# US 9,750,592 B2 · Arrangement for implanting and method for implanting

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- Number: US 9,750,592 B2
- Document ID: US9750592B2
- Status: Granted
- Kind: B2
- Application number: 13/123,272
- Filed: 2009-10-08
- Published: 2011-10-06
- Granted: 2017-09-05
- Earliest claimed: 2008-10-10
- Applicants: Carsten Nils Gutt; Hannes Goetz Kenngott
- Inventors: Carsten Nils Gutt; Hannes Goetz Kenngott
- Web page: https://patentgrep.com/patent/US9750592B2

## CPC

- A61F 2/0063: {Implantable repair or support meshes, e.g. hernia meshes}
- A61N 1/05: for implantation or insertion into the body, e.g. heart electrode (A61N1/06 takes precedence)
- A61N 1/0507: {Electrodes for the digestive system}
- A61N 1/0517: {Esophageal electrodes}
- A61N 1/36007: {of urogenital or gastrointestinal organs, e.g. for incontinence control}
- A61F 2/2481: {Devices outside the heart wall, e.g. bags, strips or bands}
- A61F 2002/044: {Oesophagi or esophagi or gullets}
- A61F 2250/0002: for data transfer
- A61F: FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS (dental prosthetics A61C)
- A61N: ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY (measurement of bioelectric currents A61B; surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body A61B18/00; anaesthetic apparatus in general A61M; incandescent lamps H01K; infrared radiators for heating H05B)

## Abstract

The invention relates to an arrangement for implanting in a human or animal body, comprising a carrier device which provides a receiving means and which is made from a synthetic mesh or fabric material, and an electronic element which is fixed to the carrier device in the region of the receiving means. Also provided is a method for implanting the arrangement in a human or animal body.

## Claims

### Claim 1

An arrangement for implanting in a human or animal body, comprising:
a carrier device which is made from a synthetic mesh or fabric material;
a holder fixed to the carrier device, the holder having a receiving means; and
an electronic element having a base, wherein the base is associated with the receiving means and is received by the receiving means of the holder such that the electronic element is replaceably and releasably fixed to the carrier device in the holder, wherein the electronic element has a thorn, wherein the electronic element and the thorn are formed in an integrated manner, and wherein the thorn is arranged on a first side of the carrier device and the electronic element is arranged on a second side of the carrier device opposing the first side, when the electronic element is fixed to the carrier device;
wherein, when the arrangement is adapted to be implanted into the human or animal body, the carrier device is adapted to be attached to an organ or organ part, and the electronic element is replaceably fixed to the carrier device by the holder such that the electronic element is adapted to be held to the organ or organ part.

### Claim 2 (depends on 1)

The arrangement according to claim 1, wherein the electronic element has a feed electrode which is configured to emit electrical pulses.

### Claim 3 (depends on 1)

The arrangement according to claim 1, wherein the electronic element has a probe electrode which is configured to detect measurement signals.

### Claim 4 (depends on 1)

The arrangement according to claim 1, wherein the electronic element has a pacemaker which is configured to emit pacemaker pulses.

### Claim 5 (depends on 1)

The arrangement according to claim 1, wherein the electronic element has a signal terminal which is configured to couple an electrical signal link to the electronic element.

### Claim 6 (depends on 1)

The arrangement according to claim 1, wherein the electronic element has a supply terminal which is configured to receive an electrical power supply for the electronic element.

### Claim 7 (depends on 1)

The arrangement according to claim 1, wherein the electronic element has a data terminal which is configured to couple an electronic data link to the electronic element.

### Claim 8 (depends on 1)

The arrangement according to claim 1, wherein the synthetic mesh or fabric material is formed according to at least one material configuration selected from the following group of material configurations: plastic mesh, plastic-coated mesh, synthetic fibers, material of plant origin, metal material, organic material, inorganic material, at least partially resorbable material and electrically conductive material.

### Claim 9 (depends on 1)

The arrangement according to claim 1, wherein an opening is formed in the region of the receiving means.

