AT388102B - Instrumentarium zum nicht-chirurgischen verschliessen eines eileiters - Google Patents

Instrumentarium zum nicht-chirurgischen verschliessen eines eileiters

Info

Publication number
AT388102B
AT388102B AT0394579A AT394579A AT388102B AT 388102 B AT388102 B AT 388102B AT 0394579 A AT0394579 A AT 0394579A AT 394579 A AT394579 A AT 394579A AT 388102 B AT388102 B AT 388102B
Authority
AT
Austria
Prior art keywords
instruments
surgical sealing
tube rope
rope
tube
Prior art date
Application number
AT0394579A
Other languages
English (en)
Other versions
ATA394579A (de
Original Assignee
Rsp Co
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 Rsp Co filed Critical Rsp Co
Publication of ATA394579A publication Critical patent/ATA394579A/de
Application granted granted Critical
Publication of AT388102B publication Critical patent/AT388102B/de

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/12Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/12Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12099Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/12Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12131Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
    • A61B17/12181Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device formed by fluidized, gelatinous or cellular remodelable materials, e.g. embolic liquids, foams or extracellular matrices
    • A61B17/12186Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device formed by fluidized, gelatinous or cellular remodelable materials, e.g. embolic liquids, foams or extracellular matrices liquid materials adapted to be injected
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/12Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12131Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
    • A61B17/12181Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device formed by fluidized, gelatinous or cellular remodelable materials, e.g. embolic liquids, foams or extracellular matrices
    • A61B17/12195Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device formed by fluidized, gelatinous or cellular remodelable materials, e.g. embolic liquids, foams or extracellular matrices comprising a curable material
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/42Gynaecological or obstetrical instruments or methods
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F6/00Contraceptive devices; Pessaries; Applicators therefor
    • A61F6/20Vas deferens occluders; Fallopian occluders
    • A61F6/22Vas deferens occluders; Fallopian occluders implantable in tubes
    • A61F6/225Vas deferens occluders; Fallopian occluders implantable in tubes transcervical
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/42Gynaecological or obstetrical instruments or methods
    • A61B2017/4233Operations on Fallopian tubes, e.g. sterilization

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Reproductive Health (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Vascular Medicine (AREA)
  • Gynecology & Obstetrics (AREA)
  • Pregnancy & Childbirth (AREA)
  • Endoscopes (AREA)
  • Surgical Instruments (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)
  • Materials For Medical Uses (AREA)
  • Apparatus For Disinfection Or Sterilisation (AREA)
AT0394579A 1978-06-06 1979-05-30 Instrumentarium zum nicht-chirurgischen verschliessen eines eileiters AT388102B (de)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US05/913,066 US4245623A (en) 1978-06-06 1978-06-06 Method and apparatus for the hysteroscopic non-surgical sterilization of females

Publications (2)

Publication Number Publication Date
ATA394579A ATA394579A (de) 1987-12-15
AT388102B true AT388102B (de) 1989-05-10

Family

ID=25432902

Family Applications (1)

Application Number Title Priority Date Filing Date
AT0394579A AT388102B (de) 1978-06-06 1979-05-30 Instrumentarium zum nicht-chirurgischen verschliessen eines eileiters

Country Status (24)

Country Link
US (1) US4245623A (de)
JP (1) JPS6044933B2 (de)
AR (1) AR217928A1 (de)
AT (1) AT388102B (de)
AU (1) AU527463B2 (de)
BE (1) BE876776A (de)
CH (1) CH632152A5 (de)
DE (1) DE2921685A1 (de)
DK (1) DK152407C (de)
ES (1) ES481047A1 (de)
FI (1) FI64285C (de)
FR (1) FR2427825A1 (de)
GB (1) GB2021956B (de)
GR (1) GR72489B (de)
IE (1) IE48344B1 (de)
IL (1) IL57421A (de)
IN (1) IN152080B (de)
IT (1) IT1174819B (de)
NL (1) NL184047C (de)
NO (1) NO147780C (de)
NZ (1) NZ190573A (de)
PT (1) PT69721A (de)
SE (2) SE444386B (de)
ZA (1) ZA792665B (de)

