Prosthesis for surgical treatment of hernia

• US 6,669,735 B1
• Filed: 06/22/2001
• Issued: 12/30/2003
• Est. Priority Date: 07/31/1998
• Status: Expired due to Term

• Current Assignee: Davol Incorporated (Becton, Dickinson & Co)
• Original Assignee: Davol Incorporated (Becton, Dickinson & Co)
• Inventors: Pelissier, Edouard P.
• Primary Examiner(s): Lucchesi, Nicholas D.
• Assistant Examiner(s): Thanh, Quang D
• Application Number:
  US09/762,010
• Time in Patent Office: 921 Days
• Field of Search: 623/23.64, 623/23.72, 623/23.74, 623/23.76, 623/23.23, 623/23.48, 623/23.75, 602/44, 602/76, 602/75, 602/58, 606/151, 606/154
• US Class Current: 623/23.74
• CPC Class Codes: A61F 2/0063 Implantable repair or support meshes, e.g. hernia meshes
• CPC Class Codes: A61F 2002/0068 having a special mesh pattern
• CPC Class Codes: A61F 2250/0031 made from both resorbable and non-resorbable prosthetic parts, e.g. adjacent parts

Abstract

A prosthesis is provided for the surgical treatment of hernias. The prosthesis includes two parts, that is, a synthetic non-resorbent mesh and a ring fixed at the peripheral edge of the synthetic mesh. The ring, which is made of a resorbent material, is of a flexibility that permits it to bend, then resume its initial shape to give the mesh a memory of its initial shape. The ring has an interruption intended to be positioned over the femoral veins.

Claims

1. A prosthesis for the surgical treatment of a hernia, comprising:

a synthetic, non-absorbable patch having a peripheral edge and at least one semi-rigid element on the peripheral edge, the semi-rigid element including a hoop attached to the peripheral edge of the patch, the hoop extending continuously about the peripheral edge and substantially surrounding the patch to urge the patch into a spread out configuration that is constructed and arranged to overlie the hernia, the hoop having an interruption adapted to be positioned opposite the femoral vessels, wherein the hoop is made of an absorbable material and has a flexibility that allows the hoop to deform from an initial shape and then go back to the initial shape to return the patch to the spread out configuration.

2. The prosthesis according to claim 1, wherein the patch and the hoop are configured so that the patch maintains a certain slack within the hoop allowing the patch to take a convex shape.

3. The prosthesis according to claim 1, further comprising at least one divider having two ends, the divider being positioned diametrically with the ends joined to the hoop, the divider being made of the same material as the hoop and having a curved shape to keep the patch in a convex shape.

4. The prosthesis according to claim 1, wherein each end part of the hoop, on either side of the interruption, has near an extreme edge thereof a zone of less resistance that is adapted to enlarge the interruption.

5. The prosthesis according to claim 1, wherein the patch has a radial slot at each extreme edge of end parts of the hoop on either side of the interruption that form a tab designed to be applied to the femoral vessels.

6. The prosthesis according to claim 1, wherein the prosthesis is round in shape and has, concentric to the peripheral hoop, a second hoop that is connected to the peripheral hoop by spokes, the second hoop having a second interruption facing the interruption of the peripheral hoop, extreme edges of the peripheral hoop being connected to extreme edges of the second hoop by two of the spokes, there being no patch between the two spokes and within the second hoop, the prosthesis further comprising a thread that is threaded peripherally near the peripheral hoop, the thread being adapted to shape the prosthesis into a truncated cone with a lateral space by traction on two ends of the thread.

7. The prosthesis according to claim 1, wherein the prosthesis is round in shape and has, concentric to the peripheral hoop, a second hoop that is connected to the peripheral hoop by spokes, the second hoop having a second interruption opposite the interruption in the peripheral hoop, extreme edges of the peripheral hoop being connected to extreme edges of the second hoop by two of the spokes, at least one of the spokes being provided with a patch tab extending into a space delimited by the two spokes, the prosthesis further comprising a thread that is threaded peripherally near the peripheral hoop, the thread being adapted to form the prosthesis into a truncated cone with a lateral space by traction on two ends of the thread.

8. The prosthesis according to claim 3, wherein the hoop and the dividers are composed of fine rods that are round or flat in cross section.

9. The prosthesis according to claim 3, wherein the hoop and the dividers are made of an absorbable material comprising polyglycolic acid.

