WO2004080348A1 - Dispositif de deploiement et de mise en place de maille prothetique chirurgicale - Google Patents
Dispositif de deploiement et de mise en place de maille prothetique chirurgicale Download PDFInfo
- Publication number
- WO2004080348A1 WO2004080348A1 PCT/IL2004/000212 IL2004000212W WO2004080348A1 WO 2004080348 A1 WO2004080348 A1 WO 2004080348A1 IL 2004000212 W IL2004000212 W IL 2004000212W WO 2004080348 A1 WO2004080348 A1 WO 2004080348A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- mesh
- sheet
- roller portion
- surgical
- deploying
- Prior art date
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
-
- 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
-
- 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
-
- 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
- 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
- A61B2017/00646—Type of implements
- A61B2017/00659—Type of implements located only on one side of the opening
-
- 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
- A61F2002/0072—Delivery tools therefor
Definitions
- the present invention relates to a tool and method for the deployment and placement of a mesh-sheet in the abdominal cavity or the inguinal space, covering a hernial defect of a patient during a hernia repair in a laparoscopic procedure.
- hernia as used herein the specification and claims denotes any type of hernia e.g. abdominal hernia (incisional, umbilical, epigastric or Spigelian), inguinal hernia (inguinal or femoral).
- Hernias are abnormal protrusions of an organ (or organs) through a defect or natural opening in a covering membrane, muscle or bone. Most hernias protrude in the inguinal region as inguinal (direct or indirect) or femoral hernias and in the anterior abdominal wall region, as incisional, umbilical, epigastric or Spigelian hernias.
- Hernia repair typically requires surgery, which generally entails an incision in the hernia zone ranging up to about 25 centimeters in length. Several layers of the inguinal region or of the abdominal wall are generally separated to reach and expose the herniated portions. A small defective gap may be closed by sutures, and in cases of a larger defective gap it is required to apply a mesh-sheet over the gap. In some cases a mesh-sheet may be used for reinforcing a primary sutured defect in the abdominal wall. Such a procedure is completed by fixing the mesh-sheet by sutures at peripheral edges thereof to the abdominal wall, over the defective zone.
- hernia repairs involve major invasive surgical procedures, which often cause excessive trauma to tissue layers and to the patient and necessitate long postoperative recuperation periods. Even more so, such procedures are typically carried out under full anesthesia, which at times and for certain patients, may be a problematic issue.
- numerous complications, related directly or indirectly to the surgery may often result, including bleeding, infection, testicular atrophy, organ damage, nerve damage, blood vessel damage, etc.
- cutting through the various layers of tissues to obtain access to the herniated area may cause additional trauma to the patient.
- laparoscopic and endoscopic surgical procedures have become relatively popular and have provided additional incentive to develop such procedures further. In laparoscopic procedures, surgery is performed in the interior of the abdomen or in the inguinal space through a small incision where endoscopic tubes may then be inserted through narrow entrance incisions formed in the skin and adjoining tissue.
- tubes In laparoscopic and endoscopic procedures, several tubes, often referred to as cannulas or ti'ocars, are used for monitoring the procedure by insertion of optical equipment therethrough, connected to visualizing means, as known in the art.
- Laparoscopic and endoscopic procedures generally require inflation of the surgical region i.e. the abdominal or inguinal space, typically by introducing pressurized gas such as C0 2 through one of the cannulas. Accordingly, any openings through which instrumentation is inserted into the body must be sufficiently sealed to retain gas pressure.
- US 5,464,403 discloses a tool for the placement of a flexible sheet in laparoscopic procedures.
- the tool includes an elongate tubular assembly and an elongate tubular member having a bore.
- a rod is disposed in the bore and terminates short of the distal extremity of the elongate tubular assembly.
- a handle is secured to the proximal extremity of the elongate tubular assembly and receives the rotatable member.
