KR102020119B1 - Wound dressings applicable for laser treatment and medical device for producing wound dressing thereof - Google Patents

Wound dressings applicable for laser treatment and medical device for producing wound dressing thereof Download PDF

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KR102020119B1
KR102020119B1 KR1020170140721A KR20170140721A KR102020119B1 KR 102020119 B1 KR102020119 B1 KR 102020119B1 KR 1020170140721 A KR1020170140721 A KR 1020170140721A KR 20170140721 A KR20170140721 A KR 20170140721A KR 102020119 B1 KR102020119 B1 KR 102020119B1
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wound
transparent member
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acid
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임동진
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(주)카스 인 바이오
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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
    • A61F13/02Adhesive bandages or dressings
    • A61F13/0276Apparatus or processes for manufacturing adhesive dressings or bandages
    • 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
    • A61F13/00987Apparatus or processes for manufacturing non-adhesive dressings or bandages
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L15/00Chemical aspects of, or use of materials for, bandages, dressings or absorbent pads
    • A61L15/16Bandages, dressings or absorbent pads for physiological fluids such as urine or blood, e.g. sanitary towels, tampons
    • A61L15/22Bandages, dressings or absorbent pads for physiological fluids such as urine or blood, e.g. sanitary towels, tampons containing macromolecular materials
    • A61L15/28Polysaccharides or their derivatives
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L15/00Chemical aspects of, or use of materials for, bandages, dressings or absorbent pads
    • A61L15/16Bandages, dressings or absorbent pads for physiological fluids such as urine or blood, e.g. sanitary towels, tampons
    • A61L15/42Use of materials characterised by their function or physical properties
    • A61L15/60Liquid-swellable gel-forming materials, e.g. super-absorbents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/06Radiation therapy using light
    • A61N5/067Radiation therapy using light using laser light
    • 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
    • A61F2013/00089Wound bandages
    • A61F2013/00182Wound bandages with transparent part
    • 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
    • A61F2013/00361Plasters
    • A61F2013/00846Plasters with transparent or translucent part
    • A61N2005/067

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Abstract

본 발명은 불투명 창상피복재 상에 레이저 치료가 가능하도록 창상피복재의 일부분에 투명성을 부여하기 위하여 투명 부재를 삽입하는 삽입기구로서, 상기 삽입기구는 투명 부재가 내장되어 있는 중공성 니들과, 상기 니들을 지지하는 실린더와, 상기 실린더 내에 구비되는 플런저를 포함하고, 상기 투명 부재는 투명 생체적합성 고분자가 코어를 이루고, 상기 코어 외부에는 수팽윤성 고분자층이 형성된 구조를 가짐으로써, 상기 투명 부재의 창상피복재 관통 삽입된 후, 상기 수팽윤성 고분자층의 팽창에 의해 상기 투명 생체적합성 고분자가 창상피복재에 견고하게 고정되는 것을 특징으로 하는, 레이저 치료가 가능한 창상피복재 및 이를 제조하기 위한 의료용 삽입기구를 제공한다.The present invention provides an insertion mechanism for inserting a transparent member to impart transparency to a portion of the wound coating material to enable laser treatment on an opaque wound coating material, the insertion mechanism comprising a hollow needle having a transparent member embedded therein, and the needle. And a support cylinder and a plunger provided in the cylinder, wherein the transparent member has a structure in which a transparent biocompatible polymer forms a core and a water swellable polymer layer is formed outside the core, thereby penetrating the wound covering of the transparent member. After the insertion, the transparent biocompatible polymer is firmly fixed to the wound dressing by the expansion of the water-swellable polymer layer, it provides a laser-treatable wound dressing and a medical insertion device for manufacturing the same.

Description

레이저 치료가 가능한 창상피복재 및 이의 제조에 이용되는 의료용 삽입기구{Wound dressings applicable for laser treatment and medical device for producing wound dressing thereof}Wound dressings applicable for laser treatment and medical device for producing wound dressing according to the present invention.

본 발명은 환부에 불투명 창상피복재가 첨부된 경우에도 환부의 레이저 치료(조사)가 가능한 창상피복재 및 이를 제조하기 위한 의료용 삽입기구에 관한 것으로, 불투명 창상피복재의 일 부분에 광학적 투명성이 부여됨으로써 상기 부분을 통해 레이저 조사가 가능한 창상피복재 및 이의 제조 기구에 관한 것이다.The present invention relates to a wound garment that can be laser-treated (irradiated) of the affected part even when an opaque wound dressing is attached to the affected part, and a medical insertion device for manufacturing the same, wherein the optical transparency is provided to a part of the opaque wound coating part. It relates to a wound coating material and a manufacturing apparatus thereof capable of laser irradiation through.

화상, 외상, 창상, 욕창 등과 같은 피부 상처의 종래 치료 방법으로는 창상에 소독약을 도포하고, 거즈, 솜과 같은 흡수성 재료를 이용하여 창상 부위를 덮어 창상에서 발생되는 삼출액을 흡수하여 상처 부위를 건조시키는 방법으로 치료하였으나, 근래 연구 결과로는 창상 부위에 적당한 습윤환경이 유지되는 것이 오히려 창상 치료에 효과적임이 밝혀지면서 다양한 형태, 재료의 창상피복재들이 개발되어 시판되고 있다.Conventional treatment methods for skin wounds such as burns, traumas, wounds, bedsores, etc. apply disinfectants to the wounds and cover the wounds with absorbent materials such as gauze and cotton to absorb the exudates from the wounds to dry the wounds. However, recent studies have shown that it is effective to treat wounds rather than maintaining a suitable wet environment at the wound site. Thus, wound coating materials of various shapes and materials have been developed and marketed.

