CN105997296A - Implanting instrument capable of preventing gastroesophageal reflux - Google Patents
Implanting instrument capable of preventing gastroesophageal reflux Download PDFInfo
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- CN105997296A CN105997296A CN201610493859.XA CN201610493859A CN105997296A CN 105997296 A CN105997296 A CN 105997296A CN 201610493859 A CN201610493859 A CN 201610493859A CN 105997296 A CN105997296 A CN 105997296A
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- locker
- cover plate
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/0004—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
- A61L31/04—Macromolecular materials
- A61L31/048—Macromolecular materials obtained by reactions only involving carbon-to-carbon unsaturated bonds
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
- A61L31/04—Macromolecular materials
- A61L31/06—Macromolecular materials obtained otherwise than by reactions only involving carbon-to-carbon unsaturated bonds
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
- A61L31/08—Materials for coatings
- A61L31/082—Inorganic materials
- A61L31/088—Other specific inorganic materials not covered by A61L31/084 or A61L31/086
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
- A61L31/08—Materials for coatings
- A61L31/10—Macromolecular materials
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
- A61L31/14—Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
- A61L31/16—Biologically active materials, e.g. therapeutic substances
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2210/00—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2210/00—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2210/009—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof magnetic
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2250/0001—Means for transferring electromagnetic energy to implants
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L2300/00—Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices
- A61L2300/20—Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices containing or releasing organic materials
- A61L2300/216—Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices containing or releasing organic materials with other specific functional groups, e.g. aldehydes, ketones, phenols, quaternary phosphonium groups
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L2300/00—Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices
- A61L2300/40—Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices characterised by a specific therapeutic activity or mode of action
- A61L2300/416—Anti-neoplastic or anti-proliferative or anti-restenosis or anti-angiogenic agents, e.g. paclitaxel, sirolimus
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L2300/00—Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices
- A61L2300/60—Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices characterised by a special physical form
- A61L2300/606—Coatings
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Surgery (AREA)
- Chemical & Material Sciences (AREA)
- Epidemiology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Chemical Kinetics & Catalysis (AREA)
- Inorganic Chemistry (AREA)
- Medicinal Chemistry (AREA)
- Molecular Biology (AREA)
- Urology & Nephrology (AREA)
- Prostheses (AREA)
Abstract
The invention relates to an implanting instrument capable of preventing gastroesophageal reflux. The implanting instrument comprises a magnetic chain and auxiliary lines, the magnetic chain comprises multiple magnetic devices, multiple connecting units and a lock catch device, each magnetic device comprises one or more annular magnets and a shell, and the internal circumferential face of each shell is an internal concave cambered surface; the adjacent magnetic devices are movably connected through one connecting unit, and each connecting unit comprises a connecting part and limiting parts arranged at the ends of the connecting part; the lock catch device comprises a first lock catch device body and a second lock catch device body, the magnetic chain is further provided with a starting magnetic device and a tail end magnetic device, the first lock catch device body and the second lock catch device body are arranged on a shell of the starting magnetic device and a shell of the tail end magnetic device respectively, and when the first lock catch device body and the second lock catch device body are combined, a closed annular magnetic chain ring is formed by the magnetic chain. According to the implanting instrument capable of preventing the gastroesophageal reflux, the design is reasonable, and the shape formed by connecting the magnetic chain in series is closer to a circle, so that the implanting instrument is more attached to the outer wall of esophagus after being implanted to the outer side of lower esophageal sphincter, and the effect of strengthening the LES through the instrument is exerted more sufficiently.
Description
Technical field
The present invention relates to a kind of medical embedded apparatus, more specifically, relate to the implantation instrument of a kind of anti-gastroesophageal reflux.
The implantation instrument of the present invention passes through laparoscopic surgery, is around to outside patient's lower esophageal sphincter, reaches to strengthen lower esophagus and include about
Flesh making capacity, plays the effect resisting gastric content reflux.
Background technology
Gastroesophageal reflux disease (GERD) refers to that the too much content reflux of Stomach duodenum enters esophagus and causes the heartburn disease that Dengs
Shape, and may result in the histologic lesion beyond the esophagus such as esophagitis and pharynx, larynx, air flue.Gastroesophageal reflux disease is in western countries very
Common, in crowd, about 7%~15% has a gastroesophageal reflux symptom, falls ill and increases with the age and increase, and 40~send out for peak for 60 years old
At the sick age, men and women falls ill zero difference, but has reflux esophagitis person, and male is more than women (2: 1 to 3: 1).Along with Chinese citizen
The raising day by day of living standard, the continuous westernization of life style, the raising the most year by year of the sickness rate of gastroesophageal reflux disease, patient's
Quantity will increase year by year.Meanwhile, along with the raising of living standards of the people, the requirement to quality of life also improves constantly, for
The demand of the gastroesophageal reflux disease that radical cure affects quality of life for a long time also will constantly expand and improve.Chinese Medical Association's disease for digest
Credit can add up display, and China's gastroesophageal reflux prevalence is 5.77%.Big city prevalence is the highest, Xi'an 16.98%,
Beijing 10.19%, Shanghai 7.7%, Zhejiang 7.28%.Also there is not good apparatus to treat gastroesophageal reflux disease at present, although
Unisem fundoplication, Unisem fundoplication is had to combine esophageal hiatus hernia repair, radio-frequency (RF) therapy three kinds treatment stomach esophagus
The operation of reflux disease, but postoperative it is often accompanied by complication, postoperative life is made a big impact, former capital does not recommend this type of hands
Art is treated.Abroad, through research and development for many years, existing similar products overcome disadvantage mentioned above, and such as, patent name is " treatment
Esophageal sphincter apparatus " United States Patent (USP) US 7,695,427 B2 disclose a kind of apparatus treating gastroesophageal reflux disease, a string
Magnetic pelletron, by peritoneoscope Minimally Invasive Surgery, two ends connect into a ring closed from beginning to end, are looped around patient's esophagus
Outside lower sphincter.But its shortcoming is: first, the ring of formation is round, it is impossible to well paste with outside inferior esophageal sphincter
Closing, when patient swallows food, esophagectasis can produce friction with apparatus, causes patient uncomfortable, patient can be caused what is more to eat
The symptom such as inflammation outside the lower sphincter of pipe;Secondly, two ends connect inconvenience from beginning to end, are unfavorable for that doctor operates, add operating time;
3rd, the pelletron of this magnetic implants after a period of time, and the gap between magnetic bead and adjacent magnetic bead can be by tissue bag
Wrap up in and fill, once find that patient is not in good time, take out relatively difficult.
