JP4673305B2 - 外科処置用移植片 - Google Patents
外科処置用移植片 Download PDFInfo
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- JP4673305B2 JP4673305B2 JP2006523284A JP2006523284A JP4673305B2 JP 4673305 B2 JP4673305 B2 JP 4673305B2 JP 2006523284 A JP2006523284 A JP 2006523284A JP 2006523284 A JP2006523284 A JP 2006523284A JP 4673305 B2 JP4673305 B2 JP 4673305B2
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- graft
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- implant
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- 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.)
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- 210000001519 tissue Anatomy 0.000 claims description 46
- 239000000463 material Substances 0.000 claims description 22
- 210000004876 tela submucosa Anatomy 0.000 claims description 11
- 102000010834 Extracellular Matrix Proteins Human genes 0.000 claims description 5
- 108010037362 Extracellular Matrix Proteins Proteins 0.000 claims description 5
- 210000002744 extracellular matrix Anatomy 0.000 claims description 5
- 239000003550 marker Substances 0.000 claims description 5
- 210000000813 small intestine Anatomy 0.000 claims description 4
- 239000012567 medical material Substances 0.000 claims 11
- 239000007943 implant Substances 0.000 description 32
- 238000000034 method Methods 0.000 description 26
- 208000021302 gastroesophageal reflux disease Diseases 0.000 description 10
- 230000000149 penetrating effect Effects 0.000 description 9
- 230000035515 penetration Effects 0.000 description 9
- 238000003780 insertion Methods 0.000 description 5
- 230000037431 insertion Effects 0.000 description 5
- 238000005520 cutting process Methods 0.000 description 4
- 210000003238 esophagus Anatomy 0.000 description 4
- 238000002513 implantation Methods 0.000 description 4
- 208000014674 injury Diseases 0.000 description 4
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- 229910001220 stainless steel Inorganic materials 0.000 description 4
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- 206010028980 Neoplasm Diseases 0.000 description 3
- 239000003814 drug Substances 0.000 description 3
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- 210000002784 stomach Anatomy 0.000 description 3
- 208000027418 Wounds and injury Diseases 0.000 description 2
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- 241000283690 Bos taurus Species 0.000 description 1
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- 229920005830 Polyurethane Foam Polymers 0.000 description 1
- XUIMIQQOPSSXEZ-UHFFFAOYSA-N Silicon Chemical compound [Si] XUIMIQQOPSSXEZ-UHFFFAOYSA-N 0.000 description 1
- 206010046543 Urinary incontinence Diseases 0.000 description 1
- 208000012931 Urologic disease Diseases 0.000 description 1
- 241000251539 Vertebrata <Metazoa> Species 0.000 description 1
- 206010047370 Vesicoureteric reflux Diseases 0.000 description 1
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- 210000000111 lower esophageal sphincter Anatomy 0.000 description 1
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- 208000014001 urinary system disease Diseases 0.000 description 1
- 201000008618 vesicoureteral reflux Diseases 0.000 description 1
- 208000031355 vesicoureteral reflux 1 Diseases 0.000 description 1
Images
Classifications
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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
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12099—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12099—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
- A61B17/12104—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder in an air passage
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
- A61B17/12163—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device having a string of elements connected to each other
