CN203885665U - Woven patch for planar or non-planar herniorrhaphy - Google Patents

Woven patch for planar or non-planar herniorrhaphy Download PDF

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Publication number
CN203885665U
CN203885665U CN201420289158.0U CN201420289158U CN203885665U CN 203885665 U CN203885665 U CN 203885665U CN 201420289158 U CN201420289158 U CN 201420289158U CN 203885665 U CN203885665 U CN 203885665U
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China
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sticking patch
patch
outer ring
oval
planar
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Expired - Fee Related
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CN201420289158.0U
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Chinese (zh)
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唐健雄
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Individual
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Abstract

The utility model discloses a woven patch for planar or non-planar herniorrhaphy and belongs to the technical field of medicine instruments. The woven patch comprises a patch body and a reinforcing patch. The patch body is of an oval structure. A cutting plane line is formed on the patch body along the semi-major axis of an oval. A circular hole is formed in the tail end of the cutting plane line and located near a focus of the oval of the patch body. The reinforcing patch comprises an oval outer ring and star-shaped reinforcing strips, wherein the included angle between every two adjacent reinforcing strips is 60 degrees, a notch is formed in one side of the oval outer ring, the oval outer ring and the outer ring of the patch body coincide with each other, one side of the notch corresponds to one side of the circular hole, and the patch body and the reinforcing patch are compounded into a whole through suture lines. By use of the cutting plane line and the circular hole on the patch body, the patch body of a planar structure can be conveniently bent into a curved surface without wrinkles, an operation of planar or non-planar herniorrhaphy can be performed conveniently, the repairing effect is good, and the operation performing difficulty is lowered; the patch body and the reinforcing patch are compounded through the suture lines, so that the anti-twisting capacity of the woven patch is enhanced.