Summary of the invention
It is an object of the invention to provide a kind of implantation instrument, the shape after this implantation instrument series connection Guan Bi is closer to
Circular so that described implantation instrument is being implanted to the outer rear flank of lower esophageal sphincter, and more laminating esophagus outer wall, reduces patient not
Suitable, alleviate the friction with apparatus outside esophageal patient's sphincter, play apparatus more fully and strengthen the effect of LES.
It is an object of the invention to be achieved through the following technical solutions:
A kind of implantation instrument of anti-gastroesophageal reflux, described implantation instrument includes magnetic linkage and boost line, it is characterised in that: institute
Stating magnetic linkage and include multiple magnetic devices, multiple connection unit and a locker, described magnetic devices includes one or more
Annular magnet and shell, the outer surface of described annular magnet is provided with coating, and described annular magnet is placed in described enclosure,
The inner peripheral surface of described shell is inner concave arc surface;Described connection unit includes connector and locating part, is used for being flexibly connected phase
Adjacent described magnetic devices, described locating part is arranged on the end of described connector, is used for limiting adjacent described magnetic
Spacing out of device;Described locker includes locker I and locker II, and described magnetic linkage also has initial magnetic dress
Put and end magnetic devices, described initial magnetic devices and described end magnetic devices all include one or more annular magnet and
Shell, described locker I is arranged on the described shell of described initial magnetic devices, and described locker II is arranged on
On the described shell of described end magnetic devices, after described implantation instrument is implanted, described locker I and described snap close dress
Putting the mutual involutory connection of II, described magnetic linkage forms closed circular magnetic linkage ring;Described boost line is separately positioned on described initial magnetic
Property device described shell on and described end magnetic devices described shell on.
The purpose of the present invention can also be realized further by following technical scheme:
In certain embodiments, the arc radius of described inner concave arc surface is more than or equal to the interior of described closed circular magnetic linkage ring
The radius of the circle of contact.
In certain embodiments, described connector is circular arc, and the arc radius of described connector is equal to described closed-loop
The radius of the inscribed circle of shape magnetic linkage ring and the radius sum of described magnetic devices.
In certain embodiments, described shell includes subshell, female shell and cover plate, described subshell and described female shell
Forming involutory connection, described cover plate is respectively fixedly connected with in described subshell and the end face of described female shell, and described cover plate sets
It is equipped with through hole, the described through hole axle of the described cover plate on the described through hole of the described cover plate on described subshell and described female shell
The heart is corresponding, and the two ends of described connector are each passed through adjacent two institute being arranged in two adjacent described magnetic devices
Stating the described through hole on cover plate, described locating part limits described connector and skids off from the described through hole of described cover plate.
In certain embodiments, described shell includes subshell, female shell, cover plate, described subshell and described female shell
Forming involutory connection, described cover plate is fixedly connected on the end face of described subshell, and described cover plate is provided with through hole, outside described mother
Shell is provided with through hole, and the described through hole of described cover plate is corresponding with the described through hole axle center of described female shell, described connector
Two ends are each passed through the described through hole on described cover plate adjacent in adjacent two magnetic devices and described female shell, described limit
Position part limits described through hole and the institute of described female shell of the described connector described cover plate from two adjacent magnetic devices
State in through hole and skid off.
In certain embodiments, described magnetic linkage is outside equipped with tubular film, and described tubular film is that degradation material is made.
In certain embodiments, described magnetic linkage is outside equipped with tubular film, and described tubular film is by politef, perfluor
Ethylene propylene copolymer or Parylene are made.
In certain embodiments, described shell being provided with the coating of suppression tissue cell growth, described coating is high score
Sub-coating or metal coating or drug-carried coat.
In some preferred embodiments, described drug-carried coat can increase by the suppression cell such as slow release rapamycin or paclitaxel
Medicine.
In certain embodiments, the coating of described annular magnet is medical non-degradable polymeric coating layer or is non-degradable
Bio-ceramic coating.Described medical non-degradable polymeric coating layer is polytetrafluorethylecoatings coatings, or Parylene coating, or
Methyl-silicone oil coating.Described nondegradable bio-ceramic coating is titanium nitride coating or titania coating.
In certain embodiments, described locker I and described locker II be kayser connect, threaded, gluing
Connect or seam ties up connection.
In some preferred embodiments, the structure that described kayser connects is at locker I and described locker II
End face on be provided with the latching structure of male-female engagement.
In some preferred embodiments, described kayser connect structure for be provided with groove on described locker I,
Described locker II is provided with flexible clamp piece, and described flexible clamp piece is compressed to further expansion in described groove so that it is interconnect mutually
Connect.
