JP6725691B2 - 肥満治療用アンカーレス胃内デバイス - Google Patents
肥満治療用アンカーレス胃内デバイス 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
- A61F5/0013—Implantable devices or invasive measures
- A61F5/0036—Intragastrical devices
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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
- A61F5/003—Implantable devices or invasive measures inflatable
-
- 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
- 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
- A61F5/0083—Reducing the size of the stomach, e.g. gastroplasty
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L27/00—Materials for grafts or prostheses or for coating grafts or prostheses
- A61L27/50—Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
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- Biomedical Technology (AREA)
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- Orthopedic Medicine & Surgery (AREA)
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- Child & Adolescent Psychology (AREA)
- Obesity (AREA)
- Gastroenterology & Hepatology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Surgery (AREA)
- Dermatology (AREA)
- Medicinal Chemistry (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Chemical & Material Sciences (AREA)
- Epidemiology (AREA)
- Surgical Instruments (AREA)
- Prostheses (AREA)
Description
種々の実施形態において、胃内デバイスは、展開前の形状及び展開後の形状を有する多孔質の3次元構造を含む。一実施形態において、デバイスは、展開後の構成において、内部容積を画定し、近位端及び遠位端を有する3次元ワイヤメッシュ構造を含む。
種々の実施形態において、本明細書の胃内デバイスは、ワイヤメッシュ構造に結合された可撓性スリーブ構成要素をさらに含む。複数の実施形態において、上述のワイヤメッシュ構造のいずれかが、以下に説明するスリーブ構成要素のいずれかと結合される。スリーブ構成要素は、近位端及び遠位端に内腔を有する細長い管状体を含む。
種々の実施形態において、ワイヤメッシュ構造、又は結合スリーブ構成要素を有するワイヤメッシュ構造は、ワイヤメッシュ構造の近位端の少なくとも1つの開口部に近接して配置された少なくとも1つの回収機構を有する、1つ以上の回収機構を含む。一実施形態において、回収機構は、80ポンド(約36.29kg)の回収縫合糸を備える。
種々の実施形態において、結合されたスリーブ構成要素を有するワイヤメッシュ構造又はワイヤメッシュ構造は、1つ以上の移動防止構成要素又はカラーを含む。一実施形態において、移動防止構成要素は、金属からなる。一実施形態において、金属はニチノールなどの形状記憶金属である。移動防止構成要素は、好ましくは、ワイヤメッシュ構造(スリーブを含むデバイスの実施形態では、ワイヤメッシュ構造とスリーブ構成要素との接合部における)の遠位端に配置され、デバイスが配置されると、幽門の近位に静止するようになる。移動防止構成要素は、ワイヤメッシュ構造又はデバイス全体が幽門を通過するのを防止するように機能する。
本明細書はまた、患者の胃腸管に胃内デバイスを展開するために使用される送達デバイスの、種々の実施形態を開示する。胃内デバイスは、送達デバイス上に事前負荷され、次いで、胃内デバイスのワイヤメッシュを胃内に送達し、胃内デバイスのスリーブを近位小腸内に送達するために使用される。
[1]
近位端及び遠位端を有する螺旋形構造を有する、非多孔性圧縮可能アンカー構造と;
アンカー構造の遠位端に結合され、且つアンカー構造から遠位に延びる、細長いスリーブとを備える、胃内デバイス。
[2]
前記アンカー構造が、前記スリーブへ位置決め支持体を提供するように構成される、項目1に記載の胃内デバイス。
[3]
前記アンカー構造が、形状記憶材料を備える、項目1に記載の胃内デバイス。
[4]
前記アンカー構造が、最も広い部位で直径3〜30mmである、項目1に記載の胃内デバイス。
[5]
