EP1768603A1 - Suburethrales stützprothesenimplantat, hilfsmittel, einsetzsatz und chirurgisches einsetzverfahren dafür - Google Patents

Suburethrales stützprothesenimplantat, hilfsmittel, einsetzsatz und chirurgisches einsetzverfahren dafür

Info

Publication number
EP1768603A1
EP1768603A1 EP05777329A EP05777329A EP1768603A1 EP 1768603 A1 EP1768603 A1 EP 1768603A1 EP 05777329 A EP05777329 A EP 05777329A EP 05777329 A EP05777329 A EP 05777329A EP 1768603 A1 EP1768603 A1 EP 1768603A1
Authority
EP
European Patent Office
Prior art keywords
prosthetic implant
implant
blade
urethra
prosthetic
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.)
Withdrawn
Application number
EP05777329A
Other languages
English (en)
French (fr)
Inventor
Bernard Gilbert Robert Cristalli
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.)
Compagnie de Recherche en Composants Implants et Materiels pour lApplication Clinique SAS
Original Assignee
Compagnie de Recherche en Composants Implants et Materiels pour lApplication Clinique SAS
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 Compagnie de Recherche en Composants Implants et Materiels pour lApplication Clinique SAS filed Critical Compagnie de Recherche en Composants Implants et Materiels pour lApplication Clinique SAS
Priority to EP07022675A priority Critical patent/EP1911416B1/de
Priority to EP07022674A priority patent/EP1911415A1/de
Priority to PL07022675T priority patent/PL1911416T3/pl
Publication of EP1768603A1 publication Critical patent/EP1768603A1/de
Withdrawn legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/0004—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse
    • A61F2/0031—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse for constricting the lumen; Support slings for the urethra
    • A61F2/0036—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse for constricting the lumen; Support slings for the urethra implantable
    • A61F2/0045—Support slings
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00743—Type of operation; Specification of treatment sites
    • A61B2017/00805—Treatment of female stress urinary incontinence

Definitions

  • the present invention relates to the general technical field of implantable devices for correcting urinary incontinence, and in particular adapted to correct stress urinary incontinence in women.
  • the present invention more particularly relates to a suburethral prosthetic prosthetic implant comprising a substantially flexible elongated element and provided:
  • Another object of the invention is to propose a novel surgical method capable of being conducted by an exclusive vaginal route.
  • Another object of the invention is to propose a new surgical method likely to be feasible in ambulatory surgery.
  • FIG. 6 illustrates, in a view from above, the surgical instrument shown in FIG. - Figure 7 illustrates, in a sectional view along the line AA illustrated in Figure 6, a detail of embodiment of the surgical instrument illustrated in Figure 6.
  • the wings 10A, 10B are folded so that one of the edge 10 'of the wings 10A, 10B is superimposed on a corresponding edge 10 "of the main portion 2A of the elongate member 2 in order to be sewn with the latter ( Figure 4)
  • This embodiment of the gussets is well obviously given as an illustration and one could also imagine other configurations without departing from the scope of the invention.
  • the adjustment means 12 comprise at least a first adjustment gusset 7C disposed between the two end ghaets 7A, 7B towards one of said end gussets 7B and adapted to replace said end gusset 7B to form a means for holding the prosthetic implant 1, so as to shorten the latter.
  • FIG. 5 illustrates a surgical instrument in accordance with the invention for implanting a prosthetic implant 1 for suburethral support in a dissection space.
  • the dissection space is advantageously formed by a path arranged on either side of the urethra, oriented upwards, outwards and forwards, under the vaginal wall, first in the direction of the buccal ischio-pubic and then bypassing it from above, so as to allow the passage of the prosthetic implant 1.
  • the guide support 21 thus advantageously has a sliding surface 22.
  • the prosthetic implant 1 is then intended to be brought into contact with said sliding surface 22 and to move along the latter, used on the one hand as a support and on the other hand as a guide.
  • the first curved portion advantageously has a curvature substantially complementary to the bony curvature of the ischiopubic branch.
  • the concave portion 26 of said first curved portion 25 substantially conforms to the convex inner surface of the ischiopubic limb.
  • the surgical instrument 20 then advantageously constitutes an anatomical applicator making it possible to introduce the prosthetic implant 1 along a very precise path, located in the direct vicinity of the surgical instrument, and thus without risk of damaging the surrounding tissues.
  • the length of the surgical instrument 20 is substantially between 120 and 180 millimeters and preferably of the order of 160 millimeters.
  • the surgical instrument 20 thus comprises on the one hand the gripping portion 30, of length preferably substantially equal to 50 millimeters and, on the other hand, the guiding support 21, advantageously formed by the blade 23, of length preferably of order of 110 millimeters.
  • the surgeon preferably uses an object (or delivery tool) having a tapered end, such as the tip of curved scissors, to grasp the prosthetic implant 1.
  • the tip of the scissors is threaded into the one of the gussets 7A, 7B arranged at the ends 4, 5 of the prosthetic implant 1, for example of the polypropylene strip.
  • the tip of the scissors is then introduced into one of the two paths, where it is guided by the toboggan formed by the applicator, thus taking the corresponding end of the strip to its end position.
  • the tip of the scissors is held in position by the tip of the scissors while the applicator is removed.
  • the scissors are removed only afterwards, leaving half the strip in the path.
  • a substantially identical gesture is reproduced on the other side of the urethra, in order to position the second half of the strip.
  • the invention finds its industrial application in the design and manufacture of prosthetic implants for the treatment of urinary incontinence.