10. A prosthesis for repairing a hernia, the prosthesis comprising:

a flexible patch having a peripheral edge; and

at least one semi-rigid hoop extending continuously about and substantially surrounding a portion of the patch to urge the portion of the patch into a spread out configuration that is constructed and arranged to overlie the hernia, the hoop including opposing ends that are spaced apart to form an interruption adapted to be positioned at femoral vessels, the hoop having a resiliency that allows the hoop to deform from an initial shape and then return to the initial shape to return the portion of the patch to the spread out configuration.

11. The prosthesis according to claim 10, wherein the patch and the hoop are configured so that the patch maintains an amount of slack within the hoop allowing the patch to take a convex shape.

12. The prosthesis according to claim 10, further comprising at least one divider having first and second ends, the divider being positioned diametrically on the patch with the first and second ends joined to the hoop.

13. The prosthesis according to claim 12, wherein the divider has a curved shape to maintain the patch in a convex shape.

14. The prosthesis according to claim 10, further comprising first and second dividers, each of the first and second dividers having first and second ends, the first and second dividers being positioned diametrically on the patch and transverse to each other, the first and second ends of the first and second dividers being joined to the hoop.

15. The prosthesis according to claim 14, wherein the first and second dividers are positioned substantially perpendicular to each other.

16. The prosthesis according to claim 10, wherein the hoop includes at least one zone of less resistance proximate to at least one of the opposing ends adjacent the interruption, the zone of less resistance being adapted to enlarge the interruption.

17. The prosthesis according to claim 16, wherein the zone of less resistance permits the hoop to be broken to enlarge the interruption.

18. The prosthesis according to claim 10, wherein the patch has a slit adjacent at least one of the opposing ends of the hoop adjacent the interruption to form a tongue.

19. The prosthesis according to claim 18, wherein the tongue is substantially tension-free.

20. The prosthesis according to claim 18, wherein the tongue is adapted to be applied over the femoral veins.

21. The prosthesis according to claim 10, wherein the at least one hoop includes a first hoop and a second hoop that is concentric with and spaced inwardly from the first hoop.

22. The prosthesis according to claim 21, wherein the patch is free of material within the second hoop.

23. The prosthesis according to claim 21, further comprising at least one spoke interconnecting the first hoop and the second hoop.

24. The prosthesis according to claim 21, wherein the interruption is formed by a first interruption in the first hoop and a second interruption in the second hoop that is aligned with the first interruption.

25. The prosthesis according to claim 24, further comprising first and second spokes connecting opposing ends of the first hoop adjacent the first interruption with opposing ends of the second concentric hoop adjacent the second hoop interruption.

26. The prosthesis according to claim 25, wherein the patch is free of material between the first and second spokes.

27. The prosthesis according to claim 25, wherein the patch includes a tongue between the first and second spokes, the tongue adapted to be positioned over the femoral vessels.

28. The prosthesis according to claim 21, further comprising a thread that is threaded in the patch adjacent the first hoop.

29. The prosthesis according to claim 28, wherein the thread is adapted to form the prosthesis into a frustum having a lateral space by applying tension to ends of the thread.

30. The prosthesis according to claim 29, wherein the thread is removable from the patch to allow the patch to return to the initial shape.

31. A prosthesis for repairing a hernia, the prosthesis comprising:

a flexible patch having a peripheral edge;

a first semi-rigid element disposed along a portion of the patch, the first semi-rigid element having a first interruption; and

a second semi-rigid element disposed along a portion of the patch, concentric with and spaced inwardly from the first semi-rigid element, the second semi-rigid having a second interruption that is substantially aligned with the first interruption,

wherein the first and second semi-rigid elements have a resiliency to allow the first and second semi-rigid elements to deform from an initial shape and then return to the initial shape after being deformed to give the patch a memory of the initial shape.

32. The prosthesis according to claim 31, further comprising first and second spokes connecting opposing ends of the first semi-rigid element adjacent the first interruption with opposing ends of the second semi-rigid element adjacent the second interruption.

33. The prosthesis according to claim 32, wherein the patch is free of material between the first and second spokes.

34. The prosthesis according to claim 32, wherein the patch includes a tongue between the first and second spokes, the tongue adapted to be positioned over the femoral vessels.

35. The prosthesis according to claim 31, further comprising a thread that is threaded in the patch adjacent the first semi-rigid element.

36. The prosthesis according to claim 35, wherein the thread is adapted to form the prosthesis into a frustum having a lateral space by applying tension to ends of the thread.

37. The prosthesis according to claim 36, wherein the thread is removable from the patch to allow the patch to return to the initial shape.