CN105581861A - Gastric banding and gastrointestinal electrical stimulation combined device for treating obesity and application method thereof - Google Patents

Gastric banding and gastrointestinal electrical stimulation combined device for treating obesity and application method thereof Download PDF

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CN105581861A
CN105581861A CN 201510970328 CN201510970328A CN105581861A CN 105581861 A CN105581861 A CN 105581861A CN 201510970328 CN201510970328 CN 201510970328 CN 201510970328 A CN201510970328 A CN 201510970328A CN 105581861 A CN105581861 A CN 105581861A
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gastrointestinal
electrical stimulation
gastric band
gastric
stomach
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CN 201510970328
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Chinese (zh)
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陈建德
潘杰卡
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宁波贝思转化医学研究中心有限公司
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    • 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
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/0003Apparatus for the treatment of obesity; Anti-eating devices
    • A61F5/0013Implantable devices or invasive measures
    • A61F5/0026Anti-eating devices using electrical stimulation
    • 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
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/0003Apparatus for the treatment of obesity; Anti-eating devices
    • A61F5/0013Implantable devices or invasive measures
    • A61F5/005Gastric bands
    • A61F5/0063Gastric bands wrapping the stomach
    • 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
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/0003Apparatus for the treatment of obesity; Anti-eating devices
    • A61F5/0013Implantable devices or invasive measures
    • A61F2005/0016Implantable devices or invasive measures comprising measuring means

Abstract

The invention discloses a gastric banding and gastrointestinal electrical stimulation combined device for treating obesity. The gastric banding and gastrointestinal electrical stimulation combined device comprises a gastric banding assembly and a gastrointestinal electrical stimulation assembly, the gastric banding assembly comprises a gastric band, a water injection catheter and a water injector, the gastric band is connected with the water injector through a water injection catheter, the gastrointestinal electrical stimulation assembly comprises gastrointestinal sensors, stimulating electrodes and a stimulator, and the gastrointestinal sensors and the stimulating electrodes are connected with the stimulator respectively. The gastric band is wound on the upper portion of the stomach, and the placed gastric band is connected to the water injection catheter and the water injector; after the gastric band is placed on a peritoneoscope, the three pairs of gastrointestinal sensors are placed in the greater curvature, the lesser curvature and the duodenum respectively, and the two pairs of bipolar electrodes are embedded to the lesser curvature and the duodenal bulb respectively. According to the gastric banding and gastrointestinal electrical stimulation combined device for treating obesity, food-intake of a patient is limited by reducing the receptivity of the stomach, the purpose of effectively reducing weight is achieved, and the gastric banding and gastrointestinal electrical stimulation combined device is simple, safe, economical and capable of reducing weight and healing certain obesity complications more effectively and has reversibility.

Description

一种治疗肥胖的胃束带联合胃肠电刺激装置及其使用方法 A method of treating obesity gastric band GASTROENTERIC electrical stimulation device and method of use

技术领域 FIELD

[0001]本发明涉及一种医疗器械,具体是一种治疗肥胖的胃束带联合胃肠电刺激装置及其使用方法。 [0001] The present invention relates to a medical instrument, particularly a method of treating obesity is gastric band GASTROENTERIC electrical stimulation apparatus and method of use.

