CN1636523A - 束胃带导入装置 - Google Patents

束胃带导入装置 Download PDF

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Publication number
CN1636523A
CN1636523A CN200410090037.4A CN200410090037A CN1636523A CN 1636523 A CN1636523 A CN 1636523A CN 200410090037 A CN200410090037 A CN 200410090037A CN 1636523 A CN1636523 A CN 1636523A
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operating theater
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CN100591287C (zh
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R·T·拜伦
S·P·康伦
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Ethicon Endo Surgery Inc
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Ethicon Endo Surgery Inc
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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
    • A61F5/0089—Instruments for placement or removal
    • 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
    • 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
    • A61F5/005—Gastric bands

Abstract

提供一种将束胃带安全导入病人腹中的手术器械。该器械包括可在支撑管中滑动且与支撑管同轴设置的一内杆。内杆包括其上可释放地固定的束胃带。内杆远端移入支撑管以展开所述束胃带。

Description

束胃带导入装置
技术领域
本发明涉及一种束胃带导入装置。
背景技术
近年来已有很多方法被用于治疗肥胖病。其中较具前景的一种方法是环绕胃的一部分放置通常被称为“束胃带”的束扎带，从而挤压胃部以产生小于胃的正常内径的气孔口，以此限制食物进入胃的下部消化区。
通常，束胃带通过手推压穿过大的套管针或套管针部位而导入病人的腹部。这种导入方法增加了因束胃带接触病人皮肤而产生感染的风险。直接穿过套管针插入束胃带也可能对束胃带造成不希望有的破坏。因此，急需一种手术器械，能使束胃带不与病人皮肤或套管针直接接触而导入病人腹部。
发明内容
本发明通过提供一种手术器械克服了现有技术中上面指出以及其它的缺陷，其可使束胃带不与病人皮肤或套管针接触而将其导入病人的腹中。
根据本发明的一个实施例，该手术器械包括细长支撑管中的一细长状内杆。内杆包括用来可释放地接合束胃带的一机构。当内杆滑入支撑管，用来可释放地接合束胃带的机构展开。
在本发明的另一实施例中，手术器械同样的包括细长支撑管中的一细长状内杆。内杆包括在其远端可释放地接合的束胃带。当内杆滑入支撑管，束胃带被展开。
本发明的上述内容不企图描述本发明的每个实施例和所有实施方式。通过参考下面结合附图的详细描述和权利要求，在对本发明更全面的了解的同时，本发明的优点和效果将会变得更加清楚和被理解。
附图说明
附图被并入并组成本说明书的一部分，用来描述本发明的实施例，并且与上面对本发明的一般描述和下面对实施例的详细描述一起，用来解释本发明的原理。
图1是未开动的束胃带导入装置的立体图。
图2是开动的束胃带导入装置的立体图。
图3是束胃带导入装置内杆远端的局部侧视图。
图4是束胃带部分移离内杆的启动的束胃带导入装置的立体图。
图5是图4的局部放大立体视图，显示了束胃带部分移离时的内杆远端。
具体实施方式
现参考附图，在所有的附图中，相同的数字标记表示同样的构件。图1所示为准备导入病人的未启动的束胃带导入装置10的立体图。束胃带导入装置10包括一根细长支撑管2，在其近端具有手柄7。束胃带导入装置10优选的包括一对从手柄7向外扩展的相对指环3，一内杆5可滑动地设置在支撑管2内，该内杆在其近端具有一拇指环4，在其远端具有一个或多个用来固定接合束胃带20的上凸销钉6。内杆5还可以包括位于支撑管2远端用于支撑束胃带20的搁板11。该内杆5还可包括可与支撑管2中一纵向凹槽(未示出)接合的纵向突起12，用于实现内杆5和支撑管2间的滑动接合，以及在内杆5插入支撑管2稳定内杆5。
支撑管2优选由不锈钢组成，但也由任何耐用的工程塑料组成。优选地，支撑管2直径在大约10mm和大约20mm之间，更优选地是在约12mm和约15mm之间。优选地，支撑管2的长度在大约30cm和大约50cm之间，更优选地是大约43cm。然而，应该意识到，支撑管2的长度和直径可加以调整以适应任何种类的束胃带或适应任意尺寸的套管针。手柄7、指环3、内杆5、拇指环4可以由不锈钢或者任何合适的耐用工程塑料组成。而示例性实施例中所示的销钉6和其它机构，例如夹子或带条，这些都满足将束胃带可释放地固定到内杆的同时也允许束胃带方便地从内杆上移离。
图2至5显示了装置开动后从支撑管2远端展开束胃带20时的束胃带导入装置10。在图2至5中，内杆5被完全插入支撑管2中，并从支撑管2的远端推动束胃带20。一旦束胃带20展开，其可以从内杆5上移离。
使用时处于未开动状态的束胃带导入装置被插入放置在病人腹部的套管针中。通过将内杆滑入并完全插入支撑管中开动该装置，使束胃带展开。然后束胃带可由环绕胃放置的剥离器移离内杆。一旦束胃带被移离，内杆即从支撑管中抽出，且该装置从套管针中移走。
尽管本发明已经通过一些实施例进行了描述，而且示例性实施方式已经描述的相当详细，申请人不希望如此详细描述附属权利以约束或在某些方面限制权利要求的保护范围。对本领域技术人员而言，另外的优点和改进是显而易见的。
对本领域技术人员而言，上述发明同样也适用于其它类型的可植入收扎带是显而易见的。例如，收扎带可用于治疗粪便失禁，美国专利6,461,292中公开了这样一种收扎带，其内容在此引入作为参考。收扎带可用于治疗尿失禁，美国专利2003/0105385中公开了这样一种收扎带，其内容在此引入作为参考。收扎带可用于治疗胃痛和胃酸，美国专利6,470,892中公开了这样一种收扎带，其内容在此引入作为参考。收扎带可用于治疗阳痿，美国专利2003/0114729中公开了这样一种收扎带，其内容在此引入作为参考。

