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DK2796100T3 - Geldannende system til fjernelse af nyrestenfragmenter - Google Patents

Geldannende system til fjernelse af nyrestenfragmenter Download PDF

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Publication number
DK2796100T3
DK2796100T3 DK13164955.0T DK13164955T DK2796100T3 DK 2796100 T3 DK2796100 T3 DK 2796100T3 DK 13164955 T DK13164955 T DK 13164955T DK 2796100 T3 DK2796100 T3 DK 2796100T3
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DK
Denmark
Prior art keywords
composition
gel
kidney
fragments
use according
Prior art date
Application number
DK13164955.0T
Other languages
English (en)
Inventor
Ingo Dr Grunwald
Katharina Dr Richter
Arkadiusz Dr Miernik
Martin Dr Schoenthaler
Original Assignee
Fraunhofer Ges Forschung
Univ Freiburg Albert Ludwigs
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
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Application filed by Fraunhofer Ges Forschung, Univ Freiburg Albert Ludwigs filed Critical Fraunhofer Ges Forschung
Application granted granted Critical
Publication of DK2796100T3 publication Critical patent/DK2796100T3/da

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS 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
    • A61L24/00Surgical adhesives or cements; Adhesives for colostomy devices
    • A61L24/04Surgical adhesives or cements; Adhesives for colostomy devices containing macromolecular materials
    • A61L24/08Polysaccharides
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS 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
    • A61L24/00Surgical adhesives or cements; Adhesives for colostomy devices
    • A61L24/001Use of materials characterised by their function or physical properties
    • A61L24/0031Hydrogels or hydrocolloids
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS 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
    • A61L24/00Surgical adhesives or cements; Adhesives for colostomy devices
    • A61L24/02Surgical adhesives or cements; Adhesives for colostomy devices containing inorganic materials
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS 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
    • A61L24/00Surgical adhesives or cements; Adhesives for colostomy devices
    • A61L24/04Surgical adhesives or cements; Adhesives for colostomy devices containing macromolecular materials
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P13/00Drugs for disorders of the urinary system
    • A61P13/04Drugs for disorders of the urinary system for urolithiasis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P13/00Drugs for disorders of the urinary system
    • A61P13/12Drugs for disorders of the urinary system of the kidneys
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/22Implements 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00831Material properties
    • A61B2017/00876Material properties magnetic
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/22Implements 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
    • A61B2017/22082Implements 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 after introduction of a substance
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS 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
    • A61L2430/00Materials or treatment for tissue regeneration
    • A61L2430/26Materials or treatment for tissue regeneration for kidney reconstruction

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgery (AREA)
  • Chemical & Material Sciences (AREA)
  • Epidemiology (AREA)
  • Engineering & Computer Science (AREA)
  • Dispersion Chemistry (AREA)
  • Materials Engineering (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medicinal Chemistry (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Organic Chemistry (AREA)
  • General Chemical & Material Sciences (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Urology & Nephrology (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Vascular Medicine (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Inorganic Chemistry (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Materials For Medical Uses (AREA)
  • Medicinal Preparation (AREA)
  • Measuring Or Testing Involving Enzymes Or Micro-Organisms (AREA)

Claims (10)

