Surgical instrument for urinary incontinence suspension surgery

Abstract

The utility model discloses a surgical instrument for urinary incontinence suspension surgery, and belongs to the field of surgical operating instruments. The surgical instrument for the urinary incontinence suspension surgery comprises a net-shaped sling and a guide handle, a first retaining structure is arranged on the inner side wall of one end, close to a tip part, of a puncture cannula of the net-shaped sling, and a second retaining structure is arranged at the free end of a guide rod of the guide handle. According to the utility model, the first retaining structure on the puncture cannula and the second retaining structure on the guide handle are designed into spiral clamping structures which are matched with each other in a concave-convex manner or at least two rings of annular clamping structures which are matched with each other in a concave-convex manner; the spiral clamping structure or the multi-circle annular clamping structure is utilized to increase the combination firmness of the guide handle and the puncture cannula, the problem of accidental separation due to stress in the operation process is effectively prevented, and due to the increase of the combination positions, the separation probability caused by improper installation in the assembly process is reduced, and the service life of the guide handle and the puncture cannula is prolonged. And the operation success rate and the safety are greatly improved.

Description

Technical Field

[0001] This utility model relates to a medical device, and more specifically, to a surgical device for urinary incontinence suspension surgery. Background Technology

[0002] Currently, the most common surgical treatment for urinary incontinence is mid-urethral suspension correction, which is one of the standard surgical treatments for female stress urinary incontinence. It uses a guide handle to implant a thin mesh sling under the urethra, in the tissue gap between the lower urethra and the anterior vaginal wall. This can correct and reduce urethral swaying. The implanted mesh sling can also play an elastic suspension and support role through a certain degree of adhesion and tissue reaction with the tissue.

[0003] The surgical instruments used in urinary incontinence sling surgery mainly consist of a mesh sling and a guide handle. Currently, the most common mesh sling is fixed with sutures. The guide handle has a hook groove at the puncture head, which is used to hook the sutures at both ends of the mesh sling for fixation. This traditional suture method has certain drawbacks. For example, the hook groove on the puncture head can easily become entangled with the tissue during puncture, increasing puncture trauma, and there is also a risk of suture dislodgement during the hooking operation. To address the problems associated with using sutures to fix the mesh sling, a cannulated mesh sling has emerged on the market. This type has pointed cannulas at both ends of the mesh sling. During use, the guide rod of the guide handle is inserted into the cannulas for operation, solving the problem of the hook groove on the puncture head becoming entangled with the tissue. However, because there is no fixed connection between the guide rod and the cannulas, and the inside of the cannulas is smooth, the instrument can easily detach from the cannulas during the procedure, leading to surgical failure. Currently, there are also improved cannula structures, which add a ring-shaped anti-reverse protrusion inside the cannula and a ring-shaped groove at the corresponding position of the guide rod end of the guide handle, reducing the risk of the instrument detaching from the cannula. However, due to the long length of the cannula, the anti-reverse protrusion is generally located at the pointed end of the cannula, requiring the guide rod of the guide handle to be inserted into the cannula deeply for engagement. On the one hand, there is a possibility that the operation may not be able to reach the correct position, resulting in incomplete engagement and the risk of detachment. On the other hand, because the fit between a single protrusion and groove is not very firm, there is still a significant risk of detachment under stress. Summary of the Invention

[0004] 1. Technical problem to be solved by the utility model

[0005] The purpose of this invention is to overcome the aforementioned shortcomings of existing cannulated mesh slings and provide a surgical instrument for urinary incontinence suspension surgery. Using the technical solution of this invention, the first anti-retraction structure on the puncture cannula and the second anti-retraction structure on the guide handle are designed as a spiral locking structure with mutual concave and convex fits, or at least two turns of annular locking structure with mutual concave and convex fits. The spiral locking structure or multi-turn annular locking structure increases the firmness of the connection between the guide handle and the puncture cannula, effectively preventing accidental detachment due to force during operation. Furthermore, the increased number of connection points reduces the probability of detachment due to improper installation during assembly, greatly improving the success rate and safety of the surgery.

