SE448812B - SURGICAL DEVICE FOR CONNECTING THE TAGS OF A PATIENT - Google Patents

SURGICAL DEVICE FOR CONNECTING THE TAGS OF A PATIENT

Info

Publication number
SE448812B
SE448812B SE8500442A SE8500442A SE448812B SE 448812 B SE448812 B SE 448812B SE 8500442 A SE8500442 A SE 8500442A SE 8500442 A SE8500442 A SE 8500442A SE 448812 B SE448812 B SE 448812B
Authority
SE
Sweden
Prior art keywords
fluid
cavity
liquid
band
stomach
Prior art date
Application number
SE8500442A
Other languages
Swedish (sv)
Other versions
SE8500442L (en
SE8500442D0 (en
Inventor
D Hallberg
Original Assignee
Astra Meditec Ab
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Astra Meditec Ab filed Critical Astra Meditec Ab
Priority to SE8500442A priority Critical patent/SE448812B/en
Publication of SE8500442D0 publication Critical patent/SE8500442D0/en
Priority to AU54501/86A priority patent/AU5450186A/en
Priority to EP19860901164 priority patent/EP0248802A1/en
Priority to JP61501049A priority patent/JPH0651041B2/en
Priority to PCT/SE1986/000037 priority patent/WO1986004498A1/en
Publication of SE8500442L publication Critical patent/SE8500442L/en
Priority to DK441586A priority patent/DK168189B1/en
Priority to NO863715A priority patent/NO161242C/en
Publication of SE448812B publication Critical patent/SE448812B/en

Links

Classifications

    • 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
    • A61F5/005—Gastric bands
    • A61F5/0066—Closing devices for gastric bands
    • 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
    • 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
    • A61F5/005—Gastric bands
    • A61F5/0053—Gastric bands remotely adjustable
    • A61F5/0056—Gastric bands remotely adjustable using injection ports

Description

448 812 2 Med anordningen enligt uppfinningen kan bandet inplaceras runt magsäcken fylld med en förutbestämd mängd fluidum i hålrummet som ger den avsedda förträngningen av magsäcken. Om senare denna förträngning visar sig vara för trång eller för vid kan den vidgas eller förträngas i önskad utsträckning genom insättande av en sprutspets genom patientens hud in i injektionsporten och utdragning respektive insprutning av fluidum. With the device according to the invention, the band can be placed around the stomach filled with a predetermined amount of fluid in the cavity which gives the intended narrowing of the stomach. If later this narrowing turns out to be too narrow or too wide, it can be dilated or narrowed to the desired extent by inserting a syringe tip through the patient's skin into the injection port and extracting or injecting fluid, respectively.

Enligt en föredragen utföringsform av uppfinningen utsträcker sig hâlrummet längs en mellandel av bandet, varvid bandet har fria ändar anordnade att kunna sammanfogas med varandra. Sammanfogningen kan företrädesvis ske genom att de fria bandändarna lägges omlott och sutureras saman. För detta ändamål kan bandet innehålla en förstärkning exempelvis en nätarmering som hindrar suturen från att skära upp den- samma.According to a preferred embodiment of the invention, the cavity extends along an intermediate part of the belt, the belt having free ends arranged to be able to be joined together. The joining can preferably take place by wrapping the free band ends and suturing them together. For this purpose, the band may contain a reinforcement, for example a mesh reinforcement, which prevents the suture from cutting it open.

Det är föredraget att förse bandet med ett antal fästöron för suturering av bandet till kroppsvävnader, lämpligen till magsäckens yttervägg.It is preferred to provide the band with a number of attachment ears for suturing the band to body tissues, preferably to the outer wall of the stomach.

Fluidet i anordningen kan vara en gas men är företrädesvis en vätska.The fluid in the device may be a gas but is preferably a liquid.