1. Geldannende sammensætning, omfattende en sammensætning (A), indeholdende en eller flere kationisk krydsbindende polymerer, og en sammensætning (B), indeholdende et eller flere krydsbindingsmidler til krydsbinding af den eller de kationisk krydsbindende polymerer til anvendelse ved en fremgangsmåde til indlejring og til fjernelse af nyresten og/eller nyrestenfragmenter i/fra et område af en nyre, som indeholder nyresten og/eller nyrestenfragmenter, som skal fjernes, med de følgende trin: (i) tilvejebringelse af sammensætning (A) og (B), (ii) indføring af sammensætning (A) og (B) i et område af nyren, som indeholder nyresten og/eller nyrestenfragmenter, som skal fjernes, under betingelser, som ved kontakt af sammensætning (A) med sammensætning (B) muliggør en krydsbinding af den eller de kationisk krydsbindende polymerer, således at der opstår en krydsbundet gel, som delvist eller fuldstændigt omslutter nyrestenene og/eller nyrestenfragmenterne, der skal fjernes, hvorved det gøres muligt at fjerne de indlejrede nyresten og/eller nyrestenfragmenter, der skal fjernes, (iii) fjernelse af den krydsbundne gel samt de af denne omsluttede nyresten og/eller nyrestenfragmenter fra nyren.
2. Geldannende sammensætning til anvendelse ifølge krav 1, hvor den ene eller de flere eller samtlige kationisk krydsbindende polymer(er) af sammensætning (A) er udvalgt hhv. er fra gruppen bestående af polysaccharider, især polysaccharider med deprotonerede eller deprotonerbare funktionelle grupper, fortrinsvis carboxylgrupper, fortrinsvis polysaccharider fra gruppen af polyuronider, særligt foretrukket polysaccharider fra gruppen af alginater, pektiner og natrium-carboxymethylcellulose (CMC) funktionaliseret med 3,4-dihydroxyphenylalanin (DOPA).
3. Geldannende sammensætning til anvendelse ifølge krav 1 eller krav 2, hvor det ene eller de flere eller samtlige krydsbindingsmidler af sammensætning (B) er udvalgt hhv. er fra gruppen bestående af di- og trivalente kationer, fortrinsvis jern- og kalciumioner.
4. Geldannende sammensætning til anvendelse ifølge et af de foregående krav, hvor sammensætning (B) har en sur pH-værdi, fortrinsvis en pH-værdi i området fra 3,5 til 4,5.
5. Geldannende sammensætning til anvendelse ifølge et af de foregående krav, hvor den geldannende sammensætning derudover indeholder magnetiserbare partikler, hvor - de magnetiserbare partikler er en bestanddel af sammensætning (A) og/eller bestanddel af sammensætning (B) og/eller - den geldannende sammensætning derudover omfatter en sammensætning (C), som indeholder magnetiserbare partikler, hvor man ud over sammensætning (A) og (B) derefter også tilvejebringer sammensætning (C) i trin (i) og i trin (ii) og indfører den tidsforskudt eller samtidig med sammensætning (A) eller sammensætning (B), således at den krydsbundne gel derudover indeholder magnetiserbare partikler.
6. Geldannende sammensætning til anvendelse ifølge et af de foregående krav, hvor de magnetiserbare partikler er udvalgt fra partikler indeholdende eller bestående af ferromagnetiske elementer såsom jern, nikkel og kobolt samt legeringer såsom AINiCo, SmCo, Nd2Fei4B, Ni80Fe20, NiFeCo og/eller disses oxider såsom jernoxidpartikler, især jernoxidnanopartikler af Fe304 og/eller y-Fe203.
7. Geldannende sammensætning til anvendelse ifølge et af de foregående krav, hvor sammensætning (A) og/eller sammensætning (B) yderligere indeholder chitosan, fortrinsvis, hvor sammensætning (B) indeholder chitosan.
8. Geldannende sammensætning til anvendelse ifølge et af de foregående krav, hvor sammensætning (A) og (B) i trin (ii) indføres efter hinanden eller sammen.
9. Geldannende sammensætning til anvendelse ifølge et af de foregående krav, hvor sammensætning (B) indføres før sammensætning (A) i trin (ii).
10. Geldannende sammensætning til anvendelse ifølge et af de foregående krav, hvor fremgangsmåden omfatter det følgende yderligere trin, som tidsmæssigt sker før trin (ii): fragmentering af en eller flere nyresten i nyren, således at der opstår to eller flere, fortrinsvis et stort antal nyrestenfragmenter.
DK13164955.0T 2013-04-23 2013-04-23 Geldannende system til fjernelse af nyrestenfragmenter DK2796100T3 (da)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
EP13164955.0A EP2796100B1 (de) 2013-04-23 2013-04-23 Gelbildendes System zum Entfernen von Nierensteinfragmenten

Publications (1)

Publication Number Publication Date
DK2796100T3 true DK2796100T3 (da) 2016-08-01

Family

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Family Applications (1)

Application Number Title Priority Date Filing Date
DK13164955.0T DK2796100T3 (da) 2013-04-23 2013-04-23 Geldannende system til fjernelse af nyrestenfragmenter

Country Status (11)

Country Link
US (1) US10232079B2 (da)
EP (2) EP2796100B1 (da)
JP (1) JP2016519957A (da)
KR (2) KR20200040931A (da)
CN (1) CN105491966B (da)
AU (1) AU2013387206B2 (da)
CA (1) CA2910201C (da)
DK (1) DK2796100T3 (da)
ES (1) ES2577102T3 (da)
PL (1) PL2796100T3 (da)
WO (1) WO2014173467A1 (da)

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EP3875075B1 (de) * 2020-03-02 2023-05-17 Technische Universität München Zubereitung zur magnetisierung von nierensteinen und nierensteinfragmenten und kit zur entfernung von nierensteinen und nierensteinfragmenten
CN112294842B (zh) * 2020-11-06 2022-12-09 合肥大族科瑞达激光设备有限公司 一种保护肾脏组织的钬激光碎石保护液
US11903666B2 (en) 2020-11-20 2024-02-20 The Board Of Trustees Of The Leland Stanford Junior University Magnetic wire for retrieval and elimination of calculus from the urinary tract
KR102580016B1 (ko) * 2020-12-29 2023-09-18 부산대학교병원 결석을 제거하기 위한 알긴산 겔 복합체 및 이의 제조방법
US11576744B2 (en) * 2021-03-25 2023-02-14 The Regents Of The University Of California Thermosensitive bio-adhesive hydrogel for removal of ureteral and renal stones
EP4101398A1 (de) 2021-06-09 2022-12-14 Purenum GmbH Mehr-komponenten-zusammensetzung zur entfernung von partikeln
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CN117883148A (zh) * 2024-01-16 2024-04-16 辉擎医疗科技(嘉兴)有限公司 一种碎石提取系统

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Also Published As

Publication number Publication date
CA2910201C (en) 2020-03-24
KR20200040931A (ko) 2020-04-20
US10232079B2 (en) 2019-03-19
EP2796100A1 (de) 2014-10-29
CA2910201A1 (en) 2014-10-30
EP2988681A1 (de) 2016-03-02
WO2014173467A1 (de) 2014-10-30
JP2016519957A (ja) 2016-07-11
AU2013387206B2 (en) 2019-01-24
CN105491966A (zh) 2016-04-13
CN105491966B (zh) 2018-06-26
US20160067373A1 (en) 2016-03-10
PL2796100T3 (pl) 2016-08-31
EP2796100B1 (de) 2016-04-20
AU2013387206A1 (en) 2015-11-12
KR20160004321A (ko) 2016-01-12
ES2577102T3 (es) 2016-07-13

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