JP2018075434A - パターン形成スリング・インプラント - Google Patents
パターン形成スリング・インプラント Download PDFInfo
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- JP2018075434A JP2018075434A JP2018000845A JP2018000845A JP2018075434A JP 2018075434 A JP2018075434 A JP 2018075434A JP 2018000845 A JP2018000845 A JP 2018000845A JP 2018000845 A JP2018000845 A JP 2018000845A JP 2018075434 A JP2018075434 A JP 2018075434A
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- implant
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- sling
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Classifications
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- 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
-
- 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
- A61F2/0004—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse
- A61F2/0031—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse for constricting the lumen; Support slings for the urethra
- A61F2/0036—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse for constricting the lumen; Support slings for the urethra implantable
- A61F2/0045—Support slings
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- 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
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06066—Needles, e.g. needle tip configurations
- A61B17/06109—Big needles, either gripped by hand or connectable to a handle
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00743—Type of operation; Specification of treatment sites
- A61B2017/00805—Treatment of female stress urinary incontinence
-
- 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
- A61F2002/0068—Implantable repair or support meshes, e.g. hernia meshes having a special mesh pattern
-
- 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
-
- 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
- A61F2/0077—Special surfaces of prostheses, e.g. for improving ingrowth
- A61F2002/0081—Special surfaces of prostheses, e.g. for improving ingrowth directly machined on the prosthetic surface, e.g. holes, grooves
-
- 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
- A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2220/0008—Fixation appliances for connecting prostheses to the body
- A61F2220/0016—Fixation appliances for connecting prostheses to the body with sharp anchoring protrusions, e.g. barbs, pins, spikes
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Veterinary Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Public Health (AREA)
- Urology & Nephrology (AREA)
- Surgery (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Vascular Medicine (AREA)
- Transplantation (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Prostheses (AREA)
- Surgical Instruments (AREA)
- Materials For Medical Uses (AREA)
Abstract
Description
本発明は、概略的には手術方法および装置に関し、更に詳細には、手術的に植設可能なスリング・デバイス、および、それを形成して使用する方法に関する。
14 延長部分
15 ストラット
16 アンカー
24 固定接合部
42 尖叉
Claims (20)
- 不織の単体的な長寸スリングであって、
複数のストラット部材を含む支持部分と、
第1および第2の延長部分と、
患者の組織に対して固定され得るひとつ以上の尖叉を有するという少なくともひとつの組織用アンカーと、
複数の長寸弧状部材を含む遷移強度区域であって、前記少なくともひとつの組織用アンカーと、前記第1および第2の延長部分の一方との間における応力および張力の分布を促進すべく、前記複数の長寸弧状部材の各々が、前記少なくともひとつの組織用アンカーと、前記第1および第2の延長部分の一方との間で、前記少なくともひとつの組織用アンカーに向けて内側に湾曲している遷移強度区域とを有し、
前記少なくともひとつの組織用アンカーは、前記遷移強度区域と前記第1および第2の延長部分の一方とに対して一体的に形成される、
長寸スリングを備える、
患者の失禁を治療する単体的なパターン形成長寸インプラント。 - 前記少なくともひとつの組織用アンカーは、前記支持部分の平面から概略的に直交する方向に延出する、請求項1に記載のインプラント。
- 前記少なくともひとつの組織用アンカーは、概略的に前記支持部分と同一平面内に延出する、請求項1に記載のインプラント。
- 前記少なくともひとつのアンカーは、前記第1および第2の延長部分の少なくとも一方と実質的に等しい厚みである、請求項3に記載のインプラント。
- 前記少なくともひとつのアンカーは、対置された2個の端部アンカーを含む、請求項1に記載のインプラント。
- 前記複数のストラット部材は正弦波状に形状化される、請求項1に記載のインプラント。
- 前記少なくともひとつのアンカーは、ひとつ以上の変形可能な尖叉を含む、請求項1に記載のインプラント。
- 前記少なくともひとつのアンカーは、ニードル工具の末端部を受容し得る本体内孔を含む、請求項1に記載のインプラント。
- 前記複数のストラット部材は、延在して組織係合を提供するひとつ以上の縁部保持特定構造を含む、請求項1に記載のインプラント。
- 前記支持部分は、前記第1および第2の延長部分よりも概略的に広幅である、請求項1に記載のインプラント。
- 不織の単体的な長寸スリングであって、
複数の波紋状のストラット部材を有する支持部分と、
第1および第2の延長部分と、
夫々の前記第1および第2の延長部分から延在する第1および第2の端部アンカーと、
複数の長寸部材を含む遷移強度区域であって、前記複数の長寸部材の各々が、前記第1の端部アンカーに向けて内側に湾曲している遷移強度区域とを有し、
少なくとも前記第1の端部アンカーは、前記遷移強度区域及び前記第1の延長部分に対して一体的に形成される、長寸スリングと、
取手部分とニードルとを有する導入用ニードル工具であって、前記ニードルは、前記第1または第2の端部アンカーに対して選択的に係合して展開および組織固定を促進し得る末梢先端を含むという導入用ニードル工具と、
