CN110139627A - 生物移植物的刺绣织物支撑件 - Google Patents

生物移植物的刺绣织物支撑件 Download PDF

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CN110139627A
CN110139627A CN201780082204.6A CN201780082204A CN110139627A CN 110139627 A CN110139627 A CN 110139627A CN 201780082204 A CN201780082204 A CN 201780082204A CN 110139627 A CN110139627 A CN 110139627A
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graft
suture
biograft
end region
embroidery fabric
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CN110139627B (zh
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T·小杜尼
R·施密丁
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Arthrex Inc
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Abstract

一种用于外科地修复肩部的移植物(10)，包括生物移植物(12)。刺绣织物(14)支撑该生物移植物。缝合线(27)将生物移植物和刺绣织物附接在一起。

Description

生物移植物的刺绣织物支撑件
相关申请的交叉引用
本申请要求2017年1月4日提交的美国专利申请No.15/398018的优先权。
背景技术
肩关节被限定在肩胛骨的关节窝腔和肱骨的头部之间。在上囊重建(SCR)手术中，生物移植物被用于修复肩关节的肩袖的撕裂。
为了在受伤之后在肩关节内再建立稳定性，真皮同种异体移植物可以用于跨接肱骨和肩胛骨的关节窝腔并且修复肩袖。然而，真皮同种异体移植物不是广泛地可用的。自体移植物组织是替代选择，但它不如真皮同种异体移植物坚固。为了补偿这一点，较大的自体移植物组织可以用于提供另外的强度。然而，由于需要更多的组织，这也增加病人供体部位发病率。
发明内容
移植物包括生物移植物。刺绣织物支撑该生物移植物。缝合线将生物移植物和刺绣织物附接在一起。
在一实施例中，刺绣织物由聚酯形成。
在另一实施例中，刺绣织物由聚酯纱线形成，其中在该聚酯纱线之间布置有空间。
在另一实施例中，生物移植物是自体移植物。
在另一实施例中，生物移植物和刺绣织物均具有四边形形状。
在另一实施例中，该移植物具有第一端部区域处的第一宽度、第二端部区域处的第二宽度和在该第一端部区域和该第二端部区域之间延伸的长度，并且该第一宽度大于该第二宽度。
在另一实施例中，该移植物的第一端部区域通过缝合锚钉和至少一个缝合带附接到肱骨，该缝合锚钉被接纳在该肱骨中的孔中。
在另一实施例中，该移植物的第二端部区域通过缝合锚钉和至少一个缝合带附接到该肩胛骨的关节窝，该缝合锚钉被接纳在该关节窝中的孔中。
在另一实施例中，该第一端部区域附接到肱骨，并且该第二端部区域附接到肩胛骨的关节窝。
在另一实施例中，该刺绣织物和该生物移植物具有相同的形状和相同的大小。
在另一实施例中，将该刺绣织物和该生物移植物附接在一起的该缝合线位于该移植物的每一个角部。
在另一实施例中，将该刺绣织物和该生物移植物附接在一起的该缝合线位于该移植物的每一个角部之间。
在另一实施例中，该移植物的第一端部区域和第二端部区域均是由较粗的纱线或由较密的编织物形成的加强部分。
在另一实施例中，外科修复组件包括移植物，该移植物包括生物移植物。刺绣织物支撑该生物移植物。缝合线将生物移植物和刺绣织物附接在一起。该移植物具有第一端部区域和第二端部区域。第一缝合锚钉被接纳在第一骨中。第一缝合线将移植物的第一端部区域固定到第一缝合锚钉和第一骨。第二缝合锚钉被接纳在第二骨中。第二缝合线将移植物的第二端部区域固定到第二缝合锚钉和第二骨。
在另一实施例中，该第一骨是肱骨并且该第二骨是肩胛骨的关节窝。
在另一实施例中，刺绣织物由聚酯形成。
在另一实施例中，该移植物的第一端部区域和第二端部区域均是由较粗的纱线或由较密的编织物形成的加强部分。
附图说明
当结合附图考虑时，通过参考以下详细描述，可以理解本发明的其它优点，其中：
图1示意性地示出由刺绣织物支撑的包括生物移植物的移植物的仰视图；
图2示意性地示出移植物的俯视图；
图3示意性地示出附接到肩关节的移植物；并且