Description

A kind of braiding sticking patch for plane or the repairing of on-plane surface hernia
Technical field
This utility model relates to a kind of braiding sticking patch, more particularly, relates to a kind of braiding sticking patch for plane or the repairing of on-plane surface hernia.
Background technology
Hernia refers to that the stomach wall that supports internal organs occurs fracture or weakens at certain position, makes the interior internal organs of abdomen outstanding to body surface by this fracture or weakened location, forms local lump.The method of the repairing hernia the most often adopting clinically is at present the position upper shed first occurring in hernia, the internal organs of clamp-oning in this position are pushed back in abdominal cavity, again the netted fabric of being made by biocompatible materials is repaired apparatus be placed in above-mentioned opening and pass through stitching or other modes in position, then close this opening.
Using artificial material is repaired and is become the developing direction that current hernia is repaired abdominal external hernia, and the requirement that the sticking patch ideal material of repairing hernia should reach is: (1) does not cause physical change in tissue fluid; (2) without chemism; (3) there is not inflammation and foreign body reaction; (4) non-carcinogenesis; (5) do not produce allergy or cause Gao Min; (6) can tolerate mechanical distortion; (7) can be by arbitrarily cutting; (8) can sterilize.
At present, the main synthetic material that uses nonabsorable in inguinal hernia or incisional hernia repairing, its base polymer body has polypropylene (PP), polyester (PE) and expanded polytetrafluoroethylsealing sticking patch (e-PTFE) conventionally.The base polymer body weight (from <30g/m2 to >100g/m2) that different sticking patch are used and the size (from <100 μ m to >5mm) in hole are very different, and its fabric and mechanical performance have difference.
Expanded PTFE microporous membrane (e-PTFE) is sheet film, is hydrophobicity, is difficult for producing adhesion with tissue.In the micropore of film inside, collagen fiber are perpendicular to material surface and arrange.This arrangement mode is consistent with the collagen arrangement mode of human body skin, can prevent to greatest extent the cicatricial contracture of tissue, also embodies splendid biocompatibility simultaneously.When sticking patch micropore <3 μ m, sticking patch does not stick together with internal organs, and anyone somatic cell all can not be grown into, and accomplishes absolute anti; Only have as sticking patch micropore >6 μ m, average aperture is 22 μ m, and now most people's somatic cell can be grown into.The size of sticking patch micropore with cytophagous by and to infect the generation of complication relevant, when material surface micro-pore diameter is greater than 6 μ m, allow neutrophilic granulocyte, macrophage to enter, engulf, kill antibacterial wherein, therefore once occur to infect to take out sticking patch, but material surface micro-pore diameter be while being less than 3 μ m, needs to take out sticking patch once infect.
Polyesters sticking patch is more widely used synthetic material previously, and pliability is better, has certain intensity, and its tension stress intensity is approximately 1/3 of polypropylene sticking patch.But find when applying multiple patching material contrasting in hernia is repaired, after polyesters sticking patch is used at aspects such as intestinal fistula formation, infection and relapse rates all apparently higher than other different materials, therefore think that polyesters sticking patch should not be re-used as hernia patching material, the also less use of domestic this class sticking patch.
Polypropylene sticking patch: formed by monofilament polypropylene woven, the advantage such as that polypropylene sticking patch has is cheap, tension stress intensity is high, foreign body reaction is low, histocompatibility is good and anti-infection property is strong, is most popular artificial patching material at present.But such sticking patch quality is harder, and foreign body sensation is obvious, postoperative scar shrinks can cause sticking patch distortion, reports that its crimp contraction is in 10%~30% left and right.Because it can cause even intestinal fistula of intestinal adhesion, therefore can not be positioned over intraperitoneal.For making up the shortcoming of polypropylene sticking patch, developed at present light-duty polypropylene sticking patch.It has retained the original advantage of polypropylene sticking patch, the feature of have more lightly, more soft, crimp contraction is little.
The patching material of inguinal hernia makes much progress, and material and structure more and more meet physiological requirement, gradually to Wicresoft, the future development such as simple to operate, patient is comfortable, few intercurrent disease, quality light, can absorb, biomaterial.But, the repairing braiding sticking patch of existing inguinal hernia is mostly planar structure, completely applicable in plane herniorrhaphy, but see according to inguinal organizational structure, common hernia repair tissue complex structure in clinical, be mostly curved-surface structure, doctor is in practical operation, often need as required the braiding sticking patch of planar structure to be carried out to cutting, to meet the hernia of nonplanar structure, repair, increased medical worker's workload, and traditional braiding sticking patch is because intensity is limited, when curved surface is repaired in cutting, easily there is mechanical distortion, to patient, cause secondary injury.
