ES2216711B1 - DEVICE FOR THE CLOSURE OF FISTULES IN THE TRAQUEA AND ADDITIONAL DUCTS. - Google Patents
DEVICE FOR THE CLOSURE OF FISTULES IN THE TRAQUEA AND ADDITIONAL DUCTS.Info
- Publication number
- ES2216711B1 ES2216711B1 ES200300835A ES200300835A ES2216711B1 ES 2216711 B1 ES2216711 B1 ES 2216711B1 ES 200300835 A ES200300835 A ES 200300835A ES 200300835 A ES200300835 A ES 200300835A ES 2216711 B1 ES2216711 B1 ES 2216711B1
- Authority
- ES
- Spain
- Prior art keywords
- trachea
- wall
- fistulas
- fistula
- button
- 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.)
- Expired - Fee Related
Links
- 206010016717 Fistula Diseases 0.000 claims abstract description 23
- 230000003890 fistula Effects 0.000 claims abstract description 23
- 210000003437 trachea Anatomy 0.000 claims abstract description 21
- 239000000463 material Substances 0.000 claims abstract description 6
- 238000000926 separation method Methods 0.000 claims abstract description 5
- 210000003238 esophagus Anatomy 0.000 claims description 2
- 210000000056 organ Anatomy 0.000 claims description 2
- 210000004224 pleura Anatomy 0.000 claims description 2
- 210000000779 thoracic wall Anatomy 0.000 claims description 2
- 210000001370 mediastinum Anatomy 0.000 claims 1
- 230000002787 reinforcement Effects 0.000 abstract 1
- 208000027418 Wounds and injury Diseases 0.000 description 4
- 230000006378 damage Effects 0.000 description 4
- 208000014674 injury Diseases 0.000 description 4
- 210000004072 lung Anatomy 0.000 description 4
- 230000003902 lesion Effects 0.000 description 3
- 230000016571 aggressive behavior Effects 0.000 description 2
- 210000000038 chest Anatomy 0.000 description 2
- 230000003211 malignant effect Effects 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 208000004756 Respiratory Insufficiency Diseases 0.000 description 1
- 206010057190 Respiratory tract infections Diseases 0.000 description 1
- 208000005864 Tracheoesophageal Fistula Diseases 0.000 description 1
- 210000003484 anatomy Anatomy 0.000 description 1
- 230000003190 augmentative effect Effects 0.000 description 1
- 230000000903 blocking effect Effects 0.000 description 1
- 210000000621 bronchi Anatomy 0.000 description 1
- 238000013276 bronchoscopy Methods 0.000 description 1
- 210000000845 cartilage Anatomy 0.000 description 1
- 238000000605 extraction Methods 0.000 description 1
- 230000005484 gravity Effects 0.000 description 1
- 238000002513 implantation Methods 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 230000007170 pathology Effects 0.000 description 1
- 229920001296 polysiloxane Polymers 0.000 description 1
- 230000001681 protective effect Effects 0.000 description 1
- 201000004193 respiratory failure Diseases 0.000 description 1
- 238000007789 sealing Methods 0.000 description 1
- 238000011477 surgical intervention Methods 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—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
- 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
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/0063—Implantable repair or support meshes, e.g. hernia meshes
-
- 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
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Animal Behavior & Ethology (AREA)
- Veterinary Medicine (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Public Health (AREA)
- Cardiology (AREA)
- General Health & Medical Sciences (AREA)
- Transplantation (AREA)
- Vascular Medicine (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Prostheses (AREA)
Abstract
Dispositivo para el cierre de fístulas. Consiste en un doble botón circular con una separación intermedia de anchura semejante al grosor de la pared de la tráquea, elaborado en material homologado, inocuo y flexible que permite, previa presión, sobre su contorno, su introducción a través de la abertura fistular, recuperando su forma inicial y quedando aplacado contra la pared externa y la superficie interna de la tráquea, cerrando perfectamente la abertura, previéndose además que el botón doble podrá presentarse con sus botones simples de igual o distinto diámetro para facilitar su aplicación, de acuerdo con las características de la fístula y por permitir su aplicación junto con prótesis tubulares internas de refuerzo de la tráquea, en cuyo caso la dimensión de la separación será la suma del grosor de la pared con la de la pared de la prótesis.Device for closing fistulas. It consists of a double circular button with an intermediate separation of width similar to the thickness of the wall of the trachea, made of homologated, harmless and flexible material that allows, prior pressure, on its contour, its introduction through the fistular opening, recovering its initial shape and being clamped against the outer wall and the inner surface of the trachea, closing the opening perfectly, also providing that the double button can be presented with its simple buttons of the same or different diameter to facilitate its application, according to the characteristics of the fistula and for allowing its application together with internal tubular prostheses for reinforcement of the trachea, in which case the dimension of the separation will be the sum of the thickness of the wall with that of the wall of the prosthesis.
