GB2397239A - Implantable Hernia Repair Prosthesis - Google Patents
Implantable Hernia Repair Prosthesis Download PDFInfo
- Publication number
- GB2397239A GB2397239A GB0400552A GB0400552A GB2397239A GB 2397239 A GB2397239 A GB 2397239A GB 0400552 A GB0400552 A GB 0400552A GB 0400552 A GB0400552 A GB 0400552A GB 2397239 A GB2397239 A GB 2397239A
- Authority
- GB
- United Kingdom
- Prior art keywords
- button
- implantable prosthesis
- accordance
- sheet
- defect
- Prior art date
- 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
Links
- 230000008439 repair process Effects 0.000 title claims abstract description 15
- 206010019909 Hernia Diseases 0.000 title abstract description 6
- 239000000463 material Substances 0.000 claims abstract description 31
- 230000007547 defect Effects 0.000 claims abstract description 21
- 229920001343 polytetrafluoroethylene Polymers 0.000 claims abstract description 17
- 239000004810 polytetrafluoroethylene Substances 0.000 claims abstract description 17
- 210000003205 muscle Anatomy 0.000 claims abstract description 16
- 230000002401 inhibitory effect Effects 0.000 claims abstract description 7
- -1 polypropylene Polymers 0.000 claims abstract description 7
- 230000009278 visceral effect Effects 0.000 claims abstract description 7
- 239000004743 Polypropylene Substances 0.000 claims abstract description 6
- 229920001155 polypropylene Polymers 0.000 claims abstract description 6
- 239000002131 composite material Substances 0.000 claims abstract description 4
- 210000001519 tissue Anatomy 0.000 claims description 7
- 239000011248 coating agent Substances 0.000 claims description 5
- 238000000576 coating method Methods 0.000 claims description 5
- 210000003815 abdominal wall Anatomy 0.000 claims description 4
- 238000010348 incorporation Methods 0.000 claims description 2
- 238000012986 modification Methods 0.000 claims description 2
- 230000004048 modification Effects 0.000 claims description 2
- 230000002787 reinforcement Effects 0.000 claims description 2
- 238000002224 dissection Methods 0.000 description 4
- 206010045458 umbilical hernia Diseases 0.000 description 4
- 210000004303 peritoneum Anatomy 0.000 description 2
- 206010060954 Abdominal Hernia Diseases 0.000 description 1
- 208000035091 Ventral Hernia Diseases 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 238000010276 construction Methods 0.000 description 1
- 238000011065 in-situ storage Methods 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- 210000001113 umbilicus Anatomy 0.000 description 1
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
- A61F2/0063—Implantable repair or support meshes, e.g. hernia meshes
Landscapes
- Health & Medical Sciences (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Prostheses (AREA)
Abstract
An implantable prosthesis for the repair of muscle wall defects such as hernias and more particularly for the repair of umbilical and paraumbilical herniae and possibly ventral or Spigelean herniae, comprises an upper sheet 1 of a surgically compatible mesh or PTFE material and a lower button 2 of a surgically compatible mesh or PTFE material 3, such as a composite polypropylene mesh/PTFE, connected with, but spaced from, the upper sheet by a bridge portion 5. The innermost surface of the button 2 includes a visceral adhesion inhibiting material 4 of a PTFE, or comparable material.
Description
1 2397239 Title: Umbilical or Paraumbilical Hernia Repair Prosthesis This
invention relates to an implantable device concerning, principally a prosthesis for the repair of umbilical and paraumbilical herniae where the hernia bulge occurs at, or adjacent to, the umbilicus itself. The device may be used at other sites also, such as for a small ventral hernia, or a Spigelean hernia, for example. Such hernias are generally small, but can enlarge considerably.
Previously, repair has been effected by means of a simple closure of various kinds, but such closures are "tensioned" repairs and can result in high recurrence rates. Flat, surgically acceptable mesh material has been used to close over the defect but often a distressing bulge remains and in some instances, the recurrence rate remains high. Repair beneath the muscle wall gives better results, but at the risk of internal adhesion formation to the prosthesis or significantly greater dissection.
