NO171485B - Strikket tekstilmateriale for kirurgisk bruk - Google Patents

Strikket tekstilmateriale for kirurgisk bruk Download PDF

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Publication number
NO171485B
NO171485B NO851663A NO851663A NO171485B NO 171485 B NO171485 B NO 171485B NO 851663 A NO851663 A NO 851663A NO 851663 A NO851663 A NO 851663A NO 171485 B NO171485 B NO 171485B
Authority
NO
Norway
Prior art keywords
textile
knitted
textile material
yarn
filaments
Prior art date
Application number
NO851663A
Other languages
English (en)
Other versions
NO851663L (no
NO171485C (no
Inventor
Barry Lee Dumican
Alan Lawrence Kaganov
Thomas Alexander Ritter
Original Assignee
American Cyanamid Co
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 American Cyanamid Co filed Critical American Cyanamid Co
Publication of NO851663L publication Critical patent/NO851663L/no
Publication of NO171485B publication Critical patent/NO171485B/no
Publication of NO171485C publication Critical patent/NO171485C/no

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F13/00—Bandages or dressings; Absorbent pads
    • D—TEXTILES; PAPER
    • D04—BRAIDING; LACE-MAKING; KNITTING; TRIMMINGS; NON-WOVEN FABRICS
    • D04B—KNITTING
    • D04B21/00—Warp knitting processes for the production of fabrics or articles not dependent on the use of particular machines; Fabrics or articles defined by such processes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/0063—Implantable repair or support meshes, e.g. hernia meshes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • 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
    • A61L27/00—Materials for grafts or prostheses or for coating grafts or prostheses
    • 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
    • A61L31/14—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
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B29—WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
    • B29D—PRODUCING PARTICULAR ARTICLES FROM PLASTICS OR FROM SUBSTANCES IN A PLASTIC STATE
    • B29D5/00—Producing elements of slide fasteners; Combined making and attaching of elements of slide fasteners
    • B29D5/04—Producing elements of slide fasteners; Combined making and attaching of elements of slide fasteners the interlocking members being formed by continuous meander of filamentary material
    • D—TEXTILES; PAPER
    • D04—BRAIDING; LACE-MAKING; KNITTING; TRIMMINGS; NON-WOVEN FABRICS
    • D04B—KNITTING
    • D04B21/00—Warp knitting processes for the production of fabrics or articles not dependent on the use of particular machines; Fabrics or articles defined by such processes
    • D04B21/10—Open-work fabrics
    • D04B21/12—Open-work fabrics characterised by thread material
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2210/00—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2210/0004—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof bioabsorbable
    • D—TEXTILES; PAPER
    • D10—INDEXING SCHEME ASSOCIATED WITH SUBLASSES OF SECTION D, RELATING TO TEXTILES
    • D10B—INDEXING SCHEME ASSOCIATED WITH SUBLASSES OF SECTION D, RELATING TO TEXTILES
    • D10B2509/00—Medical; Hygiene
    • D10B2509/08—Hernia repair mesh
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10S425/00—Plastic article or earthenware shaping or treating: apparatus
    • Y10S425/814—Zipper
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
    • Y10T29/00—Metal working
    • Y10T29/51—Plural diverse manufacturing apparatus including means for metal shaping or assembling
    • Y10T29/5101—Slide fastener or slide fastener element
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
    • Y10T29/00—Metal working
    • Y10T29/53—Means to assemble or disassemble
    • Y10T29/53291—Slide fastener
    • Y10T29/53304—Means to assemble teeth onto stringer

Landscapes

  • Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Vascular Medicine (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Epidemiology (AREA)
  • Surgery (AREA)
  • Biomedical Technology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Cardiology (AREA)
  • Chemical & Material Sciences (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Mechanical Engineering (AREA)
  • Textile Engineering (AREA)
  • Dermatology (AREA)
  • Medicinal Chemistry (AREA)
  • Materials For Medical Uses (AREA)
  • Knitting Of Fabric (AREA)

