HRP20220641T1 - Uređaj namijenjen liječenju pretilosti - Google Patents

Uređaj namijenjen liječenju pretilosti Download PDF

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Publication number
HRP20220641T1
HRP20220641T1 HRP20220641TT HRP20220641T HRP20220641T1 HR P20220641 T1 HRP20220641 T1 HR P20220641T1 HR P20220641T T HRP20220641T T HR P20220641TT HR P20220641 T HRP20220641 T HR P20220641T HR P20220641 T1 HRP20220641 T1 HR P20220641T1
Authority
HR
Croatia
Prior art keywords
volume
filling device
segments
layer
volume filling
Prior art date
Application number
HRP20220641TT
Other languages
English (en)
Inventor
Peter Forsell
Original Assignee
Implantica Patent Ltd.
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
Priority claimed from PCT/SE2009/000048 external-priority patent/WO2009096863A1/en
Application filed by Implantica Patent Ltd. filed Critical Implantica Patent Ltd.
Publication of HRP20220641T1 publication Critical patent/HRP20220641T1/hr

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    • A61F5/003—Implantable devices or invasive measures inflatable
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    • 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
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    • 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
    • A61F5/0076—Implantable devices or invasive measures preventing normal digestion, e.g. Bariatric or gastric sleeves

Claims (15)