图4示意性地示出具有加强边缘的移植物。
具体实施方式
图1和图2示意性地示出用于外科修复肩部的移植物10。移植物10包括由刺绣织物14支撑的生物移植物12。移植物10不是刚性的并且具有一些弹性。
刺绣织物14可以由聚酯纱线16刺绣以形成聚酯补片。空间18被限定在聚酯纱线16的纱线段之间。聚酯纱线16可以具有任何粗细或直径。刺绣织物14的密集度和图案可以变化。刺绣织物14具有紧密的网格，该紧密的网格对身体来说是创伤较小的且不太粗糙的。刺绣织物14中的空间18促进组织向内生长并俘获在聚酯纱线16之间。在愈合期间，组织可以生长到刺绣织物14中的空间18中，另外地将刺绣织物14固定到身体。在另一例子中，刺绣织物14可以是编织织物。取决于移植物10的应用、强度和所需柔性，生物移植物12和刺绣织物14可以具有多个尺寸、大小和厚度。
生物移植物12(诸如自体移植物组织)从病人或尸体被获取。在一个例子中，生物移植物12和刺绣织物14都具有四边形形状。移植物10具有近似4cm(1.58英寸)的长度L，近似2.5cm(1英寸)的第一端部区域20处的第一宽度Wl，和近似2.0cm(0.79英寸)的第二端部区域22处的第二宽度W2。第一端部区域20的宽度Wl具有比第二端部区域22的宽度W2大的尺寸。如图3中示出的，移植物10的第一端部区域20附接到肩部的肱骨24，并且移植物10的第二端部区域22附接到肩胛骨的关节窝26以修复肩袖撕裂。
刺绣织物14附接到生物移植物12。在一个例子中，刺绣织物14通过缝合线27附接到生物移植物。刺绣织物14具有与生物移植物12大致上相同的轮廓、形状和大小。在一个例子中，刺绣织物14和生物移植物12在外周边被附接。缝合线27a、27b、27c和27d可以位于移植物10的每一个角部附近以将刺绣织物14固定到生物移植物12。缝合线27e也可以位于该角部之间的部位以将刺绣织物14进一步固定到生物移植物12。
如图4中所示，在一个例子中，移植物10的第一端部区域20和第二端部区域22通过另外的材料被加强以分别形成加强部分28和30。该另外的材料加强第一端部区域20和第二端部区域22以分别防止缝合线36和38(在下面被讨论)在移植物10附接到肱骨24和肩胛骨的关节窝26期间穿过移植物10。在一个例子中，当产生刺绣织物14时，较粗的聚酯纱线16用于端部区域20和22。在另一例子中，聚酯纱线16的密集度在端部区域20和22中较大。即，端部区域20和22可以包括比刺绣织物14的剩余部分多的缝线和少的空间18以增加这些区域的强度。
返回图3，一旦移植物10被制备，移植物10的第一端部区域20就附接到肱骨24，并且移植物10的第二端部区域22附接到肩胛骨的关节窝26。在一个例子中，在肱骨24中钻削两个孔，并且缝合锚钉34a和34b被接纳在肱骨24中的每一个孔中。两个第一缝合带36a通过第一缝合锚钉34a附接到肱骨24，并且两个第二缝合带36b通过第二缝合锚钉34b附接到肱骨24。
两个孔被钻削在肩胛骨的关节窝26中，并且缝合锚钉(未示出)被接纳在每一个孔中。两个第一缝合线38a通过第一缝合锚钉附接到肩胛骨的关节窝26，并且两个第二缝合线38b通过第二缝合锚钉附接到肩胛骨的关节窝26。
一旦移植物10被制备，两个缝合带36a和36b就穿过移植物10的第一端部区域20，并且两个缝合线38a和38b穿过移植物10的第二端部区域22。第一缝合线36a的一个和第二缝合线36b的一个附接到彼此，留下另一第一缝合线36a和另一第二缝合线38b自由且未附接。第一缝合线36a和第二缝合线36b的自由且未附接的股被拉以将移植物10的第二端部区域22布置在肩胛骨的关节窝24上。另一第一缝合线36a和另一第二缝合线36b然后被打结。
移植物10的第一端部区域20处的第一缝合带36a和第二缝合带36b然后用于将移植物10的第一端部区域20固定到肱骨24。在一个例子中，第一缝合带36a和第二缝合带36b以交叉图案被布置以增加强度。缝合带36a和36a然后用于将移植物10的第一端部区域20固定到肱骨24。
刺绣织物14加强生物移植物12并且加强修复。刺绣织物14将生物移植物维持在其位置中足够长以便愈合，防止移植物10在愈合完成之前从修复部位撕开。刺绣织物14可以支撑或部分地支撑/载荷共享生物移植物12。刺绣织物14支撑高的载荷，允许移植物10愈合。一旦移植物10已经愈合，来自刺绣织物14的支撑就不再是必要的。
前述描述仅仅是本发明的原理的例示。根据上面的教导，本发明的许多修改和变化是可能的。然而，本发明的优选实施例已经被公开使得本领域技术人员将认识到某些修改将落在本发明的范围内。因此将理解，在所附权利要求的范围内，本发明可以与具体描述的情况不同地被实施。由于该原因，下面的权利要求应当旨在用于确定本发明的真实的范围和内容。

