JP6158196B2 - 組織支持デバイス及び方法 - Google Patents
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Description
(1) 組織支持デバイスであって、
プレート状要素と、前記プレート状要素から上方に延びる第1の側壁及び第2の側壁と、を有する、アンカー要素であって、前記プレート状要素が、前縁及び後縁と、第1の側縁及び第2の側縁とにより画定され、前記後縁の長さが前記前縁の長さよりも長く、前記第1の側壁及び第2の側壁が、前記プレート状要素の前側における前記第1の側壁と第2の側壁との間の距離が、前記プレート状要素の後側における前記第1の側壁と第2の側壁との間の距離よりも短いように、前記プレート状要素の前記第1の側縁及び第2の側縁の少なくとも一部分に実質的に沿って整合されている、アンカー要素と、
軟組織に係合し、前記軟組織を支持するように適合されている軟組織支持要素であって、前記平坦なプレートに結合され、前記アンカー要素から外方向に延びる、軟組織支持要素と、を含む、組織支持デバイス。
(2) 前記軟組織支持要素が、ループ状のフィラメント状要素である、実施態様1に記載の組織支持デバイス。
(3) 前記プレート状要素が、前記プレート状要素を貫通する1つ又は2つ以上の開口部を含み、前記フィラメント状要素が、前記1つ又は2つ以上の開口部を通過することにより前記プレート状要素に結合されている、実施態様2に記載の組織支持デバイス。
(4) 前記アンカー要素に結合されて、前記フィラメント状要素を前記アンカー要素に定着的に固定するクランプ要素を更に含む、実施態様3に記載の組織支持デバイス。
(5) 前記クランプ要素が前記アンカー要素に取り外し可能に結合されている、実施態様4に記載の組織支持デバイス。
(7) 前記アンカー要素が、患者の下顎骨の前方部分の下部縁に係合する寸法及び形状を有し、そのように係合した場合、前記アンカー要素が前記下顎骨の前/下縁にまたがり、前記前縁は前記下顎骨の前縁に実質的に沿って配置され、前記後縁は前記下顎骨上にてより後方に配置され、前記第1の側壁及び第2の側壁は、前記下顎骨の側方外縁に係合する、実施態様1に記載の組織支持デバイス。
(8) 前記軟組織支持デバイスが、患者の舌内に植え込まれて、前記アンカー要素から前記舌を支持するように適合されている、実施態様7に記載の組織支持デバイス。
(9) 前記アンカー要素が、前記アンカー要素の前側から上方に突出する前方突出部要素を更に含む、実施態様8に記載の組織支持デバイス。
(10) 前記第1の側壁及び第2の側壁の位置を前記プレート状要素に対して調整するための調整メカニズムを更に含む、実施態様1に記載の組織支持デバイス。
前記下顎骨の前下縁の下部縁にまたがる寸法及び形状を有するプレート状要素と、前記平坦なプレートから上方に延び、かつ、前記平坦なプレートが前記下顎骨の前記下部縁にまたがった際、前記下顎骨の少なくともオトガイ孔の外縁に係合する寸法及び形状を有する少なくとも1つの側壁と、を有するアンカー要素と、
前記アンカー要素に結合され、かつ前記アンカー要素から外方向に延び、前記舌内に植え込まれるように適合されている組織支持要素と、を含み、
前記アンカー要素が前記下顎骨と係合し、前記組織支持要素が前記舌内に植え込まれた際、前記アンカー要素を前記下顎骨に機械的に定着させることなく前記舌の後方移動が抵抗される、デバイス。
(12) 前記組織支持要素がループ状のフィラメント状要素である、実施態様11に記載のデバイス。
(13) 前記ループ状のフィラメント状要素が、ポリプロピレン、ePTFE、ポリアミド、フルオロポリマー類から生成される繊維、ポリエステル類、ポリオレフィン類、ウレタン類、ポリ(ヘキサフルオロプロピレン−VDF)及びポリアリールエーテルケトン類からなる群から選択される材料から構成される、実施態様12に記載のデバイス。
(14) 前記アンカー要素に結合され、かつ前記フィラメント状要素を前記アンカー要素に定着的に固定するように適合されているクランプ要素を更に含む、実施態様12に記載のデバイス。
(15) 前記クランプ要素が前記アンカー要素に取り外し可能に結合されている、実施態様14に記載のデバイス。
