WO2013088234A1 - Version améliorée de dispositif médical pour la réalisation d'iléostomies et/ou de jéjunostomies - Google Patents

Version améliorée de dispositif médical pour la réalisation d'iléostomies et/ou de jéjunostomies Download PDF

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Publication number
WO2013088234A1
WO2013088234A1 PCT/IB2012/002716 IB2012002716W WO2013088234A1 WO 2013088234 A1 WO2013088234 A1 WO 2013088234A1 IB 2012002716 W IB2012002716 W IB 2012002716W WO 2013088234 A1 WO2013088234 A1 WO 2013088234A1
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WO
WIPO (PCT)
Prior art keywords
fact
intestine
obstruction
section
obstruction means
Prior art date
Application number
PCT/IB2012/002716
Other languages
English (en)
Inventor
Graziano Azzolini
Enrico Mariani
Emanuele PAGLIACCI
Original Assignee
Evoluzione S.R.L.
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 Evoluzione S.R.L. filed Critical Evoluzione S.R.L.
Priority to EP12818568.3A priority Critical patent/EP2790767A1/fr
Publication of WO2013088234A1 publication Critical patent/WO2013088234A1/fr

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Classifications

    • 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
    • A61M25/1011—Multiple balloon catheters
    • 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
    • A61F5/44—Devices worn by the patient for reception of urine, faeces, catamenial or other discharge; Portable urination aids; Colostomy devices
    • A61F5/445—Colostomy, ileostomy or urethrostomy devices
    • 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
    • A61F5/44—Devices worn by the patient for reception of urine, faeces, catamenial or other discharge; Portable urination aids; Colostomy devices
    • A61F5/445—Colostomy, ileostomy or urethrostomy devices
    • A61F2005/4455—Implantable

