KR930009573A - 한조각 외과용 수복장치 및 그의 제조방법 - Google Patents

한조각 외과용 수복장치 및 그의 제조방법 Download PDF

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KR930009573A
KR930009573A KR1019920022732A KR920022732A KR930009573A KR 930009573 A KR930009573 A KR 930009573A KR 1019920022732 A KR1019920022732 A KR 1019920022732A KR 920022732 A KR920022732 A KR 920022732A KR 930009573 A KR930009573 A KR 930009573A
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polymer
piece
surgical
wire
semicrystalline
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KR1019920022732A
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켄드릭 재릿트 피이터
제임즈 케이시 도널드
로사티 루이스
윌리엄 드와이어 제임즈
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알퐁스 아아르 노에
아메리칸 사이아나밋드 캄파니
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Publication of KR930009573A publication Critical patent/KR930009573A/ko

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS 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
    • A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS 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
    • A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
    • A61L31/04—Macromolecular materials
    • A61L31/041—Mixtures of macromolecular compounds
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS 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
    • A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
    • A61L31/04—Macromolecular materials
    • A61L31/06—Macromolecular materials obtained otherwise than by reactions only involving carbon-to-carbon unsaturated bonds
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS 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
    • A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
    • A61L31/12—Composite materials, i.e. containing one material dispersed in a matrix of the same or different material
    • A61L31/125—Composite materials, i.e. containing one material dispersed in a matrix of the same or different material having a macromolecular matrix
    • A61L31/129—Composite materials, i.e. containing one material dispersed in a matrix of the same or different material having a macromolecular matrix containing macromolecular fillers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS 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
    • A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
    • A61L31/14—Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
    • A61L31/148—Materials at least partially resorbable by the body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A61B17/0644—Surgical staples, i.e. penetrating the tissue penetrating the tissue, deformable to closed position
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/72—Intramedullary pins, nails or other devices
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84—Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86—Pins or screws or threaded wires; nuts therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00004—(bio)absorbable, (bio)resorbable or resorptive

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Heart & Thoracic Surgery (AREA)
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  • Engineering & Computer Science (AREA)
  • Chemical & Material Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Composite Materials (AREA)
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  • Chemical Kinetics & Catalysis (AREA)
  • Biomedical Technology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Materials For Medical Uses (AREA)
  • Surgical Instruments (AREA)
  • Polyesters Or Polycarbonates (AREA)

Abstract

한 조각 외과용 수복 장치는 본질적으로 중합체 와이어로 구성된다. 중합체 와이어는 연신된 반결정질 중합체로 구성된다.
외과용 수복장치는 스테이플일수 있고, 주위온도에서 영구적 굽힘변형이 가능할수 있다.

Description

한조각 외과용 수복장치 및 그의 제조방법
본 내용은 요부공개 건이므로 전문내용을 수록하지 않았음
제1도 및 제2도는 본 발명의 예비 성형되고 변형된 스테이플의 측면도이다. 제3도는 제2도의 상면도이다.

Claims (10)

