO2009044394A2 (en) | 2007-10-01 | 2009-04-09 | Contipi Ltd. | Management of urinary incontinence in females |
| US8651109B2 (en) | 2008-04-23 | 2014-02-18 | Contipi Ltd. | Pessaries for prolapse alleviation |
| US9320640B2 (en) | 2012-06-29 | 2016-04-26 | The Procter & Gamble Company | Method of attaching a withdrawal member to a pessary device |
| US11376155B2 (en) | 2015-10-13 | 2022-07-05 | Contipi Medical Ltd. | Devices and methods for pelvic organ prolapse alleviation |
| US11331213B2 (en) | 2015-10-13 | 2022-05-17 | Contipi Medical Ltd. | Devices and methods for pelvic organ prolapse alleviation |
| US11576811B2 (en) | 2015-10-13 | 2023-02-14 | Contipi Medical Ltd. | Three dimensional devices and methods for prolapse alleviation |
| US11491047B2 (en) | 2017-09-26 | 2022-11-08 | Reia, Llc | Pessary for pelvic organ prolapse |
| US11903869B2 (en) | 2017-09-26 | 2024-02-20 | Reia, Llc | Easily removable pessary device |
| US11865033B2 (en) | 2017-09-26 | 2024-01-09 | Reia, Llc | Vaginal pessary device for pelvic organ prolapse with improved collapsible construction |
| US11185438B2 (en) | 2017-09-26 | 2021-11-30 | Reia, Llc | Pessary for pelvic organ prolapse |
Family Cites Families (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JPS62299262A (en) * | 1986-06-20 | 1987-12-26 | 有限会社 ハンマン | Pessary |
-
1992
- 1992-10-23 JP JP4309532A patent/JPH0747032B2/en not_active Expired - Lifetime
Also Published As
| Publication number | Publication date |
|---|---|
| JPH06133996A (en) | 1994-05-17 |
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