背景技术 Background technique

[0002]肥胖是全球最常见的公共健康问题之一,其发病率正以令人担忧的速度上升。 [0002] Obesity is one of the most common public health problem, its incidence is growing at an alarming rate rise. 一份来自国家营养和健康2002年普查报告指出:中国成年人超重者占18.9%,肥胖为2.9%。 One from the National Nutrition and Health 2002 survey report pointed out: China accounted for 18.9% of adults are overweight, obesity was 2.9%. 在短短10年内(1992-2002年),成年人超重的发生率就增加了39.0 %,肥胖增加了97.2 %。 In just 10 years (1992-2002), the incidence of overweight adults has increased by 39.0%, obesity increased by 97.2%. 同样,在青少年人群中,肥胖的发生率也呈递增趋势。 Similarly, in the adolescent population, the incidence of obesity also showed an increasing trend. 从1991年到2006年,7-17岁人群超重和肥胖的发生率由5.2%增加到13.2%。 From 1991 to 2006, the population aged 7-17 overweight and obesity incidence rate increased to 13.2%, 5.2%. 在2000年,7-12岁超重和肥胖儿童在男性达到29%,女性为15-17%。 In 2000, overweight and obese children 7-12 years old in men 29%, women 15-17%. 随着发病率增加,预防和治疗的费用也逐年上升。 With the increase in the incidence, prevention and treatment costs also increased year by year. 在2003年,我国直接用于超重和肥胖治疗费用就达27.4亿元。 In 2003, China's direct cost of treatment for overweight and obesity amounted to 2.74 billion yuan. 不幸的是,当今治疗肥胖的有效手段非常有限。 Unfortunately, an effective means to treat obesity today is very limited. 通过调整生活方式包括煅练、节食等治疗方法,约50%病人一年后恢复到原来的体重,几乎所有病人5年内全部回到原来的体重。 By adjusting the methods of treatment comprising calcined lifestyle training, dieting, about 50% of patients after one year returned to its original weight, almost all patients all the weight back to the original five years. 药物治疗因为副作用或缺乏长期疗效而前景欠佳。 Medications because of side effects or lack of efficacy and poor long-term prospects. 目前外科手术是使重度肥胖症患者获得长期、稳定、有效减肥的唯一治疗方法,也是治疗与肥胖有关的2型糖尿病、高血压、高脂血症和阻塞性呼吸睡眠暂停综合征等代谢紊乱性疾病的最有效方法之一。 Surgery is currently the obese patients with severe long-term, stable, the only effective treatment for weight loss, but also the treatment of metabolic disorders associated with obesity, type 2 diabetes, hypertension, hyperlipidemia, and obstructive sleep apnea syndrome one of the most effective methods of disease.

[0003]随着腔镜手术技术的成熟与发展,腹腔镜减肥术后的并发症和死亡率明显下降。 [0003] With the maturity and development of endoscopic surgical techniques, laparoscopic bariatric surgery complications and mortality decreased significantly. 临床上腹腔镜手术取代常规开腹手术治疗肥胖症,已成为流行趋势。 Laparoscopic surgery to replace the conventional open surgery to treat obesity clinic, has become a popular trend. 常用的腹腔镜手术方式包括:(I)限制摄入性手术:腹腔镜可调节胃束带术(Laparoscopic adjustable gastricbanding,LAGB)、腹腔镜垂直束带胃成形术(Laparoscopic vertical gastric banding,LVGB)、腹腔镜袖状胃切除术(Laparoscopic sleeve gastrectomy,LSG)等;(2)减少吸收手术:腹腔镜胆胰转流术(Laparoscopic bil1pancreatic divers1n,LBPD)、腹腔镜胆胰转流术与十二指肠车专位术(Laparoscopic bil1pancreatic divers1n with duodenalswitch,LBPDDS) ; (3)限制摄入及减少吸收联合手术:腹腔镜Roux-en-Y胃旁路术(Laparoscopic Roux-en-Y gastric bypass,LRGB)。 Laparoscopic surgical procedures commonly used include: (the I) limit the intake of surgery: laparoscopic adjustable gastric banding (Laparoscopic adjustable gastricbanding, LAGB), laparoscopic vertical banded gastroplasty (Laparoscopic vertical gastric banding, LVGB), laparoscopic sleeve gastrectomy (laparoscopic sleeve gastrectomy, LSG) and the like; (2) reduce the absorption of surgery: laparoscopic biliary and pancreatic bypass (laparoscopic bil1pancreatic divers1n, LBPD), laparoscopic biliary and pancreatic and duodenal bypass car special bit operation (laparoscopic bil1pancreatic divers1n with duodenalswitch, LBPDDS); (3) reduce the absorption limit the intake and joint surgery: laparoscopic Roux-en-Y gastric bypass (laparoscopic Roux-en-Y gastric bypass, LRGB). 其中LAGB和LRGB为两种最常用的术式,占据90%病例。 Which LAGB and LRGB for the two most common surgical procedures, account for 90% of cases. 由于LAGB比LRGB简单、安全、经济、可逆性、并发症和死亡率少等优点。 Since LAGB simpler than LRGB, safe, economical and less reversibility, complications and mortality and so on. 因此常被许多欧美洲国家作为首选术式。 So often many European and American continents countries as the preferred surgical procedures. 然而,新近研究指出,LAGB术后4年多余体重减少的百分率和对一些肥胖合并代谢紊乱性疾病(如2型糖尿病)的治愈率分别为45 %和48 %,明显低于LRGB的68 %和84 %。 However, recent studies indicate that, after LAGB 4 percent reduction in excess weight and cure some of Obesity and metabolic disorders (such as type 2 diabetes) is 45% and 48%, respectively, significantly less than 68% LRGB and 84%. 同时存在着胃束带移位和小胃囊扩张等并发症,影响减肥效果,甚至需要再次手术。 At the same time there is a gastric band shift and a small stomach pouch dilation and other complications, affect the weight loss, or even need surgery again.

