EP1753366A1 - Bandelette prothesique ajustable. - Google Patents

Bandelette prothesique ajustable.

Info

Publication number
EP1753366A1
EP1753366A1 EP05773008A EP05773008A EP1753366A1 EP 1753366 A1 EP1753366 A1 EP 1753366A1 EP 05773008 A EP05773008 A EP 05773008A EP 05773008 A EP05773008 A EP 05773008A EP 1753366 A1 EP1753366 A1 EP 1753366A1
Authority
EP
European Patent Office
Prior art keywords
graduation
strip
long side
holes
strip according
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Withdrawn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
EP05773008A
Other languages
German (de)
English (en)
French (fr)
Inventor
David Jean-Marie Nocca
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.)
Individual
Original Assignee
Individual
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 Individual filed Critical Individual
Publication of EP1753366A1 publication Critical patent/EP1753366A1/fr
Withdrawn legal-status Critical Current

Links

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
    • A61F5/005—Gastric bands
    • 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

Definitions

  • Adjustable prosthetic strip Morbid obesity surgery called bariatric surgery has become a fully-fledged discipline of digestive surgery.
  • the long-term ineffectiveness of the various therapeutic approaches (dietetic, medicinal, psychological) as well as the micro-invasive aspect provided by the laparoscopic technique are the main causes.
  • several surgical procedures are used, acting either by a restrictive mechanism (calibrated vertical gastroplasty, adjustable calibrated horizontal gastroplasty), or mixed, that is to say associating a restriction of the gastric capacity with an intestinal digestive shunt causing malabsorption (gastric bypass, Duodenal inversion). Certain technical problems are common to all of these procedures.
  • an inextensible flexible strip having a long side and an imaginary mediator of the first long side, made of a material with absorbability greater than two years and which can be colonized by fibroblasts, characterized in that on the same side and on a first section of the strip lying on a first side of the perpendicular bisector of the strip are affixed several graduation lines perpendicular to the first long side and at a distance from each other in the direction parallel to the first long side, respectively two first and second graduation holes being associated with each graduation line, and two first and second suture holes are formed in a second section of the strip located on a second side of the perpendicular bisector.
  • line is meant any visual cue.
  • a strip is obtained which presents a low risk of erosion and which is adjustable intraoperatively and especially at an early post-operative stage, by section of the strip attachment wires, readjustment and placement of two new closure wires.
  • the material with absorbability greater than two years and which can be colonized by fibroblasts is preferably collagen of origin animal, in particular of porcine origin, with a preference for acellular dermal collagen having its elastin fibers.
  • a strip of collagen of this kind can be obtained under the trademark "Pelvicol" from the plaintiff 164 avenue J. Kessel portik P4 78960 Voisins le Bretonneux.
  • first additional graduation line on the first section at a first given distance from one of the first lines and parallel to it and, preferably, it is affixed on the same face of the strip several first additional graduation lines on the first section at the distance given from each other and parallel to the first line. It is thus possible to modify in early postoperative the diameter of the ring formed by the strip if necessary. This operation is further facilitated if a second additional graduation line is affixed to the same face of the strip on the second section at a second given distance from one of the first lines and parallel to it.
  • the first and second distances are equal, which facilitates adjustment operations.
  • each hole on a first graduation line is aligned parallel to the long side with a hole tangent to the other first graduation line.
  • the holes are at a distance between them equal to their distance from the long sides.
  • Lines can be affixed in ink. By line is meant any visible mark. According to an embodiment particularly suited to the anatomy, the length of the main section is 5 cm and the distance between the lines on the same section is 1 cm.
  • the strip can have a width between 1, 5 and 3 cm and preferably the width is 2 cm.
  • the strip is used in the following manner.
  • the distal end of the gastric pocket is surrounded by a strip according to the invention which is tightened in a ring by passing suture threads in two coincident holes.
  • This performs a calibration of the gastric pouch of the calibrated vertical gastroplasty or any bariatric surgery intervention requiring calibration.
  • the stomach is short-circuited by directly connecting the gastric pocket to a part of the intestine and a strip according to the invention is placed curved in a ring on this connection, preferably on the gastric pocket.
  • a post-operative control verifying the good quality of the calibration is carried out in the early post-operative period by oesogastric opacification.
  • the single figure of the accompanying drawing illustrates the invention.
  • the strip shown in the figure is made of Pelvicol. It consists of a second section 1 with a length of 5 cm and a width of 2 cm. The section 1 has two large sides 2, 3 and a small side 4.
  • the strip comprises a first end section 5 respectively with a width of 2 cm and a length of 5 cm.
  • two holes 6A, 6B are provided with a diameter of 2 mm tangent to a first line 7 of graduation which is affixed on one face of the strip perpendicular to the long sides 2, 3.
  • the holes 6 are arranged at equal distance from the long sides 2, 3.
  • the line 7 adjacent to the section 1 is on the perpendicular bisector of the long side 2.
  • it is affixed on the section 5 four additional lines 8 of graduation equidistant from 1 cm from each other, the first of them being 1 cm from the first line 7 of graduation, with a thickness of 0.2 to 1 mm.
  • the holes 9A and 6A on the one hand and 9B and 6B on the other hand are aligned respectively along two imaginary lines parallel to the long side 2. . Thanks to these lines 7 and holes 6, it is possible to adapt the size of the prosthesis to the anatomical dissection conditions and to the size of the gastric pouch which is created. The complications of erosion are less and the cost of the operation is lower.

Landscapes

  • Health & Medical Sciences (AREA)
  • Vascular Medicine (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nursing (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Obesity (AREA)
  • Child & Adolescent Psychology (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)
  • Surgical Instruments (AREA)
  • Endoscopes (AREA)
EP05773008A 2004-05-18 2005-05-17 Bandelette prothesique ajustable. Withdrawn EP1753366A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
FR0405404A FR2870450B1 (fr) 2004-05-18 2004-05-18 Bandelette prothesique ajustable
PCT/FR2005/001229 WO2005122952A1 (fr) 2004-05-18 2005-05-17 Bandelette prothesique ajustable.

Publications (1)

Publication Number Publication Date
EP1753366A1 true EP1753366A1 (fr) 2007-02-21

Family

ID=34946153

Family Applications (1)

Application Number Title Priority Date Filing Date
EP05773008A Withdrawn EP1753366A1 (fr) 2004-05-18 2005-05-17 Bandelette prothesique ajustable.

Country Status (8)

Country Link
US (1) US20070239195A1 (ja)
EP (1) EP1753366A1 (ja)
JP (1) JP2007537809A (ja)
AU (1) AU2005253758A1 (ja)
BR (1) BRPI0510134A (ja)
CA (1) CA2564222A1 (ja)
FR (1) FR2870450B1 (ja)
WO (1) WO2005122952A1 (ja)

Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
AT506631B1 (de) * 2008-03-31 2011-06-15 Ami Agency Medical Innovations Gmbh Einrichtung mit einem band zum ringförmigen umfassen eines teiles eines gastro-intestinal- traktes
US20200197010A1 (en) * 2017-05-24 2020-06-25 Endovision Co., Ltd. Apparatus for fixing instrument within intestinal canal

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Also Published As

Publication number Publication date
BRPI0510134A (pt) 2007-10-02
AU2005253758A1 (en) 2005-12-29
US20070239195A1 (en) 2007-10-11
CA2564222A1 (fr) 2005-12-29
FR2870450A1 (fr) 2005-11-25
JP2007537809A (ja) 2007-12-27
FR2870450B1 (fr) 2007-04-20
WO2005122952A1 (fr) 2005-12-29

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