EP0824929A2 - Katheter für die perkutane enterale Ernährung - Google Patents
Katheter für die perkutane enterale Ernährung Download PDFInfo
- Publication number
- EP0824929A2 EP0824929A2 EP97114439A EP97114439A EP0824929A2 EP 0824929 A2 EP0824929 A2 EP 0824929A2 EP 97114439 A EP97114439 A EP 97114439A EP 97114439 A EP97114439 A EP 97114439A EP 0824929 A2 EP0824929 A2 EP 0824929A2
- Authority
- EP
- European Patent Office
- Prior art keywords
- tube
- outer tube
- probe tube
- probe
- holding part
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
Images
Classifications
-
- 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
- A61J15/0026—Parts, details or accessories for feeding-tubes
- A61J15/0053—Means for fixing the tube outside of the body, e.g. by a special shape, by fixing it to the skin
- A61J15/0061—Means for fixing the tube outside of the body, e.g. by a special shape, by fixing it to the skin fixing at an intermediate position on the tube, i.e. tube protruding the fixing means
-
- 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
- A61J15/0023—Gastrostomy feeding-tubes inserted by using a sheath
-
- 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
- A61J15/0026—Parts, details or accessories for feeding-tubes
- A61J15/003—Means for fixing the tube inside the body, e.g. balloons, retaining means
- A61J15/0034—Retainers adjacent to a body opening to prevent that the tube slips through, e.g. bolsters
- A61J15/0038—Retainers adjacent to a body opening to prevent that the tube slips through, e.g. bolsters expandable, e.g. umbrella type
Definitions
- the invention relates to a catheter for percutaneous enteral nutrition a tube for feeding a nutrient solution into the gastric lumen is insertable and a holding part that can be placed on the abdominal wall from the outside is.
- Gastrostomy probes for enteral nutrition are known, which are by means of a Balloons or a flexible cuff are secured against slipping out.
- the balloon is released filled with a liquid from the outside via a valve or the cuff relaxed.
- the balloon expands or the cuff unfolds its final shape and the trained retention member fix the system distal.
- a movable holding device that is connected to the probe tube or is attached to the probe tube, supports the catheter from the outside on the abdominal wall.
- the known catheters for percutaneous enteral nutrition are disadvantageous than the length of the probe tube the length of the stoma channel must correspond. So there are a variety of stoma canals of different lengths offered by probes in discrete lengths. Another disadvantage is that it the length of the stoma channel must be increased before inserting the probe measure up. In addition, it is disadvantageous that for filling the balloon and Stretch the cuff further aids, e.g. a syringe, an obturator or Like. are needed. Otherwise there is a risk that a balloon at Leakage due to loss of volume from the stoma canal slides out.
- US-A-4,666,433 describes a catheter for percutaneous enteral Nutrition with a tube for feeding a nutrient solution into the Gastric lumen is insertable, and a holding part that is on the outside Abdominal wall can be put on. Is located at the distal end of the probe tube a retention member.
- the retention member consists of a piece of hose that with a plurality of circumferentially distributed longitudinal slots is provided. To the The retention member is inserted into the retention tube using a stylet pulled the special hose back. Then the retention member is again advanced so that this spreads out.
- This separate instrument is required.
- a catheter From US-A-3,108,595 a catheter is known, the probe tube from is enclosed in a flexible outer tube, which at its distal end a plurality of circumferentially distributed longitudinal slots is provided. Probe tube and outer tube are together at their distal end connected and axially displaceable against each other and in an advanced and retracted position lockable, so that the outer tube forming can be spread by several projecting webs.
- the disadvantage is that stomach acid and other fluids through the longitudinal slots in the Can penetrate hose assembly.
- the invention has for its object an easy to use To create catheters for percutaneous enteral nutrition that are distal and secure can be fixed proximally, an adaptation to different stoma lengths allowed and against the ingress of stomach acid and other liquids is protected.
- Probe tube guided in an outer tube, being probe and Outer tube connected at their distal ends and axially below Widening of the outer tube can be moved relative to one another.
- the Widening of the with a plurality of circumferentially distributed slots or Outer tube provided with weakening zones is made by a Linear movement of probe and outer tubing.
- the expanding one Outer tube forms a retention member with which the catheter attaches to the Can support the wall of the stomach. Placing and removing the probe are simple operations that can be carried out without any additional aids can.
- the displacement of the probe tube or outer tube does not result only to form a restraining member, but also allows the to vary the effective length of the probe tube.