Specialist prosthetic mesh materials have been suggested for umbilical/paraumbilical hernia repair and such mesh includes PTFE (polytetrafluoroethylene or equivalent material) as a coating on one side providing a "non-stick" characteristic. This material is suggested to be placed beneath the muscle layer of the abdominal wall or intra-abdominal, but involves no a more extensive dissection than would normally be required. The technique is therefore, often avoided, with the coated mesh placed anterior to the muscle wall, over the defect.
It is a principal object of this invention to provide a prosthesis primarily for the repair of umbilical/paraumbilical herniae which has good load dissipating properties and which requires less dissection for insertion, utilising the benefits of a one side, non-stick component, with the alternate side designed to be incorporated into surrounding tissues.
According to this invention there is provided an implantable prosthesis for the repair of muscle wall defects such as occur in herniae, the prosthesis comprising an upper sheet of a surgically compatible material, for incorporation into surrounding tissues, and a lower button of a surgically compatible material connected with, but spaced from, the upper sheet, the innermost surface of the button including, or comprising, a visceral adhesion inhibiting material, such as PTFE.
The upper sheet and lower button may be connected through a centrally positioned bridge portion which may comprise a part conveniently formed by deformation of the button in the middle region for example. The sheet and button lie in generally parallel planes and in use embrace the muscle wall from opposed sides of the defect, connected by the bridge portion passing through the muscle wall defect. The sheet overlies the defect and surrounding healthy tissues and serves for sutured connection and reinforcement on the anterior aspect of the abdominal wall muscle layer, in a tension-free manner and may so comprise mesh materials well known in the art for this purpose. The button may comprise a composite material such as a polypropylene mesh (to maximise growth of surrounding tissue adjacent the muscle) and with the opposed coating of visceral adhesion inhibiting material being of PTFE, or similar material.
The button will be smaller than the upper sheet to facilitate placement through the defect, which could be intra-abdominal, or pre-peritoneally placed.
In a modification the button is collapsed or folded and may be opened after passage through the defect. The sheet, and button to some degree, may be cut according to requirements at the time of operation, and may be circular, rectangular or other shapes. The material of the button may be biodegradable.
An important feature of this invention is the two-part construction of the upper sheet member and the lower button of smaller dimension to facilitate passage through the defect.
oAn embodiment according to this invention is described and illustrated with reference to the drawings, wherein: Fig. 1 is a transverse crosssection through a typical prosthesis according to this invention Fig. 2 shows the prosthesis of Fig. 1 in situ and diagrammatically, 15Fig. 3 shows a perspective view of the prosthesis from the lower side, Fig. 4 shows in plan view the lower side and dimensions of one version, and Fig. 5 show a side view as Fig. 4.
Referring to the drawings an implantable prosthesis is intended, primarily so for the repair of muscle wall defects such as hernias and more particularly for the repair of umbilical and paraumbilical herniae and possibly ventral or Spigelean herniae, comprises an upper sheet 1 of a surgically compatible mesh or PTFE material and a lower button 2 of a surgically compatible mesh or PTFE material 3, such as a composite polypropylene mesh/PTFE, connected with, but spaced from, the upper sheet by a bridge portion 5. The innermost surface of the button 2 includes a visceral adhesion inhibiting material 4 of a PTFE, or comparable material.
The upper sheet 1 and lower button 2 are connected through the bridge and this may comprise a separate connection part but here is shown more conveniently formed by deformation of the button into a middle protrusion. The sheet 1 and button 2 lie in generally parallel planes and in use embrace the (rectus) muscle wall M from opposed sides of the defect, with the button passing via the defect to lie adjacent to peritoneum/bowel, connected by the bridge portion 5 extending through the defect opening D (see Fig. 2).
The sheet 1 may comprise a standard polypropylene mesh material for suture to the surrounds of the region of the defect. The button 2 may be comprised of a material being a laminated polypropylene mesh 3 with a PTFE coating, or layer 4. The layer 4 may extend around the edges of the mesh 3.
