CN208447848U - A kind of upper joint capsule reconstruction reparation sticking patch - Google Patents

A kind of upper joint capsule reconstruction reparation sticking patch Download PDF

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Publication number
CN208447848U
CN208447848U CN201720168598.4U CN201720168598U CN208447848U CN 208447848 U CN208447848 U CN 208447848U CN 201720168598 U CN201720168598 U CN 201720168598U CN 208447848 U CN208447848 U CN 208447848U
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China
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layer
sticking patch
biological tissue
fibrous layer
upper joint
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Expired - Fee Related
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CN201720168598.4U
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Chinese (zh)
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丁少华
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Individual
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Individual
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Abstract

This is practical new to disclose a kind of upper joint capsule and rebuilds reparation sticking patch, including two layers of biological tissue's layer and one layer of fibrous layer, biological tissue's layer is identical with fibrous layer geomery, and the fibrous layer is clipped between two layers of biological tissue layer, forms the sandwich composite construction of biological tissue's layer/fibrous layer.The utility model can be used as the sticking patch that the operation of upper joint capsule is rebuild under arthroscope, the sandwich composite construction of its biological tissue's layer/fibrous layer can ensure that sticking patch has enough mechanical properties and biocompatibility, there is fibrous layer sufficient intensity to maintain shoulder joint reset, it can play the role of bracket again, prevent sticking patch creep, upper and lower two sides biological tissue layer cell proliferation and Osteoblast Differentiation have facilitation, histocyte can be grown along bracket, finally grow up to the upper joint lens capsule tissue of one layer of completely integrated, restores the function that muscular strength maintains shoulder joint.

