CN107898534B - Absorbable ligament with curing band - Google Patents

Absorbable ligament with curing band Download PDF

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Publication number
CN107898534B
CN107898534B CN201711147680.XA CN201711147680A CN107898534B CN 107898534 B CN107898534 B CN 107898534B CN 201711147680 A CN201711147680 A CN 201711147680A CN 107898534 B CN107898534 B CN 107898534B
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China
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bone tunnel
woven fabric
weft
along
woven
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Chinese (zh)
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CN107898534A (en
Inventor
季杰
陈晓
万方
陈世益
赖卫国
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Shanghai Ligetai Biotechnology Co ltd
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Shanghai Ligetai Biotechnology Co ltd
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    • 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
    • A61F2/08Muscles; Tendons; Ligaments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L27/00Materials for grafts or prostheses or for coating grafts or prostheses
    • A61L27/14Macromolecular materials
    • A61L27/22Polypeptides or derivatives thereof, e.g. degradation products
    • A61L27/24Collagen
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L27/00Materials for grafts or prostheses or for coating grafts or prostheses
    • A61L27/50Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
    • 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
    • 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
    • A61F2230/00Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0063Three-dimensional shapes
    • A61F2230/0069Three-dimensional shapes cylindrical
    • 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
    • A61F2240/00Manufacturing or designing of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2240/001Designing or manufacturing processes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2430/00Materials or treatment for tissue regeneration
    • A61L2430/10Materials or treatment for tissue regeneration for reconstruction of tendons or ligaments

Abstract

The invention provides an absorbable ligament with a curing belt, which comprises a round rod structure (4), wherein two bone tunnel implantation parts, namely a first bone tunnel implantation part (41) and a second bone tunnel implantation part (42), are respectively formed at two ends of the round rod structure (4) along the axial direction; the bone tunnel implant comprises a rolled woven layer (53) and an absorbable layer (54) which are alternately arranged in the radial direction of the cross section; the bone tunnel implant forms a plurality of bone tunnel-solidifying strips (51) along the axial direction; the round bar structure (4) forms a rolled raw webbing (52) at a portion between two adjacent bone tunnel solidification belts (51), the plurality of bone tunnel solidification belts (51) and the plurality of rolled raw webbing (52) are alternately arranged along the axial direction of the round bar structure (4), and the lengths of the plurality of rolled raw webbing (52) are equal or different. The invention can prevent the end of the woven cloth from becoming loose during preparation, thereby not only facilitating the suturing of ligament reconstruction, but also preventing inflammatory reaction caused by loose fiber particles falling.

