JP2014111052A - 多層多孔質フィルム材料 - Google Patents
多層多孔質フィルム材料 Download PDFInfo
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B17/07292—Reinforcements for staple line, e.g. pledgets
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/0063—Implantable repair or support meshes, e.g. hernia meshes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B17/07207—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B17/115—Staplers for performing anastomosis in a single operation
- A61B17/1155—Circular staplers comprising a plurality of staples
-
- 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
- A61F2002/0072—Delivery tools therefor
-
- 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
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Veterinary Medicine (AREA)
- Animal Behavior & Ethology (AREA)
- Surgery (AREA)
- Vascular Medicine (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Prostheses (AREA)
- Materials For Medical Uses (AREA)
- Surgical Instruments (AREA)
Abstract
【解決手段】外科的インプラント10が提供され、該外科的インプラントは:複数の孔を含む第一の多孔質フィルム層12a;および複数の孔を含む第二の多孔質フィルム層12bを含み、該第一の多孔質フィルム層および該第二の多孔質フィルム層は、積み重ねられた構成であり、互いに複数の取り付け点16において相互接続されることによって、少なくとも一つの空隙を該第一の多孔質フィルム層と該第二の多孔質フィルム層との間に画定する。
【選択図】図1
Description
(項目1)外科的インプラントであって、当該外科的インプラントは:
複数の孔を含む第一の多孔質フィルム層;および
複数の孔を含む第二の多孔質フィルム層
を含み、
当該第一の多孔質フィルム層および当該第二の多孔質フィルム層は、積み重ねられた構成であり、互いに複数の取り付け点において相互接続されることによって、少なくとも一つの空隙を当該第一の多孔質フィルム層と当該第二の多孔質フィルム層との間に画定する、外科的インプラント。
(項目2)上記第一の多孔質フィルム層および上記第二の多孔質フィルム層の各々は、生体分解性材料および非生体分解性材料のうちの少なくとも一つから製作される、上記項目のいずれかに記載の外科的インプラント。
(項目3)上記第一の多孔質フィルム層および上記第二の多孔質フィルム層は、実質的に平面状である、上記項目のいずれかに記載の外科的インプラント。
(項目4)上記複数の取り付け点は、実質的に均等なスペースを置かれて上記第一の多孔質フィルム層および上記第二の多孔質フィルム層の周りに配される、上記項目のいずれかに記載の外科的インプラント。
(項目5)上記外科的インプラントはさらに、上記第一の多孔質フィルム層の開口部、上記第二の多孔質フィルム層の開口部、および当該第一の多孔質フィルム層と当該第二の多孔質フィルム層との間の上記空隙のうちの少なくとも一つの内に配置されたフィラー材料を含む、上記項目のいずれかに記載の外科的インプラント。
(項目6)上記フィラー材料は、薬品を含む、上記項目のいずれかに記載の外科的インプラント。
(項目7)上記フィラー材料は、ヒドロゲルである、上記項目のいずれかに記載の外科的インプラント。
(項目8)上記第一の多孔質フィルム層は、第一の厚さを有し、上記第二の多孔質フィルム層は、当該第一の厚さとは異なる第二の厚さを有する、上記項目のいずれかに記載の外科的インプラント。
(項目9)上記第一の多孔質フィルム層は、第一の弾性係数を有し、上記第二の多孔質フィルム層は、当該第一の弾性係数とは異なる第二の弾性係数を有する、上記項目のいずれかに記載の外科的インプラント。
(項目10)上記第一の多孔質フィルム層は、第一の多孔度を有し、上記第二の多孔質フィルム層は、当該第一の多孔度とは異なる第二の多孔度を有する、上記項目のいずれかに記載の外科的インプラント。
(項目11)上記第一の多孔質フィルム層は、第一の方向に一軸配向され、上記第二の多孔質フィルム層は、当該第一の方向とは異なる第二の方向に一軸配向される、上記項目のいずれかに記載の外科的インプラント。
(項目12)上記外科的インプラントは、上記第一の多孔質フィルム層および上記第二の多孔質フィルム層のうちの少なくとも一つの外側表面に適用される接着バリア層をさらに含む、上記項目のいずれかに記載の外科的インプラント。
(項目13)上記外科的インプラントは、上記第一の多孔質フィルム層および上記第二の多孔質フィルム層のうちの少なくとも一つの外側表面に適用される接着性層をさらに含む、上記項目のいずれかに記載の外科的インプラント。
(項目14)上記外科的インプラントは、複数の孔を含む第三の多孔質フィルム層をさらに含み、当該第三の多孔質フィルム層は、上記第一の多孔質フィルム層と上記第二の多孔質フィルム層との間に入れ込まれ、少なくとも一つの取り付け点により当該第一の多孔質フィルム層および当該第二の多孔質フィルム層のうちの少なくとも一つと相互接続される、上記項目のいずれかに記載の外科的インプラント。
