JP6049218B2 - 臍ヘルニア用人工物 - Google Patents
臍ヘルニア用人工物 Download PDFInfo
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- JP6049218B2 JP6049218B2 JP2014519493A JP2014519493A JP6049218B2 JP 6049218 B2 JP6049218 B2 JP 6049218B2 JP 2014519493 A JP2014519493 A JP 2014519493A JP 2014519493 A JP2014519493 A JP 2014519493A JP 6049218 B2 JP6049218 B2 JP 6049218B2
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Images
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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
- A61B2017/00575—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closure at remote site, e.g. closing atrial septum defects
- A61B2017/00597—Implements comprising a membrane
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
- A61B2017/00575—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closure at remote site, e.g. closing atrial septum defects
- A61B2017/00623—Introducing or retrieving devices therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B2017/0496—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials for tensioning sutures
-
- 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
- A61F2210/00—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2210/0014—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof using shape memory or superelastic materials, e.g. nitinol
-
- 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
- A61F2250/003—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 adsorbability or resorbability, i.e. in adsorption or resorption time
- A61F2250/0031—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 adsorbability or resorbability, i.e. in adsorption or resorption time made from both resorbable and non-resorbable prosthetic parts, e.g. adjacent parts
-
- 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
- A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
- A61F2250/0096—Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers
- A61F2250/0097—Visible markings, e.g. indicia
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Animal Behavior & Ethology (AREA)
- Veterinary Medicine (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Public Health (AREA)
- Cardiology (AREA)
- General Health & Medical Sciences (AREA)
- Surgery (AREA)
- Transplantation (AREA)
- Vascular Medicine (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Prostheses (AREA)
Description
−周辺外縁によって境界される、少なくとも1つの可撓性メッシュと、
−メッシュのある面から延在する、少なくとも2つの凸部と、