- the tubular assembly has a slot extending longitudinally which permits access to the annular chamber and the extremity of the rod. The distal extremity of the rod engages one edge of the sheet, hence as the rod is rotated in one direction,
- US 5,957,939 discloses a medical device for deploying surgical fabric such as mesh-sheet within a body cavity of a patient.
- the device includes a deploying member and a clamping member supported at the distal end of the deploying member for holding the fabric in rolled and unrolled configurations. The clamping
- the device further includes a self-unwinding member at the distal end of the deploying member, the self-unwinding member being effective in automatically unwinding
- An object of the present invention is to provide an apparatus and a method for deployment and placement of a mesh-sheet in a laparoscopic procedure where reduced skills and training are required to perform such a procedure, and wherein trauma to the patient is minimized, recovery time is significantly shortened as well as the time required to complete the laparoscopic procedure.
- the proposed apparatus and the method utilizing same are suitable for abdominal hernias that may include incisional, umbilical, Spigelian and epigastric hernias, and with some modifications may be suitable for treating inguinal and femoral hernias.
- abdominal hernia repairs of any of the aforementioned types namely incisional, umbilical, Spigelian and epigastric hernias
- the invention is applicable in a variety of similar operations, such as, for example inguinal hernias, etc (direct and indirect) and femoral hernias.
- the present invention is directed to an apparatus for deployment and placing a mesh-sheet in a laparoscopic procedure, the apparatus comprising a rod formed with a handle portion and a coaxial roller portion, said roller portion having the mesh-sheet wound there-around.
- the roller portion has a distal end provided with a tissue-anchoring stud.
- the roller portion is rotatably attached to the handle portion.
- the apparatus is fitted for insertion into the abdominal cavity or inguinal space of a patient through a cannula and accordingly, its overall diameter is sized depending on the particulars (size and thickness) of the mesh used and the specific cannula used in conjunction therewith.
- the mesh-sheet according to the present invention comprises a leading edge and a rear edge. At least one surgical thread is secured to the leading edge of the mesh-sheet, where according to one specific application a free end of :the surgical thread is provided with a surgical needle.
- the one or more surgical threads are useful in extraction, positioning (orientation) and securing the mesh-sheet in site.
- the mesh-sheet has a rectangular shape having two essentially straight edges with a first pair of corners defining the leading edge and a second pair of corners defining the rear edge. Each of two surgical threads is secured to the mesh-sheet at one of the first pair of corners.
- the rear edge of the mesh-sheet is detachably attached to the roller portion of the apparatus according to the invention, e.g. with surgical threads or by any other means such as adhesive material, and the mesh-sheet is wound around the roller portion before use.
- a process of deploying a mesh-sheet using the apparatus according to the present invention comprises the step of insertion of the roller portion of the rod with the mesh-sheet wound there-around into the space through a cannula.
- the tissue- anchoring stud at the distal end of the roller portion is anchored to the tissues, e.g. by stabbing, to thereby facilitate easy unrolling of the mesh-sheet and for positioning of the rear edge of the mesh-sheet.
- the mesh-sheet is placed within the abdominal cavity or inguinal space by pulling the surgical threads of tlie leading edge towards a pre-detennined position within the cavity/space to thereby cover the hernial defect. This is achieved by suitable forceps used for manipulating the needles.
- the needles provided at the ends of the surgical threads are then used for stitching to the appropriate tissues of the patient, possibly by piercing the tissues of the patient from the abdominal cavity to the outside of the patient.
- the rod remains stationary and the roller rotates freely to enable smooth and easy deployment and positioning of the mesh-sheet over the hemial defect.
- the roller portion of the rod is fixed with respect to the handle portion, where the diameter of the roller portion is small enough to enable a free rotation of the rod within the cannula.
- the free rotation of the rod facilitates its unwinding.
- the corners of the mesh-sheet are stitched to the body of the patient, or otherwise attached, e.g. by stapling, etc. and the surgical threads are cut and discarded.
