WO2010136840A2 - Breast prosthesis having a position indicator and a textured base and including a peripheral reinforcing ring - Google Patents

Breast prosthesis having a position indicator and a textured base and including a peripheral reinforcing ring Download PDF

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Publication number
WO2010136840A2
WO2010136840A2 PCT/IB2009/005866 IB2009005866W WO2010136840A2 WO 2010136840 A2 WO2010136840 A2 WO 2010136840A2 IB 2009005866 W IB2009005866 W IB 2009005866W WO 2010136840 A2 WO2010136840 A2 WO 2010136840A2
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WO
WIPO (PCT)
Prior art keywords
base
breast
dome
implant
breast prosthesis
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Application number
PCT/IB2009/005866
Other languages
Spanish (es)
French (fr)
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WO2010136840A3 (en
Inventor
Ernesto Miguel Andrade Carrasco
Original Assignee
Ernesto Miguel Andrade Carrasco
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
Application filed by Ernesto Miguel Andrade Carrasco filed Critical Ernesto Miguel Andrade Carrasco
Priority to PCT/IB2009/005866 priority Critical patent/WO2010136840A2/en
Publication of WO2010136840A2 publication Critical patent/WO2010136840A2/en
Publication of WO2010136840A3 publication Critical patent/WO2010136840A3/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/12Mammary prostheses and implants
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30317The prosthesis having different structural features at different locations within the same prosthesis
    • A61F2002/30322The prosthesis having different structural features at different locations within the same prosthesis differing in surface structures
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2250/00Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0014Special 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
    • A61F2250/0026Special 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2250/00Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0058Additional features; Implant or prostheses properties not otherwise provided for
    • A61F2250/0096Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers
    • A61F2250/0097Visible markings, e.g. indicia

Definitions

  • This invention is generally related to a breast prosthesis with position indicator and textured base that includes a perimeter ring.
  • the invention comprises a breast prosthesis constructed from a cover or envelope with an internal cavity, based on an elastic material, which has an anterior face that forms a dome and a posterior face that forms the base, a configuration body that resembles the female breast that is filled and closed tightly, which includes a symmetrically centered crest on the dome whose purpose is as a guide point positioning element, in order to facilitate the location of the implant within the breast pocket during
  • the implantation additionally including in the base a different texturing configuration to the surface of the dome to improve the adherence to the base of the breast pocket, also including a perimeter reinforcement ring that closes and surrounds the intersection between the dome and the base, designed in order to improve the points of more effort during The implantation, as well as to reduce the loss of projection of the implants during the time spent in the breast pocket.
  • the present invention has application within the medical area, particularly for use in female breast augmentation surgeries by implanting breast prostheses. Likewise, the present invention relates to means for detecting the position of the implant during surgery, as well as guaranteeing the immobility of the prosthesis during use and increasing resistance to unwanted pressures and deformations.
  • This invention is generally related to a breast prosthesis with position indicator and a textured area that includes a perimeter ring.
  • the breast augmentation is the specific indication for breast implants. This surgical indication comes within the field of cosmetic reconstructive and plastic surgery.
  • US Patent US3852832 by McGhan et al. Discloses an implant prosthesis in the human body to fill a cavity where the prosthesis has a fixation means around which the tissue will grow to hold the prosthesis in place.
  • An optional flexible, inelastic loop provides temporary fixation until the tissue has grown around the fixation means.
  • the fixing means can be made of an elastomeric silicon, which is compatible with the fabric.
  • the fixing means for example, can take the form of a perforated body similar to a spaced sheet of the outer wall of the prosthesis, or of a body similar to a button supported by a stem to the outer wall.
  • the implant must be placed in one of two sites available in the human body, the pre-pectoral located between the mammary gland and behind the large pectoral muscle; and, retro-pectoral, behind the mammary gland and behind the large pectoral muscle.
  • the surgeon it is the responsibility of the surgeon to evaluate the size and shape of the implant, the site of the incision in the bust, the approach and the criteria for the positioning of the implant as a function of the patient's anatomy and the desired aesthetic results.
  • a clear definition of the objectives will constitute an integral part of the preparation for surgery to ensure that there is a mutual understanding between the surgeon and his patient. The surgeon must comply with current surgical techniques to minimize the risk of an unwanted reaction.
  • contraindications related to the conduct of a non-urgent surgical operation, such as instability, psychological instability may be a contraindication for surgery, pregnancy, tumor in the benign or malignant man, conditions that contraindicate any procedure
  • Non-urgent surgical such as biological, immunological, cardiovascular or respiratory abnormalities.
