CN1830492B - Bioprotein artificial meninges sheet - Google Patents

Bioprotein artificial meninges sheet Download PDF

Info

Publication number
CN1830492B
CN1830492B CN2006100652104A CN200610065210A CN1830492B CN 1830492 B CN1830492 B CN 1830492B CN 2006100652104 A CN2006100652104 A CN 2006100652104A CN 200610065210 A CN200610065210 A CN 200610065210A CN 1830492 B CN1830492 B CN 1830492B
Authority
CN
China
Prior art keywords
meninges
bioprotein
sheet
gel sheet
implantable medical
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Fee Related
Application number
CN2006100652104A
Other languages
Chinese (zh)
Other versions
CN1830492A (en
Inventor
刘佰运
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
BAIJING TIANTAN HOSPITAL
Original Assignee
Beijing Tiantan Hospital
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Beijing Tiantan Hospital filed Critical Beijing Tiantan Hospital
Priority to CN2006100652104A priority Critical patent/CN1830492B/en
Publication of CN1830492A publication Critical patent/CN1830492A/en
Application granted granted Critical
Publication of CN1830492B publication Critical patent/CN1830492B/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Landscapes

  • Prostheses (AREA)
  • Materials For Medical Uses (AREA)

Abstract

An artificial meninges sheet used as the repairing material of cerebral operation is composed of an implantable medical silica gel sheet whose thickness is not greater than 1 mm, and two artificial hard meninges which are made of bioprotein and attached to both surfaces of said medical silica gel sheet. It has no irritation to brain tissue and rejection reaction.

