US20180214262A1 - Surgical Template and Delivery Device - Google Patents
Surgical Template and Delivery Device Download PDFInfo
- Publication number
- US20180214262A1 US20180214262A1 US15/938,810 US201815938810A US2018214262A1 US 20180214262 A1 US20180214262 A1 US 20180214262A1 US 201815938810 A US201815938810 A US 201815938810A US 2018214262 A1 US2018214262 A1 US 2018214262A1
- Authority
- US
- United States
- Prior art keywords
- holding member
- biocompatible material
- breast
- tissue
- sample
- 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.)
- Abandoned
Links
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
- A61F2/02—Prostheses implantable into the body
- A61F2/12—Mammary prostheses and implants
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/02—Devices for expanding tissue, e.g. skin tissue
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L2430/00—Materials or treatment for tissue regeneration
- A61L2430/04—Materials or treatment for tissue regeneration for mammary reconstruction
-
- F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
- F04—POSITIVE - DISPLACEMENT MACHINES FOR LIQUIDS; PUMPS FOR LIQUIDS OR ELASTIC FLUIDS
- F04C—ROTARY-PISTON, OR OSCILLATING-PISTON, POSITIVE-DISPLACEMENT MACHINES FOR LIQUIDS; ROTARY-PISTON, OR OSCILLATING-PISTON, POSITIVE-DISPLACEMENT PUMPS
- F04C2270/00—Control; Monitoring or safety arrangements
- F04C2270/04—Force
- F04C2270/042—Force radial
- F04C2270/0421—Controlled or regulated
Definitions
- the present disclosure relates generally to devices for positioning a sample of biocompatible material during breast procedures, as well as methods for treating tissue sites with the device.
- Surgical breast procedures can use a tissue expander or a breast implant and a sample of biocompatible material, which can provide support to surrounding tissue. Proper placement of the material can be difficult to achieve, but can be important to the outcome of a breast procedure. Accordingly, there is a need for devices to assist in the placement of such biocompatible materials during surgical breast procedures.
- a device for surgical breast procedures can comprise a holding member comprising a proximal edge and a distal edge and a first side and a second side, wherein the proximal edge comprises a convex portion curving away from the distal edge and the distal edge further comprises a convex portion curving away from the proximal edge.
- the device can further comprise a backing member associated with the holding member and comprising a first dimension and a second dimension, and at least one fastener configured to be connected to the holding member proximate to the proximal edge and configured to hold a sample of biocompatible material in apposition to the first side of the holding member.
- a system for facilitating breast surgery can comprise a sample of biocompatible material.
- the system can further comprise a holding member comprising a proximal edge and a distal edge and a first side and a second side, wherein the proximal edge comprises a convex portion curving away from the distal edge, and the distal edge further comprises a convex portion curving away from the proximal edge and at least one indentation positioned along the distal edge.
- the system can also comprise a backing member comprising a first dimension and a second dimension, and at least one fastener configured to hold the sample of biocompatible material in apposition to the first side of the holding member.
- a method for preparing a site within a breast can comprise creating a tissue pocket within or posterior to a breast; and positioning within the tissue pocket a template comprising a sample of biocompatible material comprising a proximal edge and a distal edge, a holding member comprising a proximal edge and a distal edge, and a backing member, wherein the proximal edge of the biocompatible material is detachably connected proximate to the proximal edge of the holding member and the backing member is detachably connected proximate to the distal edge of the holding member.
- the method can further comprise fastening the distal edge of the biocompatible material to tissue within or surrounding the tissue pocket; and removing the holding member and the backing member from the tissue pocket.
- a device comprising a holding member comprising a proximal edge and a distal edge and a first side and a second side, wherein the proximal edge comprises a convex portion curving away from the distal edge and the distal edge further comprises a convex portion curving away from the proximal edge, wherein the distal edge of the holding member comprises multiple indentations positioned along the distal edge.
- the device can further comprise at least one fastener configured to be connected to the holding member proximate to the proximal edge and configured to hold a sample of biocompatible material in apposition to the first side of the holding member.
- a system for treating tissue can comprise a sample of biocompatible material and a holding member.
- the holding member can comprise a proximal edge and a distal edge and a first side and a second side, wherein the proximal edge comprises a convex portion curving away from the distal edge and the distal edge further comprises a convex portion curving away from the proximal edge, wherein the distal edge of the holding member comprises multiple indentations positioned along the distal edge.
- the system can further comprise at least one fastener configured to be connected to the holding member proximate to the proximal edge and configured to hold a sample of biocompatible material in apposition to the first side of the holding member.
- a method for performing breast surgery can comprise creating a tissue pocket in a breast and inserting a holding member into the tissue pocket, wherein the holding member includes a sample of biocompatible material attached thereto.
- the method can further comprise contacting a portion of the breast with a distal edge of the holding member and fastening the sample of biocompatible material to tissue within the breast, wherein the sample of biocompatible material is attached to the holding member during fastening.
- the sample of biocompatible material can also be detached from the holding member, and the holding member can be removed from the tissue pocket.
- FIG. 1 is a perspective view of a system comprising a sample of biocompatible material and a device for surgical breast procedures, according to certain embodiments.
- FIGS. 2A, 2B, and 2C are front, back, and side views, respectively, of a holding member for use in a device for surgical breast procedures, according to certain embodiments.
- FIG. 3 is a top view of a backing member for use in a device for surgical breast procedures, according to certain embodiments.
- FIG. 4 is a perspective view of a system comprising a sample of biocompatible material and a device for surgical breast procedures, according to certain embodiments.
- FIGS. 5A and 5B are front and rear views, respectively, of a backing member for use in a device for surgical breast procedures, according to certain embodiments.
- FIG. 6 is a perspective view of a system comprising a sample of biocompatible material and a device for surgical breast procedures, according to certain embodiments.
- FIG. 7 is a perspective view of a backing member for use in a device for surgical breast procedures, according to certain embodiments.
- FIG. 8A is a rear view of a backing member for use in a device for surgical breast procedures, according to certain embodiments.
- FIG. 8B is a side view of a backing member for use in a device for surgical breast procedures, according to certain embodiments.
- FIG. 9A is a rear view of a device for use in surgical breast procedures, according to certain embodiments.
- FIG. 9B is a front view of a device for use in surgical breast procedures, according to certain embodiments.
- FIG. 10 illustrates use of a system for facilitating breast surgery, according to certain embodiments.
- FIG. 11 is a perspective view of a system comprising a sample of biocompatible material and a device for surgical breast procedures, according to certain embodiments.
- FIG. 12 is a perspective view of a device for surgical breast procedures, according to certain embodiments.
- the present disclosure relates generally to devices for surgical breast procedures and systems and methods relating to such devices.
- the devices can be used for tissue augmentation, repair or regeneration of damaged tissue, and/or correction of tissue defects.
- the device, systems, and methods discussed herein can be suitable for a wide range of surgical applications, such as, for example, aesthetic surgery, breast reconstruction, breast augmentation, breast enhancement, breast reduction, and revisionary breast surgeries.
- the devices discussed herein generally assist in surgical procedures wherein a sample of biocompatible material can be implanted within a tissue pocket in a breast.
- a variety of synthetic or biologic materials can be used.
- the materials are capable of being attached to or inserted into and/or fixed within the body for a prolonged period of time without undesirable local or systemic effects.
- the materials can include medical-grade polymeric materials; autologous, allogenic, or cadaveric tissue; and/or biomatrices, such as acellular tissue matrices.
- acellular tissue matrices refer to tissue-derived biomatrix structures that can be made from any of a wide range of collagen-containing tissues by removing all, or substantially all, viable cells and all detectable subcellular components and/or debris generated by killing cells.
- Suitable exemplary acellular tissue matrices include ALLODERM® and STRATTICETM, which are acellular human and dermal tissue matrices, respectively, and are produced by LIFECELL CORPORATION (Branchburg, N.J.).
- the sample of biocompatible material can support a tissue expander or breast implant within a tissue pocket, such as a subcutaneous, subglandular, subfascial, or subpectoral tissue pocket.
- Correct placement of the material can be important to the success of the surgical procedure, and incorrect placement can result in undesirable aesthetic results and/or medial, lateral, or inferior displacement of a tissue expander or breast implant, which may require additional surgeries to correct the location of the inframammary, lateral, or medial folds.
- Correct placement of the material can be hindered by difficulties in handling of the biocompatible material, difficulties visualizing the placement of the material, and difficulties manipulating the material within the tissue pocket, as well as movement while fastening the material to the underlying tissue.
- FIG. 1 is a perspective view of a system 100 comprising a sample of biocompatible material 102 and a device 110 for surgical breast procedures, according to certain embodiments.
- the system 100 can comprise a holding member 101 and a backing member 103 .
- the sample of biocompatible material 102 can be attached to the holding member 101
- the holding member 101 can be attached to the backing member 103 .
- the holding member 101 and/or backing member 103 can provide stiffness to the sample of biocompatible material, improving the ability of the surgeon to visualize and manipulate the sample of biocompatible material 102 .
- the holding member 101 and the backing member 103 can together mimic the dimensions of the sample of biocompatible material 102 and a tissue expander or breast implant when placed in the tissue pocket.
- the sample of biocompatible material 102 can be fastened to the underlying tissue.
- the device 110 can then be removed, leaving the sample of biocompatible material 102 fastened to the underlying tissue.
- a holding member 101 can be shaped such that one edge (distal edge 203 , shown in FIGS. 2A ), has a shape configured to produce a desired contour of a portion of the breast.
- the distal edge 203 can be shaped to be positioned at or near a desired location for the inframammary fold (IMF), a medial border of the breast, a lateral border of the breast, or a location comprising parts of the IMF, medial border of the breast, and/or lateral border of the breast.
- IMF inframammary fold
- FIGS. 2A, 2B, and 2C are front, back, and side perspective views, respectively, of a holding member 101 for use in a device 110 for surgical breast procedures, according to certain embodiments.
