HRP20210905T1 - Uređaj namijenjen liječenju pretilosti - Google Patents
Uređaj namijenjen liječenju pretilosti Download PDFInfo
- Publication number
- HRP20210905T1 HRP20210905T1 HRP20210905TT HRP20210905T HRP20210905T1 HR P20210905 T1 HRP20210905 T1 HR P20210905T1 HR P20210905T T HRP20210905T T HR P20210905TT HR P20210905 T HRP20210905 T HR P20210905T HR P20210905 T1 HRP20210905 T1 HR P20210905T1
- Authority
- HR
- Croatia
- Prior art keywords
- stomach
- stretching
- stomach wall
- patient
- volume
- Prior art date
Links
- 208000008589 Obesity Diseases 0.000 title claims 2
- 235000020824 obesity Nutrition 0.000 title claims 2
- 210000002784 stomach Anatomy 0.000 claims 28
- 239000012530 fluid Substances 0.000 claims 8
- 210000003238 esophagus Anatomy 0.000 claims 7
- 239000011248 coating agent Substances 0.000 claims 5
- 238000000576 coating method Methods 0.000 claims 5
- 230000002496 gastric effect Effects 0.000 claims 5
- 239000002184 metal Substances 0.000 claims 3
- 229910052751 metal Inorganic materials 0.000 claims 3
- 229920001343 polytetrafluoroethylene Polymers 0.000 claims 3
- 239000004810 polytetrafluoroethylene Substances 0.000 claims 3
- 229920006362 Teflon® Polymers 0.000 claims 2
- 238000010521 absorption reaction Methods 0.000 claims 2
- 238000005452 bending Methods 0.000 claims 2
- 230000000694 effects Effects 0.000 claims 2
- 230000037406 food intake Effects 0.000 claims 2
- 235000012631 food intake Nutrition 0.000 claims 2
- 238000007373 indentation Methods 0.000 claims 2
- 229920001296 polysiloxane Polymers 0.000 claims 2
- 229920002635 polyurethane Polymers 0.000 claims 2
- 239000004814 polyurethane Substances 0.000 claims 2
- 235000019627 satiety Nutrition 0.000 claims 2
- 230000036186 satiety Effects 0.000 claims 2
- 210000001519 tissue Anatomy 0.000 claims 2
- 239000004809 Teflon Substances 0.000 claims 1
- 210000002318 cardia Anatomy 0.000 claims 1
- 230000008602 contraction Effects 0.000 claims 1
- 230000003176 fibrotic effect Effects 0.000 claims 1
- 230000030135 gastric motility Effects 0.000 claims 1
- 230000003054 hormonal effect Effects 0.000 claims 1
- 238000002513 implantation Methods 0.000 claims 1
- 230000007774 longterm Effects 0.000 claims 1
- 239000000463 material Substances 0.000 claims 1
- 150000002739 metals Chemical class 0.000 claims 1
- 210000003205 muscle Anatomy 0.000 claims 1
- 230000001537 neural effect Effects 0.000 claims 1
- 229920000052 poly(p-xylylene) Polymers 0.000 claims 1
- -1 polytetrafluoroethylene Polymers 0.000 claims 1
- 239000011527 polyurethane coating Substances 0.000 claims 1
- 230000002980 postoperative effect Effects 0.000 claims 1
- 230000035807 sensation Effects 0.000 claims 1
- 235000019615 sensations Nutrition 0.000 claims 1
- 238000007920 subcutaneous administration Methods 0.000 claims 1
- 238000002604 ultrasonography Methods 0.000 claims 1
- 238000012800 visualization Methods 0.000 claims 1
Classifications
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Claims (17)
1. Uređaj namijenjen liječenju pretilosti pretilog pacijenta koji ima želudac sa šupljinom za hranu, gdje uređaj sadrži:
– najmanje jednu napravu za ispunjavanje volumena (10; 10y, 310; 310a-c, 399; 810y), prilagođenu za u najmanju ruku značajno udubljivanje od strane dijela stijenke želuca (12) pacijenta, te koja ima vanjsku površinu prilagođenu za oslanjanje na stijenku želuca, tako da se smanji veličina volumena šupljine za hranu, naznačen time što uređaj dodatno sadrži
– najmanje jednu usadivu pogonjivu napravu za rastezanje (10b; 10"y, 50y;, 110y 350), prilagođenu za rastezanje dijela stijenke želuca pacijenta; i
– izvršnu napravu (40, 40y, 42, 42y; 90y; 317; 330; 354;), koja neinvazivno pogoni napravu za rastezanje prilikom usađivanja, radi rastezanja dijela stijenke želuca tako da se stvori osjećaj sitosti, gdje je pogonjiva naprava za rastezanje prilagođena za smještaj s vanjske strane stijenke želuca.
