❶Blutfluss in den Gebärmutterarterien Verletzung|Blutfluss in den Gebärmutterarterien Verletzung|Blutfluss in den Gebärmutterarterien Verletzung VORRICHTUNG ZUM VERSCHLUSS DER ATERIEN DES UTERUS - Dokument DET2|DET2 - Device for the closure of the uterus Aterian - Google Patents Blutfluss in den Gebärmutterarterien Verletzung|Blutfluss in den Gebärmutterarterien Verletzung. Home; wobei ihre Verletzung in mittlerem Alter zwischen dem In den Beschreibungen der Verbesserung.|Embolisation der Gebärmutterarterie|Varizen des Arzneimittels]
Vorrichtung zum verschluss this web page aterien des uterus Device for click at this page of the arteries of the uterus translated from German DE T2. Which is configured so that it may occlude the artery located at least partially. Learn more here equipped and which die krank sind Krampfadern at the occlusion is a mechanical occluding means mounted thereon.
System nach Anspruch 2, bei dem das Gewebe durchdringende Element The system of claim 2, wherein said tissue penetrating element 52 52. System nach Anspruch 3, bei dem das stabilisierende Element The system of claim 3, wherein the stabilizing element 58 58 zumindest teilweise aus einem aufblasbaren Element At least partially of an inflatable element gebildet ist.
Flexes away and presses against the wall of the uterus. Which has a distal end and a distal end attached to the probe. System nach Anspruch 2, das Folgendes aufweist: Articulated in the vicinity of the uterine artery of the patient.
System nach Anspruch 2, bei dem das Okklusionsmittel so konfiguriert ist, dass es von einer eingefahrenen Position in eine ausgefahrene Position verfahrbar ist. The system of claim 2, wherein Blutfluss in den Gebärmutterarterien Verletzung occluding means is configured so that it can be moved from a retracted position to an extended position. Is movable between a retracted position and an extended position with respect thereto, to occlude the uterine artery.
And which is so configured that it applies pressure to the uterine artery of the Blutfluss in den Gebärmutterarterien Verletzung. System nach Anspruch 12, bei dem das Klemmelement eine aus elastischem Material gebildete Klammer The system of claim 12, wherein the clamping element has a clip formed of resilient material besitzt. System nach Anspruch 12, bei dem das Klemmelement zwischen einer offenen und einer geschlossenen Ausrichtung verfahrbar ist. The system of claim 12, wherein the clamping element between an open and a closed orientation can be moved.
Holds, which is formed of a deformable material. System nach Anspruch 10, bei dem das Okklusionsmittel eine Schlinge The system of claim 10, wherein said occluding means is a loop mit Blutfluss in den Gebärmutterarterien Verletzung ineinander greifenden Abschnitten With two interlocking sections. System nach Anspruch 10, bei dem das Okklusionsmittel eine Sonde The system of claim 10, wherein said occluding means comprises a probe umfasst, die so ausgelegt ist, Blutfluss in den Gebärmutterarterien Verletzung sie einen FadenBlutfluss in den Gebärmutterarterien Verletzung is designed so that it comprises a thread Blutfluss in den Gebärmutterarterien Verletzung die Arterie herum anordnet.
Arranging around the artery. Is provided with an atraumatic distal tip slidable within the lumen. Possesses and a proximally extending from the guide opening of the guide lumen and wherein said occluding means disposed in the guide lumen and is slidable therein. Adjacent the guide opening has a guide member at a continue reading end of the guide lumen that directs the occlusion in the sensing Blutfluss in den Gebärmutterarterien Verletzung, when it is moved from Blutfluss in den Gebärmutterarterien Verletzung retracted position to the extended position.
The Blutfluss in den Gebärmutterarterien Verletzung of claim 11, wherein the elongate member proximal to its distal end has a resilient flexible section. Are arranged opposite to the elongate member. Comprises a resilient band from which, is secured to the elongate member having a distal end to a point adjacent the distal end of the elongated member which extends proximally from the distal end of the elastic band and Blutfluss in den Gebärmutterarterien Verletzung longitudinally relatively rigid and laterally less rigid is.
Gebiet der Erfindung Field of the Invention. The present invention relates generally to the treatment of functional disorders, which blood flows out of the uterine arteries, and more particularly to devices and methods for occlusion of the uterine arteries. In the United States a hysterectomy surgical removal of the uterus is conducted annually to aboutwomen. For approximatelywomen Http://rk-suedtondern.de/krampfadern-und-deme.php currently probably the best therapeutic option for Blutfluss in den Gebärmutterarterien Verletzung treatment of their diseases uterine cancer, endometriosis, menorrhagia, and prolapse.
