JP4286133B2 - 腹壁の閉鎖を補強するため創傷の中心にインプラントできる、壁プロテーゼ - Google Patents
腹壁の閉鎖を補強するため創傷の中心にインプラントできる、壁プロテーゼ Download PDFInfo
- Publication number
- JP4286133B2 JP4286133B2 JP2003516416A JP2003516416A JP4286133B2 JP 4286133 B2 JP4286133 B2 JP 4286133B2 JP 2003516416 A JP2003516416 A JP 2003516416A JP 2003516416 A JP2003516416 A JP 2003516416A JP 4286133 B2 JP4286133 B2 JP 4286133B2
- Authority
- JP
- Japan
- Prior art keywords
- prosthesis
- center
- wound
- implanted
- wall
- 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.)
- Expired - Lifetime
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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
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
- A61B2017/00637—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for sealing trocar wounds through abdominal wall
-
- 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
- A61L27/00—Materials for grafts or prostheses or for coating grafts or prostheses
- A61L27/50—Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
- A61L27/58—Materials at least partially resorbable by the body
Landscapes
- 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)
- Materials For Medical Uses (AREA)
Description
腹腔における外科的介入には、腹部を覆う筋肉の腱膜表面の開口部が必要である。この開口部は、不健康な内蔵へのアクセスを可能にし、手術の完了時に縫合ワイヤを使用して閉鎖される。切開が十分な瘢痕を作り出さない場合、切開部位にヘルニアが発生するという悪影響が起きるが、ヘルニアは、審美的な変形を引き起こし、脱出した器官に障害を生じさせ、生命を脅かす場合さえもあり、そのため、ヘルニアを矯正することだけを目的とする第2の介入が必要になる。腹部の外科的切開によるヘルニアの頻度は高く、介入は10%より多く、特に切開が正中線でなされた場合には、ある状況において更に高くなる場合があり、決して些細な問題とはならない。
腹壁の瘢痕の抵抗を増大させ、切開創ヘルニアの可能性を減少させるために、腹壁閉鎖を補強する、創傷の中心にインプラントできる壁プロテーゼが設計されてきたが、これが本発明の主題である。事実上、本発明は、現在まで使用されなかった壁プロテーゼの新しい概念と同等である。この新しいプロテーゼは、腹壁の結合瘢痕の中心で直接使用するために想到されたが、腹腔中で、結合組織の形成を刺激することに加えて、創傷のそれぞれの側の結合組織が固定され、次いで、前記抵抗がより迅速に達成されるという時間と、達成される最終的な抵抗が優れているという最終的な結果の両方の点で、牽引に対する創傷の抵抗を増大させる。
本発明の特徴を理解するための助けとして、詳細な説明は、この説明の報告に添付される1組の図面に基づいて完全なものになり、その中で、以下を単に参考として記載した。
Claims (8)
- 腹部創傷の中、又はその周囲の腱膜瘢痕の中心に直接作用するように、抵抗と可撓性を有し生物学的耐性のある材料から作製されるシート又は平面で構成され、このシート又は平面が、接合される創傷の腱膜の辺縁間に導入され、類似の特徴を有する追加の1枚以上のシート又は平面が、第1のシート又は平面に垂直に配置され、腱膜を部分的に覆うように、接合される腱膜の辺縁上に設置されることを特徴とする、腹壁閉鎖を補強するため創傷の中心にインプラントできる壁プロテーゼ。
- 前記プロテーゼが修復瘢痕自体の中心で、結合瘢痕応答を刺激するように作用して、その最終的な張力抵抗を増大させ、腹部創傷の腱膜瘢痕の中心、およびその周囲で使用されることを特徴とする、請求項1に記載の腹壁閉鎖を補強するため創傷の中心にインプラントできる壁プロテーゼ。
- 前記プロテーゼがシート又は二平面からなる平面で構成され、その一方が、接合される腱膜辺縁間に導入され、他方又はその他の平面は、接合される腱膜の辺縁を、その上、下、又は両側同時のいずれかで部分的に覆うように配置されることを特徴とする、請求項1または2に記載の腹壁閉鎖を補強するため創傷の中心にインプラントできる壁プロテーゼ。
- 編組されたポリプロピレン、又は、ポリアミド、ポリエステル、ポリオレフィン、ポリテトラフルオロエチレンなどの他の任意の生体適合性および抵抗を有する材料製の、可撓性および抵抗を有し生体適合性がある材料から作製される結合シート又は平面を有し、前記材料は、前記結合組織が孔の間に導入され、腔中でプロテーゼを包囲するように、大きい孔を有する細い糸で作製されることを特徴とする、請求項1または3に記載の腹壁閉鎖を補強するため創傷の中心にインプラントできる壁プロテーゼ。
- 永続的な材料から、又は再吸収可能な材料から作製できる結合平面を有し、プロテーゼ全体を同じ材料から作製すること、又は平面のそれぞれに異なる材料を使用することが可能であることを特徴とする、請求項4に記載の腹壁閉鎖を補強するため創傷の中心にインプラントできる壁プロテーゼ。
- その結合シート又は平面が、材料の組織、融合、又は穿孔を使用して作製され、熱による融合、縫合、又は接着により接合される1片又は数片で作製されることを更に特徴とする、請求項1、3、4または5のいずれか一項に記載の腹壁閉鎖を補強するため創傷の中心にインプラントできる壁プロテーゼ。
- プロテーゼの結合シート又は平面が、単一の設計および構造を有するか、又は幾つかの異なる設計および構造を使用して作製されることを更に特徴とする、請求項1〜6のいずれか一項に記載の腹壁閉鎖を補強するため創傷の中心にインプラントできる壁プロテーゼ。
- 外科処置中に当該プロテーゼのいずれかの側を切ることが可能な、請求項1〜7のいずれか一項に記載の腹壁閉鎖を補強するため創傷の中心にインプラントできる壁プロテーゼ。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
ES200101825A ES2183736B1 (es) | 2001-08-03 | 2001-08-03 | Protesis de pared implantable en el foco de la herida para refuerzo de cierre de pared abdominal. |
PCT/ES2002/000384 WO2003011181A1 (es) | 2001-08-03 | 2002-07-31 | Prótesis de pared implantable en el foco de la herida para refuerzo de cierres de pared abdominal |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2004535895A JP2004535895A (ja) | 2004-12-02 |
