FR2864443A1 - Surgical textile implant for treating e.g. hernia, has zones marked with hackings to distinguish anatomical parts of human organism from prohibited zones, and centering mark marked on organism by crosses using biocompatible ink - Google Patents

Surgical textile implant for treating e.g. hernia, has zones marked with hackings to distinguish anatomical parts of human organism from prohibited zones, and centering mark marked on organism by crosses using biocompatible ink Download PDF

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Publication number
FR2864443A1
FR2864443A1 FR0315413A FR0315413A FR2864443A1 FR 2864443 A1 FR2864443 A1 FR 2864443A1 FR 0315413 A FR0315413 A FR 0315413A FR 0315413 A FR0315413 A FR 0315413A FR 2864443 A1 FR2864443 A1 FR 2864443A1
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France
Prior art keywords
zones
implant
marked
organism
biocompatible
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Granted
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FR0315413A
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French (fr)
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FR2864443B1 (en
Inventor
Frederic Martin
Jean Frismand
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Cousin Biotech SAS
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Cousin Biotech SAS
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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/0063—Implantable repair or support meshes, e.g. hernia meshes
    • 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
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3937—Visible markers

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  • Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)

Abstract

The implant has zones (3) marked with hackings to distinguish anatomical parts of a human organism bearing the suture from prohibited zones (4) marked with dotted lines, particularly vascular or nervous zones. A centering mark is marked on the organism by small crosses using a biocompatible ink. The mark has discontinuous branches projected up to the ends of the implant.

Description

La présente invention se rapporte au domaine technique des implantsThe present invention relates to the technical field of implants

chirurgicaux textiles, préformés ou non préformés, avec ou sans mémoire de forme, utilisés en particulier pour le traitement des hernies et éventrations.  textile surgical, preformed or non-preformed, with or without shape memory, used in particular for treating hernias and eventrations.

Jusqu'à présent les implants chirurgicaux textiles sont fixés soit par agrafage, par adhésif, ou par suture sur les tissus sains de la zone traitée de l'organisme, à l'aide d'instruments spécifiques. Ces implants ne sont parfois pas fixés du tout.  Until now textile surgical implants have been fixed either by stapling, adhesive, or suturing on healthy tissues of the treated area of the body, using specific instruments. These implants are sometimes not fixed at all.

Des implants de ce type sont connus et décrits dans FR 2 735 10 353 et FR 2 737 106.  Implants of this type are known and described in FR 2 735 10 353 and FR 2 737 106.

Il existe un implant chirurgical de réfection de hernie, décrit dans le Gebrauchsmusterschrift DE 200 17 474 U1, permettant la localisation de l'implant mais uniquement par radiographie, grâce à un marquage radioopaque.  There is a surgical implant for hernia repair, described in the Gebrauchsmusterschrift DE 200 17 474 U1, allowing the location of the implant but only by radiography, thanks to a radiopaque marking.

Le tracé radio-opaque n'a pas pour fonction de marquer les points de fixation ou le marquage des zones anatomiques du corps humains, mais de visualiser la position et le rétrécissement éventuel de l'implant dans le temps.  The radiopaque plot does not have the function of marking the fixation points or the marking of the anatomical zones of the human body, but of visualizing the position and the possible narrowing of the implant over time.

Il existe des implants avec des repères réalisés par couture avec un fil de couleur, mais ce fil peut être source de zone d'adhérence, donc de complication, et certains textiles ne peuvent pas être cousus sous peine de les fragiliser.  There are implants with marks made by sewing with a colored thread, but this thread can be a source of adhesion zone, therefore of complication, and some textiles can not be sewn under penalty of weakening them.

L'inconvénient de certains implants textiles chirurgicaux est leur opacité, qui empêche, de visualiser les structures anatomiques sousjacentes lors du placement dans l'organisme, et aussi, de situer exactement les points de fixation possibles en dehors des zones sensibles.  The disadvantage of some surgical textile implants is their opacity, which prevents visualization of underlying anatomical structures during placement in the body, and also to locate exactly the possible fixation points outside sensitive areas.

Le risque de léser un ligament ou un nerf, un cordon spermatique ou un vaisseau est donc élevé lors de 30 l'intervention chirurgicale.  The risk of injury to a ligament or nerve, spermatic cord or vessel is therefore high during the surgical procedure.

La solution technique apportée consiste en un implant chirurgical en matière textile biocompatible, sur lequel sont matérialisées les zones anatomiques sous-jacentes de la région de l'organisme implanté, ainsi que des repères de positionnement et de découpe de l'implant.  The technical solution provided consists of a surgical implant made of biocompatible textile material, on which the anatomical zones underlying the region of the implanted organism are materialized, as well as positioning and cutting markers of the implant.

