JP2009526558A - 直腸脱および痔核脱出の外科手術のための方法および装置 - Google Patents
直腸脱および痔核脱出の外科手術のための方法および装置 Download PDFInfo
- Publication number
- JP2009526558A JP2009526558A JP2008553893A JP2008553893A JP2009526558A JP 2009526558 A JP2009526558 A JP 2009526558A JP 2008553893 A JP2008553893 A JP 2008553893A JP 2008553893 A JP2008553893 A JP 2008553893A JP 2009526558 A JP2009526558 A JP 2009526558A
- Authority
- JP
- Japan
- Prior art keywords
- circular
- suture
- hemorrhoid
- deviator
- window
- 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.)
- Granted
Links
- 208000014617 hemorrhoid Diseases 0.000 title claims abstract description 60
- 238000000034 method Methods 0.000 title claims abstract description 54
- 208000012287 Prolapse Diseases 0.000 title claims abstract description 26
- 238000001356 surgical procedure Methods 0.000 title description 21
- 210000000436 anus Anatomy 0.000 claims abstract description 15
- 201000010727 rectal prolapse Diseases 0.000 claims abstract description 9
- 210000001367 artery Anatomy 0.000 claims description 20
- 210000000664 rectum Anatomy 0.000 claims description 11
- 230000008569 process Effects 0.000 claims description 9
- 238000005286 illumination Methods 0.000 claims description 4
- 238000003780 insertion Methods 0.000 claims description 4
- 230000037431 insertion Effects 0.000 claims description 4
- 230000015572 biosynthetic process Effects 0.000 claims description 3
- 230000035515 penetration Effects 0.000 claims description 2
- 210000002255 anal canal Anatomy 0.000 abstract description 7
- 230000006835 compression Effects 0.000 abstract 1
- 238000007906 compression Methods 0.000 abstract 1
- 210000001519 tissue Anatomy 0.000 description 9
- 230000008901 benefit Effects 0.000 description 6
- 230000007170 pathology Effects 0.000 description 4
- 239000000523 sample Substances 0.000 description 4
- 230000017531 blood circulation Effects 0.000 description 3
- 239000013307 optical fiber Substances 0.000 description 3
- 238000002271 resection Methods 0.000 description 3
- 210000003462 vein Anatomy 0.000 description 3
- 208000002193 Pain Diseases 0.000 description 2
- 208000000114 Pain Threshold Diseases 0.000 description 2
- 208000031481 Pathologic Constriction Diseases 0.000 description 2
- 239000003708 ampul Substances 0.000 description 2
- 229940035674 anesthetics Drugs 0.000 description 2
- 239000003193 general anesthetic agent Substances 0.000 description 2
- 210000003041 ligament Anatomy 0.000 description 2
- 210000004877 mucosa Anatomy 0.000 description 2
- 230000017074 necrotic cell death Effects 0.000 description 2
- 230000036407 pain Effects 0.000 description 2
- 230000037040 pain threshold Effects 0.000 description 2
- 230000036262 stenosis Effects 0.000 description 2
- 208000037804 stenosis Diseases 0.000 description 2
- 230000000472 traumatic effect Effects 0.000 description 2
- 206010002091 Anaesthesia Diseases 0.000 description 1
- 208000019901 Anxiety disease Diseases 0.000 description 1
- 208000035965 Postoperative Complications Diseases 0.000 description 1
- 208000004550 Postoperative Pain Diseases 0.000 description 1
- 208000015815 Rectal disease Diseases 0.000 description 1
- 230000037005 anaesthesia Effects 0.000 description 1
- 238000004873 anchoring Methods 0.000 description 1
