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41. 发明公开

EP0667763A1 SCHLAUCHFÖRMIGES IMPLANTAT ZUR VERWENDUNG BEI DER PERKUTANEN NAHRUNGSZUFUHR 失效
标题翻译：筒状的植入物使用在进料经皮。
公开(公告)号：EP0667763A1
公开(公告)日：1995-08-23
申请号：EP93923509.0
申请日：1993-10-20
申请人： MARX, Karl-Heinz
发明人： MARX, Karl-Heinz
IPC分类号： A61F2 , A61J15 , A61B17 , A61B19 , A61M25
CPC分类号： A61J15/0023 , A61B2017/3484 , A61B2017/3486 , A61B2090/062 , A61J15/0038 , A61J15/0042 , A61J15/0057 , A61J15/0061 , A61M25/04 , A61M2025/0233
摘要： A tubular implant (14) for percutaneous feeding is made of an elastically deformable material and has a distal enlargement (16) which can be inserted into the stomach, at least one opening (18) and a central tubular area adjacent to the opening which can be inserted into a piercing channel (11) which leads into the stomach cavity. The implant is characterised in that it has a detachable clamping or squeezing device (15) which reduces the diameter of the implant over its whole length in a reversible manner, so that it can be freely pushed together with the device through a usual trocar sleeve (12).

42. 发明公开

EP0475324A1 Stoma creator gastrostomy device for placement of a feeding tube 失效
标题翻译：设备和用于制备造口的一进料管的放置方法。
公开(公告)号：EP0475324A1
公开(公告)日：1992-03-18
申请号：EP91115213.0
申请日：1991-09-09
申请人： ABBOTT LABORATORIES
发明人： Clegg, Robert D. , Hirsch, William Henry , Isaac, Ronald Mark
IPC分类号： A61B17/34 , A61M29/00
CPC分类号： A61J15/0015 , A61B17/3415 , A61J15/0007 , A61J15/0019 , A61J15/0023 , A61J15/0042 , A61J15/0061 , A61M2025/0233
摘要： 5 n 7 A stoma creator (10) is provided comprising a flexible tube (11) having a first opening (15), a tapered dilator portion (13), having a second opening (18), the diameter of the first opening being greater than the diameter of the second opening, and a connecting portion (12). The stoma creator has a tapered dilator having a side wall which gently tapers from approximately 5 French to 14 French. The method for using the device of this invention comprises the step of securing the stomach to the abdominal wall through the use of T-fasteners, inserting a needle percutaneously into the gastric lumen, passing a guidewire through the needle, grasping the guidewire with the endoscope and bringing it out through the mouth, threading the tapered dilator over the guidewire and passing the stoma creator down the throat into the stomach then out through the abdominal wall the stoma creator cutting of the tapered dilator and connecting portion, passing a gastrostomy tube through the flexible tube, with the gastrostomy tube having a balloon adjacent its tip, removing the flexible tube while leaving the guidewire in place, filling the balloon, and withdrawing the guidewire. A similar alternative method is also disclosed.
摘要翻译：造口创建者（10）提供了一种包括具有第一开口（15），锥形扩张器部分（13）具有第二开口（18），所述第一开口比所述直径大的直径的柔性管（11）的第二开口，以及连接部（12）。造口创建者有具有侧壁平缓大约5弗伦奇至14弗伦奇逐渐变细的锥形扩张器。用于使用本发明的装置，该方法包括通过使用T-紧固件固定胃到腹壁，经皮针插入胃腔，使导丝穿过针，与内窥镜把持导丝的步骤并把它从嘴里，穿线在导丝上的锥形扩张器并通过该造口创建者向下喉部进入胃再出穿过腹壁锥形扩张器的造口创建者切割和连接部，通过胃造口术管，通过该柔性管，与具有气球相邻胃造口管的尖端，在去除柔性管，同时留下所述导丝的地方，填充气球，和回抽导丝。因此类似的另一种方法是游离缺失盘。

