WO2012163413A1 - Cathéter de guidage des sécrétions biliopancréatiques - Google Patents

Cathéter de guidage des sécrétions biliopancréatiques Download PDF

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Publication number
WO2012163413A1
WO2012163413A1 PCT/EP2011/058981 EP2011058981W WO2012163413A1 WO 2012163413 A1 WO2012163413 A1 WO 2012163413A1 EP 2011058981 W EP2011058981 W EP 2011058981W WO 2012163413 A1 WO2012163413 A1 WO 2012163413A1
Authority
WO
WIPO (PCT)
Prior art keywords
catheter
layer
coating
tubular wall
degradable
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.)
Ceased
Application number
PCT/EP2011/058981
Other languages
English (en)
Inventor
Michele D'arcangelo
Mark Steven Ortiz
Alessandro Pastorelli
David A. Dalessandro
Joseph Henry CONTILIANO
Vipul Bhupendra Dave
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Ethicon Endo Surgery Inc
Original Assignee
Ethicon Endo Surgery Inc
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 Ethicon Endo Surgery Inc filed Critical Ethicon Endo Surgery Inc
Priority to PCT/EP2011/058981 priority Critical patent/WO2012163413A1/fr
Publication of WO2012163413A1 publication Critical patent/WO2012163413A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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
    • 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
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L29/00—Materials for catheters, medical tubing, cannulae, or endoscopes or for coating catheters
    • A61L29/08—Materials for coatings
    • A61L29/085—Macromolecular materials
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L29/00—Materials for catheters, medical tubing, cannulae, or endoscopes or for coating catheters
    • A61L29/14—Materials characterised by their function or physical properties, e.g. lubricating compositions
    • A61L29/148—Materials at least partially resorbable by the body
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2420/00—Materials or methods for coatings medical devices
    • A61L2420/04—Coatings containing a composite material such as inorganic/organic, i.e. material comprising different phases
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2420/00—Materials or methods for coatings medical devices
    • A61L2420/08—Coatings comprising two or more layers
    • 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
    • A61M2025/0019—Cleaning catheters or the like, e.g. for reuse of the device, for avoiding replacement
    • 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
    • A61M25/0043—Catheters; Hollow probes characterised by structural features
    • A61M25/0045—Catheters; Hollow probes characterised by structural features multi-layered, e.g. coated
    • 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
    • A61M27/00—Drainage appliance for wounds or the like, i.e. wound drains, implanted drains
    • A61M27/002—Implant devices for drainage of body fluids from one part of the body to another

Definitions

  • a known minimally invasive bypass system and method for modifying the location at which bile and pancreatic secretions interact with nutrients in a gastrointestinal tract has been e.g. discussed in US 2005085787 Al .
  • the known system comprises a conduit having a first end which diverts bile and pancreatic secretions from the ampulla of Vater to a location downstream in the gastrointestinal tract and a second end attached to the ampulla of Vater.
  • glycocalix formation by the adhered bacteria forms a gel-like biofilm that protects the bacteria from antibiotics, from the action of the immune system and also from the mechanical shearing effect of the bile flow through the catheter.
  • commonly found microorganisms in the sludge such as Escherichia coli, can produce ⁇ - g 1 u c o r o n i d a s e , which can deconjugate bilirubin glucoronide and precipitate calcium bilirubinate which adds to the depositions inside the catheter.
  • adjacent layers may be connected, e.g. bonded or glued by an adhesive, to each other only in discrete connecting regions 23 which cover e.g. less than 50% of the contact interface therebetween.
  • Further exemplary materials for the inner layer can be prepared from melt processable polymers or by solvent coated polymers that can degrade in 2-4 weeks time period. These materials can be low molecular weight poly (glycolic acid) or blends of water soluble polymers (PVP; PEO) with degradable materials; or blends of plasticized degradable polymers.
  • the inner layer may also degrade in 1-3 months and prepared from poly (glycolic acid) or blends.
  • the inner layer may degrade in 3-6 months with blends of poly (glycolic acid) with materials with longer absorption time such as poly (lactide-co-glycolide) with high glycolide content.

Landscapes

  • Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Obesity (AREA)
  • Child & Adolescent Psychology (AREA)
  • Epidemiology (AREA)
  • Nursing (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Materials For Medical Uses (AREA)
  • Media Introduction/Drainage Providing Device (AREA)

Abstract

La présente invention concerne un cathéter (11) de guidage des sécrétions biliopancréatiques qui comprend une paroi tubulaire allongée (16) s'étendant entre une partie d'extrémité proximale (12) et une partie d'extrémité distale (13), la paroi tubulaire (16) ayant une couche extérieure (17) et au moins un revêtement intérieur (18) formant une surface interne (19) qui définit un canal de passage de fluide (20) du cathéter (11), le revêtement intérieur (18) étant dégradable et adapté à se détacher de la paroi tubulaire (16) conjointement à d'éventuels dépôts sur celui-ci.
PCT/EP2011/058981 2011-05-31 2011-05-31 Cathéter de guidage des sécrétions biliopancréatiques Ceased WO2012163413A1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
PCT/EP2011/058981 WO2012163413A1 (fr) 2011-05-31 2011-05-31 Cathéter de guidage des sécrétions biliopancréatiques