1. Uređaj namijenjen liječenju pretilosti kod čovjeka ili sisavačke životinje kao pacijenta, gdje uređaj sadrži: dva ili više segmenata naprave za ispunjavanje volumena (10, 561a-d), prilagođenih za sklapanje u usadivu napravu za ispunjavanje volumena (10) upravljive veličine, pri čemu je sklopljena naprava za ispunjavanje volumena prilagođena da je u najmanju ruku uglavnom ulegne dio stijenke želuca (12a) pacijenta, pri čemu je navedena sklopljena naprava za ispunjavanje volumena prilagođena za smještavanje gdje se vanjska površina naprave naslanja na stijenku želuca, tako da volumen šupljine za hranu ima smanjenu veličinu za volumen koji je značajno veći od volumena sklopljene naprave za ispunjavanje volumena, kada stijenka želuca ulegne sklopljenu napravu za ispunjavanje volumena, te pri čemu je navedena sklopljena naprava za ispunjavanje volumena prilagođena za rasklapanje na svoje segmente naprave za ispunjavanje volumena ako sklopljena naprava za ispunjavanje volumena napusti svoj usađeni ulegnuti položaj u želucu i slučajno probije stijenku želuca tako da uđe u želudac, pri čemu su navedeni segmenti prilagođeni za odvojeno prolaženje kroz prolaz za hranu, čime se smanjuje opasnost od uzrokovanja začepljenja/zapletaja crijeva u pacijentovim crijevima.
2. Uređaj u skladu s patentnim zahtjevom 1, pri čemu je najmanje jedan od segmenata naprave za ispunjavanje volumena najmanje jedan od: prilagođen za prolaženje kroz troakar (600), radi sklapanja i usadnje navedene naprave za ispunjavanje volumena u trbušnu šupljinu; prilagođen da ima oblik koji omogućuje sklapanje u navedenu napravu za ispunjavanje volumena, kada se usadi; šupalj s fleksibilnom vanjskom površinom, prilagođen da se ispuni najmanje jednim od fluida, pjenom, gelom ili fluidom koji se stvrdne u čvrsti materijal.
3. Uređaj u skladu s bilo kojim od patentnih zahtjeva 1 i 2, pri čemu najmanje jedan od segmenata naprave za ispunjavanje volumena sadrži najmanje jedno od: homogenog materijala; ograđujuće stijenke koja omeđuje komoru; fleksibilne vanjske površine; elastičnog materijala.
4. Uređaj u skladu s bilo kojim od patentnih zahtjeva 1-3, pri čemu svaki segment sadrži najmanje jedan element za sklapanje (563a-d) koji se u dovoljnoj mjeri uklapa s najmanje jednim elementom za sklapanje (562a-d) drugog segmenta, tako da se segmente uklapanjem elemenata za sklapanje može sklapati u usadivu napravu za ispunjavanje volumena.
5. Uređaj u skladu s patentnim zahtjevom 4, pri čemu najmanje jedan od: segmenata sadrži osnovni dio (560) i više usjeka na vanjskim dijelovima (561a-d), te elementa za sklapanje kojeg se bira između dovoljno uklapajućih prirubnica i usjeka, te najmanje jedan element za sklapanje koji imobilizira svaki od segmenata naprave za ispunjavanje volumena na osnovni dio u prvoj ravnini, te pri čemu segmenti naprave za ispunjavanje volumena i osnovni dio dodatno sadrže druge elemente za sklapanje, koji nakon sklapanja navedenih segmenata i osnovnog dijela, imobiliziraju svaki segment i osnovni dio u drugoj ravnini pod kutom u odnosu na navedenu prvu ravninu.
6. Uređaj u skladu s bilo kojim od patentnih zahtjeva 1-5, pri čemu uređaj dodatno sadrži napravu za navođenje, koja tako radi da sklapa segmente naprave za ispunjavanje volumena u usadivu napravu za ispunjavanje volumena, pri čemu je naprava za navođenje operacijska žica (564), operativno spojena sa segmentima.
7. Uređaj u skladu s bilo kojim od patentnih zahtjeva 1-6, pri čemu sklopljena naprava za ispunjavanje volumena ima najmanje jedan maksimalan obod od najmanje: 30 milimetara; 70 milimetara; 80 milimetara; 110 milimetara; 160 milimetara; i 220 milimetara.
8. Uređaj u skladu s bilo kojim od patentnih zahtjeva 1-7, pri čemu najmanje jedno od: u najmanju ruku dijela sklopljene naprave za ispunjavanje volumena se može napuhavati ili širiti do proširenog stanja, te pri čemu se jedan ili više segmenata naprave za ispunjavanje volumena može napuhavati ili širiti do proširenog stanja; najmanje jednog od segmenata naprave za ispunjavanje volumena sadrži komoru za napuhavanje, koja dodatno sadrži najmanje jednu cijev (10g, 18), spojenu s napravom za dovođenje fluida u komoru, koja dodatno sadrži injekcijski otvor (16), kojeg se može spojiti s cijevi; i sklopljene naprave za ispunjavanje volumena koja sadrži spremnik glavne naprave za ispunjavanje volumena prilagođen da se može napuhavati, gdje uređaj dodatno sadrži strukturu koje se može širiti, prilagođenu za širenje kada napravu ulegne stijenka želuca, pri čemu navedena struktura sadrži mijeh prilagođen za uzimanje u obzir fibrozu koja okružuje napravu kada se usadi.
9. Uređaj u skladu s bilo kojim od patentnih zahtjeva 1-8, pri čemu u najmanju ruku dio sklopljene naprave za ispunjavanje volumena i jedan ili više segmenata naprave za ispunjavanje volumena sadrži najmanje jedan sloj koji sadrži najmanje jedno od: sloj parilena; sloj politetrafluoretilena; sloj poliuretana; sloj silikona; sloj metala, pri čemu sloj metala sadrži bilo koje od zlata, srebra, te titanija, ili njihove kombinacije; sloj Teflon®-a; više slojeva; više slojeva, koji sadrže sloj na vanjskoj površini od poliuretana, Teflon®-a ili politetrafluoretilena, parilena, silikona, metala, ili njihove kombinacije; više slojeva, koji sadrže sloj na unutarnjoj površini od poliuretana, Teflon®-a ili politetrafluoretilena, parilena, silikona, metala, ili njihove kombinacije; više slojeva, koji sadrže sloj na unutarnjoj površini od politetrafluoretilena i vanjski sloj od silikona; više slojeva, koji sadrže sloj na unutarnjoj površini od politetrafluoretilena, međusloj od silikona, te vanjski sloj od parilena; više slojeva, koji sadrže sloj na unutarnjoj površini od poliuretana i vanjski sloj od silikona; više slojeva, koji sadrže sloj na unutarnjoj površini od poliuretana, međusloj od silikona, te vanjski sloj od parilena; i vanjski sloj koji sadrži biokompatibilni materijal.
10. Uređaj u skladu s bilo kojim od patentnih zahtjeva 1-9, pri čemu najmanje jedan od segmenata naprave za ispunjavanje volumena sadrži fluid, pri čemu fluid sadrži najmanje jedno od: fluida prilagođenog za pretvorbu u čvrsto stanje ili fiksni oblik; tekućeg poliuretana; izotoničnog fluida; velikih molekula namijenjenih sprječavanju difuzije; i molekula joda.
11. Uređaj u skladu s bilo kojim od patentnih zahtjeva 8 i 9-10 kada ovisi o patentnom zahtjevu 8, pri čemu je sklopljena naprava za ispunjavanje volumena prilagođena da je se nakon operacije može neinvazivno podešavati.
12. Uređaj u skladu s bilo kojim od patentnih zahtjeva 1-11, koji dodatno sadrži najmanje jedno od: najmanje jedne naprave za pričvršćivanje (10i), prilagođene za sudjelovanje u pričvršćivanju naprave za ispunjavanje volumena na stijenku želuca; i naprave za držanje (10e), prilagođene da je drži instrument, te za pojednostavljivanje usadnje naprave.
13. Uređaj u skladu s bilo kojim od patentnih zahtjeva 8 i 9-12 kada ovisi o patentnom zahtjevu 8, pri čemu sklopljena naprava za ispunjavanje volumena dodatno sadrži: vanjsku upravljačku jedinicu namijenjenu upravljanju napravom za ispunjavanje volumena s vanjske strane pacijentovog tijela, pri čemu vanjska upravljačka jedinica sadrži najmanje jedno od: bežičnog daljinskog upravljača (34), prilagođenog za upravljanje napravom s vanjske strane pacijentovog tijela; i supkutano smještenog prekidača (1026) ili spremnika (1013), prilagođenog za upravljanje napravom s vanjske strane pacijentovog tijela.
14. Uređaj u skladu s bilo kojim od patentnih zahtjeva 8 i 9-13 kada ovisi o patentnom zahtjevu 8, koji sadrži senzor (19) ili senzorsku napravu prilagođenu za usadnju u pacijentovo tijelo, te usadivu upravljačku jedinicu prilagođenu za upravljanje napravom za ispunjavanje volumena s unutarnje strane pacijentovog tijela upotrebljavajući informacije iz navedenog senzora ili senzorske naprave, prilagođene za detektiranje, izravno ili posredno, unos hrane u pacijenta.
15. Uređaj u skladu s bilo kojim od patentnih zahtjeva 1-14, koji sadrži napravu za podešavanje namijenjenu podešavanju veličine i/ili oblika naprave za ispunjavanje volumena i najmanje jedan od njezinih segmenata, pri čemu se veličinu naprave za ispunjavanje volumena može hidraulično podešavati, te pri čemu naprava za podešavanje sadrži spremnik hidrauličnog fluida koji je, kada se usadi u pacijenta, spojen s najmanje jednim od segmenata naprave za ispunjavanje volumena, te pri čemu se veličinom naprave za ispunjavanje volumena upravlja neinvazivno pomicanjem hidrauličnog fluida iz spremnika u najmanje jedan od segmenata naprave za ispunjavanje volumena, čime se podešava veličinu najmanje jednog od segmenata naprave za ispunjavanje volumena, koji dodatno sadrži: izvor energije koji napaja podesivu napravu za ispunjavanje volumena, kada se usadi u pacijenta, koji sadrži najmanje jedan od: unutarnjeg izvora energije (1022), kojeg se može usaditi u pacijenta, kojeg se može puniti bežičnom energijom koju odašilje vanjski izvor energije; i vanjskog izvora energije (34), koji odašilje bežičnu energiju.
HRP20220641TT 2008-10-10 2009-10-12 Uređaj namijenjen liječenju pretilosti HRP20220641T1 (hr)