- the mesh-sheet is then detached from the roller portion of the rod whereby the rod may be removed.
- the same apparatus may be utilized also for repair of inguinal or femoral hernias.
- the method is similar with the obvious required differences resulting in the different anatomical structure. It is however advantageous to provide the free ends of the at least one surgical thread, secured to the leading edge of the mesh-sheet, with a bone anchor.
- Fig. 1 shows an apparatus according to an embodiment of the present invention, in an unfolded state
- Fig. 2 shows the apparatus of Fig. 1 with a mesh-sheet partially wound over a rod
- Fig. 3 shows the apparatus ready to be inserted through a cannula
- Fig. 4 is a schematic representation illustrating the abdomen of a patient with a hernia, with several cannulas fitted thereto, as a prior step to carrying out a hernia repair procedure, using an apparatus according to the present invention
- Fig. 5 illustrates deploying a mesh-sheet in a hernia repair operation, using an apparatus according to the present invention
- Fig. 6 illustrates another phase of a hernia repair procedure using the apparatus of the present invention
- Fig. 7 illustrates a last phase of a hernia repair procedure using the apparatus of the present invention.
- an apparatus generally designated 10 is illustrated, in the form of a rod comprising a handle portion 20, and a roller portion 25 coaxially and rotatably connected thereto; the apparatus having a longitudinal axis L extending through the rod 20.
- the handle portion 20. and the roller portion 25 are integral and fixedly attached to one another, whilst according to a modification thereof, the roller portion 25 is rotatably attached to the handle portion 20.
- a distal end of the roller portion 25 is formed with a pointed end 30, useful as an anchoring arrangement as will become apparent hereinafter.
- a free or leading edge 44 of the mesh-sheet 40 is defined between two first comers 46, and a rear edge 48 is defined between two second comers 50.
- the leading edge 44 has secured thereto two surgical threads 54 adjacent the two first comers 46.
- a free end 56 of each of the two surgical threads 54 is provided with a needle 58.
- the apparatus 10 may be a disposable device made of an inexpensive material, or it may be intended for multiple use where it is made of a material suitable for sterilization thereof and where a fresh mesh-sheet 40 may be attached to the roller portion thereof.
- the roller portion 25 may be integral with or rotationally fixed to the handle portion 20 (where it is possible to wind and unwind the mesh-sheet), or the roller portion may be rotatable with respect to the handle portion, in which case, if desirable, an arrangement may be provided for fixing the roller portion to the handle portion.
- Fig. 2 shows the apparatus 10 with the mesh-sheet 40 partially wound around the roller portion 25.
- Fig. 3 shows the apparatus 10 with the mesh-sheet 40 fully wound around the roller portion 25 with the threads 54 folded over the rolled mesh-sheet and the needles 58 adjacent the mesh-sheet (practically, positioned parallel the edges of the rolled mesh-sheet aligned with the longitudinal axis L).
- the apparatus is ready to be used in a laparoscopic procedure.
- abdominal hemia incisional, umbilical, epigastric or Spigelian
- the same apparatus and method may be applied for repairing other types of hemia, e.g.
- FIG. 4 of the drawings an abdomen 60 of a patient is schematically shown with a hemia identified at 62.
- a small localized incision 64 is made in the abdominal wall, through which a first cannula 70 is inserted.
- a second cannula 72 is inserted through another small, localized incision 66 and is used for introducing pressurized gas for insufflating the abdominal cavity to facilitate the operation.
- a third cannula 74 is inserted through another small localized incision 68 and is used for introducing optical equipment (not shown) to the abdominal cavity for monitoring the surgery.
- the locations of the two small localized incisions 66 and 68, as illustrated in Fig. 4, are merely exemplary and they may be located in a variety of locations, at the surgeon's choice.
- Cannulas 72 and 74 are not essential components of the apparatus 10 referred to by the present invention and will thus not be discussed or shown in further detail.
