JP6646999B2 - 胃バイパスシステムおよび方法 - Google Patents
胃バイパスシステムおよび方法 Download PDFInfo
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- JP6646999B2 JP6646999B2 JP2015201888A JP2015201888A JP6646999B2 JP 6646999 B2 JP6646999 B2 JP 6646999B2 JP 2015201888 A JP2015201888 A JP 2015201888A JP 2015201888 A JP2015201888 A JP 2015201888A JP 6646999 B2 JP6646999 B2 JP 6646999B2
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- 238000000034 method Methods 0.000 title claims description 40
- 230000002496 gastric effect Effects 0.000 title description 7
- 210000002784 stomach Anatomy 0.000 claims description 71
- 210000000936 intestine Anatomy 0.000 claims description 45
- 208000008589 Obesity Diseases 0.000 claims description 11
- 235000020824 obesity Nutrition 0.000 claims description 11
- 238000003780 insertion Methods 0.000 claims description 7
- 230000037431 insertion Effects 0.000 claims description 7
- 230000000717 retained effect Effects 0.000 claims description 5
- 238000012800 visualization Methods 0.000 claims description 4
- 229910001285 shape-memory alloy Inorganic materials 0.000 claims 1
- 230000000968 intestinal effect Effects 0.000 description 12
- 238000005286 illumination Methods 0.000 description 5
- 238000003384 imaging method Methods 0.000 description 5
- 210000000813 small intestine Anatomy 0.000 description 4
- 238000011282 treatment Methods 0.000 description 4
- 230000008901 benefit Effects 0.000 description 2
- 235000012631 food intake Nutrition 0.000 description 2
- 230000037406 food intake Effects 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 229910001000 nickel titanium Inorganic materials 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 206010007559 Cardiac failure congestive Diseases 0.000 description 1
- 208000000059 Dyspnea Diseases 0.000 description 1
- 206010013975 Dyspnoeas Diseases 0.000 description 1
- 206010019280 Heart failures Diseases 0.000 description 1
- 206010020772 Hypertension Diseases 0.000 description 1
- 206010028980 Neoplasm Diseases 0.000 description 1
- 206010033307 Overweight Diseases 0.000 description 1
- 208000006011 Stroke Diseases 0.000 description 1
- 230000002159 abnormal effect Effects 0.000 description 1
- 238000010521 absorption reaction Methods 0.000 description 1
- 230000003213 activating effect Effects 0.000 description 1
- 210000003484 anatomy Anatomy 0.000 description 1
- 238000013459 approach Methods 0.000 description 1
- 235000019577 caloric intake Nutrition 0.000 description 1
- 201000011510 cancer Diseases 0.000 description 1
- 208000029078 coronary artery disease Diseases 0.000 description 1
- 206010012601 diabetes mellitus Diseases 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 210000003238 esophagus Anatomy 0.000 description 1
- 239000012530 fluid Substances 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 210000001630 jejunum Anatomy 0.000 description 1
- 210000002429 large intestine Anatomy 0.000 description 1
- 238000002324 minimally invasive surgery Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- HLXZNVUGXRDIFK-UHFFFAOYSA-N nickel titanium Chemical compound [Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni] HLXZNVUGXRDIFK-UHFFFAOYSA-N 0.000 description 1
- 235000016709 nutrition Nutrition 0.000 description 1
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- 230000008855 peristalsis Effects 0.000 description 1
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- 230000036186 satiety Effects 0.000 description 1
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Images
Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
- A61F5/0003—Apparatus for the treatment of obesity; Anti-eating devices
- A61F5/0013—Implantable devices or invasive measures
- A61F5/0076—Implantable devices or invasive measures preventing normal digestion, e.g. Bariatric or gastric sleeves
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B17/1114—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis of the digestive tract, e.g. bowels or oesophagus
-
- 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
