JP5502100B2 - 閉塞型睡眠時無呼吸を処置するためのインプラントシステム及び方法 - Google Patents
閉塞型睡眠時無呼吸を処置するためのインプラントシステム及び方法 Download PDFInfo
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Description
本願は、2008年12月1日出願の米国特許出願第12/325,350号の一部継続出願であり、その優先権を主張する。
本発明は、一般に睡眠障害の処置に関し、より詳細には、閉塞型睡眠時無呼吸に苦しむ患者を処置するためのシステム、装置及び方法に関する。
(1) 閉塞型睡眠時無呼吸を処置するためのシステムであって、
下顎下領域内の植え込みに適合され、かつ内部を貫通する少なくとも1つの孔を有する第1のインプラントと、
第1及び第2の末端部、並びに実質的に均一な非円形断面を長さに沿って有するリボン状要素と、を備え、前記リボン状要素は、舌内の植え込みに適合され、前記第1及び第2の末端部は、前記第1のインプラント内の前記少なくとも1つの孔を通して延びて、前記リボン状要素を前記第1のインプラントに結合する、システム。
(2) 前記第1のインプラントが、カバー部分と、基部部分と、前記カバー部分と前記基部部分との間に配置されたアンカー要素とを更に含み、前記アンカー要素は、内部を貫通する少なくとも1つの孔を有する、実施態様1に記載のシステム。
(3) 前記アンカー要素が、前記カバー部分及び基部部分よりも高い剛性を有し、かつ前記カバー部分及び基部部分よりも小さい、実施態様2に記載のシステム。
(4) 前記アンカー要素が、ケイ素、ポリウレタン、ポリプロピレン、ポリエチレン、ポリウレタン、ステンレス鋼、ニチノール、タンタル及びチタンからなる群から選択される生体適合性の非再吸収性材料から構成される、実施態様3に記載のシステム。
(5) 前記カバー部分及び基部部分が、生体適合性メッシュ又は生体適合性織物から構成される、実施態様2に記載のシステム。
(6) 前記メッシュ又は織物が、再吸収性メッシュ又は織物である、実施態様5に記載のシステム。
(7) 前記アンカー要素がメッシュから構成される、実施態様2に記載のシステム。
(8) 閉塞型睡眠時無呼吸の処置方法であって、
内部を貫通する少なくとも1つの孔を有する第1のインプラントを下顎下領域内に植え込むことと、
第1及び第2の末端部、並びに実質的に均一な非円形断面を長さに沿って有するリボン状要素の少なくとも一部を舌内に植え込むことと、
前記リボン状要素の前記第1の末端部を、前記第1のインプラントの前記少なくとも1つの孔に通過させることと、
前記リボン状要素の前記第2の末端部を、前記第1のインプラントの前記少なくとも1つの孔に通過させることと、を含む、方法。
(9) 前記第2の通過させる工程の後に、前記リボン状要素の前記第1及び第2の末端部を一緒に結合して、それにより前記リボン状要素を前記第1のインプラントに固定する工程を更に含む、実施態様8に記載の方法。
(10) 前記結合する工程の前に、前記リボン状要素の前記第1及び/又は第2の末端部を牽引して、それにより前記リボン状要素の位置を前記第1のインプラントに関して調整することを更に含む、実施態様9に記載の方法。
(12) 前記第1のインプラントが、非再吸収性の生体適合性メッシュ又は織物から構成される、実施態様8に記載の方法。
(13) 前記第1のインプラントが、メッシュ部分と、前記メッシュ部分よりも高い剛性を有し、かつ内部を貫通する少なくとも1つの孔を有するアンカーとを含む、実施態様8に記載の方法。
(14) 睡眠時無呼吸の患者を処置するためのキットであって、
下顎下領域内の植え込みに適合された第1のインプラントと、
第1及び第2の末端部、並びに実質的に均一な非円形断面を長さに沿って有し、舌内に植え込まれ、前記第1のインプラントと結合するよう適合されたリボン状要素と、
少なくとも1つの案内具と、
前記案内具を通過するよう適合され、前記リボン状要素の前記第1の末端部と結合するよう適合された遠位端を有する少なくとも1つの係蹄と、を含む、キット。
(15) 第1及び第2の末端部を有する縫合糸と、前記第1の末端部に結合された針要素とを更に含む、実施態様14に記載のキット。
