DE2537620A1 - Balloon pessary for blocking fallopian tubes - is inflatable double balloon containing X:ray opaque thread in wall - Google Patents

Balloon pessary for blocking fallopian tubes - is inflatable double balloon containing X:ray opaque thread in wall

Info

Publication number
DE2537620A1
DE2537620A1 DE19752537620 DE2537620A DE2537620A1 DE 2537620 A1 DE2537620 A1 DE 2537620A1 DE 19752537620 DE19752537620 DE 19752537620 DE 2537620 A DE2537620 A DE 2537620A DE 2537620 A1 DE2537620 A1 DE 2537620A1
Authority
DE
Germany
Prior art keywords
balloon
pessary
tube
probe
wall
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
DE19752537620
Other languages
German (de)
Inventor
Lothar Dr Med Popp
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
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 Individual filed Critical Individual
Priority to DE19752537620 priority Critical patent/DE2537620A1/en
Publication of DE2537620A1 publication Critical patent/DE2537620A1/en
Pending legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F6/00—Contraceptive devices; Pessaries; Applicators therefor
    • A61F6/20—Vas deferens occluders; Fallopian occluders
    • A61F6/22—Vas deferens occluders; Fallopian occluders implantable in tubes
    • A61F6/225—Vas deferens occluders; Fallopian occluders implantable in tubes transcervical
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers

Landscapes

  • Health & Medical Sciences (AREA)
  • Reproductive Health (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

The balloon pessary closes the fallopian tubes for reversible sterilisation. It has an inflatable double balloon (1) which seals off the entrance to both of the tubes (3). A thread which is opaque to X-rays is built into the wall to simultaneously serve as a reinforcement, and to show the pessary position. Once the balloon is filled a sealing mechanism closes itself and the probe for the pessary is removed. The probe is a long thin flexible, blunt cannula coupled to a syringe and passing right inside the balloon pessary. It serves both for the hysteroscopic placing of the pessary and for filling the balloon. There is a low risk of infection, and no drugs are required, nor surgical opening of the stomach.

Description

Titel: Tuben-3allon-Pessar ( GBP ) Anwendungsgebiet: Die Erfindung betrifft einen Tuben-3allon-Pessar, mit dem ein reversibler Verschluß des Eileiters herbeigeführt wird. Er kann in solchen Fällen eingesetzt werden, bei denen eine irreversible Sterilisation, z.B. die Durchtrennung der Eileiter, nicht oder noch nicht angezeigt ist und andere empfängnisverhütende Maßnahmen nicht möglich, nicht zumutbar oder mit größeren Risiken verbunden sind.Title: Tuben-3allon-Pessary (GBP) Field of application: The invention relates to a tube 3allon pessary with which a reversible closure of the fallopian tube is brought about. It can be used in cases where a irreversible sterilization, e.g. the cutting of the fallopian tubes, not or still is not indicated and other contraceptive measures are not possible, not reasonable or associated with greater risks.

Zweck: Die Erfindung dient dem reversiblen Verschluß der Eileiter zum Zwecke der vorübergehenden Unfruchtbarmachung.Purpose: The invention is used for the reversible closure of the fallopian tubes for the purpose of temporary sterility.

Stand der Technik: Neben den herkömmlichen empfangnisverhütenden Maßnahmen gibt es neuerdings Implantate zum Zwecke der Empfängnisverhütung. Mir sind davon der Intrauterinpessar und der Eileiterclip bekanne.State of the art: In addition to conventional contraceptive measures There have recently been implants for the purpose of contraception. I am of it the intrauterine device and the fallopian tube clip are known.

Eritik des Standes der Technik: Die mir bekannten Implantate zum Zwecke der Empfängnisverhütung haben schwerwiegande Nachteile: 1. Intrauterinpessar: Hohe Ausstoßungsrate, hohe Infektionsgefahr, hoher Pearl-Index.State-of-the-art technology: The implants known to me for the purpose contraception have serious disadvantages: 1. Intrauterine device: high Rejection rate, high risk of infection, high pearl index.

