CA2539382A1 - Systems and methods for hemorrhage control and or tissue repair - Google Patents

Systems and methods for hemorrhage control and or tissue repair Download PDF

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Publication number
CA2539382A1
CA2539382A1 CA002539382A CA2539382A CA2539382A1 CA 2539382 A1 CA2539382 A1 CA 2539382A1 CA 002539382 A CA002539382 A CA 002539382A CA 2539382 A CA2539382 A CA 2539382A CA 2539382 A1 CA2539382 A1 CA 2539382A1
Authority
CA
Canada
Prior art keywords
bandage
esophagus
duodenum
stomach
treatment area
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.)
Granted
Application number
CA002539382A
Other languages
French (fr)
Other versions
CA2539382C (en
Inventor
Kenton W. Gregory
Paul F. Bente, Iv
Heather Margaret Bryan
Jeffrey Yihyuan Lin
Aileen Nuguid
Daniel Allen Pederson
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.)
Providence Health System Oregon
Original Assignee
Providence Health System Oregon
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 Providence Health System Oregon filed Critical Providence Health System Oregon
Publication of CA2539382A1 publication Critical patent/CA2539382A1/en
Application granted granted Critical
Publication of CA2539382C publication Critical patent/CA2539382C/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/04Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F13/14Bandages or dressings; Absorbent pads specially adapted for the breast or abdomen
    • A61F13/148Abdomen bandages or bandaging garments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B17/1114Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis of the digestive tract, e.g. bowels or oesophagus
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/04Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2002/044Oesophagi or esophagi or gullets
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/04Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2002/045Stomach, intestines
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F2013/00361Plasters
    • A61F2013/00365Plasters use
    • A61F2013/00463Plasters use haemostatic

Abstract

A bandage application system of the present for hemorrhage control and/or tissue repair of the gastrointestinal tract, such as the gastrointestinal tract is provided. The system comprises a bandage for hemorrhage control and/or tissue repair of the gastrointestinal tract. It also includes an apparatus for introducing the bandage into a treatment area of the gastrointestinal tract requiring hemorrhage control and/or tissue repair, and for removing the apparatus from the treatment area without displacing the bandage from being adhered to the treatment area, and without damaging the gastrointestinal tract. Furthermore, it also has a device for adhering the bandage to the treatment area.

Claims (46)

