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Небесная энциклопедия

Космические корабли и станции, автоматические КА и методы их проектирования, бортовые комплексы управления, системы и средства жизнеобеспечения, особенности технологии производства ракетно-космических систем

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Мониторинг СМИ

Мониторинг СМИ и социальных сетей. Сканирование интернета, новостных сайтов, специализированных контентных площадок на базе мессенджеров. Гибкие настройки фильтров и первоначальных источников.

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Форма поиска

Поддерживает ввод нескольких поисковых фраз (по одной на строку). При поиске обеспечивает поддержку морфологии русского и английского языка
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Применить Всего найдено 3289. Отображено 100.
19-01-2012 дата публикации

Medical implant

Номер: US20120016370A1
Автор: Alfred Intoccia, Jozef Slanda, Michael G. Mcgrath, Michael S. H. Chu
Принадлежит: Boston Scientific Scimed Inc

A medical assembly includes an implant and an envelope at least partially enclosing a portion of the implant. The envelope may include a tongue to protect the implant, a scaffold to provide integrity to the envelope, a tab access to ease envelope withdrawal, and/or one or more discontinuities to ease envelope withdrawal.

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Номер записи: 1
23-02-2012 дата публикации

Second generation tape

Номер: US20120046517A1
Автор: Konstantin Lazarov Valtchev
Принадлежит: Individual

A method for treating female stress urinary incontinence by implantable tapes. One embodiment are woven and knitted tapes having only macropores, a macropore is constructed by single threads, the threads at the crossing areas are bonded by heating them to the melting point of the surface of the threads. Other embodiment is molded tapes, having only macropores, a macropore is constructed by single threads. The crossing crossing areas of the threads may have a simple crossing configuration, a spherical crossing configuration and a cubical crossing configuration. A molded tape having one or three sections which have different construction. References Cited 1. Uster F C, Chaser J & Tuttle Jr. LLD. Use of Matrix mesh in the repair of incision Hernias. Am Surge 1958; 24:969. 2. Ulmsten U. & Petros P. Intravaginal slingoplasty (IVS) an ambulatory surgical procedure for treatment of female utinary incontinence. Scand J Urol Nephrol 1995; 29 (1):75-82. 3. Birch C. Best Practice & Research Clinical Obstetrics and Gynaecology Vol. 19, No 6, pp 979-991, 2005. 4. Milani R. Salvatore S. Soligo M. Pifarotti P. Mesvhia M. & Cortese M. Functional outcome of anterior and posterior vaginal prolapse repaire with prolene mesh. BJOG 2005; 112:107-111. 5. Cumberland V H. A preliminary report on the fabricated nylon weave in the repair of ventral hernias. Med J Aust 1952; 1:143-144. 6. Scales JT. Materials for hernia repair. Proc R. Sac Med 1953; 46:647-652. U.S. Patent Documents 6,273,852 B1 Aug. 2001 Jorn Lehe 6,638,211 B2 Oct. 2003 Patrice Suslian 7,025,063 B2 Apr. 2006 Eva S. Snitkin 7,393,320 B2 Jul. 2008 Karen Pilney Montpetit 7,347,813 B2 Mar. 2008 Jan Claren

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Номер записи: 2
15-03-2012 дата публикации

Fortified mesh for tissue repair

Номер: US20120065463A1
Автор: Giuseppe Amato, Stephen Graham Bell, Vaso Adzich
Принадлежит: Individual

A mesh to repair a hole in a muscle wall includes a resilient mesh body and fortifying structure such as mesh portions of thicker weave than other portions, or strengthening members that can be engaged with the mesh and then removed from the mesh once the mesh is place over the hole. The same principles can be applied to a plug that is engaged with the mesh for filling the hole.

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Номер записи: 3
22-03-2012 дата публикации

Implantable Sling Having Bladder Support

Номер: US20120071708A1
Автор: Bryon Merade, Red Alinsod
Принадлежит: Individual

Surgical implants operative to simultaneously function as a pubovaginal sling for the treatment of incontinence and as a support member to effectuate cystocele repair. The implant comprises a first sling portion operative to be positioned beneath the urethra, per conventional pubovaginal sling surgery. The implant further includes a second bladder support portion extending from the sling support portion that is oriented to extend beneath and be surgically attached to a portion of the bladder to thus enable the same to be supported to a degree necessary to effectuate cystocele repair. The implant may be fabricated from a unitary piece of harvested tissue, synthetic material or combinations thereof. Preferably, the sling portion of the implant is fabricated from a synthetic material whereas the bladder support portion of the implant comprises a segment of harvested tissue sewn to the sling portion.

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Номер записи: 4
28-06-2012 дата публикации

(Partial) apparatus for preventing incontinence with a fixing device to be immovably implanted in body tissue

Номер: US20120165600A1
Автор: Thomas Vitzthum
Принадлежит: R & M Consulting And Trading & Co KG GmbH

The invention is concerned with an apparatus for preventing incontinence with a fixing device to be immovably implanted in body tissue, whereby a tubular body ( 3 ) features a first elongated guiding element ( 5; 105 ) inside, a tube-like retaining element is connected to the tubular body ( 3 ) which features a second longitudinal guiding element ( 13 ) inside which continues in an axial direction and terminates on its opposing side to the tubular body ( 3 ) in a finish. The first elongated guiding element ( 5; 105 ) features the fixing device, whereby it defines areas with projections ( 7 ) being axially displaced relative to each other, whereby the projections in a non-extended state are formed as slits ( 23 ) which protrude out of the surface of the first guiding element ( 5; 105 ) and are positioned through the formation of the finished projections when the first guiding element ( 5; 105 ) is compressed in an axial direction.

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Номер записи: 5
12-07-2012 дата публикации

Surgical patch cover and method of use

Номер: US20120179175A1
Автор: Eugene J. Hammell
Принадлежит: TYCO HEALTHCARE GROUP LP

A device for performing surgery on a patient includes: a mesh patch comprising a top surface and a bottom surface; and a removable cover positioned adjacent to and in facing engagement with the bottom surface of the mesh patch. The bottom surface has a plurality of hooks positioned thereon. The cover is removed from the mesh patch as the mesh patch is positioned at a surgical site such that the hooks on the bottom of the mesh patch grip surrounding tissue of a patient and secure the mesh patch to surrounding tissue of the surgical site. A method for performing a surgery using such a device is also provided.

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Номер записи: 6
23-08-2012 дата публикации

Systems and methods for delivering a medical implant to an anatomical location in a patient

Номер: US20120215059A1
Автор: Alfred P. Intoccia, Jr., Michael S. H. Chu, Tim Moore
Принадлежит: Boston Scientific Scimed Inc

Medical implant delivery devices and systems are disclosed. In general, an exemplary delivery device comprises a shaft and a handle. An exemplary system includes any number of the following: a delivery device, a sling assembly, guide members, and connectors that interconnect the above. Embodiments of all the above components and their combinations are disclosed. Methods of using the above system in trans-obturator approaches are disclosed.

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Номер записи: 7
23-08-2012 дата публикации

Pelvic floor repair system

Номер: US20120215063A1
Автор: Doug Evans, Henry Holsten, Justin Wolfe, Robert Young
Принадлежит: CR Bard Inc

Described herein are devices and methods comprising a system for tissue reinforcement, such as stabilization of fascial structures of the pelvic floor in vaginal wall prolapse. The surgical treatment can provide a mechanical support or bridging material for a fascial defect. An implant with four arms, for example two proximal arms and two distal arms, can provide post-surgical adjustability of the graft position, enabling tension free placement of the implant. In addition, a four-point fixation of the implant with apical support can ensure a suitable anatomical repair. Furthermore, instrumentation is disclosed herein, including an introducer device capable of fixing a wide variety of materials, such as mesh arms and suture, to tissue.

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Номер записи: 8
04-10-2012 дата публикации

Implants, tools, and methods for treatment of pelvic conditions

Номер: US20120253107A1
Автор: Justin M. Crank, Matthew S. Finlay, Paul J. Gindele, William J. Rissmann
Принадлежит: AMS Research LLC

Described are various embodiments of surgical procedures, systems, implants, devices, tools, and methods, useful for treating pelvic conditions in a male or female, the pelvic conditions including incontinence (various forms such as fecal incontinence, stress urinary incontinence, urge incontinence, mixed incontinence, etc.), vaginal prolapse (including various forms such as enterocele, cystocele, rectocele, apical or vault prolapse, uterine descent, etc.), and other conditions caused by muscle and ligament weakness, the devices and tools including devices and tools for anchoring an implant to supportive tissue and adjusting the implant.

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Номер записи: 9
04-10-2012 дата публикации

Radio frequency-based surgical implant fixation apparatus

Номер: US20120253339A1
Автор: Christopher A. Valentine, Kristin D. Johnson, Kyle Rick, Scott Alexander
Принадлежит: TYCO HEALTHCARE GROUP LP

A radio frequency-based surgical implant fixation apparatus is provided and includes a housing and a shaft that is operably coupled to housing. A longitudinal axis is defined through the shaft. The housing is adapted to connect to a source of electrosurgical energy. An approximator assembly has an elongated rod that is coaxially coupled to the shaft and is configured to reciprocate therethrough from an extended position to a retracted position. A plurality of delivery arms is operably coupled to a distal end of the elongated rod. The delivery arms are configured to releasably receive a portion of a surgical implant and selectively connect to the energy source to transmit electrosurgical energy to the surgical implant to fuse the surgical implant to tissue upon actuation thereof.

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Номер записи: 10
03-01-2013 дата публикации

Implantable Sling Systems and Methods

Номер: US20130006048A1
Автор: Brian G. Fisher
Принадлежит: AMS Research LLC

Various embodiments of sling or implant systems are provided. The sling or implant systems can be employed to treat incontinence, prolapse, and like conditions. A needle delivery device can be included, wherein the delivery device includes a needle and a rotatable sheath. The rotatable sheath can rotate upon actuation relative to the needle to selectively deploy or disengage an implant anchor from the distal end of the needle.

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Номер записи: 11
07-02-2013 дата публикации

Surgical spreadable sheet delivery and positioning system and method

Номер: US20130035704A1
Автор: Moshe Dudai
Принадлежит: Individual

A prepackaged mesh unit which comprises a spreadable sheet, a guide rod configured for remotely positioning the spreadable sheet within a body cavity, and a plurality of self-extending elements collapsed with the spreadable sheet and held at one end by the guide rod, wherein the self-extending elements have an elastic property and store elastic energy while collapsed with the spreadable sheet, wherein the number and configuration of the self-extending elements is selected to match a size and shape of the spreadable sheet.

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Номер записи: 12
28-03-2013 дата публикации

Irradiated Cortical Bone Sheet Allografts and Method of Forming Irradiated Cortical Bone Sheet Allografts

Номер: US20130079889A1
Автор: Deborah Marie SPILLMAN
Принадлежит: Individual

There is disclosed an irradiated cortical bone sheet allograft. In an embodiment, the allograft includes a unitary sheet of at least partially demineralized, irradiated cortical bone having a thickness, a width, and a length. The thickness of the unitary sheet of irradiated cortical bone is less the width and the length. In another embodiment, a method of forming the allograft includes obtaining a natural bone from a donor different than a recipient. The natural bone contains a layer of a cortical bone. The method includes cleaning the natural bone to produce a unitary sheet of cortical bone. The method includes at least partially demineralizing the unitary sheet of cortical bone. The method includes freezing the unitary into a frozen state within a sealed package. The method includes irradiating the unitary sheet in the frozen state within the sealed package to sterilize the cortical bone and produce the irradiated cortical bone sheet for implantation in the recipient other than the donor. Other embodiments are also disclosed.

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Номер записи: 13
25-04-2013 дата публикации

DEVICE AND METHOD FOR TREATMENT OF INCISION OR HERNIA

Номер: US20130103061A1
Автор: Harper John
Принадлежит:

Devices and methods for treating an abdominal incision or hernia are described. An implant for the restoration or prophylactic treatment of an abdominal wall comprises an elongate element and at least one sheet connected to the elongate element along a longitudinal axis of the elongate element. The elongate element is positioned along the line of incision, and the at least one sheet is secured to the abdominal muscles surrounding the incision. 1. A device for treating an incision , hernia , or abdominal wall defect , comprising:an elongate element having a first longitudinal axis; and 'wherein the at least one sheet comprises a porous biocompatible matrix and the elongate element has a strength that is at least equal to that of the at least one sheet.', 'at least one sheet connected to the elongate element along the first longitudinal axis;'}2. The device of claim 1 , wherein the at least one sheet is connected to the elongate element substantially along an approximate midline of the sheet.3. The device of claim 1 , wherein the at least one sheet comprises a non-synthetic mesh.4. The device of claim 1 , wherein the at least one sheet comprises an acellular tissue matrix.5. The device of claim 4 , wherein the at least one sheet comprises a dermal matrix.6. The device of claim 4 , wherein the acellular tissue matrix is derived from tissue that is xenogeneic to a human recipient.7. The device of claim 6 , wherein the tissue is from an α1 claim 6 ,3-galactosyltransferase (α1 claim 6 ,3GT) deficient pig.8. The device of claim 4 , wherein the acellular tissue matrix is derived from tissue that is allogeneic to a human recipient.9. The device of claim 1 , wherein the elongate element comprises an acellular tissue matrix.10. The device of claim 9 , wherein the acellular tissue matrix is rolled concentrically into a cylindrical structure.11. The device of claim 9 , wherein the acellular tissue matrix is thicker than the at least one sheet.12. The device of claim 1 , wherein ...

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Номер записи: 14
02-05-2013 дата публикации

IMPLANTABLE COLLAGEN DEVICES AND RELATED METHODS AND SYSTEMS OF MAKING SAME

Номер: US20130105348A1
Автор: Koob Thomas J.
Принадлежит:

The invention relates to implantable collagen devices made by seeding at least one elongate collagen construct, e.g., comprising at least one elongate synthetic collagen fiber with a plurality of cells and applying a strain and/or stress to the at least one elongate collagen fiber to induce the cells to differentiate into target phenotypes, e.g., tendon or ligament phenotype cells (and/or fibroblasts), typically with an extracellular matrix of collagen to organize into a tissue on the at least one collagen fiber. 1. An implantable collagen fiber construct , comprising:a plurality of elongate collagen fibers; anda plurality of cells attached to the elongate collagen fibers,wherein (i) the cells comprise tendon or ligament phenotype cells; or (ii) the cells comprise tendon or ligament phenotype cells and an extracellular matrix comprising collagen, wherein collagen is present in an amount greater than other extracellular matrix proteins.2. The construct of claim 1 , wherein the plurality of elongate collagen fibers are arranged as a construct body claim 1 , and wherein the attached tendon or ligament phenotype cells and extracellular matrix comprising collagen are organized into tendon-like or ligament-like tissue that increases a volume of the construct body claim 1 , measured dry claim 1 , by between about 20-200% or that increases a thickness of the construct body by between 10%-200%.3. The construct of claim 1 , wherein the plurality of elongate collagen fibers are arranged as a construct body claim 1 , and wherein the tendon or ligament phenotype cells and extracellular matrix of collagen extend over at least 50% of a length of the construct body shape about the elongate collagen fibers.4. The construct of claim 1 , wherein the fibers include tendon phenotype cells and at least 20% extracellular matrix of collagen by volume claim 1 , dry.5. The construct of claim 1 , wherein the plurality of elongate collagen fibers define a construct body with a shape claim 1 , ...

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Номер записи: 15
02-05-2013 дата публикации

THREE-DIMENSIONAL SCAFFOLDS, METHODS FOR FABRICATING THE SAME, AND METHODS OF TREATING A PERIPHERAL NERVE OR SPINAL CORD INJURY

Номер: US20130110138A1
Автор: Cregg Jared M., Gilbert Ryan J., Hurtado Andres, Mullins Michael E., Oudega Martin, Wang Han B.
Принадлежит:

One aspect of the invention provides a three-dimensional scaffold including at least one layer of highly-aligned fibers. The at least one layer of highly-aligned fibers is curved in a direction substantially perpendicular to a general direction of the fibers. Another aspect of the invention provides a method for fabricating a three-dimensional scaffold. The method includes: electro spinning a plurality of fibers to produce at least one layer of highly-aligned fibers and forming the at least one layer of highly-aligned fibers into a three-dimensional scaffold without disturbing the alignment of the highly-aligned polymer fibers. A further aspect of the invention provides methods for using a three-dimensional scaffold to treat nerve or spinal cord injury. 1. A three-dimensional scaffold comprising:at least one layer of highly-aligned fibers;wherein the at least one layer of highly-aligned fibers is curved in a direction substantially perpendicular to a general direction of the fibers.2. The three-dimensional scaffold of claim 1 , wherein the fibers are electrospun fibers.3. The three-dimensional scaffold of claim 1 , wherein the fibers are fabricated from one or more polymers.4. The three-dimensional scaffold of claim 1 , wherein the one or more polymers are selected from the group consisting of: poly-L-lactic acid (PLLA) claim 1 , polylactic-co-glycolic acid (PLGA) claim 1 , PLGA coated with polypyrrole claim 1 , polycaprolactone claim 1 , poly(ethersulfone) claim 1 , poly(acrylonitrile-co-methylacrylate) (PAN-MA) claim 1 , and combinations thereof.5. The three-dimensional scaffold of claim 1 , wherein the fibers are biocompatible.6. The three-dimensional scaffold of claim 1 , further comprising:a base layer coupled to the fibers such that the base layer is also curved along one or more axes substantially parallel to a general direction of the fibers.7. The three-dimensional scaffold of claim 6 , wherein the base layer includes a polymer film.8. The three-dimensional ...

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Номер записи: 16
23-05-2013 дата публикации

Orogastric calibration tube with magnets

Номер: US20130131440A1
Автор: Gabriel Nick H.
Принадлежит:

An orogastric calibration tube has a magnet tip attached at a distal end of the flexible tube. The tube also includes a balloon cavity, and means for inflating the balloon cavity. 1. An orogastric calibration tube comprising:a flexible tube having proximal and distal ends, and including a balloon cavity proximate said distal end; anda magnet tip attached at the distal end of the flexible tube.2. A bariatric surgical method comprising:{'claim-ref': {'@idref': 'CLM-00001', 'claim 1'}, "inserting transorally into a patient's orogastric tract an orogastric calibration tube according to ;"}manipulating a magnet extraluminal to the orogastric tract, said extraluminal magnet attracting the magnet tip of said orogastric calibration tube, thereby positioning said orogastric calibration tube against the lesser curvature of the patient's stomach; andinflating the balloon cavity of said orogastric calibration tube,wherein said orogastric calibration tube forms a template for bariatric surgery.3. An orogastric calibration tube as claimed in claim 1 , further comprising an ancillary tube fluidly communicating with the balloon cavity for inflation thereof.4. An orogastric calibration tube as claimed in claim 3 , wherein the ancillary tube is mounted to the flexible tube by a Y-fitting.5. An orogastric calibration tube as claimed in claim 1 , further comprising means for inflating the balloon cavity.6. An orogastric calibration tube as claimed in claim 1 , wherein the magnet tip is ogive.7. An orogastric calibration tube as claimed in claim 1 , wherein the balloon cavity is configured to form a banana shape upon inflation.8. A bariatric surgical method as claimed in claim 2 , further comprising securing the extraluminal magnet in position claim 2 , prior to inflating the balloon cavity.9. A bariatric surgical method as claimed in claim 2 , further comprising securing the extraluminal magnet to the stomach wall claim 2 , prior to inflating the balloon cavity.10. A bariatric surgical ...

