Implant device and implant system

Abstract

The utility model relates to an implant device and an implant system. The utility model discloses an implantation device used for implanting an implant, the implantation device comprises a puncture needle and a limiting tube, and the puncture needle is internally provided with a containing cavity used for containing the implant; the puncture needle is sleeved with the limiting tube, and indication marks are arranged on the peripheral face of the puncture needle and / or the peripheral face of the limiting tube. Due to the fact that the puncture depths of the puncture needles in the inner path type and the outer path type are different, the indication marks are arranged on the outer circumferential faces of the puncture needles and / or the limiting pipes, doctors can judge the puncture depths of the puncture needles through the indication marks, and then the implanting device can meet the requirements of different operation types. Secondly, the indication mark is arranged on the peripheral surface of the puncture needle and / or the limiting tube, so that a doctor can directly judge the puncture depth of the puncture needle by using the indication mark without additionally arranging a ruler, the operation process is simplified, and the operation efficiency is improved.

Description

Technical Field

[0001] The present invention relates to the field of medical technology, and more particularly to implant devices and implant systems. Background Art

[0002] Aqueous humor drainage tubes are used for patients with high intraocular pressure. After the drainage tube is implanted, one end is free in the anterior chamber angle, and the other end is placed under the conjunctiva, forming a channel between the anterior chamber and the conjunctiva, thereby draining the aqueous humor in the anterior chamber to the subconjunctiva and reducing intraocular pressure. The surgical procedures for aqueous humor drainage tube implantation are usually divided into internal and external approaches. Doctors will choose the corresponding procedure based on their own habits and the patient's suitability. The internal approach is that the puncture needle passes through the cornea, passes through the anterior chamber, and passes through the trabecular meshwork and sclera and enters the subconjunctival space; the external approach is that the puncture needle passes through the conjunctiva through the sclera and trabecular meshwork to enter the anterior chamber. The two procedures have different puncture depths, and usually two implantation systems are required to deal with different situations. Utility Model Content

[0003] The embodiments of the present application provide an implant device that can cope with different surgical procedures.

[0004] An embodiment of the present application provides an implantation device for implanting an implant, the implantation device comprising a puncture needle and a limiting tube, the puncture needle being provided with a receiving cavity for receiving the implant; the limiting tube being sleeved outside the puncture needle, and an indicator mark being provided on the circumferential surface of the puncture needle facing the limiting tube and / or on the circumferential surface of the limiting tube away from the puncture needle.

[0005] According to an implementation of the first aspect of the present application, the indicator mark includes a first mark and a second mark arranged at intervals along the extension direction of the limiting tube, and at least one of the first mark and the second mark is located on the outer circumferential surface of the limiting tube.

[0006] According to the implementation of the first aspect of the present application, the first mark and the second mark are both located on the outer circumferential surface of the limiting tube.

[0007] According to the implementation of the first aspect of the present application, the limiting tube is provided with a first opening at one end of the limiting tube in the extension direction, and at least part of the puncture needle extends out of the limiting tube from the first opening;

[0008] The distance between the first mark and the first opening is 1-5 mm, and the distance between the second mark and the first opening is 4-8 mm.

[0009] According to an implementation of the first aspect of the present application, the first mark is located on the outer circumferential surface of the limiting tube, and the second mark is located on the outer circumferential surface of the puncture needle.

[0010] According to the implementation of the first aspect of the present application, the puncture needle is provided with a second opening at one end in the extension direction of the puncture needle, and the distance between the second mark and the second opening is 1-5 mm.

[0011] According to the implementation scheme of the first aspect of the present application, the puncture needle is movably connected to the limiting tube so that the puncture needle includes a first position and a second position. In the first position, the distance between the first mark and the second opening is 4-8 mm, and in the second position, the distance between the first mark and the second opening is smaller than the distance between the first mark and the second opening in the first position.

[0012] According to the implementation of the first aspect of the present application, the indicator mark includes an indicator line extending along the extension direction of the limiting tube, and the two end points of the indicator line in the extension direction of the limiting tube are respectively located on the outer circumferential surface of the puncture needle and the outer circumferential surface of the limiting tube.

[0013] According to the implementation scheme of the first aspect of the present application, it also includes: a push rod, at least part of which is located in the accommodating cavity; and a driving member connected to the push rod, the driving member being used to drive the push rod to move.

