Implant with fillable reservoir
Inventors
Limem, Skander • Felix, Fabio • Rizk, Said • Martin, David P. • Williams, Simon F.
Assignees
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Abstract
Implants with fillable reservoirs have been developed that are suitable for rhinoplasty, breast reconstruction, ear reconstruction, and replacement, reconstruction or repair of other soft tissues. The implants can be filled with graft material prior to implantation. The implants are preferably made from resorbable polymers, can be tailored to provide different geometries, mechanical properties and resorption rates in order to provide more consistent surgical outcomes. The implants preferably have an interconnected network of unit cells with microporous outer layers and optionally some or all of the unit cells having at least one macropore in their outer layers. The implants can be loaded by injection with microfat, collagen, DCF, cells, bioactive agents, and other augmentation materials, prior to implantation.
Core Innovation
The invention relates to an implant having a fillable reservoir with a microporous outer layer including a plurality of micropores. The microporous outer layer further includes a macropore, where the macropore has a size between 0.0045 mm2 and 5 mm2 and the plurality of micropores have an average diameter of less than 10 μm.
In described embodiments, the microporous outer layer is formed from a microporous polymer architecture such as a nonwoven microporous layer, with either an interconnected unit-cell network or sealed edges to establish the fillable reservoir. The structure may include macropores and/or macroporous internal fiber filler, providing a wick-like uptake and retention of graft materials and enabling tissue ingrowth within the implant architecture.
The implant is described as resorbable and engineered for geometry and degradation rate, with poly-4-hydroxybutyrate (P4HB) and P4HB copolymers identified as preferred degradable polymer materials. The implant is described as fillable pre-implantation with graft materials that include microfat, fat/fat extracts, DCF, cells/stem cells, collagen, gels/hydrogels, and bioactive agents.
Claims Coverage
Independent claim clm-00001 defines 3 inventive features centered on a fillable reservoir implant architecture with a microporous outer layer, a macropore, and size constraints on the macropore and micropores. Dependent claims further refine structure, placement, and materials, including nonwoven microporous membranes, unit-cell networks, sealed edges, thermal bonding point relationships, and optional internal macroporous fiber filler and stacked microporous layers.
Fillable reservoir with microporous outer layer and macropore
An implant comprising a fillable reservoir with a microporous outer layer including a plurality of micropores, wherein the microporous outer layer includes a macropore.
Macropore size bounded in microporous outer layer
The implant of the fillable reservoir includes a macropore in the microporous outer layer, wherein the macropore has a size between 0.0045 mm2 and 5 mm2.
Micropore size bounded in microporous outer layer
The implant of the fillable reservoir includes a plurality of micropores having an average diameter of less than 10 μm.
Nonwoven microporous outer layer
The implant has a microporous outer layer made of a nonwoven membrane.
Interconnected unit-cell network or sealed edges
The implant includes a microporous reservoir architecture using either an interconnected unit-cell network or sealed edges.
Macropore placement relative to thermal bonding points
The implant has a macropore located at least 5 mm away from its thermal bonding points.
Stacked microporous layers with sealed edges
The implant includes additional microporous layers whose edges are sealed together.
Resorbable polymer material for implant
The implant is formed from poly-4-hydroxybutyrate (P4HB) or a copolymer thereof.
Overall, the claim coverage centers on a fillable reservoir implant where a microporous outer layer includes both micropores and a macropore with explicit size bounds, and where dependent refinements specify nonwoven membrane construction, unit-cell or sealed-edge reservoir structures, positional separation from thermal bonding points, edge-sealed stacked microporous layers, and resorbable polymer material selection.
Stated Advantages
Enables wick-like uptake and retention of graft materials.
Enables tissue ingrowth.
Designed as resorbable (resorbable implant).
Documented Applications
Soft-tissue reconstruction, including rhinoplasty.
Soft-tissue reconstruction, including ear reconstruction.
Soft-tissue reconstruction, including breast reconstruction.
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