China Patent No. ZL201320361180.7, Granted publication day is December in 2013 11 days, utility model name is called: a kind of braiding sticking patch, this application case relates to a kind of braiding sticking patch, comprise star reinforced sheet and oval net sheet, star reinforced sheet and oval net sheet are formed through compiling by polyacrylic fibres or polyester capillaries, and the center of star reinforced sheet and oval Wang Pian center coincide.Polyacrylic fibres or polyester capillaries are monofilament or multifilament.Oval net sheet is not provided with spermatic cord hole with the compound place of star reinforced sheet.The star reinforced sheet supporting ellipse shape net sheet of this application case, can reduce the weight of implanting net sheet, reduce human body foreign body sense, but in being used, actual clinical finds, although use star reinforced sheet supporting ellipse shape net sheet, played certain anti-twist effect, but due to star reinforced sheet and the adhesion of oval net sheet employing multiple spot, its anti-twist effect is also very limited; In addition, the mesh grid sheet of this application case, in repairing for on-plane surface hernia, is often difficult to get a desired effect, and has increased certain operation easier and operating time in practical operation.
Summary of the invention
1. the technical problem that utility model will solve
The purpose of this utility model is to overcome existing braiding sticking patch and uses operation easier large in on-plane surface herniorrhaphy, repair efficiency is poor, medical personnel's amount of labour causes greatly the long deficiency of operating time, a kind of braiding sticking patch for plane or the repairing of on-plane surface hernia is provided, adopt the technical solution of the utility model, utilize cut-out line and circular hole on sticking patch easily the sticking patch of planar structure to be bent into curved surface, and curved-surface structure convenient fixing, corrugationless, plane or on-plane surface herniorrhaphy have been facilitated, repair efficiency is good, reduced operation technique difficulty, alleviated medical personnel's the amount of labour, and utilize stitching thread that sticking patch and reinforced sheet is compound, be connected firmly, strengthened the anti-twist ability of sticking patch.
2. technical scheme
For achieving the above object, the technical scheme that this utility model provides is:
A kind of braiding sticking patch for plane or the repairing of on-plane surface hernia of the present utility model, comprise sticking patch and reinforced sheet, described sticking patch is ellipsoidal structure, on described sticking patch, along oval major semiaxis, offer cut-out line, the end of described cut-out line offers circular hole, and described circular hole is positioned near the elliptic focus of sticking patch; Described reinforced sheet comprises oval outer ring and the star-like stiffener that is stretched out and be combined as a whole with oval outer ring by center, oval outer ring, angle between described stiffener is 60 °, one side of described oval outer ring is provided with breach, described oval outer ring overlaps with the outer ring of sticking patch, and a side of breach is corresponding with a side of circular hole, described sticking patch and reinforced sheet are complex as a whole structure by stitching thread.
Further, described sticking patch and reinforced sheet form by polyacrylic fibres braiding.
Further, the diameter of described circular hole is 6mm~10mm.
3. beneficial effect
The technical scheme that adopts this utility model to provide, compares with existing known technology, has following beneficial effect:
(1) a kind of braiding sticking patch for plane or the repairing of on-plane surface hernia of the present utility model, its sticking patch is ellipsoidal structure, on sticking patch, along oval major semiaxis, offer cut-out line, the end that cuts off line offers circular hole, circular hole is positioned near the elliptic focus of sticking patch, utilize cut-out line and circular hole on sticking patch easily the sticking patch of planar structure to be bent into curved surface, and curved-surface structure convenient fixing, corrugationless, plane or on-plane surface herniorrhaphy have been facilitated, repair efficiency is good, has reduced operation technique difficulty, has alleviated medical personnel's the amount of labour;
(2) a kind of braiding sticking patch for plane or the repairing of on-plane surface hernia of the present utility model, its reinforced sheet comprises oval outer ring and the star-like stiffener that is stretched out and be combined as a whole with oval outer ring by center, oval outer ring, angle between stiffener is 60 °, one side of oval outer ring is provided with breach, oval outer ring overlaps with the outer ring of sticking patch, and a side of breach is corresponding with a side of circular hole, sticking patch and reinforced sheet are complex as a whole structure by stitching thread, utilize stitching thread that sticking patch and reinforced sheet is compound, be connected firmly, stitching thread itself has certain non-deformability, strengthened the anti-twist ability of sticking patch,
(3) a kind of braiding sticking patch for plane or the repairing of on-plane surface hernia of the present utility model, its sticking patch and reinforced sheet form by polyacrylic fibres braiding, weave the lightweight of sticking patch, have reduced the foreign body sensation of human body, and with low cost, are easy to promote;
(4) a kind of braiding sticking patch for plane or the repairing of on-plane surface hernia of the present utility model, the diameter of its circular hole is 6mm~10mm, guaranteed that braiding sticking patch can not purse up after bending is compared with wide-angle, and can be used as spermatic cord hole in herniorrhaphy, without other cutting spermatic cord hole again, alleviated medical personnel's operation easier and saved operating time.
