EP1673016A1 - Dispositif de traitement de fistules - Google Patents
Dispositif de traitement de fistulesInfo
- 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- Withdrawn
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06166—Sutures
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—Implements 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12099—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—Implements 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
- A61B2017/00641—Implements 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06004—Means for attaching suture to needle
- A61B2017/06019—Means for attaching suture to needle by means of a suture-receiving lateral eyelet machined in the needle
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06004—Means for attaching suture to needle
- A61B2017/06028—Means 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06004—Means for attaching suture to needle
- A61B2017/06033—Means for attaching suture to needle using adhesives
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06066—Needles, e.g. needle tip configurations
- A61B2017/06085—Needles, e.g. needle tip configurations having a blunt tip
-
- 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
- A61M27/00—Drainage 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.
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)
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)
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)
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 |
-
2003
- 2003-09-03 NL NL1024218A patent/NL1024218C2/nl not_active IP Right Cessation
-
2004
- 2004-08-19 WO PCT/NL2004/000584 patent/WO2005020823A1/fr active Application Filing
- 2004-08-19 EP EP04774891A patent/EP1673016A1/fr not_active Withdrawn
Patent Citations (1)
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)
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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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 |
|
17P | Request for examination filed |
Effective date: 20060331 |
|
AK | Designated contracting states |
Kind code of ref document: A1 Designated state(s): AT BE BG CH CY CZ DE DK EE ES FI FR GB GR HU IE IT LI LU MC NL PL PT RO SE SI SK TR |
|
17Q | First examination report despatched |
Effective date: 20060717 |
|
DAX | Request for extension of the european patent (deleted) | ||
RAP1 | Party data changed (applicant data changed or rights of an application transferred) |
Owner name: IP RANDWIJCK B.V. |
|
17Q | First examination report despatched |
Effective date: 20060717 |
|
STAA | Information on the status of an ep patent application or granted ep patent |
Free format text: STATUS: THE APPLICATION IS DEEMED TO BE WITHDRAWN |
|
18D | Application deemed to be withdrawn |
Effective date: 20071211 |