FR2635453A1 - Device for catheterisation of the Fallopian tubes from underneath - Google Patents

Device for catheterisation of the Fallopian tubes from underneath Download PDF

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Publication number
FR2635453A1
FR2635453A1 FR8810934A FR8810934A FR2635453A1 FR 2635453 A1 FR2635453 A1 FR 2635453A1 FR 8810934 A FR8810934 A FR 8810934A FR 8810934 A FR8810934 A FR 8810934A FR 2635453 A1 FR2635453 A1 FR 2635453A1
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France
Prior art keywords
catheter
tube
introduction
mandrel
distal end
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.)
Withdrawn
Application number
FR8810934A
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French (fr)
Inventor
R S Imbert
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INGENOR LABORATOIRE
Original Assignee
INGENOR LABORATOIRE
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by INGENOR LABORATOIRE filed Critical INGENOR LABORATOIRE
Priority to FR8810934A priority Critical patent/FR2635453A1/en
Publication of FR2635453A1 publication Critical patent/FR2635453A1/en
Withdrawn legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/09—Guide wires
    • A61M25/09016—Guide wires with mandrils
    • A61M25/09025—Guide wires with mandrils with sliding mandrils
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/42—Gynaecological or obstetrical instruments or methods
    • A61B17/425—Gynaecological or obstetrical instruments or methods for reproduction or fertilisation
    • A61B17/43—Gynaecological or obstetrical instruments or methods for reproduction or fertilisation for artificial insemination
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Reproductive Health (AREA)
  • Medical Informatics (AREA)
  • Pregnancy & Childbirth (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Gynecology & Obstetrics (AREA)
  • Biophysics (AREA)
  • Pulmonology (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)

Abstract

The invention relates to a device for catheterisation of the Fallopian tubes from underneath. It consists of: - 1 catheter 5, of small diameter, which tapers at its distal end 6. - 1 curved introduction catheter 2 fitted with a metal ring 4 at its distal end, thus allowing location and echographic inspection. - 1 metal mandrel 1 making it possible to straighten the curve of the introduction catheter. - 1 injection device (for example a syringe) 7. The catheters are made of teflon or any other suitable material which combines the qualities of leaktightness, flexibility and memory. The tapered catheter is fitted into the tube to be catheterised by sliding the catheter inside the introduction catheter whose curved end has previously been engaged in the mouth of the tube. This engagement is obtained in two successive operations. The first operation consists in bringing the distal end of the introduction catheter - straightened using the mandrel - to the mouth of the tube. The second operation consists in carrying out the engagement and extension in the mouth of the tube by withdrawing the mandrel, which allows the catheter to return to its initial curvature and to lodge in the tube. The contents of the tapered catheter - previously filled - will be able to be deposited by means of a syringe which will be connected to it.

Description

La présente invention concerne un dispositif constitué par un ensemble de composants dont l'association permet la cathétérisation des trompes de Fallope par voie basse. The present invention relates to a device consisting of a set of components whose association allows catheterization of the fallopian tubes by the vaginal route.

Un tel dispositif peut être utilisé pour déposer dans les trompes le produit séminal dans certains cas où la fécondation s'avère difficile. D'autres applications de non moindre importance peuvent être envisagées. Such a device can be used to deposit the seminal product in the fallopian tubes in certain cases where fertilization proves difficult. Other applications of no less importance can be envisaged.

Le dispositif est essentiellement composé des sous-ensembles suivants : - 1 cathéter en téflon radiopaque d'environ lmm de diamètre et de 45 cm de longueur. La partie distale de ce cathéter est effilée sur une longueur de quelques centimètres de manière à ne présenter à l'extrémité qu'un diamètre d'environ 0,6 mtn.  The device is essentially composed of the following sub-assemblies: - 1 radiopaque teflon catheter of about 1 mm in diameter and 45 cm in length. The distal part of this catheter is tapered over a length of a few centimeters so as to have at the end only a diameter of about 0.6 mtn.

- 1 cathéter en téflon radiopaque comportant une courbe à sa partie distale. Ce cathéter dit d'introduction est destiné à permettre l'acheminement et le placement du cathéter précédent. Son diamètre intérieur est déterminé pour permettre au cathéter effilé d'y coulisser sans difficulté. Sa longueur est de l'ordre de 24 Cm.- 1 radiopaque teflon catheter with a curve at its distal part. This so-called introductory catheter is intended to allow the delivery and placement of the previous catheter. Its internal diameter is determined to allow the tapered catheter to slide there without difficulty. Its length is around 24 Cm.

L'extrémité distale du cathéter d'introduction est munie d'une bague métallique destinée au repérage et contrôle échographique.The distal end of the introducer catheter is provided with a metal ring for tracking and ultrasound control.