(17) 前記第1の側壁及び第2の側壁の位置を前記プレート状要素に対して調整するための調整メカニズムを更に含む、実施態様11に記載のデバイス。
(18) 下顎骨及び舌を有するヒト患者における閉塞型睡眠時無呼吸を処置するためのデバイスであって、
前記患者内に植え込まれた際に前記下顎骨の少なくとも2つの異なる非同一面表面に当接する寸法及び形状を有するアンカー要素と、前記アンカー要素に結合され、かつ前記アンカー要素から外方向に延び、前記舌内に植え込まれるように適合されている組織支持要素と、を含み、
前記デバイスが前記患者内に植え込まれた際、前記アンカー要素が、前記当接位置に対立する前記軟組織の力のみを介して前記下顎骨と係合した状態で保持される、デバイス。
(19) 閉塞型睡眠時無呼吸の処置方法であって、
プレート状要素と、前記プレート状要素の第1の側及び第2の側から上方に延びる第1の側壁及び第2の側壁と、を含む、アンカー要素と、前記アンカー要素に結合され、かつ前記アンカー要素から外方向に延びる軟組織支持要素と、を有する、植え込み可能な組織支持デバイスを獲得する工程と、
前記アンカー要素が前記下顎骨の前記前下縁にまたがりかつ係合し、前記軟組織支持要素が患者の舌内に植え込まれて、前記アンカー要素を前記下顎骨に機械的に取り付けることなく前記舌の後方移動を防止するように、前記植え込み可能な組織支持デバイスを前記患者内に植え込む工程と、を含む、方法。
(20) 軟組織支持要素がループ状のフィラメント状要素である、実施態様19に記載の方法。
(22) 閉塞型睡眠時無呼吸の処置方法であって、
アンカー要素と、前記アンカー要素に結合され、かつ前記アンカー要素から外方向に延びる軟組織支持要素と、を含む、植え込み可能な組織支持デバイスを獲得する工程と、
前記アンカー要素が患者の下顎骨の少なくとも2つの異なる非同一平面表面に実質的に当接し、前記下顎骨に対する更なる取り付けを有さないように、前記アンカー要素を植え込む工程と、
前記軟組織支持要素を前記患者の舌内に植え込んで、前記アンカー要素と前記下顎骨との係合を介して前記舌の後方動作に抵抗する工程と、を含む、方法。
Claims (18)
- 組織支持デバイスであって、
プレート状要素と、前記プレート状要素から上方に延びる第1の側壁及び第2の側壁と、を有する、アンカー要素であって、前記プレート状要素が、前縁及び後縁と、第1の側縁及び第2の側縁とにより画定され、前記後縁の長さが前記前縁の長さよりも長く、前記第1の側壁及び第2の側壁が、前記プレート状要素の前側における前記第1の側壁と第2の側壁との間の距離が、前記プレート状要素の後側における前記第1の側壁と第2の側壁との間の距離よりも短いように、前記プレート状要素の前記第1の側縁及び第2の側縁の少なくとも一部分に実質的に沿って整合されている、アンカー要素と、
軟組織に係合し、前記軟組織を支持するように適合されている軟組織支持要素であって、前記プレート状要素に結合され、前記アンカー要素から外方向に延びる、軟組織支持要素と、を含む、組織支持デバイス。 - 前記軟組織支持要素が、ループ状のフィラメント状要素である、請求項1に記載の組織支持デバイス。
- 前記プレート状要素が、前記プレート状要素を貫通する1つ又は2つ以上の開口部を含み、前記フィラメント状要素が、前記1つ又は2つ以上の開口部を通過することにより前記プレート状要素に結合されている、請求項2に記載の組織支持デバイス。
- 前記アンカー要素に結合されて、前記フィラメント状要素を前記アンカー要素に定着的に固定するクランプ要素を更に含む、請求項3に記載の組織支持デバイス。
- 前記クランプ要素が前記アンカー要素に取り外し可能に結合されている、請求項4に記載の組織支持デバイス。
- 前記フィラメント状要素が、ポリプロピレン、ePTFE、ポリアミド、フルオロポリマー類から生成される繊維、ポリエステル類、ポリオレフィン類、ウレタン類、ポリ(ヘキサフルオロプロピレン−VDF)及びポリアリールエーテルケトン類からなる群から選択される材料から構成される、請求項3に記載の組織支持デバイス。
- 前記アンカー要素が、患者の下顎骨の前方部分の下部縁に係合する寸法及び形状を有し、そのように係合した場合、前記アンカー要素が前記下顎骨の前/下縁にまたがり、前記前縁は前記下顎骨の前縁に実質的に沿って配置され、前記後縁は前記下顎骨上にてより後方に配置され、前記第1の側壁及び第2の側壁は、前記下顎骨の側方外縁に係合する、請求項1に記載の組織支持デバイス。