2. Eileiterclip: Risiko der erforderlichen Laparotomie und Re-Laparotomie zu seiner Ehtfernung. Quetschen der Tube für lange Zeit, was meines Erachtens zum irreversiblen Verschluß des Eileiters führen muß.2. Fallopian tube clip: risk of required laparotomy and re-laparotomy for his removal. Squeezing the tube for a long time, which in my opinion is the irreversible closure of the fallopian tube.

Die mir bekannten Operationen an der Tube zum Zwecke der Sterilisation führen in aller Regel zum irreversiblen Verschluß des Eileiters.The operations I know on the tube for the purpose of sterilization usually lead to irreversible closure of the fallopian tube.

Aufgabe: Der Erfindung liegt die Aufgabe zugrunde, einen reversiblen Verschluß der Eileiter und somit eine temporäre Sterilität herbeizuführen.Task: The invention is based on the task of providing a reversible Closure of the fallopian tubes and thus bring about temporary sterility.

Io~sung: Diese Aufgabe wird erfindungsmäßig dadurch gelöst, daß man von der Gebärmutterhöhle aus mittels eines Hysteroskopes je einen Tuben-Ballon-Pessar in den intramuralen Teil des Eileiters plaziert und durch Auffüllen fixiert. Dadurch werden die Eileiter fest verschlossen und es tritt eine Sterilität ein. Der Verschluß ist reversibel, weil der Tuben-3allon-Pessar durch geeignete Maßnahmen bei einer erneuten Hysteroskopie wieder entleert und leer leicht entfernt werden kann.Solution: According to the invention, this object is achieved in that one one tube-balloon pessary each from the uterine cavity using a hysteroscope placed in the intramural part of the fallopian tube and fixed by filling. Through this the fallopian tubes are tightly closed and sterility occurs. The closure is reversible because the tube-3allon-pessary can be used with a renewed hysteroscopy again deflated and empty can easily be removed.

Der Haltemechanismus beruht auf zwei Prinzipien: 1. Prinzip des auffüllbaren Ballons als Haltemechanismus (z.B. wie beim Ballon-Blasen-Katheter) 2. Prinzip des Kragenknopfes, wobei hier zwei miteinander in Verbindung stehende Ballons sich beim Auffüllen so auf einander zu vergrößern, daß sie eine enge Stelle (hier den intramuralen Teil der Tube) fest zwischen sich fassen und damit verschließen. The holding mechanism is based on two principles: 1. Principle of the refillable Balloons as a holding mechanism (e.g. as in the balloon-bladder catheter) 2. Principle of the Collar button, with two balloons connected to each other here Padding so that they enlarge on each other that they form a narrow point (here the intramural Part of the tube) firmly between you and seal it.

Weitere Ausgestaltung der Erfindung: In die Wand des Tuben-3allon-Pessars wird ein Röntgenkontraststreifen eingearbeitet, um den Sitz und die Form des Implantates röntgenologisch kontrollieren zu können. Der Röntgenkontraststreifen ist gleichzeitig ein formgebendes und stabilisierendes Element. Xr garantiert auch, daß beim Entfernen der Guben-Ballon-PessarniGht zerreißt und stets vollständig entfernt wird.Another embodiment of the invention: In the wall of the tube 3allon pessary an X-ray contrast strip is incorporated to determine the fit and shape of the implant to be able to check radiographically. The X-ray contrast strip is at the same time a shaping and stabilizing element. Xr also guarantees that upon removal the Guben-Balloon-PessarniGht tears and is always completely removed.

Zum Implantieren des Tuben-3allon-Pessars muß ein Hysteroskop mit zwei Tuben-3allon-Pessar-Sonden ausgerüstetwerden.Die Tuben-Rallon-Pessar-Sonde besteht aus einer langen, dunnen,flexiblen, stumpfen Kanüle, über deren Ende derznnächst leere Tuben-3allon-Pessar gestülpt ist.A hysteroscope must also be used to implant the tube-3allon pessary two tube-3allon pessary probes can be equipped. The tube-rallon-pessary probe consists of a long, thin, flexible, blunt cannula, over the end of which will soon be empty Tubular-3allon pessary is put in place.