Other proprietary materials may be used subject to compatibility, for example all PTFE both textured and non-textured. The term "textured" being well understood by those versed in the art, is not exemplified further.
to In an example, the sheet 1 was 70 mm square (typical range between 60 and 100 mm) with 10 mm radiused corners and the button 2 was 40 mm diameter, typical range 30 to 60 mm. The sheet and button were spaced by 8 mm, typical range 7 to 10 mm. A range of sizes, of similar dimensions, could be constructed.
In use the button is passed through the defect opening, necessitating less extensive dissection given the size, to come to rest adjacent to underlying peritoneum, or bowel (i.e. intra-abdominal) and the upper sheet is sutured in position to the anterior aspect of the abdominal wall muscle sheath, providing a tension-free repair and dissipating load. The material 1 and 3 aims to incorporate into the surrounding tissue. The PTFE coating 4 prevents the bowel, in particular, from adhering.
Claims (11)
- CLAIMS: 1. An implantable prosthesis for the repair of muscle walldefects, the prosthesis comprising an upper sheet of a surgically compatible material, for incorporation into surrounding tissues, and a lower button of a surgically compatible material connected with, but spaced from, the upper À sheet, an inner surface of the button including, or comprising, a visceral adhesion inhibiting material.
- 2. An implantable prosthesis in accordance with claim 1, wherein the visceral adhesion inhibiting material is PTFE.
- 3. An implantable prosthesis in accordance with claim 1 or 2, wherein the upper sheet and lower button are connected through a centrally positioned bridge portion comprising a part formed by deformation of the button in the middle region.
- 4. An implantable prosthesis in accordance with any preceding claim, wherein the sheet and button lie in generally parallel planes and, in use, embrace a muscle wall from opposed sides of the defect, connected by the bridge portion passing through the muscle wall defect.
- 5. An implantable prosthesis in accordance with any preceding claim, wherein the sheet, in use, overlies the defect and surrounding healthy tissues and serves for sutured connection and reinforcement on the anterior aspect of the abdominal wall muscle sheath layer, in a tension free manner and comprises a surgically compatible mesh material.
- 6. An implantable prosthesis in accordance with any preceding claim, wherein the button comprises a composite material such as a polypropylene mesh with the opposed coating of visceral adhesion inhibiting material being of PTFE, or similar material.
- 7. An implantable prosthesis in accordance with any preceding claim, wherein the button is smaller than the upper sheet to facilitate placement.
- 8. An implantable prosthesis in accordance with any preceding claim, wherein in a modification the button is collapsed or folded and may be opened after passage through the defect.
- 9. An implantable prosthesis in accordance with any preceding claim, o wherein the sheet, and button to some degree, is adapted to be cut according to requirements and may be circular or rectangular.
- 10. An implantable prosthesis in accordance with any preceding claim, wherein the material of the button is biodegradable.
- 11. An implantable prosthesis as described herein and illustrated with reference to the drawings.
