US4217664A
Expired / Lapsed
US
⏱️ 0.0 years remaining
Prosthesis and method for creating a stoma
Assignee: Individual
•
Filing: 1979-02-02
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Granted: 1980-08-19
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Expires: 1999-02-02
Abstract
Abstract A prosthesis and a method for implantation of a prosthesis in the body to cooperate with a body duct to provide a stoma. The prosthesis is particularly characterized by a mesh sleeve, a relatively rigid spout having a proximal end disposed in an opening in the body and a distal end projecting outside of the surface of the body. A layer of biocompatible mesh on the inside of the spout is disposed to engage the serosa of a portion of the body duct to promote growth of the body duct into the layer of mesh to anchor the body duct to the tubular spout. The mesh sleeve is preferably connected with the proximal end of the spout and is wrapped about the body duct and secured to the body wall to allow the serosa of the body duct to grow into the mesh to further anchor the body duct to the body wall. In a preferred embodiment, a fenestrated flange is disposed around the proximal end of the spout, and a removable cap is provided for closing and sealing the spout.
Inventors
- 👤 Joseph M. Faso
Bibliographic Details
Application Number
—
Jurisdiction
US
Data Source
google_patents
Last Synchronized
2026-10-22 20:18
CPC Classifications
A; A61; A61F; A61F2/00; A61F2/0063; A61F5/00; A61F5/44; A61F5/445
Claims Analysis
Total Claims: 21
Claim 1
Independent Claim
138 words
A prosthesis for implantation in a body wall for cooperating with a body duct to provide a stoma, said prosthesis comprising a flexible sleeve of biocomptible mesh material for being wrapped about a portion of a body duct passing through an opening in the body wall, a relatively rigid tubular spout of nonporous biocompatible material having a proximal end connected with said sleeve, said relatively rigid tubular spout having a distal end and being dimensioned such that when said proximal end is implanted in the opening in the body wall said distal end protrudes outwardly of the body wall, and a flange of biocompatible material surrounding the proximal end of the relatively rigid tubular spout for disposition beneath the subcuticular fascia of the body wall when the proximal end of the spout is implanted in the body wall.
Claim 2
Dependent Claim
138 words
A prosthesis for implantation in a body wall for cooperating with a body duct to provide a stoma, said prosthesis comprising a flexible sleeve of biocomptible mesh material for being wrapped about a portion of a body duct passing through an opening in the body wall, a relatively rigid tubular spout of nonporous biocompatible material having a proximal end connected with said sleeve, said relatively rigid tubular spout having a distal end and being dimensioned such that when said proximal end is implanted in the opening in the body wall said distal end protrudes outwardly of the body wall, and a flange of biocompatible material surrounding the proximal end of the relatively rigid tubular spout for disposition beneath the subcuticular fascia of the body wall when the proximal end of the spout is implanted in the body wall.
Claim 3
Dependent Claim
58 words
A prosthesis as defined in claim 1 wherein said tubular spout has an inner wall circumscribing the inside of said spout, and a layer of biocompatible mesh material on the inside of said tubular spout for engaging a body duct passing into said tubular spout when said proximal end of said spout is implanted in the body wall.
Claim 4
Dependent Claim
49 words
A prosthesis as defined in claim 2 including a series of openings extending through said tubular spout adjacent the proximal end thereof, said openings disposed to guide sutures for temporarily suturing a body duct on the inside of the spout to the mesh on the inside of the spout.
Claim 5
Dependent Claim
20 words
A prosthesis as defined in any of claims 1, 2 or 3 wherein the flange is integral with the spout.
Claim 6
Dependent Claim
43 words
A prosthesis as defined in any of claims 1, 2, or 3 wherein said flange is fenestrated to enable connective tissue growth therethrough for locking the flange in place when said proximal end of said tubular spout is implanted in the body wall.
Claim 7
Dependent Claim
19 words
A prosthesis as defined in any of claims 1, 2, or 3 wherein the biocompatible material is a polyolefin.
Claim 8
Dependent Claim
13 words
A prosthesis as defined in claim 6 wherein the biocompatible material is polypropylene.
Claim 9
Dependent Claim
46 words
A prosthesis as defined in any of claims 1, 2, or 3 wherein said tubular spout includes an outer wall defining a series of recesses for coaction with an implement of stabilzing said tubular spout during implantation of said proximal end thereof in the body wall.
Claim 10
Dependent Claim
37 words
A prosthesis as defined in any of claims 1, 2 or 3 including closure means for engaging and for cooperating with said distal end of said spout for closing and sealing said distal end of said spout.
Claim 11
Dependent Claim
49 words
A prosthesis as defined in claim 9 wherein said distal end of said spout includes external threads, and wherein said closure means includes a cap which is internally threaded for engaging said externally threaded distal end of said spout for closing and sealing said distal end of said spout.
Claim 12
Dependent Claim
57 words
A prosthesis as defined in any of claims 1, 2 or 3 wherein said flexible sleeve of mesh material includes a cuff connected with the outer surface of the proximal end of said tubular spout, said flexible sleeve of mesh material also being integrally connected with said layer of mesh on the inside of said tubular spout.
