CN106137455B - A kind of cranium face, nose repair sticking patch - Google Patents

A kind of cranium face, nose repair sticking patch Download PDF

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Publication number
CN106137455B
CN106137455B CN201610614000.XA CN201610614000A CN106137455B CN 106137455 B CN106137455 B CN 106137455B CN 201610614000 A CN201610614000 A CN 201610614000A CN 106137455 B CN106137455 B CN 106137455B
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CN
China
Prior art keywords
reinforced sheet
sticking patch
substrate
nose
cranium face
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Active
Application number
CN201610614000.XA
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Chinese (zh)
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CN106137455A (en
Inventor
袁同娣
周登斌
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Shanghai Group Medical Technology Co Ltd
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Shanghai Group Medical Technology Co Ltd
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Priority to CN201610614000.XA priority Critical patent/CN106137455B/en
Publication of CN106137455A publication Critical patent/CN106137455A/en
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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/0063Implantable repair or support meshes, e.g. hernia meshes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/18Internal ear or nose parts, e.g. ear-drums
    • A61F2/186Nose parts
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/28Bones
    • A61F2/2875Skull or cranium
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/28Bones
    • A61F2002/2835Bone graft implants for filling a bony defect or an endoprosthesis cavity, e.g. by synthetic material or biological material
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30003Material related properties of the prosthesis or of a coating on the prosthesis
    • A61F2002/3006Properties of materials and coating materials
    • A61F2002/30062(bio)absorbable, biodegradable, bioerodable, (bio)resorbable, resorptive
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2210/00Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2210/0004Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof bioabsorbable
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2310/00Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00005The prosthesis being constructed from a particular material

Landscapes

  • Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Transplantation (AREA)
  • Vascular Medicine (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Cardiology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Otolaryngology (AREA)
  • Pulmonology (AREA)
  • Neurosurgery (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Materials For Medical Uses (AREA)

Abstract

The present invention relates to disclose a kind of cranium face, nose reparation sticking patch, it is made up of bioabsorbable material, including the substrate that main body is plane sheets, the central part of substrate is provided with the spine that cross section is in circular arc, and sticking patch can be bent to the corresponding curved surface of reparation position shape by manual operations along spine;The surface of substrate at least side is provided with reinforced sheet, and reinforced sheet is made up of horizontal reinforced sheet, vertical reinforced sheet and oblique reinforced sheet, and substrate and reinforced sheet are formed in one structure;Horizontal reinforced sheet and vertical reinforced sheet intersect to form grating frame, diagonal arrangement of the oblique reinforced sheet along the grid;The substrate is provided with perforation;The spine is provided with the suture extended along its length.Compared with prior art, cranium face of the invention, nose repairs sticking patch has good Bioabsorbable, the advantages that being readily bent into repairing the shape that is consistent of position and good support performance.

