TR201808066A2 - COPD PEELING BALLOON CATHETER SYSTEM AND APPLICATION METHOD - Google Patents
COPD PEELING BALLOON CATHETER SYSTEM AND APPLICATION METHOD Download PDFInfo
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- TR201808066A2 TR201808066A2 TR2018/08066A TR201808066A TR201808066A2 TR 201808066 A2 TR201808066 A2 TR 201808066A2 TR 2018/08066 A TR2018/08066 A TR 2018/08066A TR 201808066 A TR201808066 A TR 201808066A TR 201808066 A2 TR201808066 A2 TR 201808066A2
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Abstract
Buluşumuz; Bronkoskoplar veya Endoskoplar ve/veya Rijit ve/veya Fleksibl endoskopların çalışma kanalları kullanılarak Trakeo Bronşiyal,Vasküler, Özofageal,Üretral,Vajinal, Gastrointestinal v.b. gibi içi boş Tübüler Organlarda görülen Endoluminal ve/veya Endobronşiyal Benin, Premalin ve/veya Malin doku ve/veya hipertrofik hücresel büyümelerin ve/veya hiperplazik hücresel oluşumların ve/veya katılaşmış akciğer sıvıları gibi istenmeyen biyolojik materyallerin ve/veya lezyonların, sekresyonların, vücut sıvılarının ve/veya biyolojik oluşumlarının yerleşmiş oldukları mukoza yüzeylerinden mukozaya zarar vermeden soyularak ve/veya kazıyarak çıkarılmasını sağlamak üzere geliştirilmiş KOAH peeling balon katater sistemi ve uygulama metoduna ilişkindirOur invention; Tracheal Bronchial, Vascular, Esophageal, Urethral, Vaginal, Gastrointestinal, etc. using bronchoscopes or Endoscopes and / or the working channels of Rigid and / or Flexible endoscopes. Endoluminal and / or Endobronchial Benin, Premaline and / or Malignant tissue and / or hypertrophic cellular growth and / or hyperplasic cellular formations and / or undesirable biological materials and / or lesions, secretions, body fluids, etc. and / or the peeling balloon catheter system and the method of administration developed to allow peeling and / or scraping of their biological formations from the mucosal surfaces on which they are located without damaging the mucosa.
Description
TARIFNAME KOAH PEELING BALON KATATER SISTEMI ve UYGULAMA METODU Bulusun dahil oldugu teknik alan; Bulus konusu; Bronkoskoplar veya Endoskoplar ve/veya Rij it ve/veya Fleksibl endoskoplarin çalisma kanallari kullanilarak Trakeobronsiya1,Vasküler, Özofageal,Üretra1,Vajinal, Gastrointestinal vb. gibi içi bos Tübüler Organlarda görülen Endoluminal ve/veya Endobronsiyal Benign, Premalign ve/veya Malign doku ve/veya hipertrofik hücresel büyüinelerin ve/veya hiperplazik hücresel olusumlarin ve/veya katilasmis akciger sivilari gibi istenmeyen biyolojik materyallerin ve/veya lezyonlarin, sekresyonlarin, vücut sivilarinin ve/veya biyolojik olusumlarinin yerlesmis olduklari mukoza yüzeylerinden mukozaya zarar vermeden soyularak ve/veya kazimak suretiyle çikarilmasini saglamak üzere gelistirilmis KOAH peeling balon katater sistemi ve uygulama metoduna iliskindir. DESCRIPTION COPD PEELING BALLOON CATHETER SYSTEM AND APPLICATION METHOD The technical field in which the invention is involved; Subject of the invention; Bronchoscopes or Endoscopes and/or Rigid and/or Flexible endoscopes using working channels, Tracheobronchial1, Vascular, Esophageal, Urethra1, Vaginal, Gastrointestinal etc. Endoluminal and/or Endobronchial Benign, Premalignant and/or Malignant tissue and/or hypertrophic cellular such as growths and/or hyperplasic cellular formations and/or solidified lung fluids. unwanted biological material and/or lesions, secretions, body fluids and/or damage to the mucosa from the mucous surfaces on which their biological formations are located It has been developed to allow it to be removed by peeling and/or scraping without COPD peeling is related to the balloon catheter system and application method.
Teknigin bilinen durumu; Kronik ObstüriktifAkciger Hastaligi, KOAH*a bagli bozukluk; solunum elastik recoil (pompa) özelligi ile kas gücü metabolizmasi ve fonksiyonlarinin bozulmasiyla ortaya çikmaktadir. State of the art; Chronic Obstructive Pulmonary Disease, COPD* related disorder; breathing elastic recoil (pump) It arises with the deterioration of muscle power metabolism and functions.
KOAHHn temel Özelligi; kronik, geri dönüsümsüz, ilerleyici hava yolu obstrüksiyonudur. The main feature of COPD; It is chronic, irreversible, progressive airway obstruction.
(Bronkodilatör ve oksijen tedavisi ile semptomlar azaltilmakta, yasam süresi uzatilmaktadir.) Ancak birçok olguda hastaligin gidisi, sakatlik yaratacak düzeyde dispne ve akciger fonksiyonlarindaki kötülesmeye bagli hastane basvurularinin artmasi seklindedir. Ilerleyici fonksiyon kaybi olan bu olgularin prognozu kötüdür. Kor pulmonalesi olan ve evde uzun süreli oksijen tedavisi alan olgularda üç yillik sag kalim %42 olarak bulunmustur. Gore ve arkadaslarinin çalismasinda, ciddi KOAH”li olgularin günlük yasam aktiviteleri, fiziksel, sosyal ve emosyonel fonksiyonlari inoperabl küçük hücreli disi akciger karsinomu olan olgulardan daha kötü bulunmustur. Ayrica KOAH,11 olgularin %90,1nda depresyon ve anksiyete saptanirken, bu oran malignitesi olan grupta %52 olarak tespit edilmistir. KOAH'li olgularin kanserli olgulara göre hastaliklari hakkinda daha az bilgi sahibi olduklari, daha az sosyal destek gördükleri ve yasam sürelerinin daha kisitli oldugu bildirilmektedir. (Symptoms are reduced and life expectancy is prolonged with bronchodilator and oxygen therapy.) However, in many cases, the course of the disease causes disabling dyspnea and lung It is in the form of an increase in hospital admissions due to worsening of their functions. progressive The prognosis of these cases with loss of function is poor. Those with cor pulmonale and long-term Three-year survival was found to be 42% in patients receiving oxygen therapy. gore and In the study of his friends, the daily living activities of patients with severe COPD, physical, non-small cell non-small cell lung carcinoma with inoperable social and emotional functions worse than cases. In addition, depression and depression in 90.1% of COPD,11 cases anxiety was detected, this rate was found to be 52% in the group with malignancy. with COPD that the patients have less information about their disease than the cancer patients, It is reported that they receive social support and their life span is more limited.
Bu nedenle, kanserli olgularda palyatif yaklasimlarin hemen uygulanmaya basladigi ancak KOAH7li olgularin bu hizmetlerden yoksun kaldiklari vurgulanmaktadir. Akcigerlerde kronik obstüriktif hastaliga neden olan sekresyonlarin ve/veya Benign, Premalign ve/veya doku ve/veya hipertrotîk hücresel büyümelerin ve/veya hiperplazik olusumlarin bronslarin iç yüzeyine zarar vermeden kzinmasi ve/veya soyularak herhangi bir kanamaya ve/veya perforasyona neden olmadan çikarilarak temizlenmesi hayati önem arz etmektedir. For this reason, palliative approaches are started to be applied immediately in cancer cases, but It is emphasized that COPD patients are deprived of these services. chronic in lungs of secretions and/or Benign, Premalignant and/or tissue causing obstructive disease and/or hypertrophic cellular growths and/or hyperplasic formations without damaging the surface of any bleeding and/or peeling and/or peeling. It is vital to remove and clean without causing perforation.
Insan vücudu çesitli fizyoloj ik akiskanlarin aktigi çok sayida boru sekilli kanal içerir.Bu tübüler organlar,bronslar,damarlar ve kanallar arasinda pulmoner sistem,vasküler sistem, ürolojik sistem,nörolojik sistem,ku1ak burun bogaz sistemi, gastro intestinal sistem ve diger vücut kanallari bulunur. Bu kanallardan geçen akiskanlar,engeller veya akis geçidindeki diger obstüriktif olusumlar ile kisitlanabilir.Ömegin,KOAH'li hastanin akcigerlerinde ki hava yollarinda sekresyonlarin katilasarak birikmesi ve/veya Benign,Premalign ve Malign doku ve/veya hücresel büyümelerin(hipertrofi),hiperplazik olusumlarin bir tikaniklik yaratmasi, hastanin akcigerinin belirli bir kismina hava akisini kisitlayabilir veya durdurabilir.lkinci bir örnek olarak, vasküler sistemde meydana gelen bir tikaniklik belli bir organin belli bir bölgesine kan akisini azaltabilir veya durdurabilir. Üçüncü bir örnek olarak, genislemis bir prostata bagli idrar yolundaki bir tikaniklik, sivilarin üretral kanaldan geçisini kisitlayabilir. The human body contains many tubular channels through which various physiological fluids flow. organs,bronchi,veins and ducts between pulmonary system,vascular system,urological system, neurological system, ear nose throat system, gastrointestinal system and other body channels are available. Fluids passing through these channels, obstacles or other It can be restricted by obstructive formations. For example, the air in the lungs of a patient with COPD consolidation of secretions and/or Benign, Premalignant and Malignant tissue and/or cellular growths (hypertrophy), hyperplasic formations creating a blockage, can restrict or stop airflow to a specific part of the patient's lung. For example, an obstruction in the vascular system is It can reduce or stop blood flow to the area. As a third example, an enlarged An obstruction in the urinary tract due to the prostate can restrict the passage of fluids through the urethral canal.
