WO1997022310A2 - Hernio-prothese myopectineale et abdominale avec dispositif auto-depliant - Google Patents

Hernio-prothese myopectineale et abdominale avec dispositif auto-depliant Download PDF

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Publication number
WO1997022310A2
WO1997022310A2 PCT/MX1996/000020 MX9600020W WO9722310A2 WO 1997022310 A2 WO1997022310 A2 WO 1997022310A2 MX 9600020 W MX9600020 W MX 9600020W WO 9722310 A2 WO9722310 A2 WO 9722310A2
Authority
WO
WIPO (PCT)
Prior art keywords
sheet
self
ring
deploying
materials
Prior art date
Application number
PCT/MX1996/000020
Other languages
English (en)
Spanish (es)
Inventor
Neftalí RANGEL GONZALEZ
Original Assignee
Rangel Gonzalez Neftali
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Priority claimed from MX9505309A external-priority patent/MX9505309A/es
Priority claimed from MX9505310A external-priority patent/MX9505310A/es
Application filed by Rangel Gonzalez Neftali filed Critical Rangel Gonzalez Neftali
Publication of WO1997022310A2 publication Critical patent/WO1997022310A2/fr

Links

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

Definitions

  • the improvement in the prostheses is characterized by forming a unit of - two parts, a laminar part or sheet and a structure or device - - - - self-deploying that can have two forms: 1) an arch or 2) a ring .
  • the laminar part is a thin flexible sheet that can be processed in various materials, for example polypropylene, polyester, etc., or combinations of materials and be waterproof or multiporous mesh type texture (a in figures one and two).
  • the structural part is a thin - - device (the bow or the ring) that can be processed in various materials, for example polypropylene, polyethylene, etc., or a combination of - - materials and even in absorbable materials, so that it can be achieved - sufficient flexibility, semi-stiffness and elasticity in the device - - - structural for a deploying effect on the sheet.
  • various materials for example polypropylene, polyethylene, etc., or a combination of - - materials and even in absorbable materials, so that it can be achieved - sufficient flexibility, semi-stiffness and elasticity in the device - - - structural for a deploying effect on the sheet.
  • the unit structured by an arch is called hernioprosthesis - - - myopectineal with self-deploying arch.
  • the arc (b in figure one) shows two curved branches with - their concavity inward of the arc, a long upper branch (c in the - - figure one) and a lower short branch (d in figure one) which - - - gradually decrease their width and thickness towards their ends.
  • the arc has a spindle or elliptical shape and blunt edges, on the - - - - front surface the sheet is incorporated or the arc is structured within the thickness of the sheet (box aya 'in figure one, this last - - - exemplified in non-multiporous sheet).
  • Figure one shows an example - clear of the myopectineal hernioprosthesis unit with self-deploying arch, but the measurements are not marked since, the length, width and thickness of the - arch, and consequently the size of the unit, change due to the different needs in the objectives of its use and even by the differences in the physical properties of the various materials with which it is possible to achieve the appropriate characteristics in the arc and the unit.
  • the blade protrudes from the outer edge of the arch and - from its opening in variable extension (eye 'in figure one).
  • These - two parts that make up the unit, the leaf or folding part and the arc or folding part, are structured to each other as it is presented - in figure one, adhered to each other when they were made of different materials (for example in polyester the sheet and in polypropylene the arc, etc.), or as a continuous unit of the arc with the sheet when - - they were manufactured at the same time and in the same material (both in - - polypropylene for example), as presented in figure one.
  • the unit structured by a hoop is called hernioprosthesis - - abdominal with self-deploying ring.
  • the ring (b in figure two) is shown in an elliptical shape, and - has the same characteristics described above for the arc seen at the cut, but the width and thickness they are uniform throughout the ring and - flat-convex or elliptical (boxes b and b 'in figure two).
  • Figure two shows a clear example of the unit, but the measurements are not marked because the length of the perimeter, width and thickness of the ring, and consequently of the size of the unit as a whole, change due to the different needs in the objectives of the use and even by the differences in the physical properties of the materials with which it is possible to obtain the appropriate characteristics in the ring and the unit, and thus the ring may have an ellipse shape with greater or lesser difference in the - - - length of its semi-axes or be in a circle. For these same reasons, the blade protrudes from the outer edge of the ring in variable length (c in figure two).
  • the myopectineal and abdominal hernioprosthesis with self-deploying device - - - - -, the arch or the hoop, are designed to be used as deep tissue reinforcement in the surgical treatment of the - - - hernias developed in the abdominal wall, the myopectineal hernioprosthesis with self-deploying arch for myopectineal orifice herniations - - - (inguino-femoral regions of the abdominal wall) and abdominal hernioprosthesis - - abdominal with self-expanding ring for other types of wall hernias - - abdominal.
  • the second objective is the simplification of the procedures of - - - - - placement, whatever the type of approach (traditional or by - - - laparoscopy), currently difficult using prostheses or meshes - ordinary, since it is to place the unit in the preperitoneal plane and in the need for the approach to be small where the advantages of the use - ' of hernioprostheses are more evident.
  • These advantages lie in the - - presence and properties of the self-deploying device, the arc or the ring, which allow the unit to resume its original shape facilitating the folding / rolling-unfolding process, permanently maintaining the blade in this condition, when implanting the prosthetic unit, being free of obstacles when "released" is automatically deployed (advantage three).
  • the arch or the ring - - - rests on the firm parts of the wall adjacent to that area, preventing the unit from sliding through the hemiary defect what it would do - unnecessary - or minimizes - the use of staples or sutures to attach it to the tissues (advantage four).