[0014] On the other hand, an embodiment of the present application also provides an implant system, comprising the implant device and implant as described above.

[0015] The implant device of the embodiment of the present application is used to implant an implant, and the implant device includes a puncture needle and a limiting tube. The puncture needle is provided with a receiving cavity for accommodating the implant; the limiting tube is sleeved outside the puncture needle, and the outer peripheral surface of the puncture needle and / or the outer peripheral surface of the limiting tube are provided with indicator marks. Since the insertion depth of the puncture needle in the internal route and the external route are different, the present application provides indicator marks on the outer peripheral surface of the puncture needle and / or the limiting tube, and the doctor can judge the insertion depth of the puncture needle by the indicator marks, thereby realizing the implant device to meet the needs of different surgical procedures. Secondly, by providing indicator marks on the outer peripheral surface of the puncture needle and / or the limiting tube, the doctor can directly use the indicator marks to judge the insertion depth of the puncture needle without the need for a separate scale, thereby simplifying the surgical procedure and improving the efficiency of the operation. BRIEF DESCRIPTION OF THE DRAWINGS

[0016] In order to more clearly illustrate the technical solution of the embodiments of the present application, the following is a brief introduction to the drawings required for use in the embodiments of the present application. For ordinary technicians in this field, other drawings can be obtained based on these drawings without any creative work.

[0017] Figure 1 It is a front view structural schematic diagram of the implant device of some embodiments of the present application;

[0018] Figure 2 An example is shown Figure 1 A schematic diagram of the cross-sectional structure of the implant device and the implant at A;

[0019] Figure 3 A schematic diagram showing the structure of an eyeball;

[0020] Figure 4An example is shown Figure 1 Schematic diagram of the enlarged structure of the implant device and the implant at A;

[0021] Figure 5 Another example is shown Figure 1 Schematic diagram of an enlarged structure when the implant device and the implant are at position A and the puncture needle is at the first position;

[0022] Figure 6 Another example is shown Figure 1 Schematic diagram of the enlarged structure when the implant device and the implant are at position A and the puncture needle is at the second position;

[0023] Figure 7 Another example is shown Figure 1 Schematic diagram of the enlarged structure of the implant device and the implant at A.

[0024] Reference numerals:

[0025] 10. implant device; 20. implant; 30. corneal edge; 31. first position; 32. second position;

[0026] 100, puncture needle; 110, accommodating cavity; 120, second opening;

[0027] 200, limiting tube; 210, first opening;

[0028] 300, indicator mark; 310, first mark; 320, second mark; 330, indicator line;

[0029] 400, putter;

[0030] 500, driving parts;

[0031] 600, housing;

[0032] x. The extension direction of the limiting tube. DETAILED DESCRIPTION

[0033] The features and exemplary embodiments of various aspects of the present application will be described in detail below. In order to make the purpose, technical solutions and advantages of the present application clearer, the present application will be further described in detail below in conjunction with the accompanying drawings and specific embodiments. It should be understood that the specific embodiments described herein are only intended to explain the present application, rather than to limit the present application. For those skilled in the art, the present application can be implemented without the need for some of these specific details. The following description of the embodiments is only to provide a better understanding of the present application by illustrating the examples of the present application.

[0034] It should be noted that, in this article, relational terms such as first and second, etc. are only used to distinguish one entity or operation from another entity or operation, and do not necessarily require or imply any such actual relationship or order between these entities or operations. Moreover, the terms "include", "comprise" or any other variants thereof are intended to cover non-exclusive inclusion, so that a process, method, article or device including a series of elements includes not only those elements, but also other elements not explicitly listed, or also includes elements inherent to such process, method, article or device. In the absence of further restrictions, the elements defined by the statement "include..." do not exclude the presence of other identical elements in the process, method, article or device including the elements.

[0035] The applicant found that in the related art, the two surgical procedures for implanting aqueous humor drainage tubes have different puncture depths, and usually two sets of implantation systems are required to cope with different situations.

[0036] In view of the above problems, the applicant proposes an implantation device for implanting an implant, the implantation device comprising a puncture needle and a limiting tube, the puncture needle is provided with a receiving cavity for accommodating the implant; the limiting tube is sleeved outside the puncture needle, and the outer peripheral surface of the puncture needle and / or the outer peripheral surface of the limiting tube are provided with indicator marks.

