DE10832374T1 - Gemustertes Implantat und Verfahren dafür - Google Patents

Gemustertes Implantat und Verfahren dafür Download PDF

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Publication number
DE10832374T1
DE10832374T1 DE10832374T DE10832374T DE10832374T1 DE 10832374 T1 DE10832374 T1 DE 10832374T1 DE 10832374 T DE10832374 T DE 10832374T DE 10832374 T DE10832374 T DE 10832374T DE 10832374 T1 DE10832374 T1 DE 10832374T1
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Germany
Prior art keywords
implantation device
extending
opposing
sprocket
implantation
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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
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DE10832374T
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English (en)
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DE10832374T8 (de
Inventor
A. Jagger Karl
Dean Hacker
Jessica Felton
R. Frigstad John
Alex Peterson
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AMS Research LLC
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AMS Research LLC
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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters 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
    • A61F2/02—Prostheses implantable into the body
    • A61F2/08—Muscles; Tendons; Ligaments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters 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
    • A61F2/0063—Implantable repair or support meshes, e.g. hernia meshes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters 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
    • A61F2/0004—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse
    • A61F2/0031—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse for constricting the lumen; Support slings for the urethra
    • A61F2/0036—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse for constricting the lumen; Support slings for the urethra implantable
    • A61F2/0045—Support slings
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters 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
    • A61F2/02—Prostheses implantable into the body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters 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
    • A61F2/0063—Implantable repair or support meshes, e.g. hernia meshes
    • A61F2002/0068—Implantable repair or support meshes, e.g. hernia meshes having a special mesh pattern
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters 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
    • A61F2/0077—Special surfaces of prostheses, e.g. for improving ingrowth
    • A61F2002/0081—Special surfaces of prostheses, e.g. for improving ingrowth directly machined on the prosthetic surface, e.g. holes, grooves
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0008—Fixation appliances for connecting prostheses to the body
    • A61F2220/0016—Fixation appliances for connecting prostheses to the body with sharp anchoring protrusions, e.g. barbs, pins, spikes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0014—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis
    • A61F2250/0023—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis differing in porosity

Landscapes

  • Health & Medical Sciences (AREA)
  • Vascular Medicine (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Cardiology (AREA)
  • Transplantation (AREA)
  • Public Health (AREA)
  • Urology & Nephrology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Rehabilitation Therapy (AREA)
  • Rheumatology (AREA)
  • Prostheses (AREA)
  • Surgical Instruments (AREA)

Abstract

Einheitliche strukturierte Implantationsvorrichtung zur Behandlung eines vaginalen Prolaps in einer Patientin, mit einem einheitlichen Nonwoven-Trägerabschnitt, der mehrere wellenförmige Verstrebungsglieder aufweist, die an mehreren festen Verbindungsstellen miteinander verbunden sind und sich von diesen aus erstrecken, um mehrere im Wesentlichen identische, sich wiederholende Zellen, die Hohlräume aufweisen, zu umgrenzen; und erste und zweite sich gegenüberliegende Ankerabschnitte mit einem sich von dem Trägerabschnitt aus wirksam erstreckenden Stab und einem Gewebeanker an einem distalen Ende des Stabs, wobei der Gewebeanker eine oder mehrere geeignete gewinkelte Zacken zur Gewebefixierung aufweist.

Claims (15)

