SYSTEM FOR IMPLANTATION OF A MEDICAL IMPLANT IN THE HUMAN OR ANIMAL BODY

20230110195 ยท 2023-04-13

    Inventors

    Cpc classification

    International classification

    Abstract

    A system for implanting a medical implant in the human or animal body, comprising: a wire-like element for connecting the system to the medical implant, a double-lumen guide tube for the wire-like element, and a handle for handling the system, wherein the medical implant is arranged at the proximal end of the guide tube and the handle is arranged at the distal end of the guide tube, and wherein the wire-like element is fixed with a first end to the handle, is guided through a first lumen of the double-lumen guide tube to the medical implant, engages with a connecting device of the medical implant and is guided through a second lumen of the double-lumen guide tube to the handle and is detachably fixed to the handle with a second end.

    Claims

    1-12. (canceled)

    13. A system for implanting a medical implant in the human or animal body, comprising: a wire-like element for connecting the system to the medical implant; a double-lumen guide tube for the wire-like element; and a handle for handling the system; wherein the medical implant is arranged at the proximal end of the guide tube and the handle is arranged at the distal end of the guide tube, and wherein the wire-like element is fixed with a first end to the handle, is guided through a first lumen of the double-lumen guide tube to the medical implant, engages with a connecting device of the medical implant and is guided through a second lumen of the double-lumen guide tube to the handle and is detachably fixed to the handle with a second end.

    14. The system according to claim 13, wherein the wire-like element is made of a metal, in particular stainless steel.

    15. The system according to claim 13, wherein the wire-like element has a diameter of 0.1 mm to 0.5 mm, in particular 0.2 mm.

    16. The system according to claim 13, wherein the double-lumen guide tube is at least partially made of a plastic.

    17. The system according to claim 13, wherein the double-lumen guide tube has a diameter of 1.0 mm to 2.0 mm, in particular 1.76 mm.

    18. The system according to claim 13, wherein the double-lumen guide tube comprises two internal tube-like elements forming the first lumen and the second lumen of the double-lumen guide tube.

    19. The system according to claim 18, wherein the two internal hose-like elements are each formed as a stainless steel helix.

    20. The system according to claim 13, wherein the connecting device of the medical implant is formed as an eyelet or loop.

    21. The system according to claim 13, wherein the first end of the wire-like element comprises a nipple fixable in a corresponding recess of the handle.

    22. The system according to claim 13, wherein the handle comprises a clamping mechanism for the second end of the wire-like element, for releasably fixing the second end of the wire-like element to the handle.

    23. The system according to claim 22, wherein the clamping mechanism comprises a safeguard against unintentional actuation of the clamping mechanism.

    24. The system according to claim 13, further comprising an implantation catheter for guiding the double-lumen guide tube and the medical implant connected thereto to the implantation site in the human or animal body.

    Description

    BRIEF DESCRIPTION OF THE DRAWINGS

    [0034] The invention is explained in more detail below with reference to the embodiments shown in the figures. They show:

    [0035] FIG. 1 is a view of a system according to the invention;

    [0036] FIG. 2 is a detailed view of the proximal end of the system from FIG. 1;

    [0037] FIG. 3 is a detailed view of a handle of a system according to the invention;

    [0038] FIG. 4 is a detailed view of a medical implant connected to a system according to the invention; and

    [0039] FIG. 5 is a cross-sectional view of a double-lumen guide tube of a system according to the invention.

    DETAILED DESCRIPTION

    [0040] FIG. 1 shows an exemplary embodiment of a system 1 according to the invention for implanting a medical implant 2 in the human or animal body. The system 1 comprises a wire-like element 3 for connecting the system 1 to the medical implant 2. The system 1 further comprises a double-lumen guide tube 4 for the wire-like element 3 and a handle 5 for handling the system 1.

    [0041] The medical implant 2 is arranged at the proximal end of the guide tube 4 and the handle 5 is arranged at the distal end of the guide tube 4, wherein proximal concerns the end of the guide tube 4 facing the human or animal body and distal concerns the end of the guide tube 4 facing away from the human or animal body.

    [0042] The wire-like element 3 is fixed with a first end 9 to the handle 5, is guided through a first lumen 6 of the double-lumen guide tube 4 to the medical implant 2, subsequently engages with a connecting device 8 of the medical implant 2 and is then guided through a second lumen 7 of the double-lumen guide tube 4 to the handle 5. At the handle 5, the second end 10 of the wire-like element 3 is detachably fixed.