[0004]众所周知,当今LRGB被视为减肥手术的金标准用于治疗肥胖。 [0004] It is well known today LRGB bariatric surgery is considered the gold standard for the treatment of obesity. 但是LRGB的并发症和死亡率却明显高于LAGB,同时LRGB是一种不可逆转性手术方式,它将对那些用其方法治疗无效的患者带来极大的问题。 But LRGB complications and mortality was significantly higher than LAGB, while LRGB is an irreversible surgical way, it will bring great problems in patients who have therapy with its methods. 最近,通过腹腔镜放置胃肠电极,进行胃肠电刺激(Gastrointestinal electrical stimulat1n,GIES)术治疗肥胖,逐渐受到广泛的关注,并取得了可喜的发展和结果。 Recently, gastrointestinal electrodes placed laparoscopically, a gastrointestinal electrical stimulation (Gastrointestinal electrical stimulat1n, GIES) for the treatment of obesity, increasingly widespread attention, and achieved gratifying results and development. 一些基础研究和临床试验发现GIES能够:(I)延缓胃排,加快小肠转运;(2)改变机体激素水平:减少饥饿素(Ghrelin)和增加胰高血糖素样肽(GLP-1); Some basic research and clinical trials can be found GIES: (the I) delayed gastric discharge, accelerate intestinal transit; (2) changing the body hormone levels: decrease ghrelin (of Ghrelin) and increasing glucagon-like peptide (GLP-1);

(2)减少消化道营养吸收;(3)通过迷走神经通路,兴奋中枢饱食神经元,产生饱胀/早饱感; (2) reduced gastrointestinal nutrient absorption; (3) through the nerve pathways fans, central excitatory neurons satiety, fullness generating / early satiety;

[4]减少食物摄取和减轻体重。 [4] to reduce food intake and weight loss. 这充分显示GIES治疗肥胖的潜能。 This fully shows GIES potential treatment of obesity. 因此,从理论上讲,GIES不仅能够减肥,而且可以改善一些肥胖合并的代谢性疾病(如2型糖尿病),从而可以弥补LAGB之不足。 Therefore, in theory, GIES not only lose weight but also improve some of Obesity and metabolic diseases (such as type 2 diabetes), which can compensate for the lack of LAGB. 因此,LAGB联合GIES和单纯LAGB或GIES相比,它即保持原有的优点,又增强治疗肥胖及其合并症的效果。 Therefore, the joint GIES LAGB and LAGB alone or GIES compared to its namely to maintain the original advantages, but also enhance the effectiveness of the treatment of obesity and its complications.

发明内容 SUMMARY

[0005]本发明的目的在于提供一种治疗肥胖的胃束带联合胃肠电刺激装置及其使用方法。 [0005] The object of the present invention is to provide a method of treating obesity in gastric band GASTROENTERIC electrical stimulation device and method of use.