Definitions

  • the present invention relates to a medical device for performing ileostomies and/or jejunostomies.
  • ileostomy i.e., to connect the intestine to the outside by means of a stomy, i.e., a hole made on the abdominal wall.
  • a stomy i.e., a hole made on the abdominal wall.
  • the ileostomies can be of the temporary or permanent type depending on the illness.
  • temporary ileostomies are used for the purpose of temporarily suspending, for a period of about three months, the intestinal continuity and the functions of a section of the intestine, after which intestinal continuity and the normal function of same are restored, while permanent ileostomies are used in the case of chronic illnesses and therefore envisage a permanent deviation of the intestine.
  • the present treatise refers mainly to the case of temporary ileostomies.
  • temporary ileostomies are constructed by identifying a loop arranged upstream of the area to be safeguarded with respect to the direction of forward movement of the intestinal contents and sectioning the ileum at the level of the chosen loop.
  • the extremity of the sectioned loop is made to pass through an opening made on the abdominal wall (stomy). To prevent the ileum loop retracting into the abdominal cavity this is pierced with a rod which blocks it outside the abdomen.
  • the ileum is thus split into two sections, one upper section communicating with the digestive apparatus and through which the contents coming from the digestive section are evacuated, and one lower section communicating with the operated area, the upper section of which is closed, thereby interrupting the intestinal continuity and the functions of the intestine.
  • a device having a tubular element with a plurality of openings for the entry of the intestinal contents, intended to be positioned inside the patient's intestine upstream of the operated area, and at least an intestinal contents exit opening, intended to be arranged outside the patient's body.
  • This device of known type also comprises a first inflatable balloon for the obstruction of a section of the intestine and a second inflatable balloon suitable for cooperating with the patient's body to prevent the accidental removal of the device itself.
  • This medical device of known type also has a number of drawbacks however.
  • the first balloon does not always allow an effective retention of the intestinal contents, which can therefore transit beyond the barrier defined by the first balloon itself and thus reach the area to be safeguarded.
  • the main aim of the present invention is to devise an upgraded medical device which permits to overcome the drawbacks of the medical devices of known type.
  • the present invention intends devising a device which allows considerably reducing the risk of the intestinal contents crossing the intestine and reaching the operated area.
  • Another object of the present invention is to devise an upgraded medical device for performing ileostomies and/or jejunostomies, that allows to overcome the mentioned drawbacks of the state of the art in the ambit of a simple, rational, easy and effective to use as well as low cost solution.
  • the present medical device for performing ileostomies and/or jejunostomies, comprising:
  • At least a tubular element wherein is defined at least a first transit channel having one or more first entry openings of the intestinal contents insertable inside the intestine of a patient and at least a first exit opening of the intestinal contents positionable outside the intestine;
  • - anchoring means associated with said tubular element, insertable inside the intestine and suitable for cooperating with the patient's body to prevent the removal of said first obstruction means with respect to the body itself and characterized by the fact that it comprises second obstruction means of at least a second area of the intestine placed along said tubular element and spaced from said first obstruction means, said second obstruction means being insertable - inside the intestine itself and being configured so as to prevent the transit of the intestinal contents through said second area of the intestine.
  • Figure 1 is an axonometric view of a medical device according to the invention in a first embodiment with the obstruction means and anchoring means in narrow configuration;
  • Figure 2 is an axonometric view of the medical device of Figure 1 with the obstruction means and anchoring means in widened configuration;
  • Figure 3 is a transversal section of a medical device according to the invention in a second embodiment
  • Figure 4 is a plan view of a medical device according to the invention in a third embodiment
  • Figure 5 is an axonometric view of the stiffening means applied to a medical device according to the invention.
  • Figure 6 is an axonometric view of the medical device of Figure 1 partially fitted into a patient's intestine;
  • Figure 7 is an axonometric view of the medical device of Figure 2 completely fitted into a patient's intestine.
  • reference number 1 globally indicated by reference number 1 is a medical device for performing ileostomies and/or jejunostomies, particularly of the temporary type.
