DK2240131T3 - Indretning til behandling af fedme - Google Patents

Indretning til behandling af fedme Download PDF

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Publication number
DK2240131T3
DK2240131T3 DK09705457.1T DK09705457T DK2240131T3 DK 2240131 T3 DK2240131 T3 DK 2240131T3 DK 09705457 T DK09705457 T DK 09705457T DK 2240131 T3 DK2240131 T3 DK 2240131T3
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DK
Denmark
Prior art keywords
stomach
stretching
patient
stomach wall
energy
Prior art date
Application number
DK09705457.1T
Other languages
English (en)
Inventor
Peter Forsell
Original Assignee
Kirk Promotion Ltd
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Filing date
Publication date
Family has litigation
First worldwide family litigation filed litigation Critical https://patents.darts-ip.com/?family=40913034&utm_source=google_patent&utm_medium=platform_link&utm_campaign=public_patent_search&patent=DK2240131(T3) "Global patent litigation dataset” by Darts-ip is licensed under a Creative Commons Attribution 4.0 International License.
Application filed by Kirk Promotion Ltd filed Critical Kirk Promotion Ltd
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Publication of DK2240131T3 publication Critical patent/DK2240131T3/da

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    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/08—Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
    • A61B2017/081—Tissue approximator
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/30—Surgical pincettes without pivotal connections
    • A61B2017/306—Surgical pincettes without pivotal connections holding by means of suction
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/30—Surgical pincettes without pivotal connections
    • A61B2017/306—Surgical pincettes without pivotal connections holding by means of suction
    • A61B2017/308—Surgical pincettes without pivotal connections holding by means of suction with suction cups
    • 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
    • A61F2/02—Prostheses implantable into the body
    • A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2002/044—Oesophagi or esophagi or gullets
    • 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
    • A61F2/02—Prostheses implantable into the body
    • A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2002/045—Stomach, intestines
    • A—HUMAN NECESSITIES
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    • 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
    • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
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    • A61F5/0013—Implantable devices or invasive measures
    • A61F2005/0016—Implantable devices or invasive measures comprising measuring means
    • 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
    • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/0003—Apparatus for the treatment of obesity; Anti-eating devices
    • A61F5/0013—Implantable devices or invasive measures
    • A61F2005/0016—Implantable devices or invasive measures comprising measuring means
    • A61F2005/002—Implantable devices or invasive measures comprising measuring means for sensing mechanical parameters
    • A—HUMAN NECESSITIES
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    • 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
    • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/0003—Apparatus for the treatment of obesity; Anti-eating devices
    • A61F5/0013—Implantable devices or invasive measures
    • A61F2005/0016—Implantable devices or invasive measures comprising measuring means
    • A61F2005/0023—Implantable devices or invasive measures comprising measuring means for sensing chemical parameters
    • 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
    • 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
    • A61F2250/0004—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable
    • 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
    • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/0003—Apparatus for the treatment of obesity; Anti-eating devices
    • A61F5/0013—Implantable devices or invasive measures
    • A61F5/0076—Implantable devices or invasive measures preventing normal digestion, e.g. Bariatric or gastric sleeves

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Surgery (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Child & Adolescent Psychology (AREA)
  • Obesity (AREA)
  • Nursing (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Pathology (AREA)
  • Biophysics (AREA)
  • Optics & Photonics (AREA)
  • Physics & Mathematics (AREA)
  • Transplantation (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Cardiology (AREA)
  • Pulmonology (AREA)
  • Computer Networks & Wireless Communication (AREA)
  • Surgical Instruments (AREA)
  • Prostheses (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Percussion Or Vibration Massage (AREA)
  • Massaging Devices (AREA)
  • Cereal-Derived Products (AREA)
  • Electrotherapy Devices (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)
  • Chemical Treatment Of Metals (AREA)
  • Finger-Pressure Massage (AREA)
  • Formation And Processing Of Food Products (AREA)

Claims (16)