  1. 연신된 반결정질 중합체로 구성되는 중합체 와이어로 본질적으로 구성되는 주위온도에서 영구적 굽힘 변형이 가능할수 있는 한조각 외가용 수복 장치임을 특징으로 하는 제품.
  2. 제1항에 있어서, 중합체 와이어가 약600,000psi이상의 Young's모듈러스를 가지는 제품.
  3. 제2항에 있어서, 상기 연신된 반결정질 중합체가 폴리유산 또는 폴리글리를 산의 단독중합체, 유산 에스테르 결합 및/ 또는 ε-카프로락톤 및 1,3-디옥산-2-온으로 구성되는 군으로부터 선택된 단량체로부터 제조된 결합을 특징으로 하는 블록 공중합체 또는 락티드 및 글리콜리드로부터 유도되는 다중층 중합체인 제품.
  4. 제3항에 있어서, 주위온도에서 영구적 굽힘 변형이 가능할 수 있는 한조각 외과용 수복장치가 유산에스테르 결합 약50몰% 이상을 포함하며 나머지 결합이 ε-카프로락톤으로부터 제조되는 블록 공증합체로 본질적으로 구성되는 스테이플임을 특징으로 하는 제품.
  5. 제1항에 있어서, 주위 온도에서 영구적 굽힘 변형이 가능할수 있는 한조각의 살균 외과용 수복장치가, 연속상중 적어도 하나가 약37℃이상의 생체내 유리 전이 온도를 가지는 하나 이상의 연속성을 가지는 압출가능한 생적합성 중합체로 구성되는 중합체 와이어로부터 제조되는 것을 특징으로 하는 제품.
  6. 제1항에 있어서, 한조각 외과용 수복장치가, 연신된 반결정질 생흡수성 중합체 또는 적어도 한 중합체가 반결정질 중합체 연신된 반결정질 생흡수성 중합체인 둘 이상의 중합체의 블랜드 또는 포유동물 조직의 생체네 온도 이상의 유리 전이 온도를 가지는 연속성으로 구성되는 블랜드 본질적으로 구성되는, 압출된 중합체 와이어로 구성되면, 체액네 영구적 변형이 가능할수 있는 포유동물 조직에 유용한 살균의 외과용 스테이플임을 특징으로 하는 제품.
  7. 제2항에 있어서, 한조각 외과용 수복장치가 연속상중 적어도 하나가 약37℃이상의 생체내 유리 전이 온도를 가지는 생흡수성 중합체로 구성되고, 약0.005-0.050인치의 직경을 가지는 압출되고 연신된 중합체 와이어로부터 제조된 외과용 스테이플임을 특징으로 하고 상기 방사 살균된 외과용 스테이플의 영구적 굽힘변형이 가능할수 있고 약800,000psi이상의 Young's모듈러스를 가지고 생체내21일후에 그의 초기 개방 강도의 적어도 약50%를 유지하는 제품.
  8. 제7항에 있어서, 중합체 와이어가 유산 에스테르 결합의 적어도 약 80몰%를 가지며, 나머지 결합이 ε-카프로락톤 으로부터 제조되는 생흡수성 블록 공중합체로 구성되는 제품.
  9. 중합체를 압출하여 중합체 압출물을 형성하고 약25℃에서 중합체 압출물을 담금질하고, 상기 중합체 와이어를 1배이상-약12배 이하의 연신 비를 적어도 한 단계로 연신하여 중합체 와이어를 형성하고, 적어도 한 곡면을 가지는 고정구에 대해 상기 중합체 와이어를 굽힘으로써 상기 중합체 와이어내에 적어도 하나의 곡선을 형성하고, 상기 중합체 와이어의 적어도 한 끝을 절단하여 한조각 외과용 수복장치를 형성하는 것을 특징으로 하는 제1-8항중 어느 하나의 한조각 외과용 수복장치를 제조하는 방법.
  10. 상기 한조각 생흡수성 외과용 수복장치를 조사하는 것을 특징으로 하는 제1-8항중 어느 하나에 따른, 한조각 외과용 수복장치를 살균하는 방법.
    ※ 참고사항 : 최초출원 내용에 의하여 공개하는 것임.
KR1019920022732A 1991-11-27 1992-11-26 한조각 외과용 수복장치 및 그의 제조방법 KR930009573A (ko)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US07/799,521 US5324307A (en) 1990-07-06 1991-11-27 Polymeric surgical staple
US07/799,521 1991-11-27

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KR930009573A true KR930009573A (ko) 1993-06-21

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Country Link
US (1) US5324307A (ko)
EP (1) EP0552433B1 (ko)
JP (1) JPH05237127A (ko)
KR (1) KR930009573A (ko)
AU (1) AU658697B2 (ko)
DE (1) DE69231885T2 (ko)
ES (1) ES2158842T3 (ko)
MX (1) MX9206720A (ko)
PL (1) PL296730A1 (ko)
TW (1) TW309417B (ko)
ZA (1) ZA929194B (ko)

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EP0552433B1 (en) 2001-06-20
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US5324307A (en) 1994-06-28
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