Description

Bioprotein artificial meninges sheet
Technical field
The present invention relates to a kind of medical surgery, especially the patching material of department of cerebral surgery is a kind of bioprotein artificial meninges sheet.
Background technology
Geneogenous defect of meninges, or the defect of meninges that is caused because of wound and neurosurgery postoperative can cause the serious phenomenon of leakage, thereby jeopardize human life.This just needs shutoff, and it is damaged or/and leak.At present, the Clinical Processing mode is mainly the direct damaged place of stitching of using artificial dura mater patching material and using artificial dura mater patching material directly pastes two kinds of forms at damaged place, that can sew up and paste 2 kinds of formulas, corresponding patching material be divided into can sew up and paste two kinds of artificial dura mater patching materials of formula.This dual mode and used patching material all have shortcoming separately.The former is stitched together self meninges, so only be fit to little leak, presses the patient of cerebral hernia decompression hindbrain bulging for acute high cranium, the sew application difficulty, and when sewing up, injure cerebral tissue easily.It is synthetic by bioprotein pasting the artificial meninges of using at damaged place, is pure bioprotein film, though have that pliable and tough shape is good, good springiness and an advantage such as absorption easily; Yet at clinicing aspect, when using this bioprotein film to carry out the defect of meninges reparation, on the one hand, existence pastes not tight, forms the outer hydrops of meninges; On the other hand, owing to can absorb, when making skull repairing in the later stage, artificial meninges is absorbed and lacks protection to meninges, is easy to accidentally injure cerebral tissue, and cerebrospinal fluid spills, and forms the postoperative hypohydrops.Therefore, ideal artificial meninges should be to meet following condition: 1, have reliable intensity and good pliability, elasticity; Can bear certain power when surgical repair and after repairing and produce distortion and not damaged.2, has good biological tissue's compatibility, no foreign body rejection.3, can not be absorbed fully; Can play the effect of protection cerebral tissue, can play a part again to isolate scalp soft tissue and cerebral tissue well, make later cranioplasty surgery safer, reliable.At present, the artificial meninges of Shi Yonging is simple bioprotein clinically, as collagen protein artificial dura mater etc., can be absorbed fully, is unfavorable for post surgery treatment.Also do not possess the preferable artificial meninges that the artificial meninges defect repairing of above-mentioned three conditions is used simultaneously.Disclosed technical data also is the bioprotein meninges that simple material is made in the relevant patent documentation, be to disclose a kind of absorbability artificial dura mater in the Chinese patent literature of CN1155347C as notification number, though be double-decker, but its composition is absorbability, has above-mentioned defective in use equally.
Summary of the invention
The present invention be mainly solve existing when clinically defect of meninges being repaired used artificial meninges be absorbed easily, can't play abundant isolation scalp soft tissue and cerebral tissue effect and be unfavorable for problems such as cranioplasty surgery afterwards, and a kind of bioprotein artificial meninges sheet that not exclusively is absorbed and has good pliability, elasticity and biological tissue's compatibility is provided.
Bioprotein artificial meninges sheet of the present invention, include implantable medical silica-gel sheet and bioprotein artificial dura mater, the thickness of described implantable medical silica-gel sheet is not more than 1mm, plasticity deformation pressure takes place be not more than 20 millimetress of mercury, its deformation ratio minimum is 30%, and tensile strength is no less than 50 millimetress of mercury; The two sides of described implantable medical silica-gel sheet is the bioprotein artificial dura mater, and the above and below that forms implantable medical silica-gel sheet all has the composite construction of bioprotein artificial dura mater.
Have equally distributed through hole on the above-mentioned implantable medical silica-gel sheet, its adjacent holes is apart from being not more than 2 centimetres, and its aperture is 2~3 millimeters.
Be distributed with pit on the above-mentioned implantable medical silica-gel sheet surface, the depth capacity of its pit is less than 0.3 millimeter, and this pit is of a size of 2~3 millimeters.
Above-mentioned implantable medical silica-gel sheet and the contacted surface of bioprotein artificial dura mater stick into one by sending biological fibrin glue forth.
The diaphragm-operated thickness of brain of the present invention is not more than 3 millimeters, preferred 2.4 millimeters.
Above-mentioned silica gel sheet and bioprotein artificial dura mater are existing medical material, or are fit to the artificial meninges of bioprotein of human body through the prepared energy of common processes by prior art.As: get the tendon of animal, adopt biochemical the separation, extractive technique, the preparation biological collagen also forms membranaceous getting final product.
This meninges sheet is when carrying out the defect of meninges repairing, because its bioprotein artificial dura mater is absorbed by tissue easily, the repairing of favourable meninges, and medical silica-gel sheet wherein is difficult for absorbing, cranioplasty surgeries after helping etc., the artificial dura mater of this meninges sheet appearance has avoided the silica gel sheet directly to contact the generation of cerebral tissue and caused tissue stimulation of subcutaneous tissue and rejection.
Hole or select for use and the compact concaveconvex structure of artificial dura mater has distributed on the described medical silica-gel sheet, thereby the artificial dura mater on medical silica-gel sheet two sides is closely sticked together with the medical silica-gel sheet, and the silica gel sheet on two sides is consistent when producing physical change, similar to a monoblock artificial dura mater, has same pliability, elasticity, to alleviate intracranial pressure.This meninges sheet also has following characteristics in addition: 1, the present invention adopts the medical silica-gel sheet to be the bioprotein artificial dura mater outward, making it to have the bioprotein artificial dura mater can absorb, and the medical silica-gel sheet can not absorb double effects, has overcome the shortcoming that can absorb merely and can not absorb artificial meninges.Can directly it be covered on the brain surface when 2, operating, edge reuse bioprotein is gluing stifled, both can avoid leakage, and is simple to operate again.3, this meninges sheet has elasticity, pliability, can be good at alleviating intracranial pressure.4, because medical silica-gel sheet two sides is the bioprotein layer, and histocompatibility is good, can absorb, and merge, form pseudomembrane, avoid the silica gel sheet directly to contact cerebral tissue and caused tissue stimulation of subcutaneous tissue and rejection with when injected organism tissue.5, owing on the silica gel sheet a lot of apertures is arranged, and distribute rationally, the bioprotein artificial dura mater on silica gel sheet two sides is merged, play the effect of reinforcing the silica gel sheet.When 6, carrying out cranioplasty surgery later on, the silica gel sheet plays the boundary effect, can be easy to separate scalp along silica gel sheet outside, is unlikely to hurt cerebral tissue.7, because the silica gel sheet does not absorb,, can be easy to take off the silica gel sheet simultaneously, help post surgery treatment with when injected organism tissue also adhesion.
The alternative cerebral dura mater of this meninges sheet and other body biomembranes can be widely used in the repairing that brain, the heart, gastrointestinal, aponeurosis (aponeuroses), bladder and other have the damaged and hollow organ wall of biomembrane.
The drawing explanation
Accompanying drawing is a structural representation of the present invention.
The specific embodiment
Embodiment 1, selects present hospital implantable medical silica-gel sheet commonly used for use.This silica gel sheet physicochemical property in 0~50 degree temperature range is stable; The human body zest is little, and histocompatibility is good, meets human body implant related standards.The DuraMax collagen protein artificial dura mater of selecting for use the Beijing TianXinFu Medical Treatment equipment Co., Ltd to produce.This collagen protein artificial dura mater has absorbability, and no rejection has characteristics such as good flexibility and attenuation after meeting water, and need not to sew up during operation.But the retrospective deformation pressure of this silica gel sheet is 20 millimetress of mercury; Its deformation ratio is 30%; Tensile strength is 50 millimetress of mercury; Thickness is 0.8 millimeter.
In conjunction with referring to accompanying drawing.On selected silica gel sheet 1, evenly get through hole 3 by 1 * 1 centimetre of square formation with punch device, its aperture is 2~3 millimeters, use two block-shaped identically then, the collagen protein artificial dura mater 2 that area is not less than this silica gel sheet directly is bonded at the two sides of this silica gel sheet 1, gets final product through shearing packing again.
Embodiment 2, and selected implantable medical silica-gel sheet and the characteristic of collagen protein artificial dura mater are with embodiment 1.The plasticity deformation pressure of this silica gel sheet is 15 millimetress of mercury; Its deformation ratio is 35%; Tensile strength is 60 millimetress of mercury; Thickness is 1 millimeter.
Extrude pit with pressing equipment on its two sides on selected silica gel sheet, pit depth is less than 0.3 millimeter, and its size (planar dimension at place, pit top) is 2~3 millimeters; Send biological fibrin glue forth at implantable medical silica-gel sheet and the contacted surface of bioprotein artificial dura mater then, it is sticked together be integral again and can shear packing.