(16) 第1及び第2の末端部を有し、かつ舌内に植え込まれ、前記第1のインプラントと結合するよう適合された第2のリボン状要素を更に含む、実施態様14に記載のキット。
(17) 前記第1のリボン状要素が、延伸ポリテトラフルオロエチレンから構成される、実施態様14に記載のキット。
(18) 前記第1のインプラントが、カバー部分と、基部部分と、前記カバー部分と前記基部部分との間に配置されたアンカー要素とを更に含み、前記アンカー要素は、内部を貫通する少なくとも1つの孔を有する、実施態様14に記載のキット。
(19) 前記アンカー要素が、ケイ素、ポリウレタン、ポリプロピレン、ポリエチレン、ポリウレタン、ステンレス鋼、ニチノール、タンタル及びチタンからなる群から選択される生体適合性の非再吸収性材料から構成される、実施態様18に記載のキット。
(20) 前記リボン状要素と第1のインプラントとの間に配置されるよう適合されているワッシャーを更に含む、実施態様14に記載のキット。
(22) 前記バルーンに結合された充填リザーバを更に含む、実施態様21に記載のキット。
Claims (6)
- 閉塞型睡眠時無呼吸を処置するためのシステムであって、
下顎下領域内の植え込みに適合され、かつ内部を貫通する少なくとも1つの孔を有する第1のインプラントと、
第1及び第2の末端部、並びに均一な非円形断面を長さに沿って有するリボン状要素と、を備え、前記リボン状要素は、舌内の植え込みに適合され、前記第1及び第2の末端部は、前記第1のインプラント内の前記少なくとも1つの孔を通して延びて、前記リボン状要素を前記第1のインプラントに結合し、
前記第1のインプラントが、カバー部分と、基部部分と、前記カバー部分と前記基部部分との間に配置されたアンカー要素とを更に含み、前記アンカー要素は、内部を貫通する少なくとも1つの孔を有する、システム。 - 前記アンカー要素が、前記カバー部分及び基部部分よりも高い剛性を有し、かつ前記カバー部分及び基部部分よりも小さい、請求項1に記載のシステム。
- 前記アンカー要素が、ケイ素、ポリウレタン、ポリプロピレン、ポリエチレン、ポリウレタン、ステンレス鋼、ニチノール、タンタル及びチタンからなる群から選択される生体適合性の非再吸収性材料から構成される、請求項2に記載のシステム。
- 前記カバー部分及び基部部分が、生体適合性メッシュ又は生体適合性織物から構成される、請求項1に記載のシステム。
- 前記メッシュ又は織物が、再吸収性メッシュ又は織物である、請求項4に記載のシステム。
- 前記アンカー要素がメッシュから構成される、請求項1に記載のシステム。
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CN102231972A (zh) | 2011-11-02 |
RU2519960C2 (ru) | 2014-06-20 |
ES2579490T3 (es) | 2016-08-11 |
KR101590338B1 (ko) | 2016-02-01 |
AU2009322708B2 (en) | 2014-04-24 |
EP2381904A1 (en) | 2011-11-02 |
CA2745146A1 (en) | 2010-06-10 |
CN102231972B (zh) | 2015-04-22 |
JP2012510314A (ja) | 2012-05-10 |
US8915252B2 (en) | 2014-12-23 |
KR20110101183A (ko) | 2011-09-15 |
EP2381904B1 (en) | 2016-04-06 |
NZ592742A (en) | 2013-08-30 |
AU2009322708A1 (en) | 2010-06-10 |
US20130186412A1 (en) | 2013-07-25 |
CA2745146C (en) | 2016-08-23 |
RU2011126989A (ru) | 2013-01-10 |
WO2010065341A1 (en) | 2010-06-10 |
US20100137905A1 (en) | 2010-06-03 |
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