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
GBGB0300785.3A GB0300785D0 (en) | 2003-01-14 | 2003-01-14 | Umbilical or paraumbilical hernia repair prosthesis |
Publications (3)
Publication Number | Publication Date |
---|---|
GB0400552D0 GB0400552D0 (en) | 2004-02-11 |
GB2397239A true GB2397239A (en) | 2004-07-21 |
GB2397239B GB2397239B (en) | 2006-03-08 |
Family
ID=9951107
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
GBGB0300785.3A Ceased GB0300785D0 (en) | 2003-01-14 | 2003-01-14 | Umbilical or paraumbilical hernia repair prosthesis |
GB0400552A Expired - Fee Related GB2397239B (en) | 2003-01-14 | 2004-01-12 | Umbilical or paraumbilical hernia repair prosthesis |
Family Applications Before (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
GBGB0300785.3A Ceased GB0300785D0 (en) | 2003-01-14 | 2003-01-14 | Umbilical or paraumbilical hernia repair prosthesis |
Country Status (1)
Country | Link |
---|---|
GB (2) | GB0300785D0 (en) |
Cited By (10)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2006008429A1 (en) * | 2004-07-20 | 2006-01-26 | Stephen George Edward Barker | Umbilical or paraumbilical hernia repair prosthesis |
EP1824411A2 (en) * | 2004-10-14 | 2007-08-29 | Mordehai Sholev | Hernia repair device |
FR2954089A1 (en) * | 2009-12-18 | 2011-06-24 | Jean Claude Sgro | L-prosthesis for treating hernia in abdominal wall, has lower element that confers rigidity on device in particular configuration to pass lower element from plane for allowing insertion of prosthesis in cavity to be treated |
DE102011102039A1 (en) * | 2011-05-19 | 2012-11-22 | Feg Textiltechnik Forschungs- Und Entwicklungsgesellschaft Mbh | implant |
US8500762B2 (en) | 2007-10-17 | 2013-08-06 | Davol, Inc. (a C.R. Bard Company) | Fixating means between a mesh and mesh deployment means especially useful for hernia repair surgeries and methods thereof |
US8920445B2 (en) | 2008-05-07 | 2014-12-30 | Davol, Inc. | Method and apparatus for repairing a hernia |
DE102013109959A1 (en) * | 2013-09-11 | 2015-03-12 | Feg Textiltechnik Forschungs- Und Entwicklungsgesellschaft Mbh | Implant for treatment of hernia |
US9504548B2 (en) | 2008-11-21 | 2016-11-29 | C.R. Bard, Inc. | Soft tissue repair prosthesis, expandable device, and method of soft tissue repair |
US9808331B2 (en) | 2010-10-05 | 2017-11-07 | C.R. Bard, Inc. | Soft tissue repair prosthesis and expandable device |
US9861462B2 (en) | 2006-11-27 | 2018-01-09 | Davol, Inc. (a C.R. Bard Company) | Device especially useful for hernia repair surgeries and methods thereof |
Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO1996040307A1 (en) * | 1995-06-07 | 1996-12-19 | W.L. Gore & Associates, Inc. | A tissue repair patch |
EP0898944A2 (en) * | 1997-08-27 | 1999-03-03 | Ethicon, Inc. | Prosthetic device for the repair of a hernia |
US6113623A (en) * | 1994-04-20 | 2000-09-05 | Cabinet Beau De Lomenie | Prosthetic device and method for eventration repair |
US6383201B1 (en) * | 1999-05-14 | 2002-05-07 | Tennison S. Dong | Surgical prosthesis for repairing a hernia |
US20030004581A1 (en) * | 2001-06-27 | 2003-01-02 | Rousseau Robert A. | Implantable prosthetic mesh system |
-
2003
- 2003-01-14 GB GBGB0300785.3A patent/GB0300785D0/en not_active Ceased
-
2004
- 2004-01-12 GB GB0400552A patent/GB2397239B/en not_active Expired - Fee Related
Patent Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US6113623A (en) * | 1994-04-20 | 2000-09-05 | Cabinet Beau De Lomenie | Prosthetic device and method for eventration repair |
WO1996040307A1 (en) * | 1995-06-07 | 1996-12-19 | W.L. Gore & Associates, Inc. | A tissue repair patch |
EP0898944A2 (en) * | 1997-08-27 | 1999-03-03 | Ethicon, Inc. | Prosthetic device for the repair of a hernia |
US6383201B1 (en) * | 1999-05-14 | 2002-05-07 | Tennison S. Dong | Surgical prosthesis for repairing a hernia |