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
- A61F5/0003—Apparatus for the treatment of obesity; Anti-eating devices
- A61F5/0089—Instruments for placement or removal
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00831—Material properties
- A61B2017/00876—Material properties magnetic
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B2017/1139—Side-to-side connections, e.g. shunt or X-connections
-
- 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
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
- A61F2002/045—Stomach, intestines
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Public Health (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- Veterinary Medicine (AREA)
- General Health & Medical Sciences (AREA)
- Vascular Medicine (AREA)
- Child & Adolescent Psychology (AREA)
- Obesity (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Nursing (AREA)
- Surgery (AREA)
- Molecular Biology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Physiology (AREA)
- Gastroenterology & Hepatology (AREA)
- Pulmonology (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Surgical Instruments (AREA)
Description
第1の内視鏡器具および第2の内視鏡器具を挿入する段階を含み、前記第1の内視鏡器具は、患者の胃内に挿入され、前記第2の内視鏡は、患者の腸内に挿入され、
胃の壁および腸の壁を穿刺するように穿刺装置を送達する段階と、
胃と腸を近置させる段階と、
胃内に第1の磁石を配備し、腸内に第2の磁石を配備する段階と、
胃と腸の間に開口を作る段階と、
胃と腸の間の前記開口内にステントを位置決めする段階と、をさらに含む、方法を提供する。
12 第2の内視鏡器具
18a 画像形成レンズ
18b 照明レンズまたはウィンドウ
22、24、26、28 管腔(チャンネル)
30 シース
32 ニードル
34 Tバー
36 切断器具(装置)
40 磁石送達装置(シース)
42 第1の磁石(円形)
42’C字形磁石
45 第1の磁石の開口(スペース)
45’C字形磁石の開口
47 第2の磁石の開口(スペース)
48 第2の磁石
49 磁石送達装置(シース)
50 ステントシース
52 ステント
60 内視鏡器具
62 画像形成レンズ
64 照明レンズまたはウィンドウ
66、68 管腔
B 腸
S 胃
X 胃壁
Z 腸壁
Claims (14)
- 肥満を治療するためのシステムであって、該システムは、
第1の磁石を収容する第1の器具を含み、前記第1の器具は、患者の胃内に挿入可能であり、前記第1の磁石は、患者の胃内に配備可能であり、前記第1の磁石は、第1のスペースを有し、
第2の磁石を収容する第2の器具を含み、前記第2の器具は、患者の腸内に挿入可能であり、前記第2の磁石は、患者の腸内に配備可能であり、前記第2の磁石は、第2のスペースを有し、
胃と腸の間に形成された開口を維持するために前記第1のスペースおよび前記第2のスペース内に挿入可能なステントをさらに含む、システム。 - 前記第1の磁石は、送達形態において実質的に直線位置で前記第1の器具内に保持され、前記第1の器具からの配備後、湾曲配置形態を有する、請求項1に記載のシステム。
- 前記第2の磁石は、送達形態において実質的に直線位置で前記第2の器具内に保持され、前記第2の器具からの配備後、湾曲配置形態を有する、請求項1または2に記載のシステム。
- 前記ステントは、前記第1の器具内に位置決めされたときに、折り畳まれた第1の形態を有し、前記第1の器具から露出された後、拡張された第2の形態を有する、請求項1〜3のいずれか1項に記載のシステム。
- 前記第1の器具は、前記第1の磁石を受け入れるための第1のチャンネル、および、胃および腸を近置させるための装置を受け入れるための第2のチャンネルを有する、請求項1〜4のいずれか1項に記載のシステム。
- 前記第1の器具は、前記ステントを受け入れるためのチャンネルを有する、請求項1〜5のいずれか1項に記載のシステム。
- 前記第1の器具内に位置決め可能であり、胃および腸を近置させるように配備可能であるTバーおよびTバー送達器具をさらに含む、請求項1〜6のいずれか1項記載のシステム。
- 前記第1の器具を通して挿入可能な切断器具をさらに含む、請求項1〜7のいずれか1項に記載のシステム。
- 前記第1の器具および前記第2の器具の一方または両方は、可撓性であり、低侵襲性挿入ができるように構成されている、請求項1〜8のいずれか1項に記載のシステム。
- 前記第1の器具および前記第2の器具の一方または両方は、可視化を含む、請求項1〜9のいずれか1項に記載のシステム。
- 前記第1の磁石および前記第2の磁石の前記第1のスペースおよび前記第2のスペースを通して前進可能な切断器具をさらに含む、請求項1〜10のいずれか1項に記載のシステム。
- 前記第2の器具は、前記第2の磁石を受け入れるための第1のチャンネルを有する、請求項1〜11のいずれか1項に記載のシステム。
- 前記Tバーを支持するニードルをさらに含む、請求項7に記載のシステム。
- 前記第1の磁石および前記第2の磁石は、形状記憶合金でできている、請求項1〜13のいずれか1項に記載のシステム。
Applications Claiming Priority (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201462062366P | 2014-10-10 | 2014-10-10 | |
US62/062,366 | 2014-10-10 | ||
US14/859,280 | 2015-09-19 | ||
US14/859,280 US10376400B2 (en) | 2014-10-10 | 2015-09-19 | Gastric bypass system and method |
Publications (2)
Publication Number | Publication Date |
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JP2016077896A JP2016077896A (ja) | 2016-05-16 |
JP6646999B2 true JP6646999B2 (ja) | 2020-02-14 |
Family
ID=54252152
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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JP2015201888A Active JP6646999B2 (ja) | 2014-10-10 | 2015-10-13 | 胃バイパスシステムおよび方法 |
Country Status (3)
Country | Link |
---|---|
US (2) | US10376400B2 (ja) |
EP (1) | EP3005993B1 (ja) |
JP (1) | JP6646999B2 (ja) |
Families Citing this family (16)
Publication number | Priority date | Publication date | Assignee | Title |
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WO2011008988A1 (en) | 2009-07-15 | 2011-01-20 | Medical And Surgical Review, P.C. | Incisionless gastric bypass method and devices |
EP2632346A4 (en) | 2010-01-05 | 2015-05-27 | Beacon Endoscopic Corp | METHODS AND APPARATUS FOR ANASTOMOSIS BY MAGNETICALLY INDUCED COMPRESSION BETWEEN ADJACENT ORGANS |
