JP6490659B2 - 位置決め構造体を有する片面組織修復パッチ - Google Patents
位置決め構造体を有する片面組織修復パッチ Download PDFInfo
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- JP6490659B2 JP6490659B2 JP2016500567A JP2016500567A JP6490659B2 JP 6490659 B2 JP6490659 B2 JP 6490659B2 JP 2016500567 A JP2016500567 A JP 2016500567A JP 2016500567 A JP2016500567 A JP 2016500567A JP 6490659 B2 JP6490659 B2 JP 6490659B2
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- Japan
- Prior art keywords
- base member
- patch
- opening
- tissue repair
- repair patch
- 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 - Fee Related
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- A61F2230/0008—Rounded shapes, e.g. with rounded corners elliptical or oval
-
- 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
- A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
- A61F2230/0017—Angular shapes
-
- 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
- A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2250/0014—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis
- A61F2250/0026—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis differing in surface structures
-
- 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
- A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2250/0014—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis
- A61F2250/003—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis differing in adsorbability or resorbability, i.e. in adsorption or resorption time
- A61F2250/0031—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis differing in adsorbability or resorbability, i.e. in adsorption or resorption time made from both resorbable and non-resorbable prosthetic parts, e.g. adjacent parts
-
- 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
- A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2250/0014—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis
- A61F2250/0036—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis differing in thickness
-
- 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
- A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
- A61F2250/0067—Means for introducing or releasing pharmaceutical products 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
- A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
- A61F2250/0096—Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers
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Description
本出願は、2012年4月10日出願の、同時継続中の本発明の譲受人に譲渡された米国特許出願第13/443,347号の一部継続出願であり、この特許は参照により本明細書に組み込まれる。
本発明が関連する技術分野は、移植可能な外科用組織修復パッチ、より詳細には、ヘルニア修復手技に使用される移植可能な外科用メッシュヘルニアパッチに関する。
腹壁又は切開ヘルニアを有する患者を、以下の方法での開放ヘルニア修復手技のために準備する。ヘルニアを包囲する皮膚範囲を、ベタジンなどの従来の抗菌溶液で洗浄する。患者には、導入及び吸入による通常の方式で、通常の全身麻酔が投与される。次いで、外科医は、ヘルニアの上に存在する皮膚及び皮下組織内に切開部を作製することにより、外科手技を開始する。腹腔内へのメッシュ設置が予定されている場合、ヘルニア嚢が切開される。欠損の周りの正常な筋膜の縁を調べ、腹壁への臓器の癒着を全て分離して、メッシュ固定のための空間の空きを形成する。
(1) 組織修復パッチであって、
頂面、底面、及び周辺部を有する、実質的に平らな基部部材と、
前記底面上で前記基部部材の前記周辺部に隣接して配置される位置決め構造体と、