Description
Dispositivo para el cierre de fístulas en la traquea y conductos adyacentes.Device for closing fistulas in the trachea and adjacent ducts.
La presente patente de invención se refiere a un dispositivo concebido para llevar a cabo el cierre de fístulas que comunican el árbol bronquial con los órganos vecinos, sobre todo con el esófago, el mediatino, la pleura o pared torácica, dispositivo cuyas características esenciales permiten su fácil implantación, así como larga duración.The present invention patent relates to a device designed to carry out the closure of fistulas that they communicate the bronchial tree with the neighboring organs, especially with the esophagus, the mediatin, the pleura or chest wall, device whose essential features allow its easy implantation as well as long duration.
Una de las lesiones que pueden aquejar la zona traqueal humana, concretamente los cartílagos traqueales y bronquiales, es la aparición de fístulas benignas o malignas, las cuales llegan a atravesar las láminas cartilaginosas con los clásicos anillos que conforman el árbol traqueobronquial.One of the injuries that can afflict the area human tracheal, specifically tracheal cartilages and bronchial, is the appearance of benign or malignant fistulas, the which get through the cartilaginous sheets with the classic rings that make up the tracheobronchial tree.
La perforación de dichas láminas cartilaginosas son de evidente y acentuada gravedad, ya que el aire espirado se deriva a otras estructuras y no llegan correctamente a los alveólos, lo cual provoca insuficiencia respiratoria e infecciones graves que obligan a una intervención quirúrgica muy cruenta y muchas veces de urgencia, no exenta de grandes riesgos, con el objetivo de restaurar la zona afectada mediante suturas adecuadas. Estas intervenciones necesitan obligatoriamente de la apertura del tórax para la manipulación interna de la zona.The perforation of said cartilaginous sheets they are of evident and accentuated gravity, since the exhaled air is drift to other structures and do not reach the alveólos, which causes respiratory failure and infections serious that force a very bloody surgical intervention and often urgently, not without great risks, with the objective of restoring the affected area by suitable sutures. These interventions necessarily require the opening of the thorax for internal manipulation of the area.
Por otra parte la colocación de prótesis de silicona o metálicas cilíndricas o tubulares no garantizan de ninguna manera el cierre de la fístula.On the other hand the placement of prostheses silicone or cylindrical or tubular metal does not guarantee no way the closure of the fistula.
Además, por motivos anatómicos la tráquea es una zona de difícil manipulación quirúrgica y en la mayoría de los casos, sobre todo en patología maligna (la más frecuente), existe una contraindicación formal del acto quirúrgicoIn addition, for anatomical reasons the trachea is a area of difficult surgical manipulation and in most of the cases, especially in malignant pathology (the most frequent), exists a formal contraindication of the surgical act
La desatención de estos tipos de lesiones pueden llegar a afectar con el tiempo, de forma muy grave sobre los pulmones del individuo, habiéndose diagnosticado casos en los que ha sido necesario llegar a la extirpación de la totalidad de uno de los mencionados pulmones (neumonectomía).Neglecting these types of injuries can get to affect over time, very seriously about lungs of the individual, having diagnosed cases in which it has been necessary to reach the removal of all of one of the mentioned lungs (pneumonectomy).