- FIG. 5 there is illustrated the use of the apparatus 10 according to the present invention in a hemia repair during a laparoscopic procedure.
- the apparatus 10 is inserted through the first cannula 70.
- the pointed end 30 of the roller portion 25 is stabbed into the flesh of the abdomen at a location designated 80, giving rise to a stabilized and firm rolling axis extending between that point and a second anchoring point 82 provided by holding the apparatus 10 at the handle portion 20, extending outside of the cannula 70.
- the two needles 58 are then grasped by laparoscopic forceps (not shown) introduced through one of the other cannulas 72 and 74 and directed towards anchoring points 84 and 86.
- the mesh-sheet 40 Whilst pulling the needles 58 the mesh-sheet 40 is unwound from the roller portion 25. Once the mesh-sheet 40 is deployed and positioned at a pre-determined position over the hemia 62 (Fig. 6), it may be secured in position for example by piercing the abdominal wall at anchoring points 84 and 86 and then tightening and tying the threads 54. Alternatively, the threads 54 may be tensioned and stitched to the internal wall portions of the abdomen without piercing the abdomen wall.
- the mesh-sheet 40 After initially positioning and fixing the mesh-sheet 40 by stitching, it is then secured by further stitching to the abdominal wall at several locations 90 by a laparoscopic stitching tool (not shown) whereby the mesh-sheet is thus affixed in place.
- the second comers 50 of the mesh-sheet 40 are detached from the roller portion 25 of the apparatus 10 by detaching/cutting the threads 54.
- a final stage after affixing the mesh-sheet 40 by the stitches 90, the apparatus 10 is retracted through the cannula 70, the cannula 70 is then withdrawn through incision 68 which is then stitched.
- an apparatus similar to that previously described is introduced through a trocar (cannula) placed either laterally above the anterior superior iliac spine, or medially, above tlie pubis. The apparatus is introduced such that the roller portion 25 extends above and parallel to the anterior pelvic bone.
- the leading edge 44 of the mesh-sheet 40 is pulled to thereby unroll the sheet in front of the lower anterior abdominal wall.
- the leading edge 44 of the mesh- sheet 40 reaches the pubic bone the mesh-sheet is positioned over (in front) of the hemial defect.
- the leading edge 44 is then affixed by attaching the threads 54 to the pelvic bone. This may be carried out, for example, by several anchors fixable to the bone (e.g. in the form of studs, etc.), whereby a thread extends through a hooked portion of the anchor. To prevent unintentional detaching of the thread from such a hooked portion, the thread may be provided with a bulge which will not pass through the hooked portion.
- the rear edge 48 of the mesh-sheet 40 may then be detached from the roller portion of the rod, as described hereinabove in connection with the previous embodiment.
- the rear edge 48 of the mesh-sheet 40 is then anchored to the upper anterior abdomen wall, whereby it effectively extends over the hemial defect, and then the rod may be removed from site.
- the leading edge 44 of the mesh-sheet 40 may be brought down to the vicinity of the pelvic rim in several ways. For example, it may be pulled down along the anterior abdominal wall with the aid of a laparoscopic instrument introduced through one of the trocars.
- anchor members may be anchored to the medial pelvis lower rim, where it is expected that the medial free edge of the mesh-sheet 40 be attached, and then pulling a thread through a ring/hook portion of the anchor and pulling the thread whereby the mesh-sheet is thus pulled over to meet caudally the pelvic rim.
- the medial comer of the free edge of the mesh-sheet is anchored to the medial pelvic rim, adjacent the symphsys pubis.
