JP7386232B2 - 医療デバイス - Google Patents
医療デバイス Download PDFInfo
- Publication number
- JP7386232B2 JP7386232B2 JP2021509679A JP2021509679A JP7386232B2 JP 7386232 B2 JP7386232 B2 JP 7386232B2 JP 2021509679 A JP2021509679 A JP 2021509679A JP 2021509679 A JP2021509679 A JP 2021509679A JP 7386232 B2 JP7386232 B2 JP 7386232B2
- Authority
- JP
- Japan
- Prior art keywords
- sheet
- healing
- healing promoting
- promoting sheet
- fusion
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Active
Links
- 230000001737 promoting effect Effects 0.000 claims description 173
- 230000035876 healing Effects 0.000 claims description 148
- 230000004927 fusion Effects 0.000 claims description 53
- 210000000056 organ Anatomy 0.000 claims description 51
- 238000005304 joining Methods 0.000 claims description 12
- 229920006167 biodegradable resin Polymers 0.000 claims description 9
- 239000000835 fiber Substances 0.000 claims description 6
- 238000000034 method Methods 0.000 description 48
- 210000001630 jejunum Anatomy 0.000 description 39
- 210000000277 pancreatic duct Anatomy 0.000 description 28
- 230000004048 modification Effects 0.000 description 18
- 238000012986 modification Methods 0.000 description 18
- 239000000463 material Substances 0.000 description 16
- 210000001519 tissue Anatomy 0.000 description 15
- 230000003872 anastomosis Effects 0.000 description 10
- 238000010586 diagram Methods 0.000 description 8
- 230000000968 intestinal effect Effects 0.000 description 8
- 230000037303 wrinkles Effects 0.000 description 8
- 239000000470 constituent Substances 0.000 description 6
- 229920001577 copolymer Polymers 0.000 description 5
- 238000004519 manufacturing process Methods 0.000 description 5
- 210000003205 muscle Anatomy 0.000 description 4
- 230000002093 peripheral effect Effects 0.000 description 4
- 238000005520 cutting process Methods 0.000 description 3
- 230000002496 gastric effect Effects 0.000 description 3
- 229920000642 polymer Polymers 0.000 description 3
- 229920005989 resin Polymers 0.000 description 3
- 239000011347 resin Substances 0.000 description 3
- PXHVJJICTQNCMI-UHFFFAOYSA-N Nickel Chemical compound [Ni] PXHVJJICTQNCMI-UHFFFAOYSA-N 0.000 description 2
- 229920001710 Polyorthoester Polymers 0.000 description 2
- 229920000388 Polyphosphate Polymers 0.000 description 2
- 229920003232 aliphatic polyester Polymers 0.000 description 2
- 239000001913 cellulose Substances 0.000 description 2
- 229920002678 cellulose Polymers 0.000 description 2
- 229920001971 elastomer Polymers 0.000 description 2
- 238000001523 electrospinning Methods 0.000 description 2
- 150000004676 glycans Chemical class 0.000 description 2
- 239000000178 monomer Substances 0.000 description 2
- 239000004745 nonwoven fabric Substances 0.000 description 2
- 229920002627 poly(phosphazenes) Polymers 0.000 description 2
- 229920000515 polycarbonate Polymers 0.000 description 2
- 239000004417 polycarbonate Substances 0.000 description 2
- 229920000728 polyester Polymers 0.000 description 2
- 229920001184 polypeptide Polymers 0.000 description 2
- 239000001205 polyphosphate Substances 0.000 description 2
- 235000011176 polyphosphates Nutrition 0.000 description 2
- 229920001282 polysaccharide Polymers 0.000 description 2
- 239000005017 polysaccharide Substances 0.000 description 2
- 229920002451 polyvinyl alcohol Polymers 0.000 description 2
- 235000019422 polyvinyl alcohol Nutrition 0.000 description 2
- 102000004196 processed proteins & peptides Human genes 0.000 description 2
