JP2022543041A - 陰圧を維持する逆行性経皮的胆汁排液術用の胆汁排液機構 - Google Patents
陰圧を維持する逆行性経皮的胆汁排液術用の胆汁排液機構 Download PDFInfo
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- JP2022543041A JP2022543041A JP2022506404A JP2022506404A JP2022543041A JP 2022543041 A JP2022543041 A JP 2022543041A JP 2022506404 A JP2022506404 A JP 2022506404A JP 2022506404 A JP2022506404 A JP 2022506404A JP 2022543041 A JP2022543041 A JP 2022543041A
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- 238000007466 Percutaneous biliary drainage Methods 0.000 title claims abstract description 31
- 230000007246 mechanism Effects 0.000 title claims abstract description 24
- 210000000941 bile Anatomy 0.000 title claims abstract description 12
- 210000003445 biliary tract Anatomy 0.000 claims abstract description 11
- 210000005228 liver tissue Anatomy 0.000 claims abstract description 8
- 230000037368 penetrate the skin Effects 0.000 claims description 5
- 238000005452 bending Methods 0.000 claims description 4
- 238000001356 surgical procedure Methods 0.000 claims description 4
- 230000000149 penetrating effect Effects 0.000 claims description 3
- 230000000284 resting effect Effects 0.000 claims description 2
- 239000007788 liquid Substances 0.000 claims 1
- 210000000813 small intestine Anatomy 0.000 abstract description 4
- 210000004185 liver Anatomy 0.000 description 29
- 230000003872 anastomosis Effects 0.000 description 12
- 210000001519 tissue Anatomy 0.000 description 10
- 238000000034 method Methods 0.000 description 5
- 238000002262 pancreatoduodenectomy Methods 0.000 description 4
- 230000008878 coupling Effects 0.000 description 3
- 238000010168 coupling process Methods 0.000 description 3
- 238000005859 coupling reaction Methods 0.000 description 3
- 235000011389 fruit/vegetable juice Nutrition 0.000 description 3
- 230000000968 intestinal effect Effects 0.000 description 3
- 210000001819 pancreatic juice Anatomy 0.000 description 3
- 238000010586 diagram Methods 0.000 description 2
- PLIXOQYCVZTQMW-UHFFFAOYSA-N 4,4,5-trifluoro-5-[4,5,5-trifluoro-2,2-bis(trifluoromethyl)-1,3-dioxolan-4-yl]-2,2-bis(trifluoromethyl)-1,3-dioxolane Chemical compound O1C(C(F)(F)F)(C(F)(F)F)OC(F)(F)C1(F)C1(F)C(F)(F)OC(C(F)(F)F)(C(F)(F)F)O1 PLIXOQYCVZTQMW-UHFFFAOYSA-N 0.000 description 1
- 206010050456 Anastomotic leak Diseases 0.000 description 1
- 206010028980 Neoplasm Diseases 0.000 description 1
- 210000001198 duodenum Anatomy 0.000 description 1
- 210000001035 gastrointestinal tract Anatomy 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 238000009434 installation Methods 0.000 description 1
- 210000000496 pancreas Anatomy 0.000 description 1
- 230000002093 peripheral effect Effects 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 238000005728 strengthening Methods 0.000 description 1
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Classifications
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- 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