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Animal Behavior & Ethology (AREA)
- Surgery (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Transplantation (AREA)
- Cardiology (AREA)
- Vascular Medicine (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Oral & Maxillofacial Surgery (AREA)
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Abstract
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
IL15491803A IL154918A0 (en) | 2003-03-13 | 2003-03-13 | Device and method for deploying and placing a surgical prosthesis mesh |
IL154918 | 2003-03-13 |
Publications (1)
Publication Number | Publication Date |
---|---|
WO2004080348A1 true WO2004080348A1 (fr) | 2004-09-23 |
Family
ID=32587495
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/IL2004/000212 WO2004080348A1 (fr) | 2003-03-13 | 2004-03-04 | Dispositif de deploiement et de mise en place de maille prothetique chirurgicale |
Country Status (2)
Country | Link |
---|---|
IL (1) | IL154918A0 (fr) |
WO (1) | WO2004080348A1 (fr) |
Cited By (23)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2008099382A1 (fr) | 2007-02-14 | 2008-08-21 | Easylap Ltd. | Dispositif de déploiement de treillis |
WO2010068763A3 (fr) * | 2008-12-11 | 2010-09-16 | Wilson-Cook Medical, Inc. | Système d'enroulement de feuille endoscopique |
US8317808B2 (en) | 2008-02-18 | 2012-11-27 | Covidien Lp | Device and method for rolling and inserting a prosthetic patch into a body cavity |
US8529434B2 (en) | 2008-10-29 | 2013-09-10 | Cook Medical Technologies Llc | Endoscopic sheet delivery |
US8753359B2 (en) | 2008-02-18 | 2014-06-17 | Covidien Lp | Device and method for deploying and attaching an implant to a biological tissue |
US8758373B2 (en) | 2008-02-18 | 2014-06-24 | Covidien Lp | Means and method for reversibly connecting a patch to a patch deployment device |
US8808314B2 (en) | 2008-02-18 | 2014-08-19 | Covidien Lp | Device and method for deploying and attaching an implant to a biological tissue |
US8888811B2 (en) | 2008-10-20 | 2014-11-18 | Covidien Lp | Device and method for attaching an implant to biological tissue |
US8906045B2 (en) | 2009-08-17 | 2014-12-09 | Covidien Lp | Articulating patch deployment device and method of use |
AU2010241507B2 (en) * | 2009-11-30 | 2014-12-11 | Covidien Lp | Ventral hernia repair with barbed suture |
US8920483B2 (en) | 2012-06-12 | 2014-12-30 | Atrium Medical Corporation | Surgical prosthesis deployment device |
US9034002B2 (en) | 2008-02-18 | 2015-05-19 | Covidien Lp | Lock bar spring and clip for implant deployment device |
US9044235B2 (en) | 2008-02-18 | 2015-06-02 | Covidien Lp | Magnetic clip for implant deployment device |
US9301826B2 (en) | 2008-02-18 | 2016-04-05 | Covidien Lp | Lock bar spring and clip for implant deployment device |
US9393002B2 (en) | 2008-02-18 | 2016-07-19 | Covidien Lp | Clip for implant deployment device |
US9393093B2 (en) | 2008-02-18 | 2016-07-19 | Covidien Lp | Clip for implant deployment device |
US9398944B2 (en) | 2008-02-18 | 2016-07-26 | Covidien Lp | Lock bar spring and clip for implant deployment device |
US9833240B2 (en) | 2008-02-18 | 2017-12-05 | Covidien Lp | Lock bar spring and clip for implant deployment device |
US9999424B2 (en) | 2009-08-17 | 2018-06-19 | Covidien Lp | Means and method for reversibly connecting an implant to a deployment device |
US10028814B2 (en) | 2010-02-03 | 2018-07-24 | Covidien Lp | X-shaped device and method for deployment and placement of a patch |
US10028731B2 (en) | 2013-11-12 | 2018-07-24 | Genzyme Corporation | Barrier application device |
US10219886B2 (en) | 2012-06-12 | 2019-03-05 | Atrium Medical Corporation | Rolled flexible implants and device for deployment thereof |
