JP2011529734A - 閉塞性睡眠時無呼吸を治療するために補助気道を形成する方法及び装置 - Google Patents
閉塞性睡眠時無呼吸を治療するために補助気道を形成する方法及び装置 Download PDFInfo
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- 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
- A61F5/56—Devices for preventing snoring
- A61F5/566—Intra-oral devices
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- 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
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/20—Epiglottis; Larynxes; Tracheae combined with larynxes or for use therewith
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- 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
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/94—Stents retaining their form, i.e. not being deformable, after placement in the predetermined place
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- 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
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
-
- 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
- A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
- A61F2230/0004—Rounded shapes, e.g. with rounded corners
- A61F2230/0008—Rounded shapes, e.g. with rounded corners elliptical or oval
-
- 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
- A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
- A61F2230/0004—Rounded shapes, e.g. with rounded corners
- A61F2230/0013—Horseshoe-shaped, e.g. crescent-shaped, C-shaped, U-shaped
Abstract
Description
(1) 咽頭の咽頭壁の下に埋め込まれた細長い導管を含む、閉塞性睡眠時無呼吸を治療するためのシステムであって、
前記細長い導管は、前記咽頭の第1の領域と連通する近位端と、前記咽頭の第2の領域と連通する遠位端とを有し、前記細長い導管の一部分は、前記咽頭の中咽頭領域にバイパスを形成するために前記咽頭壁の下に延在する、システム。
(2) 前記細長い導管が、その前記近位端に隣接する第1の開口部、及びその前記遠位端に隣接する第2の開口部を有し、前記システムが、
前記細長い導管の前記近位端に隣接する前記第1の開口部と連通する前記咽頭壁の第1の開口部と、
前記細長い導管の前記遠位端に隣接する前記第2の開口部と連通する前記咽頭壁の第2の開口部と、を更に含む、実施態様1に記載のシステム。
(3) 前記咽頭壁の前記第1の開口部が、前記咽頭の鼻咽頭領域内にあり、前記咽頭壁の前記第2の開口部が、前記咽頭の下咽頭領域内にある、実施態様2に記載のシステム。
(4) 前記咽頭壁の前記第1の開口部を、前記細長い導管の前記近位端に隣接する前記第1の開口部と連結するための第1の吻合部連結装置と、
前記咽頭壁の前記第2の開口部を、前記細長い導管の前記遠位端に隣接する前記第2の開口部と連結するための第2の吻合部連結装置と、を更に含む、実施態様2に記載のシステム。
(5) 前記細長い導管が、その前記近位端と遠位端との間に延びる中央ルーメンを含み、前記システムが、
前記細長い導管が前記咽頭壁の下に埋め込まれるときに前記細長い導管を支持するための、前記細長い導管の前記中央ルーメン内に挿入可能なマンドレルを更に含む、実施態様2に記載のシステム。
(6) 前記細長い導管が、生体適合性導管、ステント、ポリマー管、及び管からなる群から選択される、実施態様2に記載のシステム。
(7) 前記細長い導管が、約5〜20cmの長さ及び約2〜8mmの直径を有する、実施態様1に記載のシステム。
(8) 細長い導管を含む、閉塞性睡眠時無呼吸を治療するための補助気道であって、
前記細長い導管は、咽頭の第1の領域と連通する第1の開口部と、該咽頭の第2の領域と連通する第2の開口部とを有する、補助気道。
(9) 前記第1の領域が前記咽頭の鼻咽頭領域であり、前記第2の領域が前記咽頭の下咽頭領域である、実施態様8に記載の補助気道。
(10) 前記細長い導管が咽頭壁の下に埋め込まれる、実施態様8に記載の補助気道。
(12) 前記細長い導管が生体適合性材料を含む、実施態様8に記載の補助気道。
(13) 前記細長い導管が、ステント及び管からなる群から選択される構造体である、実施態様8に記載の補助気道。
(14) 前記細長い導管が、近位端及び遠位端と、その該近位端に隣接する近位開口部と、その該遠位端に隣接する遠位開口部とを有し、前記近位開口部が、前記咽頭の前記鼻咽頭領域内に位置付けられる前記咽頭壁の第1の開口部と連通し、前記遠位開口部が、前記咽頭の前記下咽頭領域に位置付けられる前記咽頭壁の第2の開口部と連通する、実施態様10に記載の補助気道。
(15) 前記細長い導管の前記近位開口部と前記咽頭壁の前記第1の開口部とを連結する第1の吻合部連結装置と、前記細長い導管の前記遠位開口部と前記咽頭壁の前記第2の開口部とを連結する第2の吻合部連結装置とを更に含む、実施態様14に記載の補助気道。
(16) 前記細長い導管が前記咽頭壁の下に埋め込まれる中間部分を有し、前記細長い導管の前記中間部分が前記咽頭の中咽頭領域にバイパスを形成する、実施態様10に記載の補助気道。
(17) 前記細長い導管を前記咽頭壁の下に埋め込むのを容易にするために、前記細長い導管を包囲する細長いシースと、
前記細長い導管を前記咽頭壁の下に埋め込む間前記細長い導管を支持するために、前記細長い導管内に配置されるマンドレルと、を更に含む、実施態様10に記載の補助気道。
(18) 咽頭の第1の領域と連通する近位端と、該咽頭の第2の領域と連通する遠位端とを有する、咽頭壁の下に延在する補助気道を形成することを含む、閉塞性睡眠時無呼吸の治療方法。
