CA2377516A1 - Dispositifs pour extraire des calculs biliaires ou renaux - Google Patents
Dispositifs pour extraire des calculs biliaires ou renaux Download PDFInfo
- Publication number
- CA2377516A1 CA2377516A1 CA002377516A CA2377516A CA2377516A1 CA 2377516 A1 CA2377516 A1 CA 2377516A1 CA 002377516 A CA002377516 A CA 002377516A CA 2377516 A CA2377516 A CA 2377516A CA 2377516 A1 CA2377516 A1 CA 2377516A1
- Authority
- CA
- Canada
- Prior art keywords
- balloon
- sphincter
- catheter
- basket
- catheter shaft
- 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.)
- Abandoned
Links
- 208000034630 Calculi Diseases 0.000 title claims abstract description 6
- 239000004575 stone Substances 0.000 claims abstract description 95
- 210000004514 sphincter of oddi Anatomy 0.000 claims abstract description 66
- 210000005070 sphincter Anatomy 0.000 claims abstract description 53
- 238000000605 extraction Methods 0.000 claims abstract description 33
- 230000000916 dilatatory effect Effects 0.000 claims abstract description 18
- 208000001130 gallstones Diseases 0.000 claims abstract description 7
- 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 claims abstract description 5
- 229910001000 nickel titanium Inorganic materials 0.000 claims abstract description 5
- 239000000463 material Substances 0.000 claims description 19
- 239000002872 contrast media Substances 0.000 claims description 7
- 239000004816 latex Substances 0.000 claims description 4
- 229920000126 latex Polymers 0.000 claims description 4
- -1 polyethylene Polymers 0.000 claims description 3
- 238000009751 slip forming Methods 0.000 claims description 3
- 239000004698 Polyethylene Substances 0.000 claims description 2
- 229920000573 polyethylene Polymers 0.000 claims description 2
- 239000000543 intermediate Substances 0.000 claims 6
- 230000010339 dilation Effects 0.000 abstract description 48
- 210000003445 biliary tract Anatomy 0.000 abstract description 22
- 210000001635 urinary tract Anatomy 0.000 abstract description 20
- 238000000034 method Methods 0.000 description 12
- 210000004141 ampulla of vater Anatomy 0.000 description 9
- 210000000626 ureter Anatomy 0.000 description 7
- 239000012530 fluid Substances 0.000 description 6
- 210000001198 duodenum Anatomy 0.000 description 5
- 229920000139 polyethylene terephthalate Polymers 0.000 description 5
- 239000005020 polyethylene terephthalate Substances 0.000 description 5
- 238000013459 approach Methods 0.000 description 4
- 238000003384 imaging method Methods 0.000 description 4
- 229910052751 metal Inorganic materials 0.000 description 4
- 239000002184 metal Substances 0.000 description 4
- RYGMFSIKBFXOCR-UHFFFAOYSA-N Copper Chemical compound [Cu] RYGMFSIKBFXOCR-UHFFFAOYSA-N 0.000 description 3
- 201000001883 cholelithiasis Diseases 0.000 description 3
- 229910052802 copper Inorganic materials 0.000 description 3
- 239000010949 copper Substances 0.000 description 3
- 230000008878 coupling Effects 0.000 description 3
- 238000010168 coupling process Methods 0.000 description 3
- 238000005859 coupling reaction Methods 0.000 description 3
- 239000012781 shape memory material Substances 0.000 description 3
- 208000000913 Kidney Calculi Diseases 0.000 description 2
- 206010029148 Nephrolithiasis Diseases 0.000 description 2
- PXHVJJICTQNCMI-UHFFFAOYSA-N Nickel Chemical compound [Ni] PXHVJJICTQNCMI-UHFFFAOYSA-N 0.000 description 2
- HCHKCACWOHOZIP-UHFFFAOYSA-N Zinc Chemical compound [Zn] HCHKCACWOHOZIP-UHFFFAOYSA-N 0.000 description 2
- 229910052782 aluminium Inorganic materials 0.000 description 2
- XAGFODPZIPBFFR-UHFFFAOYSA-N aluminium Chemical compound [Al] XAGFODPZIPBFFR-UHFFFAOYSA-N 0.000 description 2
- 230000000740 bleeding effect Effects 0.000 description 2
- 238000004891 communication Methods 0.000 description 2
- 238000010276 construction Methods 0.000 description 2
- 238000007459 endoscopic retrograde cholangiopancreatography Methods 0.000 description 2
- 238000002594 fluoroscopy Methods 0.000 description 2
- 210000000277 pancreatic duct Anatomy 0.000 description 2
- 229920001296 polysiloxane Polymers 0.000 description 2
- 238000011477 surgical intervention Methods 0.000 description 2
- 238000012800 visualization Methods 0.000 description 2
- 229910052725 zinc Inorganic materials 0.000 description 2
- 239000011701 zinc Substances 0.000 description 2
- 229910000881 Cu alloy Inorganic materials 0.000 description 1
- 206010033645 Pancreatitis Diseases 0.000 description 1
- 239000004642 Polyimide Substances 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 229910045601 alloy Inorganic materials 0.000 description 1
- 239000000956 alloy Substances 0.000 description 1
