CA2485274A1 - Prosthetic repair fabric - Google Patents

Prosthetic repair fabric Download PDF

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Publication number
CA2485274A1
CA2485274A1 CA002485274A CA2485274A CA2485274A1 CA 2485274 A1 CA2485274 A1 CA 2485274A1 CA 002485274 A CA002485274 A CA 002485274A CA 2485274 A CA2485274 A CA 2485274A CA 2485274 A1 CA2485274 A1 CA 2485274A1
Authority
CA
Canada
Prior art keywords
implantable prosthesis
prosthesis according
edge
fabric
barrier
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
CA002485274A
Other languages
French (fr)
Other versions
CA2485274C (en
Inventor
Paul Vonryll Gryska
Stephen N. Eldridge
Roger E. Darois
Michael J. Lee
Valerie Vadurro
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.)
CR Bard Inc
Original Assignee
Individual
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 Individual filed Critical Individual
Priority to CA2733300A priority Critical patent/CA2733300C/en
Publication of CA2485274A1 publication Critical patent/CA2485274A1/en
Application granted granted Critical
Publication of CA2485274C publication Critical patent/CA2485274C/en
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

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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
    • A61F2/0063—Implantable repair or support meshes, e.g. hernia meshes
    • 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
    • A61F2/0077—Special surfaces of prostheses, e.g. for improving ingrowth

Abstract

An implantable prosthesis (20) is provided for repairing or augmenting anatomical weaknesses or defects, and is particularly suitable for the repair of soft tissue and muscle wall openings. The prosthesis includes a repair fabric (22) with a generally triangular-shaped body (134) and two tails (142, 144) extending outward from the base (136) of the triangular body. The tails may be rounded to provide the repair fabric with a generally heart-shaped configuration. An opening (30) is provided along the base of the body and between the two tails for receiving a tube-like structure, such as the esophagus. The prosthesis may include a layer of fabric (22) that is constructed and arranged to allow tissue ingrowth and is susceptible to erosion into and the formation of adhesions with tissue and organs. One or more regions of the prosthesis may be configured to inhibit erosion into and/or the formation of adhesions with tissue and organs. The prosthesis may include an edge barrier (724) that is attached to the tails and overlies a portion of the opening. A portion of the edge barrier may be folded into the opening to isolate the tube-like structure from an edge of the opening.

Claims (65)