Families Citing this family (79)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4446578A (en) * 1982-03-08 1984-05-08 Perkins Ezra C Joint treatment
FR2522959A1 (fr) * 1982-03-15 1983-09-16 Hamou Jacques Dispositif pour la contraception tubaire, reversible, par hysteroscopie
GB2150032B (en) * 1983-11-25 1988-01-06 Richard K Johnson Method of producing sterility in female animals
US4637818A (en) * 1983-11-25 1987-01-20 Johnson Richard K Apparatus for producing sterility in female animals
USD286566S (en) 1984-01-23 1986-11-04 Marko Vukovic Diagnostic arthroscope
US4620660A (en) * 1985-01-24 1986-11-04 Turner William C Method of manufacturing an internally clad tubular product
US4700701A (en) * 1985-10-23 1987-10-20 Montaldi David H Sterilization method and apparatus
US4834091A (en) * 1987-04-10 1989-05-30 Ott Douglas E Intrauterine fallopian tube ostial plug and surgical process
US4795438A (en) * 1987-05-13 1989-01-03 Intravascular Surgical Instruments, Inc. Method and apparatus for forming a restriction in a vessel, duct or lumen
US5242390A (en) * 1991-05-03 1993-09-07 Goldrath Milton H Endometrium coagulating surgical method for thermal destruction of the endometrium
US5556429A (en) * 1994-05-06 1996-09-17 Advanced Bio Surfaces, Inc. Joint resurfacing system
US6705323B1 (en) 1995-06-07 2004-03-16 Conceptus, Inc. Contraceptive transcervical fallopian tube occlusion devices and methods
US6176240B1 (en) * 1995-06-07 2001-01-23 Conceptus, Inc. Contraceptive transcervical fallopian tube occlusion devices and their delivery
EP1230902A1 (de) * 1996-11-15 2002-08-14 Advanced Bio Surfaces, Inc. Biomateralsystem für in-situ Gewebewiederherstellung
US6042590A (en) 1997-06-16 2000-03-28 Novomedics, Llc Apparatus and methods for fallopian tube occlusion
US5935137A (en) * 1997-07-18 1999-08-10 Gynecare, Inc. Tubular fallopian sterilization device
US6464628B1 (en) * 1999-08-12 2002-10-15 Obtech Medical Ag Mechanical anal incontinence
MXPA02007654A (es) * 2000-02-10 2004-08-23 Potencia Medical Ag Aparato mecanico para el tratamiento de impotencia.
ATE296071T1 (de) * 2000-02-14 2005-06-15 Potencia Medical Ag Penisprothese
US6896682B1 (en) 2000-11-14 2005-05-24 Biomedical Engineering Solutions, Inc. Method and system for internal ligation of tubular structures
US6736822B2 (en) 2002-02-20 2004-05-18 Mcclellan Scott B. Device and method for internal ligation of tubular structures
WO2005006991A2 (en) * 2003-07-18 2005-01-27 Chiroxia Limited Device and method for fallopian tube occlusion
EP2193812A1 (de) 2003-09-19 2010-06-09 Broockeville Corporation N.V. Verwendung eines härtbaren Elastomer-Precusors in einer medizinischen Behandlung
US7597660B2 (en) * 2003-09-19 2009-10-06 Broockeville Corporation B.V. Incontinence therapy
US20050090804A1 (en) * 2003-10-22 2005-04-28 Trivascular, Inc. Endoluminal prosthesis endoleak management
US8048101B2 (en) 2004-02-25 2011-11-01 Femasys Inc. Methods and devices for conduit occlusion
US8052669B2 (en) 2004-02-25 2011-11-08 Femasys Inc. Methods and devices for delivery of compositions to conduits
US9238127B2 (en) 2004-02-25 2016-01-19 Femasys Inc. Methods and devices for delivering to conduit
US8048086B2 (en) * 2004-02-25 2011-11-01 Femasys Inc. Methods and devices for conduit occlusion
US8524798B2 (en) * 2004-03-15 2013-09-03 Linda M. Trebing Materials and apparatus for in-situ bone repair
US20050209695A1 (en) * 2004-03-15 2005-09-22 De Vries Jan A Vertebroplasty method
US20050228216A1 (en) * 2004-04-08 2005-10-13 Vries Jan A D Method for treating gastroesophageal reflux disease
US7400459B2 (en) * 2004-05-01 2008-07-15 Welch Gracie L Operating room magnifier
US8167874B2 (en) * 2004-07-19 2012-05-01 Mayo Foundation For Medical Education Assembly and kit for marking tubal ostia
US7918863B2 (en) * 2005-06-24 2011-04-05 Conceptus, Inc. Minimally invasive surgical stabilization devices and methods
US20070023534A1 (en) * 2005-07-22 2007-02-01 Mingsheng Liu Water-source heat pump control system and method
US20070088321A1 (en) * 2005-09-30 2007-04-19 Clast Trading Ltd Use of bioabsorbable, biocompatible adhesives as a method of female contraception
US8443808B2 (en) * 2007-03-19 2013-05-21 Hologic, Inc. Methods and apparatus for occlusion of body lumens
US8951274B2 (en) * 2007-04-06 2015-02-10 Hologic, Inc. Methods of high rate, low profile tissue removal
US20090084386A1 (en) * 2007-10-01 2009-04-02 Mcclellan Annette M L Tubal ligation
US8795153B2 (en) 2007-10-11 2014-08-05 Peter Forsell Method for treating female sexual dysfunction
WO2009048370A1 (en) * 2007-10-11 2009-04-16 Milux Holding Sa Apparatus for controlling flow of eggs in an uterine tube
PL2214578T3 (pl) * 2007-10-11 2021-11-15 Implantica Patent Ltd. Urządzenie do sterowania przepływem plemników w przewodzie macicznym
PT2214578T (pt) * 2007-10-11 2021-07-05 Implantica Patent Ltd Aparelho para controlar o fluxo de espermatozoides na tuba uterina
EP4595905A3 (de) * 2007-10-11 2025-08-20 Implantica Patent Ltd. Vorrichtung zur steuerung des flusses in einem körperorgan
US8696543B2 (en) * 2007-10-11 2014-04-15 Kirk Promotion Ltd. Method for controlling flow of intestinal contents in a patient's intestines
US8992409B2 (en) * 2007-10-11 2015-03-31 Peter Forsell Method for controlling flow in a bodily organ
EP3871623A1 (de) * 2007-10-11 2021-09-01 Implantica Patent Ltd Vorrichtung und verfahren zur embryokontrolle
CN101896129B (zh) * 2007-10-11 2013-01-09 米卢克斯控股股份有限公司 胚胎控制系统和方法
US20110125158A1 (en) * 2008-05-01 2011-05-26 Ashish Dhar Diwan Systems, methods and apparatuses for formation and insertion of tissue prostheses
US9554826B2 (en) 2008-10-03 2017-01-31 Femasys, Inc. Contrast agent injection system for sonographic imaging
US10070888B2 (en) * 2008-10-03 2018-09-11 Femasys, Inc. Methods and devices for sonographic imaging
US12171463B2 (en) 2008-10-03 2024-12-24 Femasys Inc. Contrast agent generation and injection system for sonographic imaging
EP3120896A1 (de) 2008-10-10 2017-01-25 Kirk Promotion LTD. System, vorrichtung und verfahren zur behandlung einer patientin mit sexueller dysfunktion
US8600510B2 (en) 2008-10-10 2013-12-03 Milux Holding Sa Apparatus, system and operation method for the treatment of female sexual dysfunction
US8347887B2 (en) 2008-12-23 2013-01-08 Ams Research Corporation Devices and methods for reversal of permanent sterilization
US8360065B2 (en) * 2009-05-21 2013-01-29 Boston Scientific Scimed, Inc. Occlusion of fallopian tubes in a vertebrate subject
US9247942B2 (en) 2010-06-29 2016-02-02 Artventive Medical Group, Inc. Reversible tubal contraceptive device
WO2012002944A1 (en) 2010-06-29 2012-01-05 Artventive Medical Group, Inc. Reducing flow through a tubular structure
US9149277B2 (en) 2010-10-18 2015-10-06 Artventive Medical Group, Inc. Expandable device delivery
US9138343B2 (en) 2011-05-31 2015-09-22 Bayer Healthcare Llc Tip protector sleeve
US9439677B2 (en) 2012-01-20 2016-09-13 Iogyn, Inc. Medical device and methods
ES2727680T3 (es) 2012-04-24 2019-10-17 Urogyn B V Aplicador de agente de relleno para tratar incontinencia urinaria femenina
EP2656822B1 (de) 2012-04-24 2014-12-03 Urogyn B.V. Applikator zur Verabreichung einer Okklusionsverbindung in einem Eileiter
NL2008860C2 (en) * 2012-05-23 2013-11-26 Urogyn B V Composition for use in occluding a body duct in a living creature.
US8984733B2 (en) 2013-02-05 2015-03-24 Artventive Medical Group, Inc. Bodily lumen occlusion
US9095344B2 (en) 2013-02-05 2015-08-04 Artventive Medical Group, Inc. Methods and apparatuses for blood vessel occlusion
US9737308B2 (en) 2013-06-14 2017-08-22 Artventive Medical Group, Inc. Catheter-assisted tumor treatment
US10149968B2 (en) 2013-06-14 2018-12-11 Artventive Medical Group, Inc. Catheter-assisted tumor treatment
US9737306B2 (en) 2013-06-14 2017-08-22 Artventive Medical Group, Inc. Implantable luminal devices
US9636116B2 (en) 2013-06-14 2017-05-02 Artventive Medical Group, Inc. Implantable luminal devices
US10363043B2 (en) 2014-05-01 2019-07-30 Artventive Medical Group, Inc. Treatment of incompetent vessels
AU2015297380B2 (en) 2014-08-01 2018-11-15 Canon Kabushiki Kaisha Toner cartridge, toner supply mechanism, and shutter
CN104305956B (zh) * 2014-10-20 2016-08-17 苏新军 一种组合式精囊镜
US10813644B2 (en) 2016-04-01 2020-10-27 Artventive Medical Group, Inc. Occlusive implant and delivery system
WO2020264084A1 (en) 2019-06-27 2020-12-30 Boston Scientific Scimed, Inc. Detection of an endoscope to a fluid management system
WO2021053728A1 (ja) * 2019-09-17 2021-03-25 オリンパス株式会社 挿入機器
WO2024084486A1 (en) * 2022-10-19 2024-04-25 Femiguard Ltd. Device and method for occluding a tubular organ
US20250143917A1 (en) * 2023-10-27 2025-05-08 NEXT Life Sciences, Inc. Apparatus and method for delivery and/or removal of occlusions in the body