El dispositivo objeto de la presente invención, ofrece una solución ventajosa a la problemática expuesta anteriormente, y está basado en la posibilidad real y práctica de colocar un elemento obturador en la lesión que perfora la pared de la tráquea, sin necesidad de efectuar suturas. Este dispositivo, elaborado en material homologado para su uso en prótesis para el organismo humano, está caracterizado por una flexibilidad extrema que permitirá incluso su manipulación mediante las diversas técnicas teledemandadas utilizadas en la actualidad, para una correcta colocación sobre la fístula, adoptando posteriormente su forma definitiva igual a la inicial, cerrando el orificio provocado por la fístula y restaurando la normalidad en el conducto traqueal. Toda esta acción, reduce considerablemente la agresión sobre el organismo del paciente.The device object of the present invention, offers an advantageous solution to the exposed problem above, and is based on the real and practical possibility of place a sealing element in the lesion that perforates the wall of the trachea, without the need for sutures. This device, made of approved material for use in prostheses for human organism, is characterized by extreme flexibility which will allow even its manipulation through the various teledemand techniques currently used for a correct placement on the fistula, subsequently adopting its final form equal to the initial one, closing the caused hole by the fistula and restoring normality in the tracheal duct. All this action considerably reduces the aggression on the patient organism
En el supuesto de que la lesión provocada sobre la pared anular cartilaginosa de la tráquea o de los bronquios por una fístula, se viera acrecentada por algún tipo de deformación de la propia tráquea, este dispositivo objeto de la presente invención permite su aplicación del elemento de material flexible sobre el orificio causado por la fístula, solidarizándose de inmediato con la prótesis cilíndrica que se dispone en el interior de esa zona de la tráquea.In the event that the injury caused on the cartilaginous annular wall of the trachea or bronchi by a fistula, would be augmented by some kind of deformation of the trachea itself, this device object of the present invention allows its application of the flexible material element over the hole caused by the fistula, in solidarity with immediately with the cylindrical prosthesis inside from that area of the trachea.
El dispositivo objeto de la presente invención, consiste en un botón doble circular, unidas sus dos partes por un cuerpo cilíndrico de superficie redondeada cóncava, siendo la separación entre ambos botones la correspondiente al grosor de la pared cartilaginosa de la tráquea.The device object of the present invention, It consists of a double circular button, joined by its two parts by a concave rounded cylindrical body, the separation between both buttons corresponding to the thickness of the cartilaginous wall of the trachea.
El diseño de este botón doble permite su fácil manipulación, con ayuda, por ejemplo, de unas simples pinzas, para doblarlo e introducirlo sin dificultad a través del orificio de la fístula, dejando, acto seguido, de actuar sobre 61, momento en que recobra su forma normal, obturando el orificio provocado por la fístula y recubriendo, con carácter protector, todo su alrededor.The design of this double button allows its easy manipulation, with the help, for example, of simple tweezers, to fold it and introduce it without difficulty through the hole of the fistula, leaving, immediately after, acting on 61, at which time regains its normal shape, blocking the hole caused by the fistula and covering, with protective character, all its around.
El doble botón, de acuerdo con unas determinadas aplicaciones, podrá presentar como variantes el hecho de que el diámetro de ambos botones simples sea distinto, si bien en otros serán de igual diámetro.The double button, according to certain applications, may present as variants the fact that the diameter of both simple buttons is different, although in other They will be of equal diameter.
Con el fin de describir con detalle todo lo anteriormente expuesto, se adjuntan a esta memoria unos dibujos en los que se han ilustrado las características esenciales del objeto de la presente invención.In order to describe in detail everything above, some drawings are attached to this report. those that have illustrated the essential characteristics of the object of the present invention.
En dichos dibujos,In these drawings,
La Figura 1 es una vista de costado del botón doble.Figure 1 is a side view of the button double.
La Figura 2 es una vista en perspectiva del mismo botón.Figure 2 is a perspective view of it. button.
La Figura 3 es un dibujo esquemático u representativo de la anatomía de la zona traqueal humana, así como de la parte superior de los pulmones y de los ramos bronquiales, mostrando un dispositivo de cierre de la invención ya colocado.Figure 3 is a schematic drawing or representative of the anatomy of the human tracheal area, as well as of the upper part of the lungs and bronchial branches, showing a closing device of the invention already placed.
La Figura 4 ilustra el momento de tomar un botón doble para su colocación.Figure 4 illustrates the moment of taking a button double for placement.
La Figura complementa la anterior figura, mostrando el momento de la introducción del botón doble a través de la pared perforada de la tráquea.The Figure complements the previous figure, showing the moment of the introduction of the double button through the perforated wall of the trachea.
La Figura 6 dibuja, esquemáticamente, una porción de tráquea parcialmente seccionada, e ilustrando la colocación definitiva del doble botón en alzado y en planta.Figure 6 schematically draws a portion of partially sectioned trachea, and illustrating the placement definitive double button elevation and plan.
