JP4856067B2 - 胃腸内スリーブを配置するための方法および装置 - Google Patents
胃腸内スリーブを配置するための方法および装置 Download PDFInfo
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- JP4856067B2 JP4856067B2 JP2007520291A JP2007520291A JP4856067B2 JP 4856067 B2 JP4856067 B2 JP 4856067B2 JP 2007520291 A JP2007520291 A JP 2007520291A JP 2007520291 A JP2007520291 A JP 2007520291A JP 4856067 B2 JP4856067 B2 JP 4856067B2
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- Prior art keywords
- anchor
- sleeve
- catheter
- container
- wire
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- 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.)
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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
- A61F5/0003—Apparatus for the treatment of obesity; Anti-eating devices
- A61F5/0013—Implantable devices or invasive measures
- A61F5/0076—Implantable devices or invasive measures preventing normal digestion, e.g. Bariatric or gastric sleeves
-
- 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
- A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
-
- 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
- A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
-
- 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
- A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
- A61F2/9517—Instruments specially adapted for placement or removal of stents or stent-grafts handle assemblies therefor
-
- 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
- A61F5/0003—Apparatus for the treatment of obesity; Anti-eating devices
- A61F5/0089—Instruments for placement or removal
-
- 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
- A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
- A61F2002/044—Oesophagi or esophagi or gullets
-
- 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
- A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
- A61F2002/045—Stomach, intestines
Landscapes
- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Veterinary Medicine (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)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Cardiology (AREA)
- Obesity (AREA)
- Child & Adolescent Psychology (AREA)
- Nursing (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Gastroenterology & Hepatology (AREA)
- Pulmonology (AREA)
- Prostheses (AREA)
- Surgical Instruments (AREA)
- Insulators (AREA)
- Processing Of Terminals (AREA)
- Devices For Medical Bathing And Washing (AREA)
Description
Claims (10)
- 胃腸内埋め込み器具を哺乳類の胃腸管に配置するための送出システムであって、
容器アセンブリ、
アンカを備える近位端と、このアンカと接続する柔軟なスリーブを備える遠位端とを備えており、該近位端および該遠位端が前記アセンブリ内に格納されるとともに、前記スリーブは容器アセンブリ内部で折り畳まれている胃腸内埋め込み器具、
前記容器アセンブリよりも実質的に小さな直径を有し、前記容器アセンブリ内に前記アンカと柔軟なスリーブとを格納したままで、前記容器アセンブリを胃腸管へ送出する外側カテーテル、および
前記アンカを前記容器アセンブリ内に保持しつつ、前記容器アセンブリからスリーブの一部を展張する内側カテーテル
を有しているシステム。 - 請求項1において、前記アセンブリ内に位置するアンカ係止機構をさらに備え、前記アンカ係止機構は、容器アセンブリ内にアンカを解放可能に固定または取り付けるシステム。
- 請求項2において、前記アンカ係止機構が、前記器具の一部分を通過して延びるアンカ係止ワイヤを備えているシステム。
- 請求項1において、内側カテーテルとして前記スリーブの遠位端に解放可能に固定されたカテーテルを備えているシステム。
- 請求項4において、前記カテーテルが、非外傷性の先端を備えているシステム。
- 請求項1において、アンカを前記容器アセンブリから移動させるためのアンカ・プランジャをさらに備えているシステム。
- 請求項1において、前記アンカが自己拡張型であるシステム。
- 請求項1において、前記アセンブリが第1のチャンバおよび第2のチャンバを備えており、該第1のチャンバが、前記近位端の少なくとも一部分を格納し、該第2のチャンバが、前記遠位端の少なくとも一部分を格納しているシステム。
- 請求項8において、前記第2のチャンバの少なくとも一部分が、前記第1のチャンバ内に格納されているシステム。
- 胃腸内埋め込み器具を哺乳類の胃腸管に配置するためのシステムであって、
アンカと柔軟なスリーブとを備える胃腸内埋め込み器具を格納する手段であって、前記スリーブはこの格納手段内で折り畳まれている格納手段と、
前記格納手段内に前記アンカと柔軟なスリーブとを格納したままで、前記格納手段を哺乳類の胃腸管へと案内する手段、
前記アンカを前記格納手段内に保持しつつ、前記柔軟なスリーブの少なくとも一部分を、前記格納手段の外側へ進める手段、および
前記胃腸内埋め込み器具を胃腸管の所望の位置に固定するために、前記格納手段からアンカを取り出す手段
を備え、前記案内手段は、前記格納手段よりも実質的に小さな直径を有しているシステム。
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US58652104P | 2004-07-09 | 2004-07-09 | |
US60/586,521 | 2004-07-09 | ||
US61061404P | 2004-09-15 | 2004-09-15 | |
US60/610,614 | 2004-09-15 | ||
PCT/US2005/004464 WO2006016894A1 (en) | 2004-07-09 | 2005-02-14 | Methods and devices for placing a gastrointestinal sleeve |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2011179166A Division JP5502815B2 (ja) | 2004-07-09 | 2011-08-18 | 胃腸内スリーブを配置するための方法および装置 |
Publications (3)
Publication Number | Publication Date |
---|---|
JP2008505690A JP2008505690A (ja) | 2008-02-28 |
JP2008505690A5 JP2008505690A5 (ja) | 2008-04-10 |
JP4856067B2 true JP4856067B2 (ja) | 2012-01-18 |
Family
ID=34960894
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2007520291A Expired - Fee Related JP4856067B2 (ja) | 2004-07-09 | 2005-02-14 | 胃腸内スリーブを配置するための方法および装置 |
JP2011179166A Expired - Fee Related JP5502815B2 (ja) | 2004-07-09 | 2011-08-18 | 胃腸内スリーブを配置するための方法および装置 |
Family Applications After (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2011179166A Expired - Fee Related JP5502815B2 (ja) | 2004-07-09 | 2011-08-18 | 胃腸内スリーブを配置するための方法および装置 |
Country Status (6)
Country | Link |
---|---|
US (1) | US7837643B2 (ja) |
EP (1) | EP1768618B1 (ja) |
JP (2) | JP4856067B2 (ja) |
AT (1) | ATE506042T1 (ja) |
DE (1) | DE602005027570D1 (ja) |
WO (1) | WO2006016894A1 (ja) |
Families Citing this family (139)
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ATE506042T1 (de) | 2011-05-15 |
DE602005027570D1 (de) | 2011-06-01 |
JP2008505690A (ja) | 2008-02-28 |
EP1768618B1 (en) | 2011-04-20 |
JP5502815B2 (ja) | 2014-05-28 |
EP1768618A1 (en) | 2007-04-04 |
US7837643B2 (en) | 2010-11-23 |
WO2006016894A1 (en) | 2006-02-16 |
US20060009858A1 (en) | 2006-01-12 |
JP2011251164A (ja) | 2011-12-15 |
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