DK2420261T3 - Systemer og fremgangsmåder til fjernelse af indtaget materiale fra en mave - Google Patents

Systemer og fremgangsmåder til fjernelse af indtaget materiale fra en mave Download PDF

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Publication number
DK2420261T3
DK2420261T3 DK11179952.4T DK11179952T DK2420261T3 DK 2420261 T3 DK2420261 T3 DK 2420261T3 DK 11179952 T DK11179952 T DK 11179952T DK 2420261 T3 DK2420261 T3 DK 2420261T3
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Denmark
Prior art keywords
platform
patient
tube
stomach
fluid
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DK11179952.4T
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English (en)
Inventor
Dean Kamen
Kevin L Grant
Eric M Soederberg
David E Altobelli
David Flynn
Kenneth S Solovay
Samuel Klein
Tim Langloss
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Aspire Bariatrics Inc
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Publication of DK2420261T3 publication Critical patent/DK2420261T3/da

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Classifications

    • 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
    • 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
    • A61F5/0089—Instruments for placement or removal
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/71—Suction drainage systems
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/71—Suction drainage systems
    • A61M1/77—Suction-irrigation systems
    • A61M1/772—Suction-irrigation systems operating alternately
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02—Access sites
    • A61M39/0247—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/10—Tube connectors; Tube couplings
    • A61M39/1011—Locking means for securing connection; Additional tamper safeties
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/22—Valves or arrangement of valves
    • A61M39/26—Valves closing automatically on disconnecting the line and opening on reconnection thereof
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/142—Pressure infusion, e.g. using pumps
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61J—CONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
    • A61J15/00—Feeding-tubes for therapeutic purposes
    • A61J15/0015—Gastrostomy feeding-tubes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02—Access sites
    • A61M39/0247—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body
    • A61M2039/0255—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body for access to the gastric or digestive system
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/27—General characteristics of the apparatus preventing use
    • A61M2205/276—General characteristics of the apparatus preventing use preventing unwanted use
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/50—General characteristics of the apparatus with microprocessors or computers
    • A61M2205/52—General characteristics of the apparatus with microprocessors or computers with memories providing a history of measured variating parameters of apparatus or patient
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2210/00—Anatomical parts of the body
    • A61M2210/10—Trunk
    • A61M2210/1042—Alimentary tract
    • A61M2210/1053—Stomach
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M3/00—Medical syringes, e.g. enemata; Irrigators
    • A61M3/02—Enemata; Irrigators
    • A61M3/0229—Devices operating in a closed circuit, i.e. recycling the irrigating fluid
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/22—Valves or arrangement of valves
    • A61M39/223—Multiway valves

Landscapes

  • Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Vascular Medicine (AREA)
  • Pulmonology (AREA)
  • Obesity (AREA)
  • Child & Adolescent Psychology (AREA)
  • Nursing (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Biophysics (AREA)
  • Gastroenterology & Hepatology (AREA)
  • External Artificial Organs (AREA)
  • Surgical Instruments (AREA)
  • Medical Preparation Storing Or Oral Administration Devices (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Medicines Containing Material From Animals Or Micro-Organisms (AREA)
  • Compounds Of Unknown Constitution (AREA)

Claims (20)

