CN108014370A - A kind of promotion, which is press-offed, injures the collagen material that avulsion skin survives - Google Patents

A kind of promotion, which is press-offed, injures the collagen material that avulsion skin survives Download PDF

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CN108014370A
CN108014370A CN201711313526.5A CN201711313526A CN108014370A CN 108014370 A CN108014370 A CN 108014370A CN 201711313526 A CN201711313526 A CN 201711313526A CN 108014370 A CN108014370 A CN 108014370A
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collagen
avulsion
press
protein sponge
skin
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吕振木
吕欣
张英泽
申勇
王秋生
赵伟超
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    • 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
    • A61L27/60Materials for use in artificial skin
    • 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
    • A61L27/36Materials for grafts or prostheses or for coating grafts or prostheses containing ingredients of undetermined constitution or reaction products thereof, e.g. transplant tissue, natural bone, extracellular matrix
    • A61L27/3604Materials for grafts or prostheses or for coating grafts or prostheses containing ingredients of undetermined constitution or reaction products thereof, e.g. transplant tissue, natural bone, extracellular matrix characterised by the human or animal origin of the biological material, e.g. hair, fascia, fish scales, silk, shellac, pericardium, pleura, renal tissue, amniotic membrane, parenchymal tissue, fetal tissue, muscle tissue, fat tissue, enamel
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    • A61L27/00Materials for grafts or prostheses or for coating grafts or prostheses
    • A61L27/36Materials for grafts or prostheses or for coating grafts or prostheses containing ingredients of undetermined constitution or reaction products thereof, e.g. transplant tissue, natural bone, extracellular matrix
    • A61L27/3683Materials for grafts or prostheses or for coating grafts or prostheses containing ingredients of undetermined constitution or reaction products thereof, e.g. transplant tissue, natural bone, extracellular matrix subjected to a specific treatment prior to implantation, e.g. decellularising, demineralising, grinding, cellular disruption/non-collagenous protein removal, anti-calcification, crosslinking, supercritical fluid extraction, enzyme treatment
    • A61L27/3687Materials for grafts or prostheses or for coating grafts or prostheses containing ingredients of undetermined constitution or reaction products thereof, e.g. transplant tissue, natural bone, extracellular matrix subjected to a specific treatment prior to implantation, e.g. decellularising, demineralising, grinding, cellular disruption/non-collagenous protein removal, anti-calcification, crosslinking, supercritical fluid extraction, enzyme treatment characterised by the use of chemical agents in the treatment, e.g. specific enzymes, detergents, capping agents, crosslinkers, anticalcification agents
    • 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
    • A61L27/56Porous materials, e.g. foams or sponges
    • 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
    • A61L27/58Materials at least partially resorbable by the body
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    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K14/00Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
    • C07K14/435Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
    • C07K14/78Connective tissue peptides, e.g. collagen, elastin, laminin, fibronectin, vitronectin or cold insoluble globulin [CIG]
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    • C12BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
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Abstract

A kind of promotion, which is press-offed, injures the collagen material that avulsion skin survives, it is made of collagen protein sponge and nutrient solution, specifically, it is that ox heel string, pig heel string are passed through into collagen made from the smart extraction of enzymolysis, purification step for raw material, collagen protein sponge, and nutrient solution are formed after being crosslinked freeze-drying process.Nutrient solution is added while wound is implanted into.The present invention inserts conveniently, it is simple applied to surgical procedure, effectively facilitate to press-off and injure the skin of avulsion and survive, promote suffering limb function early recovery, reduce avulsion or avulsion injuries cutaneous necrosis rate, prevent the appearance of cutaneous necrosis and bone tendon exposed complication, thus caused by Repeated Operation the features such as, farthest reduces back the postoperative complication that plant is performed the operation or flap surgery etc. is brought;It is adapted in hand and foot surgery and four limbs avulsion injuries, avulsion, it is suitable to promote and apply.