일반적으로 창상피복재에는 습윤 유지, 흡수성, 방수성, 통기성, 감염방지, 점착성, 탄성, 기계적 강도 등 다양한 물성이 요구된다.In general, wound coatings require a variety of physical properties such as moisture retention, absorbency, waterproofness, breathability, infection prevention, adhesiveness, elasticity, and mechanical strength.

이러한 창상피복재의 형태로는 필름형, 폼형, 부직포형, 이들의 복합형 등이 있으며, 창상피복재의 재료로는 폴리우레탄 필름, 폴리우레탄 폼, 하이드로콜로이드, 하이드로겔, 소듐알지네이트 겔, 콜라겐, 실리콘, 생체적합성 고분자 등이 이용되고 있다. 한편, 깊은 화상, 외상, 당뇨병성 족부궤양과 같은 피부 결손의 치료를 위하여 인공진피 이식을 통한 피부 재건이 요구되기도 한다. 창상피복재의 한 종류인 이러한 인공진피 제품은 외부층은 실리콘으로 구성하여 체액 증발을 막고, 내부층은 콜라겐으로 구성하여 새로운 혈관과 결합조직의 재생을 유도하는 것으로서, IntegraTM(미국, Lifesciences사), TerudermisTM(일본, Olympus Terumo Biomaterial사), PelnacTM(일본, Gunze사), MatridermTM(독일, Skin Health, Billerbeck사) 등의 있으며, 동종 진피제품에는 인체피부 조직으로부터 면역반응을 일으키는 표피 및 진피세포를 제거한 후 글라이세롤(glycerol-preserved)처리나, 동결시킨 진피조직으로 AllodermTM(미국, Life Cell사) 및 SuredermTM(한국, 한스바이오매드) 등이 있다.Examples of such wound coating materials include film type, foam type, nonwoven fabric type, and composite types thereof. The materials of the wound coating material include polyurethane film, polyurethane foam, hydrocolloid, hydrogel, sodium alginate gel, collagen, and silicone. And biocompatible polymers are used. Meanwhile, skin reconstruction through artificial dermal transplantation may be required for the treatment of skin defects such as deep burns, trauma and diabetic foot ulcers. This artificial dermal product, a kind of wound dressing, is composed of silicone outer layer to prevent evaporation of body fluid and inner layer is composed of collagen to induce the regeneration of new blood vessels and connective tissue. Integra TM (Lifesciences, USA) , Terudermis TM (Olympus Terumo Biomaterial, Japan), Pelnac TM (Gunze, Japan), Matriderm TM (Germany, Skin Health, Billerbeck, Inc.), and the like. After removing the dermal cells, glycerol-preserved treatment or frozen dermal tissues include Alloderm TM (Life Cell, USA) and Surederm TM (Hans Biomad, Korea).

한편, 창상피복재와 별도로, 창상 치료에 있어서 최근 광선요법이 주목받고 있다. 광선요법이란 다양한 광원을 이용하여 피부 내의 생화학적 반응을 촉진하는 방법으로, 한의학 분야에서도 광범위하게 레이저 치료가 이용되는 데, 치료 형태에 따라 레이저 침(laser acupuncture), 경근레이저, 경피레이저, 또는 오관레이저 등으로 나뉘어 불리기도 한다.On the other hand, apart from wound dressings, phototherapy has recently attracted attention in the treatment of wounds. Phototherapy is a method of promoting biochemical reactions in the skin using various light sources. Laser therapy is also widely used in the field of oriental medicine. Depending on the type of treatment, laser acupuncture, carotid laser, transdermal laser, or ureter It is also called a laser.

이러한 레이저 침은 손상된 피부조직의 콜라겐 합성을 증가시키고 염증을 감소시키는 등 피부 결손의 재건과정에 중요한 요소들의 기능을 회복하는데 도움을 주는 것으로 알려져 있다. 레이저 침을 비롯한 다양한 레이저 치료요법에서는 다양한 파장에 따라 세포와 피부조직에 투과 정도가 다른 것으로 알려져 있다. 실제 인체 피부조직을 대상으로 한 연구에서 400 nm 파장은 1 mm 이하의 투과력을 나타내는 반면, 700 ~ 900 nm 의 경우는 진피층까지 투과하는 것으로 알려져 있다. 임상 연구들에 따르면, 당뇨병성 궤양에 630 ~ 980 nm 의 다양한 레이저 파장이 사용되고 있다.Such laser needles are known to help restore the function of important factors in the reconstruction of skin defects, such as increasing collagen synthesis and reducing inflammation of damaged skin tissues. Various laser therapies including laser needles are known to vary the degree of transmission to cells and skin tissues according to various wavelengths. In actual studies of human skin tissue, 400 nm wavelength is known to transmit less than 1 mm, while 700 to 900 nm is known to transmit to the dermis. Clinical studies have shown that various laser wavelengths between 630 and 980 nm are used for diabetic ulcers.