- the holding member 101 can comprise a proximal edge 201 and a distal edge 203 .
- a portion of the proximal edge 201 can be convex, curving away from the distal edge 203 .
- a portion of the distal edge 203 can be convex, curving away from the proximal edge 201 .
- the proximal edge 201 and the distal edge 203 of the holding member 101 can both be convex, thus making the holding member 101 generally biconvex in shape.
- the holding member 101 can comprise a first side 205 and a second side 207 . It will be appreciated that the proximal edge 201 and distal edge 203 may have variations in their shapes and may not be convex over their entire lengths. Furthermore, in some embodiments, at least one of the edges 201 and 203 can be substantially straight.
- the holding member 101 comprises at least one indentation 209 .
- the at least one indentation 209 can be positioned along the distal edge 203 of the holding member 101 and can assist in fastening of the sample of biocompatible material 102 to tissue underlying the distal edge 203 of the holding member 101 .
- the at least one indentation 209 can be sized to permit passage of a suture, a staple, or an effective quantity of adhesive or similar surgical fastener to fasten the biocompatible material 102 to the underlying tissue.
- the at least one indentation 209 can be a curved or polygonal recess or a slit in the distal edge 203 .
- More than one indentation 209 can be present, and the indentations 209 can be regularly or irregularly sized, shaped, and/or spaced and can be distributed along either the entire distal edge 203 or one or more portions of the distal edge 203 .
- At least one fastener 211 can be configured to attach to and/or hold a sample of biocompatible material in apposition to the first side 205 of the holding member 101 .
- the fastener 211 can be attached to the holding member 101 proximate to the proximal edge 201 , such that an edge of a sample of biocompatible material held in apposition to the first side 205 of the holding member 101 contacts the proximal edge 201 of the holding member 101 .
- the at least one fastener 211 can comprise multiple regularly spaced clips attached to the first side 205 of the holding member 101 and abutting the proximal edge 201 of the holding member 101 .
- the fastener 211 can be permanently attached to the first side 205 of the holding member 101 . In other embodiments, the fastener 211 is removably attached to the holding member 101 .
- Such fasteners can be used with any of the variations of the holding members described herein to hold a biocompatible material in apposition to the devices described herein.
- At least one fastener 213 can be configured to attach to the backing member 103 and/or the holding member 101 .
- the at least one fastener 213 can be configured to hold the backing member 103 in apposition to the second side 207 of the holding member 101 .
- the at least one fastener 213 can comprise multiple clips interspersed at regular or irregular intervals between multiple indentations 209 .
- the fasteners 213 can be permanently attached to the holding member 101 and/or backing member 103 .
- the fasteners 213 are removably attached to the holding member 101 and/or backing member 103 .
- Such fasteners can be used with any of the variations of the holding members and backing members described.
- Fasteners 211 and 213 can be chosen from a variety of different fasteners, for example mechanical fasteners, such as clips, pins, clasps, buttons, buckles, cleats, zippers, VELCRO®, hook and eye, toggle, screw, nail, suture, wire, ties, permanent or temporary magnets; or chemical fasteners such as adhesives, pastes, gums, cements, binders, and/or bonding agents.
- mechanical fasteners such as clips, pins, clasps, buttons, buckles, cleats, zippers, VELCRO®, hook and eye, toggle, screw, nail, suture, wire, ties, permanent or temporary magnets
- chemical fasteners such as adhesives, pastes, gums, cements, binders, and/or bonding agents.
- the holding member 101 , backing member 103 , fastener 211 , and fastener 213 can be associated with each other.
- the holding member 101 , backing member 103 , fastener 211 , and fastener 213 can be provided for use as part of a kit or a collection. They can be provided temporarily or permanently attached to one another and partially or completely assembled into the device 110 .
- the holding member 101 and backing member 103 are configured to be attachable and detachable multiple times.
- the holding member 101 and backing member 103 are formed as a unitary structure, i.e., are formed as a single material and/or are permanently connected by an adhesive or other connection that does not permit easy separation of the components from one another.
- any of the other devices and systems described herein can be provided as a collection or kit, as described in this paragraph.
- Surgical breast procedures may require a variety of tissue expander and/or breast implant sizes.
- a particular breast implant or expander may require a certain tissue pocket size.
- Various disclosed embodiments include backing members 300 , 400 , 500 , and 600 that are capable of mimicking tissue expanders or breast implants of various sizes and/or the base width of a tissue site, increasing the flexibility and utility of these embodiments.
- the backing members may be adjustable in size and/or shape, thereby allowing flexibility of use during a procedure.
- FIG. 3 is a top view of the backing member 103 for use in a device 110 for surgical breast procedures, according to certain embodiments.
- the backing member 103 includes a first dimension 303 and a second dimension 305 .
- the first 303 and second dimensions 305 of the backing member 300 can approximate first and second dimensions of a tissue expander or breast implant.
- the first and second dimensions of a tissue expander or breast implant can comprise a diameter of the tissue expander or a distance measured along a portion of the circumference of the tissue expander or implant, and the dimension 303 and 305 can correspond to those dimensions of the tissue expander or implant.
- the backing member 103 can aid a surgeon in gauging the position of a biocompatible material 102 relative to the size of a desired expander or implant within a tissue pocket, as well as assist in gauging the size of an implant site relative to a desired expander or implant.
- the backing member 103 can include a variety of different shapes and sizes.
- the backing member 103 includes a disk shape.
- the disk shape can include a detachable outer ring member 309 , along which at least one indentation 311 can be positioned, as well as an inner disk member 313 .
- the disk is formed of a unitary structure, i.e., without a detachable ring.
- the at least one indentation 311 can be sized to permit use of a suture, staple, or other fixation device to secure a biocompatible material to tissue.
- the disk 103 comprises at least one indentation 311 positioned along the outer edge 312 of the detachable outer member (i.e., the detachable outer ring member 309 ) and extending into the inner disk member 313 (see inner extension 312 ).
- a surgeon can modify the size of the backing member 103 during a procedure by removing or replacing the outer ring member 309 .
- the outer ring can have a diameter of about 12 cm
- the inner disk member 313 can have a diameter of about 11 cm.
- the indentations 311 can have a position corresponding to the location of indentations 209 of the holding member 101 .
- FIG. 4 is a perspective view of a system 400 comprising a sample of biocompatible material 102 and a device 410 for surgical breast procedures, according to certain embodiments.
- the system 400 can comprise a holding member 101 and a backing member 403 .
- a sample of biocompatible material 102 can be attached to the holding member 101
- the holding member 101 can be attached to the backing member 403 .
- the holding member 101 and/or backing member 403 can provide stiffness to the sample of biocompatible material, improving the ability of the surgeon to visualize and manipulate the sample of biocompatible material 102 .
- the backing members discussed herein can have a variety of shapes and configurations, and the structure of backing member 403 is described in more detail below.
- FIGS. 5A and 5B are front and rear views, respectively, of the backing member 403 , according to certain embodiments.
- the backing member 403 comprises a central support member 401 adjustably connected to a plurality of vanes 405 .
- the vanes 405 can be flat, with a top surface and a bottom surface, or can have some degree of curvature.
- the vanes 405 are distributed around the central support member 401 , for example in a circular arrangement. These vanes 405 can circumferentially overlap to form a circular shape comprising a diameter 407 and an outside edge 409 .
- each vane 405 in the circular formation has two adjacent vanes. In such embodiments, each vane 405 in the circular formation can be either above the two adjacent vanes, below the two adjacent vanes, or above one adjacent vane and below the other adjacent vane.
- the adjustable connection between the central support member 401 and each vane 405 permits that vane 405 to move with respect to the central support member 401 , the movement having a circumferential component.
- at least one vane 406 can be moved circumferentially to reduce the area of backing member 403 .
- the circumferential component of this movement causes the outside circumference of the circular shape to increase or decrease and can affect the degree of circumferential overlap between the vanes 405 .
- Each of the vanes 405 can have at least two ends, tapering from a broader end distal to the central support member to a narrower end proximal to the central support member.
- the device 410 can include one or more fasteners 213 that can be attached to the holding member 101 proximate to the distal edge 203 of the holding member 101 and/or to the backing member 403 to hold the holding member 101 and backing member 403 in apposition.
- the backing member 403 when the backing member 403 is held in apposition to the second side 207 of the holding member 101 , the outside edge 409 can be held in contact with the distal edge 203 of the holding member 101 .
- the backing member 403 can further include one or more indentations 411 .
- the indentations 411 can be positioned along at least one edge of the backing member 403 at a position corresponding to the position of indentations 209 on the holding member 101 .
- the indentations can be spaced and oriented to align with indentations of a backing member.
- FIG. 6 is a perspective view of a system 600 comprising a sample of biocompatible material 102 and a device 610 for surgical breast procedures, according to certain embodiments.
- the system 600 is similar to the systems 100 and 400 described above, except that the backing member 603 of the device 610 has a different structure.
- FIG. 7 is a perspective view of the backing member 603 for use in a device for surgical breast procedures, according to certain embodiments.
- the backing member 603 comprises a curved segment 601 having a maximum length and a connecting segment 607 .
- portions of the curved segment 601 can be a circular arc having a first end 604 connected to a first end 611 of the connecting segment 607 and having a second end 605 connected to a second end 609 of the connecting segment 607 .
- the width, thickness, and cross-sectional area of the curved segment 601 can vary, and the material dimensions and mechanical properties can be selected to produce a desired rigidity.
- the curved segment 601 can include a first interlocking section 613 , a second interlocking section 615 , and an adjustable connector 617 for adjusting the length of the curved segment by securing the first interlocking segment 613 to the second interlocking segment 615 .
- the first interlocking section 613 and the second interlocking section 615 can overlap to a varying degree determinable by the adjustable connector 617 for adjusting the length of the curved segment.
- the first interlocking section 613 can be hollow, and the second interlocking section 615 can fit at least partially within the first interlocking section 613 .