[0006]为实现上述目的,本发明提供如下技术方案: [0006] To achieve the above object, the present invention provides the following technical solutions:

[0007] —种治疗肥胖的胃束带联合胃肠电刺激装置,包括胃束带总成和胃肠电刺激总成,所述胃束带总成包括胃束带、注水导管和注水器,胃束带通过注水导管连接注水器,所述胃肠电刺激总成包括胃肠感应器、刺激电极和刺激器,所述胃肠感应器设有三对,刺激电极为两对双极电极,多个胃肠感应器和刺激电极分别与刺激器连接。 [0007] - obesity therapeutic gastric band GASTROENTERIC electrical stimulation device, comprising a gastric band assembly and gastrointestinal electrical stimulation assembly, the gastric band and the catheter assembly comprises a gastric band water, water, the band is connected via water injection conduit, electrical stimulation of the gastrointestinal sensor assembly including gastrointestinal, stimulator and stimulation electrodes, said sensor is provided with three pairs of gastrointestinal, two pairs of stimulating electrodes as bipolar electrodes, multiple a gastrointestinal stimulating electrodes and sensors are connected to the stimulator.

[0008]作为本发明进一步的方案:所述胃束带采用硅胶束带。 [0008] As a further embodiment of the present invention: the use of silicone gastric banding band.

[0009]作为本发明再进一步的方案:所述胃肠感应器、刺激电极与刺激器之间设有电路分配器和放大器。 [0009] The present invention still further embodiment: the gastrointestinal sensor, an amplifier and a divider to stimulate a circuit between the electrodes and the stimulator.

[0010]作为本发明再进一步的方案:所述的治疗肥胖的胃束带联合胃肠电刺激装置的使用方法,包括以下步骤: [0010] The present invention still further embodiment: the method of using the apparatus of treating obesity gastric band GASTROENTERIC electrical stimulation, comprising the steps of:

[0011] (I)通过腹腔镜手术,将一条胃束带环绕在胃的上部,把胃分成上部的小胃囊和下部的大胃囊两个部分;将放置后的胃束带连接于注水导管和注水器,通过注入/抽出胃束带和注水器内生理盐水,调控胃束带间隙的大小,限制食物进入大胃囊的量和速度; [0011] (I) by laparoscopic surgery, a gastric band around the upper portion of the stomach, the gastric pouch is divided into two large portions of the small gastric pouch and a lower portion of the upper; after the gastric band is placed in connection to the water and a water injector conduit, injection / extraction of saline water and the stomach band, a regulation of the size of the band gap, and to limit the amount of food into the gastric pouch large velocity;

[0012] (2)在腹腔镜放置胃束带后,同时将三对胃肠感应器分别放置在胃大、小弯和十二指肠,两对双极电极分别包埋在胃小弯和十二指肠球部,当下部的大胃囊或十二指肠扩张时,启动胃大、小弯和十二指肠处胃肠壁内胃肠感应器,通过电路分配器和放大器将胃肠张力增强信号传递到包埋在腹壁皮下的胃肠电刺激器,经过识别和程序化的胃肠张力,自动开启/关闭胃肠点刺激器和实施胃肠电刺激。 [0012] (2) After the laparoscopic gastric band placement, while the three pairs of sensors are placed on the gastrointestinal big stomach, duodenum and small bend, two pairs of bipolar electrodes are embedded in the lesser curvature, and duodenal portion, the lower portion of the pouch when the large or expanded duodenum, large starting stomach, duodenum and small curved wall of the gastrointestinal gastrointestinal inductor, the distributor and the amplifier circuit through the stomach intestinal tension increased to transmit a signal embedded in the gastrointestinal abdominal subcutaneous electrical stimulation, and after the identification procedures of the gastrointestinal tension, automatically turn on / off point gastrointestinal irritation and electrical stimulation of gastrointestinal embodiment.

[0013]与现有技术相比,本发明的有益效果是:通过减少胃的容受性,限制患者摄入饮食,达到有效地减轻体重,简单、安全、经济、具有可逆性,并且能够更加有效的减轻体重和治愈某些肥胖合并症。 [0013] Compared with the prior art, the beneficial effects of the present invention are: to effectively lose weight by reducing the receptivity of the stomach, limiting food intake of the patient, to achieve, simple, safe, economical, reversible, and can be more effective weight loss and cure some complications of obesity.

附图说明 BRIEF DESCRIPTION

[0014]图1为治疗肥胖的胃束带联合胃肠电刺激装置使用时的结构示意图。 [0014] FIG. 1 is a combined treatment of obesity Gastrointestinal gastric band electrical schematic structural view of an apparatus used to stimulate.

