JP5914724B2 - 胃空間充填装置、送達システムおよび関連する方法 - Google Patents
胃空間充填装置、送達システムおよび関連する方法 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
- A61F5/0003—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
- 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
- A61F5/003—Implantable devices or invasive measures inflatable
- A61F5/0033—Implantable devices or invasive measures inflatable with more than one chamber
-
- 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
- A61F5/0036—Intragastrical devices
-
- 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
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/09—Guide wires
-
- 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
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M2025/0177—Introducing, guiding, advancing, emplacing or holding catheters having external means for receiving guide wires, wires or stiffening members, e.g. loops, clamps or lateral tubes
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Veterinary Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Public Health (AREA)
- Obesity (AREA)
- Child & Adolescent Psychology (AREA)
- Nursing (AREA)
- Vascular Medicine (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Biophysics (AREA)
- Pulmonology (AREA)
- Anesthesiology (AREA)
- Hematology (AREA)
- Surgical Instruments (AREA)
- Media Introduction/Drainage Providing Device (AREA)
Description
本願は、パリ条約の利益および以下の出願に基づくパリ条約の優先権を主張する;
(a)米国特許出願第11/694,536号(2007年3月30日出願)、(b)PCT出願第PCT/US06/42336号(2006年10月31日出願)、(c)PCT出願第PCT/US06/42711号(2006年10月31日出願)、(d)PCT出願第PCT/US06/42710号(2006年10月31日出願)、(e)PCT出願第PCT/US06/48647号(2006年12月20日出願)。これらの内容は、そのすべてが本明細書に記載されたと同等に、本明細書において参照により援用される。
本開示は、埋め込み型重量制御装置に関する。より具体的には、本開示は、とりわけ、患者内に回収可能に埋め込み可能な胃空間充填装置と、胃空間充填装置の送達のための改良型装置および方法と、胃空間充填装置内に流体を留保するための方法および装置とに関する。
例えば、本発明は以下の項目を提供する。
(項目1)
空間充填材と、該空間充填材を膨張させる開口部と、筒状部とを組み合わせて備え、該筒状部は、該筒状部と該開口部との間に鉱油を受容するように構成される、胃空間充填装置。
(項目2)
前記筒状部は、前記開口部と前記空間充填材の外周との間に配置される、項目1に記載の胃空間充填装置。
(項目3)
前記筒状部は、前記空間充填材の膨張の間、気腹流体を該空間充填材に流入させる、項目1に記載の胃空間充填装置。
(項目4)
前記筒状部は、前記鉱油が該筒状部と前記開口部との間に受容された後、前記気腹流体を前記空間充填材から流出させない、項目3に記載の胃空間充填装置。
(項目5)
前記空間充填材と連結される注入部材をさらに備える、項目1に記載の胃空間充填装置。
(項目6)
前記注入部材は、前記開口部と流体連通する注入管腔を備える、項目5に記載の胃空間充填装置。
(項目7)
前記注入管腔は、突起が該注入管腔内に挿入されるまで、流体の通過を減少させるゲートを備える、項目6に記載の胃空間充填装置。
(項目8)
鞘をさらに備え、前記鞘は、少なくとも部分的に前記空間充填材を覆う、項目1に記載の胃空間充填装置。
(項目9)
前記鞘は、ステッチによって、前記空間充填材の周囲に固着される、項目8に記載の胃空間充填装置。
(項目10)
前記ステッチは、該ステッチを引張ることによって解放される、項目9に記載の胃空間充填装置。
(項目11)
鞘解放クリップをさらに備え、該鞘解放クリップは、該鞘解放クリップが前記胃空間充填装置上に係合されている間、前記ステッチが解放されるのを防止し、該鞘解放クリップは、該鞘解放クリップが該胃空間充填装置から除去されると、該ステッチを解放させる、項目10に記載の胃空間充填装置。
(項目12)
気腹流体を前記空間充填材に送達するように構成される送達管腔と、該送達管腔に接続されるルアーと、該送達管腔に除去可能に取り付けられるハンドルとを備える、送達システムをさらに備え、該ハンドルは、内部区画を含み、該ルアーは、ハンドルが取り付けられている間、該ハンドルの該内部区画内に配置され、該ルアーは、該ハンドルが除去されると、露出され、前記ステッチは、該ハンドルが除去されると、該ステッチが引張られるように、該ハンドルに取り付けられる、項目10に記載の胃空間充填装置。
(項目13)
前記鞘は、前記空間充填材の膨張に伴って、自動的に該空間充填材の覆いを取る、項目8に記載の胃空間充填装置。
(項目14)
胃空間充填装置を患者内に据え付ける方法であって、空間充填材を備える胃空間充填装置に取り付けられる送達システムを提供するステップと、鞘で該空間充填材の少なくとも一部を覆うステップと、患者の胃内へと続く食道を通して、該送達システムおよび該胃空間充填装置を送達するステップとを組み合わせて包含する、方法。
(項目15)
前記空間充填材の覆いを取り、該空間充填材を膨張させるステップをさらに包含する、項目14に記載の方法。
(項目16)
前記空間充填材を膨張させるステップをさらに包含し、前記鞘は、該空間充填材の膨張に伴って、自動的に該空間充填材の覆いを取る、項目14に記載の方法。