이러한 레이저 치료에 있어서, 그 치료 효과는 레이저의 파장 뿐 아니라 중간 매체의 광학적 투명성에 큰 영향을 받는 것으로 알려져 있다. 즉, 레이저가 투과되는 중간 매체의 광투과도가 매우 중요한 요소인 데, 불투명한 창상피복재와 병용하는 경우 레이저 투과도가 낮아 충분한 레이저 치료 효과를 발휘할 수 없는 문제가 발생한다.In such laser treatment, the therapeutic effect is known to be greatly influenced by the wavelength of the laser as well as the optical transparency of the intermediate medium. That is, the light transmittance of the intermediate medium through which the laser is transmitted is a very important factor, but when used in combination with an opaque wound coating material, there is a problem in that the laser transmittance is low and sufficient laser treatment effect cannot be exhibited.

통상적으로 창상피복재는 환부의 관찰을 위해 투명한 재질로 제조되기도 하나, 환부에 대한 시각적 혐오감, 불투명한 재료의 사용 또는 여러 재료들의 다층 구조로 인해 피부색이나 백색 등과 같은 불투명으로 제조되기도 한다. 이렇게 창상피복재가 불투명한 경우, 또는 두께가 있는 경우에는 레이저 치료의 병용 치료가 불가능하거나 어려운 문제점이 있다.Typically, wound dressings are made of a transparent material for observation of the affected area, but may also be made opaque, such as skin color or white, due to the visual aversion to the affected area, the use of opaque materials, or the multi-layered structure of various materials. When the wound coating is opaque or thick, the combination treatment of laser treatment is impossible or difficult.

본 발명은 상술한 문제점을 해결하기 위한 것으로, 시판되는 불투명한 창상피복재를 이용하여 시술자가 원하는 창상피복재 위치에 투명성을 부여함으로써, 투명한 부분을 통해 레이저 치료(조사)가 가능하도록 하여, 치료의 효과를 높일 수 있는 창상피복재와, 이러한 창상피복재를 제조하는 데 이용되는 투명 부재 삽입을 위한 의료용 삽입기구를 제공하는 데 그 목적이 있다.The present invention is to solve the above-mentioned problems, by using a commercially available opaque wound dressing to give transparency to the position of the wound dressing desired by the operator, to enable laser treatment (irradiation) through the transparent portion, the effect of the treatment An object of the present invention is to provide a wound coating material capable of raising the medical coating device for inserting a transparent member used to manufacture such a wound coating material.

본 발명은 불투명 창상피복재 상에 레이저 치료가 가능하도록 창상피복재의 일부분에 투명성을 부여하기 위하여 투명 부재를 삽입하는 삽입기구로서, 상기 삽입기구는 투명 부재가 내장되어 있는 중공성 니들과, 상기 니들을 지지하는 실린더와, 상기 실린더 내에 구비되는 플런저를 포함하고, 상기 투명 부재는 투명 생체적합성 고분자가 코어를 이루고, 상기 코어 외부에는 수팽윤성 고분자층이 형성된 구조로서, 상기 투명 부재의 창상피복재 관통 삽입된 후, 상기 수팽윤성 고분자층의 팽창에 의해 상기 투명 생체적합성 고분자가 창상피복재에 견고하게 고정되는 것을 특징으로 하는, 레이저 치료가 가능한 창상피복재 제조용 의료용 삽입기구를 제공한다.The present invention provides an insertion mechanism for inserting a transparent member to impart transparency to a portion of the wound coating material to enable laser treatment on an opaque wound coating material, the insertion mechanism comprising a hollow needle having a transparent member embedded therein, and the needle. And a supporting cylinder and a plunger provided in the cylinder, wherein the transparent member is a structure in which a transparent biocompatible polymer forms a core and a water swellable polymer layer is formed outside the core, and is inserted through the wound coating material of the transparent member. Thereafter, the transparent biocompatible polymer is firmly fixed to the wound dressing by the expansion of the water-swellable polymer layer.

상기 수팽윤성 고분자는 전분, 한천과 같은 공지된 천연 수팽윤성 고분자, 카르복시메틸 셀룰로즈(CMC)계, 전분 및 셀룰로즈에 석유화합물인 친수성 합성고분자를 결합시킨 반합성 가교 고분자, 수용성 합성고분자(폴리아크릴산, 폴리비닐알콜 등)의 가교물, 에스테르화된 카르복실기 함유 다당류와 천연 아미노산에서 유래하는 α-아미노기를 2 개 이상 갖는 화합물을 반응시킨 합성 고분자와, 수산기(-OH), 카르복실산기(-COOH), 아미드기(-CONH), 카르복실산염기, 술폰산염기를 가지는 친수성 기능기와 소수성 사슬이 가교된 고흡수성 고분자로 이루어진 군에서 선택될 수 있다.The water-swellable polymers are known natural water-swellable polymers such as starch, agar, carboxymethyl cellulose (CMC) -based, semi-synthetic crosslinked polymers that combine starch and cellulose with hydrophilic synthetic polymers, which are petroleum compounds, and water-soluble synthetic polymers (polyacrylic acid, poly A synthetic polymer obtained by reacting a crosslinked product of vinyl alcohol), a esterified carboxyl group-containing polysaccharide with a compound having two or more α-amino groups derived from natural amino acids, a hydroxyl group (-OH), a carboxylic acid group (-COOH), It may be selected from the group consisting of a hydrophilic functional group having an amide group (-CONH), a carboxylate group, a sulfonate group and a superabsorbent polymer crosslinked with a hydrophobic chain.