Accompanying drawing explanation
Fig. 1 is the structural representation of a kind of braiding sticking patch for plane or the repairing of on-plane surface hernia of the present utility model;
Fig. 2 is the using state schematic diagram of a kind of braiding sticking patch for plane or the repairing of on-plane surface hernia of the present utility model.
Label declaration in schematic diagram:
1, sticking patch; 2, reinforced sheet; 3, stitching thread; 11, cut off line; 12, circular hole; 21, stiffener.
The specific embodiment
For further understanding content of the present utility model, in conjunction with the accompanying drawings and embodiments this utility model is described in detail.
Embodiment
In conjunction with Fig. 1 and Fig. 2, a kind of braiding sticking patch for plane or the repairing of on-plane surface hernia of the present embodiment, comprises sticking patch 1 and reinforced sheet 2, sticking patch 1 and reinforced sheet 2 form by polyacrylic fibres braiding, lightweight, have reduced the foreign body sensation of human body, and with low cost, be easy to promote, sticking patch 1 is ellipsoidal structure, on it, the surface area of mesh is 90% of sticking patch 1 gross area, can promote growing into of connective tissue, on sticking patch 1, along oval major semiaxis, offer and cut off line 11, the end that cuts off line 11 offers circular hole 12, circular hole 12 is positioned near the elliptic focus of sticking patch 1, sticking patch 1 is inwardly folding along cutting off line 11, the sticking patch 1 of planar structure just can form curved surface (as shown in Figure 2), go for multiple nonplanar hernia and repair use, utilize cut-out line 11 and circular hole 12 on sticking patch 1 easily the sticking patch of planar structure 1 to be bent into curved surface, and curved-surface structure convenient fixing, corrugationless, plane or on-plane surface herniorrhaphy have been facilitated, repair efficiency is good, reduced operation technique difficulty, alleviated medical personnel's the amount of labour, the diameter of circular hole 12 is 6mm~10mm, has guaranteed that braiding sticking patch can not purse up after bending is compared with wide-angle, and can be used as spermatic cord hole in herniorrhaphy, without other cutting spermatic cord hole again, has alleviated medical personnel's operation easier and has saved operating time, what deserves to be explained is, the cut-out line 11 in the present embodiment and circular hole 12 are not intended to through spermatic cord design, when needs are repaired curved surface and need to be passed spermatic cord, need extra cutting spermatic cord hole.Reinforced sheet 2 comprises oval outer ring and the star-like stiffener 21 that is stretched out and be combined as a whole with oval outer ring by center, oval outer ring, and the angle between stiffener 21 is 60 °, has guaranteed braiding sticking patch even intensity; Mesh surface area on reinforced sheet 2 is its gross area 50%~60%, has guaranteed that braiding sticking patch has enough anti-twist abilities; One side of oval outer ring is provided with breach, oval outer ring overlaps with the outer ring of sticking patch 1, and a side of breach is corresponding with a side of circular hole 12, sticking patch 1 and reinforced sheet 2 are complex as a whole structure by stitching thread 3, utilize stitching thread 3 that sticking patch 1 and reinforced sheet 2 is compound, be connected firmly, stitching thread 3 itself has certain non-deformability, has strengthened the anti-twist ability of sticking patch 1.
A kind of braiding sticking patch for plane or the repairing of on-plane surface hernia of the present embodiment, the shape of its sticking patch 1 and reinforced sheet 2 is by the disposable stamping-out molding of punch die, and processing efficiency is high; The Combined Mining of sticking patch 1 and reinforced sheet 2 is sewed up with stitching thread 3, and the intensity that weaves sticking patch is further improved.During use, as shown in Figure 2, for the repairing position of curved surface, braiding sticking patch is bent to the curved surface corresponding with repairing position shape along the direction of cutting off line 11, make to weave sticking patch and arch upward, then repair; The stiffener 21 of reinforced sheet 2 and the space between oval outer ring are reserved spermatic cord hole site, are convenient to need to carry out cutting according to operation.
A kind of braiding sticking patch for plane or the repairing of on-plane surface hernia of the present utility model, utilize cut-out line and circular hole on sticking patch easily the sticking patch of planar structure to be bent into curved surface, and curved-surface structure convenient fixing, corrugationless, plane or on-plane surface herniorrhaphy have been facilitated, repair efficiency is good, has reduced operation technique difficulty, has alleviated medical personnel's the amount of labour; And utilize stitching thread that sticking patch and reinforced sheet is compound, be connected firmly, strengthened the anti-twist ability of sticking patch.
Below schematically this utility model and embodiment thereof are described, this description does not have restricted, and shown in accompanying drawing is also one of embodiment of the present utility model, and actual structure is not limited to this.So, if those of ordinary skill in the art is enlightened by it, in the situation that not departing from this utility model creation aim, without creatively designing the frame mode similar to this technical scheme and embodiment, all should belong to protection domain of the present utility model.

