KR940702705A - 방광뇨광성 역류의 내시경 치료용 분리성 벌룬 카테테르(detachable balloon catheter for endoscopic treatments of vesicoureteral reflux) - Google Patents

방광뇨광성 역류의 내시경 치료용 분리성 벌룬 카테테르(detachable balloon catheter for endoscopic treatments of vesicoureteral reflux)

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Publication number
KR940702705A
KR940702705A KR1019940701315A KR19940701315A KR940702705A KR 940702705 A KR940702705 A KR 940702705A KR 1019940701315 A KR1019940701315 A KR 1019940701315A KR 19940701315 A KR19940701315 A KR 19940701315A KR 940702705 A KR940702705 A KR 940702705A
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South Korea
Prior art keywords
balloon structure
balloon
bladder
inflating
target site
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KR1019940701315A
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English (en)
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KR100252548B1 (ko
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아탈라 안쏘니
만델 제임스
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윌리암 뉴
칠드런스 메디칼 센터 코포레이션(Children's Medical Center Corporation)
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Publication of KR940702705A publication Critical patent/KR940702705A/ko
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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
    • A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12099—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
    • A61B17/12136—Balloons
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/20—Measuring for diagnostic purposes; Identification of persons for measuring urological functions restricted to the evaluation of the urinary system
    • 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
    • A61M25/00—Catheters; Hollow probes
    • A61M25/10—Balloon catheters
    • A61M2025/1043—Balloon catheters with special features or adapted for special applications
    • A61M2025/1054—Balloon catheters with special features or adapted for special applications having detachable or disposable balloons

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Reproductive Health (AREA)
  • Vascular Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Biophysics (AREA)
  • Urology & Nephrology (AREA)
  • Physics & Mathematics (AREA)
  • Physiology (AREA)
  • Pathology (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Materials For Medical Uses (AREA)
  • Surgical Instruments (AREA)
  • Endoscopes (AREA)
  • Prostheses (AREA)

Abstract

분리성 벌룬 카테테르(28)가 방광경 바늘(26)과 같은 내시경 기구에 포함되어 있는 방광뇨광성 역류 치료방법 및 시스템이 개시되어 있다. 바늘은 방광경(12)을 통하여 유도되고, 역류하는 요관(42)의 요도하영역(44)에 삽입된다. 벌룬(30)을 운반하는 카테테르 또는 유사한 유동장치를 요도하영역(44)에 삽입한다. 다음에, 벌룬을 바람직하게는 불활성 생융화성 물질로 충전시켜서 팽창시킨 후, 밀봉한다. 팽창 후, 벌룬은 분리되고, 포켓에 잔류하여 방광(40) 및 요관(40)의 전이부가 재성형되어 역류를 방지하게 된다.

Description

방광뇨광성 역류의 내시경 치료용 분리성 벌룬 카테테르(DETACHABLE BALLOON CATHETER FOR ENDSCOPIC TREATMENTS OF VESICOURETERAL REFLUX)
본 내용은 요부공개 건이므로 전문내용을 수록하지 않았음
제1도는 본 발명에 따른 시스템의 도시도이고;
제2A도는 벌룬 구조물을 팽창시키기 전에 제1도의 시스템의 말단첨단의 보다 상세한 도식도이고;
제2B도는 팽창하고 있는 벌룬 수단을 나타내는 제2A의 시스템의 다른도이고;
제2C도는 팽창된 벌룬 수단이 박리된 것을 나타내는 제2B도 시스템의 다른도이고;
제3A도는 포켓이 요도하 영역에 형성되는 본 발명의 방법에 따른 최초 단계를 나타내는 도식이고, 그리고
제3B도는 포켓내의 벌룬이 팽창된 후 박리되는 제3A도의 방법의 후속단계를 나타내는 다른 도식도이다.

Claims (15)