  • the device 1 comprises at least one tubular element 2 wherein is defined at least a first transit channel 3 having one or more first entry openings 3a and at least one first exit opening 3b of the intestinal contents.
  • the first entry openings 3a are insertable inside the intestine I of a patient and the first exit opening 3b is positionable outside the intestine I.
  • the tubular element 2 is made of an opaque radium material, e.g., silicone or polyurethane.
  • the first entry openings 3 a and the first exit opening 3 b are suitably arranged on opposite sides of the tubular element 2. More in particular, the tubular element 2 comprises at least a first section 2a on which are obtained the first entry openings 3 a and at least a second section 2b on which is obtained the first exit opening 3b.
  • the first section 2a is insertable inside the intestine I of the patient, and in particular the ileum, through a stomy obtained on the patient's abdomen A, e.g., to perform an operation in laparoscopy such as a surgical operation consisting of the resection of a section of the ileum or relating to the caecum.
  • the first entry openings 3a are defined in correspondence to the side surface of the first section 2a.
  • At least a part of the first entry openings 3 a is arranged along the longitudinal extension of the first section 2a.
  • the first entry openings 3 a are distributed in such a way as to allow the drainage along the substantial totality of the side surface of the first section 2a. More in particular, the first entry openings 3a are longitudinally staggered the one to the other and are arranged along a theoretical spiral which envelops the first section 2a.
  • the first entry openings 3a have a substantially elliptic shape. More in detail, the larger axis of the first entry openings 3 a is arranged substantially parallel to the longitudinal extension of the first section 2a.
  • the first entry openings 3 a are big enough to allow the efflux of the intestinal contents inside the first transit channel 3 and, at the same time, avoid the weakening of the tubular element 2.
  • the elliptic shape of the first entry openings 3 a does in fact permit the greatest possible efflux, the weakening of the first section 2a being equal.
  • the length of the first section 2a is substantially between 5 cm and 10 cm.
  • the axial extremity of the first section 2a is suitably reinforced, e.g., by means of a spiral tip or the like, to make it easier to insert inside the intestine I.
  • the tubular element 2 has just one first entry opening 3a defined in correspondence to its axial extremity opposite the first exit opening 3b.
  • the second section 2b is instead meant to be arranged outside the intestine I and the first exit opening 3b, arranged in correspondence to its axial extremity, is associable with a container for collecting the intestinal contents not shown in the illustrations.
  • the second section 2b has a length between 10 cm and 20 cm, preferably equal to 15 cm.
  • the device 1 then comprises first obstruction means 5 of at least a first area Z' of the intestine I associated with the tubular element 2, insertable inside the intestine itself and configured so as to prevent the transit of the intestinal contents through such first area Z' .
  • the first obstruction means 5 are associated integral with the tubular element 2. More in detail, the first obstruction means 5 are defined integral with the tubular element 2.
  • the first obstruction means 5 are suitable for isolating the part of the intestine I arranged downstream of the first area Z' with respect to the forward-movement direction of the intestinal contents to prevent the latter arriving in correspondence to the operated area.
  • the first obstruction means 5 are suitable for being arranged along a section of the ileum.
  • the first obstruction means 5 are therefore suitable for separating the intestine I into two parts, one first part ⁇ and one second part I".
  • the first and the second parts ⁇ and I" are arranged upstream and downstream respectively of the first obstruction means 5 with respect to the forward-movement direction of the intestinal contents.
  • the first part P is therefore in communication with the patient's stomach, while the second part I" corresponds to the part, the functions of which have to be suspended inasmuch as it comprises the portion to be safeguarded, e.g., the portion in which an anastomosis has been performed.
  • the first entry openings 3a and therefore also the relative first section 2a, are meant to be housed in the first part ⁇ of the intestine I, i.e., upstream of the first obstruction means 5 with respect to the forward-movement direction of the intestinal contents, so as to intercept the feces arriving from the digestive system.
  • the first obstruction means 5 are configured in such a way as to prevent the transit of the intestinal contents coming from the first part ⁇ into the second part I".
  • the first section 2a of the tubular element 2 is placed between the first obstruction means 5 and the axial extremity opposite the first exit opening 3b.
  • the first obstruction means 5 are therefore placed between the first section 2a and the second section 2b.
  • the first obstruction means 5 are arranged in correspondence to the axial extremity of the tubular element 2 opposite the first exit opening 3b.
