HRP20210345T1 - Uređaj za liječenje gastroesofagealne refluksne bolesti - Google Patents
Uređaj za liječenje gastroesofagealne refluksne bolesti Download PDFInfo
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- HRP20210345T1 HRP20210345T1 HRP20210345TT HRP20210345T HRP20210345T1 HR P20210345 T1 HRP20210345 T1 HR P20210345T1 HR P20210345T T HRP20210345T T HR P20210345TT HR P20210345 T HRP20210345 T HR P20210345T HR P20210345 T1 HRP20210345 T1 HR P20210345T1
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Claims (15)
1. Uređaj namijenjen liječenju refluksne bolesti kod ljudskog ili životinjskog sisavca kao pacijenta, naznačen time što uređaj sadrži dva ili više odvojenih segmenata naprave za ograničavanje pomicanja (561a-561d), prilagođenih za stavljanje u međusobni kontakt i za sklapanje na licu mjesta u usadivu sklopljenu napravu za ograničavanje pomicanja (560; 561) kontrolirane veličine, gdje je sklopljena naprava za ograničavanje pomicanja prilagođena za naslanjanje u najmanju ruku dijelom svoje vanjske površine na stijenku fundusa pacijentovog želuca (16), tako da se pomicanje kardijačne usjekline pacijentovog želuca prema pacijentovom ošitu ograniči prilikom usađivanja naprave za ograničavanje pomicanja u pacijenta, čime se sprječava klizanje kardije kroz otvor u pacijentovom ošitu u pacijentovo prsište, radi održavanja podržavajućeg tlaka na mišić sfinktera pacijentove kardije koji dolazi iz pacijentovog trbuha.
2. Uređaj u skladu s patentnim zahtjevom 1, naznačen time što je navedena sklopljena naprava za ograničavanje pomicanja prilagođena za udubljivanje u stijenku želuca, te što je navedena sklopljena naprava za ograničavanje pomicanja prilagođena za rasklapanje na njene segmente ako napusti svoj usađeni položaj u želucu, uključujući prodiranje kroz stijenku želuca, radi zadržavanja položaja u želucu.
3. Uređaj u skladu s patentnim zahtjevom 1-2, naznačen time što su segmenti prilagođeni za najmanje jedno od: odvojeno prolaženje kroz put prolaska hrane, čime se smanjuje rizik od pojave opstrukcije/ileusa u pacijentovim crijevima; i prolaženje kroz trokar, radi sklapanja i usađivanja navedene naprave za ograničavanje pomicanja u trbušnu šupljinu.
4. Uređaj u skladu s patentnim zahtjevom 1-3, naznačen time što su segmenti naprave za ograničavanje pomicanja šuplji, s fleksibilnom vanjskom površinom, i prilagođeni da ih se ispuni najmanje jednim od tekućine, pjene, gela ili tekućine koja se stvrdnjava u čvrsti materijal.
5. Uređaj u skladu s patentnim zahtjevom 1-4, naznačen time što svaki segment (560) sadrži najmanje jedan element za sklapanje (562a-562d), koji dovoljno pristaje uz najmanje jedan element za sklapanje (563a-563d) drugog segmenta (561a-561d), tako da se segmente pristajanjem elemenata za sklapanje može sklopiti u usadivu napravu za ograničavanje pomicanja.
6. Uređaj u skladu s patentnim zahtjevom 5, naznačen time što drugi elementi za sklapanje sadrže najmanje jedno od: jezgrenog dijela (560) i više vanjskih dijelova (561a-561d); dovoljno pristajućih prirubnica i proreza; i
prilagodbu za imobiliziranje svakog od segmenata naprave za ograničavanje pomicanja na jezgreni dio po prvoj ravnini, te što su drugi elementi za sklapanje prilagođeni za imobiliziranje svakog segmenta i jezgrenog dijela po drugoj ravnini, pod kutom u odnosu na navedenu prvu ravninu.
7. Uređaj u skladu s bilo kojim od patentnih zahtjeva 1-6, naznačen time što uređaj dodatno sadrži napravu za navođenje (564), koja pomaže sklapanje segmenata naprave za ograničavanje pomicanja na usadivu napravu za ograničavanje pomicanja, gdje naprava za navođenje sadrži najmanje jedno od: operacijske žice, operabilno spojene sa segmentima; i materijala biorazgradivog u kontaktu s tjelesnom tekućinom u trbušnoj šupljini kako bi došlo do rasklapanja naprave za ograničavanje pomicanja na njene segmente.