Description

Absorbable ligament with curing band
Technical Field
The present invention relates to the field of medical devices, and in particular to an absorbable ligament with a curing band.
Background
When the knee joint is excessively turned in or out, the pulled ligament is damaged by tearing, breaking and the like due to exceeding physiological load, and the diseases mainly represented by swelling, pain, dysfunction, pressure pain points and the like of the knee joint are treated. The knee is straightened, the outer side of the knee or leg is hit or pressed by strong violence, so that the knee is excessively abducted, and the medial collateral ligament can be partially or completely broken. In contrast, the medial knee or leg is struck or heavily stressed by violence, causing excessive adduction of the knee, partial or complete rupture of the lateral collateral ligaments, and in severe trauma cases, simultaneous injury of the collateral ligaments, the cruciate ligament, and the meniscus.
Ankle sprains are very common in athletic injuries, with supination injuries of the ankle, i.e., injuries to the lateral collateral ligaments of the ankle, including injuries to the anterior talofibular ligament, the calcaneofibular ligament, and the posterior talofibular ligament being the most common. The supination injury is in fact a combination of actions including pronation of the ankle, varus of the calcaneus navicular joint and adduction of the forefoot, which are difficult to break apart during the injury. During exercise, the body loses the center of gravity for some reason, or the foot of the user is stepped on when jumping up and landing, or the foot is stepped on and stumbled during exercise, and the like, the action of supination of the foot can be generated, so that the lateral ligament of the ankle is damaged.
For the treatment of collateral ligament injuries, ligament dead center reconstruction should be performed when the ligament is torn off from the dead center and is difficult to join directly. At this time, artificial collateral ligaments are needed, the length of collateral ligaments on the market is 400mm,500mm,600mm or 800mm, in actual clinical use, doctors need to cut collateral ligaments into needed length, and collateral ligaments are strip-shaped fabrics with a woven structure, when the collateral ligaments are cut by scissors, the ends of the collateral ligaments are loose, ligament reconstruction is difficult to suture, loose fibers are easy to fall off particles, and inflammatory reaction is easy to cause.
Disclosure of Invention
In view of the deficiencies in the prior art, it is an object of the present invention to provide an absorbable ligament with a cured band.
The absorbable ligament with the curing belt provided by the invention comprises a round rod structure, wherein two bone tunnel implantation parts, namely a first bone tunnel implantation part and a second bone tunnel implantation part, are respectively formed at two ends of the round rod structure along the axial direction;
the bone tunnel implantation part comprises a rolled woven layer and an absorbable layer which are alternately arranged in the radial direction of the cross section;
the bone tunnel implant forms a plurality of bone tunnel curing strips along an axial direction; the round bar structure forms a rolled raw webbing at a portion between two adjacent bone tunnel-curing belts 51, the plurality of bone tunnel-curing belts and the plurality of rolled raw webbing are alternately arranged in an axial direction along the round bar structure, and lengths of the plurality of rolled raw webbing are equal or different.
Preferably, the round bar structure is made by the steps of:
step S1: using warp yarns and weft yarns on a loom to prepare a woven fabric layer, and paving collagen films on one or both of two end surfaces of the woven fabric layer in the thickness direction to form a woven fabric;
step S2: a plurality of woven fabric curing belts are processed in the length extending direction of the woven fabric by a hot stamping or ultrasonic hot melting method, and a woven fabric original woven belt is formed at the part of the woven fabric between two adjacent woven fabric curing belts;
step S3: cutting out a fabric with a required length along the fabric curing belt, wherein two ends of the cut fabric in the length direction respectively form a first knitting part and a second knitting part;
step S4: the long shaft of the woven fabric is used as a rotating shaft, the woven fabric is coiled, the coiled woven fabric is sewn and fixed at two ends by using a crochet hook or a suture needle to obtain a round bar structure, the first bone tunnel implantation part and the second bone tunnel implantation part correspond to the first braiding part and the second braiding part respectively, the woven fabric solidifying belt and the woven fabric raw braid correspond to the bone tunnel solidifying belt and the coiled raw braid respectively, and the woven fabric braiding layer and the collagen film correspond to the coiled braiding layer and the absorbable layer respectively.
Preferably, the weft yarns comprise a first weft yarn and a second weft yarn;
the first weft yarns are made of degradable materials, the second weft yarns are made of non-degradable materials, and the first weft yarns and the second weft yarns are alternately or sequentially arranged along the width extension direction of the fabric.
Preferably, the woven raw fabric belt comprises warp and weft soft belts;
the weaving layer of the warp and weft soft belt comprises warp yarns and weft yarns, and the weaving layer of the weft soft belt only comprises weft yarns;
the round bar structure also forms an intra-articular free wire part along the axial direction, a first bone tunnel implantation part, an intra-articular free wire part and a first bone tunnel implantation part;
