GB2471700A - Rectal mucosa plication anal device - Google Patents
Rectal mucosa plication anal device Download PDFInfo
- Publication number
- GB2471700A GB2471700A GB0911926A GB0911926A GB2471700A GB 2471700 A GB2471700 A GB 2471700A GB 0911926 A GB0911926 A GB 0911926A GB 0911926 A GB0911926 A GB 0911926A GB 2471700 A GB2471700 A GB 2471700A
- Authority
- GB
- United Kingdom
- Prior art keywords
- haemorrhoids
- anal
- base
- plication
- rectal mucosa
- 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- Withdrawn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
- 210000004877 mucosa Anatomy 0.000 title abstract description 8
- 229920003023 plastic Polymers 0.000 claims abstract description 8
- 210000000436 anus Anatomy 0.000 claims abstract 3
- 208000014617 hemorrhoid Diseases 0.000 abstract description 8
- 230000036770 blood supply Effects 0.000 abstract description 4
- 230000037431 insertion Effects 0.000 abstract 1
- 238000003780 insertion Methods 0.000 abstract 1
- 238000000034 method Methods 0.000 description 11
- 206010002091 Anaesthesia Diseases 0.000 description 1
- ONIBWKKTOPOVIA-BYPYZUCNSA-N L-Proline Chemical compound OC(=O)[C@@H]1CCCN1 ONIBWKKTOPOVIA-BYPYZUCNSA-N 0.000 description 1
- ONIBWKKTOPOVIA-UHFFFAOYSA-N Proline Natural products OC(=O)C1CCCN1 ONIBWKKTOPOVIA-UHFFFAOYSA-N 0.000 description 1
- 238000001949 anaesthesia Methods 0.000 description 1
- 230000037005 anaesthesia Effects 0.000 description 1
- 230000001939 inductive effect Effects 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 239000003692 nonabsorbable suture material Substances 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/32—Devices for opening or enlarging the visual field, e.g. of a tube of the body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
-
- 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
-
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00743—Type of operation; Specification of treatment sites
- A61B2017/00818—Treatment of the gastro-intestinal system
-
- 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
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0438—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors slotted, i.e. having a longitudinal slot for enhancing their elasticity
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
- A61B17/3421—Cannulas
- A61B2017/345—Cannulas for introduction into a natural body opening
- A61B2017/3452—Cannulas for introduction into a natural body opening for the rectum, e.g. for hemorrhoid surgery
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Molecular Biology (AREA)
- General Health & Medical Sciences (AREA)
- Veterinary Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Public Health (AREA)
- Animal Behavior & Ethology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Physics & Mathematics (AREA)
- Biophysics (AREA)
- Optics & Photonics (AREA)
- Pathology (AREA)
- Radiology & Medical Imaging (AREA)
- Reproductive Health (AREA)
- Vascular Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
Transparent plastic device 1 for insertion into the anus, includes full thickness longitudinal slots 2 positioned 3 cm from the base of the device, longitudinal bridges 3 and circular holes 4 at the base of the device. The holes 4 allow the device to be anchored to the skin around the anus with stitches. The device enables accurate positioning of sutures for treatment of haemorrhoids. The sutures raise the mucosal lining and create folds, interrupting the blood supply to the haemorrhoids whilst maintaining supply to the rectal mucosa.
Description
I
Rectal mucosa plication anal device This invention relates to a device to be used in rectal mucosa plication.
Management of 31 and 4th degree haemorrhoids can be achieved successfully by inducing interruption of the blood supply to the haemorrhoids and removing a strip of lower rectal! upper anal mucosa, whether by excision as it is the case when using circular stapler technique (PPH) or by lifting it up as I am proposing when using the new device.