- 230000036506 anxiety Effects 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 210000004204 blood vessel Anatomy 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 235000019504 cigarettes Nutrition 0.000 description 1
- 230000015271 coagulation Effects 0.000 description 1
- 238000005345 coagulation Methods 0.000 description 1
- 210000002808 connective tissue Anatomy 0.000 description 1
- 238000000315 cryotherapy Methods 0.000 description 1
- 238000001514 detection method Methods 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 210000003989 endothelium vascular Anatomy 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 230000029142 excretion Effects 0.000 description 1
- 239000000835 fiber Substances 0.000 description 1
- 238000002347 injection Methods 0.000 description 1
- 239000007924 injection Substances 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 238000002647 laser therapy Methods 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 230000001338 necrotic effect Effects 0.000 description 1
- 230000001575 pathological effect Effects 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 230000010349 pulsation Effects 0.000 description 1
- 230000009467 reduction Effects 0.000 description 1
- 238000007632 sclerotherapy Methods 0.000 description 1
- 239000000243 solution Substances 0.000 description 1
- 210000005070 sphincter Anatomy 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
- 238000002604 ultrasonography Methods 0.000 description 1
- 230000002792 vascular Effects 0.000 description 1
Images
Classifications
-
- 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
- A61B1/31—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 for the rectum, e.g. proctoscopes, sigmoidoscopes, colonoscopes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/0206—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors with antagonistic arms as supports for retractor elements
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/48—Other medical applications
- A61B5/4887—Locating particular structures in or on the body
- A61B5/489—Blood vessels
-
- 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)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Biophysics (AREA)
- Physics & Mathematics (AREA)
- Pathology (AREA)
- Optics & Photonics (AREA)
- Radiology & Medical Imaging (AREA)
- Vascular Medicine (AREA)
- Surgical Instruments (AREA)
- Orthopedics, Nursing, And Contraception (AREA)
- Medicines Containing Material From Animals Or Micro-Organisms (AREA)
- Medicines Containing Plant Substances (AREA)
- Medicinal Preparation (AREA)
- Investigating Materials By The Use Of Optical Means Adapted For Particular Applications (AREA)
- Endoscopes (AREA)
- Nitrogen And Oxygen Or Sulfur-Condensed Heterocyclic Ring Systems (AREA)
- Thermotherapy And Cooling Therapy Devices (AREA)
Abstract
【選択図】図2
Description
図1は、肛門管の縦断面の概略図である。
図2は、本発明の装置の側面図である。
図3は、図2の装置の第一の部分の透視図である。
図4は、図2の装置の第一の部分の平面図である。
図5は、図2の装置の第一の部分の断面図である。
図6は、図2の装置の第二の部分の側面図である。
図7は、図2の装置の第二の部分の透視図である。
- 一つの痔核脱出2の位置で、例えば縫合糸6を用いて、少なくとも第一の円状縫合1を実施する;
- 同位置、すなわち痔核脱出2の位置で、少なくとも第二の円状縫合4を実施する;
- 痔核脱出2を圧縮するため、第一の円状縫合1と第二の円状縫合4を近づかせる。
Claims (24)
- 患者の直腸において、痔核脱出(22)の第一の部位(2a)で少なくとも第一の円状縫合(1)を行う工程を有し、
さらに、
痔核脱出(2)の第二の部位(2b)で少なくとも第二の円状縫合(4)を行う工程と、
痔核脱出(2)を圧縮するため、前記第一の円状縫合と前記第二の円状縫合とを近づかせる工程とを有する直腸脱および痔核脱出の外科的手術のための方法。 - 前記第一の部位(2a)および前記第二の部位(2b)の間に存在する痔核脱出部分で別の円状縫合(11)を行う工程を有する、請求項1に記載の方法。