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Номер записи: 17
23-05-2013 дата публикации

MEDICAL ASSEMBLY FOR DELIVERING AN IMPLANT

Номер: US20130131441A1
Автор: Chu Michael S.H.
Принадлежит:

The present invention discloses a medical assembly including an elongate member having a proximal end portion and a distal end portion with a tapered tip. The tapered tip is configured to slide through a bodily tissue. The elongate member has a width referred to as a first width across at least a portion of the elongate member. The medical assembly further includes an implant having a first surface and a second surface. The implant is coupled to the elongate member such that a portion of the first surface of the implant is overlaid over a portion of the elongate member while the second surface faces opposite to the elongate member and is configured to contact the bodily tissue while being inserted. The implant has a width referred to as a second width such that the second width is smaller than the first width of the elongate member. 1. A medical assembly comprising:an elongate member having a proximal end portion and a distal end portion with a tapered tip, the tapered tip configured to slide through a bodily tissue, the elongate member having a first width across at least a portion of the elongate member; andan implant having a first surface and a second surface, the implant being coupled to the elongate member such that a portion of the first surface of the implant is overlaid over a portion of the elongate member while the second surface faces opposite to the elongate member and is configured to contact the bodily tissue while being inserted, wherein the implant has a second width, the second width being smaller than the first width of the elongate member.2. The medical assembly of claim 1 , wherein the tapered tip includes folded edges of the distal end portion.3. The medical assembly of claim 1 , wherein the tapered tip includes a taper-cut at the distal end portion.4. The medical assembly of claim 1 , wherein the lumen is formed by folded edges at the distal end portion of the elongate member.5. The medical assembly of claim 1 , wherein the lumen is formed by ...

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Номер записи: 18
23-05-2013 дата публикации

DRY COMPOSITION WOUND DRESSINGS AND ADHESIVES

Номер: US20130131701A1
Автор: Bayer Thomas, Komlos Chagai, Preiss-Bloom Orahn, Tomer Guy, Ziv Maria
Принадлежит: LIFEBOND LTD.

Patches comprising dry gelatin compositions and methods of use and manufacture thereof. 1112-. (canceled)113. A patch comprising an implantable surgical mesh , a cross-linkable protein matrix and a protein cross-linking enzyme in contact with said matrix for cross-linking said cross-linkable protein , wherein said matrix is incorporated into , layered on or surrounding said mesh , with the proviso that said enzyme is not thrombin , wherein said cross-linkable protein comprises gelatin , wherein said gelatin is present in a protein matrix and wherein said matrix has a density in a range of from 5 to 100 mg/cm.114. The patch of claim 113 , wherein said enzyme is present at a depth of at least 0.5 mm in said protein layer claim 113 , wherein said enzyme is a non-blood derived enzyme and wherein said cross-linkable protein matrix comprises porous gelatin foam.115. The patch of claim 113 , wherein said enzyme is incorporated either homogeneously throughout the matrix or present in the matrix at a depth of at least one of 0.5 mm claim 113 , 1 mm or up to 20 mm from the matrix surface.116. The patch of claim 113 , wherein said foamed gelatin comprises dried or lyophilized foamed gelatin solution.117. The patch of claim 113 , further comprising a reinforcing backing layer claim 113 , wherein said surgical mesh is located at one or more of between the reinforcement layer and the gelatin matrix; in the middle of the gelatin matrix; or on top of the gelatin matrix; or a combination thereof.118. The patch of claim 117 , wherein said enzyme is present in an enzymatic layer and wherein said gelatin is positioned in one or more of the following locations: within said patch claim 117 , on said enzymatic layer claim 117 , in said enzymatic claim 117 , layer claim 117 , on said reinforcing back layer claim 117 , in said reinforcing back layer claim 117 , or between said an enzymatic layer and said reinforcing back layer.119. The patch of claim 113 , wherein said gelatin has a density ...

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Номер записи: 19
30-05-2013 дата публикации

COMBINATION THREE-DIMENSIONAL SURGICAL IMPLANT

Номер: US20130138124A1
Автор: Arena Anthony, Cohen Matthew D., Criscuolo Christopher J., HOTTER Joseph, Restrepo Luis
Принадлежит: COVIDIEN LP

The present disclosure provides a compound three-dimensional surgical implant and methods of forming and using the same. The compound three-dimensional surgical implant includes a grip-type knit mesh defining pores and including a plurality of spiked naps extending from a surface the grip-type knit mesh, a prosthetic knit mesh defining principal cells and peripheral cells being layered on the grip-type knit mesh such that at least a portion of the spiked naps grip at least a portion of the cells of the prosthetic knit mesh. The grip-type knit mesh and the prosthetic knit mesh are folded together into a predetermined three-dimensional structure such that at least a portion of the spiked naps grip at least a portion of the pores of the grip-type knit mesh to hold the three-dimensional structure of the surgical implant. 1. A compound three-dimensional surgical implant comprising:a grip-type knit mesh defining pores and including a plurality of spiked naps extending from a surface the grip-type knit mesh;a prosthetic knit mesh defining principal cells and peripheral cells being layered on the grip-type knit mesh such that at least a portion of the spiked naps grip at least a portion of the cells of the prosthetic knit mesh;the grip-type knit mesh and the prosthetic knit mesh being folded together into a predetermined three-dimensional structure such that at least a portion of the spiked naps grip at least a portion of the pores of the grip-type knit mesh to hold the three-dimensional structure of the surgical implant.2. The compound three-dimensional surgical implant of claim 1 , wherein the grip-type knit mesh and the prosthetic knit mesh comprise materials selected from the group consisting of biodegradable claim 1 , non-biodegradable claim 1 , and combinations thereof.3. The compound three-dimensional surgical implant of claim 1 , wherein the material defining the pores of the grip-type knit mesh is non-biodegradable.4. The compound three-dimensional surgical implant ...

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Номер записи: 20
06-06-2013 дата публикации

SURGICAL ARTICLES AND METHODS FOR TREATING PELVIC CONDITIONS

Номер: US20130144115A1
Автор: Dahdah Mona N., Jimenez Jose W., Khamis Chaouki A., Ogdahl Jason W., Otte John F., Roll Jessica L., Solari Michelle L.
Принадлежит: AMS Research Corporation

Described are devices, implants, insertion tools, combinations, and associated methods, that involve placement of a self-fixating tip at tissue of the pelvic region, wherein an insertion tool includes one or more of an aperture for engaging a guide and an extension guard, the method optionally allowing for initial placement of a self-fixating tip at tissue of the pelvic region and adjustment of the location of the self-fixating tip. 1. An insertion tool comprising a handle and a needle extending from the handle , the needle comprising a proximal end attached to the handle and a distal end that includes a needle tip , the needle tip comprises an aperture that allows guided relative movement of the needle tip along a guide , wherein the aperture exits a surface of the needle shaft at a location distal to the needle shaft proximal end.2. The tool of wherein the aperture includes a bore having a diameter in the range from 0.1 to 2 millimeters.3. (canceled)4. The tool of wherein the aperture comprises a longitudinal bore extending from a needle tip end into the needle tip claim 1 , and a channel extending from the bore further along a surface of the needle tip.5. In combination claim 1 , an insertion tool according to in combination with an implant claim 1 , the implant comprising a support portion claim 1 , an extension portion claim 1 , and a self-fixating tip connected to the extension portion.6. A combination according to comprising a guide extending through the aperture in the needle tip claim 5 , the guide also being engaged with the self-fixating tip.7. A combination according to wherein the self-fixating tip engages the needle tip to allow the needle to push the self-fixating tip for surgical implantation.8. A combination according to whereinthe self-fixating tip comprises an aperture that allows passage of a guide, andwhen the needle tip engages the self-fixating tip, a guide can pass through the aperture and the self-fixating tip.9. A combination according to ...

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Номер записи: 21
13-06-2013 дата публикации

BODILY IMPLANTS AND METHODS FOR DELIVERY AND PLACEMENT OF BODILY IMPLANTS INTO A PATIENT'S BODY

Номер: US20130150662A1
Автор: Intoccia, JR. Alfred P., Robertson David W.
Принадлежит:

A method and device for the treatment of fecal incontinence is disclosed. The method includes disposing a bodily implant proximate to an anal canal of a patient. The bodily implant has a strip extending along a length between a first end portion and a second end portion. The strip has a set of first projections and a set of second projections extending along at least a portion of a longitudinal edge of the strip, such that the set of the first projections are inclined toward the second end portion of the strip and the set of the second projections are inclined toward the first end portion of the strip. 1. A method for the treatment of fecal incontinence , the method comprising:disposing a bodily implant proximate to an anal canal of a patient, the bodily implant having a strip extending along a length between a first end portion and a second end portion, the strip having a set of first projections and a set of second projections extending along at least a portion of a longitudinal edge of the strip, the set of the first projections inclined toward the second end portion of the strip and the set of the second projections inclined toward the first end portion of the strip;securing the set of first projections to a first portion of body tissue such that the set of the first projections allows movement of the bodily implant with respect to the first portion of the body tissue in a first direction and restricts movement of the bodily implant with respect to the first portion of the body tissue in a second direction; andsecuring the set of the second projections to a second portion of the body tissue such that the set of the second projections allows movement of the bodily implant with respect to the second portion of the body tissue in the second direction and restricts movement of the bodily implant with respect to the second portion of the body tissue in the first direction.2. The method of wherein the first portion of the body tissue is disposed on a first side of a ...

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Номер записи: 22
20-06-2013 дата публикации

MARKED PROSTHESIS

Номер: US20130158571A1
Автор: Bourges Xavier, Lecuivre Julie, Meneghin Alfredo
Принадлежит: SOFRADIM PRODUCTION

The present invention relates to a prosthesis () intended to be implanted at an implantation site, comprising information means designed to guide the surgeon in order to implant the prosthesis in a specified position, said prosthesis comprising at least one fabric called the base fabric () and having at least one apertured surface (), said information means comprising at least one patch () having a colour different from that of the base fabric, said patch being provided with at least one barb () projecting from one of its surfaces and grippingly fastening said patch to said apertured surface of said base fabric at a specific place on said surface, the presence of said patch at said specific place bearing information designed to facilitate implantation of the prosthesis in said specified position. The invention also relates to a kit comprising a fabric and a patch. 111-. (canceled)12. A prosthesis comprising:at least one base fabric having at least one apertured surface, andan information means comprising at least one patch having a color different from that of the base fabric, the patch being provided with at least one barb projecting from a surface of the patch designed to fasten the patch to the apertured surface of the base fabric at a specific place on the surface, the presence of the patch at the specific place bearing information designed to facilitate implantation of the prosthesis in said specified position.13. The prosthesis according to claim 12 , wherein the information means comprises a plurality of patches grippingly fastened at specific places on the apertured surface of the base fabric.14. The prosthesis according to claim 12 , wherein the base fabric has two apertured surfaces and one or more patches are grippingly fastened to each of the two apertured surfaces.15. The prosthesis according to claim 12 , wherein the base fabric is a knit.16. The prosthesis according to claim 12 , wherein the base fabric is a two-dimensional knit.17. The prosthesis ...

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Номер записи: 23
20-06-2013 дата публикации

PROSTHESIS HAVING A RADIOPAQUE ELEMENT

Номер: US20130158572A1
Автор: Bourges Xavier, Lecuivre Julie, Meneghin Alfredo
Принадлежит: SOFRADIM PRODUCTION

The present invention relates to a prosthesis () intended to be implanted at an implantation site, comprising i) at least one fabric called the base fabric () having at least one apertured surface (), ii) and at least one patch () provided with at least one barb () projecting from one of its surfaces and grippingly fastening said patch to said apertured surface of said base fabric at a specific place on said surface, said patch comprising at least one radiopaque element. The invention also relates to a kit comprising a fabric and a patch. 111-. (canceled)12. A prosthesis comprising:i) at least one base fabric having at least one apertured surface,ii) and at least one patch provided with at least one barb projecting from a surface of the patch and designed to fasten the patch to the apertured surface of the base fabric at a specific place on the surface, the patch comprising at least one radiopaque element.13. The prosthesis according to claim 12 , wherein the prosthesis comprises a plurality of patches each comprising at least one radiopaque element claim 12 , the patches being grippingly fastened at specific places on the apertured surface of the base fabric.14. The prosthesis according to claim 12 , wherein the base fabric has two apertured surfaces and one or more patches are grippingly fastened to each of the two apertured surfaces.15. The prosthesis according to claim 12 , wherein the base fabric is a knit.16. The prosthesis according to claim 12 , wherein the barbs are made of a radiopaque material and constitute the radiopaque elements of the patches.17. The prosthesis according to claim 12 , wherein the patch is made of a gripping fabric.18. The prosthesis according to claim 17 , wherein the radiopaque element includes one or more radiopaque yarns forming the gripping fabric.19. The prosthesis according to claim 17 , wherein the gripping fabric is apertured.20. The prosthesis according to claim 12 , wherein the radiopaque element is in the form of a coating ...

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Номер записи: 24
27-06-2013 дата публикации

APPARATUSES FOR THE AMELIORATION OF URINARY INCONTINENCE IN FEMALES

Номер: US20130165743A1
Автор: Bauder Idan, ELIACHAR Eliahu, Gilan Jacob, Grinberg Alex, Shabat Roni, Sinai Nir, Tune Michal, Ziv Elan
Принадлежит: Con TIPI Ltd.

An apparatus for treating urinary incontinence, comprising: a node; a support section adapted for providing urethral support attached to the node; and, an anchoring section adapted for resisting movement of the apparatus attached to the node opposite the support section. Optionally, the support section is adapted to treat incontinence according to at least one of: SUTFS, colpo-elevation or colpo-distension. 1. An apparatus for treating urinary incontinence , comprising:a plurality of interconnected pieces of tubing, each piece of tubing aligned to provide both anchoring for the apparatus in a vagina and support of a urethra; and,a device for interconnecting the plurality of pieces of tubing together.2. An apparatus according to claim 1 , wherein support of the urethra is provided according to at least one of: SUTFS claim 1 , colpo-elevation or colpo-distension.3. An apparatus according to claim 1 , wherein the plurality of pieces of tubing are connected at a midpoint of each of the pieces of tubing.4. An apparatus according to claim 1 , wherein the plurality of pieces of tubing are connected at an anchoring section of each of the pieces of tubing.5. An apparatus according to claim 1 , wherein the plurality of pieces of tubing are connected at a support section of each of the pieces of tubing.6. An apparatus according to claim 1 , wherein at least a portion of at least one of the pieces of tubing is curved.7. An apparatus according to claim 1 , wherein the pieces of tubing are flexible.8. An apparatus according to claim 1 , wherein:(a) each piece of tubing is characterized by a proximal section, a midsection and a distal section; and,(b) the device for interconnecting is comprised of an anchor base and a support base, the anchor base and the support base adapted with a plurality of grooves to engage and retain each piece of tubing at the proximal section and the midsection respectively.9. A device for interconnecting a plurality of tubes of an apparatus for treating ...

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Номер записи: 25
27-06-2013 дата публикации

Implantable Prosthetic Devices and Solvent-Casting Methods for Manufacturing Same

Номер: US20130165957A1
Автор: Chiono Valeria, Ciardelli Gianluca, Gentile Piergiorgio, Tonda Turo Chiara
Принадлежит: POLITECNICO DI TORINO

Implantable prosthetic devices are provided. Such devices include substantially planar supports such as a mesh for surgical use made of polypropylene, and a porous coating membrane formed on at least one face of said support, said porous membrane being formed in situ on the support by the solvent casting technique. Methods for making such prosthetic devices are also provided. 114-. (canceled)15. A method of manufacturing a prosthetic device , having a substantially planar support and a porous coating membrane of polymeric material formed on at least one face of the support , the method comprising:i) laying on at least one face of the support of the device a solution of the polymeric material dissolved in a first solvent, the solution comprising particles of a pore-forming material dispersed therein;ii) drying the solution by evaporation of the first solvent, thereby obtaining a membrane of polymeric material formed on at least one face of the support of the device, the membrane comprising particles of a pore-forming material dispersed therein; andiii) dipping the prosthetic device obtained in step ii) in a second solvent capable of dissolving the particles of the pore-forming material, thereby forming pores in the membrane.16. The method of claim 15 , wherein the polymeric material of the porous coating membrane is selected from the group consisting of: polycaprolactone (PCL) claim 15 , polylactic acid (PLA) claim 15 , polyglycolic acid (PGA) claim 15 , polyurethane (PU) and copolymers thereof17. The method of claim 15 , wherein the pore-forming material is selected from the group consisting of polyethylene oxide (PEO) claim 15 , polyvinylpyrrolidone (PVP) claim 15 , polyvinyl alcohol (PVA) claim 15 , glucose and sodium chloride (NaCl).18. The method of claim 15 , wherein the solution of polymeric material comprises polycaprolactone (PCL) and polyethylene oxide (PEO).19. The method of claim 18 , wherein the proportion of polycaprolactone (PCL) to polyethylene oxide ...

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Номер записи: 26
04-07-2013 дата публикации

BODY CANAL CONTACTING MEANS FOR BODY FLUID FLOW CONTROL METHODS AND DEVICES

Номер: US20130172665A1
Автор: Sayet Peter H.
Принадлежит:

An implantable apparatus for controlling fluid flow within a host body includes a constricting member for allowing fluid flow within a body canal when in an open position, and for reducing fluid flow within a body canal when in an closed position. Remote telemetry can be used to operate the constricting member from a position outside the body. The constricting member can include a piston having at least two protrusions for contacting the vessel surface of the body canal. A fluid-operated member can receive fluid to reduce fluid flow within the body canal and expel fluid to allow fluid flow within the body canal. An actuating member is provided for operating the fluid-operated member between the open and closed positions. The actuating member has structure for flowing fluid into and out of the fluid-operated member. A control device is provided for operating the actuating member. An implantable drive mechanism for a constricting member or other medical device includes a sealed housing for implantation in a patient body, a drive magnet positioned within the housing, an actuator for moving the drive magnet, and a magnetically susceptible drive member positioned outside the housing such that movement of the drive magnet within the housing will move the drive member outside of the housing. 1. A system for controlling fluid flow within a host body comprising:a constricting member for allowing fluid flow within a body canal when in an open position and for reducing fluid flow within said body canal when in a closed position;an actuator for operating the constricting member between said open position and said closed position; anda control structure for operating said actuator, said control structure being operated by a telemetry device from a position outside the host body.27.-. (canceled)8. The system of claim 1 , wherein said constricting member comprises at least one inner surface having at least two protrusions adapted to contact said body canal such that a force ...