JP4286133B2 true JP4286133B2 (ja) | 2009-06-24 |
Family
ID=8498625
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2003516416A Expired - Lifetime JP4286133B2 (ja) | 2001-08-03 | 2002-07-31 | 腹壁の閉鎖を補強するため創傷の中心にインプラントできる、壁プロテーゼ |
Country Status (7)
Country | Link |
---|---|
US (1) | US9119698B2 (ja) |
EP (1) | EP1421916B1 (ja) |
JP (1) | JP4286133B2 (ja) |
CA (1) | CA2456043C (ja) |
DE (1) | DE60229756D1 (ja) |
ES (2) | ES2183736B1 (ja) |
WO (1) | WO2003011181A1 (ja) |
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US7976519B2 (en) * | 2002-12-31 | 2011-07-12 | Kci Licensing, Inc. | Externally-applied patient interface system and method |
US10363344B2 (en) | 2002-12-31 | 2019-07-30 | Kci Licensing, Inc. | Externally-applied patient interface system and method with a controlled region for implanted or buried bio-reactor |
GB0300784D0 (en) * | 2003-01-14 | 2003-02-12 | Barker Stephen G E | Inguinal hernia repair prosthesis |
US20050268425A1 (en) * | 2004-04-20 | 2005-12-08 | Clemons William E Sr | Surface cleaner |
US7758654B2 (en) * | 2004-05-20 | 2010-07-20 | Kensey Nash Corporation | Anti-adhesion device |
US7469032B2 (en) * | 2005-04-11 | 2008-12-23 | Gendex Corporation | Structural and patient positioning features of an x-ray system |
US20070065545A1 (en) * | 2005-09-20 | 2007-03-22 | Terry Vovan | Multi-topping tray container system |
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WO2008060973A1 (en) * | 2006-11-10 | 2008-05-22 | Vance Products Incorporated D/B/A Cook Urological Incorporated | Graft for hysterotomy closure |
US8652154B2 (en) * | 2006-12-28 | 2014-02-18 | Orthovita, Inc. | Non-resorbable implantable guides |
US8343231B1 (en) | 2007-04-17 | 2013-01-01 | Christoudias George C | Surgical mesh for hernia repair |
WO2009003726A1 (de) * | 2007-07-02 | 2009-01-08 | Loehde Eckhard | Dreidimensionales herniennetz |
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WO2011002962A1 (en) | 2009-07-02 | 2011-01-06 | Lifecell Corporation | Device and method for treatment of incision or hernia |
US10478168B2 (en) | 2009-07-02 | 2019-11-19 | Lifecell Corporation | Device and method for treatment of incision or hernia |
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EP2903567B1 (en) * | 2012-10-02 | 2017-08-09 | McCullen, Seth | Implantable devices for musculoskeletal repair and regeneration |
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-
2001
- 2001-08-03 ES ES200101825A patent/ES2183736B1/es not_active Expired - Fee Related
-
2002
- 2002-07-31 ES ES02755013T patent/ES2316592T3/es not_active Expired - Lifetime
- 2002-07-31 US US10/485,859 patent/US9119698B2/en not_active Expired - Fee Related
- 2002-07-31 EP EP02755013A patent/EP1421916B1/en not_active Expired - Lifetime
- 2002-07-31 DE DE60229756T patent/DE60229756D1/de not_active Expired - Lifetime
- 2002-07-31 CA CA2456043A patent/CA2456043C/en not_active Expired - Lifetime
- 2002-07-31 WO PCT/ES2002/000384 patent/WO2003011181A1/es active Application Filing
- 2002-07-31 JP JP2003516416A patent/JP4286133B2/ja not_active Expired - Lifetime
Also Published As
Publication number | Publication date |
---|---|
US20050043818A1 (en) | 2005-02-24 |
US9119698B2 (en) | 2015-09-01 |
CA2456043A1 (en) | 2003-02-13 |
DE60229756D1 (de) | 2008-12-18 |
ES2183736B1 (es) | 2004-06-16 |
EP1421916B1 (en) | 2008-11-05 |
JP2004535895A (ja) | 2004-12-02 |
CA2456043C (en) | 2010-02-16 |
WO2003011181A1 (es) | 2003-02-13 |
ES2316592T3 (es) | 2009-04-16 |
ES2183736A1 (es) | 2003-03-16 |
EP1421916A1 (en) | 2004-05-26 |
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