摘要:
Disclosed herein are implantable fistula treatment devices and methods. In some embodiments, a distal anchor for an implantable fistula treatment device may comprise a suture and multiple foldable members including at least a distal-most foldable member and a proximal-most foldable member. The distal-most foldable member may comprise a suture attachment structure. The proximal-most foldable member may be configured to couple to a surface of a body lumen at a distal opening of a fistula.
摘要:
Disclosed herein are implantable fistula treatment devices and related methods. In some embodiments, an anorectal fistula treatment device may comprise a disc- shaped distal anchor comprising a concave side and a convex side, an outer edge region, an inner sealing region protruding from the concave side, and an attachment region configured for attachment to a connecting member. The inner sealing region may have a greater thickness than at least a portion of the attachment region and the outer edge region may be oriented at an acute angle to the inner sealing region. The distal anchor may have a tapered edge and the outer edge region and inner sealing region may be configured to form separate seals against tissue about a distal opening of an anorectal fistula.
摘要:
Disclosed herein is a non-vascular fistula treatment system. The system may include a collapsible member, at least one tether, and a bioresorbable material. The collapsible member may be configured for positioning through a fistula tract and may comprise first and second disc members. The outer perimeter of the second disc member may be larger than the outer perimeter of the first disc member, and the first disc member may comprise a tether attachment structure. The at least one tether may be attached to the tether attachment structure. The bioresorbable material may be configured for placement in the fistula tract and may comprise a coupling structure configured to couple to the at least one tether. The second disc member may be configured to seal to a surface of a body lumen at a distal opening of the fistula tract and occlude the fistula tract at the distal opening.
摘要:
Disclosed herein are implantable fistula treatment devices and related methods. The fistula closure device comprises a distal anchor and a proximal anchor attached by a connecting member, such as a suture. Individual porous bodies are threaded directly or indirectly over the connecting member. The distal anchor comprises a plurality of foldable members threaded onto the connecting member. The foldable members are arranged in increasing surface area from distal to proximal, and each is further configured to form a mechanical interfit with adjacent foldable members to reduce sliding between members when they are tensioned together.
摘要:
Devices for treating fistulas may include a cap with a vacuum port, a spacer with a lumen therethrough, a first distal anchor, and a second distal anchor. The devices may be configured to transmit negative pressure through the vacuum port, the spacer lumen, and an opening in the first distal anchor to releasably seal the first and second distal anchors to tissue, thereby securing the devices in place. The first distal anchor may also include a plurality of openings that form vacuum pathways that transmit the negative pressure. The cap may also include a flush lumen, which may allow flushing of a fistula tract without removal of the device. Methods of treating fistulas may include applying negative pressure to a fistula treatment device to anchor the device and flushing a tract of the fistula using a flushing fluid with the fistula treatment device in-situ.
摘要:
Disclosed herein are implantable fistula treatment devices and related methods. In some embodiments, an implantable fistula treatment device may comprise a suture and a proximal anchor. The proximal anchor may comprise a tissue anchor and a suture tensioner. The suture tensioner may be configured to resiliently maintain the suture in tension over a range of distances between the proximal anchor and a distal anchor. In some variations, the suture tensioner may have a deformable elastic structure. The suture tensioner may have a tensioned configuration and a neutral configuration.
摘要:
A healing device for sealing multiple fistulas, large-opening fistulas, and other wounds and for promoting tissue growth is coupled to tissue surrounding a first tissue opening. The healing device includes a first sealing member placed on a first surface of the tissue over the tissue opening. The healing device also includes a second sealing member placed over a second surface of the tissue over the tissue opening. The healing device may include a growth-enhancing layer located between the first sealing member and the second sealing member. The first sealing member and the second sealing member may sandwich the tissue in between to cover the tissue opening and may be held together with a plurality of securing members that do not exert any force on the tissue.
摘要:
An implantable device covers and seals an enteroatmospheric fistula or other short-tract opening in tissue and assists in healing the fistula. The implantable device may include a cap that is configured to be positioned on a first side of the tissue and to substantially cover a first opening of the short-tract fistula. The implantable device may also include an anchor member operably connected to the cap. The anchor member may be configured to be positioned on a second side of the tissue and to substantially cover a second opening of the short-tract fistula. Also, the implantable device may include a plug structure operably connected to the cap and the anchor member. The plug structure may be configured to fill the short-tract fistula.
摘要:
Disclosed herein are implantable fistula treatment devices and methods. In some embodiments, a distal anchor for an implantable fistula treatment device may comprise a suture and multiple foldable members including at least a distal-most foldable member and a proximal-most foldable member. The distal-most foldable member may comprise a suture attachment structure. The proximal-most foldable member may be configured to couple to a surface of a body lumen at a distal opening of a fistula.
摘要:
Disclosed herein is a non-vascular fistula treatment system. The system may include a collapsible member, at least one tether, and a bioresorbable material. The collapsible member may be configured for positioning through a fistula tract and may comprise first and second disc members. The outer perimeter of the second disc member may be larger than the outer perimeter of the first disc member, and the first disc member may comprise a tether attachment structure. The at least one tether may be attached to the tether attachment structure. The bioresorbable material may be configured for placement in the fistula tract and may comprise a coupling structure configured to couple to the at least one tether. The second disc member may be configured to seal to a surface of a body lumen at a distal opening of the fistula tract and occlude the fistula tract at the distal opening.