상기 투명 생체적합성 고분자는 상기 생체적합성 고분자는 히알루론산(hyaluronicacid; HA), 젤라틴(gelatin), 키토산(chitosan), 콜라겐(collagen), 알긴산, 펙틴, 카라기난, 콘드로이틴(설페이트), 덱스트란(설페이트), 폴리라이신(polylysine), 카르복시메틸티틴, 피브린, 아가로스, 풀루란, 셀룰로오스, 폴리비닐피롤리돈(PVP), 폴리에틸렌글리콜(PEG), 폴리비닐알콜(PVA), 히드록시프로필셀룰로스(HPC), 히드록시에틸셀룰로스(HEC), 히드록시프로필메틸셀룰로스(HPMC), 나트륨카르복시메틸셀룰로스, 폴리알콜, 아라비아검, 알기네이트, 시클로덱스트린, 덱스트린, 포도당, 과당, 녹말, 트레할로스, 글루코스, 말토스, 락토스, 락툴로스, 프럭토스, 투라노스, 멜리토스, 멜레지토스, 덱스트란, 소르비톨, 크실리톨, 팔라티니트, 폴리락트산(polylactic acid), 폴리글리콜산(polyglycolic acid), 폴리에틸렌옥사이드, 폴리아크릴산, 폴리아크릴아마이드, 폴리메타아크릴산 및 폴리말레인산으로 구성된 군에서 선택될 수 있다.The transparent biocompatible polymer is a hyaluronic acid (HA), gelatin (gelatin), chitosan (chitosan), collagen (collagen), alginic acid, pectin, carrageenan, chondroitin (sulfate), dextran (sulfate) , Polylysine, carboxymethyl thitin, fibrin, agarose, pullulan, cellulose, polyvinylpyrrolidone (PVP), polyethylene glycol (PEG), polyvinyl alcohol (PVA), hydroxypropyl cellulose (HPC) , Hydroxyethylcellulose (HEC), hydroxypropylmethylcellulose (HPMC), sodium carboxymethylcellulose, polyalcohol, gum arabic, alginate, cyclodextrin, dextrin, glucose, fructose, starch, trehalose, glucose, maltose, Lactose, Lactulose, Fructose, Turanose, Melitose, Melezitose, Dextran, Sorbitol, Xylitol, Pallatinite, Polylactic acid, Polyglycolic acid, It may be selected from the group consisting of polyethylene oxide, polyacrylic acid, polyacrylamide, polymethacrylic acid and polymaleic acid.

상기 투명 부재는 단편 조각 형태로 중공성 니들에 순차적으로 장착되어 별도의 절단없이 창상피복재에 삽입고정되는 구조가 가능하다.The transparent member may be sequentially mounted to the hollow needle in the form of a fragment piece so that the transparent member may be inserted into and fixed to the wound coating material without additional cutting.

상기 투명 부재의 직경은 1 ~ 5 mm 의 범위에서 이루어지는 것이 바람직하다.It is preferable that the diameter of the said transparent member is made in the range of 1-5 mm.

한편 본 발명은 불투명 창상피복재의 일부분에 투명 생체적합성 고분자가 코어를 이루고, 상기 코어 외부에는 수팽윤성 고분자층이 형성된 상기 투명 부재가 관통 삽입되어 있고, 상기 수팽윤성 고분자층의 팽창에 의해 상기 투명 생체적합성 고분자가 창상피복재에 견고하게 고정되어 있는 것을 특징으로 하는, 레이저 치료가 가능한 창상피복재를 제공한다.Meanwhile, in the present invention, a transparent biocompatible polymer forms a core on a part of an opaque wound coating material, and the transparent member having a water swellable polymer layer is inserted through the core, and the transparent living body is expanded by the expansion of the water swellable polymer layer. Provided is a wound treatable laser treatment, wherein the compatible polymer is firmly fixed to the wound dressing.

본 발명에 따른 창상피복재와 이의 제조에 이용되는 의료용 삽입기구는 시판되는 불투명한 창상피복재를 이용하여 창상피복재 일 부분에 투명 생체적합성 고분자를 효과적으로 삽입, 견고히 고정함으로써, 창상피복과 레이저 치료의 병용이 가능하여 창상 치료 효과를 증가시킬 수 있는 장점을 가진다.According to the present invention, the wound coating material and the medical insertion device used in the manufacture of the wound coating material are effectively inserted and firmly fixed to a portion of the wound coating material by using a commercially available opaque wound coating material, thereby enabling the combination of the wound coating and the laser treatment. It is possible to increase the wound healing effect.

도 1은 본 발명의 일시예에 따라 다양한 모양, 형태의 투명 부재가 형성된 창상피복재의 구조를 나타내는 도이다.
도 2는 본 발명의 수팽창성 고분자층의 팽창을 나타내는 단면도이다.
도 3는 본 발명의 일 실시예에 따른 투명 부재 삽입기구의 체결 사시도이다.
도 4는 본 발명에 따라 투명 부재(2,3)의 단편 조각들이 니들에 연속적으로 장착됨을 나타내는 도이다.
1 is a view showing the structure of the wound coating material formed with a transparent member of various shapes, forms according to one embodiment of the present invention.
2 is a cross-sectional view showing the expansion of the water-expandable polymer layer of the present invention.
Figure 3 is a perspective view of the fastening of the transparent member insertion mechanism according to an embodiment of the present invention.
Fig. 4 is a diagram showing that the fragment pieces of the transparent members 2, 3 are continuously mounted on the needle in accordance with the present invention.