Claims (17)

1.一种移植物，所述移植物包括：
生物移植物；
支撑所述生物移植物的刺绣织物；和
缝合线，所述缝合线将所述生物移植物和所述刺绣织物附接在一起。
2.如权利要求1中所述的移植物，其中，所述刺绣织物由聚酯形成。
3.如权利要求1中所述的移植物，其中，所述刺绣织物由聚酯纱线形成，其中，在所述聚酯纱线之间布置有空间。
4.如权利要求1中所述的移植物，其中，所述生物移植物是自体移植物。
5.如权利要求1中所述的移植物，其中，所述生物移植物和所述刺绣织物均具有四边形形状。
6.如权利要求1中所述的移植物，其中，所述移植物具有第一端部区域处的第一宽度、第二端部区域处的第二宽度和在所述第一端部区域和所述第二端部区域之间延伸的长度，并且所述第一宽度大于所述第二宽度。
7.如权利要求6中所述的移植物，其中，所述移植物的第一端部区域通过缝合锚钉和至少一个缝合带附接到肱骨，所述缝合锚钉被接纳在所述肱骨中的孔中。
8.如权利要求6中所述的移植物，其中，所述移植物的第二端部区域通过缝合锚钉和至少一个缝合带附接到肩胛骨的关节窝，所述缝合锚钉被接纳在所述关节窝中的孔中。
9.如权利要求6中所述的移植物，其中，所述第一端部区域附接到肱骨，并且所述第二端部区域附接到肩胛骨的关节窝。
10.如权利要求1中所述的移植物，其中，所述刺绣织物和所述生物移植物具有相同的形状和相同的大小。
11.如权利要求1中所述的移植物，其中，将所述刺绣织物和所述生物移植物附接在一起的所述缝合线位于所述移植物的每一个角部处。
12.如权利要求11中所述的移植物，其中，将所述刺绣织物和所述生物移植物附接在一起的所述缝合线位于所述移植物的每一个角部之间。
13.如权利要求1中所述的移植物，其中，所述移植物的第一端部区域和第二端部区域均是由较粗的纱线或由较密的编织物形成的加强部分。
14.一种外科修复组件，所述外科修复组件包括：
移植物，所述移植物包括：生物移植物，支撑所述生物移植物的刺绣织物，和将所述生物移植物和所述刺绣织物附接在一起的缝合线，其中，所述移植物具有第一端部区域和第二端部区域；
被接纳在第一骨中的第一缝合锚钉，其中，第一缝合线将所述移植物的第一端部区域固定到所述第一缝合锚钉和所述第一骨；和
被接纳在第二骨中的第二缝合锚钉，其中，第二缝合线将所述移植物的第二端部区域固定到所述第二缝合锚钉和所述第二骨。
15.如权利要求14中所述的外科修复组件，其中，所述第一骨是肱骨并且所述第二骨是肩胛骨的关节窝。
16.如权利要求14中所述的外科修复组件，其中，所述刺绣织物由聚酯形成。
17.如权利要求14中所述的外科修复组件，其中，所述移植物的第一端部区域和第二端部区域均是由较粗的纱线或由较密的编织物形成的加强部分。
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Families Citing this family (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10265160B2 (en) * 2017-01-04 2019-04-23 Arthrex, Inc. Embroidered textile support a biological graft
WO2020165716A1 (en) * 2019-02-13 2020-08-20 Abboud Joseph A Joint spacers
US11957566B2 (en) 2020-02-14 2024-04-16 B/G Ortho Innovations, LLC Implants and methods for shoulder joint reconstruction