[0037] The implant device provided by the present application has different insertion depths of the puncture needle in the internal route and the external route. By setting an indicator mark on the outer circumference of the puncture needle and / or the limiting tube, the doctor can judge the insertion depth of the puncture needle by the indicator mark, thereby realizing the implant device to meet the needs of different surgical procedures. Secondly, by setting an indicator mark on the outer circumference of the puncture needle and / or the limiting tube, the doctor can directly use the indicator mark to judge the insertion depth of the puncture needle without setting up a separate scale, simplifying the surgical procedure and improving the efficiency of the operation.

[0038] The implant device provided in the embodiment of the present application is introduced below in conjunction with the accompanying drawings. It is noted that the x direction in the accompanying drawings is the extension direction of the limiting tube. In the accompanying drawings, for the convenience of drawing, the dimensions in the drawings are not necessarily proportional to the actual dimensions. In order to make the drawings clear, some contour lines may be hidden in the drawings, and the line widths may be differentiated.

[0039] Please refer to Figures 1 to 3 , Figure 1 It is a front view structural schematic diagram of the implant device of some embodiments of the present application; Figure 2 An example is shown Figure 1 A schematic diagram of the cross-sectional structure of the implant device and the implant at A; Figure 3 A schematic diagram showing the structure of an eyeball.

[0040] like Figures 1 to 3As shown, the present application provides an implantation device 10 for implanting an implant 20. The implantation device 10 includes a puncture needle 100 and a stop tube 200. The puncture needle 100 is provided with a receiving cavity 110 for receiving the implant 20. The stop tube 200 is sleeved outside the puncture needle 100, and an indicator mark 300 is provided on the outer peripheral surface of the puncture needle 100 and / or the outer peripheral surface of the stop tube 200.

[0041] Among them, the puncture needle 100 and the limiting tube 200 are both hollow tubular structures, and the limiting tube 200 is sleeved outside the puncture needle 100. The puncture needle 100 and the limiting tube 200 both include an outer peripheral surface and an inner peripheral surface, the inner peripheral surface refers to the circumferential surface facing the accommodating cavity 110, and the outer peripheral surface refers to the circumferential surface away from the accommodating cavity 110. Providing the indicator mark 300 on the outer peripheral surface is easier for the operator to identify, thereby improving the indicating effect of the indicator mark 300.

[0042] Optionally, the indicator mark 300 may be a marking ring, a marking point, a marking line, etc., and the indicator mark 300 is prepared by laser marking or silk screen printing.

[0043] Optionally, the implant 20 may be a conventional implant or an expandable stent. The expandable stent is made of shape memory materials, such as nickel-titanium alloy, indium-thallium alloy, and the like.

[0044] Optionally, during the internal route surgery, the puncture needle 100 passes through the cornea, passes through the anterior chamber, and passes through the trabecular meshwork and sclera to enter the subconjunctival space, and during the external route surgery, the puncture needle 100 passes through the conjunctiva and passes through the sclera and trabecular meshwork to enter the anterior chamber. Among them, during the internal route, the doctor can abut the limiting tube 200 against the outside of the trabecular meshwork and rely on the limiting tube for positioning. During the external route, the doctor can position according to the positional relationship between the indicator mark 300 and the patient's corneal edge 30, and then determine the insertion position of the puncture needle 100 and the implantation position of the implant 20. In other embodiments, in both the internal route and the external route, the doctor can position according to the positional relationship between the indicator mark 300 and the patient's eye tissue.

[0045] Alternatively, in various embodiments, implant 20 may be used to transfer aqueous humor to different parts of the eye, such as the space between the conjunctiva and sclera, the suprachoroidal space, Schlemm's canal, or a fluid reservoir formed on the posterior surface of the eye.

[0046] The implant device 10 provided in this embodiment has different insertion depths of the puncture needle 100 in the internal route and the external route. By setting an indicator mark 300 on the outer circumference of the puncture needle 100 and / or the limiting tube 200, the doctor can judge the insertion depth of the puncture needle 100 by the indicator mark 300, thereby realizing that the implant device 10 meets the needs of different surgical procedures. Secondly, by setting the indicator mark 300 on the outer circumference of the puncture needle 100 and / or the limiting tube 200, the doctor can directly use the indicator mark 300 to judge the insertion depth of the puncture needle 100 without setting up a separate scale, simplifying the surgical procedure and improving the efficiency of the operation.