In some preferred embodiments, the structure that described kayser connects is to set elasticity in described locker I is provided with
The groove of fastener, described locker II is provided with the bulge-structure with draw-in groove, and described flexible clamp piece moves to described lock
Described locker I and described locker II is made to be connected with each other in the described draw-in groove of the described bulge-structure of buckle device II.
In certain embodiments, described locating part is bulge-structure, and described bulge-structure is spheroidal, oval spherical or flat
Flat shape.
In certain embodiments, the inner peripheral surface of the described shell of described initial magnetic devices and described end magnetic devices
Being inner concave arc surface, the arc radius of described inner concave arc surface is equal to the radius of the inscribed circle of described closed circular magnetic linkage ring.
The present invention compared with prior art has the advantage that
1. the shape formed after magnetic linkage series connection described in is closer to circle so that the implantation instrument of the present invention is being implanted to
The outer rear flank of lower esophageal sphincter, more laminating esophagus outer wall, alleviates the discomfort of patient, reduces outside the esophageal sphincter of patient and device
The friction of tool, plays apparatus more fully and strengthens the effect of LES.
2. the present invention is provided with initial magnetic devices and end magnetic devices, at initial magnetic devices and end magnetic devices
On be respectively arranged with locker I and locker II, easy to connect between the two locker, by pullling boost line,
Two lockers fit together owing to annular magnet attracts each other, and only need to adjust some angles, so that it may quickly by snap close
Device, to closing, facilitates surgical operation, reduces operating time, increases procedure efficiency.
3. the connector of the present invention is circular arc, decreases magnetic linkage friction during extensional motion, adds magnetic linkage
Service life.
4. the annular magnet surface of the present invention has coating, and coating has good antiacid alkali resistant ability, chemical property
Stable so that annular magnet is well-protected, and magnetic is not by ectocine so that magnetic linkage gastric of resisting the most in vivo holds
The effect of thing reflux is constant.
5. there is on the shell of the present invention coating of suppression tissue cell growth so that case surface is more smooth, fiber group
Knitting and be difficult to wrap magnetic linkage, therefore expansion scope and the Guan Bi performance of magnetic linkage after implanting are not impacted by fibrous tissue, and,
When patient has discomfort to described magnetic linkage when, it is also possible to facilitate doctor quickly to take out magnetic linkage.
6. the magnetic linkage of the present invention is outside equipped with tubular film, and magnetic linkage is isolated by described tubular film with tissue so that
Will not be filled up by fibrous tissue between adjacent magnetic devices, cause magnetic linkage to be expanded avoiding tissue to be embedded between magnetic devices
Resistance increases, thus causes patient's dysphagia, meanwhile, when patient has discomfort to described magnetic linkage when, can facilitate doctor
Quickly take out magnetic linkage.
7, the described tubular film of the present invention is that degradation material is made, and the purpose using degradation material is when magnetic linkage quilt
At the implantation initial stage, material does not has degradable, therefore can play the effect of isolation so that the gap of magnetic linkage will not be filled up by tissue,
When patient has discomfort to described magnetic linkage when, doctor can be facilitated quickly to take out magnetic linkage.
Accompanying drawing explanation
Fig. 1 shows the structural representation of implantation instrument of the present invention.
Fig. 2 shows the magnetic linkage straight line sectional structure schematic diagram of implantation instrument of the present invention.
Fig. 3 shows the magnetic linkage structure cross-sectional schematic of an embodiment of implantation instrument of the present invention.
Fig. 4 shows the magnetic devices structure cross-sectional schematic of an embodiment of implantation instrument of the present invention.
Fig. 5 shows the cut-away view of outer cover of an embodiment of implantation instrument of the present invention.
Fig. 6 shows side-looking and the cross-sectional schematic of the subshell structure of an embodiment of implantation instrument of the present invention.
Fig. 7 shows side-looking and the cross-sectional schematic of female shell mechanism of an embodiment of implantation instrument of the present invention.
Fig. 8 shows the covering plate structure schematic diagram of an embodiment of implantation instrument of the present invention.
Fig. 9 shows the structural representation that inner peripheral surface is inner concave arc surface of the described shell of implantation instrument of the present invention.
Figure 10 shows the structural representation of the connector of implantation instrument of the present invention.
Figure 11 show schematic side view that the locker I of implantation instrument of the present invention and initial magnetic devices be integrated and
Cross-sectional schematic.
Figure 12 shows the schematic side view that the locker II of implantation instrument of the present invention and end magnetic devices are integrated
And cross-sectional schematic.
Figure 13 shows that the initial magnetic devices of implantation instrument of the present invention and the inner peripheral surface of end magnetic devices are indent
The structural representation of cambered surface.
Figure 14 show the initial magnetic devices of implantation instrument of the present invention and schematic side view that locker I is split and
Cross-sectional schematic.
Figure 15 shows that the locker II of implantation instrument of the present invention and end magnetic devices are the schematic side view of split
And cross-sectional schematic.
Figure 16 shows the structural representation of the locker of an embodiment of implantation instrument of the present invention.
Figure 17 shows the structural representation of the locker of another embodiment of implantation instrument of the present invention.
Figure 18 shows side-looking and the sectional structure signal of the locker I of an embodiment of implantation instrument of the present invention
Figure.
Figure 19 shows the structural representation of the locker II of an embodiment of implantation instrument of the present invention.
Figure 20 shows flexible clamp piece and the structural representation of baffle plate of an embodiment of implantation instrument of the present invention.