  • the device 1 also comprises second obstruction means 5' of at least a second area Z" of the intestine I associated with the tubular element 2 arid spaced from the first obstruction means 5.
  • the second obstruction means 5' are also insertable inside the intestine I and are configured so as to prevent the transit of the intestinal contents through the second area Z".
  • the second obstruction means 5' are also placed between the first entry openings 3a and the first exit opening 3b.
  • the second obstruction means 5' are placed between the first obstruction means 5 and the first exit opening 3b.
  • the second obstruction means 5' are therefore arranged in series with respect to the first obstruction means 5 along the tubular element 2 and are suitable for defining a further barrier against the transit of the intestinal contents, so as to prevent any parts of the latter which have leaked between the first obstruction means 5 and the intestinal wall of the first area Z' from arriving in correspondence to the area of the intestine itself to be safeguarded.
  • the second obstruction means 5' are therefore arranged downstream of the first obstruction means 5 in the direction of forward movement of the intestinal contents.
  • the tubular element 2 besides the first and the second sections 2a, 2b mentioned above, also therefore has a third section 2c placed between the first and the second obstruction means 5, 5'.
  • the length of the third section 2c is between 3 cm and 8 cm, preferably equal to 3-4 cm.
  • one or more second entry openings 16 suitable for draining inside a second transit channel 3' any parts of the intestinal contents which have leaked through the first obstruction means 5 and have therefore entered the second part ⁇ ' of the intestine I.
  • the second transit channel 3' has at least a second exit opening 3b' arranged on the opposite side of the second entry openings 16.
  • the second transit channel 3' is also defined inside the tubular element 2.
  • the second transit channel 3' can coincide with the first transit channel 3, in which case the second exit opening 3b' coincides with the first exit opening 3b, as shown in the embodiment of figures 1 and 2.
  • the second transit channel 3' is distinct from the first transit channel 3, in which case the second exit opening 3b' is distinct from the first exit opening 3b, as shown in the embodiment of the figures 3 and 4.
  • the transit channels 3, 3' generally have a gauge of not more than 24 French, preferably equal to about 20 French.
  • the first and the second obstruction means 5, 5' are mobile between a relative narrow configuration to allow their insertion into the intestine I through the stomy, and a widened configuration, wherein they obstruct the first and the second areas Z', Z" of the intestine I respectively to prevent the transit of the intestinal contents from the first part ⁇ towards the second part I".
  • both the first and the second obstruction means 5 and 5' are composed of an inflatable balloon.
  • Such inflatable balloons 5, 5' are arranged outside the tubular element 2 and are substantially deflated in the narrow configuration and inflated in the widened configuration.
  • the balloons 5, 5' generally have a volume of less than or the same as 10 cm , preferably equal to about 5 cm .
  • the device 1 comprises stiffening means 17, shown in figure 5, associated with the obstruction means 5 and 5' and suitable for avoiding the collapse of the section 2c placed between them during use.
  • the stiffening means 17 comprise a plurality of stiffening elements 17a of the rigid type and having a substantially filiform shape, which are at least placed between the balloons 5 and 5'.
  • the stiffening elements 17a are spaced from one another to define a plurality of gaps 18 between them.
  • the gaps 18 are suitable for allowing the transit of the intestinal contents which have leaked through the first obstruction means 5.
  • the stiffening elements 17a in practice define a sort of cage arranged around the third section 2c and suitable for maintaining the reciprocal distance between the balloons 5 and 5' fixed and constant during the use of the device 1.
  • the presence of the stiffening means 17 is advantageous both in the case of the device 1 having the second entry openings 16 and in the case of the latter being absent.
  • the device 1 comprises starting means 6,6' of the balloons 5 and 5'.
  • the filiform elements 17a extend starting from the extremity of the first section 2a, so as to keep a fixed distance between such extremity and the second obstruction means 5'.
  • the starting means 6,6' comprise at least an inflation/deflation channel, distinct from the transit channels 3, 3' and having at least a gap 7,7' for the air to flow in and out.
  • the starting means 6,6' are single for both the obstruction means 5 and 5' and therefore comprise a single inflation/deflation channel communicating with both the balloons and having a gap 7,7' for the air to flow in and out.
  • the starting means 6,6' comprise first starting means 6 of the first obstruction means 5 and second starting means 6' of the second obstruction means 5', where the first and the second starting means 6 and 6' are distinct from one another.
