WO2015143513A1 - Structural arrangement for heart protector - Google Patents

Structural arrangement for heart protector Download PDF

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Publication number
WO2015143513A1
WO2015143513A1 PCT/BR2015/000034 BR2015000034W WO2015143513A1 WO 2015143513 A1 WO2015143513 A1 WO 2015143513A1 BR 2015000034 W BR2015000034 W BR 2015000034W WO 2015143513 A1 WO2015143513 A1 WO 2015143513A1
Authority
WO
WIPO (PCT)
Prior art keywords
heart
sternum
patient
protector
structural arrangement
Prior art date
Application number
PCT/BR2015/000034
Other languages
French (fr)
Portuguese (pt)
Inventor
Eduardo COELHO DE SOUZA
Original Assignee
Coelho De Souza Eduardo
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 Coelho De Souza Eduardo filed Critical Coelho De Souza Eduardo
Publication of WO2015143513A1 publication Critical patent/WO2015143513A1/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/82Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin for bone cerclage
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/04Protection of tissue around surgical sites against effects of non-mechanical surgery, e.g. laser surgery

Definitions

  • the proposed solution is to use the device object of the present patent just below the sternum at the end of surgery, therefore, in reoperation, there will be no chance of sawing the heart along with the sternum, so that This device, being of inert material, such as titanium preferably, causes no reaction and also does not adhere to the heart.
  • an arrangement comprising a device formed by a titanium strip of predominantly rectangular section and variable width, as each patient has a sternum of its own size and width, so that it is necessary said device of various sizes may be selected at the time of surgery, although it must also be of a thin thickness, although it is sturdy enough for the saw not to cut it but may be malleable to accompany the sternum shape of each patient.
  • Said device is still provided in all its edge of elastic material, preferably rubber, being part of said device and that will serve to fix the plate on the sternum, since the metallic wires used today for closing the sternum, will be tightened tightly.
  • This rubber will also help to prevent the sternum from rupturing a possible "abuse" of the patient postoperatively, as it will not let the wire slip, as it will get caught in the device.
  • Figure 1 represents the top view of the cardiac protector object of the present invention
  • Figure 2 represents a schematic view of the cardiac protector installed just below the serrated sternum between it and the heart;
  • FIG. 3 is a schematic view of the cardiac protector installed just below the serrated sternum, which is ready to be joined by metallic wires;
  • Figure 4 represents another schematic view of the cardiac protector installed just below the serrated sternum and away;
  • Figure 5 represents another schematic view of the cardiac protector installed just below the serrated sternum joined by metal wires.
  • the present invention is constituted by a device (1) formed by a predominantly rectangular and variable width thin and malleable titanium strip (2) provided further along its edge of elastic material (3), preferably rubber, being part of said device (1) and which will serve to fix the plate over the sternum (4) and between the heart (5), being fastened by wires (6 ) of metallic material.
  • a cardiac protector is not known to collectively assemble all the constructive and functional characteristics reported above, and which, directly or indirectly, is or was as effective as the protector object of the present patent. It will be apparent to those skilled in the art that while describing the preferred embodiment of the constructive arrangement introduced in this object, any modifications and / or alterations should be understood to fall within the scope of the utility model patent, and perfectly fit the criteria. that define it, that is, the combination and modification of already known elements in new form or arrangement, involving inventive act, resulting in functional improvement in its use or manufacture.

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Pathology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Neurology (AREA)
  • Surgical Instruments (AREA)
  • Prostheses (AREA)

Abstract

The invention relates to a utility model pertaining to the field of surgical products for use in heart surgery, in particular for closing the patient's thorax, the device being placed underneath the sternum, preventing heart lesions during future surgical procedures, since when the sternum of a patient which has already been operated is opened from the front side, the heart might have adhered to the sternum and be cut by the saw, causing the patient to die. The heart protector comprises a device (1) formed by a thin and malleable titanium strip (2) having a mainly rectangular cross-section, with a variable width and provided over the entire edges thereof with an elastic material (3), preferably rubber, which forms part of the device (1) and is used to attach the plate between the sternum (4) and the heart (5), being tightened by metal wires (6).

