JP2010528821A - オストミー用装置 - Google Patents
オストミー用装置 Download PDFInfo
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- JP2010528821A JP2010528821A JP2010512321A JP2010512321A JP2010528821A JP 2010528821 A JP2010528821 A JP 2010528821A JP 2010512321 A JP2010512321 A JP 2010512321A JP 2010512321 A JP2010512321 A JP 2010512321A JP 2010528821 A JP2010528821 A JP 2010528821A
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- adapter
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
- A61F5/44—Devices worn by the patient for reception of urine, faeces, catamenial or other discharge; Portable urination aids; Colostomy devices
- A61F5/445—Colostomy, ileostomy or urethrostomy devices
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
- A61F5/44—Devices worn by the patient for reception of urine, faeces, catamenial or other discharge; Portable urination aids; Colostomy devices
- A61F5/445—Colostomy, ileostomy or urethrostomy devices
- A61F2005/4455—Implantable
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- Health & Medical Sciences (AREA)
- Epidemiology (AREA)
- Nursing (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Orthopedics, Nursing, And Contraception (AREA)
Abstract
Description
(a)アダプタが存在しない場合よりも、排出物が装置の内側に直接排出可能な、オストミー用装置に対する地点まで排出物を送達するために、瘻孔内の排出路を瘻孔の外部位置まで延ばすための瘻孔拡張部。
(b)瘻孔周囲皮膚と接触しないように、および/または接着性身体装具と接着する皮膚の縁と接触しないように、瘻孔から放出される排出物を転換または誘導するための瘻孔排出物ダイバータ。
(c)瘻孔周囲皮膚および/または接着性身体装具と接着する皮膚の縁が、瘻孔排出物と接触しないように保護するためのライナ。ライナは、瘻孔ライナとして、瘻孔内部に延び得る。
Claims (39)
- 瘻孔および/または陥凹瘻孔を囲む瘻孔周囲口内への挿入のための近位端と、
該近位端から延び、少なくとも排出物が排出方向に流動するための実質的に閉塞されていない排出路と
を備える、瘻孔アダプタ。 - 前記瘻孔アダプタは、陥凹瘻孔のために構成される請求項1に記載の瘻孔アダプタ。
- 前記瘻孔アダプタは、平面瘻孔のために構成される、請求項1に記載の瘻孔アダプタ。
- 前記排出路は、瘻孔周囲皮膚から離れて排出物を誘導するように構成される、請求項1に記載の瘻孔アダプタ。
- 前記排出路は、前記瘻孔とオストミー用装置との間にインターフェースを橋渡しするように構成される、請求項1に記載の瘻孔アダプタ。
- 前記排出路は、開放している、請求項1に記載の瘻孔アダプタ。
- 前記瘻孔アダプタは、軸形態で提供され、瘻孔における挿入を促進する、請求項1に記載の瘻孔アダプタ。
- 前記瘻孔アダプタは、軸横断形態で提供され、瘻孔における挿入を促進する、請求項1に記載の瘻孔アダプタ。
- 前記瘻孔アダプタは、折り畳まれた形態で提供され、瘻孔における挿入を促進する、請求項1に記載の瘻孔アダプタ。
- 前記瘻孔アダプタは、折り畳み可能形態で提供され、瘻孔における挿入を促進する、請求項1に記載の瘻孔アダプタ。
- 前記瘻孔における前記瘻孔アダプタの挿入後、該瘻孔アダプタの構成を変更するための手段をさらに備える、請求項6に記載の瘻孔アダプタ。
- 前記瘻孔アダプタは、略可撓性材料と少なくとも1つの受け材とを備え、該受け材は、該受け材に対する少なくとも所定方向の屈曲に対抗して、該可撓性材料を補強する、請求項6に記載の瘻孔アダプタ。
- 前記少なくとも1つの受け材は、少なくとも前記瘻孔アダプタの実質的に軸方向に、該瘻孔アダプタを補強する一方、軸横断方向における屈曲を許容するように構成される、請求項12に記載の瘻孔アダプタ。
- 前記受け材は、膨張可能であって、該受け材によって提供される補強は、該受け材の中の膨張圧によって制御される、請求項12に記載の瘻孔アダプタ。
- 前記受け材の形状は、線形および螺旋形から成る群から選択される、請求項12に記載の瘻孔アダプタ。
- 前記瘻孔アダプタは、折り畳み状態においてバイステイブルである、請求項6に記載の瘻孔アダプタ。
- 前記瘻孔アダプタは、非折り畳み状態においてバイステイブルである、請求項6に記載の瘻孔アダプタ。
- 前記折り畳み状態は、壁の一部が反転され、相補部分内に入れ子にされ、縦溝チャネルを画定する状態である、請求項16に記載の瘻孔アダプタ。
- 前記折り畳み状態は、壁の一部が反転され、縦溝チャネルを画定する状態である、請求項16に記載の瘻孔アダプタ。
- 前記瘻孔アダプタを折り畳み状態に保持する解放可能要素をさらに備える、請求項1に記載の瘻孔アダプタ。
- 前記瘻孔アダプタを折り畳み状態に保持する除去可能要素をさらに備える、請求項1に記載の瘻孔アダプタ。
