CN110664541A - Preparation method of 3D-printed wound customized band-aid - Google Patents

Preparation method of 3D-printed wound customized band-aid Download PDF

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CN110664541A
CN110664541A CN201910908616.1A CN201910908616A CN110664541A CN 110664541 A CN110664541 A CN 110664541A CN 201910908616 A CN201910908616 A CN 201910908616A CN 110664541 A CN110664541 A CN 110664541A
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aid
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许太林
何学成
张学记
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University of Science and Technology Beijing USTB
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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
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F13/10Bandages or dressings; Absorbent pads specially adapted for fingers, hands or arms; Finger-stalls; Nail-protectors
    • A61F13/104Bandages or dressings; Absorbent pads specially adapted for fingers, hands or arms; Finger-stalls; Nail-protectors for the hands or fingers
    • A61F13/105Bandages or dressings; Absorbent pads specially adapted for fingers, hands or arms; Finger-stalls; Nail-protectors for the hands or fingers for the fingers; Finger-stalls; Nail-protectors
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B33ADDITIVE MANUFACTURING TECHNOLOGY
    • B33YADDITIVE MANUFACTURING, i.e. MANUFACTURING OF THREE-DIMENSIONAL [3-D] OBJECTS BY ADDITIVE DEPOSITION, ADDITIVE AGGLOMERATION OR ADDITIVE LAYERING, e.g. BY 3-D PRINTING, STEREOLITHOGRAPHY OR SELECTIVE LASER SINTERING
    • B33Y10/00Processes of additive manufacturing
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B33ADDITIVE MANUFACTURING TECHNOLOGY
    • B33YADDITIVE MANUFACTURING, i.e. MANUFACTURING OF THREE-DIMENSIONAL [3-D] OBJECTS BY ADDITIVE DEPOSITION, ADDITIVE AGGLOMERATION OR ADDITIVE LAYERING, e.g. BY 3-D PRINTING, STEREOLITHOGRAPHY OR SELECTIVE LASER SINTERING
    • B33Y50/00Data acquisition or data processing for additive manufacturing
    • B33Y50/02Data acquisition or data processing for additive manufacturing for controlling or regulating additive manufacturing processes
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B33ADDITIVE MANUFACTURING TECHNOLOGY
    • B33YADDITIVE MANUFACTURING, i.e. MANUFACTURING OF THREE-DIMENSIONAL [3-D] OBJECTS BY ADDITIVE DEPOSITION, ADDITIVE AGGLOMERATION OR ADDITIVE LAYERING, e.g. BY 3-D PRINTING, STEREOLITHOGRAPHY OR SELECTIVE LASER SINTERING
    • B33Y80/00Products made by additive manufacturing

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Abstract

本发明属于卫生用品领域,具体涉及一种3D打印的契合外伤伤口大小、形状和受伤部位的创口贴的3D打印的伤口定制化的创可贴的制备方法。所述的伤口定制化程序包括伤口形状和受伤部位的图像信息采集,计算机图像识别和建模生成模型文件以匹配伤口的形状,大小和受伤部位;模型文件经3D打印生成创可贴基材。所述的创可贴基材可集成抗菌、凝血、保湿、透气、消炎等一种或多种功能以加速伤口愈合;本发明提供的这种3D打印的伤口定制化的创可贴既能贴合不同的受伤部位,又能契合伤口的轮廓和大小。创口贴形状可调,敷药精准,制作简单,方便快捷,特别适用于对不同形状和不同部位外伤伤口的精准治疗。

Figure 201910908616

The invention belongs to the field of sanitary products, and in particular relates to a preparation method of a 3D-printed wound-customized band-aid that fits the size, shape and wound site of a traumatic wound. The wound customization program includes image information collection of wound shape and injured part, computer image recognition and modeling to generate a model file to match the shape, size and injured part of the wound; the model file is 3D printed to generate a Band-Aid base material. The Band-Aid base material can integrate one or more functions such as antibacterial, coagulation, moisturizing, ventilation, and anti-inflammatory to accelerate wound healing; the 3D-printed wound-customized Band-Aid provided by the present invention can fit different wounds. It can also fit the contour and size of the wound. The shape of the band-aid is adjustable, the dressing is precise, the production is simple, convenient and quick, and it is especially suitable for the precise treatment of traumatic wounds of different shapes and parts.

Figure 201910908616

Description

一种3D打印的伤口定制化的创可贴的制备方法A preparation method of a 3D printed wound customized Band-Aid

技术领域technical field

本发明属于卫生用品领域,具体涉及一种3D打印的契合外伤伤口大小、形状和受伤部位的创口贴的3D打印的伤口定制化的创可贴的制备方法。The invention belongs to the field of sanitary products, and in particular relates to a preparation method of a 3D-printed wound-customized band-aid that fits the size, shape and wound site of a traumatic wound.