For approximately Blutfluss in den Gebärmutterarterien Verletzung, women with benign but symptomatic muscle tumors with excessive bleeding, pain and "klumpenartigem" sense to the uterus, called leiomyomas or fibroids, newer treatment methods have been developed which can save you a hysterectomy and these women.
Hysterectomy for treating uterine fibroid of dysfunction is effective, however, has many undesirable characteristics. Thus, any method which approximates the therapeutic result of a hysterectomy would be removed without the uterus just click for source ovaries, as they are close to the rule of the uterusrepresent a substantial improvement in this area.
The adverse characteristics of hysterectomy include a known mortality rate of 0. Stated another way, within 30 days after a hysterectomy a thirty larger risk of death for women who have a hysterectomy than women in the same age and with similar backgrounds, where no hysterectomy was performed. To the associated with a hysterectomy morbidity life-threatening medical symptoms and problems are a possible violation of adjacent organs bladder, Tests Lungenembolie and intestinea hospital stay of about a week, five to six weeks slower recovery to normal activity, three weeks absence from work, direct treatment costs of at least 10, dollars 8, eurosindirect costs through loss of work, a projected three-fold increase in the incidence of cardiovascular disease, decreased sexual desire feeling at approximately thirty percent of women as well as depression and anxiety for many years after hysterectomy for about eight percent of the women.
The endometrium is a glandular mucous membrane of the uterus, the thickness and structure depending on the phase of the menstrual mucosa varies. It is normal Blutfluss in den Gebärmutterarterien Verletzung peel and bleed during menstruation parts of the mucosa, however, many women suffer from painful dysfunctional uterine bleeding or endometritis. Therefore, the endometrial ablation removal or destruction of the endometrium is possibly for about 60, women an alternative und SDA Thrombophlebitis hysterectomy.
There are many new devices have been developed with which an endometrial ablation for the treatment of dysfunctional uterine bleeding can be performed. Zur Unterscheidung der vorliegenden Erfindung und ihrer Anwendungen von Endometriumsablationsvorrichtungen, werden diese kurz beschrieben.
To distinguish between the present invention and its applications Планировалось, Krampfadern im Hoden Behandlung начались, these are briefly described.
Endometriumsvorrichtungen can be divided into two main groups: Direct visualization of the lining of the uterus is carried out by inserting a hysteroscope through the vagina and over the cervix opening in the uterus. Das Hysteroskopbild wird dann als Farbbild Blutfluss in den Gebärmutterarterien Verletzung einem Fernsehbildschirm Blutfluss in den Gebärmutterarterien Verletzung der Patientin angezeigt.
The Hysteroskopbild is then displayed as a color image on a TV screen next to the patient. The gynecologist then manipulates the hysteroscope and Endometriumsablationsinstrument, so that the lining of the uterus is removed. To steered through the hysteroscope Endometriumsablationsinstrumenten include high frequency or electrosurgical snares, rollerball pens and laser.
The goal of all of these hysteroscopic Endometriumsablationsinstrumente is the transmission of a sufficient amount of heat energy to the endometrium, so that this is heated and destroyed. Ein abgetragenes Endometrium kann nicht physiologisch und pathologisch auf hormonelle Stimulierung reagieren und damit auch nicht wuchern und bluten. A worn endometrium can not physiologically and pathologically respond to Blutfluss in den Gebärmutterarterien Verletzung stimulation and thus not proliferate and bleed.
Thus, the entire endometrium can be treated, it must be fully visible through the hysteroscope. Eine Visualisierung des gesamten Endometriums ist jedoch schwierig.
A visualization of the entire endometrium is difficult. The uterus must be like a water balloon be stretched to allow adequate visualization is possible. Bei diesem Dehnvorgang erleiden einige Frauen eine Wasserintoxikation und Salzmangel. In this expansion process, some women suffer a lack of salt and water intoxication.
In addition, the uterine cavity is in a bad shape: Direct visualization of each square millimeter of the surface of the endometrium and ablation of each square millimeter can be achieved only rarely. As a result, may remain parts of the dysfunctional endometrium, and the dysfunctional bleeding may continue.
Because of these limitations in view of the hysteroscopic visualization and ablation alternative methods have been invented, with which the lining of the uterus read more be here without ever a visualization of the uterine lining is necessary. One such method uses a prototypic instrument, the Therma-Choice TM; balloon, which is manufactured by Gynecare, a business unit of Ethicon, Inc.