  • the starting means 6 and 6' comprise a respective inflation/deflation channel having a relative gap 7, 7' for the air to flow in and out.
  • the starting means 6,6' also comprise a check valve, not visible in detail in the illustrations, suitable for preventing the accidental escape of the air contained in the balloons 5, 5' and controllable by an operator to allow the air to flow out towards the outside.
  • the device 1 also comprises a number of anchoring means 15 associated with the tubular element 2, insertable inside the intestine I and suitable for cooperating with the patient's body to prevent the removal of at least the obstruction means 5, 5' from the intestine ⁇ r
  • the anchoring means 15 are associated integral with the tubular element 2. More in particular, the anchoring means 15 are defined integral with the tubular element 2.
  • the anchoring means 15 are also placed between the first and the second section 2a and 2b and, more in particular, between the first obstruction means 5 and the exit openings 3b, 3b'.
  • the first obstruction means 5 take up a position along a section of the ileum, obstructing it, while the anchoring means 15 position along the caecum, contacting its inner wall.
  • the anchoring means 15 are arranged downstream of the first obstruction means 5 with respect to the direction of forward movement of the intestinal contents and are therefore meant to be arranged along the second part I" of the intestine I. More in particular, during use the anchoring means 15 are also arranged downstream of the second obstruction means 5' with respect to the direction of forward movement of the intestinal contents. The second obstruction means 5' are therefore placed between the first obstruction means 5 and the anchoring means 15.
  • the tubular element 2 then has a fourth section 2d placed between the second obstruction means 5' and the anchoring means 15.
  • the length of the fourth section 2d is between 15 cm and 25 cm, preferably equal to 20 cm.
  • the fourth section 2d is integral, i.e., it does not have any opening defined on it.
  • the anchoring means 15 are also mobile between a relative narrow configuration, to allow the insertion inside the intestine I, and a relative widened configuration, wherein they are suitable for contacting the inner wall of the intestine I to prevent the removal of the obstruction means 5, 5'.
  • the movement of the anchoring means 15 from the narrow configuration to the widened configuration or vice versa is separate from the movement of the obstruction means 5, 5'.
  • the user can therefore activate/deactivate the obstruction means 5, 5' and the anchoring means 15 according to the sequence he/she prefers.
  • the anchoring means 15 are also of the inflatable balloon type.
  • the volume of the balloon 15 is for example between 10 and 15 cm 3 .
  • the device 1 then comprises activation means 6" of the anchoring means 15 distinct from the starting means 6, 6'.
  • the activation means 6" comprise an inflation/deflation channel defined in the tubular element 2, communicating with the balloon 15 and having a gap 7" for the air to flow in and out.
  • the inflation/deflation channel which puts into communication the gap 7" and the balloon 15 is distinct both from the channel communicating with the balloons 5 and 5' (or from the channels communicating with the balloons 5 and 5' depending on whether the starting means 6 and 6' are coinciding or distinct from one another) and from the transit channels 3, 3'.
  • the activation means 6" also comprise a check valve, not visible in detail in the illustrations, suitable for preventing the accidental escape of the air contained in the balloon 15 and controllable by an operator to allow the air to flow out towards the outside and therefore move the balloon itself from the widened configuration towards the narrow configuration.
  • the device 1 then comprises external retention means 8 associated with the second section 2b and suitable for cooperating with the patient's body, e.g., with his/her abdomen A, to block the position of the obstruction means 5, 5' with respect to the body itself.
  • external retention means 8 associated with the second section 2b and suitable for cooperating with the patient's body, e.g., with his/her abdomen A, to block the position of the obstruction means 5, 5' with respect to the body itself.
  • the retention means 8 are also suitable for cooperating with the anchoring means 15 to block the position of the obstruction means 5, 5' inside the intestine I.
  • the retention means 8 are therefore suitable for applying a counter-pressure on the anchoring means 15.
  • the retention means 8 comprise at least one retention element, perforated and fitted sliding over the second section 2b.
  • the retention element 8 defines a contact surface meant to rest against the patient's body.
  • the retention element 8 is of the type of a disc having a central through hole through which to fit the second section 2b.
  • the retention element 8 is made of a material with high friction coefficient, e.g., silicone, in such a way as to make its sliding difficult with respect to the tubular element 2.
  • the retention element 8 is made to slide on the second section 2b until its contact surface is resting against the patient's abdominal wall A.