Cette signalétique matérialisée schématiquement sur ce type d'implant permet à la fois de le positionner en concordance avec l'anatomie de l'organisme, et également de localiser les éléments vitaux ou sensibles sur lesquels la fixation par suture ou agrafage serait facteur d'accident opératoire et de complication post-opératoire.  This sign materialized schematically on this type of implant allows both to position it in accordance with the anatomy of the body, and also to locate the vital or sensitive elements on which fixation by suture or stapling would be an accident factor operative and postoperative complication.

Les surfaces matérialisées correspondent au repérage des zones de fixation de l'implant, par suture, agrafage ou collage.  The materialized surfaces correspond to the identification of the fixation zones of the implant, by suture, stapling or gluing.

Elle permet de plus une parfaite implantation avec une adaptation maximum aux zones à traiter.  It also allows a perfect implementation with maximum adaptation to the areas to be treated.

Selon l'invention, l'implant chirurgical en textile biocompatible permet d'assister le chirurgien lors du positionnement et de la fixation de l'implant sur les tissus humains, en évitant les zones dangereuses de l'organisme, en particulier vasculaires ou nerveuses. Cet implant est caractérisé en ce qu'il présente des zones ou des repères matérialisés par marquage à l'encre biocompatible.  According to the invention, the biocompatible textile surgical implant makes it possible to assist the surgeon during the positioning and fixation of the implant on human tissues, avoiding the dangerous zones of the body, in particular vascular or nervous. This implant is characterized in that it has zones or marks materialized by biocompatible ink marking.

L'invention à pour objet un implant comprenant une matérialisation schématique des zones anatomiques sous-jacentes de la partie de l'organisme implantée, délimitées par des tracés à l'encre, continus ou discontinus, et des zones hachurées ou pointillées, ainsi que les zones autorisées à la fixation dans les tissus adjacents.  The subject of the invention is an implant comprising a schematic materialization of the underlying anatomical zones of the portion of the implanted organism, delimited by continuous or discontinuous ink lines, and hatched or dotted zones, as well as the areas allowed for fixation in adjacent tissues.

Elle permet l'assistance et le guidage du chirurgien lors de l'opération.  It allows assistance and guidance of the surgeon during the operation.

Cet implant comprend également des repères de placement dans l'organisme ainsi que des repères de découpe.  This implant also includes placement marks in the body as well as cutting marks.

L'ensemble des zones et repères matérialisés par marquage biocompatible est réalisé sur au moins une des faces de l'implant.  All the zones and marks materialized by biocompatible marking is performed on at least one of the faces of the implant.

Des points de fixation et des lignes de découpe peuvent être 5 matérialisées sur l'implant.  Fixing points and cutting lines may be materialized on the implant.

La matérialisation des zones anatomiques est effectuée sur au moins une des faces de l'implant, au moyen d'encre biocompatible.  The materialization of the anatomical areas is performed on at least one of the faces of the implant, using biocompatible ink.

D'autres caractéristiques et avantages de l'invention apparaîtront encore dans la description suivante des dessins annexés.  Other features and advantages of the invention will become apparent in the following description of the accompanying drawings.

La figure 1 représente une vue de dessus d'un implant chirurgical textile marqué, spécialement destiné aux cures de hernie.  Figure 1 shows a top view of a marked textile surgical implant, especially for hernia cures.

La figure 2 représente une vue de dessus d'un implant chirurgical textile marqué comportant des repères de placement pour assister l'intervention du chirurgien.  Figure 2 is a top view of a marked textile surgical implant with placement marks to assist the surgeon's intervention.

La figure 3 représente une vue de dessus d'un implant chirurgical textile marqué comportant des repères pour la 20 découpe de la plaque.  Fig. 3 is a top view of a labeled textile surgical implant having markings for cutting the plate.

La figure 4 représente une vue de dessus d'un implant chirurgical textile marqué intégrant des repères localisant les zones autorisées à la fixation dans les tissus de l'organisme.  FIG. 4 represents a view from above of a marked textile surgical implant incorporating markers locating the zones authorized for fixation in the tissues of the body.

D'autres caractéristiques et avantages de la présente invention apparaîtront au cours de la description qui va suivre d'un mode particulier de réalisation, donné uniquement à titre d'exemple non limitatif.  Other features and advantages of the present invention will become apparent from the following description of a particular embodiment, given solely by way of non-limiting example.