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3468—Trocars; Puncturing needles for implanting or removing devices, e.g. prostheses, implants, seeds, wires
-
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M37/00—Other apparatus for introducing media into the body; Percutany, i.e. introducing medicines into the body by diffusion through the skin
- A61M37/0069—Devices for implanting pellets, e.g. markers or solid medicaments
-
- 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
- A61B17/06166—Sutures
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00004—(bio)absorbable, (bio)resorbable, resorptive
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00526—Methods of manufacturing
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B2017/1205—Introduction devices
-
- 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
- A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
- A61F5/0003—Apparatus for the treatment of obesity; Anti-eating devices
- A61F5/0013—Implantable devices or invasive measures
- A61F5/0069—Implantable devices or invasive measures in the wall of the stomach
Description
移植片本体を細糸の長さに沿って配置した連鎖型移植片を提供することによって実現される。移植片本体は、小腸粘膜下組織のような細胞外基質物質から形成することができ、所与の用途にとって望ましい形状とすることができる。例えば、移植片本体は、その形状が球形、楕円形、直方体又は円筒形であってもよい。また、患者体内での送出時に装置の視認化を支援するため、放射線不透過性マーカーを設けてもてもよい。本発明の別の態様によれば、上記目的は、ネット又はマトリクスを形成する連鎖型移植片を提供することにより実現される。本発明の更に別の態様によれば、連鎖型移植片を組み立てるための方法が提供されている。
materials)で形成することができる。本発明の或る好適な実施形態では、移植片先端部は外科用等級のステンレス鋼で形成されている。
Claims (10)
- 患者の体の組織内に配置して該組織の嵩を増すための医療材であって、
ネットを構成するように配置された複数のフィラメントと;
該複数のフィラメント上に配置された複数の移植片本体と;
を有する医療材。 - 前記複数の移植片本体は生体改変可能材料を備えている、請求項1に記載の医療材。
- 前記生体改変可能材料は細胞外基質を備えている、請求項2に記載の医療材。
- 前記細胞外基質は小腸の粘膜下組織である、請求項3に記載の医療材。
- 前記複数の移植片本体の1つ又はそれ以上は、形状が球形である、請求項3に記載の医療材。
- 前記複数の移植片本体の1つ又はそれ以上は、形状が円筒形である、請求項3に記載の医療材。
- 前記複数の移植片本体の1つ又はそれ以上は、形状が直方体である、請求項3に記載の医療材。
- 前記複数の移植片本体の1つ又はそれ以上は、形状が楕円形である、請求項3に記載の医療材。
- 前記複数の移植片本体の1つ又はそれ以上を通って伸張する通路を更に備えており、前記通路はワイヤガイドを通すように作られている、請求項3に記載の医療材。
- 前記複数の移植片本体の少なくとも1つに接続されている放射線不透過性マーカーを更に備えている、請求項3に記載の医療材。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US49461303P | 2003-08-11 | 2003-08-11 | |
US55816304P | 2004-03-31 | 2004-03-31 | |
PCT/US2004/025777 WO2005018468A2 (en) | 2003-08-11 | 2004-08-10 | Surgical implant |
Publications (3)
Publication Number | Publication Date |
---|---|
JP2007502161A JP2007502161A (ja) | 2007-02-08 |
JP2007502161A5 JP2007502161A5 (ja) | 2007-09-27 |
JP4673305B2 true JP4673305B2 (ja) | 2011-04-20 |
Family
ID=34221363
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2006523284A Active JP4673305B2 (ja) | 2003-08-11 | 2004-08-10 | 外科処置用移植片 |
Country Status (5)
Country | Link |
---|---|
US (2) | US20050113855A1 (ja) |
EP (2) | EP1656070B1 (ja) |
JP (1) | JP4673305B2 (ja) |
DE (1) | DE602004023302D1 (ja) |
WO (1) | WO2005018468A2 (ja) |
Families Citing this family (36)
Publication number | Priority date | Publication date | Assignee | Title |
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EP1656070B1 (en) * | 2003-08-11 | 2009-09-23 | Wilson-Cook Medical Inc. | Surgical implant |
US20050071012A1 (en) * | 2003-09-30 | 2005-03-31 | Hassan Serhan | Methods and devices to replace spinal disc nucleus pulposus |
US9586059B2 (en) | 2004-07-23 | 2017-03-07 | Varian Medical Systems, Inc. | User interface for guided radiation therapy |
US8437449B2 (en) | 2004-07-23 | 2013-05-07 | Varian Medical Systems, Inc. | Dynamic/adaptive treatment planning for radiation therapy |
US7833281B2 (en) * | 2004-12-15 | 2010-11-16 | Lehman Glen A | Method and apparatus for augmentation of a sphincter |
AU2006238887B2 (en) * | 2005-04-25 | 2011-09-01 | Cook Medical Technologies Llc | Object-delivery shuttle |
WO2007035798A2 (en) | 2005-09-19 | 2007-03-29 | Calypso Medical Technologies, Inc. | Apparatus and methods for implanting objects, such as bronchoscopically implanting markers in the lung of patients |