前記スリーブが、縫合、接着、又はこれらの組み合わせによって前記アンカー構造に取り付けられる、項目1に記載の胃内デバイス。
[6]
前記圧縮可能アンカー構造の前記近位端に取り付けられた第2のアンカー構造をさらに備える、項目1に記載の胃内デバイス。
[7]
複数のループを備えるアンカー構造と;
前記アンカー構造から遠位に延びる細長いスリーブであって、上部近位部分、中部移行部分及び下部遠位部分を有する細長いスリーブと
を備える、胃内デバイスであって、
前記ループは、前記スリーブの前記上部近位部分の近位端から放射状且つ外側に延びる、胃内デバイス。
[8]
前記ループが、前記上部近位部分の周囲の周りに相互接続する、項目7に記載の胃内デバイス。
[9]
前記上部近位部分及び前記下部遠位部分の各々が、それらの長さに沿ってほぼ一定の直径を有し、
前記下部遠位部分の長さが、前記上部近位部分の長さよりも長く、且つ、
前記上部近位部分の直径が、前記下部遠位部分の直径よりも大きい、項目7に記載の胃内デバイス。
[10]
前記中部移行部分の直径が、その近位端からその遠位端にかけて減少し、且つ前記上部近位部分及び前記下部遠位部分と相互接続する、項目7に記載の胃内デバイス。
[11]
前記スリーブが、前記中部移行部分及び前記下部遠位部分の長さに沿った複数の水平支持要素をさらに備える、項目7に記載の胃内デバイス。
[12]
前記スリーブが、細長い金属ワイヤの形態の複数の垂直支持要素をさらに備える、項目7に記載の胃内デバイス。
[13]
前記アンカー構造が、形状記憶材料を備える、項目7に記載の胃内デバイス。
[14]
前記スリーブが膜を備える、項目7に記載の胃内デバイス。
[15]
前記アンカー構造が、圧縮形態と拡張形態との間で構成可能である、項目7に記載の胃内デバイス。
[16]
近位端及び遠位端を有する細長いスリーブと;
前記スリーブの前記近位端から近位に延びる複数の取り付け要素と;
前記取り付け要素へ結合されたアンカー構造であって、中心要素から放射状且つ遠位に延びる複数の花弁形状要素を有する、アンカー構造と
を備える、胃内デバイスであって、
各取り付け要素の遠位端は、前記スリーブの前記近位端に固定され、且つ、
各取り付け要素の近位端は、前記アンカー構造に取り付けられる。
[17]
前記アンカー要素上に被覆をさらに備える、項目16に記載の胃内デバイス。
[18]
前記アンカー要素が、直径3〜30mmである、項目16に記載の胃内デバイス。
[19]
前記アンカー構造が、圧縮形態と拡張形態との間で構成可能である、項目16に記載の胃内デバイス。
[20]
前記アンカー構造が、形状記憶材料を備える、項目16に記載の胃内デバイス。
Claims (9)
- 近位端、遠位端、並びにこれらの間の、前記近位端及び前記遠位端よりも幅の広い中間部分を有する螺旋形構造を有する、非多孔性圧縮可能アンカー構造と;
アンカー構造の遠位端に結合され、且つアンカー構造から遠位に延びる、細長いスリーブとを備える、胃内デバイス。 - 前記アンカー構造が、前記スリーブへ位置決め支持体を提供するように構成される、請求項1に記載の胃内デバイス。
- 前記アンカー構造が、形状記憶材料を備える、請求項1に記載の胃内デバイス。
- 前記アンカー構造が、最も広い部位で直径3〜30mmである、請求項1に記載の胃内デバイス。
- 前記スリーブが、縫合、接着、又はこれらの組み合わせによって前記アンカー構造に取り付けられる、請求項1に記載の胃内デバイス。
- 前記圧縮可能アンカー構造の前記近位端に取り付けられた第2のアンカー構造をさらに備える、請求項1に記載の胃内デバイス。
- 前記アンカー構造は平らな材料を含む、請求項1に記載の胃内デバイス。
- 前記アンカー構造の前記螺旋形構造は、前記螺旋形構造内の空間を入って通る食物に適している、請求項1に記載の胃内デバイス。
- 前記アンカー構造は、圧縮形態と拡張形態との間で構成可能である、請求項1に記載の胃内デバイス。
Priority Applications (4)
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JP2020109672A JP6970246B2 (ja) | 2016-04-27 | 2020-06-25 | 肥満治療用アンカーレス胃内デバイス |
JP2021176616A JP7232306B2 (ja) | 2016-04-27 | 2021-10-28 | 肥満治療用アンカーレス胃内デバイス |
JP2023022542A JP7430830B2 (ja) | 2016-04-27 | 2023-02-16 | 肥満治療用アンカーレス胃内デバイス |
JP2024012738A JP2024045363A (ja) | 2016-04-27 | 2024-01-31 | 肥満治療用アンカーレス胃内デバイス |
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US201662328326P | 2016-04-27 | 2016-04-27 | |
US62/328,326 | 2016-04-27 | ||
US15/496,625 | 2017-04-25 | ||
US15/496,625 US10779980B2 (en) | 2016-04-27 | 2017-04-25 | Intragastric device for treating obesity |
PCT/US2017/029571 WO2017189682A1 (en) | 2016-04-27 | 2017-04-26 | Anchorless intragastric device for treating obesity |