- A61B17/3415—Trocars; Puncturing needles for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M27/00—Drainage appliance for wounds or the like, i.e. wound drains, implanted drains
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/71—Suction drainage systems
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/80—Suction pumps
- A61M1/82—Membrane pumps, e.g. bulbs
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/84—Drainage tubes; Aspiration tips
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/03—Automatic limiting or abutting means, e.g. for safety
- A61B2090/037—Automatic limiting or abutting means, e.g. for safety with a frangible part, e.g. by reduced diameter
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2202/00—Special media to be introduced, removed or treated
- A61M2202/04—Liquids
- A61M2202/0403—Gall; Bile
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2210/00—Anatomical parts of the body
- A61M2210/10—Trunk
- A61M2210/1042—Alimentary tract
- A61M2210/1071—Liver; Hepar
Landscapes
- Health & Medical Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Public Health (AREA)
- Biomedical Technology (AREA)
- Veterinary Medicine (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Anesthesiology (AREA)
- Hematology (AREA)
- Vascular Medicine (AREA)
- Surgery (AREA)
- Otolaryngology (AREA)
- Molecular Biology (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Pathology (AREA)
- Gastroenterology & Hepatology (AREA)
- Media Introduction/Drainage Providing Device (AREA)
- External Artificial Organs (AREA)
- Surgical Instruments (AREA)
Abstract
Description
Claims (8)
- 膵十二指腸切除術の過程で行う陰圧を維持する逆行性経皮的胆汁排液術(NR-PTBD)用の胆汁排液機構において、
胆汁を吸入するために求心性小腸(afferent loop)に据置く吸入口が一側端部に形成された可撓性チューブ、および
胆道切断部を介して挿入されたチューブが肝臓組織を貫通することができるように、前記チューブの他側端部に設けられるガイド部材を含む陰圧を維持する逆行性経皮的胆汁排液術用の胆汁排液機構。 - 前記ガイド部材は、棒状になされることを特徴とする請求項1に記載の陰圧を維持する逆行性経皮的胆汁排液術用の胆汁排液機構。
- 前記ガイド部材には、ガイド部材の折曲または切断のための案内溝が長手方向に沿って複数形成されることを特徴とする請求項2に記載の陰圧を維持する逆行性経皮的胆汁排液術用の胆汁排液機構。
- 前記ガイド部材は、先端部が一側方向に湾曲または折曲されることを特徴とする請求項2に記載の陰圧を維持する逆行性経皮的胆汁排液術用の胆汁排液機構。
- 前記チューブの他側端部が肝臓組織を貫通した後、皮膚を貫通することができるように、前記チューブからガイド部材を除去した後に設けられるニードルをさらに含む請求項1に記載の陰圧を維持する逆行性経皮的胆汁排液術用の胆汁排液機構。
- 前記ニードルは、尖端部が先端に形成され、前記チューブに固定される結合部が後端に形成されることを特徴とする請求項5に記載の陰圧を維持する逆行性経皮的胆汁排液術用の胆汁排液機構。
- 前記チューブの他側端部が皮膚を貫通した後、チューブを介して排出される胆汁を収容することができるように、前記チューブからニードルが除去された後に設けられる排液バッグをさらに含む請求項5に記載の陰圧を維持する逆行性経皮的胆汁排液術用の胆汁排液機構。
- 前記排液バッグは、前記吸入口に陰圧を提供することができるように、弾性を有するバルブ形態でなされることを特徴とする請求項7に記載の陰圧を維持する逆行性経皮的胆汁排液術用の胆汁排液機構。
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
PCT/KR2019/009412 WO2021020606A1 (ko) | 2019-07-29 | 2019-07-29 | 음압을 유지하는 역행성 경피적 담즙 배액술용 담즙 배액 기구 |
Publications (3)
Publication Number | Publication Date |
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JP2022543041A true JP2022543041A (ja) | 2022-10-07 |
JPWO2021020606A5 JPWO2021020606A5 (ja) | 2023-07-06 |
JP7376031B2 JP7376031B2 (ja) | 2023-11-08 |
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JP2022506404A Active JP7376031B2 (ja) | 2019-07-29 | 2019-07-29 | 陰圧を維持する逆行性経皮的胆汁排液術用の胆汁排液機構 |
