WO2019043519A1 - Implant réglable - Google Patents

Implant réglable Download PDF

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Publication number
WO2019043519A1
WO2019043519A1 PCT/IB2018/056359 IB2018056359W WO2019043519A1 WO 2019043519 A1 WO2019043519 A1 WO 2019043519A1 IB 2018056359 W IB2018056359 W IB 2018056359W WO 2019043519 A1 WO2019043519 A1 WO 2019043519A1
Authority
WO
WIPO (PCT)
Prior art keywords
band
spool
implant
diameter
pawl
Prior art date
Application number
PCT/IB2018/056359
Other languages
English (en)
Inventor
Marc Feinberg
James Fleming
Original Assignee
Ethicon, Inc.
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from US15/693,965 external-priority patent/US10751163B2/en
Priority claimed from US15/807,017 external-priority patent/US10653517B2/en
Priority claimed from US15/839,321 external-priority patent/US10751165B2/en
Application filed by Ethicon, Inc. filed Critical Ethicon, Inc.
Publication of WO2019043519A1 publication Critical patent/WO2019043519A1/fr

Links

Classifications

    • 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
    • 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
    • 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
    • A61F2/48—Operating or control means, e.g. from outside the body, control of sphincters
    • A61F2/482—Electrical means

Definitions

  • the subject matter disclosed herein relates to breast implants for use in a subject.
  • Tissue expanders are used to assist in stretching skin of a subject to provide a tissue pocket or capsule having an appropriate size to accommodate a permanent implant, such as a breast implant.
  • the tissue expander is implanted into a subject to help prepare the subject to receive a permanent breast implant.
  • the tissue expander may be expanded by introducing additional material therein, e.g., saline, until the desired size of the pocket or capsule is achieved, at which point the tissue expander may be removed.
  • a permanent breast implant may then be implanted into the subject.
  • tissue expanders may be used as an adjustable breast implant, such as the
  • This adjustable implant utilizes a fill tube through which saline may be introduced or removed from the implant to change the implant's size.
  • the adjustable implant may be used to change the size of the capsule.
  • the fill tube may be removed from the implant, thereby rendering the implant non-adjustable.
  • the implant may remain in the capsule.
  • the adjustable implant may comprise a shell including a membrane and a base and having a first diameter in a plane parallel to the base.
  • a band may be disposed within the shell.
  • a mechanism including a spool may also be disposed within the shell.
  • the band may have a first end and a second end. The first end may be connected to the spool. The second end may also be connected to the spool.
  • the band may be in a round (e.g., elliptical) configuration having a second diameter in the plane that is less than the first diameter.
  • the mechanism may include a gear that is coupled to the spool, a first pawl having a first pin, a second pawl having a second pin, a first clip having a first groove and a first hole, and a second clip having a second groove and a second hole.
  • the first hole may be mated about the first pin and the second hole may be mated about the second pin.
  • the mechanism may also include an advancement actuator having a first post mated to the first groove.
  • the mechanism may also include a release actuator having a second post mated to the second groove.
  • the first pawl contacts a first tooth of the gear and the second pawl contacts a second tooth of the gear.
  • a lever may also be included that has a first end connected to the first pawl and a second end disposed proximate the second post.
  • the mechanism may include a motor coupled to the spool.
  • the motor may include a battery, such as a rechargeable battery.
  • the motor may also include a communication module, e.g., a wireless-communication module.
  • the band in the implant may be adjustable. That is, the second diameter may be decreased by wrapping the band onto the spool and the second diameter may be increased by unwrapping the band from the spool.
  • the implant includes a second or inner membrane within the membrane, and the band may be disposed about the inner membrane.
  • the implant may be used according the following exemplary method and variations. The diameter of the band may be decreased and the height of the implant may be increased. Further, the diameter of the band may be increased and the height of the implant may be decreased.