US11896473B2 (en) | 2020-07-13 | 2024-02-13 | Covidien Lp | Surgical mesh deployment device |
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US5405360A (en) | 1992-02-24 | 1995-04-11 | United States Surgical Corporation | Resilient arm mesh deployer |
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WO1995030374A1 (fr) * | 1994-05-06 | 1995-11-16 | Origin Medsystems, Inc. | Appareil et procede pour positionner une piece |
US5957939A (en) | 1997-07-31 | 1999-09-28 | Imagyn Medical Technologies, Inc. | Medical device for deploying surgical fabrics |
US6010447A (en) * | 1998-07-31 | 2000-01-04 | Kardjian; Paul M. | Bladder sling |
US6099518A (en) * | 1998-10-20 | 2000-08-08 | Boston Scientific Corporation | Needle herniorrhaphy devices |
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-
2003
- 2003-03-13 IL IL15491803A patent/IL154918A0/xx unknown
-
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Patent Citations (11)
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US5147374A (en) | 1991-12-05 | 1992-09-15 | Alfredo Fernandez | Prosthetic mesh patch for hernia repair |
US5176692A (en) | 1991-12-09 | 1993-01-05 | Wilk Peter J | Method and surgical instrument for repairing hernia |
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WO1995030374A1 (fr) * | 1994-05-06 | 1995-11-16 | Origin Medsystems, Inc. | Appareil et procede pour positionner une piece |
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US5957939A (en) | 1997-07-31 | 1999-09-28 | Imagyn Medical Technologies, Inc. | Medical device for deploying surgical fabrics |
US6010447A (en) * | 1998-07-31 | 2000-01-04 | Kardjian; Paul M. | Bladder sling |
US6099518A (en) * | 1998-10-20 | 2000-08-08 | Boston Scientific Corporation | Needle herniorrhaphy devices |
Cited By (34)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US7947054B2 (en) | 2007-02-14 | 2011-05-24 | EasyLab Ltd. | Mesh deployment apparatus |
WO2008099382A1 (fr) | 2007-02-14 | 2008-08-21 | Easylap Ltd. | Dispositif de déploiement de treillis |
US9301826B2 (en) | 2008-02-18 | 2016-04-05 | Covidien Lp | Lock bar spring and clip for implant deployment device |
US8753359B2 (en) | 2008-02-18 | 2014-06-17 | Covidien Lp | Device and method for deploying and attaching an implant to a biological tissue |
US9034002B2 (en) | 2008-02-18 | 2015-05-19 | Covidien Lp | Lock bar spring and clip for implant deployment device |
US8317808B2 (en) | 2008-02-18 | 2012-11-27 | Covidien Lp | Device and method for rolling and inserting a prosthetic patch into a body cavity |
US9107726B2 (en) | 2008-02-18 | 2015-08-18 | Covidien Lp | Device and method for deploying and attaching an implant to a biological tissue |
US9044235B2 (en) | 2008-02-18 | 2015-06-02 | Covidien Lp | Magnetic clip for implant deployment device |
US9393093B2 (en) | 2008-02-18 | 2016-07-19 | Covidien Lp | Clip for implant deployment device |
US9393002B2 (en) | 2008-02-18 | 2016-07-19 | Covidien Lp | Clip for implant deployment device |
US8758373B2 (en) | 2008-02-18 | 2014-06-24 | Covidien Lp | Means and method for reversibly connecting a patch to a patch deployment device |
US8808314B2 (en) | 2008-02-18 | 2014-08-19 | Covidien Lp | Device and method for deploying and attaching an implant to a biological tissue |
US9398944B2 (en) | 2008-02-18 | 2016-07-26 | Covidien Lp | Lock bar spring and clip for implant deployment device |
US10695155B2 (en) | 2008-02-18 | 2020-06-30 | Covidien Lp | Device and method for deploying and attaching an implant to a biological tissue |
US10182898B2 (en) | 2008-02-18 | 2019-01-22 | Covidien Lp | Clip for implant deployment device |
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