[0047] In some optional embodiments, the implant device 10 further includes a push rod 400 and a driving member 500 , at least a portion of the push rod 400 is located in the accommodating cavity 110 , and the driving member 500 is connected to the push rod 400 , and the driving member 500 is used to drive the push rod 400 to move.

[0048] Optionally, the implant device 10 further includes a housing 600, the limiting tube 200 is connected to the housing 600, and the push rod 400 and the housing 600 are movably arranged along the extension direction (x direction in the figure) of the limiting tube 200. At least part of the driving member 500 is located in the housing 600, and at least part of the push rod 400 extends into the housing 600 and is connected to the driving member 500. In a specific surgical procedure, after the puncture needle 100 pierces the patient's eye tissue, the doctor drives the push rod 400 to move forward along the extension direction x of the limiting tube 200 through the driving member 500, and the push rod 400 pushes the implant 20 forward along the extension direction x of the limiting tube 200 to complete the implantation operation.

[0049] In another embodiment, the driving member 500 is connected to the puncture needle 100, and the driving member 500 can drive the puncture needle 100 to move along the extension direction x of the limiting tube 200. During the operation, after the puncture needle 100 pierces the patient's eye tissue, the doctor drives the push rod 400 to move forward along the extension direction x of the limiting tube 200 through the driving member 500, and the push rod 400 pushes the implant 20 forward along the extension direction x of the limiting tube 200. Then, the doctor drives the puncture needle 100 to move backward along the extension direction x of the limiting tube 200 through the driving member 500, and the puncture needle 100 withdraws and exposes the implant 20 to complete the implantation operation.

[0050] Optionally, the specific transmission between the driving member 500 and the puncture needle 100 and the push rod 400 can be achieved through a cam-connecting rod structure, a gear rack structure, etc., which will not be elaborated here.

[0051] Please refer to Figure 1 , Figure 3 and Figure 4 , Figure 4 An example is shown Figure 1 Schematic diagram of the enlarged structure of the implant device and the implant at A.

[0052] like Figure 1 , Figure 3 and Figure 4 As shown, in some optional embodiments, the indicator mark 300 includes a first mark 310 and a second mark 320 spaced apart along the extension direction x of the limiting tube 200 , and at least one of the first mark 310 and the second mark 320 is located on the outer circumferential surface of the limiting tube 200 .

[0053] Optionally, the limiting tube 200 may extend along a straight line or a curve, that is, the extending direction x of the limiting tube 200 may be a straight line or a curve. In this embodiment, the extending direction x of the limiting tube 200 is described as a straight line.

[0054] Optionally, both the first mark 310 and the second mark 320 are located on the outer circumferential surface of the limiting tube 200 .

[0055] Optionally, the limiting tube 200 is provided with a first opening 210 at one end of the limiting tube 200 in the extension direction x, and at least part of the puncture needle 100 extends out of the limiting tube 200 from the first opening 210. The distance between the first mark 310 and the first opening 210 (dimension L1 in the figure) is 1-5 mm, and the distance between the second mark 320 and the first opening 210 (dimension L2 in the figure) is 4-8 mm. The first opening 210 is located on the side of the limiting tube 200 away from the housing 600. For example, in the external route process, the doctor inserts the puncture needle 100 at the second position 32 and pushes out the implant 20 at the first position 31. The distance between the first position 31 and the corneal edge 30 is equal to the distance between the first mark 310 and the first opening 210 (dimension L1 in the figure), and the distance between the second position 33 and the corneal edge 30 is equal to the distance between the second mark 320 and the first opening 210 (dimension L2 in the figure). The doctor can directly select the puncture position and the implant 20 pushing position according to the indicator mark 300 without the need for an additional ruler.

[0056] Preferably, the distance between the first mark 310 and the first opening 210 (dimension L1 in the figure) is 2 mm, the distance between the second mark 320 and the first opening 210 (dimension L2 in the figure) is 5 mm, the distance between the first position 31 and the corneal edge 30 is 2 mm, and the distance between the second position 32 and the corneal edge 30 is 5 mm. It can be understood that during the external route surgery, the distance between the puncture needle 100 insertion position and the corneal edge 30 is 5 mm, and the distance between the implant 20 pushing position and the corneal edge 30 is 2 mm.