Description

DISPOSIÇÃO CONSTRUTIVA APLÍCAPA EM PROTETOR  CONSTRUCTIVE PROVISION PROVISION
CARDÍACO  HEART
[001]Traía o presente relatório descritivo da patente de modelo de utilidade de uma nova disposição construtiva aplicada em protetor cardíaco, notadamente um dispositivo para ser implantado no tórax do indivíduo, de concepção inovadora e dotado de importantes melhoramentos tecnológicos e funcionais, segundo os mais modernos conceitos de engenharia e de acordo com as normas e especificações exigidas, revestindo-se de características próprias e dotadas com requisitos fundamentais de novidade e ato inventivo, fazendo resultar uma série de reais e extraordinárias vantagens técnicas, práticas e económicas.  [001] This report describes the utility model patent of a new constructive arrangement applied in a cardiac protector, notably a device to be implanted in the chest of the individual, of innovative design and endowed with important technological and functional improvements, according to the most modern engineering concepts and in accordance with the required standards and specifications, having their own characteristics and endowed with fundamental requirements of novelty and inventive act, resulting in a series of real and extraordinary technical, practical and economic advantages.
ANTECEDENTES DA PATENTE  PATENT BACKGROUND
[002]Como é do conhecimento dos técnicos no assunto, hoje em dia, em operações cardíacas, inexistem dispositivos que protejam especialmente o coração. Sobretudo doentes, quando reoperados, chegam até a morrer por falta de proteção do coração. Para minimizar esse problema, os cirurgiões procuram tomar muito cuidado quando serram o esterno de um doente, mas mesmo assim ainda acontecem acidentes, e o coração é lesado, podendo levar até a óbito. [002] As is well known to those skilled in the art today in cardiac operations, there are no devices that especially protect the heart. Especially sick, when reoperated, even die for lack of protection of the heart. To minimize this problem, surgeons try to be very careful when sawing a patient's sternum, but even then accidents still occur, and the heart is injured, possibly leading to death.
[003] Em vista disso, ao longo do tempo foram procedidos estudos visando eliminar todos esses problemas e inconvenientes e, como resultado, foi desenvolvido este modelo que possibilita a concepção de um inédito dispositivo, através do qual surge a possibilidade de proteger o coração quando da abertura do osso esterno por meio de serra, obtendo-se então um produto integrado com reais possibilidades de uma económica industrialização, minimizando custos, tempo de montagem e despesas de mão-de-obra, além de um efeito preciso de montagem, com melhores resultados e elevado padrão de segurança. In view of this, studies have been conducted over time to eliminate all these problems and drawbacks, and as a result, this model has been developed that enables the design of an unprecedented device through which the possibility of protecting the heart arises when opening the sternum by sawing, resulting in an integrated product with real possibilities for economical industrialization, minimizing costs, assembly time and labor costs, as well as a precise assembly effect, with better results and high safety standard.
OBJETIVOS DA PATENTE  PATENT OBJECTIVES
[004}A solução proposta é a de se utilizar o dispositivo objeto da presente patente logo abaixo do esterno no término da cirurgia, pois assim, na reoperação, não vai haver a hipótese de ser serrado o coração junto com o esterno, de modo que este dispositivo, sendo de material inerte, tal como preferencialmente o titânio, não causa reação e também não se adere ao coração. [004} The proposed solution is to use the device object of the present patent just below the sternum at the end of surgery, therefore, in reoperation, there will be no chance of sawing the heart along with the sternum, so that This device, being of inert material, such as titanium preferably, causes no reaction and also does not adhere to the heart.
[005]A vantagem é que nunca mais haverá este tipo de acidente, qual seja, o de lesar o coração com a serra, quando da passagem da serra, para abertura do esterno,  [005] The advantage is that there will never be this kind of accident again, that is, injuring the heart with the saw when the saw passes to open the sternum,
[006JEstes e outros objetivos são alcançados com uma disposição que compreende um dispositivo formado por uma tira de titânio de secção predominantemente retangular e de largura, variável, pois cada doente tem o esterno de um tamanho e de uma largura própria, de modo que é necessário ter-se o referido dispositivo de vários tamanhos, para poder ser escolhido no momento da cirurgia, sendo certo que também deverá ter espessura fina, todavia que seja resistente o necessário para a serra não cortá-lo, mas que possa ser maleável para acompanhar a forma do esterno de cada doente.  These and other objects are achieved with an arrangement comprising a device formed by a titanium strip of predominantly rectangular section and variable width, as each patient has a sternum of its own size and width, so that it is necessary said device of various sizes may be selected at the time of surgery, although it must also be of a thin thickness, although it is sturdy enough for the saw not to cut it but may be malleable to accompany the sternum shape of each patient.