- 108090000765 processed proteins & peptides Proteins 0.000 description 2
- 102000004169 proteins and genes Human genes 0.000 description 2
- 108090000623 proteins and genes Proteins 0.000 description 2
- RYGMFSIKBFXOCR-UHFFFAOYSA-N Copper Chemical compound [Cu] RYGMFSIKBFXOCR-UHFFFAOYSA-N 0.000 description 1
- 102000009123 Fibrin Human genes 0.000 description 1
- 108010073385 Fibrin Proteins 0.000 description 1
- BWGVNKXGVNDBDI-UHFFFAOYSA-N Fibrin monomer Chemical compound CNC(=O)CNC(=O)CN BWGVNKXGVNDBDI-UHFFFAOYSA-N 0.000 description 1
- 229910000990 Ni alloy Inorganic materials 0.000 description 1
- 239000004677 Nylon Substances 0.000 description 1
- 229920002732 Polyanhydride Polymers 0.000 description 1
- 239000004793 Polystyrene Substances 0.000 description 1
- 239000004372 Polyvinyl alcohol Substances 0.000 description 1
- 229910001069 Ti alloy Inorganic materials 0.000 description 1
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 description 1
- BZHJMEDXRYGGRV-UHFFFAOYSA-N Vinyl chloride Chemical compound ClC=C BZHJMEDXRYGGRV-UHFFFAOYSA-N 0.000 description 1
- 239000000853 adhesive Substances 0.000 description 1
- 230000001070 adhesive effect Effects 0.000 description 1
- 229910045601 alloy Inorganic materials 0.000 description 1
- 239000000956 alloy Substances 0.000 description 1
- 150000008064 anhydrides Chemical class 0.000 description 1
- 238000007664 blowing Methods 0.000 description 1
- 210000001124 body fluid Anatomy 0.000 description 1
- 239000010839 body fluid Substances 0.000 description 1
- 210000001072 colon Anatomy 0.000 description 1
- 238000007796 conventional method Methods 0.000 description 1
- 239000000806 elastomer Substances 0.000 description 1
- 238000010041 electrostatic spinning Methods 0.000 description 1
- 229950003499 fibrin Drugs 0.000 description 1
- 239000002657 fibrous material Substances 0.000 description 1
- 238000009434 installation Methods 0.000 description 1
- 238000009940 knitting Methods 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 229910052751 metal Inorganic materials 0.000 description 1
- 239000007769 metal material Substances 0.000 description 1
- 238000000465 moulding Methods 0.000 description 1
- 229920001778 nylon Polymers 0.000 description 1
- RVTZCBVAJQQJTK-UHFFFAOYSA-N oxygen(2-);zirconium(4+) Chemical compound [O-2].[O-2].[Zr+4] RVTZCBVAJQQJTK-UHFFFAOYSA-N 0.000 description 1
- 210000001819 pancreatic juice Anatomy 0.000 description 1
- 239000002745 poly(ortho ester) Substances 0.000 description 1
- 229920000139 polyethylene terephthalate Polymers 0.000 description 1
- 229920002223 polystyrene Polymers 0.000 description 1
- 229920003225 polyurethane elastomer Polymers 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 238000003825 pressing Methods 0.000 description 1
- 230000000717 retained effect Effects 0.000 description 1
- 229920002379 silicone rubber Polymers 0.000 description 1
- 238000009987 spinning Methods 0.000 description 1
- 229920002725 thermoplastic elastomer Polymers 0.000 description 1
- 229920005992 thermoplastic resin Polymers 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/11—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/11—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
- A61B17/1114—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis of the digestive tract, e.g. bowels or oesophagus
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00831—Material properties
