JP6889224B2 - 消化管における治療制約の生成のためのシステム、デバイスおよび方法 - Google Patents
消化管における治療制約の生成のためのシステム、デバイスおよび方法 Download PDFInfo
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- JP6889224B2 JP6889224B2 JP2019187422A JP2019187422A JP6889224B2 JP 6889224 B2 JP6889224 B2 JP 6889224B2 JP 2019187422 A JP2019187422 A JP 2019187422A JP 2019187422 A JP2019187422 A JP 2019187422A JP 6889224 B2 JP6889224 B2 JP 6889224B2
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- Prostheses (AREA)
Description
本出願は、2013年11月22日に出願された米国仮特許出願番号第61/907,808号(代理人書類番号第41714−711.101)の利益を主張しており、この仮出願の全体の内容は参考として本明細書中に援用される;本出願は、2013年7月18日に出願された「Devices and Methods for the Treatment of Tissue」と題する米国特許出願番号第13/945,138号;2014年8月27日に出願された「Heat Ablation Systems,Devices and Methods for the Treatment of Tissue」と題する米国特許出願番号第14/470,503号;2014年10月15日に出願された「Tissue Expansion Devices,Systems and Methods」と題する米国特許出願番号第14/515,324号;2013年10月7日に出願された「Methods,Stystems and Devices for Performing Multiple Treatments on a Patient」と題する国際特許出願番号第PCT/US2013/063753号;2014年6月4日に出願された「Methods,Stystems and Devices for Reducing the Luminal Surface Area of the Gastrointestinal Tract」と題する国際特許出願番号第PCT/US2014/040957号;および2014年9月12日に出願された「Stystems,Methods and Devices for Treatment of Target Tissue」と題する国際特許出願番号第PCT/US2014/055514号;に関連しており、これら出願の各々の内容は、それらの全体が参考として本明細書中に援用される。
(1.発明の分野)本発明は、概して、患者の消化管の区画における制約等の狭窄または他の制約を患者において生成する、システム、デバイス、および方法に関する。
本発明の概念の一側面では、患者の消化管の管腔区画に近接する場所まで送達要素を前進させるステップと、管腔区画において治療的制約を生成するように、送達要素を通して管腔区画に近接する組織の中へ注入液を送達するステップとを含む、患者を治療するための方法が提供される。
例えば、本願発明は、以下の項目を提供する。
(項目1)
遠位部分を伴う伸長シャフトと、
上記伸長シャフトの遠位部分上に位置付けられる少なくとも1つの送達要素と、
注入液と、
を備える、送達デバイスを備え、
上記送達デバイスは、上記少なくとも1つの送達要素を通して組織の中へ上記注入液を送達し、消化管において治療的制約を生成するように構築および整列される、
患者を治療するためのシステム。
(項目2)
上記治療的制約は、上記消化管の管腔区画の中および/または胃の中に位置付けられる、特許請求の範囲の任意のシステム項目に記載のシステム。
(項目3)
上記システムは、上記消化管の第2の区画において第2の治療的制約を生成するように、および/または第1の治療的制約の体積を増加させるように構築および整列される、特許請求の範囲の任意のシステム項目に記載のシステム。
(項目4)
上記少なくとも1つの送達要素は、少なくとも2つの送達要素を備える、特許請求の範囲の任意のシステム項目に記載のシステム。
(項目5)
上記少なくとも1つの送達要素は、少なくとも3つの送達要素を備える、項目4に記載のシステム。
(項目6)
上記注入液は、第1の材料と、第2の材料とを含み、上記少なくとも2つの流体送達要素は、組織の中への送達に先立って、上記第1の材料および上記第2の材料の混合を防止するように構築および整列される、項目4に記載のシステム。
(項目7)
上記送達要素は、内視鏡を通して、および/または内視鏡と並行して前進させられるように構築および整列される、特許請求の範囲の任意のシステム項目に記載のシステム。