- 前記軟組織支持要素が、患者の舌内に植え込まれて、前記アンカー要素から前記舌を支持するように適合されている、請求項7に記載の組織支持デバイス。
- 前記アンカー要素が、前記アンカー要素の前側から上方に突出する前方突出部要素を更に含む、請求項8に記載の組織支持デバイス。
- 前記第1の側壁及び第2の側壁の位置を前記プレート状要素に対して調整するための調整メカニズムを更に含む、請求項1に記載の組織支持デバイス。
- 下顎骨及び舌を有するヒト患者における閉塞型睡眠時無呼吸を処置するためのデバイスであって、
前記下顎骨の前下縁の下部縁にまたがる寸法及び形状を有するプレート状要素と、前記プレート状要素から上方に延び、かつ、前記プレート状要素が前記下顎骨の前記下部縁にまたがった際、前記下顎骨の少なくともオトガイ孔の外縁に係合する寸法及び形状を有する少なくとも1つの側壁と、を有するアンカー要素と、
前記アンカー要素に結合され、かつ前記アンカー要素から外方向に延び、前記舌内に植え込まれるように適合されている組織支持要素と、を含み、
前記アンカー要素が前記下顎骨と係合し、前記組織支持要素が前記舌内に植え込まれた際、前記アンカー要素を前記下顎骨に機械的に定着させることなく前記舌の後方移動が抵抗される、デバイス。 - 前記組織支持要素がループ状のフィラメント状要素である、請求項11に記載のデバイス。
- 前記ループ状のフィラメント状要素が、ポリプロピレン、ePTFE、ポリアミド、フルオロポリマー類から生成される繊維、ポリエステル類、ポリオレフィン類、ウレタン類、ポリ(ヘキサフルオロプロピレン−VDF)及びポリアリールエーテルケトン類からなる群から選択される材料から構成される、請求項12に記載のデバイス。
- 前記アンカー要素に結合され、かつ前記フィラメント状要素を前記アンカー要素に定着的に固定するように適合されているクランプ要素を更に含む、請求項12に記載のデバイス。
- 前記クランプ要素が前記アンカー要素に取り外し可能に結合されている、請求項14に記載のデバイス。
- 前記アンカー要素が更に、前記プレート状要素から上方に延びる第1の側壁及び第2の側壁を含み、前記第1の側壁が、前記下顎骨の一方の側方外縁と係合する寸法及び形状を有し、前記第2の側壁が、前記下顎骨の反対側の側方外縁と係合する寸法及び形状を有する、請求項11に記載のデバイス。
- 前記第1の側壁及び第2の側壁の位置を前記プレート状要素に対して調整するための調整メカニズムを更に含む、請求項16に記載のデバイス。
- 下顎骨及び舌を有するヒト患者における閉塞型睡眠時無呼吸を処置するためのデバイスであって、
前記患者内に植え込まれた際に前記下顎骨の少なくとも2つの異なる非同一面表面に当接する寸法及び形状を有するアンカー要素と、前記アンカー要素に結合され、かつ前記アンカー要素から外方向に延び、前記舌内に植え込まれるように適合されている組織支持要素と、を含み、
前記デバイスが前記患者内に植え込まれた際、前記アンカー要素が、前記当接位置に対立する前記舌の力のみを介して前記下顎骨と係合した状態で保持される、デバイス。
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JP2014530743A (ja) | 2014-11-20 |
CA2853348A1 (en) | 2013-05-02 |
ES2580802T3 (es) | 2016-08-26 |
US9161855B2 (en) | 2015-10-20 |
WO2013063028A1 (en) | 2013-05-02 |
EP2770958B1 (en) | 2016-03-30 |
AU2012329007B2 (en) | 2016-10-06 |
CA2853348C (en) | 2019-12-17 |
US20130098371A1 (en) | 2013-04-25 |
EP2770958A1 (en) | 2014-09-03 |
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