43. 发明公开

EP2815783A2 Sheath for gastrostoma, sheathed dilator, sheath for gastrostoma with insertion aid, gastrostomy catheter kit, and method of splitting sheath for gastrostoma 有权
标题翻译：用于胃瘘的鞘，带鞘扩张器，带插入辅助的胃瘘鞘，胃造口术导管套件以及胃瘘分离鞘的方法
公开(公告)号：EP2815783A2
公开(公告)日：2014-12-24
申请号：EP14185649.2
申请日：2008-12-01
申请人： Sumitomo Bakelite Co., Ltd. , Suzuki, Yutaka
发明人： Suzuki, Yutaka , Matsunami, Hideaki , Sakaguchi, Yukihiko , Ikeda, Masao , Nakayama, Tomokazu , Kamata, Keiji , Tanaka, Ryo
IPC分类号： A61M25/08 , A61B17/34 , A61J15/00 , A61M25/06 , A61F5/00
CPC分类号： A61M25/0668 , A61B5/1076 , A61B5/42 , A61B17/3415 , A61J15/0007 , A61J15/0023 , A61J15/0026 , A61J15/003 , A61J15/0038 , A61J15/0065 , A61M25/0662 , A61M29/00 , A61M2025/0008 , A61M2025/0681
摘要： The present application provides a sheath for gastrostoma (1), a sheathed dilator, a gastrostomy catheter kit and a method of splitting a sheath for gastrostoma. The sheath for gastrostoma (1) includes a sheath body (11) in which a gastrostomy catheter (2) is inserted and a handle (12). The sheath for gastrostoma (1) lowers the insertion resistance of a gastrostomy catheter when inserted in a fistula before insertion of the gastrostomy catheter in the fistula for replacement in the patient's body. According to the application, a sheath for gastrostoma, a sheathed dilator, a sheath for gastrostoma with insertion aid, a gastrostomy catheter kit and a method of splitting a sheath for gastrostoma which can lower the insertion resistance during placement of a catheter in the patient's body, facilitate air supply control of an endoscope and stabilize endoscopic visual field during surgery are provided.
摘要翻译：本申请提供了一种用于胃瘘的鞘（1），一种护套扩张器，一种胃造口术导管套件以及一种分裂胃瘘鞘的方法。用于胃瘘的鞘（1）包括其中插入胃造口术导管（2）的鞘体（11）和手柄（12）。用于胃瘘的鞘（1）在将胃造口术导管插入瘘管中用于置换患者体内之前插入瘘中时降低胃造口术导管的插入阻力。根据本申请，提供了一种用于胃瘘的鞘，一种护套扩张器，一种用于插入辅助的胃瘘鞘，一种胃造口术导管套件以及一种用于胃瘘鞘的分裂方法，其可以在将导管放置在患者体内期间降低插入阻力，便于内窥镜的供气控制和手术期间稳定内窥镜视野。

44. 发明授权

EP2280754B1 A DILATOR AND A METHOD OF MANUFACTURING THE SAME 有权
标题翻译：扩张器及其制造方法
公开(公告)号：EP2280754B1
公开(公告)日：2014-07-16
申请号：EP08767279.6
申请日：2008-05-29
申请人： Pang, Ah San
发明人： Pang, Ah San
IPC分类号： A61M29/00 , A61M31/00 , A61J15/00 , A61B17/24 , A61B19/00
CPC分类号： A61M29/00 , A61B17/3415 , A61B2017/320056 , A61J15/0023 , A61J15/0026 , Y10T29/49826

45. 发明公开

EP2537470A1 A tissue to tissue anchoring device and method of using the same 审中-公开
标题翻译： Gewebeverankerungsvorrichtung
公开(公告)号：EP2537470A1
公开(公告)日：2012-12-26
申请号：EP12170488.6
申请日：2007-08-14
申请人： KIMBERLY-CLARK WORLDWIDE, INC.
发明人： Gobel, Fred
IPC分类号： A61B17/064 , A61B17/00 , A61B17/04 , A61B17/11 , A61B17/34 , A61J15/00
CPC分类号： A61B17/1114 , A61B17/0401 , A61B17/0643 , A61B17/0644 , A61B17/3415 , A61B2017/00557 , A61B2017/0404 , A61B2017/0458 , A61J15/0023 , A61J15/0042 , A61J15/0061
摘要： The invention describes a device (10) and method for anchoring two or more body tissue layers (22,24) to one another. The device (10) in one form may be a hollow, collapsible, microthin polymeric shaft (16) affixed to a noncollapsible tip (20) at a distal end (12) of the polymeric shaft (16). A preformed balloonable distention (18) formed in a discrete region of the shaft (16) proximal to the noncollapsible tip (20) would be adapted to anchor against one of the body tissue layers within a body orifice (26). A rod (50) attached at one end to the tip (20) which extends along the shaft (16) and terminates at a second end near a proximal end (14) of the device (10) would be used for transferring movement from the second end to the first end so as to effect a movement in the tip (20). The method pertains to the method of using such a device to secure one or more tissue layers together, ultimately to assist in the fusion of the layers.
摘要翻译：本发明描述了一种用于将两个或多个身体组织层（22,24）彼此锚定的装置（10）和方法。一种形式的装置（10）可以是在聚合物轴（16）的远端（12）处固定到非可收缩尖端（20）的中空的可折叠的微型聚合物轴（16）。形成在靠近非可收缩尖端（20）的轴（16）的离散区域中的预先形成的可气胀的膨胀（18）将适于锚固在主体孔口（26）内的身体组织层中的一个上。将一端连接到沿轴（16）延伸并终止在靠近装置（10）的近端（14）的第二端处的末端的杆（50）将用于将运动从第二端到第一端，以便实现尖端（20）中的移动。该方法涉及使用这种装置将一个或多个组织层固定在一起的方法，最终有助于层的融合。

