JP2009508544A - 胃の保持器具及び方法 - Google Patents
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Abstract
【選択図】図6B
Description
Claims (24)
- 胃を通る流体の流れを遮らずに患者の胃の中で治療部品を保持するための器具であって、
前記器具が、形状記憶部品が十分に拡張して前記形状記憶部品が幽門を通過しないような拡張形態から、患者の食道を通して前記形状記憶部品を挿入及び取り外しできる小径の形態に換えることが可能な貫流形状記憶部品と、
前記拡張形態及び前記小径の形態の双方の前記形状記憶部品の中に収容するのに十分小さな大きさの治療部品と、
患者の外部から前記拡張形態及び前記小径の形態との間で前記形状記憶部品を操作するための手段と、
を具えることを特徴とする器具。 - 胃を通る流体の流れを遮らずに患者の胃の中で治療部品を保持するための器具であって、
前記器具が、幽門を通過できない十分大きな拡張形態から、患者の食道を通して貫流部品を挿入及び取り外しできる拡張形態に換えることが可能な貫流部品と、
前記拡張形態及び非拡張形態の前記貫流部品の中に収容するのに十分小さな大きさの治療部品と、
前記貫流部品が胃の中にあるときに前記拡張形態及び非拡張形態との間で前記貫流部品を操作するための手段と、
を具えることを特徴とする器具。 - さらに、前記治療部品に前記貫流部品を可逆的に取り付けるための可逆取り付け手段を具えており、
これにより、前記貫流部品が前記拡張形態で固定されることを特徴とする請求項2に記載の器具。 - さらに、前記治療部品に前記貫流部品を可逆的に取り付けるための可逆取り付け手段を具えており、
これにより、前記貫流部品が前記拡張形態で固定されることを特徴とする請求項2に記載の器具。 - 患者の胃の中で治療部品を保持するための器具であって、
前記器具が、形状記憶部品が十分に拡張して前記形状記憶部品が幽門を通過しないような拡張形態から、患者の食道を通して前記形状記憶部品を挿入及び取り外しできる小径の形態に換えることが可能な形状記憶部品と、
前記拡張形態及び前記小径の形態の双方の前記形状記憶部品の中に収容するのに十分小さな大きさの治療部品と、
患者の外部から前記拡張形態及び前記小径の形態との間で前記形状記憶部品を操作するための手段と、
を具えることを特徴とする器具。 - 患者の胃の中で治療部品を保持するための器具であって、
前記器具が、幽門を通過できない十分大きな拡張形態から、患者の食道を通して貫流部品を挿入及び取り外しできる非拡張形態に換えることが可能な膨らませることのできない部品と、
前記拡張形態及び前記非拡張形態の双方の前記貫流部品の中に収容するのに十分小さな大きさの治療部品と、
前記貫流部品が胃の中にあるときに前記拡張形態及び前記非拡張形態との間で前記貫流部品を操作するための手段と、
を具えることを特徴とする器具。 - さらに、前記治療部品に前記貫流部品を可逆的に取り付けるための可逆取り付け手段を具えており、
これにより、前記器具が前記拡張形態で固定されることを特徴とする請求項6に記載の器具。 - さらに、前記治療器具を取り付けた患者の体を通して検出可能なラベルを具えることを特徴とする請求項6に記載の器具。
- さらに、胃の中に放出するために前記器具と放出可能に結合された1又はそれ以上の治療又は診断薬を具えることを特徴とする請求項5に記載の器具。
- さらに、胃の中のスペースを占めて肥満を治療するために閉塞器具に結合されたスペースを占める部材を具えることを特徴とする請求項5に記載の器具。
- さらに、前記器具に結合された少なくとも1の電極を具えており、
前記電極が、胃の組織、幽門又は十二指腸に接触することを特徴とする請求項5に記載の器具。 - さらに、胃の中に放出するために前記器具と放出可能に取り付けられた1又はそれ以上の治療又は診断薬を具えることを特徴とする請求項6に記載の器具。
- さらに、前記器具に結合された少なくとも1の電極を具えており、
前記電極が、胃の組織、幽門又は十二指腸に接触することを特徴とする請求項6に記載の器具。 - 胃の有効容積を減らすための器具であって、
前記器具が、貫流部品が患者の食道を通って患者の胃の中に挿入されるよう断面が十分小さな非拡張形態から、胃の中に挿入されると前記貫流部品の断面が幽門を通過するには大き過ぎる拡張形態に換わることが可能な貫流部品と、
前記貫流部品が胃の中にあるときに前記非拡張形態から前記拡張形態に前記貫流部品を切り換えるための手段と、
を具えており、
前記非拡張形態から前記拡張形態への切り換えを、前記拡張形態に形状記憶材料又は内視鏡による固定によって行い、
取り外しのための前記拡張形態から前記非拡張形態への反転が、前記器具の内視鏡的な操作を要することを特徴とする器具。 - 前記拡張可能な支持部が、少なくとも1の自己拡張材料を具えることを特徴とする請求項14に記載の器具。
- 前記少なくとも1の自己拡張材料が、ニチノール、バネステンレス鋼及び他の形状記憶、超弾性及びバネ仕掛けの材料から成る群から選択されることを特徴とする請求項15に記載の器具。
- 前記自己拡張材料が、前記支持部が潰れるのを防ぐための少なくとも1の支持部材を具えており、
前記支持部材が、リング、コイル、ケージ(cage)、支柱(struts)、骨格(scaffolding)、バスケット、スポーク及び傘(umbrella)から成る群から選択されることを特徴とする請求項14に記載の器具。 - 前記支持部が、GORE−TEX(登録商標)、ポリテトラフルオロエチレン、シリコーン、ポリウレタン、及びポリエチレンのうちの少なくとも1に結合された少なくとも1の支持部材を具えることを特徴とする請求項17に記載の器具。