背景技术Background technique

皮肤是人体最大的器官,是隔离人体内部环境和外界环境的初级屏障。伤口(特指外科伤口)是人体是皮肤在切伤、撕裂等受伤后的快速反应。采取有效的诊断和治疗措施,对降低伤口感染引发的死亡率和发病率来说至关重要:伤口处理得有效和及时,能使其迅速愈合;反之,可能化脓感染,经久不愈,甚至引发全身感染,危及生命。使用伤口敷料是处理伤口的一种有效方法。作为一种成熟的商业化伤口敷料产品,医用创可贴可以发挥基本的伤口消炎、止血与护创功能,方便,有效,快捷。但现有的创可贴大小和样式都显得十分单调,与伤口形状不匹配——或无法顾全所有伤口,部分创伤面仍暴露在外;或过度覆盖伤口,使伤口周围的皮肤发白变软和继发感染。另外,市面上的创口贴外形单一,对于一些特殊部位的伤口如脚后跟、手肘、指头等,普通造型的创口贴很难完全固定贴合,因此不能实现精准有效的治疗效果。The skin is the largest organ of the human body and is the primary barrier to isolate the human body's internal environment from the external environment. Wounds (especially surgical wounds) are the rapid response of the human body to skin cuts, tears and other injuries. Taking effective diagnosis and treatment measures is essential to reduce the mortality and morbidity caused by wound infection: effective and timely wound treatment can make it heal quickly; Systemic infection, life-threatening. Using wound dressings is an effective way to manage wounds. As a mature commercial wound dressing product, medical Band-Aid can play the basic functions of wound anti-inflammatory, hemostasis and wound protection, which is convenient, effective and fast. But existing Band-Aids are drab in size and style, don't match the shape of the wound—or don't cover the entire wound, leaving part of the wound exposed; or cover the wound too much, leaving the surrounding skin blanching, soft, and secondary Infect. In addition, the shape of the band-aids on the market is single. For some special wounds such as heels, elbows, fingers, etc., it is difficult to completely fix and fit the ordinary-shaped band-aids, so accurate and effective treatment effects cannot be achieved.

3D打印技术能够利用预先设计的计算机数字模型文件,通过逐层打印的方式,直接生成任意几何形状的实体,无需原胚或者模型,从而极大地缩短了产品的生产周期,有效提高了生产率,降低了生产成本。近年来,随着精准化、个性化医疗需求的持续增长,3D打印技术在医疗领域发挥着越来越重要的作用。例如,3D打印已经广泛用于定制医疗器械(助听器外壳,复杂手术器械和3D打印药品),人体器官(牙齿、血管、肝脏、肌肉组织)。利用3D打印的创可贴用于特定形状和大小的伤口护理已成为一种可能。中国发明(申请号201710340553.5)介绍了一种创口贴打印机,需要使用创口贴时可在显示屏上画上自己所需的形状,即可随时打印出来。但是这种手绘打印的创可贴往往不能很好匹配真实的伤口形状和受伤部位的轮廓,存在很大的改进空间。3D printing technology can use pre-designed computer digital model files to directly generate entities of any geometric shape through layer-by-layer printing, without the need for original embryos or models, thus greatly shortening the production cycle of products, effectively improving productivity, reducing production cost. In recent years, with the continuous growth of precision and personalized medical needs, 3D printing technology has played an increasingly important role in the medical field. For example, 3D printing is already widely used to customize medical devices (hearing aid housings, complex surgical instruments and 3D printed medicines), human organs (teeth, blood vessels, liver, muscle tissue). It has become possible to use 3D printed Band-Aids for wound care of specific shapes and sizes. China Invention (Application No. 201710340553.5) introduces a Band-Aid printer. When you need to use a Band-Aid, you can draw the shape you want on the display screen, and you can print it at any time. However, such hand-printed Band-Aids often do not match the real wound shape and contour of the injured part well, and there is a lot of room for improvement.

发明内容SUMMARY OF THE INVENTION

为解决上述问题,本发明提出一种3D打印的伤口定制化的创可贴。所述的3D打印的创可贴打印后的创可贴具有集成化、伤口匹配度高、给药精准等优势,为伤口的精准化、个性化护理提供了一种高效可行的方案。本发明的有益效果,定制化地打印契合伤口形状和伤口部位的创可贴,减少不必要的伤口暴露或覆盖,同时能更紧密地贴合受伤部位,随时打印取用。In order to solve the above problems, the present invention proposes a 3D printed wound customized Band-Aid. The 3D-printed Band-Aid The printed Band-Aid has the advantages of integration, high wound matching, precise drug administration, etc., and provides an efficient and feasible solution for precise and personalized wound care. The beneficial effect of the present invention is that the Band-Aid can be customized to fit the shape of the wound and the wound site, so as to reduce unnecessary exposure or coverage of the wound, and at the same time, it can fit the injured site more closely, and can be printed and used at any time.

本发明是通过以下技术方案实现的:一种3D打印的伤口定制化的创可贴的制备方法,该方法具体包括以下步骤:The present invention is realized by the following technical solutions: a preparation method of a 3D printed wound customized Band-Aid, the method specifically comprises the following steps:

S1)采集伤口图像信息或受伤部位的图像;S1) collecting wound image information or an image of the injured part;

S2)对S1)采集到的图像信息进行处理,生成匹配对应伤口形状的三维立体模型;S2) processing the image information collected in S1) to generate a three-dimensional model matching the corresponding wound shape;

S3)制备打印浆料;S3) prepare printing paste;

S4)将S3)的浆料按照S2)的三维立体模型进行3D打印成型活性基材;S4) 3D printing the slurry of S3) according to the three-dimensional model of S2) to form the active substrate;

S5)对S4得到的活性基材进行粘附性背衬层的组装,即得到伤口定制化的创可贴。S5) assembling the adhesive backing layer on the active substrate obtained in S4, that is, to obtain a wound-customized Band-Aid.

进一步,所述S1)的具体步骤为:采用扫描仪或其它智能设备对待处理伤口进行图像数据采集,并将采集的图像数据采集发送给 PC。Further, the specific steps of S1) are: using a scanner or other intelligent equipment to collect image data from the wound to be treated, and sending the collected image data collection to the PC.

