Surgery – Controlled release therapeutic device or system
Reexamination Certificate
1997-04-21
2001-10-02
Dawson, Glenn K. (Department: 3761)
Surgery
Controlled release therapeutic device or system
C604S048000, C604S502000, C604S057000, C604S522000, C604S264000, C604S093010
Reexamination Certificate
active
06296632
ABSTRACT:
FIELD OF THE INVENTION
This invention is regarding an implant, the usage of this implant, as well as the device and the method for the application of the implant.
BACKGROUND OF THE INVENTION
In medicine, implants are known for their different uses, and their numerous types. In general, implants are inserted in their entirety which involves a comparatively large surgical operation thus resulting in a corresponding high strain on the patient.
SUMMARY OF THE INVENTION
The basic task of this invention is to create an implant which can be used while exerting minimal strain on the patient and which is distinguished by its vast range of application. With the same purpose, the task of this invention is to create a device for the application of the implant as well as to create a method for the application of the implant.
According to this invention, the implant is characterized by a ball of fiber which is in the form of a three-dimensional, open-pore structure. Such a ball of fiber can be introduced, in optional amounts (in situ) via a small insertion using surgical micro-technology with minimal strain to the patient. A wide variety of possible applications arise particularly from the fact that the size and the shape of the implant are widely variable and can be determined during the operation. For example, the pore-size and the structural characteristics of the implant can be varied by modifying the material characteristics, in particular the fiber. The fiber can be the carrier of biologically active substances and is particularly suitable for controlled medication-release or for the induction of body-tissue. Numerous applications are also envisioned for the fields of dentistry and veterinary medicine.
According to this invention, the device for the application of the implant is characterized by a tube and instruments, which deliver the implant in fiber-shaped form through a distal opening of the tube. Since the device, (according to this invention), leads the implant in fiber-shaped form through the tube and deposits it at this point, an application using surgical micro technology and hence a minimal invasive implantation is possible.
According to a further development of the device, (according to this invention), a fluid-stream is generated by the aforementioned instruments, with which the fiber can be transported through the tube. In addition, the fluid together with the fiber can be delivered through the distal opening of the tube. The fluid, for example, can be designed to serve as a carrier of biologically active substances or as an adhesive for the local stabilization of the fiber which has been deposited within the tissue. Another model is also conceivable, in which the fluid is carried off via an intake-tube which reverses the fluid. The fluid can be a liquid, a suspension, in particular autologous blood, or an electrolyte solution, but also a gas.
According to this invention, this method is characterized by the fact that the implant is brought in fiber-shaped form to the application site, where it is deposited as a three dimensional ball of fiber. This method makes possible the introduction of an implant via an existing or a created small body opening. Therefore this method is possible with minimal strain to the patient. Nevertheless the implant, in its fully developed form, can be a large volume. For example in orthopedic cases, the fiber ball can fill a relatively large tissue defect, in particular a bone defect. The attending physician can precisely determine the length of the fiber and then, for example, measure precisely the administration of medication.
According to a further development of the method, (according to this invention), the fiber is inserted in such away that an end of the fiber protrudes from the insertion site or body-opening respectively. Such an implant can be explanted very easily at any time, in that the fiber is grasped at the protruding end and extracted from the insertion site.
Other characteristics and advantages become apparent from the associated patent claims, the description, as well as the figures. Application examples of the invention are explained subsequently using the figures. It is shown:
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Harper, Marion, e
Luscher Patrik
Wintermantel Erich
Boston Scientific Corporation
Dawson Glenn K.
Finnegan Henderson Farabow Garrett & Dunner L.L.P.
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