Tissue aperture repair device

Claim 2

A tissue aperture repair device comprising: a foldable sheet of material having an unfolded shape and an unfolded circumference for at least partially covering a tissue aperture; and support means extending and attached circumferentially about said unfolded circumference of said foldable sheet of material for maintaining said foldable sheet of material in said unfolded shape.

Claim 3

The tissue aperture repair device of claim 1 wherein said support means comprises stiffener means for applying force to said foldable sheet of material for maintaining said foldable sheet of material in said unfolded shape.

Claim 4

The tissue aperture repair device of claim 2 wherein said support means further comprises attachment means for attaching said stiffener means to said foldable sheet of material.

Claim 5

The tissue aperture repair device of claim 1 wherein said support means comprises attachment means for attaching said support means to said foldable sheet of material.

Claim 6

The tissue aperture repair device of claim 4 wherein said attachment means comprises a second sheet of material attached about said unfolded circumference of said foldable sheet of material and forming a cavity between said foldable and second sheet of material.

Claim 7

The tissue aperture repair device of claim 5 wherein said support means further comprises stiffener means for applying force about said unfolded circumference of said foldable sheet of material for maintaining said foldable sheet of material in said unfolded shape and wherein said cavity includes an opening thereto for insertion of said stiffenere means into said cavity.

Claim 8

The tissue aperture repair device of claim 6 wherein said stiffener means comprises an elastic wire.

Claim 9

The tissue aperture repair device of claim 5 wherein said support means further comprises an elastic wire.

Claim 10

The tissue aperture repair device of claim 1 further comprising affixation means for affixing said foldable sheet of material to tissue positioned about said tissue aperture.

Claim 11

The tissue aperture repair device of claim 9 wherein said affixation means comprises a length of suture material extending from said foldable sheet of material.

Claim 12

The tissue aperture repair device of claim 9 wherein said affixation means comprises a helical fastener insertable through said foldable sheet of material and into said tissue about said tissue aperture.

Claim 13

A percutaneously insertable tissue aperture repair device comprising: a first foldable sheet of material having a first unfolded shape and a first circumference when in said first unfolded shape for at least partially covering a tissue aperture; a second foldable sheet of material having a second unfolded shape and a second circumference substantially equivalent to said first unfolded shape and said first circumference, respectively, attached about said first circumference of said first foldable sheet of material, and forming a cavity between said first and second foldable sheets of material, at least one of said first and second foldable sheets of material also including an opening positioned therein; and an introducer attached to at least one of said first and second foldable sheets of material foldable thereabout for percutaneous insertion to a tissue aperture and having a hollow passageway extending therein communicating with said cavity through said opening positioned in at least one of said first and second foldable sheets of material.

Claim 14

A percutaneously insertable tissue aperture repair device comprising: a first foldable sheet of material having a first unfolded shape and a first circumference when in said first unfolded shape for at least partially covering a tissue aperture; a second foldable sheet of material having a second unfolded shape and a second circumference substantially equivalent to said first unfolded shape and said first circumference, respectively, attached about said first circumference of said first foldable sheet of material, and forming a cavity between said first and second foldable sheets of material, at least one of said first and second foldable sheets of material also including an opening positioned therein; and an introducer attached to at least one of said first and second foldable sheets of material foldable thereabout for percutaneous insertion to a tissue aperture and having a hollow passageway extending therein communicating with said cavity through said opening positioned in at least one of said first and second foldable sheets of material.

Claim 15

The percutaneously insertable device of claim 12 further comprising a stiffener which when inserted in said cavity maintains at least one of said first and second foldable sheets of material in at least one of said first and second unfolded shapes.

Claim 16

The percutaneously insertable device of claim 13 wherein said stiffener comprises an elastic wire.

Claim 17

The percutaneously insertable device of claim 14 wherein said elastic wire comprises a nickel-titanium alloy.

Claim 18

The percutaneously insertable device of claim 13 further comprising a guide insertable through said passageway of said introducer and having a distal end attached about a proximal end of said stiffener.