进一步,所述S2)的具体步骤为:Further, the concrete steps of described S2) are:

S2.1)将接收到的图像信息依次经过黑白处理、二值化处理以及八连通法确定伤口轮廓的坐标数据,通过得到坐标数据描摹生成伤口轮廓的二维矢量图;S2.1) the received image information is processed successively through black and white processing, binarization processing and the eight-connection method to determine the coordinate data of the wound contour, and the two-dimensional vector diagram of the wound contour is generated by obtaining the coordinate data tracing;

S2.2)将生成伤口轮廓的二维矢量图导入系统后,用挤出命令生成匹配对应伤口形状的三维立体模型,另存为STL文件格式储存到 SD卡中后实施打印。S2.2) After importing the two-dimensional vector diagram of the generated wound contour into the system, use the extrusion command to generate a three-dimensional model matching the corresponding wound shape, save it as an STL file format and store it in the SD card and print it.

进一步,所述S3)的具体步骤为:Further, the concrete steps of described S3) are:

S3.1)将经药物改性选定后纳米粒子材料加入去离子水中制成水溶液;S3.1) adding the nanoparticle material after drug modification and selection into deionized water to make an aqueous solution;

S3.2)将明胶加入去离子水中,加热并超声处理,得到明胶溶液;S3.2) adding gelatin into deionized water, heating and ultrasonic treatment to obtain gelatin solution;

S3.3)用微量移液枪分别量取S3.1)制备得到水溶液和S3.2)得到明胶溶液倒入容器中,在温度为90-110℃下油浴避光磁力搅拌25-35 min,原位形成掺有纳米粒子的明胶溶液;S3.3) Use a micropipette to measure the aqueous solution prepared in S3.1) and the gelatin solution obtained in S3.2) and pour it into a container, and stir in an oil bath at a temperature of 90-110°C for 25-35 min in the dark in an oil bath. , in situ formation of a gelatin solution doped with nanoparticles;

S3.4)明胶溶液超声处理25-35min后,冷却后的浆料避光保存,用于后续打印。S3.4) After the gelatin solution is ultrasonically treated for 25-35 minutes, the cooled slurry is stored in the dark for subsequent printing.

进一步,所述S4)的具体步骤为:Further, the concrete steps of described S4) are:

S4.1)将S3制备得到的浆料加热至33-39℃熔化后送入打印机内开始打印;S4.1) The slurry prepared in S3 is heated to 33-39 ℃ and melted, and then sent to the printer to start printing;

S4.2)分层打印后的浆料溶液逐渐冷却重新凝固,逐层累积形成打印完成后,向模型上滴加的混合溶液,15-25min后得到完全固化的活性基材。S4.2) The slurry solution after layered printing is gradually cooled and re-solidified. After the printing is completed layer by layer, the mixed solution is dripped onto the model, and a fully cured active substrate is obtained after 15-25 minutes.

进一步,所述S5)的具体步骤为:Further, the concrete steps of described S5) are:

S5.1)根伤口类型,选取背衬层,将其固定到PCL背衬层的内腔上;S5.1) root wound type, select the backing layer, and fix it on the inner cavity of the PCL backing layer;

S5.2)将S4)制备得到活性基材转移固定到PCL背衬层的内腔上,完成组装。S5.2) The active substrate prepared in S4) is transferred and fixed to the inner cavity of the PCL backing layer to complete the assembly.

进一步,所述混合溶液为1-(3-二甲氨基丙基)-3-乙基碳二亚胺盐酸盐和N-羟基琥珀酰亚胺乙醇溶液,二者质量比为5:2。Further, the mixed solution is 1-(3-dimethylaminopropyl)-3-ethylcarbodiimide hydrochloride and N-hydroxysuccinimide ethanol solution, and the mass ratio of the two is 5:2.

进一步,所述S5)中的伤口确定具体步骤为:对于普通平坦部位的伤口,粘附性背衬层选用压敏绷带,胶布,薄膜中的一种或多种;对于具有复杂曲面结构的受伤部位,粘附性背衬层通过对受伤部位扫描建模后3D打印生成。Further, the specific steps for determining the wound in the described S5) are: for the wound in the common flat part, the adhesive backing layer selects one or more of pressure-sensitive bandages, adhesive tapes, and films; for wounds with complex curved surface structures The adhesive backing layer was created by 3D printing after scanning and modeling the injured area.

进一步,所述S3.1)中的纳米粒子材料为具有杀菌、凝血、保湿、透气、消炎的一种或多种功能的材料,包括但不限于硝酸银,二氧化钛,苯扎氯铵,透明质酸。Further, the nanoparticle material in S3.1) is a material with one or more functions of sterilization, blood coagulation, moisture retention, ventilation, and anti-inflammatory, including but not limited to silver nitrate, titanium dioxide, benzalkonium chloride, hyaluronic acid acid.

一种伤口定制化的创可贴,所述伤口定制化的创可贴采用上述方法制备得到。A wound-customized Band-Aid, the wound-customized Band-Aid is prepared by the above method.

本发明的有益效果是:由于采用上述技术方案,本发明提供的这种3D打印的伤口定制化的创可贴既能贴合不同的受伤部位,又能契合伤口的轮廓和大小。创口贴形状可调,敷药精准,制作简单,方便快捷,特别适用于对不同形状和不同部位外伤伤口的精准治疗。The beneficial effects of the present invention are: due to the adoption of the above technical solutions, the 3D printed wound customized Band-Aid provided by the present invention can not only fit different injured parts, but also fit the contour and size of the wound. The shape of the band-aid is adjustable, the dressing is precise, the production is simple, convenient and quick, and it is especially suitable for the precise treatment of traumatic wounds of different shapes and parts.