Claims (9)

1.一种用于展开可调束胃带的手术器械，其包括：
具有一近端和一远端的细长支撑管；
具有一近端和一远端的细长状内杆，其中所述远端包括一个可释放地接合束胃带的机构；
其特征在于：所述内杆滑动地且同轴地设置在所述支撑管中，且该杆的远端移动使接合束胃带的所述机构露出。
2.如权利要求1所述的一种手术器械，其特征在于：所述细长状杆的近端包括一拇指环。
3.如权利要求1所述的一种手术器械，其特征在于：所述用于可释放地接合束胃带的机构包括一个或多个销钉。
4.如权利要求1所述的一种手术器械，其特征在于：所述细长状内杆还包括一纵向突起，所述细长支撑管还包括一具有纵向凹槽的内表面，所述细长状内杆的纵向突起与所述细长支撑管的内表面的纵向凹槽滑动地接合。
5.如权利要求3所述的一种手术器械，其特征在于：所述细长状内杆还包括一搁板，用于在所述远端可释放地支撑束胃带，所述一个或多个销钉设置在所述搁板上。
6.如权利要求1所述的一种手术器械，其特征在于：所述细长支撑管长度在大约30cm和大约50cm之间。
7.如权利要求1所述的一种手术器械，其特征在于：所述细长支撑管直径在大约10mm和大约20mm之间。
8.如权利要求7所述的一种手术器械，其特征在于：所述细长支撑管直径在大约12mm和大约15mm之间。
9.如权利要求1所述的一种手术器械，其特征在于：所述细长支撑管的近端包括一手柄。
CN200410090037A 2003-10-01 2004-09-29 束胃带导入装置 Expired - Fee Related CN100591287C (zh)

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Application Number Priority Date Filing Date Title
US10/676,288 US7144400B2 (en) 2003-10-01 2003-10-01 Gastric band introduction device
US10/676288 2003-10-01

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CN1636523A true CN1636523A (zh) 2005-07-13
CN100591287C CN100591287C (zh) 2010-02-24

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EP (1) EP1520563B1 (zh)
JP (1) JP4679869B2 (zh)
CN (1) CN100591287C (zh)
AT (1) ATE451081T1 (zh)
AU (1) AU2004216637A1 (zh)
BR (1) BRPI0404269A (zh)
CA (1) CA2483331C (zh)
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US7144400B2 (en) 2006-12-05
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