[0057] The implantation device 10 provided in this embodiment sets at least one indicator mark 300 on the outer peripheral surface of the limiting tube 200. Since the limiting tube 200 is fixedly connected to the shell 600, the relative position of the indicator mark 300 on the limiting tube 200 and the shell 600 will not change with the implantation process, so that the indication effect of the indicator mark 300 is more accurate.

[0058] Please refer to Figure 1 , Figure 3 , Figure 5 and Figure 6 , Figure 5 Another example is shown Figure 1 Schematic diagram of an enlarged structure when the implant device and the implant are at position A and the puncture needle is at the first position; Figure 6 Another example is shown Figure 1 Schematic diagram of the enlarged structure when the implant device and the implant are at A and the puncture needle is in the second position.

[0059] like Figure 1 , Figure 3 , Figure 5 and Figure 6 As shown, in some optional embodiments, the first mark 310 is located on the outer circumference of the limiting tube 200 , and the second mark 320 is located on the outer circumference of the puncture needle 100 .

[0060] Optionally, the puncture needle 100 is provided with a second opening 120 at one end of the extension direction of the puncture needle 100, and the distance between the second mark 320 and the second opening 120 (dimension L3 in the figure) is 1-5 mm. The second opening 120 is located on the side of the puncture needle 100 away from the housing 600. The extension direction of the puncture needle 100 is parallel to the extension direction x of the limiting tube 200.

[0061] Optional, such as Figure 5 As shown, the puncture needle 100 and the stop tube 200 are both fixedly connected to the housing 600, the distance between the first mark 310 and the second opening 120 (dimension L4 in the figure) is 4-8 mm, and the distance between the second mark 320 and the second opening 120 is smaller than the distance between the first mark 310 and the second opening 120. For example, in the external route process, the doctor inserts the puncture needle 100 at the second position 32 and pushes out the implant 20 at the first position 31. The distance between the first position 31 and the corneal edge 30 is equal to the distance between the second mark 320 and the second opening 120 (dimension L3 in the figure), and the distance between the second position 33 and the corneal edge 30 is equal to the distance between the first mark 310 and the second opening 120 (dimension L4 in the figure). The doctor can directly select the puncture position and the implant 20 push position according to the indicator mark 300 without an additional ruler.

[0062] Preferably, the distance between the first mark 310 and the second opening 120 (dimension L4 in the figure) is 5 mm, the distance between the second mark 320 and the second opening 120 (dimension L3 in the figure) is 2 mm, the distance between the first position 31 and the corneal edge 30 is 2 mm, and the distance between the second position 32 and the corneal edge 30 is 5 mm. It can be understood that during the external route surgery, the distance between the puncture needle 100 insertion position and the corneal edge 30 is 5 mm, and the distance between the implant 20 pushing position and the corneal edge 30 is 2 mm.

[0063] Preferably, the distance between the second mark 320 and the second opening 120 is 2 mm, and the distance between the first mark 310 and the second opening 120 is 5 mm.

[0064] Optionally, the puncture needle 100 is movably connected to the limiting tube 200, so that the puncture needle 100 includes a first position and a second position. Figure 4 As shown, in the first position, the second mark 320 is located outside the limiting tube 200, and the distance between the first mark 310 and the second opening 120 (dimension L4 in the figure) is 4-8 mm. Figure 5 As shown, in the second position, the second mark 320 is located in the limiting tube 200, and the distance between the first mark 310 and the second opening 120 in the second position (dimension L5 in the figure) is smaller than the distance between the first mark 310 and the second opening 120 in the first position (dimension L4 in the figure). The first position is the position where the second opening 120 of the puncture needle 100 is farthest from the first opening 210 of the limiting tube 200, and the second position is the position where the puncture needle 100 is withdrawn and the implant 20 is exposed, and at this time, the second opening 120 is closest to the first opening 210.

[0065] The implantation device 10 provided in this embodiment sets an indicator mark 300 on the outer peripheral surface of the position limiting tube 200. Since the position limiting tube 200 is fixedly connected to the housing 600, the relative position of the indicator mark 300 on the position limiting tube 200 and the housing 600 will not change with the implantation process, so that the indication effect of the indicator mark 300 is more accurate. At least part of the puncture needle 100 extends out of the position limiting tube 200 and first contacts the patient's eye tissue during the implantation process. By setting another indicator mark 300 on the outer peripheral surface of the puncture needle 100, the doctor can more intuitively understand the insertion depth of the puncture needle 100.