附图说明Description of drawings

下面结合附图对本发明作进一步说明The present invention will be further described below in conjunction with the accompanying drawings

图1为本发明实施例提供的伤口识别示意图。FIG. 1 is a schematic diagram of wound identification according to an embodiment of the present invention.

图2为本发明实施例提供的不同的伤口形状的图像识别和建模图。FIG. 2 is an image recognition and modeling diagram of different wound shapes provided by an embodiment of the present invention.

图3为本发明实施例提供的3D打印创可贴基材的示意图。FIG. 3 is a schematic diagram of a 3D printing Band-Aid substrate provided in an embodiment of the present invention.

图4为本发明实施例提供的3D打印的具有保湿功能的明胶基水凝胶基材的杀菌效果图。FIG. 4 is a diagram showing the sterilization effect of the 3D printed gelatin-based hydrogel substrate with moisturizing function provided by the embodiment of the present invention.

图5为本发明实施例提供的3D打印的具有杀菌功能的明胶基水凝胶的溶胀率随时间变化图。FIG. 5 is a graph of the swelling ratio of the 3D printed gelatin-based hydrogel with bactericidal function provided by an embodiment of the present invention as a function of time.

图6为本发明实施例提供的3D打印的贴合指尖的粘附性背衬层示意图。FIG. 6 is a schematic diagram of a 3D printed adhesive backing layer that fits a fingertip according to an embodiment of the present invention.

图7为本发明实施例提供的3D打印的创可贴牢固贴合在指尖上的示意图。FIG. 7 is a schematic diagram of the 3D printed Band-Aid being firmly attached to the fingertip according to an embodiment of the present invention.

具体实施方案specific implementation

为了使本发明的技术手段、创作特征、达成目的与功效易于,下面结合具体实施案例,进一步阐述本发明。值得注意的是,本发明不受上述实施例的限制,实施例和说明书中描述的只是说明本发明的原理,在不脱离本发明精神和范围的前提下,本发明可能有各种变化和改进,这些变化和改进都落入要求保护的本发明范围内。本发明要求保护范围由所附的权利要求书及其等效物界定。In order to facilitate the technical means, creation features, achievement of purposes and effects of the present invention, the present invention is further described below in conjunction with specific implementation cases. It is worth noting that the present invention is not limited by the above-mentioned embodiments, and the descriptions in the embodiments and the specification are only to illustrate the principle of the present invention, and the present invention may have various changes and improvements without departing from the spirit and scope of the present invention. , these changes and improvements fall within the scope of the claimed invention. The claimed scope of the present invention is defined by the appended claims and their equivalents.

本发明一种3D打印的伤口定制化的创可贴的制备方法,该方法具体包括以下步骤:The present invention is a preparation method of a 3D printed wound customized Band-Aid, the method specifically comprises the following steps:

S1)采集伤口图像信息或受伤部位的图像;S1) collecting wound image information or an image of the injured part;

S2)对S1)采集到的图像信息进行处理,生成匹配对应伤口形状的三维立体模型;S2) processing the image information collected in S1) to generate a three-dimensional model matching the corresponding wound shape;

S3)制备打印浆料;S3) prepare printing paste;

S4)将S3)的浆料按照S2)的三维立体模型进行3D打印成型活性基材;S4) 3D printing the slurry of S3) according to the three-dimensional model of S2) to form the active substrate;

S5)对S4)得到的活性基材进行粘附性背衬层的组装,即得到伤口定制化的创可贴。S5) Assembling the adhesive backing layer on the active substrate obtained in S4), that is, to obtain a wound-customized Band-Aid.

进一步,所述S1)的具体步骤为:采用扫描仪或其它智能设备对待处理伤口进行图像信息采集,并将采集的图像信息发送给PC。Further, the specific steps of S1) are: using a scanner or other intelligent equipment to collect image information of the wound to be treated, and sending the collected image information to the PC.

进一步,所述S2)的具体步骤为:Further, the concrete steps of described S2) are:

S2.1)将接收到的图像信息依次经过黑白处理、二值化处理以及八连通法确定伤口轮廓的坐标数据,通过得到坐标数据描摹生成伤口轮廓的二维矢量图;S2.1) the received image information is processed successively through black and white processing, binarization processing and the eight-connection method to determine the coordinate data of the wound contour, and the two-dimensional vector diagram of the wound contour is generated by obtaining the coordinate data tracing;

S2.2)将生成伤口轮廓的二维矢量图导入系统后,用挤出命令生成匹配对应伤口形状的三维立体模型,另存为STL文件格式储存到SD卡中后实施打印。S2.2) After importing the two-dimensional vector diagram of the generated wound contour into the system, use the extrusion command to generate a three-dimensional three-dimensional model matching the corresponding wound shape, save it as an STL file format and store it in the SD card and then print it.

进一步,所述S3)的具体步骤为:Further, the concrete steps of described S3) are:

S3.1)将经药物改性选定后纳米粒子材料加入去离子水中制成水溶液;S3.1) adding the nanoparticle material after drug modification and selection into deionized water to make an aqueous solution;

S3.2)将明胶加入去离子水中,加热并超声处理,得到明胶溶液;S3.2) adding gelatin into deionized water, heating and ultrasonic treatment to obtain gelatin solution;

S3.3)用分别量取S3.1)制备得到水溶液和S3.2)得到明胶溶液倒入容器中,在温度为90-110℃下油浴避光磁力搅拌25-35min,原位形成掺有纳米粒子的明胶溶液;S3.3) respectively measure the aqueous solution prepared in S3.1) and the gelatin solution obtained in S3.2) and pour it into a container, and stir in an oil bath at a temperature of 90-110°C for 25-35min in the dark and magnetic force to form a dopant in situ. Gelatin solution with nanoparticles;

S3.4)明胶溶液超声处理25-35min后,冷却后的浆料避光保存,用于后续打印。S3.4) After the gelatin solution is ultrasonically treated for 25-35 minutes, the cooled slurry is stored in the dark for subsequent printing.

