WO1992006639A3 - Surgical plug ans surgical patch and insertion devices - Google Patents

Surgical plug ans surgical patch and insertion devices Download PDF

Info

Publication number
WO1992006639A3
WO1992006639A3 PCT/US1991/007601 US9107601W WO9206639A3 WO 1992006639 A3 WO1992006639 A3 WO 1992006639A3 US 9107601 W US9107601 W US 9107601W WO 9206639 A3 WO9206639 A3 WO 9206639A3
Authority
WO
WIPO (PCT)
Prior art keywords
sheath
plunger
surgical
distal end
plug
Prior art date
Application number
PCT/US1991/007601
Other languages
French (fr)
Other versions
WO1992006639A2 (en
Inventor
Mark Allen Eberbach
Original Assignee
Mark Allen Eberbach
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
Application filed by Mark Allen Eberbach filed Critical Mark Allen Eberbach
Priority to CA002079222A priority Critical patent/CA2079222C/en
Priority to AU89347/91A priority patent/AU658157B2/en
Priority to EP91920658A priority patent/EP0519022B1/en
Priority to DE69128467T priority patent/DE69128467T2/en
Publication of WO1992006639A2 publication Critical patent/WO1992006639A2/en
Publication of WO1992006639A3 publication Critical patent/WO1992006639A3/en

Links

Classifications

    • 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
    • A61F2/0063Implantable repair or support meshes, e.g. hernia meshes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39Markers, e.g. radio-opaque or breast lesions markers
    • 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
    • A61F2/0063Implantable repair or support meshes, e.g. hernia meshes
    • A61F2002/0068Implantable repair or support meshes, e.g. hernia meshes having a special mesh pattern
    • 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
    • A61F2/0063Implantable repair or support meshes, e.g. hernia meshes
    • A61F2002/0072Delivery tools therefor
    • 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30003Material related properties of the prosthesis or of a coating on the prosthesis
    • A61F2002/3006Properties of materials and coating materials
    • A61F2002/3008Properties of materials and coating materials radio-opaque, e.g. radio-opaque markers
    • 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30003Material related properties of the prosthesis or of a coating on the prosthesis
    • A61F2002/3006Properties of materials and coating materials
    • A61F2002/30092Properties of materials and coating materials using shape memory or superelastic materials, e.g. nitinol
    • 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
    • A61F2210/00Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2210/0014Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof using shape memory or superelastic materials, e.g. nitinol
    • 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
    • A61F2250/00Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0058Additional features; Implant or prostheses properties not otherwise provided for
    • A61F2250/0096Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers
    • A61F2250/0098Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers radio-opaque, e.g. radio-opaque markers

Abstract

A method and system for the repair of hernias through laparoscopic techniques including plugging and patching, the system comprising a first assembly (110) having a tubular sheath (128), a tubular plunger (126) located within and moveable with respect to the sheath (128), the plunger (126) having a distal end spaced proximally of the distal end of the sheath (128) and a proximal end extending proximally of the proximal end of the sheath (128); a plug (12) within the sheath (128) at the distal end and moveable from interior thereof to exterior thereof upon manipulation of the proximal ends of the sheath (128) and plunger (126) by a surgeon. The system further comprising a second assembly (10) having another tubular sheath (48); another tubular plunger (42) located within and moveable with respect to the other sheath (48), the proximal end of the other plunger (42) extending proximally outwardly of the other sheath (48) for manipulation by a surgeon; elongated means (36) extending through the other plunger (42) and, at the distal end thereof forming a loop (32), the proximal end (52) of the elongated means (36) extending proximally outwardly of the other sheath (48) for manipulation by a surgeon; and a patch (14) supported on the loop (32) for movement therewith.
PCT/US1991/007601 1990-10-11 1991-10-11 Surgical plug ans surgical patch and insertion devices WO1992006639A2 (en)

Priority Applications (4)

Application Number Priority Date Filing Date Title
CA002079222A CA2079222C (en) 1990-10-11 1991-10-11 Surgical plug and surgical patch and insertion devices
AU89347/91A AU658157B2 (en) 1990-10-11 1991-10-11 Surgical plug and surgical patch and insertion devices
EP91920658A EP0519022B1 (en) 1990-10-11 1991-10-11 Surgical patch and insertion device
DE69128467T DE69128467T2 (en) 1990-10-11 1991-10-11 SURGICAL PATCH AND INSERTION DEVICE

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US07/595,956 US5141515A (en) 1990-10-11 1990-10-11 Apparatus and methods for repairing hernias
US595,956 1990-10-11

Publications (2)

Publication Number Publication Date
WO1992006639A2 WO1992006639A2 (en) 1992-04-30
WO1992006639A3 true WO1992006639A3 (en) 1993-02-18

Family

ID=24385398

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US1991/007601 WO1992006639A2 (en) 1990-10-11 1991-10-11 Surgical plug ans surgical patch and insertion devices

Country Status (9)

Country Link
US (2) US5141515A (en)
EP (1) EP0519022B1 (en)
AT (1) ATE161159T1 (en)
AU (1) AU658157B2 (en)
CA (1) CA2079222C (en)
DE (1) DE69128467T2 (en)
DK (1) DK0519022T3 (en)
ES (1) ES2109952T3 (en)
WO (1) WO1992006639A2 (en)

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8888811B2 (en) 2008-10-20 2014-11-18 Covidien Lp Device and method for attaching an implant to biological tissue
US8906045B2 (en) 2009-08-17 2014-12-09 Covidien Lp Articulating patch deployment device and method of use
US9242026B2 (en) 2008-06-27 2016-01-26 Sofradim Production Biosynthetic implant for soft tissue repair
US9301826B2 (en) 2008-02-18 2016-04-05 Covidien Lp Lock bar spring and clip for implant deployment device
US9393093B2 (en) 2008-02-18 2016-07-19 Covidien Lp Clip for implant deployment device
US9393002B2 (en) 2008-02-18 2016-07-19 Covidien Lp Clip for implant deployment device

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* Cited by examiner, † Cited by third party
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EP0519022A1 (en) 1992-12-23
EP0519022B1 (en) 1997-12-17
US5366460A (en) 1994-11-22
ATE161159T1 (en) 1998-01-15
AU8934791A (en) 1992-05-20
CA2079222C (en) 2002-05-07
ES2109952T3 (en) 1998-02-01
US5141515A (en) 1992-08-25
DE69128467D1 (en) 1998-01-29
WO1992006639A2 (en) 1992-04-30
CA2079222A1 (en) 1992-04-12
DK0519022T3 (en) 1998-02-09
DE69128467T2 (en) 1998-06-25
AU658157B2 (en) 1995-04-06

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