Istenmeyen ve/veya yasami tehdit eden Benign, Premalign ve Mali gn doku ve/veya hipertrof ik hücresel büyümelerin ve/veya hiperplazik olusumlarin ve/veya katilasmis akciger sivilari gibi istenmeyen biyolojik materyal]erin,sekresy0nlarin,Vücut sivilarinin ve/veya biyolojik olusumlarinin organlar,bronslar,damarlar ve çesitli tübüler vücut bosluklarinin iç kisimlarindan çikartilmasi pulmonoloji,kardiyoloji,ür010ji,jinek010ji,gastr0enteroloji,nöroloji, kulak burun bogaz, ortopedi ve genel cerrahi gibi çesitli tibbi uzmanlik ve disiplinlerde çok yaygin bir prosedürdür. Undesirable and/or life-threatening Benign, Premalignant and Malignant tissue and/or hypertrophic such as cellular outgrowths and/or hyperplasic formations and/or solidified lung fluids. unwanted biological materials, secretions, body fluids and/or biological of their formation from the interior of organs, bronchi, vessels and various tubular body cavities. removal pulmonology,cardiology,ur010ji,gynec010ji,gastr0enterology,neurology,ear nose widely used in various medical specialties and disciplines such as throat, orthopedics and general surgery. is the procedure.
Bu prosedürlerin önemli komplikasyonlari vardir.Bilinen cerrahi prosedürlerin veya rezeksiyon uygulamalarinin çogunda ortaya çikan perforasyon ve/veya kanama ve sonuçta ortaya çikan morbidite, asindirici, travmatik ve invaziv eksizyon ve rezeksiyon tekniklerinin bir sonucudur.Bu tekniklerin birçogu,prosedürün yapildigi lümünde perforasyon riskini dogurmakta,bu da cerrah ve hasta için ciddi komplikasyonlara neden olmaktadir. Bununla birlikte, bu özel araçlarin ve onlari kullanma yöntemlerinin dezavantajlari vardir.Bu uygulamalarin en sik karsilasilan komplikasyonu perforasyon,deformasy0n ve/veya masif kanamadir.Bu tedavi yöntemleri travmatik olabilir.Ayrica,etkilenen anatomik yapinin masif kanamasi ve yapisal perforasyonu ve/veya deformasyonu gibi komplikasyonlar görülebilirBuna ek olarak,bir çok hasta bozuklugu,bu prosedürlerle basitçe tedavi edilmez çünkü girisimsel, minimal invaziv tedavi modalitesi yoktur, yöntemler etkili, güvenli ve tekrarlanabilir degildir ve/veya kullanilan cihazlar uygun görsellestirme, fizyolojik ölçüm ve/veya Prosedürün güvenligini saglamayabilir. These procedures have significant complications. Known surgical procedures or perforation and/or bleeding that occurs in most of the resection applications and ultimately morbidity, abrasive, traumatic and invasive excision and resection techniques Many of these techniques reduce the risk of perforation under the procedure. This causes serious complications for the surgeon and the patient. With this However, these special tools and the methods of using them have their drawbacks. The most common complications of applications are perforation, deformation and/or massive hemorrhage. These treatment methods can be traumatic. In addition, the affected anatomical structure is massive. bleeding and complications such as structural perforation and/or deformation In addition, many patient disorders are simply not treated with these procedures. because there is no invasive, minimally invasive treatment modality, the methods are effective, safe and not reproducible and/or the devices used are suitable for visualization, physiological measurement and/or may not ensure the safety of the Procedure.
Buna göre yeni, daha efektif, sonuca dönük tedavi yöntemleri gerekmektedir. Accordingly, new, more effective and result-oriented treatment methods are required.
Konvansiyonel mevcut endobronsiyal ve/veya endoluminal balon dilatasyon kataterler genellikle pürüzsüz bir dis yüzeye sahiptirlerBununla birlikte, genellikle bronslarin ve/veya bronsiyollerin veya tübüler kanallarin iç duvarlarina temas etmek ve etkin bir kazima ve hassas asmdirici bir dis yüzeye sahip olmasi istenir. Asindirici dis yüzey, obstüriktif materyalin daha iyi çikarilmasini saglamali ama ayni zamanda balonun mukozaya temasi ve sürtünmesine bagli stenoz olusumu veya kanamaya ve/Veya perforasyona neden olmamalidir. Conventional existing endobronchial and/or endoluminal balloon dilatation catheters they usually have a smooth outer surface, however, they usually have a bronchial and/or contacting the inner walls of the bronchioles or tubular ducts and providing an effective scraping and precise It is desirable to have a suspending outer surface. Abrasive outer surface, more obstructive material It should ensure that it is removed well, but also due to the contact and friction of the balloon with the mucosa. It should not cause stenosis or bleeding and/or perforation.
Ek olarak, trombüsün veya yapay bir greftin içinden diger engellerin çikarilmasi gibi baska uygulamalarda kullanilmak üzere daha asindirici bir dis yüzeye sahip bir balon katetere ihtiyaç vardir.Bu nedenle kaziyici/soyucu dis yüzeye sahip olan ancak endobronsiyal ve/veya endoluminal kanalin mukozasina ve/veya iç yüzeyine zarar vermeyen bir balon katatere ihtiyaç vardir. Balonun sisirilmesi veya genislemesine bakilmaksizin tutarli bir asindiriciligi muhafaza eden böyle bir asindirici dis yüzeye de ihtiyaç duyulmaktadir. In addition, there are other procedures, such as removal of a thrombus or other obstruction from an artificial graft. A balloon catheter with a more abrasive outer surface is needed for use in applications Therefore, those with a scraping/peeling outer surface but not endobronchial and/or There is a need for a balloon catheter that does not damage the mucosa and/or inner surface of the endoluminal canal. has. Maintain consistent abrasiveness regardless of balloon inflation or expansion. Such an abrasive outer surface is also needed.
Ayrica, yapay bir greftin içinden trombüsü veya diger obstüriktif malzemelerin çikarmasi için uygun bir asindirici dis yüzey içeren bir balon katetere ihtiyaç duyulmaktadir. Also for removal of thrombus or other obstructive material from inside an artificial graft a balloon catheter with a suitable abrasive outer surface is needed.
Söz konusu tübüler organlarda akcigerlerde,br0nslarda,damar sistemi,kan veya diger vücut sivilar ile hayati fonksiyonlari saglayan diger vücut organlarinda böyle bir tikaniklik meydana gelirse özellikle ciddi olabilir. Bu nedenle, obstrüksiyonlar hizli bir sekilde sekilde kaldirilmali ayni zamanda travma ve diger olumsuz etkiler en aza indirilmelidir.Bir bronsdan, bronsiyolden veya damarlardan veya baska bir tübüler vücut organinda obstüriktif olusumlarin uzaklastirilmasi için bir takim farkli terapiler mevcuttur. Özellikle,kriyoterapi sistemi,argon plazma,lazer siteini,rezektör balon kateter akcigerlerde trakeada,bronslarda meydana gelen tümöral darliklari rezeke etmek için kullanilan terapi ve sistemlerdir. Özellikle Lazer Sistemi degisik dalga boylari ve ayarlanabilen enerji güçleri Üull) ve Fiber enerji iletim kateterleri sayesinde çok etkin bir sekilde kanama kontrolünden doku vaporizasyonuna kadar birçok çerrahi uygulamada efektif sekilde kullanilmaktadir. Lazer isini Fiber bir tasiyici kablo vasitasi ile Tümörlü bölgeye iletilerek tümör ablasyonu ve/veya vaporizasyonu için ve ayni zamanda düsük watt modu ile kanama kontrolünde kullanilmaktadir. Ultrasonik ve/veya Pnömatik Sok Dalgalari Vazorelaksan olarak ve damar içi obstüriktif olusumlarin düsük basinçlarla dilatasyonu için kullanildigi gibi üreter kanallari tikayan taslarin ultrasonik sok dalgalari ve/veya pnömatik vibrasyon ile kirilmasi için de efektifbir sekilde kullanilmaktadir. In the tubular organs in question, in the lungs, bronchi, vascular system, blood or other body Such a blockage occurs in fluids and other body organs that provide vital functions. can be particularly serious. Therefore, obstructions must be removed quickly. at the same time, trauma and other negative effects should be minimized. From a bronchus, bronchiole or obstructive formations in vessels or another tubular body organ A number of different therapies are available for removal. In particular, the cryotherapy system, argon plasma, laser site, resector balloon catheter in lungs, trachea, bronchi are therapies and systems used to resect tumoral strictures. Especially Laser System different wavelengths and adjustable energy strengths (Uull) and Fiber energy delivery catheters From bleeding control to tissue vaporization, it can be used very effectively. It is used effectively in surgical practice. Laser beam through a fiber carrier cable for tumor ablation and/or vaporization by delivery to the tumor site, as well as It is used in bleeding control with low wattage mode. Ultrasonic and/or Pneumatic Shock Its waves are used as vasorelaxant and with low pressures of intravascular obstructive formations. ultrasonic shock waves of stones obstructing the ureteral ducts as used for dilatation It is also used effectively for breaking with and/or pneumatic vibration.