(項目15)外科的インプラントであって、当該外科的インプラントは、複数の多孔質基材を層状にされた構成で含み、当該多孔質基材は、スペースを置かれた複数の取り付け点により相互接続されることによって、当該多孔質基材の連続する層の間に空隙を画定する、外科的インプラント
(項目16)各多孔質基材が、全体的にフィルムから形成される、上記項目のいずれかに記載の外科的インプラント。
(項目17)上記外科的インプラントは、外科的バットレスである、上記項目のいずれかに記載の外科的インプラント。
(項目18)上記外科的インプラントは、ヘルニア修復デバイスである、上記項目のいずれかに記載の外科的インプラント。
(項目19)上記外科的インプラントは、スキャフォールドである、上記項目のいずれかに記載の外科的インプラント。
(項目20)上記外科的インプラントは、組織密閉パッチである、上記項目のいずれかに記載の外科的インプラント。
(摘要)
外科的インプラントが、少なくとも二つの多孔質フィルム層を含み、それらの多孔質フィルム層の各々は、複数の孔を有する。多孔質フィルム層は、積み重ねられた構成であり、複数の取り付け点において互いに相互接続されることによって、多孔質フィルム層の間に少なくとも一つの空隙を画定する。
本開示は、様々な外科的適用における使用のための、取り付け点において繋がれた少なくとも二つの多孔質フィルム層を含む多層状にされたインプラントに向けられている。フィルムの多孔質特質と、インプラントの多層状にされた構造とは、流体の輸送および充填、組織内方成長、ならびに(薬品もしくは生物学的因子のような)フィラー材料の装填のための空間を提供する。
12a 第一の多孔質フィルム層
12b 第二の多孔質フィルム層
16 取り付け点
18 空隙
100 外科的ステープリング装置
110 外科的バットレス
120 ハンドルアセンブリ
130 ステープルカートリッジアセンブリ
140 アンビルアセンブリ
Claims (20)
- 外科的インプラントであって、該外科的インプラントは:
複数の孔を含む第一の多孔質フィルム層;および
複数の孔を含む第二の多孔質フィルム層
を含み、
該第一の多孔質フィルム層および該第二の多孔質フィルム層は、積み重ねられた構成であり、互いに複数の取り付け点において相互接続されることによって、少なくとも一つの空隙を該第一の多孔質フィルム層と該第二の多孔質フィルム層との間に画定する、外科的インプラント。 - 前記第一の多孔質フィルム層および前記第二の多孔質フィルム層の各々は、生体分解性材料および非分解性材料のうちの少なくとも一つから製作される、請求項1に記載の外科的インプラント。
- 前記第一の多孔質フィルム層および前記第二の多孔質フィルム層は、実質的に平面状である、請求項1に記載の外科的インプラント。
- 前記複数の取り付け点は、実質的に均等なスペースを置かれて前記第一の多孔質フィルム層および前記第二の多孔質フィルム層の周りに配される、請求項1に記載の外科的インプラント。
- 前記外科的インプラントは、前記第一の多孔質フィルム層の開口部、前記第二の多孔質フィルム層の開口部、および該第一の多孔質フィルム層と該第二の多孔質フィルム層との間の前記空隙のうちの少なくとも一つの内に配置されたフィラー材料をさらに含む、請求項1に記載の外科的インプラント。
- 前記フィラー材料は、薬品を含む、請求項5に記載の外科的インプラント。
- 前記フィラー材料は、ヒドロゲルである、請求項5に記載の外科的インプラント。
- 前記第一の多孔質フィルム層は、第一の厚さを有し、前記第二の多孔質フィルム層は、該第一の厚さとは異なる第二の厚さを有する、請求項1に記載の外科的インプラント。
- 前記第一の多孔質フィルム層は、第一の弾性係数を有し、前記第二の多孔質フィルム層は、該第一の弾性係数とは異なる第二の弾性係数を有する、請求項1に記載の外科的インプラント。
- 前記第一の多孔質フィルム層は、第一の多孔度を有し、前記第二の多孔質フィルム層は、該第一の多孔度とは異なる第二の多孔度を有する、請求項1に記載の外科的インプラント。
- 前記第一の多孔質フィルム層は、第一の方向に一軸配向され、前記第二の多孔質フィルム層は、該第一の方向とは異なる第二の方向に一軸配向される、請求項1に記載の外科的インプラント。
- 前記外科的インプラントは、前記第一の多孔質フィルム層および前記第二の多孔質フィルム層のうちの少なくとも一つの外側表面に適用される接着バリア層をさらに含む、請求項1に記載の外科的インプラント。
- 前記外科的インプラントは、前記第一の多孔質フィルム層および前記第二の多孔質フィルム層のうちの少なくとも一つの外側表面に適用される接着性層をさらに含む、請求項1に記載の外科的インプラント。
- 前記外科的インプラントは、複数の孔を含む第三の多孔質フィルム層をさらに含み、該第三の多孔質フィルム層は、前記第一の多孔質フィルム層と前記第二の多孔質フィルム層との間に入れ込まれ、少なくとも一つの取り付け点により該第一の多孔質フィルム層および該第二の多孔質フィルム層のうちの少なくとも一つと相互接続される、請求項1に記載の外科的インプラント。
- 外科的インプラントであって、該外科的インプラントは、複数の多孔質基材を層状にされた構成で含み、該多孔質基材は、スペースを置かれた複数の取り付け点により相互接続されることによって、該多孔質基材の連続する層の間に空隙を画定する、外科的インプラント
- 各多孔質基材が、全体的にフィルムから形成される、請求項15に記載の外科的インプラント。
- 前記外科的インプラントは、外科的バットレスである、請求項15に記載の外科的インプラント。
- 前記外科的インプラントは、ヘルニア修復デバイスである、請求項15に記載の外科的インプラント。
- 前記外科的インプラントは、スキャフォールドである、請求項15に記載の外科的インプラント。
- 前記外科的インプラントは、組織密閉パッチである、請求項15に記載の外科的インプラント。
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US13/690,445 | 2012-11-30 | ||
US13/690,445 US9681936B2 (en) | 2012-11-30 | 2012-11-30 | Multi-layer porous film material |