Vid val av vätska bör hänsyn tas till att densamma inte i någon väsent- lig grad skall kunna penetrera väggmaterialet i hålrummet, ledningen och injektionsporten. Likväl bör beaktas att vätskan bör vara fysiolog- iskt oskadlig för den händelse att den ändå skulle komma ut i organismen exempelvis på grund av skada som tillfogas anordningen, felaktigt handhavande eller materialfel. Osmolärt aktiva eller inaktiva vätskor kan användas. En föredragen vätska är en olja såsom jordnötsolja, sojaolja, annan vegetabilisk olja eller paraffinolja. Andra föredragna vätskor är vatten, dextranlösning eller koksaltlösning, företrädesvis isoton koksaltlösning. vätskan kan vid behov innehålla bakteriostatiskt verkande ämnen.When choosing a liquid, it should be taken into account that it should not be able to penetrate the wall material in the cavity, the pipe and the injection port to any significant degree. Nevertheless, it should be taken into account that the liquid should be physiologically harmless in the event that it would still enter the organism, for example due to damage caused to the device, incorrect handling or material defects. Osmolar active or inactive liquids can be used. A preferred liquid is an oil such as peanut oil, soybean oil, other vegetable oil or paraffin oil. Other preferred liquids are water, dextran solution or brine, preferably isotonic brine. the liquid may, if necessary, contain bacteriostatic agents.

Injektionsporten kan utföras på i och för sig känt sätt, men består företrädesvis av en bägarformig kropp i vars inre ledningen för fluidet utmynnar, vilken kropp är ingjuten i mjukt, för en injektionsspets penetrerbart material.The injection port can be made in a manner known per se, but preferably consists of a cup-shaped body in the inner conduit of the fluid, which body is molded in softly, for a penetrable material which can be penetrated.

Upfinningen beskrives närmare med hänvisning till bifogade ritningar där 448 812 Fig. l är en vy uppifrån av en anordning enligt uppfinningen, Fig. 2 är en vy snett underifrån av bandet som ingår i anordningen i fig. l; och Fig. 3 är en översiktsbild som schematiskt visar en anordning enligt uppfinningen placerad runt magsäcken.The invention is described in more detail with reference to the accompanying drawings, in which 448 812 Fig. 1 is a top view of a device according to the invention, Fig. 2 is a view obliquely from below of the belt included in the device in Fig. 1; and Fig. 3 is an overview view schematically showing a device according to the invention placed around the stomach.

Anordningen enligt uppfinningen betecknas med l och innefattar ett band 2, vilket på sin ena sida har ett vätskefyllt hålrum 3 som har en flexibel vägg 4. Hålrummet står i vätskeförbindelse med en ledning 5 för iätskan vilken mynnar i en injektionsport 6. Ledningen 5 kan av kirurgen vid behov avkapas och sammanfogas till en för den enskilde patienten passande längd, och kan för detta ändamål vara utrustat med ett skarvrör (ej visat).The device according to the invention is denoted by 1 and comprises a band 2, which on one side has a liquid-filled cavity 3 which has a flexible wall 4. The cavity is in liquid communication with a conduit 5 for the liquid which opens into an injection port 6. The conduit 5 can if necessary, the surgeon is cut off and joined to a length suitable for the individual patient, and may for this purpose be equipped with a splice tube (not shown).

Bandet 2 innefattar en stödremsa 7 av material med tillräcklig flexibi- litet för att kunna sammanfogas till en ring och ej orsaka trauma på vävnadsdelar i beröring därmed. I stödremsan är en nätarmering 8 inlagd. Hâlrummet 3 utgöres enligt fig. l och 2 av en till stödremsan limmad, i ändarna försluten slang. Alternativt kan stödremsan 6 utgöra hålrummets ena vägg. Hålrummets andra vägg 4 är avsedd att vändas in mot magsäcken vid applicering och är utförd i mjukt flexibelt material för att kunna expandera vid fyllning med vätska. Denna vägg 4 kan eventuellt vara utförd i elastiskt material.The band 2 comprises a support strip 7 of material with sufficient flexibility to be able to be joined to a ring and not cause trauma to tissue parts in contact therewith. A mesh reinforcement 8 is inserted in the support strip. According to Figs. 1 and 2, the cavity 3 consists of a hose glued to the support strip, closed at the ends. Alternatively, the support strip 6 may form one wall of the cavity. The second wall 4 of the cavity is intended to face the stomach during application and is made of soft flexible material to be able to expand when filling with liquid. This wall 4 may optionally be made of elastic material.