1. An implantable prosthesis for repairing a tissue or muscle wall defect in the vicinity of an esophagus, the implantable prosthesis comprising:
a repair fabric of implantable, biologically compatible material, the repair fabric having an opening that is adapted to receive t$e esophagus, the repair fabric including a body portion and first and second tails extending away from the body portion, the body portion being configured in a generally triangular shape with a base having first and second segments, the first tail extending from the first segment of the base and the second tail extending from the second segment of the base, the opening being located along the babe between the first and second tails.
2. The implantable prosthesis according to claim 1, wherein the repair fabric is susceptible to the formation of adhesions with and erosion into tissue and organs.
3. The implantable prosthesis according to claim 2. wherein the repair fabric includes a plurality of interstices that are constructed and arranged to allow tissue ingrowth.
4. The implantable prosthesis according to claim 2, wherein repair fabric is formed from one of a PTFE mesh and a polypropylene mesh.
5. The implantable prosthesis according to claim 2, wherein the repair fabric includes a first surface and a second surface, the first surface adapted to face the tissue or muscle wall defect and the second surface adapted to face away from the defect, the implantable prosthesis further comprising a surface barrier that inhibits the formation of adhesions with tissue and organs, the surface barrier being disposed on at least a portion of the second surface of the repair fabric.
6. The implantable prosthesis according to claim 5, wherein the surface barrier is disposed on substantially the entire second surface of the repair fabric.
7. The implantable prosthesis according to claim 5, wherein the surface barrier is formed from ePTFE.
8. The implantable prosthesis according to claim 2, wherein the repair fabric includes first and second surfaces and a fabric edge extending from the first surface to the second surface, the first surface adapted to face the tissue or muscle wall defect and the second surface adapted to face away from the defect, the implantable prosthesis further comprising an edge barrier that is adapted to inhibit the formation of adhesions with at least a portion of the fabric edge.
9. The implantable prosthesis according to claim 8, wherein the edge barrier is disposed on a portion of the first surface of the repair fabric proximate the opening, the edge barrier extending beyond the base to overlie a portion of the opening between the first and second tails.
10. The implantable prosthesis according to claim 9, wherein the edge barrier includes an outer portion that is adapted to fold into the opening along a fold line that extends across the opening from the first tail to the second tail, the edge barrier further including a ledge portion that overlies the opening between the fold line and the body portion.
11. The implantable prosthesis according to claim 10, wherein the edge barrier includes a curved outer edge that extends across the opening from the first tail to the second tail, the outer edge overlying the first tail at a first support point and the second tail at a second support point.
12. The implantable prosthesis according to claim 11, wherein the edge barrier has a tear drop-shaped configuration.
13. The implantable prosthesis according to claim 11, wherein the fold line extends from the first support point to the second support point.
14. The implantable prosthesis according to claim 11, wherein the edge barrier is attached to the first and second tails at first and second attachments points, respectively, the first and second attachment points being located between the first and second support points and the base.
15. The implantable prosthesis according to claim 14, wherein the fold line extends from the first attachment point to the second attachment point.
16. The implantable prosthesis according to claim 14, wherein the fold line extends from a region of the first tail extending from the first support point to the first attachment point to a region of the second tail extending from the second support point to the second attachment point.
17. The implantable prosthesis according to claim 8, wherein the edge barrier is disposed about at least a portion the fabric edge of one of the first and second tails.
18. The implantable prosthesis according to claim 17, wherein the edge barrier is disposed about at least a portion of the fabric edge of each of the first and second tails.
19. The implantable prosthesis according to claim 8, wherein the edge barrier is disposed about the fabric edge of at least a portion of the opening.
20. The prosthetic repair fabric according to claim 19, wherein the edge barrier includes a barrier layer that wraps about the fabric edge from a portion of the first surface to a portion of the second surface.
21. The implantable prosthesis according to claim 20, wherein the edge barrier has an inner surface that is spaced from the fabric edge in a direction normal to the fabric edge to form a gap between the inner surface of the edge barrier and the fabric edge to inhibit erosion of the tissue and organs by the fabric edge and to inhibit the formation of adhesions to the fabric edge.
22. The implantable prosthesis according to claim 1, wherein a portion of each of the first and second tails has a rounded periphery.
23. The implantable prosthesis according to claim 1, wherein each of the first and second tails includes an outer end that is spaced from the base, each of the first and second tails having a width that decreases in a direction from the base toward the outer end.
24. The implantable prosthesis according to claim 1, wherein the repair fabric includes first and second layers that are joined to each other along an inverted seam that extends inwardly between the first and second layers to inhibit erosion of the tissue and organs.
25. The implantable prosthesis according to claim 1, wherein the repair fabric is constructed and arranged to be placed proximate an esophageal hiatus,
26. The implantable prosthesis according to claim 1, wherein the repair fabric has a heart-shaped configuration.
27. An implantable prosthesis for repairing a tissue or muscle wall defect in the vicinity of a tube-like structure, the implantable prosthesis comprising:
a repair fabric of implantable, biologically compatible material, the repair fabric having a generally heart shaped outer periphery with an opening along a portion of the outer periphery that is adapted to receive the tube-like structure.
28. The implantable prosthesis according to claim 27, wherein the repair fabric is susceptible to the formation of adhesions with and erosion into tissue and organs.
29. The implantable prosthesis according to claim 28, wherein the repair fabric includes a plurality of interstices that are constructed and arranged to allow tissue ingrowth.
30. The implantable prosthesis according to claim 28, wherein repair fabric is formed from one of a PTFE mesh and a polypropylene mesh.
31. The implantable prosthesis according to claim 28, wherein the repair fabric includes a first surface and a second surface, the first surface adapted to face the tissue or muscle wall defect and the second surface adapted to face away from the defect, the implantable prosthesis further comprising a surface barrier that inhibits the formation of adhesions with tissue and organs, the surface barrier being disposed on at least a portion of the second surface of the repair fabric.
32. The implantable prosthesis according to claim 31, wherein the surface barrier is disposed on substantially the entire second surface of the repair fabric.
33. The implantable prosthesis according to claim 31, wherein the surface barrier is formed from ePTFE.
