JP6393774B2 - 吸引ステント、ステントシステム、及び漏洩部を封止する方法 - Google Patents
吸引ステント、ステントシステム、及び漏洩部を封止する方法 Download PDFInfo
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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
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B17/1114—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis of the digestive tract, e.g. bowels or oesophagus
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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
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
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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
- A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- 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
- A61F2/945—Stents retaining their form, i.e. not being deformable, after placement in the predetermined place hardenable, e.g. stents formed in situ
-
- A—HUMAN NECESSITIES
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- 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
- A61M1/60—Containers for suction drainage, adapted to be used with an external suction source
-
- 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
- A61M1/64—Containers with integrated suction means
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- 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
- A61M1/90—Negative pressure wound therapy devices, i.e. devices for applying suction to a wound to promote healing, e.g. including a vacuum dressing
- A61M1/91—Suction aspects of the dressing
- A61M1/916—Suction aspects of the dressing specially adapted for deep wounds
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- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
- A61B2017/00646—Type of implements
- A61B2017/00659—Type of implements located only on one side of the opening
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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
- A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
- A61F2/06—Blood vessels
- A61F2/07—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
- A61F2/02—Prostheses implantable into the body
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- 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
- A61F2/06—Blood vessels
- A61F2/07—Stent-grafts
- A61F2002/077—Stent-grafts having means to fill the space between stent-graft and aneurysm wall, e.g. a sleeve
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- 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
- A61F2002/823—Stents, different from stent-grafts, adapted to cover an aneurysm
-
- 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
- A61F2210/00—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2210/0085—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof hardenable in situ, e.g. epoxy resins
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2230/0063—Three-dimensional shapes
- A61F2230/0073—Quadric-shaped
- A61F2230/0078—Quadric-shaped hyperboloidal
-
- 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
- A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2250/0003—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having an inflatable pocket filled with fluid, e.g. liquid or gas
-
- A—HUMAN NECESSITIES
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- A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
- A61F2250/0069—Sealing means
-