본 발명자는 시판되는 창상피복재가 불투명한 경우, 환부에 창상피복재의 첩부 후에 레이저 치료의 효과가 없거나 낮은 것을 확인하고, 이러한 문제점을 해결하기 위하여 불투명한 창상피복재의 레이저 조사할 부분에 투명 부재를 삽입함으로써 광학적 투명성을 부여하는 한편, 투명 부재의 이탈에 따른 외부 감염을 방지하고기 위해 투명 부재를 창상피복재에 견고히 밀봉고정시킬 수 있는 방법을 개발하여 본 발명을 완성하였다.The inventors have found that when a commercially available wound dressing is opaque, the effect of laser treatment is poor or low after affixing the wound dressing to the affected area, and in order to solve this problem, a transparent member is inserted into a portion to be laser irradiated of the opaque wound dressing. By providing an optical transparency, in order to prevent external infection due to the detachment of the transparent member to develop a method capable of tightly sealing and fixing the transparent member to the wound coating to complete the present invention.

본 발명은 불투명 창상피복재의 일부분에 투명 생체적합성 고분자가 코어를 이루고, 상기 코어 외부에는 수팽윤성 고분자층이 형성된 상기 투명 부재가 관통 삽입되어 있고, 상기 수팽윤성 고분자층의 팽창에 의해 상기 투명 생체적합성 고분자가 창상피복재에 견고하게 고정되어 있는 것을 특징으로 하는, 레이저 치료가 가능한 창상피복재를 제공한다.According to the present invention, a transparent biocompatible polymer forms a core on a part of an opaque wound coating material, and the transparent member having a water swellable polymer layer is inserted through the core, and the transparent biocompatible polymer is expanded by the expansion of the water swellable polymer layer. The present invention provides a wound coating that can be laser treated, wherein the polymer is firmly fixed to the wound coating.

한편, 본 발명은 레이저 시술자가 불투명 창상피복재의 원하는 부분에 상기 투명 부재를 용이하게 삽입할 수 있는 의료용 삽입기구를 제공한다.On the other hand, the present invention provides a medical insertion mechanism that allows the laser operator to easily insert the transparent member in the desired portion of the opaque wound dressing.

이하 도면을 통하여 본 발명을 상세히 설명한다.Hereinafter, the present invention will be described in detail with reference to the accompanying drawings.

도 1은 본 발명의 일시예에 따른 창상피복재의 구조를 나타낸다.1 shows the structure of a wound dressing according to one embodiment of the present invention.

본 발명의 창상피복재는 전체적으로는 불투명 창상피복재(1)로 이루어지며, 일 부분에는 투명 부재(2,3)가 창상피복재를 수직으로 관통하여 삽입되어 결속된 구조를 가진다. 상기 투명 부재는 투명 생체적합성 고분자(2)가 코어를 이루고, 상기 코어 외부에는 수팽윤성 고분자층(3)이 형성된 구조로서, 창상피복재의 수분 또는 환부의 수분 또는 삼출액에 의해 수팽윤성 고분자층(3)이 도 2에 도시된 바와 같이 팽창됨으로써 불투명 창상피복재(1) 속에 투명 생체적합성 고분자(2)가 견고하게 고정됨으로써, 외부 충격 또는 활동에 의해 투명 생체적합성 고분자(2)가 이탈되는 것을 방지하여, 외부 감염 가능성을 차단하게 된다.The wound dressing of the present invention is composed entirely of an opaque wound dressing (1), and in one part, the transparent members (2, 3) have a structure in which the wound is inserted vertically through the wound dressing. The transparent member has a structure in which the transparent biocompatible polymer (2) forms a core and the water swellable polymer layer (3) is formed outside the core, and the water-swellable polymer layer (3) is formed by water or wound portion of the wound coating material. 2) is expanded as shown in FIG. 2, so that the transparent biocompatible polymer 2 is firmly fixed in the opaque wound covering 1, thereby preventing the transparent biocompatible polymer 2 from being separated by an external impact or activity. This will block the possibility of external infection.

본 발명에 따른 창상피복재는 공장에서 일련의 공정으로 제조된 후 시판될 수 있으나, 의사와 같은 시술자가 종래 시판되는 불투명 창상피복재를 구입 후 본 발명에 따른 의료용 삽입기구를 이용하여 도 1에 도시된 바와 같이 시술자가 원하는 위치에 다양하게 삽입할 수 있고, 삽입되는 투명 재질(2)의 직경, 삽입 개수를 조절할 수 있다.The wound dressing according to the present invention can be marketed after being manufactured in a series of processes at the factory, but the operator, such as a doctor, purchases an opaque wound dressing that is conventionally marketed and then uses the medical inserting device according to the present invention. As described above, the operator can insert variously at a desired position, and adjust the diameter and the number of insertion of the transparent material 2 to be inserted.

시술자는 창상피복재를 환부에 첨부한 다음, 상기와 같이 형성된 투명 생체적합성 고분자 부분을 통하여 레이저 투과의 장애없이 환부에 레이저를 조사함으로써 환부의 피부 조직을 자극하여 피부 재생의 효과를 극대화 시킬 수 있다.The operator attaches the wound dressing to the affected area, and then irradiates a laser to the affected area without disturbing laser transmission through the transparent biocompatible polymer portion formed as described above, thereby maximizing the effect of skin regeneration by stimulating the skin tissue of the affected area.

