EP1673016A1 - Dispositif de traitement de fistules - Google Patents

Dispositif de traitement de fistules

Info

Publication number
EP1673016A1
EP1673016A1 EP04774891A EP04774891A EP1673016A1 EP 1673016 A1 EP1673016 A1 EP 1673016A1 EP 04774891 A EP04774891 A EP 04774891A EP 04774891 A EP04774891 A EP 04774891A EP 1673016 A1 EP1673016 A1 EP 1673016A1
Authority
EP
European Patent Office
Prior art keywords
fistula
probe
elongated probe
patient
drainage thread
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.)
Withdrawn
Application number
EP04774891A
Other languages
German (de)
English (en)
Inventor
Cornelius Gerardus Maria Ignatius Baeten
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
IP RANDWIJCK B.V.
Original Assignee
Stichting Sint Annadal
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Stichting Sint Annadal filed Critical Stichting Sint Annadal
Publication of EP1673016A1 publication Critical patent/EP1673016A1/fr
Withdrawn legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06166Sutures
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12099Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00641Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closing fistulae, e.g. anorectal fistulae
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06004Means for attaching suture to needle
    • A61B2017/06019Means for attaching suture to needle by means of a suture-receiving lateral eyelet machined in the needle
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06004Means for attaching suture to needle
    • A61B2017/06028Means for attaching suture to needle by means of a cylindrical longitudinal blind bore machined at the suture-receiving end of the needle, e.g. opposite to needle tip
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06004Means for attaching suture to needle
    • A61B2017/06033Means for attaching suture to needle using adhesives
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06066Needles, e.g. needle tip configurations
    • A61B2017/06085Needles, e.g. needle tip configurations having a blunt tip
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M27/00Drainage appliance for wounds or the like, i.e. wound drains, implanted drains

Definitions

  • Fig. la-Id schematically show the steps of the treatment of a fistula, using a device according to the invention
  • Fig. 2 schematically shows a first embodiment of a device according to the invention for treating fistulas.
  • Fig. la shows the lower part of the body 1 of a patient suffering from a perianal fistula 2.
  • the perianal fistula 2 has an internal fistula opening 2a, which is in contact with the intestinal canal 3, and an external fistula opening 2b in the patient's skin.
  • a method is proposed which on the one hand is considerably less painful for the patient and which on the other hand can be carried out without anaesthesia.

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Medical Informatics (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Cardiology (AREA)
  • Reproductive Health (AREA)
  • Vascular Medicine (AREA)
  • External Artificial Organs (AREA)
  • Media Introduction/Drainage Providing Device (AREA)

Abstract

L'invention porte sur un dispositif de traitement de fistules, en particulier de fistules périnéales, comportant une sonde allongée présentant une première et une deuxième extrémité, et pouvant s'insérer par sa première extrémité via l'ouverture externe du canal fistulaire pratiquée dans la peau et en direction de l'ouverture fistulaire interne, pour permettre de passer un drain dans le canal fistulaire. Ce dispositif permet d'effectuer un traitement sans douleur ne nécessitant pas d'anesthésie ni de traitement chirurgical, puisque le drain est fixé à la deuxième extrémité de la sonde qui l'entraîne via le canal fistulaire. En retirant la sonde par l'ouverture interne de la fistule anale et par l'anus, les deux extrémités des fils (l'une sortant de l'anus et l'autre de l'ouverture externe de la fistule) peuvent se joindre et être nouées. Cette réalisation, puisque ne nécessitant pas d'intervention chirurgicale sous anesthésie, est beaucoup moins pénible pour le patient.
EP04774891A 2003-09-03 2004-08-19 Dispositif de traitement de fistules Withdrawn EP1673016A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
NL1024218A NL1024218C2 (nl) 2003-09-03 2003-09-03 Inrichting voor het behandelen van fistels.
PCT/NL2004/000584 WO2005020823A1 (fr) 2003-09-03 2004-08-19 Dispositif de traitement de fistules

Publications (1)

Publication Number Publication Date
EP1673016A1 true EP1673016A1 (fr) 2006-06-28

Family

ID=34270799

Family Applications (1)

Application Number Title Priority Date Filing Date
EP04774891A Withdrawn EP1673016A1 (fr) 2003-09-03 2004-08-19 Dispositif de traitement de fistules

Country Status (3)

Country Link
EP (1) EP1673016A1 (fr)
NL (1) NL1024218C2 (fr)
WO (1) WO2005020823A1 (fr)

