WO2017091999A1 - Kit pour introduire une vessie dans une cavité corporelle - Google Patents

Kit pour introduire une vessie dans une cavité corporelle Download PDF

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Publication number
WO2017091999A1
WO2017091999A1 PCT/CN2015/096262 CN2015096262W WO2017091999A1 WO 2017091999 A1 WO2017091999 A1 WO 2017091999A1 CN 2015096262 W CN2015096262 W CN 2015096262W WO 2017091999 A1 WO2017091999 A1 WO 2017091999A1
Authority
WO
WIPO (PCT)
Prior art keywords
bladder
holder
needle
kit
balloon catheter
Prior art date
Application number
PCT/CN2015/096262
Other languages
English (en)
Inventor
Hsu-Wei Fang
Mark Berman
Original Assignee
Hsu-Wei Fang
Mark Berman
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 Hsu-Wei Fang, Mark Berman filed Critical Hsu-Wei Fang
Priority to BR112018010920-7A priority Critical patent/BR112018010920B1/pt
Priority to KR1020187017398A priority patent/KR102092489B1/ko
Priority to EP15909516.5A priority patent/EP3383316A4/fr
Priority to CN201580085040.3A priority patent/CN108601651B/zh
Priority to PCT/CN2015/096262 priority patent/WO2017091999A1/fr
Publication of WO2017091999A1 publication Critical patent/WO2017091999A1/fr

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/12—Mammary prostheses and implants
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/10—Balloon catheters
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M29/00—Dilators with or without means for introducing media, e.g. remedies
    • A61M29/02—Dilators made of swellable material
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M31/00—Devices for introducing or retaining media, e.g. remedies, in cavities of the body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3468—Trocars; Puncturing needles for implanting or removing devices, e.g. prostheses, implants, seeds, wires
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, 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
    • A61B90/02—Devices for expanding tissue, e.g. skin tissue
    • 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
    • A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0008—Fixation appliances for connecting prostheses to the body