- 1 mandrin metallique d'environ i mm de diamètre et 26 centimètres de long. L'extrémité distale de ce mandrin est adoucie (émoussée) de manière à en éliminer toute aspérité. Le mandrin est destiné à redresser la courbe du cathéter d'introduction lors de la première phase de mise en place des cathéters.- 1 metal mandrel about i mm in diameter and 26 centimeters long. The distal end of this mandrel is softened (blunt) so as to eliminate any roughness. The mandrel is intended to straighten the curve of the introduction catheter during the first phase of catheter placement.

- i dispositif d'injection (par exemple, une seringue) de faible volume
las figures jointes illustrent un mode de réalisation du dispositif. La matière utilisée pour les cathéters présente comme caractéristique d'être ferme tout en ayant une certaine souplesse.- i small volume injection device (for example, a syringe)
The attached figures illustrate an embodiment of the device. The material used for catheters has the characteristic of being firm while having a certain flexibility.

Elle ne provoque donc pas de traumatismes pour les organes avec lesquels elle est mise en contact. Il est clair que d'autres matériaux présentant les caractéristiques adéquates pourraient être utilisés.It therefore does not cause trauma to the organs with which it is contacted. It is clear that other materials having the appropriate characteristics could be used.

De plus, des qualités de mémoire sont attachées au cathéter d'introduction car il faut qu'il puisse retrouver sa courbe initiale après que le mandrin en soit retiré.  In addition, memory qualities are attached to the introducer catheter because it must be able to return to its initial curve after the mandrel is removed from it.

Il est connu que la cathétérisation des trompes peut-être effectuée par voie haute, sous visualisation coelioscopique, par incision nombrilaire et pubienne. Une telle intervention est faite sous anesthésie générale. Le taux de réussite qui en résulte est considéré comme acceptable. Toutefois la procédure implique les contraintes liées à l'acte chirurgical. It is known that catheterization of the fallopian tubes can be carried out by the high way, under laparoscopic visualization, by navel and pubic incision. Such an intervention is done under general anesthesia. The resulting success rate is considered acceptable. However, the procedure involves the constraints linked to the surgical act.

Pour éviter d'avoir recours à la chirurgie, des procédures de cathétérisation par voie basse ont été développées. Celles-ci font appel à la technique maintenant répandue du placement d'un cathéter à l'aide d'un guide métallique. Le taux de réussite s'est avéré moins bon que par la méthode précédente. To avoid resorting to surgery, low-catheterization procedures have been developed. These use the now widespread technique of placing a catheter using a metal guide. The success rate turned out to be less good than with the previous method.

Le dispositif objet du présent brevet permet la cathétérisation des trompes par voie basse. Il évite ainsi les contraintes de la chirurgie. De plus, il procure un taux de réussite élevé grâce à la possibilité de chargement préalable du cathéter et à la précision avec laquelle sa mise en place dans l'isthme tubaire visualisé sous échographie- peut-etre pratiquée. The device which is the subject of this patent allows catheterization of the fallopian tubes. It thus avoids the constraints of surgery. In addition, it provides a high success rate thanks to the possibility of prior loading of the catheter and the precision with which its placement in the tubal isthmus viewed under ultrasound - can be practiced.

En un premier temps, le mandrin métallique (i) est inséré à fond dans le cathéter d'introduction (2) dont la courbe est ainsi redressée (3). L'ensemble ainsi formé est alors introduit par voie basse - sous contrôle échographique - jusqu a ce que l'extrémité du cathéter repérée par la bague métallique (4) soit au niveau de l'embouchure de la trompe à cathétériser. Un léger retrait du mandrin conjugé avec une orientation adéquate du cathéter permettra de négocier l'engagement de son extrémité dans l'embouchure de la trompe. First, the metal mandrel (i) is fully inserted into the introduction catheter (2), the curve of which is thus straightened (3). The assembly thus formed is then introduced by the vaginal route - under ultrasound control - until the end of the catheter identified by the metal ring (4) is at the level of the mouth of the tube to be catheterized. A slight withdrawal of the mandrel combined with an adequate orientation of the catheter will allow to negotiate the engagement of its end in the mouth of the tube.

Le mandrin est alors retiré complètement. Ce qui permettra au cathéter de retrouver sa courbe initiale et de le Iaire avancer jusqu'à l'isthme tubaire. The mandrel is then completely removed. This will allow the catheter to regain its initial curve and advance it to the tubal isthmus.

Le cathéter effilé (5) - chargé des éléments que l'on veut introduire dans la trompe - est alors inséré dans le cathéter d'introduction qui permettra son acheminement et son placement dans l'isthme tubaire. The tapered catheter (5) - loaded with the elements that we want to introduce into the fallopian tube - is then inserted into the introduction catheter which will allow its routing and placement in the tubal isthmus.