- the catheter can thus be on different ostomy lengths can be individually adjusted.
- the outer tube is balloon-shaped Surface enclosed by a flexible sheath that connects to the distal end of the outer tube is connected.
- the wrapping serves as a protection of the mutually movable hoses and prevents the ingress of Gastric acid and other fluids through the longitudinal slots in the Hose arrangement.
- the Outer tube formed distally such that the sheath described above as thin skin between the webs by forming a locally smaller one Wall thickness is created.
- the catheter according to the invention can be used for percutaneous endoscopic control Gastrostomy or as an exchange probe for an existing gastric stoma be used.
- the outer hose is preferably slit four times. If foreign and Probe tube are axially displaced against each other, the spread slotted area of the outer tube in the manner of an expansion plug, so that a secure hold is guaranteed.
- the material of the outer tube and / or the wall thickness is to be dimensioned such that the slotted areas on the one hand let it spread slightly and on the other hand have sufficient strength have to ensure a secure hold.
- Friction surfaces i.e. on the inner wall of the outer tube or the outer wall a lubricant, e.g. Silicone or MCT oil applied will.
- the probe and outer tubing are adjusted and locked advantageously on the holding part of the catheter, which on the abdominal wall of the Patient rests.
- the holding part expediently has one with the connecting part connected to the proximal end of the probe tube, preferably a Luerl-Lock connector, on that with the connector of the known Transfer hoses can be connected.
- a check valve may be used to prevent from the stomach.
- the outer tube is on one Fixed adjustment element, which is guided linearly displaceable in the holding part, while the connector of the probe tube is firmly connected to the holding part is.
- the adjusting element is preferably locked in place on the holding part. But it is also possible to preload the adjusting element in such a resilient manner that the outer hose is deformed to form the retaining member.
- the connector of the Probe hose in the holding part guided linearly during the Outer hose is firmly connected to the holding part.
- a long displacement path in the smallest possible space can be achieved be that both the connecting part of the probe tube and the Outer hose can be moved.
- the holding part has one Turntable on which the connecting part of the probe tube outside the Axis of rotation is attached. By turning the turntable, the length of the The probe shaft varies and the catheter is fixed to the wall of the stomach will.
- the catheter has a holding part 1 in the form of an elongated one Plastic housing with its bottom 2 on the abdominal wall of the On the patient. For better ventilation are on the bottom of the the abdominal wall resting part 1 webs or knobs 2a provided.
- the Holding part is on one of its end faces with a Luer lock connector 3 provided on which the Luerlock connector of the known transfer hoses is connected to supply a nutrient solution.
- the Luer-Lock connector 3 of the holding part 1 is connected to a flexible probe tube 4, which is extends between the side walls 5 of the housing and through a recess 6 is led out of the housing in the housing base.
- the probe tube 4 is enclosed by a flexible outer tube 7, the diameter is slightly larger than the diameter of the probe tube.
- Outer tube 7 is at its distal end with the distal end of the Probe hose 4 connected (e.g. glued, jammed, welded). Of the Outer hose 7 extends through the bottom recess 6 in the housing.
- the proximal end of the outer tube 7 is with a Adjusting element 8 connected, which is longitudinally displaceable in the holding part 1 e.g. on a rack 9 is guided.
- the adjustment element 8 has a resilient biased locking element 10, which with the toothing of the rack is engaged and the adjusting element 8 locks onto the holding part 1.
- the locking element can also be in the holes one in the Enclose provided hole pattern so that the outer hose in different positions can be locked.
- the distal end piece of the outer tube 7 is distributed circumferentially with four arranged longitudinal slots 11 which extend over part of the length of the Extend the outer tube and enclose an angle of 90 °.
- Fig. 3 shows the slotted end of the outer tube in the starting position. If the locking element 10 against the spring tension with the teeth of Rack 9 disengaged and the adjusting element 8 in the in Figures 1 and 2 shown front position is moved, the spread slotted areas 12 of the outer tube 7 radially outwards, so that a Retaining member 13 is formed with four radially projecting loops on the the catheter can be supported from the inside on the wall of the stomach (Fig. 1a).
- the outer tube 7 is above the longitudinal slots 11 with respect to the inner tube 4 by an annular sealing element 14 sealed, which closes the annular gap between the tubes 4, 7 and a Prevents gastric acid or other liquids from entering.
- FIG. 5 to 10 show further embodiments of the catheter, the Parts that correspond to the parts of FIG. 1 to 3 correspond to the embodiment described, with the same reference numerals are provided.