Description

A kind of upper joint capsule reconstruction reparation sticking patch
Technical field
The utility model relates to medical patch fields, and in particular to a kind of upper joint capsule reconstruction reparation sticking patch.
Background technique
Rotator cuff tear is common Shoulder joint, and disease incidence gradually increases with advancing age.Rotator cuff tear is Cause shoulder arthralgia, mobility to reduce, the common cause of miopragia, accounts for about the 60% of shoulder lesion.Chronic regression type is huge Big unrepairable rotator cuff tear is difficult to the problems such as muscular atrophy and fatty infiltration usually because tendon tissue regression is followed the string It repairs completely.To through the invalid Patients with Rotator Cuff Injury After of conservative therapy and rotator cuff mass lesions patient, surgical operation is usually taken Treatment repairing tearing tendon, to mitigate pain, and rebuilds function of joint.Previous solution be usually Sub acromial decompression at Type and cleaning, partial repair, tendon of subscapularis muscle indexing, great circle Muscle transplant, supraspinatus tendon lift art, and triangle musculocutaneous flap is rebuild, back Platysma indexing, pectoralis major indexing, tear portion tendon grafting or anti-shoulder displacement technique.However these methods are in clinical effectiveness Display has more or less otherness, and all there is various postoperative complications, may be with infection, failure, fracture, nerve The multiple risks such as vascular complication.
The maximum of the huge rotator cuff tear of unrepairable refers to that disease is exactly pain caused by subacromial impingement, the muscle of shoulder joint Powerless, hand arm held upward is limited.Cause the missing for being stability above Glenohumeral joint the main reason for these, rotator cuff muscle (hilllock Upper flesh) function lose.It is a kind of relatively new surgical technic that upper joint capsule is rebuild under arthroscope, and technique passes through implantation Graft connection Scapula glenoid and major tubercle restore upper joint capsule structure to have the function that push humerus head, can restore shoulder joint Top stability.Technique can be completed under mirror, and compared to anti-shoulder displacement technique, whole process risk is very small.And tendon It is the weak spot in rotator cuff repair process, is pulled in art and attempt for the rotator cuff tissue that bulk is torn to be fixed on the original before injury attached Point it is more difficult, need to solve the problems, such as humerus head covering deficiency when huge rotator cuff tear with rotator cuff structure enhancing sticking patch at this time, The mechanical property for guaranteeing neoplasty back porch tissue sleeve, maintains the stability and function of shoulder joint.Currently used for being rebuild under arthroscope The patching material of upper joint capsule uses self fascia late, has good biological attribute, will not cause the inflammatory reaction of body.But The fascia late thickness of each patient is different, and there are larger differences for manufactured sticking patch mechanical property, and fascia late sticking patch can be slowly There is creep to stretch, it is thinning elongated, to reduce the strength for pushing humerus head, make the humerus head for having pushed reset, it may Occur humerus head after surgery to move up on a small quantity, reset the phenomenon that loss.
In view of the above drawbacks, the utility model creator obtains originally practical new finally by prolonged research and practice A kind of upper joint capsule of type rebuilds reparation sticking patch.
Utility model content
To solve above-mentioned technological deficiency, the technical solution adopted in the utility model is, provides a kind of upper joint capsule reconstruction It repairs and uses sticking patch, including two layers of biological tissue's layer and one layer of fibrous layer, the geomery phase of the biological tissue layer and fibrous layer Together, the fibrous layer is clipped between two layers of biological tissue layer, and the sandwich that sticking patch forms biological tissue's layer/fibrous layer is compound Structure.
Preferably, biological tissue's layer is self fascia late.
Preferably, the fibrous layer is woven by polyester fiber.
Preferably, the polyester fiber is pet fiber, PTT Fiber Or poly fiber.
Preferably, the fibrous layer has porous structure, pore size 250-350um.
Preferably, biological tissue's layer and fibrous layer are stitched together by fixed suture.
Preferably, the sticking patch is rectangular, four sides have compensation section, and long side two sides uncompensation distance is 1-1.5cm, broadside Two sides uncompensation distance is 0.5-1cm.
Preferably, four sides of the sticking patch suture, every 0.5cm has a stitch points, has extremely in the middle part of the sticking patch Few two stitch points.
Preferably, biological tissue layer with a thickness of 4-6mm, the fibrous layer with a thickness of 1-2mm.
Compared with the prior art the utility model has the beneficial effects that:
1, the utility model can be used as the sticking patch that the operation of upper joint capsule is rebuild under arthroscope, biological tissue's layer/fiber The sandwich composite construction of layer can ensure that sticking patch has enough mechanical properties and biocompatibility.Fibrous layer among sticking patch Shoulder joint reset is maintained with sufficient intensity, and bracket can be played the role of, prevents sticking patch creep, upper and lower two sides biological tissue layer is right Cell Proliferation and Osteoblast Differentiation have facilitation, and histocyte can be grown along bracket, finally grow up to one layer of completely integrated Upper joint lens capsule tissue restores the function that muscular strength maintains shoulder joint.
2, fibrous layer porous structure can interfere the formation hyperplasia of non-tendon or ligament within the organization, reduce internal scar The formation of tissue guarantees joint lens capsule tissue normal growth.
3, the suture of biological tissue's layer/fibrous layer multiple spot can prevent the opposite sliding of interlayer to be detached from, and there are benefits on sticking patch four side Portion is repaid for fixation of performing the operation.
4, by controlling the thickness of biological tissue's layer/fibrous layer, keep mechanical property consistent, while guaranteeing sticking patch intensity and soft Toughness.
Detailed description of the invention
It, below will be to institute in embodiment description in order to illustrate more clearly of the technical solution in various embodiments of the utility model Attached drawing to be used is needed to be briefly described.