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20030023316A1 (en) * 2000-08-04 2003-01-30 Brown Laura Jean Hybrid biologic-synthetic bioabsorable scaffolds
US20080140094A1 (en) * 2006-12-11 2008-06-12 Schwartz Herbert E Unitary surgical device and method
US20080188936A1 (en) * 2007-02-02 2008-08-07 Tornier, Inc. System and method for repairing tendons and ligaments
US20130116799A1 (en) * 2008-03-27 2013-05-09 The Cleveland Clinic Foundation Reinforced tissue graft

Family Cites Families (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4517687A (en) 1982-09-15 1985-05-21 Meadox Medicals, Inc. Synthetic woven double-velour graft
GB9510624D0 (en) 1995-05-25 1995-07-19 Ellis Dev Ltd Textile surgical implants
FR2801191B1 (fr) 1999-11-19 2002-02-15 Proconcept Dispositif de protection des nerfs apres intervention chirurgicale
GB0024903D0 (en) 2000-10-11 2000-11-22 Ellis Dev Ltd A textile prothesis
EP1416888A4 (en) * 2001-07-16 2007-04-25 Depuy Products Inc DEVICE AND METHOD FOR REGENERATING THE MENISCUS
US7819918B2 (en) * 2001-07-16 2010-10-26 Depuy Products, Inc. Implantable tissue repair device
GB0325141D0 (en) * 2003-10-28 2003-12-03 Xiros Plc Repair of damaged tissue on a bone site
GB0516846D0 (en) 2005-08-17 2005-09-21 Knight David P Meniscal repair device
US7758643B2 (en) * 2007-02-26 2010-07-20 Biomet Sports Medicine, Llc Stable cartilage defect repair plug
EP2201900B1 (en) * 2008-12-23 2018-10-03 Arthrex, Inc. Suturing construct with spliced tails
US20100179591A1 (en) 2009-01-13 2010-07-15 Saltzman Charles L Patch augmentation of achilles tendon repairs
US8231653B2 (en) 2009-03-31 2012-07-31 Arthrex, Inc. Method of forming knotless double row construct with graft or patch fixed under repair site
FR2968537B1 (fr) 2010-12-09 2013-04-19 Sofradim Production Prothese avec couture en zig-zag
DE102013208924A1 (de) 2013-05-14 2014-12-04 Johnson & Johnson Medical Gmbh Chirurgisches Implantat umfassend einer Lage mit Öffnungen
EP3307204B1 (en) 2015-06-15 2021-11-24 Rotation Medical, Inc. Tendon repair implant
US10265160B2 (en) * 2017-01-04 2019-04-23 Arthrex, Inc. Embroidered textile support a biological graft

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20030023316A1 (en) * 2000-08-04 2003-01-30 Brown Laura Jean Hybrid biologic-synthetic bioabsorable scaffolds
US20080140094A1 (en) * 2006-12-11 2008-06-12 Schwartz Herbert E Unitary surgical device and method
US20080188936A1 (en) * 2007-02-02 2008-08-07 Tornier, Inc. System and method for repairing tendons and ligaments
US20130116799A1 (en) * 2008-03-27 2013-05-09 The Cleveland Clinic Foundation Reinforced tissue graft

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