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Номер записи: 27
04-07-2013 дата публикации

BARBED IMPLANTABLE DEVICES

Номер: US20130172915A1
Автор: Sargeant Timothy, Thomas Jonathan
Принадлежит: COVIDIEN LP

The present disclosure describes implantable medical devices which include at least one tissue-gripping element, such as a barbed loop or a barbed and spiked nap. In certain embodiments, the implantable medical devices include a biocompatible substrate having a surface containing at least one barbed loop. The at least one barbed loop may protrude perpendicularly from the surface of the biocompatible substrate. In embodiments, a plurality of barbed loops may be positioned along any portion of the surface of the biocompatible substrate. 117-. (canceled)18. An implantable medical device comprising a biocompatible substrate having a surface comprising barbed and spiked naps.19. The implantable medical device of claim 18 , wherein the barbed and spiked naps are oriented perpendicularly to the surface of the biocompatible substrate.20. The implantable medical device of claim 18 , wherein the barbed and spiked naps comprise a substantially rectilinear body claim 18 , a free end having a head of greater width than that of said rectilinear body claim 18 , and barbs that protrude from said rectilinear body in the portion between the free end and an end attached to the substrate.21. The implantable medical device of wherein the biocompatible substrate comprises a bioabsorbable material selected from the group consisting of polylactides claim 18 , poly(lactic acid) claim 18 , polyglycolides claim 18 , poly(glycolic acid) claim 18 , poly(trimethylene carbonate) claim 18 , poly(dioxanone) claim 18 , poly(hydroxybutyric acid) claim 18 , poly(hydroxyvaleric acid) claim 18 , poly(lactide-co-α-caprolactone-)) claim 18 , poly(glycolide-co-(ε-caprolactone)) claim 18 , polycarbonates claim 18 , poly(pseudo amino acids) claim 18 , poly(amino acids) claim 18 , poly(hydroxyalkanoate)s claim 18 , polyalkylene oxalates claim 18 , polyoxaesters claim 18 , polyanhydrides claim 18 , polyortho esters claim 18 , and copolymers claim 18 , block copolymers claim 18 , homopolymers claim 18 , blends ...

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Номер записи: 28
11-07-2013 дата публикации

BODILY IMPLANTS FORMED FROM DIFFERENT MATERIALS

Номер: US20130178696A1
Автор: Goddard James, Litwiller Scott E., Lotze Peter, Matusovsky Maya, Olivieri Steven A., Pereira Peter J., Powell Curt R.
Принадлежит: BOSTON SCIENTIFIC SCIMED, INC.

In one embodiment, an implant includes a body member and an extension member. The body member is formed of a first material and has a first side portion and a second side portion. The extension member is formed of a second material different than the first material. The extension member has a first arm portion, a second arm portion, and a mid-portion disposed between the first arm portion and the second arm portion. The mid-portion extends from the first side portion of the body member to the second side portion of the body member. The first arm portion extends from the first side portion of the body member along a first axis. The second arm portion extends from the second side portion of the body member along a second axis different than the first axis. 1. An implant , comprising:a body member formed of a first material and having a first side portion and a second side portion; andan extension member formed of a second material different than the first material, the extension member having a first arm portion, a second arm portion, and a mid-portion disposed between the first arm portion and the second arm portion, the mid-portion extending from the first side portion of the body member to the second side portion of the body member, the first arm portion extending from the first side portion of the body member along a first axis, the second arm portion extending from the second side portion of the body member along a second axis different than the first axis.2. The implant of claim 1 , wherein the extension member is coupled to the body member at a first location and a second location different than the first location.3. The implant of claim 1 , wherein the mid-portion of the extension member includes a first portion claim 1 , a second portion claim 1 , and a middle portion claim 1 , the first portion of the mid-portion of the extension member is coupled to the body member claim 1 , the second portion of the mid-portion of the extension member is coupled to the ...

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Номер записи: 29
11-07-2013 дата публикации

MINIMALLY INVASIVE TISSUE SUPPORT

Номер: US20130178699A1
Автор: Beatty Anthony, Benke Jasper, Bishop Gordon, Calarasu Alexe, Lashinski Randall, SAINT Sean, Saladin Heather
Принадлежит: REFINE, LLC

Described are methods and apparatus for use in supporting tissue in a patient's body. In some embodiments, the patient's breast is supported. In some embodiments, the methods provide ways of supporting and adjusting tissue, and the apparatus includes components and embodiments for supporting and adjusting the tissue. Some embodiments include a supporting device, having a first portion, a second portion, and a support member positioned between the first portion and second portion. Some embodiments include advancing the first portion of the supporting device into the body to a first location in the body; advancing the second portion of the supporting device into the body to a second location in the body; securing the first portion of the supporting device at the first location; and shifting soft tissue in the body with the support member. 1. A minimally invasive method , for elevating soft tissue in a body , comprising:providing a supporting device, comprising a first portion, a second portion, and a support member positioned between the first portion and second portion;advancing the first portion of the supporting device into the body, through a single incision, to a first location in the body;advancing the second portion of the supporting device into the body, through the incision, to a second location in the body;securing the first portion of the supporting device at the first location; andshifting soft tissue in the body with the support member.2. The method of claim 1 , wherein the shifting comprises elevating the soft tissue superiorly.3. The method of claim 1 , wherein both of the first and second locations are located superior to the incision.4. The method of claim 1 , wherein at least one of the first and second locations is located superior to the incision.5. The method of claim 1 , further comprising drawing the soft tissue toward at least one of the first and second locations.6. The method of claim 1 , wherein the soft tissue comprises breast tissue.7. The ...

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Номер записи: 30
11-07-2013 дата публикации

COMPOSITE IMPLANT

Номер: US20130178874A1
Автор: Becker Hilton
Принадлежит:

A composite implant includes a mesh scaffold having a biologically-active material configured to contact biological tissue and blood vessels; a resin disposed on the mesh scaffold; and a channel in the mesh which is configured to receive growth of the biological tissue and blood vessels, wherein the resin is biocompatible and non-absorbable. A process for preparing the composite implant includes disposing a plurality of layers of biologically-active material as an array; contacting the plurality of layers with a resin; and hardening the resin to form the composite implant. A process of using the composite implant includes implanting the composite implant into a subject, wherein the implant comprises: a mesh comprising a biologically-active material configured to contact biological tissue and blood vessels; a resin disposed on the mesh; and a channel in the mesh which is configured to receive growth of the biological tissue and blood vessels. 1. A composite implant comprising:a mesh comprising a biologically-active material configured to contact biological tissue and blood vessels;a resin disposed on the mesh; anda channel in the mesh which is configured to receive growth of the biological tissue and blood vessels,wherein the resin is biocompatible and non-absorbable.2. The composite implant of claim 1 , wherein the mesh is a two-dimensional mesh claim 1 , and a plurality of the two-dimensional meshes is arranged as stacked layers such that adjacent meshes are in contact with one another.3. The composite implant of claim 2 , wherein the resin is disposed between adjacent meshes.4. The composite implant of claim 2 , wherein the resin is disposed on an edge of the plurality of the two-dimensional meshes.5. The composite implant of claim 1 , wherein the mesh is a three-dimensional mesh.6. The composite implant of claim 1 , wherein the resin is disposed on a surface of the mesh.7. The composite implant of claim 1 , wherein the composite implant is functionally graded ...

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Номер записи: 31
11-07-2013 дата публикации

IMPLANTABLE PROSTHESIS

Номер: US20130178875A1
Автор: Horton Anthony R., Santos Stephanie M.
Принадлежит: ATRIUM MEDICAL CORPORATION

An implantable prosthesis can have a three-dimensional shape that is invertible, so as to assume either a right configuration or a left configuration, which can be substantially mirror images of each other, so as to eliminate the need for separately manufacturing a left prosthesis and a right prosthesis. An implantable prosthesis can be preformed to independently assume a contoured three-dimensional shape that more adequately fits the extraperitoneal laparoscopic inguinal space, while simultaneously maintaining a relatively large area for fixation of the prostheses (e.g., through suturing or integration with the surrounding tissue). An implantable prosthesis can have a three-dimensional contoured shape that is formed from a single piece of continuous material, such as a mesh, and can possess substantially uniform rigidity. An implantable prosthesis may be trimmed, cut, or altered at an outer perimeter with no detrimental effect on its ability to independently maintain a predetermined three-dimensional contoured shape. 1. An implantable prosthesis for repairing a defect in a muscle or tissue wall , the prosthesis comprising:a preformed flexible body having a three-dimensional contoured shape and comprising a first end, a second end opposite the first end, and a perimeter incorporating the first end and the second end; an open sided bowl at the first end of the body;', 'a substantially planar area at the second end of the body; and', 'a transitional area coupling the open sided bowl of the first end with the substantially planar area of the second end, the transitional area comprising an arch region coupled with a curved and banked region; and, 'wherein the body independently assumes the contoured shape, the contoured shape comprisingwherein, following along the perimeter, the arch region leads to the open sided bowl which leads to the curved and banked region which leads to the substantially planar area which leads to the arch region, thereby completing the perimeter ...

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Номер записи: 32
11-07-2013 дата публикации

HERNIA PATCH

Номер: US20130178876A1
Автор: Ferraro Joseph F., Herweck Steve A., Horton Anthony R., Karwoski Theodore, Martakos Paul
Принадлежит: ATRIUM MEDICAL CORPORATION

A hernia patch supporting tissue in-growth conforms to a tissue wall upon surgical installation and fixation within a patient. The hernia patch can include a base and positioning straps. The base is formed of two layers that are affixed to each other around the perimeter of the patch, for example by stitching. A stabilizing washer is provided between the two layers, and the stitch is provided peripherally around the stabilizing washer, keeping the washer free-floating between the layers. The base, positioning straps, and stabilizing washer are formed of a structure that does not separate the layers of the implant or form a space in the form of a pocket, and promotes more uniform and confluent tissue incorporation or in-growth after implantation. The hernia patch may further include a hydrolysable bioabsorbable cross-linked coating of a fatty acid based material, such as an omega-3 fatty acid based material. 1. A patch for treating a hernia , comprising:a base comprising two layers and a tissue conformable stabilizing washer disposed in a compartment between the two layers, wherein the two layers arc affixed to each other at a location between an outer periphery of the stabilizing washer and an outer periphery of the base in such a way as to form a continuous interior compartment with the stabilizing washer free floating therein; anda positioning strap attached to the base in such a way that when a pull force is applied thereto, pulling the base toward a tissue location such as during implantation, the base is configured to conform against the tissue location;wherein the base has an outermost perimeter edge comprised of only one of the two layers.2. The patch of claim 1 , wherein the base configured to conform against the tissue location comprises a surface of the base facing the tissue location bending and flexing to follow contours of the tissue in such a way that there are no spaces or gaps formed between the base and the tissue after implantation.3. The patch of ...

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Номер записи: 33
18-07-2013 дата публикации

Guidewire having a distal fixation member for delivering and positioning sheet-like materials in surgery

Номер: US20130184716A1
Автор: Charles L. Euteneuer, Craig Van Kampen, Jeff SIMS, John Quackenbush, Nathaniel Z. Zenz-Olson
Принадлежит: Individual

A guidewire for use with an implant delivery system in delivering a sheet-like implant is disclosed. The guidewire can include a distal tissue fixation member for releasable connection to a first location proximate a treatment site. An implant delivery system can include a distal guidewire port for receiving the proximal end of the guidewire. The implant delivery system is tracked over the guidewire to a selected position defined by the guidewire attachment. The tissue fixation member includes means for temporarily or reversibly fixing the distal end of the guidewire to tissue, such as bone. The means for affixing can include a K-wire, a screw, a pin or other fixation member.

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Номер записи: 34
18-07-2013 дата публикации

Implantable Film/Mesh Composite for Passage of Tissue Therebetween

Номер: US20130184722A1
Автор: Broom Daniel, Elachchabi Amin, Stopek Joshua
Принадлежит: COVIDIEN LP

The present disclosure relates to implantable medical devices which include at least one mesh and at least one film attached to the mesh along different portions of the mesh creating at least one aperture between the mesh and the film. 1. An implantable medical device comprising:a mesh; and,a film having at least a first and second portion attached to the mesh and a third portion positioned between therebetween and unattached to the mesh.2. The implantable medical device of wherein the mesh comprises a bioabsorbable material.3. The implantable medical device of wherein the mesh comprises a non-bioabsorbable material selected from the group consisting of polypropylene claim 1 , polyethylene terephthalate claim 1 , expanded polytetrafluoroethylene claim 1 , condensed polytetrafluoroethylene and combinations thereof.4. The implantable medical device of wherein the mesh comprises polypropylene.5. The implantable medical device of wherein the mesh comprises polyethylene terephthalate.6. The implantable medical device of wherein the film comprises a bioabsorbable material.7. The implantable medical device of wherein the film comprises a bioabsorbable material selected from the group consisting of aliphatic polyesters claim 1 , polyamides claim 1 , polyamines claim 1 , polyalkylene oxalates claim 1 , poly(anhydrides) claim 1 , polyamidoesters claim 1 , copoly(ether-esters) claim 1 , poly(carbonates) claim 1 , poly(hydroxyalkanoates) claim 1 , polyimide carbonates claim 1 , poly(imino carbonates) claim 1 , polyorthoesters claim 1 , polyoxaesters claim 1 , polyphosphazenes claim 1 , poly(propylene fumarates) claim 1 , polyurethanes claim 1 , polymer drugs claim 1 , and copolymers claim 1 , block copolymers claim 1 , homopolymers claim 1 , blends claim 1 , and combinations thereof.8. The implantable medical device of wherein the film comprises a copolymer of glycolide and caprolactone.9. The implantable medical device of wherein the film comprises a copolymer of glycolide ...

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Номер записи: 35
25-07-2013 дата публикации

SYSTEMS, TOOLS, AND METHODS FOR TREATMENTS OF PELVIC CONDITIONS

Номер: US20130190558A1
Автор: Alexander James A., Khamis Chaouki A., Viker Thomas O.
Принадлежит: AMS Research Corporation

Described are surgical procedure systems, devices, tools, and methods, useful for treating pelvic conditions in a male or female, involving an expansion member. 3. An expansion member as recited at comprising three longitudinal panels extending along the length claim 2 , the three panels comprising a center panel and two side panels claim 2 , whereina longitudinal edge of the center panel is connected by a longitudinal hinge to a longitudinal edge of a side panel,a second longitudinal edge of the center panel is connected by a second longitudinal hinge to a longitudinal edge of a second side panel,and the two side panels are capable of rotating about the hinges so the panels move laterally toward or away from the center panel, to move between the closed and the open configurations.4. An expansion member as recited at wherein in the open configuration the expansion member includes an elongate opening extending along a side of the expansion member along at least a portion of the length from the distal end toward the proximal end.5. An expansion member as recited at wherein the elongate opening does not extend the entire length.6. An expansion member as recited at wherein the elongate opening extends the entire length.7. An expansion member as recited at comprising handles at the proximal end that can be manipulated to change the expansion member from the open to the closed configuration.8. An expansion member as recited at wherein each panel comprises a cross-section comprising a curved segment.9. An expansion member as recited at wherein the elongate hinge is a living hinge.10. An expansion member as recited at wherein the elongate hinge is a mechanical hinge.11. An expansion member as recited at wherein the hinge is curved.12. An expansion member as recited at comprising an extender at the distal end claim 2 , the extender comprising a flexible material capable of deformation upon contact with tissue.13. An expansion member as recited at comprising a distal edge ...

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Номер записи: 36
25-07-2013 дата публикации

Fibrotic band interrupter and implant introducing device

Номер: US20130190783A1
Автор: Giuseppe Amato, Stephen Graham Bell, Vaso Adzich, Wayne A. Noda
Принадлежит: Insighlra Medical Inc

A space in a muscle wall such as the inguinal canal is dilated by a plunger-based mechanism to break up fibrotic bands by divulsion. While the space is dilated a dynamic plug is advanced into it, with the plug expanding and contracting with the space.

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Номер записи: 37
25-07-2013 дата публикации

Lock Bar Spring And Clip For Implant Deployment Device

Номер: US20130190784A1
Автор: Iceman Jason T., Levin Ofek, Levy Arie, Palmer Mitchell
Принадлежит: COVIDIEN LP

A system for closing an aperture in a biological tissue includes an implant deployment device with a frame arm and a clip operably disposed on the frame arm. A mesh attachment apparatus has a clip press with a body portion including a recess and at least one chamfered press operably disposed in the recess. The chamfered press is configured to move between an extended position protruding at least partially from said recess and a retracted position. The mesh attachment apparatus is configured to move the clip from an open position to a closed position to facilitate loading an implant onto the implant deployment device. 1. A surgical system comprising:an implant deployment device including at least one frame arm and at least one clip operably disposed on said at least one frame arm; and a body portion including at least one recess; and', 'at least one chamfered press operably disposed in the at least one recess and configured to move between an extended position protruding at least partially from said recess and a retracted position;, 'a mesh attachment apparatus comprising at least one clip press, the at least one clip press comprisingwherein the mesh attachment apparatus is configured to move the at least one clip from an open position to a closed position to facilitate loading an implant onto the implant deployment device.2. The system of claim 1 , wherein the mesh attachment apparatus further comprises a spring member disposed between said chamfered press and said body portion.3. The system of claim 2 , wherein the spring member biases the chamfered press to the extended position.4. The system of claim 1 , wherein the chamfered press includes at least one chamfered surface and at least one press surface.5. The system of claim 4 , wherein the at least one chamfered surface includes a substantially linear chamfer.6. The system of claim 4 , wherein the at least one chamfered surface includes a substantially non-linear chamfer.7. The system of claim 1 , wherein when ...

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Номер записи: 38
25-07-2013 дата публикации

METHODS OF REPAIRING A HERNIA USING A HERNIA SUPPORT DEVICE

Номер: US20130190785A1
Автор: Herzberg Uri, Koyfman Ilya S.
Принадлежит: ETHICON, INC.

A method of repairing a hernia using a hernia mesh support device includes providing a hernia mesh support device, reducing a hernia within a patient's abdomen, inserting the hernia mesh support device into the abdomen and positioning the device in alignment with the hernia, ensuring that no abdominal organs are present between the device and the abdominal wall, whereby the step of ensuring that no abdominal organ is between the device and the abdominal wall includes the step of digitally sweeping the space between the abdominal wall and the device, removing a protective cover, and pulling on a pull strap joined to an inner ring to place the device tightly against the abdominal wall and to anchor barbed pins and hollow needles into the abdominal wall. 1. A method of repairing a hernia using a hernia mesh support device comprising: an outer ring,', 'an inner ring situated concentrically within the outer ring and being co-planarly arranged therewith, each of the outer ring and the inner ring having a first axial side and a second axial side situated opposite the first axial side,', 'a plurality of spaced apart ring support members extending between and interconnected to the outer ring and the inner ring,', 'a layer of mesh material, the layer of mesh material being situated at the first axial side of the outer and inner rings and at least extending between the outer and inner rings,', 'an anti-adhesion barrier, the anti-adhesion barrier being situated at the second axial side of the outer and inner rings and at least extending between the outer and inner rings,', 'a plurality of barbed pins, each of the barbed pins being mounted on the outer ring and extending outwardly from the first axial side thereof, the barbed pins being spaced apart from one another about the circumference of the outer ring,', 'a removable protective cover, the protective cover being situated on the first axial side of the outer ring and disposed over the plurality of barbed pins extending ...

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Номер записи: 39
25-07-2013 дата публикации

MEANS FOR CONTROLLED SEALING OF ENDOVASCULAR DEVICES

Номер: US20130190857A1
Автор: Bobillier Ben Colin, Chong Ng Martin Kean, Mitra Ashish Sudhir, Sommer-Knudsen Jens, Victor Wong Pak Man
Принадлежит: Endoluminal Sciences Pty Ltd.