Landscapes

  • Health & Medical Sciences (AREA)
  • Urology & Nephrology (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)
  • Dental Preparations (AREA)
  • Materials For Medical Uses (AREA)
EP05777329A 2004-06-10 2005-06-10 Suburethrales stützprothesenimplantat, hilfsmittel, einsetzsatz und chirurgisches einsetzverfahren dafür Withdrawn EP1768603A1 (de)

Priority Applications (3)

Application Number Priority Date Filing Date Title
EP07022675A EP1911416B1 (de) 2004-06-10 2005-06-10 Prothesenimplantat zur suburethralen Stützung
EP07022674A EP1911415A1 (de) 2004-06-10 2005-06-10 Prothesenimplantat zur suburethralen Stützung und Einführungskit des Implantats
PL07022675T PL1911416T3 (pl) 2004-06-10 2005-06-10 Implant protetyczny do podparcia cewki moczowej

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
FR0406300A FR2871364B1 (fr) 2004-06-10 2004-06-10 Implant prothetique de soutenement sous uretral et instrument chirurgical pour son implantation
PCT/FR2005/001442 WO2006003314A1 (fr) 2004-06-10 2005-06-10 Implant pjrothetique de soutenement sous-uretral, instrument, kit d’introduction et methode chirurgicale pour son implantation

Related Child Applications (2)

Application Number Title Priority Date Filing Date
EP07022674A Division EP1911415A1 (de) 2004-06-10 2005-06-10 Prothesenimplantat zur suburethralen Stützung und Einführungskit des Implantats
EP07022675A Division EP1911416B1 (de) 2004-06-10 2005-06-10 Prothesenimplantat zur suburethralen Stützung

Publications (1)

Publication Number Publication Date
EP1768603A1 true EP1768603A1 (de) 2007-04-04

Family

ID=34948904

Family Applications (3)

Application Number Title Priority Date Filing Date
EP05777329A Withdrawn EP1768603A1 (de) 2004-06-10 2005-06-10 Suburethrales stützprothesenimplantat, hilfsmittel, einsetzsatz und chirurgisches einsetzverfahren dafür
EP07022674A Withdrawn EP1911415A1 (de) 2004-06-10 2005-06-10 Prothesenimplantat zur suburethralen Stützung und Einführungskit des Implantats
EP07022675A Expired - Lifetime EP1911416B1 (de) 2004-06-10 2005-06-10 Prothesenimplantat zur suburethralen Stützung

Family Applications After (2)

Application Number Title Priority Date Filing Date
EP07022674A Withdrawn EP1911415A1 (de) 2004-06-10 2005-06-10 Prothesenimplantat zur suburethralen Stützung und Einführungskit des Implantats
EP07022675A Expired - Lifetime EP1911416B1 (de) 2004-06-10 2005-06-10 Prothesenimplantat zur suburethralen Stützung

Country Status (9)

Country Link
US (1) US20050277806A1 (de)
EP (3) EP1768603A1 (de)
AT (1) ATE477763T1 (de)
CA (1) CA2569920A1 (de)
DE (1) DE602005023071D1 (de)
ES (1) ES2351096T3 (de)
FR (1) FR2871364B1 (de)
PL (1) PL1911416T3 (de)
WO (1) WO2006003314A1 (de)

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Also Published As

Publication number Publication date
FR2871364B1 (fr) 2007-09-14
WO2006003314A1 (fr) 2006-01-12
EP1911416B1 (de) 2010-08-18
ES2351096T3 (es) 2011-01-31
EP1911415A1 (de) 2008-04-16
US20050277806A1 (en) 2005-12-15
ATE477763T1 (de) 2010-09-15
CA2569920A1 (fr) 2006-01-12
DE602005023071D1 (de) 2010-09-30
PL1911416T3 (pl) 2011-03-31
FR2871364A1 (fr) 2005-12-16
EP1911416A1 (de) 2008-04-16

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