Fig. 1 is that the upper joint capsule of the utility model rebuilds the sectional view of reparation sticking patch;
Fig. 2 is that the upper joint capsule of the utility model rebuilds the main view of reparation sticking patch;
Fig. 3 is the structure chart of the utility model fibrous layer.
Specific embodiment
Below in conjunction with attached drawing, the above and other technical features and advantages of the present invention are described in more detail.
Embodiment 1
As shown in Figure 1, a kind of upper joint capsule rebuilds reparation sticking patch, including two layers of biological tissue's layer 1 and one layer of fibrous layer 2, fibrous layer 2 is clipped between two layers of biological tissue's layer 1, and the biological tissue 1 is identical with 2 geomery of fibrous layer, and sticking patch is formed The sandwich composite construction of biological tissue's layer/fibrous layer.
As shown in connection with fig. 2, the sticking patch is rectangular, and biological tissue's layer 1 and fibrous layer 2 pass through fixed suture 3 for four Side seam is combined, and every 0.5cm has a stitch points, it is ensured that interlayer without departing from, and in the middle part of sticking patch tool there are two stitch points, Prevent opposite slide.Patch size is greater than tearing port, and there are compensation sections on four sides, for fixation of performing the operation.
The utility model can be used as the enhancing sticking patch that the operation of upper joint capsule is rebuild under arthroscope, and fibrous layer can provide Enough mechanical properties, biological tissue's layer can provide biocompatibility, promote tissue cell growth, and this sandwich is multiple The phenomenon that it is simple to close structure sticking patch production method, meets operation requirement, effectively postoperative can be avoided to lose.
Embodiment 2
A kind of upper joint capsule reconstruction reparation sticking patch, including two layers of biological tissue's layer 1 and one layer of fibrous layer 2, the fiber Layer 2 is clipped between two layers of biological tissue's layer 1, and biological tissue's layer 1 is identical with 2 geomery of fibrous layer, is sutured by fixed Line 3 is stitched together, and sticking patch forms the sandwich composite construction of biological tissue's layer/fibrous layer.Biological tissue layer 1 is self wealthy Fascia can promote autogenous cell to grow, and the fibrous layer 2 is woven by pet fiber, have Good mechanical property and biocompatibility.
As shown in connection with fig. 3, the fibrous layer 2 has porous structure, pore size 250um, and porous structure can be done The formation hyperplasia of non-tendon or ligament within the organization is disturbed, the formation of internal cicatricial tissue is reduced, guarantees that joint lens capsule tissue is normal Growth.
The sticking patch is rectangular, four sides have compensation section, long side two sides uncompensation distance be 1cm, broadside two sides compensation away from From for 0.5cm.Four sides of the sticking patch are sutured with fixed suture 3, and every 0.5cm has a stitch points, and there are two middle part tools Stitch points.Biological tissue layer 1 with a thickness of 4mm, the fibrous layer 2 with a thickness of 2mm, by control biological tissue layer/ The thickness of fibrous layer, while guaranteeing the intensity and flexibility of sticking patch.
When upper joint capsule reconstruction operations by woven sticking patch by syringe be sent into shoulder joint chamber, by sticking patch inner end with Mattress suture is fixed on Scapula glenoid upper limb, and sticking patch rear side end and infraspinous muscle carry out the conjunction of side side seam, and outboard end is quick with pre-knotted Suture bridge technology is fixed on greater tubercles of humerus, completes sticking patch and fixes.Fibrous layer among postoperative sticking patch is maintained with sufficient intensity Shoulder joint reset, and can play the role of bracket, prevents sticking patch creep, the self fascia late cell proliferation in upper and lower two sides and skeletonization point Change has facilitation, and histocyte can be grown along bracket, finally grows up to the upper joint lens capsule tissue of one layer of completely integrated, restores The function of muscular strength maintenance shoulder joint.
Embodiment 3
A kind of upper joint capsule reconstruction reparation sticking patch, including two layers of biological tissue's layer and one layer of fibrous layer, fibrous layer are clipped in Between two layers of biological tissue's layer, the biological tissue is identical with fibrous layer geomery, is stitched together by fixed suture, The sandwich composite construction of sticking patch formation biological tissue's layer/fibrous layer.The fibrous layer is by PTT Fiber It weaves, there is porous structure, pore size 350um.
The sticking patch is rectangular, and four sides have compensation section, and long side two sides uncompensation distance is 1.5cm, the compensation of broadside two sides Distance is 1cm.Described repair is closed with four side seam of sticking patch, and every 0.5cm has a stitch points, and there are four stitch points for middle part tool.Institute State biological tissue's layer with a thickness of 6mm, the fibrous layer with a thickness of 1mm, pass through the thickness of control biological tissue's layer/fibrous layer Degree, while guaranteeing the intensity and flexibility of sticking patch.
Embodiment 4
A kind of upper joint capsule reconstruction reparation sticking patch, including two layers of biological tissue's layer and one layer of fibrous layer, fibrous layer are clipped in Between two layers of biological tissue's layer, the biological tissue is identical with fibrous layer geomery, is stitched together by fixed suture, The sandwich composite construction of sticking patch formation biological tissue's layer/fibrous layer.Biological tissue layer with a thickness of 5mm, the fiber Layer with a thickness of 1.2mm.The fibrous layer is woven by poly fiber, has porous structure, hole Gap size is 300um.The sticking patch is rectangular, and four sides have compensation section, and long side two sides uncompensation distance is 1.2cm, broadside two Side uncompensation distance is 0.8cm.Described repair is closed with four side seam of sticking patch, and every 0.5cm has a stitch points, and there are three seams for middle part tool Chalaza.
The above is only the preferred embodiment of the present invention, is merely illustrative for the utility model, and It is unrestricted.Those skilled in the art understand that can be to it in the spirit and scope defined by the utility model claims Many changes, modifications, and even equivalents are carried out, but all will fall within the protection scope of the utility model.