  • the implant may include a spool connected to a first end of the band such that the band may be wrapped onto the spool to decrease the diameter of the band and the band may be unwrapped from the spool to increase the diameter of the band.
  • an advancement actuator may be depressed to rotate the spool in a first direction, which causes the band to wrap onto the spool.
  • a release actuator may be depressed to rotate the spool in a second direction, which causes the band to unwrap from the spool.
  • the method may include a step of activating the motor to rotate the spool and wrap the band thereon.
  • the motor may be remotely activated via a remote control, such as a Smartphone.
  • Figure 1 depicts a perspective view of an adjustable implant having a spool
  • Figure 2 depicts an exploded view of the spool mechanism of Figure 1;
  • Figure 3 depicts a perspective view of the spool mechanism of Figure 1;
  • Figure 4 depicts a top view of the spool mechanism of Figure 1;
  • Figure 5 depicts a perspective view of an actuator body of the spool mechanism of
  • Figure 6 depicts a section view of the spool mechanism of Figure 1;
  • Figure 7 A depicts a front view of the adjustable implant of Figure 1 having an original profile
  • Figure 7B depicts a front view of the adjustable implant of Figure 1 having a heightened profile
  • Figure 8 depicts a perspective view of an alternate embodiment of an adjustable implant.
  • Figure 9 depicts a perspective view of another alternate embodiment of an
  • FIG. 1 is a representation of an exemplary embodiment of the present subject matter, i.e., adjustable implant 100.
  • Adjustable implant 100 includes a shell 102, which includes a base 103.
  • Shell 102 includes a shell membrane 104 that may be fabricated from any resilient and/or stretchable material used to fabricate conventional implants, particularly breast implants.
  • elastomeric silicones such as silicone rubber, may be used to fabricate shell membrane 104.
  • Shell 102 may be filled with a material 106 to maintain a desired form and prevent shell membrane 104 from collapsing and deforming under its own weight.
  • shell 102 has the form of a conventional breast implant, which is the form of shell 102 reflected in the figures.
  • material 106 may provide compliance and/or resiliency when shell membrane is subject to external forces generated by, e.g., foreign objects or a subject's anatomy.
  • the material 106 may be, e.g., an elastomer, such as silicone rubber, a silicone gel, or a liquid, such as saline.
  • Adjustable implant 100 additionally includes a flexible band 108 made of e.g., elastic, rubber, or plastic. Alternatively, it may be a fluoropolymer, such as Teflon, which may provide certain advantages over other alternatives including low friction and bacterial resistance.
  • Band 108 may have a round configuration, including, but not limited to an elliptical (including circular) configuration, ovular configuration, annular configuration, disk configuration, or spherical configuration. Further, it may be oriented such that it may be parallel or nearly parallel to base 103 of implant 100.
  • the configuration of band 108 includes a diameter ⁇ that is less than the diameter of a circumferential portion 110 of shell 102 that is coplanar with band 108.
  • the plane including circumferential portion 110 and band 108 also includes the maximum diameter of implant 100. That is, band 108 is disposed in a plane where implant 100 is widest. Loops 109 may be provided within material 106 in a round or elliptical configuration. Loops 109 may additionally be attached to an inner surface of shell membrane 104. Band 108 may be disposed within loops 109 in a manner similar to a belt in belt loops on a pair of pants. In some embodiments, a sheath (not shown) for band 108 may be provided. In these embodiments, band 108 may be disposed within the sheath and the sheath may be disposed through loops 109.
  • the sheath may be fabricated from any material that is also suitable for fabricating band 108, such as Teflon.
  • Implant 100 may have a maximum diameter ranging between approximately three inches and seven inches. In some embodiments, the maximum diameter ⁇ of band 108 is approximately 0.2 inches to 1 inch less than the maximum diameter of implant 100.
  • Band 108 may be a thin strip having a thickness of between approximately 0.03 inches and 0.15 inches. Band 108 may have a height of between approximately 0.25 inches and 1 inch.
  • Diameter ⁇ of band 108 may be decreased or increased.
  • band 108 squeezes material 106, which causes a corresponding increase in height of shell 102.