Las Figuras 7, 8 y 9, dibujan la colocación del botón doble, según diversas variantes del mismo.Figures 7, 8 and 9, draw the placement of the double button, according to various variants thereof.
Y, finalmente, la Figura 10 representa el proceso de colocación de una conocida prótesis tubular en el interior del conducto traqueal, en la posición de introducción previa y en la posición definitiva, con el botón doble de la invención ya colocado sobre el orificio de la fístula.And finally, Figure 10 represents the process of placing a known tubular prosthesis inside the tracheal duct, in the position of previous introduction and in the definitive position, with the double button of the invention already placed over the hole of the fistula.
De acuerdo con los mencionados dibujos, el botón doble (1), permite el cierre de fístulas traqueoesofágicas en la pared traqueal humana y ramas bronquiales, introduciéndolo a través de la abertura (2) que la fístula ha provocado en la pared cartilaginosa (3) de los anillos (4) del conducto traqueal (5), el cual permite el paso del aire a y desde los pulmones (6).According to the mentioned drawings, the button double (1), allows the closure of tracheoesophageal fistulas in the human tracheal wall and bronchial branches, introducing it through of the opening (2) that the fistula has caused in the wall cartilaginous (3) of the rings (4) of the tracheal duct (5), the which allows the passage of air to and from the lungs (6).
El botón doble (1) está formado por dos botones simples (1a) y (1b) de planta circular y relativo poco grueso, con sus bordes externos perfectamente redondeados (1c), todo ello según se aprecia con claridad en las figuras 1 y 2.The double button (1) consists of two buttons simple (1a) and (1b) of circular and relatively thick plan, with its perfectly rounded outer edges (1c), all according to It can be clearly seen in Figures 1 and 2.
Ambos botones simples (1a) y (1b) quedan unidos por el núcleo central (7), de pared redondeada cóncava, determinando una separación (d) entre ambos botones simples equivalente al grosor de la pared (3) de la tráquea (5).Both simple buttons (1a) and (1b) are joined by the central core (7), with a concave rounded wall, determining a separation (d) between both simple buttons equivalent to the thickness of the wall (3) of the trachea (5).
La colocación en la abertura orificio (2) provocado por la fístula, se realiza fácilmente con ayuda de un broncoscopio rígido introducido por la boca del paciente (broncoscopia) accediendo a la zona fistulosa y mediante unas pinzas adecuadas (8) u otro medio adecuado el botón doble (1), se comprime por los contornos de ambos botones simples para permitir el paso por el orificio (2) retomando su forma el botón simple (1a) tan pronto ha pasado al otro lado de la pared (3) de la tráquea, mientras que el otro botón simple (1b) lo hace al dejar de ser oprimido por las pinzas (8), tal como se observa en las figuras 4, 5 y 6..Placement in the opening hole (2) caused by the fistula, it is easily performed with the help of a rigid bronchoscope inserted through the patient's mouth (bronchoscopy) accessing the fistulous area and using suitable tweezers (8) or other suitable means the double button (1), it compress by the contours of both simple buttons to allow the passage through the hole (2) retaking its shape the simple button (1a) as soon as it has passed to the other side of the wall (3) of the trachea, while the other simple button (1b) does so by ceasing to be pressed by the tweezers (8), as seen in figures 4, 5 and 6 ..
Este dispositivo permite, como se observa tanto por lo descrito como por las ilustraciones que acompañan esta memoria, reducir considerablemente la agresión al paciente, ya que elimina la abertura quirúrgica del tórax y la sutura traqueal o bronquial, siendo necesaria una vía de acceso mucho menor y totalmente incruenta para llegar hasta la tráquea y colocar el botón doble (1).This device allows, as seen both as described as by the illustrations that accompany this memory, significantly reduce patient aggression, since removes the surgical opening of the chest and tracheal suture or bronchial, requiring a much smaller access route and totally bloodless to reach the trachea and place the button double (1).