US20070112360A1 (en) * | 2005-11-15 | 2007-05-17 | Patrick De Deyne | Bioprosthetic device |
US20090216113A1 (en) | 2005-11-17 | 2009-08-27 | Eric Meier | Apparatus and Methods for Using an Electromagnetic Transponder in Orthopedic Procedures |
US20070162132A1 (en) | 2005-12-23 | 2007-07-12 | Dominique Messerli | Flexible elongated chain implant and method of supporting body tissue with same |
JP4525931B2 (ja) * | 2006-03-31 | 2010-08-18 | 哲男 荒川 | 逆流防止器具及びその装着方法 |
US20080058840A1 (en) * | 2006-09-01 | 2008-03-06 | Albrecht Thomas E | Implantable coil for insertion into a hollow body organ |
ATE527950T1 (de) * | 2007-06-29 | 2011-10-15 | Synthes Gmbh | Flexible kettenimplantate und instrumente |
EP2240138B1 (en) | 2008-01-29 | 2021-07-21 | Implantica Patent Ltd. | Apparatus for treating obesity |
US8145320B2 (en) * | 2008-03-26 | 2012-03-27 | Medtronic, Inc. | Telemetry control for implantable medical devices |
US20090287239A1 (en) * | 2008-05-16 | 2009-11-19 | Ams Research Corporation | Tissue Bulking Device and Method |
WO2010087757A1 (en) * | 2009-01-29 | 2010-08-05 | Milux Holding S.A. | Obesity treatment |
US20100160995A1 (en) * | 2008-12-18 | 2010-06-24 | Jerome Dargent | Method for treating obesity |
US9943704B1 (en) * | 2009-01-21 | 2018-04-17 | Varian Medical Systems, Inc. | Method and system for fiducials contained in removable device for radiation therapy |
EP4344013A2 (en) * | 2009-01-29 | 2024-03-27 | Implantica Patent Ltd. | Obesity treatment |
EP2391314B1 (en) * | 2009-01-29 | 2017-05-03 | Kirk Promotion LTD. | An apparatus for treating gerd |
EP2391315A4 (en) * | 2009-01-29 | 2012-12-12 | Milux Holding Sa | DEVICE FOR TREATING GASTROÖSOPHAGEAL REFLUX |
US20110106110A1 (en) * | 2009-10-30 | 2011-05-05 | Warsaw Orthopedic, Inc. | Devices and methods for implanting a plurality of drug depots having one or more anchoring members |
US20110306820A1 (en) * | 2010-06-14 | 2011-12-15 | Coloplast A/S | Method of treating incontinence |
US8231624B1 (en) | 2010-12-22 | 2012-07-31 | Strippgen Walter E | Dynamic surgical implant |
US9023085B2 (en) | 2010-12-22 | 2015-05-05 | Walter E. Strippgen | Dynamic surgical implant |
KR101362446B1 (ko) | 2012-05-10 | 2014-02-11 | 이훈범 | 주름제거용 충전체 |
KR101696253B1 (ko) * | 2013-05-10 | 2017-01-13 | 주식회사 에스트라 | 주름제거용 충전제 |
US9775978B2 (en) | 2014-07-25 | 2017-10-03 | Warsaw Orthopedic, Inc. | Drug delivery device and methods having a retaining member |
US9764122B2 (en) | 2014-07-25 | 2017-09-19 | Warsaw Orthopedic, Inc. | Drug delivery device and methods having an occluding member |
WO2016112175A1 (en) * | 2015-01-09 | 2016-07-14 | Formae., Inc. | Rigid segmented flexible anchors |
US10076650B2 (en) | 2015-11-23 | 2018-09-18 | Warsaw Orthopedic, Inc. | Enhanced stylet for drug depot injector |
US10549081B2 (en) | 2016-06-23 | 2020-02-04 | Warsaw Orthopedic, Inc. | Drug delivery device and methods having a retaining member |
US10434261B2 (en) | 2016-11-08 | 2019-10-08 | Warsaw Orthopedic, Inc. | Drug pellet delivery system and method |
US20180289467A1 (en) * | 2017-04-05 | 2018-10-11 | Ernesto Andrade | Dispensing device, kit, and method for tissue augmentation |
US20200113570A1 (en) * | 2018-10-11 | 2020-04-16 | Moises Jacobs | Gastroesophageal reflux treatment system, method, and device |
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EP2085049A2 (en) | 2009-08-05 |
US20100256778A1 (en) | 2010-10-07 |
US8226730B2 (en) | 2012-07-24 |
EP2085049B1 (en) | 2019-06-19 |
WO2005018468A3 (en) | 2005-05-19 |
JP2007502161A (ja) | 2007-02-08 |
EP2085049A3 (en) | 2009-08-12 |
EP1656070B1 (en) | 2009-09-23 |
EP1656070A2 (en) | 2006-05-17 |
US20050113855A1 (en) | 2005-05-26 |
WO2005018468A2 (en) | 2005-03-03 |
DE602004023302D1 (de) | 2009-11-05 |
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