the weft soft belt corresponds to the free silk part in the joint.
Preferably, the cross-sectional shape of the round bar structure is spiral, 8-shaped or C-shaped.
Preferably, the length of the woven fabric curing belt is 3-10 mm in the extending direction along the length of the woven fabric, and the length of the woven fabric original woven belt is 10-50 mm;
the warp yarns and the weft yarns are made of any one or more of the following materials:
-collagen and polyvinyl alcohol composite monofilaments;
-collagen and polyvinyl alcohol composite multifilament yarn;
-polylactic acid based polymer monofilaments;
polylactic acid based polymer multifilament yarn.
Preferably, the bone tunnel implant has a petal-shaped cross section, and the petal-shaped bone tunnel implant comprises a petal body, a first suture and a second suture;
a plurality of the petals are arranged in a circumferential direction; the first suture is sewn on the flap body along the circumferential direction of the single flap body; the second suture is sewn to the bone tunnel implant along a circumferential direction of an outer contour of the bone tunnel implant.
Preferably, the bone tunnel implant further comprises a central skeleton located in the bone tunnel implant;
the central framework can be switched between two states, namely a collection state and a stretching state:
in the storage state, the circumferential outline area of the central framework is reduced;
and in the open state, the circumferential contour area of the central framework is increased.
Preferably, the central skeleton comprises a main bone and a plurality of branch bones, and the plurality of branch bones are connected to two ends of the main bone along the width direction along the length extension direction of the main bone;
in the storage state, the supporting bones are mutually close in the circumferential direction;
in the open state, the struts are spaced apart from one another in the circumferential direction.
Preferably, the collagen membrane is attached to the woven layer by any one of the following means:
-laminating;
spraying;
-stitching.
Compared with the prior art, the invention has the following beneficial effects:
1. the invention can prevent the end of the woven cloth from becoming loose during preparation, which is convenient for suturing ligament reconstruction and can further prevent inflammatory reaction caused by loose fiber particles falling off.
2. After the proper length is cut out according to the requirement, the rest part keeps stable form, so that the invention can be utilized, and the cost is effectively reduced.
3. With the climbing and ingrowth of the ligament self-tissues, the ligament grafts are reorganized and fibrillated, and form a community with the human body self-tissues, so that better exercise function and exercise feeling are provided for patients.
4. The central framework is arranged in the invention, so that the artificial ligament can be conveniently implanted in the bone tunnel, the fixing force of the artificial ligament in the bone tunnel can be increased, and the climbing and the growing in of the tissue of the ligament of the human body can be conveniently realized, thereby playing a role in three ways.
5. The collagen membrane is a natural active protein, has low immunogenicity, good biocompatibility and histocompatibility, and is nontoxic to cells and organisms, and does not or less cause inflammation and immune rejection reaction.
Drawings
Other features, objects and advantages of the present invention will become more apparent upon reading of the detailed description of non-limiting embodiments, given with reference to the accompanying drawings in which:
FIG. 1 is a schematic view of a round bar structure without free wire portions in the joint;
FIG. 2 is a schematic view of a fabric construction without weft soft bands;
FIG. 3 is a schematic view of a round bar structure including free wire portions within the joint;
FIG. 4 is a schematic view of the arrangement of the first weft yarn and the second weft yarn in sequence when the woven fabric comprises a weft yarn soft belt;
FIG. 5 is a schematic view showing the alternate arrangement of the first weft and the second weft when the woven fabric comprises soft weft tapes;
FIG. 6 is a schematic perspective view of a central skeleton;
FIG. 7 is a schematic view of the structure of the central frame in the open state;
FIG. 8 is a schematic view of the structure in the central skeleton storage state;
FIG. 9 is a schematic view of a petal-shaped bone tunnel implant;
FIG. 10 is a schematic view of the structure after the petaline tunnel implant is sewn again using a suture;
FIG. 11 is a schematic cross-sectional view of a fabric;
fig. 12 is a schematic cross-sectional view of a bone tunnel implant.
The figure shows:
Figure BDA0001472821570000041
Detailed Description
The present invention will be described in detail with reference to specific examples. The following examples will assist those skilled in the art in further understanding the present invention, but are not intended to limit the invention in any way. It should be noted that variations and modifications could be made by those skilled in the art without departing from the inventive concept. These are all within the scope of the present invention.
In the description of the present invention, it should be understood that the terms "upper", "lower", "front", "rear", "left", "right", "vertical", "horizontal", "top", "bottom", "inner", "outer", etc. indicate orientations or positional relationships based on the orientations or positional relationships shown in the drawings, are merely for convenience in describing the present invention and simplifying the description, and do not indicate or imply that the devices or elements referred to must have a specific orientation, be configured and operated in a specific orientation, and thus should not be construed as limiting the present invention.