−該メッシュを補強するための少なくとも1つの部材と、
を備え、該補強部材は、該メッシュに締結され、実質的に、メッシュの該周辺外縁の形状を採用する、フレームの形態をとり、該フレームが、該周辺外縁から後退され、2つのヒンジ点を具備し、該2つのヒンジ点を通過する線がまた、メッシュの中心を通過し、したがって、メッシュを2つに折畳するための線を形成することを特徴とする、人工物を提供する。
例えば、本願発明は以下の項目を提供する。
(項目1)
人工物(200;210)であって、
−周辺外縁(1a)によって境界される、少なくとも1つの可撓性メッシュ(1)と、
−前記メッシュのある面から延在する、少なくとも2つの凸部(5)と、
−前記メッシュを補強するための少なくとも1つの部材と、
を備え、前記補強部材が、前記メッシュに締結され、実質的に、前記メッシュの周辺外縁の形状を採用する、フレーム(2)の形態をとり、前記フレームが、前記周辺外縁から後退され、2つのヒンジ点(3a、3b)を具備し、前記2つのヒンジ点を通過する線がまた、前記メッシュの中心(1b)を通過し、したがって、前記メッシュを2つに折畳するための線Mを形成することを特徴とする、人工物。
(項目2)
前記周辺外縁から後退された前記フレーム(2)は、起伏(4)を形成する蛇行形状であることを特徴とする、項目1に記載の人工物(200;210)。
(項目3)
前記フレーム(2)は、実質的に、前記メッシュの平面において、起伏(4)を形成する平坦リボンの形態をとることを特徴とする、項目2に記載の人工物(200;210)。
(項目4)
前記補強部材は、生体吸収性材料において生成されることを特徴とする、項目1〜3のいずれかに記載の人工物(200;210)。
(項目5)
前記凸部(5)は、全体的に長方形形状を有し、その端部の一方に、幅広部分(7;217)を具備し、それによって、前記メッシュに固定されることを特徴とする、項目1〜4いずれかに記載の人工物(200;210)。
(項目6)
前記凸部(5)は、織物としてあることを特徴とする、項目1〜5のいずれかに記載の人工物(200)。
(項目7)
前記幅広部分(7)は、前記凸部(5)の残部から別個であり、前記幅広部分(7)は、前記幅広部分(7)が、所望に応じて、前記凸部(5)の残部に締結される、および/またはそこから外され得るように、把持織物として生成されることを特徴とする、項目5および6に記載の人工物(200)。
(項目8)
前記2つの凸部(5)は、好ましくは、その折畳線を中心として対称な2つの場所において、前記折畳線Mの両側に固定されることを特徴とする、項目1〜7のいずれかに記載の人工物(200)。
(項目9)
前記メッシュは、円盤形状であり、前記フレームは、実質的に、円形リング(2)の形態にあり、前記凸部(5)は、前記リング(2)の2つの直径方向に反対にある場所(8、8a)に固定され、前記2つの場所は、前記2つのヒンジ点(3a、3b)のそれぞれから90°だけ離間されることを特徴とする、項目1〜8のいずれかに記載の人工物(200)。
(項目10)
前記2つの凸部(5)を含む、前記メッシュの面は、前記リング(2)の2つのヒンジ点(3a、3b)の場所において前記メッシュに固定される、2つの付加的凸部(5)を有することを特徴とする、項目9に記載の人工物(200)。
(項目11)
前記凸部(5)を含むものと反対の前記メッシュの面は、非付着性コーティング(201)によって被覆されることを特徴とする、項目1〜10のいずれかに記載の人工物(200)。
(項目12)
前記凸部(5)の遊離端(6b)は、中心糸(13)によって、ともに継合されることを特徴とする、項目1〜11のいずれかに記載の人工物(200)。
(項目13)
前記凸部(5)の少なくとも一部は、前記メッシュ(1)のものと異なる色であることを特徴とする、項目1〜12のいずれかに記載の人工物(200;210)。
(項目14)
前記凸部(5)の前記幅広部分(7;217)は、前記メッシュ(1)のものと異なる色であることを特徴とする、項目13および項目5に記載の人工物人工物(200;210)。
(項目15)
前記メッシュ(1)は、円盤形状であり、前記フレームは、実質的に、円形リング(2)の形態にあり、前記人工物は、4つの前記凸部を備え、その幅広部分(217)は、前記メッシュのものと異なる色であり、前記4つの幅広部分は、前記折畳線Mに対して対称的に、前記リングの内部輪郭に沿って分散され、前記幅広部分の2つは、前記折畳線Mの片側にあり、前記幅広部分の他の2つは、前記折畳線Mの他側にある、項目14に記載の人工物(210)。
(項目16)
全4つの幅広部分は、二等辺三角形(24)の織物の形態であり、各三角形は、その底辺を介して、前記メッシュに固定され、全4つの三角形は、求心方向に、同じ伸長および引張強度特性を示す、項目15に記載の人工物(210)。
Claims (16)
- 人工物(200;210)であって、
−周辺外縁(1a)によって境界される、少なくとも1つの可撓性メッシュ(1)と、
−前記メッシュのある面から延在する、少なくとも2つの凸部(5)と、
−前記メッシュを補強するための少なくとも1つの部材と
を備え、前記補強部材は、非弾性であり、前記補強部材は、前記メッシュに締結され、前記メッシュの周辺外縁の形状を実質的に採用するフレーム(2)の形態をとり、前記フレームは、前記周辺外縁から後退され、前記フレーム上の所定の位置に形成された2つのヒンジ点(3a、3b)を具備し、前記2つのヒンジ点を通過する線がまた、前記メッシュの中心(1b)を通過し、これにより、前記メッシュを2つに折畳するための線Mを形成することを特徴とする、人工物。 - 前記周辺外縁から後退された前記フレーム(2)は、起伏(4)を形成する蛇行形状であることを特徴とする、請求項1に記載の人工物(200;210)。