8. Uređaj u skladu s patentnim zahtjevom 1-9, naznačen time što sadrži najmanje jedno od: više od tri segmenta naprave za ograničavanje pomicanja;
napravu za ograničavanje pomicanja s veličinom od najmanje 125 mm3 i obodom od najmanje 15 mm; i
napravu za ograničavanje pomicanja, prilagođenu da je u najmanju ruku djelomično udubi stijenka pacijentovog fundusa.
9. Uređaj u skladu s patentnim zahtjevom 1-8, naznačen time što dodatno sadrži napravu za fiksiranje (22a), prilagođenu za osiguravanje naprave za ograničavanje pomicanja u navedenom položaju, kada se usađuje sklopljenu napravu za ograničavanje pomicanja, gdje naprava za fiksiranje sadrži najmanje jedno od: usadive prve naprave za fiksiranje, koja, prilikom usađivanja u pacijenta, pričvršćuje napravu za ograničavanje pomicanja na stijenku fundusa radi držanja sklopljene naprave za ograničavanje pomicanja u navedenom položaju; i
druge naprave za fiksiranje (22b), koja, prilikom usađivanja u pacijenta napravom za ograničavanje pomicanja, pričvršćuje, posredno ili izravno, napravu za ograničavanje pomicanja na jednjak blizu pacijentovog Hisovog kuta.
10. Uređaj u skladu s patentnim zahtjevom 4-9, naznačen time što sklopljena naprava za ograničavanje pomicanja sadrži tijelo prilagođeno da ga u najmanju ruku djelomično udubi stijenka fundusa pacijentovog želuca i koje ima vanjsku površinu, koja uključuje biokompatibilni materijal, gdje je značajan dio vanjske površine tijela prilagođen da se naslanja na stijenku želuca u položaju između pacijentovog ošita i dio donjeg dijela udubljene stijenke fundusa želuca, gdje tijelo sadrži najmanje jedno od: najmanje jedne komore s otvorom za injiciranje (1001), gdje je najmanje jedan segment šupalj, a komoru (10) tijela se napuni fluidom kroz otvor za injiciranje; i najmanje jedne komore i otvora za injiciranje, gdje je otvor za injiciranje prilagođen za spajanje s komorom koju se može napuhati sklopljene naprave za ograničavanje pomicanja radi podešavanja volumena komore koju se može napuhati.
11. Uređaj u skladu s patentnim zahtjevom 1-10, naznačen time što sklopljena naprava za ograničavanje pomicanja sadrži najmanje jedno od: obuhvaćajuće stijenke, koja omeđuje komoru; čvrstu vanjsku stijenku u najmanje jednom od segmenata naprave za ograničavanje pomicanja; elastičnu vanjsku stijenku u najmanje jednom od segmenata naprave za ograničavanje pomicanja; fleksibilnu vanjsku stijenku u najmanje jednom od segmenata naprave za ograničavanje pomicanja; gdje je čvrsta vanjska stijenka dovoljno čvrsta da ostane nedeformirana kada je se podvrgava silama koje stvaraju pomaci želuca.
12. Uređaj u skladu s patentnim zahtjevom 1-11, naznačen time što dodatno sadrži najmanje jedno od: naprave za držanje (10f), namijenjene držanju sklopljene naprave za ograničavanje pomicanja tijekom njenog usađivanja; i druge naprave za fiksiranje (10d), namijenjene fiksiranju sklopljene naprave za ograničavanje pomicanja tijekom njenog usađivanja.
13. Uređaj u skladu s patentnim zahtjevom 1-12, naznačen time što je u najmanju ruku dio naprave za ograničavanje pomicanja načinjen od najmanje jednog od: materijala kojeg razgrađuje želučana kiselina; i materijala kojeg ne razgrađuje želučana kiselina.
14. Uređaj u skladu s patentnim zahtjevom 10, naznačen time što tijelo ima obod, kao što se vidi u ravnini okomitoj u odnosu na os kroz tijelo, koji se:
konstantno povećava ili ostaje konstantnim kada se pomiče po navedenoj osi od prve krajnje točke navedene osi do međutočke i konstantno se smanjuje ili ostaje konstantnim kada se pomiče od navedene međutočke do druge krajnje točke navedene osi; ili
konstantno povećava ili ostaje konstantnim kada se pomiče po navedenoj osi od prve krajnje točke navedene osi do prve međutočke, konstantno se smanjuje ili ostaje konstantnim kada se pomiče od navedene prve međutočke do druge međutočke, konstantno se povećava ili ostaje konstantnim kada se pomiče po navedenoj osi od navedene druge međutočke navedene osi do treće međutočke, te se konstantno smanjuje ili ostaje konstantnim kada se pomiče od navedene treće međutočke do druge krajnje točke navedene osi.