进一步,所述S4)的具体步骤为:Further, the concrete steps of described S4) are:

S4.1)将S3制备得到的明胶溶液加热至33-39℃熔化后送入打印机内开始打印;S4.1) heating the gelatin solution prepared in S3 to 33-39 ℃ and melting and then sending it into the printer to start printing;

S4.2)分层打印后的明胶溶液逐渐冷却重新凝固,逐层累积形成打印完成后,向模型上滴加的混合溶液,15-25min后得到完全固化的活性基材。S4.2) The gelatin solution after layered printing is gradually cooled and re-solidified. After the printing is completed, the mixed solution is formed layer by layer. After 15-25 minutes, a fully solidified active substrate is obtained.

进一步,所述S5)的具体步骤为:Further, the concrete steps of described S5) are:

S5.1)根伤口类型,选取背衬层,将其固定到PCL背衬层的内腔上;S5.1) root wound type, select the backing layer, and fix it on the inner cavity of the PCL backing layer;

S5.2)将S4)制备得到活性基材转移固定到PCL背衬层的内腔上,完成组装。S5.2) The active substrate prepared in S4) is transferred and fixed to the inner cavity of the PCL backing layer to complete the assembly.

进一步,所述混合溶液为1-(3-二甲氨基丙基)-3-乙基碳二亚胺盐酸盐和N-羟基琥珀酰亚胺乙醇溶液,二者质量比为5:2。Further, the mixed solution is 1-(3-dimethylaminopropyl)-3-ethylcarbodiimide hydrochloride and N-hydroxysuccinimide ethanol solution, and the mass ratio of the two is 5:2.

进一步,所述S5)中的伤口确定具体步骤为:对于普通平坦部位的伤口,粘附性背衬层选用压敏绷带,胶布,薄膜中的一种或多种;对于具有复杂曲面结构的受伤部位,粘附性背衬层通过对受伤部位扫描建模后3D打印生成。Further, the specific steps for determining the wound in the described S5) are: for the wound in the common flat part, the adhesive backing layer selects one or more of pressure-sensitive bandages, adhesive tapes, and films; for wounds with complex curved surface structures The adhesive backing layer was created by 3D printing after scanning and modeling the injured area.

进一步,所述S3.1)中的纳米粒子材料为具有杀菌、凝血、保湿、透气、消炎的一种或多种功能的材料,包括但不限于硝酸银,二氧化钛,苯扎氯铵,透明质酸。Further, the nanoparticle material in S3.1) is a material with one or more functions of sterilization, blood coagulation, moisture retention, ventilation, and anti-inflammatory, including but not limited to silver nitrate, titanium dioxide, benzalkonium chloride, hyaluronic acid acid.

一种伤口定制化的创可贴,所述伤口定制化的创可贴采用上述方法制备得到。A wound-customized Band-Aid, the wound-customized Band-Aid is prepared by the above method.

实施例1 3D打印贴合手臂的创可贴Example 1 3D printing a band-aid that fits the arm

步骤1:伤口的图像识别与建模Step 1: Image recognition and modeling of wounds

首先在猪皮上划开三个不同形状的口子,用扫描仪或智能手机对着伤口正面拍摄照片(如图1所示),将照片无线传输至PC端。PC 对照片依次经过黑白处理、二值化处理以及八连通法确定伤口轮廓的坐标数据后再导入Adobe illustrator(Ai)软件,运行定制的Ai插件后自动描摹生成伤口轮廓的二维矢量图。进一步导入Autodesk 3ds max软件后,可适当修改轮廓大小,用挤出命令生成匹配对应伤口形状的三维立体模型(如图2所示),另存为STL文件格式储存到SD 卡中后实施打印。First, cut three different shapes of openings on the pigskin, use a scanner or smartphone to take pictures of the front of the wound (as shown in Figure 1), and wirelessly transmit the pictures to the PC. The photo was processed in black and white, binarized, and eight-connected method to determine the coordinate data of the wound contour, and then imported into Adobe illustrator (Ai) software. After running the customized Ai plug-in, the two-dimensional vector diagram of the wound contour was automatically generated by tracing. After further importing into Autodesk 3ds max software, the outline size can be appropriately modified, and the 3D model matching the corresponding wound shape can be generated by the extrusion command (as shown in Figure 2), which is saved as STL file format and stored in the SD card for printing.

步骤2:打印浆料——银纳米粒子改性的明胶基水凝胶的制备Step 2: Printing Paste - Preparation of Silver Nanoparticle-Modified Gelatin-Based Hydrogel

将0.1g硝酸银倒入9.9mL去离子水中配成质量分数为1%的硝酸银溶液;称取1g明胶倒入9mL去离子水中,37℃加热至明胶完全溶解并超声30min,形成质量分数为10%的明胶溶液。用微量移液枪分别量取500μL质量分数为1%的硝酸银和4500μL质量分数为10%的明胶溶液倒入小烧杯中,100℃下油浴避光磁力搅拌30min,原位形成掺有Ag纳米粒子的明胶溶液。溶液超声处理30min确保浆料无结团、无分层、均匀。冷却后的浆料避光保存,用于后续打印。Pour 0.1 g of silver nitrate into 9.9 mL of deionized water to prepare a silver nitrate solution with a mass fraction of 1%; weigh 1 g of gelatin and pour it into 9 mL of deionized water, heat at 37°C until the gelatin is completely dissolved and sonicated for 30 min, the mass fraction is 10% gelatin solution. Use a micropipette to measure 500 μL of silver nitrate with a mass fraction of 1% and 4500 μL of a 10% gelatin solution into a small beaker, stir in an oil bath at 100 °C for 30 min in the dark, and form Ag-doped in situ. Gelatin solution of nanoparticles. The solution was ultrasonicated for 30 minutes to ensure that the slurry was free of agglomeration, delamination and uniformity. The cooled paste should be protected from light and used for subsequent printing.