  • a first object of the present invention is to avoid the disadvantages of the prior art. More particularly, an object of the present invention is to create an arrangement of an implant that presents possibilities to detect its position during surgery and that guarantees its immobility during its use. A no less important object of the arrangement of an implant that guarantees its immobility and is effectively fixed to the breast bag.
  • the present invention meets these needs and provides other related advantages.
  • This invention generally relates to a breast prosthesis with position indicator and textured base that includes a perimeter ring.
  • FIG. 1 Shows a side view of the breast implant of the present invention.
  • FIG. 2 Illustrates a front view of breast implant of the present invention.
  • FIG. 3 Shows a rear view of breast implant of the present invention.
  • This invention generally relates to a breast prosthesis with position indicator and textured base that includes a perimeter ring.
  • the invention comprises a breast prosthesis 1 constructed from a cover or envelope with inner cavity, based on an elastic material constituting a body 2.
  • said prosthesis 1 comprises a body 2 formed an anterior face that forms a dome 3 and a posterior face that forms the base 4, configuration body 2 that resembles the female breast.
  • Said body 2 is gel filled. As such, the body is closed tightly, to the environment so that the gel must not be evacuated for any reason outside the implant.
  • the body 2 of the implant includes a crest centered 5 symmetrically on the dome 3.
  • the purpose of said centered crest 5, is a guide point positioning element. From this guide point it is possible to verify by touch, the implant position in the breast bag during implantation, as well as the position with respect to the other side (symmetry) and other external anatomical reference points such as midline, sternum , clavicle, etc). Thus, its location is detectable and guaranteed.
  • the implant of the invention comprises a change in texturing.
  • the present invention includes in the base or dome or integral body assembly, a configuration of a texturing zone 6.
  • the texturing zone may comprise a configuration in the base different from the texturing of the surface of the dome to improve the adherence to the base of the breast pocket. This avoids subcutaneous detachment of the implant inside the breast pocket only in the back part that makes contact with the adjacent tissue.
  • said texturing can comprise a corrugated surface or the like so that the subcutaneous tissue can adhere effectively. With this, it is also possible to guarantee the immobility that the implant does not rotate on its axis.
  • said texturing may comprise a portion centered on the base 4 or said base may be textured on its entire surface.
  • the implant of the invention comprises a reinforcement ring 7 that surrounds perimetrically the intersection between dome 3 and base 4.
  • This reinforcement ring is configured to improve the points of more effort that affects the implantation, to decrease the loss of projection of the implants during the time spent inside the breast pocket.
  • said reinforcement ring protects against the deformation forces of the capsular contracture and the pressures of the anatomical site where it is located, decreasing or preventing the deformity of the Implant during use.
  • Said reinforcing ring 7 is configured so that it forms a lip that surrounds perimeter and reinforces the body of said prosthesis at the intersection between the dome and the base.
  • the implant of the present invention must comprise several sizes to balance the differences in the form of bust, offering the surgeon a wider range of options.
  • the volumes vary from 210 to 575 cubic centimeters (ce.) For high profiles; These configurations are available with a smooth and textured surface.
  • the dome 3 and the base 4 that make up the body 2 are joined and sealed to each other by sealing by pneumatic pressure and temperature of the sealing discs.
  • the traceability of breast prostheses is individual, since each implant of the same manufacturing lot receives a specific number that indicates the manufacturing batch, and its characteristics.
  • the implant is monitored at each stage of its manufacture by recording all the steps it has undergone and the established parameters.
  • the implant filling product may comprise, not limited to, but by way of illustration, a silicone gel with a clear appearance, specific gravity @ 25 0 C: 0.98; a refractive index @ 25 0 C: 1,406; and, a penetration: 0.3 mm: 150.
  • the silicone used is the product manufactured and sold by NUSIL Technology® (ISO 9001 certificate).

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  • Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)

Abstract

The invention relates, in general, to a breast prosthesis having a position indicator and a textured base and including a peripheral ring. In particular, the invention comprises a breast prosthesis including a cover or shell with a hollow interior and made from an elastic material, whereby the front face of said cover forms a dome and the rear face thereof forms the base, thereby forming a body having a similar shape to that of the female breast, which body is filled and sealed and includes a symmetrically centred tip on the dome. Said tip serves as a guide point positioning element in order to facilitate the positioning of the implant inside the breast pocket during implantation. In addition, the base has a different texture to that of the surface of the dome in order to improve adhesion to the base of the breast pocket. The invention further includes a peripheral reinforcing ring which encircles and seals the intersection between the dome and the base, with the purpose of strengthening the points subjected to the most stress during implantation, in order to reduce any loss of projection of the implants while inside the breast pocket.