15. Uređaj u skladu s patentnim zahtjevom 1-14, naznačen time što naprava za ograničavanje pomicanja sadrži najmanje jedan sloj, gdje najmanje jedan sloj sadrži najmanje jedno od:
– sloja parilena;
– sloja politetrafluoretilena;
– sloja poliuretana;
– sloja silikona;
– sloja metala, gdje sloj metala sadrži bilo koju količinu zlata, srebra, te titanija, ili njihovu kombinaciju;
– sloja Teflona®;
– više slojeva;
– više slojeva, vanjskog površinskog sloja poliuretana, Teflona®, ili politetrafluoretilena, parilena, silikona, metala, ili njihovih kombinacija;
– više slojeva, unutarnjeg površinskog sloja poliuretana, Teflona®, ili politetrafluoretilena, parilena, silikona, metala, ili njihovih kombinacija;
– više slojeva, unutarnjeg površinskog sloja politetrafluoretilena i vanjskog sloja silikona;
– više slojeva, unutarnjeg površinskog sloja politetrafluoretilena, međusloja silikona, te vanjskog sloja parilena;
– više slojeva, unutarnjeg površinskog sloja poliuretana i vanjskog sloja silikona;
– više slojeva, unutarnjeg površinskog sloja poliuretana, međusloja silikona, te vanjskog sloja parilena; i
– vanjskog sloja, koji uključuje biokompatibilni materijal.
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Application Number | Priority Date | Filing Date | Title |
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SE0802138 | 2008-10-10 | ||
PCT/SE2009/000051 WO2009096866A1 (en) | 2008-01-29 | 2009-01-29 | Apparatus for treating obesity and reflux disease |
US21380309P | 2009-07-17 | 2009-07-17 | |
SE0901009A SE0901009A1 (sv) | 2008-10-10 | 2009-07-17 | An apparatus for treating gerd |
PCT/SE2009/051154 WO2010042061A1 (en) | 2008-10-10 | 2009-10-12 | Apparatus and method for treating gerd |
EP09819515.9A EP2349132B1 (en) | 2008-10-10 | 2009-10-12 | Apparatus for treating gerd |
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HRP20210345T1 true HRP20210345T1 (hr) | 2021-04-30 |
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HRP20211597TT HRP20211597T1 (hr) | 2008-01-29 | 2009-01-29 | Uređaj namijenjen liječenju pretilosti |
HRP20220431TT HRP20220431T3 (hr) | 2008-01-29 | 2009-01-29 | Aparat za liječenje gerb-a |
HRP20211663TT HRP20211663T3 (hr) | 2008-01-29 | 2009-01-29 | Uređaj namijenjen liječenju pretilosti i gastroezofagealnog refluksa |
HRP20181111TT HRP20181111T1 (hr) | 2008-01-29 | 2018-07-17 | Uređaj za liječenje pretilosti |
HRP20210345TT HRP20210345T1 (hr) | 2008-10-10 | 2021-03-01 | Uređaj za liječenje gastroesofagealne refluksne bolesti |
HRP20210905TT HRP20210905T1 (hr) | 2008-01-29 | 2021-06-07 | Uređaj namijenjen liječenju pretilosti |
HRP20211176TT HRP20211176T1 (hr) | 2008-01-29 | 2021-07-22 | Uređaj za liječenje bolesti gastroezofagealnog refluksa koji sadrži stimulirajuću napravu |
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HRP20211597TT HRP20211597T1 (hr) | 2008-01-29 | 2009-01-29 | Uređaj namijenjen liječenju pretilosti |
HRP20220431TT HRP20220431T3 (hr) | 2008-01-29 | 2009-01-29 | Aparat za liječenje gerb-a |
HRP20211663TT HRP20211663T3 (hr) | 2008-01-29 | 2009-01-29 | Uređaj namijenjen liječenju pretilosti i gastroezofagealnog refluksa |
HRP20181111TT HRP20181111T1 (hr) | 2008-01-29 | 2018-07-17 | Uređaj za liječenje pretilosti |
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HRP20211176TT HRP20211176T1 (hr) | 2008-01-29 | 2021-07-22 | Uređaj za liječenje bolesti gastroezofagealnog refluksa koji sadrži stimulirajuću napravu |
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EP (38) | EP3895670B1 (hr) |
JP (11) | JP2011510740A (hr) |
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AU (9) | AU2009209524B2 (hr) |
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SE (4) | SE0901009A1 (hr) |
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