ProfDr. Yalçin Karakoca tarafindan EP l 913 882 A1 sayili Avrupa Patent Basvurusunda görüldügü gibi, Tümör Rezeksiyonu için yeni bir balon sinifi önerilmistir. Bu cihaz, vücut bosluklarina sokulabilen metal ile bükümlü/sarimli iplik ile elde edilmis Hardening Surface olarak tarif edilmis Weft Knit (Knit Stitch) dokunmus veya örülmüs (Figure-2 Detay A ,Sekil açiklama Sirasi numarasi 4)örgü yüzey formuna sahip kesici özellikte bir tiraslama yüzeyine sahip bir balon/ katater kullanmaktadir. Cihaz yerlestirildikten sonra, balon sisirilir ve istenmeyen biyolojik materyal üzerinde dilatasyon ve/veya rezeksiyon hareketi gerçeklestirecek sekilde bosluk içinde ileri geri hareket ettirilir. Bu sekilde, hedeflenen materyal di late ve/veya rezeke edilir. Bu metalize Mesh ile yapilmis Rezektör balonlar Tümör rezeksiyonu için uygun olabilir. Çünkü Tümörlerin kesilerek çikarilmasi gerekinektedir kanama hatta siddetli kanamalar Tümör Rezeksiyonunun dogal sonucudur. Ancak KOAH tedavisinde Rezeksiyon yani keserek çikarma mümkün degildir çünkü KOAH da yaygin hücresel hiperplazi ve/veya hipertrofi ve bununla birlikte yogun sekresyon birikimi vardir. Prof. dr. In the European Patent Application No. EP 1913 882 A1 by Yalçın Karakoca As can be seen, a new class of balloons has been proposed for Tumor Resection. This device body Hardening Surface obtained with twisted/wound yarn with metal that can be inserted into the gaps Weft Knit (Knit Stitch) described as woven or knitted (Figure-2 Detail A, Figure explanation order number 4) a cutting surface with knitted surface form uses a balloon/catheter with After the device is in place, the balloon is inflated and dilatation and/or resection movement on unwanted biological material It is moved back and forth in the space so as to make it happen. In this way, the targeted the material is dissected and/or resected. Tumor Resector balloons made with this Metallized Mesh may be suitable for resection. Because the tumors need to be excised by cutting. bleeding, even severe bleeding, is the natural consequence of Tumor Resection. However, COPD Resection, that is, removal by cutting, is not possible in the treatment of COPD because it is common in COPD. There is cellular hyperplasia and/or hypertrophy with concomitant massive accumulation of secretions.
Hücresel hiperplazi ve/veya hipertrofi Bronsiyollerin Mukozasinda 3 ve 5 mm çapindaki tüm segmentlerinde yaygin obstüriktif olarak bulunmakta ve buna bagli yogun sekresyon birikimi de tüm Akciger mukozasini kaplayacak obstüriktif sekilde bulunmaktadirOysa Tümörler lokalizedir ve bu nedenle keserek çikarma siddetli kanama olsa bile efektif olabilir. Ancak KOAH lokalize bir rahatsizlik degil tüm Akcigeri kaplayan yaygin obstüriktif bir rahatsizliktir bu nedenle Rezektör(kesici) balonlar, KOAH hastaliginin tedavi edilebilmesi için uygun yapi ürününde oldugu gibi çesitli Balon Mesh(Ag) için Patent basvurulari yapilmistir. Ancak bu basvuruda FIG-4 Seklinde de açikça görüldügü gibi Weft Knit (Knit Stitch) dokunmus bir Mesh Balon örgü veya dokumasindan bahsedilmektedir. Bu örme veya dokuma sekli etkin bir siyirici özellik tasimamaktadir.Çünkü FIG-4 Sekilde de görüldügü gibi ;Ilmek basi ve ayaklari altta kalmakta ve sadece ilmek bacaklari yukarida kalmakdadir.Örgü ve/veya Dokuma bu sekliyle kaziyici ve/veya soyucu özellik kazanamamaktadir.Kaziyici ve/veya soyucu özellik kazanabilinesi için Ters örgü ve/veya dokumada (Purl Stitch ve/veya Reverse Stockinette) oldugu gibi ilmek basinin ve ilmek ayaklarinin yukarida olmasi gerekmektedir.Sözkonusu patentte bahsedildigi sekliyle belki dilatasyon yaparken balonun dokudan kaymasini engellemede kullanilabilir ama dokularin mukozaya zarar vermeden kazinmasi ve/veya soyularak çikarilmasi için çok çok yetersiz kalmaktadirOperasyonlar çok uzun süre aldigindan çogu zaman yapilamamaktadir. Yine bu patent basvurusunda Balon Mesh'in (Ag) metalize bir flament iplik ile dokundugu veya örüldügü bir tür Rezektör balon mesh mevzu bahis edilmektedir. Bu metalize Mesh ile yapilmis Rezektör balonlar Tümör rezeksiyonu için uygun olabilir. Çünkü Tümörlerin kesilerek çikarilmasi gerekmektedir kanama hatta siddetli kanamalar Tümör Rezeksiyonunun dogal sonucudur. Ancak KOAH tedavisinde Rezeksiyon yani keserek veya kaziyarak çikarma mümkün degildir çünkü KOAH da yaygin hücresel hiperplazi ve/veya hipertrofi ve bununla birlikte yogun obstüriktif sekresyon birikimi vardir. Cellular hyperplasia and/or hypertrophy in the Mucosa of the Bronchioles 3 and 5 mm in diameter It is commonly found as obstructive in its segments and there is an intense secretion accumulation due to this. It is also present in an obstructive form to cover the entire lung mucosa. However, Tumors it is localized and therefore resection may be effective even if there is heavy bleeding. However COPD is not a localized disease, it is a common obstructive disease that covers the entire lung. Therefore, Resector balloons are suitable for the treatment of COPD. Patent applications have been made for various Balloon Mesh (Net) as in the product. However, this Weft Knit (Knit Stitch) is a woven fabric, as can be clearly seen in FIG-4 in the application. Mesh Balloon knitting or weaving is mentioned. This form of knitting or weaving is an effective It does not have a scraper feature. Because FIG-4 As seen in the figure, the loop head and feet stays on the bottom and only the loop legs remain up. Knitting and/or Weaving Thus, it cannot gain scraper and/or peeling feature. Scraper and/or peeling feature in Purl Stitch and/or Reverse Stockinette As it is, the loop head and loop feet should be up. As mentioned in the patent, it may prevent the balloon from slipping out of the tissue while dilating. It can be used to prevent the tissue from being scraped and/or scraped without damaging the mucosa. It is very very insufficient for peeling off, since the operations take a very long time. often not possible. Again, in this patent application, Balloon Mesh (Ag) is a metallized a type of Resector balloon mesh that is woven or knitted with filament yarn is being done. These Resector balloons made with Metallized Mesh Suitable for Tumor resection it could be. Because tumors need to be cut and removed, bleeding or even severe Bleeding is a natural consequence of Tumor Resection. However, Resection in the treatment of COPD that is, removal by cutting or scraping is not possible because common cellularity in COPD There is hyperplasia and/or hypertrophy with concomitant massive accumulation of obstructive secretions.