[0006] 2. Technical Solution

[0007] To achieve the above objectives, the technical solution provided by this utility model is as follows:

[0008] This utility model discloses a surgical instrument for urinary incontinence suspension surgery, comprising a mesh sling and a guide handle. The mesh sling includes a mesh sheet and puncture cannulas connected to both ends of the mesh sheet. The puncture cannulas are flexible tubes with pointed tips. A side perforation is provided on the side wall of the end of the puncture cannulas away from the pointed tip, and a first anti-retraction structure is provided on the inner side wall of the end of the puncture cannulas near the pointed tip. The guide handle includes an operating handle and a guide rod fixed to the operating handle. The free end of the guide rod has a second anti-retraction structure. The free end of the guide rod can be inserted into the puncture cannulas through the side perforation, causing the first anti-retraction structure and the second anti-retraction structure to engage. The first anti-retraction structure and the second anti-retraction structure are mutually interlocking spiral engagement structures or at least two mutually interlocking annular engagement structures.

[0009] Furthermore, the first anti-retraction structure is a spiral boss provided on the inner wall of the puncture cannula, and the second anti-retraction structure is a spiral groove provided on the outer wall of the guide rod.

[0010] Furthermore, the first anti-retraction structure is a spiral groove provided on the inner wall of the puncture cannula, and the second anti-retraction structure is a spiral boss provided on the outer wall of the guide rod.

[0011] Furthermore, the first and second anti-reverse structures can be forcibly squeezed together or screwed together in a spiral direction.

[0012] Furthermore, the spiral boss is a continuous spiral boss, or a line segment boss or protrusion distributed at intervals along the spiral direction.

[0013] Furthermore, the first anti-retraction structure is at least two annular bosses distributed axially at intervals on the inner wall of the puncture cannula, and the second anti-retraction structure is at least two annular grooves distributed axially at intervals on the outer wall of the guide rod.

[0014] Furthermore, the first anti-retraction structure is at least two annular grooves axially spaced on the inner wall of the puncture cannula, and the second anti-retraction structure is at least two annular bosses axially spaced on the outer wall of the guide rod.

[0015] Furthermore, the annular protrusion is a complete ring, or line segment protrusions or protrusions distributed at intervals along the circumference.

[0016] Furthermore, the end of the puncture cannula away from the tip is also provided with a plug, the plug having a plug hole. The two ends of the mesh are respectively inserted through the plug holes of the corresponding puncture cannula and exit through the side holes. The mesh is connected to the puncture cannula by setting a buckle at the end of the mesh that is larger than the plug hole.

[0017] Furthermore, the two ends of the mesh are connected to extension sections made of silk threads or films, and the buckle is formed by knotting or melting the extension sections to enlarge them.

[0018] 3. Beneficial effects

[0019] Compared with existing known technologies, the technical solution provided by this utility model has the following beneficial effects:

[0020] (1) A surgical instrument for urinary incontinence suspension surgery according to the present invention includes a mesh sling and a guide handle. The first anti-retraction structure on the puncture cannula and the second anti-retraction structure on the guide handle are designed as a spiral locking structure with mutual concave and convex fit or at least two ring locking structures with mutual concave and convex fit. The spiral locking structure or the multi-ring locking structure increases the firmness of the connection between the guide handle and the puncture cannula, effectively preventing the problem of accidental disengagement due to force during operation. Furthermore, due to the increase in the number of connection points, the probability of disengagement due to improper installation during assembly is reduced, which greatly improves the success rate and safety of the operation.

[0021] (2) The surgical instrument for urinary incontinence suspension surgery of this utility model, when the first stop structure and the second stop structure are mutually concave and convex spiral locking structures, the two can be connected by forced compression fastening or spiral screwing according to the shape of the guide rod, which is convenient to connect and has strong applicability.

[0022] (3) A surgical instrument for urinary incontinence suspension surgery according to the present invention, wherein the protrusions in the first and second anti-retraction structures can be continuous protrusions or line segment protrusions or protrusions distributed at intervals, which are simple and convenient to manufacture.

[0023] (4) A surgical instrument for urinary incontinence suspension surgery of the present invention has a plug at the end of the puncture cannula away from the tip. The plug has a plug hole. The two ends of the mesh are inserted into the plug hole of the corresponding puncture cannula and exit through the side hole. The mesh is connected to the puncture cannula by setting a buckle at the end of the mesh with a size larger than the plug hole. Compared with the original connection method, the plug design makes the connection between the mesh and the puncture cannula more convenient and firm.