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- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/64—Containers with integrated suction means
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- 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
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- A61M2210/105—Oesophagus
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61M2210/00—Anatomical parts of the body
- A61M2210/10—Trunk
- A61M2210/1042—Alimentary tract
- A61M2210/1064—Large intestine
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- Animal Behavior & Ethology (AREA)
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- Surgery (AREA)
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- Hematology (AREA)
- Cardiology (AREA)
- Transplantation (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Physiology (AREA)
- Gastroenterology & Hepatology (AREA)
- Pulmonology (AREA)
- Prostheses (AREA)
- Media Introduction/Drainage Providing Device (AREA)
Description
− 長手方向に開放しており、生体適合材料で作製されており、少なくともその中央部分で一定の直径を有する管状中空体と、
− 生体適合性且つ径方向に成形可能な、好ましくはスポンジ材料である多孔性成形可能材料であって、管状中空体の少なくとも一部で管状中空体を径方向に覆う多孔性成形可能材料と
を備えた吸引ステントによって達成される。
(a)本発明に係る吸引ステントを、その長手方向側部が前記漏洩部にある状態で、特に長手方向側部の中間の領域にある状態で設けられているように、中空器官、好ましくは胃腸管、特に腸の中に導入するステップと、
(b)吸引ステントの管状中空体を径方向に覆う多孔性成形可能材料の直径を調整することによって中空器官と吸引ステントの間で接触を行い、管状中空体を少なくともその中央部分で一定の直径で保持するステップと、
(c)中空器官が多孔性成形可能材料に対して吸引される又は押し付けられるように、ドレナージ手段によって多孔性成形可能材料に対して正常以下の圧力を与えるステップと
を含む方法によって達成される。
Claims (25)
- ヒト又は動物の身体の中空器官(O)の中に導入するための吸引ステント(10)であって、
長手方向に開放しており、生体適合材料で作製されており、少なくともその中央部分で一定の直径を有する管状中空体(1)と、
生体適合性且つ径方向に成形可能な多孔性成形可能材料(2)であって、前記管状中空体の少なくとも一部で前記管状中空体を径方向に覆う多孔性成形可能材料(2)と
を備え、
前記管状中空体の少なくとも中央部分は拡張不能であることを特徴とする吸引ステント(10)。 - 前記中空器官が胃腸管である請求項1に記載の吸引ステント。
- 前記多孔性成形可能材料(2)がスポンジ材料である請求項1から2のいずれかに記載の吸引ステント。
- 前記管状中空体(1)は、その長手方向軸に対して可撓性であるパイプ又はチューブである請求項1から3のいずれかに記載の吸引ステント。
- 前記多孔性成形可能材料(2)は、前記管状中空体(1)がその長手方向に延在している範囲の少なくとも50%に沿って設けられている請求項1から4のいずれかに記載の吸引ステント。
- 前記多孔性成形可能材料(2)は、前記管状中空体(1)の全長に沿って設けられている請求項1から5のいずれかに記載の吸引ステント。
- 前記管状中空体(1)は、水に対して又は水及び気体に対して不透過性である請求項1から6のいずれかに記載の吸引ステント。
- 前記管状中空体(1;301;401)は、前記管状中空体の周辺部分で径方向に拡張可能である請求項1から7のいずれかに記載の吸引ステント。
- 前記管状中空体(1;301;401)は、前記管状中空体の一方又は両方の端部部分(301b;401b)で径方向に拡張可能である請求項1から8のいずれかに記載の吸引ステント。
- 前記吸引ステント(10)は、前記多孔性成形可能材料(2)の外面に配置されている箔を更に備える請求項1から9のいずれかに記載の吸引ステント。
- 前記管状中空体(1;501)は、径方向外向きに延びる2つのフランジ状の端部部分(501b)を有し、
前記端部部分(501b)は、長手方向に対して前記多孔性成形可能材料(2)を封止し、気密性及び/又は水密性を確実にする請求項1から8のいずれかに記載の吸引ステント。 - 前記管状中空体(1;301;401)は、全体が拡張不能材料で作製されている請求項1から3のいずれかに記載の吸引ステント。
- 前記管状中空体(1;301;401)は、前記管状中空体の周辺部分で漏斗状幾何学的形状を備える請求項12に記載の吸引ステント。
- 排出状態における前記多孔性成形可能材料(2)の厚みは、4mmと12mmの間である請求項1から13のいずれかに記載の吸引ステント。
- 前記管状中空体(1)の管腔内径は、5mmと15mmの間である請求項1から14のいずれかに記載の吸引ステント。
- 排出状態における前記多孔性成形可能材料(2)の外径は、15mmと35mmの間である請求項1から15のいずれかに記載の吸引ステント。
- 排出状態における前記多孔性成形可能材料(2)の外径と前記管状中空体(1)の管腔内径との比は、3と7の間である、請求項1から16のいずれかに記載の吸引ステント。
- 前記多孔性成形可能材料(2)は、径方向に拡張不能であり、1インチあたり20個から40個の孔を有する開放孔構造を備える、請求項1から17のいずれかに記載の吸引ステント。
- 前記吸引ステント(10;110)は、前記多孔性成形可能材料(2)に又は前記多孔性成形可能材料(2)の中に固定されているドレナージ手段(20;120)を更に備える請求項1から18のいずれかに記載の吸引ステント。
- 前記ドレナージ手段(20;120)が、吸引ホースである請求項19に記載の吸引ステント。
- 前記吸引ステント(10;110)は、膨張可能である少なくとも1つのバルーン型構成要素(603、604;803)を更に含む請求項1から20のいずれかに記載の吸引ステント。
- 前記バルーン型構成要素が、前記吸引ステント(10;110)の外側面に設けられた請求項21に記載の吸引ステント。
- 前記吸引ステント(10;110)は、生体適合メッシュ(705)又は組織を更に備える請求項1から22のいずれかに記載の吸引ステント。
- 前記生体適合メッシュ(705)又は組織が、前記吸引ステント(10;110)の遠位端部分に設けられた請求項23に記載の吸引ステント。
- 請求項1から24のいずれかに記載の少なくとも1つの吸引ステント(10)と、アダプタ(42)とを備えたシステムであって、前記吸引ステントは、ドレナージ手段(20)を備え、前記アダプタは、前記ドレナージ手段を真空ポンプ及び/又はルドンボトルに結合するために配置されていることを特徴とするシステム。