- 前記円状縫合(1、4)を行う工程は、痔核脱出(2)の主な伸長方向(X)に垂直な面に含まれる少なくとも1つのループの形成を含む、請求項1または2に記載の方法。
- 前記円状縫合(1、4)を行う工程は、痔核脱出(2)の主な伸長方向(X)に沿って重なり合うように実施される、前記請求項1〜3のいずれかに記載の方法。
- 前記円状縫合(1、4)が、単一の縫合糸(6)を用いて行われる、前記請求項1〜4のいずれかに記載の方法。
- 少なくとも第一の円状縫合(1)の工程を実施する前に、円状縫合(1、4)を近づけるときのアンカーを規定するため、痔核脱出(2)とは無関係な直腸壁部分において、少なくとも基礎的な円状縫合(14)を行う、前記請求項1〜5のいずれかに記載の方法。
- 前記の基礎的な円状縫合(14)が、肛門外口に対して痔核脱出(2)よりも奥にあたる直腸部分(5)で実施される、請求項6に記載の方法。
- 前記円状縫合(1、4)を近づかせる工程には、該円状縫合(1、4)を安定して近づかせる位置を規定するために、縫合糸(6)に結び目を作る工程が含まれる、請求項5に記載の方法。
- 円状縫合(1、4)を実施する各工程には、前記円状縫合(1、4)を引き込む工程が含まれる、請求項1〜8のいずれかに記載の方法。
- 前記縫合糸(6)には、第二の円状縫合(4)とつながっている第一端(9)があり、前記縫合糸(6)で結び目を作る工程には、前記縫合糸(6)の前記第一端(9)を前記の基礎的な円状縫合(14)内部に挿入する工程が含まれる、請求項8に記載の方法。
- 前記縫合糸(6)の結び目を作る工程には、前記円状縫合(1、4)を前記の基礎的な円状縫合(14)の方向に向けて引き上げる工程が含まれる、請求項6または10に記載の方法。
- 進行方向が長手方向の軸(Z)に沿っており、肛門外口より挿入可能な中空状のディバリケーター(17)を有し、該ディバリケーターには、手術領域を規定し、該ディバリケーター(17)の内部のキャビティ(17b)と痔核脱出部分とをつなげる窓(29)があり、手術領域を変えるために前記窓(29)を開閉するための開閉手段(31)を備えている、直腸脱あるいは痔核脱出の外科手術用装置。
- 前記窓(29)の開閉手段(31)は、少なくとも可動壁(32)を備え、前記ディバリケーター(17)とスライド可能な状態でつながっており、前記窓(29)を操作することができる、請求項12に記載の装置。
- 前記窓(29)は、第一の部分(29a)と第二の部分(29b)を備え、前記第二の部分(29b)は、長手方向の軸(Z)に平行に伸びており、前記可動壁(32)は、前記窓が開閉できるように、前記窓(29)の第二の部分(29b)を自由に動くようになっている、請求項13に記載の装置。
- 前記可動壁は、前記窓の前記第二の部分(29b)を完全に塞ぐことになる閉じた位置と、前記窓29の前記第二の部分(29b)が完全に開いている開いた位置と、からなる複数の操作位置を決めるために、ディバリケーター(17)とスライド可能な状態で接続されている、請求項14に記載の装置。
- 前記窓(29)の前記第二の部分(29b)が、前記窓(29)の前記第一の部分(29a)から前記ディバリケーター(17)の後方先端(17e)まで伸びており、前記後方先端(17e)は、肛門外口に入る前記ディバリケーター(17)の挿入方向により決められる、請求項14または15に記載の装置。
- スライドできるように前記ディバリケーター(17)に前記可動壁(32)を接続させるためのスライドガイド(32a)を有する、請求項13から16のいずれかに記載の装置。
- 前記可動壁(32)が、痔核動脈の近接を検知するためのセンサーを取り外しできるように収納する収納場所(33)をもつ、請求項13〜17のいずれかに記載の装置。
- 痔核動脈にセンサーを近づけるために、前記可動壁(32)が、外部の末端開口部(33°)を備える、請求項18に記載の装置。
- 前記可動壁(32)へのセンサーの挿入および固定を助ける目的で、前記可動壁(32)内の前記収納場所(33)は、前記ディバリケーター(17)の前記キャビティ(17b)とつながっており、前記キャビティ(17b)から直接操作できる、請求項18に記載の装置。
- 前記ディバリケーター(17)に固定された柄を備え、該柄は一対の半割状のシェル(18、21)を有すると共に、照明手段(23)を収納するための最初のシート(22)を内部に備えている、請求項12〜20に記載の装置。
- 手術工程に使用する際の誘導操作のために、前記ディバリケーター(17)の前記キャビティ(17b)の内部に固定された誘導手段(34)を有する、請求項12〜21のいずれかに記載の装置。
- 前記ディバリケーター(17)は、肛門外口の内部への該ディバリケーター(17)の挿入方向に対して正面部分(17c)が、肛門外口に挿入しやすいよう、閉じた円錐形となっている、請求項12〜22のいずれかに記載の装置。
- 肛門外口の内部への前記ディバリケーターの進入深さ(10)を調べるために、該ディバリケーターの外側に複数の校正目盛(36)がある、請求項12〜23のいずれかに記載の装置。
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
PCT/IT2006/000074 WO2007094016A1 (en) | 2006-02-14 | 2006-02-14 | A process and a device for surgical treatment of rectal and haemorrhoidal prolapse |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2009526558A true JP2009526558A (ja) | 2009-07-23 |
JP4824778B2 JP4824778B2 (ja) | 2011-11-30 |
Family
ID=37075279
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2008553893A Active JP4824778B2 (ja) | 2006-02-14 | 2006-02-14 | 直腸脱および痔核脱出の外科手術のための方法および装置 |
Country Status (17)
Country | Link |
---|---|
US (2) | US8277376B2 (ja) |
EP (3) | EP2163188B1 (ja) |
JP (1) | JP4824778B2 (ja) |
KR (1) | KR101274763B1 (ja) |
CN (1) | CN101316546B (ja) |
AT (3) | ATE507761T1 (ja) |
AU (1) | AU2006338436B2 (ja) |
BR (1) | BRPI0618702B1 (ja) |
CA (1) | CA2630015C (ja) |
DE (2) | DE602006013800D1 (ja) |
DK (2) | DK1858397T3 (ja) |
ES (2) | ES2364904T3 (ja) |
HK (1) | HK1123475A1 (ja) |
IL (1) | IL191466A (ja) |
PL (1) | PL1858397T3 (ja) |
PT (1) | PT1858397E (ja) |
WO (1) | WO2007094016A1 (ja) |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2012504452A (ja) * | 2008-10-06 | 2012-02-23 | ティアッカディ ソチエタ ペル アツィオニ | 脱出の外科手術のための装置 |