Les implants chirurgicaux textiles marqués peuvent être réalisés, en atmosphère contrôlée, à l'aide de tampons tenus manuellement ou avec des machines dites de tampographie, qui utilisent des clichés et de l'encre biocompatible.  The marked textile surgical implants can be made, in a controlled atmosphere, using buffers held manually or with so-called pad printing machines, which use clichés and biocompatible ink.

L'implant chirurgical textile ainsi obtenu est ensuite stérilisé.  The textile surgical implant thus obtained is then sterilized.

Dans un premier mode de réalisation, donné à titre indicatif, l'implant chirurgical en textile biocompatible (1) présente un marquage à l'encre biocompatible de délimitation (2) des différentes zones de l'implant. Les zones marquées de hachures (3) distinguent les parties anatomiques de l'organisme tolérant la suture, des zones prohibées (4), marquées de pointillés.  In a first embodiment, given as an indication, the surgical biocompatible textile implant (1) has a biocompatible ink marking delimitation (2) of the different areas of the implant. Areas marked with hatching (3) distinguish the anatomical parts of the suture-tolerant organism, prohibited areas (4) marked with dotted lines.

Dans un second mode de réalisation, l'implant textile présente en son milieu un repère de centrage (5), représenté par une croix dont les branches discontinues (6a, 6b) se projettent jusqu'aux extrémités de l'implant.  In a second embodiment, the textile implant has in its center a centering mark (5), represented by a cross whose discontinuous branches (6a, 6b) project to the ends of the implant.

Des repères de découpe sont représentés grâce à une impression continue (8) ou discontinue (9) sur l'implant textile (1) à l'encre biocompatible.  Cutting marks are represented by continuous printing (8) or discontinuous printing (9) on the textile implant (1) in biocompatible ink.

Dans une variante de conception, des repères de fixation de l'implant (1) sont marqués par de petites croix (9).  In a variant of the design, implant fixation marks (1) are marked by small crosses (9).

Claims (6)

REVENDICATIONS 1) Implant chirurgical en textile biocompatible (1), permettant d'assister le positionnement et la fixation de l'implant, caractérisé en ce que, les zones favorables à la fixation (3) et les zones dangereuses (4), en particulier vasculaires ou nerveuses (3, 4), les repères (5) d'un organisme humain, sont matérialisés par marquage à l'encre biocompatible.  1) Biocompatible textile surgical implant (1), for assisting the positioning and fixation of the implant, characterized in that the zones favorable for fixation (3) and the dangerous zones (4), in particular vascular zones or nerve (3, 4), the markers (5) of a human body, are materialized by biocompatible ink marking. 2) Implant selon la revendication 1, caractérisé en ce qu'il présente une matérialisation schématique des zones anatomiques sous-jacentes de la partie de l'organisme humain implantée, délimitées par des tracés à l'encre, continus ou discontinus (2), et des zones hachurées (3) ou pointillées (4).  2) Implant according to claim 1, characterized in that it has a schematic materialization of the anatomical areas underlying the portion of the implanted human organism, delimited by ink lines, continuous or discontinuous (2), and hatched (3) or dotted (4) areas. 3) Implant selon la revendication 1, caractérisé en ce qu'il comprend des repères de centrage (5) pour le positionnement, et des prolongements discontinus (6a, 6b) projetés jusqu'aux extrémités de l'implant  3) Implant according to claim 1, characterized in that it comprises centering marks (5) for positioning, and discontinuous extensions (6a, 6b) projected to the ends of the implant 4) Implant selon l'une quelconque des revendications précédentes, caractérisé en ce que les zones matérialisées par marquage biocompatible sont réalisées sur au moins une de ses faces.4) Implant according to any one of the preceding claims, characterized in that the areas marked by biocompatible marking are formed on at least one of its faces. 5) Implant selon l'une quelconque des revendications précédentes, caractérisé en ce que des croix ( 9) localisent les points de fixation.  5) Implant according to any one of the preceding claims, characterized in that crosses (9) locate the attachment points. 6) Implant selon l'une quelconque des revendications précédentes, caractérisé en ce que des lignes, continues ( 8) ou discontinues ( 7), matérialisent les tracés de découpe de l'implant.  6) Implant according to any one of the preceding claims, characterized in that lines, continuous (8) or discontinuous (7), materialize the cutting lines of the implant.
FR0315413A 2003-12-24 2003-12-24 SURGICAL IMPLANT TEXTILE BRAND Expired - Fee Related FR2864443B1 (en)

Priority Applications (1)

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FR0315413A FR2864443B1 (en) 2003-12-24 2003-12-24 SURGICAL IMPLANT TEXTILE BRAND