34. The implantable prosthesis according to claim 27, wherein the repair fabric includes first and second surfaces and a fabric edge extending from the first surface to the second surface, the first surface adapted to face the tissue or muscle wall defect and the second surface adapted to face away from the defect, the implantable prosthesis further comprising an edge barrier that inhibits the formation of adhesions with at least a portion of the fabric edge.
35. The implantable prosthesis according to claim 34, wherein the repair fabric includes a body portion and first and second lobes extending from the body portion with the opening being located between the first and second lobes, the edge barrier being disposed on a portion of the first surface of the repair fabric proximate the opening, the edge barrier extending beyond the body portion to overlie a portion of the opening between the first and second lobes.
36. The implantable prosthesis according to claim 35, wherein the edge barrier includes an outer portion that is adapted to fold into the opening along a fold line that extends across the opening from the first lobe to the second lobe, the edge barrier further including a ledge portion that overlies the opening between the fold line and the body portion.
37. The implantable prosthesis according to claim 36, wherein the edge barrier includes a curved outer edge that extends across the opening from the first lobe to the second lobe, the outer edge overlying the first lobe at a first support point and the second lobe at a second support point.
38. The implantable prosthesis according to claim 37, wherein the edge barrier has a tear drop-shaped configuration.
39. The implantable prosthesis according to claim 37, wherein the fold line extends from the first support point to the second support point.
40. The implantable prosthesis according to claim 37, wherein the edge barrier is attached to the first and second lobes at first and second attachments points, respectively, the first and second attachment points being located between the first and second support points and the body portion.
41. The implantable prosthesis according to claim 40, wherein the fold line extends from the first attachment point to the second attachment point.
42. The implantable prosthesis according to claim 40, wherein the fold line extends from a region of the first lobe extending from the first support point to the first attachment point to a region of the second lobe extending from the second support point to the second attachment point.
43. The implantable prosthesis according to claim 34, wherein the edge barrier is disposed about at least a portion of the fabric edge of one of the first and second lobes.
44. The implantable prosthesis according to claim 43, wherein the edge barrier is disposed about at least a portion of the fabric edge of each of the first and second lobes.
45. The implantable prosthesis according to claim 34, wherein the edge barrier is disposed about at least a portion of the fabric edge of the opening.
46. The implantable prosthesis according to claim 27, wherein the repair fabric includes first and second layers that are joined to each other along an inverted seam that extends inwardly between the first and second layers to inhibit erosion of the tissue and organs.
47. The implantable prosthesis according to claim 27, wherein the repair fabric is constructed and arranged to be placed proximate an esophageal hiatus, the opening being adapted to receive the esophagus.
48. A prosthetic repair fabric for repairing a tissue or muscle wall defect in the vicinity of a tube-like structure, the prosthetic repair fabric comprising:
a layer of fabric that is susceptible to the formation of adhesions with and erosion into tissue and organs, the layer of fabric having an opening adapted to receive the tube-like structure, the repair fabric including a body portion and first and second tails extending away from the body portion, the opening being located along an edge of the body between the first and second tails; and an edge barrier that is adapted to inhibit the formation of adhesions of tissue and organs with the edge of the body between the first and second tails, the edge barrier being attached to the first tail at a first attachment point and to the second tail at a second attachment point, the first and second attachment points being aligned with each other across a segment of the opening, a portion of the edge barrier overlying a portion of the opening and extending between the first and second attachment points.
49. The implantable prosthesis according to claim 48, wherein the edge barrier includes an outer portion that is adapted to fold into the opening along a fold line that extends across the opening from the first tail to the second tail, the edge barrier further including a ledge portion that overlies the opening between the fold line and the body portion.
50. The implantable prosthesis according to claim 49, wherein the edge barrier includes a curved outer edge that extends across the opening from the first tail to the second tail, the outer edge overlying the first tail at a first support point and the second tail at a second support point.
51. The implantable prosthesis according to claim 50, wherein the edge barrier has a tear drop-shaped configuration.
52. The implantable prosthesis according to claim 50, wherein the fold line extends from the first support point to the second support point.
53. The implantable prosthesis according to claim 50, wherein the first and second attachment points are located between the first and second support points and the body portion.
54. The implantable prosthesis according to claim 53, wherein the fold line extends from the first attachment point to the second attachment point.
55. The implantable prosthesis according to claim 53, wherein the fold line extends from a region of the first tail extending from the first support point to the first attachment point to a region of the second tail extending from the second support point to the second attachment point.
56. The implantable prosthesis according to claim 48, wherein the repair fabric is susceptible to the formation of adhesions with and erosion into tissue and organs.
57. The implantable prosthesis according to claim 56, wherein the repair fabric includes a plurality of interstices that are constructed and arranged to allow tissue ingrowth.
58. The implantable prosthesis according to claim 56, wherein repair fabric is formed from one of a PTFE mesh and a polypropylene mesh.
59. The implantable prosthesis according to claim 56, wherein the repair fabric includes a first surface and a second surface, the first surface adapted to face the tissue or muscle wall defect and the second surface adapted to face away from the defect, the implantable prosthesis further comprising a surface barrier that inhibits the formation of adhesions with tissue and organs, the surface barrier being disposed on at least a portion of the second surface of the repair fabric.
60. The implantable prosthesis according to claim 59, wherein the surface barrier is disposed on substantially the entire second surface of the repair fabric.
61. The implantable prosthesis according to claim 59, wherein the surface barrier is formed from ePTFE.
62. The implantable prosthesis according to claim 48, wherein each of the first and second tails has a rounded periphery.
63. The implantable prosthesis according to claim 48, wherein the repair fabric includes first and second layers that are joined to each other along an inverted seam that extends inwardly between the first and second layers to inhibit erosion of the tissue and organs.
64. The implantable prosthesis according to claim 48, wherein the repair fabric is constructed and arranged to be placed proximate an esophageal hiatus, the opening being adapted to receive the esophagus.
65. The implantable prosthesis according to claim 48, wherein the repair fabric has a heart-shaped configuration.
CA2485274A 2002-05-10 2003-03-26 Prosthetic repair fabric Expired - Lifetime CA2485274C (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CA2733300A CA2733300C (en) 2002-05-10 2003-03-26 Prosthetic repair fabric