Figure 21 shows side-looking and the sectional structure signal of the locker I of another embodiment of implantation instrument of the present invention
Figure.
Figure 22 shows the structural representation of the locker II of another embodiment of implantation instrument of the present invention.
Figure 23 shows the structural representation of the Elastic buckle of implantation instrument of the present invention.
Figure 24 shows the structural representation of the circular housing of implantation instrument of the present invention.
Figure 25 shows the structural representation of the back-up ring of implantation instrument of the present invention.
Figure 26 shows the structural representation of the locker of another embodiment of implantation instrument of the present invention.
Figure 27 shows the structural representation of the locker of another embodiment of implantation instrument of the present invention.
Figure 28 shows the magnetic linkage structure cross-sectional schematic of another embodiment of implantation instrument of the present invention.
Figure 29 shows the shell mechanism cross-sectional schematic of another embodiment of implantation instrument of the present invention.
Figure 30 shows the magnetic linkage linear structure cross-sectional schematic of another embodiment of implantation instrument of the present invention.
Figure 31 a, Figure 31 b shows the magnetic linkage structure cross-sectional schematic of another embodiment of implantation instrument of the present invention.
Detailed description of the invention
For making the purpose of the present invention, technical scheme and advantage clearer, develop simultaneously embodiment referring to the drawings, right
The present invention is described in detail.
Embodiment one
The implantation instrument 1 of a kind of anti-gastroesophageal reflux of the present invention, as it is shown in figure 1, include magnetic linkage 2 and boost line 3;Such as figure
Shown in 3, described magnetic linkage 2 includes multiple magnetic devices 21, multiple connection unit 22, locker 23;As shown in Figure 4, described magnetic
Property device 21 includes that one or more ringshaped magnet 212 and shell 211, the outer surface of annular magnet 212 are provided with coating, and quilt
It is arranged in shell 211;As it is shown in figure 9, the periphery of described shell 211 is inner concave arc surface 2114;As shown in Figure 10, described company
Order unit 22 includes connector 221 and locating part 222, and described connector 221 is circular arc, is used for being flexibly connected adjacent institute
Stating magnetic devices 21, described locating part 222 is arranged on the end of described connector 221 for limiting adjacent described magnetic dress
Putting 21 space out, described locating part 222 is bulge-structure, and described bulge-structure is spheroidal, oval spherical or pancake;
As in figure 2 it is shown, described locker 23 includes that locker I231 and locker II232, described magnetic linkage 2 also have initial magnetic
Property device 24 and end magnetic devices 25, described locker I231 is arranged on the shell 241 of described initial magnetic devices 24
On, described locker II232 is arranged on the shell 251 of described end magnetic devices 25, and described implantation instrument 1 is implanted
After, during the mutual involutory connection of described locker I231 and described locker II232, described magnetic linkage 2 forms closed circular magnetic
Chain link;Described boost line 3 is separately positioned on the described shell 241 of described initial magnetic devices 24 and described end magnetic fills
Put on the described shell 251 of 25.As it is shown in figure 5, described shell 211 includes subshell 2111, female shell 2112 and cover plate 2113,
Described subshell 2111 and described female shell 2112 form involutory connection, and described cover plate 2113 is respectively fixedly connected with in described son
The end face of shell 2111 and the end face of described female shell 2112, as shown in Figure 8, described cover plate 2113 is provided with through hole 21131, institute
State described cover plate 2113 on the described through hole 21131 of described cover plate 2113 on subshell 2111 and described female shell 2112
Described through hole 21131 axle center is corresponding, and the two ends of described connector 221 are each passed through and are arranged on two adjacent described magnetic dresses
Put the through hole 21131 on the described cover plate of adjacent two 2113 in 25, described locating part 222 limit described connector 221 from
The described through hole 21131 of described cover plate 2113 skids off.As shown in Figure 6, described subshell 2111 is provided with circular trough 21111, as
Shown in Fig. 7, described female shell 2112 is provided with circular trough 21121, and one end of described connection unit 22 is through described cover plate 2113
Through hole 21131, the other end of described connection unit 22 passes the through hole 21131 of another described cover plate 2113 adjacent thereto,
Described cover plate 2113 snaps in the interior and fixing connection of described circular trough 21111, and another described cover plate 2113 snaps onto adjacent magnetic
Property device 21 shell 211 female shell 2112 in described circular trough 21121 in and fixing connect so that adjacent described magnetic
Device 21 is flexibly connected, and in this way, multiple described magnetic devices 21 are coupled together by multiple described connection unit 22.