開口部であって、ポケットが前記開口部を通してアクセス可能であるように、前記基部部材中に位置する、開口部と、
前記開口部に関連した閉鎖部材と、を含む、組織修復パッチ。
(2) 前記基部部材の少なくとも片面にポリマー層を更に含む、実施態様1に記載の組織修復パッチ。
(3) 前記基部部材の少なくとも片面に癒着バリアを更に含む、実施態様1に記載の組織修復パッチ。
(4) 前記基部部材がメッシュを含む、実施態様1に記載のパッチ。
(5) 前記基部部材が織物を含む、実施態様1に記載のパッチ。
(7) 前記織物が不織布である、実施態様5に記載のパッチ。
(8) 前記基部部材が、発泡ポリマーフィルムを含む、実施態様1に記載のパッチ。
(9) 前記基部部材が、生体適合性の非分解性ポリマーを含む、実施態様1に記載のパッチ。
(10) 前記基部部材が、生体吸収性ポリマーを含む、実施態様1に記載のパッチ。
(12) 前記生体吸収性ポリマーが、ポリラクチド類、ポリグリコリド類、ポリジオキサノン類、ポリカプロラクトン類、グリコリド類及び炭酸トリメチレンのコポリマー、並びにラクチド類及び炭酸トリメチレンのコポリマー、並びにそれらのコポリマー及びブレンドからなる群から選択される、実施態様10に記載のパッチ。
(13) 前記基部部材が、生体適合性の非分解性ポリマー及び生体吸収性ポリマーを含む、実施態様1に記載のパッチ。
(14) 前記開口部がスリットである、実施態様1に記載のパッチ。
(15) 前記開口部が円形である、実施態様1に記載のパッチ。
(17) 前記閉鎖部材が、前記開口部の周囲に蝶番的に装着された対向する閉鎖フラップ部材を含む、実施態様1に記載の組織修復パッチ。
(18) 前記閉鎖部材が、外周を有するパッチを含み、前記外周の一部分が、前記開口部の周囲において前記基部部材の前記頂面に装着されている、実施態様1に記載の組織修復パッチ。
(19) 前記閉鎖部材が、前記開口部の周囲に装着された外科用縫合糸を含む、実施態様1に記載の組織修復パッチ。
(20) 前記閉鎖部材が、頂面及び底面を有し、かつ前記底面から係合部材が延びるパッチを含み、前記基部部材が、前記閉鎖パッチが前記基部部材に係合し、かつ前記基部部材から係合解除できるように、前記開口部の周囲において前記頂面に装着された、嵌め合い係合部材を有する、実施態様1に記載の組織修復パッチ。
(22) 前記フラップが、スロットによって前記基部部材から分離された自由末端部部分を有し、それにより各閉鎖フラップ部材が、対向するフラップ部材の前記スロット内に係合され得る、実施態様17に記載の組織修復パッチ。
(23) 前記開口部が中央に位置する、実施態様1に記載のパッチ。
(24) 少なくとも2つの開口部及び閉鎖部材を含む、実施態様1に記載のパッチ。
(25) 前記ポリマーフィルムが非吸収性ポリマーを含む、実施態様2に記載のパッチ。
(27) 前記ポリマーが、シリコーン、PTFE、ポリエステル、及びポリプロピレンからなる群から選択される、実施態様25に記載のパッチ。
(28) 前記生体吸収性ポリマーが、酸化再生セルロース、ポリジオキサノン、ポリグレカプロン25(グリコリド及びε−カプロラクトンのコポリマー)及びこれらの組み合わせからなる群から選択される、実施態様26に記載のパッチ。
(29) 前記ポリマーフィルムが癒着バリアである、実施態様2に記載のパッチ。
(30) 前記癒着バリアが、酸化再生セルロース、ポリジオキサノン、ポリグレカプロン25(グリコリド及びε−カプロラクトンのコポリマー)及びこれらの組み合わせからなる群からなる群から選択されるポリマーを含む、実施態様3に記載のパッチ。
(32) 前記位置決め構造体は、下向きに延びるフランジ部材を更に含む、実施態様1に記載のパッチ。
(33) 前記位置決め構造体が係合環部材である、実施態様1に記載のパッチ。
(34) 前記位置決め構造体がテクスチュア加工された表面を更に含む、実施態様1に記載のパッチ。
(35) 前記位置決め構造体が生体吸収性ポリマーを含む、実施態様1に記載のパッチ。
(37) 前記位置決め構造体が前記基部部材の前記周辺部に形成される、実施態様1に記載のパッチ。
(38) 前記位置決め構造体が下向きに延びるフランジ部材である、実施態様37に記載のパッチ。
(39) 前記環部材がD型の断面を有する、実施態様33に記載のパッチ。
(40) 身体壁欠損の修復を行う方法であって、
A.組織欠損を有する身体壁の内層上に組織修復パッチを挿入する工程であって、前記修復パッチが、
頂面、底面、及び周辺部を有する、実質的に平らな基部部材と、
前記底面上で前記基部部材の前記周辺部に隣接して配置される位置決め構造体と、
前記基部部材内に位置する開口部と、
前記開口部に関連した閉鎖部材と、を含む、工程と、
B.前記基部部材の前記頂面が、前記身体壁の前記内層に隣接するように、前記パッチを前記欠損の周囲に配置する工程と、
C.外科用定着器具の末端部を、前記開口部を通して挿入して、前記基部部材の前記底面から前記位置決め構造体にアクセスし、前記基部部材を前記身体壁の前記内層に定着させる工程と、
D.前記閉鎖部材を操作して、前記開口部を閉鎖する工程と、を含む、方法。
(42) 前記組織欠損がヘルニアである、実施態様40に記載の方法。
Claims (8)
- 単一層の組織修復パッチであって、
頂面、底面、及び周辺部を有する、実質的に平らな基部部材と、
前記底面上で前記基部部材の前記周辺部に隣接して配置される位置決め構造体と、
開口部であって、ポケットが前記開口部を通してアクセス可能であるように、前記基部部材中に位置する、開口部と、
前記開口部に関連した閉鎖部材と、を含み、
前記位置決め構造体は、前記組織修復パッチを身体壁に固定する外科用締結具の先端部と接触して、前記外科用締結具の前記先端部を位置決めするように、前記基部部材の前記底面から下方に突出している、組織修復パッチ。 - 組織修復パッチであって、
頂面、底面、及び周辺部を有する、実質的に平らな基部部材と、
前記底面上で前記基部部材の前記周辺部に隣接して配置される位置決め構造体と、
開口部であって、ポケットが前記開口部を通してアクセス可能であるように、前記基部部材中に位置する、開口部と、
前記開口部に関連した閉鎖部材と、を含み、
前記位置決め構造体は、下向きに延びるフランジ部材を更に含む、組織修復パッチ。 - 組織修復パッチであって、
頂面、底面、及び周辺部を有する、実質的に平らな基部部材と、
前記底面上で前記基部部材の前記周辺部に隣接して配置される位置決め構造体と、
開口部であって、ポケットが前記開口部を通してアクセス可能であるように、前記基部部材中に位置する、開口部と、
前記開口部に関連した閉鎖部材と、を含み、
前記位置決め構造体が係合環部材である、組織修復パッチ。 - 組織修復パッチであって、
