DE10311990A1 - Subkutanes, intramuskuläres Lager für ein starres transkutanes Implantat - Google Patents

Subkutanes, intramuskuläres Lager für ein starres transkutanes Implantat Download PDF

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Publication number
DE10311990A1
DE10311990A1 DE10311990A DE10311990A DE10311990A1 DE 10311990 A1 DE10311990 A1 DE 10311990A1 DE 10311990 A DE10311990 A DE 10311990A DE 10311990 A DE10311990 A DE 10311990A DE 10311990 A1 DE10311990 A1 DE 10311990A1
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Germany
Prior art keywords
intermediate piece
fabric
rigid
braid
bushing
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
DE10311990A
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English (en)
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DE10311990B4 (de
Inventor
Hans Dr. Grundei
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Eska Implants GmbH and Co KG
Original Assignee
Eska Implants GmbH and Co KG
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority to DE10247397A priority Critical patent/DE10247397B3/de
Priority to DE10311990A priority patent/DE10311990B4/de
Application filed by Eska Implants GmbH and Co KG filed Critical Eska Implants GmbH and Co KG
Priority to AT03017531T priority patent/ATE300924T1/de
Priority to DE50300899T priority patent/DE50300899D1/de
Priority to ES03017531T priority patent/ES2246448T3/es
Priority to EP03017531A priority patent/EP1407727B1/de
Priority to JP2003343060A priority patent/JP2004130130A/ja
Priority to US10/678,707 priority patent/US6869450B2/en
Publication of DE10311990A1 publication Critical patent/DE10311990A1/de
Priority to HK04107914A priority patent/HK1067292A1/xx
Application granted granted Critical
Publication of DE10311990B4 publication Critical patent/DE10311990B4/de
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/50Prostheses not implantable in the body
    • A61F2/78Means for protecting prostheses or for attaching them to the body, e.g. bandages, harnesses, straps, or stockings for the limb stump
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    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
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    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
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Abstract

Es wird ein subkutanes, intramuskuläres Lager für ein starres transkutanes Implantat beschrieben, welches intrakorporal in einem Knochenstumpf verankerbar ist und welches ein Zwischenstück 3' zwischen dem intrakorporal zu verankernden Teil und einer daran ankoppelbaren extrakorporalen Kopplungseinrichtung aufweist, nach der deutschen Patentanmeldung 10247397.8. In Weiterbildung des Lagers gemäß der Hauptanmeldung ist vorliegend vorgesehen, dass auf den flexiblen Schlauch 7' ein mehrlagiges metallisches Gewirke, Gewebe, Geflecht und/oder eine mehrlagige metallische Wolle 8' aufgebracht ist, welche(s) sich kappenförmig um das Zwischenstück 3' herum erstreckt.