Description

PRÓTESIS MAMARIA CON INDICADOR DE POSICIÓN Y BASE TEXTURIZADA QUE INCLUYE UN ANILLO PERIMETRAL DE BREASTFEEDING WITH POSITION INDICATOR AND TEXTURIZED BASE THAT INCLUDES A PERIMETER RING OF
REFUERZOREINFORCEMENT
D E S C R I P C I Ó ND E S C R I P C I Ó N
OBJETO DE LA INVENCIÓN.OBJECT OF THE INVENTION
Esta invención se relaciona generalmente con una prótesis mamaria con indicador de posición y base texturizada que incluye un anillo perimetral. Particularmente, Ia invención comprende una prótesis mamaria construida a partir de una cubierta o envolvente con cavidad interior, a base de un material elástico, que tiene una cara anterior que conforma un domo y una cara posterior que conforma Ia base, cuerpo de configuración que asemeja el seno femenino que está lleno y cerrado de forma estanca, que incluye un cresta centrada simétricamente sobre el domo cuya finalidad es de elemento posicionador de punto de guía, con el fin de facilitar Ia ubicación del implante dentro del bolsillo mamario duranteThis invention is generally related to a breast prosthesis with position indicator and textured base that includes a perimeter ring. Particularly, the invention comprises a breast prosthesis constructed from a cover or envelope with an internal cavity, based on an elastic material, which has an anterior face that forms a dome and a posterior face that forms the base, a configuration body that resembles the female breast that is filled and closed tightly, which includes a symmetrically centered crest on the dome whose purpose is as a guide point positioning element, in order to facilitate the location of the implant within the breast pocket during
Ia implantación, incluyendo adicionalmente en Ia base una configuración de texturización diferente a Ia superficie del domo para mejorar Ia adherencia a Ia base del bolsillo mamario, incluyendo también un anillo de refuerzo perimetral que cierra y rodea Ia intersección entre el domo y Ia base, diseñado con el fin de mejorar los puntos de más esfuerzo durante Ia implantación, así como para disminuir Ia perdida de proyección de los implantes durante el tiempo de permanencia dentro del bolsillo mamario.The implantation, additionally including in the base a different texturing configuration to the surface of the dome to improve the adherence to the base of the breast pocket, also including a perimeter reinforcement ring that closes and surrounds the intersection between the dome and the base, designed in order to improve the points of more effort during The implantation, as well as to reduce the loss of projection of the implants during the time spent in the breast pocket.
CAMPO DE LA INVENCIÓN.FIELD OF THE INVENTION
La presente invención tiene aplicación dentro del área médica, particularmente de uso en cirugías de aumento de busto femenino mediante el implante de prótesis mamarias. Igualmente, Ia presente invención se relaciona con medios para detectar Ia posición del implante durante Ia cirugía, así como garantizar Ia inmovilidad de Ia prótesis durante el uso y aumentar Ia resistencia a presiones y deformaciones no deseadas. Esta invención se relaciona generalmente con una prótesis mamaria con indicador de posición y un área texturizada que incluye un anillo perimetral.The present invention has application within the medical area, particularly for use in female breast augmentation surgeries by implanting breast prostheses. Likewise, the present invention relates to means for detecting the position of the implant during surgery, as well as guaranteeing the immobility of the prosthesis during use and increasing resistance to unwanted pressures and deformations. This invention is generally related to a breast prosthesis with position indicator and a textured area that includes a perimeter ring.
ANTECEDENTES DE LA INVENCIÓN.BACKGROUND OF THE INVENTION
El aumento de busto es Ia indicación específica para los implantes mamarios. Esta indicación quirúrgica viene dentro del campo de cirugía reconstructiva y plástica cosmética.The breast augmentation is the specific indication for breast implants. This surgical indication comes within the field of cosmetic reconstructive and plastic surgery.
En materia de prótesis mamarias, los desarrollos se remontan desde hace más de 30 años. No obstante, aún se registran incidentes relacionados con el procedimiento quirúrgico, directamente concernientes con Ia posición del implante, su ajuste, sus cambios de posición dentro de Ia bolsa mamaria durante el término de uso, etc.In terms of breast prostheses, the developments date back more than 30 years. However, there are still incidents related to the surgical procedure, directly concerning the position of the implant, its adjustment, its changes of position within the breast bag during the term of use, etc.