Family Cites Families (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE7608938U1 (de) * 1900-01-01 Lindemann, Hans-Joachim, Dr.Med., 2000 Hamburg
US2627270A (en) * 1946-02-09 1953-02-03 Antonina S Glass Self-propelled automatic syringe
DE1222214B (de) * 1960-11-03 1966-08-04 Christian Haber Vorrichtung zur serienweisen Durchfuehrung von Impfungen
US3422813A (en) * 1965-06-21 1969-01-21 Dow Corning Method for sterilization of males
US3707146A (en) * 1967-03-07 1972-12-26 Prod Res & Chem Corp Means to inject a plastic into a cavity to produce a replica thereof
US3858586A (en) * 1971-03-11 1975-01-07 Martin Lessen Surgical method and electrode therefor
US3805767A (en) * 1973-02-26 1974-04-23 Erb Rene Method and apparatus for non-surgical, reversible sterilization of females
YU54174A (en) * 1973-03-09 1982-02-28 Population Res Inc Instrument for inserting materials into uterine tubes through the uterine cavity
US3870072A (en) * 1973-05-10 1975-03-11 Lindemann Hans Joachim Insufflation apparatus for introducing limited quantities of carbon dioxide into the human body for operative purposes
US3886933A (en) * 1973-10-10 1975-06-03 Olympus Optical Co Ureteral catheter device
FR2249641B3 (de) * 1973-11-06 1977-08-05 Wolf Gmbh Richard
US3918431A (en) * 1974-01-11 1975-11-11 Manfred Sinnreich Fallopian tube obturating device
US4132231A (en) * 1977-05-20 1979-01-02 Vincent Puccio Injection device
US4160446A (en) * 1977-08-12 1979-07-10 Abcor, Inc. Apparatus for and method of sterilization by the delivery of tubal-occluding polymer