  • band 108 displaces loops 109, which may further facilitate squeezing material 106 by evenly distributing the constrictive forces upon material 106 caused by reducing diameter ⁇ .
  • shell membrane 104 may further distribute the constrictive forces.
  • band 108 releases the portion of material 106 that was being squeezed, which causes a corresponding decrease in the height of shell 102.
  • the height of shell 102 may be increased by between approximately 0.2 inches and 2 inches. In certain embodiments, the height of shell 102 may be increased by approximately 0.5 inches.
  • a mechanism disposed within the adjustable implant for driving a spool, or a "spool mechanism,” onto which a band may be wrapped For example, as shown in Figure 1 , a spool mechanism 112 may be embedded within material 106 of implant 100 and coupled to band 108 for changing the diameter ⁇ of band 108. Spool mechanism 112 may be controlled by a subject in which implant 100 is implanted (as opposed to requiring manipulation by a health care professional). [0028] Spool mechanism 112 is detailed in Figures 2-6. With initial reference to Figure 1 , a spool mechanism 112 may be embedded within material 106 of implant 100 and coupled to band 108 for changing the diameter ⁇ of band 108. Spool mechanism 112 may be controlled by a subject in which implant 100 is implanted (as opposed to requiring manipulation by a health care professional). [0028] Spool mechanism 112 is detailed in Figures 2-6. With initial reference to Figure 1 , a spool mechanism 112 may be embedded within material 106 of implant 100 and coupled to
  • mechanism 112 includes various components, including a spool 114, a rod 116, a gear 118, a first pawl 120, a second pawl 122, a guide spring 144, a first lever 124, a second lever 126, a first clip 128, a second clip 130, a plate 132 having tabs 134 and 136, and an actuator body 138 on which are disposed advancing actuator 140 and release actuator 142.
  • Band 108 is attached to spool 114.
  • the attachment may be effectuated by an
  • band 108 may be wrapped onto spool 114 or unwrapped from it.
  • Band 108 may be attached to spool 114 at both its first end 150 and second end 152 as shown in the figures.
  • band 108 may be attached to spool 114 at only one of its ends 150 or 152.
  • the other end may be attached to, e.g., a stationary feature of mechanism 112, e.g., a post disposed proximate spool 114 and/or gear 118.
  • Spool 114 may be mated to gear 118 by rod 116, which mates within hole 146.
  • spool 114 and gear 118 may be rotatably coupled to each other.
  • spool 114 may include a post 115 that mates into hole 146.
  • rod 116 and spool 114 may be keyed to each other by including tongue and groove features upon rod 116 and within hole 146. Accordingly, as gear 118 rotates, spool 114 rotates, causing band 108 to wrap onto or wrap off of spool 114.
  • Gear 118 may be rotated or advanced in a counter-clockwise direction by
  • ratchet functionality may be employed to help prevent this tension from unwinding band 108 from spool 114.
  • a second pawl 122 may thus be included that contacts another gear tooth 119 to resist clock- wise motion of gear 118.
  • a portion of gear 118 may lack gear teeth.
  • First pawl 120 and second pawl 122 may be operated by a user via actuator body
  • First pawl 120 traverses a path delineated by guide spring 144 and a slot 156 in plate 132 that retains a pin 158 of first pawl 120. Depression of advancing actuator 140 displaces first pawl 120 against a gear tooth 119, which causes gear 118 to rotate counter clockwise. Upon release of advancing actuator 140, first pawl 120 returns to its original position. Pawl 120 may return to its original position under a spring force imparted by advancing actuator 140.
  • advancing actuator may be a combination of an elastomeric bulb 141 and post 160. Post 160 may mate with first pawl 120.
  • first pawl 120 is advanced upon depression of advancing actuator 140 and retracted upon release of advancing actuator 140.
  • Second pawl 122 maintains the position of gear 118 as advancing actuator 140 returns first pawl 120 to its original position.
  • first lever 124 may include a first end connected to first pawl 120 and a second end disposed proximate post 162 of release actuator 142. When post 162 is displaced against the second end of first lever 124 upon depression of release actuator 142, the first end of first lever 124 displaces first pawl 120 away from gear 118 such that first pawl 120 does not prevent clockwise rotation of gear 118.
  • release actuator 142 may be a combination of an elastomeric bulb 143 and post 162.