Claims (3)

1. a braiding sticking patch of repairing for plane or on-plane surface hernia, comprise sticking patch (1) and reinforced sheet (2), it is characterized in that: described sticking patch (1) is ellipsoidal structure, described sticking patch (1) is upper to be offered and cuts off line (11) along oval major semiaxis, the end of described cut-out line (11) offers circular hole (12), and described circular hole (12) is positioned near the elliptic focus of sticking patch (1); Described reinforced sheet (2) comprises oval outer ring and the star-like stiffener (21) that is stretched out and be combined as a whole with oval outer ring by center, oval outer ring, angle between described stiffener (21) is 60 °, one side of described oval outer ring is provided with breach, described oval outer ring overlaps with the outer ring of sticking patch (1), and a side of breach is corresponding with a side of circular hole (12), described sticking patch (1) and reinforced sheet (2) are complex as a whole structure by stitching thread (3).
2. a kind of braiding sticking patch for plane or the repairing of on-plane surface hernia according to claim 1, is characterized in that: described sticking patch (1) and reinforced sheet (2) form by polyacrylic fibres braiding.
3. a kind of braiding sticking patch for plane or the repairing of on-plane surface hernia according to claim 2, is characterized in that: the diameter of described circular hole (12) is 6mm~10mm.
CN201420289158.0U 2014-05-30 2014-05-30 Woven patch for planar or non-planar herniorrhaphy Expired - Fee Related CN203885665U (en)

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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106137455A (en) * 2016-08-01 2016-11-23 上海群爱医疗科技有限公司 A kind of cranium face, nose repair sticking patch
CN106821542A (en) * 2017-02-20 2017-06-13 周建平 For the support sticking patch of adult inguinal hernia TAPE arts formula repairing
CN107613906A (en) * 2015-03-24 2018-01-19 海克斯工健康公司 The sex specific mesh implant with barrier for Inguinal Hernia Herniorrhaphy
CN108992200A (en) * 2018-08-06 2018-12-14 潘乃梁 A kind of Double-conical-surface hernia paster

Cited By (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107613906A (en) * 2015-03-24 2018-01-19 海克斯工健康公司 The sex specific mesh implant with barrier for Inguinal Hernia Herniorrhaphy
US10433943B2 (en) 2015-03-24 2019-10-08 Hexagon Health, Inc. Gender-specific mesh implant with barrier for inguinal hernia repair
US11207169B2 (en) 2015-03-24 2021-12-28 Hexagon Health, Inc. Gender-specific mesh implant with barrier for inguinal hernia repair
US11219516B2 (en) 2015-03-24 2022-01-11 Hexagon Health, Inc. Gender-specific mesh implant with barrier for inguinal hernia repair
US11324579B2 (en) 2015-03-24 2022-05-10 Hexagon Health, Inc. Gender-specific mesh implant with barrier for inguinal hernia repair
US11602425B2 (en) 2015-03-24 2023-03-14 Hexagon Health, Inc. Gender-specific mesh implant with barrier for inguinal hernia repair
CN106137455A (en) * 2016-08-01 2016-11-23 上海群爱医疗科技有限公司 A kind of cranium face, nose repair sticking patch
CN106137455B (en) * 2016-08-01 2018-01-02 上海群爱医疗科技有限公司 A kind of cranium face, nose repair sticking patch
CN106821542A (en) * 2017-02-20 2017-06-13 周建平 For the support sticking patch of adult inguinal hernia TAPE arts formula repairing
CN108992200A (en) * 2018-08-06 2018-12-14 潘乃梁 A kind of Double-conical-surface hernia paster

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CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20141022

Termination date: 20190530

CF01 Termination of patent right due to non-payment of annual fee