- the embodiment according to Figures 4 and 5 differs from that Embodiment according to Figures 1 to 3 in that the connecting part 3 ' is arranged for the transfer hose on the top of the housing, whereby whose accessibility is improved.
- Figures 6 and 7 show an embodiment with the top Connection part 3 ', in which the outer tube 7 is firmly connected to the holding part 1 and the probe tube 4 is axially displaceable relative to the outer tube 7.
- the connecting part 3 ' is slidable in a longitudinal slot 15 of the housing cover guided and connected to the proximal end of the probe tube 4.
- FIGS 8 and 9 show a further embodiment of the catheter top connection part 3 'for the transfer hose.
- the holding part 1 has a housing with an oval base plate 16 and a rotatably mounted round lid 17.
- the bottom plate 16 is on its underside with webs or Provide knobs 16a for better ventilation.
- the connector 3, the Luer lock connector or can also be designed as a funnel connection is on the Lid 17 is arranged in its outer peripheral region. With the connector 3 'is the proximal end of the arc in the housing along an arc Channel 17a guided probe tube 4 connected while the proximal end of the outer tube 7 is firmly connected to the holding part 1. At this The slotted regions 12 of the outer tube 7 become one embodiment spread by turning the cover 17.
- FIG. 10 shows a section through the distal end piece of the probe tube 4 and of the outer tube 7 of an embodiment of the catheter according to the Invention, with the probe and outer tube of a flexible sheath 18 are enclosed in the form of a flexible plastic hose.
- the flexible Sheath 18 is connected to the distal end of the outer tube 7 and extends over the holding part. But it is also possible that the flexible Wrapping only pulled over the slotted areas 12 of the outer tube 7 is. When the slotted regions of the outer tube 7 are spread open, they expand the flexible envelope balloon-like, like a flattened ball, so that secure support is guaranteed.
- Fig. 11 shows a perspective view of the distal end of the probe and Outer tube of an embodiment of the catheter according to the invention, in which the sheath 19 is an integral part of the outer tube 20.
- the distal end piece of the outer tube 20 several circumferentially distributed and arranged in the axial direction extending weakening zones 21 provided.
- Wrapping 19 a thin skin that balloon-like when the webs 22 are spread apart is expanded.
- the non-continuous slots to weaken the material can, for example, with a laser in the wall of the outer tube be introduced.
- the envelope 19, which is an integral part of the Outer tube 20 prevents gastric acid or other intrusion Liquids.
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Pulmonology (AREA)
- Gastroenterology & Hepatology (AREA)
- Media Introduction/Drainage Providing Device (AREA)
- Medical Preparation Storing Or Oral Administration Devices (AREA)
Abstract
Description
- Fig. 1
- eine Prinzipskizze eines Katheters, bei dem der Außenschlauch gegenüber dem Sondenschlauch verschiebbar ist,
- Fig. 1a
- das distale Endstück des geschlitzten Außenschlauchs und des Sondenschlauchs in perspektivischer Darstellung,
- Fig. 2
- das Halteteil des Katheters gemäß Fig. 1 in der Draufsicht,
- Fig. 3
- das distale Endstück des geschlitzten Außenschlauchs in vergrößerter Darstellung,
- Fig. 4
- eine Prinzipskizze eines weiteren Katheters, bei dem der Außenschlauch gegenüber dem Sondenschlauch verschiebbar ist,
- Fig. 5
- das Halteteil des Katheters gemäß Fig. 4 in der Draufsicht,
- Fig. 6
- eine Prinzipskizze eines Katheters, bei dem der Sondenschlauch gegenüber dem Außenschlauch verschiebbar ist,
- Fig. 7
- das Halteteil des Katheters gemäß Fig. 6 in der Draufsicht,
- Fig. 8
- eine Prinzipskizze eines weiteren Katheters, bei dem der Sondenschlauch gegenüber dem Außenschlauch verschiebbar ist,
- Fig. 9
- das Halteteil des Katheters gemäß Fig. 8 in der Draufsicht,
- Fig. 10
- einen Schnitt durch das distale Endstück des Sondenschlauchs und des Außenschlauchs einer Ausführungsform des erfindungsgemäßen Katheters, bei der Sonden- und Außenschlauch von einer flexiblen Umhüllung umschlossen sind und
- Fig. 11
- eine perspektivische Darstellung des distalen Endstücks des Sondenschlauchs und des Außenschlauchs einer Ausführungsform des erfindungsgemäßen Katheters, bei der die Umhüllung einstückiger Bestandteil des Außenschlauchs ist.
