WO2001006951A1 - Treillis correcteur pour tissus corporels - Google Patents
Treillis correcteur pour tissus corporels Download PDFInfo
- Publication number
- WO2001006951A1 WO2001006951A1 PCT/EP2000/007131 EP0007131W WO0106951A1 WO 2001006951 A1 WO2001006951 A1 WO 2001006951A1 EP 0007131 W EP0007131 W EP 0007131W WO 0106951 A1 WO0106951 A1 WO 0106951A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- mesh
- corrective
- body tissues
- tissues according
- main body
- Prior art date
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/0004—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse
- A61F2/0031—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse for constricting the lumen; Support slings for the urethra
- A61F2/0036—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse for constricting the lumen; Support slings for the urethra implantable
- A61F2/0045—Support slings
Definitions
- the present invention relates to a corrective mesh for body tissues.
- the present invention concerns a corrective mesh and its application into human body in order to solve particularly the problems associated to female incontinence.
- the postoperative course is not short and painless for the patient and furthermore the stresses, which the collapsed tissue is subjected to, can determine further collapses or strength unbalance on the other vaginal segments. Moreover during the long distance "follow up” the percentage of relapses by using such techniques, varies from 3% to 70%, as it is indicated in last decade's literature.
- the object of the present invention is to avoid such prior art drawbacks.
- the invention aims to a corrective mesh for body tissues of easy conception and application, which by its correct positioning substitutes the collapsed body tissue in its functionality.
- a corrective mesh for body tissues which comprises a main body provided with at least a pair of upper lateral fins adapted to be introduced along with the main body in appropriate body cavities.
- the corrective mesh for body tissues according to the invention is characterized by the features recited in claim 1.
- the use of the present mesh on patients with different anatomic characteristics and for several pathologies is possible because said main body and said upper-lateral fins are substantially rectangular shaped with rounded vertexes.
- the mesh according to the present invention is perfectly bio-compatible and avoids any kind of rejection problem because said mesh is made of monofilament polypropylene.
- the placement of the present corrective mesh is especially easy because the mesh is completely wrapped by a nylon sheath.
- Figure 1 is a top view of a corrective mesh for body tissues according to the invention.
- Figure 2 is a top view of a second embodiment of the corrective mesh according to the invention.
- Figure 3 is a top view of a third embodiment of the present corrective mesh.
- Figure 4 is a top view of a further embodiment of the mesh according to the invention.
- Figure 5 is a top view of an embodiment of the present corrective mesh having a greater covering area.
- Figure 6 is a top view of a further embodiment of the mesh according to the invention.
- the corrective mesh 1 for body tissues according to the invention comprises, independently from the final embodiment, a central body 2 which is substantially rectangular shaped with rounded vertexes.
- the length ratio between a pair of parallel sides can change according to the model, because for every patient a dimensional model which is more consistent with their anatomic characteristics is tried to be obtained.
- two lateral or upper lateral fins 3 divert, which are rectangular shaped with rounded vertexes as well and have an average variable length from about one to about five times the maximum length of said main body 2, achieving further variation of the typologies of obtainable models.
- the material used for carrying out the mesh according the present invention must be of course bio-compatible in order to avoid any kind of rejection and preferably it consists of monofilament propyiene.
- the total sizes of the complete mesh, as already cited, can be very different, e.g. models can have a central body 2 of 5x4 cm size with fins of 4 cm in length or models of 8x9 cm size as a whole or long models of 40 cm in length and 10mm in width.
- a mesh 11 has a central body 12 of rectangular shape whose size of the small sides is about half or a third part of the size of the long sides. From one of these long sides a pair of upper lateral rectangular fins 13 diverts. These fins are about four times longer than the size of the long side of the central body 12.
- Such an embodiment is nothing but a dimensional variant of the present invention. It is also particularly advantageous in the male abdominal surgery in order to avoid the pathology concerning prolapse of the rectum.
- a corrective mesh 21 is then shown especially adapted to be used on wide covering areas. It has a generally circular shaped main body 22 with a notch 25 preferably of rectangular shape in order to facilitate the positioning of the mesh 21 with respect of the urethra near the connection of two upper lateral fins 23 rectangular shaped with rounded vertexes.
- a further embodiment of the present mesh is clearly illustrated in Figure 6.
- a bulge 4 is provided in the mesh on the main body 2 near the connection of fins 3, said bulge 4 being preferably rectangular shaped.