Expandable sealing means for endoluminal devices have been developed for controlled activation. The devices have the benefits of a low profile mechanism (for both self-expanding and balloon-expanding prostheses), contained, not open, release of the material, active conformation to the “leak sites” such that leakage areas are filled without disrupting the physical and functional integrity of the prosthesis, and on-demand, controlled activation, that may not be pressure activated. 1. An endoluminal seal for sealing an endoluminal implant or prosthesis to a wall of a lumen of a subject , the endoluminal seal comprising:An expandable material selected from the group consisting of hydrogels, sponges and foams optionally spray dried or chemically couple to the interior of the endoluminal seal,A first membrane adjacent to and containing the expandable material;Wherein the expandable material is activated by exposure to a fluid or a foaming agent.2. The endoluminal seal of further comprising a second impermeable membrane claim 1 , metal foil or laminate preventing fluid or foaming agent from penetrating the semi-permeable membrane to contact the expandable material prior to activation.3. The endoluminal seal of wherein the second impermeable membrane comprises a rupture site and activation means for rupturing the impermeable membrane to allow fluid or foaming agent to penetrate the semi-permeable membrane and contact the expandable material to expand the seal.4. The endoluminal seal of that is positioned within or is close abutment to the exterior of the implant or prosthesis claim 1 , not changing the profile from that of the implant or prosthesis during implantation.5. The endoluminal seal of that expands under sufficient low pressure so that it seals the space between the implant or prosthesis and luminal wall claim 1 , but does not push the implant or prosthesis away from the lumen wall.6. The endoluminal seal of wherein the seal actively conforms to a leak site between ...

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Номер записи: 40
01-08-2013 дата публикации

IMPLANTS WITH ABSORBALBE AND NON-ABSORBABLE FEATURES FOR THE TREATMENT OF FEMALE PELVIC CONDITIONS

Номер: US20130197300A1
Автор: Dinh Thomas Q., Grant Robert C., Koullick Edouard A.
Принадлежит: AMS Research Corporation

Described are methods, devices, and systems related to implants for the treatment of a female pelvic condition. The implants include absorbable and non-absorbable materials and can be introduced into the pelvic area transvaginally. Meshes of the invention provide benefits relating to improved tissue integration into the mesh, reduced infection likelihood, improved patient comfort following implantation, or combinations of thereof. 1. An implant configured for transvaginal insertion into a female patient to treat a pelvic disorder , the implant comprising a mesh comprising a first non-absorbable mesh layer , and a second absorbable layer , wherein the second absorbable layer is non-porous or less porous than the first layer and prevents migration of cells through the second layer prior to its degradation in the body.2. The implant of wherein the first layer comprises a woven claim 1 , knitted claim 1 , or molded construction.3. The implant of wherein the first layer comprises polypropylene filaments or molded polypropylene.4. The implant of wherein the second layer has a side in contact with the first layer which comprises protruding members configured to secure the first layer to the second layer.5. The implant of wherein the protruding members comprise an absorbable material that has a faster in vivo rate of degradation than the second absorbable layer.6. The implant of comprising an absorbable adhesive which secures the first layer to the second layer.7. The implant of wherein the first layer has a thickness in the range of 0.005 to 0.02 inches.8. The implant of wherein the second layer is a continuous film of absorbable material that is attached to the first non-absorbable mesh layer.9. The implant of wherein the second layer has a thickness in the range of 0.005 to 0.02 inches.10. The implant of wherein the second layer comprises a polyhydroxyalkanoate polymer.11. The implant of wherein the second layer comprises polyhydroxybutyrate.12. The implant of comprising ...

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Номер записи: 41
08-08-2013 дата публикации

SURGICAL SCAFFOLDS

Номер: US20130204077A1
Автор: Boden Mark W., NAGALE Sandra
Принадлежит: BOSTON SCIENTIFIC SCIMED, INC.

According to an aspect of the present invention, surgical scaffolds for soft tissue repair are provided. The surgical scaffolds comprise a sheet of a material within which through-holes are formed. Further aspects of the invention, among others, pertain to methods of using such surgical scaffolds and to kits containing such surgical scaffolds. 1. A surgical scaffold for soft tissue repair , said surgical scaffold comprising a sheet of non-filamentous polymeric material , at least a portion of the sheet surface comprising a plurality of through-holes.2. The surgical scaffold of claim 1 , wherein said through-holes range from 0.1 mm to 5 mm in width.3. The surgical scaffold of claim 1 , further comprising nano-features formed in at least a portion of the sheet surface.4. The surgical scaffold of claim 1 , wherein said sheet ranges from 10 μm to 1 mm in thickness.5. The surgical scaffold of claim 1 , wherein at least a portion of said sheet is mechanically anisotropic.6. The surgical scaffold of claim 5 , wherein at least a portion of said sheet comprises a Young's modulus in a first direction along the sheet surface that is at least >1 times than a Young's modulus in a second direction along the sheet surface that is perpendicular to the first direction.7. The surgical scaffold of claim 1 , wherein said polymeric material comprises a copolymer that comprises polyisobutylene.8. The surgical scaffold of claim 1 , wherein said polymeric material comprises a polyurethane.9. The surgical scaffold of claim 8 , wherein said polyurethane comprises one or more polyisobutylene segments.10. The surgical scaffold of claim 1 , wherein said scaffold comprises a therapeutic agent.11. The surgical scaffold of claim 10 , wherein said therapeutic agent is a hormone.12. The surgical scaffold of claim 1 , wherein the surgical scaffold is a pelvic floor repair scaffold.13. The surgical scaffold of claim 1 , wherein the surgical scaffold comprises a body and two or more arms extending from ...

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Номер записи: 42
08-08-2013 дата публикации

POROUS SURGICAL FILMS

Номер: US20130204078A1
Автор: Goddard James M., HARRAH Timothy Paul, INTOCCIA Alfred P., Li Jianmin, Lichte Leo James, Rao Doreen
Принадлежит: BOSTON SCIENTIFIC SCIMED, INC.

According to an aspect of the present invention, surgical films for soft tissue repair are provided. The surgical films comprise at least one sheet of a non-filamentous material within which pores are formed. Further aspects of the invention, among others, pertain to methods of using such surgical films and to kits containing such surgical films. 1. A surgical film for soft tissue repair , said surgical film comprising a first sheet of non-filamentous material within which pores are formed.2. The surgical film of claim 1 , wherein said pores range from 0.1 mm to 5 mm in width.3. The surgical film of claim 1 , wherein the pore size claim 1 , pore density claim 1 , or both varies by more than 50% over the surface or through the thickness of the first sheet.4. The surgical film of claim 1 , wherein said film further comprises a second sheet of filamentous or non-filamentous material that is laminated to the first sheet of non-filamentous material.5. The surgical film of claim 4 , wherein pores are not formed within the second sheet of filamentous or non-filamentous material.6. The surgical film of claim 4 , wherein pores are formed within the second sheet of filamentous or non-filamentous material.7. The surgical film of claim 6 , wherein the average pore size or average pore density of the first sheet of non- filamentous material is at least 50% greater than that of the second sheet of filamentous or non- filamentous material.8. The surgical film of claim 4 , wherein the first sheet of non-filamentous material and the second sheet of filamentous or non-filamentous material are coextensive throughout the surgical film.9. The surgical film of claim 4 , wherein the first sheet of non-filamentous material is only partially covered by the second sheet of filamentous or non-filamentous material.10. The surgical film of claim 4 , wherein the first sheet of non-filamentous material is biostable and the second sheet of filamentous or non-filamentous material is ...

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Номер записи: 43
08-08-2013 дата публикации

Apparatus and Method for Manipulating or Retracting Tissue and Anatomical Structure

Номер: US20130204079A1
Автор: Catanese, Collinson Michael, III Joseph, Lamson Theodore C., Makower Joshua, Merrick Daniel, Nagpurkar Amik, Redmond Russell J., Vecchiotti Richard G., Vidal Claude, Welch Jacqueline Nerney, West Scott H.
Принадлежит: NEOTRACT, INC.

Integrated systems and associated method for manipulating tissues and anatomical or other structures in medical applications for the purpose of treating diseases or disorders or other purposes. In one aspect, the system includes a delivery device configured to deploy and implant anchoring devices for such purposes. 178-. (canceled)79: A method for treating a prostate with an implant delivery device and an implant , the implant having a delivery configuration and a retaining configuration , comprising:placing a distal portion of the device adjacent an interventional site;penetrating prostatic tissue with the implant while the implant is in the delivery configuration; anddeploying the implant to the retaining configuration at least partially within prostatic capsular tissue.80: The method of wherein a portion of the implant invaginates in urethral tissue.81: The method of wherein the device further comprises a penetrating member carrying the implant and prostatic tissue is penetrated via the penetrating member.82: The method of wherein the device further comprises a positioning member and the implant is deployed via moving the positioning member with respect to the implant.83: The method of further comprising displacing prostatic tissue.84: The method of wherein prostatic tissue is displaced via manipulation of the device.85: The method of further comprising penetrating prostatic capsular tissue with the implant while the implant is in the delivery configuration.86: The method of further comprising penetrating anatomy adjacent the prostate with the implant while the implant is in the delivery configuration.87: A method for retaining prostatic tissue with an implant delivery system claim 79 , comprising:accessing an interventional site with the delivery system; anddeploying a retaining member having a first configuration and a second configuration, wherein a portion of the retaining member having the second configuration is deployed to an outer surface of prostatic ...

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Номер записи: 44
08-08-2013 дата публикации

THREE-DIMENSIONAL SURGICAL IMPLANT

Номер: US20130204277A1
Автор: Fabry Roland, Tebbe Greg
Принадлежит: TYCO HEALTHCARE GROUP LP

Three-dimensional surgical implants include a grip-type knit mesh folded into a three-dimensional structure. Spiked naps provided on the mesh grip pores on the mesh to hold the implant in the three-dimensional structure. 1. A three-dimensional surgical implant comprising:a grip-type knit mesh defining pores and including a plurality of spiked naps extending from a surface thereof the grip-type knit mesh being folded into a predetermined three-dimensional structure such that at least a portion of the spiked naps grip at least a portion of the pores to hold the three-dimensional structure of the surgical implant.2. The three-dimensional surgical implant of claim 1 , wherein the grip-type knit mesh comprises materials selected from the group consisting of biodegradable claim 1 , non-biodegradable claim 1 , and combinations thereof.3. The three-dimensional surgical implant of claim 1 , wherein the material defining the pores is non-biodegradable.4. The three-dimensional surgical implant of claim 3 , wherein the material defining the spiked naps is biodegradable.5. The three-dimensional surgical implant of claim 4 , wherein the biodegradable material defining the spiked naps is selected from the group consisting of polylactic acid claim 4 , polyglycolic acid claim 4 , poly(lactide-co-(ε-caprolactone)) claim 4 , poly(glycolide-co-(ε-caprolactone)) claim 4 , poly(lactide-co-glycolide) claim 4 , and combinations thereof.6. The three-dimensional surgical implant of claim 3 , wherein the non-biodegradable material defining the pores is selected from the group consisting of polyethylenes claim 3 , polypropylenes claim 3 , ultra high molecular weight polyethylene claim 3 , and combinations thereof.7. The three-dimensional surgical implant of claim 1 , wherein the predetermined three-dimensional structure is conical.8. The three-dimensional surgical implant of claim 1 , wherein the predetermined three-dimensional structure is cylindrical.9. The three-dimensional surgical implant ...

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Номер записи: 45
08-08-2013 дата публикации

THIN FILM TISSUE REPAIR MATRIX

Номер: US20130204394A1
Автор: LUEHRS Kirsten, NEDVETSKY Alex, RUSSELL Scott M.
Принадлежит: CORDIS CORPORATION

A tissue repair matrix has an intricate pattern of loops, struts and bridges and is made of a super elastic alloy. The repair matrix includes hooks which improve the ingrowth when implanted and amorphic circles which provide rounded surfaces to the outer edges which made the repair matrix a-traumatic when implanted. When the repair matrix is cooled the molecular phase becomes martensitic which allows the tissue repair matrix to be compressed for easier insertion into a patient. When the tissue repair matrix is heated, the molecular phase changes to austenitic which causes the tissue repair matrix to expand to a size suitable for medical procedure. 1. A method for manufacturing a tissue repair matrix for implantation into a patient , comprising the steps:a) vapor depositing a super elastic alloy thin film layer onto a substrate in a vacuum chamber;b) separating the thin film layer from the substrate; andc) forming a pattern in the thin film layer comprising a plurality of elongated strips wherein adjacent strips are coupled by a plurality of bridges and each strip comprises a plurality of longitudinal struts and a plurality of loops connecting adjacent struts, wherein the patterned thin film layer has first and second expandable sides, first and second retractable sides and a longitudinal axis extending between the first and the second retractable sides, the thin film layer having a first smaller area position for insertion into the patient, and a second larger area position for implantation into the patient.2. The method for manufacturing a tissue repair matrix according to further comprising the steps:cutting a plurality of hooks in the thin film layer having a first end attached to the thin film layer and a second pointed end that is not attached to the thin film layer; andbending the pointed end of at least one of the hooks away from the thin film layer so that the at least one hook forms an angle with respect to the thin film layer when the thin film layer is in ...

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Номер записи: 46
15-08-2013 дата публикации

Apparatus for posterior pelvic floor repair

Номер: US20130211191A1
Автор: Roger D. Beyer
Принадлежит: Individual

Improved methods and apparatuses for treatment of posterior pelvic floor repair, including rectocele and related pelvic organ prolapse, are provided. A specialized mesh ( 3 ) having a shape for convenient placement to treat rectocele by providing both level 2 and level 3 support. Appropriate devices for introducing such a mesh implant are also disclosed.

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Номер записи: 47
15-08-2013 дата публикации

IMPLANTABLE SUPPORT WITH DILATOR ATTACHED TO ARM

Номер: US20130211192A1
Автор: Moschel Mark A.
Принадлежит: COLOPLAST A/S

A pelvic organ prolapse treatment device includes an implantable support configured to treat a prolapsed area of a patient such as urethrocele prolapse, cystocele prolapse, vault prolapse, uterine prolapse, enterocele prolapse, or rectocele prolapse. The support includes a body portion and an arm connected to the body portion, a knot connecting a suture to an end portion of the arm, and a tubular dilator disposed over and permanently connected to the knot. The tubular dilator has an aspect ratio of greater than 7. 114-. (canceled)15. A pelvic organ prolapse treatment device comprising:an implantable support configured to treat a prolapsed area of a patient selected from the group consisting of urethrocele prolapse, cystocele prolapse, vault prolapse, uterine prolapse, enterocele prolapse, and rectocele prolapse, the implantable support comprising:a body portion and an arm connected to the body portion;a knot connecting a suture to an end portion of the arm; anda tubular dilator disposed over and permanently connected to the knot;wherein the tubular dilator has an aspect ratio of greater than 7.16. The device of claim 15 , wherein the tubular dilator surrounds a circumference of the knot.17. The device of claim 15 , wherein the tubular dilator is permanently connected to the arm.1890. The device of claim 15 , wherein the tubular dilator has a length and more than % of the length is disposed over the suture.19. The device of claim 15 , wherein the aspect ratio of the tubular dilator is provided in a range from 7-20.20. The device of claim 19 , wherein the aspect ratio of the tubular dilator is provided in a range from 10-15.21. The device of claim 15 , wherein the tubular dilator has a durometer of between 50-85 Shore D.22. The device of claim 15 , wherein the tubular dilator has a distal end that is disposed over the knot and a proximal end opposite of the distal end claim 15 , and the proximal end has a diameter that is smaller than a diameter of the distal end such ...

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Номер записи: 48
15-08-2013 дата публикации

IMPLANTS, TOOLS, AND METHODS FOR TREATMENTS OF PELVIC CONDITIONS

Номер: US20130211193A1
Автор: Alexander James A., Arcand Benjamin Y., Khamis Chartie, Taut Daniel, Viker Thomas O.
Принадлежит: AMS Research Corporation

Described are various embodiments of surgical procedures, systems, implants, devices, tools, and methods, useful for treating pelvic conditions in a male or female, the pelvic conditions including incontinence (various forms such as fecal incontinence, stress urinary incontinence, urge incontinence, mixed incontinence, etc.), vaginal prolapse (including various forms such as enterocele, cystocele, rectocele, apical or vault prolapse, uterine descent, etc.), and other conditions caused by muscle and ligament weakness, the devices and tools including devices and tools for anchoring an implant to tissue. 1. A method of reperitonealizing a sacral mesh comprising the step of creating a tunnel under a patient's peritoneal membrane with a curved trocar that is advanced along the right pelvic sidewall of the patient and toward the sacral promontory.2. The method of claim 1 , further comprising a step of monitoring advancement of the trocar using a retractor system to clear the patient's small bowel off of the patient's peritoneum.3. The method of claim 1 , further comprising a step of introducing the trocar into the patient through a small pocket that is created at the open vaginal cuff between the vaginal mucosa and the peritoneal membrane.4. The method of claim 3 , further comprising a step of providing an incision in the peritoneal membrane adjacent the sacral promontory through which the trocar is advanced.5. The method of claim 4 , further comprising a step of loading a suture onto the trocar and pulling the trocar from the tunnel.6. The method of claim 5 , further comprising a step of attaching a mesh member to the suture and pulling the mesh member through the tunnel.7. The method of claim 6 , further comprising a step of attaching the mesh member to the sacral promontory of the patient.8. The method of claim 1 , further comprising the step of attaching at least one fixation element to the sacral promontory.9. The method of claim 6 , further comprising the steps of ...

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Номер записи: 49
22-08-2013 дата публикации

ADJUSTABLE MEDICAL ASSEMBLY FOR IMPLANT TENSION ADJUSTMENT

Номер: US20130217954A1
Автор: Danna Mark, Jenkins Kristina Yim
Принадлежит: BOSTON SCIENTIFIC SCIMED, INC.

The present invention discloses a medical assembly and method to deliver and place a bodily implant inside a patient's body. The medical assembly includes an insertion tool such that a portion of the insertion tool defines a lumen. The medical assembly further includes a carrier configured to be coupled to the insertion tool and including a passageway. The medical assembly also includes a flexible elongate member configured to pass through the passageway of the carrier and the lumen. The elongate member is also configured to be coupled to the bodily implant such that a portion of the elongate member between the bodily implant and the carrier defines a length. 1. A medical assembly configured to deliver and place a bodily implant inside a patient's body , the medical assembly comprising:an insertion tool configured to be inserted into a patient's body, the insertion tool having a proximal end portion and a distal end portion such that a portion between the distal end portion and the proximal end portion defines a lumen;a carrier configured to be coupled to the distal end portion of the insertion tool and configured to be disposed within a bodily tissue upon placement, wherein the carrier includes a passageway; anda flexible elongate member with a proximal end portion and a distal end portion, wherein the elongate member is configured to be disposed within the lumen of the insertion tool, the elongate member further configured to pass through the passageway of the carrier, and the elongate member configured to be coupled to the bodily implant such that a portion of the elongate member between the bodily implant and the carrier defines a length of the elongate member,wherein the insertion tool includes an adjustment mechanism configured to adjust the length of the elongate member between the implant and the carrier and a locking mechanism configured to lock the elongate member within the insertion tool, further wherein the length of the elongate member between the ...