Il suffira de raccorder au cathéter effilé le dispositif d'injection (7) rempli d'un volume de liquide adéquat pour pouvoir déposer le contenu du cathéter à l'endroit voulu dans la trompe.  It will suffice to connect the injection device (7) filled with an adequate volume of liquid to the tapered catheter in order to be able to deposit the contents of the catheter at the desired location in the tube.

Claims (7)

REVENDICATIONS 1) Dispositif de cathétérisation des trompes de Fallope par voie basse caractérisé en ce qu'il est constitué par un cathéter de petit diamètre (5), un cathéter d'introduction (2), un mandrin (1) et un dispositif d'injection (7).1) Device for the catheterization of the fallopian tubes by the vaginal route, characterized in that it consists of a small diameter catheter (5), an introduction catheter (2), a mandrel (1) and an injection device (7). 2) Dispositif selon revendication i ci-dessus caractérisé en ce que le cathéter de petit diamètre comporte une extrémité distale effilée (6).2) Device according to claim i above characterized in that the small diameter catheter has a tapered distal end (6). 3) Dispositif selon revendication i ci-dessus caractérisé en ce que le cathéter d'introduction est muni à son extrémité distale d'une bague métallique (4) permettant un parfait repérage et contrôle échographique.3) Device according to claim i above characterized in that the introduction catheter is provided at its distal end with a metal ring (4) allowing perfect location and ultrasound control. 4) Dispositif selon revendications i à 3 ci-dessus caractérisé en ce que le cathéter effilé et le cathéter d'introduction sont réalisés en un matériau radiopaque combinant les propriétés de fermeté et de souplesse.4) Device according to claims i to 3 above characterized in that the tapered catheter and the introduction catheter are made of a radiopaque material combining the properties of firmness and flexibility. 5) Dispositif selon les revendications 1,3 et 4,ci-dessus caractérisé en ce que le cathéter d'introduction présente une partie distale courbe favorisant ltengagement dans la trompe de Fallope. 5) Device according to claims 1,3 and 4, above characterized in that the introduction catheter has a curved distal portion promoting ltengagement in the fallopian tube. 6) Dispositif selon revendications 1,3,4,et 5 ci-dessus caractérisé en ce que le cathéter d'introduction est réalisé en un matériau doté de mémoire tel que le "TE#' lui permettant de retrouver sa courbe initiale après redressement.6) Device according to claims 1,3,4, and 5 above characterized in that the introduction catheter is made of a material with memory such as "TE #" allowing it to return to its initial curve after straightening. 7) Dispositif selon l'ensemble des revendications 1 à 6 caractérisé en ce que le cathéter effilé est chargé des substances destinées à la cathétérisation préalablement à sa mise en place. 7) Device according to all of claims 1 to 6 characterized in that the tapered catheter is loaded with substances intended for catheterization prior to its establishment.
FR8810934A 1988-08-17 1988-08-17 Device for catheterisation of the Fallopian tubes from underneath Withdrawn FR2635453A1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
FR8810934A FR2635453A1 (en) 1988-08-17 1988-08-17 Device for catheterisation of the Fallopian tubes from underneath

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Application Number Priority Date Filing Date Title
FR8810934A FR2635453A1 (en) 1988-08-17 1988-08-17 Device for catheterisation of the Fallopian tubes from underneath

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FR2635453A1 true FR2635453A1 (en) 1990-02-23

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FR8810934A Withdrawn FR2635453A1 (en) 1988-08-17 1988-08-17 Device for catheterisation of the Fallopian tubes from underneath

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Cited By (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0436091A1 (en) * 1989-12-04 1991-07-10 Labotect-Labor-Technik, Göttingen, Gmbh Set of instruments for operations on the uterus
EP0456342A1 (en) * 1990-04-06 1991-11-13 C.R. Bard, Inc. Access catheter and system using same
EP0478155A1 (en) * 1990-09-28 1992-04-01 Ovamed Corporation Delivery catheter
EP0526669A1 (en) * 1991-06-25 1993-02-10 Labotect-Labor-Technik, Göttingen, Gmbh Instrument set for the uterus embryo transfer and intrauterine insemination
EP0570102A1 (en) * 1992-05-12 1993-11-18 Ovamed Corporation Delivery catheter
FR2715824A1 (en) * 1994-02-10 1995-08-11 Ccd Laboratoire Medical probe esp. for intra-uterine insemination
EP0995459A2 (en) * 1998-10-02 2000-04-26 GenX International, Inc. Embryo-implanting catheter assembly and method for making the same
WO2001021081A1 (en) * 1999-09-24 2001-03-29 Cook Urological Inc. Embryo transfer catheter
FR2810247A1 (en) * 2000-06-14 2001-12-21 Prodimed ECHOGENIC AND / OR OPAQUE RADIO DEVICE FOR SAMPLING OR TRANSFER IN THE GENITAL ORGANS
EP1358856A1 (en) * 2002-04-29 2003-11-05 Universita Degli Studi Di Siena Device for intrauterine, intrabutal and intraperitoneal transfer of biological material
EP1364619A1 (en) * 2002-05-15 2003-11-26 Nipro Corporation Catheter for artificial insemination
US9879221B2 (en) 2000-11-29 2018-01-30 Xy, Llc Method of in-vitro fertilization with spermatozoa separated into X-chromosome and Y-chromosome bearing populations
US11230695B2 (en) 2002-09-13 2022-01-25 Xy, Llc Sperm cell processing and preservation systems