The new device will achieve treatment of haemorrhoids by allowing the application of plicating sutures to the lower rectal/upper anal mucosa. The anal device is made of transparent plastic material, so that the surgeon can clearly identify the dentate line. A full thickness longitudinal cuts are made around the device (windows), with longitudinal bridges between them. About 4 windows in total, each is 4 cm in length, and the ends of the cuts are 3 cm from the base of the device. It is optional to fit a light source to the device. A non-absorbable suture material (2/0 proline stitch, double ended needle) is used in mucosal suturing. At the end of the procedure, the device will be removed leaving the stitches behind. This will cause the haemorrhoids to be lifted up as well as interrupting the blood supply to the haemorrhoids. The bridges between the windows will prevent complete interruption of the blood supply to the rectal mucosa.
I recommend to use this technique while the patient is in jack-knife position, which will facilitate the suturing technique. I believe this technique is effective in treating 3td and 4th degree haemorrhoids. It is very cheap technique comparing to the current techniques used, which is circular stapler technique (PPH), which costs �500.00 per patient. This technique can be used in day case setting with or without general anaesthesia.
The invention will now be described solely by way of example and with reference to the accompanying drawings in which: Figure 1 Shows the anal device from out side with the longitudinal cuts and the bridges in between.
Figure 2 Shows sagital section (the device from inside) and the suturing technique.
In figure 1, A transparent plastic anal device 1, Longitudinal full thickness cuts 2, Longitudinal bridges 3, circular holes at the base of the device 4.
In figure 2, A transparent plastic anal device (Sagital section) 1, Longitudinal full thickness cuts 2, Longitudinal bridges 3, suturing technique of the rectal mucosa 5, circular holes at the base of the device 4.
Claims (1)
- Claims 1-Transparent anal plastic device that has full thickness longitudinal cuts at 3 cm from the base of the device.2-Transparent anal plastic device according to claim 1, in which the device has longitudinal bridges between the cuts.3-Transparent anal plastic device according to claim 1, single application of the device to perform a rectal mucosal plication 3 cm from the base of the device.4-Transparent anal plastic device according to claim 1, in which the device has holes for fixation of the device to the skin around the anus using stitches.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| GB0911926A GB2471700A (en) | 2009-07-09 | 2009-07-09 | Rectal mucosa plication anal device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| GB0911926A GB2471700A (en) | 2009-07-09 | 2009-07-09 | Rectal mucosa plication anal device |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| GB0911926D0 GB0911926D0 (en) | 2009-08-19 |
| GB2471700A true GB2471700A (en) | 2011-01-12 |
Family
ID=41022393
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| GB0911926A Withdrawn GB2471700A (en) | 2009-07-09 | 2009-07-09 | Rectal mucosa plication anal device |
Country Status (1)
| Country | Link |
|---|---|
| GB (1) | GB2471700A (en) |
Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6126594A (en) * | 1998-07-21 | 2000-10-03 | Bayer; Izhack | Anoscope for internal hemorrhoidectomy |
| WO2007049308A1 (en) * | 2005-10-26 | 2007-05-03 | Carlo Rebuffat | Anoscope for ano-rectal diagnostic and surgery |
| WO2009092194A1 (en) * | 2007-12-27 | 2009-07-30 | Suzhou Touchstone International Medical Science Co., Ltd. | Auxiliary instrument for anorectal surgery |
| GB2457601A (en) * | 2009-03-07 | 2009-08-26 | Hesham Morsey | Haemorrhoidopexy device |
-
2009
- 2009-07-09 GB GB0911926A patent/GB2471700A/en not_active Withdrawn
Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6126594A (en) * | 1998-07-21 | 2000-10-03 | Bayer; Izhack | Anoscope for internal hemorrhoidectomy |
| WO2007049308A1 (en) * | 2005-10-26 | 2007-05-03 | Carlo Rebuffat | Anoscope for ano-rectal diagnostic and surgery |
| WO2009092194A1 (en) * | 2007-12-27 | 2009-07-30 | Suzhou Touchstone International Medical Science Co., Ltd. | Auxiliary instrument for anorectal surgery |
| GB2457601A (en) * | 2009-03-07 | 2009-08-26 | Hesham Morsey | Haemorrhoidopexy device |
Also Published As
| Publication number | Publication date |
|---|---|
| GB0911926D0 (en) | 2009-08-19 |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| WAP | Application withdrawn, taken to be withdrawn or refused ** after publication under section 16(1) |