Hücresel hiperplazi ve/veya hipertrofi Bronsiyollerin Mukozasinda 3 ve 5 mm çapindaki tüm segmentlerinde yaygin olarak bulunmakta ve buna bagli yogun obstüriktif sekresyon birikimi de tüm Akciger mukozasini kaplayacak sekilde yaygindir.Oysa Tümörler lokalizedir ve bu nedenle keserek çikarma siddetli kanama olsa bile efektif olabilir. Ancak KOAH lokalize bir rahatsizlik degil tüm Akcigeri kaplayan yaygin bir rahatsizliktir bu nedenle Rezektör balonlar, KOAH hastaliginin tedavi edilebilmesi için uygun yapi ve özellikleri tasimamaktadir. Cellular hyperplasia and/or hypertrophy in the Mucosa of the Bronchioles 3 and 5 mm in diameter It is commonly found in the segments of the body and associated with this, intense obstructive secretion accumulation. It is also common to cover the entire lung mucosa. However, tumors are localized and this For this reason, cut-out may be effective even if there is severe bleeding. However, COPD is a localized It is not a discomfort but a common ailment that covers the entire Lung, so Resector balloons, It does not have the appropriate structure and features for the treatment of COPD.
Balon dilatasyon teknigi; bir kateter vasitasiyla, trakea,br0ns,damar veya diger vücut borusu içindeki tikanmis bölgeye, söndürülmüs bir balonun sokuldugu bir prosedürü içerir. Balon daha sonra lümen veya kanalin geçis yolunu açmak için sisirilir. Sisirilmis balon,0bstüriktif olusumu kanal duvarina karsi sikistirmaya ve kanalin açikligini arttirmak üzere kanalin genislemesini saglamak için kullanilan bir yöntemdir. Trakeal ve/veya Bronsiyal Dilatasyon Balonlari, Balon anjiyoplastisi, belirli kanallar ve damarlar içinde lümeni büyük ölçüde açmakta oldukça basariliyken, obstüriktif olusumlari çikarmazBu tikama materyali uzaklastirilmadigi için, borUnun nispeten kisa bir süre içinde uygulama yapilan alanda yeniden tikanmasi ihtimali yüksek bir olasiliktir. Balloon dilatation technique; through a catheter, trachea, bronchus, vein, or other body tube It involves a procedure in which a deflated balloon is inserted into the occluded area inside. more balloons It is then inflated to open the passageway of the lumen or canal. Inflated balloon, 0 structural formation it compresses against the canal wall and widens the canal to increase the opening of the canal. It is a method used to provide Tracheal and/or Bronchial Dilatation Balloons, Balloon angioplasty is quite effective in greatly opening the lumen within certain channels and vessels. when successful, it does not remove obstructive formations, as this occlusion material is not removed, Possibility of re-clogging of the pipe in the treated area in a relatively short period of time is a high probability.
Akciger kanseri hastalarinda en sik ölüm nedeni hava yolu tikanikligidir. Akciger kanseri hastalarinda, baslangiçta tüm vakalarin üçte biri ve uzun döneinde vakalarin üçte ikisinde asfiksi, hemoraji ve enfeksiyona neden olabilen ana hava yolu tikanikligi görülmektedir. Bu komplikasyonlar, akciger kanseri hastalarinda en sik ölüm nedenidir. Çesitli tibbi prosedürlerde yaygin olarak kullanilan bir alet, sisirilebilir bir balon katater "Balon Dilatasyon Kataterdir". The most common cause of death in lung cancer patients is airway obstruction. Lung cancer in patients, one-third of all cases at baseline and two-thirds of cases in the long-term Main airway obstruction is seen, which can cause asphyxia, hemorrhage and infection. This Complications are the most common cause of death in lung cancer patients. In various medical procedures A commonly used instrument is an inflatable balloon catheter "Balloon Dilatation Catheter".
Bu gibi kataterlerin akcigerler dahil özel bir çok uygulamasi bulunmaktadir. Ancak dilatasyon balon kateterler ile darliklarin geçici bir süre ile açilmasi saglanabilmektedir. Dilatasyon Balonu ile Patolojik inceleme için yeterli sivi çikarilmasi da mümkün olmamaktadir. Such catheters have many special applications, including the lungs. However, dilation With balloon catheters, stenosis can be opened temporarily. dilation It is also not possible to remove enough fluid for pathological examination with the balloon.
Akcigerleri kaplamis tikayici Sekresyonlarin ve Hücresel hiperplazi ve/veya hipertrofi olusumlarinin 3 ve 5 mm çapindaki Bronsiyolerden çikrilinasi inümkün degildir. Cellular hyperplasia and/or hypertrophy of obstructive secretions lining the lungs It is not possible to extract the formations from Bronchioles with a diameter of 3 and 5 mm.
Akciger kanserinin tedavisi için girisimsel bronkoskopi kullaniini ve sonuçta meydana gelen hava yolu tikanikligi,kanserle iliskili obstrüktif komorbiditelerden muzdarip hastalarin yasam kalitesini ve hayatta kalma oranlarini arttirrnaktadir. Buna göre, balon kataterler, çesitli endoskoplarla ve dilatasyon için fleksibl ve rijit bronkoskoplarla, kanamayi durdurmak için bir tamponad olarak ve aletleri yerinde tutmak ve geri akis basinci altinda bu aletlerin retropülsiyonunu önlemek için bir enterferans sabitleme araci olarak ve dilatasyon için rutin olarak kullanilmaktadir. The use of interventional bronchoscopy for the treatment of lung cancer and the resulting life of patients suffering from obstructive comorbidities associated with airway obstruction, cancer increases quality and survival rates. Accordingly, balloon catheters, various with endoscopes and flexible and rigid bronchoscopes for dilation, a as a tamponade and to hold instruments in place and under backflow pressure. as an interference fixation device to prevent retropulsion and routinely for dilation is used as
Istenmeyen biyolojik materyalin ve/veya tümörlerin vücut bosluklarindan çikarilmasi için daha Önce bahsedilen yeni bir tedavi yönteminin isiginda, sisirilebilir balon kataterlerin, bu malzemelerin dilate ve/veya rezeke edilmesi ve çikarilmasi için girisimsel aletler olarak kullanilabilecegi anlasilmistir - örnegin, endolüminal tikanikliklar ve tümörler ve endovasküler oklüzyonlar - yukarida sözü edilen girisimsel medikal, spesiyaller, kardiyoloji, üroloji, jinekoloji, gastro enteroloji, nöroloji, kulak burun bogaz ve genel cerrahi gibi çesitli uygulamalarda . for the removal of unwanted biological material and/or tumors from body cavities. In the light of a new treatment method mentioned earlier, inflatable balloon catheters as interventional instruments for dilating and/or resected and removal of materials It is understood that it can be used - for example, endoluminal obstructions and tumors and endovascular occlusions - the aforementioned interventional medical, specialties, cardiology, urology, gynecology, gastro enterology, neurology, otolaryngology and general surgery. in applications.
Bu sekilde dilatasyon ve/veya rezektör balon kateterlerin kullanimi, mekanik, lazer, elektrokoter, kriyoterapi vb. kullanilan diger yöntem ve cihazlara kiyasla basit, güvenli, oldukça etkili ve ucuz bir tedavi yöntemi sunmustur. In this way, the use of dilatation and/or resector balloon catheters, mechanical, laser, electrocautery, cryotherapy etc. Compared to other methods and devices used, it is simple, safe, It offers a very effective and inexpensive treatment method.
Metal ile bükümlü/sarimli iplik ile elde edilmis örgü yüzey formuna sahip kesici özellikte bir tiraslama yüzeyine sahip rezektör balon/katater Rezeksiyon,Kesme, tiraslama tertibatlari organin veya kanalin çeperini perfore ve/veya kanatma egilimindedir. Bu özellikle damar veya kanalin kavisli kesitlerinde ciddi endise yaratmaktadir. Bu hususlara dayanarak, obstüriktif olusumlarin bronslar ve/veya bronsiollerden ,damarlardan,kanallardan veya kanalin perforasyonuna veya baska sekilde zarar görmesine yol açmadan vücut kanalindan etkili bir sekilde çikarabilen bir cerrahi cihaz için ihtiyaç duyuldugu açiktir. It is a cutting feature with a braided surface form obtained with metal twisted/wound yarn. Resector balloon/catheter with shaving surface Resection, cutting, shaving assemblies It tends to perforate and/or bleed the wall of the organ or canal. This is particularly vascular or It causes serious concern in the curved sections of the canal. Based on these considerations, formations from bronchi and/or bronchioles, veins, ducts or effectively through the body canal without causing perforation or other damage. It is clear that there is a need for a surgical device that can be removed in such a way.