46. 发明授权

EP1744718B1 SONDE ZUR ENTERALEN ERNÄHRUNG UND SONDENSYSTEM ZUR ENTERALEN ERNÄHRUNG UND GASTRALEN DEKOMPRESSION ODER DRAINAGE 有权
标题翻译： SONDE ZUR ENTERALENERNÄHRUNGUND SONDENSYSTEM ZUR ENTERALENERNÄHRUNGUND GASTRALEN DEKOMPRESSION ODER DRAINAGE
公开(公告)号：EP1744718B1
公开(公告)日：2012-02-15
申请号：EP05739459.5
申请日：2005-04-09
申请人： Fresenius Kabi Deutschland GmbH
发明人： ITRICH, Martin
IPC分类号： A61J15/00
CPC分类号： A61J15/00 , A61J15/0023 , A61J15/0069 , A61J15/0073
摘要： The invention relates to an enteral feeding tube comprising a jejunal tube (2) which is arranged in jejunum and comprises a proximal end, a distal end (3, 4), and a lumen (5) between said two ends. Said tube (2) comprises an at least double-layer structure with an outer first layer (2a) and a second layer (2b) adjacent to the outer layer, the first layer (2a) consisting of a material which is harder than the material of the second layer (2b). Preferably, the tube has a triple-layer structure with an outer layer (2a), an inner layer (2b), and an internal layer (2c), the internal layer (2b) being softer than the outer and inner layers (2a, 2c). The multiple-layer structure of the tube consisting of materials of different hardnesses improves the flexibility, advancing behaviour and buckling resistance of the feeding tube. The invention also relates to a tube system consisting of the feeding tube and a gastric tube.
摘要翻译：医用肠内喂养管具有一个具有前端的空肠管（2），一个远端由管腔连接。该管具有外层和较软的内层。该管优选为具有外层，芯层和内层的三层结构。第三内层比核心层和外层更软。还提出了具有进料管和胃管的进料管系统。

47. 发明公开

EP2301454A2 Organ fixture and gastric fistula catheter set 审中-公开
标题翻译： Organfixierung和Magenfistelkathetersatz
公开(公告)号：EP2301454A2
公开(公告)日：2011-03-30
申请号：EP10009659.3
申请日：2010-09-16
申请人： Tyco Healthcare Group LP
发明人： Nagata, Katsuki
IPC分类号： A61B17/34
CPC分类号： A61B17/0482 , A61B17/3423 , A61B2017/0472 , A61B2017/06052 , A61B2017/3488 , A61J15/0007 , A61J15/0023 , A61J15/0038 , A61J15/0053 , A61J15/0065
摘要： An organ-fixing instrument and a gastric fistula catheter able to accomplish proper suturing reliably and through a simple procedure.
An organ-fixing instrument 10 is structured by a transversely elastic, cylindrical sheath 12, and a body surface installation part 11 attached to the base part of the sheath 12. In the body surface installation part 11 there are provided a through-hole 13 communicating with the sheath 12 and a pair of needle through-holes 14, 15. The sheath 12 is structured by a web-shaped covering part 16 made from a resin, a plurality of reinforcing parts 17 provided at the base end portion of the covering part 16, and skeletal parts 18a, 18b provided at the tip portion of the covering part 16. A suturing thread catch 18 projected in an axial direction by compression in the axial direction is structured by the tip side portion of the covering part 16 and the skeletal parts 18a, 18b.
摘要翻译：一种器官固定仪器和胃瘘导管，能够可靠地通过简单的手术完成适当的缝合。器官固定器具10由横向弹性的圆柱形护套12和安装在护套12的基部的身体表面安装部11构成。在体表安装部11中设置有通孔13，护套12和一对针通孔14,15。护套12由由树脂制成的网状覆盖部分16构成，多个加强部分17设置在覆盖部分的基端部分 16，以及设置在覆盖部16的前端部的骨架部18a，18b。由覆盖部16的前端部和骨架部构成的沿轴向压缩而沿轴向突出的缝合线卡止部18 部分18a，18b。

