JP5000657B2 - ワイヤレス牽引先端を有するpegチューブ - Google Patents
ワイヤレス牽引先端を有するpegチューブ Download PDFInfo
- Publication number
- JP5000657B2 JP5000657B2 JP2008529283A JP2008529283A JP5000657B2 JP 5000657 B2 JP5000657 B2 JP 5000657B2 JP 2008529283 A JP2008529283 A JP 2008529283A JP 2008529283 A JP2008529283 A JP 2008529283A JP 5000657 B2 JP5000657 B2 JP 5000657B2
- Authority
- JP
- Japan
- Prior art keywords
- feeding tube
- pull wire
- dilator
- patient
- tube
- 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.)
- Active
Links
- 210000002784 stomach Anatomy 0.000 claims description 30
- 238000000034 method Methods 0.000 claims description 27
- 206010016717 Fistula Diseases 0.000 claims description 15
- 230000003890 fistula Effects 0.000 claims description 15
- 230000008878 coupling Effects 0.000 claims description 14
- 238000010168 coupling process Methods 0.000 claims description 14
- 238000005859 coupling reaction Methods 0.000 claims description 14
- 235000016709 nutrition Nutrition 0.000 claims description 12
- 210000001035 gastrointestinal tract Anatomy 0.000 claims description 11
- 210000003815 abdominal wall Anatomy 0.000 claims description 8
- 210000001015 abdomen Anatomy 0.000 claims description 4
- 230000003187 abdominal effect Effects 0.000 claims description 4
- 230000014759 maintenance of location Effects 0.000 claims description 4
- 230000035764 nutrition Effects 0.000 claims 6
- 238000003780 insertion Methods 0.000 description 17
- 230000037431 insertion Effects 0.000 description 17
- 210000000214 mouth Anatomy 0.000 description 11
- 230000007246 mechanism Effects 0.000 description 6
- 210000003238 esophagus Anatomy 0.000 description 3
- 230000002496 gastric effect Effects 0.000 description 3
- 239000000463 material Substances 0.000 description 3
- 210000001519 tissue Anatomy 0.000 description 3
- 230000008901 benefit Effects 0.000 description 2
- 229940079593 drug Drugs 0.000 description 2
- 239000003814 drug Substances 0.000 description 2
- 210000000936 intestine Anatomy 0.000 description 2
- 238000003825 pressing Methods 0.000 description 2
- 230000009471 action Effects 0.000 description 1
- 238000013459 approach Methods 0.000 description 1
- 230000000903 blocking effect Effects 0.000 description 1
- 238000010276 construction Methods 0.000 description 1
- 230000007423 decrease Effects 0.000 description 1
- 230000029087 digestion Effects 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 210000001198 duodenum Anatomy 0.000 description 1
- 239000013013 elastic material Substances 0.000 description 1
- 238000001839 endoscopy Methods 0.000 description 1
- 210000000981 epithelium Anatomy 0.000 description 1
- 230000007794 irritation Effects 0.000 description 1
- 210000001630 jejunum Anatomy 0.000 description 1
- 238000002483 medication Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000011017 operating method Methods 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 239000012858 resilient material Substances 0.000 description 1
Images
Classifications
-
- 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
- A61J—CONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
- A61J15/00—Feeding-tubes for therapeutic purposes
- A61J15/0015—Gastrostomy feeding-tubes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61J—CONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
- A61J15/00—Feeding-tubes for therapeutic purposes