La patente de Estados Unidos US3852832 de McGhan y otros revela una prótesis de implantación en el cuerpo humano para llenar una cavidad donde Ia prótesis tiene un medio de fijación alrededor el cual el tejido crecerá para sostener Ia prótesis en el lugar. Un lazo opcional flexible, inelástico proporciona Ia fijación temporal hasta que el tejido haya crecido alrededor del medio de fijación. El medio de fijación puede ser hecho de un silicio elastomero, que es compatible con el tejido. El medio de fijación, por ejemplo, puede tomar Ia forma de un cuerpo perforado parecido a una hoja espaciado de Ia pared exterior del prótesis, o de un cuerpo parecido a un botón sostenido por un tallo a Ia pared exterior. Aún cuando esta solución prevé un arreglo que puede beneficiar Ia inmovilidad de Ia prótesis, también es sabido que no todos los tejidos aceptan y reciben adecuadamente medios adicionales tales como porciones aumentadas en espesor con cambios de textura íntegros.US Patent US3852832 by McGhan et al. Discloses an implant prosthesis in the human body to fill a cavity where the prosthesis has a fixation means around which the tissue will grow to hold the prosthesis in place. An optional flexible, inelastic loop provides temporary fixation until the tissue has grown around the fixation means. The fixing means can be made of an elastomeric silicon, which is compatible with the fabric. The fixing means, for example, can take the form of a perforated body similar to a spaced sheet of the outer wall of the prosthesis, or of a body similar to a button supported by a stem to the outer wall. Although this solution provides for an arrangement that can benefit the immobility of the prosthesis, it is also known that not all tissues adequately accept and receive additional means such as portions increased in thickness with full texture changes.
Se han hecho investigaciones en materia de envolturas elásticas y resistentes con confiabilidad a largo plazo, así como el uso de gel de llenado elástico de alta cohesividad. No obstante estos desarrollos, no van encaminados a las características relacionadas con facilitar el procedimiento quirúrgico y prevenir complicaciones futuras del mismo.Research has been done on elastic and resistant wraps with long-term reliability, as well as the use of high cohesive elastic filling gel. Despite these developments, they are not going aimed at the characteristics related to facilitating the surgical procedure and preventing future complications thereof.
Debido al desarrollo tecnológico y al amplio mercado existente para dicho producto se determina incursionar en Ia fabricación de los implantes mamarios que garanticen de alguna manera procedimientos quirúrgicos eficaces.Due to the technological development and the wide existing market for said product, it is determined to venture into the manufacture of breast implants that somehow guarantee effective surgical procedures.
El aumento de busto utilizando implantes mamarios deben ser realizadas en un ambiente quirúrgico (salas de cirugía) por cirujanos especializados en cirugía plástica. Entre las técnicas quirúrgicas, para realizar Ia cirugía de este tipo, el cirujano debe utilizar rutas de entrada dependiendo de Ia zona de Ia cicatriz. La ruta más utilizada es Ia ruta de Ia aureola (alrededor del pezón). Una segunda modalidad es Ia ruta axilar (en Ia axila) y una tercera comúnmente utilizada es Ia ruta sub-mamaria practicada en la región en el pliegue inferior del busto.Breast augmentation using breast implants should be performed in a surgical environment (surgery rooms) by surgeons specializing in plastic surgery. Among the surgical techniques, to perform this type of surgery, the surgeon must use routes of entry depending on the area of the scar. The most used route is the route of the halo (around the nipple). A second modality is the axillary route (in the axilla) and a third commonly used is the sub-mammary route practiced in the region in the lower fold of the bust.
Como tal, el implante debe ser colocado en uno de dos sitios disponibles en el cuerpo humano, el pre-pectoral ubicado entre Ia glándula mamaria y detrás del músculo pectoral grande; y, retro-pectoral, detrás de Ia glándula mamaria y detrás del músculo pectoral grande. Como tal, es responsabilidad del cirujano evaluar el tamaño y Ia forma del implante, el sitio de Ia incisión en el busto, el acercamiento y los criterios para el posiciona miento del implante como una función de Ia anatomía del paciente y los resultados estéticos deseados. Una definición clara de los objetivos constituirá una parte integral de Ia preparación para Ia cirugía para asegurar que existe un entendimiento mutuo entre el cirujano y su paciente. El cirujano debe cumplir con las técnicas quirúrgicas actuales para minimizar el riesgo de una reacción no deseada.As such, the implant must be placed in one of two sites available in the human body, the pre-pectoral located between the mammary gland and behind the large pectoral muscle; and, retro-pectoral, behind the mammary gland and behind the large pectoral muscle. As such, it is the responsibility of the surgeon to evaluate the size and shape of the implant, the site of the incision in the bust, the approach and the criteria for the positioning of the implant as a function of the patient's anatomy and the desired aesthetic results. A clear definition of the objectives will constitute an integral part of the preparation for surgery to ensure that there is a mutual understanding between the surgeon and his patient. The surgeon must comply with current surgical techniques to minimize the risk of an unwanted reaction.