[0024] (5) A surgical instrument for urinary incontinence suspension surgery of the present invention has an extension section made of silk thread or film connected to both ends of the mesh. The buckle is formed by knotting or melting the extension section to enlarge it. The extension section can not only facilitate the subsequent fixation of the mesh, but also achieve the connection with the puncture cannula by knotting or melting to enlarge it. It is convenient for clinical use. Attached Figure Description

[0025] Figure 1 This is a schematic diagram of the composition and structure of a surgical instrument for urinary incontinence suspension surgery according to the present invention;

[0026] Figure 2 This is a schematic diagram of the puncture cannula in Embodiment 1 of this utility model;

[0027] Figure 3 for Figure 2 Schematic diagram of the cross-sectional structure along the AA direction;

[0028] Figure 4 This is a schematic diagram of the guide rod in Embodiment 1 of this utility model;

[0029] Figure 5 This is a schematic diagram of the cooperation structure between the guide rod and the puncture cannula in Embodiment 1 of this utility model;

[0030] Figure 6 This is a schematic diagram of the puncture cannula in Embodiment 2 of this utility model;

[0031] Figure 7 This is a schematic diagram of the guide rod in Embodiment 2 of this utility model;

[0032] Figure 8 This is a schematic diagram of the puncture cannula in Embodiment 4 of this utility model;

[0033] Figure 9 This is a schematic diagram of the connection structure between the mesh and the puncture cannula in this utility model.

[0034] Explanation of the labels in the diagram:

[0035] 1. Mesh sling; 1-1. Mesh sheet; 1-1-1. Buckle; 1-2. Piercing sleeve; 1-2-1. Pointed head; 1-2-2. Side perforation; 1-2-3. First anti-reverse structure; 1-2-4. Plug;

[0036] 2. Guide handle; 2-1. Operating handle; 2-2. Guide rod; 2-2-1. Second anti-reverse structure; 2-2-2. Chamfer. Detailed Implementation

[0037] To further understand the content of this utility model, a detailed description of this utility model will be provided in conjunction with the accompanying drawings and embodiments.

[0038] [Example 1]

[0039] Combination Figure 1 As shown, a surgical instrument for urinary incontinence suspension surgery according to this embodiment includes a mesh sling 1 and a guide handle 2. The mesh sling 1 includes a mesh 1-1 and a puncture cannula 1-2 connected to both ends of the mesh 1-1. The puncture cannula 1-2 is a flexible tube with a pointed tip 1-2-1. The pointed tip 1-2-1 is a solid structure to prevent deformation during production, transportation or puncture. The sharp end of the pointed tip 1-2-1 is rounded to make the pointed tip 1-2-1 sharp but not sharp, which can prevent it from puncturing gloves or fingers during surgery. A side perforation hole 1-2-2 is provided on the side wall of the end of the puncture cannula 1-2 away from the pointed tip 1-2-1, and a first anti-retraction structure 1-2-3 is provided on the inner side wall of the end of the puncture cannula 1-2 near the pointed tip 1-2-1. The guide handle 2 includes an operating handle 2-1 and a guide rod 2-2 fixed on the operating handle 2-1. The free end of the guide rod 2-2 has a second anti-retraction structure 2-2-1. The free end of the guide rod 2-2 can be inserted into the puncture cannula 1-2 through the side perforation hole 1-2-2, and cause the first anti-retraction structure 1-2-3 to combine with the second anti-retraction structure 2-2-1, thereby using the guide handle 2 to perform a puncture operation on the puncture cannula 1-2. In this embodiment, the first anti-retraction structure 1-2-3 and the second anti-retraction structure 2-2-1 are mutually interlocking spiral locking structures. The design of the first anti-retraction structure 1-2-3 on the puncture cannula 1-2 and the second anti-retraction structure 2-2-1 on the guide handle 2 as mutually interlocking spiral locking structures increases the firmness of the connection between the guide handle 2 and the puncture cannula 1-2, effectively preventing accidental disengagement due to force during operation. Furthermore, the increased number of connection points reduces the probability of disengagement due to improper installation during assembly, greatly improving the success rate and safety of the surgery.