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/EP2011/058981 WO2012163413A1 (fr) 2011-05-31 2011-05-31 Cathéter de guidage des sécrétions biliopancréatiques

Publications (1)

Publication Number Publication Date
WO2012163413A1 true WO2012163413A1 (fr) 2012-12-06

Family

ID=44626877

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/EP2011/058981 Ceased WO2012163413A1 (fr) 2011-05-31 2011-05-31 Cathéter de guidage des sécrétions biliopancréatiques

Country Status (1)

Country Link
WO (1) WO2012163413A1 (fr)

Cited By (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103816597A (zh) * 2014-03-03 2014-05-28 高宏 多层共挤可控剥离气管导管
WO2015089181A3 (fr) * 2013-12-12 2015-08-06 Hollister Incorporated Cathéter à jeter dans les toilettes qui se désintègre dans l'eau, doté d'un revêtement hydrophile
US9925355B2 (en) 2012-11-12 2018-03-27 Hollister Incorporated Intermittent catheter assembly and kit
US10220185B2 (en) 2012-11-14 2019-03-05 Hollister Incorporated Disposable catheter with selectively degradable inner core
US10420859B2 (en) 2013-12-12 2019-09-24 Hollister Incorporated Flushable catheters
US10426918B2 (en) 2013-12-12 2019-10-01 Hollister Incorporated Flushable catheters
US10463833B2 (en) 2013-12-12 2019-11-05 Hollister Incorporated Flushable catheters
US10821209B2 (en) 2013-11-08 2020-11-03 Hollister Incorporated Oleophilic lubricated catheters
US10874769B2 (en) 2013-12-12 2020-12-29 Hollister Incorporated Flushable disintegration catheter
US11185613B2 (en) 2015-06-17 2021-11-30 Hollister Incorporated Selectively water disintegrable materials and catheters made of such materials

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20030153983A1 (en) * 2002-02-08 2003-08-14 Scimed Life Systems, Inc. Implantable or insertable medical device resistant to microbial growth and biofilm formation
US20050085787A1 (en) 2003-10-17 2005-04-21 Laufer Michael D. Minimally invasive gastrointestinal bypass
WO2007050628A2 (fr) * 2005-10-24 2007-05-03 Andrew Young Dispositif de derivation biliaire/pancreatique et procede pour le traitement de maladies metaboliques et d'autres maladies
WO2008027720A2 (fr) * 2006-08-28 2008-03-06 Wilson-Cook Medical Inc. Stent avec surface de lumière de drainage antimicrobienne
WO2008036711A1 (fr) * 2006-09-22 2008-03-27 Boston Scientific Scimed, Inc. stent avec élément de rétention de vessie soluble

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20030153983A1 (en) * 2002-02-08 2003-08-14 Scimed Life Systems, Inc. Implantable or insertable medical device resistant to microbial growth and biofilm formation
US20050085787A1 (en) 2003-10-17 2005-04-21 Laufer Michael D. Minimally invasive gastrointestinal bypass
WO2007050628A2 (fr) * 2005-10-24 2007-05-03 Andrew Young Dispositif de derivation biliaire/pancreatique et procede pour le traitement de maladies metaboliques et d'autres maladies
WO2008027720A2 (fr) * 2006-08-28 2008-03-06 Wilson-Cook Medical Inc. Stent avec surface de lumière de drainage antimicrobienne
WO2008036711A1 (fr) * 2006-09-22 2008-03-27 Boston Scientific Scimed, Inc. stent avec élément de rétention de vessie soluble

Cited By (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9925355B2 (en) 2012-11-12 2018-03-27 Hollister Incorporated Intermittent catheter assembly and kit
US10220185B2 (en) 2012-11-14 2019-03-05 Hollister Incorporated Disposable catheter with selectively degradable inner core
US10821209B2 (en) 2013-11-08 2020-11-03 Hollister Incorporated Oleophilic lubricated catheters
US11833274B2 (en) 2013-11-08 2023-12-05 Hollister Incorporated Oleophilic lubricated catheters
US10463833B2 (en) 2013-12-12 2019-11-05 Hollister Incorporated Flushable catheters
US10426918B2 (en) 2013-12-12 2019-10-01 Hollister Incorporated Flushable catheters
US10420859B2 (en) 2013-12-12 2019-09-24 Hollister Incorporated Flushable catheters
US10874769B2 (en) 2013-12-12 2020-12-29 Hollister Incorporated Flushable disintegration catheter
US11318279B2 (en) 2013-12-12 2022-05-03 Hollister Incorporated Flushable catheters
WO2015089181A3 (fr) * 2013-12-12 2015-08-06 Hollister Incorporated Cathéter à jeter dans les toilettes qui se désintègre dans l'eau, doté d'un revêtement hydrophile
US12201751B2 (en) 2013-12-12 2025-01-21 Hollister Incorporated Flushable disintegration catheter
CN103816597A (zh) * 2014-03-03 2014-05-28 高宏 多层共挤可控剥离气管导管
US11185613B2 (en) 2015-06-17 2021-11-30 Hollister Incorporated Selectively water disintegrable materials and catheters made of such materials

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