Description

  • Die vorliegende Erfindung betrifft eine Weiterbildung eines subkutanen, intramuskulären Lagers für ein starres transkutanes Implantat gemäß der deutschen Patentanmeldung 102 47 397.8.
  • Ziel für die Entwicklung eines derartigen Lagers war es, die Sicherheit gegen eine Verkeimung der Durchtrittsstelle des Implantates sowie der angrenzenden Bereiche des Oberschenkelstumpfes deutlich zu erhöhen. Eine Maßnahme war, ein flexibles Gitternetzwerk vorzusehen, welches eine große Anzahl von Durchbrechungen aufweist, welche nach der Operation im Laufe der Zeit durchsetzt werden von muskulärem Gewebe. Darüber hinaus ist vorgesehen worden, weiter distalseitig mit dem Gitternetzwerk metallische Wolle zu verkleben, welche nach Eingranulieren von Gewebematerial als weitere Keimschranke dient.
  • Wenn der Ansatz gemäß der Hauptanmeldung auch schon recht viel versprechend war, liegt der vorliegenden Erfindung die Aufgabe zugrunde, die Keimschranke noch weiter zu erhöhen.
  • Gelöst wird diese Aufgabe durch das Lager mit den Merkmalen gemäß Anspruch 1. Weitere vorteilhafte Ausgestaltungen ergeben sich aus den Unteransprüchen.
  • Demgemäß zeichnet sich das Lager dadurch aus, dass auf den flexiblen Schlauch ein mehrlagiges metallisches Gewirke und/oder Gewebe und/oder Geflecht und/oder eine mehrlagige metallische Wolle aufgebracht ist, welches) sich kappenförmig um das Zwischenstück herum erstreckt. Gegenüber dem Lager gemäß der Hauptanmeldung wird vor liegend also ein mehrlagiges metallisches Gewirke, Gewebe, Geflecht und/oder eine mehrlagige metallische Wolle verwendet, in welches) Gewebematerial eingranulieren kann und somit eine noch weiter erhöhte Keimschranke bietet. Das distalseitige Material des flexiblen Schlauches, welches sich von der Buchse kappenförmig erstreckt, ist sehr viel kürzer als das Gitternetzwerk gemäß der Hauptanmeldung. Vorliegend ist die Fläche, die von dem mehrlagigen metallischen Gewirke, Gewebe, Geflecht und/oder der mehrlagigen metallischen Wolle eingenommen wird, sehr viel größer als bei dem Lager gemäß der Hauptanmeldung.
  • Der flexible Schlauch und die sich distalseitig anschließende kappenförmige Verlängerung dienen der Isoelastizität und ermöglichen Mikrobewegungen. Der flexible Schlauch besteht vorzugsweise aus Silikon.
  • Damit sich das kappenförmig um das Zwischenstück herum erstreckende mehrlagige metallische Gewirke, Gewebe, Geflecht und/oder die mehrlagige metallische Wolle, leichter handhaben lässt, also während der Operation leichter den anatomischen Gegebenheiten anzupassen ist, ist gemäß einer besonders bevorzugten Ausführungsform vorgesehen, dass das mehrlagige metallische Gewirke, Gewebe, Geflecht und/oder die mehrlagige metallische Wolle vorzugsweise am Rand radial verlaufende Linien aufweist, entlang derer die mehreren Lagen miteinander verschweißt sind. Diese Verschweißungen werden vorzugsweise mittels eines Lasers erzeugt. Diese Linien ermöglichen eine bessere Anpassbarkeit an die anatomischen Gegebenheiten. Es ist auch denkbar, diese Linien als Schnittlinien anzusehen, entlang derer das mehrlagige metallische Gewirke, Gewebe, Geflecht und/oder die mehrlagige metallische Wolle auf Größe zugeschnitten werden kann, wobei aufgrund der Verschweißungen ein Ausfransen des mehrlagigen metallischen Gewirkes, Gewebes, Geflechtes und/oder der mehrlagigen metallischen Wolle nicht stattfindet.
  • Die Erfindung wird anhand eines Ausführungsbeispiels näher erläutert. Hierbei zeigt:
  • 1 schematisch das Zwischenstück des Lagers mit der kappenförmigen Einfassung durch die mehreren Lagen des metallischen Gewirkes, Gewebes, Geflechtes und/oder der metallischen Wolle, teilweise im Schnitt, und
  • 2 die Aufsicht, von distal gesehen, auf die kappenförmige Einfassung gemäß 1.
  • Auf die Offenbarung der Hauptanmeldung wird nachfolgend ausdrücklich Bezug genommen und die Abweichungen der vorliegenden Erfindung erläutert.
  • Das Zwischenstück 3' ist vorliegend als Doppelkonus ausgebildet. Das Zwischenstück 3' dient zur Ankoppelung des intrakorporal zu verankernden Teils mit einer extrakorporalen Kopplungsvorrichtung.
  • Mit dem Zwischenstück 3' fest verbunden ist eine starre Buchse 5'. Die Anordnung ist so gewählt, dass zwischen der Wandung der Buchse 5' und dem Zwischenstück 3' ein in Richtung intrakorporal geschlossener Ringraum 6' ausgebildet ist, in welchen die extrakorporale Kopplungseinrichtung setzbar ist.
  • Auf die Außenwandung der Buchse 5' ist ein Schlauch 7' aus flexiblem Material aufgebracht. Distalseitig ist dieser flexible Schlauch 7' so verlängert, dass er die Buchse 5' kappenförmig umfasst. Das flexible Material des Schlauches 7' verleiht der Anordnung die gewünschte Isoelastizität.
  • Der Schlauch 7' ist außen mit einer Lage eines mehrlagigen metallischen Gewirkes, Gewebes, Geflechtes und/oder einer mehrlagigen metallischen Wolle bedeckt. Eine weitere Lage des mehrlagigen metallischen Gewirkes, Gewebes, Geflechts und/oder der mehrlagigen metallischen Wolle 8' ist distalseitig angeordnet und zwar so, dass eine Lage auf jeder Seite des umgebogenen Endes des Schlauches 7' liegt. Von beiden Seiten kann also Gewebematerial eingranulieren, so dass das mehrlagige metallische Gewirke, Gewebe, Geflecht und/oder die mehrlagige metallische Wolle eine sichere Keimschranke ausbildet.
  • Damit die mehreren Lagen von metallischem Gewirke, Gewebe, Geflecht und/oder metallischer Wolle flexibel den anatomischen Gegebenheiten angepasst werden können, sind vorliegend radial verlaufende Linien 9' vorgesehen, entlang derer die mehreren Lagen des metallischen Gewirkes, Gewebes, Geflechtes und/oder der metallischen Wolle miteinander verschweißt sind. Sollen die Linien 9' als Schnittmuster dienen, so führt die Verschweißung dazu, dass ein Ausfransen des mehrlagigen metallischen Gewirkes, Gewebes, Geflechts und/oder der mehrlagigen metallischen Wolle nicht stattfindet.
  • 2 zeigt die Ansicht von distal und veranschaulicht noch einmal die Anordnung der Linien 9'.