[0015]图2为治疗肥胖的胃束带联合胃肠电刺激装置中胃束带总成的结构示意图。 [0015] FIG. 2 is a combined treatment of obesity Gastrointestinal gastric band structure diagram of an electrical device to stimulate gastric band assembly.

[0016]图3为治疗肥胖的胃束带联合胃肠电刺激装置中胃束带总成使用后的结构示意图。 [0016] FIG. 3 is a combined treatment of obesity Gastrointestinal gastric band electrical schematic structure of the apparatus in use after the gastric band assembly stimulation.

具体实施方式 detailed description

[0017]下面将结合本发明实施例中的附图,对本发明实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本发明一部分实施例,而不是全部的实施例。 [0017] below in conjunction with the present invention in the accompanying drawings, technical solutions of embodiments of the present invention are clearly and completely described, obviously, the described embodiments are merely part of embodiments of the present invention, but not all embodiments example. 基于本发明中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都属于本发明保护的范围。 Based on the embodiments of the present invention, all other embodiments of ordinary skill in the art without any creative effort shall fall within the scope of the present invention.

[0018]请参阅图1〜3,本发明实施例中,一种治疗肥胖的胃束带联合胃肠电刺激装置,包括胃束带总成和胃肠电刺激总成,所述胃束带总成包括胃束带1、注水导管2和注水器3,胃束带I采用硅胶束带,胃束带I通过注水导管2连接注水器3,所述胃肠电刺激总成包括胃肠感应器4、刺激电极5和刺激器6,所述胃肠感应器4设有三对,刺激电极5为两对双极电极,多个胃肠感应器4和刺激电极5分别与刺激器6连接,胃肠感应器4、刺激电极5与刺激器6之间设有电路分配器和放大器。 [0018] Referring to FIG. 1 ~ 3, in the embodiment of the present invention a gastric band obesity GASTROENTERIC electrical stimulation therapy apparatus, comprising a gastric band assembly and gastrointestinal electrical stimulation assembly, the gastric band assembly includes a gastric band 1, 2 and the water injection conduits 3, the gastric band by silica gel band I, I induced gastric band including gastrointestinal connecting water duct 23 via injection, electrical stimulation of the gastrointestinal assembly 4, 5 and the stimulator the stimulation electrode 6, the inductor 4 is provided with gastrointestinal three pairs, two pairs of stimulating electrodes as bipolar electrodes 5, a plurality of sensors gastrointestinal stimulation electrode 4 and 5 are respectively connected to the stimulator 6, gastrointestinal sensors 4, 5 and the stimulation electrode stimulator and the amplifier a circuit between the distributor 6.

[0019] —种治疗肥胖的胃束带联合胃肠电刺激装置的使用方法,包括以下步骤: [0019] - obesity therapeutic gastric band GASTROENTERIC electrical stimulation apparatus using the method, comprising the steps of:

[0020] (I)通过腹腔镜手术,将一条低压、柔软的硅胶束带环绕在胃的上部,如同给胃系上了一条腰带,把胃分成上部的小胃囊(约20-25毫升容积)和下部的大胃囊两个部分;食物从食道进入小胃囊,然后缓慢通过两部分间因胃束带I所产生的狭窄间隙后,进入大胃囊;将放置后的胃束带连接于注水导管2和注水器3,通过注入/抽出胃束带I和注水器3内生理盐水,调控胃束带间隙的大小,限制食物进入大胃囊的量和速度;通常进食后,食物快速填充和扩张上部的小胃囊,诱发胃壁张力增加,后者通过自主神经通路,将增加的胃张力信号传递到大脑饱食中枢神经元,引起中枢和外周一些激素、多肽类等释放,同时反馈性地改变胃肠动力,使机体产生饱胀感,从而控制食物的摄入,导致体重减轻; [0020] (I) by laparoscopic surgery, a low-pressure, soft silicone band around the upper portion of the stomach, as to the stomach based on a belt, an upper portion of the stomach into the small stomach pouch (approximately 20-25 mL volume ) and the two lower portions of the large pouch; food from the esophagus into the small stomach pouch, and then slowly the narrow gap between the two parts due to the band generated by I, into the big pouch; after leaving the gastric band connection 2 and the water in the water injection conduit 3, by injecting / extracting gastric band I and 3 normal saline water, the regulation of the size of the band gap, and to limit the amount of food into the stomach pouch large velocity; usually after eating, fast food filling and expansion of the upper small stomach pouch induced gastric wall tension increases, which is transmitted by the autonomic nervous pathways, to increase the tension signal to the brain to the stomach satiation central neurons, causing a number of central and peripheral hormones, and other polypeptides release, simultaneous feedback alter gastrointestinal motility of the body to produce a sense of fullness, thereby controlling food intake, resulting in weight loss;