Applications Claiming Priority (7)

Application Number Priority Date Filing Date Title
SE0802138 2008-10-10
PCT/SE2009/000048 WO2009096863A1 (en) 2008-01-29 2009-01-29 Apparatus for treating obesity
PCT/SE2009/000047 WO2009096862A1 (en) 2008-01-29 2009-01-29 Apparatus for treating obesity
US21381309P 2009-07-17 2009-07-17
SE0901007A SE0901007A2 (en) 2008-10-10 2009-07-17 Obesity treatment
EP09819517.5A EP2349134B1 (en) 2008-10-10 2009-10-12 Apparatus for treating obesity
PCT/SE2009/051156 WO2010042063A1 (en) 2008-10-10 2009-10-12 Apparatus for treating obesity

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ES (1) ES2927655T3 (hr)
HR (1) HRP20220641T1 (hr)
HU (1) HUE059015T2 (hr)
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PL (1) PL2349134T3 (hr)
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US4246893A (en) 1978-07-05 1981-01-27 Daniel Berson Inflatable gastric device for treating obesity
US7214233B2 (en) * 2002-08-30 2007-05-08 Satiety, Inc. Methods and devices for maintaining a space occupying device in a relatively fixed location within a stomach
EP1740132B1 (en) * 2004-04-26 2014-12-31 Synecor, LLC Restrictive and/or obstructive implant for inducing weight loss

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EP4088693B1 (en) 2024-02-21
EP2349134B1 (en) 2022-04-06
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SI2349134T1 (sl) 2022-06-30
ES2927655T3 (es) 2022-11-10
DK2349134T3 (da) 2022-05-23
US20230046613A1 (en) 2023-02-16
EP4088693A1 (en) 2022-11-16
PT2349134T (pt) 2022-06-02
PL2349134T3 (pl) 2022-09-12
LT2349134T (lt) 2022-05-10
EP4088693C0 (en) 2024-02-21
HUE059015T2 (hu) 2022-09-28

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