Description

A kind of promotion, which is press-offed, injures the collagen material that avulsion skin survives
Technical field
It is more specifically, more particularly to a kind of to promote to press-off to injure avulsion skin the present invention relates to field of medical materials The collagen material survived.
Background technology
Serious hand and foot and limbs skin avulsion injuries or avulsion, particularly retrograde avulsion or the treatment of avulsion injuries are orthopaedics More intractable problem in processing.Returned in the past frequently with skin and plant operation or the operation of a variety of Vessel Skin Flaps.Skin returns plant art and often makes Into cutaneous necrosis or partial necrosis, bone tendon exposed, needs again or Repeated Operation;Vessel Skin Flap is performed the operation, and operating difficulty is big, especially It is free skin flap, and wound weight, risk are high, are suitable only for the hospital of microsurgical technique strength richness, and patient usually controls Hospital stays length is treated, operation number is more, and flap has the complication such as downright bad probability or too fat to move, skin donor site damage, causes curative effect to owe It is good.Skin for ease of avulsion injuries or avulsion survives, and operation is changed into simple and practicable, preferably promotes suffering limb functional rehabilitation, There is an urgent need for a kind of collagen material to promote surviving for avulsion injuries and avulsion skin.
The content of the invention
(1) technical problem
Therefore, how to solve the problems, such as that avulsion injuries and avulsion skin survive, it is urgently to be resolved hurrily into those skilled in the art The problem of.
(2) technical solution
Press-off in view of the above-mentioned problems, present disclosure is to provide a kind of promotion and injure the collagen egg that avulsion skin survives White material.
A kind of promotion, which is press-offed, injures the collagen material that avulsion skin survives, and is by collagen protein sponge and nutrient solution Composition, specifically, be by ox heel string, pig heel string for raw material by enzymolysis, purification step essence extraction made from collagen, pass through Collagen protein sponge, and nutrient solution are formed after crosslinking freeze-drying process.Nutrient solution is added while wound is implanted into.
The collagen protein sponge is made through following steps:
1. pre-treatment:Ox heel string, pig heel string are rejected into shell, adipose tissue, muscle and other impurities is removed, uses tap water Cleaning 5 times, is cleaned 5 times with deionized water, then is disinfected with 75% alcohol immersion 30min.The tissue for being cut into 1cm × 1cm is small It is put into after block in high-speed tissue mashing machine and smashs into paste to pieces, rotating speed is 10000~12000r/min, then uses and contains 4.5mol/L The 0.05mol/L Tris-HCl buffer solutions (pH 7.5) of NaCl are fully washed to remove the components such as lipid and serum, last low temperature Centrifugation, centrifugal rotational speed 8000r/min, centrifugation time 30min, centrifuging temperature are 4 DEG C.
2. digest:Enzymolysis liquid is added, stirs and maintains 4 DEG C, 72h is extracted, is centrifuged after being sufficiently stirred with magnetic stirring apparatus, Gained supernatant collagen stoste.
The enzymolysis liquid is the 0.5mol/L glacial acetic acid of the 500mg containing pepsin, and the dosage of the enzymolysis liquid is:Need to digest Material:Enzymolysis liquid=1:10(V:V).
Centrifugal rotational speed is 4000r/min, and centrifugation time 20min, centrifuging temperature is 4 DEG C
3. purify:The NaCl solution that concentration is 4.4mol/ is added in collagen stoste, is stirred continuously until white wadding Shape precipitation is separated out from solution, continuously adds NaCl solution until precipitating not untill precipitation, at 4 DEG C, the rotating speed of 5000r/min White depositions are obtained after lower centrifugation 20min.Added in the white depositions molten in the acetum that concentration is 0.5mol/L Solution.Dissolved collagen solution is continued to be repeated processing of saltouing, repeats this step 2~4 times.