[0040] like Figures 2 to 5As shown, in this embodiment, the first anti-retraction structure 1-2-3 is a spiral boss on the inner wall of the puncture cannula 1-2, and the second anti-retraction structure 2-2-1 is a spiral groove on the outer wall of the guide rod 2-2. The spiral boss and spiral groove can be designed with multiple turns to increase the connection length. In this embodiment, the first anti-retraction structure 1-2-3 and the second anti-retraction structure 2-2-1 can be forcibly squeezed together or screwed together in the spiral direction. They can be connected by forced squeezing or screwing together according to the shape of the guide rod 2-2, making the connection operation convenient and highly applicable. In this embodiment, the spiral boss is a continuous spiral boss. The height of the spiral boss can be designed to be within 0.1 to 1 mm, and the depth of the spiral groove matches it. The mating gap between the spiral boss and the spiral groove is controlled within 0.05 to 0.2 mm to increase the gripping force of the cannula on the guide rod 2-2. Additionally, as... Figure 5 As shown, after the first anti-reverse structure 1-2-3 and the second anti-reverse structure 2-2-1 are installed in place, the end face of the guide rod 2-2 should ideally abut against the rear side of the pointed head 1-2-1 to avoid forming a cavity between them and reducing the strength of the head end. Figure 4 As shown, the end of the guide rod 2-2 also has a chamfer 2-2-2 to prevent the guide rod 2-2 from scratching the inner surface of the cannula and generating debris during the process of inserting the puncture cannula 1-2.

[0041] Reference Figure 9As shown, the surgical instrument for urinary incontinence suspension in this embodiment has a plug 1-2-4 at the end of the puncture cannula 1-2 away from the tip 1-2-1. The plug 1-2-4 has a plug hole. The two ends of the mesh 1-1 are inserted into the plug holes of the corresponding puncture cannula 1-2 and exit through the side perforation 1-2-2. The mesh 1-1 is connected to the puncture cannula 1-2 by setting a buckle 1-1-1 at the end of the mesh 1-1 that is larger than the plug hole. Specifically, the plug 1-2-4 can be inserted into the tail end of the puncture cannula 1-2, and then the two can be welded together using an ultrasonic welding machine. When connecting the mesh 1-1, the mesh 1-1 is passed through the plug hole of the plug 1-2-4 and then exits through the side perforation 1-2-2 on the side of the cannula. A buckle 1-1-1 is set at the end of the mesh 1-1, and the mesh 1-1 is pulled back to ensure that the mesh 1-1 will not come off. Compared to the original connection method, the plug design makes the connection between the mesh and the puncture cannula more convenient and secure. Furthermore, both ends of the mesh 1-1 are connected to extension sections made of silk or film. The buckle 1-1-1 is formed by knotting or melting the extension section to enlarge it. When using a knotted structure, multiple knots can be tied in the same position to ensure the knot size; when using a melt-enlargement structure, the extension section can be melted to shrink and enlarge it, thus forming a mushroom-shaped buckle 1-1-1. The extension section facilitates the subsequent fixation of the mesh and allows for connection to the puncture cannula through knotting or melting, making it convenient for clinical use.

[0042] [Example 2]

[0043] This embodiment provides a surgical instrument for urinary incontinence suspension surgery. Its basic structure and working principle are the same as in Embodiment 1, except that:

[0044] like Figure 6 and Figure 7 As shown, in this embodiment, the first anti-retraction structure 1-2-3 is a single-turn spiral groove on the inner wall of the puncture cannula 1-2, and the second anti-retraction structure 2-2-1 is a single-turn spiral boss on the outer wall of the guide rod 2-2. The first anti-retraction structure 1-2-3 and the second anti-retraction structure 2-2-1 can be forcibly squeezed and fastened together. Compared with the existing single-turn annular boss and groove design, the use of a spiral boss and spiral groove results in a longer axial engagement length, making the connection between the guide handle and the puncture cannula stronger and easier to assemble.

[0045] [Example 3]

[0046] This embodiment provides a surgical instrument for urinary incontinence suspension surgery. Its basic structure and working principle are the same as those of Embodiments 1 and 2, except that:

[0047] In this embodiment, as an alternative method, the first anti-retraction structure 1-2-3 is a spiral groove provided on the inner wall of the puncture cannula 1-2, and the second anti-retraction structure 2-2-1 is a spiral boss provided on the outer wall of the guide rod 2-2. The combination of the first anti-retraction structure 1-2-3 and the second anti-retraction structure 2-2-1 can achieve the same effect, that is, increase the firmness of the connection between the guide handle 2 and the puncture cannula 1-2, and prevent the problem of accidental disengagement due to force during operation.

