RU2003126591A - Имплантаты для создания соединений с тканями, в частности, со скелетом, а также устройство и способ имплантации - Google Patents
Имплантаты для создания соединений с тканями, в частности, со скелетом, а также устройство и способ имплантации Download PDFInfo
- Publication number
- RU2003126591A RU2003126591A RU2003126591/14A RU2003126591A RU2003126591A RU 2003126591 A RU2003126591 A RU 2003126591A RU 2003126591/14 A RU2003126591/14 A RU 2003126591/14A RU 2003126591 A RU2003126591 A RU 2003126591A RU 2003126591 A RU2003126591 A RU 2003126591A
- Authority
- RU
- Russia
- Prior art keywords
- implant
- paragraphs
- resonator
- liquid state
- tissue
- Prior art date
Links
- 238000000034 method Methods 0.000 title claims abstract 10
- 239000007943 implant Substances 0.000 title claims 48
- 238000002513 implantation Methods 0.000 title claims 14
- 150000001875 compounds Chemical class 0.000 title 1
- 239000000463 material Substances 0.000 claims abstract 27
- 210000000988 bone and bone Anatomy 0.000 claims abstract 6
- 229920001169 thermoplastic Polymers 0.000 claims abstract 5
- 239000004416 thermosoftening plastic Substances 0.000 claims abstract 5
- 239000007788 liquid Substances 0.000 claims 20
- 210000001519 tissue Anatomy 0.000 claims 19
- 239000000203 mixture Substances 0.000 claims 3
- 230000001054 cortical effect Effects 0.000 claims 2
- 230000010349 pulsation Effects 0.000 claims 2
- 230000001225 therapeutic effect Effects 0.000 claims 2
- 238000004873 anchoring Methods 0.000 claims 1
- 230000000975 bioactive effect Effects 0.000 claims 1
- 210000000845 cartilage Anatomy 0.000 claims 1
- 239000011248 coating agent Substances 0.000 claims 1
- 238000000576 coating method Methods 0.000 claims 1
- 239000004744 fabric Substances 0.000 claims 1
- 239000000834 fixative Substances 0.000 claims 1
- 230000002706 hydrostatic effect Effects 0.000 claims 1
- 210000003041 ligament Anatomy 0.000 claims 1
- 230000007115 recruitment Effects 0.000 claims 1
- 239000000126 substance Substances 0.000 claims 1
- 210000002435 tendon Anatomy 0.000 claims 1
- 230000009974 thixotropic effect Effects 0.000 claims 1
- 230000001131 transforming effect Effects 0.000 claims 1
- 239000011148 porous material Substances 0.000 abstract 2
- 238000007711 solidification Methods 0.000 abstract 1
Classifications
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- 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
- A61L27/14—Macromolecular materials
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- B29C66/8141—General aspects of the pressing elements, i.e. the elements applying pressure on the parts to be joined in the area to be joined, e.g. the welding jaws or clamps characterised by the design of the pressing elements, e.g. of the welding jaws or clamps characterised by the surface geometry of the part of the pressing elements, e.g. welding jaws or clamps, coming into contact with the parts to be joined
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- B29C66/8141—General aspects of the pressing elements, i.e. the elements applying pressure on the parts to be joined in the area to be joined, e.g. the welding jaws or clamps characterised by the design of the pressing elements, e.g. of the welding jaws or clamps characterised by the surface geometry of the part of the pressing elements, e.g. welding jaws or clamps, coming into contact with the parts to be joined
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- B—PERFORMING OPERATIONS; TRANSPORTING
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- B—PERFORMING OPERATIONS; TRANSPORTING
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- B—PERFORMING OPERATIONS; TRANSPORTING
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- B—PERFORMING OPERATIONS; TRANSPORTING
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- B29C66/53—Joining single elements to tubular articles, hollow articles or bars
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- B29K2079/00—Use of polymers having nitrogen, with or without oxygen or carbon only, in the main chain, not provided for in groups B29K2061/00 - B29K2077/00, as moulding material
- B29K2079/08—PI, i.e. polyimides or derivatives thereof
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- Y10S606/00—Surgery
- Y10S606/907—Composed of particular material or coated
- Y10S606/908—Bioabsorbable material
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- 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
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- 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
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Landscapes
- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Mechanical Engineering (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Heart & Thoracic Surgery (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Neurology (AREA)
- Epidemiology (AREA)
- Transplantation (AREA)
- Dentistry (AREA)
- Cardiology (AREA)
- Vascular Medicine (AREA)
- Ceramic Engineering (AREA)
- Chemical & Material Sciences (AREA)
- Dermatology (AREA)
- Medicinal Chemistry (AREA)
- Prostheses (AREA)
- Materials For Medical Uses (AREA)
- Surgical Instruments (AREA)
- Lining Or Joining Of Plastics Or The Like (AREA)
- Treatment Of Fiber Materials (AREA)
Claims (34)
1. Имплантат (7) для создания неподвижного соединения с тканью, для соединения ткани с другой тканью или с искусственным элементом, замещающим или поддерживающим другую ткань, или являющимся вспомогательным терапевтическим устройством, отличающийся тем, что хотя бы часть имплантата (7) состоит из материала, переходящего в жидкое состояние под действием механической энергии, при этом материал, переходящий в жидкое состояние, помещается на имплантате (7) таким образом, что он может вступать в контакт с тканью и может переходить в возбужденное состояние под действием механических колебаний и одновременно вдавливаться в ткань с целью ожижения хотя бы части материала, переходящего в жидкое состояние, и вдавливания его в отверстия ткани.