- A61J15/0015—Gastrostomy feeding-tubes
- A61J15/0019—Gastrostomy feeding-tubes inserted by using a pull-wire
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61J—CONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
- A61J15/00—Feeding-tubes for therapeutic purposes
- A61J15/0026—Parts, details or accessories for feeding-tubes
- A61J15/003—Means for fixing the tube inside the body, e.g. balloons, retaining means
- A61J15/0034—Retainers adjacent to a body opening to prevent that the tube slips through, e.g. bolsters
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61J—CONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
- A61J15/00—Feeding-tubes for therapeutic purposes
- A61J15/0026—Parts, details or accessories for feeding-tubes
- A61J15/0053—Means for fixing the tube outside of the body, e.g. by a special shape, by fixing it to the skin
- A61J15/0061—Means for fixing the tube outside of the body, e.g. by a special shape, by fixing it to the skin fixing at an intermediate position on the tube, i.e. tube protruding the fixing means
-
- 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
- A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
- A61M39/02—Access sites
- A61M39/0247—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body
-
- 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
- A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
- A61M39/02—Access sites
- A61M39/0247—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body
- A61M2039/0255—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body for access to the gastric or digestive system
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Gastroenterology & Hepatology (AREA)
- Heart & Thoracic Surgery (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Pulmonology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Pathology (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Biophysics (AREA)
- Anesthesiology (AREA)
- Hematology (AREA)
- Medical Preparation Storing Or Oral Administration Devices (AREA)
- Media Introduction/Drainage Providing Device (AREA)
Description
Claims (19)
- 細長いプルワイヤを使って患者の胃内に留置される栄養チューブであって、
少なくとも一部分を通って伸張する補給ルーメンを有し、患者の胃壁と腹壁とを貫通する瘻孔を通して設定されるように構成された細長い管状部分であって、瘻孔を通って外にでるのを阻止するように構成された近位端を有する細長い管状部分と;
該管状部分の遠位端部に接続された拡張器部分であって、当該拡張器部分の遠位端に遠位先端を有する拡張器部分と;
を備えており、
該拡張器部分は更に
該遠位先端の近くに配置され、該細長いプルワイヤを受けて該プルワイヤを当該栄養チューブに固定するように構成されている連結構造であって、開いた位置と閉じた位置の間で可動であるクリップを有し、該クリップが該開いた位置にある時には該プルワイヤが当該栄養チューブに連結可能となり、該閉じた位置にある時には該プルワイヤが当該栄養チューブから外れるのを阻止することが可能となるようになされた連結構造と;
該細長いプルワイヤが当該栄養チューブに取り付けられているときに該細長いプルワイヤを該遠位先端に向けて案内し、該細長いプルワイヤを留置処置の間実質的に該遠位先端と整列して保持するように構成されているガイド構造と;
を備える、栄養チューブ。 - 該細長いプルワイヤが取り付け構造を備える、請求項1に記載の栄養チューブ。
- 該取り付け構造がループを備える、請求項2に記載の栄養チューブ。
- 該連結構造が、該拡張器部分の一部を含む、請求項1に記載の栄養チューブ。
- 該連結構造が、該拡張器部分の外面に配置される凹部からなる、請求項1に記載の栄養チューブ。
- 該クリップが開いた位置と閉じた位置の間で可動であるラッチを備える、請求項1に記載の栄養チューブ。
- 該ラッチが、該開いた位置と該閉じた位置の間で可動であるように、旋回可能か摺動可能か又は可撓であるかの内の1つである、請求項6に記載の栄養チューブ。
- 該ガイド構造が、該拡張器部分の遠位先端から近位方向に伸張する通路を備える、請求項1に記載の栄養チューブ。
- 該通路が、該拡張器部分の内部を通って伸張するルーメンを備え、該ルーメンは該遠位先端の遠位開口と該拡張器部分の側壁を通る近位開口の間を伸張する、請求項8に記載の栄養チューブ。
- 該通路が該拡張器部分の外面に配置された開放チャネルを備える、請求項8に記載の栄養チューブ。
- 該通路が該細長いプルワイヤを該開放チャネル内に保持するための保持構造を更に備える、請求項10に記載の栄養チューブ。
- 該保持構造が該細長いプルワイヤの該開放チャネル外への運動を阻止する突起物を備える、請求項11に記載の栄養チューブ。
- 該開放チャネルが、間に空間を有する一対の対向側壁によって画定され、更に該突起物が、該開放チャネルの該対向側壁間の空間を縮小するように、該側壁の一方に配置された外向きに突き出たバンプを含む、請求項12に記載の栄養チューブ。