Injektionsporten 5 innehåller en bägarformig kropp 9 antydd med strecka- de linjer i fig. l ingjuten i ett hölje l0 av mjukt material.The injection port 5 contains a cup-shaped body 9 indicated by dashed lines in Fig. 1 cast in a casing 10 of soft material.

I fig. 2 är med en pil visat hur vätska införas via ledningen 5 för fluidet i hâlrummet 3 som där är visat i delvis expanderat tillstånd.Fig. 2 shows with an arrow how liquid is introduced via the line 5 for the fluid in the cavity 3 which is shown there in a partially expanded state.

I fig. 3 betecknas magsäcken med ll och det till en ring sammanfogade bandet med 12.In Fig. 3, the stomach is denoted by ll and the band joined to a ring by 12.

Företrädesvis kan bandets längd vara mellan 60 och 200 mm, varav hâlrum- met upptar mellan 40 och l70 mm, och bredden mellan 5 och 20 mm. Vätske- volymen i hålrummet i fullständigt expanderat tillstånd kan lämpligen 448 812 vara melïan 2 och 20 m1. Med val av dessa parametrar, material och godstjockïek kan den fria tvärsnittsarean som definieras av bandet i ringform fås att minska med ca 80% från en största area som är me11an 150 och 2500 mma.Preferably, the length of the strip can be between 60 and 200 mm, of which the cavity occupies between 40 and l70 mm, and the width between 5 and 20 mm. The volume of liquid in the cavity in the fully expanded state may suitably be 448,812 melian 2 and 20 ml. With the choice of these parameters, materials and wall thickness, the free cross-sectional area defined by the belt in annular shape can be reduced by about 80% from a largest area of between 150 and 2500 mma.

Materia1et i anordningen bör vara fysíoïogiskt oskad1ígt och icke vävnadsirriterande för a11a deïar som kommer i kontakt med kroppsvävna- der. Bandet, hâ1rummets väggar, ïedningen och injektionsportens yttre del kan Iämpïígen utföras i siïikongummi medan injektionsportens bägar- formiga kropp ïämpïigen kan utföras i HD-polyeten eller nyïon.The material in the device should be physiologically harmless and non-tissue irritating to any person who comes in contact with body tissues. The band, the walls of the cavity, the lead and the outer part of the injection port can suitably be made of silicone rubber, while the cup-shaped body of the injection port can suitably be made of HD polyethylene or nylon.

Claims (7)