As shown in fig. 1 to 5, the absorbable ligament with a curing band provided by the present invention comprises a round bar structure 4, and the round bar structure 4 is manufactured by the following steps: step S1: forming a woven fabric layer 31 by using warp yarns 310 and weft yarns on a loom, and paving collagen films 32 on one or both end surfaces of the woven fabric layer 31 in the thickness direction to form a woven fabric 1; step S2: a plurality of woven fabric curing belts 21 are processed in the length extending direction of the woven fabric 1 by a hot stamping or ultrasonic hot melting method, and a woven fabric raw webbing 22 is formed at the part of the woven fabric 1 between two adjacent woven fabric curing belts 21; step S3: cutting out a fabric 1 with a required length along the fabric curing belt 21, wherein two ends of the cut fabric 1 along the length direction respectively form a first knitting part 11 and a second knitting part 12; step S4: the fabric 1 is wound around the long axis of the fabric 1 as a rotation axis, both ends of the wound fabric 1 are sewn and fixed by a hook or a suture needle to obtain a round bar structure 4, the first bone tunnel implant portion 41 and the second bone tunnel implant portion 42 correspond to the first woven portion 11 and the second woven portion 12, respectively, the fabric solidified tape 21 and the fabric raw webbing 22 correspond to the bone tunnel solidified tape 51 and the rolled raw webbing 52, respectively, and the fabric woven layer 31 and the collagen film 32 correspond to the rolled woven layer 53 and the absorbable layer 54, respectively. The bone tunnel-curing strips 51 are present on the bone tunnel-implant, the round bar structure 4 forms rolled raw webbing 52 at a portion between two adjacent bone tunnel-curing strips 51, the plurality of bone tunnel-curing strips 51 and the plurality of rolled raw webbing 52 are alternately arranged in an axial direction along the round bar structure 4, and lengths between the plurality of rolled raw webbing 52 are equal or different. As shown in fig. 12, the rolled braid 53 and the absorbable layer 54 are alternately arranged in the radial direction of the cross-section of the bone tunnel implant. Accordingly, in the extending direction of the length of the fabric 1, the length of the fabric curing belt 21 is 3-10 mm, the length of the fabric original webbing 22 is 10-50 mm, and the lengths of the plurality of original webbing are different, when a doctor needs a webbing with a specific length, only the two proper fabric curing belts 21 need to be cut, however, in a preferred embodiment, the lengths of the fabric original webbing 22 may be equal, so that the processing is relatively simple, but the cutting length of the fabric 1 is correspondingly insufficient.
As shown in fig. 11, in the embodiment, the woven fabric 1 includes a woven layer 31 and a collagen film 32, and the collagen film 32 is connected to one or both of the two end surfaces of the woven layer 31 in the thickness direction. The collagen film 32 is formed by an electrostatic spinning process and is processed on the braid 31 by spraying, sewing or direct bonding. After the invention is implanted into a body, the connective tissue of a human body gradually grows into ligament micropores along with the gradual degradation of the collagen membrane 32 to form an integral structure, so that the wound healing is quickened. The braid 31 can keep mechanical stability in repeated movements due to excellent mechanical strength and good flexibility, and the joint movements are recovered, meanwhile, the braid 31 is gradually and slowly degraded along with the growth of connective tissues, and is integrated with tissues, so that more ideal ligament reconstruction and repair are achieved. The woven fabric layer 31 includes warp yarns 310 and weft yarns, the warp yarns 310 extend along the width direction of the woven fabric layer 31, and the weft yarns extend along the length direction of the woven fabric layer 31, in which, in an embodiment, the warp yarns 310 and the weft yarns are made of any one or more of the following materials: the material of the collagen-polyvinyl alcohol composite monofilament, collagen-polyvinyl alcohol composite multifilament, polylactic acid polymer monofilament, polylactic acid polymer multifilament, or the like is, for example, PLLA, PLGA, PGLA, PGA. In a preferred embodiment, as shown in fig. 4 and 5, the original webbing includes a warp and weft soft belt 221 and a weft soft belt 222, the woven fabric layer 31 of the warp and weft soft belt 221 includes warp yarns 310 and weft yarns, and the woven fabric layer 31 of the weft soft belt 222 includes only weft yarns; as shown in fig. 3, the round bar structure 4 further forms an intra-articular free wire portion 43 in the axial direction, and the first bone tunnel implant portion 41, the intra-articular free wire portion 43, and the second bone tunnel implant portion 42, and the weft soft belt 222 corresponds to the intra-articular free wire portion 43. During use, the intra-articular free wire portion 43 corresponding to the weft tape 222 is located in the joint cavity, and is more suitable for joint movement due to its relatively low rigidity. Of course, in the preferred embodiment, as shown in fig. 1 and 2, the woven fabric tape 22 may also include only the warp and weft soft tapes 221, and accordingly, the round bar structure 4 forms only two bone tunnel implants, i.e., the first bone tunnel implant 41 and the second bone tunnel implant 42, in the axial direction, which is simpler to manufacture, but cannot well accommodate the movement of