    [0043] According to the embodiment example of FIG. 1, the system 1 according to the invention further comprises an implantation catheter 15, by means of which the medical implant 2 is advanced to the implantation site in the human or animal body by means of the double-lumen guide tube 4.

    [0044] The wire-like element 3 consists, for example, of a metal, in particular stainless steel, and has a diameter of 0.1 mm to 0.5 mm, in particular 0.2 mm.

    [0045] The double-lumen guide tube 4 consists, for example, at least partially of a plastic and has a diameter of 1.0 mm to 2.0 mm, in particular 1.76 mm.

    [0046] The connecting device 8 of the medical implant 2 is preferably designed as an eyelet or loop.

    [0047] A so-called pusher is arranged between the implantation catheter 15 and the handle 5 in order to move the double-lumen guide tube 4 and the medical implant 2 fixed therein through the implantation catheter 15.

    [0048] Furthermore, a Y-connector can be arranged at the transition between implantation catheter 15 and double-lumen guide tube 4, for flushing the system 1 according to the invention, in particular the implantation catheter 15.

    [0049] FIG. 2 shows a detailed view of the connection of the system 1 according to the invention with a medical implant 2 at the proximal end of the system 1. The double-lumen guide tube 4 with the medical implant 2 attached to it emerges from the implantation catheter 15. The medical implant 2 is connected to the system 1 according to the invention by the wire-like element 3, wherein the wire-like element 2 engages a connecting means 8 of the medical implant. The connecting device 8 of the medical implant is formed, for example, as an eyelet or loop. On their way to the distal end of the system 1 according to the invention, the two ends 9, 10 of the wire-like element are guided through the first lumen 6 and the second lumen 7 of the double-lumen guide tube 4.

    [0050] FIG. 3 is a detailed view of a handle 5 of a system 1 according to the invention for implanting a medical implant 2 in the human or animal body. A first end 9 of the wire-like element 4 is fixedly attached to the handle 5. For this purpose, the wire-like 4 has, for example, a nipple 12 at the first end, which engages in a corresponding recess 13 on the handle 5. However, other fixations are also possible, such as gluing, welding, soldering or other connection techniques. The second end 10 of the wire-like element 4 is detachably connected to the handle 5, for example by means of a clamping mechanism 14.

    [0051] After a successful implantation of the medical implant 2, the connection between second end 10 of the wire-like element 4 and the handle 5 is released and the wire-like element 4 is pulled out of the connection device 8 of the medical implant 2 to release the connection between the system 1 according to the invention and the medical implant 2.

    [0052] According to an expedient variant of the invention, the clamping mechanism 14 can comprise a safety device (not shown) which prevents unintentional actuation of the clamping mechanism 14. The safety device is designed, for example, as a latch.

    [0053] FIG. 4 shows a detailed view of a medical implant 2 connected to a system 1 according to the invention. The double-lumen guide tube 4 emerges from the implantation catheter 15. Through the first lumen 6 of the double-lumen guide tube 4, the wire-like element 3 is guided from the handle 5 of the system 1 according to the invention to the medical implant 2. The wire-like element 3 engages the connection device 8 of the medical implant 2 and is guided back to the handle 5 of the system 1 according to the invention through the second lumen 7. A first end 9 of the wire-like element 3 is fixed to the handle 5, while the second end 10 is detachably fixed to the handle 5. To eject the medical implant 2 from the system 1 according to the invention, the releasable connection between the handle 5 and the second end 10 of the wire-like element 3 is released and the wire-like element is pulled out of the double-lumen guide tube 4 by means of the handle 5 and the first end 9 fixed thereto, until the wire-like element 3 no longer engages the connection device 8 of the medical implant 2. Subsequently, the double-lumen guide tube 4 can be pulled out of the implantation catheter 15 and finally the implantation catheter 15 is removed from the human or animal body.

    [0054] FIG. 5 shows a cross-sectional view of a double-lumen guide tube 4 of a system 1 according to the invention. According to the embodiment example shown in FIG. 5, the double-lumen guide tube 4 comprises two internal tube-like elements 11, which form the first lumen 6 and the second lumen 7 of the double-lumen guide tube 4. The two inner tube-like elements 11 are, for example, each formed as a stainless steel helix.

    TABLE-US-00001 List of reference signs 1 System 2 medical implant 3 wire type element 4 double lumen guide hose 5 handle 6 first lumen 7 second lumen 8 connection device (medical implant) 9 first end (wire-like element) 10 second end (wire-like element) 11 inside tubular elements 12 nipples 13 recess 14 clamping mechanism 15 implantation catheter