Claims (10)
- Katheter für die perkunate enterale Ernährung mit einem Sondenschlauch (4) zum Zuführen einer Nährlösung, der in das Magenlumen einführbar ist, und einem Halteteil (1), das von außen auf die Bauchdecke auflegbar ist, wobei am distalen Ende des Sondenschlauchs eine Rückhalteglied (13) vorgesehen ist, dadurch gekennzeichnet,daß der Sondenschlauch (4) von einem flexiblen Außenschlauch (7) umschlossen ist und daß Sondenschlauch (4) und Außenschlauch (7) an ihrem distalen Ende miteinander verbunden und axial gegeneinander verschiebbar und in unterschiedlichen Stellungen arretierbar sind,daß der Außenschlauch (7) zur Bildung des Rückhaltegliedes (13) mit umfangsmäßig verteilt angeordneten Längsschlitzen (11) versehen ist, so daß dieser beim Verschieben von Sondenschlauch und Außenschlauch aufspreizbar ist, unddaß zumindest der geschlitzte Bereich (12) des Außenschlauchs von einer flexiblen Umhüllung (18) umschlossen ist.
- Katheter für die perkutane enterale Ernährung mit einem Sondenschlauch (4) zum Zuführen einer Nährlösung, der in das Magenlumen einführbar ist, und einem Halteteil (1), das von außen auf die Bauchdecke auflegbar ist, wobei am distalen Ende des Sondenschlauchs ein Rückhalteglied (13) vorgesehen ist, dadurch gekennzeichnet, daß der Sondenschlauch (4) von einem flexiblen Außenschlauch (7) umschlossen ist, daß Sondenschlauch (4) und Außenschlauch (7) an ihrem distalen Ende miteinander verbunden und axial gegeneinander verschiebbar und in unterschiedlichen Stellungen arretierbar sind und daß der Außenschlauch (7) zur Bildung des Rückhaltegliedes (13) mit umfangsmäßig verteilt angeordneten und sich in axialer Richtung erstreckenden Schwächungszonen (21) derart versehen ist, daß beim Verschieben von Sondenschlauch und Außenschlauch zwischen den sich abspreizenden Stegen (22) als Umhüllung (19) eine dünne Haut verbleibt.
- Katheter nach Anspruch 1, dadurch gekennzeichnet, daß der Außenschlauch (7) vierfach geschlitzt ist.
- Katheter nach Anspruch 2, dadurch gekennzeichnet, daß vier Schwächungszonen (21) in dem Außenschlauch (7) vorgesehen sind.
- Katheter nach einem der Ansprüche 1 bis 4, dadurch gekennzeichnet, daß zwischen der Außenwand des Sondenschlauchs (4) und der Innenwand des Außenschlauchs (7) ein Gleitmittel eingebracht ist.
- Katheter nach einem der Ansprüche 1 bis 5, dadurch gekennzeichnet, daß das Halteteil (1) ein mit dem proximalen Ende des Sondenschlauchs verbundenes Anschlußteil (3, 3') aufweist, an dem das Anschlußteil eines Überleitungsschlauchs anschließbar ist.
- Katheter nach Anspruch 6, dadurch gekennzeichnet, daß der Außenschlauch (7) an einem Verstellelement (8) befestigt ist, das in dem Halteteil (1) linear verschiebbar geführt ist, wobei der Anschlußteil (3) des Sondenschlauchs (4) mit dem Halteteil (1) fest verbunden ist.
- Katheter nach Anspruch 6, dadurch gekennzeichnet, daß der Anschlußteil (3') des Sondenschlauchs (4) in dem Halteteil (1) linear verschiebbar geführt ist, wobei der Außenschlauch (7) fest mit dem Halteteil (1) verbunden ist.
- Katheter nach einem der Ansprüche 6 bis 8, dadurch gekennzeichnet, daß das Verstellelement (8) bzw. der Anschlußteil (3') einrastend an dem Halteteil (1) festgelegt ist.
- Katheter nach einem der Ansprüche 1 bis 5, dadurch gekennzeichnet, daß das Halteteil (1) einen Drehteller (17) aufweist, an dem der Anschlußteil (3') des Sondenschlauchs (4) außerhalb der Drehachse befestigt ist.