  • the retention element 8 cannot however be ruled out, not shown on the attached illustrations and having, e.g., guide means of the second section 2b.
  • guide means are, e.g., made up of a housing seat for a portion of the second section 2b, which extends along a substantially inclined direction with respect to the axis of the through hole, the latter not visible in detail in the illustrations. More in particular, the housing seat extends along a direction substantially parallel to the contact surface of the retention element 8.
  • the retention element 8 can also comprise fixing means 1 1, e.g., composed of one or more through holes, associable with the patient's body, e.g.* by means of suture.
  • a stomy is considered to have already been made on the patient's abdomen A, e.g., to perform an operation in laparoscopy on the patient's intestine, or specifically to perform the ileostomy and/or the jejunostomy.
  • the tubular element 2 is made to pass through the above stomy in such a way as to insert its first section 2a inside the intestine I, and in particular inside the ileum, in correspondence to the first area Z' placed upstream of the operated part with respect to the direction of forward movement of the intestinal contents.
  • the tubular element 2 is pushed inside the intestine I in such a way that the first entry openings 3a are oriented towards the patient's stomach.
  • the first obstruction means 5 are also introduced inside the intestine I.
  • the balloon 5 is in narrow configuration so as to make its transit through the stomy easier.
  • the tubular element 2 is further pushed inside the intestine I in such a way as to also gradually bring the second obstruction means 5' and the anchoring means 15 inside it.
  • the device 1 must be inserted inside the intestine in such a way that the second obstruction means 5' also find themselves upstream of the operated area during use.
  • the second obstruction means 5' and the anchoring means 15 are arranged in narrow configuration, in such a way as to easily transit through the stomy made on the patient's abdomen A.
  • the balloons 5 and 5' are moved to their respective widened configurations by blowing air through the gap 7,7'. This way, the balloons 5 and 5' inflate and, by widening, occupy the entire section of the areas Z' and Z" in which they are inserted, obstructing them.
  • the inflation of the balloons 5 and 5' can occur at the same time or separately the one from the other depending on whether they have a single inflation/deflation channel for both balloons or two distinct channels respectively.
  • the balloons 5 and 5' are deformable and when they are in widened configuration, they therefore adapt to the inner walls of the intestine I.
  • the balloon 15 is brought to its widened configuration by blowing air through the gap 7". This way the balloon 15 inflates so as to define a cross section bigger than that of the stomy.
  • the balloon 15 is moved towards the patient's abdominal wall A.
  • the retention element 8 is moved in correspondence to the patient's body, outside this, making it slide along the second section 2b and moving its contact surface so as to rest against the patient's skin.
  • the tubular element 2 is blocked with respect to the patient's body because the retention element 8 and the balloon 15 are arranged on opposite sides of the stomy.
  • the intestinal contents which come from the patient's stomach and cross the first part ⁇ of the intestine I are then intercepted by the balloon 5, which prevents them from moving forward in the second part I", and, consequently, from entering the first transit channel 3 through the first entry openings 3 a defined along the first section 2a and arranged in such a way as to substantially cover all its side wall.
  • its transit inside the second part I" is obstructed by the second balloon 5' in such a way as to convey it inside the second transit channel 3' through the second entry openings 16 defined along the third section 2 c.
  • this part can in any case enter the first transit channel 3 through any entry mouths defined along the fourth section 2d.
  • the intestinal contents then cross the transit channels 3, 3' until they reach the exit openings 3b, 3b' through which they are conveyed into the specific collection container.
  • the balloons 5, 5' and 15 merely have to be deflated by means of the respective valves positioned in the proximity of the gaps 7, 7' and 7" and the tubular element 2 taken out through the stomy.
  • the intestine I is again without impediments and can return to its normal operation, so the intestinal contents cross the now free areas Z' and Z" and move along the second part I" of the intestine itself.
  • the stomy made on the patient's abdomen A is then suitably medicated and protected until it is completely well again and healed up.
  • the present invention therefore relates to a medical device 1 comprising: a tubular element 2 wherein is defined a first transit channel 3 having one or more first entry openings 3 a and at least a first exit opening 3b, and comprising at least a first and a second inflatable balloon 5, 5', used to make ileostomies in the treatment of intestinal illnesses, and at least a third inflatable balloon 15 suitable for preventing the removal of the balloons 5 and 5' towards the outside of the intestine I.