US20030004581A1 (en) * | 2001-06-27 | 2003-01-02 | Rousseau Robert A. | Implantable prosthetic mesh system |
Cited By (23)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2006008429A1 (en) * | 2004-07-20 | 2006-01-26 | Stephen George Edward Barker | Umbilical or paraumbilical hernia repair prosthesis |
EP1824411A2 (en) * | 2004-10-14 | 2007-08-29 | Mordehai Sholev | Hernia repair device |
EP1824411A4 (en) * | 2004-10-14 | 2010-10-27 | Surgical Structure Ltd | Hernia repair device |
US8920370B2 (en) | 2004-10-14 | 2014-12-30 | Davol, Inc. (a C.R. Bard Company) | Hernia repair device |
US9687332B2 (en) | 2004-10-14 | 2017-06-27 | Davol, Inc. | Hernia repair device |
US9993324B2 (en) | 2005-10-09 | 2018-06-12 | Davol Inc. | Method and apparatus for repairing a hernia |
US10898309B2 (en) | 2006-11-27 | 2021-01-26 | Davol Inc. | Device especially useful for hernia repair surgeries and methods thereof |
US9861462B2 (en) | 2006-11-27 | 2018-01-09 | Davol, Inc. (a C.R. Bard Company) | Device especially useful for hernia repair surgeries and methods thereof |
US9642689B2 (en) | 2007-10-17 | 2017-05-09 | Davol, Inc. | Fixating means between a mesh and mesh deployment means especially useful for hernia repair surgeries and methods thereof |
US8500762B2 (en) | 2007-10-17 | 2013-08-06 | Davol, Inc. (a C.R. Bard Company) | Fixating means between a mesh and mesh deployment means especially useful for hernia repair surgeries and methods thereof |
US11806223B2 (en) | 2007-10-17 | 2023-11-07 | Davol Inc. | Fixating means between a mesh and mesh deployment means especially useful for hernia repair surgeries and methods thereof |
US10751156B2 (en) | 2007-10-17 | 2020-08-25 | Davol Inc. | Fixating means between a mesh and mesh deployment means especially useful for hernia repair surgeries and methods thereof |
US20180368962A1 (en) * | 2008-05-07 | 2018-12-27 | Davol Inc. | Method and apparatus for repairing a hernia |
US8920445B2 (en) | 2008-05-07 | 2014-12-30 | Davol, Inc. | Method and apparatus for repairing a hernia |
US10864068B2 (en) | 2008-05-07 | 2020-12-15 | Davol Inc. | Method and apparatus for repairing a hernia |
US9504548B2 (en) | 2008-11-21 | 2016-11-29 | C.R. Bard, Inc. | Soft tissue repair prosthesis, expandable device, and method of soft tissue repair |
US10548703B2 (en) | 2008-11-21 | 2020-02-04 | C.R. Bard, Inc. | Soft tissue repair prosthesis, expandable device, and method of soft tissue repair |
FR2954089A1 (en) * | 2009-12-18 | 2011-06-24 | Jean Claude Sgro | L-prosthesis for treating hernia in abdominal wall, has lower element that confers rigidity on device in particular configuration to pass lower element from plane for allowing insertion of prosthesis in cavity to be treated |
US9808331B2 (en) | 2010-10-05 | 2017-11-07 | C.R. Bard, Inc. | Soft tissue repair prosthesis and expandable device |
US10166093B2 (en) | 2010-10-05 | 2019-01-01 | C.R. Bard, Inc. | Soft tissue repair prosthesis and expandable device |
US10905537B2 (en) | 2010-10-05 | 2021-02-02 | C.R. Bard, Inc. | Soft tissue repair prosthesis and expandable device |
DE102011102039A1 (en) * | 2011-05-19 | 2012-11-22 | Feg Textiltechnik Forschungs- Und Entwicklungsgesellschaft Mbh | implant |
DE102013109959A1 (en) * | 2013-09-11 | 2015-03-12 | Feg Textiltechnik Forschungs- Und Entwicklungsgesellschaft Mbh | Implant for treatment of hernia |
Also Published As
Publication number | Publication date |
---|---|
GB2397239B (en) | 2006-03-08 |
GB0300785D0 (en) | 2003-02-12 |
GB0400552D0 (en) | 2004-02-11 |
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Legal Events
Date | Code | Title | Description |
---|---|---|---|
732E | Amendments to the register in respect of changes of name or changes affecting rights (sect. 32/1977) | ||
PCNP | Patent ceased through non-payment of renewal fee |
Effective date: 20140112 |