Dieses Ende der Sonde wird mit Hilfe eines Hysteroskopes von der Gebärmutter her in den Eileiter eingeführt. Der Tuben-Ballon-Pessar wird durch die beschriebene Kanüle aufgefüllt und die Tuben-3allon-Pessar-Sonde wird danach aus dem Tuben-3allon-Pessar durch Zurückziehen entfernt. Nach Entfernen der Sonde verschließt sich die Einstichstelle am Tuben-Ballon-Pessar.This end of the probe is removed from the uterus with the help of a hysteroscope introduced into the fallopian tube. The tube-balloon pessary is described by the The cannula is filled and the tube-3allon pessary probe is then removed from the tube-3allon pessary removed by pulling back. After removing the probe, the puncture site closes on the tube balloon pessary.

Erzielbare Vorteile: Die mit der Erfindung erzielten Vorteile bestehen insbesondere darin, daß ohne Eröffnung der Bauchhöhle, ohne medikamentöse Behandlung und mit geringem Infektionsrisiko eine reversible Sterilisation herbeigeführt werden kann.Achievable Advantages: The advantages achieved with the invention exist especially in the fact that without opening the abdominal cavity, without drug treatment and a reversible sterilization can be brought about with a low risk of infection can.

Beschreibung eines Ausfiibrungsbeispiels: Ein Ausführungsbeispiel der Erfindung ist in der Zeichnung dargestellt und wird im folgenden näher beschrieben: Fig. 1: Der Tuben-Ballon-Pessar ( 1 ) ist hysteroskopisch mit der Tuben-Ballon-Pessar-Sonde ( 2 ) in den intramuralen Teil der Tube ( 3 ) plaziert worden.Description of an exemplary embodiment: An exemplary embodiment the invention is shown in the drawing and is described in more detail below: Fig. 1: The tube-balloon pessary (1) is hysteroscopic with the tube-balloon-pessary probe (2) placed in the intramural part of the tube (3).

Fig. 2s Der Tuben-Ballon-Pessar wurde aufgefüllt, die Tuben-Ballon-Pessar-Sonde ist aus dem Tuben-Ballon-Pessar durch Zurückziehen entfernt.Fig. 2s The tube-balloon-pessary was filled, the tube-balloon-pessary-probe is removed from the tube-balloon-pessary by pulling it back.

Der Tuben-Ballon-Pessar verschließt kragenknopf artig den intramuralen Teil der Tube.The tube-balloon pessary closes the intramural one like a collar button Part of the tube.

Claims (1)

Patentansprüche: Patent claims: Oberbegriff: Tuten-Ballon-Pessar (BP) zum reversiblen Verschluß des Eileiters, Kennzeichnender Teil: dadurch gekennzeichnet, daß ein auffüllbarer Doppelballon den intramuralen Teil der Tube kragenknopf artig verschließt. Als gleichzeitig formgebendes, stabilisierendes und diagnostisches Element ist ein Röntgenkontrastfaden in die Wand eingearbeitet. Ein Verschlußmechanismus schließt sich nach Auffüllen des Ballons und Entfernen der Tuben-Ballon-Pessar-Sonde. Oberbegriff des Unteranspruchs: Tuben-Ballon-Pessar-Sonde zum hysteroskopischen Einführen des Tuben-Ballon-Pessars, Kennzeichnender Teil des Unteranspruchæ: dadurch gekennzeichnet, daß eine lange, dünne, flexible, stumpfe Kanüle mit einem Spritzenansatzstück eine, sie umschließende Führungshülle, um die Lange des Tuben-Ballon-Pessarsüberragt. Sie dient der hysteroskopischen Plazierung und dem Auffüllen des Tuben-Ballon-PessaraGeneric term: Tuten-Balloon-Pessary (BP) for the reversible closure of the Fallopian tube, characterizing part: characterized in that a refillable double balloon closes the intramural part of the tube like a collar button. As a form-giving, The stabilizing and diagnostic element is an X-ray contrast thread in the Incorporated into the wall. A locking mechanism closes after the balloon is filled and removing the tube-balloon-pessary probe. Generic term of the subclaim: tube-balloon-pessary probe for the hysteroscopic insertion of the tube-balloon-pessary, characteristic part of the Sub-claimæ: characterized in that a long, thin, flexible, blunt Cannula with a syringe adapter, a guide sheath enclosing it, around the Long protruding from the tube-balloon-pessary. It is used for hysteroscopic placement and the filling of the tube-balloon-pessara
DE19752537620 1975-08-23 1975-08-23 Balloon pessary for blocking fallopian tubes - is inflatable double balloon containing X:ray opaque thread in wall Pending DE2537620A1 (en)