步骤3:3D打印具有保湿,杀菌功能的明胶基水凝胶基材Step 3: 3D Printing Gelatin-Based Hydrogel Substrates with Moisturizing, Bactericidal Functions

将质量分数为10%的明胶溶液加热至37℃熔化后送入打印机内开始打印。分层打印后的明胶溶液逐渐冷却重新凝固,逐层累积形成打印完成后,向模型上滴加一定量的1-(3-二甲氨基丙基)-3-乙基碳二亚胺盐酸盐和N-羟基琥珀酰亚胺(EDC-NHS)乙醇溶液,20min后得到完全固化的基材(如图3所示)。The gelatin solution with a mass fraction of 10% was heated to 37°C and melted, and then sent to the printer to start printing. The gelatin solution after layered printing was gradually cooled and re-solidified. After the layer-by-layer accumulation was completed, a certain amount of 1-(3-dimethylaminopropyl)-3-ethylcarbodiimide hydrochloric acid was added dropwise to the model. Salt and N-hydroxysuccinimide (EDC-NHS) ethanol solution, and a fully cured substrate was obtained after 20 min (as shown in Figure 3).

步骤4:验证明胶基材的保湿效果Step 4: Verify the moisturizing effect of the gelatin substrate

水凝胶基的材料一般在水中都可发生显著溶胀,因此能起到一定的伤口保湿效果。将打印好的明胶基材置于-80℃冰箱中冰冻24h后,再立即置于冷冻干燥机中,冷冻干燥72h后取出。记录明胶基材的干重。将明胶置于去离子水中5min后取出,用滤纸吸干表面的水分,依次记下吸水5,10,15,20,40和60min的重量。通过吸水后的重量除以干重,得到溶胀率随时间的折线图,如图4所示。结果表明,明胶基材具有超高200%的溶胀率,有利于伤口的局部保湿,促进伤口愈合。Hydrogel-based materials generally swell significantly in water, so they can have a certain wound moisturizing effect. The printed gelatin substrate was placed in a freezer at -80°C for 24 hours, then immediately placed in a freeze dryer, and taken out after freeze drying for 72 hours. The dry weight of the gelatin substrate was recorded. The gelatin was placed in deionized water for 5 minutes and taken out, and the water on the surface was blotted with filter paper, and the weights of water absorbed for 5, 10, 15, 20, 40 and 60 minutes were recorded in turn. By dividing the weight after water absorption by the dry weight, a line graph of the swelling ratio over time was obtained, as shown in Figure 4. The results show that the gelatin substrate has an ultra-high 200% swelling rate, which is beneficial to the local moisturizing of wounds and promotes wound healing.

步骤5:验证明胶基材的杀菌效果Step 5: Verify the germicidal effect of the gelatin substrate

选取金黄色葡萄球菌作为模型菌种。将金黄色葡萄球菌悬浮至 103CFU mL-1。使用无菌玻璃涂布器将0.4mL微生物悬浮液均匀涂布在LB培养基中。将打印好的圆形水凝胶杀菌基材(直径2cm)轻放在LB培养基上,放入37℃恒温箱中24h。如图5所示,水凝胶周围的细菌生长明显受到抑制,显示出一定的杀菌效果。Staphylococcus aureus was selected as the model strain. Suspend S. aureus to 10 3 CFU mL -1 . Spread 0.4 mL of the microbial suspension evenly in the LB medium using a sterile glass spreader. The printed circular hydrogel sterilization substrate (2 cm in diameter) was lightly placed on the LB medium and placed in a 37°C incubator for 24 hours. As shown in Figure 5, the bacterial growth around the hydrogel was significantly inhibited, showing a certain bactericidal effect.

步骤6:粘附性背衬层的组装Step 6: Assembly of Adhesive Backing Layer

由于受伤部位是手臂,较为平坦,直接选用弹性的纺织物为背衬层,将固化后的水凝胶基材直接转移固定到该背衬层上,完成组装。Since the injured part is the arm, which is relatively flat, an elastic textile is directly used as the backing layer, and the cured hydrogel substrate is directly transferred and fixed on the backing layer to complete the assembly.