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3539034A (en) * 1966-10-11 1970-11-10 Carl H Tafeen Paracervical block anesthesia assembly
FR2272633A1 (en) * 1974-05-28 1975-12-26 Siemens Ag Medical puncture needle for ultrasonic scanner - is grooved for better ultrasonic 'visibility' and sheathed for smooth insertion
FR2524324A1 (en) * 1982-04-02 1983-10-07 Wallace Ltd H G CATHETER FOR INTRODUCING IN THE UTERUS A FECONDE IN VITRO EGG AND METHOD OF USE

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3539034A (en) * 1966-10-11 1970-11-10 Carl H Tafeen Paracervical block anesthesia assembly
FR2272633A1 (en) * 1974-05-28 1975-12-26 Siemens Ag Medical puncture needle for ultrasonic scanner - is grooved for better ultrasonic 'visibility' and sheathed for smooth insertion
FR2524324A1 (en) * 1982-04-02 1983-10-07 Wallace Ltd H G CATHETER FOR INTRODUCING IN THE UTERUS A FECONDE IN VITRO EGG AND METHOD OF USE

Cited By (21)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0436091A1 (en) * 1989-12-04 1991-07-10 Labotect-Labor-Technik, Göttingen, Gmbh Set of instruments for operations on the uterus
EP0456342A1 (en) * 1990-04-06 1991-11-13 C.R. Bard, Inc. Access catheter and system using same
EP0478155A1 (en) * 1990-09-28 1992-04-01 Ovamed Corporation Delivery catheter
EP0526669A1 (en) * 1991-06-25 1993-02-10 Labotect-Labor-Technik, Göttingen, Gmbh Instrument set for the uterus embryo transfer and intrauterine insemination
AU655447B2 (en) * 1991-06-25 1994-12-22 Labotect-Labor-Technik Gottingen, Gmbh Set of instruments for the uterinal embryo transfer and intra-uterine insemination
EP0570102A1 (en) * 1992-05-12 1993-11-18 Ovamed Corporation Delivery catheter
FR2715824A1 (en) * 1994-02-10 1995-08-11 Ccd Laboratoire Medical probe esp. for intra-uterine insemination
EP0995459A2 (en) * 1998-10-02 2000-04-26 GenX International, Inc. Embryo-implanting catheter assembly and method for making the same
EP0995459A3 (en) * 1998-10-02 2000-05-31 GenX International, Inc. Embryo-implanting catheter assembly and method for making the same
US6527752B1 (en) 1999-09-24 2003-03-04 Cook Urological, Inc. Embryo transfer catheter
WO2001021081A1 (en) * 1999-09-24 2001-03-29 Cook Urological Inc. Embryo transfer catheter
AU763964B2 (en) * 1999-09-24 2003-08-07 Cook Urological Inc. Embryo transfer catheter
FR2810247A1 (en) * 2000-06-14 2001-12-21 Prodimed ECHOGENIC AND / OR OPAQUE RADIO DEVICE FOR SAMPLING OR TRANSFER IN THE GENITAL ORGANS
EP1166720A1 (en) * 2000-06-14 2002-01-02 Prodimed, S.A. Echogenic or radiopaque device for sampling or tranferring into the genital organs
US6905458B2 (en) 2000-06-14 2005-06-14 Prodimed Echogenic or radio opaque device for removal from or transfer into the genital organs
US9879221B2 (en) 2000-11-29 2018-01-30 Xy, Llc Method of in-vitro fertilization with spermatozoa separated into X-chromosome and Y-chromosome bearing populations
EP1358856A1 (en) * 2002-04-29 2003-11-05 Universita Degli Studi Di Siena Device for intrauterine, intrabutal and intraperitoneal transfer of biological material
EP1364619A1 (en) * 2002-05-15 2003-11-26 Nipro Corporation Catheter for artificial insemination
US6929598B2 (en) 2002-05-15 2005-08-16 Nipro Corporation Catheter for artificial insemination
US11230695B2 (en) 2002-09-13 2022-01-25 Xy, Llc Sperm cell processing and preservation systems
US11261424B2 (en) 2002-09-13 2022-03-01 Xy, Llc Sperm cell processing systems

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