Definitions

  • the present invention pertains to a kit for introducing a bladder into a body pocket. More specifically, the invention relates to a kit for introducing a bladder such as one described in U.S. Patent No. 6, 146, 418 into a body pocket.
  • U.S. Patent No. 6, 146, 418 discloses a body implant and method of implanting.
  • the implant as described in the ‘418 patent has a separate bladder made from a bio-compatible flexible polymer into which a mobile device or prosthesis may be placed after the bladder has been introduced into a subcutaneous body pocket. By ingrowth of body tissue into pores in the bladder, the bladder may form an artificial scar with minimal spherical capsular contracture.
  • Applicant has developed an integral kit adapted to introduce such bladder and perform the subsequent operation.
  • the present invention provides a kit for introducing a bladder into a body pocket, which comprises a holder, a balloon catheter, a bladder and a needle.
  • the holder has an interior surface, an exterior surface and at least one open end. Further, the holder includes a needle sheath formed on the exterior surface of the holder.
  • the balloon catheter comprises a balloon and a tube.
  • the needle is secured to the bladder by a suture.
  • the bladder may be positioned in the holder with the needle received in the needle sheath.
  • the bladder has an inlet and an opening. The inlet allows the balloon catheter and a body prosthesis to be sequentially introduced into the bladder after the bladder is placed into the body pocket.
  • the tube of the balloon catheter may be introduced out of the bladder through the opening.
  • the kit further comprises a cover.
  • the cover is adapted to couple with the holder and the needle sheath and may be used to cover the open end and the tip of the needle when the needle is received in the needle sheath.
  • the holder further includes a plunger configured at an opposite end of the open end.
  • the plunger may be used to urge the bladder out of the open end and into the body pocket.
  • the holder may include three or more, or four or more, needle sheaths formed at equal intervals surroundingly on the exterior surface of the holder.
  • the kit may comprise three or more, or four or more, needles each secured to the bladder by a suture.
  • Figure 1A is a perspective view of a holder in a kit for introducing a bladder into a body pocket in accordance with one embodiment of the present invention.
  • Figure 1B is a perspective view of a balloon catheter in a kit for introducing a bladder into a body pocket in accordance with one embodiment of the present invention.
  • Figure 2A is a top perspective view of a bladder in a kit for introducing a bladder into a body pocket in accordance with one embodiment of the present invention.
  • Figure 2B is a side perspective view of a bladder in a kit for introducing a bladder into a body pocket in accordance with one embodiment of the present invention.
  • Figure 3 is a perspective view of a cover for the holder shown in Figure 1.
  • the kit comprises a holder 10, a balloon catheter 20, a bladder 30 and one or more needles 40.
  • the holder 10 has an interior surface 12, an exterior surface 14, and at least one open end 16.
  • the holder includes one or more needle sheaths 18, respectively, formed on the exterior surface 14 of the holder 10.
  • the holder 10 may further include a plunger 19 configured at an opposite end 15 of the open end 16.
  • the balloon catheter 20 comprises a balloon 22 and a tube 24.
  • the balloon catheter 20 may be a silicone rubber balloon connected to a 3-4 mm silicone rubber tube about 20cm in length.
  • the balloon 22, in its deflated form, is able to be withdrawn from the same incision site from which the catheter emerges.
  • the balloon 22 In its inflated form the balloon 22 will be able to be inflated with normal saline up to a 300ml or 400ml capacity with 180ml being the most common inflation recommendation.
  • the bladder 30 may be one according to U.S. Patent No. 6, 146, 418 ( ‘418 patent) , which is hereby incorporated by reference in its entirety.
  • the needles 40 are each secured to the bladder 30 by a suture 50 (e.g., a double strand of a non-absorbable, monofilament suture 50) .
  • the bladder 30 may be removably positioned in the holder 10 with the needles 40 received in the needle sheath 18. Further, as shown in Figure 2, the bladder 30 has an inlet 32 and an opening 34. After the bladder 30 is placed into the body pocket (not shown) , the balloon catheter 20 and a body prosthesis (e.g., a breast implant) (not shown) may be introduced into the bladder 30 through the inlet 32, as described in the ‘418 patent; and the opening 34 is for the introduction of the tube 24 of the balloon catheter 20 out of the bladder 30.
  • a body prosthesis e.g., a breast implant
  • the holder 10 has a generally hollow cylinder shape but is not limited thereto.
  • the holder 10 may be made of a biocompatible material, such as a biocompatible polymer.
  • Examples for the needles 40 include but are not limited to straight Keith needles of about three-inches in length.
  • a pocket is formed in the body of a patient, and a wound is made as an entry to the pocket.
  • the holder 10 containing the bladder 30 and the needles 40 is positioned over the wound. Then, one by one, the needles 40 are removed from the needle sheaths 18 and passed into the pocket at an appropriate location respectively and out through the skin. Subsequently, the holder 10 is inserted to the wound from the open end 16 of the holder 10 into the pocket, and the bladder 30 is gently pushed into the pocket by the plunger 19.
  • the bladder 30 may also be pushed into the pocket with a forceps if the holder 10 is not configured with a plunger.
  • the sutures 50 are then pulled to further position the bladder 30, with the opening 34 aligned with the wound.
  • the bladder 30 may not comprise the inlet 32 and/or the opening 34 in the first place, and the opening 34 may be generated by the operator at this stage of the operation.
  • the sutures 50 should be temporarily secured over the right, left and inferior bolsters (not shown) .
  • the balloon catheter 20 is introduced into the bladder 30 through the inlet 32 with the placement of the balloon 22 of the balloon catheter 20 in an appropriate position (e.g. most often in the superior aspect of the bladder) .
  • the tube 24 of the balloon 22 is then introduced out of the bladder 30 through the opening 34.
  • This is generally retrieved with mosquito forceps introduced through an external skin incision and through an opening in the bladder (either prepared or created by simple puncture) .
  • the distal portion of the balloon catheter (tube part) is grasped by the forceps and withdrawn through the skin opening.
  • a saline (with antibiotic) of 50-1, 000mL may next be added into the bladder 30.
  • a breast implant is inserted into the bladder 30 through the inlet 32, the saline filling the bladder and pocket space is then aspirated with blunt tip suction (e.g. Yankauer device) and the suture 50 may now be clipped and removed from the bladder 30.
  • blunt tip suction e.g. Yankauer device
  • the balloon catheter 20 may be removed three days to one week after the operation from the bladder through the opening 34.
  • a cover 60 may be further included in the kit of the present invention for safety.
  • the cover 60 is adapted to couple with the holder 10 and the needle sheaths 18, to cover the open end 16 and the tips of the needles 40 when the needles 40 are received respectively in the needle sheaths 18.

Abstract

La présente invention concerne un kit destiné à introduire une vessie dans une cavité corporelle. Le kit comprend un support (10) présentant une surface intérieure (12), une surface extérieure (14) et au moins une extrémité ouverte (16), un cathéter à ballonnet (20), une aiguille (40) et une vessie (30). Le support (10) comprend une gaine d'aiguille (18) formée sur la surface extérieure (14). Le cathéter à ballonnet (20) comprend un ballonnet (22) et un tube (24). L'aiguille (40) est fixée à la vessie (30) par une suture (50). La vessie (30) peut être positionnée dans le support (10) l'aiguille (40) étant reçue dans la gaine d'aiguille (18). La vessie (30) peut présenter une entrée (32) et une ouverture (34). Par l'entrée (32), le cathéter à ballonnet (20) et une prothèse corporelle peuvent être introduits dans la vessie (30) après que la vessie (30) soit placée dans la cavité corporelle ; et par l'ouverture (34), le tube (24) du cathéter à ballonnet (20) peut être introduit hors de la vessie (30).
PCT/CN2015/096262 2015-12-03 2015-12-03 Kit pour introduire une vessie dans une cavité corporelle WO2017091999A1 (fr)

Priority Applications (5)