Farkli obstüriktif olusumlarin farkli vücut kanallarindan çikarmak için kullanilabilen, her biri farkli bir çapa, egime veya baska bir konfigürasyona sahip olan böyle bir cerrahi alete de ihtiyaç duyulmaktadir. Kullanimi kolay ve üretimi ucuz olan böyle bir cihaza ihtiyaç duyulmaktadir.Var olan, bilinen geleneksel rezektör balon ve/veya dilatasyon balonlari, dokuyu kanatmadan veriinli bir sekilde siyirmak ve/veya soymak için yeterli verimliligi Içermemektedir. Ayrica, geleneksel balon ve/ veya dilatasyon balonlar, tikaniklikyüzeyinin invivo veya gerçek zamanli olarak doku ve/veya sekresyonlari ve/veya Tübüler Organlarda, Benign, Premalign ve/veya Malign doku ve/veya hipertrofîk hücresel büyümelerin ve/veya hiperplazik hücresel olusumlarin ve/veya katilasmis obstüriktif akciger mukus sivilari gibi istenmeyen biyolojik materyallerin kazinmasi ve/veya soyularak çikarilmasi için gerekli performansi saglayamazDiger bir eksiklik,bilinen balonlarinin laboratuvar analizi veya biyopsisi için gerekli dokulari uygun sekilde örnekleyememesidir. Tipik olarak, bu tür çesitli çap ve boyutlarda farkli brons dallari bulunmaktadir. Each of which can be used to remove different obstructive formations from different body channels. There is also a need for such a surgical instrument of a different diameter, inclination, or other configuration. is heard. There is a need for such a device that is easy to use and inexpensive to manufacture. Existing conventional resection balloons and/or dilatation balloons sufficient efficiency to strip and/or peel efficiently without bleeding Does not include. In addition, conventional balloon and/or dilatation balloons in vivo or in real time in tissues and/or secretions and/or Tubular Organs, Benign, Premalignant and/or Malignant tissue and/or hypertrophic cellular growths and/or such as hyperplasic cellular formations and/or solidified obstructive pulmonary mucus fluids. necessary for scraping and/or peeling off unwanted biological material Another shortcoming is laboratory analysis of known balloons or It is the inability to properly sample the tissues required for the biopsy. Typically, this type There are different bronchial branches of various diameters and sizes.
Ancak goblet hücre hiperplazisi ve/veya goblet hücre hipertrofisi 3-5mm çapa kadar olan bronsiyollerde bulunmaktadirBu 3ve 5 mm çapa kadar olan lobular ve terminal bronsiyollere kadar ulasabilmek ve gelismis olan obstüriktif goblet hücre hiperplazisi ve/veya goblet hücre hipertrofisi ile birlikte katilasarak epitel yüzeyini kaplamis olan ve terminal bronsiyollere kadar yayilmis olan mukus tikayicilari soymak ve/veya kazimak için sönükken çaplari 1 mm ve 1.3 mm ve 1.5mm olan siyirici ve/veya soyucu balonlara ihtiyaç vardir. However, goblet cell hyperplasia and/or goblet cell hypertrophy can occur up to 3-5mm in diameter. It is found in the bronchioles, which are lobular and terminal bronchioles up to 3 and 5 mm in diameter. Obstructive goblet cell hyperplasia and/or goblet cell up to the terminal bronchioles, which cover the epithelial surface by solidifying with hypertrophy Diameters 1 mm and 1.3 mm when deflated to peel and/or scrape the mucous plugs that have spread There is a need for scraper and/or peeler balloons of mm and 1.5mm.
Bulusun amaci; Yukarida belirtilen yöntemlerde karsilasilan problemlere çözüm getirmek üzere, Tübüler Organlarda görülen Endoluminal ve/veya Endobronsiyal Benign, Premalign ve/veya Malign doku ve/veya hipertrotîk hücresel büyümelerin ve/veya hiperplazik hücresel olusumlarin ve/Veya katilasmis obstüriktif akciger mukus sivilari gibi istenmeyen biyolojik materyallerin ve/veya lezyonlarin,sekresyonlarin, vücut sivilarinin ve/veya biyolojik olusumlarinin yerlesmis olduklari mukoza yüzeylerden soyularak ve/veya kazinarak gereksiz travmaya, perforasyona ve/veya kanamaya neden olmadan çikarilmasi için endoluminal ve/veya endobronsiyal KOAH Peeling Balon Sistemi gelistirilmistir. The purpose of the invention; In order to solve the problems encountered in the above-mentioned methods, Tubular Endoluminal and/or Endobronchial Benign, Premalignant and/or Malignant seen in organs tissue and/or hypertrophic cellular growths and/or hyperplasic cellular formations and/or undesirable biological material, such as solidified obstructive lung mucus fluids. and/or lesions, secretions, body fluids and/or biological unnecessary trauma by peeling and/or scraping from the mucous surfaces on which they are located, for removal without causing perforation and/or bleeding. The endobronchial COPD Peeling Balloon System has been developed.
Akciger bronslarinda olusan ve kronik obstüriktif bir hastaliga dönüsen ve istenmeyen ve/veya yasami tehdit eden Benign, Premalign ve Malign doku ve/veya hipertrofik hücresel büyümelerin ve/veya hiperplazik olusumlarin ve/Veya katilasmis akciger sivilari gibi istenmeyen biyolojik materyallerin, sekresyonlarin, vücut sivilarinin ve/veya biyolojik olusumlarinin bronslardan veya içi bos tübüler vücut organlarindan mukozaya zarar vermeden etkin sekilde soyarak ve/veya kaziyarak çikarmak için kesme mekanizmasi ve/veya metalize rezektör balon kilifi (mesh) gerektirmeyen, elastik mono ve/veya multi Ilament veya elastik fiber ile (Knit Stitch) dokunmus daha sonra ters çevrilmek suretiyle (Purl Stitch) kaziyici ve/veya soyucu özellik kazandirilmis ve/veya Reverse Stockinette dokunmus ve/veya örülmüs elastik ag yapili bir örgü ve/veya kaplama maddesi ile sekillendirilmesi, giydirilmesi ve/veya kaplanmasi ilgi ilgili bir Endobronsiyal KOAH Peelig Balon Sistemi saglamaktir. It occurs in the lung bronchi and turns into a chronic obstructive disease and is undesirable and/or Life-threatening Benign, Premalignant and Malignant tissue and/or hypertrophic cellular growths and/or hyperplasic formations and/or solidified lung fluids. unwanted biological materials, secretions, body fluids and/or biological formations from the bronchi or hollow tubular body organs without damaging the mucosa. cutting mechanism and/or metallized for efficient peeling and/or scraping elastic mono and/or multi Ilament or elastic woven with fiber (Knit Stitch) then reversed (Purl Stitch) scraper and/or stripping and/or Reverse Stockinette woven and/or knitted shaping, dressing and/or covering with an elastic mesh knit and/or coating material. The interest in coating is to provide a relevant Endobronchial COPD Peelig Balloon System.
Bulusun açiklamasina yardimci olacak sekiller; Sekil- 1 KOAH Peeling Balon Kateter (KPBK) sistemi. Figures to help explain the invention; Figure-1 COPD Peeling Balloon Catheter (CPBK) system.
Sekil- 2 KOAH Peeling Balon ve çok yollu Kateteri ve Balon üzerine giydirilinis polimer vc/vcya kopolimçr vc/vcya silikon vc/vcya dogal kauçuk vc/vcya scntctik kauçuk vc/vcya metal tozlari ve/veya bunlarin türev ve/veya kombinasyonlari ile örülmüs ve/veya dokunmus ve/veya kaplanmis Ag(Mesh) örgü dokusu ve/veya dokumasi. Figure- 2 COPD Peeling Balloon and its multi-way Catheter and the polymer dressed on the Balloon vc/vcya copolymer vc/vcya silicone vc/vcya natural rubber vc/vcya scntctik rubber vc/vcya knitted and/or woven with metal powders and/or their derivatives and/or combinations and/or coated Ag(Mesh) knit fabric and/or weave.
Sekil-3 KOAH Peeling Balon ve Kateter içi görünüm ve kesiti. Figure-3 COPD Peeling Balloon and Catheter inside view and cross-section.
Sekil -4 KOAH Peeling Balonun; üzerine Giydirilen ve/veya Geçirilen ve/veya Kaplanan ve/veya Hareketli ve/veya sabit ve/veya kaliplanarak basilmis ve/veya kaplama yapilmis, mono ve/veya multi elastik ip ve/veya iplik demetleri ile (Knit Stitch) olarak örülmüs ve/veya ters çevrilerek (Purl Stitch örgüye dönüstürülmüs ve ters örgü yüzeyi ile kaziyici ve/veya soyucu Özellik kazandirilmis ve/veya ters Örgü (Reverse Stockinette)seklinde örülmüs ve/veya dokunmus ve/veya kaliplanarak basilmis ve/veya kaplama yapilmis dis yüzeyi. Figure -4 of the COPD Peeling Balloon; Dressed and/or Overlapped and/or Covered and/or Movable and/or fixed and/or molded and/or coated, mono and/or multi-elastic yarn and/or yarn bundles (Knit Stitch) and/or reverse knitted by turning (Purl Stitch converted into knitting and purl stitch surface with scraper and/or peeler Featured and/or knitted as reverse stockinette and/or woven and/or molded and/or coated outer surface.
Sekil -6 Ag Örgü (Mesh) Dokusunun Knit Stitch veya Weft Knit olarak örüme, dokuma modeli. Figure -6 Knitting and weaving pattern of Ag Knit (Mesh) Fabric as Knit Stitch or Weft Knit.