- the second interlocking section 615 can have a top face, the first interlocking section 613 can have a bottom face, and the first interlocking section 613 can contact the second interlocking section 615 face-to-face.
- the adjustable connector 617 for adjusting the length of the curved segment can prevent unintentional changes in the overlap between the first interlocking section 613 and the second interlocking section 615 , thus preventing unintentional alteration of the length of the curved segment 601 .
- the adjustable connector 617 for adjusting the length of the curved segment can comprise a button projecting from the second interlocking section 615 through a slot in the first interlocking section 613 . By projecting through the slot, the button restricts the relative movement of the first 613 and second 615 interlocking sections.
- other mechanisms can be used instead of a button.
- At least one fastener 213 (as depicted with respect to the backing member and holding members described above) can be attached to the holding member 101 proximate to the distal edge 203 of the holding member 101 .
- the backing member 603 when the backing member 603 is held in apposition to the second side 207 of the holding member 101 , a portion of the curved segment 601 can be held in contact with the distal edge of the holding member 101 .
- the at least one fastener 213 can hold a portion of the connecting segment 607 in contact with the distal edge of the holding member 101 .
- FIG. 8A is a rear view of a backing member 800 for use in a device for surgical breast procedures, according to certain embodiments; and FIG. 8B is a side view of the device of FIG. 8A .
- the backing member 800 comprises a first overlapping member 801 having a first end 807 and a second end 809 and a second overlapping member 803 having a first end 804 and a second end 805 .
- Each overlapping member can be thin, substantially flat, and substantially longer than it is wide.
- the first overlapping member 801 can overlap the first end 804 of the second overlapping member 803 .
- An adjustable connector 808 can be provided to control the relative position and orientation of the two overlapping members 801 , 803 and to connect the first overlapping member 801 and the second overlapping member 803 .
- the device can include fasteners 818 for attachment to a holding member.
- the adjustable connector 808 can prevent translation of either the first overlapping member 801 or the second overlapping member 803 perpendicular to a plane formed by the first overlapping member 801 and second overlapping member 803 .
- the adjustable connector 808 can also permit limited translation of the first overlapping member 801 and the second overlapping member 803 with respect to each other and limited rotation around the point of intersection of the first overlapping member 801 and second overlapping member 803 in a plane formed by the first overlapping member 801 and second overlapping member 803 .
- Each of the first overlapping member 801 and second overlapping member 803 can have a slot, indentation, or similar cut-out.
- Such slot, indentation, or similar cut-out can overlap, and the adjustable connector 808 can include a pin, dowel, threaded or unthreaded rod, screw, or similar connector inserted through the cut-outs in the first overlapping member 801 and second overlapping member 803 .
- a connector can be secured at one or both ends with a cotter pin, nut, bolt, or similar locking mechanism such that the first overlapping member 801 and second overlapping member 803 are held in contact with variable force.
- the degree of force can be decreased to permit an intentional change in the respective position and orientation of the first overlapping member 801 and second overlapping member 803 and then increased to prevent unintentional changes in the respective position and orientation of the first overlapping member 801 and second overlapping member 803 . In this manner, the position and the orientation of the first overlapping member 801 and second overlapping member 803 can be adjusted, enabling the backing member 800 to mimic the dimensions of the tissue expander.
- the first overlapping member 801 can further comprise a first interlocking member 811 and/or a second interlocking member 813 .
- the interlocking members 811 , 813 can allow adjustment of the length of the overlapping member 801 .
- Each of the first interlocking member 811 and second interlocking member 813 can have a slot, indentation, or similar cut-out. Such cut-outs can overlap and a pin, dowel, threaded or unthreaded rod, screw, or similar connector can be inserted through said cut-outs.
- Such connector can be secured at one or both ends with a cotter pin, nut, bolt, or similar locking mechanism such that the first interlocking member 811 and second interlocking member 813 are held in contact with variable force.
- the length of the first overlapping member can be adjusted so that the backing member will mimic tissue expanders or implants of various sizes.
- FIG. 9A is a rear view of a device 900 for use in surgical breast procedures, according to certain embodiments.
- the device 900 comprises a holding member 101 and a backing member 800 ′.
- Backing member 800 ′ can have a variety of configurations.
- backing member 800 ′ has a T-shape and can incorporate features, as described with respect to FIG. 8 , but the backing member 800 ′ can have a variety of different shapes.
- the backing member 800 ′ can be integrally formed as a part of or permanently connected to the holding member.
- the backing member 800 ′ can be permanently attached to the holding member 101 to provide desired rigidity to the holding member.
- the backing member 800 can be attached to the holding member using an adhesive and/or by embedding the backing member 800 within the holding member 101 , e.g., by embedding within a polymeric material forming the backing member.
- FIG. 9B is a front view of the device 900 ′ for use in surgical breast procedures, according to certain embodiments, before final assembly.
- the backing member 800 ′ can be formed of the same material as the holding member 101 ′, or can be formed of another material attached to and extending from the holding member 101 ′. The backing member 800 ′ can then be bent or folded and connected to the surface of the holding member.
- the devices 900 and 900 ′ can include fasteners 211 for removably attaching a biologic material to the device for implantation of the biologic material.
- FIG. 10 illustrates use of a system for facilitating breast surgery, according to certain embodiments.
- FIG. 10 illustrates use of the system 900 ′ of FIG. 9B .
- Any system described herein, however, may be similarly used as part of a method for facilitating breast surgery.
- the method for facilitating breast surgery may first include creating a tissue pocket in a breast.
- an incision can be made in the inframammary fold or other desired location near the breast 1000 ; the pectorialis muscle can then be released and raised; and a tissue pocket 1010 created partially or completely under the pectorialis muscle.
- the tissue pocket 1010 can be formed for placement of an implant anterior to the pectoralis muscle in a subcutaneous or subglandular pocket.
- the method for facilitating breast surgery may further include selecting a system for facilitating the placement of biocompatible material 102 including a holding member and/or a backing member.
- the holding member and the backing member may be fastened to one another.
- the holding member and the backing member may be selected so that when the holding member and the backing member are placed in the tissue pocket, they mimic the dimensions of a biological sample 102 and/or a tissue expander or implant.
- the holding member may be selected so that its distal edge 203 has a shape configured to produce a desired contour of a portion of the breast.
- a device operator may select a holding member and a backing member that each include a desired size and shape.
- a device operator may adjust the size and shape of the holding member and/or backing member so that a desired size and shape may be achieved.
- the method for facilitating breast surgery may include attaching a sample of biocompatible material 102 to the holding member. Attachment may include any suitable means described herein or known to those skilled in the art so long as the sample of biocompatible material 102 can be detached from the holding member upon placement in the created tissue pocket 1010 .
- the sample of biocompatible material 102 may be attached at any suitable location on the holding member, such that the sample of biocompatible material 102 can be placed in a desired position within the tissue pocket 1010 .
- the method may include attaching the sample of biocompatible material 102 with at least one fastener 211 proximate to the proximal edge 201 of the holding member 101 , such that the sample of biocompatible material 102 is held in opposition to the first side 205 of holding member 101 .
- the at least one fastener 211 may be any suitable fastener described herein or known to those skilled in the art, including, but not limited to a clip, suture, wire, tie, adhesive, paste, or gum.
- the method for facilitating breast surgery can further include inserting the holding member, backing member and sample of biocompatible material 102 at any suitable location within the created tissue pocket 1010 .
- suitable locations within the created tissue pocket may include, but are not limited to a location at or near a desired location for the inframammary fold, medial border of the breast, and/or lateral border of the breast.
- the sample of biocompatible material 102 may be fastened to underlying tissue in the breast. Fastening may be accomplished via any fastening means known to those skilled in the art including, but not limited to, a suture, a staple, and/or an effective quantity of adhesive. Fastening of the sample of biocompatible material 102 to the underlying tissue in the breast may occur while the sample of biocompatible material 102 is attached to the holding member. In one embodiment, for example, the fasteners may pass through at least one indentation 209 in the distal edge 203 of the holding member 101 .
- the sample of biocompatible material 102 may be detached from the holding member, and the holding member and the backing member may be removed from the created tissue pocket 1010 .
- FIG. 11 is a perspective view of a system comprising a sample of biocompatible material 102 and a device 120 for surgical breast procedures, according to certain embodiments.
- the device 120 is a unitary structure. That is to say, the device includes a holding member 121 , which has a shape similar to those described above (see element 101 ). In the embodiment of FIG. 11 , however, the device does not include a separate backing member. Rather, the device 120 is formed of a material having desired flexibility/rigidity such that a separate backing member is not needed.
- the device 120 has indentations 209 , which function like those described with reference to holding member 101 .
- FIG. 12 is a perspective view of a device for surgical breast procedures, according to certain embodiments.
- the device comprises a backing member 130 having a curved or cup-like configuration.
- the configuration may be selected to mimic an implant site and/or a tissue expander or implant.
- a holding member may be configured to have a similar shape.
- the backing member may be formed of a flexible material, and the holding member can be provided in a range of suitable shapes to produce a desired shape for the backing member 130 at the time of use.
- the holding members described herein, as well as the biocompatible materials for use therewith can have any desired shape.
- the holding member (with or without a backing member of similar or different shape) and/or biocompatible material can be rectangular, square, ovoid, triangular, trapezoidal, or any other shape.
- Such holding members can include a plurality of indentations along at least one edge to assist in fastening the biocompatible material to tissue.
Abstract
Description
- This application is a divisional application of U.S. patent application Ser. No. 13/804,741 filed on Mar. 14, 2013, which claims priority under 35 U.S.C. § 119 to U.S. Provisional Patent Application No. 61/709,692, filed on Oct. 4,2012. The entire contents of each of the above-referenced applications are incorporated herein by reference.
- The present disclosure relates generally to devices for positioning a sample of biocompatible material during breast procedures, as well as methods for treating tissue sites with the device.
