Tissue expander and method for expanding tissue

• US 5,158,571 A
• Filed: 08/21/1991
• Issued: 10/27/1992
• Est. Priority Date: 03/09/1990
• Status: Expired due to Fees

• Current Assignee: George J. Picha, Dr.
• Original Assignee: George J. Picha, Dr.
• Inventors: Picha, George J.
• Primary Examiner(s): Isabella, David
• Assistant Examiner(s): BRITTINGHAM, DEBRA
• Application Number:
  US07/748,258
• Time in Patent Office: 433 Days
• Field of Search: 623/8, 623/7, 623/11, 604/96, 606/192
• US Class Current: 606/192
• CPC Class Codes: A61B 90/02 Devices for expanding tissue, e.g. skin tissue implements for holding wounds open, surgical tractors A61B17/02; implantable mammary prosthesis A61F2/12; dilators A61M29/00
• CPC Class Codes: A61F 2/12 Mammary prostheses and implants

Abstract

A tissue expander is disclosed. Extending from the outer surface of the tissue expander are a plurality of projections of specific combinations of height and width dimensions selected from the groups consisting of (1) approximately 750 microns high and approximately 250 microns wide and (2) approximately 1,600 microns high and approximately 800 microns wide. Preferred edge-to-edge spacing distance between adjacent projection and center-to-center spacings between adjacent projections are also disclosed. A method of expanding tissue utilizing the disclosed tissue expander is also disclosed.

Claims

1. A tissue expander having an improved nonclassical tissue response, comprising an inflatable flexible three-dimensional device, said device having a supporting structure having an outer surface, a plurality of projections extending from at least a portion of the outer surface area of the supporting structure, said plurality of projections tending to promote a nonclassical tissue response when said device is implanted in a living body and subsequently intermittently inflated to cause tissue expansion, said projections having height and width dimensions selected from the groups consisting of (1) approximately 750 microns high and approximately 250 microns wide and (2) approximately 1600 microns high and approximately 800 microns wide.

2. A tissue expander according to claim 1, wherein adjacent projections include laterally spaced surface portions, and said adjacent projections are spaced apart by a lateral spacing sized to accommodate tissue penetrated by said projections and tending to promote nonclassical tissue response.

3. A tissue expander according to claim 2, wherein said projections are uniform in size and shape.

4. A tissue expander according to claim 1, wherein the projections have a width to center-to-center spacing ratio between 1:

1.4 and 1;

6.

5. A tissue expander according to claim 1, wherein the projections have a width equal to approximately 250 microns and a width to center-to-center spacing ratio of approximately 1:

2.

6. A tissue expander according to claim 5, wherein the projections are uniform in size and shape, are about circular in cross section, are arranged in a uniform array, extend from substantially all of the outer surface of said supporting structure, said supporting structure and said projections being formed of a medical grade silicone elastomer, at least a substantial portion of said supporting structure being stretchable.

7. A tissue expander according to claim 1, wherein the projections have a width equal to approximately 800 microns and a width to center-to-center spacing ratio of approximately 1:

1.5.

8. A tissue expander according to claim 1, wherein the projections extend from substantially all of the outer surface of said supporting structure.

9. A tissue expander according to claim 1, wherein said projections are about circular in cross section, are thickened near the base, and are arranged in a uniform array.

10. A method of expanding tissue, comprising the steps of

(a) implanting an inflatable flexible three-dimensional device in a living body beneath tissue to be expanded, said device having a supporting structure having an outer surface, a plurality of projections extending from at least a portion of the outer surface area of the supporting structure, said plurality of projections tending to promote a nonclassical tissue response when said device is implanted in a living body and subsequently intermittently inflated to cause tissue expansion, said projections having height and width dimensions selected from the groups consisting of (1) approximately 750 microns high and approximately 250 microns wide and (2) approximately 1600 microns high and approximately 800 microns wide;

and

(b) subsequently intermittently inflating said device to cause expansion of said tissue to be expanded.

11. A method according to claim 10, wherein said device is implanted in a human.

12. A method according to claim 11, wherein said subsequent intermittent inflation occurs over a two-to-six month period to progressively inflate said device.

13. A method according to claim 10, wherein adjacent projections include laterally spaced surface portions, and said adjacent projections are spaced apart by a lateral spacing sized to accommodate tissue penetrated by said projections and tending to promote nonclassical tissue response.

14. A method according to claim 13, wherein said projections are uniform in size and shape.

15. A method according to claim 10, wherein the projections have a width to center-to-center spacing ratio between 1:

1.4 and 1;

6.

16. A method according to claim 10, wherein the projections have a width equal to approximately 250 microns and a width to center-to-center spacing ratio of approximately 1:

2.

17. A method according to claim 16, wherein the projections are uniform in size and shape, are about circular in cross section, are arranged in a uniform array, extend from substantially all of the outer surface of said supporting structure, said supporting structure and said projections being formed of a medical grade silicone elastomer, at least a substantial portion of said supporting structure being stretchable.

18. A method according to claim 10, wherein the projections have a width equal to approximately 800 microns and a width to center-to-center spacing ratio of approximately 1:

1.5.

19. A method according to claim 10, wherein the projections extend from substantially all of the outer surface of said supporting structure.

20. A method according to claim 10, wherein said projections are about circular in cross section, are thickened near the base, and are arranged in a uniform array.