  1. Einheitliche strukturierte Implantationsvorrichtung zur Behandlung eines vaginalen Prolaps in einer Patientin, mit einem einheitlichen Nonwoven-Trägerabschnitt, der mehrere wellenförmige Verstrebungsglieder aufweist, die an mehreren festen Verbindungsstellen miteinander verbunden sind und sich von diesen aus erstrecken, um mehrere im Wesentlichen identische, sich wiederholende Zellen, die Hohlräume aufweisen, zu umgrenzen; und erste und zweite sich gegenüberliegende Ankerabschnitte mit einem sich von dem Trägerabschnitt aus wirksam erstreckenden Stab und einem Gewebeanker an einem distalen Ende des Stabs, wobei der Gewebeanker eine oder mehrere geeignete gewinkelte Zacken zur Gewebefixierung aufweist.
  2. Implantationsvorrichtung nach Anspruch 1, wobei der Trägerabschnitt erste und zweite sich gegenüberliegende Ösen aufweist.
  3. Implantationsvorrichtung nach Anspruch 2, ferner mit einem Zahnkranz mit mehreren sich erstreckenden Zähnen, wobei der Zahnkranz mit mindestens einer der ersten und zweiten sich gegenüberliegenden Ösen integral gebildet ist.
  4. Implantationsvorrichtung nach Anspruch 2, ferner mit einem Zahnkranz mit mehreren sich erstreckenden Zähnen, wobei der Zahnkranz mit mindestens einer der ersten und zweiten sich gegenüberliegenden Ösen in Eingriff gebracht werden kann.
  5. Implantationsvorrichtung nach Anspruch 2, 3 oder 4, ferner mit einem Verankerungsarm, der einen distalen Gewebeanker und ein Verlängerungsglied aufweist und geeignet ist, gleitbar mit einer der ersten und zweiten Ösen in Eingriff gebracht und befestigt zu werden.
  6. System nach Anspruch 5, wobei der Verankerungsarm außerdem ein Netzelement aufweist.
  7. Implantationsvorrichtung nach Anspruch 1, ferner mit einer zentralen Achsenlinie, die in den mehreren wellenförmigen Verstrebungsgliedern festgelegt ist.
  8. Implantationsvorrichtung nach Anspruch 1, ferner mit einem lösbaren hinteren Endabschnitt.
  9. Implantationsvorrichtung nach Anspruch 8, wobei der lösbare hintere Endabschnitt eine Schwächelinie entlang eines Abschnitts der wellenförmigen Verstrebungsglieder aufweist.
  10. Implantationsvorrichtung nach Anspruch 1, ferner mit sinusförmigen Dehnelementen in einem oder mehreren der mehreren wellenförmigen Verstrebungsglieder, um selektives Dehnen eines Abschnitts des Trägerabschnitts bereitzustellen.
  11. Implantationsvorrichtung nach Anspruch 10, wobei die sinusförmigen Dehnelemente mindestens ein niederfrequentes sinusförmiges Element und mindestens ein hochfrequentes sinusförmiges Element aufweisen.
  12. Implantationsvorrichtung nach Anspruch 1, ferner mit mehreren Auswüchsen, die in mehreren Hohlräumen angeordnet sind und sich darin erstrecken.
  13. Implantationsvorrichtung nach Anspruch 1, ferner mit mindestens einer Übergangszone, die sich von mehreren der sich wiederholenden Zellen aus zu einem der sich gegenüberliegenden Ankerabschnitte erstreckt.
  14. Implantationsvorrichtung nach Anspruch 1, wobei mehrere der sich wiederholenden Zellen bei Anliegen einer Last ein negatives Poisson-Verhältnis zeigen.
  15. Implantationsvorrichtung nach Anspruch 1, ferner mit einem Implantationswerkzeug, das einen Griff, eine Nadel und eine distale Spitze aufweist, die selektiv mindestens einen der ersten und zweiten sich gegenüberliegenden Ankerabschnitte greifen kann.
DE10832374T 2009-11-23 2010-11-23 Gemustertes implantat und verfahren dafür Active DE10832374T8 (de)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US26355709P 2009-11-23 2009-11-23
US263557P 2009-11-23
EP10832374.2A EP2503960B1 (de) 2009-11-23 2010-11-23 Strukturiertes implantat und verfahren dafür
PCT/US2010/057879 WO2011063412A2 (en) 2009-11-23 2010-11-23 Patterned implant and method

Publications (2)

Publication Number Publication Date
DE10832374T1 true DE10832374T1 (de) 2013-03-14
DE10832374T8 DE10832374T8 (de) 2013-04-25

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DE10832374T Active DE10832374T8 (de) 2009-11-23 2010-11-23 Gemustertes implantat und verfahren dafür

Country Status (11)

Country Link
US (2) US9060836B2 (de)
EP (2) EP2503960B1 (de)
JP (1) JP2013511364A (de)
KR (1) KR101694742B1 (de)
CN (2) CN102802560B (de)
AU (1) AU2010321585B2 (de)
BR (1) BR112012012251A2 (de)
CA (1) CA2780992C (de)
DE (1) DE10832374T8 (de)
HK (1) HK1222787A1 (de)
WO (1) WO2011063412A2 (de)

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HK1222787A1 (zh) 2017-07-14
EP2503960A4 (de) 2015-12-23
CA2780992C (en) 2017-10-10
JP2013511364A (ja) 2013-04-04
BR112012012251A2 (pt) 2017-10-03
KR101694742B1 (ko) 2017-01-11
CN105395296A (zh) 2016-03-16
AU2010321585A1 (en) 2012-06-07
EP2503960B1 (de) 2017-03-01
WO2011063412A3 (en) 2012-03-15
KR20120112456A (ko) 2012-10-11
CN105395296B (zh) 2017-09-22
US9060836B2 (en) 2015-06-23
CA2780992A1 (en) 2011-05-26
CN102802560B (zh) 2015-11-25
DE10832374T8 (de) 2013-04-25
EP2503960A2 (de) 2012-10-03
WO2011063412A2 (en) 2011-05-26
US20110144417A1 (en) 2011-06-16
EP3241523A1 (de) 2017-11-08
US10028817B2 (en) 2018-07-24
AU2010321585B2 (en) 2013-03-28
US20150282921A1 (en) 2015-10-08

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