Igualmente, se ha concluido que no existen contraindicaciones específicas para el uso de implantes mamarios. Sin embargo, pueden existir contraindicaciones relacionadas con Ia conducta de una operación quirúrgica no-urgente, tales como Ia inestabilidad, Ia inestabilidad sicológica puede ser una contraindicación para Ia cirugía, el embarazo, tumor en el seño benigno o maligno, condiciones que contraindiquen cualquier procedimiento quirúrgico no-urgente, tales como anormalidades biológicas, inmunológicas, cardiovasculares o respiratorias.Likewise, it has been concluded that there are no specific contraindications for the use of breast implants. However, there may be contraindications related to the conduct of a non-urgent surgical operation, such as instability, psychological instability may be a contraindication for surgery, pregnancy, tumor in the benign or malignant man, conditions that contraindicate any procedure Non-urgent surgical, such as biological, immunological, cardiovascular or respiratory abnormalities.
Igualmente existen algunos problemas inherentes al cuerpo tales como tipos de cubierta de tejido no apropiada o lesionada. Por otro lado, otro problema residente es que durante Ia cirugía, los implantes mamarios puede averiarse, de manera que puede ocurrir una ruptura traumática accidental del implante como resultado de presiones indebidas, perforaciones de Ia envoltura con tijeras, una aguja o instrumentación general.There are also some problems inherent in the body such as types of inappropriate or damaged tissue cover. On the other hand, another resident problem is that during the surgery, the breast implants can be damaged, so that an accidental traumatic rupture of the implant can occur as a result of undue pressures, perforations of the envelope with scissors, a needle or general instrumentation.
Otro problema no menos relevante es el posicionamiento incorrecto del implante, tanto durante Ia cirugía como en el término de vida debido al desprendimiento subcutáneo del implante, por Io que el cuerpo puede rechazarlo. Con posicionamientos incorrectos pueden desarrollarse circunstancias adicionales tales pérdida de sensibilidad del busto; y entre otras muchas, Ia fibrosis retráctil. El posicionamiento indebido se causa por dificultad de orientar y localizar el implante tridimensionalmente durante Ia cirugía, y por su mobilidad posterior dentro del organismo.Another problem that is no less relevant is the incorrect positioning of the implant, both during surgery and in the term of life due to subcutaneous detachment of the implant, so that the body can reject it. With incorrect positions, additional circumstances such as loss of bust sensitivity may develop; and among many others, the retractable fibrosis. Improper positioning is caused by difficulty in orienting and locating the implant three-dimensionally during surgery, and by its subsequent mobility within the organism.
Existen implantes texturizados que se escogen con base en las necesidades del paciente. No obstante se ha descubierto que los implantes mamarios con texturizado integral no son aptos dado que el tejido de Ia bolsa mamaria del paciente varia alrededor de Ia misma. De igual forma si existe retractibilidad, cualquier cuerpo no-comprensible tenderá a llegar a ser esférico como resultado de Ia retractibilidad de Ia fibrosis que lo rodea, puesto que el área de Ia superficie de Ia esfera es mínima para un volumen dado.There are textured implants that are chosen based on the patient's needs. However, it has been discovered that breast implants with integral texturing are not suitable since the patient's breast bag tissue varies around it. In the same way if there is retractibility, any non-understandable body will tend to become spherical as a result of the retractibility of the surrounding fibrosis, since the area of the surface of the sphere is minimal for a given volume.
Todos los implantes con el tiempo tenderán a perder su forma dentro de los límites definidos por el espacio virtual creado por el posicionamiento del implante en el sitio (retrograndular o retropectoral). Las dos caras anterior o posterior del implante son naturalmente más comprimidos que Ia circunferencia.All implants will eventually lose their shape within the limits defined by the virtual space created by the implant positioning on the site (retrograndular or retropectoral). The two anterior or posterior sides of the implant are naturally more compressed than the circumference.
Así las cosas, las necesidades recientes de los implantes mamarios es Ia construcción de un implante que presente posibilidades para detectar su posición durante Ia cirugía y que garantice su inmovilidad durante su uso, así como elementos adicionales para que el implante se fije de manera eficaz a Ia bolsa mamaria.Thus, the recent needs of breast implants is the construction of an implant that presents possibilities to detect its position during surgery and that guarantees its immobility during its use, as well as additional elements so that the implant is effectively fixed to The breast bag.