Abstract

L'invention concerne une prothèse synthétique de conception améliorée, destinée à être utilisée comme renfort profond des tissus dans le traitement chirurgical des hernies formées dans les orifices myopectinéaux et dans d'autres zones de la paroi abdominale. Les prothèses sous forme de feuilles utilisées actuellement à cet effet sont des feuilles minces fabriquées avec divers polymères. Elles sont très flexibles, ce qui crèe de nombreuses difficultés lors de l'opération (en particulier en cas de petite incision, par exemple par laparoscopie), pour positionner et déplier la feuille, ce qui oblige à la fixer en utilisant de nombreuses sutures ou agrafes pour la maintenir dépliée et éviter son glissement. L'invention consiste à intégrer deux parties dans une unité prosthétique, à savoir une feuille flexible et un dispositif structurel auto-dépliant qui peut avoir deux formes, soit en arc soit en anneau, ces deux parties pouvant être fabriquées en divers matériaux; le dispositif auto-dépliant confère à la feuille une consistance à sa périphérie sans lui faire perdre sa flexibilité, ce qui permet de l'adapter aux tissus, de simplifier le processus de positionnement, son déploiement étant automatique en raison de l'absence d'obstacles, d'éviter ou réduire au minimum l'utilisation de sutures ou agrafes pour fixer la feuille aux tissus, et d'empêcher son glissement au travers de l'orifice herniaire étant donné que la feuille est maintenue dans son état déplié de manière permanente. En conséquence, les risques opératoires, les coûts et les moyens sont réduits.
PCT/MX1996/000020 1995-12-15 1996-12-13 Hernio-prothese myopectineale et abdominale avec dispositif auto-depliant WO1997022310A2 (fr)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
MX9505309A MX9505309A (es) 1995-12-15 1995-12-15 Hernioprotesis miopectineal con arco autodesplegante.
MX9505310A MX9505310A (es) 1995-12-15 1995-12-15 Hernioprotesis abdominal con aro autodesplegante.
MX955310 1995-12-15
MX955309 1995-12-15

Publications (1)

Publication Number Publication Date
WO1997022310A2 true WO1997022310A2 (fr) 1997-06-26

Family

ID=26640884

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/MX1996/000020 WO1997022310A2 (fr) 1995-12-15 1996-12-13 Hernio-prothese myopectineale et abdominale avec dispositif auto-depliant

Country Status (1)

Country Link
WO (1) WO1997022310A2 (fr)