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FR0315413A FR2864443B1 (en) 2003-12-24 2003-12-24 SURGICAL IMPLANT TEXTILE BRAND

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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2007050382A1 (en) * 2005-10-25 2007-05-03 Ethicon, Inc. Template for surgical meshes
WO2013098348A1 (en) * 2011-12-29 2013-07-04 Sofradim Production Hernia prosthesis with marking means
WO2013140259A1 (en) * 2012-03-22 2013-09-26 Sofradim Production Guide for selecting and positioning a prosthesis
US8821585B2 (en) 2010-06-14 2014-09-02 Ethicon, Inc. Composite anisotropic tissue reinforcing implants having alignment markers and methods of manufacturing same

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2735353A1 (en) 1995-06-16 1996-12-20 Cousin Biotech Flexible sheet for surgical treatment of hernia(s)
FR2737106A1 (en) 1995-07-27 1997-01-31 Cousin Biotech Fibrillar sheet of biocompatible polymer opt. impregnated with medical elastomer of plastomer, with one rough surface - and use for reconstitution in surgery, esp,close to brain or spinal marrow, avoiding risk of infection in using tissue from cadaver
DE19636961A1 (en) * 1996-09-11 1998-03-12 Guenter Dr Schaller Instrument for folding tissue sheet
DE20017474U1 (en) 2000-09-15 2001-02-15 Medimex Gmbh & Co Kg Plastic nets for hernia operations with a substance that can be detected by X-rays and / or computer tomography
US20020133236A1 (en) * 2001-03-19 2002-09-19 Ethicon, Inc. Pocketed hernia repair
WO2003037215A2 (en) * 2001-10-29 2003-05-08 Ethicon Gmbh Areal implant
US6610006B1 (en) * 2000-07-25 2003-08-26 C. R. Bard, Inc. Implantable prosthesis

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2735353A1 (en) 1995-06-16 1996-12-20 Cousin Biotech Flexible sheet for surgical treatment of hernia(s)
FR2737106A1 (en) 1995-07-27 1997-01-31 Cousin Biotech Fibrillar sheet of biocompatible polymer opt. impregnated with medical elastomer of plastomer, with one rough surface - and use for reconstitution in surgery, esp,close to brain or spinal marrow, avoiding risk of infection in using tissue from cadaver
DE19636961A1 (en) * 1996-09-11 1998-03-12 Guenter Dr Schaller Instrument for folding tissue sheet
US6610006B1 (en) * 2000-07-25 2003-08-26 C. R. Bard, Inc. Implantable prosthesis
DE20017474U1 (en) 2000-09-15 2001-02-15 Medimex Gmbh & Co Kg Plastic nets for hernia operations with a substance that can be detected by X-rays and / or computer tomography
US20020133236A1 (en) * 2001-03-19 2002-09-19 Ethicon, Inc. Pocketed hernia repair
WO2003037215A2 (en) * 2001-10-29 2003-05-08 Ethicon Gmbh Areal implant

Cited By (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8506582B2 (en) 2005-10-25 2013-08-13 Ethicon, Inc. Template for surgical meshes
WO2007050382A1 (en) * 2005-10-25 2007-05-03 Ethicon, Inc. Template for surgical meshes
US8821585B2 (en) 2010-06-14 2014-09-02 Ethicon, Inc. Composite anisotropic tissue reinforcing implants having alignment markers and methods of manufacturing same
FR2985171A1 (en) * 2011-12-29 2013-07-05 Sofradim Production PROSTHETIC FOR HERNIA WITH MEDIUM MARKING
WO2013098348A1 (en) * 2011-12-29 2013-07-04 Sofradim Production Hernia prosthesis with marking means
AU2012360856B2 (en) * 2011-12-29 2017-02-23 Sofradim Production Hernia prosthesis with marking means
US9974641B2 (en) 2011-12-29 2018-05-22 Sofradim Production Hernia prosthesis with marking means
US10820979B2 (en) 2011-12-29 2020-11-03 Sofradim Production Hernia prosthesis with marking means
US11696820B2 (en) 2011-12-29 2023-07-11 Sofradim Production Hernia prosthesis with marking means
WO2013140259A1 (en) * 2012-03-22 2013-09-26 Sofradim Production Guide for selecting and positioning a prosthesis
FR2988289A1 (en) * 2012-03-22 2013-09-27 Sofradim Production GUIDE FOR FIXING A PROSTHESIS
US10076397B2 (en) 2012-03-22 2018-09-18 Sofradim Production Guide for selecting and positioning a prosthesis
US10945823B2 (en) 2012-03-22 2021-03-16 Sofradim Production Guide for selecting and positioning a prosthesis

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