- 該開放チャネルが、間に空間を有する一対の対向側壁によって確定され、更に該突起物が、該開放チャネルの外エッジに沿って配置される歯を備え、該歯が該開放チャネルの空間に隣接して配置されている、請求項12に記載の栄養チューブ。
- 該拡張器部分が、該細長いプルワイヤが当該栄養チューブに連結された後、該通路の少なくとも一部を閉じるカバー要素を備える、請求項8に記載の栄養チューブ。
- 該カバー要素が該通路に対して可動である、請求項15に記載の栄養チューブ。
- 当該栄養チューブは、栄養製品を患者の胃に直接送達するのに適合する経皮内視鏡的胃瘻造設術の栄養チューブであり、該管状部分が患者の腹壁と胃壁とを経皮的に貫通して伸張するのに適合し、当該栄養チューブは該管状部分の近位端に取り付けた内側ボルスターと該内側ボルスターの遠位側において該管状部分に取り付けた外側ボルスターとを更に備え、該内側ボルスターは患者の胃の内壁と係合するのに適合し、該外側ボルスターは患者の腹部の外壁に係合するのに適合する、請求項1に記載の栄養チューブ。
- 該拡張器部分が、先細にされて患者の胃腸管内に当該栄養チューブが進入して患者の腹壁と胃壁を通って出るのを容易にされ、且つ、該管状部分が患者の腹壁と胃壁を通して経皮的に伸張された後に取り外し可能とされた、請求項17に記載の栄養チューブ。
- 該連結構造に取り付けられ該ガイド構造を通って伸張する、細長いプルワイヤを更に備え、該プルワイヤが遠位方向に向かう引っ張り力を当該栄養チューブの該拡張器部分に伝達可能である、請求項1に記載の栄養チューブ。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US71308705P | 2005-08-31 | 2005-08-31 | |
US60/713,087 | 2005-08-31 | ||
PCT/US2006/034071 WO2007027920A1 (en) | 2005-08-31 | 2006-08-31 | Peg tube with wireless pull tip |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2009506834A JP2009506834A (ja) | 2009-02-19 |
JP5000657B2 true JP5000657B2 (ja) | 2012-08-15 |
Family
ID=37606995
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2008529283A Active JP5000657B2 (ja) | 2005-08-31 | 2006-08-31 | ワイヤレス牽引先端を有するpegチューブ |
Country Status (6)
Country | Link |
---|---|
US (2) | US7976495B2 (ja) |
EP (1) | EP1919434B1 (ja) |
JP (1) | JP5000657B2 (ja) |
AU (1) | AU2006284726C9 (ja) |
CA (1) | CA2619463C (ja) |
WO (1) | WO2007027920A1 (ja) |
Families Citing this family (19)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP5000657B2 (ja) | 2005-08-31 | 2012-08-15 | クック メディカル テクノロジーズ エルエルシー | ワイヤレス牽引先端を有するpegチューブ |
US8172801B2 (en) * | 2005-09-15 | 2012-05-08 | Boston Scientific Scimed, Inc. | Method for positioning a catheter guide element in a patient and kit for use in said method |
AU2006320663A1 (en) * | 2005-11-30 | 2007-06-07 | Cook Medical Technologies Llc | Short wire PEG and PEG-J tube |
US9820748B2 (en) * | 2007-09-24 | 2017-11-21 | Covidien Lp | Insertion aid with interference fit |
US20090082785A1 (en) | 2007-09-24 | 2009-03-26 | Milliman Keith L | Anvil Delivery Device Accessory |
WO2009145728A1 (en) * | 2008-05-29 | 2009-12-03 | Ah San Pang | A dilator and a method of manufacturing the same |
US9107810B2 (en) * | 2008-06-24 | 2015-08-18 | Cook Medical Technologies Llc | Gastric port system |
US8945142B2 (en) | 2008-08-27 | 2015-02-03 | Cook Medical Technologies Llc | Delivery system for implanting nasal ventilation tube |
US8241314B2 (en) | 2009-01-15 | 2012-08-14 | Restoration Robotics, Inc. | Anti-popping devices and methods for hair implantation |
EP2635248B1 (en) | 2010-11-01 | 2015-08-12 | Cook Medical Technologies LLC | Peg tube with wireless pull tip |
US9763857B2 (en) | 2012-04-25 | 2017-09-19 | Delegge Medical, Inc. | Device, kit and method for placing jejunal tube device through stomach and into small intestine related application |
EP2968874B1 (en) | 2013-03-14 | 2017-06-28 | Cook Medical Technologies LLC | Elongated dilator for pull peg tube without a loop |
US9735584B2 (en) | 2013-10-17 | 2017-08-15 | Access Business Group International Llc | Wireless power communication |
WO2015103094A1 (en) * | 2013-12-30 | 2015-07-09 | H. Lee Moffitt Cancer Center And Research Institute, Inc. | Locking brakes for enteral feeding tube retention member |
US9956384B2 (en) | 2014-01-24 | 2018-05-01 | Cook Medical Technologies Llc | Articulating balloon catheter and method for using the same |