Families Citing this family (21)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US9795367B1 (en) | 2003-10-17 | 2017-10-24 | Nuvasive, Inc. | Surgical access system and related methods |
US8100822B2 (en) * | 2004-03-16 | 2012-01-24 | Macroplata Systems, Llc | Anoscope for treating hemorrhoids without the trauma of cutting or the use of an endoscope |
ITRE20080107A1 (it) * | 2008-11-12 | 2010-05-13 | Thd Spa | Dispositivo medico chirurgico per patologie colonproctologiche |
US8348837B2 (en) * | 2008-12-09 | 2013-01-08 | Covidien Lp | Anoscope |
US9204789B2 (en) * | 2009-10-08 | 2015-12-08 | Covidien Lp | Asymmetrical anoscope |
CN101828932A (zh) * | 2010-04-23 | 2010-09-15 | 南京奥珂森电子有限公司 | 直肠镜超声多普勒探头 |
US8632458B2 (en) | 2011-10-26 | 2014-01-21 | Macroplata Inc. | Gentle hemorrhoid treatment offering a substantially painless healing |
US8968275B2 (en) | 2010-04-26 | 2015-03-03 | Covidien Lp | Apparatus and method for effecting at least one anatomical structure |
IT1401188B1 (it) * | 2010-07-15 | 2013-07-12 | Thd Spa | Dispositivo medico per patologie colonproctologiche. |
US9913577B2 (en) * | 2010-09-28 | 2018-03-13 | Obp Medical Corporation | Speculum |
AU2011308636B2 (en) * | 2010-10-01 | 2015-06-04 | Applied Medical Resources Corporation | Surgical access port system |
US9289115B2 (en) * | 2010-10-01 | 2016-03-22 | Applied Medical Resources Corporation | Natural orifice surgery system |
US20120259177A1 (en) * | 2011-04-05 | 2012-10-11 | Warsaw Orthopedic, Inc. | Overlapping Retractor Blade Assemblies |
GB2518343A (en) * | 2013-06-28 | 2015-03-25 | Rocket Medical Plc | Improved medical device |
US9545283B2 (en) | 2013-12-23 | 2017-01-17 | Jmea Corporation | Devices and methods for preparation of vertebral members |
ES2752735T3 (es) * | 2015-01-22 | 2020-04-06 | Ao Npf Bioss | Proctoscopio |
IT201600112850A1 (it) * | 2016-11-09 | 2018-05-09 | Francesco Sias | Anoscopio |
BR112019019335A2 (pt) | 2017-03-17 | 2020-04-14 | Chaves De Oliveira Enio | dispositivo, sistema e método para o tratamento de doenças hemorroidárias, método para tratamento de estruturas vasculares inchadas |
CN108175372B (zh) * | 2018-01-10 | 2023-05-30 | 苏州贝诺医疗器械有限公司 | 一种直肠脱垂测量仪 |
CN111053609B (zh) * | 2020-01-10 | 2024-09-20 | 河南中医药大学第三附属医院 | 一种直肠癌冷冻消融术防冻伤装置 |
GB2595901A (en) | 2020-06-10 | 2021-12-15 | Surgease Innovations Ltd | Proctoscope |
Family Cites Families (27)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US295798A (en) * | 1884-03-25 | Speculum | ||
US2482971A (en) | 1947-07-11 | 1949-09-27 | Golson Kelly Kendall | Self-illuminated transparent proctoscope |
US3701347A (en) * | 1970-03-04 | 1972-10-31 | Joseph W Belkin | Proctoscope |
US4527553A (en) * | 1980-04-28 | 1985-07-09 | Upsher Michael S | Laryngoscope with improved light source |
JPS6349125A (ja) * | 1986-08-16 | 1988-03-01 | 奥津 一郎 | 内視鏡用案内管 |
US5741273A (en) | 1996-03-08 | 1998-04-21 | O'regan; Patrick J. | Elastic band ligation device for treatment of hemorrhoids |
JP3429685B2 (ja) | 1997-10-06 | 2003-07-22 | オリンパス光学工業株式会社 | 内視鏡案内管 |
JP3526531B2 (ja) | 1998-06-19 | 2004-05-17 | 富士写真光機株式会社 | 立体内視鏡の先端構造 |
US6102271A (en) | 1998-11-23 | 2000-08-15 | Ethicon Endo-Surgery, Inc. | Circular stapler for hemorrhoidal surgery |
DE19935725C2 (de) * | 1999-07-29 | 2003-11-13 | Wolf Gmbh Richard | Medizinisches Instrument, insbesondere Rektoskop |
