CA2450956A1 - Surgical implant - Google Patents

Surgical implant Download PDF

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Publication number
CA2450956A1
CA2450956A1 CA002450956A CA2450956A CA2450956A1 CA 2450956 A1 CA2450956 A1 CA 2450956A1 CA 002450956 A CA002450956 A CA 002450956A CA 2450956 A CA2450956 A CA 2450956A CA 2450956 A1 CA2450956 A1 CA 2450956A1
Authority
CA
Canada
Prior art keywords
surgical implant
mesh
implant
surgical
strands
Prior art date
Legal status (The legal status 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 status listed.)
Granted
Application number
CA002450956A
Other languages
French (fr)
Other versions
CA2450956C (en
Inventor
James Browning
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Coloplast AS
Original Assignee
Individual
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
Family has litigation
First worldwide family litigation filed litigation Critical https://patents.darts-ip.com/?family=9911971&utm_source=google_patent&utm_medium=platform_link&utm_campaign=public_patent_search&patent=CA2450956(A1) "Global patent litigation dataset” by Darts-ip is licensed under a Creative Commons Attribution 4.0 International License.
Application filed by Individual filed Critical Individual
Publication of CA2450956A1 publication Critical patent/CA2450956A1/en
Application granted granted Critical
Publication of CA2450956C publication Critical patent/CA2450956C/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

Links

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
    • A61F2/0004—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse
    • A61F2/0031—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse for constricting the lumen; Support slings for the urethra
    • A61F2/0036—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse for constricting the lumen; Support slings for the urethra implantable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/0063—Implantable repair or support meshes, e.g. hernia meshes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/0063—Implantable repair or support meshes, e.g. hernia meshes
    • A61F2002/0068—Implantable repair or support meshes, e.g. hernia meshes having a special mesh pattern
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/0063—Implantable repair or support meshes, e.g. hernia meshes
    • A61F2002/0072—Delivery tools therefor
    • 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
    • A61F2/0077—Special surfaces of prostheses, e.g. for improving ingrowth
    • A61F2002/0081—Special surfaces of prostheses, e.g. for improving ingrowth directly machined on the prosthetic surface, e.g. holes, grooves
    • 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
    • A61F2/0077—Special surfaces of prostheses, e.g. for improving ingrowth
    • A61F2002/0086—Special surfaces of prostheses, e.g. for improving ingrowth for preferentially controlling or promoting the growth of specific types of cells or tissues
    • 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
    • A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
    • A61F2250/0071—Additional features; Implant or prostheses properties not otherwise provided for breakable or frangible

Landscapes

  • 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)
  • Urology & Nephrology (AREA)
  • Prostheses (AREA)
  • Materials For Medical Uses (AREA)

Abstract

A surgical implant suitable for treatment of hernias is provided. The implant comprises a mesh having a residual maximum mass density of 50g/m2. The mesh comprises strands forming spaces and the strands comprise filaments forming pores. The spaces and pores are sized to minimise foreign body mass for implantation and to encourage integration of the implant. The mesh may be delivered using Dual Phase TechnologyTM for ease of handling, cutting and placement. The Dual Phase TechnologyTM may include encapsulation or coating with hydrogel.

Claims (64)