Claims (5)

  1. Subkutanes, intramuskuläres Lager für ein starres transkutanes Implantat, welches intrakorporal in einem Knochenstumpf verankerbar ist und welches ein Zwischenstück (3') zwischen dem intrakorporal zu verankernden Teil und einer daran ankoppelbaren extrakorporalen Kopplungseinrichtung aufweist, nach der deutschen Patentanmeldung 102 47 397.8, gekennzeichnet durch – auf den flexiblen Schlauch (7') aufgebrachtes mehrlagiges metallisches Gewirke, Gewebe, Geflecht und/oder aufgebrachte mehrlagige metallische Wolle (8'), welches) sich kappenförmig um das Zwischenstück (3') herum erstreckt.
  2. Lager nach Anspruch 1, dadurch gekennzeichnet, dass der flexible Schlauch (7') aus Silikon besteht.
  3. Lager nach Anspruch 1 oder 2, dadurch gekennzeichnet, dass sich der flexible Schlauch (7') von der Buchse (5') kappenförmig erstreckt.
  4. Lager nach Anspruch 3, dadurch gekennzeichnet, dass der flexible Schlauch (7') beidseitig mit mehrlagigem metallischen Gewirke, Gewebe, Geflecht und/oder einer mehrlagigen metallische Wolle (8') belegt ist.
  5. Lager nach einem der Ansprüche 1 bis 4, dadurch gekennzeichnet, dass das mehrlagige metallisches Gewirke, Gewebe, Geflecht und/oder die mehrlagige metallische Wolle (8') radial verlaufende Linien (9') aufweist, entlang derer die mehreren Lagen miteinander verschweißt sind.
DE10311990A 2002-10-08 2003-03-12 Subkutanes, intramuskuläres Lager für ein starres transkutanes Implantat Expired - Fee Related DE10311990B4 (de)

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DE10247397A DE10247397B3 (de) 2002-10-08 2002-10-08 Subkutanes, intramuskuläres Lager für ein starres transkutanes Implantat
DE10311990A DE10311990B4 (de) 2002-10-08 2003-03-12 Subkutanes, intramuskuläres Lager für ein starres transkutanes Implantat
DE50300899T DE50300899D1 (de) 2002-10-08 2003-08-06 Subkutanes, intramuskuläres Lager für ein starres transkutanes Implantat
ES03017531T ES2246448T3 (es) 2002-10-08 2003-08-06 Soporte intramuscular subcutaneo para un implante transcutaneo rigido.
AT03017531T ATE300924T1 (de) 2002-10-08 2003-08-06 Subkutanes, intramuskuläres lager für ein starres transkutanes implantat
EP03017531A EP1407727B1 (de) 2002-10-08 2003-08-06 Subkutanes, intramuskuläres Lager für ein starres transkutanes Implantat
JP2003343060A JP2004130130A (ja) 2002-10-08 2003-10-01 剛性の経皮的なインプラントのための皮下の筋内の支持構造体
US10/678,707 US6869450B2 (en) 2002-10-08 2003-10-02 Subcutaneous, intramuscular support for a rigid transcutaneous implant
HK04107914A HK1067292A1 (en) 2002-10-08 2004-10-14 Subcutaneous, intra-muscular coupling for a rigid transcutaneous implant.

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DE10247397A DE10247397B3 (de) 2002-10-08 2002-10-08 Subkutanes, intramuskuläres Lager für ein starres transkutanes Implantat
DE10311990A DE10311990B4 (de) 2002-10-08 2003-03-12 Subkutanes, intramuskuläres Lager für ein starres transkutanes Implantat

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DE10311990A Expired - Fee Related DE10311990B4 (de) 2002-10-08 2003-03-12 Subkutanes, intramuskuläres Lager für ein starres transkutanes Implantat
DE50300899T Expired - Lifetime DE50300899D1 (de) 2002-10-08 2003-08-06 Subkutanes, intramuskuläres Lager für ein starres transkutanes Implantat

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ES2246448T3 (es) 2006-02-16
EP1407727A1 (de) 2004-04-14
JP2004130130A (ja) 2004-04-30
EP1407727B1 (de) 2005-08-03
US6869450B2 (en) 2005-03-22
DE10247397B3 (de) 2004-01-08
HK1067292A1 (en) 2005-04-08

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