As is illustrated by figs. 11 and 12, described initial magnetic devices 24 include shell 241 and be arranged in shell 241 ring-type
Magnet 212, described end magnetic devices 25 includes shell 251 and the annular magnet 212 being arranged in shell 251, described shell
241 include subshell 2411, female shell 2412 and cover plate 2113, and described shell 251 includes subshell 2511, female shell 2512 He
Cover plate 2113, described locker I231 and described locker II232 are separately positioned on described female shell 2412 and described
On female shell 2512.Described locker I231 and described female shell 2412 have two kinds of design structures, and one is integral type structure,
As shown in figure 11;Another kind is split-type structural, as shown in figure 14.Described locker II232 and described female shell 2512 are also
Having two kinds of design structures, one is integral type structure, as shown in figure 12;Another kind is split-type structural, as shown in figure 13.Described
Subshell 2411 and described subshell 2511 are respectively equipped with circular trough 24111 and circular trough 25111, described circular trough 24111 He
Being respectively arranged with cover plate 2113 in circular trough 25111, one end of described connection unit 22 leads to through the described of described cover plate 2113
Hole 21131, the other end of described connection unit 22 is through the through hole of the described cover plate 2113 of magnetic devices 21 adjacent thereto
11131, described cover plate 2113 snaps onto the described circular trough 24111 in described initial magnetic devices 24 fixing connection, another
Individual described cover plate 2113 snaps onto the described female shell in the described magnetic devices 21 adjacent with described initial magnetic devices 24
Described circular trough 21121 in 2112 fixing connection so that described initial magnetic devices 24 and adjacent described magnetic devices 21
Being flexibly connected, same principle, described cover plate 2113 snaps onto the described circular trough 25111 in described end magnetic devices 25 also
Fixing connecting, it is described that another described cover plate 2113 snaps onto in the described female shell 2112 in adjacent described magnetic devices 21
Circular trough 21121 fixing connection so that described end magnetic devices 25 and adjacent described magnetic devices 21 are flexibly connected, so
Connect the linearity forming the described magnetic linkage 2 shown in Fig. 2.As shown in Fig. 9 and 13, the periphery 2114 of described shell 211, described
The periphery 2413 of the shell 241 of initial magnetic devices 24 and the periphery 2513 of the shell 251 of described end magnetic devices 25
Being inner concave arc surface, described inner concave arc surface is arc-shaped, when described locker I231 and the involutory company of described locker 11232
After connecing so that described magnetic linkage 2 forms closed circular magnetic linkage ring as shown in Figure 3, and the inscribe of the magnetic linkage ring of described magnetic linkage 2 formation
Radius of circle is more than or equal to the arc radius of the described inner concave arc surface 2114 of described shell 211, and the indent of described shell 241
The arc radius of the inner concave arc surface 2513 of cambered surface 2413 and described shell 251.Such purpose of design is, described magnetic linkage 2 is right
The magnetic linkage ring formed after conjunction is closer to circle so that described implantation instrument 1 is being implanted to the outer rear flank of lower esophageal sphincter, more
Laminating esophagus outer wall, reduces the extruding to esophagus outer wall, reduces the discomfort of patient, simultaneously when described magnetic linkage 1 expansion Guan Bi, and energy
Alleviate the friction with described magnetic linkage 1 outside esophageal patient's sphincter, it is to avoid should rub and the symptom such as inflammation outside the esophagus that causes,
Play described magnetic linkage 2 more fully and strengthen the effect of LES.
Described connector 221 is circular arc, and the circular arc radius of described connector 221 is equal to described closed circular magnetic linkage ring
The radius of the inscribed circle of 2 and the radius sum of described magnetic devices 21, such purpose of design is, when described magnetic linkage 2 is expanded
During Guan Bi, described magnetic devices 21 does circular motion along the circular arc of described connector 221, reduce described connector 221 with
The friction between through hole 21131 in described cover plate 2113 so that the abrasion of described through hole 21131 reduces, the most described through hole
The aperture of 21131 is the most variable greatly, and then locating part 222 is difficult to from institute described in the long-term expansion closing course of described magnetic linkage 2
Depart from stating through hole 21131, thus add the service life of described magnetic linkage 2.
Described shell 211, the shell 241 of described initial magnetic devices 24 and the shell 251 of described end magnetic devices 25
Surface there is the coating of suppression tissue cell growth, described coating can be medical non-degradable polymeric coating layer or metal coating or
Drug-carried coat, in a preferred embodiment, described drug-carried coat, described drug-carried coat can slow release rapamycin or paclitaxel
The medicine increased in suppression cell so that described shell 211, the shell 241 of described initial magnetic devices 24 and described end magnetic
The surface of the shell 251 of property device 25 is difficult to adhesion organization, and the most described magnetic linkage 2 will not be wrapped up by the fibrous tissue in human body
Living so that during described magnetic linkage 2 expansion Guan Bi, fibrous tissue can only be at the scope outgrowth of described magnetic linkage 2 expansion, will not be to described
The expansion scope of magnetic linkage 1 and expansion Guan Bi performance impact, additionally, for the patient that described magnetic linkage 2 is had discomfort, it is also possible to
Doctor is facilitated to take out magnetic linkage 2 rapidly.
In certain embodiments, the surface of described annular magnet 112 has coating, in a preferred embodiment, and institute
Stating coating is medical non-degradable polymeric coating layer, and described medical non-degradable polymeric coating layer is polytetrafluorethylecoatings coatings, or poly-right
Dimethylbenzene coating, or methyl-silicone oil coating;In another preferred embodiment, described coating can also is that nondegradable life
Thing ceramic coating, described nondegradable bio-ceramic coating is titanium nitride or titania coating, due to the chemically stable of coating
Property, there is antiacid and alkali resistance so that when described magnetic linkage 2 is after implanting in human body, and described annular magnet 112 obtains well
Protection.
In certain embodiments, as is illustrated by figs. 11 and 12, on described female shell 2412 of described initial magnetic devices 24
Being provided with through hole 24121, described female shell 2512 of described end magnetic devices 25 is provided with through hole 25121, described boost line 3 points
Not Chuan Guo described through hole 24121 and described through hole 25121, described boost line 3 ties a knot respectively, described locker I231 periphery
Being provided with draw-in groove 2311 and clamp 2312, described locker II232 periphery is provided with draw-in groove 2321 and clamp 2322, passes through
Pullling described boost line 3 and snap in described draw-in groove 2321 by described clamp 2312, the most described clamp 2322 snaps onto described
In draw-in groove 2311 so that described locker I231 and locker II232 axially cannot move, longitudinally due to described initial
The attracting each other and do not break away, so of described annular magnet 112 in magnetic devices 24 and described end magnetic devices 25
Design facilitate surgical operation, reduce operating time, improve procedure efficiency.