- A61B2017/00884—Material properties enhancing wound closure
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00831—Material properties
- A61B2017/00951—Material properties adhesive
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/11—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
- A61B2017/1135—End-to-side connections, e.g. T- or Y-connections
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Molecular Biology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Physiology (AREA)
- Surgical Instruments (AREA)
- Materials For Medical Uses (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP2019065058 | 2019-03-28 | ||
| JP2019065058 | 2019-03-28 | ||
| PCT/JP2020/014298 WO2020196887A1 (ja) | 2019-03-28 | 2020-03-27 | 医療デバイス |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| JPWO2020196887A1 JPWO2020196887A1 (https=) | 2020-10-01 |
| JP7386232B2 true JP7386232B2 (ja) | 2023-11-24 |
Family
ID=72609479
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2021509679A Active JP7386232B2 (ja) | 2019-03-28 | 2020-03-27 | 医療デバイス |
Country Status (5)
| Country | Link |
|---|---|
| US (1) | US20220008073A1 (https=) |
| EP (1) | EP3932439A4 (https=) |
| JP (1) | JP7386232B2 (https=) |
| CN (1) | CN113573747B (https=) |
| WO (1) | WO2020196887A1 (https=) |
Citations (13)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2003533326A (ja) | 2000-05-19 | 2003-11-11 | コアプト システムズ， インコーポレイテッド | 組織近置デバイスおよびその使用方法 |
| JP2006255411A (ja) | 2005-03-15 | 2006-09-28 | Tyco Healthcare Group Lp | 吻合複合材ガスケット |
| JP2007505708A (ja) | 2003-09-17 | 2007-03-15 | ゴア エンタープライズ ホールディングス，インコーポレイティド | 円形ステープラーのバットレス |
| JP2008516669A (ja) | 2004-10-15 | 2008-05-22 | タイコ ヘルスケア グループ エルピー | 吻合のためのシール要素 |
| JP2009508610A (ja) | 2005-09-19 | 2009-03-05 | エヴェクサー・メディカル・リミテッド | 補強装置 |
| JP2011015966A (ja) | 2009-07-08 | 2011-01-27 | Tyco Healthcare Group Lp | 外科用ガスケット |
| US20120035629A1 (en) | 2007-05-15 | 2012-02-09 | Cook Medical Technologies Llc | Viscerotomy closure device and method of use |
| JP2013525070A (ja) | 2010-05-03 | 2013-06-20 | ジップライン メディカル， インコーポレイテッド | 生検切開閉鎖デバイス |
| JP2013526342A (ja) | 2010-05-11 | 2013-06-24 | エシコン・エンド−サージェリィ・インコーポレイテッド | ステープル留めした組織に対して組織治療組成物を送達する方法及び装置 |
| JP2013123643A (ja) | 2011-12-14 | 2013-06-24 | Covidien Lp | タブを介するバットレスの取り付けを含む外科用ステープリング装置 |
| JP2013154166A (ja) | 2012-01-26 | 2013-08-15 | Covidien Lp | Ｅｅａアンビル用のバットレス支持設計 |
| JP2016540615A (ja) | 2013-11-18 | 2016-12-28 | エシコン・インコーポレイテッドＥｔｈｉｃｏｎ， Ｉｎｃ． | 埋込み型外科用締結装置 |
| US20180214201A1 (en) | 2015-03-20 | 2018-08-02 | Aesculap Ag | Surgical Tissue Fusion Instrument and Support Structure for Same |
Family Cites Families (19)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4930502A (en) * | 1989-01-26 | 1990-06-05 | Chen Fusen H | Anastomosis device |
| US5176703A (en) * | 1991-10-30 | 1993-01-05 | Peterson Meldon L | Sutureless closure for a skin wound or incision |
| RU2142076C1 (ru) | 1998-07-03 | 1999-11-27 | Попов Сергей Анатольевич | Способ работы насосно-эжекторной установки и многоступенчатая насосно-эжекторная установка для его реализации |
| US20050119694A1 (en) * | 2000-05-19 | 2005-06-02 | Jacobs Daniel I. | Remotely anchored tissue fixation device and method |
| US6767972B1 (en) | 2000-09-15 | 2004-07-27 | Eastman Chemical Company | Methods for slowing the degradation rate of biodegradable polymers and biodegradable polymer compositions and compositions thereof |
| US6575988B2 (en) * | 2001-05-15 | 2003-06-10 | Ethicon, Inc. | Deployment apparatus for supple surgical materials |