頂面、底面、及び周辺部を有する、実質的に平らな基部部材と、
前記底面上で前記基部部材の前記周辺部に隣接して配置される位置決め構造体と、
開口部であって、ポケットが前記開口部を通してアクセス可能であるように、前記基部部材中に位置する、開口部と、
前記開口部に関連した閉鎖部材と、を含み、
前記位置決め構造体がテクスチュア加工された表面を更に含む、組織修復パッチ。 - 前記位置決め構造体が生体吸収性ポリマーを含む、請求項2〜4の何れか1つに記載の組織修復パッチ。
- 前記生体吸収性ポリマーが、酸化再生セルロース、ポリジオキサノン、ポリグレカプロン25(グリコリド及びε−カプロラクトンのコポリマー)、ポリラクチド、ポリグリコリド、並びにこれらのコポリマー及び組み合わせからなる群から選択される、請求項5に記載の組織修復パッチ。
- 前記位置決め構造体が前記基部部材の前記周辺部に形成される、請求項2〜4の何れか1つに記載の組織修復パッチ。
- 前記係合環部材がD型の断面を有する、請求項3に記載の組織修復パッチ。
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US13/831,656 US9820839B2 (en) | 2012-04-10 | 2013-03-15 | Single plane tissue repair patch having a locating structure |
PCT/US2014/020071 WO2014149642A2 (en) | 2013-03-15 | 2014-03-04 | Single plane tissue repair patch having a locating structure |
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US11141142B2 (en) | 2014-12-15 | 2021-10-12 | Vivasure Medical Limited | Implantable sealable member with mesh layer |
WO2017102941A1 (en) | 2015-12-15 | 2017-06-22 | Vivasure Medical Limited | Arteriotomy closure apparatus with slotted shoe for advantageous pressure distribution |
EP3195830B1 (en) | 2016-01-25 | 2020-11-18 | Sofradim Production | Prosthesis for hernia repair |
IT201700073581A1 (it) * | 2017-06-30 | 2018-12-30 | Giuseppe Piccinni | Sistema di contenimento laparoscopico per ernia addominale |
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-
2014
- 2014-03-04 MX MX2015012338A patent/MX361801B/es active IP Right Grant
- 2014-03-04 EP EP14712450.7A patent/EP2967792A2/en not_active Withdrawn
- 2014-03-04 CA CA2906349A patent/CA2906349A1/en not_active Abandoned
- 2014-03-04 BR BR112015022938A patent/BR112015022938A2/pt not_active Application Discontinuation
- 2014-03-04 KR KR1020157028981A patent/KR102169777B1/ko active IP Right Grant
- 2014-03-04 AU AU2014237995A patent/AU2014237995A1/en not_active Abandoned
- 2014-03-04 CN CN201480016014.0A patent/CN105073064B/zh not_active Expired - Fee Related
- 2014-03-04 RU RU2015144288A patent/RU2689030C2/ru not_active IP Right Cessation
- 2014-03-04 WO PCT/US2014/020071 patent/WO2014149642A2/en active Application Filing
- 2014-03-04 JP JP2016500567A patent/JP6490659B2/ja not_active Expired - Fee Related
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2015
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AU2014237995A1 (en) | 2015-10-29 |
RU2015144288A (ru) | 2017-04-21 |
KR20150130498A (ko) | 2015-11-23 |
CA2906349A1 (en) | 2014-09-25 |
BR112015022938A2 (pt) | 2017-07-18 |
WO2014149642A2 (en) | 2014-09-25 |
RU2015144288A3 (ja) | 2018-03-13 |
CN105073064A (zh) | 2015-11-18 |
MX2015012338A (es) | 2016-06-06 |
IL241066A0 (en) | 2015-11-30 |
RU2689030C2 (ru) | 2019-05-23 |
CN105073064B (zh) | 2018-09-14 |
EP2967792A2 (en) | 2016-01-20 |
JP2016518867A (ja) | 2016-06-30 |
WO2014149642A3 (en) | 2014-12-31 |
KR102169777B1 (ko) | 2020-10-28 |
MX361801B (es) | 2018-12-14 |
AU2019204465A1 (en) | 2019-07-11 |
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