In another embodiment, as shown in figure 16, described locker I231 end face is provided with groove 2311, described lock
Buckle device II232 end face is provided with the bulge-structure 2321 matched with described groove 2311, is blocked by described bulge-structure 2321
Enter in described groove 2311, again such that described locker I231 and locker II232 axially cannot move, longitudinally due to
Attracting each other of described annular magnet 112 in described initial magnetic devices 24 and described end magnetic devices 25 and do not occur
Break away, described groove 2311 be shaped as V-shape, or semicircle, or rectangle, the shape of described bulge-structure 2321 and therewith
The shape of corresponding described groove 2311 is the same.
In another embodiment, as shown in figure 17, described locker I231 is provided with circular groove 2311, and described circle is recessed
Groove 2311 is provided with female thread 23111, and described locker II232 is provided with protruding column 2321, and described protruding column 2321 is provided with
External screw thread 23211, described external screw thread 23211 and described female thread 23111 threaded engagement, by described locker II232 and institute
State locker I231 to be connected with each other.
In another embodiment, as shown in figure 18, described locker I231 is provided with circular groove 2311 and circle is oblique
Face 2312;As shown in figure 19, described locker II232 is provided with flexible clamp piece 2321 and matches with described flexible clamp piece 2321
Through hole 2323, and described flexible clamp piece 2321 is limited in described through hole 2323 movable baffle plate 2322, described baffle plate
2322 are provided with through hole 23221, and described flexible clamp piece 2321 includes spring 23212 and buckle 23211, the one of described buckle 23211
End is provided with Surface of Sphere 232111, and the other end is provided with groove 232112, and one end of described spring 23212 snaps in described buckle 23211
Described groove 232112 in, the other end of described spring 14212 snaps in the described groove of another described buckle 23211
In 232112, being inserted in described through hole 2323 by described flexible clamp piece 2321, described baffle plate 2322 is overlapped by described through hole 23221
Entering in described buckle 23211, described baffle plate 2322 is fixing with the end face of described through hole 2323 to be connected so that described flexible clamp piece
2321 are limited in described baffle plate 2322, described flexible clamp piece 2321 along described circular sloped surface 2312 axially move time,
Two described buckles 23211 are squeezed mutually draw close, when buckle 23211 enters described by described circular sloped surface 2312
During groove 2311, described buckle 23211 is ejected by the outside power of described spring 23212, just makes described buckle 23211
Snap in described groove 2311, and described groove 2311 be longitudinally the annulus closed, so make described locker I231 and
Described locker II232 cannot move, described locker I231 and described locker II232 phase
Connect.
In another embodiment, as shown in Figure 21, Figure 23 and Figure 24, described locker I231 includes Elastic buckle
2312, spring 2313, circle shell 2314, the periphery of described Elastic buckle 2312 is provided with circular groove 23122 and curve slope
23121, one end of described spring 2313 snaps onto in described round recessed 23122, and fixing connection, the interior table of described round shell 2314
Face is inner headed face 23141, is provided with circular groove 23142 on described inner headed face 23141, and two described Elastic buckles 2312 are right
Connect formation circular, put into the inner headed face of described round shell 2314 after being docked by two described Elastic buckles 2312, with described bullet
Property the fixing described spring 2313 connected of buckle 2312 the other end snap onto in corresponding described round recessed 23141, and fix
Connect so that described Elastic buckle 2312 and described circular housing 2314 are flexibly connected, described Elastic buckle 2312 and described circle
Shell 2314 forms a groove 2315, and described back-up ring 2311 is provided with through hole 23111, by described through hole 23111 and described inner headed face
23141 concentric alignment, by described back-up ring 2311 and the fixing connection of described circular housing 2314 so that described Elastic buckle 2312 He
Described spring 2313 is limited in described back-up ring 2311;As shown in figure 22, described locker II232 is provided with bulge-structure
2321, when described bulge-structure 2321 is squeezed into the described circular sloped surface 23121 of described Elastic buckle 2312, described elastic card
Button 2312 shrinks to longitudinal direction, after described bulge-structure 2321 enters into described groove 2315, and described Elastic buckle 2312
By the bounce of described spring 2313, Elastic buckle 2312 resets so that described bulge-structure 2321 cannot be from described groove
Axially pull out in 2315, and described groove 2315 is longitudinally the annulus closed so that described locker I231 and described snap close
Device II232 cannot move, and described locker I231 and described locker II232 is connected with each other.
In another embodiment, as shown in figure 26, described locker 23 includes locker I231, locker
II232 and seam wiring 233, described locker I231 is provided with through hole 2311, and described locker II232 is provided with through hole
2321, the head end of described seam wiring 233 is through the described through hole 2311 of described locker I231, the end of described seam wiring 233
Hold the described through hole 2321 through described locker II232, the first and last end of described seam wiring 233 is tied a knot so that described lock
Buckle device I231 and described locker II232 axially cannot move, longitudinally due at described initial magnetic devices 24 and described
The attracting each other and do not break away of described annular magnet 112 in end magnetic devices 25, described locker I231 and institute
State locker II232 to be connected with each other.
In another embodiment, as shown in figure 27, use between described locker I231 and described locker II232
Glue is gluing fixing, fills glue, by pullling described boost line 3, by institute on the end face 2311 of described locker I231
The end face 2321 stating locker II232 is fitted on described end face 2311 fixing connection, and glue used has to comply with medical grade
Requirement.