2. Uređaj u skladu s patentnim zahtjevom 1, naznačen time što naprava za rastezanje sadrži prvi međudjelujući element, prilagođen za međudjelovanje s prvim dijelom stijenke želuca, i drugi međudjelujući element, prilagođen za međudjelovanje s drugim dijelom stijenke želuca blizu, no odvojeno od prvog dijela želuca, gdje je izvršna naprava prilagođena za pogonjenje prvog i drugog međudjelujućeg elementa tako da se odmiču jedan od drugog, kada međudjelujući elementi međudjeluju s prvim i drugim dijelom želuca, radi rastezanja dijela stijenke želuca između prvog i drugog dijela želuca, tako da se stvori osjećaj sitosti.
3. Uređaj u skladu s patentnim zahtjevom 2, naznačen time što je najmanje jedan od prvog i drugog međudjelujućeg elementa prilagođen za:
a. u najmanju ruku djelomično udubljivanje stijenkom želuca šavovima ili klamericama želuca na želudac čime se drži međudjelujući element na mjestu; ili
b. držanje na mjestu šavovima ili klamericama između međudjelujućeg elementa i stijenke želuca.
4. Uređaj u skladu s bilo kojim od prethodnih patentnih zahtjeva, naznačen time što dodatno sadrži najmanje dvije pogonjive naprave za rastezanje, prilagođene za rastezanje najmanje dva različita dijela stijenke želuca.
5. Uređaj u skladu s patentnim zahtjevom 4, naznačen time što je naprava prilagođena za postoperativno i neinvazivno upravljanje, te je prilagođena za povremeno upravljanje, tako da prvi puta jedna od naprava za rastezanje rasteže jedan od dijelova stijenke želuca, a drugi puta druga od naprava za rastezanje rasteže drugi dio stijenke želuca.
6. Uređaj u skladu s bilo kojim od prethodnih patentnih zahtjeva, naznačen time što izvršna naprava sadrži najmanje jedno od:
a. potkožnog prekidača (80), prilagođenog za neinvazivno upravljanje ručnim pritiskanjem prekidača koji aktivira napravu za rastezanje; i
b. bežičnog daljinskog upravljanja (34; 28; 34by,cy; 34y), koje upravlja funkcioniranjem naprave za rastezanje.
7. Uređaj u skladu s patentnim zahtjevom 1, naznačen time što naprava za rastezanje sadrži najmanje jedno proširljivo tijelo, prilagođeno za udubljivanje od strane dijela stijenke želuca pacijenta, gdje izvršna naprava sadrži spremnik fluida (52; 46; 317; 16y; 46y; 452), koji je u fluidnoj komunikaciji s komorom tijela, gdje izvršna naprava može neinvazivno tako raditi da raspodijeli fluid iz spremnika fluida u komoru tijela radi širenja tijela tako da se rastegne dio stijenke želuca, kada se tijelo udubi.
8. Uređaj u skladu s patentnim zahtjevom 7, naznačen time što spremnik fluida radi na principu:
a. ručnog pritiskanja spremnika fluida; ili
b. crpke koja tjera fluid ili zrak iz spremnika u komoru tijela.
9. Uređaj u skladu s bilo kojim od prethodnih patentnih zahtjeva, naznačen time što uređaj sadrži najmanje jedno od:
a. hidraulično upravljane naprave, koja sadrži mehaničku napravu za rastezanje (110y), prilagođenu za upravljanje hidrauličnim raspodjeljivanjem fluida ili zraka; i
b. mehanički upravljane naprave za rastezanje; ili
c. mehanički upravljane naprave za rastezanje, koja sadrži motor koji mehanički upravlja napravom za rastezanje.
10. Uređaj u skladu s patentnim zahtjevom 3, naznačen time što šavovi ili klamerice želuca na želudac sadrže dijelove za pričvršćivanje (210ay; 210by), koji imaju strukturu prilagođenu da prilikom kontakta sa stijenkom želuca potiču urastanje ljudskog tkiva kako bi se osiguralo dugotrajni smještaj naprave za ispunjavanje volumena pričvršćene na stijenku želuca.
11. Uređaj u skladu s bilo kojim od prethodnih patentnih zahtjeva, naznačen time što je naprava za rastezanje integrirana u napravu za ispunjavanje volumena.
12. Uređaj u skladu s bilo kojim od prethodnih patentnih zahtjeva, naznačen time što uređaj dodatno sadrži najmanje jedno od: odašiljača bežične energije (34ay), koji neinvazivno napaja uređaj bežičnom energijom, te usadivog unutarnjeg izvora energije (70; 42x; 32x; 70y; 470).