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE19634116A DE19634116C2 (de) | 1996-08-23 | 1996-08-23 | Katheter für die perkutane enterale Ernährung |
DE19634116 | 1996-08-23 |
Publications (3)
Publication Number | Publication Date |
---|---|
EP0824929A2 true EP0824929A2 (de) | 1998-02-25 |
EP0824929A3 EP0824929A3 (de) | 1998-05-20 |
EP0824929B1 EP0824929B1 (de) | 2003-10-29 |
Family
ID=7803515
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
EP97114439A Expired - Lifetime EP0824929B1 (de) | 1996-08-23 | 1997-08-21 | Katheter für die perkutane enterale Ernährung |
Country Status (4)
Country | Link |
---|---|
EP (1) | EP0824929B1 (de) |
DE (2) | DE19634116C2 (de) |
ES (1) | ES2205100T3 (de) |
NO (1) | NO311406B1 (de) |
Cited By (11)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2001062204A1 (de) | 2000-02-26 | 2001-08-30 | Nico Kleinknecht | Mehrlumiges sondensystem zur perkutanen enteralen applikation von flüssiger nahrung |
WO2002038102A1 (de) * | 2000-11-08 | 2002-05-16 | Fresenius Kabi Deutschland Gmbh | Adapter für eine peg-sonde |
WO2002087492A1 (de) | 2001-04-30 | 2002-11-07 | Nutricia Healthcare S.A. | Button-balloon-system |
WO2006111416A1 (en) * | 2005-04-21 | 2006-10-26 | Covidien Ag | Intracorporeal indwelling equipment |
US7147620B2 (en) | 2000-11-08 | 2006-12-12 | Fresenius Kabi Deutschland Gmbh (Company) | Adapter for a PEG probe |
WO2007035526A2 (en) | 2005-09-16 | 2007-03-29 | Applied Medical Technology, Inc. | Non-balloon low profile feed device with insertion/removal tool |
US8147454B2 (en) | 2004-04-30 | 2012-04-03 | Tyco Healthcare Group Lp | Gastrostomy tube extension device |
WO2016103268A1 (en) * | 2014-12-23 | 2016-06-30 | Fidmi Medical Ltd. | Devices and methods for percutaneous endoscopic gastronomy and other ostomy procedures |
US10695270B2 (en) | 2013-06-20 | 2020-06-30 | Hadasit Medical Research Services And Development Ltd. | Devices and methods for percutaneous endoscopic gastrostomy and other ostomy procedures |
US10702304B2 (en) | 2014-12-23 | 2020-07-07 | Fidmi Medical Ltd. | Devices and methods for ports to living tissue and/or lumens and related procedures |
US11793544B2 (en) | 2016-06-29 | 2023-10-24 | Fidmi Medical Ltd. | Measuring device |
Families Citing this family (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
IT1397537B1 (it) * | 2009-06-26 | 2013-01-16 | Danisi | Dispositivo per nutrizione enterale |
US20120078039A1 (en) | 2010-09-27 | 2012-03-29 | Kok-Ming Tai | Dilation Device for Placing Catheter Tubes |
Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3108595A (en) | 1960-08-08 | 1963-10-29 | Alfred P Overment | Retention catheter |
US4666433A (en) | 1984-11-05 | 1987-05-19 | Medical Innovations Corporation | Gastrostomy feeding device |
Family Cites Families (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3397699A (en) * | 1966-05-05 | 1968-08-20 | Gerald C. Kohl | Retaining catheter having resiliently biased wing flanges |
US3938530A (en) * | 1974-11-15 | 1976-02-17 | Santomieri Louis | Catheter |
DE2611107C2 (de) * | 1976-03-16 | 1983-12-22 | Edwin Lloyd 80110 Englewood Col. Adair | Katheter |
US4393873A (en) * | 1980-03-10 | 1983-07-19 | Nawash Michael S | Gastrostomy and other percutaneous transport tubes |
US5001009A (en) * | 1987-09-02 | 1991-03-19 | Sterilization Technical Services, Inc. | Lubricious hydrophilic composite coated on substrates |
US4834712A (en) * | 1988-01-15 | 1989-05-30 | Corpak, Inc. | Tube fixation device |
US5073166A (en) * | 1989-02-15 | 1991-12-17 | Medical Innovations Corporation | Method and apparatus for emplacement of a gastrostomy catheter |
US5112310A (en) * | 1991-02-06 | 1992-05-12 | Grobe James L | Apparatus and methods for percutaneous endoscopic gastrostomy |
-
1996
- 1996-08-23 DE DE19634116A patent/DE19634116C2/de not_active Expired - Fee Related