Claims (7)

1. a kind of upper joint capsule rebuilds reparation sticking patch, which is characterized in that including two layers of biological tissue's layer and one layer of fibrous layer, institute It is identical with the geomery of fibrous layer to state biological tissue's layer, the fibrous layer is clipped between two layers of biological tissue layer, sticking patch Form the sandwich shape of biological tissue's layer/fibrous layer;Biological tissue's layer is self fascia late, and the fibrous layer is by polyester Fibrage forms.
2. upper joint capsule as described in claim 1 rebuilds reparation sticking patch, which is characterized in that the polyester fiber is poly- to benzene Naphthalate fiber, PTT Fiber or poly fiber.
3. upper joint capsule as claimed in claim 2 rebuilds reparation sticking patch, which is characterized in that the fibrous layer has porous knot Structure, pore size 250-350um.
4. upper joint capsule a method according to any one of claims 1-3 rebuilds reparation sticking patch, which is characterized in that biological tissue's layer It is stitched together with fibrous layer by fixed suture.
5. upper joint capsule as claimed in claim 4 rebuilds reparation sticking patch, which is characterized in that the sticking patch is rectangular, and four Side has compensation section, and long side two sides uncompensation distance is 1-1.5cm, and broadside two sides uncompensation distance is 0.5-1cm.
6. upper joint capsule as claimed in claim 5 rebuilds reparation sticking patch, which is characterized in that stitch on four sides of the sticking patch It closes, every 0.5cm has a stitch points, has at least two stitch points in the middle part of the sticking patch.
7. upper joint capsule as claimed in claim 6 rebuilds reparation sticking patch, which is characterized in that the thickness of biological tissue's layer For 4-6mm, the fibrous layer with a thickness of 1-2mm.
CN201720168598.4U 2017-02-24 2017-02-24 A kind of upper joint capsule reconstruction reparation sticking patch Expired - Fee Related CN208447848U (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114533231A (en) * 2022-04-27 2022-05-27 杭州锐健马斯汀医疗器材有限公司 Balloon body and preparation method and application thereof

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114533231A (en) * 2022-04-27 2022-05-27 杭州锐健马斯汀医疗器材有限公司 Balloon body and preparation method and application thereof

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