Surgical prosthesis-forming device used to implant an organ support in a mammal
First Claim
1. A surgical device forming a surgical prosthesis, designed to provide support to a physiological, mammalian organ that can be supported, comprising:
- a) at least one first support component to provide support comprising a sling, with a first end and a second end designed to exert a supporting action on said physiological mammalian organ requiring support;
said sling being made at least partially of a substantially inextensible but flexible and deformable material;
b) at least one first traction component, which can be connected at least temporarily with at least one end of said sling support component, made of a substantially inextensible material enabling to pull on the sling support component and maintain same in place in a position providing said support;
c) at least one first anchoring system, designed to cooperate with at least said first traction component, to fix said sling support component and keep same in the correct position;
said first anchoring system comprising a cage-forming device with an upper end and a lower end, the upper end being fitted with a sliding component wherein the sliding component of the anchoring system is configured to act as a pulley, around which the traction component can slide or translate to pull on one end of the sling to provide support to said organ and keep said organ in support position,wherein the upper end and the lower end of the cage-forming device of the anchoring system are joined to one another by a series of lateral bridging arms made of a substantially inextensible but flexible and deformable material being long enough to induce a kinking at the vicinity of their mid-point by pulling on the traction component to allow a so-called umbrella-type positioning with a broad surface of fixation or anchoring of the anchoring system.
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Accused Products
Abstract
The invention concerns a surgical device forming a surgical prosthesis.
This device is characterized in that it contains at least one first sling (20), at least one first traction component (30), and at least one first fixation or anchoring system (40), designed to work in concert with at least said first traction component (30), which includes a cage-forming device (42), the upper end (43) of which is fitted with a sliding component (46) which makes it easier to pull on the traction component (30) which acts on the sling (20), so that said pulling effects translation of one end of the sling (20).
The device is preferably intended for the treatment of urinary incontinence in female mammals, in particular the human female.
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Citations
20 Claims
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1. A surgical device forming a surgical prosthesis, designed to provide support to a physiological, mammalian organ that can be supported, comprising:
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a) at least one first support component to provide support comprising a sling, with a first end and a second end designed to exert a supporting action on said physiological mammalian organ requiring support;
said sling being made at least partially of a substantially inextensible but flexible and deformable material;b) at least one first traction component, which can be connected at least temporarily with at least one end of said sling support component, made of a substantially inextensible material enabling to pull on the sling support component and maintain same in place in a position providing said support; c) at least one first anchoring system, designed to cooperate with at least said first traction component, to fix said sling support component and keep same in the correct position; said first anchoring system comprising a cage-forming device with an upper end and a lower end, the upper end being fitted with a sliding component wherein the sliding component of the anchoring system is configured to act as a pulley, around which the traction component can slide or translate to pull on one end of the sling to provide support to said organ and keep said organ in support position, wherein the upper end and the lower end of the cage-forming device of the anchoring system are joined to one another by a series of lateral bridging arms made of a substantially inextensible but flexible and deformable material being long enough to induce a kinking at the vicinity of their mid-point by pulling on the traction component to allow a so-called umbrella-type positioning with a broad surface of fixation or anchoring of the anchoring system. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16)
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17. A method to provide support for an a physiological mammalian organ which requires support, comprising:
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a) performing local anesthesia administered close to the organ requiring support; b) performing incision, and dissection of the tissue opposite and on either side of said physiological mammalian organ requiring support to create an opening; c) inserting through said opening at least one first elongated support component or sling with a first end and a second end designed to exert a supporting action on said physiological mammalian organ requiring support;
said first elongated component being made at least partially of a substantially inextensible but flexible and deformable material; and
then an introducer penetrating trocar instrument having a protective sheath and containing at least a first anchoring system designed to cooperate with at least one traction component, into the opening created by said incision and dissection of the tissues on one side and behind the organ requiring support, and after reaching said mammalian substrate which is relatively resistant to tearing, withdrawal of the protective sheath;d) withdrawing the penetrating trocar; e) simultaneous pulling on both ends of the filiform traction component to install the anchoring system in the correct place and open or deploy it; f) repeating preceding steps c), d) and e) on the other side of the organ in order to introduce a second anchoring system, preferably identical to the first; g) passing one end of the traction component of the first anchoring system in a means of joining in one first end of the first elongated sling then into the sliding component of the other end of the filiform traction component, to create a lasso-like loop, and a first pulling movement on the end or free part of the traction component for preliminary positioning; h) repeating the same procedure as in the preceding steps for the second anchoring system on the other side of the organ requiring support, thereby preliminarily positioning the elongated sling near the organ in question; i) simultaneous pulling on both ends or free parts respectively of the first traction component and of the second traction component until there is tension being exerted on the first elongated sling in the correct position in contact with said organ to provide the desired support for said organ; j) joining of the free ends respectively of the first filiform component and the end of the second filiform component in the appropriate position, this joining of said end being carried out at such a position that the organ being supported is not compromised in any way; k) closing of the incision with a suitable surgical closing means; wherein the first anchoring system is designed to fix said first elongated support component and keep same in the correct position; said first anchoring system comprises a cage-forming device with an upper end and a lower end, the upper end being fitted with a sliding component, which enables to pull on the traction component, which acts on the elongated support component, to effect through said pulling the translation of one end of the elongated support component to provide support to said organ and keep said organ in support position; wherein said traction component can be connected at least temporarily with at least one end of said first elongated support component and is made of a substantially inextensible material enabling to pull on the first elongated support component and maintain same in the place in a position providing said support; wherein the upper end and the lower end of the cage-forming device of the anchoring system are joined to one another by a series of lateral bridging arms made of a substantially inextensible but flexible and deformable material, said arms being long enough to induce a kinking at the vicinity of their mid-point by pulling on the traction component to allow a so-called umbrella-type positioning with a broad surface of fixation or anchoring of the anchoring system. - View Dependent Claims (18, 19, 20)
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Specification