-
1997
- 1997-07-21 NO NO19973354A patent/NO311406B1/no not_active IP Right Cessation
- 1997-08-21 EP EP97114439A patent/EP0824929B1/de not_active Expired - Lifetime
- 1997-08-21 ES ES97114439T patent/ES2205100T3/es not_active Expired - Lifetime
- 1997-08-21 DE DE59710910T patent/DE59710910D1/de not_active Expired - Lifetime
Patent Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3108595A (en) | 1960-08-08 | 1963-10-29 | Alfred P Overment | Retention catheter |
US4666433A (en) | 1984-11-05 | 1987-05-19 | Medical Innovations Corporation | Gastrostomy feeding device |
Cited By (20)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2001062204A1 (de) | 2000-02-26 | 2001-08-30 | Nico Kleinknecht | Mehrlumiges sondensystem zur perkutanen enteralen applikation von flüssiger nahrung |
WO2002038102A1 (de) * | 2000-11-08 | 2002-05-16 | Fresenius Kabi Deutschland Gmbh | Adapter für eine peg-sonde |
US7063690B2 (en) | 2000-11-08 | 2006-06-20 | Fresenius Kabi Deutschland Gmbh | Adapter for a PEG probe |
US7147620B2 (en) | 2000-11-08 | 2006-12-12 | Fresenius Kabi Deutschland Gmbh (Company) | Adapter for a PEG probe |
WO2002087492A1 (de) | 2001-04-30 | 2002-11-07 | Nutricia Healthcare S.A. | Button-balloon-system |
US8622968B2 (en) | 2004-04-30 | 2014-01-07 | Covidien Lp | Gastrostomy tube extension device |
US8147454B2 (en) | 2004-04-30 | 2012-04-03 | Tyco Healthcare Group Lp | Gastrostomy tube extension device |
WO2006111416A1 (en) * | 2005-04-21 | 2006-10-26 | Covidien Ag | Intracorporeal indwelling equipment |
JP2006296794A (ja) * | 2005-04-21 | 2006-11-02 | Nippon Sherwood Medical Industries Ltd | 体内留置具 |
EP1933790A4 (de) * | 2005-09-16 | 2009-11-04 | Applied Med Tech Inc | Niederprofil-zuführvorrichtung ohne ballon mit einführ/entfernungswerkzeug |
JP2009508588A (ja) * | 2005-09-16 | 2009-03-05 | アプライド・メディカル・テクノロジー・インコーポレーテッド | 挿入/除去ツール付き非バルーン型低背型栄養注入装置 |
EP1933790A2 (de) * | 2005-09-16 | 2008-06-25 | Applied Medical Technology Inc. | Niederprofil-zuführvorrichtung ohne ballon mit einführ/entfernungswerkzeug |
WO2007035526A2 (en) | 2005-09-16 | 2007-03-29 | Applied Medical Technology, Inc. | Non-balloon low profile feed device with insertion/removal tool |
US8709018B2 (en) | 2005-09-16 | 2014-04-29 | Applied Medical Technology, Inc. | Non-balloon low profile feed device with insertion/removal tool |
US10695270B2 (en) | 2013-06-20 | 2020-06-30 | Hadasit Medical Research Services And Development Ltd. | Devices and methods for percutaneous endoscopic gastrostomy and other ostomy procedures |
WO2016103268A1 (en) * | 2014-12-23 | 2016-06-30 | Fidmi Medical Ltd. | Devices and methods for percutaneous endoscopic gastronomy and other ostomy procedures |
US10426708B2 (en) | 2014-12-23 | 2019-10-01 | Fidmi Medical Ltd. | Devices and methods for percutaneous endoscopic gastronomy and other ostomy procedures |
US10702304B2 (en) | 2014-12-23 | 2020-07-07 | Fidmi Medical Ltd. | Devices and methods for ports to living tissue and/or lumens and related procedures |
US11638594B2 (en) | 2014-12-23 | 2023-05-02 | Fidmi Medical Ltd. | Replaceable inner tube |
US11793544B2 (en) | 2016-06-29 | 2023-10-24 | Fidmi Medical Ltd. | Measuring device |
Also Published As
Publication number | Publication date |
---|---|
EP0824929B1 (de) | 2003-10-29 |
DE19634116C2 (de) | 1998-08-20 |
EP0824929A3 (de) | 1998-05-20 |
NO973354D0 (no) | 1997-07-21 |
ES2205100T3 (es) | 2004-05-01 |
NO311406B1 (no) | 2001-11-26 |
NO973354L (no) | 1998-02-24 |
DE19634116A1 (de) | 1998-03-05 |
DE59710910D1 (de) | 2003-12-04 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
DE69532320T2 (de) | Austauscherzubehör zur Verwendung mit einem Katheter | |
DE60024241T2 (de) | Chirurgische zugangsvorrichtung | |
DE69731915T2 (de) | Stentanbringungssystem | |
DE10131152B4 (de) | Medizinisches Ballon-Button-System | |