| MXPA05013759A (es) * | 2003-06-16 | 2006-06-27 | Ethicon Endo Surgery Inc | Sistema quirurgico con un instrumento de engrapado y un retractor. |
| WO2006026634A2 (en) * | 2004-08-31 | 2006-03-09 | Wadsworth Medical Technology, Inc. | Systems and methods for closing a tissue opening |
| EP2452670A1 (en) | 2004-10-01 | 2012-05-16 | Ramscor, Inc. | Conveniently implantable sustained release drug compositions |
| CN101873834B (zh) * | 2007-06-29 | 2012-12-05 | 伊西康内外科公司 | 与外科手术缝合器械一起使用的垫圈 |
| EP2313122B1 (en) | 2008-07-17 | 2019-03-06 | Micell Technologies, Inc. | Drug delivery medical device |
| SE533609C2 (sv) * | 2009-03-25 | 2010-11-02 | Carponovum Ab | Monteringsverktyg för anastomosanordning |
| US9364238B2 (en) * | 2013-04-16 | 2016-06-14 | Ethicon Endo-Surgery, Inc. | Method and apparatus for joining hollow organ sections in anastomosis |
| CN107106195B (zh) * | 2014-12-25 | 2019-08-23 | 奥林巴斯株式会社 | 医疗器具及医疗系统 |
| CN106419982A (zh) * | 2015-08-10 | 2017-02-22 | 李胜文 | 一种生物可吸收缝合组件 |
| CN105342656A (zh) * | 2015-10-19 | 2016-02-24 | 张新平 | 皮肤伤口减张装置 |
| JP2019065058A (ja) | 2016-02-08 | 2019-04-25 | クラスターテクノロジー株式会社 | 白色リフレクター用硬化性エポキシ樹脂組成物及びその硬化物、光半導体素子搭載用基板、光半導体装置、並びに製造方法 |
| CN107174300B (zh) * | 2017-06-22 | 2023-09-12 | 张新平 | 皮肤伤口负压驱动对平愈合器 |
| JP7361041B2 (ja) * | 2018-09-27 | 2023-10-13 | テルモ株式会社 | 癒合促進デバイスおよび医療デバイス |
-
2020
- 2020-03-27 EP EP20776921.7A patent/EP3932439A4/en active Pending
- 2020-03-27 JP JP2021509679A patent/JP7386232B2/ja active Active
- 2020-03-27 CN CN202080020780.XA patent/CN113573747B/zh active Active
- 2020-03-27 WO PCT/JP2020/014298 patent/WO2020196887A1/ja not_active Ceased
-
2021
- 2021-09-27 US US17/486,110 patent/US20220008073A1/en active Pending
Patent Citations (13)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2003533326A (ja) | 2000-05-19 | 2003-11-11 | コアプト システムズ， インコーポレイテッド | 組織近置デバイスおよびその使用方法 |
| JP2007505708A (ja) | 2003-09-17 | 2007-03-15 | ゴア エンタープライズ ホールディングス，インコーポレイティド | 円形ステープラーのバットレス |
| JP2008516669A (ja) | 2004-10-15 | 2008-05-22 | タイコ ヘルスケア グループ エルピー | 吻合のためのシール要素 |
| JP2006255411A (ja) | 2005-03-15 | 2006-09-28 | Tyco Healthcare Group Lp | 吻合複合材ガスケット |
| JP2009508610A (ja) | 2005-09-19 | 2009-03-05 | エヴェクサー・メディカル・リミテッド | 補強装置 |
| US20120035629A1 (en) | 2007-05-15 | 2012-02-09 | Cook Medical Technologies Llc | Viscerotomy closure device and method of use |
| JP2011015966A (ja) | 2009-07-08 | 2011-01-27 | Tyco Healthcare Group Lp | 外科用ガスケット |
| JP2013525070A (ja) | 2010-05-03 | 2013-06-20 | ジップライン メディカル， インコーポレイテッド | 生検切開閉鎖デバイス |
| JP2013526342A (ja) | 2010-05-11 | 2013-06-24 | エシコン・エンド−サージェリィ・インコーポレイテッド | ステープル留めした組織に対して組織治療組成物を送達する方法及び装置 |
| JP2013123643A (ja) | 2011-12-14 | 2013-06-24 | Covidien Lp | タブを介するバットレスの取り付けを含む外科用ステープリング装置 |
| JP2013154166A (ja) | 2012-01-26 | 2013-08-15 | Covidien Lp | Ｅｅａアンビル用のバットレス支持設計 |
| JP2016540615A (ja) | 2013-11-18 | 2016-12-28 | エシコン・インコーポレイテッドＥｔｈｉｃｏｎ， Ｉｎｃ． | 埋込み型外科用締結装置 |
| US20180214201A1 (en) | 2015-03-20 | 2018-08-02 | Aesculap Ag | Surgical Tissue Fusion Instrument and Support Structure for Same |
Also Published As
| Publication number | Publication date |
|---|---|
| US20220008073A1 (en) | 2022-01-13 |
| EP3932439A4 (en) | 2022-04-27 |
| CN113573747A (zh) | 2021-10-29 |
| EP3932439A1 (en) | 2022-01-05 |
| WO2020196887A1 (ja) | 2020-10-01 |
| CN113573747B (zh) | 2023-02-24 |
| JPWO2020196887A1 (https=) | 2020-10-01 |
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