Claim 19

The percutaneously insertable device of claim 13 further comprising a length of suture material extending from at least one of said first and second foldable sheets of material for percutaneous affixation to tissue about said tissue aperture.

Claim 20

The percutaneously insertable device of claim 13 wherein said stiffener has a predetermined length approximately five times at least one of said first and second circumferences of said first and second foldable sheets of material.

Claim 21

The percutaneously insertable device of claim 13 wherein an other of said first and second foldable sheets of material comprises a porous material.

Claim 22

The percutaneously insertable device of claim 12 further comprising a sheath having a hollow longitudinal passageway therein for containment of at least one of said first and second foldable sheets of material when folded about said introducer.

Claim 23

The percutaneously insertable device of claim 12 wherein at least one of said first and second unfolded shapes is elliptical.

Claim 24

The percutaneously insertable device of claim 12 wherein at least one of said first and second unfolded shapes is circular.

Claim 25

The percutaneously insertable device of claim 12 further comprising a suture material attaching said first and second foldable sheets of material together about said first and second circumferences thereof.

Claim 26

The percutaneously insertable device of claim 12 wherein at least one of said first and second foldable sheets of material comprises a prosthetic mesh material

Claim 27

A percutaneously insertable hernial ring repair of device comprising: a first foldable sheet of material comprising a porous prosthetic mesh positionable against said hernial ring and having an unfolded circular shape and a circumference when in said unfolded circular shape for at least partially covering a hernial ring, said foldable sheet also including an opening centrally positioned therein; a second foldable sheet of material comprising a nonporous material positionable facing away from said henial ring and attached about said circumference of said first foldable sheet of material and forming a cavity therebetween; a suture positioned about said circumference of said first foldable sheet of material attaching said first and second foldable sheets of material together; an introducer positioned through said opening in said first foldable sheet of material and having a hollow passageway extending longitudinally therein and communicating with said cavity, said first and second foldable sheets of material being folded about a distal end of said introducer when positioned in a sheath for percutaneous insertion of said hernial ring; a sheath having a hollow passageway extending longitudinally therein and containing said distal end of said introducer with said first and second foldable sheets of material being folded thereabout for percutaneous insertion to said hernial ring; an elastic stiffener wire having a predetermined length approximately five times the circumference of said first foldable sheet of material and insertable through said hollow passageway of said introducer and into said cavity for maintenance of said first and second foldable sheets of material in said unfolded circular shape; a wire guide having a distal end detachably connected to a proximal end of said elastic stiffener wire for insertion thereof in said cavity; and a suture extending from at least one of said first and second foldable sheets of material for attachment thereof to tissue about said hernial ring.

Claim 28

A percutaneously insertable hernial ring repair of device comprising: a first foldable sheet of material comprising a porous prosthetic mesh positionable against said hernial ring and having an unfolded circular shape and a circumference when in said unfolded circular shape for at least partially covering a hernial ring, said foldable sheet also including an opening centrally positioned therein; a second foldable sheet of material comprising a nonporous material positionable facing away from said henial ring and attached about said circumference of said first foldable sheet of material and forming a cavity therebetween; a suture positioned about said circumference of said first foldable sheet of material attaching said first and second foldable sheets of material together; an introducer positioned through said opening in said first foldable sheet of material and having a hollow passageway extending longitudinally therein and communicating with said cavity, said first and second foldable sheets of material being folded about a distal end of said introducer when positioned in a sheath for percutaneous insertion of said hernial ring; a sheath having a hollow passageway extending longitudinally therein and containing said distal end of said introducer with said first and second foldable sheets of material being folded thereabout for percutaneous insertion to said hernial ring; an elastic stiffener wire having a predetermined length approximately five times the circumference of said first foldable sheet of material and insertable through said hollow passageway of said introducer and into said cavity for maintenance of said first and second foldable sheets of material in said unfolded circular shape; a wire guide having a distal end detachably connected to a proximal end of said elastic stiffener wire for insertion thereof in said cavity; and a suture extending from at least one of said first and second foldable sheets of material for attachment thereof to tissue about said hernial ring.