Igualmente existe una necesidad de definir implantes con refuerzos eficaces para evitar formaciones no deseadas, cápsulas, presiones, etc. Por consiguiente, un primer objeto de Ia presente invención es evitar las desventajas del arte previo. Más particularmente, un objeto de Ia presente invención es el crear un arreglo de un implante que presente posibilidades para detectar su posición durante Ia cirugía y que garantice su inmovilidad durante su uso. Un objeto no menos importante del arreglo de un implante que garantice su inmovilidad y se fije de manera eficaz a Ia bolsa mamaria.There is also a need to define implants with effective reinforcements to avoid unwanted formations, capsules, pressures, etc. Therefore, a first object of the present invention is to avoid the disadvantages of the prior art. More particularly, an object of the present invention is to create an arrangement of an implant that presents possibilities to detect its position during surgery and that guarantees its immobility during its use. A no less important object of the arrangement of an implant that guarantees its immobility and is effectively fixed to the breast bag.
Adicionalmente otro objeto importante, existe en Ia necesidad de crear un implantes con refuerzos eficaces para evitar formaciones no deseadas, cápsulas, presiones, etc.Additionally, another important object exists in the need to create an implant with effective reinforcements to avoid unwanted formations, capsules, pressures, etc.
La presente invención cumple estas necesidades y proporciona otras ventajas relacionadas.The present invention meets these needs and provides other related advantages.
DESCRIPCIÓN DE LA INVENCIÓN.DESCRIPTION OF THE INVENTION
Esta invención relaciona generalmente con una prótesis mamaria con indicador de posición y base texturizada que incluye un anillo perimetral.This invention generally relates to a breast prosthesis with position indicator and textured base that includes a perimeter ring.
DESCRIPCIÓN DE LAS FIGURAS.DESCRIPTION OF THE FIGURES.
Para aclarar más Ia invención y sus ventajas comparadas con el arte conocido, se describen a continuación con Ia ayuda de los dibujos anexos, las posibles formas de realizaciones ilustrativas y no limitativas de Ia aplicación de dichos principios. FIG. 1 Muestra una vista lateral del implante mamario de Ia presente invención.To further clarify the invention and its advantages compared to the known art, the possible forms of illustrative and non-limiting embodiments of the application of said principles are described below with the aid of the attached drawings. FIG. 1 Shows a side view of the breast implant of the present invention.
FIG. 2 Ilustra una vista frontal de implante mamario de Ia presente invención. FIG. 3 Muestra una vista trasera de implante mamario de Ia presente invención.FIG. 2 Illustrates a front view of breast implant of the present invention. FIG. 3 Shows a rear view of breast implant of the present invention.
REALIZACIÓN PREFERENTE DE LA INVENCIÓN.PREFERRED EMBODIMENT OF THE INVENTION.
Esta invención relaciona generalmente con una prótesis mamaria con indicador de posición y base texturizada que incluye un anillo perimetral.This invention generally relates to a breast prosthesis with position indicator and textured base that includes a perimeter ring.
Particularmente, con base en Ia figura 1 , Ia invención comprende una prótesis mamaria 1 construida a partir de una cubierta o envolvente con cavidad interior, a base de un material elástico que constituye un cuerpo 2.Particularly, based on Figure 1, the invention comprises a breast prosthesis 1 constructed from a cover or envelope with inner cavity, based on an elastic material constituting a body 2.
Según las figuras 1 , 2 y 3, dicha prótesis 1 comprende un cuerpo 2 formado una cara anterior que conforma un domo 3 y una cara posterior que conforma Ia base 4, cuerpo 2 de configuración que asemeja el seno femenino. Dicho cuerpo 2 está relleno de gel. Como tal, el cuerpo es cerrado de forma estanca, al entorno de manera que el gel no debe ser evacuado por ningún motivo por fuera del implante.According to figures 1, 2 and 3, said prosthesis 1 comprises a body 2 formed an anterior face that forms a dome 3 and a posterior face that forms the base 4, configuration body 2 that resembles the female breast. Said body 2 is gel filled. As such, the body is closed tightly, to the environment so that the gel must not be evacuated for any reason outside the implant.
Según Ia presente invención, el cuerpo 2 del implante incluye un cresta centrada 5 simétricamente sobre el domo 3.According to the present invention, the body 2 of the implant includes a crest centered 5 symmetrically on the dome 3.
La finalidad de dicha cresta centrada 5, es de elemento posicionador de punto de guía. A partir de este punto de guía el posible verificar por tacto, Ia posición de implante en Ia bolsa mamaria durante Ia implantación, así como Ia posición con respecto al otro lado (simetría) y a otras puntos de referencia anatómicos externos tales como línea media, esternón, clavícula, etc). Así las cosas, su ubicación es detectable y garantizable.The purpose of said centered crest 5, is a guide point positioning element. From this guide point it is possible to verify by touch, the implant position in the breast bag during implantation, as well as the position with respect to the other side (symmetry) and other external anatomical reference points such as midline, sternum , clavicle, etc). Thus, its location is detectable and guaranteed.