Application Number Priority Date Filing Date Title
BR112018010920-7A BR112018010920B1 (pt) 2015-12-03 2015-12-03 Kit para introduzir uma bexiga em uma cavidade corporal
KR1020187017398A KR102092489B1 (ko) 2015-12-03 2015-12-03 신체의 포켓 공간에 블래더를 삽입하기 위한 키트
EP15909516.5A EP3383316A4 (fr) 2015-12-03 2015-12-03 Kit pour introduire une vessie dans une cavité corporelle
CN201580085040.3A CN108601651B (zh) 2015-12-03 2015-12-03 用于将囊袋引入身体口袋的套组
PCT/CN2015/096262 WO2017091999A1 (fr) 2015-12-03 2015-12-03 Kit pour introduire une vessie dans une cavité corporelle

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/CN2015/096262 WO2017091999A1 (fr) 2015-12-03 2015-12-03 Kit pour introduire une vessie dans une cavité corporelle

Publications (1)

Publication Number Publication Date
WO2017091999A1 true WO2017091999A1 (fr) 2017-06-08

Family

ID=58796030

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/CN2015/096262 WO2017091999A1 (fr) 2015-12-03 2015-12-03 Kit pour introduire une vessie dans une cavité corporelle

Country Status (5)

Country Link
EP (1) EP3383316A4 (fr)
KR (1) KR102092489B1 (fr)
CN (1) CN108601651B (fr)
BR (1) BR112018010920B1 (fr)
WO (1) WO2017091999A1 (fr)

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5362294A (en) * 1992-09-25 1994-11-08 Seitzinger Michael R Sling for positioning internal organ during laparoscopic surgery and method of use
WO2000019914A1 (fr) * 1998-10-06 2000-04-13 Progressive Surgical Products Dispositif d'extension de tissu externe pour reconstruction de sein, alopecie masculine et elimination de naevus et de cheloides
US6146418A (en) * 1997-02-28 2000-11-14 Berman; Mark Body implant and method of implanting
US20040249457A1 (en) * 2003-06-09 2004-12-09 Smith Lane Fielding Mastopexy stabilization apparatus and method
WO2010051506A1 (fr) * 2008-10-31 2010-05-06 Alure Medical, Inc. Système de support tissulaire minimalement invasif et procédé avec un support tissulaire supérieur et un ancrage inférieur
US20100191330A1 (en) * 2007-06-24 2010-07-29 Gary Pierre Lauryssen Human mammary prosthetic support and method of implanting
CN202714884U (zh) * 2012-02-23 2013-02-06 上海交通大学医学院附属第三人民医院 一种医用自锁式钛丝缝合线

Family Cites Families (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6847848B2 (en) 2003-01-07 2005-01-25 Mmtc, Inc Inflatable balloon catheter structural designs and methods for treating diseased tissue of a patient
US20090204021A1 (en) * 2004-12-16 2009-08-13 Senorx, Inc. Apparatus and method for accessing a body site
EP1878406A1 (fr) * 2006-07-11 2008-01-16 Cameron J. Fordyce Système et procédé pour l'implantation d'une prothèse mammaire enveloppée
US7935089B2 (en) * 2008-01-08 2011-05-03 Su-Ben Tsao Silicon breast implant injector for augmentation mammaplasty
WO2011146614A1 (fr) * 2010-05-19 2011-11-24 Transmed7, Llc Procédés et appareil de formation in situ d'implants chirurgicaux
CN105120798B (zh) * 2012-11-27 2017-03-15 康特戈医疗有限责任公司 具有整体式栓子滤器的经皮腔内血管成形术设备
US20140163678A1 (en) * 2012-12-12 2014-06-12 Allergan, Inc. Methods for augmenting or reconstructing a breast and a kit therefor

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5362294A (en) * 1992-09-25 1994-11-08 Seitzinger Michael R Sling for positioning internal organ during laparoscopic surgery and method of use
US6146418A (en) * 1997-02-28 2000-11-14 Berman; Mark Body implant and method of implanting
WO2000019914A1 (fr) * 1998-10-06 2000-04-13 Progressive Surgical Products Dispositif d'extension de tissu externe pour reconstruction de sein, alopecie masculine et elimination de naevus et de cheloides
US20040249457A1 (en) * 2003-06-09 2004-12-09 Smith Lane Fielding Mastopexy stabilization apparatus and method
US20100191330A1 (en) * 2007-06-24 2010-07-29 Gary Pierre Lauryssen Human mammary prosthetic support and method of implanting
WO2010051506A1 (fr) * 2008-10-31 2010-05-06 Alure Medical, Inc. Système de support tissulaire minimalement invasif et procédé avec un support tissulaire supérieur et un ancrage inférieur
CN202714884U (zh) * 2012-02-23 2013-02-06 上海交通大学医学院附属第三人民医院 一种医用自锁式钛丝缝合线

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
See also references of EP3383316A4 *

Also Published As

Publication number Publication date
CN108601651B (zh) 2020-02-28
BR112018010920B1 (pt) 2021-12-21
BR112018010920A2 (pt) 2018-11-21
EP3383316A4 (fr) 2019-07-31
CN108601651A (zh) 2018-09-28
KR20180098257A (ko) 2018-09-03
KR102092489B1 (ko) 2020-03-24
EP3383316A1 (fr) 2018-10-10

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