the joint after being installed in the body. Preferably, the soft weft tape 222 is not covered with the collagen film 32 when the collagen film 32 is processed on the braid 31. Preferably, the weft yarns include a first weft yarn 311 and a second weft yarn 312, the first weft yarn 311 is made of a degradable material, the second weft yarn 312 is made of a non-degradable material, and the first weft yarn 311 and the second weft yarn 312 are alternately arranged or sequentially arranged along the width extending direction of the fabric 1. Preferably, in step S4, both ends of the woven fabric 1 in the width direction may be rolled on the same surface, and the cross-sectional shape after the rolling is completed may be spiral or C-shaped, or may be rolled on two different upper and lower planes, and the cross-sectional shape after the rolling is completed may be 8-shaped.
As shown in fig. 9 and 10, a plurality of petals 71 are cut out from the two bone tunnel implants, i.e., the first bone tunnel implant 41 and the second bone tunnel implant 42, so that the bone tunnel implant has a petal-shaped cross section, and the petal-shaped bone tunnel implant includes the petals 71, a first suture 81, and a second suture 82. A plurality of the petals 71 are arranged along the circumferential direction, and a first suture 81 is sewn on the petals 71 along the circumferential direction of the single petals 71; the second suture 82 is sewn to the bone tunnel implant along the circumferential direction of the bone tunnel implant's outer contour. Under the constraint of the first suture thread 81, the valve bodies 71 are shaped like a circle, two adjacent valve bodies 71 cannot be closely close, but form a containing gap 72, a filling piece 9 is arranged in the containing gap 72, and the filling piece 9 is made of degradable materials. In the actual use process, after the filling piece 9 is plugged into the object containing gap 72, the second suture line 82 is used for sewing, so that the flap 71 has an extrusion effect on the filling piece 9 to prevent the filling piece 9 from falling off, when the filling piece 9 is implanted into a bone cavity, degradation can be continuously carried out, and human ligament tissues can enter a space generated after the degradation of the filling piece 9, so that the connection area between the flap and the bone tunnel implantation part is increased, and the connection stability is further increased; when the ligament tissue of the human body fills the containing gap 72, the extrusion force between the valve body 71 and the valve body 71 can further strengthen the fixation effect on the ligament tissue of the human body.
As shown in fig. 6 to 8, a central skeleton 6 may be further added to the interior of the bone tunnel implant, the central skeleton 6 is made of a memory alloy, the central skeleton 6 includes a main bone 61 and a plurality of branch bones 62, the plurality of branch bones 62 are connected to both ends of the main bone 61 in the width direction along the length extending direction of the main bone 61, and the central skeleton 6 is capable of being switched between two states, namely, a storage state and a distraction state: in the storage state, the branch bones 62 are mutually close in the circumferential direction; in the expanded state, the struts 62 are spaced apart from one another in the circumferential direction. In actual use, the central skeleton 6 can be designed as: under a low-temperature environment, such as a zero-degree ice water mixed phase, the central framework 6 is in a collection state; when subjected to a temperature environment approaching body temperature, such as degrees celsius, the central framework 6 becomes a distracted state. When the first bone tunnel implantation part 41 and the second bone tunnel implantation part 42 of the round bar structure 4 are implanted, the central framework 6 is in a storage state, and the round bar structure 4 can be more easily penetrated into a bone tunnel; after the implantation operation is finished, the central framework 6 is changed from a collection state to a spreading state under the action of body temperature, on one hand, the round bar structure 4 can be spread in the radial direction, the contact force between the first bone tunnel implantation part 41 and the second bone tunnel implantation part 42 and the corresponding bone tunnels is increased, and the fixing strength is further increased; on the other hand, a cavity is formed in the round bar structure 4, so that a space is provided for the growth of the human body self-tissue, and the integration of the ligament graft and the human body self-tissue is promoted. Therefore, the arrangement of the center frame 6 can achieve the three effects. In the preferred embodiment, the central skeleton 6 may not include the supporting ribs 62, but is entirely in a cambered surface shape, in the storage state, the circumferential outline area of the central skeleton 6 is reduced, in the opening state, the circumferential outline area of the central skeleton 6 is increased, and the structure makes the opening force larger and the structure more stable, but due to the larger surface area of the cambered surface, the combination of the human body tissue and the yarn inside the round bar structure 4 is not facilitated, and the final fixing effect is reduced.
The foregoing describes specific embodiments of the present invention. It is to be understood that the invention is not limited to the particular embodiments described above, and that various changes and modifications may be made by one skilled in the art within the scope of the claims without affecting the spirit of the invention. The embodiments of the present application and features in the embodiments may be combined with each other arbitrarily without conflict.