[007]Referido dispositivo é provido ainda em toda sua borda de material elástico, preferencialmente borracha, sendo parte do referido dispositivo e que servirá para fixar a placa sobre o esterno, pois os fios metálicos hoje utilizados para o fechamento do esterno, serão apertados justamente nesta borracha, e que isto também ajudará para que o esterno não se rompa em um eventual "abuso" do paciente no pós-operatório, pois não deixará o fio escorregar, pois ficará preso no dispositivo. Said device is still provided in all its edge of elastic material, preferably rubber, being part of said device and that will serve to fix the plate on the sternum, since the metallic wires used today for closing the sternum, will be tightened tightly. This rubber will also help to prevent the sternum from rupturing a possible "abuse" of the patient postoperatively, as it will not let the wire slip, as it will get caught in the device.
[OOíqPara complementar a presente descrição, de modo a obter uma melhor compreensão das características da presente patente, e de acordo com uma preferencial realização prática da mesma, acompanha em anexo um conjunto de desenhos, onde de maneira exemplificada embora não limitativa, se representa o seguinte: [10] To complement this description in order to obtain a A better understanding of the features of the present invention, and according to a preferred practical embodiment thereof, is attached hereto as a set of drawings, where in an exemplary but not limiting manner, the following is represented:
[009JA figura 1 representa a vista superior do protetor cardíaco objeto da presente patente;  Figure 1 represents the top view of the cardiac protector object of the present invention;
[010]A figura 2 representa uma vista esquemática do protetor cardíaco instalado logo abaixo do esterno serrado, entre este e o coração;  [010] Figure 2 represents a schematic view of the cardiac protector installed just below the serrated sternum between it and the heart;
[011]A figura 3 representa uma vista esquemática do protetor cardíaco instalado logo abaixo do esterno serrado, este pronto para ser unido por meio de fios metálicos;  Figure 3 is a schematic view of the cardiac protector installed just below the serrated sternum, which is ready to be joined by metallic wires;
[012]A figura 4 representa outra vista esquemática do protetor cardíaco instalado logo abaixo do esterno serrado e afastado;  Figure 4 represents another schematic view of the cardiac protector installed just below the serrated sternum and away;
[013JA figura 5 representa outra vista esquemática do protetor cardíaco instalado logo abaixo do esterno serrado juntado por fios metálicos.  Figure 5 represents another schematic view of the cardiac protector installed just below the serrated sternum joined by metal wires.
[014]De acordo com as referidas figuras, e em seus pormenores, a presente patente é constituída de um dispositivo (1) formado por uma tira (2) de titânio de secção predominantemente retangular e de largura variável e espessura fina e maleável, provido ainda em toda sua borda de material elástico (3), preferencialmente borracha, sendo parte do referido dispositivo (1) e que servirá para fixar a placa sobre o esterno (4) e entre o coração (5), sendo apertado por fios (6) de material metálico.  According to the said figures, and in their details, the present invention is constituted by a device (1) formed by a predominantly rectangular and variable width thin and malleable titanium strip (2) provided further along its edge of elastic material (3), preferably rubber, being part of said device (1) and which will serve to fix the plate over the sternum (4) and between the heart (5), being fastened by wires (6 ) of metallic material.
[015]Não se tem conhecimento de um protetor cardíaco que reúna conjuntamente, todas as características construtivas e funcionais acima relatadas, e que direta ou indiretamente, é ou foi tão efetivo quanto o protetor objeto da presente patente. [016]Será evidente para os conhecedores da matéria que enquanto se descreve a realização preferida da disposição construtiva introduzida neste objeto, quaisquer modificações e/ou alterações devem ser compreendidas como dentro do escopo de patente de modelo de utilidade, enquadrando-se perfeitamente nos critérios que a definem, ou seja, a combinação e modificação de elementos já conhecidos em nova forma ou disposição, envolvendo ato inventivo, resultando em melhoria funcional no seu uso ou em sua fabricação. [015] A cardiac protector is not known to collectively assemble all the constructive and functional characteristics reported above, and which, directly or indirectly, is or was as effective as the protector object of the present patent. It will be apparent to those skilled in the art that while describing the preferred embodiment of the constructive arrangement introduced in this object, any modifications and / or alterations should be understood to fall within the scope of the utility model patent, and perfectly fit the criteria. that define it, that is, the combination and modification of already known elements in new form or arrangement, involving inventive act, resulting in functional improvement in its use or manufacture.