Sekil -7 KOAH Peeling Balonun hassas kaziyici ve/veya soyucu özellik kazanmasi için gelistirilmis Ters Örgü (Purl Stitch ve/veya Reverse Stockinette) veya Dokuma modeli. Figure -7 For the COPD Peeling Balloon to gain sensitive scraping and/or peeling properties enhanced Purl Stitch and/or Reverse Stockinette or Weave pattern.
Sekil -8 Ag Örgü (Mesh) Dokusunun Düz Yüzü (stockinette Stitch-right side) olarak örüme, dokuma modeli. Figure -8 Knitting as the Stockinette Stitch-right side of the Mesh Texture, weaving pattern.
Sekil-9 KOAH Peeling Balonun hassas siyirici ve/veya soyucu özellik kazanmasi için gelistirilmis Ters Örgü (Reverse Stockinette-wrong Side] veya Dokuma modeli. Figure-9 For the COPD Peeling Balloon to gain sensitive scraping and/or peeling properties. improved Reverse Stockinette-wrong Side or Weave pattern.
Sekillerde adi geçen parça isimleri; 1- KOAH Pelling Balon Katater 2- Konnektörler 3- Hava ve/veya sivi pompasi ve elektrik, elektronik, ultrasonik ve/veya hidrolik sok dalgalari vc/vcya lazer isini ve/vcya bunlarin kombinasyonu elektro/mekanik bir jeneratör ve/veya kaynak, 4- Elektrik, elektronik, ultrasonik ve/veya hidrolik sok dalgalari için delikler, - Lazer isini için delikler, 6- KOAH Pelling Balonu üzerine Ters Ag Örgü (Purl Stitch ve/veya Reverse Stockinette) ve/veya Mesh 7- KOAH Pelling Balonu Ters Ag Örgü Ilmek Basi 8- KOAH Pelling Balonu Ters Ag Örgü Ilmek Bacaklari 9- KOAH Pelling Balonu Ters Ag Örgü Ilmek Ayaklari - Balon sisirme ve indirme tahliye kanali, 11-Ultrasonil sok dalgasi katateri ve/veya lazer fiber katateri ve/veya inspirasyon ve/veya aspirasyon kanali 12- Ilaç ve/veya kanama durdurucu enjeksiyon kanali 13- Balon 14- Ters Ag Örgü (Mesh) - Ultrasonik Sok dalgalari 16- Balonun sisirilebilir alani Sekillerin açiklamasi; Sekil-1'de gösterildigi gibi bulus KOAH Peeling Balon Kateter (KPBK) sistemi; konnektörler vasitasi ile (2) kontrol ve enerji (3) kaynaklarina baglanabilen kombine bir sistemdir. Names of the parts mentioned in the figures; 1- COPD Pelling Balloon Catheter 2- Connectors 3- Air and/or liquid pump and electric, electronic, ultrasonic and/or hydraulic shock waves vc/vc or laser beam and/vcor their combination into an electro/mechanical generator and/or source, 4- Holes for electrical, electronic, ultrasonic and/or hydraulic shock waves, - Holes for laser beam, 6- Reverse Ag Knitting (Purl Stitch and/or Reverse Stockinette) on COPD Pelling Balloon and/or Mesh 7- COPD Pelling Balloon Reverse Mesh Knitting Loop Head 8- COPD Pelling Balloon Reverse Mesh Knit Loop Legs 9- COPD Pelling Balloon Reverse Mesh Knitting Loop Feet - Balloon inflation and lowering discharge channel, 11-Ultrasonic shock wave catheter and/or laser fiber catheter and/or inspiration and/or aspiration duct 12- Drug and/or anti-hemorrhage injection channel 13- Balloon 14- Reverse Mesh (Mesh) - Ultrasonic Shock waves 16- Inflatable area of the balloon Description of figures; As shown in Figure-1, the invention is the COPD Peeling Balloon Catheter (CPBK) system; connectors It is a combined system that can be connected to control and energy (3) sources via (2).
Söz konusu sistem bir veya birkaç hava ve/veya sivi ve/veya elektrik, elektronik, ultrasonik ve/veya liidrolik sok dalgalari ve/veya lazer isini ve/veya bunlarin kombinasyonu elektro/mekanik bir kaynagi (3) içermektedir. Sistem konsol üzerinden kontrol edilebilecegi gibi uzaktan kumanda aparati ile uzaktan da kontrol edilebilecek bir ara yüze sahiptir. The system in question is one or more air and/or liquid and/or electrical, electronic, ultrasonic and/or hydraulic shock waves and/or laser beam and/or their combination includes an electro/mechanical source (3). The system can be controlled via console. It has an interface that can be controlled remotely with a remote control apparatus such as
KOAH Peeling Balon katateri (l) hareket ettirmek, sisirmek ,indirmek ve/veya sisirme ve indirme fonksiyonunu yüksek frekansli olarak yapmak ve/veya sisirdikten sonra kanama kontrolü için kompresyon ainaci ile sisirilmis olarak tutinak ve/veya gerektiginde hava ve/veya sivi ve/veya elektrik, elektronik, ultrasonik (15) ve/veya hidrolik sok dalgalari(4) ve/veya lazer isini (5) ve/veya bunlarin kombinasyonu madde ve/veya enerjiler ile destekleyecek (1 l) kanallari mevcuttur. To move, inflate, deflate and/or inflate and/or deflate the COPD Peeling Balloon catheter (l) lowering function with high frequency and/or bleeding after puffing inflated with compression for control and/or air and/or when necessary liquid and/or electrical, electronic, ultrasonic (15) and/or hydraulic shock waves(4) and/or support the laser beam (5) and/or their combination with matter and/or energies (1 l) channels are available.
Sekil-2; KOAH Peeling Balon katateri (1) polimer ve/veya kopolimer ve/veya silikon ve/veya dogal kauçuk ve/veya seiitetik kauçuk ve/veya metal tozlari ve/veya bunlarin türev ve/veya kombinasyonlari ile üretilmis yapisal özellikler tasimaktadir. Figure-2; COPD Peeling Balloon catheter (1) polymer and/or copolymer and/or silicone and/or natural rubber and/or synthetic rubber and/or metal powders and/or their derivatives and/or It has structural features produced with combinations of
Sekil-3; Bir örgü ve/veya dokuma ilmegi görülmektedir; Bas (7), bacaklar (8), ayaklar (9) Sekil-4; Balon üzerine giydirilen ve/veya geçirilen ve/veya kaplanan ve/veya hareketli ve/veya sabit ve/veya kaliplanarak basilmis ve/veya kaplama yapilmis, mono ve/veya multi elastik ip ve/veya iplik demetleri ile (Knit Stitch) (6) olarak örülmüs ve/veya ters çevrilerek (Purl Stiteh(7)örgüye dönüstürülmüs ve ters örgü yüzeyi ile siyirici ve/veya soyucu özellik kazandirilmis ve/veya ters örgü (R everse Stock inette-Wrong side) (9) seklinde örülmüs ve/veya dokunmus ve/veya kaliplanarak basilmis ve/veya kaplama yapilmis ve böylelikle siyirici ve/veya soyucu özellik kazandirilmis Ag Yapili Örtü ve/veya Zarf` ve/veya Muhafaza ve/veya Sistem ayni zamanda, KOAH Peeling Balon katateri (l) üzerine Ters Örgü (Reverse Stockinette) (9) ve/veya Ters Çevrilmis (Purl Stitch) (7) Ag Yapili (Mesh) Dokuma ve/vcya Örgü Kilif giydirilmis balonun Esnek Bronkoskoplarin 2mm çapa kadar olan çalisma kanallarindan bronslara gönderilebilmesine ayni zamanda ayni çalisma kanalindan aspirasyon yapilabilmesi için sönük sekilde dis çapi 1 mm ve 1.3 mm ve 1.5 mm olmak üzere üç kullanilabilir boyutunu içermektedir. Figure-3; A knit and/or weaving loop is visible; Bass (7), legs (8), feet (9) Figure-4; Dressed and/or passed on and/or covered and/or mobile and/or fixed and/or molded and/or coated, mono and/or multi elastic thread and/or yarn bundles (Knit Stitch) (6) and/or reversed (Purl Stiteh(7) stripping and/or peeling feature with knitted and purl knit surface knitted and/or purl (R everse Stock inette-Wrong side) (9) and/or woven and/or molded and/or coated so that the scraper and/or Peeling Net Structured Cover and/or Envelope and/or Enclosure and/or The system also applies Reverse Knitting (Reverse Knitting) on the COPD Peeling Balloon catheter (l). Stockinette) (9) and/or Purl Stitch (7) Mesh Woven and/or Working of Flexible Bronchoscopes of Knitted Sheathed balloon up to 2mm diameter can be sent to the bronchi from the bronchial channels, as well as aspiration from the same working channel. In order to make the Includes usable size.