Claim 13
Dependent Claim
148 words
A prosthesis for implantation in a body wall for cooperating with a body duct to provide a stoma, said prosthesis comprising a flexible sleeve of biocompatible mesh material for being wrapped about a portion of the body duct passing through an opening in a body wall, a relatively rigid tubular spout of nonporous biocompatible material, said relatively rigid tubular spout having a proximal end designed for implantation in the body wall and said flexible sleeve being connected with said proximal end of said spout for implantation therewith in the body wall, said tubular spout having an inner surface circumscribing the inside thereof, said spout having a layer of mesh of biocompatible material on the inside thereof disposed to engage the body duct to promote in-growth of connective tissue from the adjacent tissue of the body duct and to anchor the body duct in the interior of the spout.
Claim 14
Dependent Claim
148 words
A prosthesis for implantation in a body wall for cooperating with a body duct to provide a stoma, said prosthesis comprising a flexible sleeve of biocompatible mesh material for being wrapped about a portion of the body duct passing through an opening in a body wall, a relatively rigid tubular spout of nonporous biocompatible material, said relatively rigid tubular spout having a proximal end designed for implantation in the body wall and said flexible sleeve being connected with said proximal end of said spout for implantation therewith in the body wall, said tubular spout having an inner surface circumscribing the inside thereof, said spout having a layer of mesh of biocompatible material on the inside thereof disposed to engage the body duct to promote in-growth of connective tissue from the adjacent tissue of the body duct and to anchor the body duct in the interior of the spout.
Claim 15
Dependent Claim
47 words
A prosthesis as defined in claim 12 including a series of openings extending through the proximal end of the spout means for guiding temporary sutures through the spout to temporarily suture a portion of body duct to the layer of mesh on the inside of said spout.
Claim 16
Independent Claim
170 words
A method of making a stoma in a body wall, comprising the steps of implanting a relatively rigid tubular spout of nonporous biocompatible material in an opening in the body wall such that a proximal end portion of the relatively rigid tubular spout is disposed between the inner and outer surfaces of the body wall and a distal end portion of the rigid tubular spout extends outside of the body wall, passing a body duct through the body wall and into an opening in the spout to bring the serosa of the portion of the body duct passing into the opening in the spout into contact with a layer of mesh of biocompatible material in the opening in the spout, wrapping a flexible mesh of biocompatible material about the portion of the body duct passing through the remainder of the body wall and securing a portion of the flexible mesh to the body wall to maintain the serosa of the body duct in contact with the flexible mesh wrapped thereabout.
Claim 17
Independent Claim
170 words
A method of making a stoma in a body wall, comprising the steps of implanting a relatively rigid tubular spout of nonporous biocompatible material in an opening in the body wall such that a proximal end portion of the relatively rigid tubular spout is disposed between the inner and outer surfaces of the body wall and a distal end portion of the rigid tubular spout extends outside of the body wall, passing a body duct through the body wall and into an opening in the spout to bring the serosa of the portion of the body duct passing into the opening in the spout into contact with a layer of mesh of biocompatible material in the opening in the spout, wrapping a flexible mesh of biocompatible material about the portion of the body duct passing through the remainder of the body wall and securing a portion of the flexible mesh to the body wall to maintain the serosa of the body duct in contact with the flexible mesh wrapped thereabout.
Claim 18
Dependent Claim
64 words
A method as defined in claim 14 wherein the step of securing the portion of the flexible mesh to the body wall comprises the step of creating a patch-like section of the mesh and securing the patch-like section of the mesh to a section of the inner surface of the body wall which surrounds the part of the opening formed in the body wall.
Claim 19
Independent Claim
40 words
A method as defined in either of claims 14 or 15 including the step of attaching the flexible mesh to the proximal end of the tubular spout before implanting the proximal end of the tubular spout in the body wall.
Claim 20
Independent Claim
101 words
A method as defined in any of claims 14 or 15 wherein the step of passing the body duct into the opening in the spout includes the step of passing the body duct through the opening in the spout and temporarily securing the portion of the body duct on the inside of the spout to the layer of mesh on the inside of the spout to allow the serosa of the body duct inside the opening in the spout to begin to grow into the layer of mesh, and thereafter amputating the portion of body duct outside of the tubular spout.
Claim 21
Independent Claim
48 words
A method as defined in any of claims 14 or 15 including the step of implanting the tubular spout in the body wall in a manner which locates a flanged portion at the distal end thereof immediately under the cutaneous layer of body tissue forming the body wall.
References Cited (Backward Citations)
US3216420A
Cited
US3565073A
Cited
US3633585A
Cited
US3646616A
Cited
US3663965A
Cited
US3783868A
Cited
US3818511A
Cited
US4121589A
Cited
USPTO Annuity & Maintenance Windows
| Annuity Stage | Window Opens | Payment Deadline | Surcharge Period Until | Estimated Fee | Status |
|---|---|---|---|---|---|
| 3.5 Years (Year 4) | 1983-08-19 | 1984-02-18 | 1984-08-19 | $2000.00 | Window Closed / Lapsed |
| 7.5 Years (Year 8) | 1987-08-19 | 1988-02-18 | 1988-08-19 | $3760.00 | Window Closed / Lapsed |
| 11.5 Years (Year 12) | 1991-08-19 | 1992-02-18 | 1992-08-19 | $7700.00 | Window Closed / Lapsed |