- Surgical breast procedures can use a tissue expander or a breast implant and a sample of biocompatible material, which can provide support to surrounding tissue. Proper placement of the material can be difficult to achieve, but can be important to the outcome of a breast procedure. Accordingly, there is a need for devices to assist in the placement of such biocompatible materials during surgical breast procedures.
- According to various embodiments, a device for surgical breast procedures is provided. The device can comprise a holding member comprising a proximal edge and a distal edge and a first side and a second side, wherein the proximal edge comprises a convex portion curving away from the distal edge and the distal edge further comprises a convex portion curving away from the proximal edge. The device can further comprise a backing member associated with the holding member and comprising a first dimension and a second dimension, and at least one fastener configured to be connected to the holding member proximate to the proximal edge and configured to hold a sample of biocompatible material in apposition to the first side of the holding member.
- According to certain embodiments a system for facilitating breast surgery is provided. The system can comprise a sample of biocompatible material. The system can further comprise a holding member comprising a proximal edge and a distal edge and a first side and a second side, wherein the proximal edge comprises a convex portion curving away from the distal edge, and the distal edge further comprises a convex portion curving away from the proximal edge and at least one indentation positioned along the distal edge. The system can also comprise a backing member comprising a first dimension and a second dimension, and at least one fastener configured to hold the sample of biocompatible material in apposition to the first side of the holding member.
- According to certain embodiments, a method for preparing a site within a breast is provided. The method can comprise creating a tissue pocket within or posterior to a breast; and positioning within the tissue pocket a template comprising a sample of biocompatible material comprising a proximal edge and a distal edge, a holding member comprising a proximal edge and a distal edge, and a backing member, wherein the proximal edge of the biocompatible material is detachably connected proximate to the proximal edge of the holding member and the backing member is detachably connected proximate to the distal edge of the holding member. The method can further comprise fastening the distal edge of the biocompatible material to tissue within or surrounding the tissue pocket; and removing the holding member and the backing member from the tissue pocket.
- According to certain embodiments, a device is provided. The device can comprise a holding member comprising a proximal edge and a distal edge and a first side and a second side, wherein the proximal edge comprises a convex portion curving away from the distal edge and the distal edge further comprises a convex portion curving away from the proximal edge, wherein the distal edge of the holding member comprises multiple indentations positioned along the distal edge. The device can further comprise at least one fastener configured to be connected to the holding member proximate to the proximal edge and configured to hold a sample of biocompatible material in apposition to the first side of the holding member.
- According to certain embodiments, a system for treating tissue is provided. The system can comprise a sample of biocompatible material and a holding member. The holding member can comprise a proximal edge and a distal edge and a first side and a second side, wherein the proximal edge comprises a convex portion curving away from the distal edge and the distal edge further comprises a convex portion curving away from the proximal edge, wherein the distal edge of the holding member comprises multiple indentations positioned along the distal edge. The system can further comprise at least one fastener configured to be connected to the holding member proximate to the proximal edge and configured to hold a sample of biocompatible material in apposition to the first side of the holding member.
- According to certain embodiments, a method for performing breast surgery is provided. The method can comprise creating a tissue pocket in a breast and inserting a holding member into the tissue pocket, wherein the holding member includes a sample of biocompatible material attached thereto. The method can further comprise contacting a portion of the breast with a distal edge of the holding member and fastening the sample of biocompatible material to tissue within the breast, wherein the sample of biocompatible material is attached to the holding member during fastening. The sample of biocompatible material can also be detached from the holding member, and the holding member can be removed from the tissue pocket.
- Reference will now be made to exemplary embodiments, examples of which are illustrated in the accompanying drawings. Wherever possible, the same reference numbers will be used throughout the drawings to refer to the same or like parts. The drawings are not necessarily to scale.
-
FIG. 1 is a perspective view of a system comprising a sample of biocompatible material and a device for surgical breast procedures, according to certain embodiments. -
FIGS. 2A, 2B, and 2C are front, back, and side views, respectively, of a holding member for use in a device for surgical breast procedures, according to certain embodiments. -
FIG. 3 is a top view of a backing member for use in a device for surgical breast procedures, according to certain embodiments. -
FIG. 4 is a perspective view of a system comprising a sample of biocompatible material and a device for surgical breast procedures, according to certain embodiments. -
FIGS. 5A and 5B are front and rear views, respectively, of a backing member for use in a device for surgical breast procedures, according to certain embodiments. -
FIG. 6 is a perspective view of a system comprising a sample of biocompatible material and a device for surgical breast procedures, according to certain embodiments. -
FIG. 7 is a perspective view of a backing member for use in a device for surgical breast procedures, according to certain embodiments. -
FIG. 8A is a rear view of a backing member for use in a device for surgical breast procedures, according to certain embodiments. -
FIG. 8B is a side view of a backing member for use in a device for surgical breast procedures, according to certain embodiments. -
FIG. 9A is a rear view of a device for use in surgical breast procedures, according to certain embodiments. -
FIG. 9B is a front view of a device for use in surgical breast procedures, according to certain embodiments. -
FIG. 10 illustrates use of a system for facilitating breast surgery, according to certain embodiments. -
FIG. 11 is a perspective view of a system comprising a sample of biocompatible material and a device for surgical breast procedures, according to certain embodiments. -
FIG. 12 is a perspective view of a device for surgical breast procedures, according to certain embodiments. - Reference will now be made in detail to various embodiments of the disclosed devices and methods, examples of which are illustrated in the accompanying drawings. Wherever possible, the same reference numbers will be used throughout the drawings to refer to the same or like parts.
- In this application, the use of the singular includes the plural unless specifically stated otherwise. In this application, the use of “or” means “and/or” unless stated otherwise. Furthermore, the use of the term “including”, as well as other forms, such as “includes” and “included”, is not limiting. Any range described herein will be understood to include the endpoints and all values between the endpoints.
- The section headings used herein are for organizational purposes only and are not to be construed as limiting the subject matter described. All documents, or portions of documents, cited in this application, including but not limited to patents, patent applications, articles, books, and treatises, are hereby expressly incorporated by reference in their entirety for any purpose.
- The present disclosure relates generally to devices for surgical breast procedures and systems and methods relating to such devices. The devices can be used for tissue augmentation, repair or regeneration of damaged tissue, and/or correction of tissue defects. As such, the device, systems, and methods discussed herein can be suitable for a wide range of surgical applications, such as, for example, aesthetic surgery, breast reconstruction, breast augmentation, breast enhancement, breast reduction, and revisionary breast surgeries.
- The devices discussed herein generally assist in surgical procedures wherein a sample of biocompatible material can be implanted within a tissue pocket in a breast. A variety of synthetic or biologic materials can be used. In various embodiments, the materials are capable of being attached to or inserted into and/or fixed within the body for a prolonged period of time without undesirable local or systemic effects. As non-limiting examples, the materials can include medical-grade polymeric materials; autologous, allogenic, or cadaveric tissue; and/or biomatrices, such as acellular tissue matrices. As used herein, acellular tissue matrices refer to tissue-derived biomatrix structures that can be made from any of a wide range of collagen-containing tissues by removing all, or substantially all, viable cells and all detectable subcellular components and/or debris generated by killing cells. Suitable exemplary acellular tissue matrices include ALLODERM® and STRATTICE™, which are acellular human and dermal tissue matrices, respectively, and are produced by LIFECELL CORPORATION (Branchburg, N.J.).
- The sample of biocompatible material can support a tissue expander or breast implant within a tissue pocket, such as a subcutaneous, subglandular, subfascial, or subpectoral tissue pocket. Correct placement of the material can be important to the success of the surgical procedure, and incorrect placement can result in undesirable aesthetic results and/or medial, lateral, or inferior displacement of a tissue expander or breast implant, which may require additional surgeries to correct the location of the inframammary, lateral, or medial folds. Correct placement of the material can be hindered by difficulties in handling of the biocompatible material, difficulties visualizing the placement of the material, and difficulties manipulating the material within the tissue pocket, as well as movement while fastening the material to the underlying tissue. By addressing any or all of these problems, the devices disclosed herein can make such surgical procedures more consistent, faster, and more reproducible.
