# US 2024/0197323 A1 · Medical member

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- Number: US 2024/0197323 A1
- Document ID: US20240197323A1
- Status: Published application
- Kind: A1
- Application number: 18/587,161
- Filed: 2024-02-26
- Published: 2024-06-20
- Earliest claimed: 2021-09-03
- Assignees: Terumo Kabushiki Kaisha
- Applicants: Terumo Kabushiki Kaisha
- Inventors: Naoki ARAMAKI; Miho KAI; Mizuho SHIRAISHI; Miria SUZUKI
- Web page: https://patentgrep.com/patent/US20240197323A1

## CPC

- A61B 17/07292: {Reinforcements for staple line, e.g. pledgets}
- A61B 17/1114: {of the digestive tract, e.g. bowels or oesophagus}
- A61B 2017/00004: {(bio)absorbable, (bio)resorbable or resorptive}
- A61B 2017/00526: {Methods of manufacturing}
- A61B 2017/00725: {Calibration or performance testing}
- A61B 2017/00884: {enhancing wound closure}
- A61B 2017/1132: {End-to-end connections}
- A61B 2090/037: {with a frangible part, e.g. by reduced diameter}
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

A medical member having flexibility and strength suitable for application to anastomotic portions, and having effectively improved breaking processability. The medical member includes a mesh-like main body that promotes adhesion of the anastomotic portions, in which the main body includes a breakable portion having a relationship between a breaking strength and a compression elongation percentage, represented by the following formulas (1) to (4): Y ≤ 244734 ⁢ ( X - Z ) - 1.665 ( 1 ) 0 ≤ Z < 408.216 ( 2 ) X - Z > 0 ( 3 ) 39 ≤ X . ( 4 )

## Claims

### Claim 1

A medical member comprising:
a mesh-like main body that has a plurality of through-holes, the mesh-like main body configured to induce expression of a biological component by being applied to anastomotic portions of a biological organ, and to promote adhesion of the anastomotic portions by the induced biological component passing through the through-holes and being accumulated, wherein the main body includes,
when a breaking strength of the main body in a direction intersecting with a plane direction is represented by Y, and
a compression elongation percentage of the main body in the plane direction is represented by X,
a breakable portion having a relationship between the breaking strength and the compression elongation percentage, represented by the following formulas (1) to (4):
Y
≤
244734
⁢
(
X
-
Z
)
-
1.665
(
1
)
0
≤
Z
<
408.216
(
2
)
X
-
Z
>
0
(
3
)
39
≤
X
.
(
4
)

### Claim 2 (depends on 1)

The medical member according to claim 1, wherein 0≤Z≤351.466 is satisfied in the formula (2).

### Claim 3 (depends on 1)

The medical member according to claim 1, wherein Z=0 is satisfied in the formula (2).

### Claim 4 (depends on 1)

The medical member according to claim 1, wherein the breaking strength is 16 Newtons (N) or less.

### Claim 5 (depends on 1)

The medical member according to claim 1, wherein the compression elongation percentage is 1414% or less.

### Claim 6 (depends on 1)

The medical member according to claim 1, wherein at least a part of the breakable portion is disposed at a position closer to a center portion of the main body in the plane direction than an outer peripheral portion of the main body.

### Claim 7 (depends on 1)

The medical member according to claim 1, wherein a constituent material of the breakable portion contains polyglycolic acid.

### Claim 8 (depends on 7)

The medical member according to claim 7, wherein the breakable portion is made of a nonwoven fabric.

### Claim 9 (depends on 8)

The medical member according to claim 8, wherein the breakable portion is constituted by a heated portion that has been subjected to heat treatment.

### Claim 10

A medical member comprising:
a main body having a plurality of through-holes; and
wherein the main body includes a breaking strength of the main body in a direction intersecting with a plane direction is represented by Y, a compression elongation percentage of the main body in the plane direction is represented by X, and a breakable portion having a relationship between the breaking strength and the compression elongation percentage, represented by the following formulas (1) to (4):
Y
≤
244734
⁢
(
X
-
Z
)
-
1.665
(
1
)
0
≤
Z
<
408.216
(
2
)
X
-
Z
>
0
(
3
)
39
≤
X
.
(
4
)

### Claim 11 (depends on 10)

The medical member according to claim 10, wherein 0≤Z≤351.466 is satisfied in the formula (2).

### Claim 12 (depends on 10)

The medical member according to claim 10, wherein Z=0 is satisfied in the formula (2).

### Claim 13 (depends on 10)

The medical member according to claim 10, wherein the breaking strength is 0.2 Newtons (N) to 16 N.

### Claim 14 (depends on 10)

The medical member according to claim 10, wherein the compression elongation percentage is 39% to 1312%.

### Claim 15 (depends on 10)

The medical member according to claim 10, wherein the breaking strength is 16 N or less, and the compression elongation percentage is 1414% or less.

### Claim 16 (depends on 10)

The medical member according to claim 10, wherein at least a part of the breakable portion is disposed at a position closer to a center portion of the main body in the plane direction than an outer peripheral portion of the main body.

### Claim 17 (depends on 10)

The medical member according to claim 10, wherein a constituent material of the breakable portion contains polyglycolic acid.

### Claim 18 (depends on 10)

The medical member according to claim 10, wherein the breakable portion is made of a nonwoven fabric.

### Claim 19

A method for inducing expression of a biological component to anastomotic portions of a biological organ, the method comprising:
disposing a medical member between a periphery of the anastomotic portions of the biological organ, the medical member including a main body having a plurality of through-holes, the main body includes, when a breaking strength of the main body in a direction intersecting with a plane direction is represented by Y, a compression elongation percentage of the main body in the plane direction is represented by X, and a breakable portion having a relationship between the breaking strength and the compression elongation percentage, represented by the following formulas (1) to (4):
Y
≤
244734
⁢
(
X
-
Z
)
-
1.665
(
1
)
0
≤
Z
<
408.216
(
2
)
X
-
Z
>
0
(
3
)
39
≤
X
;
(
4
)
and
passing a biological component of the biological organ through the through-holes of the main body of the medical device to induce expression of a biological component of the biological organ and promote adhesion by the induced biological component passing through the through-holes of the medical device.

### Claim 20 (depends on 19)

The method according to claim 19, wherein biological organ is a large intestine, and the method further comprises:
disposing the medical member between a periphery of a mouth portion of the large intestine and an intestinal wall of the large intestine;
causing the periphery of the mouth portion of the large intestine and the intestinal wall of the large intestine to relatively approach each other;
sandwiching the main body of the medical member between the periphery of the mouth portion of the large intestine and the intestinal wall of the large intestine; and
performing joining in a state where the main body of the medical member is sandwiched between the periphery of the mouth portion of the large intestine and the intestinal wall of the large intestine.