2. Имплантат по пункту 1, отличающийся тем, что в качестве материала, переходящего в жидкое состояние, применяется термопластический или тиксотропный материал.
3. Имплантат по одному из пунктов 1 или 2, отличающийся тем, что в состав материала, переходящего в жидкое состояние, входит хотя бы один ресорбируемый компонент.
4. Имплантат по одному из пунктов 1-3, отличающийся тем, что в состав материала, переходящего в жидкое состояние, входят также вещества, выполняющие другие функции.
5. Имплантат по одному из пунктов 1-4, отличающийся тем, что он выполняется в виде шпильки или штифта.
6. Имплантат по пункту 5, отличающийся тем, что материал, переходящий в жидкое состояние, располагается на поверхности дальнего конца имплантата и/или на цилиндрической поверхности имплантата и тем, что у имплантата есть сердечник (11), выполненный из материала, не переходящего в жидкое состояние.
7. Имплантат по пункту 5, отличающийся тем, что в его состав входит гильза (13), выполненная из материала, не переходящего в жидкое состояние, и тем, что материал, переходящий в жидкое состояние, располагается внутри гильзы, и тем, что в гильзе выполнены отверстия (58) для выхода материала, переходящего в жидкое состояние.
8. Имплантат по пункту 7, отличающийся тем, что материал, переходящий в жидкое состояние, является ресорбируемым, и тем, что у сердечника (11) или гильзы (13) имеется поверхность, хотя бы часть которой является биоактивной.
9. Имплантат по одному из пунктов 4-8, отличающийся тем, что в его состав входят средства фиксации (14, 15), располагаемые на переднем конце имплантата.
10. Имплантат по одному из пунктов 1-4, отличающийся тем, что он выполнен в форме пластины (35 и 36) или пленки (35).
11. Имплантат по пункту 10, отличающийся тем, что пластина или пленка (35) выполнена в один слой.
12. Имплантат по пункту 10, отличающийся тем, что пластина (35 или 36) или пленка состоит из слоя материала, переходящего в жидкое состояние, и слоя материала, не переходящего в жидкое состояние, при этом материал, переходящий в жидкое состояние, покрывает хотя бы часть одной поверхности материала, не переходящего в жидкое состояние, и эти два слоя соединены в один с помощью неподвижного соединения или неразъемного соединения материалов.
13. Имплантат по одному из пунктов 1-12, отличающийся тем, что он выполнен в виде средства анкеровки для искусственного опорного или фиксационного элемента, для искусственного сустава, для искусственного зуба, моста или зубного протеза, для шовной нити, для церкляжной проволоки, или для вспомогательного терапевтического устройства.
14. Устройство (1) для имплантации имплантатов (7) по одному из пунктов 1-13, при этом в состав данного устройства входит генератор (2), колебательный элемент и резонатор (6), при этом генератор (2) предназначен для возбуждения в колебательном элементе механических колебаний, а резонатор (6) и колебательный элемент образуют колебательный модуль (3), и резонатор (6) активно соединяется с имплантатом (7) для передачи механических колебаний и предназначен для вдавливания имплантата (7) в ткань, отличающееся тем, что в состав устройства также входит направляющая имплантата, опорой для которой служит кожух или передающий элемент.
15. Устройство для имплантации по пункту 14, отличающееся тем, что оно обеспечивает механические колебания резонатора (6) на частоте от 2 до 200 кГц.
16. Устройство для имплантации по одному из пунктов 14 или 15, отличающееся тем, что оно обеспечивает настройку на разные частоты механических колебаний, частоты разных форм и/или различные пульсации энергии.
17. Устройство для имплантации по одному из пунктов 14-16, отличающееся тем, что резонатор (6) или дальняя часть резонатора (6) заменяема и может стерилизоваться.
18. Устройство для имплантации по одному из пунктов 14-17, отличающееся тем, что резонатор (6) используется для фиксации имплантата (7) типа шпильки или штифта.
19. Набор для создания соединений с тканями, при этом в состав упомянутого набора входит устройство (1) для имплантации, в состав которого входит генератор (2), колебательный элемент и резонатор (6), при этом генератор (2) предназначен для возбуждения в колебательном элементе механических колебаний, а резонатор (6) и колебательный элемент образуют колебательный модуль (3), и резонатор (6) активно соединяется с имплантатом (7) для передачи механических колебаний и предназначен для вдавливания имплантата (7) в ткань, в состав упомянутого набора входит также множество имплантатов (7) по одному из пунктов 1-13.