实施例2 3D打印贴合指尖的创可贴Example 2 3D printing band-aids that fit the fingertips

步骤1:伤口及指尖的扫描与建模Step 1: Scanning and Modeling of Wounds and Fingertips

伤口的扫描建模过程与实施案例1基本相同:首先在假人体模特的食指指尖上划开一个圆形口子。用智能手机分别对伤口正面拍摄照片,运行定制的Ai插件后自动描摹生成伤口轮廓的二维矢量图。进一步导入Autodesk 3ds max软件后,可适当修改轮廓大小,用挤出命令生成三维立体模型,另存为STL文件格式储存到SD卡中后实施打印。受伤部位的扫描建模过程:用智能手机对着受伤的食指正面拍摄照片,拍好的照片经过图像转换器及传送转换器叠加转换成立体图像进一步导入Autodesk 3ds max软件后,可适当修改轮廓大小,生成三维立体模型,另存为STL文件格式储存到SD卡中后实施打印。The scanning and modeling process of the wound is basically the same as the implementation case 1: first, a circular incision is made on the index finger of the dummy mannequin. Take photos of the front of the wound with a smartphone, and run the customized Ai plug-in to automatically trace and generate a two-dimensional vector diagram of the wound outline. After further importing into Autodesk 3ds max software, the outline size can be appropriately modified, and the 3D model can be generated by the extrusion command, which is saved as STL file format and stored in the SD card for printing. Scanning and modeling process of the injured part: Take a photo of the front of the injured index finger with a smartphone. The taken photo is superimposed by an image converter and a transfer converter and converted into a three-dimensional image. After further importing into Autodesk 3ds max software, the outline size can be modified appropriately , generate a three-dimensional model, save it as STL file format, save it to the SD card, and then print it.

步骤2:打印原料——银纳米粒子改性的明胶基的水凝胶和聚已酸内酯(PCL)的制备Step 2: Printing Raw Materials - Preparation of Silver Nanoparticles-Modified Gelatin-Based Hydrogel and Polycaprolactone (PCL)

银纳米粒子改性的明胶基的水凝胶的制备过程与实施案例1相同。粘附性背衬层采用聚已酸内酯(PCL)为原料,制备过程如下:取27g的PCL加入100mL二氯甲烷,在40℃加热搅拌30min,至 PCL完全分散;溶剂被使用旋转蒸发器在40℃蒸发3h后高真空干燥 1h。将冻干后的PCL物质切成小块后保存。The preparation process of the silver nanoparticle-modified gelatin-based hydrogel is the same as that of Example 1. The adhesive backing layer uses polycaprolactone (PCL) as raw material, and the preparation process is as follows: take 27 g of PCL and add 100 mL of dichloromethane, heat and stir at 40 ° C for 30 min until PCL is completely dispersed; the solvent is used in a rotary evaporator It was evaporated at 40°C for 3h and dried under high vacuum for 1h. The lyophilized PCL material was cut into small pieces and stored.

步骤3:3D打印基材及背衬层Step 3: 3D printing substrate and backing layer

基材的打印:银纳米粒子改性的明胶基的水凝胶的打印过程与实施案例1相同。PCL基的粘附性背衬层打印过程如下:PCL干物质重新加热至75℃熔解后送入打印机内开始打印。分层打印后的PCL 逐渐冷却重新凝固,逐层累积打印完成,形成一个手指形的半封闭内腔,如图6所示。Printing of the substrate: The printing process of the silver nanoparticle-modified gelatin-based hydrogel is the same as that of Example 1. The printing process of the PCL-based adhesive backing layer is as follows: the dry matter of PCL is reheated to 75°C to melt and then sent into the printer to start printing. The PCL after layer-by-layer printing is gradually cooled and re-solidified, and the layer-by-layer accumulation printing is completed, forming a finger-shaped semi-closed inner cavity, as shown in Figure 6.

步骤4:粘附性背衬层的组装Step 4: Assembly of Adhesive Backing Layer

将固化后的明胶基水凝胶基材小心地转移固定到PCL背衬层的内腔上,完成组装,并贴合到受伤的手指部位,如图7所示。The cured gelatin-based hydrogel substrate was carefully transferred to the inner cavity of the PCL backing layer to complete the assembly and fit to the injured finger, as shown in Figure 7.

本文虽然已经给出了本发明的几个实施例,但是本领域的技术人员应当理解,在不脱离本发明精神的情况下,可以对本文的实施例进行改变。上述实施例只是示例性的,不应以本文的实施例作为本发明权利范围的限定。Although several embodiments of the present invention have been presented herein, those skilled in the art should understand that changes may be made to the embodiments herein without departing from the spirit of the present invention. The above-mentioned embodiments are only exemplary, and the embodiments herein should not be construed as limiting the scope of the rights of the present invention.

Claims (10)