(項目8)
上記送達要素は、上記消化管を介して、上記管腔区画に近接する場所まで前進させられるように構築および整列される、特許請求の範囲の任意のシステム項目に記載のシステム。
(項目9)
上記送達要素は、上記消化管の外側の空間を介して、上記管腔区画に近接する場所まで前進させられるように構築および整列される、特許請求の範囲の任意のシステム項目に記載のシステム。
(項目10)
上記送達要素は、針、流体噴流、およびそれらの組み合わせから成る群から選択される、1つまたはそれを上回る要素を備える、特許請求の範囲の任意のシステム項目に記載のシステム。
(項目11)
上記送達要素は、少なくとも30ゲージの直径を伴う少なくとも1本の針を備える、特許請求の範囲の任意のシステム項目に記載のシステム。
(項目12)
上記送達要素は、20ゲージ未満の直径を備える、特許請求の範囲の任意のシステム項目に記載のシステム。
(項目13)
上記送達要素は、拡張可能要素上に位置付けられる複数の送達要素を備える、特許請求の範囲の任意のシステム項目に記載のシステム。
(項目14)
上記複数の送達要素は、円周方向に離間させられる、項目13に記載のシステム。
(項目15)
上記複数の送達要素は、相対的に等しい距離において離間させられる、項目14に記載のシステム。
(項目16)
上記少なくとも1つの送達要素の周囲に密閉要素をさらに備える、特許請求の範囲の任意のシステム項目に記載のシステム。
(項目17)
上記送達デバイスは、上記少なくとも1つの送達要素を取り囲む少なくとも1つの減圧ポートを備える、特許請求の範囲の任意のシステム項目に記載のシステム。
(項目18)
上記注入液は、患者パラメータに基づく量の材料を含む、特許請求の範囲の任意のシステム項目に記載のシステム。
(項目19)
上記患者パラメータは、体重、肥満度指数、確立された基準に基づく過剰体重、年齢、HbA1cレベル、コレステロールレベル、およびそれらの組み合わせから成る群から選択される、項目18に記載のシステム。
(項目20)
上記注入液は、組織の中への上記注入液の送達中に判定される量の材料を含む、特許請求の範囲の任意のシステム項目に記載のシステム。
(項目21)
上記量の材料は、上記治療的制約内の圧力、上記治療的制約に近接する組織内の圧力、上記治療的制約の体積、上記治療的制約の直径、およびそれらの組み合わせから成る群から選択される、パラメータに基づいて判定される、項目20に記載のシステム。
(項目22)
上記システムは、経時的に減少する体積を備える、治療的制約を生成するように構築および整列される、特許請求の範囲の任意のシステム項目に記載のシステム。
(項目23)
上記注入液は、第1の材料と、第2の材料とを含み、上記第2の材料は、上記第1の材料より長い期間にわたって上記患者の中にとどまるように構築および整列され、上記第2の材料は、上記第1の材料が送達されてから少なくとも1日後に送達される、項目22に記載のシステム。
(項目24)
上記注入液の少なくとも50%は、組織の中へ送達されてから少なくとも1ヶ月後も上記患者の中にとどまる、特許請求の範囲の任意のシステム項目に記載のシステム。
(項目25)
上記注入液は、エチレンビニルアルコールを含む、特許請求の範囲の任意のシステム項目に記載のシステム。
(項目26)
上記注入液はさらに、ジメチルスルホキシドを含む、項目25に記載のシステム。
(項目27)
上記注入液はさらに、上記エチレンビニルアルコールを重合させるように構築および整列される第2の材料を含む、項目25に記載のシステム。
(項目28)
上記送達要素は、上記エチレンビニルアルコールを送達する第1の送達要素と、上記第2の材料を送達する第2の送達要素とを備える、項目27に記載のシステム。
(項目29)
上記注入液はさらに、生理食塩水を含む、項目25に記載のシステム。
(項目30)
上記送達要素は、上記エチレンビニルアルコールを送達する第1の送達要素と、上記生理食塩水を送達する第2の送達要素とを備える、項目29に記載のシステム。
(項目31)
上記注入液は、ペプチドポリマー、ポリ乳酸、ポリメタクリル酸メチル、ヒドロゲル、硬化剤、接着剤、シアノアクリレート、およびそれらの組み合わせから成る群から選択される、材料を含む、特許請求の範囲の任意のシステム項目に記載のシステム。
(項目32)
上記注入液材料は、組織の中への送達後に拡張するように構築および整列されるヒドロゲルを含む、特許請求の範囲の任意のシステム項目に記載のシステム。
(項目33)
上記注入液は、哺乳類の身体から採取される材料を含む、特許請求の範囲の任意のシステム項目に記載のシステム。
(項目34)
上記注入液は、自家材料を含む、項目33に記載のシステム。
(項目35)
上記注入液は、脂肪細胞、コラーゲン、自家コラーゲン、ウシコラーゲン、ブタコラーゲン、生物工学的ヒトコラーゲン、真皮、皮膚充填剤、ヒアルロン酸、共役ヒアルロン酸、カルシウムヒドロキシルアパタイト、線維芽細胞、およびそれらの組み合わせから成る群から選択される、材料を含む、項目33に記載のシステム。