WO2001021075A1 (en) * | 1999-09-20 | 2001-03-29 | Sapi Med S.P.A. | Accessory for a transanal access surgical instrument and, in particular, for a mechanical circular suturing device |
JP2001286438A (ja) * | 2000-04-10 | 2001-10-16 | Olympus Optical Co Ltd | 内視鏡案内管 |
DK1339330T3 (da) | 2000-12-06 | 2007-11-05 | Wilson Cook Medical Inc | Apparat til påsætning af ligaturbånd |
US7037314B2 (en) | 2001-01-09 | 2006-05-02 | Armstrong David N | Multiple band ligator and anoscope system and method for using same |
US20060009797A1 (en) | 2001-01-09 | 2006-01-12 | Armstrong David N | Anoscope |
US6595917B2 (en) * | 2001-02-27 | 2003-07-22 | German Nieto | Disposable speculum with included light and mechanisms for examination and gynecological surgery |
CA2363473C (en) * | 2001-11-20 | 2010-10-19 | Marc G. Morin | Anoscope |
ITMO20020246A1 (it) * | 2002-09-09 | 2004-03-10 | Francesco Sias | Anoscopio operatorio rotante. |
US20040198413A1 (en) * | 2003-01-03 | 2004-10-07 | Smith Gregory S. | Wireless communication device with call management capability and method therefor |
BR0317569B1 (pt) * | 2003-01-21 | 2013-06-04 | dispositivo descartÁvel para operaÇÕes cirérgicas na artÉria haemorroidalis. | |
US6959851B2 (en) | 2003-07-16 | 2005-11-01 | Tyco Healthcare Group Lp | Surgical stapling device with tissue tensioner |
US8100822B2 (en) | 2004-03-16 | 2012-01-24 | Macroplata Systems, Llc | Anoscope for treating hemorrhoids without the trauma of cutting or the use of an endoscope |
US7118528B1 (en) | 2004-03-16 | 2006-10-10 | Gregory Piskun | Hemorrhoids treatment method and associated instrument assembly including anoscope and cofunctioning tissue occlusion device |
WO2005091986A2 (en) | 2004-03-19 | 2005-10-06 | Tyco Healthcare Group, Lp | Anvil assembly with improved cut ring |
AT501766A1 (de) * | 2005-01-25 | 2006-11-15 | Ami Gmbh | Einrichtung zur verwendung bei der behandlung eines hämorrhoidenprolaps |
US7731654B2 (en) * | 2005-05-13 | 2010-06-08 | Merit Medical Systems, Inc. | Delivery device with viewing window and associated method |
US8181838B2 (en) | 2008-09-10 | 2012-05-22 | Tyco Healthcare Group Lp | Surgical stapling device |
-
2006
- 2006-02-14 DK DK06711428.0T patent/DK1858397T3/da active
- 2006-02-14 EP EP09174319A patent/EP2163188B1/en active Active
- 2006-02-14 CA CA2630015A patent/CA2630015C/en active Active
- 2006-02-14 PT PT06711428T patent/PT1858397E/pt unknown
- 2006-02-14 DE DE602006013800T patent/DE602006013800D1/de active Active
- 2006-02-14 ES ES09174319T patent/ES2364904T3/es active Active
- 2006-02-14 JP JP2008553893A patent/JP4824778B2/ja active Active
- 2006-02-14 EP EP06711428A patent/EP1858397B1/en active Active
- 2006-02-14 ES ES06711428T patent/ES2342970T3/es active Active
- 2006-02-14 AT AT09174319T patent/ATE507761T1/de active
- 2006-02-14 PL PL06711428T patent/PL1858397T3/pl unknown
- 2006-02-14 AT AT09174299T patent/ATE510490T1/de active
- 2006-02-14 EP EP09174299A patent/EP2147632B1/en active Active
- 2006-02-14 BR BRPI0618702-1A patent/BRPI0618702B1/pt not_active IP Right Cessation
- 2006-02-14 US US11/814,666 patent/US8277376B2/en active Active
- 2006-02-14 AU AU2006338436A patent/AU2006338436B2/en active Active
- 2006-02-14 DE DE602006021812T patent/DE602006021812D1/de active Active
- 2006-02-14 DK DK09174319.5T patent/DK2163188T3/da active