Cited By (25)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6042592A (en) * 1997-08-04 2000-03-28 Meadox Medicals, Inc. Thin soft tissue support mesh
US6099518A (en) * 1998-10-20 2000-08-08 Boston Scientific Corporation Needle herniorrhaphy devices
US6113641A (en) * 1997-08-27 2000-09-05 Ethicon, Inc. Prosthesis for the obturation of a hernial canal
US6174320B1 (en) 1994-09-29 2001-01-16 Bard Asdi Inc. Hernia mesh patch with slit
US6176863B1 (en) 1994-09-29 2001-01-23 Bard Asdi Inc. Hernia mesh patch with I-shaped filament
US6180848B1 (en) 1997-08-27 2001-01-30 Ethicon, Inc. Prosthesis obturating device for the obturation of a hernial canal
EP1075227A1 (fr) * 1998-05-01 2001-02-14 Correstore, Inc. Appareil et methode pour la reconstitution coronaire du segment anterieur
US6224616B1 (en) 1994-09-29 2001-05-01 Bard Asdi Inc. Hernia mesh patch
US6241768B1 (en) 1997-08-27 2001-06-05 Ethicon, Inc. Prosthetic device for the repair of a hernia
US6280453B1 (en) 1994-09-29 2001-08-28 Bard Asdi Inc. Hernia mesh patch with stiffener line segment
US6290708B1 (en) 1994-09-29 2001-09-18 Bard Asdi Inc. Hernia mesh patch with seal stiffener
WO2005044143A1 (fr) * 2003-10-31 2005-05-19 Mpathy Medical Devices Limited Prothese pour hernie
US7785334B2 (en) 2002-08-02 2010-08-31 C.R. Bard, Inc. Implantable prosthesis
US8118727B2 (en) 2000-10-12 2012-02-21 Coloplast A/S Method for supporting pelvic anatomy
US8128554B2 (en) 2000-10-12 2012-03-06 Coloplast A/S System for introducing a pelvic implant
US8157822B2 (en) 2001-03-30 2012-04-17 Coloplast A/S Surgical implant and methods of use
US8215310B2 (en) 2004-05-21 2012-07-10 Coloplast A/S Implant for treatment of vaginal and/or uterine prolapse
US8298290B2 (en) 2004-09-20 2012-10-30 Davol, Inc. Implantable prosthesis for soft tissue repair
US8668635B2 (en) 2000-10-12 2014-03-11 Coloplast A/S Pelvic implant with suspending system
US8920304B2 (en) 2000-07-05 2014-12-30 Coloplast A/S Method and device for treating urinary incontinence
DE102013109959A1 (de) * 2013-09-11 2015-03-12 Feg Textiltechnik Forschungs- Und Entwicklungsgesellschaft Mbh Implantat zur Behandlung einer Hernie
US9005222B2 (en) 2002-08-02 2015-04-14 Coloplast A/S Self-anchoring sling and introducer system
US9072586B2 (en) 2008-10-03 2015-07-07 C.R. Bard, Inc. Implantable prosthesis
CN104771264A (zh) * 2015-04-20 2015-07-15 周学厚 刚性阻挡式疝气康复器
US9186489B2 (en) 2003-03-27 2015-11-17 Coloplast A/S Implantable delivery device system for delivery of a medicament to a bladder