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US10/143,743 2002-05-10
US10/143,743 US7011688B2 (en) 2002-05-10 2002-05-10 Prosthetic repair fabric
PCT/US2003/009371 WO2003094787A1 (en) 2002-05-10 2003-03-26 Prosthetic repair fabric

Related Child Applications (1)

Application Number Title Priority Date Filing Date
CA2733300A Division CA2733300C (en) 2002-05-10 2003-03-26 Prosthetic repair fabric

Publications (2)

Publication Number Publication Date
CA2485274A1 true CA2485274A1 (en) 2003-11-20
CA2485274C CA2485274C (en) 2011-05-10

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CA2733300A Expired - Lifetime CA2733300C (en) 2002-05-10 2003-03-26 Prosthetic repair fabric
CA2485274A Expired - Lifetime CA2485274C (en) 2002-05-10 2003-03-26 Prosthetic repair fabric

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CA2733300A Expired - Lifetime CA2733300C (en) 2002-05-10 2003-03-26 Prosthetic repair fabric

Country Status (7)

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US (3) US7011688B2 (en)
EP (1) EP1505927B1 (en)
JP (2) JP4694832B2 (en)
CA (2) CA2733300C (en)
DE (1) DE60325721D1 (en)
ES (1) ES2320647T3 (en)
WO (1) WO2003094787A1 (en)

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