- the corrective mesh 1 so obtained allows an easy connection to the urethra when it is desired.
- a nylon sheath (not illustrated in the drawings) wrapping the whole mesh 1 , 11 , 21 and as it will be illustrated below, is especially useful in the unfolding procedure of this sheath into the body.
- the surgical action needed to place the present corrective mesh in patients suffering from urinary incontinence is carried out preferably through the vaginal route in local anaesthesia.
- a small cut is made under the urethra and with the aid of an instrument generating a suitable space the present mesh is placed inside above the pubis.
- the mesh is placed without any suture and when in place the said nylon sheath is drawn out and the mesh remains fixed.
- Said fins 3, 13, 23 are particularly introduced laterally to urinary bladder neck into Retzius space through "tension-free” techniques by reducing consequently traumas due to the prior art methods which provided for the fixation of lateral branches of the different prosthesis into Retzius place.
- the surgery lasts a few ten minutes then the patient leaves the operating theatre without catheter and can be discharged from the hospital after 24 hours.
- the mesh 1, 11 , 21 substitutes for the function carried out by the collapsed tissue, instead of subjecting it to tensions which can determine further collapses or strength unbalances on the other vaginal segments.
Abstract
La présente invention concerne un treillis correcteur, destiné à des tissus corporels, constitué d'un corps principal (2, 12) doté au moins d'une paire d'ailettes latérales supérieures (3, 13) conçue afin d'être introduite avec le corps principal (2, 12) dans des cavités corporelles concernées.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
AU59870/00A AU5987000A (en) | 1999-07-27 | 2000-07-26 | Corrective mesh for body tissues |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
IT1999MI001660A IT1313574B1 (it) | 1999-07-27 | 1999-07-27 | Rete correttiva per tessuti corporei. |
ITMI99A001660 | 1999-07-27 |
Publications (1)
Publication Number | Publication Date |
---|---|
WO2001006951A1 true WO2001006951A1 (fr) | 2001-02-01 |
Family
ID=11383424
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/EP2000/007131 WO2001006951A1 (fr) | 1999-07-27 | 2000-07-26 | Treillis correcteur pour tissus corporels |
Country Status (3)
Country | Link |
---|---|
AU (1) | AU5987000A (fr) |
IT (1) | IT1313574B1 (fr) |
WO (1) | WO2001006951A1 (fr) |
Cited By (81)
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US6306079B1 (en) * | 1999-12-07 | 2001-10-23 | Arnaldo F. Trabucco | Mesh pubovaginal sling |
WO2002038079A3 (fr) * | 2000-11-13 | 2002-07-25 | Ethicon Gmbh | Implant pour maintenir la vessie d'une femme |
WO2003094784A2 (fr) * | 2002-05-07 | 2003-11-20 | Ams Research Corporation | Prothese uretrale pour hommes, a element de tension |
WO2003096929A1 (fr) * | 2002-05-15 | 2003-11-27 | American Medical Systems, Inc. | Implants et procedes de soin pelvien ameliores |
WO2004045457A1 (fr) * | 2002-11-15 | 2004-06-03 | Carey Tasca Pty Ltd | Procede de reparation chirurgicale du vagin endommage par le prolapsus d'un organe pelvien et materiaux et dispositifs prothetiques appropries pour etre utilises dans ce procede |
FR2852818A1 (fr) * | 2003-03-28 | 2004-10-01 | Emmanuel Delorme | Implant pour le traitement de la cystocele et dispositif pour la mise en place de cet implant |
WO2004098461A2 (fr) * | 2003-04-30 | 2004-11-18 | Ams Research Corporation | Prothese pour le traitement chirurgical du prolapsus urogenital et de l'incontinence urinaire feminine |
US6884212B2 (en) | 2000-09-07 | 2005-04-26 | Ams Research Corporation | Implantable article and method |
US6932759B2 (en) | 1999-06-09 | 2005-08-23 | Gene W. Kammerer | Surgical instrument and method for treating female urinary incontinence |
FR2871365A1 (fr) * | 2004-06-11 | 2005-12-16 | Analytic Biosurgical Solutions | Implant pour le traitement de la rectocele ou de la cystocele |