DE19634116C2 (de) | Katheter für die perkutane enterale Ernährung | |
DE4406077B4 (de) | Ballonkatheter- und Führungsdraht-Anordnung | |
DE69925645T2 (de) | Katheter und punktionsnadel mit nadelschutz | |
EP0203945B2 (de) | Dilatationskatheter | |
DE2238722C3 (de) | Katheter | |
DE69818931T2 (de) | Hämostatisches ventil | |
DE60030953T2 (de) | Führungsdraht-verstopfter ballonkatheter | |
EP0433717A1 (de) | Punktionsbesteck | |
EP0991444B1 (de) | Kanülenanordnung | |
DE19729499A1 (de) | Vorrichtung zum Erleichtern der Vorschubbewegung von flexiblen Endoskopen | |
DE3141628A1 (de) | Intraaortische balloneinrichtung | |
DE69632842T2 (de) | Anordnung entaltend einen einlumigen Ballonkatheter und einen Lichtleiter | |
EP1331962B1 (de) | Adapter für eine peg-sonde | |
DE10139644B4 (de) | Montageteil für einen Adapter einer PEG-Sonde und Adapter für eine PEG-Sonde mit einem derartigen Montageteil | |
DE3445560C1 (de) | Katheter | |
EP1331912B1 (de) | Adapter für eine peg-sonde | |
EP1483008B1 (de) | Sklerosierungskatheter zur sklerosierung von blutgefässen insbesondere venen | |
DE60119877T2 (de) | Verfahren und Vorrichtung zur Verwendung in nichtinvasiven, chirurgischen Behandlungen | |
WO2003039383A1 (de) | Mandrin für einen katheter, längenmesser zur bestimmung der stomalänge und set zur enteralen ernährung | |
WO2005117687A1 (de) | Vorrichtung zum aufweiten von organ- oder körperöffnungen | |
DE19752430C2 (de) | Rohrförmige Sonde zur medizinischen Anwendung |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
PUAI | Public reference made under article 153(3) epc to a published international application that has entered the european phase |
Free format text: ORIGINAL CODE: 0009012 |
|
AK | Designated contracting states |
Kind code of ref document: A2 Designated state(s): CH DE ES FR GR IT LI NL SE |
|
PUAL | Search report despatched |
Free format text: ORIGINAL CODE: 0009013 |
|
AK | Designated contracting states |
Kind code of ref document: A3 Designated state(s): AT BE CH DE DK ES FI FR GB GR IE IT LI LU MC NL PT SE |
|
RHK1 | Main classification (correction) |
Ipc: A61M 25/04 |
|
17P | Request for examination filed |
Effective date: 19980806 |
|
AKX | Designation fees paid |
Free format text: CH DE ES FR GR IT LI NL SE |
|
RBV | Designated contracting states (corrected) |
Designated state(s): CH DE ES FR GR IT LI NL SE |
|
17Q | First examination report despatched |
Effective date: 20020708 |
|
RAP1 | Party data changed (applicant data changed or rights of an application transferred) |
Owner name: FRESENIUS AG |
|
GRAH | Despatch of communication of intention to grant a patent |
Free format text: ORIGINAL CODE: EPIDOS IGRA |
|
GRAS | Grant fee paid |
Free format text: ORIGINAL CODE: EPIDOSNIGR3 |
|
GRAA | (expected) grant |
Free format text: ORIGINAL CODE: 0009210 |
|
AK | Designated contracting states |
Kind code of ref document: B1 Designated state(s): CH DE ES FR GR IT LI NL SE |
|
REG | Reference to a national code |
Ref country code: CH Ref legal event code: EP |
|
REF | Corresponds to: |
Ref document number: 59710910 Country of ref document: DE Date of ref document: 20031204 Kind code of ref document: P |
|
REG | Reference to a national code |
Ref country code: GR Ref legal event code: EP Ref document number: 20030405318 Country of ref document: GR |
|
REG | Reference to a national code |
Ref country code: SE Ref legal event code: TRGR |
|
REG | Reference to a national code |
Ref country code: ES Ref legal event code: FG2A Ref document number: 2205100 Country of ref document: ES Kind code of ref document: T3 |
|
ET | Fr: translation filed | ||
PLBE | No opposition filed within time limit |
Free format text: ORIGINAL CODE: 0009261 |
|
STAA | Information on the status of an ep patent application or granted ep patent |
