WO2016130098A1 - Appareil de stimulation tactile thermique transœsophagienne - Google Patents

Appareil de stimulation tactile thermique transœsophagienne Download PDF

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Publication number
WO2016130098A1
WO2016130098A1 PCT/TR2015/050169 TR2015050169W WO2016130098A1 WO 2016130098 A1 WO2016130098 A1 WO 2016130098A1 TR 2015050169 W TR2015050169 W TR 2015050169W WO 2016130098 A1 WO2016130098 A1 WO 2016130098A1
Authority
WO
WIPO (PCT)
Prior art keywords
esophagus
transesophageal
balloon
tactile stimulation
stimulation apparatus
Prior art date
Application number
PCT/TR2015/050169
Other languages
English (en)
Inventor
Kayhan OZTURK
Original Assignee
Ozturk Kayhan
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 Ozturk Kayhan filed Critical Ozturk Kayhan
Publication of WO2016130098A1 publication Critical patent/WO2016130098A1/fr

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
    • A61F7/12—Devices for heating or cooling internal body cavities
    • A61F7/123—Devices for heating or cooling internal body cavities using a flexible balloon containing the thermal element
    • 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
    • A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
    • A61F7/12—Devices for heating or cooling internal body cavities
    • A61F2007/126—Devices for heating or cooling internal body cavities for invasive application, e.g. for introducing into blood vessels
    • 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
    • A61M2210/00—Anatomical parts of the body
    • A61M2210/10—Trunk
    • A61M2210/1042—Alimentary tract
    • A61M2210/105—Oesophagus
    • 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
    • A61M25/1002—Balloon catheters characterised by balloon shape

Definitions

  • Invention is about an apparatus which contributes the neuromuscular compensatory mechanisms to develop, to regulate or to heal by activating the swallowing centers at brain stem and cortical level and stimulating esophagus covered with a rich nervous system network in patients who have swallowing disorder.
  • stimulation is sent to the swallowing center in brain stem by stimulating the front facial arches by cooled laryngeal mirrors. Stimulations are underwent adaptation in that place and ignites the swallowing reflex.
  • Esophagus motor function disorders achalasia, diffuse esophageal spasm
  • motility disorders because of systemic diseases (scleroderma, amyloidosis, parkinson, etc.)
  • motility disorders because of old age (presbyesophagus)
  • swallowing problems because of esophagus in apoplexy patients can be counted in diseases concern esophagus which can be treated with thermal stimulations.
  • the Invention is a transesophageal thermal tactile stimulation device in a form of a nasogastric tube and comprising radio-opaque ruler markers on it to determine the level of entrance to the esophagus.
  • the nasogastric tube comprises at least one balloon that is coiled around and expandable to 1 -2 centimeters. The first balloon is properly placed to stimulate the upper esophagus section, the second balloon is properly placed to stimulate the central esophagus section and the third balloon is properly placed to stimulate the lower esophagus section separately or all together. Developing of compensation mechanism or regulation is achieved by giving cold and hot water simultaneously in to the three canals or one by one. That thermal stimulation of the receptors in esophagus causes central nervous system to be stimulated.
  • Invention is a transesophageal thermal tactile stimulation apparatus, comprising a nasogastric tube (1 ), a feeding entrance (1 .1 ), an upper esophagus fluid entrance (1 .2), a central esophagus fluid entrance (1 .3), a lower esophagus fluid entrance (1 .4), a fluid exit (1 .5), a fluid exit canal (1 .5.1 ), an inner balloon fluid exit canal (1 .5.2), a nasogastric tube exit (1 .6), an upper esophagus balloon (2), a central esophagus balloon (2.1 ), a lower esophagus balloon (3), an entrance temperature sensor (4), an inner temperature sensor (5), a pressure sensor (6), a software (7), an external water source (8).
  • Transesophageal thermal tactile stimulation apparatus is designed like a nasogastric tube which comprises a nasogastric tube exit (1 .6) that enables the patient to be fed.
  • the tube has a proper length and width for both children and adults.
  • the nasogastric tube (1 ) comprises the upper esophagus balloon (2), the central esophagus balloon (2.1 ) and the lower esophagus balloon (3) which are coiled around the tube.
  • the nasogastric tube (1 ) comprises radio-opaque ruler markers on it to determine the level of entrance to the esophagus.
  • the nasogastric tube (1 ) comprises the upper esophagus balloon (2), the central esophagus balloon (2.1 ) and the lower esophagus balloon (3) which can expand maximum 2 centimeters when the fluid is injected in them and they are coiled around the tube.
  • the upper esophagus balloon (2), the central esophagus balloon (2.1 ) and the lower esophagus balloon (3) are placed on the nasogastric tube (1 ) with at least 1 centimeter spaces between them and with at least one coil. That design enables to stimulate the upper esophagus, central esophagus and the lower esophagus sections separately or simultaneously.
  • the upper esophagus balloon (2), the central esophagus balloon (2.1 ) and the lower esophagus balloon (3) are in a structure that can pass through the nose when they are deflated and they can also expand when the fluid is injected in them.
  • the continuous flow of the injected fluid through the upper esophagus fluid entrance (1 .2), the central esophagus fluid entrance (1 .3) and the lower esophagus fluid entrance (1 .4) is important for the esophagus area which is wanted to be cooled or heated. For that reason, the fluid exit (1 .5) is designed for retaking the injected fluid.
  • the fluid exit canal (1 .5) is hidden inside of the nasogastric tube (1 ).
  • the entrance temperature sensor (4) and the inner temperature sensor (5) are used to see if the inner temperature of the esophagus is reached at desired level and to prevent hot and cold damages on patient.
  • the information that comes from those temperature sensors provides to hold the inner esophagus temperature level stable and at desired level by controlling the flow temperature of the water with the software (7), which comes from the external water source (8).
  • the external water source (8) that comprises the software (7), let the water temperature to be adjusted with the adjusting buttons on it to the desired temperature.
  • the balloon shaped sections between the upper esophagus fluid entrance (1 .2), the central esophagus fluid entrance (1 .3), the lower esophagus fluid entrance (1 .4) and the fluid exit (1 .5) canals can expand without causing a trauma to the esophagus. Those balloons can also dilate.
  • Developing of compensation mechanism or regulation is achieved by giving cold and hot water simultaneously in to the upper esophagus fluid entrance (1 .2), the central esophagus fluid entrance (1 .3), the lower esophagus fluid entrance (1 .4) or one by one. That thermal stimulation of the receptors in esophagus causes central nervous system to be stimulated Invention can be used in patients with acute stroke and esophagus motility disorder.
  • the nasogastric tube is one of the primary methods of feeding in the patients with swallowing disorder. Because of the invention can be used as a nasogastric tube, an extra implementation of nasogastric tube to the patient will not be necessary. Patients can be fed and be treated with a single product. Besides, the invention can archive the measurements of patients' data and can physically report when it is needed or email to the desired email addresses with the software (7).