-
FIG. 1 is a perspective view of asystem 100 comprising a sample ofbiocompatible material 102 and adevice 110 for surgical breast procedures, according to certain embodiments. Thesystem 100 can comprise a holdingmember 101 and abacking member 103. The sample ofbiocompatible material 102 can be attached to the holdingmember 101, and the holdingmember 101 can be attached to thebacking member 103. The holdingmember 101 and/orbacking member 103 can provide stiffness to the sample of biocompatible material, improving the ability of the surgeon to visualize and manipulate the sample ofbiocompatible material 102. The holdingmember 101 and thebacking member 103 can together mimic the dimensions of the sample ofbiocompatible material 102 and a tissue expander or breast implant when placed in the tissue pocket. When correctly positioned and oriented within an implant site, the sample ofbiocompatible material 102 can be fastened to the underlying tissue. Thedevice 110 can then be removed, leaving the sample ofbiocompatible material 102 fastened to the underlying tissue. - As described further below, the
device 110 andsystem 100 can be used to position the sample ofbiocompatible material 102 at a desired location within a tissue expander and/or breast implant site. For example, in various embodiments, a holdingmember 101 can be shaped such that one edge (distal edge 203, shown inFIGS. 2A ), has a shape configured to produce a desired contour of a portion of the breast. For example, thedistal edge 203 can be shaped to be positioned at or near a desired location for the inframammary fold (IMF), a medial border of the breast, a lateral border of the breast, or a location comprising parts of the IMF, medial border of the breast, and/or lateral border of the breast. -
FIGS. 2A, 2B, and 2C are front, back, and side perspective views, respectively, of a holdingmember 101 for use in adevice 110 for surgical breast procedures, according to certain embodiments. As shown inFIGS. 2A, 2B, and 2C , the holdingmember 101 can comprise aproximal edge 201 and adistal edge 203. A portion of theproximal edge 201 can be convex, curving away from thedistal edge 203. Similarly, a portion of thedistal edge 203 can be convex, curving away from theproximal edge 201. Theproximal edge 201 and thedistal edge 203 of the holdingmember 101 can both be convex, thus making the holdingmember 101 generally biconvex in shape. The holdingmember 101 can comprise afirst side 205 and asecond side 207. It will be appreciated that theproximal edge 201 anddistal edge 203 may have variations in their shapes and may not be convex over their entire lengths. Furthermore, in some embodiments, at least one of theedges - In some embodiments, the holding
member 101 comprises at least oneindentation 209. The at least oneindentation 209 can be positioned along thedistal edge 203 of the holdingmember 101 and can assist in fastening of the sample ofbiocompatible material 102 to tissue underlying thedistal edge 203 of the holdingmember 101. The at least oneindentation 209 can be sized to permit passage of a suture, a staple, or an effective quantity of adhesive or similar surgical fastener to fasten thebiocompatible material 102 to the underlying tissue. The at least oneindentation 209 can be a curved or polygonal recess or a slit in thedistal edge 203. More than oneindentation 209 can be present, and theindentations 209 can be regularly or irregularly sized, shaped, and/or spaced and can be distributed along either the entiredistal edge 203 or one or more portions of thedistal edge 203. - At least one
fastener 211 can be configured to attach to and/or hold a sample of biocompatible material in apposition to thefirst side 205 of the holdingmember 101. In some embodiments, thefastener 211 can be attached to the holdingmember 101 proximate to theproximal edge 201, such that an edge of a sample of biocompatible material held in apposition to thefirst side 205 of the holdingmember 101 contacts theproximal edge 201 of the holdingmember 101. In some embodiments, the at least onefastener 211 can comprise multiple regularly spaced clips attached to thefirst side 205 of the holdingmember 101 and abutting theproximal edge 201 of the holdingmember 101. In some embodiments, thefastener 211 can be permanently attached to thefirst side 205 of the holdingmember 101. In other embodiments, thefastener 211 is removably attached to the holdingmember 101. Such fasteners can be used with any of the variations of the holding members described herein to hold a biocompatible material in apposition to the devices described herein. - At least one
fastener 213 can be configured to attach to thebacking member 103 and/or the holdingmember 101. The at least onefastener 213 can be configured to hold thebacking member 103 in apposition to thesecond side 207 of the holdingmember 101. In some embodiments, the at least onefastener 213 can comprise multiple clips interspersed at regular or irregular intervals betweenmultiple indentations 209. In some embodiments, thefasteners 213 can be permanently attached to the holdingmember 101 and/orbacking member 103. In other embodiments, thefasteners 213 are removably attached to the holdingmember 101 and/orbacking member 103. Such fasteners can be used with any of the variations of the holding members and backing members described. -
Fasteners - The holding
member 101, backingmember 103,fastener 211, andfastener 213 can be associated with each other. As a non-limiting example, the holdingmember 101, backingmember 103,fastener 211, andfastener 213 can be provided for use as part of a kit or a collection. They can be provided temporarily or permanently attached to one another and partially or completely assembled into thedevice 110. In some embodiments, the holdingmember 101 andbacking member 103 are configured to be attachable and detachable multiple times. In some embodiments, the holdingmember 101 andbacking member 103 are formed as a unitary structure, i.e., are formed as a single material and/or are permanently connected by an adhesive or other connection that does not permit easy separation of the components from one another. Further, any of the other devices and systems described herein can be provided as a collection or kit, as described in this paragraph. - Surgical breast procedures may require a variety of tissue expander and/or breast implant sizes. A particular breast implant or expander may require a certain tissue pocket size. Various disclosed embodiments include backing
members -
FIG. 3 is a top view of thebacking member 103 for use in adevice 110 for surgical breast procedures, according to certain embodiments. Thebacking member 103 includes afirst dimension 303 and asecond dimension 305. In some embodiments, the first 303 andsecond dimensions 305 of the backing member 300 can approximate first and second dimensions of a tissue expander or breast implant. For example, the first and second dimensions of a tissue expander or breast implant can comprise a diameter of the tissue expander or a distance measured along a portion of the circumference of the tissue expander or implant, and thedimension member 103 can aid a surgeon in gauging the position of abiocompatible material 102 relative to the size of a desired expander or implant within a tissue pocket, as well as assist in gauging the size of an implant site relative to a desired expander or implant. - The
backing member 103 can include a variety of different shapes and sizes. In some embodiments, the backingmember 103 includes a disk shape. The disk shape can include a detachableouter ring member 309, along which at least oneindentation 311 can be positioned, as well as aninner disk member 313. In other embodiments, the disk is formed of a unitary structure, i.e., without a detachable ring. The at least oneindentation 311 can be sized to permit use of a suture, staple, or other fixation device to secure a biocompatible material to tissue. In some embodiments, thedisk 103 comprises at least oneindentation 311 positioned along theouter edge 312 of the detachable outer member (i.e., the detachable outer ring member 309) and extending into the inner disk member 313 (see inner extension 312). As such, a surgeon can modify the size of thebacking member 103 during a procedure by removing or replacing theouter ring member 309. For example, the outer ring can have a diameter of about 12 cm, and theinner disk member 313 can have a diameter of about 11 cm. This embodiment permits asingle backing member 103 to mimic more than one tissue expander. In various embodiments, theindentations 311 can have a position corresponding to the location ofindentations 209 of the holdingmember 101. -
FIG. 4 is a perspective view of asystem 400 comprising a sample ofbiocompatible material 102 and adevice 410 for surgical breast procedures, according to certain embodiments. Similar to thesystem 100 ofFIG. 1 , thesystem 400 can comprise a holdingmember 101 and abacking member 403. A sample ofbiocompatible material 102 can be attached to the holdingmember 101, and the holdingmember 101 can be attached to thebacking member 403. The holdingmember 101 and/orbacking member 403 can provide stiffness to the sample of biocompatible material, improving the ability of the surgeon to visualize and manipulate the sample ofbiocompatible material 102. As noted above, however, the backing members discussed herein, can have a variety of shapes and configurations, and the structure ofbacking member 403 is described in more detail below. -
FIGS. 5A and 5B are front and rear views, respectively, of thebacking member 403, according to certain embodiments. Thebacking member 403 comprises acentral support member 401 adjustably connected to a plurality ofvanes 405. Thevanes 405 can be flat, with a top surface and a bottom surface, or can have some degree of curvature. Thevanes 405 are distributed around thecentral support member 401, for example in a circular arrangement. Thesevanes 405 can circumferentially overlap to form a circular shape comprising adiameter 407 and anoutside edge 409. In some embodiments, for example, eachvane 405 in the circular formation has two adjacent vanes. In such embodiments, eachvane 405 in the circular formation can be either above the two adjacent vanes, below the two adjacent vanes, or above one adjacent vane and below the other adjacent vane. - In some embodiments, the adjustable connection between the
central support member 401 and eachvane 405 permits that vane 405 to move with respect to thecentral support member 401, the movement having a circumferential component. For example, as shown inFIG. 5B , at least onevane 406 can be moved circumferentially to reduce the area ofbacking member 403. The circumferential component of this movement causes the outside circumference of the circular shape to increase or decrease and can affect the degree of circumferential overlap between thevanes 405. Each of thevanes 405 can have at least two ends, tapering from a broader end distal to the central support member to a narrower end proximal to the central support member. - As with the embodiment of
FIG. 1 , thedevice 410 can include one ormore fasteners 213 that can be attached to the holdingmember 101 proximate to thedistal edge 203 of the holdingmember 101 and/or to thebacking member 403 to hold the holdingmember 101 andbacking member 403 in apposition. In such embodiments, when thebacking member 403 is held in apposition to thesecond side 207 of the holdingmember 101, theoutside edge 409 can be held in contact with thedistal edge 203 of the holdingmember 101. - The
backing member 403 can further include one ormore indentations 411. Theindentations 411 can be positioned along at least one edge of thebacking member 403 at a position corresponding to the position ofindentations 209 on the holdingmember 101. The indentations can be spaced and oriented to align with indentations of a backing member. -
FIG. 6 is a perspective view of asystem 600 comprising a sample ofbiocompatible material 102 and adevice 610 for surgical breast procedures, according to certain embodiments. Thesystem 600 is similar to thesystems backing member 603 of thedevice 610 has a different structure. -
FIG. 7 is a perspective view of thebacking member 603 for use in a device for surgical breast procedures, according to certain embodiments. Thebacking member 603 comprises acurved segment 601 having a maximum length and a connectingsegment 607. In some embodiments, portions of thecurved segment 601 can be a circular arc having afirst end 604 connected to afirst end 611 of the connectingsegment 607 and having asecond end 605 connected to asecond end 609 of the connectingsegment 607. The width, thickness, and cross-sectional area of thecurved segment 601 can vary, and the material dimensions and mechanical properties can be selected to produce a desired rigidity. - In some embodiments, the
curved segment 601 can include afirst interlocking section 613, asecond interlocking section 615, and anadjustable connector 617 for adjusting the length of the curved segment by securing the first interlockingsegment 613 to thesecond interlocking segment 615. In some embodiments, thefirst interlocking section 613 and thesecond interlocking section 615 can overlap to a varying degree determinable by theadjustable connector 617 for adjusting the length of the curved segment. By way of non-limiting example, thefirst interlocking section 613 can be hollow, and thesecond interlocking section 615 can fit at least partially within thefirst interlocking section 613. Similarly, thesecond interlocking section 615 can have a top face, thefirst interlocking section 613 can have a bottom face, and thefirst interlocking section 613 can contact thesecond interlocking section 615 face-to-face. - The