[0048] [Example 4]

[0049] This embodiment provides a surgical instrument for urinary incontinence suspension surgery. Its basic structure and working principle are the same as those in Embodiments 1 to 3, except that:

[0050] In this embodiment, the spiral bosses can be line segment bosses or protrusions spaced apart along the spiral direction, and the spiral grooves are continuous spiral grooves. For example... Figure 8 The diagram shows several protrusions spaced apart along the spiral direction. These protrusions cooperate with the continuous spiral grooves, increasing the firmness of the connection between the guide handle 2 and the puncture cannula 1-2. Furthermore, the production of the line segment bosses and protrusions is simple and convenient, ensuring the structural strength of the puncture cannula 1-2.

[0051] [Example 5]

[0052] This embodiment provides a surgical instrument for urinary incontinence suspension surgery. Its basic structure and working principle are the same as in Embodiment 1, except that:

[0053] In this embodiment, the first anti-retraction structure 1-2-3 and the second anti-retraction structure 2-2-1 are at least two interlocking annular locking structures with mutual concave and convex fits. The multi-ring annular locking structure increases the firmness of the connection between the guide handle and the puncture cannula, effectively preventing accidental detachment during operation due to force. Furthermore, the increased number of engagement points reduces the probability of detachment due to improper installation during assembly, significantly improving the success rate and safety of the surgery. Specifically, the first anti-retraction structure 1-2-3 is at least two annular protrusions axially spaced on the inner wall of the puncture cannula 1-2, and the second anti-retraction structure 2-2-1 is at least two annular grooves axially spaced on the outer wall of the guide rod 2-2. The first anti-retraction structure 1-2-3 and the second anti-retraction structure 2-2-1 can be forcibly squeezed together, making the connection operation convenient and the connection firm and reliable. Both the annular grooves and annular protrusions are full-ring structures; that is, the annular grooves are full-ring grooves, and the annular protrusions are full-ring protrusions.

[0054] [Example 6]

[0055] This embodiment provides a surgical instrument for urinary incontinence suspension surgery. Its basic structure and working principle are the same as those in Embodiment 5, except that:

[0056] In this embodiment, as an alternative method, the first anti-retraction structure 1-2-3 consists of at least two axially spaced annular grooves on the inner wall of the puncture cannula 1-2, and the second anti-retraction structure 2-2-1 consists of at least two axially spaced annular protrusions on the outer wall of the guide rod 2-2. The combination of the first anti-retraction structure 1-2-3 and the second anti-retraction structure 2-2-1 achieves the same effect: the multiple annular grooves and annular protrusions work together to increase the firmness of the connection between the guide handle 2 and the puncture cannula 1-2, preventing accidental detachment during operation.

[0057] [Example 7]

[0058] This embodiment provides a surgical instrument for urinary incontinence suspension surgery. Its basic structure and working principle are the same as those of Embodiments 5 and 6, except that:

[0059] In this embodiment, the annular boss can be a line segment boss or protrusion distributed at intervals along the circumference, and the annular groove is a continuous annular groove. The line segment boss or protrusion cooperates with the continuous annular groove, which increases the firmness of the connection between the guide handle 2 and the puncture cannula 1-2. Moreover, the line segment boss and protrusion are simple and convenient to manufacture, which can ensure the structural strength of the puncture cannula 1-2.

[0060] This invention relates to a surgical instrument for urinary incontinence sling surgery, comprising a mesh sling and a guide handle. The puncture cannulas at both ends of the mesh sling serve to puncture tissue and guide the mesh through a separated channel. The guide handle provides contouring and support for the cannulas to facilitate puncture of tissue and skin. A first anti-retraction structure is provided on the inner wall of the end of the puncture cannulas near the tip, and a second anti-retraction structure is provided at the free end of the guide handle. The first anti-retraction structure on the puncture cannulas and the second anti-retraction structure on the guide handle are designed as a helical locking structure with interlocking concave and convex parts, or at least two turns of annular locking structure with interlocking concave and convex parts. The helical locking structure or multi-turn annular locking structure increases the firmness of the connection between the guide handle and the puncture cannulas, effectively preventing accidental detachment during operation due to force. Furthermore, the increased number of connection points reduces the probability of detachment due to improper installation during assembly, greatly improving the success rate and safety of the surgery.