1.一种3D打印的伤口定制化的创可贴的制备方法,其特征在于,该方法具体包括以下步骤:1. the preparation method of the customized Band-Aid of a 3D printed wound, it is characterised in that the method specifically comprises the following steps: S1)采集伤口或受伤部位的图像信息;S1) collecting image information of the wound or the injured part; S2)对S1)采集到的图像信息进行处理,生成匹配对应伤口形状的三维立体模型;S2) processing the image information collected in S1) to generate a three-dimensional model matching the corresponding wound shape; S3)制备打印浆料;S3) prepare printing paste; S4)将S3)的浆料按照S2)的三维立体模型进行3D打印成型活性基材;S4) 3D printing the slurry of S3) according to the three-dimensional model of S2) to form the active substrate; S5)对S4得到的活性基材进行粘附性背衬层的组装,即得到伤口定制化的创可贴。S5) assembling the adhesive backing layer on the active substrate obtained in S4, that is, to obtain a wound-customized Band-Aid. 2.根据权利要求1所述的制备方法,其特征在于,所述S1)的具体步骤为:采用扫描仪或其它智能设备对待处理伤口进行图像信息采集,并将采集的图像信息发送给PC。2 . The preparation method according to claim 1 , wherein the specific steps of S1) are: using a scanner or other intelligent equipment to collect image information of the wound to be treated, and sending the collected image information to a PC. 3 . 3.根据权利要求2所述的制备方法,其特征在于,所述S2)的具体步骤为:3. preparation method according to claim 2, is characterized in that, the concrete step of described S2) is: S2.1)将接收到的图像信息依次经过黑白处理、二值化处理以及八连通法确定伤口轮廓的坐标数据,通过得到坐标数据描摹生成伤口轮廓的二维矢量图;S2.1) the received image information is processed successively through black and white processing, binarization processing and the eight-connection method to determine the coordinate data of the wound contour, and the two-dimensional vector diagram of the wound contour is generated by obtaining the coordinate data tracing; S2.2)将生成伤口轮廓的二维矢量图导入系统后,用挤出命令生成匹配对应伤口形状的三维立体模型,另存为STL文件格式储存到SD卡中后实施打印。S2.2) After importing the two-dimensional vector diagram of the generated wound contour into the system, use the extrusion command to generate a three-dimensional three-dimensional model matching the corresponding wound shape, save it as an STL file format and store it in the SD card and then print it. 4.根据权利要求1所述的制备方法,其特征在于,所述S3)的具体步骤为:4. preparation method according to claim 1, is characterized in that, the concrete step of described S3) is: S3.1)将经药物改性选定后纳米粒子材料加入去离子水中制成水溶液;S3.1) adding the nanoparticle material after drug modification and selection into deionized water to make an aqueous solution; S3.2)将明胶加入去离子水中,加热并超声处理,得到明胶溶液;S3.2) adding gelatin into deionized water, heating and ultrasonic treatment to obtain gelatin solution; S3.3)用分别量取S3.1)制备得到水溶液和S3.2)得到明胶溶液倒入容器中,在温度为90-110℃下油浴避光磁力搅拌25-35min,原位形成掺有纳米粒子的明胶溶液;S3.3) respectively measure the aqueous solution prepared in S3.1) and the gelatin solution obtained in S3.2) and pour it into a container, and at a temperature of 90-110°C, stir in an oil bath to avoid light and magnetic force for 25-35min, and form a dopant in situ. Gelatin solution with nanoparticles; S3.4)明胶溶液超声处理25-35min后,冷却后的浆料避光保存,用于后续打印。S3.4) After the gelatin solution is ultrasonically treated for 25-35 minutes, the cooled slurry is stored in the dark for subsequent printing. 5.根据权利要求1所述的制备方法,其特征在于,所述S4)的具体步骤为:5. preparation method according to claim 1, is characterized in that, the concrete step of described S4) is: S4.1)将S3)制备得到的浆料加热至33-39℃熔化后送入打印机内开始打印;S4.1) The slurry prepared in S3) is heated to 33-39°C and melted, and then sent to the printer to start printing; S4.2)分层打印后的浆料溶液逐渐冷却重新凝固,逐层累积形成打印完成后,向模型上滴加的混合溶液,15-25min后得到完全固化的活性基材。S4.2) The slurry solution after layered printing is gradually cooled and re-solidified. After the printing is completed layer by layer, the mixed solution is dripped onto the model, and a fully cured active substrate is obtained after 15-25 minutes. 6.根据权利要求5所述的制备方法,其特征在于,所述S5)的具体步骤为:6. preparation method according to claim 5, is characterized in that, the concrete step of described S5) is: S5.1)根伤口类型,选取背衬层,将其固定到PCL背衬层的内腔上;S5.1) root wound type, select the backing layer, and fix it on the inner cavity of the PCL backing layer; S5.2)将S4)制备得到活性基材转移固定到PCL背衬层的内腔上,完成组装。S5.2) The active substrate prepared in S4) is transferred and fixed to the inner cavity of the PCL backing layer to complete the assembly. 7.根据权利要求5所述的制备方法,其特征在于,所述混合溶液为1-(3-二甲氨基丙基)-3-乙基碳二亚胺盐酸盐和N-羟基琥珀酰亚胺乙醇溶液,二者质量比为5:2。7. preparation method according to claim 5 is characterized in that, described mixed solution is 1-(3-dimethylaminopropyl)-3-ethylcarbodiimide hydrochloride and N-hydroxysuccinyl Imine ethanol solution, the mass ratio of the two is 5:2. 8.根据权利要求6所述的制备方法,其特征在于,所述S5)中的伤口确定具体步骤为:对于平坦部位的伤口,粘附性背衬层选用压敏绷带,胶布,薄膜中的一种或多种;对于具有复杂曲面结构的受伤部位,粘附性背衬层通过对受伤部位扫描建模后3D打印生成。8. preparation method according to claim 6, is characterized in that, the wound in described S5) is determined concrete step is: for the wound of flat part, adhesive backing layer selects pressure-sensitive bandage, adhesive cloth, in the film. One or more; for wounded parts with complex curved structures, the adhesive backing layer is generated by 3D printing after scanning and modeling the wounded parts. 9.根据权利要求4所述的制备方法,其特征在于,所述S3.1)中的纳米粒子材料为具有杀菌、凝血、保湿、透气、消炎的一种或多种功能的材料,包括但不限于硝酸银,二氧化钛,苯扎氯铵,透明质酸。9. preparation method according to claim 4 is characterized in that, the nanoparticle material in described S3.1) is the material with one or more functions of sterilization, blood coagulation, moisture retention, ventilation, anti-inflammatory, including but Not limited to silver nitrate, titanium dioxide, benzalkonium chloride, hyaluronic acid. 10.一种伤口定制化的创可贴,其特征在于,所述伤口定制化的创可贴采用如权利要求1-9任意一项的方法制备得到。10. A wound-customized Band-Aid, characterized in that, the wound-customized Band-Aid is prepared by the method according to any one of claims 1-9.
CN201910908616.1A 2019-09-25 2019-09-25 Preparation method of 3D-printed wound customized band-aid Pending CN110664541A (en)

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