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Номер записи: 50
22-08-2013 дата публикации

SYSTEM AND METHOD FOR TREATMENT OF ANAL INCONTINENCE AND PELVIC ORGAN PROLAPSE

Номер: US20130217955A1
Автор: Rosenblatt Peter L.
Принадлежит: AMS Research Corporation

Using a sling that includes a central portion and at least two arms extending from the central portion, a method of treating anal incontinence may include positioning the central portion posteriorly to the rectum and/or anus of a subject, and extending each arm of the sling to a respective obturator region. Using a sling having the same or similar structure, a method of treating pelvic organ prolapse may include positioning the central portion beneath the ano-rectum of a subject, and extending each arm of the sling to a respective thigh incision near the obturator region. 1. A sling for use in treating anal incontinence comprising a central portion structured to be positioned posteriorly to the rectum and/or anus of a patient and attached to at least two arms extending therefrom , said central portion having a sub-rectal extension element extending therefrom that is sized and structured for attachment to a coccyx of the patient.2. The sling of claim 1 , wherein the central portion comprises an inflatable sac.3. The sling of claim 2 , wherein at least one arm is formed of mesh.4. The sling of claim 2 , wherein at least one arm is foamed of tension-free vaginal tape.5. The sling of claim 2 , wherein at least one arm terminates with a filament.6. The sling of claim 5 , wherein the filament comprises a suture.7. A sling comprising:a central portion having a saddle shaped inflatable sac attached thereto, wherein the saddle shape is a hyperbolic paraboloid that defines a first preformed curve structured to allow the sling to arc between obturator regions and a second preformed curve structured to complement an ano-rectal angle of a patient, said central portion having a sub-rectal extension element extending therefrom that is sized and structured for attachment to a coccyx of the patient; andat least two arms extending from the central portion, the arms formed of mesh or tension-free vaginal tape.8. The sling of claim 7 , wherein the inflatable sac further comprises an ...

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Номер записи: 51
22-08-2013 дата публикации

Surgical Needle Device

Номер: US20130217958A1
Автор: Alexander James A., Buysman John J., Hamel Kory P., Mujwid James R., Ogdahl Jason W., Otte John F.
Принадлежит:

Various surgical introducer needle and anchor systems are provided. The systems can include an introducer needle and a tissue support implant or sling device. The implant device can include one or more anchoring devices. The introducer needle device can include a handle assembly and a needle assembly. The needle assembly can include a generally hollow needle, and a wire traversable therein. The wire can include a distal tip adapted to selectively retract or withdraw from the engaged anchoring device upon deployment of the anchor and/or implant. 1. A surgical needle device , comprising:a needle including a lumen, a proximal portion, and a wire disposed in and traversable along at least a portion of the lumen; anda handle assembly including at least one depressible actuator, and a body portion having a proximal portion and a distal portion, the distal portion of the body coupled to the proximal portion of the needle, and the at least one depressible actuator in operative communication with a portion of the wire and extending angularly from an outer surface of the body and generally toward the needle.2. The device of claim 1 , wherein a distal portion of the needle receives an anchor device.3. The device of claim 2 , wherein the anchor device includes one or more extending tines to facilitate soft tissue engagement.4. The device of claim 1 , wherein a distal portion of the needle includes a barb guard to abuttably receive an anchor device.5. The device of claim 1 , wherein the at least one depressible actuator includes first and second depressible actuators extending angularly from the outer surface of the body at an angle less than ninety degrees relative to a generally straight length of the needle.6. The device of claim 1 , wherein the distal portion of the needle includes a curved length.7. A surgical needle device claim 1 , comprising:a needle including a generally straight length, a generally curved length, a lumen, a distal portion, and a wire extending through ...

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Номер записи: 52
22-08-2013 дата публикации

MEDICAL FABRIC WITH INTEGRATED SHAPE MEMORY POLYMER

Номер: US20130218178A1
Автор: Glang Robyn Grace Yeon, Kahook Malik, Lanning Craig Joseph, Mandava Nageswara Rao, Mandava Naresh, Rech Bryan Andrew, Shandas Robin
Принадлежит:

Formulations of shape memory polymer (SMP) are integrated with several existing clinically available medical fabrics. The SMP portion of a SMP-integrated fabric can be fabricated in varying thicknesses with the minimum thickness determined by the thickness of the underlying fabric and up to almost any thickness. A large variety of patterns may be formed in SMP-integrated fabrics based upon how the shape memory polymer is integrated into the base fabric. Integration of the SMP with the base fabrics does not alter the shape memory functionality of the SMP. The design tools for controlling activation rate for traditional SMP materials thus apply to SMP-integrated fabrics. SMP-integrated fabrics may also be steam sterilized without loss of shape memory functionality. By using multiple formulations of SMP on a single piece of fabric, a large combination of material properties may be provided within a single SMP-integrated fabric device. 1. A shape memory polymer integrated medical fabric for use in a surgical procedure , the integrated fabric comprisinga medical fabric;a shape memory polymer integrated with the medical fabric to provide a deformable and reformable structure to the integrated fabric upon placement in vivo.2. The integrated medical fabric of claim 1 , wherein the shape memory polymer is integrated with the medical fabric in a pattern that leaves portions of the medical fabric uncoated.3. The integrated medical fabric of claim 2 , wherein the pattern comprises a border of uncoated medical fabric claim 2 , said border providing at least one suture attachment point in the surgical procedure.4. The integrated medical fabric of claim 2 , wherein the pattern comprises shape memory polymer integrated fabric on at least one side of the medical fabric.5. The integrated medical fabric of claim 2 , wherein the pattern comprises a border of shape memory integrated fabric surrounding an area of uncoated medical fabric.6. The integrated medical fabric of claim 1 , ...

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Номер записи: 53
22-08-2013 дата публикации

DEVICE ESPECIALLY USEFUL FOR HERNIA REPAIR SURGERIES AND METHODS THEREOF

Номер: US20130218179A1
Автор: Matter Ibrahim, SHOLEV Mordehai, Szold Amir, Tamir Ziv
Принадлежит: Davol, Inc. (a C.R. Bard Company)

The present invention discloses an inflatable contour-balloon useful in minimal invasive and/or open surgery. The inflatable contour-balloon positioned in the contour of a mesh and/or a patch and/or a net. The inflatable contour-balloon is adapted to spread and/or deploy the mesh and/or the patch and/or the net in the abdominal cavity and/or pre-peritoneal and/or space and/or hollow body organs and/or natural and/or artificial orifices and/or spaces and/or post operative spaces. The present invention also discloses an elongate open-bored applicator (EOBP) adapted to spread and/or deploy a mesh and/or a patch and/or a net. The EOBP is useful in minimal invasive surgery. The EOBP has a distal portion that is insertable into the abdominal cavity and/or pre-peritoneal and/or space arid/or hollow body organs and/or natural and/or artificial orifices and/or spaces and/or post operative spaces; and a proximal portion that remains outside the body. The EOBP comprises: (a) at least one inflatable contour-balloon; (b) at least one inflatable dissection balloon. The inflatable contour-balloon and the inflatable dissection balloon are adjustable and located at the distal portion; and, (c) at least one actuating means located at the proximal portion. The actuating means is in communication with the inflatable contour-balloon and the inflatable dissection balloon. The actuating means is adapted to provide the inflatable contour-balloon and the inflatable dissection balloon with independent activation and/or de-activation. 163-. (canceled)64. A hernia repair device , comprising:an inflatable balloon having a flexible inflation tube; anda mesh directly and removably attached to said balloon such that, when the device is in a deployed state, the mesh is situated only on one side of said balloon,wherein the inflation tube passes through the mesh; andwherein the hernia repair device is configured so that the balloon is detachable from the mesh and removable along with the inflation ...

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Номер записи: 54
29-08-2013 дата публикации

IMPLANT CONTAINER AND IMPLANT CONTAINER SYSTEM

Номер: US20130220858A1
Автор: Funk Peter, Jendreck Thilo
Принадлежит: STRYKER LEIBINGER GMBH & CO. KG

An implant container for accommodating one or more bone plate implants has a base having a receiving structure configured to receive at least one bone plate implant so that the bone plate implant is held in a defined relationship relative to the base. A lid of the implant container has an opening and is movable relative to the base from a first position to at least a second position. In the first position the lid covers the receiving structure at least partially so as to prevent implant removal, whereas in the second position the lid provides access to the receiving structure via the opening so as to permit implant removal. 1. An implant container for receiving at least one bone plate implant , the implant container comprising:a base having a first receiving structure configured to receive at least one first bone plate implant so that the first bone plate implant is held in a defined relationship relative to the base; anda first lid having a first opening and being movable relative to the base from a first position to at least a second position, wherein in the first position the first lid covers the first receiving structure at least partially so as to prevent removal of the first bone plate implant and in the second position the first lid provides access to the first receiving structure via the first opening so as to permit implant removal.2. The implant container of claim 1 , wherein the base further comprises at least one second receiving structure configured to receive at least one second bone plate implant so that the second bone plate implant is held in a defined relationship relative to the base.3. The implant container of claim 2 , wherein the first receiving structure and the second receiving structure overlap at least partially.4. The implant container of claim 2 , wherein in the second position the first lid provides access to the second receiving structure via one of the first opening and a second opening in the first lid so as to permit implant removal. ...

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Номер записи: 55
29-08-2013 дата публикации

SYSTEMS, DEVICES AND METHODS FOR TREATING PELVIC FLOOR DISORDERS

Номер: US20130225919A1
Автор: Chu Michael S.H.
Принадлежит:

Disclosed are implants for pelvic floor repair and related uses, and devices, kits, and methods which can be used to deliver the implants. In certain embodiments, the devices are used to deliver extensions of a surgical implant to respective target tissue regions of the levator ani muscle and the sacrospinous ligament. 122-. (canceled)23. A method for delivering to a patient an implant with a central region and at least four extensions , comprising securing a first extension of the implant to at least one of a sacrospinous ligament and a levator ani muscle on a first side of a patient , securing a second extension of the implant to at least one of a sacrospinous ligament and a levator ani muscle on a contralateral side of the patient , delivering a third extension of the implant through an obturator foramen on the first side of the patient , and delivering a fourth extension of the implant through an obturator foramen on the contralateral side of the patient.24. The method of claim 23 , further comprising securing the first extension with a first delivery device claim 23 , securing the second extension with a second delivery device different from the first delivery device claim 23 , and delivering the third extension with a third delivery device different from the first delivery device and different from the second delivery device.25. The method of claim 23 , further comprising securing a fifth extension to at least one of a sacrospinous ligament and a levator ani muscle on the first side of a patient claim 23 , and securing a sixth extension to at least one of a sacrospinous ligament and a levator ani muscle on the contralateral side of the patient.26. The method of claim 25 , comprising securing the fifth extension with a delivery device different from the first delivery device claim 25 , different from the second delivery device claim 25 , and different from the third delivery device.27. The method of claim 25 , wherein at least one of securing the first ...

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Номер записи: 56
29-08-2013 дата публикации

SURGICAL KIT AND A FACILITATED PROTOCOL FOR THE IMPLANTATION OF ACETABULAR PROSTHESIS

Номер: US20130226183A1
Автор: LI Xue, Xie Ping
Принадлежит:

A ready-for-use surgical kit and a facilitated protocol for the implantation of acetabular prosthesis in hip replacement surgery have been introduced. In particularly, a ready-for-use package includes both a set of the artificial acetabular prosthesis and a set of specific reamer(s) with a predefined spherical cutting profile. According to a protocol, surgeon could accurately select a package including both a size of acetabular prosthesis and a corresponding finishing reamer according to a pre-measurement and bone condition of a respective patient, and then patient-specifically remedy a defected acetabulum into a full hemispherical form having a personalized dimension by the reamer(s) within the package during operation. 1. A ready-for-use package of a sterilized surgical kit for installation of artificial acetabular prosthesis in hip replacement surgery comprising: a prosthesis compartment for packaging a set of acetabular prosthesis having a specific size; and a tooling compartment comprising at least a rotatable reamer for surgeon being able to select a cutting profile thereof and patient-specifically ream a defected acetabular site.2. The package of the claim 1 , wherein the tooling compartment further comprising one finishing reamer having a spherical cutting diameter selected from the group consisting of 0.5 claim 1 , 1.0 claim 1 , 1.5 or 2.0 mm smaller than the size of the corresponding prosthesis within the package.3. The package of the claim 1 , wherein the tooling compartment further comprising one primary reamer having a spherical cutting diameter being at least 3 mm smaller than the size of the prosthesis set included within the package and one finishing reamer having a spherical cutting diameter selected from the group consisting of 0.5 claim 1 , 1.0 claim 1 , 1.5 or 2.0 mm smaller than the size of the corresponding prosthesis within the package.4. The package of the claim 1 , wherein the tooling compartment comprising one size-expandable/adjustable ...

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Номер записи: 57
29-08-2013 дата публикации

SUTURE MESH AND METHOD OF USE

Номер: US20130226204A1
Автор: Kumar Avinash
Принадлежит:

A medical device comprises a mesh and suture combination, the suture having retaining mechanisms such as beads, balls, ratchet surfaces, oblate spheres and/or disks extending along at least a portion of the length of the suture. A clip or tab may be combined with the retaining mechanisms to fix the suture in place, such as during reconstructive surgery. For example, the mesh and suture combination may be used to fix tendons in place with respect to bones as a bone anchor and/or as a support mesh for repair of torn tendons. 1. A medical device for use in a surgical procedure , the medical device comprising:a mesh or net;a retaining device; anda suture, wherein the suture comprises a plurality of raised portions along at least a portion of a length of the suture such that the raised portions of the suture is retained adjustably in relation to the mesh or net when used during the surgical procedure by the retaining device, andwherein the retaining device includes a cavity and the cavity engages one of the plurality of raised portions of the suture adjustably retaining the one of the plurality of raised portions of the suture, when the suture is used during a surgical procedure with the mesh or net2. The device of claim 1 , wherein the retaining device is a clip claim 1 , and the one of the plurality of raised portions is retained by the clip.3. The device of claim 2 , wherein the clip has an upper portion defining a first slot joined to a lower portion defining a second slot and one of the plurality of raised portions of the suture is capable of being retained between the upper portion and the lower portion and the suture fits into the first slot or the second slot when the one of the plurality of raised portions is releasably retained between the upper portion and the lower portion of the clip.4. The device of claim 3 , wherein the upper portion is integrally formed with the lower portion of the clip.5. The device of claim 2 , wherein the clip includes four prongs ...

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Номер записи: 58
05-09-2013 дата публикации

Implantable sling for the treatment of incontinence and method of using the same

Номер: US20130231524A1
Автор: Comiter Craig, Ellenson Kapri, Merade Bryon L., Nitti Victor, Rackley Raymond, Rhee Eugene, Vasavada Sandip
Принадлежит: COLOPLAST A/S

A method of treating urinary incontinence includes making an incision and exposing urethral tissue in a patient and employing a tool to place an implant into the incision. The method also includes coupling a first end of the implant to the tool and directing the tool and the first end of the implant through a first obturator foramen of the patient and following the same approach on a contralateral side of the patient thus suspending the implant between the first obturator foramen and the second obturator foramen of the patient. The method additionally includes elevating a urethra of the patient with a central portion of the implant, and securing the first end of the implant relative to a first descending ramus of the patient and securing the second end of the implant relative to a second descending ramus of the patient. 1. A method of treating urinary incontinence , the method comprising:providing an incontinence treatment device having a support portion attached on a first side to a first anchor portion and attached on a second side to a second anchor portion;making an incision and exposing a bulbar urethra of a patient;employing a first introducer tool and directing an end of the first anchor portion of the incontinence treatment device through the incision and through a first obturator foramen of the patient;employing a second introducer tool and directing an end of the second anchor portion of the incontinence treatment device through the incision and through a second obturator foramen of the patient;applying tension to at least one of the first anchor portion and the second anchor portion of the incontinence treatment device and thereby applying compression to the bulbar urethra of the patient with the support portion of the incontinence treatment device; andanchoring the incontinence treatment device in the patient by securing the first anchor portion of the incontinence treatment device near a first ramus associated with the first obturator foramen of the ...

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Номер записи: 59
05-09-2013 дата публикации

REINFORCEMENT DEVICE WITH DISSOLVABLE LAYER AND ITS USE

Номер: US20130231688A1
Автор: Paul Martin G.
Принадлежит: CES Advancements, LLC

A reinforcement device for reinforcing tissues having one or more structural deficiencies includes a longitudinally-extending reinforcing layer for treating the structural deficiency, a plurality of spiked naps distributed across the reinforcing layer and projecting therefrom for adhering to the tissue, and a dissolvable matrix layer covering at least a portion of the reinforcing layer and a portion of the plurality of spiked naps. The matrix layer increases the time before the spiked naps substantially adhere to the tissue, thereby allowing the practitioner additional time to position the reinforcement device. 118-. (canceled)19. A reinforcement device for reinforcing tissues having one or more structural deficiencies , comprising:a longitudinally extending reinforcing layer for treating the structural deficiency, the layer having a first face and a second face;a plurality of naps distributed across at least the first face and projecting therefrom for adhering to tissue; anda dissolvable matrix layer covering at least a portion of at least the second face of the reinforcing layer opposite the naps.20. The device of claim 19 , wherein the reinforcing layer comprises a three-dimensional and open-worked claim 19 , porous knit.21. The device of claim 19 , wherein the naps comprise a biocompatible polymer.22. The device of claim 19 , wherein the dissolvable matrix layer comprises one or more of a biodegradable component claim 19 , an antibacterial component claim 19 , an excipient claim 19 , a therapeutic drug claim 19 , a plasticizer claim 19 , and a binder component.23. The device of claim 22 , wherein the antibacterial component comprises a non-toxic antibacterial agent.24. The device of claim 22 , further comprising a bioadhesive layer. 1. Field of InventionThe present invention relates generally to abdominal wall reinforcement devices, and in particular devices used for the treatment of inguinal hernias by either an anterior or laparoscopic route.2. Description of ...

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Номер записи: 60
12-09-2013 дата публикации

IMPLANTABLE ARTICLE AND METHOD

Номер: US20130237748A1
Автор: Thierfelder Christopher A., Westrum John W.
Принадлежит: AMS Research Corporation

An implantable article and method are disclosed for treating pelvic floor disorders such as vaginal vault prolase. A surgical kit useful for performing a surgical procedure such as a sacral colpopexy is also described. 1. An implantable surgical article useful to treat vaginal vault prolapse during a sacral colpopexy procedure , the article comprisinga thin, substantially flat major strip having proximal and distal ends, and a length and a width along first and second orthogonal axes;a thin, substantially flat minor strip having a length less than that of the major strip, and a pair of ends;the minor strip being secured to the major strip along an end of the minor strip such that a substantial portion of the minor strip can extend along an axis that is perpendicular to both the first and second axes;a portion of the major strip near its distal end and the minor strip may be sutured to a vaginal cuff of a patient; anda width of the minor strip is different from a width of the major strip.2. (canceled)3. A surgical article according to wherein the minor strip has a straight end and the minor strip is secured to the major strip along substantially all of the end of the minor strip.4. A surgical article according to wherein the minor strip has a distal end and the distal ends of the major and minor strips are substantially aligned.537-. (canceled)38. An implantable surgical article as recited at wherein a width of the major strip decreases along a length of the major strip in a direction of increasing distance away from the minor strip.39. An implantable surgical article as recited at wherein the minor strip has a width claim 1 , the distal end of the major strip has a width claim 1 , and the width of the minor strip is the same as the width of the distal end of the major strip.40. An implantable surgical article as recited at wherein the minor strip has a coloration claim 1 , the distal end of the major strip has a coloration claim 1 , and the coloration of the minor ...

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Номер записи: 61
19-09-2013 дата публикации

FORTIFIED MESH FOR TISSUE REPAIR

Номер: US20130245650A1
Автор: Adzich Vaso, Amato Giuseppe, Bell Stephen Graham
Принадлежит: INSIGHTRA MEDICAL, INC.