Claims (9)

1. An absorbable ligament with a fixation band, characterized by comprising a round rod structure (4), wherein the two ends of the round rod structure (4) along the axial direction are respectively provided with a first bone tunnel implantation part (41) and a second bone tunnel implantation part (42);
the bone tunnel implant comprises a rolled woven layer (53) and an absorbable layer (54) which are alternately arranged in the radial direction of the cross section;
the bone tunnel implant forms a plurality of bone tunnel-curing strips (51) along an axial direction; the round bar structure (4) forms a rolling original braid (52) at the part between two adjacent bone tunnel solidification belts (51), a plurality of bone tunnel solidification belts (51) and a plurality of rolling original braids (52) are alternately arranged along the axial direction of the round bar structure (4), and the lengths of the rolling original braids (52) are equal or different;
the cross section of the bone tunnel implantation part is petal-shaped, and the petal-shaped bone tunnel implantation part comprises a petal body (71), a first suture (81) and a second suture (82);
a plurality of the petals (71) are arranged in a circumferential direction; the first suture thread (81) is sewn on the valve body (71) along the circumferential direction of the single valve body (71); a second suture (82) is sewn to the bone tunnel implant in a circumferential direction along the outer contour of the bone tunnel implant.
2. Absorbable ligament with a curing band according to claim 1, characterized in that the round bar structure (4) is made by the following steps:
step S1: forming a woven fabric layer (31) on a loom by using warp yarns (310) and weft yarns, and paving collagen films (32) on one or both of two end surfaces of the woven fabric layer (31) in the thickness direction to form a woven fabric (1);
step S2: a plurality of woven fabric curing belts (21) are processed in the length extending direction of the woven fabric (1) by a hot stamping or ultrasonic hot melting method, and a woven fabric raw woven belt (22) is formed at the part of the woven fabric (1) between two adjacent woven fabric curing belts (21);
step S3: cutting out a fabric (1) with a required length along the fabric curing belt (21), wherein the two ends of the cut fabric (1) along the length direction respectively form a first knitting part (11) and a second knitting part (12);
step S4: the method comprises the steps of taking a long shaft of a woven fabric (1) as a rotation shaft, winding the woven fabric (1), sewing and fixing two ends of the wound woven fabric (1) by using a crochet hook or a suture needle to obtain a round bar structure (4), wherein a first bone tunnel implantation part (41) and a second bone tunnel implantation part (42) correspond to a first braiding part (11) and a second braiding part (12) respectively, a woven fabric curing belt (21) and a woven fabric raw woven belt (22) correspond to a bone tunnel curing belt (51) and a rolled raw woven belt (52) respectively, and a woven fabric braiding layer (31) and a collagen film (32) correspond to a rolled braiding layer (53) and an absorbable layer (54) respectively.
3. The absorbable ligament with a cured band of claim 2, characterized in that the weft comprises a first weft (311) and a second weft (312);
the first weft yarns (311) are made of degradable materials, the second weft yarns (312) are made of non-degradable materials, and the first weft yarns (311) and the second weft yarns (312) are alternately or sequentially arranged along the width extension direction of the woven cloth (1).
4. The absorbable ligament with solidified band according to claim 2, characterized in that the woven raw webbing (22) comprises warp-weft soft bands (221) and weft soft bands (222);
the woven fabric layer (31) of the warp and weft soft belt (221) comprises warp yarns (310) and weft yarns, and the woven fabric layer (31) of the weft soft belt (222) comprises only weft yarns;
the round bar structure (4) also forms an intra-articular free wire part (43) along the axial direction;
the weft soft belt (222) corresponds to the intra-articular free wire part (43).
5. Absorbable ligament with a cureable band according to claim 2, characterized in that the round bar structure (4) has a spiral, 8-or C-shape in cross-section.
6. The absorbable ligament with a cured band according to claim 2, characterized in that the length of the woven fabric curing band (21) is 3-10 mm and the length of the woven fabric raw webbing (22) is 10-50 mm in the direction extending along the length of the woven fabric (1);
the warp yarn (310) and the weft yarn are made of any one or more of the following materials:
-collagen and polyvinyl alcohol composite monofilaments;
-collagen and polyvinyl alcohol composite multifilament yarn;
-polylactic acid based polymer monofilaments;
polylactic acid based polymer multifilament yarn.
7. The absorbable ligament with a fixation band of claim 1, characterized in that it further comprises a central skeleton (6), said central skeleton (6) being located in a bone tunnel implant;
the central framework (6) can be switched between two states, namely a collection state and a propping state:
in the storage state, the circumferential outline area of the central framework (6) is reduced;
in the open state, the circumferential contour area of the central framework (6) is increased.
8. The absorbable ligament with a fixation band according to claim 7, characterized in that the central skeleton (6) comprises a main bone (61) and a plurality of branch bones (62), the branch bones (62) being connected at both ends of the main bone (61) in the width direction along the length extension direction of the main bone (61);
in the storage state, the supporting ribs (62) are mutually close in the circumferential direction;
in the expanded state, the struts (62) are spaced apart from one another in the circumferential direction.
9. The absorbable ligament with solidified band of claim 2, characterized in that the collagen membrane (32) is connected to the braid (31) by any one of the following means:
-laminating;
spraying;
-stitching.
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CN108529739B (en) * 2018-04-25 2021-03-05 上海祺宇生物科技有限公司 Porous composite microbial carrier and preparation method thereof