Embodiment two
The structure of the implantation instrument described in the structure of the implantation instrument in the present embodiment and embodiment one is essentially identical, no
Being with part, as shown in figure 29, described shell 211 includes subshell 2111, female shell 2112, cover plate 2113, outside described son
Shell 2111 and described female shell 2112 form involutory connection, and described cover plate 2113 is fixedly connected on the end of described subshell 2111
Face, described cover plate 2113 is provided with through hole 21131, and described female shell 2112 is provided with through hole 21121, the institute of described cover plate 2113
Stating through hole 21131 corresponding with described through hole 21121 axle center of described female shell 2112, one end of described connection unit 22 passes
The described through hole 21121 of described female shell 2112, the other end of described connection unit 22 is through adjacent described magnetic devices 21
The described through hole 21131 of described cover plate 2113, described cover plate 2113 snaps onto the described circular trough of described subshell 2111
21111 interior and fixing connections so that adjacent described magnetic devices 21 is flexibly connected, mode successively, multiple described magnetic is filled
Put 21 to couple together.Additionally, one end of described connection unit 22 is through the described through hole 21121 of described female shell 2112, described
Connect the other end described through hole 21131 through the described cover plate 2113 of described initial magnetic devices 24 of unit 22, described lid
Plate 2113 snaps onto the interior and fixing connection of described circular trough 24111 of described subshell 2411 so that described initial magnetic devices
24 and adjacent described magnetic devices 21 be flexibly connected;One end of described connection unit 22 is through the described cover plate of magnetic devices 21
The described through hole 21131 of 2113, the other end of described connection unit 22 is through the described cover plate of described end magnetic devices 25
The described through hole 21131 of 2113, in described cover plate 2113 snaps onto the described circular trough 25111 of described subshell 2511 and fix
Connecting, the described circular trough 21111 that the described cover plate 2113 of described magnetic devices 21 snaps onto described subshell 2111 is interior and solid
Fixed connection so that described end magnetic devices 25 and adjacent described magnetic devices 21 are flexibly connected.As shown in figure 28, by described lock
Buckle device I231 and the described involutory connection of locker II232, form magnetic linkage ring.
Embodiment three
The structure of the implantation instrument in the structure of the implantation instrument in the present embodiment and embodiment one is essentially identical, difference
Place is, in embodiment three, is outside equipped with tubular film 4 at described magnetic linkage 2.Described tubular film is by magnetic linkage 2 and human body group
Knit isolation so that will not be filled up by fibrous tissue between adjacent magnetic devices 21, to avoid tissue to be embedded into magnetic devices 21
Between cause magnetic linkage 2 to expand resistance increasing, thus cause patient's dysphagia.As shown in figure 30, connect into directly at described magnetic linkage 2
During line style, being nested in described tubular film 4 by described magnetic linkage 2, the outer wall of described magnetic linkage 2 is fitted in described tubular film 4
On inwall, in certain embodiments, described tubular film 4 is by politef, fluorinated ethylene propylene copolymer or poly-to diformazan
Benzene is made.As shown in Figure 31 a and Figure 31 b, described tubular film 4 is stacked structure so that described locker I231 and described
When the involutory connection of locker II232 forms magnetic linkage ring, described tubular film 4 forms annulus along with described magnetic linkage 2, plants when described
Entering after apparatus 1 is implanted to human body, when described magnetic linkage 2 does expansion Guan Bi, described tubular film 4 also expands along with described magnetic linkage 2 simultaneously
Opening Guan Bi, described tubular film 4 is difficult to coherent substance, will not be wrapped up by the fibrous tissue in human body, described tubular film 4 chemistry
Stable performance, will not be corroded by the tissue fluid in human body, will not be to the expansion model of described magnetic linkage 2 in implantation long-term in human body
Enclose and expand Guan Bi performance to impact, and when patient has discomfort to described magnetic linkage 2 when, it is possible to facilitate doctor by fast
Take out fastly.In certain embodiments, described tubular film 4 is made for degradation material.Described degradation material is for having life
The degradable material of the thing compatibility, such as polylactic acid etc..The purpose using degradation material is that material does not has when the magnetic linkage 2 implanted initial stage
Have degradable, therefore can play the effect of isolation so that the gap of magnetic linkage 2 will not be filled up by tissue, when patient is to described magnetic
The when that chain 2 having discomfort, doctor can be facilitated quickly to take out magnetic linkage 2.
Last it should be noted that, the foregoing is only the preferred embodiment of the present invention, not in order to limit this
Invention, all any amendment, equivalent and improvement etc. made within the spirit and principles in the present invention, should be included in this
Within bright protection domain.
Claims (12)
1. an implantation instrument for anti-gastroesophageal reflux, described implantation instrument includes magnetic linkage and boost line, it is characterised in that: described
Magnetic linkage includes multiple magnetic devices, multiple connection unit and a locker, and described magnetic devices includes one or more ring
Shape magnet and shell, the outer surface of described annular magnet is provided with coating, and described annular magnet is placed in described enclosure, institute
The inner peripheral surface stating shell is inner concave arc surface;Described connection unit includes connector and locating part, is used for being flexibly connected adjacent
Described magnetic devices, described locating part is arranged on the end of described connector, is used for limiting adjacent described magnetic dress
That puts spaces out;Described locker includes locker I and locker II, and described magnetic linkage also has initial magnetic devices
All include that one or more annular magnet is with outer with end magnetic devices, described initial magnetic devices and described end magnetic devices
Shell, described locker I is arranged on the described shell of described initial magnetic devices, and described locker II is arranged on institute
State on the described shell of end magnetic devices, after described implantation instrument is implanted, described locker I and described locker
The mutual involutory connection of II, described magnetic linkage forms closed circular magnetic linkage ring;Described boost line is separately positioned on described initial magnetic
On the described shell of device and on the described shell of described end magnetic devices.