A mesh to repair a hole in a muscle wall includes a resilient mesh body and fortifying structure such as mesh portions of thicker weave than other portions, or strengthening members that can be engaged with the mesh and then removed from the mesh once the mesh is place over the hole. The same principles can be applied to a plug that is engaged with the mesh for filling the hole. 149-. (canceled)50. Apparatus , comprising:a flexible mesh having an insertion configuration, in which the mesh is radially smaller than a muscle hole to facilitate advancing the mesh into the hole, and an implanted configuration, in which the mesh is substantially flat and larger than the hole to block the hole;a plug engaged with the mesh and having a top periphery defining plural lobes configured to fill the muscle hole to be repaired; andat least a first strengthening member provided on a periphery of the plug.51. The apparatus of claim 50 , comprising a mesh strengthening member provided on a periphery of the mesh.52. The apparatus of claim 50 , wherein the mesh includes fibers and the strengthening first member is established by fibers that are more closely woven together than fibers of the mesh.53. The apparatus of claim 50 , wherein the plug includes fibers and the first strengthening member is established by fibers that are more closely woven together than fibers of the plug.54. The apparatus of claim 50 , wherein the plug includes fibers and the first strengthening member includes fibers and fibers of the first strengthening member individually are no larger than fibers of the plug.55. The apparatus of claim 50 , wherein the mesh includes fibers and the first strengthening member includes fibers and fibers of the first strengthening member individually are no larger than fibers of the mesh.56. The apparatus of claim 50 , wherein the plug includes fibers and the first strengthening member includes fibers and fibers of the first strengthening member are woven into fibers of the plug. ...

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Номер записи: 62
26-09-2013 дата публикации

SURGICAL TOOLS, SYSTEMS, AND RELATED IMPLANTS AND METHODS

Номер: US20130253260A1
Автор: Ferrazzo Anthony J., Hamel Kory P., Lund Jonathan J.
Принадлежит: AMS Research Corporation

Described are implants and tools for use in treating pelvic conditions such as incontinence, including urinary incontinence in a male or female, for example an incontinence sling and delivery system that can include a sling implant and delivery tool system, wherein the implant can include a mesh sling and one or more anchors provided at or extending from a portion of the sling to facilitate tissue fixation; the delivery tool system can include at least a tunneler having a lumen, and an insertion tool; and wherein useful methods can involve inserting the tunneler through an incision and into a pelvic region of a patient, connecting the insertion tool to the sling, and inserting the sling into the tunneler to place the sling to provide tissue support. 1. A delivery tool system comprising a tunneler shaft comprising a proximal end, a distal end, and an internal channel,', 'a longitudinal opening along a length between the proximal end and the distal end, and', 'a distal end opening in communication with the internal channel and in communication with the longitudinal opening, and, 'a tunneler tool comprising'}an insertion tool comprising a proximal end, a distal end, and an elongate shaft between the proximal end and the distal end, wherein at least the distal end of the insertion tool can be located within the internal channel of the tunneler tool, wherein a distal portion of the elongate shaft of the insertion tool is capable of being positioned within the internal channel, and is capable of being removed from the internal channel by passing through the longitudinal opening.2. (canceled)3. A delivery tool system according to wherein at least a distal portion of the elongate shaft of the insertion tool is capable of:being inserted into the internal channel at a proximal end of the tunneler shaft,being be advanced within the internal channel to the distal end of the tunneler shaft, andbeing removed from internal channel by passing laterally through the longitudinal ...

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Номер записи: 63
26-09-2013 дата публикации

HERNIA MESH APPARATUS AND METHOD

Номер: US20130253545A1
Автор: Massen Richard
Принадлежит:

A dual-layer hernia mesh can be configured according to a three-dimensional map of a hernia defect(s) and a hernia volume(s) of a patient. The front portion of the mesh can be configured utilizing, for example, a three dimensional map of hernia sac volumes obtained from a CT scan. The front portion of the mesh exactly fits into the hernia sac. The back portion of the hernia mesh is a sheet of mesh material that overlaps over onto the normal muscles and fascia. A “foam” collapsible mesh and/or a flat mesh with expandable hydrogel deposited in variable thickness according to the hernia defect can be utilized as a dual-layer hernia mesh for repair. The hydrogel mesh when combined with water or saline expands and fits into the hernia defect or defects. Both “foam” and hydrogel meshes adhere to the tissues of the hernia sac and then contracts over time. The hernia sac volume slowly disappears, restoring a more normal contour to the abdominal wall. 1. A hernia mesh apparatus , comprising:a front portion that fits precisely into hernia sacs, wherein said front portion is configured according to a three-dimensional map of hernia defects and hernia volumes; anda back portion that covers normal muscles and fascia.2. The apparatus of wherein said three-dimensional map of hernia defects and hernia volumes is obtained utilizing a three-dimensional imaging technology.3. The apparatus of wherein said front portion comprises a compressible foam.4. The apparatus of wherein said front portion comprises an expandable hydrogel material.5. The apparatus of wherein said expandable hydrogel material is deposited in a variable thickness according to said hernia defects and said hernia volumes.6. The apparatus of wherein said expandable hydrogel material rapidly expands on exposure to saline.7. The apparatus of wherein said expandable hydrogel material rapidly expands on exposure to water claim 4 ,8. The apparatus of wherein said front portion adheres to tissues of said hernia sacs and then ...

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Номер записи: 64
26-09-2013 дата публикации

Biocompatible Mesh Implant

Номер: US20130253645A1
Автор: Donn K. Harms, Marshall Kerr
Принадлежит: PFM MEDICAL Inc

A mesh device for supporting one or a combination of a breast implant or breast tissue is provided formed of interlaced filaments forming a mesh structure which will not unravel when cut across a mid section of the mesh device. A titanium layer positioned on the exterior surface of the filaments of the mesh provide both a biocompatible interface with surrounding tissue and enhanced engagement of the filaments to prevent unraveling.

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Номер записи: 65
03-10-2013 дата публикации

Devices and Methods for the Treatment of Obesity

Номер: US20130261380A1
Автор: Kim Otto, Pankaj Rathi, Zachary Warden-Gabaldon
Принадлежит: Vibrynt Inc

A device includes a body having at least first and second edges and a plurality of laces configured and dimensioned to be threaded across the stomach. Multiple devices can be positioned about a stomach. Methods for implanting the device and for treating a patient are provided.

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Номер записи: 66
03-10-2013 дата публикации

INTEGRATED SELF-FIXATING VISUALIZATION DEVICES, SYSTEMS AND METHODS

Номер: US20130261469A1
Автор: Stopek Joshua
Принадлежит: COVIDIEN LP

Surgical visualization devices are provided which include a substrate having at least one imaging device and a plurality of fasteners coupled thereto for attaching the substrate to patient tissue. Systems and methods utilizing the surgical visualization devices are also provided. 1. A surgical visualization apparatus , comprising:a substrate including a fixating segment having a plurality of fasteners configured to attach the self-fixating substrate to patient tissue; andat least one imaging device coupled to the self-fixating substrate and directed outwardly from the self-fixating substrate such that when the self-fixating substrate is coupled to the tissue, the at least one imaging device is configured to visualize a surgical field.2. The surgical visualization apparatus according to claim wherein the at least one imaging device is selected from the group consisting of a light source , a camera , and combinations thereof.3. The surgical visualization apparatus according to claim 2 , wherein the light source includes light emitting diodes claim 2 , dyes claim 2 , probes and combinations thereof.4. The surgical visualization apparatus according to claim 1 ,wherein the substrate is bioabsorbable.5. The surgical visualization apparatus according to claim 1 , wherein at least a portion of the imaging device is absorbable.6. The surgical visualization apparatus according to claim 4 , wherein the at least one portion of the imaging device is rotatable relative to the self-fixating device for capturing images of a target site to provide preferred fields of view.7. The surgical visualization apparatus according to claim 6 , wherein the images are stitched together to form a single image of an entire surgical field on a display.8. The surgical visualization apparatus according to claim 1 , wherein the apparatus includes an array of imaging devices.9. The surgical visualization apparatus according to claim 1 , wherein the substrate is a surgical mesh.10. The surgical ...

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Номер записи: 67
03-10-2013 дата публикации

Implantable Devices Including A Film Providing Folding Characteristics

Номер: US20130261542A1
Автор: Amin Elachchabi, Daniel Broom, Joshua Stopek
Принадлежит: COVIDIEN LP

The present disclosure relates to implantable medical devices which include a film which includes predetermined folding characteristics via predetermined thicknesses along different areas of the implant.

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Номер записи: 68
03-10-2013 дата публикации

Implantable Devices Including A Mesh And An Extendable Film

Номер: US20130261594A1
Автор: Broom Daniel, Elachchabi Amin, Stopek Joshua
Принадлежит: COVIDIEN LP

The present disclosure relates to implantable medical devices which include at least one mesh defining a first plane and at least one film including a first portion secured to at least a portion of the mesh and a second extendable portion unattached to the mesh. 1. An implantable medical device comprising:a mesh defining a first plane, anda film including a first portion secured to at least a portion of the mesh and a second extendable portion.2. The implantable medical device according to claim 1 , wherein the second extendable portion of the mesh is disposed within the bounds of an outer edge of the mesh.3. The implantable medical device according to claim 1 , wherein the second extendable portion of the film is stationary.4. The implantable medical device according to claim 3 , wherein the extendable portion of the film defines a second plane different from the first plane of the mesh.5. The implantable medical device according to claim 4 , wherein the first plane defined by the mesh and a second plane defined by the film creates an acute angle.6. The implantable medical device according to claim 4 , wherein the first plane defined by the mesh and a second plane defined by the mesh creates a right angle.7. The implantable medical device according to claim 1 , wherein the second extendable portion of the mesh is movable between the first plane defined by the mesh and a second different plane.8. The implantable medical device according to claim 1 , wherein the implant further comprises at least one therapeutic agent.9. The implantable medical device according to claim 1 , wherein the second extendable portion of the film is trimmable.10. The implantable medical device according to claim 1 , wherein the film extends beyond the outer edge of the mesh.11. The implantable medical device according to claim 1 , wherein the mesh further comprises at least one grip-member.12. An implantable medical device comprising:a mesh defining a first planar axis,a first film ...

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Номер записи: 69
10-10-2013 дата публикации

SLING DELIVERY SYSTEM AND METHOD OF USE

Номер: US20130267768A1
Автор: Anderson Kimberly A., Neisz Johann J., Rocheleau Gary A., Snitkin Eva S., Staskin David R., Westrum John W.
Принадлежит: AMS Research Corporation

An apparatus and method of use are disclosed to treat urological disorders. The biocompatible device includes a handle, needle, dilator and sling assembly configured to be minimally invasive and provide sufficient support to the target site. In addition, the configuration of the sling assembly also allows the sling to be adjusted during and/or after implantation. The device and treatment procedure are highly effective and produce little to no side effects or complications. Further, operative risks, pain, infections and post operative stays are reduced, thereby improving patient quality of life. 131-. (canceled)32. A surgical assembly useful for treating urinary incontinence in a patient , the assembly comprising:a needle sized and shaped to extend substantially between an abdominal wall and vaginal tissue of a female patient; a middle portion,', 'a first elongate end section extending from the middle portion to a first distal end and capable of extending between the abdominal wall and the vaginal tissue, and', 'a second elongate end section extending from the middle portion to a second distal end and capable of extending between the abdominal wall and the vaginal tissue,, 'a length of implantable mesh comprising'}a first sheath about at least a portion of the first elongate end section, anda second sheath about at least a portion of the second elongate end section.33. The assembly of comprising a handle that is releasably attachable to either end of the needle.34. The assembly of comprising the needle and a second needle claim 33 , the second needle sized and shaped to extend substantially between an abdominal wall and vaginal tissue of a female patient claim 33 , the assembly comprising a second handle that is releasably attachable to either end of the second needle.35. The assembly of comprising a tension adjustment member extending along a length of at least one of the first elongate end section and the second elongate end section.36. The assembly of wherein the ...

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Номер записи: 70
10-10-2013 дата публикации

Single plane tissue repair patch

Номер: US20130267970A1
Автор: Emil Richard Skula, Harry Martin Chomiak, Lynn McRoy, Michael Cardinale, Robert J. Tannhauser
Принадлежит: Ethicon Inc

A novel single plane tissue repair patch is disclosed. The patch has a base member with an opening therethrough, and a closure member associated with the opening. The mesh may be used in open surgical procedures for hernia repairs and other repairs of body wall defects.

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Номер записи: 71
10-10-2013 дата публикации

SINGLE PLANE TISSUE REPAIR PATCH

Номер: US20130267971A1
Автор: Cardinale Michael, Liu Xiaodong
Принадлежит: Ehticon, Inc.

A novel single plane tissue repair device such as a patch is disclosed. The device has a base member with an opening therethrough, and a closure member associated with the opening. The mesh has a biaborbable polymeric adhesion barrier attached to the bottom side of the base member about its periphery to form a pocket that is accessible through the opening. The mesh may be used in open surgical procedures for hernia repairs and other repairs of body wall defects. 1. A tissue defect repair device , comprising:a substantially flat base member having a top side, a bottom side, an outer periphery and a peripheral edge;an opening located in said base member;a closure member associated with said opening; and,a polymeric, bioabsorbable adhesion barrier member having a top side, a bottom side, an outer periphery, and a perhipheral edge, said adhesion barrier mounted to the base member about their respective outer peripheries such that a pocket is formed between the top side of the adhesion barrier and the bottom side of the base member, said pocket accessible through the opening;2. The tissue repair device of claim 1 , additionally comprising a polymeric film on at least one side of the base member.3. The tissue repair device of claim 1 , wherein the adhesion barrier member is substantially flat.4. The tissue repair device of claim 1 , wherein the adhesion barrier member is curved.5. The tissue repair device of claim 1 , wherein the adhesion barrier member is shaped.6. The device of claim 1 , wherein the base member comprises a mesh.7. The device of claim 1 , wherein the base member comprises a fabric.8. The device of claim 8 , wherein the fabric is woven.9. The device of claim 8 , wherein the fabric is nonwoven.10. The device of claim 1 , wherein the base member comprises an expanded polymeric film.11. The device of claim 1 , wherein the base member comprises a biocompatible claim 1 , nondegradable polymer.12. The device of claim 1 , wherein the base member comprises a ...

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Номер записи: 72
10-10-2013 дата публикации

POLYMERIC MESH PRODUCTS, METHOD OF MAKING AND USE THEREOF

Номер: US20130267972A1
Автор: Hilas Georgios T., Peniston Shawn J.
Принадлежит: POLY-MED, INC.

A polymeric mesh is disclosed. The polymeric mesh comprises an absorbable polymeric fiber and a non-absorbable polymeric fiber knitted together to form an interdependent, co-knit mesh structure. The polymeric mesh may further comprise an anti-adhesive coating and/or a radio/ultrasound opaque additive. Also disclosed are methods for making the polymeric mesh and methods for using the polymeric mesh. 1. A polymeric mesh , comprising:an absorbable polymeric fiber; anda non-absorbable synthetic polymeric fiber,wherein said absorbable polymeric fiber and said non-absorbable polymeric fiber are co-knit to form an interdependent mesh structure, and wherein said non-absorbable polymeric fiber comprises polyethylene terephthalate (PET).2. The polymeric mesh of claim 1 , wherein said non-absorbable polymeric fiber comprises a homopolymer of PET.3. The polymeric mesh of claim 1 , wherein said absorbable fiber and non-absorbable fiber are co-knit using different knit patterns claim 1 , and wherein the knit pattern of the non-absorbable fiber facilitates uniaxial and multiaxial deformation subsequent to the substantial loss of mechanical properties for the absorbable fiber knit mesh.4. The polymeric mesh of claim 1 , wherein said absorbable fiber comprises a polyaxial claim 1 , segmented biodegradable copolyester.5. The polymeric mesh of claim 4 , wherein said polyaxial claim 4 , segmented biodegradable copolyester comprises a glycolide/L-lactide/trimethylene carbonate copolymer.6. The polymeric mesh of claim 5 , wherein the glycolide/L-lactide/trimethylene carbonate copolymer is 92:8 95/5 glycolide/L-lactide:trimethylene carbonate.7. The polymeric mesh of claim 4 , wherein said absorbable fiber comprises a PEG/glycolide/L-lactide copolymer.8. The polymeric mesh of claim 7 , wherein the PEG/glycolide/L-lactide copolymer is 8:92 PEG 20 claim 7 , 000:94/6 L-lactide/glycolide.9. The polymeric mesh of claim 1 , wherein said absorbable fiber comprises a homopolymer of polydioxanone. ...

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Номер записи: 73
17-10-2013 дата публикации

ADJUSTABLE IMPLANT FOR THE TREATMENT OF URINARY INCONTINENCE

Номер: US20130274545A1
Автор: Jenkins Kristina Yim
Принадлежит: BOSTON SCIENTIFIC SCIMED, INC.

In an embodiment, the present invention discloses a medical assembly, including a sub-urethral implant, a strap, a dilator, and a suture. The implant includes a first end portion and a second end portion such that the strap is configured to be attached to the first end portion of the implant. The strap is attached to the implant through a weld. The strap is further configured to be coupled to the dilator. The suture can be coupled to the dilator. 1. A medical assembly comprising:an implant having a first end portion and a second end portion;a strap configured to be attached to the first end portion of the implant such that the strap is attached to the implant through a weld;a dilator configured to be coupled to the strap; anda suture coupled to the dilator.2. The medical assembly of claim 1 , wherein the strap is a first strap claim 1 , the medical assembly further comprising:a second strap configured to be attached to the second end portion of the implant.3. The medical assembly of claim 1 , wherein the strap includes a top surface and a bottom surface claim 1 , the top surface and the bottom surface not defining a lumen claim 1 , the bottom surface configured to be attached to a surface of the implant at the first end portion.4. The medical assembly of claim 1 , wherein the strap is a sleeve that defines a lumen to enclose the first end portion of the implant.5. The medical assembly of claim 2 , wherein the dilator is a first dilator claim 2 , the medical assembly further comprising:a second dilator configured to be coupled to the second strap.6. The medical assembly of claim 5 , wherein the suture is a first suture claim 5 , the medical assembly further comprising:a second suture coupled to the second dilator.7. The medical assembly of further comprising:a first needle and a second needle configured to be coupled to the first dilator and the second dilator through the first suture and the second suture.8. The medical assembly of claim 1 , wherein the weld is one ...

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Номер записи: 74
17-10-2013 дата публикации

HYDRAULIC URETHRAL OCCLUSIVE DEVICE

Номер: US20130274546A1
Автор: Anderson David W., Esarey Bernard J.
Принадлежит: GT UROLOGICAL, LLC

A totally implantable method for occluding the urethra or bladder neck utilizing an occlusive cuff connected to a control mechanism via a conduit tube. The occlusive cuff is reversibly changed from an activated (occlusive condition) to a de-activated (non-occlusive) condition by depressing a deactivation button contained within a resilient, elastomeric sheath surrounding the control mechanism. The occlusive condition is once again obtained by depressing an activation button also situated within the resilient sheath. In the occlusive condition, a preset tension is applied to a flexible diaphragm through a tensioning suture by a constant force spring contained within the control mechanism. This tension is translated into an occlusive pressure applied to the urethra or bladder neck sufficient to prevent urinary leakage. 1. An implantable occlusive device , comprising:an occlusive cuff;a control mechanism; anda pressure compensator,the control mechanism is in fluid communication with the occlusive cuff, through attachment via a flexible tube,the control mechanism is in fluid communication with an inner portion of the pressure compensator, through attachment via a flexible conduit,the control mechanism including an activation button and a deactivation button, the activation button upon depression, hydraulically inflates with hydraulic fluid the occlusive cuff to apply a preset occlusive pressure on the tubular body, the deactivation button upon depression, hydraulically evacuates the hydraulic fluid from the occlusive cuff to remove the preset occlusive pressure on the tubular body.2. The device of claim 1 , wherein the occlusive cuff is adjustable to encircle a urethra.3. The device of claim 2 , wherein the occlusive cuff comprises an expandable pouch affixed to a cuff backing strip claim 2 , the expandable pouch is inflatable when the hydraulic fluid enters the expandable pouch through the flexible tube so as to apply the preset urethral pressure claim 2 , and the ...