13. Uređaj u skladu s bilo kojim od prethodnih patentnih zahtjeva, naznačen time što uređaj dodatno sadrži najmanje jedno od:
a. senzor (319; 201y; 476; ), prilagođen za usađivanje u tijelo pacijenta i prilagođen za detektiranje najmanje jednog od: unosa hrane u pacijenta, fizičkog parametra pacijenta, te funkcionalnog parametra uređaja; i
b. unutarnju kontrolnu jedinicu (56; 42y; 330), prilagođenu za upravljanje uređajem u odgovor na usadivi senzor, koji detektira najmanje jedno od: unosa hrane u pacijenta, fizičkog parametra pacijenta, te funkcionalnog parametra uređaja.
14. Uređaj u skladu s bilo kojim od prethodnih patentnih zahtjeva, naznačen time što uređaj dodatno sadrži senzor prilagođen za detektiranje parametra kojeg se bira iz skupine koju čine: stezanje i opuštanje kardije ili jednjaka, pomicanje jednjaka, savijanje jednjaka, pokretljivost jednjaka, rastezanje jednjaka, tlak u jednjaku, hrana koja prolazi kroz jednjak, hrana u želucu, neuralna aktivnost, aktivnost vagusa, mišićna aktivnost, hormonska aktivnost, pokretljivost želuca, rastezanje želuca, tlak u želucu, savijanje želuca, ispunjavanje želuca, te kiselost u želucu, kapacitet, otpornost, voltaža, amperaža, apsorpcija ili vizualizacija svjetla, refleksija ili apsorpcija ultrazvuka, savijanje metala, bimetala i pH.
15. Uređaj u skladu s bilo kojim od prethodnih patentnih zahtjeva, naznačen time što uređaj sadrži najmanje jedno od:
a. najmanje jednog sloja koji sadrži materijal kojeg se bira iz skupine koju čine: metal, silikon, PTFE, poliuretan, Teflon®, ili kombinacija bilo kojeg od metala, silikona, PTFE, poliuretana i Teflon; i
b. najmanje jedne obloge, koja se sastoji od obloga koju se bira iz skupine koju čine: parilenska obloga, politetrafluoretilenska obloga, poliuretanska obloga, te višeslojna obloga.
16. Uređaj u skladu s bilo kojim od prethodnih patentnih zahtjeva, naznačen time što je naprava za rastezanje prilagođena da ima sposobnost mijenjati oblik i/ili veličinu uglavnom bez prisutnosti fibrotičnog tkiva koje značajno ometa ili sprječava funkcioniranje naprave za rastezanje.
17. Uređaj u skladu s patentnim zahtjevom 1, naznačen time što je naprava za ispunjavanje volumena (10; 310; 399; 810y) prilagođena za u najmanju ruku značajno udubljivanje od strane dijela stijenke želuca (12) pacijenta, te čija je vanjska površina prilagođena za oslanjanje na stijenku želuca, tako da se smanji veličina volumena šupljine za hranu za volumen koji je značajno veći od volumena naprave za ispunjavanje volumena.
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US671908P | 2008-01-29 | 2008-01-29 | |
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EP09706524.7A EP2240137B1 (en) | 2008-01-29 | 2009-01-29 | Apparatus for treating obesity |
PCT/SE2009/000052 WO2009096867A1 (en) | 2008-01-29 | 2009-01-29 | Apparatus and method for treating obesity |
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HRP20210905T1 true HRP20210905T1 (hr) | 2021-09-03 |
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HRP20211597TT HRP20211597T1 (hr) | 2008-01-29 | 2009-01-29 | Uređaj namijenjen liječenju pretilosti |
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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HRP20220431TT HRP20220431T3 (hr) | 2008-01-29 | 2009-01-29 | Aparat za liječenje gerb-a |
HRP20211597TT HRP20211597T1 (hr) | 2008-01-29 | 2009-01-29 | Uređaj namijenjen liječenju pretilosti |
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 |
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EP (41) | EP3925580A1 (hr) |
JP (11) | JP2011510740A (hr) |
CN (6) | CN101980673B (hr) |
AU (10) | AU2009209524B2 (hr) |
BR (2) | BRPI0906748B8 (hr) |
CA (12) | CA3217296A1 (hr) |
CY (6) | CY1120620T1 (hr) |
DK (8) | DK2240137T3 (hr) |
ES (12) | ES2894291T3 (hr) |
HR (7) | HRP20220431T3 (hr) |
HU (7) | HUE058231T2 (hr) |
LT (7) | LT2240137T (hr) |
MX (8) | MX2010008057A (hr) |
PL (7) | PL3072480T3 (hr) |
PT (5) | PT2240130T (hr) |
RU (1) | RU2011114564A (hr) |
SE (4) | SE0901007A2 (hr) |
SI (7) | SI2240135T1 (hr) |
WO (22) | WO2009096873A1 (hr) |
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