This device is inserted through the vagina and through the cervix into the uterus. The balloon has a triangular shape, so that it is adapted to the shape of the uterus. When it is in place, hot fluid is added to the balloon to heat and destroy the uterine lining. A treatment takes only where the balloon touches the lining of Blutfluss in den Gebärmutterarterien Verletzung uterus sufficient. The destruction of the endometrium can be achieved heat or cold and by chemical damage, photochemical injury or thermal damage.
The energy that reaches and destroys the cells of the endometrium of the uterus potentially destroys the uterine lining and thereby treats dysfunctional uterine bleeding. The operative removal of fibroids or in situ ablation of uterine fibroids is comparable to some extent with the controlling ants in the pantry - you can not see from one perspective, and it can be very many. Usually associated with a diagnosis of uterine fibroids, the presence of multiple fibroids often ten or more Blutfluss in den Gebärmutterarterien Verletzung per the affected uterus.
Infolgedessen ist es schwierig herauszufinden, welches Fibrom bei der Patientin Beschwerden Blutungen, Schmerzen und klumpenartige Wirkungen auf benachbarte Organe verursacht. Consequently, it is difficult to know when the patient discomfort caused which fibroma bleeding, pain and lump-like effects on adjacent organs.
Furthermore, fibroids occur in different layers of the uterus. Uterine fibroids can occur adjacent to the uterine lining submucosal fibroidin the myometrium intramural fibroid or to the outer layer of the uterus adjacent subserosal fibroid. Consequently, in a direct view of the uterus from the peritoneal cavity of subserosal fibroids only be visible.
In a direct viewing from the surface of the endometrium of the uterus only the submucosal fibroids would be seen. Deep in Blutfluss in den Gebärmutterarterien Verletzung uterine wall lying Blutfluss in den Gebärmutterarterien Verletzung can be visualized only bad from both surfaces. And finally, since there are fibroids in all sizes, to see in each case only the larger fibroids.
The strategy of identifying which individual fibroid symptoms caused if there are often numerousof finding this fibroma and then either removing or destroying this particular fibroma is clearly very complex.
It is therefore understandable readily why the hysterectomy is often chosen as standard operating procedure. In a hysterectomy, all uterine fibroids are removed at a stroke. Init was demonstrated that fibroids can be treated in a двадцать Hopfen bei der Behandlung von Krampfadern своей with one or more fibroids without hysterectomy using a non-surgical therapy process, in particular, the bilateral intraluminal occlusion of the uterine arteries includes Ravina et aI.
This technique is known as "uterine artery embolization". This technique uses standard angiographic techniques and devices for interventional radiology, where access to the uterine arteries via a trans-vascular route from a common femoral artery into the left and right uterine artery occurs.
First, it has been found that abdominal bleeding from a variety of sources eg car accidents, operational errors and Nachgeburtsblutung using effectively their existing control Embolisationstechniken using spirals that are introduced in arterial and venous lumen US Pat.
Second, the life of the vessel fibroids depends almost hanging by a thread, as it is them virtually impossible to renew the blood supply from the host when the main blood supply is compromised. Drittens besitzt der Uterus eine doppelte oder redundante Blutversorgung: Consequently, both the uterus and the fibroids within the uterus are deprived of their blood supply, when both uterine arteries are closed, ie bilateral vessel occlusion. Wie von Ravina et al. As of Ravina et al. In most instances, the fibroid withers away and does not cause clinical symptoms http://rk-suedtondern.de/krampfadern-auf-die-gebaermutter-schwangerschaft.php. Blutfluss in den Gebärmutterarterien Verletzung von Ravina et al.
By Ravina learn more here al. These devices include guiding catheter that can be Blutfluss in den Gebärmutterarterien Verletzung deliberately into the right and left tortuous uterine artery Ivalon- or Gelfoam particles and intravascular coils. Using this expertise and standard angiography instruments uterine arteries can occluded bilaterally and Fibromerkrankungen a 2 mm hole in the right groin and the right common femoral artery to be treated.
After this operation, the site of arterial puncture Blutfluss in den Gebärmutterarterien Verletzung held for fifteen minutes manually under pressure. The post-operative pain, although often significant and require intravenous pain medication, but the patient is usually completely healed after a few days.
The problem with uterine artery embolization is simple. When the doctors who know how to perform the operation is interventional radiologists who do not care for gynecological problems.