(項目36)
上記注入液は、線維芽細胞を刺激してコラーゲンを産生するように構成される、ペプチドポリマーを含む、項目33に記載のシステム。
(項目37)
上記注入液は、組織の中への送達後に拡張するように構築および整列される、特許請求の範囲の任意のシステム項目に記載のシステム。
(項目38)
上記注入液は、経時的に組織の中へ溶出するように構成される作用物質を含む、特許請求の範囲の任意のシステム項目に記載のシステム。
(項目39)
上記注入液は、放射線不透過性材料、可視染料、超音波反射性材料、およびそれらの組み合わせから成る群から選択される、材料を含む、特許請求の範囲の任意のシステム項目に記載のシステム。
(項目40)
上記注入液は、第1の材料と、第2の材料とを含む、特許請求の範囲の任意のシステム項目に記載のシステム。
(項目41)
上記第1の材料および上記第2の材料は、同時に組織の中へ送達される、項目40に記載のシステム。
(項目42)
上記送達要素は、第1の送達要素と、第2の送達要素とを備え、上記第1の材料は、上記第1の送達要素によって送達され、上記第2の材料は、上記第2の送達要素によって送達される、項目40に記載のシステム。
(項目43)
上記第1の材料および上記第2の材料は、相互と接触させられたときに化学的変化または物理的変化のうちの少なくとも1つを受ける、項目40に記載のシステム。
(項目44)
上記第1の材料および上記第2の材料は、組織の中で相互と接触させられる、項目43に記載のシステム。
(項目45)
上記第1の材料および上記第2の材料は、ヒドロゲルを形成する、項目43に記載のシステム。
(項目46)
上記第1の材料および上記第2の材料は、相互と接触させられたときに増加した粘度を伴う材料を形成する、項目43に記載のシステム。
(項目47)
上記第1の材料は、上記第2の材料と接触させられたときに重合する、項目43に記載のシステム。
(項目48)
上記注入液は、組織の中へ送達されたときに重合するように構築および整列される、特許請求の範囲の任意のシステム項目に記載のシステム。
(項目49)
内視鏡および/または内視鏡に取り付けられるように構築および整列されるシースをさらに備え、上記送達デバイスは、上記内視鏡を通して、および/または上記内視鏡に取り付けられたシースを通して、摺動して前進させられるように構築および整列される、特許請求の範囲の任意のシステム項目に記載のシステム。
(項目50)
腹腔鏡プローブをさらに備え、上記送達デバイスは、上記腹腔鏡プローブを通して、摺動して前進させられるように構築および整列される、特許請求の範囲の任意のシステム項目に記載のシステム。
(項目51)
管腔サイジング要素をさらに備える、特許請求の範囲の任意のシステム項目に記載のシステム。
(項目52)
治療的制約パラメータを判定するように構成されるアルゴリズムをさらに備える、特許請求の範囲の任意のシステム項目に記載のシステム。
(項目53)
上記アルゴリズムによって判定される上記治療的制約パラメータは、上記治療的制約を生成するように送達される量の注入液を含む、項目52に記載のシステム。
(項目54)
上記アルゴリズムによって判定される上記治療的制約パラメータは、上記治療的制約の寸法パラメータを含む、項目52に記載のシステム。
(項目55)
熱を上記注入液に印加するように構築および整列される加熱要素をさらに備える、特許請求の範囲の任意のシステム項目に記載のシステム。
(項目56)
患者の消化管の管腔区画に近接する場所まで送達要素を前進させるステップと、
上記管腔区画において治療的制約を生成するように、上記送達要素を通して上記管腔区画に近接する組織の中へ注入液を送達するステップと、
を含む、上記患者を治療する方法。
本明細書で使用される専門用語は、特定の実施形態を説明する目的のためであって、本発明の概念を制限することを意図するものではない。さらに、本発明の概念の実施形態は、いくつかの新規の特徴を含んでもよく、そのうちの1つは、単独でその望ましい属性の原因ではないか、または本明細書に説明される発明の概念を実践することに不可欠ではない。本明細書で使用されるように、単数形「a」、「an」、および「the」は、文脈によって、別様に明示的に示されない限り、複数形態も同様に含むことが意図される。
Claims (10)
- 患者を治療するためのシステムであって、
前記システムは、
送達デバイスであって、前記送達デバイスは、
遠位部分を伴う伸長シャフトと、
前記伸長シャフト遠位部分上に位置付けられる少なくとも1つの送達要素と
を備える、送達デバイスと、
組織の中へ送達されたときに重合するように構成される注入液と、
管腔直径を測定するように構成されるサイジングデバイスと、
腸の区画の管腔を10mm以下の内径へと狭くするために、前記測定された管腔直径に基づいて、送達されるべき前記注入液の量を決定するように構成される注入液送達ユニットと