Claims (8)

1. bioprotein artificial meninges sheet, include implantable medical silica-gel sheet and bioprotein artificial dura mater, the thickness that it is characterized in that described implantable medical silica-gel sheet is not more than 1mm, plasticity deformation pressure takes place be not more than 20 millimetress of mercury, deformation ratio is greater than 30%, and tensile strength is no less than 50 millimetress of mercury; The two sides of described implantable medical silica-gel sheet is the bioprotein artificial dura mater, and the above and below that forms implantable medical silica-gel sheet all has the composite construction of bioprotein artificial dura mater.
2. meninges sheet according to claim 1 is characterized in that: have equally distributed through hole on the above-mentioned implantable medical silica-gel sheet, its adjacent holes is apart from being not more than 2 centimetres, and its aperture is 2~3 millimeters.
3. meninges sheet according to claim 1 is characterized in that: be distributed with pit on the above-mentioned implantable medical silica-gel sheet surface, the depth capacity of its pit is less than 0.3 millimeter.
4. according to claim 1 or 2 or 3 described meninges sheets, it is characterized in that: stick into one by sending biological fibrin glue forth on described implantable medical silica-gel sheet and the contacted surface of bioprotein artificial dura mater.
5. according to claim 1 or 2 or 3 described meninges sheets, it is characterized in that: the diaphragm-operated thickness of this brain is not more than 3 millimeters.
6. meninges sheet according to claim 4 is characterized in that: the diaphragm-operated thickness of this brain is not more than 3 millimeters.
7. meninges sheet according to claim 5 is characterized in that: the diaphragm-operated thickness of this brain is not more than 2.4 millimeters.
8. meninges sheet according to claim 6 is characterized in that: the diaphragm-operated thickness of this brain is not more than 2.4 millimeters.
CN2006100652104A 2006-03-20 2006-03-20 Bioprotein artificial meninges sheet Expired - Fee Related CN1830492B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN2006100652104A CN1830492B (en) 2006-03-20 2006-03-20 Bioprotein artificial meninges sheet

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN2006100652104A CN1830492B (en) 2006-03-20 2006-03-20 Bioprotein artificial meninges sheet

Publications (2)

Publication Number Publication Date
CN1830492A CN1830492A (en) 2006-09-13
CN1830492B true CN1830492B (en) 2011-05-18

Family

ID=36993092

Family Applications (1)

Application Number Title Priority Date Filing Date
CN2006100652104A Expired - Fee Related CN1830492B (en) 2006-03-20 2006-03-20 Bioprotein artificial meninges sheet

Country Status (1)

Country Link
CN (1) CN1830492B (en)

Families Citing this family (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102755205A (en) * 2012-08-13 2012-10-31 朱成 Plaster for craniotomy
AT515384B1 (en) * 2014-02-05 2016-04-15 Dietmar Dr Sonnleitner Preconnected multilayer film for covering a bone defect site
CN106110408A (en) * 2016-06-21 2016-11-16 天津市第四中心医院 The new application of silica gel
CN111359018B (en) * 2020-05-06 2023-11-14 北京潞康科技有限公司 Double-layer anti-seepage dura mater repairing sheet and preparation method thereof
CN112972060B (en) * 2021-02-04 2023-07-14 华东医院 Device for preventing operation area from blocking after craniotomy in neurosurgery