- 230000003466 anti-cipated effect Effects 0.000 description 1
- 210000001367 artery Anatomy 0.000 description 1
- 210000000013 bile duct Anatomy 0.000 description 1
- 208000003167 cholangitis Diseases 0.000 description 1
- 210000001953 common bile duct Anatomy 0.000 description 1
- 230000006378 damage Effects 0.000 description 1
- 238000011161 development Methods 0.000 description 1
- 230000001079 digestive effect Effects 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 230000008030 elimination Effects 0.000 description 1
- 238000003379 elimination reaction Methods 0.000 description 1
- 238000007463 endoscopic sphincterotomy Methods 0.000 description 1
- 238000001839 endoscopy Methods 0.000 description 1
- 210000000232 gallbladder Anatomy 0.000 description 1
- 230000002496 gastric effect Effects 0.000 description 1
- 210000001035 gastrointestinal tract Anatomy 0.000 description 1
- 230000035876 healing Effects 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 210000003734 kidney Anatomy 0.000 description 1
- 239000000203 mixture Substances 0.000 description 1
- 229910052759 nickel Inorganic materials 0.000 description 1
- 238000005192 partition Methods 0.000 description 1
- 229920001721 polyimide Polymers 0.000 description 1
- 230000000717 retained effect Effects 0.000 description 1
- 229920002379 silicone rubber Polymers 0.000 description 1
- 239000004945 silicone rubber Substances 0.000 description 1
- 238000007464 sphincterotomy Methods 0.000 description 1
- 239000012780 transparent material Substances 0.000 description 1
- 201000011086 ureterolithiasis Diseases 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
- A61B17/22031—Gripping instruments, e.g. forceps, for removing or smashing calculi
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
- A61B17/22031—Gripping instruments, e.g. forceps, for removing or smashing calculi
- A61B17/22032—Gripping instruments, e.g. forceps, for removing or smashing calculi having inflatable gripping elements
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
- A61B17/221—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00831—Material properties
- A61B2017/00867—Material properties shape memory effect
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22038—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for with a guide wire
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22051—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation
- A61B2017/22054—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation with two balloons
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
- A61B17/221—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
- A61B2017/2212—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions having a closed distal end, e.g. a loop
-
- 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)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Molecular Biology (AREA)
- Vascular Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Prostheses (AREA)
- Surgical Instruments (AREA)
Abstract
L'invention porte sur un dispositif (10) qui sert à extraire des calculs biliaires ou rénaux ou analogues (104) des voies biliaires ou urinaires (100) d'un patient. Le dispositif comprend une tige de cathéter (12), un premier appareil extensible pour dilater l'entrée des voies ou leur sphincter, et un second appareil extensible pour saisir le calcul et/ou l'expulser des voies. Le premier appareil extensible peut être un ballonnet gonflable (14) fixé sur la tige de cathéter (12). Le second appareil extensible peut être un second ballonnet gonflable (18) fixé sur la tige de cathéter ou sur un second tube télescopique associée à la tige de cathéter; il peut également être un panier d'extraction (154) repliable à l'envers en fils de nitinol, qui peut être inséré par coulissement dans la tige de cathéter (112) et e déployer à partir de cette dernière. L'invention concerne un dispositif (210) pour dilater temporairement un sphicter chez un patient, tel qu'un Sphincter d'Oddi (102). Ce dispositif comprend une tige de cathéter (212) allongée et un ballonnet gonflable (264) fixé à ladite tige, et présentant une partie proximale (266), une partie distale (268) et, entre les deux, une partie intermédiaire (270). La partie intermédiaire (270) du ballonnet présente, lorsque le ballonnet est gonflé, un diamètre approprié permettant une dilation temporaire du sphincter (102), alors que les parties proximale et distale du ballonnet (266 et 268) présentent, lorsque le ballonnet est gonflé, un diamètre supérieur au diamètre de la partie intermédiaire (270) à l'état gonflé.