[0066] Please refer to Figure 7 , Figure 7 Another example is shown Figure 1 Schematic diagram of the enlarged structure of the implant device and the implant at A.

[0067] like Figure 7As shown, in some optional embodiments, the indicator mark 300 includes an indicator line 330 extending along the extension direction x of the limiting tube 200, and the two end points of the indicator line 330 in the extension direction x of the limiting tube 200 are respectively located on the outer peripheral surface of the puncture needle 100 and the outer peripheral surface of the limiting tube 200. During the external route procedure, the doctor can locate the puncture needle 100 and the implant 20 according to the positional relationship between the two end points of the indicator line 330 and the patient's corneal edge 30, and then determine the insertion position of the puncture needle 100 and the implant position of the implant 20. In other embodiments, in both the internal route and the external route, the doctor can locate the puncture needle 100 according to the positional relationship between the two end points of the indicator line 330 and the patient's eye tissue.

[0068] The embodiment of the second aspect of the present application also provides an implant system, including the implant device 10 and the implant 20 of any of the first aspect embodiments described above. Since the implant system provided by the embodiment of the second aspect of the present application includes the implant device 10 of any of the first aspect embodiments described above, the implant system provided by the embodiment of the second aspect of the present application has the beneficial effects of the implant device 10 of any of the first aspect embodiments described above, which will not be repeated here.

[0069] The above is only a specific implementation of the present application. Those skilled in the art can clearly understand that for the convenience and simplicity of description, the specific working processes of the systems, modules and units described above can refer to the corresponding processes in the aforementioned method embodiments, and will not be repeated here. It should be understood that the protection scope of the present application is not limited to this. Any technician familiar with the technical field can easily think of various equivalent modifications or replacements within the technical scope disclosed in this application, and these modifications or replacements should be included in the protection scope of this application.

Claims

1. An implantation device for implanting an implant, characterized in that: include: A puncture needle, wherein a receiving cavity for receiving an implant is provided; The limiting tube is sleeved outside the puncture needle, and an indication mark is arranged on the outer peripheral surface of the puncture needle and / or the outer peripheral surface of the limiting tube.

2. The implant device according to claim 1, characterized in that The indicator mark comprises a first mark and a second mark which are arranged at intervals along the extending direction of the position limiting tube, and at least one of the first mark and the second mark is located on the outer peripheral surface of the position limiting tube.

3. The implant device according to claim 2, characterized in that The first mark and the second mark are both located on the outer circumferential surface of the limiting tube.

4. The implant device according to claim 3, characterized in that The limiting tube is provided with a first opening at one end of the limiting tube in the extending direction, and at least part of the puncture needle extends out of the limiting tube from the first opening; The distance between the first mark and the first opening is 1-5 mm, and the distance between the second mark and the first opening is 4-8 mm.

5. The implant device according to claim 2, characterized in that: The first mark is located on the outer circumferential surface of the limiting tube, and the second mark is located on the outer circumferential surface of the puncture needle.

6. The implant device according to claim 5, characterized in that The puncture needle is provided with a second opening at one end of the puncture needle in the extension direction, and the distance between the second mark and the second opening is 1-5 mm.

7. The implant device according to claim 6, characterized in that The puncture needle is movably connected to the limiting tube so that the puncture needle includes a first position and a second position. In the first position, the distance between the first mark and the second opening is 4-8 mm, and in the second position, the distance between the first mark and the second opening is smaller than the distance between the first mark and the second opening in the first position.

8. The implant device according to claim 1, characterized in that The indicator mark comprises an indicator line extending along the extending direction of the position limiting tube, and two end points of the indicator line in the extending direction of the position limiting tube are respectively located on the outer circumferential surface of the puncture needle and the outer circumferential surface of the position limiting tube.

9. The implant device according to claim 1, characterized in that Also includes: A push rod, at least a portion of which is located in the accommodating cavity; A driving member is connected to the push rod, and the driving member is used to drive the push rod to move.

10. An implant system, characterized in that: The invention comprises the implantation device as claimed in any one of claims 1 to 9 and the implant.

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