を備え、
前記送達デバイスは、注入液の前記決定された量に基づいて前記少なくとも1つの送達要素を通して前記腸の管腔壁組織の中へ前記注入液を送達して、前記腸の前記区画の前記管腔を前記10mm以下の内径へと狭くするように構成される、システム。 - 前記管腔壁組織は、粘膜下組織を含む、請求項1に記載のシステム。
- 前記少なくとも1つの送達要素は、少なくとも2つの送達要素を備える、請求項1に記載のシステム。
- 前記少なくとも2つの送達要素は、少なくとも3つの送達要素を備える、請求項3に記載のシステム。
- 前記注入液は、少なくとも2つの材料を含む、請求項1に記載のシステム。
- 前記送達デバイスは、前記注入液を送達して、前記腸の区画の管腔を5mm以下の内径へと狭くするように構成される、請求項1に記載のシステム。
- 前記送達デバイスは、前記注入液を送達して、前記腸の区画の管腔を4mm以下の内径へと狭くするように構成される、請求項6に記載のシステム。
- 前記送達デバイスは、前記注入液を送達して、前記腸の区画の管腔を3mm以下の内径へと狭くするように構成される、請求項7に記載のシステム。
- 前記注入液は、ペプチドポリマー、ポリ乳酸、ポリメタクリル酸メチル、ヒドロゲル、硬化剤、接着剤、シアノアクリレート、およびそれらの組み合わせから成る群から選択される材料を含む、請求項1に記載のシステム。
- 前記注入液は、脂肪細胞、コラーゲン、自家コラーゲン、ウシコラーゲン、ブタコラーゲン、生物工学的ヒトコラーゲン、真皮、皮膚充填剤、ヒアルロン酸、共役ヒアルロン酸、カルシウムヒドロキシルアパタイト、線維芽細胞、およびそれらの組み合わせから成る群から選択される材料を含む、請求項1に記載のシステム。
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Application Number | Priority Date | Filing Date | Title |
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US201361907808P | 2013-11-22 | 2013-11-22 | |
US61/907,808 | 2013-11-22 | ||
PCT/US2014/040957 WO2014197632A2 (en) | 2013-06-04 | 2014-06-04 | Methods, systems and devices for reducing the luminal surface area of the gastrointestinal tract |
USPCT/US2014/040957 | 2014-06-04 | ||
US14/470,503 US10349998B2 (en) | 2012-02-27 | 2014-08-27 | Heat ablation systems, devices and methods for the treatment of tissue |
US14/470,503 | 2014-08-27 | ||
USPCT/US2014/055514 | 2014-09-12 | ||
PCT/US2014/055514 WO2015038973A1 (en) | 2013-09-12 | 2014-09-12 | Systems, methods and devices for treatment of target tissue |
US14/515,324 US20150045825A1 (en) | 2012-04-19 | 2014-10-15 | Tissue expansion devices, systems and methods |
US14/515,324 | 2014-10-15 | ||
JP2016532588A JP6603660B2 (ja) | 2013-11-22 | 2014-11-21 | 消化管における治療制約の生成のためのシステム、デバイスおよび方法 |
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EP3071286A4 (en) | 2017-09-06 |
JP2021058640A (ja) | 2021-04-15 |
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JP2020062402A (ja) | 2020-04-23 |
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US20160256663A1 (en) | 2016-09-08 |
CA2930612A1 (en) | 2015-05-28 |
JP2022105624A (ja) | 2022-07-14 |
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