Description

A kind of cranium face, nose repair sticking patch
Technical field
The present invention relates to medical instruments field, and in particular to a kind of cranium face, nose repair sticking patch.
Background technology
Cranium face, the widely used autograft of sticking patch reconstruction of nose and artificial material method for implantation are repaired at present. The sticking patch that autograft is formed not only is influenceed very big and often solid by confession area's tissue mass, tissue by doctor's engraving technology There is the limitation of form, toughness etc., it is impossible to obtain preferable profile and function;After by area, autologous tissue's support can be sent out for implantation Raw different degrees of absorption and deformation, the problems such as causing sticking patch crooked and collapse.And traditional main use of artificial material implantation Sticking patch is made in the nonabsorable material such as silica gel or polytetrafluoroethylmaterial material, but has the disadvantage that:1)The profile and work(of sticking patch All there can be very big difference with the cranium face of human body and nose;2)Sticking patch lacks stable fixation with peripheral soft tissues so that postoperative Easily it is shifted over;3)Sticking patch can not play good supporting role, or localised tension is too high and support occurs and passes;4)It is postoperative The cavity of sticking patch has formed dead space, increases infection rate.Therefore, exploitation one kind can degrade in vivo absorption, be readily bent into and reparation The shape that position is consistent and the cranium face with excellent support capability, nose reparation sticking patch, turn into the technology people of the art The eager technical barrier for expecting to solve of member.
The content of the invention
The shortcomings that for above-mentioned prior art or deficiency, have the technical problem to be solved in the present invention is to provide one kind internal Absorbability, it is readily bent into the shape being consistent with reparation position and there is the cranium face of excellent support capability, nose reparation to mend Piece.
In order to solve the above technical problems, the present invention has following form:
A kind of cranium face, nose repair sticking patch, are made up of bioabsorbable material, including the substrate that main body is plane sheets, The central part of the substrate is provided with the spine that cross section is in circular arc, and the sticking patch can be by manual operations along the spine It is bent to repair the corresponding curved surface of position shape;The surface of the substrate at least side is provided with reinforced sheet, the reinforcement Piece includes horizontal reinforced sheet and vertical reinforced sheet, and the horizontal reinforced sheet and vertical reinforced sheet intersect to form grating frame.
The reinforced sheet also includes oblique reinforced sheet, diagonal arrangement of the oblique reinforced sheet along the grid.
The substrate and reinforced sheet are formed in one structure.
The thickness of the horizontal reinforced sheet and vertical reinforced sheet, it is all higher than the thickness of the oblique reinforced sheet.
Perforation is additionally provided with the substrate.
The shape of cross section of the perforation is one kind in circle, ellipse, triangle, square, rectangle and polygon It is or a variety of.
The size of the perforation is 25 square millimeters to 95 square millimeters.
The thickness of the substrate, horizontal reinforced sheet and vertical reinforced sheet, it is 0.1mm to 0.5mm.
Extension, the suture made of bioabsorbable material along its length are additionally provided with the spine.
The bioabsorbable material be PLA, lactide coglycolide copolymer and its mixture in one kind or It is a variety of.
Compared with prior art, cranium face of the invention, nose repairing sticking patch are made of bioabsorbable material, are had very Good biocompatibility, can degrade and absorb in vivo;Central part is provided with the spine that cross section is in circular arc, is easy to pass through craft Operation makes sticking patch bend to the shape being consistent with repairing position;By setting reinforced sheet in the outer surface of substrate, it is ensured that mend The support performance of piece.
Brief description of the drawings
Fig. 1:Facial, nose of the invention repairs the structural representation of sticking patch.
Fig. 2:Cross-sectional views of the Fig. 1 along line A-A.
Embodiment
Design, concrete structure and the caused technique effect of the present invention are described further below with reference to accompanying drawing, with It is fully understood from the purpose of the present invention, feature and effect.
As shown in Figure 1 to Figure 2, a kind of cranium face, nose repair sticking patch, are made up of bioabsorbable material, including substrate 10 And reinforced sheet, the wherein main body of substrate 10 is plane sheets;The central part of the substrate 10 is provided with cross section in circular arc Spine 20, the sticking patch can be bent to the corresponding curved surface of reparation position shape by manual operations along the spine 20, Then repaired.In the present embodiment, the spine 20 is that substrate 10 is placed in specific mould to be molded, and through thermal finalization Formed.
The surface of the substrate 10 at least side is provided with reinforced sheet, and the reinforced sheet adds by horizontal reinforced sheet 31, vertically Strong piece 32 and oblique reinforced sheet 33 are formed;The horizontal reinforced sheet 31 and vertical reinforced sheet 32 intersect to form grating frame, Diagonal distribution of the oblique reinforced sheet 33 along the grid.Using reinforced sheet is set on the outer surface of substrate 10, benefit is enhanced The anti-torsion ability of piece;On the premise of sticking patch integrated support performance is ensured, the thickness of substrate 10 can be made more thinner, Preferable pliability is made it have, raw material can be also saved, reduce cost;The reduction of sticking patch thickness, it is more convenient for cutting, bends and mould Pressure is shaped to adapt to the demand of different size and profile, moreover it is possible to is reduced the exotic quality of implanted region, will not also be increased reparation Cranium face, the native anatomy thickness of nose afterwards.In specific embodiment, the thickness of the horizontal reinforced sheet 31 and vertical reinforced sheet 32 Degree, it is all higher than the thickness of the oblique reinforced sheet 33;The substrate 10, horizontal reinforced sheet 31, the thickness of vertical reinforced sheet 32 are 0.1mm to 0.5mm.
The substrate 10 and reinforced sheet can use overall be integrally formed to be made;It can also use and separate prefabricated again assemble Manufacture method, respectively pre-formed substrate 10 and reinforced sheet, then be complex as the two by common process such as suture, welding, bondings Integrative-structure.
Perforation 40 is additionally provided with the substrate 10;The effect of the perforation 40 is to receive it for providing enough mucous membrane diffusions Blood supply and discharged waste, and more favourable condition is provided for cell migration, promote normal mucous membrane to heal, nothing is direct or prolongs Slow postoperative complications, to help perienchyma to be attached on sticking patch, so as to contribute to the positioning of sticking patch, ensure after the completion of operation The position of sticking patch immobilizes.In specific embodiment, the shape of cross section of the perforation 40 is circle, ellipse, triangle, just One or more in square, rectangle and polygon;The size of the perforation 40 is 25 square millimeters to 95 square millimeters.
The present invention is additionally provided with the suture extended along its length in the sticking patch as nose reparation in the spine 20 Line 21, the suture 21 are also to be made up of bioabsorbable material, have good biological absorbable performance;Improve spine 20 support force, shape and rigidity can be preferably kept with Post operation during nasal surgery is repaired, in case Post operation goes out It is incumbent what bending and it is twisted, make the straight bridge of the nose.
In the present invention, the bioabsorbable material is in the copolymer and its mixture of PLA, lactide coglycolide One or more.The bioabsorbable material has stronger initial strength and Resisting fractre strength retention, life well Thing absorbability, firm and supporting role can be played during healing, there is provided enough structural stabilities;In agglutination, Supporter is slowly degraded and is finally completely absorbed by the body, and avoids long-term complications caused by the artificial implantation of nonabsorable, So as to simplify the reconstruction operation in cranium face, nose.
According to the teaching of the present embodiment, those skilled in the art can be achieved in other scope of the present invention completely Technical scheme.