De manera similar, a partir de esta cresta centrada 5 durante el uso del implante a través de los años, es posible garantizar su inmovilidad de manera que no cambia su posición respecto al eje sobre el cual debe posicionarse el implante dentro de Ia bolsa mamaria.Similarly, from this centered crest 5 during the use of the implant over the years, it is possible to guarantee its immobility so that it does not change its position with respect to the axis on which the implant should be positioned within the breast bag.
De igual forma, para garantizar el término de vida el implante de Ia invención comprende un cambio de texturización.Likewise, to guarantee the end of life, the implant of the invention comprises a change in texturing.
Para tal efecto, Ia presente invención incluye en la base o el domo o en conjunto integral del cuerpo, una configuración de una zona texturización 6. En modalidades preferidas, Ia zona de texturización puede comprender una configuración en Ia base diferente a Ia texturización de Ia superficie del domo para mejorar Ia adherencia a Ia base del bolsillo mamario. Con ello se evita el desprendimiento subcutáneo del implante dentro del bolsillo mamario sólo en Ia parte posterior que hace contacto con el tejido adyacente.For this purpose, the present invention includes in the base or dome or integral body assembly, a configuration of a texturing zone 6. In preferred embodiments, the texturing zone may comprise a configuration in the base different from the texturing of the surface of the dome to improve the adherence to the base of the breast pocket. This avoids subcutaneous detachment of the implant inside the breast pocket only in the back part that makes contact with the adjacent tissue.
Como tal dicha texturización puede comprender una superficie corrugada o similares de manera que el tejido subcutáneo pueda adherirse de manera eficaz. Con esto también se puede garantizar Ia inmovilidad que el implante no rote sobre su eje.As such, said texturing can comprise a corrugated surface or the like so that the subcutaneous tissue can adhere effectively. With this, it is also possible to guarantee the immobility that the implant does not rotate on its axis.
Igualmente, dicha texturización puede comprender una porción centrada en Ia base 4 o dicha base puede estar texturizada en toda su superficie.Likewise, said texturing may comprise a portion centered on the base 4 or said base may be textured on its entire surface.
Por otro lado, el implante de Ia invención comprende un anillo de refuerzo 7 que rodea de forma perimetral Ia intersección entre el domo 3 y Ia base 4. Este anillo de refuerzo está configurado para mejorar los puntos de más esfuerzo que afecta Ia implantación, para disminuir Ia perdida de proyección de los implantes durante el tiempo de permanencia dentro del bolsillo mamario. De igual forma, dicho anillo de refuerzo protege contra las fuerzas deformantes de Ia contractura capsular y las presiones del sitio anatómico donde se ubica, disminuyendo o previniendo Ia deformidad del implante durante su uso. Dicho anillo de refuerzo 7 está configurado de manera que forma un labio que rodea perimetralmente y refuerza el cuerpo de dicha prótesis en Ia intersección entre el domo y Ia base. Como tal el implante de Ia presente invención debe comprender varios tamaños para equilibrar las diferencias en forma de busto, ofreciendo al cirujano un rango más amplio de opciones. Los volúmenes varían de 210 a 575 centímetros cúbicos (ce.) para altos perfiles; estas configuraciones están disponibles con una superficie lisa y texturizada.On the other hand, the implant of the invention comprises a reinforcement ring 7 that surrounds perimetrically the intersection between dome 3 and base 4. This reinforcement ring is configured to improve the points of more effort that affects the implantation, to decrease the loss of projection of the implants during the time spent inside the breast pocket. Likewise, said reinforcement ring protects against the deformation forces of the capsular contracture and the pressures of the anatomical site where it is located, decreasing or preventing the deformity of the Implant during use. Said reinforcing ring 7 is configured so that it forms a lip that surrounds perimeter and reinforces the body of said prosthesis at the intersection between the dome and the base. As such, the implant of the present invention must comprise several sizes to balance the differences in the form of bust, offering the surgeon a wider range of options. The volumes vary from 210 to 575 cubic centimeters (ce.) For high profiles; These configurations are available with a smooth and textured surface.
Normalmente, el domo 3 y Ia base 4 que conforman el cuerpo 2 se unen y son selladas entre sí por sellado por presión neumática y temperatura de los discos de sellado.Normally, the dome 3 and the base 4 that make up the body 2 are joined and sealed to each other by sealing by pneumatic pressure and temperature of the sealing discs.