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Abstract

La présente invention concerne un dispositif médical (1) pour la réalisation d'iléostomies et/ou de jéjunostomies comportant au moins un élément de forme tubulaire (2) dans lequel est défini au moins un premier canal de transit (3) comprenant une ou des première(s)ouverture(s) d'entrée (3a) du contenu intestinal apte à être introduit à l'intérieur de l'intestin (I) d'un patient et, au moins une première ouverture de sortie (3b) du contenu intestinal apte à être positionné à l'extérieur de l'intestin (I), un premier moyen d'obstruction (5) d'au moins une première région (Z') de l'intestin (I) placé le long de l'élément de forme tubulaire (2), un moyen d'ancrage (15) associé à l'élément de forme tubulaire (2), apte à être introduit à l'intérieur de l'intestin et apte à coopérer avec le corps du patient pour empêcher le retrait au moins du premier moyen d'obstruction (5) par rapport à l'organisme lui-même et comporte un second moyen d'obstruction (5') d'au moins une seconde région (Z'') de l'intestin (I) placé le long de l'élément tubulaire (2) et espacé du premier moyen d'obstruction (5), le second moyen d'obstruction (5') étant apte à être introduit à l'intérieur de l'intestin lui-même et étant configuré pour empêcher le transit du contenu intestinal à travers la seconde région (Z'') de l'intestin (I).
PCT/IB2012/002716 2011-12-16 2012-12-14 Version améliorée de dispositif médical pour la réalisation d'iléostomies et/ou de jéjunostomies WO2013088234A1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
EP12818568.3A EP2790767A1 (fr) 2011-12-16 2012-12-14 Version améliorée de dispositif médical pour la réalisation d'iléostomies et/ou de jéjunostomies

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
ITMO2011A000326 2011-12-16
IT000326A ITMO20110326A1 (it) 2011-12-16 2011-12-16 Dispositivo medico perfezionato per la realizzazione di ileostomie e/o digiunostomie

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WO2013088234A1 true WO2013088234A1 (fr) 2013-06-20

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EP (1) EP2790767A1 (fr)
IT (1) ITMO20110326A1 (fr)
WO (1) WO2013088234A1 (fr)

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
ITMO20130337A1 (it) * 2013-12-11 2015-06-12 Evoluzione Srl Dispositivo medico per la realizzazione di ileostomie e/o digiunostomie
WO2016097824A1 (fr) * 2014-12-18 2016-06-23 Evoluzione S.R.L. Dispositif médical pour la réalisation d'iléostomies et/ou de jéjunostomies
WO2019171335A1 (fr) * 2018-03-08 2019-09-12 Sds Push Limited Dispositifs destinés à être utilisés avec des orifices créés chirurgicalement

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GB840947A (en) * 1958-02-19 1960-07-13 John Joyce Foley Improvements in catheters
EP0714640A1 (fr) * 1994-11-28 1996-06-05 Advanced Cardiovascular Systems, Inc. Système et méthode pour introduire plusieurs stents
DE19501372A1 (de) * 1995-01-18 1996-10-17 Manfred Kretschmer Darmrohr mit integriertem Gewindeflansch, zur Befestigung von Fäkalienbeutel anläßlich der Versorgung eines Patienten mit Anuspraeternaturalis
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Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
ITMO20130337A1 (it) * 2013-12-11 2015-06-12 Evoluzione Srl Dispositivo medico per la realizzazione di ileostomie e/o digiunostomie
WO2016097824A1 (fr) * 2014-12-18 2016-06-23 Evoluzione S.R.L. Dispositif médical pour la réalisation d'iléostomies et/ou de jéjunostomies
WO2016098064A1 (fr) * 2014-12-18 2016-06-23 Sidam S.R.L. Dispositif médical pour effectuer des iléostomies et/ou des jéjunostomies
US20170367870A1 (en) * 2014-12-18 2017-12-28 Evoluzione S.R.L. Medical device for performing ileostomies and/or jejunostomies
US11033419B2 (en) 2014-12-18 2021-06-15 Evoluzione S.R.L. Medical device for performing ileostomies and/or jejunostomies
WO2019171335A1 (fr) * 2018-03-08 2019-09-12 Sds Push Limited Dispositifs destinés à être utilisés avec des orifices créés chirurgicalement
CN111818885A (zh) * 2018-03-08 2020-10-23 英赛兹有限公司 用于与以手术方式形成的腔道一起使用的装置

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