[0061] The present invention and its embodiments have been described above illustratively. This description is not restrictive, and the figures shown are only one embodiment of the present invention; the actual structure is not limited thereto. Therefore, if those skilled in the art are inspired by this description and design similar structures and embodiments without departing from the spirit of the present invention, such designs should fall within the protection scope of the present invention.

Claims

1. A surgical instrument for urinary incontinence slinging, comprising a mesh sling (1) and a guide handle (2), wherein the mesh sling (1) comprises a mesh (1-1) and puncture cannulas (1-2) connected to both ends of the mesh (1-1), the puncture cannulas (1-2) being a flexible tube with a pointed tip (1-2-1), a side perforation (1-2-2) being provided on the side wall of the end of the puncture cannulas (1-2) away from the pointed tip (1-2-1), and a side perforation (1-2-2) being provided on the side wall of the puncture cannulas (1-2) near the pointed tip (1-2-1). The inner wall of the end is provided with a first anti-retraction structure (1-2-3); the guide handle (2) includes an operating handle (2-1) and a guide rod (2-2) fixed on the operating handle (2-1), the free end of the guide rod (2-2) has a second anti-retraction structure (2-2-1), the free end of the guide rod (2-2) can be inserted into the puncture cannula (1-2) through the side perforation hole (1-2-2), and cause the first anti-retraction structure (1-2-3) and the second anti-retraction structure (2-2-1) to combine together; characterized in that: The first anti-reverse structure (1-2-3) and the second anti-reverse structure (2-2-1) are spiral locking structures with mutual concave and convex fits or at least two ring locking structures with mutual concave and convex fits.

2. The surgical instrument for urinary incontinence suspension surgery according to claim 1, characterized in that: The first anti-retraction structure (1-2-3) is a spiral protrusion on the inner wall of the puncture cannula (1-2), and the second anti-retraction structure (2-2-1) is a spiral groove on the outer wall of the guide rod (2-2).

3. The surgical instrument for urinary incontinence suspension surgery according to claim 1, characterized in that: The first anti-retraction structure (1-2-3) is a spiral groove on the inner wall of the puncture cannula (1-2), and the second anti-retraction structure (2-2-1) is a spiral boss on the outer wall of the guide rod (2-2).

4. The surgical instrument for urinary incontinence suspension surgery according to claim 2 or 3, characterized in that: The first anti-retraction structure (1-2-3) and the second anti-retraction structure (2-2-1) can be forcibly squeezed together or screwed together in the spiral direction.

5. The surgical instrument for urinary incontinence suspension surgery according to claim 4, characterized in that: The spiral protrusion is a continuous spiral protrusion, or a line segment protrusion or protrusion distributed at intervals along the spiral direction.

6. The surgical instrument for urinary incontinence suspension surgery according to claim 1, characterized in that: The first anti-retraction structure (1-2-3) is an annular boss with at least two axially spaced rings on the inner wall of the puncture cannula (1-2), and the second anti-retraction structure (2-2-1) is an annular groove with at least two axially spaced rings on the outer wall of the guide rod (2-2).

7. The surgical instrument for urinary incontinence suspension surgery according to claim 1, characterized in that: The first anti-retraction structure (1-2-3) is an annular groove with at least two axially spaced rings on the inner wall of the puncture cannula (1-2), and the second anti-retraction structure (2-2-1) is an annular boss with at least two axially spaced rings on the outer wall of the guide rod (2-2).

8. The surgical instrument for urinary incontinence suspension surgery according to claim 6 or 7, characterized in that: The annular protrusion is a complete ring, or a line segment protrusion or protrusion distributed at intervals along the circumference.

9. The surgical instrument for urinary incontinence suspension surgery according to claim 1, characterized in that: The end of the puncture cannula (1-2) away from the tip (1-2-1) is also provided with a plug (1-2-4). The plug (1-2-4) has a plug hole. The two ends of the mesh (1-1) are respectively inserted into the plug hole of the corresponding puncture cannula (1-2) and exited through the side hole (1-2-2). The mesh (1-1) and the puncture cannula (1-2) are connected by setting a buckle (1-1-1) at the end of the mesh (1-1) with a size larger than the plug hole.

10. The surgical instrument for urinary incontinence suspension surgery according to claim 9, characterized in that: The two ends of the mesh (1-1) are also connected to extension sections made of silk or film, and the buckle (1-1-1) is formed by knotting or melting the extension sections to enlarge them.

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