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US14455199P | 1999-07-17 | 1999-07-17 | |
| US60/144,551 | 1999-07-17 | ||
| PCT/US2000/019269 WO2001005311A1 (fr) | 1999-07-17 | 2000-07-14 | Dispositifs pour extraire des calculs biliaires ou renaux |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CA2377516A1 true CA2377516A1 (fr) | 2001-01-25 |
Family
ID=22509096
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA002377516A Abandoned CA2377516A1 (fr) | 1999-07-17 | 2000-07-14 | Dispositifs pour extraire des calculs biliaires ou renaux |
Country Status (5)
| Country | Link |
|---|---|
| EP (1) | EP1196096A1 (fr) |
| JP (1) | JP2003504144A (fr) |
| AU (1) | AU764480B2 (fr) |
| CA (1) | CA2377516A1 (fr) |
| WO (1) | WO2001005311A1 (fr) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN115243623A (zh) * | 2019-12-31 | 2022-10-25 | 潘德克斯有限公司 | 用于隔离哺乳动物的中空器官中的区域的导管和方法，以及基于该导管的系统，以及该导管的用途 |
Families Citing this family (14)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2004014242A1 (fr) * | 2002-08-13 | 2004-02-19 | Wilson-Cook Medical, Inc. | Catheter de cholangio-pancreatographie retrograde endoscopique (ercp) muni d'une poignee amovible destinee a une sonde panier compatible avec un lithotriteur |
| US7731722B2 (en) | 2003-07-31 | 2010-06-08 | Vance Products Incorporated | Ureteral backstop filter and retrieval device |
| DE102004012351A1 (de) * | 2004-03-11 | 2005-09-29 | pfm Produkte für die Medizin AG | Vorrichtung zur Rekanalisierung eines Hohlraums, Organwegs oder Gefäßes |
| JP2006304835A (ja) * | 2005-04-26 | 2006-11-09 | Nippon Zeon Co Ltd | 医療用バスケット型処置器具 |
| CA2652381A1 (fr) * | 2006-05-16 | 2007-11-29 | Wilson-Cook Medical Inc. | Coussinet ballon |
| CA2710831A1 (fr) * | 2007-12-27 | 2009-07-09 | Wilson-Cook Medical, Inc. | Ballonnet d'extraction en deux parties |
| US8636651B2 (en) | 2010-03-11 | 2014-01-28 | Boston Scientific Scimed, Inc. | Medical immobilization device and related methods of use |
| WO2012153007A1 (fr) | 2011-05-11 | 2012-11-15 | Alain Lebet | Dispositif médical pour l'extraction de fragments de calculs urinaires dans l'uretère et procédé d'utilisation d'un tel dispositif |
| NL2011186C2 (en) * | 2013-07-17 | 2015-01-21 | Overtoom Ltd | A catheter system for delivery of a ureteral catheter, use of such catheter system, and method. |
| JP2019097597A (ja) * | 2017-11-28 | 2019-06-24 | 株式会社カネカ | バルーンカテーテルおよびその作動方法 |
| JP2019097596A (ja) * | 2017-11-28 | 2019-06-24 | 株式会社カネカ | バルーンカテーテル |
| WO2021207229A1 (fr) * | 2020-04-08 | 2021-10-14 | Boston Scientific Scimed, Inc. | Instrument médical ayant un ballonnet et un élément d'extraction |
| KR102478190B1 (ko) * | 2020-06-02 | 2022-12-15 | 고려대학교 산학협력단 | 결석 제거 장치 |
| CN111839661A (zh) * | 2020-08-14 | 2020-10-30 | 上海市东方医院（同济大学附属东方医院） | 碎石取石球囊导管 |