48. 发明公开

EP2280754A1 A DILATOR AND A METHOD OF MANUFACTURING THE SAME 有权
标题翻译：扩张器及其制造方法
公开(公告)号：EP2280754A1
公开(公告)日：2011-02-09
申请号：EP08767279.6
申请日：2008-05-29
申请人： Pang, Ah San
发明人： Pang, Ah San
IPC分类号： A61M29/00 , A61M31/00 , A61J15/00 , A61B17/24 , A61B19/00
CPC分类号： A61M29/00 , A61B17/3415 , A61B2017/320056 , A61J15/0023 , A61J15/0026 , Y10T29/49826
摘要： A Dilator and a method of manufacturing the same A medical dilator for a gastrostomy feeding tube comprising a first portion (12) a second portion (38) and a central filament (34) having a first end and a second end wherein the first end of the central filament (34) is connected to the first portion (12) and the second end of the central filament (34) is connected to the second portion (38) such that the first and second portion are able to couple together to form an assembled dilator and the central filament is able to fold to form a pull loop. A method of manufacturing the dilator, a tube adapted to be engaged by the dilator and a kit comprising the same.

49. 发明公开

EP2131718A2 APPARATUS AND METHOD FOR POSITIONING A MEDICAL DEVICE 审中-公开
标题翻译：设备技术定位医疗器械
公开(公告)号：EP2131718A2
公开(公告)日：2009-12-16
申请号：EP08730898.7
申请日：2008-02-28
申请人： Ethicon Endo-Surgery, Inc.
发明人： STEFANCHIK, David
IPC分类号： A61B1/00
CPC分类号： A61B1/018 , A61B1/00073 , A61B1/00135 , A61B1/00154 , A61B17/3415 , A61B2017/00296 , A61J15/0007 , A61J15/0019 , A61J15/0023 , A61J15/003 , A61J15/0061 , A61J15/0069 , A61J15/0073
摘要： A medical apparatus and method useful for positioning a tubular member such as a feeding tube, is disclosed. In one application, the apparatus includes a flexible element releasably coupled to a feeding tube. The flexible element can comprise a track, and a distal portion of the flexible element can extend beyond the distal end of the feeding tube.

50. 发明公开

EP2073720A2 A TISSUE TO TISSUE ANCHORING DEVICE AND METHOD OF USING THE SAME 有权转让
标题翻译：组织锚固装置
公开(公告)号：EP2073720A2
公开(公告)日：2009-07-01
申请号：EP07826025.4
申请日：2007-08-14
申请人： KIMBERLY-CLARK WORLDWIDE, INC.
发明人： GOBEL, Fred
IPC分类号： A61B17/064 , A61B17/00 , A61B17/04 , A61B17/11 , A61B17/34 , A61J15/00
CPC分类号： A61B17/1114 , A61B17/0401 , A61B17/0643 , A61B17/0644 , A61B17/3415 , A61B2017/00557 , A61B2017/0404 , A61B2017/0458 , A61J15/0023 , A61J15/0042 , A61J15/0061
摘要： The invention describes a device (10) and method for anchoring two or more body tissue layers (22, 24) to one another. The device in one form may be a hollow, collapsible, microthin polymeric shaft (16) affixed to a noncollapsible tip (20) at a distal end (12) of the polymeric shaft. A preformed balloonable distention (18) formed in a discrete region of the shaft proximal to the noncollapsible tip would be adapted to anchor against one of the body tissue layers within a body orifice (26). A rod (50) attached at one end to the tip which extends along the shaft and terminates at a second end near a proximal end of the device would be used for transferring movement from the second end to the f irst end so as to effect a movement in the tip. The method pertains to the method of using such a device to secure one or more tissue layers together, ultimately to assist in the fusion of the layers.

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