adjustable connector 617 for adjusting the length of the curved segment can prevent unintentional changes in the overlap between thefirst interlocking section 613 and thesecond interlocking section 615, thus preventing unintentional alteration of the length of thecurved segment 601. As shown inFIG. 7 , for example, theadjustable connector 617 for adjusting the length of the curved segment can comprise a button projecting from thesecond interlocking section 615 through a slot in thefirst interlocking section 613. By projecting through the slot, the button restricts the relative movement of the first 613 and second 615 interlocking sections. Alternatively, other mechanisms can be used instead of a button. - In some embodiments, at least one fastener 213 (as depicted with respect to the backing member and holding members described above) can be attached to the holding
member 101 proximate to thedistal edge 203 of the holdingmember 101. In such embodiments, when thebacking member 603 is held in apposition to thesecond side 207 of the holdingmember 101, a portion of thecurved segment 601 can be held in contact with the distal edge of the holdingmember 101. Similarly, the at least onefastener 213 can hold a portion of the connectingsegment 607 in contact with the distal edge of the holdingmember 101. -
FIG. 8A is a rear view of abacking member 800 for use in a device for surgical breast procedures, according to certain embodiments; andFIG. 8B is a side view of the device ofFIG. 8A . Thebacking member 800 comprises a first overlappingmember 801 having afirst end 807 and asecond end 809 and a second overlappingmember 803 having afirst end 804 and asecond end 805. Each overlapping member can be thin, substantially flat, and substantially longer than it is wide. The first overlappingmember 801 can overlap thefirst end 804 of the second overlappingmember 803. Anadjustable connector 808 can be provided to control the relative position and orientation of the two overlappingmembers member 801 and the second overlappingmember 803. As shown inFIG. 8B , the device can includefasteners 818 for attachment to a holding member. - The
adjustable connector 808 can prevent translation of either the first overlappingmember 801 or the second overlappingmember 803 perpendicular to a plane formed by the first overlappingmember 801 and second overlappingmember 803. Theadjustable connector 808 can also permit limited translation of the first overlappingmember 801 and the second overlappingmember 803 with respect to each other and limited rotation around the point of intersection of the first overlappingmember 801 and second overlappingmember 803 in a plane formed by the first overlappingmember 801 and second overlappingmember 803. Each of the first overlappingmember 801 and second overlappingmember 803 can have a slot, indentation, or similar cut-out. Such slot, indentation, or similar cut-out can overlap, and theadjustable connector 808 can include a pin, dowel, threaded or unthreaded rod, screw, or similar connector inserted through the cut-outs in the first overlappingmember 801 and second overlappingmember 803. Such a connector can be secured at one or both ends with a cotter pin, nut, bolt, or similar locking mechanism such that the first overlappingmember 801 and second overlappingmember 803 are held in contact with variable force. The degree of force can be decreased to permit an intentional change in the respective position and orientation of the first overlappingmember 801 and second overlappingmember 803 and then increased to prevent unintentional changes in the respective position and orientation of the first overlappingmember 801 and second overlappingmember 803. In this manner, the position and the orientation of the first overlappingmember 801 and second overlappingmember 803 can be adjusted, enabling thebacking member 800 to mimic the dimensions of the tissue expander. - In some embodiments, the first overlapping
member 801 can further comprise afirst interlocking member 811 and/or asecond interlocking member 813. The interlockingmembers member 801. Each of the first interlockingmember 811 and second interlockingmember 813 can have a slot, indentation, or similar cut-out. Such cut-outs can overlap and a pin, dowel, threaded or unthreaded rod, screw, or similar connector can be inserted through said cut-outs. Such connector can be secured at one or both ends with a cotter pin, nut, bolt, or similar locking mechanism such that the first interlockingmember 811 and second interlockingmember 813 are held in contact with variable force. The length of the first overlapping member can be adjusted so that the backing member will mimic tissue expanders or implants of various sizes. -
FIG. 9A is a rear view of adevice 900 for use in surgical breast procedures, according to certain embodiments. Thedevice 900 comprises a holdingmember 101 and abacking member 800′. Backingmember 800′ can have a variety of configurations. In one embodiment, backingmember 800′ has a T-shape and can incorporate features, as described with respect toFIG. 8 , but thebacking member 800′ can have a variety of different shapes. - In certain embodiments, the backing
member 800′ can be integrally formed as a part of or permanently connected to the holding member. For example, as shown inFIG. 9A , the backingmember 800′ can be permanently attached to the holdingmember 101 to provide desired rigidity to the holding member. Thebacking member 800 can be attached to the holding member using an adhesive and/or by embedding thebacking member 800 within the holdingmember 101, e.g., by embedding within a polymeric material forming the backing member. -
FIG. 9B is a front view of thedevice 900′ for use in surgical breast procedures, according to certain embodiments, before final assembly. As shown, the backingmember 800′ can be formed of the same material as the holdingmember 101′, or can be formed of another material attached to and extending from the holdingmember 101′. Thebacking member 800′ can then be bent or folded and connected to the surface of the holding member. As with each of the devices described herein, thedevices fasteners 211 for removably attaching a biologic material to the device for implantation of the biologic material. -
FIG. 10 illustrates use of a system for facilitating breast surgery, according to certain embodiments. In particular,FIG. 10 illustrates use of thesystem 900′ ofFIG. 9B . Any system described herein, however, may be similarly used as part of a method for facilitating breast surgery. The method for facilitating breast surgery may first include creating a tissue pocket in a breast. In one embodiment, for example, an incision can be made in the inframammary fold or other desired location near thebreast 1000; the pectorialis muscle can then be released and raised; and atissue pocket 1010 created partially or completely under the pectorialis muscle. Alternatively, thetissue pocket 1010 can be formed for placement of an implant anterior to the pectoralis muscle in a subcutaneous or subglandular pocket. - The method for facilitating breast surgery may further include selecting a system for facilitating the placement of
biocompatible material 102 including a holding member and/or a backing member. As described herein, the holding member and the backing member may be fastened to one another. The holding member and the backing member may be selected so that when the holding member and the backing member are placed in the tissue pocket, they mimic the dimensions of abiological sample 102 and/or a tissue expander or implant. In addition, or alternatively, the holding member may be selected so that itsdistal edge 203 has a shape configured to produce a desired contour of a portion of the breast. In one embodiment, for example, a device operator may select a holding member and a backing member that each include a desired size and shape. Alternatively, or in addition, a device operator may adjust the size and shape of the holding member and/or backing member so that a desired size and shape may be achieved. - Prior to insertion of the holding member and backing member into the
tissue pocket 1010, the method for facilitating breast surgery may include attaching a sample ofbiocompatible material 102 to the holding member. Attachment may include any suitable means described herein or known to those skilled in the art so long as the sample ofbiocompatible material 102 can be detached from the holding member upon placement in the createdtissue pocket 1010. - The sample of
biocompatible material 102 may be attached at any suitable location on the holding member, such that the sample ofbiocompatible material 102 can be placed in a desired position within thetissue pocket 1010. In one embodiment, as illustrated inFIGS. 1 and 2A -C, for example, the method may include attaching the sample ofbiocompatible material 102 with at least onefastener 211 proximate to theproximal edge 201 of the holdingmember 101, such that the sample ofbiocompatible material 102 is held in opposition to thefirst side 205 of holdingmember 101. The at least onefastener 211 may be any suitable fastener described herein or known to those skilled in the art, including, but not limited to a clip, suture, wire, tie, adhesive, paste, or gum. - Once the sample of
biocompatible material 102 is attached to the holding member, the method for facilitating breast surgery can further include inserting the holding member, backing member and sample ofbiocompatible material 102 at any suitable location within the createdtissue pocket 1010. For example, suitable locations within the created tissue pocket may include, but are not limited to a location at or near a desired location for the inframammary fold, medial border of the breast, and/or lateral border of the breast. - Upon placement of the holding member, backing member, and sample of
biocompatible material 102 in a desired location within the created pocket, the sample ofbiocompatible material 102 may be fastened to underlying tissue in the breast. Fastening may be accomplished via any fastening means known to those skilled in the art including, but not limited to, a suture, a staple, and/or an effective quantity of adhesive. Fastening of the sample ofbiocompatible material 102 to the underlying tissue in the breast may occur while the sample ofbiocompatible material 102 is attached to the holding member. In one embodiment, for example, the fasteners may pass through at least oneindentation 209 in thedistal edge 203 of the holdingmember 101. - Once the sample of
biocompatible material 102 is fastened to the underlying tissue in the breast at the desired location, the sample ofbiocompatible material 102 may be detached from the holding member, and the holding member and the backing member may be removed from the createdtissue pocket 1010. -
FIG. 11 is a perspective view of a system comprising a sample ofbiocompatible material 102 and adevice 120 for surgical breast procedures, according to certain embodiments. As shown, thedevice 120 is a unitary structure. That is to say, the device includes a holdingmember 121, which has a shape similar to those described above (see element 101). In the embodiment ofFIG. 11 , however, the device does not include a separate backing member. Rather, thedevice 120 is formed of a material having desired flexibility/rigidity such that a separate backing member is not needed. Thedevice 120 hasindentations 209, which function like those described with reference to holdingmember 101. - In each of the embodiments described above, the backing member and/or holding member are depicted as substantially flat objects. The devices can, however, have a number of suitable three-dimensional shapes. For example,
FIG. 12 is a perspective view of a device for surgical breast procedures, according to certain embodiments. As shown, the device comprises abacking member 130 having a curved or cup-like configuration. The configuration may be selected to mimic an implant site and/or a tissue expander or implant. Further, a holding member may be configured to have a similar shape. In addition, the backing member may be formed of a flexible material, and the holding member can be provided in a range of suitable shapes to produce a desired shape for thebacking member 130 at the time of use. - In addition, the holding members described herein, as well as the biocompatible materials for use therewith, can have any desired shape. For example, the holding member (with or without a backing member of similar or different shape) and/or biocompatible material can be rectangular, square, ovoid, triangular, trapezoidal, or any other shape. Such holding members can include a plurality of indentations along at least one edge to assist in fastening the biocompatible material to tissue.
- Other embodiments will be apparent to those skilled in the art from consideration of the specification and practice of this disclosure. It is intended that the specification and examples be considered as exemplary only, with the true scope and spirit of the disclosed devices and methods being indicated by the following claims.