  1. 역류경향의 방광의 요도하 영역에 벌룬구조물을 삽입하는 단계; 상기 벌룬 구조물을 팽창시키는 단계; 및 요관이 재배치되어 유능한 요관 방광 이행부를 제공하도록 상기 벌룬 구조물을 그 위치에 고정시키는 단계로 구성된 방광뇨광성 역류의 치료방법.
  2. 제1항에 있어서, 요도하 영역에 벌룬 구조물을 삽입하기 위한 포켓을 형성하는 단계를 더 포함하는 것을 특징으로 하는 방법.
  3. 제1항에 있어서, 상기 벌룬 구조물은 방광의 점막층 및 하부점막층 사이에 삽입되는 것을 특징으로 하는 방법.
  4. 제1항에 있어서, 벌룬 구조물을 생융화성 물질로 충전하는 단계를 더 포함하는 것을 특징으로 하는 방법.
  5. 제4항에 있어서, 상기 충전물질은 중합성 용액임을 특징으로 하는 방법.
  6. 제4항에 있어서, 상기 충전물질을 고체화하는 단계를 더 포함하는 것을 특징으로 하는 방법.
  7. 제1항에 있어서, 요관터널을 재성형하도록 상기 벌룬 구조물을 팽창시키는 단계를 더 포함하는 것을 특징으로 하는 방법.
  8. 방광경; 분리성 벌룬 구조물을 배치하기 위하여, 상기 방광경을 경유하여 방광에 삽입하는데 적합한 유도수단; 및 방광의 요도하 영역내에서 상기 벌룬 구조물을 팽창 및 고정시켜 역류를 완화하는 수단을 포함하는 방광 뇨광성 역류 치료시스템.
  9. 제8항에 있어서, 요도하 영역에 포켓을 형성하기 위한 배치수단을 더 포함하는 것을 특징으로 하는 시스템.
  10. 제8항에 있어서, 상기 벌룬 구조물을 팽창시키는 수단은 상기 벌룬 구조물을 생융화성 물질로 충전시키는 수단을 더 포함하는 것을 특징으로 하는 시스템.
  11. 제8항에 있어서, 상기 벌룬 구조물을 팽창시키는 수단은 상기 벌룬 구조물을 그 자리에서 고화하는 중합성 물질로 충전시키는 수단을 더 포함하는 것을 특징으로 하는 시스템.
  12. 제8항에 있어서, 벌룬 구조물은 탄성 팽창성 요소 및 팽창 후 상기 구조물을 밀봉시키기 위한 밀봉수단을 더 포함하는 것을 특징으로 하는 시스템.
  13. 제12항에 있어서, 탄성 팽창성 요소는 실리콘 고무 벌룬을 더 포함하는 것을 특징으로 하는 시스템.
  14. 제12항에 있어서, 상기 밀봉수단은 괄약적 칼라(constrictive collor)를 더 포함하는 것을 특징으로 하는 시스템.
  15. 제12항에 있어서, 상기 밀봉수단은 립씰(lip seal)을 더 포함하는 것을 특징으로 하는 시스템.
    ※ 참고사항 : 최초출원 내용에 의하여 공개하는 것임.
KR1019940701315A 1991-10-24 1992-10-23 방광요관 역류의 내시경 치료용의 탈착 가능한 벌룬 카테테르 KR100252548B1 (ko)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US07/782,058 US5304123A (en) 1991-10-24 1991-10-24 Detachable balloon catheter for endoscopic treatment of vesicoureteral reflux
US07/782,058 1991-10-24
US7/782,058 1991-10-24
PCT/US1992/009037 WO1993007815A1 (en) 1991-10-24 1992-10-23 Detachable balloon catheter for endoscopic treatment of vesicoureteral reflux

Publications (2)

Publication Number Publication Date
KR940702705A true KR940702705A (ko) 1994-09-17
KR100252548B1 KR100252548B1 (ko) 2000-07-01

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KR1019940701315A KR100252548B1 (ko) 1991-10-24 1992-10-23 방광요관 역류의 내시경 치료용의 탈착 가능한 벌룬 카테테르

Country Status (12)

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US (2) US5304123A (ko)
EP (1) EP0609386B1 (ko)
JP (1) JP3217062B2 (ko)
KR (1) KR100252548B1 (ko)
AT (1) ATE142455T1 (ko)
AU (1) AU661351B2 (ko)
CA (1) CA2122039C (ko)
DE (1) DE69213754T2 (ko)
DK (1) DK0609386T3 (ko)
ES (1) ES2092702T3 (ko)
GR (1) GR3021707T3 (ko)
WO (1) WO1993007815A1 (ko)

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DE69213754T2 (de) 1997-04-03
DK0609386T3 (da) 1996-12-09
AU661351B2 (en) 1995-07-20
ES2092702T3 (es) 1996-12-01
US5304123A (en) 1994-04-19
EP0609386A1 (en) 1994-08-10
JPH07502426A (ja) 1995-03-16
AU2921592A (en) 1993-05-21
JP3217062B2 (ja) 2001-10-09
ATE142455T1 (de) 1996-09-15
WO1993007815A1 (en) 1993-04-29
CA2122039A1 (en) 1993-04-29
US5411475A (en) 1995-05-02
DE69213754D1 (de) 1996-10-17
CA2122039C (en) 2004-01-27
EP0609386B1 (en) 1996-09-11
GR3021707T3 (en) 1997-02-28
KR100252548B1 (ko) 2000-07-01

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