1. A surgical implant suitable for treatment of hernias, the implant comprising a mesh comprising strands having a maximum residual mass density of .
50g/m2.
2. A surgical implant as claimed in claim 1 wherein the mesh has a maximum residual mass density of less than 30g/m2.
3. A surgical implant as claimed is claims 1 or 2 wherein the mesh comprises strands and includes major spaces and pores, the spaces existing between the strands and pores formed within the strands.
4. A surgical implant as claimed in any preceding claim wherein strands are formed from at least two filaments.
5. A surgical implant as claimed in any preceding claim wherein the strands are spaced apart to form major spaces of 1 to to mm.
6. A surgical implant as claimed in any preceding claim wherein the strands have a diameter of less thaw 600µm.
7. A surgical implant as claimed in any preceding claim wherein the strands are arranged to form a warp knit diamond or hexagonal net mesh.
8. A surgical implant as claimed in any preceding claim wherein the strands are arranged to form a net mesh which has isotropi c or near isotropic tensile strength cad elasticity.
9. A surgical implant as claimed in any one of claims 4 to 8 wherein the filaments have a diameter of between 0.02 .to 0.15 mm.
10. A surgical implant as claimed is any one of claims 4 to 9 wherein the filament of the mesh is of a diameter 0.05 to 0.1 mm.
11 A surgical implant as claimed in any preceding claim wherein a monofilament or at least two filaments are interwoven/knitted such that the strands of the mesh comprise pores.
12. A surgical implant as claimed in any preceding claim wherein the pores in the strands are of between 50 to 200µm in diameter.
13. A,surgical implant as claimed in any preceding claim further comprising rings of material comprising pores of between 50 to 200µm adhered to on the strands of the mesh to provide pores.
14. A surgical implant as claimed in any preceding claim wherein the pores in the strands are of between 50 to 75µm in diameter.
15. A surgical implant as claimed in any preceding claim wherein the filaments of the mesh comprise a plastics material.
16. A surgical implant as claimed is away preceding claim wherein the filaments of the mesh comprise a synthetic material.
17. A surgical implant as claimed in any preceding claim wherein the filaments of the mesh comprise as absorbable material.
18. A surgical implant as claimed in any of claims 1 to 16 wherein the filaments of the mesh comprise polypropylene.
19. A surgical implant as claimed is any of claims I to 16 wherein the filaments of the mesh comprise polyester.
20. A surgical implant as claimed in any preceding claim wherein the implant has as absorbable coating which degrades within 48 hours.
21. A surgical implant as claimed in claim 20 wherein the absorbable casting encapsulates the mesh of the surgical implant.
22. A surgical implant as claimed in claim 20 wherein the absorbable coating is applied to at least one face of the mesh.
23. A surgical implant as claimed is claims 20 to 22 wherein the absorbable coating comprises any suitable soluble and biocompatible material.
24. A surgical implant as claimed in claims 20 to 23 wherein the absorbable coating is a soluble hydrogel such as gelatin.
25. A surgical implant as claimed in claims 20 to 23 wherein the absorbable coating is a starch or cellulose based gel.
26. A surgical implant as claimed is claims 20 to 23 wherein the absorbable coating is as alginate.
27. A surgical implant as claimed is claims 20 to 26 wherein the coating is of a thickness greater than that of the mesh.
28. A surgical implant as claimed in any preceeding claim comprising a backing strip wherein the backing strip is releasably attachable to the mesh.
29. A surgical implant as claimed is claim 28 wherein the backing strip is formed from plastics.
30. n surgical implant as claimed in claims 28 or 29 wherein the surgical implant is releasably attachable to the backing strip by adhesive.
31. A surgical implant as claimed in any preceding claim wherein the strands of the mesh are comprised of bicomponent microfibres.
32. A surgical implant as claimed in claim 31 wherein the bicomponent microfibres comprise a core and surface material.
33. A surgical implant as claimed in claim 32 wherein the surface material is capable of being absorbed by the body is a period of less than 48 hours.
34. A surgical implant as claimed in claims 32 ox 33 wherein the core material is capable of remaining is the body for a period of tune sufficient to enable tissue ingrowth.
35. A surgical implant as claimed in claim 32 wherein the surface material is polylactic acid and the core material is polypropylene.
36. A surgical implant as claimed in any preceding claim wherein the surgical implant comprises material that has memory.
37. A surgical implant as claimed in claim 36 wherein the surgical implant has memory which urges the surgical implant to adopt a flat conformation.
38. A surgical implant as claimed is any preceding claim. wherein the implant has a generally curved perimeter.
39. A surgical implant as claimed in any preceding claim wherein the surgical implant is of width between 1 cm to 10 cm and of length between 1 cm to 10 cm.
40. A surgical implant as claimed is arty preceding claim wherein the implant is any one of round, circular, oval, avoid eliptical or truncated eliptical or some similar shape.
41. A surgical implant ae claimed is amy preceding claim wherein the mesh cars be nut to any desired shape.
42. A surgical implant as claimed in any preceding claim wherein the ash has at least one circumferential member which extends, in use, along at least part of the perimeter of the implant to provide a substantially smooth edge.
43. A surgical implant as claimed in claim 42 wherein at least part of the perimeter of the implant is defined by the circumferential member.
44. A surgical implant as claimed in claims 42 or 43 wherein at least 50% of the perimeter of the implant is defined by the circumferential member(s).
45. A surgical implant as claimed in claim 42 to 44 wherein at least 80 % of the perimeter of the implant is defined by the circumferential member(s).
46. A surgical implant as claimed in claims 42 to 45 wherein 100% of the perimeter of the implant is defined by the circumferential member(s).
47. A surgical implant as claimed in claims 42 to 46 wherein. the perimeter of the mesh is defined, in use, by one circumferential member.
48. A surgical implant as claimed is claims 42 to 47 wherein the mesh has a plurality of circumferential members arranged at different radial locations.
49. A surgical implant as claimed in claim 48 wherein the circumferential members are arranged to join with one another is order to form an integral mesh.
50. A surgical implant as claimed is claim 42 to 49 wherein the mesh comprises transverse members which extend across the circumferential members joining the circumferential members.
51. A surgical implant as claimed in claim 50 wherein the transverse members extend radially from a central point to the perimeter of the implant.
52. A surgical implant as claimed in claim 50 or 51 wherein the transverse members extend toward the perimeter of the implant.
53. A surgical implant as claimed in any preceding claim wherein the mesh can be glued in piece using a biocompatible glue.
54. A surgical implant as claimed is any preceding claim comprising at least one capsule containing biocompatible glue for securing the implant in place.
55. A surgical implant as claimed in claim 54 comprising four capsules containing glue provided around the perimeter of the surgical implant.
56. A surgical implant as claimed in claims 54 or 55 wherein the capsules comprise hollow thin walled spheres of around 3 to 5 mm diameter including gelatin.
57. A surgical implant as claimed in claims 54 to 56 wherein the glue is a cyanoacrylate glue.
58. A minimally invasive method of treating uterovaginal prolapse, the method comprising the steps;