(19) 前記形成工程が、
マンドレルを前記咽頭壁の下に埋め込むことと、
前記マンドレルを包囲している組織を、該組織を硬化させるために、硬化剤又はエネルギーに暴露することと、を含む、実施態様18に記載の方法。
(20) 前記マンドレルを除去することを更に含み、前記硬化した組織が、前記補助気道を開いた状態に維持するために前記補助気道を支持する、実施態様19に記載の方法。
(22) 前記エネルギーが、電気、超音波、熱、及び無線周波数からなる群から選択される、実施態様19に記載の方法。
(23) 前記形成工程が、
近位端及び遠位端と、該近位端に隣接する第1の開口部と、該遠位端に隣接する第2の開口部とを有する補助気道装置を、前記咽頭壁の下に埋め込むことと、
前記補助気道装置の前記近位端に隣接する前記第1の開口部と連通する第1の開口部を前記咽頭壁に形成することと、
前記補助気道装置の前記遠位端に隣接する前記第2の開口部と連通する第2の開口部を前記咽頭壁に形成することと、を含む、実施態様18に記載の方法。
(24) 前記咽頭壁の前記第1の開口部を、前記補助気道装置の前記近位端に隣接する前記第1の開口部と連結するための、第1の吻合部連結装置を提供することと、
前記咽頭壁の前記第2の開口部を、前記補助気道装置の前記遠位端に隣接する前記第2の開口部と連結するための、第2の吻合部連結装置を提供することと、を更に含む、実施態様23に記載の方法。
(25) 前記補助気道装置が、その前記近位端と遠位端との間に延びる中央ルーメンを有し、前記埋め込み工程が、
前記補助気道装置の前記中央ルーメン内にマンドレルを位置決めすることと、
前記マンドレルの位置決め工程の後、前記補助気道装置及び前記マンドレルを前記咽頭壁の下に埋め込むことと、
治癒期間の後、前記マンドレルを前記補助装置の前記中央ルーメンから除去することと、を更に含む、実施態様23に記載の方法。
Claims (10)
- 細長い導管を含む、閉塞性睡眠時無呼吸を治療するための補助気道であって、
前記細長い導管は、咽頭の第1の領域と連通する第1の開口部と、該咽頭の第2の領域と連通する第2の開口部とを有する、補助気道。 - 前記第1の領域が前記咽頭の鼻咽頭領域であり、前記第2の領域が前記咽頭の下咽頭領域である、請求項1に記載の補助気道。
- 前記細長い導管が咽頭壁の下に埋め込まれる、請求項1に記載の補助気道。
- 前記細長い導管が、前記咽頭壁の側部部分に埋め込まれる、請求項3に記載の補助気道。
- 前記細長い導管が生体適合性材料を含む、請求項1に記載の補助気道。
- 前記細長い導管が、ステント及び管からなる群から選択される構造体である、請求項1に記載の補助気道。
- 前記細長い導管が、近位端及び遠位端と、その該近位端に隣接する近位開口部と、その該遠位端に隣接する遠位開口部とを有し、前記近位開口部が、前記咽頭の前記鼻咽頭領域内に位置付けられる前記咽頭壁の第1の開口部と連通し、前記遠位開口部が、前記咽頭の前記下咽頭領域に位置付けられる前記咽頭壁の第2の開口部と連通する、請求項3に記載の補助気道。
- 前記細長い導管の前記近位開口部と前記咽頭壁の前記第1の開口部とを連結する第1の吻合部連結装置と、前記細長い導管の前記遠位開口部と前記咽頭壁の前記第2の開口部とを連結する第2の吻合部連結装置とを更に含む、請求項7に記載の補助気道。
- 前記細長い導管が前記咽頭壁の下に埋め込まれる中間部分を有し、前記細長い導管の前記中間部分が前記咽頭の中咽頭領域にバイパスを形成する、請求項3に記載の補助気道。
- 前記細長い導管を前記咽頭壁の下に埋め込むのを容易にするために、前記細長い導管を包囲する細長いシースと、
前記細長い導管を前記咽頭壁の下に埋め込む間前記細長い導管を支持するために、前記細長い導管内に配置されるマンドレルと、を更に含む、請求項3に記載の補助気道。
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US12/182,402 | 2008-07-30 | ||
US12/182,402 US8678008B2 (en) | 2008-07-30 | 2008-07-30 | Methods and devices for forming an auxiliary airway for treating obstructive sleep apnea |
PCT/US2009/052110 WO2010014714A2 (en) | 2008-07-30 | 2009-07-29 | Methods and devices for forming an auxiliary airway for treating obstructive sleep apnea |
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BR (1) | BRPI0916579A2 (ja) |
CA (1) | CA2732317C (ja) |
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2009
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- 2009-07-29 RU RU2011107287/14A patent/RU2497485C2/ru not_active IP Right Cessation
- 2009-07-29 KR KR1020117004616A patent/KR101562839B1/ko active IP Right Grant
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KR20110042094A (ko) | 2011-04-22 |
BRPI0916579A2 (pt) | 2015-11-10 |
CN102112073A (zh) | 2011-06-29 |
AU2009276631A1 (en) | 2010-02-04 |
RU2011107287A (ru) | 2012-09-10 |
US8678008B2 (en) | 2014-03-25 |
ES2582104T3 (es) | 2016-09-09 |
CA2732317A1 (en) | 2010-02-04 |
WO2010014714A3 (en) | 2010-03-25 |
CN102112073B (zh) | 2013-09-18 |
KR101562839B1 (ko) | 2015-10-23 |
RU2497485C2 (ru) | 2013-11-10 |
CA2732317C (en) | 2017-01-03 |
EP2344094B1 (en) | 2016-03-30 |
US20100024830A1 (en) | 2010-02-04 |
AU2009276631B2 (en) | 2014-05-22 |
JP5567014B2 (ja) | 2014-08-06 |
NZ590641A (en) | 2013-06-28 |
EP2344094A2 (en) | 2011-07-20 |
WO2010014714A2 (en) | 2010-02-04 |
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