Implant and method for its manufacture
An implant for percutaneous implantation through the abdominal wall for encircling and engaging an externalized length of a body duct of a human or animal patient. The implant has an exterior ring section protruding outwardly from the abdominal wall with a free end which serves for mounting of a detachable device, and an interior section extending through the abdominal wall and inside the patient for internal fixation of the implant. The exterior ring section and interior section have a common axis. The internal circumference of at least a part of the exterior ring section above the interior section is arranged with a biocompatible, integrated ingrowth means for the exterior surface of the body duct wall.
1. An implant for percutaneous implantation through the abdominal wall for encircling and engaging an externalised length of a body duct of a human or animal patient, comprising:
an exterior ring section at least a part of which is for protruding outwardly from the abdominal wall with a free end for mounting of a detachable device, and
an interior section for extending through the abdominal wall and inside the patient for internal fixation of the implant,
wherein the exterior ring section and the interior section have a common axis, and
wherein the interior section is provided with a rigid, biocompatible, integrated ingrowth means in the form of netting, mesh, maze or sponge for the ingrowth of the exterior surface of the body duct wall, whereby abdominal tissue can spread into contiguity with serosal tissue which has infiltrated the ingrowth means.
2. The implant according to claim 1 , wherein the interior section comprises an intermediate section emerging from the exterior ring section, wherein the intermediate section is optionally axially divided into a first intermediate section part and a second intermediate section part emerging from the first intermediate section part, the interior section extends into an anchoring section, one of the second intermediate section part or intermediate section comprises circumferentially spaced apart first connection members connecting the second intermediate section part or the intermediate section with the anchoring section.
3. The implant according to claim 2 , wherein the entire internal circumference of any of the intermediate section or the intermediate section parts is provided with integrated ingrowth means for the exterior surface of the body duct wall.
4. The implant according to claim 1 , wherein the integrated ingrowth means has a plurality of passageways or channels that provide for ingrowth of the serosa of the exterior surface of the body duct wall.
5. The implant according to claim 4 , wherein any of the plurality of passageways or channels or openings have a polygonal cross-section.
6. The implant according to claim 2 , wherein the anchoring section extends radially from the intermediate section or the second intermediate section part opposite the exterior ring section.
7. The implant according to claim 6 , wherein the anchoring section is conic.
8. The implant according to claim 2 , wherein the anchoring section comprises an inner anchoring ring extending from the intermediate section or the second intermediate section part, an outer anchoring ring, and at least one second connection member for connecting the inner anchoring ring with the outer anchoring ring.
9. The implant according to claim 2 , wherein the implant is modified so that any or both of the intermediate sections are made entirely as integrated ingrowth means.
10. The implant according to claim 1 , wherein a radial thickness of the ingrowth means is equal to or smaller than the wall thickness of the body duct.
11. The implant of claim 1 , wherein the internal circumference of at least a part of the exterior ring section above the interior section is also provided with integrated ingrowth means.
12. The implant of claim 11 , wherein the interior section comprises an intermediate section extending into an anchoring section.
13. The implant of claim 12 , wherein the intermediate section comprises circumferentially spaced apart first connection members arranged to connect the exterior ring section with the anchoring section.
14. The implant of claim 12 , wherein the integrated ingrowth means extends into the intermediate section down to the anchoring section.
15. The implant of claim 1 in combination with a detachable device for mounting on the exterior ring section.
16. The implant of claim 1 in combination with a bag for mounting on the implant.
17. The implant of claim 11 , wherein the integrated ingrowth means of the exterior ring section part extends into the interior section.
18. The implant of claim 11 , wherein the integrated ingrowth means of the exterior ring section part is in the form of netting, mesh, maze or sponge.
19. The implant of claim 11 , wherein the integrated ingrowth means of the exterior ring section part is provided in the exterior ring section only at the internal circumference thereof.
20. The implant of claim 11 , wherein the integrated ingrowth means of the exterior ring section part is rigid.
21. The implant of claim 11 , wherein the integrated ingrowth means of the exterior ring section part is in the form of a maze or sponge.
22. The implant of claim 1 , wherein the integrated ingrowth means is in the form of a mesh.
23. The implant of claim 22 , wherein the mesh comprises openings with a hexagonal cross-section.
24. The implant of claim 1 , wherein the interior section comprises an intermediate section emerging from the exterior ring section, and the interior section extends into an anchoring section.
25. The implant of claim 24 , wherein the anchoring section is conic.
26. The implant of claim 24 , wherein the anchoring section comprises an inner anchoring ring connected to an outer anchoring ring.
27. The implant of claim 26 , wherein the anchoring section comprises at least one connection member for connecting the inner anchoring ring with the outer anchoring ring.
28. The implant of claim 26 , wherein the outer anchoring ring has a greater diameter than the inner anchoring ring and is concentric with the inner anchoring ring.
29. The implant of claim 24 , wherein the anchoring section is annular.
30. The implant of claim 24 , wherein the anchoring section comprises a flange extending radially from the interior section.
31. The implant of claim 9 , wherein the integrated ingrowth means is in the form of a mesh.
32. An implant for percutaneous implantation through the abdominal wall for encircling and engaging an externalized length of a body duct of a human or animal patient, comprising:
an exterior ring section at least a part of which is for protruding outwardly from the abdominal wall with a free end for mounting of a detachable device, and
an interior section for extending through the abdominal wall and inside the patient for internal fixation of the implant,
wherein the exterior ring section and the interior section have a common axis, and
wherein the internal circumference of at least a part of the exterior ring section above the interior section is provided with a rigid, biocompatible, integrated ingrowth means in the form of netting, mesh, maze or sponge for the ingrowth of the exterior surface of the body duct wall.
33. The implant of claim 32 , wherein the integrated ingrowth means is provided in the exterior ring section only at the internal circumference thereof.
34. The implant of claim 32 , wherein the integrated ingrowth means is in the form of a maze or sponge.