Cited By (76)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6224616B1 (en) 1994-09-29 2001-05-01 Bard Asdi Inc. Hernia mesh patch
US6290708B1 (en) 1994-09-29 2001-09-18 Bard Asdi Inc. Hernia mesh patch with seal stiffener
US6280453B1 (en) 1994-09-29 2001-08-28 Bard Asdi Inc. Hernia mesh patch with stiffener line segment
US6174320B1 (en) 1994-09-29 2001-01-16 Bard Asdi Inc. Hernia mesh patch with slit
US6176863B1 (en) 1994-09-29 2001-01-23 Bard Asdi Inc. Hernia mesh patch with I-shaped filament
US6375662B1 (en) 1997-08-04 2002-04-23 Scimed Life Systems, Inc. Thin soft tissue surgical support mesh
US6042592A (en) * 1997-08-04 2000-03-28 Meadox Medicals, Inc. Thin soft tissue support mesh
US6669706B2 (en) 1997-08-04 2003-12-30 Scimed Life Systems, Inc. Thin soft tissue surgical support mesh
US6180848B1 (en) 1997-08-27 2001-01-30 Ethicon, Inc. Prosthesis obturating device for the obturation of a hernial canal
US6241768B1 (en) 1997-08-27 2001-06-05 Ethicon, Inc. Prosthetic device for the repair of a hernia
US6113641A (en) * 1997-08-27 2000-09-05 Ethicon, Inc. Prosthesis for the obturation of a hernial canal
EP1075227A1 (fr) * 1998-05-01 2001-02-14 Correstore, Inc. Appareil et methode pour la reconstitution coronaire du segment anterieur
EP1075227A4 (fr) * 1998-05-01 2007-05-30 Correstore Inc Appareil et methode pour la reconstitution coronaire du segment anterieur
US6258113B1 (en) 1998-10-20 2001-07-10 Boston Scientific Corporation Needle herniorrhaphy devices
US6099518A (en) * 1998-10-20 2000-08-08 Boston Scientific Corporation Needle herniorrhaphy devices
US6638292B2 (en) 1998-10-20 2003-10-28 Boston Scientific Corporation Needle herniorrhaphy devices
US8920304B2 (en) 2000-07-05 2014-12-30 Coloplast A/S Method and device for treating urinary incontinence
US10278800B2 (en) 2000-07-05 2019-05-07 Coloplast A/S Method and device for treating urinary incontinence
US8118728B2 (en) 2000-10-12 2012-02-21 Coloplast A/S Method for implanting an adjustable surgical implant for treating urinary incontinence
US8449450B2 (en) 2000-10-12 2013-05-28 Coloplast A/S Pass through introducer and sling
US9918817B2 (en) 2000-10-12 2018-03-20 Coloplast A/S Method of post-operatively adjusting a urethral support in treating urinary incontinence of a woman
US8118727B2 (en) 2000-10-12 2012-02-21 Coloplast A/S Method for supporting pelvic anatomy
US8911347B2 (en) 2000-10-12 2014-12-16 Coloplast A/S System and method for treating urinary incontinence
US8123673B2 (en) 2000-10-12 2012-02-28 Coloplast A/S Adjustable surgical implant for treating urinary incontinence
US8128554B2 (en) 2000-10-12 2012-03-06 Coloplast A/S System for introducing a pelvic implant
US9113992B2 (en) 2000-10-12 2015-08-25 Coloplast A/S Apparatus and method for treating urinary incontinence
US9089394B2 (en) 2000-10-12 2015-07-28 Coloplast A/S Pelvic implant with suspending system
US8162818B2 (en) 2000-10-12 2012-04-24 Coloplast A/S Adjustable surgical implant for pelvic anatomy
US8182413B2 (en) 2000-10-12 2012-05-22 Coloplast A/S Method for fibrous anchoring of a pelvic support
US8182412B2 (en) 2000-10-12 2012-05-22 Coloplast A/S Pelvic implant with fibrous anchor
US9089396B2 (en) 2000-10-12 2015-07-28 Coloplast A/S Urinary incontinence treatment and devices
US8273011B2 (en) 2000-10-12 2012-09-25 Coloplast A/S Adjustable surgical implant and method for treating urinary incontinence
US8932202B2 (en) 2000-10-12 2015-01-13 Coloplast A/S Incontinence implant with soft tissue anchors and length not allowing abdominal wall penetration
US9968430B2 (en) 2000-10-12 2018-05-15 Coloplast A/S Surgical device implantable to treat female urinary incontinence
US8454492B2 (en) 2000-10-12 2013-06-04 Coloplast A/S Absorbable anchor and method for mounting mesh to tissue
US8469877B2 (en) 2000-10-12 2013-06-25 Coloplast A/S System for introducing a pelvic implant
US8512223B2 (en) 2000-10-12 2013-08-20 Coloplast A/S Pelvic implant with selective locking anchor