4. it is crosslinked:Collagen after purification is obtained into collagen protein sponge with cross-linking agents 3h.The crosslinking agent uses The dimethyl formamide solution of 0.30% DPPA (diphenyl phosphate azide).Using DPPA as collagen egg made from crosslinking agent Bai Haimian has good biocompatibility and stability.
5. dry:Collagen protein sponge after coach is placed in vacuum freeze drier and carries out freeze-drying 48h, temperature For -30~-40 DEG C, vacuum is 6~4Pa.
6. sterilize:Sterilized using co-60 radiation.
The nutrient solution is acidic growth factor, preferred acidic fibroblast growth factor.
The present invention mechanism be:(1) present invention is that collagen is carried out crosslinking Treatment, forms the glue with network Former protein sponge, by means of the network structure of collagen protein sponge, serves as the supporting structure of subcutis.By collagen While protein sponge is implanted into wound, nutrient solution is added, promotes local angeogenesis, makes the capillary for coming from the surface of a wound With the component such as fibroblast, grow into an orderly manner in net structure;Meanwhile collagen protein sponge can be temporarily attached to bone, tendon Transported Deng surface blood at difference or the tissue or organ transported almost without blood, for temporarily replacing the corium of defect;Have after (2) 2~3 weeks Fibroblast and capillary are gradually degraded from surface of a wound mother bed and perienchyma's intrusion collagen protein sponge layer, collagen And replaced by newborn granulation tissue, the presence of the collagen protein sponge because being attached to the surfaces such as bone, tendon, makes granulation tissue It can be grown on wherein, be contacted so as to establish blood fortune with bone or tendon that the script of deep layer is transported without blood, the bone tendon for no blood fortune is created Face skin-grafting provides condition;Meanwhile also be avulsion injuries, the blood of avulsion transport poor skin and improve blood fortune, promote its skin into It is living.
A kind of promotion, which is press-offed, injures the collagen material that avulsion skin survives, and is that one kind is applied to avulsion injuries or avulsion Hinder the material that skin survives, promote surviving for avulsion injuries or avulsion skin, prevent cutaneous necrosis and bone tendon exposed, promote to suffer from Limb function early recovery, the auxiliary absorbable material for reducing complication.The collagen material is a kind of absorbable material, is utilized It promotes the principle of blood capillary proliferation, and realization, which is press-offed, injures surviving for avulsion skin, while reduces cutaneous necrosis and bone flesh The complication such as tendon is exposed.
(3) beneficial effect
The present invention inserts conveniently, simple applied to surgical procedure, effectively facilitates to press-off and injures the skin of avulsion and survive, and promotees Into suffering limb function early recovery, avulsion or avulsion injuries cutaneous necrosis rate are reduced, prevents cutaneous necrosis and bone tendon exposed complication Appearance so that caused by Repeated Operation the features such as, farthest reduces back the operation that plant is performed the operation or flap surgery etc. is brought Complication;It is adapted in hand and foot surgery and four limbs avulsion injuries, avulsion, it is suitable to promote and apply.
Embodiment
With reference to embodiment, the invention will be further described.
A kind of promotion, which is press-offed, injures the collagen material that avulsion skin survives, and is by collagen protein sponge and nutrient solution Composition, specifically, be by ox heel string, pig heel string for raw material by enzymolysis, purification step essence extraction made from collagen, pass through Collagen protein sponge, and nutrient solution are formed after crosslinking freeze-drying process.Nutrient solution is added while wound is implanted into.
The collagen protein sponge is made through following steps:
1. pre-treatment:Ox heel string, pig heel string are rejected into shell, adipose tissue, muscle and other impurities is removed, uses tap water Cleaning 5 times, is cleaned 5 times with deionized water, then is disinfected with 75% alcohol immersion 30min.The tissue for being cut into 1cm × 1cm is small It is put into after block in high-speed tissue mashing machine and smashs into paste to pieces, rotating speed is 10000~12000r/min, then uses and contains 4.5mol/L The 0.05mol/L Tris-HCl buffer solutions (pH 7.5) of NaCl are fully washed to remove the components such as lipid and serum, last low temperature Centrifugation, centrifugal rotational speed 8000r/min, centrifugation time 30min, centrifuging temperature are 4 DEG C.