US9655626B2 (en) | 2014-04-28 | 2017-05-23 | Covidien Lp | Anvil assembly delivery system |
US20170291021A1 (en) * | 2016-04-11 | 2017-10-12 | Nouzhan Sehati | Peritoneal Conduit |
WO2017220624A1 (en) * | 2016-06-24 | 2017-12-28 | Fresenius Kabi Deutschland Gmbh | Catheter device for providing access to a body cavity of a patient |
CN108324575B (zh) * | 2018-04-20 | 2024-03-22 | 南京法迈特科技发展有限公司 | 中消化道植入管道器械 |
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US4573576A (en) * | 1983-10-27 | 1986-03-04 | Krol Thomas C | Percutaneous gastrostomy kit |
US4758219A (en) * | 1985-05-17 | 1988-07-19 | Microvasive, Inc. | Enteral feeding device |
US4981471A (en) * | 1988-01-15 | 1991-01-01 | Corpak, Inc. | Device for intubation of percutaneous endoscopic ostomy |
US6685713B1 (en) * | 1993-02-22 | 2004-02-03 | Dabegran Technologies, Inc. | Endoscopic ligating apparatus |
US5836306A (en) * | 1994-12-23 | 1998-11-17 | Bard Connaught | Exchange accessory for use with a monorail catheter |
JP3718283B2 (ja) * | 1996-05-10 | 2005-11-24 | ペンタックス株式会社 | 往復回転部材の制動装置及び一眼レフカメラのミラー制動装置 |
US6464686B1 (en) * | 1998-01-21 | 2002-10-15 | Abbott Laboratories | Polyurethane feeding tube and associated adaptors |
US6348045B1 (en) * | 1999-07-12 | 2002-02-19 | Impulse Dynamics N.V. | Catheter with distal-end engaging means |
US7256286B2 (en) | 1999-11-30 | 2007-08-14 | The Board Of Trustees Of The Leland Stanford Junior University | Bryostatin analogues, synthetic methods and uses |
US7507230B2 (en) * | 2002-02-19 | 2009-03-24 | Boston Scientific Scimed, Inc. | Medical catheter assembly including multi-piece connector |
DE20211804U1 (de) | 2002-06-10 | 2003-01-02 | Suzuki Yutaka | Infektionsschutzhülle oder Kathetersatz und Gastrostomiekatheter zur Verwendung bei einem Gastrostomieverfahren |
US7563254B2 (en) * | 2003-01-17 | 2009-07-21 | Delegge Rebecca | Universal percutaneous endoscopic gastrostomy tube |
JP4342971B2 (ja) | 2004-02-03 | 2009-10-14 | 日本シャーウッド株式会社 | 胃瘻造設に用いる感染防止胃瘻造設カテーテルキット |
JP5000657B2 (ja) | 2005-08-31 | 2012-08-15 | クック メディカル テクノロジーズ エルエルシー | ワイヤレス牽引先端を有するpegチューブ |
US8172801B2 (en) | 2005-09-15 | 2012-05-08 | Boston Scientific Scimed, Inc. | Method for positioning a catheter guide element in a patient and kit for use in said method |
-
2006
- 2006-08-31 JP JP2008529283A patent/JP5000657B2/ja active Active
- 2006-08-31 AU AU2006284726A patent/AU2006284726C9/en not_active Ceased
- 2006-08-31 EP EP06814011.0A patent/EP1919434B1/en not_active Not-in-force
- 2006-08-31 US US11/513,548 patent/US7976495B2/en active Active
- 2006-08-31 WO PCT/US2006/034071 patent/WO2007027920A1/en active Application Filing
- 2006-08-31 CA CA2619463A patent/CA2619463C/en active Active
-
2011
- 2011-06-17 US US13/162,816 patent/US8968248B2/en active Active
Also Published As
Publication number | Publication date |
---|---|
US20120016298A1 (en) | 2012-01-19 |
AU2006284726C9 (en) | 2012-10-25 |
CA2619463C (en) | 2012-02-14 |
AU2006284726A1 (en) | 2007-03-08 |
US20070106217A1 (en) | 2007-05-10 |
EP1919434B1 (en) | 2013-04-24 |
WO2007027920A1 (en) | 2007-03-08 |
AU2006284726B2 (en) | 2012-04-12 |
EP1919434A1 (en) | 2008-05-14 |
JP2009506834A (ja) | 2009-02-19 |
CA2619463A1 (en) | 2007-03-08 |
AU2006284726C1 (en) | 2012-09-27 |
US7976495B2 (en) | 2011-07-12 |
US8968248B2 (en) | 2015-03-03 |
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