1. Fedmebehandlingsindretning omfattende: - mindst en betjenelig udstrækningsindretning (10; 10"; 110a; 110b; 410b; 50; 810), som kan implanteres i en patient og er indrettet til at strække et parti af patientens mavevæg (12), og - en implanterbar betjeningsindretning (90; 42; 54; 40; 217; 218; 452) til betjening af udstrækningsindretningen efter implantering for at udstrække mavevægs-partiet sådan, at der skabes mæthed, kendetegnet ved at den betjenelige udstrækningsindretning er indrettet til at placeres mod mavevæggens yderside.
2. Indretning ifølge krav 1, hvori udstrækningsindretningen omfatter et første indgrebselement (10"; 110a; 210a; 410b) indrettet til at gå i indgreb med en første del af mavevæggen, og en anden indgrebsdel (10"; 110b; 210b; 410b) indrettet til at gå i indgreb med en anden del af mavevæggen tæt ved, men adskilt fra den første mavedel, hvori betjeningsindretningen er indrettet til at betjene de første og andre indgrebselementer til at bevæges væk fra hinanden, når indgrebselementerne går i indgreb med de første og andre dele af maven, for at strække mavevægspartiet mellem de første og andre dele af maven, sådan at der skabes en midlertidig mæthed.
3. Indretning ifølge krav 2, hvori mindst en af de første og andre indgrebsdele er indrettet til i det mindste delvist at blive invagineret af mavevæggen ved mave-til-mave suturer eller hæfteklammer, der holder indgrebselementet på plads.
4. Indretning ifølge ethvert af krav 2-3, hvori mindst et af de første og andre indgrebsdele omfatter en vævsvækstfremmende struktur (213), som er indrettet til at være i kontakt med den ydre mavevæg for at sikre langfristet befæstigelse af udstrækningsindretningen til mavevæggen.
5. Indretning ifølge krav 1-4, hvori udstrækningsindretningen omfatter et legeme (10; 10"; 110a, 110b; 410b; 50; 810) indrettet til at udfylde et rumfang defineret af mavens vægpartier.
6. Indretning ifølge krav 5, hvori legemet er et udvideligt legeme indrettet til at invagineres af et parti af patientens mavevæg, og hvori betjeningsindretningen omfatter et væskereservoir (16; 46; 52; 90; 452), som er i flydende forbindelse med et kammer i det udvidelige legeme, idet betjeningsindretningen kan virke ikke-invasivt til at fordele væske fra væskereservoiret til det udvidelige legemes kammer for at udvide legemet sådan, at mavevægspartiet strækkes, når det udvidelige legeme invagineres.
7. Indretning ifølge ethvert af krav 1-6, hvori indretningen er indrettet til at være i det mindste delvist invagineret i mavevæggen med mave-til-mave hæfteklammer på mavevæggens udvendige side.
8. Indretning ifølge krav 6, hvori væskereservoiret (452) er indrettet til at betjenes manuelt ved manuel presning af væskereservoiret.
9. Indretning ifølge krav 6 eller 8, hvori betjeningsindretningen omfatter en omvendt servomekanisme (90), og hvori et mindre volumen af væske i væskereservoiret komprimeres med et større tryk, og legemets kammer skaber en bevægelse af et større samlet volumen med mindre kraft pr. volumenenhed.
10. Indretning ifølge ethvert af krav 1-5, hvori udstrækningsindretningen omfatter en mekanisk reguleret udstrækningsindretning.
11. Indretning ifølge krav 1-10, yderligere omfattende en motor (40; 217; 218; 444; 78) eller en pumpe (444; 54; 78) til regulering af udstrækningsindretningen.
12. Indretning ifølge ethvert foregående krav, hvori betjeningsindretningen omfatter en subkutan kontaktomskifter (38; 72; 80; 472) indrettet til ikke-invasiv betjening ved manuel presning af kontaktomskifteren for betjening af udstrækningsindretningen.
13. Indretning ifølge ethvert foregående krav, hvori indretningen omfatter mindst to betjenelige udstrækningsindretninger (410b) indrettet til at strække mindst to forskellige partier af mavevæggen, hvori indretningen er indrettet til at blive reguleret postoperativt og ikke-invasivt.
14. Indretning ifølge krav 13, hvori indretningen er indrettet til at blive postoperativt og ikke-invasivt reguleret fra tid til anden sådan, at på ét tidspunkt strækker en af udstrækningsindretningerne et af mavevæggens partier, og på et andet tidspunkt strækker den anden af udstrækningsindretningerne mavevæggens andet parti.
15. Indretning ifølge ethvert foregående krav, hvori udstrækningsindretningen omfatter en overfladestruktur (700) med skiftevist ophøjede områder (701; 710) og sænkede områder (702; 712), hvori en første afstand (708a; 718a) mellem to tilstødende ophøjede områder (701; 710) er indrettet til at være lange nok til at hindre indvækst af fibrøst væv, som direkte forbinder to tilstødende ophøjede områder, som i det væsentlige kunne hindre eller hæmme udstrækningsindretningens funktion.
16. Indretning ifølge ethvert foregående krav, hvori indretningen yderligere omfatter mindst en af: en indvendig energikilde (70; 470), en trådløs energimodtager (205) til ikke-invasiv tilførsel af energi til indretningen med trådløs energi, og en energimodtager, der modtager trådløs energi til opladning af den indvendige energikilde.
DK09705457.1T 2008-01-29 2009-01-29 Indretning til behandling af fedme DK2240131T3 (da)

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DK09706524.7T DK2240137T3 (da) 2008-01-29 2009-01-29 Apparat til behandling af fedme
DK18182645.4T DK3476371T3 (da) 2008-01-29 2009-01-29 Et apparat til behandling af gerd
DK09705428.2T DK2240130T3 (da) 2008-01-29 2009-01-29 Indretning til behandling af fedme
DK09706258.2T DK2240135T3 (da) 2008-01-29 2009-01-29 Apparat til behandling af fedme og reflukssygdom
DK09705457.1T DK2240131T3 (da) 2008-01-29 2009-01-29 Indretning til behandling af fedme
DK15182334.1T DK3072480T3 (da) 2008-01-29 2009-01-29 Apparat til behandling af gerd omfattende en stimuleringsindretning
DK09819515.9T DK2349132T3 (da) 2008-10-10 2009-10-12 Apparat til behandling af gerd
DK10736096.8T DK2405869T3 (da) 2008-10-10 2010-01-29 Fedmebehandling

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DK18182645.4T DK3476371T3 (da) 2008-01-29 2009-01-29 Et apparat til behandling af gerd
DK09705428.2T DK2240130T3 (da) 2008-01-29 2009-01-29 Indretning til behandling af fedme
DK09706258.2T DK2240135T3 (da) 2008-01-29 2009-01-29 Apparat til behandling af fedme og reflukssygdom

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DK10736096.8T DK2405869T3 (da) 2008-10-10 2010-01-29 Fedmebehandling

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