Description

Denne oppfinnelse vedrører et strikket tekstilmateriale eller en strikket tekstilvare for kirurgisk bruk, omfattende flere filamenter. Varen fremstilles av et vevabsorberbart materiale, nemlig polyglykolsyre(PGA)-fibre.
Tekstilvaren kan være nyttig i en rekke forskjellige indre kirurgiske operasjoner, f.eks. som tamponeringsmiddel for trykkinnkapsling og reparasjon av traumatisk skadede organer så som milt, lever eller nyre. Varen kan også brukes som null-strekk- eller lav-strekkmateriale, f.eks. ved reparasjon av en bukvegg-skade, brokk, urinleder o.l. Videre kan varen brukes i områder for det kardiovaskulære system og i hjernen. Varen kan også brukes i munnkirurgi, f.eks. for reparasjon av feil og for å påvirke lindring av vev.
Skjønt dimensjonene og vekten av varen bare er begrenset av den praktiske størrelse for tilsiktet bruk, kan dimensjonene fra 10x10 cm til 25x33 cm og med vekt fra 24 til 210 g/m<2> normalt brukes. Åpninger i varen kan være fra nesten null til 6,5 mm. Varen kan også fremstilles som en rørformet eller slangeformet protese.
En tegning som beskriver formen og/eller den geometriske konfigurasjon av tekstilvaren er unødvendig for forståelsen av denne oppfinnelsen. Enhver person som er fagutdannet på området vil vite hvordan varen kan fremstilles og hvordan oppfinnelsen skal utøves ved å lese denne beskrivelse i sin alminnelighet og eksempelet spesielt.
For ytterligere stabilisering av varen, dvs. å eliminere horisontal eller vertikal kant-krølling og for å regulere strekket, kan tekstilvaren varmefikseres eller -herdes ved å holde både lengden og bredden til en bestemt dimensjon innenfor en pinneramme eller klipsramme mens materialet utsettes for temperatur fra 9 0 til 175°C i løpet av 30 sekunder til 15 minutter, fortrinnsvis i vakuum. Varen kan også varmefikseres ved at den holdes både i lengderetningen og bredderetningen på en bestemt dimensjon på en oppvarmet sylinder mens materialet utsettes for en temperatur fra 90 til 17 5°C i løpet av en periode på opp til 4 timer i vakuum.
Fra US patent nr. 3,739,773 er kjent en strikket maskevaré av et garn fremstilt av polyglykolsyre, hvilket garn består av et antall filamenter. Fremstillingsmetoden for selve garnet er også omtalt. Det strikkede stoff som omtales i US-patentet, er imidlertid varmeherdet og ikke strekkbart. Slike egenskaper er uheldige innen det anvendelsesområde dette gjelder. Tekstilvaren ifølge foreliggende oppfinnelse avhjelper den her påviste mangel ved den tidligere kjente teknikk.
Tekstilvaren ifølge oppfinnelsen utmerker seg ved at alle filamenter er fremstilt av en polyglykolsyre, og er buntet eller tvunnet til et garn som er strikket til et strekkbart, ikke-varmeherdet tekstilmateriale, og som har høyere linjedensitet enn 60 denier og inneholder opptil 4 strenger som hver inneholder flere enn 25 filamenter. Garnet kan ha linjedensitet opp til 150 denier, og totalt antall filamenter pr. garn kan være opp til 75.
Ved en utførelse ble tekstilvaren fremstilt på en 14-gauge trikot strikkemaskin hvor strikkemønsteret var frontskinne (2/0 2/4) x 2
(4/6 4/2) x 2
bakskinne (4/6 4/2) x 2
(2/0 2/4) x 2
Tekstilvarens vekt var 135 til 340 g/m<2>. Varens beskaf-fenhet var 25 til 54 cm/480 rekker.
I en andre utførelse ble tekstilvaren fremstilt på en 48-gauge Raschel strikkemaskin hvor strikkemønsteret var frontskinne 1/0 0/1
bakskinne 1/0 4/5
Vekten av strikkevaren var 135 til 340 g/m<2>. Beskaffen-heten var 25 til 55 cm/480 rekker.
En tekstilvare ifølge oppfinnelsen som er beskrevet mere fullstendig i eksempelet er en strekkbar strikket tekstilvare. Tekstilvaren kan fremstilles på en 14-gauge trikotmaskin eller alternativt, på en 28-gauge Raschel varpstrikkemaskin med 2 skinner. På disse maskiner varmefikseres ikke tekstilvaren.
Garnet som benyttes til strikking av tekstilvaren kan ha linjedensitet mellom 150 og 600 denier med mellom 4 og 20 vindinger pr. 10 cm. Fortrinnsvis har tekstilvaren låste masker (petinet-rekker) slik at varen ikke kan rakne.
Denne tekstilvare er hovedsakelig nyttig i områder for organreparasjon. Spesielt er tekstilvaren verdifull ved reparasjon av myke organer f.eks. milt, lever eller nyre. Denne tekstilvare kan også være nyttig ved reparasjon av bukspyttkjertelen. Endelig er tekstilvaren meget anvendelig som oppheng eller understøttelse for organer under indre heling av organene. Tekstilvaren kan imidlertid også brukes som en fjernbar understøttelse eller oppheng til andre formål, f.eks. fjernbar fatle for bestrålingsterapi.
En annen tekstilvare som er beskrevet, er semistrekkbar strikket tekstilvare. Denne kan strikkes på en 28-gauge trikotmaskin med 1 skinne. Tekstilvaren kan strikkes av et garn med linjedensitet 60 til 100 denier.
Denne halv-strekkbare tekstilvare er nyttig ved reparasjon av bukvegger, brokk eller i oral kirurgi, men også som forbigående understøttelse eller bandasjemateriale for øking av vevets evne til å gro inn.
Enda en tekstilvare ifølge oppfinnelsen, er varmefiksert uten strekking og stabilisert. Fikseringen kan skje på en spennramme. Varen kan fremstilles på en 24-gauge trikotmaskin eller en 48-gauge Raschel maskin med 2 skinner.
Varen kan ha linjedensitet mellom 75 og 2 50 denier med 1 til 20 vindinger pr. 10 cm. Fortrinnsvis fremstilles varen med varpmasker for bedre stabilitet.
Denne tekstilvare kan være nyttig ved reparasjon av bukvegger. Et annet formål kan være reparasjon av mellomgulv-feil. Enda andre anvendelser kan være rektal understøttelse for kronisk prolaps. Endelig kan denne tekstilvare brukes i forbindelse med luftrørsmalaci.
Et eksempel på en typisk tekstilvare som omfattes av oppfinnelsen, er gitt nedenfor.
EKSEMPEL
14- gauge trikotmaskin ( 14 nåler pr. tomme - 56 nåler pr. 10 cm)
I dette eksempel tales det om en strikket tekstilvare som hverken er strukket eller varmeherdet.
A) Maskemønster:
frontskinne (2/0 2/4) x 2, (4/6 4/2) x 2
bakskinne (4/6 4/2) x 2, (2/0 2/4) x 2
B) Garnbeskrivelse:
3 strenger 110 denier/50 filamenter fremstilt av
polyglykolsyre (monomer)
C) Tekstilvarens vekt:
170 til 255 g/m<2>
D) Varekvalitet:
480 rekker pr. 41 cm