[0021] (2)在腹腔镜放置胃束带I后,同时将三对胃肠感应器4分别放置在胃大、小弯和十二指肠,两对双极电极也分别包埋在胃小弯和十二指肠球部,当下部的大胃囊或十二指肠扩张时,启动胃大、小弯和十二指肠处胃肠壁内胃肠感应器4,通过电路分配器和放大器将胃肠张力增强信号传递到包埋在腹壁皮下的胃肠电刺激器,经过识别和程序化的胃肠张力,能够自动开启/关闭胃肠点刺激器和实施胃肠电刺激,也可通过外部遥控器设备,人为的开启/关闭和设置各种胃肠电刺激参数,调控胃肠电刺激方式,以达到最佳刺激治疗效果,即在没有或最小副作用前提下,产生最大限度的体重丢失和机体代谢指标的改善。 [0021] (2) after placing laparoscopic gastric band I, while the three pairs of sensors gastrointestinal 4 were placed in a large stomach, duodenum and small bend, two pairs of bipolar electrodes are also embedded in the stomach small curved and duodenal, large portions of the lower stomach pouch or duodenal expansion start big stomach, duodenum and small curved wall of the gastrointestinal GI sensor 4, the dispenser through the circuit the increased tension and the amplifier transmits a signal to the GI gastrointestinal embedded electrical stimulator subcutaneous abdominal wall, through the identification and gastrointestinal tension programmed to automatically turn on / off point gastrointestinal irritation and electrical embodiments gastrointestinal irritation and by an external remote control device, man on / off and setting parameters of various gastrointestinal electrical stimulation, electrical stimulation of gastrointestinal regulated manner, in order to stimulate the optimal therapeutic effect, i.e., in the absence or minimal side premise, the maximum generated weight loss and improve metabolism indicators.

[0022]本发明建立在现有的腹腔镜胃束带术和胃肠电刺激术治疗肥胖的基础上,将两者联合应用所发展起来的一种新型治疗肥胖的装置及其使用方法,该方法简单、安全、经济、具有可逆性,并且能够更加有效的减轻体重和治愈某些肥胖合并症,基本技术线路:应用腹腔镜手术,将一条可调节性胃束带捆绑在近端胃,把整个胃分成:上端小胃囊和下端大胃囊两个部分,小胃囊的容积约20-25毫升,该方法通过减少胃的容受性,限制患者摄入饮食,达到有效地减轻体重;在手术过程中,同时将三对胃肠传感器分别放置在胃大、小弯和十二指肠,两对双极电极也分别放置在胃小弯和十二指肠球部,电极线穿过腹壁,连接于放置在皮下的胃肠电刺激器,通过胃张力改变或体外遥控装置,设置和调控胃肠电刺激参数,进行胃肠电刺激,从而将胃肠电刺激信号传递到 [0022] The present invention is based on the conventional laparoscopic gastric banding and gastrointestinal electrical stimulation treatment of obesity, the combination of both apparatus developed a novel method of use thereof for treating obesity, the the method is simple, safe, economical, reversible, and can be more effective in weight loss and cure some complications of obesity, the basic technology lines: laparoscopic surgery, an adjustable gastric banding tied proximal stomach, the the entire stomach is divided into: an upper end and a lower end of the large pouch small stomach pouch is in two parts, a small stomach pouch volume of about 20-25 ml, the method of reducing the receptivity of the stomach, limiting patient dietary intake, reduces body weight to achieve effective; during the surgery, while the three pairs of sensors are placed on the gastrointestinal big stomach, duodenum and small bend, two pairs of bipolar electrodes placed respectively in the lesser curvature of the stomach and the duodenal part, through the electrode wire abdominal wall, is connected to a subcutaneously placed gastrointestinal electrical stimulator, or in vitro, to change the tension of the remote control device through the stomach, gastrointestinal electrical stimulation and regulation setting parameters, gastrointestinal stimulation, so that the electrical stimulation signal to the gastrointestinal 肠道浆膜、肌间、粘膜下神经丛以及中枢神经系统,影响胃肠道动力和改变机体内激素水平,以达到控制饮食,减轻体重。 Intestinal serosa myenteric, submucosal plexus and central nervous system, gastrointestinal motility and affect machine changes in hormone levels, in order to control diet, weight loss. 因此,将这两种有效、不同的减肥方法结合起来,无疑会取优弃弊,达到更加有效的治疗效果。 Therefore, these two effective combination of different methods to lose weight, will no doubt take advantage abandon disadvantages, to achieve a more effective treatment.