### Claim 10 (depends on 9)

The arrangement according to claim 9, wherein the electronic element is arranged adjacent to the opening.

### Claim 11 (depends on 1)

The arrangement according to claim 1, wherein the carrier device and the electronic element fixed to the carrier device are configured to be implanted on or in an organ or an organ part selected from the following group of organs/organ parts: esophagus, stomach, reflux muscle, heart, bladder, sphincter, cardia, fundus, corpus, vagus nerve, brain, muscles, nerves, pelvic floor and rectum.

### Claim 12 (depends on 1)

The arrangement according to claim 1, wherein the electronic element is releasable when the arrangement is implanted in the human or animal body and when the carrier device is adapted to be attached to an organ or organ part.

### Claim 13 (depends on 1)

The arrangement according to claim 1, wherein the electronic element is releasable when the arrangement is fully assembled.

### Claim 14

A method for implanting an arrangement in a human or animal body, comprising:
providing an arrangement comprising a carrier device that is made from a synthetic mesh or fabric material, a holder fixed to the carrier device, the holder having a receiving means, and an electronic element having a base wherein the base is associated with the receiving means and is received by the receiving means of the holder such that the electronic element is replaceably and releasably fixed to the carrier device in the holder, wherein the electronic element has a thorn, wherein the electronic element and the thorn are formed in an integrated manner, and wherein the thorn is arranged on a first side of the carrier device and the electronic element is arranged on a second side of the carrier device opposing the first side, when the electronic element is fixed to the carrier device; and
implanting the arrangement by attaching the carrier device to a tissue section in an interior of the body and provisionally fixing it thereto;
wherein, when the carrier device is attached to the tissue section, the electronic element is replaceably fixed to the carrier device by the holder such that the electronic element is held to the tissue section.

### Claim 15 (depends on 14)

The method according to claim 14, wherein the step of provisional fixing comprises a step of adhesively bonding the carrier device to the tissue section.

### Claim 16 (depends on 14)

The method according to claim 14, wherein the step of provisional fixing comprises a step of mechanically attaching the carrier device to the tissue section using mechanical fixing means.

### Claim 17 (depends on 14)

The method according to claim 14, wherein a step is also provided for permanently fixing the carrier device to the tissue section as a result of the fact that scar formation takes place on the tissue section around the carrier device.

### Claim 18 (depends on 14)

The method according claim 14, wherein a step is also provided for feeding stimulation pulses to the tissue section via the electronic element having a feed electrode.

### Claim 19 (depends on 18)

The method according to claim 18, wherein a step is also provided for emitting pacemaker pulses to the feed electrode and/or to the probe electrode via the electronic element having a pacemaker.

### Claim 20 (depends on 14)

The method according to claim 14, wherein a step is also provided for detecting measurement signals for the tissue section via the electronic element having a probe electrode.

### Claim 21 (depends on 14)

The method according to claim 14, wherein an electrical signal link is coupled to the electronic element.

### Claim 22 (depends on 14)

The method according to claim 14, wherein the electronic element is supplied with electrical power.

### Claim 23 (depends on 14)

The method according to claim 14, wherein an electronic data link is coupled to the electronic element.

### Claim 24 (depends on 14)

The method according to claim 14, wherein the arrangement is introduced into the human or animal body by means of a laparoscopic operating method.

### Claim 25 (depends on 14)

The method according to claim 14, wherein the arrangement is implanted on the tissue section of an organ or an organ part selected from the following group of organs/organ parts: esophagus, stomach, reflux muscle, heart, bladder, sphincter, cardia, fundus, corpus, vagus nerve, brain, muscles, nerves, pelvic floor and rectum.

### Claim 26 (depends on 14)

The method according to claim 14, wherein the electronic element is releasable when the arrangement is implanted in the human or animal body and when the carrier device is attached to the tissue section.

### Claim 27 (depends on 14)

The method according to claim 14, wherein the electronic element is releasable when the arrangement is fully assembled.