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JP2020109672A Division JP6970246B2 (ja) | 2016-04-27 | 2020-06-25 | 肥満治療用アンカーレス胃内デバイス |
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JP2019519264A JP2019519264A (ja) | 2019-07-11 |
JP6725691B2 true JP6725691B2 (ja) | 2020-07-22 |
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JP2018556310A Active JP6725691B2 (ja) | 2016-04-27 | 2017-04-26 | 肥満治療用アンカーレス胃内デバイス |
JP2020109672A Active JP6970246B2 (ja) | 2016-04-27 | 2020-06-25 | 肥満治療用アンカーレス胃内デバイス |
JP2021176616A Active JP7232306B2 (ja) | 2016-04-27 | 2021-10-28 | 肥満治療用アンカーレス胃内デバイス |
JP2023022542A Active JP7430830B2 (ja) | 2016-04-27 | 2023-02-16 | 肥満治療用アンカーレス胃内デバイス |
JP2024012738A Pending JP2024045363A (ja) | 2016-04-27 | 2024-01-31 | 肥満治療用アンカーレス胃内デバイス |
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JP2020109672A Active JP6970246B2 (ja) | 2016-04-27 | 2020-06-25 | 肥満治療用アンカーレス胃内デバイス |
JP2021176616A Active JP7232306B2 (ja) | 2016-04-27 | 2021-10-28 | 肥満治療用アンカーレス胃内デバイス |
JP2023022542A Active JP7430830B2 (ja) | 2016-04-27 | 2023-02-16 | 肥満治療用アンカーレス胃内デバイス |
JP2024012738A Pending JP2024045363A (ja) | 2016-04-27 | 2024-01-31 | 肥満治療用アンカーレス胃内デバイス |
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US (2) | US10779980B2 (ja) |
EP (1) | EP3448325A1 (ja) |
JP (5) | JP6725691B2 (ja) |
KR (1) | KR20190003628A (ja) |
CN (1) | CN109069284A (ja) |
AU (4) | AU2017257869A1 (ja) |
CA (3) | CA3020991C (ja) |
WO (1) | WO2017189682A1 (ja) |
Cited By (4)
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US11351050B2 (en) | 2010-06-13 | 2022-06-07 | Synerz Medical, Inc. | Intragastric device for treating obesity |
US11596538B2 (en) | 2010-06-13 | 2023-03-07 | Synerz Medical, Inc. | Intragastric device for treating obesity |
US11607329B2 (en) | 2010-06-13 | 2023-03-21 | Synerz Medical, Inc. | Intragastric device for treating obesity |
JP7430830B2 (ja) | 2016-04-27 | 2024-02-13 | サイナーズ メディカル,インコーポレイティド | 肥満治療用アンカーレス胃内デバイス |
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US10010439B2 (en) | 2010-06-13 | 2018-07-03 | Synerz Medical, Inc. | Intragastric device for treating obesity |
US10182932B2 (en) | 2012-02-21 | 2019-01-22 | Allurion Technologies, Inc. | Methods and devices for deploying and releasing a temporary implant within the body |
SG11201404821UA (en) | 2012-02-21 | 2014-09-26 | Allurion Technologies Inc | Methods and devices for deploying and releasing a temporary implant within the body |