US8870898B2 (en) | 2010-01-05 | 2014-10-28 | GI Windows, Inc. | Self-assembling magnetic anastomosis device having an exoskeleton |
US10376400B2 (en) * | 2014-10-10 | 2019-08-13 | Rex Medical, L.P. | Gastric bypass system and method |
WO2018125705A1 (en) * | 2016-12-27 | 2018-07-05 | Boston Scientific Scimed, Inc. | Medical device delivery system and methods of use |
US20190183507A1 (en) * | 2017-12-18 | 2019-06-20 | Spiration, Inc. D/B/A Olympus Respiratory America | Tissue fastening tool |
EP4282353A3 (en) * | 2018-01-11 | 2024-05-08 | Boston Scientific Scimed, Inc. | Systems for connecting non-adherent structures |
EP3801299B1 (en) | 2018-06-02 | 2024-01-03 | GI Windows Inc. | Devices for forming anastomoses |
US20210259691A1 (en) * | 2020-02-20 | 2021-08-26 | Boston Scientific Scimed, Inc. | Devices, systems, and methods for forming an opening between body lumens |
WO2022061117A1 (en) | 2020-09-18 | 2022-03-24 | Gt Metabolic Solutions, Inc. | Anastomosis formation with magnetic devices having temporary retention member |
CA3202182A1 (en) | 2020-12-18 | 2022-06-23 | Gt Metabolic Solutions, Inc. | Devices and methods for assisting magnetic compression anastomosis |
EP4062840A1 (en) * | 2021-03-26 | 2022-09-28 | BariaTek Medical | Apparatus for endoscopic anastomosis of the stomach and the bowel |
CN118382401A (zh) | 2021-04-20 | 2024-07-23 | G.I.窗公司 | 用于内窥镜或腹腔镜磁导航的***、装置及方法 |
US11583280B2 (en) | 2021-04-30 | 2023-02-21 | Gt Metabolic Solutions, Inc. | Anastomosis formation with magnetic devices having bioresorbable retention member |
WO2023052938A1 (en) * | 2021-09-29 | 2023-04-06 | Cilag Gmbh International | Methods and systems for controlling cooperative surgical instruments |
US20230100698A1 (en) | 2021-09-29 | 2023-03-30 | Cilag Gmbh International | Methods for Controlling Cooperative Surgical Instruments |
Family Cites Families (10)
Publication number | Priority date | Publication date | Assignee | Title |
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WO2003097124A2 (en) | 2002-05-17 | 2003-11-27 | United States Endoscopy Group, Inc. | Luminal coupling system |
US20080051626A1 (en) * | 2006-08-28 | 2008-02-28 | Olympus Medical Systems Corp. | Fistulectomy method between first duct and second duct, ultrasonic endoscope, catheter with balloon, magnet retaining device, and magnet set |
US20090227866A1 (en) | 2008-03-05 | 2009-09-10 | Olympus Medical Systems Corp. | Ultrasound endoscopic intraluminal organ treatment method |
US20110087252A1 (en) * | 2009-10-08 | 2011-04-14 | Wilson-Cook Medical Inc. | Biliary decompression and anastomosis stent |
US8870898B2 (en) * | 2010-01-05 | 2014-10-28 | GI Windows, Inc. | Self-assembling magnetic anastomosis device having an exoskeleton |
EP2632346A4 (en) * | 2010-01-05 | 2015-05-27 | Beacon Endoscopic Corp | METHODS AND APPARATUS FOR ANASTOMOSIS BY MAGNETICALLY INDUCED COMPRESSION BETWEEN ADJACENT ORGANS |
WO2012007047A1 (en) | 2010-07-16 | 2012-01-19 | Ethicon Endo-Surgery, Inc. | A device and method for directing bile from the gallbladder in the intestine |
EP2731511B8 (en) | 2011-07-12 | 2019-07-17 | Ircad | Modular magnetic anastomosis device |
CA2902191C (en) * | 2013-02-21 | 2019-01-15 | Xlumena, Inc. | Devices and methods for forming an anastomosis |
US10376400B2 (en) * | 2014-10-10 | 2019-08-13 | Rex Medical, L.P. | Gastric bypass system and method |
-
2015
- 2015-09-19 US US14/859,280 patent/US10376400B2/en active Active
- 2015-10-01 EP EP15187989.7A patent/EP3005993B1/en active Active
- 2015-10-13 JP JP2015201888A patent/JP6646999B2/ja active Active
-
2019
- 2019-08-02 US US16/530,161 patent/US20190350734A1/en not_active Abandoned
Also Published As
Publication number | Publication date |
---|---|
EP3005993A3 (en) | 2016-05-04 |
US10376400B2 (en) | 2019-08-13 |
EP3005993A2 (en) | 2016-04-13 |
US20190350734A1 (en) | 2019-11-21 |
US20160100971A1 (en) | 2016-04-14 |
EP3005993B1 (en) | 2017-08-23 |
JP2016077896A (ja) | 2016-05-16 |
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