The implantation instrument of anti-gastroesophageal reflux the most according to claim 1, it is characterised in that: the circular arc of described inner concave arc surface
Radius is more than or equal to the radius of the inscribed circle of described closed circular magnetic linkage ring.
The implantation instrument of anti-gastroesophageal reflux the most according to claim 1, it is characterised in that: described connector is circular arc
Shape, the arc radius of described connector is equal to the radius and the half of described magnetic devices of the inscribed circle of described closed circular magnetic linkage ring
Footpath sum.
The implantation instrument of anti-gastroesophageal reflux the most according to claim 1, it is characterised in that: described shell includes outside son
Shell, female shell and cover plate, described subshell and described female shell form involutory connection, and described cover plate is respectively fixedly connected with in institute
Stating subshell and the end face of described female shell, described cover plate is provided with through hole, and the described of the described cover plate on described subshell is led to
Hole is corresponding with the described through hole axle center of the described cover plate on described female shell, and the two ends of described connector are each passed through and are arranged on
The described through hole on the described cover plate of adjacent two in two adjacent described magnetic devices, described locating part limits described company
Fitting skids off from the described through hole of described cover plate.
The implantation instrument of anti-gastroesophageal reflux the most according to claim 1, it is characterised in that: described shell includes outside son
Shell, female shell, cover plate, described subshell and described female shell form involutory connection, and described cover plate is fixedly connected on described son
The end face of shell, described cover plate is provided with through hole, and described female shell is provided with through hole, the described through hole of described cover plate and described mother
The described through hole axle center of shell is corresponding, and the two ends of described connector are each passed through institute adjacent in adjacent two magnetic devices
Stating the described through hole on cover plate and described female shell, described locating part limits described connector from two adjacent magnetic devices
The described through hole of described cover plate and the described through hole of described female shell in skid off.
The implantation instrument of anti-gastroesophageal reflux the most according to claim 1, it is characterised in that: described magnetic linkage is outside equipped with pipe
Shape thin film, described tubular film is that degradation material is made.
The implantation instrument of anti-gastroesophageal reflux the most according to claim 1, it is characterised in that: described magnetic linkage is outside equipped with pipe
Shape thin film, described tubular film is made up of politef, fluorinated ethylene propylene copolymer or Parylene.
The implantation instrument of anti-gastroesophageal reflux the most according to claim 1, it is characterised in that: it is provided with on described shell and presses down
The coating of tissue cell growth processed, described coating is polymeric coating layer or metal coating or drug-carried coat.
The implantation instrument of anti-gastroesophageal reflux the most according to claim 1, it is characterised in that: the coating of described annular magnet
Coating for medical non-degradable polymeric coating layer or described annular magnet is nondegradable bio-ceramic coating.
The implantation instrument of anti-gastroesophageal reflux the most according to claim 1, it is characterised in that: described locker I and institute
Stating locker II is that kayser connection, connection threaded, gluing or seam tie up connection.
The implantation instrument of 11. anti-gastroesophageal reflux according to claim 1, it is characterised in that: described locating part is protruding
Structure, described bulge-structure is spheroidal, oval spherical or pancake.
The implantation instrument of 12. anti-gastroesophageal reflux according to claim 1, it is characterised in that: described initial magnetic devices
Being inner concave arc surface with the inner peripheral surface of the described shell of described end magnetic devices, the arc radius of described inner concave arc surface is equal to
The radius of the inscribed circle of described closed circular magnetic linkage ring.
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CN201610493859.XA CN105997296B (en) | 2016-06-30 | 2016-06-30 | A kind of implantation instrument of anti-gastroesophageal reflux |
PCT/CN2017/089938 WO2018001192A1 (en) | 2016-06-30 | 2017-06-26 | Anti-gastroesophageal reflux implantation device |
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CN201610493859.XA CN105997296B (en) | 2016-06-30 | 2016-06-30 | A kind of implantation instrument of anti-gastroesophageal reflux |
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CN105997296B CN105997296B (en) | 2018-11-02 |
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CN108309384A (en) * | 2018-02-10 | 2018-07-24 | 四川大学华西医院 | A kind of Endoscopic Treatment magnet |
CN108309384B (en) * | 2018-02-10 | 2019-08-06 | 四川大学华西医院 | A kind of Endoscopic Treatment magnet |
CN108543165A (en) * | 2018-02-27 | 2018-09-18 | 宁波胜杰康生物科技有限公司 | A kind of muscular function auxiliary device based on carrier |
CN113226199A (en) * | 2018-10-11 | 2021-08-06 | M·雅各布斯 | Improved gastroesophageal reflux treatment system, method and apparatus |
WO2020088428A1 (en) * | 2018-11-01 | 2020-05-07 | 史源 | Organism sphincter aiding apparatus |
CN113329700A (en) * | 2018-12-17 | 2021-08-31 | 西拉格国际有限公司 | Coupling assembly for an implantable sphincter assist device |
CN110179572A (en) * | 2019-06-20 | 2019-08-30 | 浙江省人民医院 | Implantation equipment for physiotherapy |
Also Published As
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WO2018001192A1 (en) | 2018-01-04 |
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