2. digest:Enzymolysis liquid is added, stirs and maintains 4 DEG C, 72h is extracted, is centrifuged after being sufficiently stirred with magnetic stirring apparatus, Gained supernatant collagen stoste.
The enzymolysis liquid is the 0.5mol/L glacial acetic acid of the 500mg containing pepsin, and the dosage of the enzymolysis liquid is:Need to digest Material:Enzymolysis liquid=1:10(V:V).
Centrifugal rotational speed is 4000r/min, and centrifugation time 20min, centrifuging temperature is 4 DEG C
3. purify:The NaCl solution that concentration is 4.4mol/ is added in collagen stoste, is stirred continuously until white wadding Shape precipitation is separated out from solution, continuously adds NaCl solution until precipitating not untill precipitation, at 4 DEG C, the rotating speed of 5000r/min White depositions are obtained after lower centrifugation 20min.Added in the white depositions molten in the acetum that concentration is 0.5mol/L Solution.Dissolved collagen solution is continued to be repeated processing of saltouing, repeats this step 2~4 times.
4. it is crosslinked:Collagen after purification is obtained into collagen protein sponge with cross-linking agents 3h.The crosslinking agent uses The dimethyl formamide solution of 0.30% DPPA (diphenyl phosphate azide).Using DPPA as collagen egg made from crosslinking agent Bai Haimian has good biocompatibility and stability.
5. dry:Collagen protein sponge after coach is placed in vacuum freeze drier and carries out freeze-drying 48h, temperature For -30~-40 DEG C, vacuum is 6~4Pa.
6. sterilize:Sterilized using co-60 radiation.
The nutrient solution is acidic growth factor, preferred acidic fibroblast growth factor.
The present invention is that collagen is carried out crosslinking Treatment, forms the collagen protein sponge with network, by means of The network structure of collagen protein sponge, serves as the supporting structure of subcutis.Collagen protein sponge is implanted into wound While, add nutrient solution, promote local angeogenesis, capillary and fibroblast for making to come from the surface of a wound etc. into Point, grow into an orderly manner in net structure;Meanwhile to be temporarily attached to the surface such as bone, tendon blood fortune poor or several for collagen protein sponge At tissue or organ without blood fortune, for temporarily replacing the corium of defect;There are fibroblast and blood capillary after 2~3 weeks Pipe is gradually degraded from surface of a wound mother bed and perienchyma's intrusion collagen protein sponge layer, collagen and by newborn granulation tissue Being replaced, the presence of the collagen protein sponge because being attached to the surfaces such as bone, tendon, enables granulation tissue to be grown on wherein, so that The bone or tendon transported with the script of deep layer without blood are established blood fortune and are contacted, and condition is provided for the bone tendon surface of a wound skin-grafting of no blood fortune; Meanwhile also be avulsion injuries, the blood of avulsion transport poor skin and improve blood fortune, promote its skin to survive.
Embodiment:Operating procedure using collagen material provided by the invention is:First, thorough debridement in operation, Foreign matter is removed, retains the skin of avulsion injuries or avulsion, retains subcutaneous tendon and sclerotin, Iodophor, hydrogen peroxide and physiological saline Irrigate repeatedly.Secondly, fracture row replacement and fixation, the tendon suture reparation of damage, above tendon and sclerotin, avulsion injuries skin And the skin of avulsion transfers collagen material provided by the invention, the skin of avulsion injuries cuts osculum with sharp knife and is conducive to drain. Finally, the skin wound of avulsion injuries or avulsion is covered with vacuum suction.
The present invention is not limited to the above-described embodiments, anyone can draw other various shapes under the enlightenment of the present invention The product of formula.All equivalent changes and modifications done according to scope of the present invention patent, should all belong to the covering scope of the present invention.