Priority Applications (1)

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DE19752537620 DE2537620A1 (en) 1975-08-23 1975-08-23 Balloon pessary for blocking fallopian tubes - is inflatable double balloon containing X:ray opaque thread in wall

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DE19752537620 DE2537620A1 (en) 1975-08-23 1975-08-23 Balloon pessary for blocking fallopian tubes - is inflatable double balloon containing X:ray opaque thread in wall

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DE2537620A1 true DE2537620A1 (en) 1977-02-24

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Cited By (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0010812A1 (en) * 1978-10-26 1980-05-14 Karel Johan Hendrik Verschoof Contraceptive device
EP0105669A1 (en) * 1982-09-30 1984-04-18 Beta Phase Inc. Method of contraception and apparatus for carrying out such method
US4612924A (en) * 1981-07-14 1986-09-23 Hugo Cimber Intrauterine contraceptive device
US6526979B1 (en) 1995-06-07 2003-03-04 Conceptus, Inc. Contraceptive transcervical fallopian tube occlusion devices and methods
US6679266B2 (en) 1995-06-07 2004-01-20 Conceptus, Inc. Contraceptive transcervical fallopian tube occlusion devices and their delivery
WO2005082299A3 (en) * 2004-02-25 2005-11-24 Femasys Inc Methods and devices for conduit occlusion
US8048101B2 (en) 2004-02-25 2011-11-01 Femasys Inc. Methods and devices for conduit occlusion
US8052669B2 (en) 2004-02-25 2011-11-08 Femasys Inc. Methods and devices for delivery of compositions to conduits
US9238127B2 (en) 2004-02-25 2016-01-19 Femasys Inc. Methods and devices for delivering to conduit
US9554826B2 (en) 2008-10-03 2017-01-31 Femasys, Inc. Contrast agent injection system for sonographic imaging
US10070888B2 (en) 2008-10-03 2018-09-11 Femasys, Inc. Methods and devices for sonographic imaging