Claims (2)
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US15/938,810 US20180214262A1 (en) | 2012-10-04 | 2018-03-28 | Surgical Template and Delivery Device |
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201261709692P | 2012-10-04 | 2012-10-04 | |
US13/804,741 US9956072B2 (en) | 2012-10-04 | 2013-03-14 | Surgical template and delivery device |
US15/938,810 US20180214262A1 (en) | 2012-10-04 | 2018-03-28 | Surgical Template and Delivery Device |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US13/804,741 Division US9956072B2 (en) | 2012-10-04 | 2013-03-14 | Surgical template and delivery device |
Publications (1)
Publication Number | Publication Date |
---|---|
US20180214262A1 true US20180214262A1 (en) | 2018-08-02 |
Family
ID=48143349
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US13/804,741 Active 2033-04-10 US9956072B2 (en) | 2012-10-04 | 2013-03-14 | Surgical template and delivery device |
US15/938,810 Abandoned US20180214262A1 (en) | 2012-10-04 | 2018-03-28 | Surgical Template and Delivery Device |
Family Applications Before (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US13/804,741 Active 2033-04-10 US9956072B2 (en) | 2012-10-04 | 2013-03-14 | Surgical template and delivery device |
Country Status (4)
Country | Link |
---|---|
US (2) | US9956072B2 (en) |
EP (1) | EP2903562A1 (en) |
CA (1) | CA2884311C (en) |
WO (1) | WO2014055120A1 (en) |
Cited By (10)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
USD856517S1 (en) | 2016-06-03 | 2019-08-13 | Musculoskeletal Transplant Foundation | Asymmetric tissue graft |
US10595986B2 (en) * | 2014-06-11 | 2020-03-24 | Robert D. Rehnke | Internal long term absorbable matrix brassiere and tissue engineering scaffold |
USD895812S1 (en) | 2018-09-07 | 2020-09-08 | Musculoskeletal Transplant Foundation | Soft tissue repair graft |
US10813743B2 (en) | 2018-09-07 | 2020-10-27 | Musculoskeletal Transplant Foundation | Soft tissue repair grafts and processes for preparing and using same |
US10945831B2 (en) | 2016-06-03 | 2021-03-16 | Musculoskeletal Transplant Foundation | Asymmetric tissue graft |
US20210236264A1 (en) * | 2014-06-11 | 2021-08-05 | Bard Shannon Limited | In vivo tissue engineering devices, methods and regenerative and cellular medicine employing scaffolds made of absorbable material |
US11638640B2 (en) | 2014-06-11 | 2023-05-02 | Bard Shannon Limited | In vivo tissue engineering devices, methods and regenerative and cellular medicine employing scaffolds made of absorbable material |
US11759307B2 (en) | 2020-03-23 | 2023-09-19 | Bard Shannon Limited | In vivo tissue engineering devices, methods and regenerative and cellular medicine employing scaffolds made of absorbable material |
US11759306B2 (en) | 2018-03-12 | 2023-09-19 | Bard Shannon Limited | In vivo tissue engineering devices, methods and regenerative and cellular medicine employing scaffolds made of absorbable material |
US11969337B2 (en) | 2021-04-21 | 2024-04-30 | Bard Shannon Limited | In vivo tissue engineering devices, methods and regenerative and cellular medicine employing scaffolds made of absorbable material |
Families Citing this family (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
AU2016318967B2 (en) | 2015-09-11 | 2021-05-27 | Lifecell Corporation | Perforated tissue matrix |
KR20190045207A (en) * | 2016-08-31 | 2019-05-02 | 라이프셀 코포레이션 | Breast Therapy Device |
AU2017339968A1 (en) | 2016-10-06 | 2019-05-02 | Lifecell Corporation | Tissue matrix with preformed openings or pilot openings |
CN115226393A (en) * | 2021-02-15 | 2022-10-21 | 爱恩斯生物科技(昆山)有限公司 | Acellular skin substitute material for breast reconstruction and preparation method thereof |
WO2023122179A1 (en) * | 2021-12-21 | 2023-06-29 | Duke University | Template devices for placement of implant and methods of use |
Family Cites Families (56)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3446213A (en) * | 1967-03-15 | 1969-05-27 | Cleo W Goldman | Brassiere |
US3902198A (en) | 1974-05-20 | 1975-09-02 | Gore & Ass | Method of replacing a body part with expanded porous polytetrafluoroethylene |
US4298998A (en) | 1980-12-08 | 1981-11-10 | Naficy Sadeque S | Breast prosthesis with biologically absorbable outer container |
AU593267B2 (en) | 1986-07-22 | 1990-02-08 | Paul O'keeffe | Implantable fabric pouch for mammary prothesis |
BR8705600A (en) | 1987-10-15 | 1988-08-02 | Ricardo Alfredo Bustos | BREAST PROSTHESIS |
US4859890A (en) * | 1988-01-07 | 1989-08-22 | Sedgewick Richard D | Flat windings and coil forms |
US4950292A (en) | 1988-04-20 | 1990-08-21 | Dow Corning Corporation | Tissue expanders |
US5356429A (en) | 1991-05-16 | 1994-10-18 | Seare William J Jr | Body pocket maintenance prosthesis |
US5391203A (en) | 1992-04-13 | 1995-02-21 | Scott P. Bartlett | Method of draining and filling soft tissue implant |
FR2709947B1 (en) | 1993-09-13 | 1995-11-10 | Bard Sa Laboratoires | Curved prosthetic mesh and its manufacturing process. |
US5437824A (en) | 1993-12-23 | 1995-08-01 | Moghan Medical Corp. | Method of forming a molded silicone foam implant having open-celled interstices |
US5584884A (en) | 1995-07-27 | 1996-12-17 | Anthony S. Pignataro | Mammary prosthesis and method of surgically implanting same |
US5755791A (en) | 1996-04-05 | 1998-05-26 | Purdue Research Foundation | Perforated submucosal tissue graft constructs |
FR2762207B1 (en) | 1997-04-17 | 1999-07-30 | Ethnor | IMPROVEMENTS ON SUBCUTANEOUS PROSTHESES FOR BREAST PLASTY |
US6638308B2 (en) | 1997-10-10 | 2003-10-28 | John D. Corbitt, Jr. | Bioabsorbable breast implant |
US7637948B2 (en) | 1997-10-10 | 2009-12-29 | Senorx, Inc. | Tissue marking implant |
US6099566A (en) | 1998-09-04 | 2000-08-08 | Pmt Corporation | Prosthetic implant valve cover |
US6740122B1 (en) | 1998-09-11 | 2004-05-25 | C. R. Bard, Inc. | Preformed curved prosthesis that is adapted to the external iliac vessels |
US6723133B1 (en) | 1998-09-11 | 2004-04-20 | C. R. Bard, Inc. | Performed curved prosthesis having a reduced incidence of developing wrinkles or folds |
ES2249928T3 (en) | 1998-11-19 | 2006-04-01 | Organogenesis Inc. | MANIPULATED FABRIC CONSTRUCTS THROUGH BIOINGENIERIA AND METHODS TO PRODUCE AND USE THEM. |
US6203570B1 (en) | 1999-11-24 | 2001-03-20 | John L. Baeke | Breast implant with position lock |
CA2422852C (en) | 2000-09-18 | 2012-06-26 | Organogenesis Inc. | Methods for treating a patient using a bioengineered flat sheet graft prostheses |
US7547322B2 (en) * | 2001-07-19 | 2009-06-16 | The Cleveland Clinic Foundation | Prosthetic valve and method for making same |
CA2464661C (en) | 2001-10-26 | 2011-11-29 | Cook Biotech Incorporated | Medical graft device with meshed structure |
US7011688B2 (en) | 2002-05-10 | 2006-03-14 | C.R. Bard, Inc. | Prosthetic repair fabric |
US6736854B2 (en) | 2002-05-10 | 2004-05-18 | C. R. Bard, Inc. | Prosthetic repair fabric with erosion resistant edge |
IL150151A (en) | 2002-06-11 | 2010-11-30 | Mim Minimally Invasive Mastopexy Ltd | System for breast lifting |
US20040181227A1 (en) * | 2003-03-11 | 2004-09-16 | Farid Khalili | System and method for attaching a bone plate to bone |
WO2004096098A1 (en) | 2003-04-29 | 2004-11-11 | Formhold Medical Investment Holdings | Prothesis for soft tissue support |
ITMI20032448A1 (en) | 2003-12-12 | 2005-06-13 | Angiologica B M S R L | REINFORCEMENT PARIETAL PROSTHESIS AND METHOD OF REALIZING THE SAME. |
DK1734814T3 (en) | 2004-03-17 | 2015-04-07 | Revivicor Inc | Tissue DERIVED FROM ANIMALS IS MISSING ANY EXPRESSION OF FUNCTIONAL ALPHA-1,3 galactosyltransferase |
US7351197B2 (en) | 2004-05-07 | 2008-04-01 | Ams Research Corporation | Method and apparatus for cystocele repair |
US7476249B2 (en) | 2004-08-06 | 2009-01-13 | Frank Robert E | Implantable prosthesis for positioning and supporting a breast implant |
US8007531B2 (en) | 2004-08-06 | 2011-08-30 | Frank Robert E | Implantable prosthesis for positioning and supporting a breast implant |
US7641688B2 (en) | 2004-09-16 | 2010-01-05 | Evera Medical, Inc. | Tissue augmentation device |
WO2006115892A2 (en) | 2005-04-28 | 2006-11-02 | Massachusetts Institute Of Technology | Tissue scaffolding comprising surface folds for tissue engeneering |
WO2006135998A2 (en) | 2005-06-24 | 2006-12-28 | Wagenfuhr Jr J | Implantable prosthesis with double convexity |
WO2007004214A2 (en) | 2005-07-04 | 2007-01-11 | Sergey Popov | Implant assembly |
US20070038299A1 (en) | 2005-08-12 | 2007-02-15 | Arthrotek, Inc | Multilayer microperforated implant |
US20070116678A1 (en) | 2005-11-23 | 2007-05-24 | Hsing-Wen Sung | Medical device with living cell sheet |
US20080260853A1 (en) | 2006-02-22 | 2008-10-23 | Firestone Leigh H | Extracellular matrix as surgical adjunct in a lumpectomy procedure |
EP1878406A1 (en) * | 2006-07-11 | 2008-01-16 | Cameron J. Fordyce | System and method to implant a breast implant in a liner |