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Номер записи: 75
24-10-2013 дата публикации

Method of treating incontinence and treatment device including non-porous cuff and extending members

Номер: US20130281766A1
Автор: Christopher Deegan, Mark A. Moschel, Steven McClurg
Принадлежит: Coloplast AS

A method of treating urinary incontinence includes making an incision and exposing tissue of a urethra. The method additionally includes inserting a non-porous sheet into the incision and forming a cuff around the urethra with the non-porous sheet by directing a first end of the non-porous sheet through a slot formed in a second end of the non-porous sheet. The method additionally includes directing an extending member that is attached to the non-porous sheet to a location exterior of a pelvis. The method further includes configuring the cuff to tighten around the urethra when pulling on the first end of the non-porous sheet, and configuring the cuff to be loosely positioned around the urethra when pulling on the extending member.

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Номер записи: 76
24-10-2013 дата публикации

IMPLANTABLE MEDICAL DEVICE AND METHODS OF DELIVERING THE IMPLANTABLE MEDICAL DEVICE

Номер: US20130281768A1
Автор: Dolan Andrew
Принадлежит: BOSTON SCIENTIFIC SCIMED, INC.

In one general aspect, a medical device can include a first elongate member made of a material and having a proximal end portion configured to be attached to a first portion of a bodily portion within a body of a patient where the first elongate member has a distal end portion. The medical device can include a second elongate member made of the material and having a proximal end portion configured to be attached to a second portion of the bodily portion where the first elongate member has a distal end portion. The medical device can also include a third elongate member having a proximal end portion in contact with and coupled to the distal end portion of the first elongate member and in contact with and coupled to the distal end portion of the second elongate member. 1. A medical device , comprising:a first elongate member having a proximal end portion and a distal end portion, the proximal end portion of the first elongate member configured to be attached to a first portion of a bodily portion within a body of a patient;a second elongate member having a proximal end portion and a distal end portion, the proximal end portion of the second elongate member configured to be attached to a second portion of the bodily portion; anda third elongate member having a proximal end portion, the proximal end portion having a first side coupled to a surface of the distal end portion of the first elongate member and having a second side coupled to a surface of the distal end portion of the second elongate member such that the proximal end portion of the first elongate member and the proximal end portion of the second elongate member are on a proximal end of the medical device opposite a distal end of the medical device including a distal edge of the third elongate member.2. The medical device of claim 1 , wherein at least one of the first elongate member or the second elongate member includes a biologic material claim 1 , the third elongate member includes a synthetic material.3. ...

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Номер записи: 77
24-10-2013 дата публикации

Implants And Procedures For Treatment Of Pelvic Floor Disorders

Номер: US20130281770A1
Автор: Bryon Merade, Francois Blaudeau, Red Alinsod, Sandra Muhlfeld, Ty Erickson, Wang Stephen
Принадлежит: Caldera Medical, Inc.

Implants for the treatment of pelvic support conditions and methods of implementing the same. The implants comprise relatively soft, flexible bodies and relatively strong arms extending in predetermined orientation therefrom. Methods and devices for placing the implants minimize trauma to the pelvic floor and provide well-anchored support to pelvic organs without interfering with sexual or other bodily functions.

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Номер записи: 78
24-10-2013 дата публикации

Apparatus and Method to Facilitate Position of Prosthetic Mesh

Номер: US20130282033A1
Автор: Caballero Gerardo A.
Принадлежит:

There is disclosed an apparatus and a method for using a hernia surgical kit in a surgical procedure. The kit includes a prosthetic mesh sheet having a smooth side and a sticky side. The kit further includes a first support rod and a second support rod. 1. A method for using a hernia surgical kit in a surgical procedure , the kit including a prosthetic mesh sheet having a smooth side and a sticky side , a first support rod and a second support rod , the method comprising:placing the first support rod proximate a distal edge of the sticky side of the prosthetic mesh sheet;folding the distal edge over the first support rod and coupling the distal edge to the sticky side forming a first fold-over;placing the second support rod proximate a proximal edge of the prosthetic mesh sheet;folding the proximal edge over the second support rod and coupling the proximal edge to the sticky side forming a second fold-over;moving the second fold-over toward the first fold-over forming a third fold-over, wherein the second fold-over is coupled to the sticky side below the first fold-over;moving the third fold-over toward the first and second fold-over forming a fourth fold-over, wherein the third fold-over is coupled to the sticky side below the second fold-over;rotating the folded prosthetic sheet 180°;inserting the folded prosthetic sheet into a body cavity through an umbilical port defined in the body;unfolding the fourth fold-over inside the body cavity;unfolding the third fold-over inside the body cavity and securing the first fold-over to the underside of the body cavity wall;using the second fold-over with the second support rod securing the prosthetic mesh at a selected location to the underside of the body cavity wall;removing the first and second support rod; andcompleting the surgical procedure.2. The method of claim 1 , further comprising at least one additional fold-over forming a nth fold-over.3. The method of claim 1 , wherein the prosthetic mesh sheet is a rectangular ...

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Номер записи: 79
24-10-2013 дата публикации

MEDICAL ASSEMBLY WITH TACTILE FEEDBACK

Номер: US20130282034A1
Автор: Chu Michael S. H., Flynn Kenneth M., Goddard James M., Joshi Sharmad S.
Принадлежит: BOSTON SCIENTIFIC SCIMED, INC.

The present invention discloses a medical assembly including an implant, a first sleeve, a second sleeve and an elongate member. The implant has a first portion, a second portion and a mid portion. The first portion of the implant is configured to be enclosed by the first sleeve and the second portion of the implant is configured to be enclosed by the second sleeve. The elongate member is configured to couple the implant with the first sleeve and the second sleeve and is configured to respectively extend from the first portion to the mid portion of the implant and past the mid portion such that the elongate member exits the implant through the mid portion and forms a loop near the mid portion. 2. The medical assembly of claim 1 , wherein the first sleeve and the second sleeve together encloses a maximum of half of a total length of the implant.3. The medical assembly of claim 1 , wherein the first sleeve and the second sleeve are thin walled flat tubes configured to enclose at least some portion of the implant at ends.4. The medical assembly of further comprising a first dilator configured to be coupled to the first sleeve claim 1 , and a second dilator configured to be coupled to the second sleeve.5. The medical assembly of claim 1 , wherein the first elongate member claim 1 , the second elongate member and the third elongate member include one of a thread claim 1 , and a medical suture.6. The medical assembly of claim 1 , wherein each of the first elongate member and the second elongate member has a single suture running along a portion of length of the implant.7. The medical assembly of claim 1 , wherein each of the first elongate member and the second elongate member has multiple sutures running along a portion of length of the implant adjacent one another.8. A medical assembly comprising:an implant having a first portion, a second portion and a mid portion between the first portion and the second portion;a first sleeve configured to enclose the first portion of ...

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Номер записи: 80
24-10-2013 дата публикации

Prosthetic Mesh for Laparoscopic Repair of Inguinal Hernia

Номер: US20130282035A1
Автор: Iraci Joseph, Zoland Mark P.
Принадлежит: Conform, LLC

An implantable prosthetic mesh for repair of an inguinal hernia. The prosthetic mesh includes a conforming soft mesh portion and two displaced portions each having a three dimensional shape and constructed of a stiffer mesh material. The soft mesh portion can be draped over the tissue and spermatic cords, and the two three-dimensional portions formed from the stiffer mesh material are adapted to enter into and be received deep within the respective space defined in the anatomy at each of direct and indirect spaces surrounding the inferior epigastric vessels. 1. A prosthetic mesh for laparoscopic repair of a tissue defect in a patient , comprising:a) a first mesh portion defining a peripheral boundary; andb) first and second three-dimensional portions within said peripheral boundary and displaced from each other by said first mesh portion, each of said first and second three-dimensional portions having a stiffer construction than said first mesh portion.2. A prosthetic mesh according to claim 1 , wherein:each of said first and second three-dimensional portions has a convex first side.3. A prosthetic mesh according to claim 2 , wherein:each of said first and second three-dimensional portions has a concave second side.4. A prosthetic mesh according to claim 1 , wherein:said first and second three-dimensional portions are displaced from each other in a medial-lateral direction.5. A prosthetic mesh according to claim 1 , wherein:one of said first and second three-dimensional portions is larger than the other of said first and second three-dimensional portions.6. A prosthetic mesh according to claim 5 , wherein:said second three-dimensional portion is located lateral of said first three-dimensional portion.7. A prosthetic mesh according to claim 1 , wherein:said first mesh portion and said first and second three-dimensional portions are biocompatible polymeric constructs.8. A prosthetic mesh according to claim 1 , wherein:said first mesh portion is constructed of a ...

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Номер записи: 81
31-10-2013 дата публикации

Packaging for a Size Varying Series of Femoral Stem Components for Artificial Hip Joints

Номер: US20130284629A1
Автор: Tad Ray Kinyon
Принадлежит: Perfecseal Inc

The present disclosure is concerned with packaging which can accommodate a series of femoral stem components for prosthetic hip joints which have a dimension which varies minimally across the series but which vary considerably in overall size. The packaging is designed to minimize the travel of any member of the series packaged therein such that all the packaged components in the series can pass the standard handling and shipping tests typically used by the manufacturers of medical implants. The packaging comprises two thermoformed tray components which each carry three types of cavities which are interconnected. The tray components are designed to be assembled with their cavities facing each other. The cavities are designed to contain the lower stem, body and angled shaft of the stem component, respectively. The cavities for the lower stem and the body cooperate to capture the minimally varying dimension of the series.

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Номер записи: 82
31-10-2013 дата публикации

MEDICAL DEVICE AND MEDICAL DEVICE ASSEMBLY

Номер: US20130289339A1
Автор: Karino Wataru
Принадлежит: TERUMO KABUSHIKI KAISHA

A medical device includes a cover member and a holding member. The cover member includes: an accommodating section so provided as to be able to accommodate either one of a right lung and a left lung of a living body and freely deformable according to inflation and deflation of a lung which is accommodated in the state of accommodating the lung therein; and an opening through which the lung is introduced into the accommodating section. The holding member is provided at the opening of the cover member, deforms the aperture shape of the opening by having its oppositely located arbitrary portions brought closer to or away from each other, and so functions that the aperture area of the opening is thereby held constant before and after the deformation. 1. A medical device comprising:a cover member including an accommodating section provided so as to be able to accommodate either one of a right lung and a left lung of a living body, the accommodating section being freely deformable according to inflation and deflation of a lung which is accommodated in the state of accommodating the lung therein, and an opening through which the lung is introduced into the accommodating section; anda holding member which is provided at the opening of the cover member, which deforms aperture shape of the opening by having its oppositely located arbitrary portions brought closer to or away from each other, and by which aperture area of the opening can be held constant before and after the deformation.2. The medical device according to claim 1 ,wherein the holding member includes a main body section disposed along the opening, a connecting section provided on one end side of the main body section and being connectable with the main body section, and an extension section extending from a connection position between the main body section and the connecting section toward the other end side of the holding member; andthe aperture area of the opening can be changed by changing the connection ...

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Номер записи: 83
31-10-2013 дата публикации

LOW MASS DENSITY SURGICAL IMPLANT HAVING STRANDS AND METHODS OF USE

Номер: US20130289340A1
Автор: Browning James
Принадлежит:

A non-absorbable surgical implant for use in the treatment of a vaginal prolapse is provided. The implant includes a knitted mesh having a mass density of less than 25 g/m. The knitted mesh includes a monofilament, strands formed of the monofilament, major spaces located between adjacent strands and pores located within the strands. A method of treating a vaginal prolapse with a surgical implant is also provided. 1. A non-absorbable surgical implant for use in the treatment of a vaginal prolapse selected from the group consisting of urethrocoele prolapse , cystocoele prolapse , vault prolapse , uterine prolapse , enterocoele prolapse , and rectocoele prolapse , the implant comprising:{'sup': '2', 'claim-text': at least one biocompatible polypropylene monofilament having a diameter of from about 0.02 mm to 0.15 mm;', 'strands formed of the at least one monofilament and having a diameter of less than about 600 μm;', 'major spaces located between adjacent ones of the strands, the major spaces having a width of from about 1 mm to 10 mm; and', 'pores located within the strands, the pores having a diameter of from about 50 μm to 200 μm;, 'a knitted mesh having a mass density of less than 25 g/m, wherein the knitted mesh compriseswherein the implant is configured to be implanted in a region of the prolapse,wherein the knitted mesh is configured to be secured in place to treat the prolapse, andwherein at least one member from the group consisting of major spaces and pores is configured to allow blood to pass through the knitted mesh or to allow fibroblast throughgrowth.2. The implant of claim 1 , wherein the at least one monofilament has a diameter of from about 0.08 mm to 0.1 mm.3. The implant of claim 1 , wherein the implant has a width of from about 1 cm to 10 cm.4. The implant of claim 1 , wherein the knitted mesh is a warp knitted mesh.5. The implant of claim 1 , wherein the strands have a diameter of from about 150 μm to 600 μm.6. The implant of claim 1 , wherein the ...

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Номер записи: 84
31-10-2013 дата публикации

LOW MASS DENSITY SURGICAL IMPLANT AND METHODS OF USE

Номер: US20130289341A1
Автор: Browning James
Принадлежит:

A surgical implant adapted to treat a prolapse in a patient is provided. The implant comprises a knitted mesh having a mass density of less than 25 g/m. The knitted mesh includes at least one biocompatible polypropylene filament and openings. The implant is configured to be implanted in a region of the prolapse, wherein the prolapse is selected from the group consisting of urethrocoele prolapse, cystocoele prolapse, vault prolapse, uterine prolapse, enterocoele prolapse, and rectocoele prolapse. Methods of using a surgical implant are also provided. 1. A surgical implant adapted to treat a prolapse in a patient , the surgical implant comprising:{'sup': '2', 'claim-text': at least one biocompatible monofilament formed from polypropylene and having a diameter of from about 0.02 mm to 0.15 mm; and', 'openings formed between the at least one monofilament to allow blood to pass through the knitted mesh or to allow fibroblast throughgrowth,, 'a knitted mesh having a mass density of less than 25 g/m, wherein the knitted mesh compriseswherein the openings include at least one of pores having a diameter of from about 50 μm to 200 μm and major spaces having a width of from about 1 mm to 10 mm,wherein the implant is non-absorbable and is configured to be implanted in a region of the prolapse, wherein the prolapse is selected from the group consisting of urethrocoele prolapse, cystocoele prolapse, vault prolapse, uterine prolapse, enterocoele prolapse, and rectocoele prolapse, andwherein the knitted mesh is configured to be secured in place to treat the prolapse.2. The implant of claim 1 , wherein the at least one monofilament has a diameter of from about 0.08 mm to 0.1 mm.3. The implant of claim 1 , wherein the implant has a width of from about 1 cm to 10 cm.4. The implant of claim 1 , wherein the knitted mesh is a warp knitted mesh.5. The implant of claim 1 , wherein the openings include major spaces formed by spaced apart strands.6. The implant of claim 5 , wherein the ...

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Номер записи: 85
07-11-2013 дата публикации

Method and Apparatus for Securing a Urethral Sling to Pubic Bone

Номер: US20130296641A1
Автор: Arnal Kevin R., Inman Mona J., Lechner-Riehle Jeffrey A., Monarski Matthew J., Roychowdhury Suranjan, Rykhus Robert L., Watschke Eric S.
Принадлежит:

Surgical procedures, kits and implants for alleviating human incontinence, and particularly providing improved methods and apparatus to secure a urethral sling () to pubic bone () to support the urethra and alleviate incontinence are disclosed. Bone anchors () are driven into pubic bones with elongated bone anchor sutures () configured to be passed through openings of a urethral sling. Suture retainers are applied to the sutures to apply retentive force to the urethral sling to maintain the fixation of the urethral sling proximate to the pubic bone. 1. A surgical kit comprising:{'b': 30', '36', '38', '32', '24', '34', '26', '20', '40, 'a urethral sling () having opposed sling sides (, ) and extending between a first sling end () adapted to be coupled to a first pubic bone () and a second sling end () adapted to be coupled to a second pubic bone () to fix the urethral sling in a sub-urethral location to support the urethra () and alleviate incontinence, the urethral sling having or capable of having a sling opening () formed through the sling adjacent the first and second sling ends;'}{'b': 64', '84', '85', '87', '250', '350', '40', '30', '24', '26, 'at least one bone anchor () having a bone fixation mechanism adapted to be affixed to pubic bone and an elongated anchor suture (, , ; ; ) adapted to be passed through a urethral sling opening () to enable advancement of the urethral sling () over the suture body and toward a pubic bone (; ) after the bone anchor is affixed to the pubic bone; and'}{'b': 100', '160', '200', '270', '300', '310', '340', '102', '162', '204', '214', '272', '304', '312', '342', '104', '108', '164', '166', '168', '170', '172', '174', '220', '222', '224', '226', '228', '230', '274', '306', '308', '320', '322', '324', '326', '328', '330', '344, 'at least one suture retainer (; ; ; ; ; ; ) having a retainer body (; ; , ; ; ; ; ) and a retainer bore (, ; , , , , , ; ; ; ; ; ; ; ; , ; , , , , , ; ) through the retainer body, the retainer bore sized ...

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Номер записи: 86
07-11-2013 дата публикации

PROSTHESIS WITH ZIGZAG SEAM

Номер: US20130296898A1
Автор: Romuald Gaëtan
Принадлежит:

The present invention relates to a prosthesis () intended to be implanted at an implantation site, comprising means of information () intended to guide the surgeon for performing the implantation of the prosthesis according to a defined arrangement, said prosthesis comprising at least one porous textile () having two faces () separated by a certain thickness, said means of information comprising at least one seam () provided in said textile, said seam traversing the thickness of said textile from one face to the other of said textile while preserving said thickness of said textile, said seam defining a zigzag pattern on at least one face of the textile. 1152345. Prosthesis () intended to be implanted at an implantation site , comprising means of information () intended to guide the surgeon for performing the implantation of the prosthesis according to a defined arrangement , said prosthesis comprising at least one porous textile () having two faces ( , ) separated by a certain thickness , said means of information comprising at least one seam () provided in said textile , said seam traversing the thickness of said textile from one face to the other of said textile while preserving said thickness of said textile , said seam defining a zigzag pattern on at least one face of the textile.215. Prosthesis () according to the preceding claim , characterized in that said seam () also defines a zigzag pattern on the second face of the textile.315. Prosthesis () according to any one of the preceding claims , characterized in that said means of information comprise a plurality of seams defining a zigzag pattern () , arranged at specific places of said textile.41. Prosthesis () according to any one of the preceding claims , characterized in that said textile is a knitted fabric.51. Prosthesis () according to any one of to , characterized in that said textile is a three-dimensional knitted fabric.615. Prosthesis () according to any one of to , characterized in that said seams () ...