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2001030409A1 (en) * 1999-10-25 2001-05-03 Ghimas S.P.A. Invasive medical device, especially for guided tissue regeneration
CN1317297A (en) * 2000-04-11 2001-10-17 张保军 Absorbable artificial dura meter of brain and its preparing process
CN2461505Y (en) * 2000-12-28 2001-11-28 郭岩 Biological artificial hard mater
CN2608014Y (en) * 2003-03-05 2004-03-31 刘恩重 Ar-tificial endocranium having both functions of dura mater and arachnoid

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2001030409A1 (en) * 1999-10-25 2001-05-03 Ghimas S.P.A. Invasive medical device, especially for guided tissue regeneration
CN1317297A (en) * 2000-04-11 2001-10-17 张保军 Absorbable artificial dura meter of brain and its preparing process
CN2461505Y (en) * 2000-12-28 2001-11-28 郭岩 Biological artificial hard mater
CN2608014Y (en) * 2003-03-05 2004-03-31 刘恩重 Ar-tificial endocranium having both functions of dura mater and arachnoid

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
张世明等.硬脑膜修复材料的应用研究现状与展望.《中华神经外科杂志》.2003,第19卷(第5期),402-404. *

Also Published As

Publication number Publication date
CN1830492A (en) 2006-09-13

Similar Documents

Publication Publication Date Title
CN1830492B (en) Bioprotein artificial meninges sheet
ES2402238T3 (en) Targeted tissue growth using reduced pressure
AU2009289479B2 (en) Process for generating microwalled encapsulation balloons
AU2010276271B2 (en) Particulate tissue graft with components of differing density and methods of making and using the same
CN104349799B (en) Implant
CN201814903U (en) Surgical anti-adhesion membrane
CN101370446A (en) Methods of producing PVA hydrogel implants and related devices
CN107847326B (en) Orthopedic implants
CN203220462U (en) Perforated biological patch
DE112017000675T5 (en) Method of making devices for placing and releasing a temporary implant in the body
CN109876184A (en) A kind of elasticity can deformation skull-base defects recovery support and preparation method thereof
CN202682096U (en) Absorbable endocranium repair patch
ES2378189T3 (en) Flat implant
CN102908676A (en) Hollowed PP/PVDF (Polypropylene/Polyvinylidene Fluoride) composite hernia sticking patch and preparation method thereof
CA2654570A1 (en) Sac for use in spinal surgery
CN100366303C (en) Preparation and application of anti blocking biomembrane for tendon and ligament
CN218075445U (en) Umbilical hole shaping surgical application
EP2379003B1 (en) Planar implant for sealing liquid and/or air leaks in the human and/or animal body, and method for its production
CN206228466U (en) A kind of cranium face, nose repair sticking patch
CN211834923U (en) Novel fracture fixation device
CN211300577U (en) Fixing device for fracture part
CN204600787U (en) Band mesh shape support composite membrane is repaired at the bottom of basin
CN219553132U (en) First surgical operation teaching aid
CN221556129U (en) Hernia repair patch with good air permeability
CN214908642U (en) Hernia repair patch with novel woven mesh

Legal Events

Date Code Title Description
C06 Publication
PB01 Publication
C10 Entry into substantive examination
SE01 Entry into force of request for substantive examination
ASS Succession or assignment of patent right

Owner name: BAIJING TIANTAN HOSPITAL

Free format text: FORMER OWNER: LIU BAIYUN

Effective date: 20110316

C41 Transfer of patent application or patent right or utility model
COR Change of bibliographic data

Free format text: CORRECT: ADDRESS; FROM: 100050 DEPARTMENT OF NEUROSURGERY, BEIJING TIANTAN HOSPITAL, NO. 6, TIANTANXILI, BEIJING TO: 100050 NO. 6, TIANTAN XILI, BEIJING

TA01 Transfer of patent application right

Effective date of registration: 20110316

Address after: 100050 No. 6, West Lane, Tiantan, Beijing

Applicant after: Baijing Tiantan Hospital

Address before: 100050 Department of Neurosurgery, Beijing Tiantan Hospital, 6 West Lane, Beijing, China

Applicant before: Liu Baiyun

C14 Grant of patent or utility model
GR01 Patent grant
C17 Cessation of patent right
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20110518

Termination date: 20130320