[0023]对于本领域技术人员而言,显然本发明不限于上述示范性实施例的细节,而且在不背离本发明的精神或基本特征的情况下,能够以其他的具体形式实现本发明。 In the case [0023] to those skilled in the art, that the invention is not limited to the details of the above-described exemplary embodiment, but without departing from the spirit or essential characteristics of the present invention, the present invention can be realized in other specific forms. 因此,无论从哪一点来看,均应将实施例看作是示范性的,而且是非限制性的,本发明的范围由所附权利要求而不是上述说明限定,因此旨在将落在权利要求的等同要件的含义和范围内的所有变化囊括在本发明内。 Therefore, no matter from what point of view, the embodiments should be considered exemplary, and not limiting, the scope of the invention being indicated by the appended claims rather than by the foregoing description, the appended claims are therefore intended to All changes which come within the meaning and range of equivalents thereof are within the present invention include. 不应将权利要求中的任何附图标记视为限制所涉及的权利要求。 In the claims should not be considered as any reference numerals as claimed in claim limitations involved.

[0024]此外,应当理解,虽然本说明书按照实施方式加以描述,但并非每个实施方式仅包含一个独立的技术方案,说明书的这种叙述方式仅仅是为清楚起见,本领域技术人员应当将说明书作为一个整体,各实施例中的技术方案也可以经适当组合,形成本领域技术人员可以理解的其他实施方式。 [0024] Further, it should be understood that while the present specification be described in terms of embodiments, but not every embodiment contains only a separate aspect, this narrative description only for the sake of clarity, those skilled in the specification should as a whole, the technical solutions in the respective embodiments may be suitably combined to form other embodiments of the present art can be appreciated in the art.

Claims (4)