  • Post 162 may mate with second pawl 122. As best seen with references to Figures 2 and 6, post 162 connects to a groove 168 of clip 130 and hole 170 of clip 130 mates about pin 172 of second pawl 122. Another pin 174 of second pawl 122 mates into hole 176 of plate 132.
  • release actuator 142 pushes clip 130 to advance pin 172, which causes clockwise rotation of second pawl 122 about pin 174, disengaging second pawl 122 from gear 118.
  • the reverse occurs upon release of release actuator 142. That is, due to its elastomeric resilient nature, post 162 returns to its original configuration and pulls clip 130 to withdraw pin 172, which causes counter-clockwise rotation of second pawl 122 about pin 174, re-engaging second pawl 122 against gear 118.
  • Lever 126 may be included to assist in maintaining alignment between first pawl
  • pin 158 may also mate with hole 178 of second lever 126 in addition to slot 156 of plate 132.
  • Hole 180 of second lever 126 may mate about stationary post 182 of plate 132.
  • lever 126 may rotate about a fixed point defined by post 182, which helps maintain alignment of the other moving parts in mechanism 112.
  • Mechanism 112 also includes tabs 134 and 136. Tabs 134 and 136 may be
  • tabs 134 and 136 may be useful for attaching actuator body 138 to plate 132 with proper alignment to control mechanism 112. Further, tabs 134 and 136 assist in maintaining the position of mechanism 112 within shell 102 by resisting forces applied to actuator body 138, particularly forces applied to advancing actuator 140 and release actuator 142. In some embodiments not shown, actuator body 138 may be positioned near to the bottom of shell 102, i.e., proximate base 103.
  • mechanism 112 is oriented within implant 100 such that advancing actuator 140 and release actuator 142 are disposed proximate membrane 104 of shell 102. In some embodiments, advancing actuator 140 and release actuator 142 may contact an inner surface of membrane 104. Accordingly, a user in whom implant 100 is implanted may actuate actuators 140 and 142 by pressing her skin proximate the desired actuator.
  • Depression of advancing actuator 140 causes spool 114 to rotate counter
  • a cover or sheath (not shown) may be disposed upon or about spool mechanism
  • FIGS 7 A and 7B reflect two different profiles of adjustable implant 100.
  • the profile of implant 100 may be changed from an original profile, reflected in Figure 7A, to a heightened profile reflected in Figure 7B.
  • This change in profile is effected by reducing diameter ⁇ of band 108 using mechanism 112.
  • the original profile may be recovered by enlarging the diameter ⁇ of band 108 using mechanism 112.
  • Intermediate profiles (not shown) may also be achieved by reducing diameter ⁇ less than is required to achieve the heightened profile. Accordingly, a subject may change the profile of implant 100 to her desired preference by using mechanism 112 to change diameter ⁇ of band 108.
  • mechanism 112 is exemplary, as are the descriptions of mechanisms 212 and 312 below. Alternative embodiments of these mechanisms may be designed that could achieve diameter changes in band 108, particularly after one of skill in the art has reviewed the present disclosure. Such design changes are considered to be within the scope of the present disclosed subject matter.
  • Implant 100 may be used according to the following exemplary method. First, implant 100 may be provided. Second, advancing actuator 140 may be depressed, which causes pawl 120 to rotate gear 118, which in turn rotates spool 114 causing band 108 to wrap thereon. Third, repeated depressions of advancing actuator 140 causes repeated rotations of gear 118 and spool 114, further wrapping band 108 onto spool 114. In some embodiments, approximately fifteen depressions of actuator 140 results in a maximum length of band 108 being wrapped onto spool 114. As noted above, in some embodiments, a portion of gear 118 may lack gear teeth.
  • release actuator 142 may be depressed. This step may occur when any
  • band 108 is wrapped onto spool 114, e.g., when band 108 is substantially wrapped thereon following, e.g., ten depressions of advancing actuator 140.
  • Depressing release actuator 142 causes second pawl 122 to rotate away from gear 118. In some embodiments, particularly those where pawl 120 rests against gear 118, depressing release actuator 142 also causes first pawl 120 to rotate away from gear 118. Thus, depressing actuator 142 disengages pawls 120 and 122 from gear 118, allowing it to rotate freely.
  • band 108 unwinds from spool 114.