- 2006-02-14 WO PCT/IT2006/000074 patent/WO2007094016A1/en active Application Filing
- 2006-02-14 CN CN2006800448276A patent/CN101316546B/zh active Active
- 2006-02-14 AT AT06711428T patent/ATE464833T1/de active
-
2008
- 2008-05-15 IL IL191466A patent/IL191466A/en active IP Right Grant
- 2008-05-29 KR KR1020087013021A patent/KR101274763B1/ko not_active IP Right Cessation
-
2009
- 2009-02-10 HK HK09101177.4A patent/HK1123475A1/xx not_active IP Right Cessation
-
2011
- 2011-02-04 US US13/021,454 patent/US8439935B2/en not_active Expired - Fee Related
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2012504452A (ja) * | 2008-10-06 | 2012-02-23 | ティアッカディ ソチエタ ペル アツィオニ | 脱出の外科手術のための装置 |
Also Published As
Similar Documents
Publication | Publication Date | Title |
---|---|---|
JP4824778B2 (ja) | 直腸脱および痔核脱出の外科手術のための方法および装置 | |
JP5133245B2 (ja) | 直腸挿入可能な外科システム | |
JP5474984B2 (ja) | 脱出の外科手術のための装置 | |
US8480694B2 (en) | Method and apparatus for anastomosis including an expandable anchor | |
US6142931A (en) | Guide tube unit for endoscope and method for resecting a tissue | |
US7731727B2 (en) | Medical instrument to place a pursestring suture, open a hole and pass a guidewire | |
JP3165351U (ja) | 直腸肛門手術用器具 | |
US20060167473A1 (en) | Instrument for use in the treatment of prolapsed hemorrhoids | |
EP2078491A1 (en) | T-Bar suture instrument | |
MX2007005480A (es) | Un dispositivo y metodo para la terapia de obesidad. | |
JP2010524596A (ja) | 脱肛治療用装置 | |
EP3192452B1 (en) | Medical needle | |
RU166942U1 (ru) | Прошиватель мягких тканей большой | |
RU191060U1 (ru) | Двусторонняя атравматическая хирургическая игла | |
RU2408290C2 (ru) | Способ и устройство для хирургического лечения ректального и геморроидального пролапса | |
US20160213372A1 (en) | A device and method for suturing hollow organs | |
US20220233190A1 (en) | Method for closing a wound | |
RU190843U1 (ru) | Атравматическая хирургическая игла со съемной ручкой | |
KR20230065536A (ko) | 원형 문합기의 c형 문합 유도구 | |
JP2002360583A (ja) | 縫合具 | |
Granberg et al. | Access and Exit |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
A131 | Notification of reasons for refusal |
Free format text: JAPANESE INTERMEDIATE CODE: A131 Effective date: 20110412 |
|
A977 | Report on retrieval |
Free format text: JAPANESE INTERMEDIATE CODE: A971007 Effective date: 20110414 |
|
A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20110712 |
|
TRDD | Decision of grant or rejection written | ||
A01 | Written decision to grant a patent or to grant a registration (utility model) |
Free format text: JAPANESE INTERMEDIATE CODE: A01 Effective date: 20110809 |
|
A01 | Written decision to grant a patent or to grant a registration (utility model) |
Free format text: JAPANESE INTERMEDIATE CODE: A01 |
|
A61 | First payment of annual fees (during grant procedure) |
Free format text: JAPANESE INTERMEDIATE CODE: A61 Effective date: 20110908 |
|
R150 | Certificate of patent or registration of utility model |
Ref document number: 4824778 Country of ref document: JP Free format text: JAPANESE INTERMEDIATE CODE: R150 Free format text: JAPANESE INTERMEDIATE CODE: R150 |
|
FPAY | Renewal fee payment (event date is renewal date of database) |
Free format text: PAYMENT UNTIL: 20140916 Year of fee payment: 3 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |