STENT FOR CONNECTING DISSIMILAR ORGANS WITH PIGTAIL STRUCTURE
20200368504 ยท 2020-11-26
Inventors
Cpc classification
A61F2/90
HUMAN NECESSITIES
A61F2/064
HUMAN NECESSITIES
A61M27/002
HUMAN NECESSITIES
A61F2/88
HUMAN NECESSITIES
A61F2230/0091
HUMAN NECESSITIES
A61B17/1114
HUMAN NECESSITIES
A61M25/0041
HUMAN NECESSITIES
A61B2017/1139
HUMAN NECESSITIES
A61F2/04
HUMAN NECESSITIES
International classification
Abstract
The present invention relates to a stent with a pigtail structure used for connection between organs of different kinds where a through hole is formed on each of the organs of different kinds and portions around the through holes are connected to each other, the stent comprising: a stent body where both end parts are arranged across the through holes formed on the organs of different kinds and a connecting passage which connects the two organs of different kinds is formed; and a one-side wound end part and an other-side wound end part which are formed in a pigtail shape at both end parts of the stent body to be caught and fixed to the through holes, such that portions of the organs of different kinds around the through holes are in close contact with each other, wherein the stent body, the one-side wound end part, and the other-side wound end part are provided as an integral body having a mesh structure made of woven wire and comprising a cover film which covers the woven wire for sealing of the connecting passage.
Claims
1. A stent with a pigtail structure used for connection between organs of different kinds where a through hole is formed on each of the organs of different kinds and portions around the through holes are connected to each other, the stent comprising: a stent body where both end parts are arranged across the through holes formed on the organs of different kinds and a connecting passage which connects the two organs of different kinds is formed; and a wound end part which is formed in a pigtail shape at an end part of the stent body to be caught and fixed to the through hole such that portions of the organs of different kinds around the through holes are in close contact with each other, wherein the stent body and the wound end part are provided as an integral body having a mesh structure made of woven wire and comprising a cover film which covers the woven wire for sealing of the connecting passage.
2. The stent according to claim 1, wherein the wound end part is a one-side wound end part formed only on one side of the end parts of the stent body.
3. The stent according to claim 1, wherein the wound end part is a one-side wound end part and an other-side wound end part formed on both sides of the end parts of the stent body.
4. The stent according to claim 3, wherein the one-side wound end part is wound 360 degrees from the top right toward the bottom right of the stent body and the other-side wound end part is wound 360 degrees from the bottom left toward the top left of the stent body.
5. The stent according to claim 3, wherein the one-side wound end part is wound 360 degrees from the top right toward the bottom right of the stent body and the other-side wound end part is wound 360 degrees from the bottom right toward the top right of the stent body.
6. The stent according to claim 3, wherein the one-side wound end part is wound 360 degrees from the top left toward the bottom left of the stent body and the other-side wound end part is wound 360 degrees from the bottom left toward the top left of the stent body.
7. The stent according to claim 3, wherein the one-side wound end part is wound 360 degrees from the top left toward the bottom left of the stent body and the other-side wound end part is wound 360 degrees from the bottom right toward the top right of the stent body.
8. The stent according to claim 3, wherein the stent body has a length of 20-40 mm and a diameter of 6-12 mm, the total length of the stent body, the one-side wound end part, and the other-side wound end part is 130-150 mm, and the cover film has a thickness of 4-8 mm.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0030]
[0031]
[0032]
[0033]
[0034]
DETAILED DESCRITPION TO CARRY OUT THE INVENTION
[0035] The present invention is hereinafter described in further detail with reference to the accompanying drawings.
[0036] Hereinafter, examples of the present invention are described in detail with reference to the accompanying drawings so that those skilled in the art can easily carry out the present invention. The present invention may be embodied in various different forms and is not limited to the examples described herein.
[0037] In order to clearly illustrate the present invention in the drawings, parts not related to the description are omitted, and the same or similar components are denoted by the same reference numerals throughout the specification.
[0038] Throughout the specification, when a part is referred to as being connected to another part, it includes not only direct connection but also indirect connection where another member is placed between them. In addition, when a part is referred to as comprising a constituent, it does not exclude other constituents and may further include other constituents unless specifically stated to the contrary.
[0039] The terms used herein are defined in consideration of the functions of the present invention and may vary depending on the intention or custom of a user or an operator. Therefore, the definitions of these terms are meant to be interpreted in accordance with the meaning and concept consistent with the technical aspects of the present invention.
[0040] Additionally, optional terms in the following examples are used to distinguish one constituent from another, and the constituent is not limited by the terms. In the following description of the present invention, detailed descriptions of related publicly known arts which may unnecessarily obscure the gist of the present invention are omitted.
[0041]
[0042] A stent (10) for connection between organs of different kinds with a pigtail structure according to the present invention is used to connect organs of different kinds. In the present example, for the organs of different kinds a particular case is described as an example in which it is used for connection between organs of different kinds where a pseudocyst (or gallbladder, liver abscess, biliary tract or the like) (20) and the duodenum (or stomach) (30) are directly connected.
[0043] The stent (10) for connection between organs of different kinds with a pigtail structure according to the present invention is made of a stent body (11) where a connecting passage (11a) with a mesh structure is formed, a one-side wound end part (12) and an other-side wound end part (13) which are formed at both end parts of the stent body to be caught and fixed after installation, and a cover film (14) made of silicon which envelops the mesh structure. The cover film (14) is made by dipping the stent body (11) into polymer solution or by overlaying a pre-formed polymer film on the stent body (11).
[0044] Where a through hole (21, 31) is formed on each of a pseudocyst (or gallbladder, liver abscess, biliary tract or the like) (20) and the duodenum (or stomach) (30), the stent body (11) is used for connection of portions around the through hole (21, 31) to each other, and it has a mesh structure, with a length of 20-40 mm and a diameter of 6-12 mm, and is provided as an integral body of woven wire (15), and both end parts are arranged across the through holes formed on the pseudocyst (or gallbladder, liver abscess, biliary tract or the like) (20) and the duodenum (or stomach) (30), and a connecting passage (11a), which connects the pseudocyst (or gallbladder, liver abscess, biliary tract or the like) (20) and the duodenum (or stomach) (30), is formed.
[0045] The one-side wound end part (12) and the other-side wound end part (13) are provided as an integral body with a mesh structure of woven wire (15) and are formed in a pigtail shape at both end parts of the stent body (11) to be caught and fixed to the through holes (21, 31), such that portions of the pseudocyst (or gallbladder, liver abscess, biliary tract or the like) (20) and the duodenum (or stomach) (30) around the through holes (21, 31) can be in close contact with each other.
[0046] The cover film has a thickness of 4-8 mm and is made of silicon to cover the woven wire (15) for sealing of the connecting passage (11a).
[0047] The total length of the stent comprising the stent body (11), the one-side wound end part (12), and the other-side wound end part (13) is preferably 130-150 mm, and a shape-memory alloy, a metal, or a synthetic resin material may be used for the wire (15), with its thickness suitably being 0.1-0.2 mm.
[0048] It is preferable that from the stent body (11), the one-side wound end part (12) is wound 360 degrees from the top right toward the bottom right and the other-side wound end part (13) is wound 360 degrees from the bottom left toward the top left for prevention of unwinding.
[0049] However, the above does not limit the winding angles of the one-side wound end part (12) and the other-side wound end part (13), and they may obviously be used in a state where they are wound 90 to 359 degrees as necessary.
[0050] This is because, if winding angles of the one-side wound end part (12) and the other-side wound end part (13) are too small, there is a risk that the stent body (11) is released from the pseudocyst (or gallbladder, liver abscess, biliary tract or the like) (20) and the duodenum (or stomach) (30).
[0051]
[0052] Although the one-side wound end part (12) and the other-side wound end part (13) are preferably wound in the opposite directions, they may obviously be wound in the same direction.
[0053] That is, a configuration is possible where from the stent body (11), the one-side wound end part (12) is wound 360 degrees from the top right toward the bottom right and the other-side wound end part (13) is wound 360 degrees from the bottom right toward the top right.
[0054] When necessary, a configuration is possible where from the stent body (11), the one-side wound end part (12) is wound 360 degrees from the top left toward the bottom left and the other-side wound end part (13) is wound 360 degrees from the bottom left toward the top left.
[0055] Additionally, a configuration is obviously possible where from the stent body (11), the one-side wound end part (12) is wound 360 degrees from the top left toward the bottom left and the other-side wound end part (13) is wound 360 degrees from the bottom right toward the top right.
[0056] And, it is obviously possible to form only the one-side wound end part (12) on one side of the stent body (11) to use it as a non-slip stent.
[0057]
[0058] For the invention above, a through hole (21, 31) needs to be made first on each of a pseudocyst (or gallbladder, liver abscess, biliary tract or the like) (20) and the duodenum (or stomach) (30) during operation for connection of the pseudocyst (or gallbladder, liver abscess, biliary tract or the like) (20) and the duodenum (or stomach) (30).
[0059] Then, the practitioner puts a stent (10) for connection in an endoscope (not shown) and, when the front end of the endoscope reaches the through holes (21, 31) of the pseudocyst (or gallbladder, liver abscess, biliary tract or the like) (20) and the duodenum (or stomach) (30) of the subject, the practitioner pushes the stent (10) from behind into the through holes (21, 31) to transplant it, before pulling out the endoscope from the subject.
[0060] The stent (10), which was inserted and transplanted in a compressed state, stretches out in response to the body temperature or due to its own elasticity, and where both end parts of the stent (10) are placed at the through holes (21, 31) of the pseudocyst (or gallbladder, liver abscess, biliary tract or the like) (20) and the duodenum (or stomach) (30), a one-side wound end part (12) and an other-side wound end part (13) which are both end parts of the stent return to their preset shape.
[0061] Here, as shown in
[0062] Accordingly, the stent body (11) of the stent (10) for connection is placed between the through holes (21, 31) to form a connecting passage (11a), and they are thus arranged at the through holes (21, 31) to connect the pseudocyst (or gallbladder, liver abscess, biliary tract or the like) (20) and the duodenum (or stomach) (30), with the other-side wound end part (13) being caught and fixed to the through hole (21) of the pseudocyst (or gallbladder, liver abscess, biliary tract or the like) (20) and the one-side wound end part (12) being caught and fixed to the through hole (31) of the duodenum (or stomach) (30).
[0063] As a result, the pseudocyst (or gallbladder, liver abscess, biliary tract or the like) (20) and the duodenum (or stomach) (30) are naturally connected and joined over time without a process of incision of the abdomen of the subject or a surgery to stitch the organs.
[0064] Therefore, the subject may recover very quickly after the operation and be discharged earlier.
[0065] The examples herein and the drawings attached hereto are only to clearly describe part the technical idea that the present invention comprises, and all of modifications and specific examples that can be easily conceived by a skilled person in the art within the scope of the technical idea included in the specification of the present invention and the drawings are obviously within the scope of the technical idea of the present invention.
[0066] The scope of the present invention is defined by the following claims rather than the detailed description, and all modifications or modified forms derived from the meaning and scope of the claims and their equivalents should be construed as being included in the scope of the present invention.
[0067] The present invention has the effects of facilitation of securing and maintaining a sufficient passage diameter for movement of surgical instruments, being free of the risk of deviating from a position where it is installed by securing sufficient deviation prevention, and, due to a variable shape of wire crossing of the stent connecting organs of different kinds, minimization of metal fatigue of the wire caused in the process of securing and maintaining a passage diameter for movement of surgical instruments such as an endoscope against external forces exerted on the stent to consequently lengthens lifetime of the wire constituting the stent.
DESCRIPTION OF REFERENCE NUMERALS
[0068] 10: stent
[0069] 11: stent body
[0070] 11a: connecting passage
[0071] 12: one-side wound end part
[0072] 13: other-side wound end part
[0073] 14: cover film
[0074] 15: wire
[0075] 20: pseudocyst (or gallbladder, liver abscess, biliary tract or the like)
[0076] 21: through hole
[0077] 30: duodenum (or stomach)
[0078] 31: through hole