Family Cites Families (15)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| DE1069823B (fr) * | 1959-11-26 | |||
| GB1588072A (en) * | 1977-02-11 | 1981-04-15 | Beecher W H | Extracting device for removing objects from human body passages |
| US4295464A (en) * | 1980-03-21 | 1981-10-20 | Shihata Alfred A | Ureteric stone extractor with two ballooned catheters |
| JPS5873250U (ja) * | 1981-11-12 | 1983-05-18 | 金児 猛夫 | ぼうこう留置カテ−テル |
| EP0200668A3 (fr) * | 1985-04-25 | 1988-03-09 | FOGARTY, Thomas J. | Appareil et procédé pour l'extraction d'objets occlusifs des canaux de l'organisme |
| IT8629545V0 (it) * | 1986-06-12 | 1986-06-12 | Fina Ernesto | Set cateteri ureterali coassiali a palloncino per estrazione di calcoli ureterali |
| US4930496A (en) * | 1988-07-22 | 1990-06-05 | Vance Products, Inc. | Method and device for removing a stone from a ureter using extracorporeal shock wave lithotripsy |
| US5024617A (en) | 1989-03-03 | 1991-06-18 | Wilson-Cook Medical, Inc. | Sphincterotomy method and device having controlled bending and orientation |
| JP3256540B2 (ja) * | 1990-10-09 | 2002-02-12 | メッドトロニック・インコーポレイテッド | 対象物体を操作するためのデバイスまたは装置 |
| CA2048239A1 (fr) * | 1990-11-08 | 1992-05-09 | William J. Drasler | Appareil a atherectomie a jet d'eau |
| JP2511899Y2 (ja) * | 1991-12-24 | 1996-09-25 | 住友ベークライト株式会社 | 医療用具装着用バル―ンカテ―テル |
| US5383849A (en) | 1992-05-11 | 1995-01-24 | Wilson-Cook Medical, Inc. | Method for selective endoscopic cannulation of ductal structures |
| JP3446313B2 (ja) * | 1993-08-30 | 2003-09-16 | 株式会社デンソー | 回転電機の回転子 |
| US5935139A (en) * | 1996-05-03 | 1999-08-10 | Boston Scientific Corporation | System for immobilizing or manipulating an object in a tract |
| WO1998025656A2 (fr) * | 1996-11-26 | 1998-06-18 | Medtronic, Inc. | Systeme et methodes pour extraire des caillots hors des vaisseaux sanguins |
-
2000
- 2000-07-14 AU AU61004/00A patent/AU764480B2/en not_active Ceased
- 2000-07-14 WO PCT/US2000/019269 patent/WO2001005311A1/fr not_active Ceased
- 2000-07-14 CA CA002377516A patent/CA2377516A1/fr not_active Abandoned
- 2000-07-14 JP JP2001510373A patent/JP2003504144A/ja active Pending
- 2000-07-14 EP EP00947383A patent/EP1196096A1/fr not_active Ceased
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN115243623A (zh) * | 2019-12-31 | 2022-10-25 | 潘德克斯有限公司 | 用于隔离哺乳动物的中空器官中的区域的导管和方法，以及基于该导管的系统，以及该导管的用途 |
Also Published As
| Publication number | Publication date |
|---|---|
| EP1196096A1 (fr) | 2002-04-17 |
| JP2003504144A (ja) | 2003-02-04 |
| WO2001005311A1 (fr) | 2001-01-25 |
| AU6100400A (en) | 2001-02-05 |
| AU764480B2 (en) | 2003-08-21 |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| EEER | Examination request | ||
| FZDE | Discontinued |