making a 1-2cm length incisive in the vaginal wall close to the opening of the vaginal cavity and, making a subcutaneous cut, through the incision, over and surrounding the area of the prolapse, which cut is substantially parallel to the vaginal wall; and inserting a mesh according to the present invention, through the incision, into the space defined by the cut.
59. A method of treating uterovaginal prolapse as claimed is claim 58 wherein the incision is at the posterior extremity of the prolapse sac of the vaginal cavity.
60. A method of treating uterovaginal prolapse as claimed in claim 58 wherein the incision is at the anterior extremity of the prolapse sac of the vaginal cavity.
61. A surgical tool for delivering a surgical implant as described in claims 1 to 57 subcutaneously through an incision, the tool being adapted to radially confine the surgical implant during delivery and being operable to release the mesh in its intended position.
62. A surgical tool as claimed in claim 61 comprising a housing and unfurling means the housing and unfurling means insertable through an incision in the patient, the housing and unfurling means adapted to accommodate a rolled up mesh and separable to release the mesh, the unfurling means capable of unfurling the rolled up mesh without any significant movement around the area of the incision
63. A surgical tool as claimed in claim 61 or 62 comprising two or more parts, the parts movable such that is a first position they house the mesh or surgical implant and, in a second position the mesh or surgical implant is released. More preferably the tool comprises two semi-circular channels, as inner channel having an external diameter suitable for fitting inside an outer channel.
64. Use of an implant as claimed in any of claims 1 to 57 in the treatment of inguinal hernia, incisional hernia or uterovaginal prolapse.
CA002450956A 2001-03-30 2002-04-02 Surgical implant Expired - Fee Related CA2450956C (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
GB0108088.6 2001-03-30
GBGB0108088.6A GB0108088D0 (en) 2001-03-30 2001-03-30 Surgical implant
PCT/GB2002/001234 WO2002078568A1 (en) 2001-03-30 2002-04-02 Surgical implant

Publications (2)

Publication Number Publication Date
CA2450956A1 true CA2450956A1 (en) 2002-10-10
CA2450956C CA2450956C (en) 2010-01-05

Family

ID=9911971

Family Applications (1)

Application Number Title Priority Date Filing Date
CA002450956A Expired - Fee Related CA2450956C (en) 2001-03-30 2002-04-02 Surgical implant

Country Status (8)

Country Link
US (10) US7594921B2 (en)
EP (2) EP1372526B1 (en)
AT (1) ATE328549T1 (en)
CA (1) CA2450956C (en)
DE (2) DE02718285T1 (en)
ES (1) ES2266477T3 (en)
GB (3) GB0108088D0 (en)
WO (1) WO2002078568A1 (en)

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