Landscapes

  • Health & Medical Sciences (AREA)
  • Vascular Medicine (AREA)
  • Thermal Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Thermotherapy And Cooling Therapy Devices (AREA)

Abstract

Cette invention concerne un appareil qui contribue à développer, à réguler ou à restaurer des mécanismes neuromusculaires compensatoires par activation des centres de déglutition au niveau du tronc cérébral et cortical et stimulation de l'œsophage recouvert d'un réseau du système nerveux riche chez les patients présentant un trouble de la déglutition.
PCT/TR2015/050169 2015-02-10 2015-11-11 Appareil de stimulation tactile thermique transœsophagienne WO2016130098A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
TR201501533 2015-02-10
TR2015/01533 2015-02-10

Publications (1)

Publication Number Publication Date
WO2016130098A1 true WO2016130098A1 (fr) 2016-08-18

Family

ID=54704059

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/TR2015/050169 WO2016130098A1 (fr) 2015-02-10 2015-11-11 Appareil de stimulation tactile thermique transœsophagienne

Country Status (1)

Country Link
WO (1) WO2016130098A1 (fr)

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20010053920A1 (en) * 2000-03-27 2001-12-20 Wilson-Cook Medical Inc. Apparatus for measuring esophageal sphincter compliance
EP1264613A2 (fr) * 2000-01-24 2002-12-11 Stuart D. Edwards Rétrécissement des dilatations d'un organe
WO2003020124A2 (fr) * 2001-09-06 2003-03-13 Aalborg Universitet Procede et appareil pour stimuler un systeme creux du corps et procede et appareil pour mesurer les reactions dudit systeme aux stimuli
US20080027358A1 (en) * 2004-06-30 2008-01-31 Ditens A/S Morphometry of a Bodily Hollow System
US20080097374A1 (en) * 2006-08-07 2008-04-24 Korleski Joseph E Inflatable shaped balloons

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1264613A2 (fr) * 2000-01-24 2002-12-11 Stuart D. Edwards Rétrécissement des dilatations d'un organe
US20010053920A1 (en) * 2000-03-27 2001-12-20 Wilson-Cook Medical Inc. Apparatus for measuring esophageal sphincter compliance
WO2003020124A2 (fr) * 2001-09-06 2003-03-13 Aalborg Universitet Procede et appareil pour stimuler un systeme creux du corps et procede et appareil pour mesurer les reactions dudit systeme aux stimuli
US20080027358A1 (en) * 2004-06-30 2008-01-31 Ditens A/S Morphometry of a Bodily Hollow System
US20080097374A1 (en) * 2006-08-07 2008-04-24 Korleski Joseph E Inflatable shaped balloons

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