본 발명에 따른 수팽윤성 고분자(2)는 물을 흡수하여 팽창되고 겔(gel)화되어 다소의 압력을 받아도 물을 방출하지 않는 특성을 갖는 고분자로, 본 발명에 따른 수팽윤성 고분자(2)로는 전분, 한천과 같은 공지된 천연 재료들, 카르복시메틸 셀룰로즈(CMC)계, 전분 및 셀룰로즈에 석유화합물인 친수성(親水性) 합성고분자를 결합시킨 반합성 가교 고분자 및 수용성 합성고분자(폴리아크릴산, 폴리비닐알콜 등)의 가교물, 에스테르화된 카르복실기 함유 다당류와 천연 아미노산에서 유래하는 α-아미노기를 2 개 이상 갖는 화합물을 반응시킨 합성 고분자와, 수산기(-OH), 카르복실산기(-COOH), 아미드기(-CONH), 카르복실산염기, 술폰산염기를 가지는 친수성 기능기와 소수성 사슬이 가교된 고흡수성 고분자를 이용될 수 있으나 이에 제한되지는 않는다.The water swellable polymer (2) according to the present invention is a polymer having the property of absorbing water and expanding and gelling to release water even under some pressure. As the water swellable polymer (2) according to the present invention, Known natural materials such as starch, agar, carboxymethyl cellulose (CMC), semi-synthetic crosslinked polymer and water-soluble synthetic polymer (polyacrylic acid, polyvinyl alcohol) in which starch and cellulose are combined with petroleum hydrophilic synthetic polymer Synthetic polymers obtained by reacting a crosslinked product of the above), an esterified carboxyl group-containing polysaccharide with a compound having two or more α-amino groups derived from natural amino acids, a hydroxyl group (-OH), a carboxylic acid group (-COOH), and an amide group (-CONH), a hydrophilic functional group having a carboxylate group, a sulfonate group and a hydrophilic polymer crosslinked with a hydrophobic chain may be used, but is not limited thereto.

본 발명에 따른 투명 생체적합성 고분자는 인체 조직에 거부 반응이 없는 재료이면 그 사용에 제한이 없으나, 히알루론산(hyaluronicacid; HA), 젤라틴(gelatin), 키토산(chitosan), 콜라겐(collagen), 알긴산, 펙틴, 카라기난, 콘드로이틴(설페이트), 덱스트란(설페이트), 폴리라이신(polylysine), 카르복시메틸티틴, 피브린, 아가로스, 풀루란, 셀룰로오스, 폴리비닐피롤리돈(PVP), 폴리에틸렌글리콜(PEG), 폴리비닐알콜(PVA), 히드록시프로필셀룰로스(HPC), 히드록시에틸셀룰로스(HEC), 히드록시프로필메틸셀룰로스(HPMC), 나트륨카르복시메틸셀룰로스, 폴리알콜, 아라비아검, 알기네이트, 시클로덱스트린, 덱스트린, 포도당, 과당, 녹말, 트레할로스, 글루코스, 말토스, 락토스, 락툴로스, 프럭토스, 투라노스, 멜리토스, 멜레지토스, 덱스트란, 소르비톨, 크실리톨, 팔라티니트, 폴리락트산(polylactic acid), 폴리글리콜산(polyglycolic acid), 폴리에틸렌옥사이드, 폴리아크릴산, 폴리아크릴아마이드, 폴리메타아크릴산 및 폴리말레인산으로 구성된 군에서 선택된 것이 바람직하다.The transparent biocompatible polymer according to the present invention is not limited to its use as long as it is a material that does not have a rejection reaction to human tissues, but hyaluronic acid (HA), gelatin, chitosan, collagen, collagen, alginic acid, Pectin, carrageenan, chondroitin (sulfate), dextran (sulfate), polylysine, carboxymethyl titin, fibrin, agarose, pullulan, cellulose, polyvinylpyrrolidone (PVP), polyethylene glycol (PEG), Polyvinylalcohol (PVA), hydroxypropylcellulose (HPC), hydroxyethylcellulose (HEC), hydroxypropylmethylcellulose (HPMC), sodium carboxymethylcellulose, polyalcohol, gum arabic, alginate, cyclodextrin, dextrin , Glucose, Fructose, Starch, Trehalose, Glucose, Maltose, Lactose, Lactulose, Fructose, Turanose, Melitose, Melitose, Dextran, Sorbitol, Xylitol, Palatinite, Poly It is preferably selected from the group consisting of lactic acid (polylactic acid), polyglycolic acid, polyethylene oxide, polyacrylic acid, polyacrylamide, polymethacrylic acid and polymaleic acid.

본 발명은 불투명 창상피복재 상에 레이저 치료가 가능하도록 창상피복재의 일부분에 투명성을 부여하기 위하여 투명 부재를 삽입하는 삽입기구를 제공한다.The present invention provides an insertion mechanism for inserting a transparent member to impart transparency to a portion of the wound dressing to enable laser treatment on the opaque wound dressing.

도 3는 본 발명의 일 실시예에 따른 투명 부재 삽입기구의 체결 사시도이다.Figure 3 is a perspective view of the fastening of the transparent member insertion mechanism according to an embodiment of the present invention.