1. Indretning til at give og forhindre adgang til en fluidbane af et gastrosto-mirør, der passerer gennem en patients bugvæg ind i patientens mave, hvilken indretning omfatter: en første konnektor (60) med en ventilenhed (50), der er anbragt inden i en flange (55), hvor ventilenheden (50) har en første platform (83) med et første gennemgangshul (54), der passerer derigennem, og en anden platform (81) med et andet gennemgangshul (51), der passerer derigennem, hvor den første platform (83) er indrettet til anbringelse grænsende op til patientens hud, en del af flangen (55) eventuelt er mellem den første platform (83) og patientens hud, og gastrosto mi rørets fluidbane grænser op til det første gennemgangshul (54), og hvor en holder (80) holder den første platform i nærheden af den anden platform (81), således at den anden platform kan roteres i forhold til den første platform (83) mellem en første position og en anden position, således at det første (54) og andet (51) gennemgangshul i den første position flugter for at give adgang til fluidbanen, og således at det første (54) og andet (51) gennemgangshul i den anden position er forskudte for at tilvejebringe en fluidtæt tætning til en proksimal ende af gastrosto mi røret og for at forhindre adgang til fluidbanen, hvor indretningen endvidere omfatter en elastomer (82), der er forbundet med den anden platform (81) og anbragt mellem den første (83) og anden (81) platform.
2. Indretning ifølge krav 1, hvor den første platform (81), anden platform (83) og laget af elastomer (82) hver især har et gennemgangshul, der er forspændt til en kvadrant og anbragt således, at ventilen er åben, når gennemgangshullerne flugter, og således at ventilen er lukket, når gennemgangshullerne ikke flugter.
3. Indretning ifølge krav 1, endvidere omfattende et eller flere fremspring (53), der er anbragt på den første platform (83) og fastgøres til et eller flere komplementære indhak (56) i flangen (55).
4. Indretning ifølge krav 1, hvor tilretning af gennemgangshullerne, så de flugter i den første position, forhindrer begrænsning af gastrosto mi røret.
5. Indretning ifølge krav 1, hvor den første platform (83) endvidere omfatter et mundstykke (511), der omgiver mindst en del af det første gennemgangshul (54), hvor mundstykket er dimensioneret til at blive indført i lumenen i den proksimale ende af gastrostomirøret.
6. Indretning ifølge krav 1, hvor flangen (55) definerer et flangegennemgangshul (57) med tragtform, og mundstykket tragtformen virker sammen for at presse mindst en del af gastrostomirøret derimellem sammen.
7. Indretning ifølge krav 1, endvidere omfattende: en anden konnektor (65) med en skive, der definerer et skivegennemgangshul (67), der er dimensioneret og positioneret til at være komplementært med det første (54) og andet (51) gennemgangshul, og et eller flere fremspring (66), der er aftageligt forbundet med en eller flere strukturer (52), der er anbragt på den første konnektor.
8. Indretning ifølge krav 7, hvor den anden konnektor (65) endvidere omfatter en forhøjning (71), der er udformet til at passe sammen med en fordybning (61) på den første konnektor (60).
9. Indretning ifølge krav 7, hvor den anden konnektor (65) endvidere omfatter et rør med en anden fluidbane (20), der er forbundet med skivegennemgangshullet (67).
10. Indretning ifølge krav 9, hvor fluidbanen (45) og den anden fluidbane (20) forbindes, når det første (54) og det andet (51) gennemgangshul flugter i den første position.
11. Indretning ifølge krav 7, hvor det første (54) og andet (51) gennemgangshul flugter i den første position for at give adgang til fluidbanen, når den anden konnektor er forbundet med den første konnektor.
12. Indretning ifølge krav 7, hvor det første (54) og andet (51) gennemgangshul er forskudte i den anden position for at forhindre adgang til fluidbanen, når den anden konnektor er adskilt fra den første konnektor.
13. Indretning ifølge krav 1, hvor den første konnektor (60) måler fra ca. 7 mm til ca. 9 mm over patientens hud.
14. Indretning ifølge et af de foregående krav, hvor en del af flangen (55) er mellem den første platform (83) og patientens hud.
15. Enhed til tilvejebringelse af i det væsentlige konstant flow gennem en fluidbane, hvilken enhed omfatter: et første rør (45) med en første fluidbane til anbringelse i en patients krop; en ventil (50), der omfatter en første platform (83), en anden platform (81) og en holder (80), hvor den første platform har et første gennemgangshul (54), der passerer derigennem, hvor den første platform er beregnet til anbringelse grænsende op til en patients hud, eventuelt kan den første platform (83) være i direkte kontakt med og sidde på patientens hud, og en proksimal ende af det første rør passer sammen med det første gennemgangshul, den anden platform har et andet gennemgangshul, der passerer derigennem, og hvor en holder er udformet til at holde den første platform i nærheden af den anden platform, således at den anden platform kan bevæges i forhold til den første platform mellem en første og en anden position; og et andet rør med en anden fluidbane, hvor en distal ende af det andet rør grænser op til det andet gennemgangshul, den første fluidbane og den anden fluidbane forbindes til dannelse af en fluidbane, hvor det første og andet gennemgangshul i den første position flugter for at tilvejebringe adgang gennem fluidbanen, og det første og andet gennemgangshul i den anden position er forskudte for at tilvejebringe en fluidtæt tætning og forhindre adgang gennem fluidbanen, og hvor indretningen endvidere omfatter en elastomer (82), der er forbundet med den anden platform (81) og anbragt mellem den første (83) og anden (81) platform.
16. Enhed ifølge krav 15, hvor hvert af det første rør (45), det første (54) og andet (51) gennemgangshul og det andet rør (20) har en i det væsentlige lignende indvendig diameter, og fluidflowet gennem fluidbanen er i det væsentlige konstant.
17. Enhed ifølge krav 15, hvor den anden platform (81) kan bevæges i forhold til den første platform (83) i en i det væsentlige lineær retning.
18. Enhed ifølge krav 15, hvor det første og andet gennemgangshul i den anden position er forskudte for at tilvejebringe en fluidtæt tætning og forhindre adgang gennem fluidbanen, når det andet rør (20) adskilles fra det første rør (45).
19.
Enhed ifølge krav 15, hvor ventilen er i den anden position til adskillelse af det andet rør (20) fra det første rør (45).
DK11179952.4T 2006-08-03 2007-08-03 Systemer og fremgangsmåder til fjernelse af indtaget materiale fra en mave DK2420261T3 (da)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US82133306P 2006-08-03 2006-08-03
US11/675,527 US7648479B2 (en) 2006-08-03 2007-02-15 Systems and methods for removing ingested material from a stomach
US11/675,525 US8414561B2 (en) 2006-08-03 2007-02-15 Systems and methods for removing ingested material from a stomach
US11/675,544 US8062285B2 (en) 2006-08-03 2007-02-15 Systems and methods for removing ingested material from a stomach
EP11174532.9A EP2389962B1 (en) 2006-08-03 2007-08-03 Systems for removing ingested material from a stomach