Claims

REIVINDICAÇÃO CLAIM
1 - "DISPOSIÇÃO CONSTRUTIVA APLICADA EM PROTETOR1 - "CONSTRUCTIVE PROVISION APPLIED ON PROTECTOR
CARDÍACO", caracterizado pelo fato de ser constituído por um dispositivo (1) formado por uma tira (2) de titânio de secção predominantemente retangular e de largura variável e espessura fina e maleável, provido ainda em toda sua borda de material elástico (3), preferencialmente borracha, sendo parte do referido dispositivo (1) e que servirá para fixar a placa sobre o esterno (4) e entre o coração (5), sendo apertado por fios (6) de material metálico. HEART ", characterized by the fact that it consists of a device (1) formed by a titanium strip (2) of predominantly rectangular cross-section and of varying width and thin and malleable thickness, provided further along its edge with elastic material (3) preferably rubber being part of said device (1) which will serve to fix the plate over the sternum (4) and between the heart (5), being fastened by wires (6) of metallic material.
PCT/BR2015/000034 2014-03-24 2015-03-23 Structural arrangement for heart protector WO2015143513A1 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
BR202014007055-4U BR202014007055Y1 (en) 2014-03-24 2014-03-24 constructive disposition applied in cardiac protector
BRBR202014007055-4 2014-03-24

Publications (1)

Publication Number Publication Date
WO2015143513A1 true WO2015143513A1 (en) 2015-10-01

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WO (1) WO2015143513A1 (en)

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4279248A (en) * 1979-07-20 1981-07-21 Shlomo Gabbay Sternum closure device and procedure for using same
US5139498A (en) * 1988-10-18 1992-08-18 Astudillo Ley Freddy R Device for closing sternum in heart surgery
US5611354A (en) * 1992-11-12 1997-03-18 Alleyne; Neville Cardiac protection device
US6217580B1 (en) * 1997-07-25 2001-04-17 Duke University Methods of closing a patient's sternum following median sternotomy
US6712821B2 (en) * 2002-07-12 2004-03-30 Shlomo Gabbay Sternum closure apparatus and method for helping maintain a space between parts of the sternum

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4279248A (en) * 1979-07-20 1981-07-21 Shlomo Gabbay Sternum closure device and procedure for using same
US5139498A (en) * 1988-10-18 1992-08-18 Astudillo Ley Freddy R Device for closing sternum in heart surgery
US5611354A (en) * 1992-11-12 1997-03-18 Alleyne; Neville Cardiac protection device
US6217580B1 (en) * 1997-07-25 2001-04-17 Duke University Methods of closing a patient's sternum following median sternotomy
US6712821B2 (en) * 2002-07-12 2004-03-30 Shlomo Gabbay Sternum closure apparatus and method for helping maintain a space between parts of the sternum

Also Published As

Publication number Publication date
BR202014007055U2 (en) 2016-02-10
BR202014007055Y1 (en) 2020-12-29

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