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
PCT/EP2013/003768 WO2015086037A1 (en) | 2013-12-13 | 2013-12-13 | Suction stent, stent system, and method for sealing a leakage |
Publications (2)
Publication Number | Publication Date |
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JP2016540621A JP2016540621A (ja) | 2016-12-28 |
JP6393774B2 true JP6393774B2 (ja) | 2018-09-19 |
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JP2016558262A Active JP6393774B2 (ja) | 2013-12-13 | 2013-12-13 | 吸引ステント、ステントシステム、及び漏洩部を封止する方法 |
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Country | Link |
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US (3) | US10058413B2 (ja) |
EP (1) | EP3079631B1 (ja) |
JP (1) | JP6393774B2 (ja) |
CN (2) | CN110721009B (ja) |
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AU2016323425B2 (en) * | 2015-09-15 | 2020-10-22 | Savage Medical, Inc. | Devices and methods for anchoring a sheath in a tissue cavity |
DE202016100154U1 (de) * | 2016-01-14 | 2017-04-20 | Pfm Medical Ag | System zur Drainage von Flüssigkeiten beziehungsweise Wundsekret |
JP6761117B2 (ja) * | 2016-09-09 | 2020-09-23 | ダブリュ.エル.ゴア アンド アソシエイツ,インコーポレイティドW.L. Gore & Associates, Incorporated | 全体アーチ概念 |
DE102018103618A1 (de) * | 2018-02-19 | 2019-08-22 | Boris Vestweber | Stent |
JP2021521997A (ja) | 2018-04-23 | 2021-08-30 | エンドロジックス リミテッド ライアビリティ カンパニー | 血管内治療に続く炎症反応の調整 |
CN108567451B (zh) * | 2018-04-24 | 2020-04-14 | 天津大学 | 基于海绵的变刚度自然腔道手术器械支撑结构及使用方法 |
CN110226990B (zh) * | 2019-06-14 | 2021-01-15 | 温州医科大学附属第一医院 | 一种肠吻合口渗漏用支架 |
AU2021226759A1 (en) * | 2020-02-26 | 2022-09-08 | Boston Scientific Scimed, Inc. | Endoluminal sealing devices and related methods of use |
CN115243736A (zh) | 2020-02-27 | 2022-10-25 | 波士顿科学国际有限公司 | 医疗系统及其相关的方法 |
JP2023515824A (ja) | 2020-02-28 | 2023-04-14 | ボストン サイエンティフィック サイムド,インコーポレイテッド | 医療システム、デバイス、および関連する方法 |
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JPS62500081A (ja) * | 1984-08-29 | 1987-01-16 | シユテリメ−ト ゲゼルシヤフト フユ−ル メデイツイ−ニツシエン ベダルフ ミツト ベシユレンクテル ハフツング | レドン↓−創傷排膿法用低圧瓶 |
DE9390115U1 (de) * | 1992-05-08 | 1994-12-22 | Schneider Usa Inc | Ösophagusstent und Einbringinstrument |
DE9213218U1 (de) * | 1992-10-01 | 1992-11-26 | Aesculap AG, 7200 Tuttlingen | Endoprothesenschaft |
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DK1450727T3 (da) | 2001-10-04 | 2010-10-18 | Neovasc Medical Ltd | Strømreducerende implantat |
AU2002367970A1 (en) | 2002-05-17 | 2003-12-02 | Bionethos Holding Gmbh | Medical device for the treatment of a body vessel or another tubular structure in the body |
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CN105916467B (zh) | 2019-11-08 |
EP3079631B1 (en) | 2019-10-02 |
US20160367352A1 (en) | 2016-12-22 |
US20190008630A1 (en) | 2019-01-10 |
CN110721009B (zh) | 2022-01-11 |
CN105916467A (zh) | 2016-08-31 |
US11406486B2 (en) | 2022-08-09 |
JP2016540621A (ja) | 2016-12-28 |
AU2013407414A1 (en) | 2016-05-19 |
EP3079631A1 (en) | 2016-10-19 |
US10058413B2 (en) | 2018-08-28 |
US10779928B2 (en) | 2020-09-22 |
AU2013407414B2 (en) | 2019-05-09 |
CA2928887A1 (en) | 2015-06-18 |
US20200375718A1 (en) | 2020-12-03 |
WO2015086037A1 (en) | 2015-06-18 |
CN110721009A (zh) | 2020-01-24 |
PL3079631T3 (pl) | 2020-05-18 |
CA2928887C (en) | 2021-07-06 |
ES2762850T3 (es) | 2020-05-26 |
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