1. A method for hemorrhage control and/or tissue repair of an esophagus, stomach, duodenum, small intestine and large intestine which comprises:
introducing a bandage into a treatment area of said esophagus, stomach, duodenum, small intestine and large intestine requiring hemorrhage control and/or tissue repair with a bandage application system;
adhering the bandage to the treatment area using said bandage application system;
and removing said bandage application system from said treatment area without displacing said bandage from being adhered to the treatment area and without damaging the esophagus.
2. The method of claim 1, wherein the bandage application system is non-invasive.
3. The method of claim 1, wherein the bandage application system is employed in conjunction with an endoscopic device.
4. The method of claim 1, wherein the bandage application system is introduced under video guidance.
5. A method of claim 1, wherein the bandage application system is introduced under fluoscopic control.
6. The method of claim 1, wherein the bandage application system adheres the bandage to the treatment by applying pressure to the bandage against the esophagus, stomach, duodenum, small and large intestine.
7. The method of claim 6, wherein the bandage application system is expanded for applying said pressure to move the bandage against the esophagus, stomach, duodenum, small intestine and large intestine for a period of time sufficient to adhere said bandage to said esophagus, stomach, duodenum, small intestine and large intestine.
8. The method of claim 6, wherein the bandage application system is expanded using a gas or fluid for applying said pressure to move the bandage against the esophagus for a period of time sufficient to adhere said bandage to said esophagus, stomach, duodenum, small intestine and large intestine.
9. The method of claim 6, wherein the bandage application system which includes an expandable member which is expanded by air or fluid for applying said pressure to move the bandage against the esophagus, stomach, duodenum, small intestine and large intestine for a period of time sufficient to adhere said bandage to said esophagus, stomach, duodenum, small intestine and large intestine.
10. The method of claim 8, wherein the bandage application system includes a tubular sleeve on which is mounted said expandable member.
11. The method of claim 1, wherein the bandage is substantially tubular in shape to encompass all sides of the esophagus, stomach, duodenum, small intestine and large intestine.
12. The method of claim 1, wherein the bandage comprises a chitosan bandage.
13. The method of claim 1, wherein the bandage further includes a protective coating joined to the bandage so that the bandage does not adhere to the bandage application system or to the esophagus, stomach, duodenum, small intestine and large intestine en route to the treatment area.
14. The method of claim 1, wherein an outer sheath is disposed about the bandage to protect the bandage from the wet environment of the esophagus, stomach, duodenum, small intestine and large intestine when introducing said bandage into said treatment area.
15. A bandage application system for hemorrhage control and/or tissue repair of an esophagus, stomach, duodenum, small intestine and large intestine, which comprises:
a bandage for hemorrhage control and/or tissue repair of said esophagus;
an apparatus for introducing said bandage into a treatment area of said esophagus, stomach, duodenum, small intestine and large intestine requiring hemorrhage control and/or tissue repair, and for removing said apparatus from said treatment area without displacing said bandage from being adhered to the treatment area and without damaging the esophagus, stomach, duodenum, small intestine and large intestine; and a device for adhering the bandage to the treatment area.
16. The system of claim 15, which is non-invasive.
17. The system of claim 15, which is employed in conjunction with an endoscopic device.
18. The system of claim 15, which further includes video guidance for introducing said bandage into a treatment area.
19. The system of claim 15, wherein the device adheres the bandage to the treatment area by applying pressure to the bandage against the esophagus, stomach, duodenum, small intestine and large intestine.
20. The system of claim 15, wherein the device for adhering the bandage to the treatment area is expanded for applying said pressure to move the bandage against the esophagus, stomach, duodenum, small intestine and large intestine for a period of time sufficient to adhere said bandage to said esophagus, stomach, duodenum, small intestine and large intestine.
21. The system of claim 15, wherein the device for adhering the bandage to the treatment area is expanded using a gas or fluid for applying said pressure to move the bandage against the esophagus, stomach, duodenum, small intestine and large intestine for a period of time sufficient to adhere said bandage to said esophagus, stomach, duodenum, small intestine and large intestine.
22. The system of claim 15, wherein the device for adhering the bandage to the treatment area includes an expandable member which is expanded by gas or fluid for applying said pressure to move the bandage against the esophagus, stomach, duodenum, small intestine and large intestine for a period of time sufficient to adhere said bandage to said esophagus, stomach, duodenum, small intestine and large intestine.
23. The system of claim 15, wherein the device for adhering the bandage to the treatment area includes a tubular sleeve on which is mounted said expandable member.
24. The system of claim 15, wherein the bandage is substantially tubular in shape to encompass all sides of the esophagus, stomach, duodenum, small intestine and large intestine.
25. The system of claim 15, wherein the bandage comprises a chitosan bandage.
26. The system of claim 15, wherein the bandage further includes a protective coating joined to the bandage so that the bandage does not adhere to the bandage application system or to the esophagus, stomach, duodenum, small intestine and large intestine en route to the treatment area.
27. The system of claim 15, wherein an outer sheath is disposed about the bandage to protect the bandage from the wet environment of the esophagus, stomach, duodenum, small intestine and large intestine when introducing said bandage into said treatment area.
28. A bandage application system for hemorrhage control and/or tissue repair of an esophagus, stomach, duodenum, small intestine and large intestine, which comprises:
an endoscopic device;
a bandage for hemorrhage control and/or tissue repair of said esophagus, stomach, duodenum, small intestine and large intestine;
an apparatus connected to said endoscopic device for introducing said bandage into a treatment area of said esophagus requiring hemorrhage control and/or tissue repair, and for removing said apparatus from said treatment area without displacing said bandage from being adhered to the treatment area and without damaging the esophagus; and a device for adhering the bandage to the treatment area by applying pressure to the bandage against the esophagus.
29. The system of claim 15, wherein tissue repair comprises surgical anastomosis of said esophagus, stomach, duodenum, small intestine and large intestine.
30. The system of claim 15, wherein said hemorrhage control and/or tissue repair comprises treating bleeding or other wounds in the transurethral prostatectomy.
31. The system of claim 15, wherein said hemorrhage control and/or tissue repair comprises treating bronchial bleeding, fistulas or other lesions using a bronchoscope.
32. The system of claim 15, wherein said bandage is in the shape of a patch.
33. The system of claim 15, wherein said bandage includes drugs for additional pharmacologic treatment effects.
34. The system of claim 15, wherein said drugs comprise anticancer drugs, anti inflammatory drugs, anti-ulcerative colitis drugs, anti-Crohns disease drugs, coagulants, antibiotics, and muscle relaxants.
35. The system of claim 21, wherein the tubular sleeve is expanded from a location outside the body.
36. The system of claim 26, wherein said protective covering is removable from the bandage.
37. The system of claim 15, wherein said bandage is comprised of chitosan and at least one additional component.
38. The system of claim 15, wherein said bandage is composed of chitosan acetate.
39. The system of claim 37, wherein said additional components comprise biocompatible synthetic polymer or natural protein coatings or coverings.
40. The system of claim 39, wherein said biocompatible protein coatings comprise elastin or collagen or other matrix proteins.
41. The system of 37, where coatings or coverings comprise Vicryl or Dexon.
42. The system of claim 15, wherein said bandage is used to treat an infection such as candidiassis, a viral inflammation or a bacterial infection.
43. The system of claim 15, wherein said bandage is used to treat and seal a perforation or fistula or leaking anastomosis.
44. The system of claim 15, wherein the device for adhering the bandage to the treatment area includes a guide wire system on which is mounted said expandable member.
45. The system of claim 15, wherein the device for adhering the bandage to the treatment area includes a nitinol tube on which is mounted said expandable member.
46. The system of claim 15, wherein said bandage is used to treat an ulceration or burn.
CA2539382A 2005-03-17 2006-03-13 Systems and methods for hemorrhage control and or tissue repair Expired - Fee Related CA2539382C (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US11/084,688 2005-03-17
US11/084,688 US9204957B2 (en) 2005-03-17 2005-03-17 Systems and methods for hemorrhage control and or tissue repair

Publications (2)

Publication Number Publication Date
CA2539382A1 true CA2539382A1 (en) 2006-09-17
CA2539382C CA2539382C (en) 2012-01-10

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US (1) US9204957B2 (en)
CA (1) CA2539382C (en)

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