  1. 1.一种治疗肥胖的胃束带联合胃肠电刺激装置,包括胃束带总成和胃肠电刺激总成,其特征在于,所述胃束带总成包括胃束带、注水导管和注水器,胃束带通过注水导管连接注水器,所述胃肠电刺激总成包括胃肠感应器、刺激电极和刺激器,所述胃肠感应器设有三对,刺激电极为两对双极电极,胃肠感应器和刺激电极分别与刺激器连接。 1. A method of treating obesity in gastric band GASTROENTERIC electrical stimulation device, comprising a gastric band assembly and gastrointestinal electrical stimulation assembly, wherein said assembly includes a gastric band gastric band, a catheter, and water water, a gastric band is connected by a water conduit water, said cartridge including gastrointestinal gastrointestinal electrical stimulation sensor, stimulator and stimulation electrodes, said sensor is provided with three pairs of gastrointestinal, two pairs of bipolar stimulating electrodes electrode, gastrointestinal irritation and the sensor electrodes are connected to the stimulator.
  2. 2.根据权利要求1所述的治疗肥胖的胃束带联合胃肠电刺激装置,其特征在于,所述胃束带采用娃胶束带。 The treatment of obesity gastric band according to claim 1 GASTROENTERIC electrical stimulation device, characterized in that the gastric band using micelles with baby.
  3. 3.根据权利要求1所述的治疗肥胖的胃束带联合胃肠电刺激装置,其特征在于,所述胃肠感应器、刺激电极与刺激器之间设有电路分配器和放大器。 The treatment of obesity gastric band according to claim 1 GASTROENTERIC electrical stimulation device, wherein, said inductor gastrointestinal stimulating the dispenser and the amplifier circuit is provided between the electrodes and the stimulator.
  4. 4.一种如权利要求1-3任一所述的治疗肥胖的胃束带联合胃肠电刺激装置的使用方法,其特征在于,包括以下步骤: (1)通过腹腔镜手术,将一条胃束带环绕在胃的上部,把胃分成上部的小胃囊和下部的大胃囊两个部分;将放置后的胃束带连接于注水导管和注水器,通过注入/抽出胃束带和注水器内生理盐水,调控胃束带间隙的大小,限制食物进入大胃囊的量和速度; (2)在腹腔镜放置胃束带后,同时将三对胃肠感应器分别放置在胃大、小弯和十二指肠,两对双极电极分别包埋在胃小弯和十二指肠球部,当下部的大胃囊或十二指肠扩张时,启动胃大、小弯和十二指肠处胃肠壁内胃肠感应器,通过电路分配器和放大器将胃肠张力增强信号传递到包埋在腹壁皮下的胃肠电刺激器,经过识别和程序化的胃肠张力,自动开启/关闭胃肠点刺激器和实施胃肠电刺激。 4. A method as claimed in any one of 1-3 treatment of obesity is gastric band GASTROENTERIC method of claim electrical stimulation device, characterized by comprising the steps of: (1) by laparoscopic surgery, a stomach strap around the upper portion of the stomach, the gastric pouch is divided into two large portions of the small gastric pouch and a lower portion of the upper; after the gastric band is placed in the catheter and is connected to a water injection device, by injecting / extracting gastric band and water the saline control, the regulation of the size of the band gap, and speed limit food into the stomach pouch is large; (2) in laparoscopic gastric band is placed, while the three pairs of sensors are placed on the gastrointestinal big stomach, duodenum and small bend, two pairs of bipolar electrodes are embedded in large pouch lesser curvature of the stomach and duodenal, when the lower or duodenum expansion, start stomach, small bend and eleven at the inner wall of the duodenum of the gastrointestinal gastrointestinal inductor, through the distributor circuit and the amplifier will transmit a signal to the GI increased tension in the gastrointestinal embedded electrical stimulator subcutaneous abdominal wall, through the identification and gastrointestinal programmed tension automatically on / off point gastrointestinal irritation and electrical stimulation of gastrointestinal embodiment.
CN 201510970328 2015-12-21 2015-12-21 Gastric banding and gastrointestinal electrical stimulation combined device for treating obesity and application method thereof CN105581861A (en)

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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20030164304A1 (en) * 2001-05-01 2003-09-04 Imran Mir A. Aendoscopic instrument system@
CN1838978A (en) * 2003-06-20 2006-09-27 超治疗股份有限公司 Gastrointestinal methods and apparatus for use in treating disorders
CN101524299A (en) * 2008-03-06 2009-09-09 伊西康内外科公司 Implantable restriction system having an antenna
CN102448365A (en) * 2009-04-03 2012-05-09 内测公司 Feedback systems and methods to enhance obstructive and other obesity treatments
US20150119953A1 (en) * 2001-05-01 2015-04-30 Intrapace, Inc. Responsive gastric stimulator

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20030164304A1 (en) * 2001-05-01 2003-09-04 Imran Mir A. Aendoscopic instrument system@
US20150119953A1 (en) * 2001-05-01 2015-04-30 Intrapace, Inc. Responsive gastric stimulator
CN1838978A (en) * 2003-06-20 2006-09-27 超治疗股份有限公司 Gastrointestinal methods and apparatus for use in treating disorders
CN101524299A (en) * 2008-03-06 2009-09-09 伊西康内外科公司 Implantable restriction system having an antenna
CN102448365A (en) * 2009-04-03 2012-05-09 内测公司 Feedback systems and methods to enhance obstructive and other obesity treatments

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