10 20 25 30 35 448 812 Patentkrav10 20 25 30 35 448 812 Patent claims 1. l. Kirurgisk anordning för ombindning av magsäcken hos en patient, innefattande ett band (2) anordnat att sammanfogas till en ring runt magsäcken, kännetecknad därav, att bandet har ett fluidumfyllt hâlrum (3) med flexibel vägg (4), vilken vid applicering orienteras in mot magsäcken, i vilket hâlrum mängden fluidum kan ökas eller minskas via en med hålrummet förbunden ledning (5) för fluidet utmynnande i en injektionsport (6) avsedd att placeras under patientens hud, varvid uppnås en minskning respektive ökning av den fria tvärsnittsarea som definieras av nämnda ring.A surgical device for tying the stomach of a patient, comprising a band (2) arranged to be joined to a ring around the stomach, characterized in that the band has a fluid-filled cavity (3) with flexible wall (4), which at application is oriented towards the stomach, in which cavity the amount of fluid can be increased or decreased via a conduit (5) connected to the cavity for the fluid opening into an injection port (6) intended to be placed under the patient's skin, thereby reducing or increasing the free cross-sectional area. defined by said ring. 2. Anordning enligt krav l, kännetecknad därav, att hålrummet utsträcker sig längs en mellandel av bandet och att bandet har fria ändar anordnade att kunna sammanfogas med varandra.Device according to claim 1, characterized in that the cavity extends along an intermediate part of the belt and that the belt has free ends arranged to be able to be joined together. 3. Anordning enligt krav l eller 2, kännetecknad därav, att bandet har ett antal fästöron för suturering av detsamma till kroppsvävnader.Device according to claim 1 or 2, characterized in that the band has a number of fastening ears for suturing the same to body tissues. 4. Anordning enligt ett eller flera av föregående krav, kännetecknad därav, att fluidet är en vätska.Device according to one or more of the preceding claims, characterized in that the fluid is a liquid. 5. Anordning enligt krav 4, kännetecknad därav, att vätskan är en olja.Device according to claim 4, characterized in that the liquid is an oil. 6. Anordning enligt krav 4, kännetecknad därav, att vätskan är en isoton koksaltlösning.Device according to claim 4, characterized in that the liquid is an isotonic saline solution. 7. Anordning enligt ett eller flera av föregående krav, kännetecknad därav, att injektionsporten består av en bägarformig kropp (9) i vars inre ledningen för fluidet utmynnar, vilken kropp är ingjuten i mjukt, för en injektionsspets penetrerbart material (10).Device according to one or more of the preceding claims, characterized in that the injection port consists of a cup-shaped body (9) in whose inner conduit for the fluid, which body is softly molded, opens for a penetrable material (10).
SE8500442A 1985-02-01 1985-02-01 SURGICAL DEVICE FOR CONNECTING THE TAGS OF A PATIENT SE448812B (en)

Priority Applications (7)

Application Number Priority Date Filing Date Title
SE8500442A SE448812B (en) 1985-02-01 1985-02-01 SURGICAL DEVICE FOR CONNECTING THE TAGS OF A PATIENT
AU54501/86A AU5450186A (en) 1985-02-01 1986-01-30 Surgical device
EP19860901164 EP0248802A1 (en) 1985-02-01 1986-01-30 Surgical device
JP61501049A JPH0651041B2 (en) 1985-02-01 1986-01-30 Surgical equipment
PCT/SE1986/000037 WO1986004498A1 (en) 1985-02-01 1986-01-30 Surgical device
DK441586A DK168189B1 (en) 1985-02-01 1986-09-15 Surgical device for binding a patient's stomach
NO863715A NO161242C (en) 1985-02-01 1986-09-17 SURGICAL DEVICE FOR CONNECTING THE STOMACH TO A PATIENT.

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
SE8500442A SE448812B (en) 1985-02-01 1985-02-01 SURGICAL DEVICE FOR CONNECTING THE TAGS OF A PATIENT

Publications (3)

Publication Number Publication Date
SE8500442D0 SE8500442D0 (en) 1985-02-01
SE8500442L SE8500442L (en) 1986-08-02
SE448812B true SE448812B (en) 1987-03-23

Family

ID=20358963

Family Applications (1)

Application Number Title Priority Date Filing Date
SE8500442A SE448812B (en) 1985-02-01 1985-02-01 SURGICAL DEVICE FOR CONNECTING THE TAGS OF A PATIENT

Country Status (6)

Country Link
EP (1) EP0248802A1 (en)
JP (1) JPH0651041B2 (en)
AU (1) AU5450186A (en)
DK (1) DK168189B1 (en)
SE (1) SE448812B (en)
WO (1) WO1986004498A1 (en)