US8574148B2 (en) 2000-10-12 2013-11-05 Coloplast A/S System for introducing soft tissue anchors
US10076394B2 (en) 2000-10-12 2018-09-18 Coloplast A/S Method of treating urinary incontinence
US8920308B2 (en) 2000-10-12 2014-12-30 Coloplast A/S Surgical implant with anchor introducer channel
US10449025B2 (en) 2000-10-12 2019-10-22 Coloplast A/S Surgical device implantable to treat female urinary incontinence
US8668635B2 (en) 2000-10-12 2014-03-11 Coloplast A/S Pelvic implant with suspending system
US8801596B2 (en) 2000-10-12 2014-08-12 Coloplast A/S Sling with support and suspending members formed from same polymer
US8821370B2 (en) 2000-10-12 2014-09-02 Coloplast A/S Device, system and methods for introducing soft tissue anchors
US8821369B2 (en) 2000-10-12 2014-09-02 Colorplast A/S Method for soft tissue anchoring with introducer
US8852075B2 (en) 2000-10-12 2014-10-07 Coloplast A/S Pelvic implant systems and methods with expandable anchors
US8888678B2 (en) 2000-10-12 2014-11-18 Coloplast A/S Pelvic implant with suspending system
US8603119B2 (en) 2001-03-30 2013-12-10 Coloplast A/S Surgical implant having strands and methods of use
US8157821B2 (en) 2001-03-30 2012-04-17 Coloplast A/S Surgical implant
US8603120B2 (en) 2001-03-30 2013-12-10 Coloplast A/S Low mass density surgical implant and methods of use
US10682213B2 (en) 2001-03-30 2020-06-16 Coloplast A/S Surgical implant consisting of non-absorbable material
US8632554B2 (en) 2001-03-30 2014-01-21 Coloplast A/S Low mass density surgical implant having strands and methods of use
US9248011B2 (en) 2001-03-30 2016-02-02 Coloplast A/S Surgical implant and methods of use
US8157822B2 (en) 2001-03-30 2012-04-17 Coloplast A/S Surgical implant and methods of use
US9943390B2 (en) 2001-03-30 2018-04-17 Coloplast A/S Method of treating pelvic organ prolapse in a female patient by accessing a prolapsed organ trans-vaginally through a vagina
US8956373B2 (en) 2002-08-02 2015-02-17 C.R. Bard, Inc. Implantable prosthesis
US9872750B2 (en) 2002-08-02 2018-01-23 Coloplast A/S Self-anchoring sling and introducer system
US9532861B2 (en) 2002-08-02 2017-01-03 Coloplast A/S Self-anchoring sling and introducer system
US7806905B2 (en) 2002-08-02 2010-10-05 C.R. Bard, Inc. Implantable prosthesis
US9005222B2 (en) 2002-08-02 2015-04-14 Coloplast A/S Self-anchoring sling and introducer system
US9532862B2 (en) 2002-08-02 2017-01-03 Coloplast A/S Self-anchoring sling and introducer system
US7785334B2 (en) 2002-08-02 2010-08-31 C.R. Bard, Inc. Implantable prosthesis
US9345867B2 (en) 2003-03-27 2016-05-24 Coloplast A/S Device implantable in tissue of a prostate gland or a bladder
US9555168B2 (en) 2003-03-27 2017-01-31 Coloplast A/S System for delivery of medication in treatment of disorders of the pelvis
US9186489B2 (en) 2003-03-27 2015-11-17 Coloplast A/S Implantable delivery device system for delivery of a medicament to a bladder
GB2423030B (en) * 2003-10-31 2008-01-30 Mpathy Medical Devices Ltd Hernia prosthesis
GB2423030A (en) * 2003-10-31 2006-08-16 Mpathy Medical Devices Ltd Hernia prosthesis
WO2005044143A1 (fr) * 2003-10-31 2005-05-19 Mpathy Medical Devices Limited Prothese pour hernie
US8215310B2 (en) 2004-05-21 2012-07-10 Coloplast A/S Implant for treatment of vaginal and/or uterine prolapse
US9060838B2 (en) 2004-05-21 2015-06-23 Coloplast A/S Tissue supported implantable device
US10064714B2 (en) 2004-05-21 2018-09-04 Coloplast A/S Implantable device configured to treat pelvic organ prolapse
US8298290B2 (en) 2004-09-20 2012-10-30 Davol, Inc. Implantable prosthesis for soft tissue repair
US10639138B2 (en) 2008-02-28 2020-05-05 Coloplast A/S Method for providing support to a urethra in treating urinary incontinence
US9072586B2 (en) 2008-10-03 2015-07-07 C.R. Bard, Inc. Implantable prosthesis
DE102013109959A1 (de) * 2013-09-11 2015-03-12 Feg Textiltechnik Forschungs- Und Entwicklungsgesellschaft Mbh Implantat zur Behandlung einer Hernie
CN104771264A (zh) * 2015-04-20 2015-07-15 周学厚 刚性阻挡式疝气康复器

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