- 前記自己拡張材料が、前記拡張可能な支持部及び組織接触部のうちの少なくとも1の中に配置された自己拡張発泡体を具えることを特徴とする請求項15に記載の器具。
- 前記発泡体が、ポリエチレン発泡体、ポリウレタン発泡体及びシリコーン発泡体のうちの少なくとも1を具えることを特徴とする請求項19に記載の器具。
- 前記自己拡張材料が、胃の中に存在する1又はそれ以上の物質に触れると拡張することを特徴とする請求項15に記載の器具。
- 組織接触部が、幽門弁の近くの組織に触れると前記幽門弁のシールを一時的に形成するよう構成されており、
前記組織接触部が、前記組織への接触による前記組織の損傷を防止するよう十分に従順であることを特徴とする請求項14に記載の器具。 - 第2の形態における前記支持部が、2.5cmから15cmの間の広い断面直径を有することを特徴とする請求項14に記載の器具。
- 組み合わせた容積が、200ccから2000ccの間であることを特徴とする請求項14に記載の器具。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US11/215,430 US20090259236A2 (en) | 2003-07-28 | 2005-08-29 | Gastric retaining devices and methods |
PCT/US2006/033923 WO2007027812A2 (en) | 2005-08-29 | 2006-08-29 | Gastric retaining devices and methods |
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JP2009508544A true JP2009508544A (ja) | 2009-03-05 |
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Application Number | Title | Priority Date | Filing Date |
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JP2008529243A Pending JP2009508544A (ja) | 2005-08-29 | 2006-08-29 | 胃の保持器具及び方法 |
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US (5) | US20090259236A2 (ja) |
EP (1) | EP1919370A4 (ja) |
JP (1) | JP2009508544A (ja) |
AU (1) | AU2006284801B2 (ja) |
BR (1) | BRPI0617059A2 (ja) |
CA (1) | CA2620859C (ja) |
WO (1) | WO2007027812A2 (ja) |
Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2010537790A (ja) * | 2007-09-07 | 2010-12-09 | バロノバ, インコーポレイテッド | 胃開口部の断続的遮断の装置および使用方法 |
JP2012522595A (ja) * | 2009-04-03 | 2012-09-27 | メタモディクス インコーポレイテッド | モジュール式消化管用人工器官 |
KR20150052009A (ko) * | 2012-08-17 | 2015-05-13 | 심플 메디컬 이노베이션스 피티와이 리미티드 | 위내 풍선 |
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JP2010537790A (ja) * | 2007-09-07 | 2010-12-09 | バロノバ, インコーポレイテッド | 胃開口部の断続的遮断の装置および使用方法 |
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CA2620859C (en) | 2011-06-07 |
AU2006284801A1 (en) | 2007-03-08 |
CA2620859A1 (en) | 2007-03-08 |
WO2007027812A3 (en) | 2009-04-23 |
EP1919370A2 (en) | 2008-05-14 |
US9931122B2 (en) | 2018-04-03 |
US20090187201A1 (en) | 2009-07-23 |
BRPI0617059A2 (pt) | 2011-07-12 |
EP1919370A4 (en) | 2015-07-29 |
US9687243B2 (en) | 2017-06-27 |
US9510834B2 (en) | 2016-12-06 |
AU2006284801B2 (en) | 2011-08-04 |
US20060020278A1 (en) | 2006-01-26 |
US20150150561A1 (en) | 2015-06-04 |
US20090187200A1 (en) | 2009-07-23 |
US20090259236A2 (en) | 2009-10-15 |
US20090216262A1 (en) | 2009-08-27 |
WO2007027812A2 (en) | 2007-03-08 |
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