Free format text: STATUS: NO OPPOSITION FILED WITHIN TIME LIMIT |
|
26N | No opposition filed |
Effective date: 20040730 |
|
REG | Reference to a national code |
Ref country code: DE Ref legal event code: R082 Ref document number: 59710910 Country of ref document: DE |
|
REG | Reference to a national code |
Ref country code: DE Ref legal event code: R082 Ref document number: 59710910 Country of ref document: DE |
|
PGFP | Annual fee paid to national office [announced via postgrant information from national office to epo] |
Ref country code: GR Payment date: 20140729 Year of fee payment: 18 Ref country code: NL Payment date: 20140822 Year of fee payment: 18 Ref country code: DE Payment date: 20140822 Year of fee payment: 18 Ref country code: CH Payment date: 20140822 Year of fee payment: 18 |
|
PGFP | Annual fee paid to national office [announced via postgrant information from national office to epo] |
Ref country code: SE Payment date: 20140722 Year of fee payment: 18 Ref country code: ES Payment date: 20140822 Year of fee payment: 18 |
|
PGFP | Annual fee paid to national office [announced via postgrant information from national office to epo] |
Ref country code: IT Payment date: 20140819 Year of fee payment: 18 |
|
PGFP | Annual fee paid to national office [announced via postgrant information from national office to epo] |
Ref country code: FR Payment date: 20140822 Year of fee payment: 18 |
|
REG | Reference to a national code |
Ref country code: DE Ref legal event code: R119 Ref document number: 59710910 Country of ref document: DE |
|
REG | Reference to a national code |
Ref country code: SE Ref legal event code: EUG |
|
REG | Reference to a national code |
Ref country code: CH Ref legal event code: PL |
|
PG25 | Lapsed in a contracting state [announced via postgrant information from national office to epo] |
Ref country code: IT Free format text: LAPSE BECAUSE OF NON-PAYMENT OF DUE FEES Effective date: 20150821 Ref country code: CH Free format text: LAPSE BECAUSE OF NON-PAYMENT OF DUE FEES Effective date: 20150831 Ref country code: LI Free format text: LAPSE BECAUSE OF NON-PAYMENT OF DUE FEES Effective date: 20150831 |
|
REG | Reference to a national code |
Ref country code: NL Ref legal event code: MM Effective date: 20150901 |
|
PG25 | Lapsed in a contracting state [announced via postgrant information from national office to epo] |
Ref country code: SE Free format text: LAPSE BECAUSE OF NON-PAYMENT OF DUE FEES Effective date: 20150822 Ref country code: GR Free format text: LAPSE BECAUSE OF NON-PAYMENT OF DUE FEES Effective date: 20160303 |
|
REG | Reference to a national code |
Ref country code: FR Ref legal event code: ST Effective date: 20160429 |
|
REG | Reference to a national code |
Ref country code: GR Ref legal event code: ML Ref document number: 20030405318 Country of ref document: GR Effective date: 20160303 |
|
PG25 | Lapsed in a contracting state [announced via postgrant information from national office to epo] |
Ref country code: NL Free format text: LAPSE BECAUSE OF NON-PAYMENT OF DUE FEES Effective date: 20150901 |
|
PG25 | Lapsed in a contracting state [announced via postgrant information from national office to epo] |
Ref country code: DE Free format text: LAPSE BECAUSE OF NON-PAYMENT OF DUE FEES Effective date: 20160301 |
|
PG25 | Lapsed in a contracting state [announced via postgrant information from national office to epo] |
Ref country code: FR Free format text: LAPSE BECAUSE OF NON-PAYMENT OF DUE FEES Effective date: 20150831 |
|
REG | Reference to a national code |
Ref country code: ES Ref legal event code: FD2A Effective date: 20160928 |
|
PG25 | Lapsed in a contracting state [announced via postgrant information from national office to epo] |
Ref country code: ES Free format text: LAPSE BECAUSE OF NON-PAYMENT OF DUE FEES Effective date: 20150822 |