Claims (2)

1. Strikket tekstilmateriale for kirurgisk bruk, omfattende flere filamenter, karakterisert ved at alle filamenter er fremstilt av en polyglykolsyre, og er buntet eller tvunnet til et garn som er strikket til et strekkbart, ikke-varmeherdet tekstilmateriale og som har høyere linjedensitet enn 60 denier og inneholder opptil 4 strenger som hver inneholder flere enn 25 filamenter.
2. Strikket tekstilmateriale ifølge krav 1, karakterisert ved at garnet har linjedensitet opp til 150 denier og at det totale antall filamenter pr. garn er opp til 75.
NO851663A 1984-04-26 1985-04-25 Strikket tekstilmateriale for kirurgisk bruk NO171485C (no)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US06/604,104 US4633873A (en) 1984-04-26 1984-04-26 Surgical repair mesh

Publications (3)

Publication Number Publication Date
NO851663L NO851663L (no) 1985-10-28
NO171485B true NO171485B (no) 1992-12-14
NO171485C NO171485C (no) 1993-03-24

Family

ID=24418194

Family Applications (1)

Application Number Title Priority Date Filing Date
NO851663A NO171485C (no) 1984-04-26 1985-04-25 Strikket tekstilmateriale for kirurgisk bruk

Country Status (18)

Country Link
US (2) US4633873A (no)
EP (1) EP0159502B1 (no)
JP (2) JPS60234667A (no)
KR (1) KR930000688B1 (no)
AU (1) AU574457B2 (no)
CA (1) CA1322915C (no)
DE (1) DE3587563T2 (no)
DK (1) DK169400B1 (no)
ES (1) ES8606919A1 (no)
FI (1) FI86257C (no)
GR (1) GR850997B (no)
HK (1) HK67895A (no)
IL (1) IL74752A (no)
NO (1) NO171485C (no)
PH (1) PH23747A (no)
PT (1) PT80340B (no)
SG (1) SG30592G (no)
ZA (1) ZA853112B (no)

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JPS60234667A (ja) 1985-11-21
JPH0554352B2 (no) 1993-08-12
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AU4164185A (en) 1985-10-31
KR930000688B1 (ko) 1993-01-29
ES8606919A1 (es) 1986-05-16
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US4633873A (en) 1987-01-06
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FI851633L (fi) 1985-10-27
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CA1322915C (en) 1993-10-12
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DK186385A (da) 1985-10-27
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DE3587563D1 (de) 1993-10-14
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US4838884A (en) 1989-06-13
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EP0159502A2 (en) 1985-10-30

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