  • Band 108 continues to unwind from spool 114 until either release actuator 142 is released or band 108 unwraps entirely from spool 114. Seventh the diameter ⁇ of band 108 is increased and the height of implant 100 is decreased.
  • the foregoing method may be applied by a subject in whom implant 100 is
  • the subject may change the projection of her breast.
  • the subject may begin with implant 100 having a configuration in which band 108 has a maximum diameter ⁇ such that the height of shell 102 is a minimum.
  • the subject may depress advancing actuator 140 at least one time to decrease the diameter ⁇ of band 108 and increase the height of shell 102.
  • the subject may depress advancing actuator 140 approximately two to approximately four times, which, in some embodiments, may cause the height of shell 102 to increase about a quarter to one third from its minimum height toward its maximum height.
  • the subject may palpitate advancing actuator 140 about fifteen to twenty times, which, in some embodiments, may cause the height of shell 102 to increase to its maximum height.
  • FIG. 8 shows an alternate embodiment of an adjustable implant.
  • Implant 200 includes a shell 202 having two membranes, an inner or first membrane 204 and an outer or second membrane 205 that surrounds inner membrane 204. Both inner membrane 204 and outer membrane 205 are filled with material 206.
  • Band 208 is disposed about and proximate to inner membrane 204.
  • loops 209 may be circumferentially distributed about and attached to inner membrane 204 such that band 208 is further disposed within loops 209.
  • Spool mechanism 212 may be used to change a diameter of band 208 to change the profile of inner membrane 204, which in turn changes the profile of outer membrane 205 and the overall profile of implant 200.
  • mechanism 212 is disposed between inner membrane 204 and outer membrane 205 such that advancing actuator 240 and release actuator 242 are proximate an inner surface of outer membrane 205.
  • the spool mechanism may include a motor driven by electromechanical energy.
  • Figure 9 shows an adjustable implant 300 that includes a spool mechanism 312.
  • spool mechanism 312 includes a motor 318, which may be, e.g., a dc motor, a stepper motor, servo motor, or piezoelectric motor.
  • a piezoelectric motor may avoid magnetic issues posed by MRIs.
  • Motor 318 may include a shaft 316 to which a spool 314 may be attached.
  • spool 314 and shaft 316 may be a single component.
  • shaft 316 may serve as a spool.
  • the profile of implant 300 may be changed using band 308 in a manner similar to implants 100 and 200 using bands 108 and 208.
  • an electromechanical motor the profile of implant 300 may be changed using band 308 in a manner similar to implants 100 and 200 using bands 108 and 208.
  • an electromechanical motor the profile of implant 300 may be changed using band 308 in a manner similar to implants
  • electromechanical spool mechanism provides various potential advantages over a pure mechanical mechanism.
  • electromechanical spool mechanism 312 may be more accurate and less likely to malfunction than a spool mechanism with a gear and pawls, such as spool mechanism 112 and 212.
  • electromechanical mechanism 312 may be more reliable because it includes fewer parts and should subject to fewer user-based manipulations (e.g., different users may depress actuators with varying amounts of force).
  • electromechanical mechanism 312 may be automated. Thus, it may be programmed at one time to wrap and unwrap band 308 from spool 314 at other times.
  • electromechanical mechanism 314 may include or be attached to a wireless antenna such that it may be remotely controlled by a user operating a remote control, which may assist a user in operating her implant discretely and avoids potential manipulation through clothing.
  • the remote control may include a storage medium into which various preset sizes of an adjustable implant may be set by the user such that the user need not set the size of the implant while watching the implant. Instead, she may simple select a preset size, which may further assist changing the size of the implant discretely.
  • programming and remote controlling may be accomplished via a remote device or control, including a
  • Electromechanical spool mechanism 312 may be actuated by a powered storage device, such as a battery, which may be rechargeable.
  • the battery may be recharged wirelessly, e.g., by inductive charging or wireless charging.
  • electromechanical implant 312 prohibits operation when a battery is near empty to avoid an implant being unable to reach a desired size until after the battery is recharged.