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JP2018136588A Division JP2019000654A (ja) | 2012-11-30 | 2018-07-20 | 多層多孔質フィルム材料 |
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JP2014111052A true JP2014111052A (ja) | 2014-06-19 |
JP6400896B2 JP6400896B2 (ja) | 2018-10-03 |
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JP2013229471A Active JP6400896B2 (ja) | 2012-11-30 | 2013-11-05 | 多層多孔質フィルム材料 |
JP2018136588A Pending JP2019000654A (ja) | 2012-11-30 | 2018-07-20 | 多層多孔質フィルム材料 |
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US (2) | US9681936B2 (ja) |
EP (4) | EP2756820A3 (ja) |
JP (2) | JP6400896B2 (ja) |
AU (1) | AU2013234420B2 (ja) |
CA (1) | CA2835312A1 (ja) |
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JP2018526093A (ja) * | 2015-08-31 | 2018-09-13 | エシコン エルエルシーEthicon LLC | 組織成長を促進する補助材料 |
JP2018528825A (ja) * | 2015-08-31 | 2018-10-04 | エシコン エルエルシーEthicon LLC | 肺機能を促進するための手術用補助材及び薬剤 |
JP2018530371A (ja) * | 2015-08-31 | 2018-10-18 | エシコン エルエルシーEthicon LLC | 活性化物質の影響を受ける薬剤を有する手術用補助材 |
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JP2019529372A (ja) * | 2016-08-23 | 2019-10-17 | リプロダクティブ メディスン アンド ガイニカラジー アソシエイツ リミテッド | 植え込み型メディカメントデリバリーシステム |
WO2022203483A1 (ko) * | 2021-03-26 | 2022-09-29 | 성균관대학교산학협력단 | 자가치유 가능한 유기물표면 접착패드 및 그 제조방법 |
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US20070084897A1 (en) | 2003-05-20 | 2007-04-19 | Shelton Frederick E Iv | Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism |
US9060770B2 (en) | 2003-05-20 | 2015-06-23 | Ethicon Endo-Surgery, Inc. | Robotically-driven surgical instrument with E-beam driver |
US20050182443A1 (en) | 2004-02-18 | 2005-08-18 | Closure Medical Corporation | Adhesive-containing wound closure device and method |
US20060009099A1 (en) | 2004-07-12 | 2006-01-12 | Closure Medical Corporation | Adhesive-containing wound closure device and method |
US11890012B2 (en) | 2004-07-28 | 2024-02-06 | Cilag Gmbh International | Staple cartridge comprising cartridge body and attached support |
US9072535B2 (en) | 2011-05-27 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments with rotatable staple deployment arrangements |
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EP2810617A1 (en) | 2014-12-10 |
JP2019000654A (ja) | 2019-01-10 |
JP6400896B2 (ja) | 2018-10-03 |
US20170281328A1 (en) | 2017-10-05 |
AU2013234420A1 (en) | 2014-06-19 |
EP2756820A2 (en) | 2014-07-23 |
CA2835312A1 (en) | 2014-05-30 |
EP2805690A1 (en) | 2014-11-26 |
EP2756820A3 (en) | 2014-11-05 |
US10390827B2 (en) | 2019-08-27 |
US9681936B2 (en) | 2017-06-20 |
AU2013234420B2 (en) | 2018-08-09 |
EP2805692A1 (en) | 2014-11-26 |
US20140155916A1 (en) | 2014-06-05 |
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