Citations (6)

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Publication number Priority date Publication date Assignee Title
FR2688691A1 (en) * 1992-03-19 1993-09-24 Cendis Medical Artificial ligament for consolidation or replacement
CN101170966A (en) * 2005-04-01 2008-04-30 科罗拉多州立大学董事会 A graft fixation device and method
CN102056560A (en) * 2008-06-12 2011-05-11 美得斯伯特有限公司 Device for osteosynthesis and for fixing and stabilizing long bones
CN102908210A (en) * 2012-10-15 2013-02-06 复旦大学附属华山医院 Single-hole suspended artificial ligament
CN104043151A (en) * 2013-03-15 2014-09-17 深圳兰度生物材料有限公司 Composite artificial ligament and preparation method thereof
CN106955371A (en) * 2016-01-11 2017-07-18 苏州微创脊柱创伤医疗科技有限公司 A kind of artificial soft tissue's braid and its production and use

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FR2755846B1 (en) * 1996-11-20 1998-12-31 Jacques Philippe Laboureau PRE-ORIENT PROSTHETIC LIGAMENT AND METHOD OF MAKING

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2688691A1 (en) * 1992-03-19 1993-09-24 Cendis Medical Artificial ligament for consolidation or replacement
CN101170966A (en) * 2005-04-01 2008-04-30 科罗拉多州立大学董事会 A graft fixation device and method
CN102056560A (en) * 2008-06-12 2011-05-11 美得斯伯特有限公司 Device for osteosynthesis and for fixing and stabilizing long bones
CN102908210A (en) * 2012-10-15 2013-02-06 复旦大学附属华山医院 Single-hole suspended artificial ligament
CN104043151A (en) * 2013-03-15 2014-09-17 深圳兰度生物材料有限公司 Composite artificial ligament and preparation method thereof
CN106955371A (en) * 2016-01-11 2017-07-18 苏州微创脊柱创伤医疗科技有限公司 A kind of artificial soft tissue's braid and its production and use

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