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

Abstract

L'invention concerne un implant réglable. L'implant réglable peut comprendre une coque comprenant une membrane et une base et ayant un premier diamètre dans un plan parallèle à la base. Une bande peut être disposée à l'intérieur de la coque. La bande peut avoir une première extrémité et une seconde extrémité reliées à une bobine. La bande peut être dans une configuration ronde (par exemple elliptique) ayant un second diamètre dans le plan qui est inférieur au premier diamètre. En enveloppant la bande sur la bobine, le diamètre de la bande peut être diminué et la hauteur de l'implant peut être augmentée. En déroulant la bande à partir de la bobine, le diamètre de la bande peut être augmenté et la hauteur de l'implant peut être réduite.
PCT/IB2018/056359 2017-09-01 2018-08-22 Implant réglable WO2019043519A1 (fr)

Applications Claiming Priority (6)

Application Number Priority Date Filing Date Title
US15/693,965 2017-09-01
US15/693,965 US10751163B2 (en) 2017-09-01 2017-09-01 Adjustable implant
US15/807,017 2017-11-08
US15/807,017 US10653517B2 (en) 2017-11-08 2017-11-08 Adjustable implant
US15/839,321 2017-12-12
US15/839,321 US10751165B2 (en) 2017-12-12 2017-12-12 Adjustable implant

Publications (1)

Publication Number Publication Date
WO2019043519A1 true WO2019043519A1 (fr) 2019-03-07

Family

ID=63638162

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/IB2018/056359 WO2019043519A1 (fr) 2017-09-01 2018-08-22 Implant réglable

Country Status (1)

Country Link
WO (1) WO2019043519A1 (fr)

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4969892A (en) * 1989-03-29 1990-11-13 Ams, Inc. Suturing anchoring device for use in a female suspension procedure
US20100087843A1 (en) * 2008-10-06 2010-04-08 Allergan, Inc. Mechanical Gastric Band With Cushions
EP2453839B1 (fr) * 2009-07-17 2014-03-12 Kirk Promotion LTD. Système d'implant mammaire
US20150038976A1 (en) * 2013-07-31 2015-02-05 Ellipse Technologies, Inc. Noninvasively adjustable suture anchors

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4969892A (en) * 1989-03-29 1990-11-13 Ams, Inc. Suturing anchoring device for use in a female suspension procedure
US20100087843A1 (en) * 2008-10-06 2010-04-08 Allergan, Inc. Mechanical Gastric Band With Cushions
EP2453839B1 (fr) * 2009-07-17 2014-03-12 Kirk Promotion LTD. Système d'implant mammaire
US20150038976A1 (en) * 2013-07-31 2015-02-05 Ellipse Technologies, Inc. Noninvasively adjustable suture anchors

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