US7011688B2 (en) | 2002-05-10 | 2006-03-14 | C.R. Bard, Inc. | Prosthetic repair fabric |
US7083637B1 (en) | 1999-06-09 | 2006-08-01 | Tannhauser Robert J | Method and apparatus for adjusting flexible areal polymer implants |
US7121997B2 (en) | 1999-06-09 | 2006-10-17 | Ethicon, Inc. | Surgical instrument and method for treating female urinary incontinence |
US7156858B2 (en) | 2000-04-20 | 2007-01-02 | Ethicon G.M.B.H. | Implant |
US7175591B2 (en) * | 2001-03-28 | 2007-02-13 | George Kaladelfos | Treatment of vault prolapse |
US7285086B2 (en) | 2004-07-28 | 2007-10-23 | Ethicon, Inc. | Minimally invasive medical implant and insertion device and method for using the same |
AU2003275782B2 (en) * | 2002-11-15 | 2008-02-14 | Ethicon, Inc. | Method of surgical repair of vagina damaged by pelvic organ prolapse and prosthetic materials and devices suitable for use therein |
WO2008141315A1 (fr) * | 2007-05-14 | 2008-11-20 | Ethicon, Inc. | Implants et procédés de réparation du plancher pelvien |
US7658743B2 (en) | 1995-10-09 | 2010-02-09 | Ethicon, Inc. | Surgical instrument and method for treating female urinary incontinence |
US7758615B2 (en) | 2004-06-15 | 2010-07-20 | Colopast A/S | Parietal hook |
US7985173B2 (en) | 2002-03-01 | 2011-07-26 | Ethicon, Inc. | Method and apparatus for treating pelvic organ prolapses in female patients |
US8007430B2 (en) * | 2000-10-12 | 2011-08-30 | Coloplast A/S | Apparatus and method for treating female urinary incontinence |
US8047982B2 (en) | 2004-05-07 | 2011-11-01 | Ethicon, Inc. | Mesh tape with wing-like extensions for treating female urinary incontinence |
US8109866B2 (en) | 2005-04-26 | 2012-02-07 | Ams Research Corporation | Method and apparatus for prolapse repair |
US8123671B2 (en) | 2005-08-04 | 2012-02-28 | C.R. Bard, Inc. | Pelvic implant systems and methods |
US8128554B2 (en) | 2000-10-12 | 2012-03-06 | Coloplast A/S | System for introducing a pelvic implant |
US8215310B2 (en) | 2004-05-21 | 2012-07-10 | Coloplast A/S | Implant for treatment of vaginal and/or uterine prolapse |
US8460169B2 (en) | 2006-06-22 | 2013-06-11 | Ams Research Corporation | Adjustable tension incontinence sling assemblies |
US8480559B2 (en) | 2006-09-13 | 2013-07-09 | C. R. Bard, Inc. | Urethral support system |
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US8574149B2 (en) | 2007-11-13 | 2013-11-05 | C. R. Bard, Inc. | Adjustable tissue support member |
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US6932759B2 (en) | 1999-06-09 | 2005-08-23 | Gene W. Kammerer | Surgical instrument and method for treating female urinary incontinence |
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US8128554B2 (en) | 2000-10-12 | 2012-03-06 | Coloplast A/S | System for introducing a pelvic implant |
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US8118728B2 (en) | 2000-10-12 | 2012-02-21 | Coloplast A/S | Method for implanting an adjustable surgical implant for treating urinary incontinence |
US8118727B2 (en) | 2000-10-12 | 2012-02-21 | Coloplast A/S | Method for supporting pelvic anatomy |
US8007430B2 (en) * | 2000-10-12 | 2011-08-30 | Coloplast A/S | Apparatus and method for treating female urinary incontinence |
WO2002038079A3 (fr) * | 2000-11-13 | 2002-07-25 | Ethicon Gmbh | Implant pour maintenir la vessie d'une femme |
AU2002229525B2 (en) * | 2000-11-13 | 2006-04-27 | Johnson & Johnson Medical Gmbh | Implant for holding the female bladder |
US6808487B2 (en) | 2000-11-13 | 2004-10-26 | Roberto Migliari | Implant for holding the female bladder |
US7175591B2 (en) * | 2001-03-28 | 2007-02-13 | George Kaladelfos | Treatment of vault prolapse |
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Also Published As
Publication number | Publication date |
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ITMI991660A1 (it) | 2001-01-27 |
ITMI991660A0 (it) | 1999-07-27 |
IT1313574B1 (it) | 2002-09-09 |
AU5987000A (en) | 2001-02-13 |
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