Publications (1)

Publication Number Publication Date
DK2420261T3 true DK2420261T3 (da) 2014-12-08

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Application Number Title Priority Date Filing Date
DK11174532.9T DK2389962T3 (da) 2006-08-03 2007-08-03 Systemer til fjernelse af indtaget materiale fra en mave
DK07836484.1T DK2068969T3 (da) 2006-08-03 2007-08-03 Systemer og fremgangsmåder til fjernelse af indtaget materiale fra en mave
DK11179953.2T DK2422828T3 (da) 2006-08-03 2007-08-03 Systemer til at fjerne indtaget materiale fra en mave
DK11179954.0T DK2412393T3 (da) 2006-08-03 2007-08-03 Ventilsystem til skiftevis at tilvejebringe og forhindre adgang til en fluidbane
DK11179952.4T DK2420261T3 (da) 2006-08-03 2007-08-03 Systemer og fremgangsmåder til fjernelse af indtaget materiale fra en mave

Family Applications Before (4)

Application Number Title Priority Date Filing Date
DK11174532.9T DK2389962T3 (da) 2006-08-03 2007-08-03 Systemer til fjernelse af indtaget materiale fra en mave
DK07836484.1T DK2068969T3 (da) 2006-08-03 2007-08-03 Systemer og fremgangsmåder til fjernelse af indtaget materiale fra en mave
DK11179953.2T DK2422828T3 (da) 2006-08-03 2007-08-03 Systemer til at fjerne indtaget materiale fra en mave
DK11179954.0T DK2412393T3 (da) 2006-08-03 2007-08-03 Ventilsystem til skiftevis at tilvejebringe og forhindre adgang til en fluidbane

Country Status (10)

Country Link
US (6) US8414561B2 (da)
EP (6) EP2422828B1 (da)
JP (6) JP5379001B2 (da)
AT (1) ATE516830T1 (da)
AU (1) AU2007281951B2 (da)
CA (3) CA2852273C (da)
DK (5) DK2389962T3 (da)
ES (4) ES2621790T3 (da)
HK (1) HK1164757A1 (da)
WO (1) WO2008019082A2 (da)

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