도 3을 참조하면, 본 발명에 따른 상기 삽입기구(10)는 투명 부재(2,3)가 내장되어 있는 중공성 니들(11)과, 상기 니들(11)을 지지하는 실린더(12)와, 상기 실린더 내에 구비되는 플런저(13)를 포함하여 이루어 진다.Referring to FIG. 3, the insertion mechanism 10 according to the present invention includes a hollow needle 11 having a transparent member 2 and 3 therein, a cylinder 12 supporting the needle 11, It comprises a plunger 13 provided in the cylinder.

상기 중공성 니들(11)은 나사모양의 체결수단 등을 통하여 실린터(12)에 직접 결합될 수 있으나, 도 3에 보이는 바와 같이 니들(11)은 니들 고정부재(14)에 삽입되어 지지되고, 상기 니들 고정부재(14)가 실린터에 체결되는 것이 가능하다.상기 투명 부재(2,3)가 삽입 장착된 니들 고정부재(14)는 일종의 카트리지로서, 카트리지를 교환 방식으로 재사용이 가능하다.The hollow needle 11 may be directly coupled to the cylinder 12 through a screw-shaped fastening means or the like, but as shown in FIG. 3, the needle 11 is inserted into and supported by the needle fixing member 14. In addition, the needle fixing member 14 may be fastened to the cylinder. The needle fixing member 14 in which the transparent members 2 and 3 are inserted and mounted is a kind of cartridge, and the cartridge can be reused in an exchange manner. .

상기 플런저(13)는 실린더(12)에 삽입되고, 플런저(13)의 앞부분이 니들 고정부재(14)를 통해 니들에 밀착된 후, 니들(11)의 창상피복재 관통 후에 니들(11) 속에 장착된 투명 부재(2,3)를 밀어냄으로서 투명 부재(2,3)는 창상피복재에 삽입된다. The plunger 13 is inserted into the cylinder 12, the front part of the plunger 13 is in close contact with the needle through the needle holding member 14, and then mounted in the needle 11 after the wound covering of the needle 11 through By pushing the transparent members 2 and 3, the transparent members 2 and 3 are inserted into the wound coating material.

투명 부재(2,3)의 창상피복재 관통 삽입 후에 칼, 가위와 같은 절단도구를 이용하여 창상피복재 양면의 투명 부재(2,3)를 절단함으로써 투명 부재(2,3)의 창상피복재 삽입은 완료된다.After inserting the transparent member 2 and 3 through the wound coating material, the insertion of the wound member of the transparent member 2 and 3 is completed by cutting the transparent members 2 and 3 on both sides of the wound coating material using a cutting tool such as a knife or scissors. do.

한편, 중공성 니들(11)에 장착된 투명 부재(2,3)는 실과 같은 연결된 모양이 아닌, 일련의 단편 조각들이 니들에 연속적으로 배열, 장착된 형태도 가능하다. 이러한 구조는 창상피복재에 투명 부재(2,3) 삽입 후 별도의 절단과정이 필요없으므로 보다 원활한 투명 부재의 삽입을 가능케 한다.On the other hand, the transparent members 2 and 3 mounted on the hollow needle 11 may have a shape in which a series of fragment pieces are continuously arranged and mounted on the needle, rather than a connected shape such as a thread. This structure enables a smoother insertion of the transparent member because no separate cutting process is required after the transparent member 2,3 is inserted into the wound dressing.

1: 불투명 창상피복재 2: 투명 생체적합성 고분자
3: 수팽창성 고분자층 2,3: 투명 부재
10: 투명 부재 삽입기구 11: 중공성 니들
12: 실린더 13: 플런저
1: Opaque wound dressing 2: Transparent biocompatible polymer
3: water-expandable polymer layer 2, 3: transparent member
10: transparent member insertion mechanism 11: hollow needle
12: cylinder 13: plunger

Claims (8)