Claims (9)

1. a kind of cranium face, nose repair sticking patch, it is made up of bioabsorbable material, including the substrate that main body is plane sheets (10), it is characterised in that:
The substrate(10)Central part be provided with cross section be in circular arc spine(20), the sticking patch can pass through manual behaviour Make along the spine(20)It is bent to repair the corresponding curved surface of position shape;
The substrate(10)At least the surface of side is provided with reinforced sheet, and the reinforced sheet includes horizontal reinforced sheet(31)With it is vertical Reinforced sheet(32), the horizontal reinforced sheet(31)With vertical reinforced sheet(32)Intersect to form grating frame;The reinforced sheet Also include oblique reinforced sheet(33), the oblique reinforced sheet(33)Arranged along the diagonal of the grid.
2. a kind of cranium face according to claim 1, nose repair sticking patch, it is characterised in that:The substrate(10)And reinforcement Piece is formed in one structure.
3. a kind of cranium face according to claim 1, nose repair sticking patch, it is characterised in that:The horizontal reinforced sheet(31) With vertical reinforced sheet(32)Thickness, be all higher than the oblique reinforced sheet(33)Thickness.
4. a kind of cranium face according to claim 1, nose repair sticking patch, it is characterised in that:The substrate(10)On also set There is perforation(40).
5. a kind of cranium face according to claim 4, nose repair sticking patch, it is characterised in that:The perforation(40)It is transversal Face is shaped as the one or more in circle, ellipse, triangle, square, rectangle and polygon.
6. a kind of cranium face according to claim 4, nose repair sticking patch, it is characterised in that:The perforation(40)Size For 25 square millimeters to 95 square millimeters.
7. a kind of cranium face according to claim 1, nose repair sticking patch, it is characterised in that:The substrate(10), laterally plus Strong piece(31)With vertical reinforced sheet(32)Thickness, be 0.1mm to 0.5mm.
8. a kind of cranium face according to claim 1, nose repair sticking patch, it is characterised in that:The spine(20)On also set There are extension, the suture made of bioabsorbable material along its length(21).
9. a kind of cranium face according to any one of claim 1 to 8, nose repair sticking patch, it is characterised in that:The biology Absorbable material is the one or more in the copolymer and its mixture of PLA, lactide coglycolide.
CN201610614000.XA 2016-08-01 2016-08-01 A kind of cranium face, nose repair sticking patch Active CN106137455B (en)

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CN106137455B true CN106137455B (en) 2018-01-02

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Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110327133A (en) * 2019-07-11 2019-10-15 肖以磊 It is a kind of applied to the artificial dura mater opening cranium and going in bone flap decompression operation

Citations (4)

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Publication number Priority date Publication date Assignee Title
CN201389098Y (en) * 2009-04-16 2010-01-27 北京天助畅运医疗技术有限公司 Preperitoneal repair mesh
CN102499793A (en) * 2011-10-25 2012-06-20 大连创达技术交易市场有限公司 Novel manufacturing method of carbon fiber rhinoplasty prosthesis
CN203328850U (en) * 2013-06-21 2013-12-11 常州市康蒂娜医疗科技有限公司 Woven patch
CN203885665U (en) * 2014-05-30 2014-10-22 唐健雄 Woven patch for planar or non-planar herniorrhaphy

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Publication number Priority date Publication date Assignee Title
US7066962B2 (en) * 2002-07-23 2006-06-27 Porex Surgical, Inc. Composite surgical implant made from macroporous synthetic resin and bioglass particles
US8367099B2 (en) * 2004-09-28 2013-02-05 Atrium Medical Corporation Perforated fatty acid films
CN206228466U (en) * 2016-08-01 2017-06-09 上海群爱医疗科技有限公司 A kind of cranium face, nose repair sticking patch

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN201389098Y (en) * 2009-04-16 2010-01-27 北京天助畅运医疗技术有限公司 Preperitoneal repair mesh
CN102499793A (en) * 2011-10-25 2012-06-20 大连创达技术交易市场有限公司 Novel manufacturing method of carbon fiber rhinoplasty prosthesis
CN203328850U (en) * 2013-06-21 2013-12-11 常州市康蒂娜医疗科技有限公司 Woven patch
CN203885665U (en) * 2014-05-30 2014-10-22 唐健雄 Woven patch for planar or non-planar herniorrhaphy

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