(項目17)
改良点として、複数の独立して充填されるチャンバを備え、
1つのチャンバの予想外の収縮に応じて、少なくとも1つの他のチャンバは、膨張したままであって、幽門を通る該胃空間充填装置の通過を防止する、胃空間充填装置。
(項目18)
前記胃空間充填装置は、2つの独立チャンバを備える、項目17に記載の胃空間充填装置。
(項目19)
前記チャンバは、胃の略形状に一致するように配置される、項目17に記載の胃空間充填装置。
Claims (6)
- 胃空間充填システムであって、
胃空間充填装置であって、前記胃空間充填装置は、
近位端と、遠位端と、充填材ガイドワイヤチャネルと、注入管腔とを有する可撓性かつ細長い注入部材であって、前記充填材ガイドワイヤチャネルは、前記近位端から前記遠位端まで前記注入部材を完全に通って延在し、前記注入管腔は、前記充填材ガイドワイヤチャネルから離れている、注入部材と、
前記注入部材に固着されている複数の膨張可能胃空間充填材であって、前記注入部材は、前記胃空間充填材を完全に通って延在している、複数の膨張可能胃空間充填材と、
前記注入部材の近位端におけるドッキングノッチと
を備える、胃空間充填装置と、
ドッキングクリップを有する送達システムであって、前記ドッキングクリップは、前記送達システムを前記胃空間充填装置に解放可能に取り付けるために、前記ドッキングノッチ上に取り付けられるように構成されており、前記送達システムは、送達ガイドワイヤチャネルと、流体送達管腔とを含み、前記送達システムが前記胃空間充填装置に取り付けられているとき、前記送達ガイドワイヤチャネルは、前記充填材ガイドワイヤチャネルと連通し、前記流体送達管腔は、前記注入管腔と連通している、送達システムと
を備える、胃空間充填システム。 - 前記複数の膨張可能胃空間充填材は、近位膨張可能空間充填材と、遠位膨張可能空間充填材とを備え、
前記胃空間充填装置の注入管腔は、近位膨張可能胃空間充填材と流体連通する近位管腔と、遠位膨張可能胃空間充填材と流体連通する遠位管腔とを備え、
前記送達システムは、
前記注入部材の近位管腔内に挿入され、かつ、前記送達システムと、前記近位膨張可能空間充填材との間の流体連通を提供するように構成されている近位突起と、
前記注入部材の遠位管腔内に挿入され、かつ、前記送達システムと、前記遠位膨張可能空間充填材との間の流体連通を提供するように構成されている遠位突起と
をさらに備える、請求項1に記載の胃空間充填システム。 - 前記充填材ガイドワイヤチャネルおよび前記送達ガイドワイヤチャネルの中を通されるガイドワイヤをさらに備える、請求項1に記載の胃空間充填システム。
- 前記胃空間充填材のうちの少なくとも1つは、流体で膨張されたときに少なくとも約40mmの外径を有する、請求項1に記載の胃空間充填システム。
- 前記胃空間充填材は、人間の患者の胃の一部を少なくとも部分的に充填して、満腹感を作り出すように構成されている、請求項1に記載の胃空間充填システム。
- 前記近位膨張可能空間充填材および前記近位注入管腔は、前記遠位膨張可能空間充填材および前記遠位注入管腔と流体連通していない、請求項2に記載の胃空間充填システム。
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US11/768,152 | 2007-06-25 | ||
US11/768,152 US8142469B2 (en) | 2007-06-25 | 2007-06-25 | Gastric space filler device, delivery system, and related methods |
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JP2013142327A Division JP5736417B2 (ja) | 2007-06-25 | 2013-07-08 | 胃空間充填装置、送達システムおよび関連する方法 |
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JP2013142327A Expired - Fee Related JP5736417B2 (ja) | 2007-06-25 | 2013-07-08 | 胃空間充填装置、送達システムおよび関連する方法 |
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-
2007
- 2007-06-25 US US11/768,152 patent/US8142469B2/en active Active
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2008
- 2008-06-24 EP EP17162002.4A patent/EP3228276A1/en not_active Withdrawn
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- 2008-06-24 EP EP08771842.5A patent/EP2160219B1/en active Active
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- 2008-06-24 WO PCT/US2008/068058 patent/WO2009002989A1/en active Application Filing
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US9283102B2 (en) | 2016-03-15 |
JP2016154875A (ja) | 2016-09-01 |
US20110178544A1 (en) | 2011-07-21 |
CA2966115A1 (en) | 2008-12-31 |
CA2691530A1 (en) | 2008-12-31 |
JP2010531208A (ja) | 2010-09-24 |
EP3228276A1 (en) | 2017-10-11 |
JP2015154964A (ja) | 2015-08-27 |
US8142469B2 (en) | 2012-03-27 |
EP2160219A4 (en) | 2015-05-27 |
US20080319471A1 (en) | 2008-12-25 |
JP2013226442A (ja) | 2013-11-07 |
CA2892287C (en) | 2017-07-25 |
CA2892287A1 (en) | 2008-12-31 |
EP2160219A1 (en) | 2010-03-10 |
WO2009002989A1 (en) | 2008-12-31 |
JP5736417B2 (ja) | 2015-06-17 |
EP2160219B1 (en) | 2017-04-26 |
JP5457342B2 (ja) | 2014-04-02 |
US20150238342A1 (en) | 2015-08-27 |
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