US8480557B2 (en) | 2006-07-27 | 2013-07-09 | Refine, Llc | Nonaugmentive mastopexy |
BRPI0714877A2 (en) | 2006-07-31 | 2013-07-02 | Organogenesis Inc | mastopexy and breast reconstruction prostheses |
CA2665209C (en) | 2006-10-03 | 2016-01-05 | Alure Medical, Inc. | Minimally invasive tissue support |
AU2008204786A1 (en) | 2007-01-10 | 2008-07-17 | Cook Biotech Incorporated | Implantable devices useful for reinforcing a surgically created stoma |
US20080281418A1 (en) | 2007-05-09 | 2008-11-13 | Leigh Hunt Firestone | Breast implant articles of multi-layered sheets of extracellular matrix or balled strips and pieces of extracellular matrix |
US20080281419A1 (en) | 2007-05-10 | 2008-11-13 | Matheny Robert G | Breast implants and compositions of extracellular matrix |
TW200916069A (en) | 2007-06-24 | 2009-04-16 | Gary Pierre Lauryssen | Human mammary prosthetic support |
WO2009039373A1 (en) * | 2007-09-19 | 2009-03-26 | Ethicon, Inc. | Naturally contoured, preformed, three dimensional mesh device for breast implant support |
US8425600B2 (en) * | 2007-11-14 | 2013-04-23 | G. Patrick Maxwell | Interfaced medical implant assembly |
US8986377B2 (en) * | 2009-07-21 | 2015-03-24 | Lifecell Corporation | Graft materials for surgical breast procedures |
US20120010706A1 (en) | 2010-07-06 | 2012-01-12 | Allergan, Inc. | Non-rotating implant assembly and backing plate therefor |
US8430131B2 (en) * | 2011-02-24 | 2013-04-30 | Fisher Controls International Llc | Noise control via outlet jet frequency dispersal |
PL3199126T3 (en) * | 2011-03-09 | 2020-05-18 | Tepha, Inc. | Systems for mastopexy |
US9114003B2 (en) | 2012-09-19 | 2015-08-25 | R & D Concepts, LLC | Surgical methods for breast implants |
-
2013
- 2013-03-14 CA CA2884311A patent/CA2884311C/en active Active
- 2013-03-14 US US13/804,741 patent/US9956072B2/en active Active
- 2013-03-14 EP EP13717888.5A patent/EP2903562A1/en not_active Withdrawn
- 2013-03-14 WO PCT/US2013/031324 patent/WO2014055120A1/en active Application Filing
-
2018
- 2018-03-28 US US15/938,810 patent/US20180214262A1/en not_active Abandoned
Cited By (18)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US11638640B2 (en) | 2014-06-11 | 2023-05-02 | Bard Shannon Limited | In vivo tissue engineering devices, methods and regenerative and cellular medicine employing scaffolds made of absorbable material |
US10595986B2 (en) * | 2014-06-11 | 2020-03-24 | Robert D. Rehnke | Internal long term absorbable matrix brassiere and tissue engineering scaffold |
US11883275B2 (en) * | 2014-06-11 | 2024-01-30 | Bard Shannon Limited | In vivo tissue engineering devices, methods and regenerative and cellular medicine employing scaffolds made of absorbable material |
US20210236264A1 (en) * | 2014-06-11 | 2021-08-05 | Bard Shannon Limited | In vivo tissue engineering devices, methods and regenerative and cellular medicine employing scaffolds made of absorbable material |
USD856517S1 (en) | 2016-06-03 | 2019-08-13 | Musculoskeletal Transplant Foundation | Asymmetric tissue graft |
US10945831B2 (en) | 2016-06-03 | 2021-03-16 | Musculoskeletal Transplant Foundation | Asymmetric tissue graft |
US11844683B2 (en) | 2018-03-12 | 2023-12-19 | Bard Shannon Limited | In vivo tissue engineering devices, methods and regenerative and cellular medicine employing scaffolds made of absorbable material |
US11759306B2 (en) | 2018-03-12 | 2023-09-19 | Bard Shannon Limited | In vivo tissue engineering devices, methods and regenerative and cellular medicine employing scaffolds made of absorbable material |
US11844682B2 (en) | 2018-03-12 | 2023-12-19 | Bard Shannon Limited | In vivo tissue engineering devices, methods and regenerative and cellular medicine employing scaffolds made of absorbable material |
US11883276B2 (en) | 2018-03-12 | 2024-01-30 | Bard Shannon Limited | In vivo tissue engineering devices, methods and regenerative and cellular medicine employing scaffolds made of absorbable material |
US11642216B2 (en) | 2018-09-07 | 2023-05-09 | Musculoskeletal Transplant Foundation | Soft tissue repair grafts and processes for preparing and using same |
US10813743B2 (en) | 2018-09-07 | 2020-10-27 | Musculoskeletal Transplant Foundation | Soft tissue repair grafts and processes for preparing and using same |
USD895812S1 (en) | 2018-09-07 | 2020-09-08 | Musculoskeletal Transplant Foundation | Soft tissue repair graft |
US11759307B2 (en) | 2020-03-23 | 2023-09-19 | Bard Shannon Limited | In vivo tissue engineering devices, methods and regenerative and cellular medicine employing scaffolds made of absorbable material |
US11844684B2 (en) | 2020-03-23 | 2023-12-19 | Bard Shannon Limited | In vivo tissue engineering devices, methods and regenerative and cellular medicine employing scaffolds made of absorbable material |
US11844686B2 (en) | 2020-03-23 | 2023-12-19 | Bard Shannon Limited | In vivo tissue engineering devices, methods and regenerative and cellular medicine employing scaffolds made of absorbable material |
US11844685B2 (en) | 2020-03-23 | 2023-12-19 | Bard Shannon Limited | In vivo tissue engineering devices, methods and regenerative and cellular medicine employing scaffolds made of absorbable material |
US11969337B2 (en) | 2021-04-21 | 2024-04-30 | Bard Shannon Limited | In vivo tissue engineering devices, methods and regenerative and cellular medicine employing scaffolds made of absorbable material |
Also Published As
Publication number | Publication date |
---|---|
CA2884311A1 (en) | 2014-04-10 |
US9956072B2 (en) | 2018-05-01 |
US20140100655A1 (en) | 2014-04-10 |
EP2903562A1 (en) | 2015-08-12 |
CA2884311C (en) | 2021-02-16 |
WO2014055120A1 (en) | 2014-04-10 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
US20180214262A1 (en) | Surgical Template and Delivery Device | |
EP1372525B1 (en) | Pocketed hernia repair | |
CN106572909B (en) | Ring body ring with suture folder | |
CA2882842C (en) | Surgical staple insertion device | |
KR20190045207A (en) | Breast Therapy Device | |
ES2317907T3 (en) | DEVICE FOR THE APPROXIMATION OF FABRICS. | |
AU2010245983B2 (en) | Surgical patch cover and method of use | |
EP2190382B1 (en) | Naturally contoured, preformed, three dimensional mesh device for breast implant support | |
US20210022849A1 (en) | Breast treatment device | |
KR20180051569A (en) | Perforated tissue matrix | |
US20170312084A1 (en) | Implant Device(s) Including Tapered Protrusions and Method(s) for Inserting the Same into Bone | |
EP3226806B1 (en) | Prosthesis for repairing a hernia defect | |
JP2020521592A (en) | Acromion clavicle hook plate | |
US20140303729A1 (en) | Interference wedge for securing an anterior cruciate ligament graft in a bone tunnel | |
US11963859B2 (en) | Repositionable surgical anchors | |
US10842603B1 (en) | Sutureless ventral hernia meshing system and method of fixation | |
EP3541304B1 (en) | Tissue repair device | |
CN105188600A (en) | Single plane tissue repair patch | |
WO2008012839A1 (en) | Kit for performing subcommissuroplasty during aortic valve reconstruction |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
STPP | Information on status: patent application and granting procedure in general |
Free format text: DOCKETED NEW CASE - READY FOR EXAMINATION |
|
AS | Assignment |
Owner name: LIFECELL CORPORATION, NEW JERSEY Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNORS:DIAZ, MICHAEL;BARERE, AARON M.;FRIEDMAN, EVAN J.;AND OTHERS;SIGNING DATES FROM 20121218 TO 20130221;REEL/FRAME:046828/0891 |
|
STPP | Information on status: patent application and granting procedure in general |
Free format text: NON FINAL ACTION MAILED |
|
STPP | Information on status: patent application and granting procedure in general |
Free format text: RESPONSE TO NON-FINAL OFFICE ACTION ENTERED AND FORWARDED TO EXAMINER |
|
STPP | Information on status: patent application and granting procedure in general |
Free format text: NON FINAL ACTION MAILED |
|
STPP | Information on status: patent application and granting procedure in general |
Free format text: RESPONSE TO NON-FINAL OFFICE ACTION ENTERED AND FORWARDED TO EXAMINER |
|
STPP | Information on status: patent application and granting procedure in general |
Free format text: FINAL REJECTION MAILED |
|
STPP | Information on status: patent application and granting procedure in general |
Free format text: DOCKETED NEW CASE - READY FOR EXAMINATION |
|
STPP | Information on status: patent application and granting procedure in general |
Free format text: FINAL REJECTION MAILED |
|
STPP | Information on status: patent application and granting procedure in general |
Free format text: ADVISORY ACTION MAILED |
|
STCB | Information on status: application discontinuation |
Free format text: ABANDONED -- FAILURE TO RESPOND TO AN OFFICE ACTION |