を備える、患者の失禁を治療する単体的なパターン形成長寸インプラント・システム。 - 前記第1および第2の端部アンカーは、前記第1および第2の延長部分と実質的に等しい厚みである、請求項11に記載のシステム。
- 前記複数の波紋状のストラット部材は正弦波状に形状化される、請求項11に記載のシステム。
- 前記第1または第2の端部アンカーは、複数の延在する変形可能な尖叉を含む、請求項11に記載のシステム。
- 前記第1および第2の端部アンカーの少なくとも一方は、導入用ニードル工具の末端部を受容し得る本体内孔を含む、請求項11に記載のシステム。
- 前記複数の波紋状のストラット部材は、延在して組織係合を提供するひとつ以上の縁部保持特定構造を含む、請求項11に記載のシステム。
- 前記支持部分は、前記第1および第2の延長部分よりも概略的に広幅である、請求項11に記載のシステム。
- 前記支持部分は、前記第1および第2の延長部分よりも概略的に狭幅である、請求項11に記載のシステム。
- 前記導入用ニードル工具は、前記末梢先端と作用接続された起動機構であって、前記第1または第2の端部アンカーの選択的な係合解除を促進するという起動機構を含む、請求項11に記載のシステム。
- 前記導入用ニードル工具のニードルは概略的に湾曲される、請求項11に記載のシステム。
Applications Claiming Priority (6)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US26788809P | 2009-12-09 | 2009-12-09 | |
US61/267,888 | 2009-12-09 | ||
US29138509P | 2009-12-31 | 2009-12-31 | |
US61/291,385 | 2009-12-31 | ||
US12/953,268 US9060836B2 (en) | 2009-11-23 | 2010-11-23 | Patterned implant and method |
US12/953,268 | 2010-11-23 |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2017003431A Division JP2017060893A (ja) | 2009-12-09 | 2017-01-12 | パターン形成スリング・インプラント |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2018075434A true JP2018075434A (ja) | 2018-05-17 |
JP6584536B2 JP6584536B2 (ja) | 2019-10-02 |
Family
ID=46208930
Family Applications (5)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2012543285A Expired - Fee Related JP5833563B2 (ja) | 2009-12-09 | 2010-12-09 | パターン形成スリング・インプラント |
JP2015117393A Expired - Fee Related JP6077593B2 (ja) | 2009-12-09 | 2015-06-10 | パターン形成スリング・インプラント |
JP2017003431A Pending JP2017060893A (ja) | 2009-12-09 | 2017-01-12 | パターン形成スリング・インプラント |
JP2018000845A Expired - Fee Related JP6584536B2 (ja) | 2009-12-09 | 2018-01-05 | パターン形成スリング・インプラント |
JP2018000792A Expired - Fee Related JP6584535B2 (ja) | 2009-12-09 | 2018-01-05 | パターン形成スリング・インプラント |
Family Applications Before (3)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2012543285A Expired - Fee Related JP5833563B2 (ja) | 2009-12-09 | 2010-12-09 | パターン形成スリング・インプラント |
JP2015117393A Expired - Fee Related JP6077593B2 (ja) | 2009-12-09 | 2015-06-10 | パターン形成スリング・インプラント |
JP2017003431A Pending JP2017060893A (ja) | 2009-12-09 | 2017-01-12 | パターン形成スリング・インプラント |
Family Applications After (1)
Application Number | Title | Priority Date | Filing Date |
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JP2018000792A Expired - Fee Related JP6584535B2 (ja) | 2009-12-09 | 2018-01-05 | パターン形成スリング・インプラント |
Country Status (8)
Country | Link |
---|---|
EP (1) | EP2509534A1 (ja) |
JP (5) | JP5833563B2 (ja) |
KR (1) | KR101685431B1 (ja) |
CN (1) | CN102724930B (ja) |
AU (1) | AU2010328077B2 (ja) |
BR (1) | BR112012013556A2 (ja) |
CA (1) | CA2777160C (ja) |
WO (1) | WO2011072148A1 (ja) |
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CA2829334C (en) | 2011-03-28 | 2019-12-03 | Ams Research Corporation | Implants, tools, and methods for treatments of pelvic conditions |
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WO2013020076A1 (en) | 2011-08-03 | 2013-02-07 | Ams Research Corporation | Systems, methods, and implants for treating prolapse or incontinence |
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2010
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- 2010-12-09 JP JP2012543285A patent/JP5833563B2/ja not_active Expired - Fee Related
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KR20120098835A (ko) | 2012-09-05 |
CA2777160C (en) | 2018-04-24 |
AU2010328077B2 (en) | 2013-07-11 |
WO2011072148A4 (en) | 2011-07-07 |
JP6584535B2 (ja) | 2019-10-02 |
KR101685431B1 (ko) | 2016-12-12 |
BR112012013556A2 (pt) | 2017-07-04 |
JP2018075433A (ja) | 2018-05-17 |
JP2013513441A (ja) | 2013-04-22 |
JP5833563B2 (ja) | 2015-12-16 |
WO2011072148A8 (en) | 2011-08-18 |
JP6077593B2 (ja) | 2017-02-08 |
CN102724930B (zh) | 2015-08-26 |
JP6584536B2 (ja) | 2019-10-02 |
CA2777160A1 (en) | 2011-06-16 |
AU2010328077A1 (en) | 2012-05-17 |
EP2509534A1 (en) | 2012-10-17 |
CN102724930A (zh) | 2012-10-10 |
JP2017060893A (ja) | 2017-03-30 |
JP2015221213A (ja) | 2015-12-10 |
WO2011072148A1 (en) | 2011-06-16 |
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