20. Набор по пункту 19, отличающийся тем, что на дальнем конце резонатора (6) устройства (1) для имплантации устанавливается средство фиксации, и тем, что имплантаты (7) выполнены в виде шпильки или штифта и их ближние концы включают средства фиксации, переходящие в средства фиксации резонатора (6).
21. Набор по одному из пунктов 19 или 20, отличающийся тем, что в его состав входят разные имплантаты (7) типа шпильки или штифта, а также резонаторы (6) или дальние части резонаторов, чьи дальние поверхности сопрягаются с ближними сечениями имплантатов.
22. Набор по одному из пунктов 19-21, отличающийся тем, что хотя бы часть имплантатов (7) выполнена в виде шпильки и что в состав набора также входят дрели, диаметр которых соответствует наибольшему диаметру имплантатов (7) для обеспечения фрикционной посадки.
23. Набор по одному из пунктов 19-22, отличающийся тем, что хотя бы часть имплантатов (7) содержит материал, переходящий в жидкое состояние, находящийся в гильзе (13) с отверстиями (58), и тем, что в состав набора также входит хотя бы один резонатор (6) или дальняя часть резонатора, сечение которой сопрягается с ближним внутренним сечением гильзы (13).
24. Набор по одному из пунктов 19-23, отличающийся тем, что в состав набора также входят направляющие (82) с отверстиями и хотя бы один резонатор (6) или дальняя часть резонатора, сечение которого сопрягается с отверстием.
25. Набор по одному из пунктов 19-24, отличающийся тем, что в его состав также входит стерильное покрытие для устройства (1) для имплантации.
26. Набор по одному из пунктов 19-25, отличающийся тем, что устройство (1) для имплантации обеспечивает настройку на разные частоты механических колебаний, частоты разных форм и/или различные пульсации энергии, и тем, что в состав набора также входят инструкции по настройке для разных имплантатов.
27. Дополнительный набор с одним имплантатом или большим числом имплантатов (7) по одному из пунктов 1-13, при этом в состав упомянутого дополнительного набора входят также инструкции для имплантации имплантатов с помощью энергии механических колебаний.
28. Способ имплантации имплантатов (7) по одному из пунктов 1-13 с помощью устройства для имплантации, в состав которого входит генератор (2), колебательный элемент и резонатор (6), при этом генератор (2) предназначен для возбуждения в колебательном элементе механических колебаний, а резонатор (6) и колебательный элемент образуют колебательный модуль (3), и резонатор (6) активно соединяется с имплантатом (7) для передачи механических колебаний и предназначен для вдавливания имплантата (7) в ткань, при этом способ включат следующие этапы:
позиционирование имплантата (7) на ткани таким образом, что области имплантатов из материала, переходящего в жидкое состояние, входят в контакт или могут входить в контакт с тканью в том месте, где на поверхности ткани имеются неровности или отверстия, обеспечивающие неподвижное соединение, или в том месте, где такие неровности поверхности или отверстия могут быть образованы гидростатическим давлением;
воздействие на имплантат механическими колебаниями с одновременным вдавливанием имплантата в ткань до тех пор, пока хотя бы часть материала, переходящего в жидкое состояние, не будет ожижена и вдавлена в упомянутые поверхностные неровности или отверстия;
повторное отверждение материала, переходящего в жидкое состояние, при вдавливании имплантата в ткань.
29. Способ по пункту 28, отличающийся тем, что ткань является частью кости человека или животного, частью хряща, частью связки или частью сухожилия (10, 20, 50, 72, 73).
30. Способ по одному из пунктов 28 или 29, отличающийся тем, что создаваемое соединение является точечным соединением в глубину.
31. Способ по одному из пунктов 28-30, отличающийся тем, что отверстие выполняется в ткани перед имплантацией, при этом в данное отверстие помещается имплантат (7).
32. Способ по одному из пунктов 28-31, отличающийся тем, что тканью является кость с корковым слоем (22) и губчатой костью (23) и тем, что перед имплантацией вскрывается хотя бы корковый слой (22).
33. Способ по одному из пунктов 28 или 29, отличающийся тем, что создаваемое соединение является поверхностным соединением с большой площадью поверхности.
34. Способ по пункту 33, отличающийся тем, что перед позиционированием имплантата (7) соответствующим областям поверхности ткани придается шероховатость.
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US8568395B2 (en) * | 2004-05-03 | 2013-10-29 | Woodwelding Ag | Light diffuser and process for producing the same |
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2002
- 2002-03-04 ES ES02700094T patent/ES2271212T3/es not_active Expired - Lifetime
- 2002-03-04 AT AT02700094T patent/ATE338516T1/de active
- 2002-03-04 WO PCT/CH2002/000132 patent/WO2002069817A1/de active IP Right Grant
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2007
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