불투명 창상피복재 상에 레이저 치료가 가능하도록 창상피복재의 일부분에 투명성을 부여하기 위하여 투명 부재를 삽입하는 삽입기구로서,
상기 삽입기구는 투명 부재가 내장되어 있는 중공성 니들과, 상기 니들을 지지하는 실린더와, 상기 실린더 내에 구비되는 플런저를 포함하고,
상기 투명 부재는 투명 생체적합성 고분자가 코어를 이루고, 상기 코어 외부에는 수팽윤성 고분자층이 형성된 구조로서,
상기 투명 부재의 창상피복재 관통 삽입된 후, 상기 수팽윤성 고분자층의 팽창에 의해 상기 투명 생체적합성 고분자가 창상피복재에 견고하게 고정되는 것을 특징으로 하는,
레이저 치료가 가능한 창상피복재 제조용 의료용 삽입기구.
An insertion mechanism for inserting a transparent member to impart transparency to a portion of the wound dressing to enable laser treatment on the opaque wound dressing,
The insertion mechanism includes a hollow needle having a transparent member embedded therein, a cylinder supporting the needle, and a plunger provided in the cylinder,
The transparent member has a structure in which a transparent biocompatible polymer forms a core and a water swellable polymer layer is formed outside the core.
After inserting through the wound covering of the transparent member, the transparent biocompatible polymer is firmly fixed to the wound coating by the expansion of the water-swellable polymer layer,
Medical insertion device for the manufacture of wound dressings that can be laser treated.
제1항에 있어서,
상기 수팽윤성 고분자는 천연 수팽윤성 고분자; 카르복시메틸 셀룰로즈(CMC)계 고분자; 전분 및 셀룰로즈에 석유화합물인 친수성 합성고분자를 결합시킨 반합성 가교 고분자; 수용성 합성고분자의 가교물; 에스테르화된 카르복실기 함유 다당류와 천연 아미노산에서 유래하는 α-아미노기를 2 개 이상 갖는 화합물을 반응시킨 합성 고분자; 수산기(-OH), 카르복실산기(-COOH), 아미드기(-CONH), 카르복실산염기 또는 술폰산염기를 가지는 친수성 기능기와 소수성 사슬이 가교된 고흡수성 고분자로 이루어진 군에서 선택된 것을 특징으로 하는,
레이저 치료가 가능한 창상피복재 제조용 의료용 삽입기구.
The method of claim 1,
The water swellable polymer is a natural water swellable polymer; Carboxymethyl cellulose (CMC) based polymers; Semi-synthetic crosslinked polymers that combine starch and cellulose with hydrophilic synthetic polymers, which are petroleum compounds; Crosslinked products of water-soluble synthetic polymers; Synthetic polymers obtained by reacting an esterified carboxyl group-containing polysaccharide with a compound having at least two α-amino groups derived from natural amino acids; A hydrophilic functional group having a hydroxyl group (-OH), a carboxylic acid group (-COOH), an amide group (-CONH), a carboxylate group or a sulfonate group and a superabsorbent polymer having a hydrophobic chain crosslinked ,
Medical insertion device for the manufacture of wound dressings that can be laser treated.
제1항에 있어서,
상기 투명 생체적합성 고분자는 히알루론산(hyaluronicacid; HA), 젤라틴(gelatin), 키토산(chitosan), 콜라겐(collagen), 알긴산, 펙틴, 카라기난, 콘드로이틴(설페이트), 덱스트란(설페이트), 폴리라이신(polylysine), 카르복시메틸티틴, 피브린, 아가로스, 풀루란, 셀룰로오스, 폴리비닐피롤리돈(PVP), 폴리에틸렌글리콜(PEG), 폴리비닐알콜(PVA), 히드록시프로필셀룰로스(HPC), 히드록시에틸셀룰로스(HEC), 히드록시프로필메틸셀룰로스(HPMC), 나트륨카르복시메틸셀룰로스, 폴리알콜, 아라비아검, 알기네이트, 시클로덱스트린, 덱스트린, 포도당, 과당, 녹말, 트레할로스, 글루코스, 말토스, 락토스, 락툴로스, 프럭토스, 투라노스, 멜리토스, 멜레지토스, 덱스트란, 소르비톨, 크실리톨, 팔라티니트, 폴리락트산(polylactic acid), 폴리글리콜산(polyglycolic acid), 폴리에틸렌옥사이드, 폴리아크릴산, 폴리아크릴아마이드, 폴리메타아크릴산 및 폴리말레인산으로 구성된 군에서 선택된 것을 특징으로 하는,
레이저 치료가 가능한 창상피복재 제조용 의료용 삽입기구.
The method of claim 1,
The transparent biocompatible polymer is hyaluronic acid (HA), gelatin (gelatin), chitosan (chitosan), collagen (collagen), alginic acid, pectin, carrageenan, chondroitin (sulfate), dextran (sulfate), polylysine (polylysine) ), Carboxymethyl titin, fibrin, agarose, pullulan, cellulose, polyvinylpyrrolidone (PVP), polyethylene glycol (PEG), polyvinyl alcohol (PVA), hydroxypropyl cellulose (HPC), hydroxyethyl cellulose (HEC), hydroxypropylmethylcellulose (HPMC), sodium carboxymethylcellulose, polyalcohol, gum arabic, alginate, cyclodextrin, dextrin, glucose, fructose, starch, trehalose, glucose, maltose, lactose, lactulose, Fructose, Turanose, Melitose, Melezitose, Dextran, Sorbitol, Xylitol, Pallatinite, Polylactic acid, Polyglycolic acid, Polyethylene oxide, Poly Polymethacrylic acid, polyacrylamide, poly-acrylic acid, and from the group consisting of poly-maleic acid, characterized in that selected,
Medical insertion device for the manufacture of wound dressings that can be laser treated.
제1항에 있어서,
상기 투명 부재는 단편 조각 형태로 중공성 니들에 순차적으로 장착되어 별도의 절단없이 창상피복재에 삽입고정되는 것을 특징으로 하는,
레이저 치료가 가능한 창상피복재 제조용 의료용 삽입기구.
The method of claim 1,
The transparent member is sequentially mounted to the hollow needle in the form of a piece piece, characterized in that the insert is fixed to the wound coating material without a separate cutting,
Medical insertion device for the manufacture of wound dressings that can be laser treated.
제1항에 있어서,
상기 투명 부재의 직경은 1 ~ 5 mm 인 것을 특징으로 하는,
레이저 치료가 가능한 창상피복재 제조용 의료용 삽입기구.
The method of claim 1,
The diameter of the transparent member is characterized in that 1 to 5 mm,
Medical insertion device for the manufacture of wound dressings that can be laser treated.
삭제delete 삭제delete 삭제delete
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