Balonun sisirilebilir (16) alaninin uzunlugu lOmm, 15mm, 20mm ve kateter uzunluklari yaklasik olarak 100 cm veya 120 em.”dir. The length of the inflatable (16) area of the balloon is 10mm, 15mm, 20mm and catheter lengths approximately 100 cm or 120 em.”
Sonuç olarak, KOAH Peeling Balon katateri (l) mevcut vücut açikligindan içeri sokulan esnek bronkoskoplarin 2mm çapa kadar olan çalisma kanalindan sokularak bronslara ve/veya vücudun boru seklindeki organlarina gönderilebilecek yapi ve özellikleri tasimaktadir. As a result, the COPD Peeling Balloon catheter (l) is a flexible device that is inserted through the existing body opening. by inserting the bronchoscopes through the working canal up to 2mm in diameter and into the bronchi and/or It has the structure and features that can be sent to the tubular organs of the body.
Sekil-5 KOAH Peeling Balon katateri (1) bir enine kesitini gösteren balon; KOAH Peeling balon katateri (l) yüzeyine yerlestirilmis bir dokunmus manson (4) ile kaplamr. Dokuma inanson (4), elastik, poliüretan, metalik boyalar, elastik içeren iplerden yapilabilir. Figure-5 Balloon showing a cross-section of the COPD Peeling Balloon catheter (1); COPD Peeling The balloon catheter (1) is covered with a woven sleeve (4) placed on its surface. Weaving It can be made from inanson (4), elastic, polyurethane, metallic paints, elastic-containing threads.
Peeling balonun (l) tamamini kapsayacak sekilde (4) yerlestirilmistir. The peeling is placed (4) to cover the entire balloon (1).
Bulusun detayli açiklamasi; Bulus; Bronkoskoplar veya Endoskoplar ve/veya Rijit ve/veya F leksibl endoskoplarin çalisma kanallari kullanilarak Trakeo Bronsiyal,Vasküler, Özofageal,Üretral,Vajinal, Gastrointestinal vb. gibi içi bos Tübüler Organlarda görülen Endoluminal ve/veya Endobronsiyal Benign, Premalign ve/veya Malign doku ve/veya hipertrofik hücresel büyümelerin ve/veya hiperplazik hücresel olusumlarin ve/veya katilasmis akciger sivilari gibi istenmeyen biyolojik materyallerin ve/veya lezyonlarin, sekresyonlarin, vücut sivilarinin ve/Veya biyolojik olusumlarinin yerlesmis olduklari mukoza yüzeylerinden mukozaya zarar vermeden soyularak ve/veya siyrilarak çikarilinasini saglamak üzere gelistirilmis KOAH peeling balon katater sistemi ve uygulama metoduna iliskindir. Detailed description of the invention; Meet; Operation of Bronchoscopes or Endoscopes and/or Rigid and/or Flexible Endoscopes Tracheo Bronchial, Vascular, Esophageal, Urethral, Vaginal, Gastrointestinal, using channels etc. Endoluminal and/or Endobronchial Benign seen in Hollow Tubular Organs such as Premalignant and/or malignant tissue and/or hypertrophic cellular growths and/or hyperplasia undesirable biological processes such as cellular growths and/or solidified lung fluids. materials and/or lesions, secretions, body fluids and/or biological by peeling from the mucosal surfaces where their formations are located, without damaging the mucosa. and/or COPD peeling balloon catheter developed to be peeled off system and application method.
Balon vasitasi ile ve yüksek frekansli basinç uygulamalari ile parçalanarak bag dokulari zayiflatilan ve/veya koparilan hücre ve/veya doku ve/veya kronik obstüriktif akciger hastaligina yol açan hipertrofik hücresel büyümelerin ve/veya hiperplazik olusumlarin ve katilasmis akciger sivilari gibi istenmeyen biyolojik materyallerin ve/veya lezyonlarin vermeden hassas bir sekilde siyrilmasi ve/veya soyulmasi için gelistirilmistir. Connective tissues are broken down by balloon and high-frequency pressure applications. weakened and/or ruptured cells and/or tissue and/or chronic obstructive lung hypertrophic cellular growths and/or hyperplasic formations that cause disease and of undesirable biological material, such as solidified lung fluids, and/or lesions. It has been developed for gentle peeling and/or peeling without
Siyirici/soyucu bir yüzey saglama ve/veya bir sivi ve/veya hava pompasi ile kombine, basinçla parçalayarak siyirici ve/veya soyucu bir yüzey saglama ile ilgilidir. Balona baglanmis bir kateter ve kateterin içinden sivi ve/veya hava tedarik ederek KOAH Pelling Balonunu sisiren ve indiren, yüksek frekans modunda, sürckli inflasyon modunda çalisan, kontrollü pompa kaynagi bulunmaktadir. Önce hizi, basinci, frekansi elektronik olarak kontrol edilebilen sivi ve/veya hava pompasi ile sisirilebilir. To provide a scraping/peeling surface and/or combined with a liquid and/or air pump, with pressure It is about providing a scraping and/or peeling surface by shredding it. a balloon tied inflating the COPD Pelling Balloon by supplying fluid and/or air through the catheter and catheter and lowering, operating in high frequency mode, continuous inflation mode, controlled pump has a resource. First, a liquid whose speed, pressure, frequency can be controlled electronically. and/or inflated with an air pump.
Ayrica, Radial Fiber Lazer ve Ultrasonik Sok Dalga teknolojileri ile desteklenerek etkinligi arttirilabilmektedir. In addition, its effectiveness is supported by Radial Fiber Laser and Ultrasonic Shock Wave technologies. can be increased.
KOAH Peeling Balon ile es zamanli olarak çalisacak lazer üretim kaynagi veya jeneratörünü ve Lazer kaynaginda üretilen lazer isinlarini balon seginentine iletmek için lazer fiber kateter ve lazer fiber kateterin KOAH Peeling Balon Kateter içerisinden balon segmentine kadar iletilmesini saglayan bir kanal bulunmaktadir. A laser generation source or generator that will work simultaneously with the COPD Peeling Balloon. and Laser fiber catheter to deliver the laser beams generated in the laser source to the balloon segment and laser fiber catheter through the COPD Peeling Balloon Catheter to the balloon segment There is a channel for transmission.
KOAH Peeling Balon ile eszamanli olarak çalisacak Yüksek ve/veya Düsük Frekansli Ultrasonik ve/veya Pnömatik Sok dalgasi üretim kaynagi veya j eneratörü ve kaynak da üretilen sok dalgasini balon segmentine kadar iletmek için esnek sok dalgasi iletim telinin yapisal özelliklerini ve sok dalgasi telinin balon segmentine kadar iletilmesini saglayan bir kanal bulunmaktadir. High and/or Low Frequency to operate simultaneously with the COPD Peeling Balloon Ultrasonic and/or Pneumatic Shock wave generation source or generator and the source produced Structural structure of flexible shock wave conduction wire to transmit the shock wave up to the balloon segment. a channel that provides the properties and conduction of the shock wave wire up to the balloon segment. are available.