- 前記要素は、カラー、円錐形要素、および先端から成る群から選択される、請求項20に記載の瘻孔アダプタ。
- 前記要素は、多糖類、ヒドロキシプロピルメチルセルロース、ヒドロキシエチルセルロース、ヒドロキシプロピルセルロース、カルボキシメチルセルロース等のセルロース誘導体、キトサンおよびその誘導体、ゼラチン、アルギン酸、アルギン酸ナトリウム、キサンタンガム、トラガカンタ、グアーガム、アカシアガム、アラビアガム、ポリアクリル酸およびそのコポリマー、ポリペプチド、スルホン化ポリマー、ポリアクリルアミドおよびそのコポリマー、ポリビニルピロリドン、ポリビニルエーテル、ポリビニルアルコール、ポリエチレン、グリコール、メタクリル酸メチルコポリマー、カルボキシビニルポリマーおよびコポリマー、ならびにそれらの組み合わせ等の天然または合成起源の生体適合性材料から構築される、請求項20に記載の瘻孔アダプタ。
- 前記瘻孔アダプタは、腸壁を密閉するために、前記近位端またはその近傍に配置されるシールを備える、請求項1に記載の瘻孔アダプタ。
- 前記シールは、1点におけるシール、複数点におけるシール、および腸の長さにわたって延びるシールから成る群から選択される、請求項24に記載の瘻孔アダプタ。
- 前記シールは、膨張可能である、請求項24に記載の瘻孔アダプタ。
- 前記シールは、気体、液体、およびゲルから成る群から選択される、膨張流体によって膨張可能である、請求項26に記載の瘻孔アダプタ。
- 前記シールは、弾性材料を封入する、請求項26に記載の瘻孔アダプタ。
- 前記弾性材料は、前記シールを膨張させる、請求項28に記載の瘻孔アダプタ。
- 前記シール内外への流体流量は等しい、請求項29に記載の瘻孔アダプタ。
- 前記シール内外への流体流量は、互いに等しくない、請求項29に記載の瘻孔アダプタ。
- 前記弾性材料は、発泡体である、請求項28に記載の瘻孔アダプタ。
- 前記膨張流体は、前記シールの膨張後、部分的または完全に固体となる、請求項26に記載の瘻孔アダプタ。
- 前記シールは、該シールの領域内の腸壁上に密閉流体を分注するように構成される、請求項26に記載の瘻孔アダプタ。
- 前記瘻孔アダプタは、硬質、部分的に硬質、および可撓性から成る群から選択される、請求項1に記載の瘻孔アダプタ。
- 前記瘻孔アダプタの遠位端は、実質的に自由である、請求項1に記載の瘻孔アダプタ。
- 前記瘻孔アダプタの遠位端は、瘻孔周囲皮膚、接着性身体装具、およびオストミー用装置から成る群のうちの少なくとも1つに付着されるか、または付着可能である、請求項1に記載の瘻孔アダプタ。
- 瘻孔および/または陥凹瘻孔を囲む瘻孔周囲口内に挿入するために、該瘻孔に向かって突出し、少なくとも排出物が排出方向に流動するための実質的に閉塞されていない排出路を含む、瘻孔アダプタを備える、オストミー用装置を瘻孔周囲皮膚に付着させる接着性身体装具。
- 瘻孔および/または陥凹瘻孔を囲む瘻孔周囲口内に挿入するために、該瘻孔に向かって突出し、少なくとも排出物が排出方向に流動するための実質的に閉塞されていない排出路を含む、瘻孔アダプタを備える、オストミー用装置。
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US60/943,322 | 2007-06-12 | ||
PCT/US2008/066551 WO2008157172A1 (en) | 2007-06-12 | 2008-06-11 | Ostomy appliance |
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EP (1) | EP2157944B1 (ja) |
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AU (1) | AU2008266238A1 (ja) |
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2008
- 2008-06-11 EP EP08780793.9A patent/EP2157944B1/en active Active
- 2008-06-11 JP JP2010512321A patent/JP5474779B2/ja not_active Expired - Fee Related
- 2008-06-11 US US12/664,169 patent/US10166138B2/en active Active
- 2008-06-11 AU AU2008266238A patent/AU2008266238A1/en not_active Abandoned
- 2008-06-11 CA CA2689582A patent/CA2689582C/en active Active
- 2008-06-11 BR BRPI0812404-3A2A patent/BRPI0812404A2/pt not_active Application Discontinuation
- 2008-06-11 WO PCT/US2008/066551 patent/WO2008157172A1/en active Application Filing
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- 2008-06-11 MX MX2009013331A patent/MX2009013331A/es not_active Application Discontinuation
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2018
- 2018-12-31 US US16/237,084 patent/US11166838B2/en active Active
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2021
- 2021-11-01 US US17/516,102 patent/US20220054297A1/en active Pending