Also Published As

Publication number Publication date
AR217928A1 (es) 1980-04-30
IT7909446A0 (it) 1979-06-05
IE791095L (en) 1979-12-06
DK152407B (da) 1988-02-29
SE8505643D0 (sv) 1985-11-29
JPS55199A (en) 1980-01-05
IN152080B (de) 1983-10-15
CH632152A5 (fr) 1982-09-30
SE464166B (sv) 1991-03-18
DK234579A (da) 1979-12-07
IL57421A0 (en) 1979-09-30
IT1174819B (it) 1987-07-01
BE876776A (fr) 1979-10-01
SE7904907L (sv) 1979-12-07
NO147780C (no) 1983-06-15
GB2021956B (en) 1983-02-16
FI791786A7 (fi) 1979-12-07
SE8505643L (sv) 1985-11-29
AU527463B2 (en) 1983-03-03
FR2427825A1 (fr) 1980-01-04
ES481047A1 (es) 1980-06-16
ATA394579A (de) 1987-12-15
DK152407C (da) 1988-08-15
JPS6044933B2 (ja) 1985-10-07
FR2427825B1 (de) 1985-01-04
SE444386B (sv) 1986-04-14
IL57421A (en) 1983-07-31
NL184047B (nl) 1988-11-01
GB2021956A (en) 1979-12-12
US4245623A (en) 1981-01-20
FI64285B (fi) 1983-07-29
DE2921685A1 (de) 1980-01-17
GR72489B (de) 1983-11-14
NZ190573A (en) 1981-02-11
NO791855L (no) 1979-12-07
ZA792665B (en) 1980-10-29
DE2921685C2 (de) 1988-05-11
NL184047C (nl) 1989-04-03
AU4777079A (en) 1979-12-13
NL7904299A (nl) 1979-12-10
PT69721A (en) 1979-07-01
NO147780B (no) 1983-03-07
FI64285C (fi) 1983-11-10
IE48344B1 (en) 1984-12-12

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Legal Events

Date Code Title Description
A1J Withdrawal paragraph 166 lit. 6
ELJ Ceased due to non-payment of the annual fee
ELJ Ceased due to non-payment of the annual fee