Daha özel olarak; Bir balon kateterin(l) siyirici ve/veya soyucu özellik kazanabilmesi için özel sekillendirilerek yuvarlak Boru (Knit Stitch ve/veya Stockkinette Stitch) seklinde dokunmus daha sonra ters çevrilmek suretiyle (Purl Stitch ve/veya Reverse Stockinette) siyirici ve/veya soyucu özellik kazandirilmis, elastik ag yapili bir Örgü(Mesh)ve/veya kaplama maddesi ile sekillendirilmesi, giydirilmesi ve/veya kaplanmasi metodu gerçeklestirilmektedir. Bununla birlikte KOAH Peeling Balon Kateterin(1] mevcut lazer ve yüksek ve/veya düsük fareknsli ultrasonik ve/veya Pnömatik Sok Dalgalari ile desteklenerek etkinliginin artirilmasi saglanmaktadir. Çok yollu, çok kanalli ve çok konnektörlü bir kateterin üzerine ve distal ucuna; elastik ag'in distal ve prOksimal uçlarindan yapistirildigi, silikon ile isil ve/veya isik yoluyla kürlenerek yapistirilmasi ve/veya ultrasonik olarak kaynak yapilmasi ve/veya elastik ve/veya elastik olmayan bir iple ve/veya çok ince bir tel ile baglanmak suretiyle sabitlendigi, Çok kanalli veya çok yollu kateterin balon içerisinde kalan kisminda balon sisirilmisken lazer isinlarinin bronsiyal mukozaya iletilebilmesi için açilmis isin pencereleri bulundugu, ultrasonik ve /veya pnömatik sok dalgalarinin balon ile es zamanli olarak bronsiyal mukozaya basinç uygulamasi için esnek ultrasonik sok dalgasi iletim telinin balonun içi yüzeyinden, balon sisirilmisken ultrasonik sok dalgalarini mukozaya iletmek için pencerelerin ve uç kismindan ultrasonik sok dalgasi verilmesini saglayan ucu açik bir kanal içeren bulusumuzda; - frekansi, titresimi, hizi, basinci kontrol edilebilir oranlarda inflasyon ve/veya deflasyona sahip bir hava ve/veya sivi pompasi ve/ veya elektro/mekanik enerji kaynaklari ile kombine çalisabilecek özelliklerde, Ayni zamanda; -bagimsiz olarak kontrol edilebilen, uyumlu balon geometrileri olan, -obstüriktif ve/veya biyolojik olusumlarin bulundugu lümen içi çaplara uyum saglayacak yapi ve fonksiyonda, - örnekleme/ analiz için dokulari uygun sekilde çikarabilen bir endoluminal peeling balon sistemi tasarlanmistir. More specifically; It is specially shaped for a balloon catheter (1) to have scraper and/or peeling properties. It is woven as a round Pipe (Knit Stitch and/or Stockkinette Stitch) and then reversed. stripping and/or peeling feature by turning (Purl Stitch and/or Reverse Stockinette) It is shaped with an elastic mesh structured Knitting (Mesh) and/or coating material, The method of dressing and/or coating is carried out. However, COPD Exfoliating Balloon Catheter(1] is equipped with available laser and high and/or low mouse frequency ultrasonic and/or It is supported by Pneumatic Shock Waves to increase its effectiveness. Over and distal end of a multi-way, multi-channel, and multi-connector catheter; elastic ag It is attached from the distal and proximal ends, heat and/or light cured bonding with silicone and/or ultrasonically welded and/or with an elastic and/or non-elastic thread and/or a very thin wire. fixed by connecting, Laser with the balloon inflated in the part of the multi-channel or multi-way catheter inside the balloon There are open beam windows so that the rays can be transmitted to the bronchial mucosa, of ultrasonic and/or pneumatic shock waves to the bronchial mucosa simultaneously with the balloon. flexible ultrasonic shock wave conduction wire for pressure application from the inside surface of the balloon, the balloon from the windows and end to transmit ultrasonic shock waves to the mucosa while inflated. In our invention, which includes an open-ended channel that provides ultrasonic shock wave; - inflation and/or inflation at controllable frequency, vibration, velocity, pressure an air and/or liquid pump with deflation and/or electro/mechanical energy with features that can work in combination with sources, At the same time; - independently controllable, with compatible balloon geometries, -Structure to adapt to intraluminal diameters with obstructive and/or biological formations and in function, - able to properly extract tissues for sampling/analysis An endoluminal peeling balloon system was designed.
Sanayiye uygulanmasi; Bronkoskoplar veya Endoskoplar ve/veya Rijit ve/veya Fleksibl endoskoplarin çalisma kanallari kullanilarak Trakeo Bronsiyal,Vasküler, Özofageal,ÜretralNajinal, Gastrointestinal v.b. gibi içi bos Tübüler Organlarda görülen Endoluminal ve/veya Endobronsiyal Benign, Premalign ve/veya Mali gn doku ve/veya hipertrofik hücresel büyümelerin ve/veya hiperplazik hücresel olusumlarin ve/veya katilasmis akciger sivilari gibi istenmeyen biyolojik materyallerin ve/veya lezyonlarin, sekresyonlarin, vücut sivilarinin ve/veya biyolojik olusumlarinin yerlesmis olduklari mukoza yüzeylerinden mukozaya zarar vermeden soyularak ve/veya kazinarak çikarilmasini saglamak üzere gelistirilmis KOAH peeling balon kateter sistemi ve uygulama metodumuz, ayni zamanda ; -Bronslarda ve/veya bronsiyollerde istenmeyen obstüriktif biyolojik materyalin ve/veya hücresel olusumlarin mukoza yüzeyine zarar vermeden stenozlara veya kanamaya ve/veya perforasyona neden olmadan etkin bir sekilde çikarilmasi için gelistirilen elastik balon ag dokuma ve/veya örme kilifini lazer isinlari ve yüksek ve/veya düsük frekansli ultrasonik ve/veya pnömatik sok dalgalari ile desteklenmesi, - KOAH Peeling Balon Sistemini desteklemek ve/veya kontrol etmek için kompakt yapida dokunmatik ekranli, uzaktan kumanda sistemi ile donatilmis, çoklu pratik konnektörlü, merkezi basinçli tibbi hava sitemine ve/veya portabl tüp sistemine baglanarak çalistirilabilecek pnömatik bir sisteme sahip ve sehir elektirik Sistemine baglanarak çalistirilabilecek bir kontrol ünitesi saglanmasi, -Endobronsiyal KOAH Peeling Balonu bir kateterle birlestirilebilir ve dokuma mansonunun proksimal ve distal uçlari katetere yapistirilabilir, shrink balon kapama yöntemi ile sabitlenebilir, ultrasonik kaynak yapilarak sabitlenebilir böylece balon ile birlikte inflasyon ve deflasyona uygun es zainanli olarak hareket eden bir esnek balon sistemi saglamaktir. Application to industry; Operation of Bronchoscopes or Endoscopes and/or Rigid and/or Flexible endoscopes Tracheo Bronchial, Vascular, Esophageal, UrethralNaginal, Gastrointestinal, using channels etc. Endoluminal and/or Endobronchial Benign seen in Hollow Tubular Organs such as Premalignant and/or Malignant tissue and/or hypertrophic cellular growths and/or hyperplasia undesirable biological processes such as cellular growths and/or solidified lung fluids. materials and/or lesions, secretions, body fluids and/or biological by peeling from the mucosal surfaces where their formations are located, without damaging the mucosa. and/or COPD peeling balloon catheter developed to allow scraping out system and our application method, at the same time; - Undesirable obstructive biological material in the bronchi and/or bronchioles and/or stenoses or bleeding without damaging the mucous surface of cellular formations and/or Elastic balloon mesh developed for efficient removal without causing perforation woven and/or knitted sheath with laser beams and high and/or low frequency ultrasonic and/or pneumatic shock waves, - Compact to support and/or control the COPD Peeling Balloon System with touch screen in structure, equipped with remote control system, multi-practice connector, central pressure medical air system and/or portable tubing system It has a pneumatic system that can be connected to the city electricity system. providing a control unit that can be connected and operated, -The Endobronchial COPD Peeling Balloon can be combined with a catheter and proximal and distal ends can be attached to the catheter, with shrink balloon closure method It can be fixed, fixed by ultrasonic welding, so that together with the balloon, inflation and The aim is to provide a flexible balloon system that moves simultaneously in accordance with deflation.
Bu özellikleri ile saglik sektöründe tercih sebebi olacaktir.With these features, it will be preferred in the health sector.
Claims (10)
Priority Applications (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| TR2018/08066A TR201808066A2 (en) | 2018-06-06 | 2018-06-06 | COPD PEELING BALLOON CATHETER SYSTEM AND APPLICATION METHOD |
| PCT/TR2019/050349 WO2020005186A2 (en) | 2018-06-06 | 2019-05-20 | Copd peeling balloon catheter system and application method |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| TR2018/08066A TR201808066A2 (en) | 2018-06-06 | 2018-06-06 | COPD PEELING BALLOON CATHETER SYSTEM AND APPLICATION METHOD |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| TR201808066A2 true TR201808066A2 (en) | 2018-07-23 |
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| TR2018/08066A TR201808066A2 (en) | 2018-06-06 | 2018-06-06 | COPD PEELING BALLOON CATHETER SYSTEM AND APPLICATION METHOD |
Country Status (2)
| Country | Link |
|---|---|
| TR (1) | TR201808066A2 (en) |
| WO (1) | WO2020005186A2 (en) |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US10383595B2 (en) | 2013-04-22 | 2019-08-20 | University Of Maryland, Baltimore | Coaptation ultrasound devices and methods of use |
| WO2023102226A1 (en) * | 2021-12-03 | 2023-06-08 | CoapTech, Inc. | Systems, apparatus, and methods for treating pleural and peritoneal spaces |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US8226601B2 (en) * | 2008-11-12 | 2012-07-24 | Sanovas, Inc. | Resector balloon system |
| TR200907264A2 (en) * | 2009-09-23 | 2011-02-21 | Karakoca Yalçin | Multi-lumen resector balloon with one or more balloons with metal-coated elastic thread or drug-coated balloon |
| US20130116549A1 (en) * | 2010-10-18 | 2013-05-09 | Erhan H. Gunday | Anchored Working Channel |
| US8864762B2 (en) * | 2011-05-13 | 2014-10-21 | Sanovas, Inc. | Balloon catheter mesh |
-
2018
- 2018-06-06 TR TR2018/08066A patent/TR201808066A2/en unknown
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- 2019-05-20 WO PCT/TR2019/050349 patent/WO2020005186A2/en active Application Filing
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| Publication number | Publication date |
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| WO2020005186A2 (en) | 2020-01-02 |
| WO2020005186A3 (en) | 2020-03-19 |
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