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US10864106B2 (en) | 2011-03-08 | 2020-12-15 | W. L. Gore & Associates, Inc. | Medical device for use with a stoma |
JP2014511251A (ja) * | 2011-03-08 | 2014-05-15 | ダブリュ.エル.ゴア アンド アソシエイツ,インコーポレイティド | ストーマと共に使用するための医療装置 |
US10980663B2 (en) | 2011-03-08 | 2021-04-20 | W. L. Gore & Associates, Inc. | Medical device for use with a stoma |
US10098639B2 (en) | 2011-12-14 | 2018-10-16 | Covidien Lp | Buttress attachment to the cartridge surface |
US11229434B2 (en) | 2011-12-14 | 2022-01-25 | Covidien Lp | Surgical stapling apparatus including releasable surgical buttress |
US10357249B2 (en) | 2011-12-14 | 2019-07-23 | Covidien Lp | Surgical stapling apparatus including releasable surgical buttress |
US10828034B2 (en) | 2011-12-14 | 2020-11-10 | Covidien Lp | Buttress attachment to the cartridge surface |
JP2014121599A (ja) * | 2012-12-19 | 2014-07-03 | Covidien Lp | カートリッジ表面へのバットレスの取り付け |
JP2018110881A (ja) * | 2012-12-19 | 2018-07-19 | コヴィディエン リミテッド パートナーシップ | カートリッジ表面へのバットレスの取り付け |
US11607335B2 (en) | 2013-03-14 | 2023-03-21 | Ostomycure As | Implant containing rods |
JP2021176524A (ja) * | 2013-03-14 | 2021-11-11 | オストミキュア アーエス | インプラント |
US10806458B2 (en) | 2014-05-02 | 2020-10-20 | W. L. Gore & Associates, Inc. | Anastomosis devices |
US11344307B2 (en) | 2014-05-02 | 2022-05-31 | W. L. Gore & Associates, Inc. | Anastomosis devices |
US11596409B2 (en) | 2014-05-02 | 2023-03-07 | W.L. Gore & Associates, Inc. | Anastomosis devices |
US10004509B2 (en) | 2014-05-02 | 2018-06-26 | W. L. Gore & Associates, Inc. | Anastomosis devices |
US11712230B2 (en) | 2014-05-02 | 2023-08-01 | W. L. Gore & Associates, Inc. | Occluder and anastomosis devices |
US11980367B2 (en) | 2014-05-02 | 2024-05-14 | W. L. Gore & Associates, Inc. | Anastomosis devices |
US12023031B2 (en) | 2014-05-02 | 2024-07-02 | W. L. Gore & Associates, Inc. | Anastomosis devices |
JP2019511306A (ja) * | 2016-03-31 | 2019-04-25 | ユニバーシティ・オブ・リムリック | オストミーアタッチメント |
US11724075B2 (en) | 2017-04-18 | 2023-08-15 | W. L. Gore & Associates, Inc. | Deployment constraining sheath that enables staged deployment by device section |
Also Published As
Publication number | Publication date |
---|---|
US20220054297A1 (en) | 2022-02-24 |
JP5474779B2 (ja) | 2014-04-16 |
US11166838B2 (en) | 2021-11-09 |
EP2157944A1 (en) | 2010-03-03 |
EP2157944B1 (en) | 2020-04-22 |
MX2009013331A (es) | 2010-01-25 |
CA2689582C (en) | 2016-08-09 |
US20190133813A1 (en) | 2019-05-09 |
BRPI0812404A2 (pt) | 2014-12-02 |
CA2689582A1 (en) | 2008-12-24 |
AU2008266238A1 (en) | 2008-12-24 |
CN102281840B (zh) | 2016-05-11 |
EP2157944A4 (en) | 2017-03-22 |
CN102281840A (zh) | 2011-12-14 |
WO2008157172A1 (en) | 2008-12-24 |
US20100174253A1 (en) | 2010-07-08 |
US10166138B2 (en) | 2019-01-01 |
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