Cited By (44)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0010812A1 (en) * 1978-10-26 1980-05-14 Karel Johan Hendrik Verschoof Contraceptive device
US4612924A (en) * 1981-07-14 1986-09-23 Hugo Cimber Intrauterine contraceptive device
EP0105669A1 (en) * 1982-09-30 1984-04-18 Beta Phase Inc. Method of contraception and apparatus for carrying out such method
US8733361B2 (en) 1995-06-07 2014-05-27 Bayer Essure Inc. Occlusion devices and methods
US7921848B2 (en) 1995-06-07 2011-04-12 Conceptus, Inc. Contraceptive transcervical fallopian tube occlusion devices and methods
US6679266B2 (en) 1995-06-07 2004-01-20 Conceptus, Inc. Contraceptive transcervical fallopian tube occlusion devices and their delivery
US6684884B2 (en) 1995-06-07 2004-02-03 Conceptus, Inc. Contraceptive transcervical fallopian tube occlusion devices and methods
US6705323B1 (en) 1995-06-07 2004-03-16 Conceptus, Inc. Contraceptive transcervical fallopian tube occlusion devices and methods
US8171936B2 (en) 1995-06-07 2012-05-08 Conceptus, Inc. Contraceptive transcervical fallopian tube occlusion devices and methods
US7686020B2 (en) 1995-06-07 2010-03-30 Conceptus, Inc. Contraceptive transcervical fallopian tube occlusion devices and methods
US6634361B1 (en) 1995-06-07 2003-10-21 Conceptus, Inc. Contraceptive transcervical fallopian tube occlusion devices and methods
US6526979B1 (en) 1995-06-07 2003-03-04 Conceptus, Inc. Contraceptive transcervical fallopian tube occlusion devices and methods
US8327852B2 (en) 1995-06-07 2012-12-11 Conceptus, Inc. Occlusion devices and methods
US8066007B2 (en) 1995-06-07 2011-11-29 Conceptus, Inc. Contraceptive transcervical fallopian tube occlusion devices and their delivery
US8356599B2 (en) 1995-06-07 2013-01-22 Conceptus, Inc. Occlusion devices and methods
US8613282B2 (en) 1997-09-24 2013-12-24 Conceptus, Inc. Occlusion devices and methods
US8733360B2 (en) 1997-09-24 2014-05-27 Bayer Essure Inc. Occlusion devices and methods
CN1929799B (en) * 2004-02-25 2011-04-13 费玛塞斯公司 Methods and devices for conduit occlusion
US9238127B2 (en) 2004-02-25 2016-01-19 Femasys Inc. Methods and devices for delivering to conduit
US8324193B2 (en) 2004-02-25 2012-12-04 Femasys Inc. Methods and devices for delivery of compositions to conduits
US8316854B2 (en) 2004-02-25 2012-11-27 Femasys Inc. Methods and devices for conduit occlusion
US8336552B2 (en) 2004-02-25 2012-12-25 Femasys Inc. Methods and devices for conduit occlusion
US8052669B2 (en) 2004-02-25 2011-11-08 Femasys Inc. Methods and devices for delivery of compositions to conduits
US8048086B2 (en) 2004-02-25 2011-11-01 Femasys Inc. Methods and devices for conduit occlusion
US8695606B2 (en) 2004-02-25 2014-04-15 Femasys Inc. Methods and devices for conduit occlusion
US8726906B2 (en) 2004-02-25 2014-05-20 Femasys Inc. Methods and devices for conduit occlusion
US8048101B2 (en) 2004-02-25 2011-11-01 Femasys Inc. Methods and devices for conduit occlusion
WO2005082299A3 (en) * 2004-02-25 2005-11-24 Femasys Inc Methods and devices for conduit occlusion
US9034053B2 (en) 2004-02-25 2015-05-19 Femasys Inc. Methods and devices for conduit occlusion
US9220880B2 (en) 2004-02-25 2015-12-29 Femasys Inc. Methods and devices for delivery of compositions to conduits
US8316853B2 (en) 2004-02-25 2012-11-27 Femasys Inc. Method and devices for conduit occlusion
US9308023B2 (en) 2004-02-25 2016-04-12 Femasys Inc. Methods and devices for conduit occlusion
US9402762B2 (en) 2004-02-25 2016-08-02 Femasys Inc. Methods and devices for conduit occlusion
US11779372B2 (en) 2004-02-25 2023-10-10 Femasys Inc. Methods and devices for conduit occlusion
US9839444B2 (en) 2004-02-25 2017-12-12 Femasys Inc. Methods and devices for conduit occlusion
US10292732B2 (en) 2004-02-25 2019-05-21 Femasys, Inc. Methods and devices for conduit occlusion
US10111687B2 (en) 2004-02-25 2018-10-30 Femasys, Inc. Methods and devices for conduit occlusion
US10172643B2 (en) 2008-10-03 2019-01-08 Femasys, Inc. Contrast agent generation and injection system for sonographic imaging
US10258375B2 (en) 2008-10-03 2019-04-16 Femasys, Inc. Methods and devices for sonographic imaging
US10070888B2 (en) 2008-10-03 2018-09-11 Femasys, Inc. Methods and devices for sonographic imaging
US11154326B2 (en) 2008-10-03 2021-10-26 Femasys Inc. Methods and devices for sonographic imaging
US11648033B2 (en) 2008-10-03 2023-05-16 Femasys Inc. Methods and devices for sonographic imaging
US9554826B2 (en) 2008-10-03 2017-01-31 Femasys, Inc. Contrast agent injection system for sonographic imaging
US11980395B2 (en) 2008-10-03 2024-05-14 Femasys Inc. Methods and devices for sonographic imaging

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