WO2019165449A1 (en) | 2018-02-26 | 2019-08-29 | Allurion Technologies, Inc. | Automatic-sealing balloon-filling catheter system |
RU2698996C1 (ru) * | 2018-06-19 | 2019-09-02 | Дмитрий Феликсович Черепанов | Имплантируемое устройство для хирургического лечения грыжи пищеводного отверстия диафрагмы |
EP4295820A3 (en) | 2018-07-06 | 2024-02-28 | Allurion Technologies, Inc. | Binary fluid control valve system |
CN109199469A (zh) * | 2018-08-30 | 2019-01-15 | 武汉唯柯医疗科技有限公司 | 一种预防生成血栓卵圆孔未闭封堵器及其制备方法 |
EP3886774A4 (en) | 2018-12-13 | 2022-09-28 | Allurion Technologies, Inc. | ENHANCED FLUID DELIVERY SYSTEM |
EP3878415A1 (en) * | 2020-03-09 | 2021-09-15 | BariaTek Medical | A device for treatment of obesity or diabetes of a patient and a method for selecting such a device |
JP2024508476A (ja) | 2021-02-25 | 2024-02-27 | 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 | 生体部分を保持するための幾何学的に変形可能なインプラント可能な封じ込めデバイス |
CN113057777B (zh) * | 2021-05-06 | 2022-03-25 | 哈尔滨医科大学 | 一种胃内支架减肥装置 |
KR102664860B1 (ko) * | 2021-06-22 | 2024-05-10 | 주식회사 에스앤지바이오텍 | 광응답성 위저부 스텐트 |
CN113855145B (zh) * | 2021-10-29 | 2023-06-30 | 微创神通医疗科技(上海)有限公司 | 血管瘤封堵装置、血管瘤封堵治疗装置和血管瘤封堵系统 |
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Cited By (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US11351050B2 (en) | 2010-06-13 | 2022-06-07 | Synerz Medical, Inc. | Intragastric device for treating obesity |
US11596538B2 (en) | 2010-06-13 | 2023-03-07 | Synerz Medical, Inc. | Intragastric device for treating obesity |
US11607329B2 (en) | 2010-06-13 | 2023-03-21 | Synerz Medical, Inc. | Intragastric device for treating obesity |
JP7430830B2 (ja) | 2016-04-27 | 2024-02-13 | サイナーズ メディカル,インコーポレイティド | 肥満治療用アンカーレス胃内デバイス |
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JP2020157114A (ja) | 2020-10-01 |
JP6970246B2 (ja) | 2021-11-24 |
CN109069284A (zh) | 2018-12-21 |
US20210015645A1 (en) | 2021-01-21 |
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AU2023203739A1 (en) | 2023-07-13 |
AU2017257869A1 (en) | 2018-11-15 |
EP3448325A1 (en) | 2019-03-06 |
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AU2020200475B2 (en) | 2021-05-20 |
CA3211817A1 (en) | 2017-11-02 |
JP2023056017A (ja) | 2023-04-18 |
JP7430830B2 (ja) | 2024-02-13 |
JP2022009672A (ja) | 2022-01-14 |
AU2021218222B2 (en) | 2023-03-16 |
WO2017189682A1 (en) | 2017-11-02 |
US20170312111A1 (en) | 2017-11-02 |
CA3122472C (en) | 2023-10-24 |
AU2020200475A1 (en) | 2020-02-13 |
AU2021218222A1 (en) | 2021-09-16 |
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