- 前記フレーム(2)は、実質的に、前記メッシュの平面において、起伏(4)を形成する平坦リボンの形態をとることを特徴とする、請求項2に記載の人工物(200;210)。
- 前記補強部材は、生体吸収性材料において生成されることを特徴とする、請求項1〜3のいずれかに記載の人工物(200;210)。
- 前記凸部(5)は、全体的に長方形形状を有し、その端部の一方に、幅広部分(7;217)を具備し、それによって、前記メッシュに固定されることを特徴とする、請求項1〜4いずれかに記載の人工物(200;210)。
- 前記凸部(5)は、織物としてあることを特徴とする、請求項1〜5のいずれかに記載の人工物(200)。
- 前記幅広部分(7)は、前記凸部(5)の残部から別個であり、前記幅広部分(7)は、前記幅広部分(7)が、所望に応じて、前記凸部(5)の残部に締結される、および/またはそこから外され得るように、把持織物として生成されることを特徴とする、請求項5および6に記載の人工物(200)。
- 前記2つの凸部(5)は、その折畳線を中心として対称な2つの場所において、前記折畳線Mの両側に固定されることを特徴とする、請求項1〜7のいずれかに記載の人工物(200)。
- 前記メッシュは、円盤形状であり、前記フレームは、実質的に、円形リング(2)の形態にあり、前記凸部(5)は、前記リング(2)の2つの直径方向に反対にある場所(8、8a)に固定され、前記2つの場所は、前記2つのヒンジ点(3a、3b)のそれぞれから90°だけ離間されることを特徴とする、請求項1〜8のいずれかに記載の人工物(200)。
- 前記2つの凸部(5)を含む、前記メッシュの面は、前記リング(2)の2つのヒンジ点(3a、3b)の場所において前記メッシュに固定される、2つの付加的凸部(5)を有することを特徴とする、請求項9に記載の人工物(200)。
- 前記凸部(5)を含むものと反対の前記メッシュの面は、非付着性コーティング(201)によって被覆されることを特徴とする、請求項1〜10のいずれかに記載の人工物(200)。
- 前記凸部(5)の遊離端(6b)は、中心糸(13)によって、ともに継合されることを特徴とする、請求項1〜11のいずれかに記載の人工物(200)。
- 前記凸部(5)の少なくとも一部は、前記メッシュ(1)のものと異なる色であることを特徴とする、請求項1〜12のいずれかに記載の人工物(200;210)。
- 前記凸部(5)の前記幅広部分(7;217)は、前記メッシュ(1)のものと異なる色であることを特徴とする、請求項13および請求項5に記載の人工物(200;210)。
- 前記メッシュ(1)は、円盤形状であり、前記フレームは、実質的に、円形リング(2)の形態にあり、前記人工物は、4つの前記凸部を備え、その幅広部分(217)は、前記メッシュのものと異なる色であり、前記4つの幅広部分は、前記折畳線Mに対して対称的に、前記リングの内部輪郭に沿って分散され、前記幅広部分の2つは、前記折畳線Mの片側にあり、前記幅広部分の他の2つは、前記折畳線Mの他側にある、請求項14に記載の人工物(210)。
- 全4つの幅広部分は、二等辺三角形(24)の織物の形態であり、各三角形は、その底辺を介して、前記メッシュに固定され、全4つの三角形は、求心方向に、同じ伸長および引張強度特性を示す、請求項15に記載の人工物(210)。
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JP2014519493A Active JP6049218B2 (ja) | 2011-07-13 | 2012-06-29 | 臍ヘルニア用人工物 |
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EP (1) | EP2731547B1 (ja) |
JP (1) | JP6049218B2 (ja) |
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AU (1) | AU2012283292B2 (ja) |
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US9622843B2 (en) | 2017-04-18 |
FR2977790B1 (fr) | 2013-07-19 |
CN103764068B (zh) | 2016-02-10 |
CA2841339A1 (en) | 2013-01-17 |
CA2841339C (en) | 2019-02-12 |
US20140194926A1 (en) | 2014-07-10 |
WO2013007534A1 (en) | 2013-01-17 |
JP2014523325A (ja) | 2014-09-11 |
EP2731547A1 (en) | 2014-05-21 |
EP2731547B1 (en) | 2015-07-08 |
CN103764068A (zh) | 2014-04-30 |
AU2012283292A1 (en) | 2014-01-16 |
AU2012283292B2 (en) | 2016-08-11 |
FR2977790A1 (fr) | 2013-01-18 |
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