Según sea preciso, por causa de las características de la lesión causada por la fístula, los botones simples (1a) y (1b), podrán ser de diámetros iguales o distintos, tal como muestran las figuras 7 y 8, adaptándose siempre de forma perfecta contra la superficie externa e interna de la pared traqueal (3) garantizando de esta manera un perfecto cierre de la abertura (2) causada por la lesión fistular.As required, because of the characteristics of the injury caused by the fistula, the buttons simple (1a) and (1b), may be of equal or different diameters, as shown in figures 7 and 8, always adapting perfect against the outer and inner surface of the tracheal wall (3) thus guaranteeing a perfect closing of the opening (2) caused by the fistular lesion.
El uso del dispositivo de doble botón (1) a que se ha venido haciendo referencia a lo largo de la descripción que antecede, permite, asimismo, la aplicación en aquellos casos que, por hundimiento o aplastamiento de la propia tráquea (5), deba colocarse un nuevo elemento adicional en el interior del conducto, para reforzarlo y eliminar el mencionado aplastamiento o deformación, tal como puede observarse en la figura 10.The use of the double button device (1) to reference has been made throughout the description that It also allows the application in those cases that, due to sinking or crushing of the trachea itself (5), a new additional element be placed inside the duct, to reinforce it and eliminate the aforementioned crushing or deformation, as can be seen in figure 10.
Este elemento, ya conocido, consiste en una prótesis cilíndrica hueca (9), la cual se dispondrá en el interior del conducto traqueal (5), de manera que cubra la zona donde se ha dispuesto el botón doble (1) cerrando la lesión de la fístula en dicho lugar.This element, already known, consists of a hollow cylindrical prosthesis (9), which will be arranged inside of the tracheal duct (5), so that it covers the area where it has been arranged the double button (1) closing the fistula lesion in said place.
El material utilizado en la fabricación del botón doble de la invención, permite la permanencia en el interior del organismo por largos periodos de tiempo, permitiendo también su fácil extracción así como su sustitución por otra de iguales o similares características.The material used in the manufacture of the button double of the invention, allows the permanence inside the organism for long periods of time, also allowing its easy extraction as well as its replacement by another of equals or similar characteristics.
Descrito suficientemente el objeto de la presente invención, debe indicarse que la esencialidad de la misma no se verá alterada por el hecho de que el dispositivo que se ha descrito, varíe en dimensiones, formas, acabado y tipo de material empleado, quedando resumida en las reivindicaciones que siguen.Described sufficiently the object of the present invention, it should be noted that the essentiality thereof is not will be altered by the fact that the device that has been described, vary in dimensions, shapes, finish and type of material employee, being summarized in the following claims.
Claims (3)
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| ES200300835A ES2216711B1 (en) | 2003-04-09 | 2003-04-09 | DEVICE FOR THE CLOSURE OF FISTULES IN THE TRAQUEA AND ADDITIONAL DUCTS. |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| ES200300835A ES2216711B1 (en) | 2003-04-09 | 2003-04-09 | DEVICE FOR THE CLOSURE OF FISTULES IN THE TRAQUEA AND ADDITIONAL DUCTS. |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| ES2216711A1 ES2216711A1 (en) | 2004-10-16 |
| ES2216711B1 true ES2216711B1 (en) | 2005-05-16 |
Family
ID=33186141
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| ES200300835A Expired - Fee Related ES2216711B1 (en) | 2003-04-09 | 2003-04-09 | DEVICE FOR THE CLOSURE OF FISTULES IN THE TRAQUEA AND ADDITIONAL DUCTS. |
Country Status (1)
| Country | Link |
|---|---|
| ES (1) | ES2216711B1 (en) |
Families Citing this family (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| ES2294930B1 (en) * | 2006-06-27 | 2009-02-16 | Jose Pablo Diaz Jimenez | DEVICE FOR PROCESSING THE CLOSURE OF FISTULES IN THE HUMAN TRAKER AND ADJECTIVE DRIVES. |
Family Cites Families (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| AU5154390A (en) * | 1989-02-15 | 1990-09-05 | Microtek Medical, Inc. | Biocompatible material and prosthesis |
| US5634936A (en) * | 1995-02-06 | 1997-06-03 | Scimed Life Systems, Inc. | Device for closing a septal defect |
| EP0900051A1 (en) * | 1996-05-08 | 1999-03-10 | Salviac Limited | An occluder device |
-
2003
- 2003-04-09 ES ES200300835A patent/ES2216711B1/en not_active Expired - Fee Related
Also Published As
| Publication number | Publication date |
|---|---|
| ES2216711A1 (en) | 2004-10-16 |
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