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US5601604A (en) * 1993-05-27 1997-02-11 Inamed Development Co. Universal gastric band
US5771903A (en) * 1995-09-22 1998-06-30 Kirk Promotions Limited Surgical method for reducing the food intake of a patient
FR2783153B1 (en) 1998-09-14 2000-12-01 Jerome Dargent GASTRIC CONSTRICTION DEVICE
IT1315260B1 (en) * 1999-12-07 2003-02-03 Valerio Cigaina REMOVABLE GASTRIC BANDAGE
FR2834444B1 (en) 2002-01-09 2004-10-29 Sofradim Production GASTRIC RING OF TREATMENT OF OBESITY
FR2834443B1 (en) 2002-01-09 2004-04-02 Sofradim Production GASTRIC RING OF TREATMENT OF OBESITY
FR2834445B1 (en) 2002-01-09 2004-04-02 Sofradim Production GASTRIC RING OF TREATMENT OF OBESITY
US7951067B2 (en) 2003-06-27 2011-05-31 Ethicon Endo-Surgery, Inc. Implantable band having improved attachment mechanism
US7500944B2 (en) 2003-06-27 2009-03-10 Ethicon Endo-Surgery, Inc. Implantable band with attachment mechanism
US20040267291A1 (en) * 2003-06-27 2004-12-30 Byrum Randal T. Implantable band with non-mechanical attachment mechanism
US7594885B2 (en) * 2004-02-20 2009-09-29 Ethicon Endo-Surgery, Inc. Method for implanting an adjustable band
US7311716B2 (en) 2004-02-20 2007-12-25 Ethicon Endo-Surgery, Inc. Surgically implantable adjustable band having a flat profile when implanted
FR2867062B1 (en) * 2004-03-04 2006-05-12 Dedienne Sante GASTRIC IMPLANT
US7955357B2 (en) 2004-07-02 2011-06-07 Ellipse Technologies, Inc. Expandable rod system to treat scoliosis and method of using the same
US7618365B2 (en) 2005-07-15 2009-11-17 Ethicon Endo-Surgery, Inc. Method of implating a medical device using a suture tab extender
US7367937B2 (en) * 2005-07-15 2008-05-06 Ethicon Endo-Surgey, Inc. Gastric band
US7766815B2 (en) 2005-07-28 2010-08-03 Ethicon Endo-Surgery, Inc. Electroactive polymer actuated gastric band
US7862502B2 (en) 2006-10-20 2011-01-04 Ellipse Technologies, Inc. Method and apparatus for adjusting a gastrointestinal restriction device
US8057472B2 (en) 2007-10-30 2011-11-15 Ellipse Technologies, Inc. Skeletal manipulation method
US11202707B2 (en) 2008-03-25 2021-12-21 Nuvasive Specialized Orthopedics, Inc. Adjustable implant system
US8382756B2 (en) 2008-11-10 2013-02-26 Ellipse Technologies, Inc. External adjustment device for distraction device
US8197490B2 (en) 2009-02-23 2012-06-12 Ellipse Technologies, Inc. Non-invasive adjustable distraction system
US9622792B2 (en) 2009-04-29 2017-04-18 Nuvasive Specialized Orthopedics, Inc. Interspinous process device and method
US9248043B2 (en) 2010-06-30 2016-02-02 Ellipse Technologies, Inc. External adjustment device for distraction device
US8734488B2 (en) 2010-08-09 2014-05-27 Ellipse Technologies, Inc. Maintenance feature in magnetic implant
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US10743794B2 (en) 2011-10-04 2020-08-18 Nuvasive Specialized Orthopedics, Inc. Devices and methods for non-invasive implant length sensing
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CN104902854B (en) 2012-10-29 2017-10-03 诺威适骨科专科公司 The adjustable apparatus scorching for treating knee endoprosthesis
US10751094B2 (en) 2013-10-10 2020-08-25 Nuvasive Specialized Orthopedics, Inc. Adjustable spinal implant
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CA1156003A (en) * 1979-10-30 1983-11-01 Juan Voltas Baro Apparatus for the continence of digestive stomas and anal incontinence

Also Published As

Publication number Publication date
SE8500442L (en) 1986-08-02
EP0248802A1 (en) 1987-12-16
DK441586A (en) 1986-09-15
JPS62501542A (en) 1987-06-25
SE8500442D0 (en) 1985-02-01
DK168189B1 (en) 1994-02-28
WO1986004498A1 (en) 1986-08-14
AU5450186A (en) 1986-08-26
JPH0651041B2 (en) 1994-07-06
DK441586D0 (en) 1986-09-15

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