Claims (3)

  1. It is by collagen protein sponge and nutrient solution group 1. a kind of promotion, which is press-offed, injures the collagen material that avulsion skin survives Into, it is characterised in that:It is that ox heel string, pig heel string are passed through into collagen made from the smart extraction of enzymolysis, purification step, warp for raw material Collagen protein sponge, and nutrient solution are formed after crossing crosslinking freeze-drying process.
  2. 2. a kind of promotion according to claim 1, which is press-offed, injures the collagen material that avulsion skin survives, its feature It is:
    The collagen protein sponge is made through following steps:
    1. pre-treatment:Ox heel string, pig heel string are rejected into shell, adipose tissue, muscle and other impurities is removed, is cleaned with tap water 5 times, cleaned 5 times with deionized water, then disinfected with 75% alcohol immersion 30min;After being cut into the tissue fritter of 1cm × 1cm It is put into high-speed tissue mashing machine and smashs into paste to pieces, rotating speed is 10000~12000r/min, then uses NaCl containing 4.5mol/L 0.05mol/L Tris-HCl buffer solutions (pH 7.5) fully washing to remove the components such as lipid and serum, last low temperature from The heart, centrifugal rotational speed 8000r/min, centrifugation time 30min, centrifuging temperature are 4 DEG C;
    2. digest:Enzymolysis liquid is added, stirs and maintains 4 DEG C, 72h is extracted, is centrifuged after being sufficiently stirred with magnetic stirring apparatus, gained Supernatant collagen stoste;
    The enzymolysis liquid is the 0.5mol/L glacial acetic acid of the 500mg containing pepsin, and the dosage of the enzymolysis liquid is:Need zymolyte Matter:Enzymolysis liquid=1:10(V:V);
    Centrifugal rotational speed is 4000r/min, and centrifugation time 20min, centrifuging temperature is 4 DEG C;
    3. purify:The NaCl solution that concentration is 4.4mol/ is added in collagen stoste, is stirred continuously until that white flock sinks Shallow lake separated out from solution, continuously add NaCl solution until precipitate not untill precipitation, under 4 DEG C, the rotating speed of 5000r/min from White depositions are obtained after heart 20min;Add in the acetum that concentration is 0.5mol/L and dissolve in the white depositions;Will Dissolved collagen solution continues to be repeated processing of saltouing, and repeats this step 2~4 times;
    4. it is crosslinked:Collagen after purification is obtained into collagen protein sponge with cross-linking agents 3h, the crosslinking agent uses The dimethyl formamide solution of 0.30% DPPA (diphenyl phosphate azide);
    5. dry:Collagen protein sponge after coach is placed in vacuum freeze drier and carries out freeze-drying 48h, temperature for- 30~-40 DEG C, vacuum is 6~4Pa;
    6. sterilize:Sterilized using co-60 radiation.
  3. 3. a kind of promotion according to claim 1, which is press-offed, injures the collagen material that avulsion skin survives, its feature It is:The nutrient solution is acidic growth factor, preferred acidic fibroblast growth factor.
CN201711313526.5A 2017-12-12 2017-12-12 A kind of promotion, which is press-offed, injures the collagen material that avulsion skin survives Pending CN108014370A (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
RU2692663C1 (en) * 2018-05-25 2019-06-25 федеральное государственное бюджетное учреждение "Российский научный центр "Восстановительная травматология и ортопедия" имени академика Г.А. Илизарова" Министерства здравоохранения Российской Федерации, ФГБУ "РНЦ "ВТО" им. акад. Г.А. Илизарова" Минздрава России Method for treatment of open delaminating soft tissue injuries
CN114632183A (en) * 2022-03-30 2022-06-17 温州医科大学 Wound protein sponge, preparation method thereof and application of wound protein sponge in preparation of medicines for reducing scar formation in skin repair
CN114748679A (en) * 2022-03-27 2022-07-15 卢玉华 Preparation method of collagen sponge

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CN101143212B (en) * 2006-09-13 2010-10-13 广州暨南大学医药生物技术研究开发中心 Recombination human acidic mechanocyte growth factor temperature sensitive type gel preparation and preparation method thereof
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CN102416195A (en) * 2010-09-28 2012-04-18 北京益而康生物工程开发中心 Preparation method of collagen sponge
CN104721876A (en) * 2014-12-24 2015-06-24 江苏博朗森思医疗器械有限公司 Preparation method of collagen sponge
CN104857561A (en) * 2015-04-21 2015-08-26 世科志扬(北京)医疗科技有限公司 High-strength bionic collagen membrane and preparation method thereof
CN105169461A (en) * 2015-09-30 2015-12-23 重庆海默尼生物技术有限公司 High-purity collagen sponge with biological activity and preparation method of high-purity collagen sponge
CN105177094A (en) * 2015-09-30 2015-12-23 重庆海默尼生物技术有限公司 Extraction method of collagen fiber

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RU2692663C1 (en) * 2018-05-25 2019-06-25 федеральное государственное бюджетное учреждение "Российский научный центр "Восстановительная травматология и ортопедия" имени академика Г.А. Илизарова" Министерства здравоохранения Российской Федерации, ФГБУ "РНЦ "ВТО" им. акад. Г.А. Илизарова" Минздрава России Method for treatment of open delaminating soft tissue injuries
CN114748679A (en) * 2022-03-27 2022-07-15 卢玉华 Preparation method of collagen sponge
CN114632183A (en) * 2022-03-30 2022-06-17 温州医科大学 Wound protein sponge, preparation method thereof and application of wound protein sponge in preparation of medicines for reducing scar formation in skin repair

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