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Номер записи: 87
14-11-2013 дата публикации

Polyhydroxyalkanoate Medical Textiles and Fibers

Номер: US20130300018A1
Автор: Ahuja Ajay, Martin David P., Rizk Said, Williams Simon F.
Принадлежит:

Absorbable polyester fibers, braids, and surgical meshes with prolonged strength retention have been developed. These devices are preferably derived from biocompatible copolymers or homopolymers of 4-hydroxybutyrate. These devices provide a wider range of in vivo strength retention properties than are currently available, and could offer additional benefits such as anti-adhesion properties, reduced risks of infection or other post-operative problems resulting from absorption and eventual elimination of the device, and competitive cost. The devices may also be particularly suitable for use in pediatric populations where their absorption should not hinder growth, and provide in all patient populations wound healing with long-term mechanical stability. The devices may additionally be combined with autologous, allogenic and/or xenogenic tissues to provide implants with improved mechanical, biological and handling properties. 131-. (canceled)32. A method of making a medical textile from a fiber comprising P4HB polymer , comprising quenching the fiber following extrusion at a temperature that is greater than the glass transition temperature of the polymer , orienting the fiber at a temperature above the polymer's glass transition temperature , allowing the polymer time to crystallize , and then drawing the polymer to yield a fiber with a tensile strength greater than 126 MPa.33. The method of wherein the medical textile is a mesh.34. The method of wherein the mesh is knitted claim 33 , woven or braided.35. The method of wherein the mesh is a monofilament mesh.36. The method of wherein the mesh is a warp knit.37. The method of wherein the tensile strength of the fiber in the medical textile decreases less than 80% after implantation for 6 months.38. The method of wherein the weight average molecular weight of the fiber in the medical textile decreases less than 75% after implantation of the medical textile for 2 weeks.39. The method of wherein the fiber has an elongation ...

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Номер записи: 88
14-11-2013 дата публикации

MEDICAL SLINGS

Номер: US20130303839A1
Автор: Gellman Barry N., Slanda Jozef
Принадлежит: BOSTON SCIENTIFIC SCIMED, INC.

A medical sling made from material that is suitably shaped for use in a medical application has sides, portions of which are smoothed to prevent abrasion of surrounding tissue. 184-. (canceled)85. A method of treating a patient , the method comprising:positioning a mesh sling having a tanged section and an untanged section within the patient so that the untanged section is adjacent to a urethra of the patient.86. The method of claim 85 , wherein (a) the mesh sling includes a line comprising a surgical ink claim 85 , the line disposed at a midpoint of the untanged section claim 85 , and (b) the method includes aligning the line with a mid-urethra of the patient.87. The method of claim 85 , wherein the mesh sling includes a drug.88. The method of claim 87 , wherein the drug is an antimicrobial or an antibiotic.89. The method of claim 85 , wherein the mesh sling includes a first end and a second end opposite and away from the first end claim 85 , and first and second sides extending between the first and second ends claim 85 , and wherein each of the first and second sides includes a tanged section and an untanged section.90. The method of claim 85 , wherein the mesh sling comprises an absorbable material.91. The method of claim 85 , wherein the mesh sling comprises a non-absorbable material.92. The method of claim 85 , wherein the mesh sling is secured through the endopelvic fascia.93. A mesh sling for use in a medical application claim 85 , the mesh sling comprising:a plurality of sides, wherein at least one side includes a tanged portion and at least one side includes an untanged portion.94. The mesh sling of claim 93 , further comprising a drug.95. The mesh sling of claim 94 , wherein the drug is an antimicrobial or an antibiotic.96. The mesh sling of claim 93 , wherein the mesh sling comprises an absorbable material.97. The mesh sling of claim 93 , wherein the mesh sling comprises a non-absorbable material.98. The mesh sling of claim 93 , wherein at least two ...

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Номер записи: 89
14-11-2013 дата публикации

ATRAUMATIC MEDICAL DEVICE ANCHORING AND DELIVERY SYSTEM WITH ENHANCED ANCHORING

Номер: US20130303840A1
Автор: Deros Yani, Goldman Ian L., Ovans Craig
Принадлежит:

Systems and methods are delineated for treating urinary incontinence (UI). And more generally, systems and methods are delineated for providing medical treatment, wherein such systems and methods include means for attaching a structure to a patient and removing the structure without damage to the structure or the patient. An exemplary system for providing medical treatment comprises a structure for attachment to a patient, the structure having a generally rectangular shape and having extending therefrom a plurality of arms. The exemplary system also may include a plurality of fasteners, each including at least one retractable barb. 1a structure for attachment to a patient, the structure having a generally rectangular shape and having extending therefrom a plurality of arms;a first fastener coupled to the structure and including at least one retractable barb;a second fastener coupled to the structure and including at least one retractable barb;a third fastener coupled to the structure and including at least one retractable barb; anda fourth fastener coupled to the structure and including at least one retractable barb.. A system for providing medical treatment, the system comprising: This application is a non-provisional of and claims priority to: (1) U.S. Provisional Patent Application No. 61/624,525, filed Apr. 16, 2012; and (2) U.S. patent application Ser. No. 12/538,402, filed Aug. 10, 2009, which is a continuation-in-part of U.S. patent application Ser. No. 12/430,824, filed Apr. 27, 2009 (now U.S. Pat. No. 8,216,124), which claims priority to U.S. Provisional Patent Application No. 61/095,231, filed Nov. 3, 2008, the disclosures of each of the foregoing applications hereby being incorporated by reference in their entirety.1. Field of the InventionThe present invention relates to systems and methods for providing medical treatment and, more particularly, to systems and methods for providing medical treatment including means for attaching a structure to a patient ...

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Номер записи: 90
14-11-2013 дата публикации

Fluid Control System for Inflatable Sphincter Prostheses

Номер: US20130303841A1
Автор: Fogarty Terrence M.
Принадлежит:

A fluid transfer system for an inflatable sphincter prosthesis is disclosed. The implantable inflatable sphincter prosthesis may include a fluid transfer system and at least one inflatable cuff for occluding a body channel. The fluid transfer system may include an inflate pump, a deflate pump, and three one-way valves. 1. An implantable sphincter prosthesis comprising a fluid transfer system and at least one inflatable cuff for occluding a body channel , said fluid transfer system comprising:an inflate pump having a first elastomeric pump bulb, said first elastomeric pump bulb being volitionally deformable to create a positive intraluminal pump pressure that forces fluid to be exhausted from the inflate pump;a deflate pump having a second elastomeric pump bulb, said second elastomeric pump bulb being volitionally deformable to create a positive intraluminal pump pressure that forces fluid to be exhausted from the deflate pump;a first one-way valve located between said inflate pump and said at least one inflatable cuff with a first fluid flow through said first one-way valve directed from said inflate pump to said inflatable cuff;a second one-way valve located between said inflatable cuff and said inflate pump with a second fluid flow through said second one-way valve directed from said inflatable cuff to said inflate pump, the second one-way valve having a backpressure corresponding to a desired intraluminal pressure of the inflatable cuff in an inflated state, the first one-way valve having a backpressure greater than the backpressure of the second one-way valve; anda third one-way valve located between said inflatable cuff and said inflate pump and having a third fluid flow through said third one-way valve directed from said inflatable cuff to said inflate pump, the third one-way valve having at least substantially zero backpressure,wherein said fluid transfer system enables fluid to flow from said inflate pump to said inflatable cuff when said inflate pump is ...

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Номер записи: 91
28-11-2013 дата публикации

ANTI-EROSION SORFT TISSUE REPAIR DEVICE

Номер: US20130317286A1
Автор: Bluecher Lukas, Milbocker Michael
Принадлежит:

The present disclosure relates to surgical implants comprising a bioabsorbable incision reinforcement element, a long-term mesh, and a bioabsorbable coating disposed on the mesh. The surgical implants disclosed herein are useful in a variety of surgical procedures, particularly surgeries involving the pelvic floor. More particularly, the present disclosure relates to surgical implants, wherein an incision reinforcement element comprises a bioabsorbable material that degrades during a first time period, and the coating comprises a bioabsorbable material that degrades in a second time period, and the first time period is shorter than the second time period. 1. A surgical implant comprising a bioabsorbable incision reinforcement element , a long-term mesh , and a bioabsorbable coating disposed on the mesh.2. The surgical implant of claim 1 , wherein the incision reinforcement element comprises a bioabsorbable material that degrades during a first time period claim 1 , and the coating comprising a bioabsorbable material that degrades in a second time period claim 1 , and the first time period is shorter than the second time period.3. The surgical implant of claim 1 , wherein the long-term mesh comprises an areal mass of less than about 30 g/m.4. The surgical implant of claim 3 , wherein the long-term mesh comprises an areal mass of less than about 15 g/m.5. The surgical implant of claim 1 , wherein the bioabsorbable coating persists in vivo for a period of time between about 7 days and about 2 years.6. The surgical implant of claim 1 , further comprising an alignment marker.7. The surgical implant of claim 1 , wherein the incision reinforcement element is planar claim 1 , and wherein the incision reinforcement element is glued claim 1 , tied claim 1 , melted claim 1 , or otherwise attached to a first side of the mesh.8. The surgical implant of claim 1 , wherein the incision reinforcement element is planar claim 1 , and wherein the incision reinforcement element is cast ...

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Номер записи: 92
28-11-2013 дата публикации

Implantable attachment device, implant for treating prolapse of the pelvic floor comprising such a device and kit comprising said device

Номер: US20130317287A1
Автор: Farid Kamche, Gilles Solecki, Stephane Noel
Принадлежит: Cousin Biotech SAS

The present invention relates to an implantable attachment device comprising an elongate element which is tubular flexible and hollow delimiting an internal volume comprising a tightening loop, having a first circumference in the inactive position, formed by the portion of said tubular element in said internal volume between intake and outlet openings distant by a length. The device comprises blocking means of said portion in the internal volume of said elongate element, which can be deactivated under the effect of manual traction exerted on the first or second end of said elongate element, said traction enabling the sliding of said elongate element between said orifices and correlatively the formation of the tightening loop having a second circumference in the active position, the second circumference being less than the first circumference.

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Номер записи: 93
28-11-2013 дата публикации

Single plane tissue repair patch having a locating structure

Номер: US20130317527A1
Автор: Gabriel R. Jacinto, Michael Cardinale
Принадлежит: Ethicon Inc

A novel single plane tissue repair patch is disclosed. The patch has a base member with an opening therethrough, and a closure member associated with the opening. Mounted to the periphery of the bottom side of the base member is a locating structure. The mesh may be used in open surgical procedures for hernia repairs and other repairs of body wall defects.

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Номер записи: 94
05-12-2013 дата публикации

Implant insertion systems and methods of use

Номер: US20130324789A1
Автор: Daniel Joseph Smith, Jessica Liberatore, Michael Nordmeyer, Robert Nering, Trevor Brian Akehurst
Принадлежит: Ethicon Inc

An implant insertion system includes an implant, such as a surgical mesh, having at least one insertion tip secured to the implant. Each insertion tip has a tapered distal end, a proximal end, a base extending proximally from the tapered distal end, and a central lumen formed in the base having an opening facing the proximal end of the insertion tip. The system includes an insertion device having an outer shaft and a latching assembly provided at a distal end of the outer shaft that is insertable into the opening of the central lumen for selectively locking the insertion tip to the latching assembly. The latching assembly has an outer dimension that is changeable from expanded state for locking the insertion tip to the latching assembly to a non-expanded state for unlocking the insertion tip from the latching assembly.

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Номер записи: 95
05-12-2013 дата публикации

METHOD AND DEVICE FOR TREATING PELVIC ORGAN PROLAPSE

Номер: US20130324791A1
Автор: Jackson Roy P., Lescisin Lyndsay, Murphy Magnus, Quinlan David J., Vonderwalde Carlos
Принадлежит:

The present disclosure provides a method of repairing pelvic organ prolapse in a patient, comprising locating a suitable attachment point for fixing a prolapsed vagina to a support tissue in the prespinous area; providing a tissue interface; inserting the interface into the subfascial space of the pelvis through the vaginal epithelium; and positioning the interface and attaching to the attachment point and the rear fascia of the vaginal epithelium. The disclosure further provides a device comprising an elongate hollow element, having a distal end and a proximate end, of a stiffness and length selected to permit insertion of at least a portion of the device from within a subjects vagina through the vaginal epithelium into the subfascial space of the pelvis; and a detachable tissue interface suitable for attaching to the rear fascia of the vaginal epithelium and support tissue within the subfascial space of the pelvis. 1. A method for addressing a pelvic organ prolapse in a subject , comprising the steps of:a. locating a suitable attachment point for fixing a prolapsed vagina to a support tissue in the prespinous area;b. providing a tissue interface;c. inserting the interface into the subfascial space of the pelvis through the vaginal epithelium; andd. attaching the interface to the attachment point and the rear fascia of the vaginal epithelium.2. A method of addressing a pelvic organ prolapse in a subject , comprising the steps of:a. manually repositioning the subject's vagina to correct the prolapse;b. locating a suitable attachment point for the vagina within a support tissue in the subfascial space of the pelvis;c. penetrating the vaginal epithelium;d. inserting a tissue interface through the vaginal epithelium;e. securing the interface to the rear facia of the vaginal epithelium; andf. securing the interface to the attachment point.3. The method of wherein the penetration of the vaginal epithelium is an incision or puncture.4. The method of wherein the incision ...

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Номер записи: 96
12-12-2013 дата публикации

ROLLED FLEXIBLE IMPLANTS AND DEVICE FOR DEPLOYMENT THEREOF

Номер: US20130331868A1
Автор: Corbeil Scott E., Horton Anthony R., JR. Albert A., LePage
Принадлежит: ATRIUM MEDICAL CORPORATION

A deployment device for a flexible implant includes a housing and one or two chambers formed therein. When two chambers are included, the housing can have two elongate openings formed in its outer sides, each providing side access to one of the chambers, and the flexible implant can be rolled into a double-rolled configuration and placed in the chambers of the deployment device in such a way that a middle portion of the flexible implant is external to the housing. When the flexible implant is rolled and loaded in the deployment device, the flexible implant can extend out through open end(s) of the chamber(s) or can be encapsulated within the chamber(s). The flexible implant can be provided separate from the deployment device. The flexible implant can include a flexible base sheet including a body portion and a tab. A flexible separable layer can be removably disposed on the body portion. 1. A deployment system for a mesh or a film , comprising:an elongate housing with a chamber formed therein, the chamber having at least one open end providing access thereto; anda flexible implant comprising a flexible sheet base and a flexible separable layer removably disposed on the flexible sheet base;wherein the implant is removably disposed in the chamber of the housing in a rolled configuration about a central axis;wherein a longitudinal dimension of the implant in the rolled configuration along its central axis is greater than a longitudinal dimension of the chamber that is generally parallel to the central axis of the implant; andwherein a portion of the flexible sheet base extends out through the at least one open end of the chamber.2. The deployment system of claim 1 , wherein the flexible sheet base comprises a body portion and a tab extending from the body portion claim 1 , the flexible separable layer being removably disposed at least on the body portion.3. The deployment system of claim 2 , wherein the portion of the flexible sheet base that extends out through the at ...

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Номер записи: 97
12-12-2013 дата публикации

SURGICAL PROSTHESIS DEPLOYMENT DEVICE

Номер: US20130331940A1
Автор: Bienkiewicz Joseph, Swanick Thomas M.
Принадлежит: ATRIUM MEDICAL CORPORATION

A deployment device, system, and method for deploying a prosthesis. The deployment device includes a housing, a rod disposed within the housing and adapted to rotate relative to the housing, and one or more support members (e.g., bushings, bearings, etc.) rotatably supporting the rod within the housing. An elongate slit is disposed in and entirely through the housing and is positioned in a way that enables the prosthesis to pass therethrough from a loaded, rolled configuration on the rod. The deployment device is generally flexible, e.g., has a bending stiffness of at most about 0.87 N/mm (e.g., about 0.05 N/mm to about 0.87 N/mm). Furthermore, the deployment device enables a user to deploy (e.g., unroll) a prosthesis therefrom at a rate determined manually by the user and in a piece-by-piece fashion. 1. A prosthesis deployment system , comprising:an elongate housing extending along a longitudinal axis and comprising an exterior wall surrounding an interior cavity, the housing having a distal end and a proximal end;an elongate slit opening formed in and completely through the exterior wall of the housing to the interior cavity;a rotatable rod passing through the interior cavity of the housing and rotatably coupled to the housing; anda prosthesis loaded on the rod in a rolled configuration around the rod in such a way that at least a portion of the prosthesis is configured to extend out of the elongate slit opening in the exterior wall of the housing;wherein the prosthesis is deployed by being pulled through the elongate slit opening and unrolled from the rod; andwherein the deployment system with the prosthesis loaded on the rod prior to deployment has a bending stiffness of at most about 0.87 N/mm.2. The system of claim 1 , wherein the housing has an outer diameter of about 5 mm to about 10 mm and the bending stiffness of the deployment system is about 0.05 N/mm to about 0.87 N/mm.3. The system of claim 1 , wherein the housing has an outer diameter of about 3 mm.4. ...

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Номер записи: 98
19-12-2013 дата публикации

Hernia repair system

Номер: US20130338687A1
Автор: Ferass Abuzaina
Принадлежит: COVIDIEN LP

A hernia repair system includes a surgical patch, a dispenser, and a plurality of sutures. The surgical patch is movable between a contracted orientation and an expanded orientation. The dispenser includes a housing and a plunger. The housing defines a lumen. The plunger is movably secured within the lumen. The housing is configured to releasably retain the surgical patch within the lumen in the contracted orientation of the surgical patch. The plunger is configured to expel the surgical patch from the housing upon the selective actuation of the plunger from a first position to a second position. The surgical patch is autonomously positionable in the expanded orientation upon being expelled from the lumen. The plurality of sutures are configured to securely mount the surgical patch to a tissue site when the surgical patch is positioned in the expanded orientation.

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Номер записи: 99
26-12-2013 дата публикации

Prosthesis Comprising a Three-Dimensional and Openworked Knit

Номер: US20130345728A1
Автор: Lecuivre Julie
Принадлежит: SOFRADIM PRODUCTION

The present invention relates to a prosthesis () comprising an openworked three-dimensional knit () comprising a front face and a rear face, each face being formed with one or more laps of yarns defining pores on said face, the front face being bound to the rear face by connecting yarns defining a spacer, characterized in that the connecting yarns are distributed so that they define an entanglement of yarns crossing each other at the spacer, without obstructing the pores of the front and rear faces. 1100101. A prosthesis () comprising at least one openworked three-dimensional knit () comprising two opposite faces , for example a front face and a rear face , each face being formed with one or several laps of yarns defining pores on said face , one face being bound to the opposite face by connecting yarns defining a spacer , characterized in that the connecting yarns are distributed so that they define a crisscrossing set of yarns crossing each other at the spacer , without obstructing the pores of the two opposite faces.2100. The prosthesis () according to claim 1 , characterized in that one face being formed with r rows and n columns of stitches claim 1 , located facing r′ rows and n′ columns of stitches forming the opposite face claim 1 , with at least one portion of the connecting yarns claim 1 , at either regular row number intervals or not claim 1 , connects a column n claim 1 , of one of the two faces to the column (n′+x) claim 1 , wherein x ranges from 2 to 5 claim 1 , of the opposite face claim 1 , and claim 1 , at either regular row number intervals or not claim 1 , connects a column nof one of the two faces to the column (n′−x′) of the opposite face claim 1 , wherein x′ ranges from 2 to 5.3100. The prosthesis () according to claim 2 , wherein x=x′.4100. The prosthesis () according to claim 3 , wherein x=x′=2.5100. The prosthesis () according to claim 2 , wherein x is different from x′.6100. The prosthesis () according to claim 1 , wherein the connecting ...

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Номер записи: 100