JP7232306B2 - 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
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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
- A61F5/0076—Implantable devices or invasive measures preventing normal digestion, e.g. Bariatric or gastric sleeves
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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
- A61F5/0083—Reducing the size of the stomach, e.g. gastroplasty
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- 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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- Oral & Maxillofacial Surgery (AREA)
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- Epidemiology (AREA)
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- 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 (15)
- 第一の円板と第二の円板とを有する二重円板形状構造を形成するワイヤメッシュ構造を備える圧縮可能アンカー構造と;
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、
前記アンカー構造は、前記スリーブの近位端に重量を加え、展開後に前記スリーブを所定の位置に維持するように、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。 - 前記ワイヤメッシュ構造は複数のループを含み、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、請求項1に記載の胃内デバイス。
- 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、請求項2に記載の胃内デバイス。 - 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、請求項1に記載の胃内デバイス。
- 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、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、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。
- 前記スリーブが膜を備える、請求項1に記載の胃内デバイス。
- 前記第一の円板が上側円板であり、前記第二の円板が下側円板である、請求項1~8のいずれか一項に記載の胃内デバイス。
- 前記下側円板は前記上側円板よりも大きな直径を有する、請求項9のいずれか一項に記載の胃内デバイス。
- 前記上側円板は前記下側円板よりも大きな直径を有する、請求項9のいずれか一項に記載の胃内デバイス。
- 前記第一の円板及び前記第二の円板は、それぞれ、展開後に逆傘状形状を有する湾曲層である、請求項1~8のいずれか一項に記載の胃内デバイス。
- 前記第一の円板が上側円板であり、前記第二の円板が下側円板であり、前記ワイヤメッシュ構造はボビン形状であり、前記上側円板と前記下側円板との間に、前記上側円板及び前記下側円板よりも小さい直径を有する中央部(2618C)を更に含む、請求項1~8のいずれか一項に記載の胃内デバイス。
- 前記第一の円板が上側円板であり、前記第二の円板が、展開後に前記上側円板よりも大きな直径を有する逆傘状形状を有する、請求項1~9のいずれか一項に記載の胃内デバイス。
- 前記第一の円板及び前記第二の円板は異なる直径を有する、請求項1~9のいずれか一項に記載の胃内デバイス。
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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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US15/496,625 | 2017-04-25 | ||
US15/496,625 US10779980B2 (en) | 2016-04-27 | 2017-04-25 | Intragastric device for treating obesity |
JP2018556310A 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 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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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 |
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EP (1) | EP3448325A1 (ja) |
JP (5) | JP6725691B2 (ja) |
KR (1) | KR20190003628A (ja) |
CN (1) | CN109069284A (ja) |
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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 |
US10420665B2 (en) | 2010-06-13 | 2019-09-24 | W. L. Gore & Associates, Inc. | Intragastric device for treating obesity |
WO2013126593A1 (en) | 2012-02-21 | 2013-08-29 | Allurion Technologies, Inc. | Methods and devices for deploying and releasing a temporary implant within the body |
US10182932B2 (en) | 2012-02-21 | 2019-01-22 | Allurion Technologies, Inc. | Methods and devices for deploying and releasing a temporary implant within the body |
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CA3122472A1 (en) | 2017-11-02 |
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AU2023203739A1 (en) | 2023-07-13 |
CN109069284A (zh) | 2018-12-21 |
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CA3122472C (en) | 2023-10-24 |
JP2024045363A (ja) | 2024-04-02 |
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