Country Status (5)
Country | Link |
---|---|
US (1) | US20220265973A1 (ja) |
EP (1) | EP4005609B1 (ja) |
JP (1) | JP7376031B2 (ja) |
CN (1) | CN114340691A (ja) |
WO (1) | WO2021020606A1 (ja) |
Families Citing this family (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN113967289A (zh) * | 2021-10-09 | 2022-01-25 | 崔世昌 | 一种肝胆外科自动吸引器 |
Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JPH0663046U (ja) * | 1993-02-17 | 1994-09-06 | 住友ベークライト株式会社 | 逆行性経肝胆道ドレナージ用具 |
US20160256615A1 (en) * | 2015-03-04 | 2016-09-08 | Flexicare Medical Limited | Medical fluid collection systems, devices, and methods |
Family Cites Families (13)
Publication number | Priority date | Publication date | Assignee | Title |
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US6610032B1 (en) * | 1999-08-20 | 2003-08-26 | Dale Medical, Inc. | Surgical drainage device |
EP1788988A4 (en) * | 2004-07-27 | 2011-05-11 | Univ Southern California | PERCUTANEOUS EXTRACTABLE ENDOPROSTHETIC ASSEMBLY WITH FLUID DRAINAGE CAPACITY |
WO2009009621A2 (en) * | 2007-07-09 | 2009-01-15 | Baxano, Inc. | Spinal access system and method |
US8771287B2 (en) * | 2010-11-15 | 2014-07-08 | Jason Benjamin Wynberg | Percutaneous renal access system |
GB2500784B (en) * | 2012-02-28 | 2015-07-22 | Spiration Inc | Lung Biopsy Needle |
US9445837B2 (en) * | 2012-03-16 | 2016-09-20 | Nfinium Vascular Technologies Llc | Surgical needle with enhanced ultrasound reflectivity |
JP6192341B2 (ja) * | 2013-04-08 | 2017-09-06 | オリンパス株式会社 | 穿刺針 |
KR101651601B1 (ko) * | 2014-05-26 | 2016-08-26 | 권병수 | 의료용 드레인 고정장치 |
KR20150144717A (ko) * | 2014-06-17 | 2015-12-28 | 사회복지법인 삼성생명공익재단 | 배액관 삽입을 위한 경피접속 카테터 |
CN105413000B (zh) * | 2015-12-16 | 2017-09-22 | 陈挺松 | 一种胆道引流装置 |
CN206214484U (zh) * | 2016-08-25 | 2017-06-06 | 广东先来医疗器械有限公司 | 一种带穿刺针的引流管 |
JP6691024B2 (ja) * | 2016-09-02 | 2020-04-28 | テルモ株式会社 | 医療用チューブ |
KR102317978B1 (ko) * | 2018-07-23 | 2021-10-27 | 윤삼열 | 음압을 유지하는 역행성 경피적 담즙 배액술용 담즙 배액 기구 |
-
2019
- 2019-07-29 US US17/630,958 patent/US20220265973A1/en active Pending
- 2019-07-29 EP EP19939845.4A patent/EP4005609B1/en active Active
- 2019-07-29 JP JP2022506404A patent/JP7376031B2/ja active Active
- 2019-07-29 CN CN201980099048.3A patent/CN114340691A/zh active Pending
- 2019-07-29 WO PCT/KR2019/009412 patent/WO2021020606A1/ko unknown
Patent Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JPH0663046U (ja) * | 1993-02-17 | 1994-09-06 | 住友ベークライト株式会社 | 逆行性経肝胆道ドレナージ用具 |
US20160256615A1 (en) * | 2015-03-04 | 2016-09-08 | Flexicare Medical Limited | Medical fluid collection systems, devices, and methods |
Also Published As
Publication number | Publication date |
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CN114340691A (zh) | 2022-04-12 |
EP4005609B1 (en) | 2024-05-29 |
WO2021020606A1 (ko) | 2021-02-04 |
EP4005609A4 (en) | 2023-04-19 |
EP4005609A1 (en) | 2022-06-01 |
US20220265973A1 (en) | 2022-08-25 |
JP7376031B2 (ja) | 2023-11-08 |
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