Families Citing this family (23)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8465516B2 (en) 2001-07-26 2013-06-18 Oregon Health Science University Bodily lumen closure apparatus and method
US9861517B2 (en) 2001-07-26 2018-01-09 Cook Medical Technologies Llc Vessel closure member, delivery apparatus, and method of inserting the member
US7645229B2 (en) 2003-09-26 2010-01-12 Armstrong David N Instrument and method for endoscopic visualization and treatment of anorectal fistula
EP2193749B1 (fr) 2004-01-21 2017-03-01 Cook Medical Technologies LLC Greffe implantable pour fermer une fistule
WO2006119256A2 (fr) 2005-04-29 2006-11-09 Cook Biotech Incorporated Greffes a adequation volumetrique pour traitement de fistules, methodes et systemes
WO2007011443A2 (fr) 2005-04-29 2007-01-25 Cook Biotech Incorporated Greffon a fistule constitue d'un materiau deformable sous forme de feuille
EP1903947B1 (fr) 2005-06-21 2015-12-30 Cook Medical Technologies LLC Greffe implantable servant a fermer une fistule
GB2447400B (en) 2006-01-31 2011-11-02 Cook Biotech Inc Fistula grafts and related methods and systems for treating fistulae
EP2037817B1 (fr) 2006-06-21 2016-01-27 Cook Biotech Incorporated Greffon pour fistule
WO2008124361A2 (fr) 2007-04-06 2008-10-16 Cook Biotech Incorporated Bouchons de fistule à résistance en colonne accrue, appareils et procédés d'introduction de bouchons de fistule
US8535349B2 (en) 2007-07-02 2013-09-17 Cook Biotech Incorporated Fistula grafts having a deflectable graft body portion
US9113851B2 (en) 2007-08-23 2015-08-25 Cook Biotech Incorporated Fistula plugs and apparatuses and methods for fistula plug delivery
US9492149B2 (en) 2007-11-13 2016-11-15 Cook Biotech Incorporated Fistula grafts and related methods and systems useful for treating gastrointestinal and other fistulae
GB2489229A (en) 2011-03-21 2012-09-26 Keighleycolo Ltd Seton for fistula
GB201214242D0 (en) 2012-08-09 2012-09-19 Keighleycolo Ltd A device
NL2009404C2 (nl) * 2012-09-03 2014-03-04 Medishield B V Seton voor de behandeling van een fistel, werkwijze voor het vormen van een gesloten lus uit een seton, alsmede smeltklem daarvoor.
CN103705210A (zh) * 2012-09-28 2014-04-09 上海众仁生物医药科技有限公司 探针测量锁扣手术线
ES2547496B1 (es) * 2014-03-04 2016-07-14 Servicio Andaluz De Salud Legra para fístulas perianales
CN104127210B (zh) * 2014-08-14 2016-02-24 李春穴 肛瘘挂线手术装置
CN104665883A (zh) * 2015-03-18 2015-06-03 王辉 用于复杂性肛瘘的挂线
GB201612599D0 (en) * 2016-07-20 2016-08-31 Univ London Queen Mary Surgical tool
WO2018109494A1 (fr) * 2016-12-16 2018-06-21 Xiros Limited Sonde médicale, ensemble et procédé
CN107754030B (zh) * 2017-11-22 2023-07-25 上海中医药大学附属龙华医院 一种自固定药线及其制作方法

Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5383901A (en) * 1993-10-18 1995-01-24 Ethicon, Inc. Blunt point needles

Family Cites Families (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US454327A (en) * 1891-06-16 Device foe
NL182418C (nl) 1953-02-16 Saint Andre Filature Spin-twijninrichting voor het vervaardigen van een samengestelde fantasiedraad en met behulp van die inrichting verkregen fantasiedraad.
US3420237A (en) * 1966-09-02 1969-01-07 Martha K Fortay Process and article for the treatment of severe epistaxis
GB2097260A (en) * 1981-04-27 1982-11-03 Dow Corning Flexible surgical device for guiding fibrous connective tissue
ES2116914B1 (es) * 1996-05-14 1999-03-01 Palazon Hernandez Jesus Maria Resector de fistulas perianales.
DE60129716T2 (de) * 2001-06-25 2008-04-30 Tsukada Medical Research Co., Ltd. Behandlungsinstrument für varizen der saphenusvene
JP2003210502A (ja) * 2002-01-24 2003-07-29 Yufu Itonaga Co Ltd 痔瘻結紮用ゴム紐

Patent Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5383901A (en) * 1993-10-18 1995-01-24 Ethicon, Inc. Blunt point needles

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
See also references of WO2005020823A1 *

Also Published As

Publication number Publication date
NL1024218C2 (nl) 2005-03-07
WO2005020823A1 (fr) 2005-03-10

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