La trazabilidad de las prótesis mamarias es individual, ya que cada implante de un mismo lote de fabricación recibe un número específico que indica el lote de fabricación, y sus características. El seguimiento del implante en cada etapa de su fabricación se realiza mediante el registro de todos los pasos a los que se Ie ha sometido y de los parámetros establecidos.The traceability of breast prostheses is individual, since each implant of the same manufacturing lot receives a specific number that indicates the manufacturing batch, and its characteristics. The implant is monitored at each stage of its manufacture by recording all the steps it has undergone and the established parameters.
Para poder realizar un seguimiento del implante durante toda su vida hasta su destrucción y poder registrar cualquier incidente que se produzca, en el parche de cada implante se debe grabar Ia información esencial relacionada con él.To be able to track the implant throughout its life until its destruction and be able to record any incident that is produce, in the patch of each implant the essential information related to it must be recorded.
El producto de llenado de los implantes puede comprender, no de manera limitativa sino ilustrativa, un gel de silicona con apariencia clara, gravedad específica @ 250C: 0.98; un índice refractivo @ 250C: 1.406; y, una penetración: 0.3 mm: 150.The implant filling product may comprise, not limited to, but by way of illustration, a silicone gel with a clear appearance, specific gravity @ 25 0 C: 0.98; a refractive index @ 25 0 C: 1,406; and, a penetration: 0.3 mm: 150.
Por las necesidades para manufactura, Ia silicona utilizada es el producto fabricado y comercializado por NUSIL Technology® (certificado ISO 9001). Due to manufacturing needs, the silicone used is the product manufactured and sold by NUSIL Technology® (ISO 9001 certificate).

Claims

REIVINDICACIONES
1. Prótesis mamaria construida a partir de una cubierta o envolvente con una cavidad interior cerrada de forma estanca que constituye un cuerpo formando una cara anterior que conforma un domo y una cara posterior que conforma Ia base, caracterizado por que el cuerpo del implante incluye un cresta centrada simétricamente sobre el domo; y, un anillo de refuerzo que rodea de forma perimetral Ia intersección entre el domo y Ia base.1. Breast prosthesis constructed from a cover or envelope with a sealed inner cavity that constitutes a body forming an anterior face that forms a dome and a posterior face that forms the base, characterized in that the implant body includes a crest symmetrically centered on the dome; and, a reinforcement ring that surrounds the intersection between the dome and the base perimeter.
2. Prótesis mamaria según Ia reivindicación 1 caracterizado por que dicha cresta centrada, es un elemento posicionador de punto de guía.2. Breast prosthesis according to claim 1 characterized in that said centered crest is a guide point positioning element.
3. Prótesis mamaria según Ia reivindicación 2 caracterizado por que adicionalmente el domo comprende una zona texturizada sobre su superficie. 3. Breast prosthesis according to claim 2 characterized in that additionally the dome comprises a textured area on its surface.
4. Prótesis mamaria según Ia reivindicación 2 caracterizado por que adicionalmente Ia base comprende una zona texturizada sobre su superficie.4. Breast prosthesis according to claim 2 characterized in that additionally the base comprises a textured area on its surface.
5. Prótesis mamaria según Ia reivindicación 2 caracterizado por que adicionalmente Ia base y el domo comprenden una zona texturizada sobre su superficie.5. Breast prosthesis according to claim 2 characterized in that additionally the base and the dome comprise a textured area on its surface.
6. Prótesis mamaria según Ia reivindicación 3, 4 o 5 caracterizado por que el anillo de refuerzo está configurado de manera que forma un labio que rodea perimetralmente y refuerza el cuerpo de dicha prótesis en Ia intersección entre el domo y Ia base. 6. Breast prosthesis according to claim 3, 4 or 5 characterized in that the reinforcement ring is configured so that It forms a lip that surrounds perimeter and reinforces the body of said prosthesis at the intersection between the dome and the base.
PCT/IB2009/005866 2009-05-27 2009-05-27 Breast prosthesis having a position indicator and a textured base and including a peripheral reinforcing ring WO2010136840A2 (en)

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US10675144B2 (en) 2008-08-13 2020-06-09 Allergan, Inc. Soft filled prosthesis shell with discrete fixation surfaces
US9138311B2 (en) 2008-08-13 2015-09-22 Allergan, Inc. Soft filled prosthesis shell with discrete fixation surfaces
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US9539086B2 (en) 2014-05-16 2017-01-10 Allergan, Inc. Soft filled prosthesis shell with variable texture

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