WO2002089867A1 - Gewebe zum chirurgischen verschluss von hernien - Google Patents
Gewebe zum chirurgischen verschluss von hernien Download PDFInfo
- Publication number
- WO2002089867A1 WO2002089867A1 PCT/DE2002/001605 DE0201605W WO02089867A1 WO 2002089867 A1 WO2002089867 A1 WO 2002089867A1 DE 0201605 W DE0201605 W DE 0201605W WO 02089867 A1 WO02089867 A1 WO 02089867A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- silicone
- hernias
- glass fiber
- tissue
- coated
- Prior art date
Links
Classifications
-
- 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
- A61L31/02—Inorganic materials
- A61L31/026—Ceramic or ceramic-like structures, e.g. glasses
-
- 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
- A61L31/08—Materials for coatings
- A61L31/10—Macromolecular materials
Definitions
- the invention is an artificial tissue for the surgical closure of hernias, such as diaphragmatic, umbilical, groin or scar fractures.
- hernias such as diaphragmatic, umbilical, groin or scar fractures.
- hernias such as diaphragmatic, umbilical, groin or scar fractures.
- non-resorbable materials from which the previously used nets are made such as polypropylene PP (Marlex®), polytetrafluoroethylene PTFE (GoreTex®) and polyethylene terephthalate PET (Mersilene®), due to their inherent material properties and lack of biocompatibility, which is manifested by chronic inflammatory reactions, is unsatisfactory.
- the object of the invention is to provide a non-resorbable tissue, including a network, that can be designed in a variety of ways by suitable material selection and further processing in terms of hydrolysis stability, drapability, flexibility, rigidity and Shore hardness, and that a biocompatible , in particular has a cytocompatible surface.
- a glass fiber fabric is used, the surface of which is coated with silicone, one or more biologically active substances being ionically or covalently bound to the silicone surface.
- Glass fiber fabrics that are suitable for the application are known or can be easily created using known materials and processing technologies. See, for example, company brochures of the companies cs-Interglas, D-89155 Erbach about "yarns for interglass fabrics” and "fabrics for plastic reinforcement”.
- Hydrolysis-stable glass types are preferably used to produce the fabrics according to the invention, very particularly preferably C-glass or quartz glass.
- yarn types are preferably selected in which the complete, "void-free" coating of the present, approximately 3 to 20 ⁇ m thick, spun threads with silicone is possible without great expenditure on equipment.
- Folded yarn, roving, staple fiber yarn and textured yarn are particularly preferred as yarn types.
- Yarns with a textile size that can be removed thermally or by water are particularly preferably used.
- the surface of the fabric is coated with silicone.
- Silicon is known, see Eugene G. Rochow: Silicon and Silicones, Springer-Verlag Berlin Heidelberg 1987. Silicones that adhere well to glass are preferred; condensation-crosslinking silicones are very particularly preferred.
- the fabric is coated by intimately bringing the fabric into contact with silicone, the aim being that the silicone completely surrounds each individual filament.
- This can be achieved by using silicones with a lower viscosity, less than 10,000 mPa-s, or by adding more viscous silicones with suitable solvents, e.g. Heptane. diluted, the tissue (using positive pressure) completely soaked with this solution and then the solvent evaporated completely. The silicone is then cured.
- the thickness of the silicone layer on the glass fiber fabric can be freely selected by repeating the process several times. Care is taken that the mesh of the tissue is not closed by the silicone, so that living cells can grow through this artificial tissue. Through a suitable selection of silicone types with different Shore hardness, silicone-coated glass fiber fabric with different stiffness and flexibility is obtained.
- one or more biologically active substances are bound ionogenically and / or covalently on the surface of the silicone. Processes for immobilizing such substances are known, wet chemical processes are preferably used.
- biological active substance is preferred collagen, since it promotes cell adherence and cell proliferation of fibroblasts, ionogenically bound to the surface.
- a 100 x 100 mm glass fiber fabric made of C-glass is used.
- the nominal mesh size is 265 ⁇ m, the nominal thread thickness is 120 ⁇ m.
- the textile size of the glass fiber fabric is removed by thermal treatment, 12 hours at 400 ° C. The tissue is then washed several times with 2M HCl and finally with deionized water.
- the coating with silicone takes place by allowing a 1% (w / v) dispersion of Medical Adhesive Silicone Type A in heptane to act on the dry glass fiber network overnight at 5 bar overpressure. The heptane is then allowed to evaporate and the process is repeated after 24 hours. In total, the glass fiber network is contacted three times with silicone dispersion. The final curing of the silicone takes place over 10 days at room temperature and approx. 70% relative air humidity.
- the glass fiber fabric coated with silicone in this way is treated for 12 min with a 5.7% strength by weight KOH solution in methanol and then washed with deionized water.
- collagen is bound to the silicone surface activated in such a way that the silicone-coated glass fiber fabric is brought into intimate contact with a 0.5% by weight collagen solution in water, pH 4, overnight.
- the siliconized glass fiber fabric now coated with collagen is then washed and sterilized by autoclaving and is then available (in the moist state) for implantation.
Landscapes
- Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Vascular Medicine (AREA)
- Epidemiology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- General Health & Medical Sciences (AREA)
- Chemical & Material Sciences (AREA)
- Engineering & Computer Science (AREA)
- Ceramic Engineering (AREA)
- Inorganic Chemistry (AREA)
- Materials For Medical Uses (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
Abstract
Description
Claims
Priority Applications (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP02726083A EP1383552B1 (de) | 2001-05-03 | 2002-05-03 | Gewebe zum chirurgischen verschluss von hernien |
DE50205874T DE50205874D1 (de) | 2001-05-03 | 2002-05-03 | Gewebe zum chirurgischen verschluss von hernien |
DE10291908T DE10291908D2 (de) | 2001-05-03 | 2002-05-03 | Gewebe zum chirurgischen Verschluss von Hernien |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE10121623.8 | 2001-05-03 | ||
DE10121623A DE10121623A1 (de) | 2001-05-03 | 2001-05-03 | Gewebe zum chirurgischen Verschluß von Hernien |
Publications (1)
Publication Number | Publication Date |
---|---|
WO2002089867A1 true WO2002089867A1 (de) | 2002-11-14 |
Family
ID=7683561
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/DE2002/001605 WO2002089867A1 (de) | 2001-05-03 | 2002-05-03 | Gewebe zum chirurgischen verschluss von hernien |
Country Status (4)
Country | Link |
---|---|
EP (1) | EP1383552B1 (de) |
AT (1) | ATE318153T1 (de) |
DE (3) | DE10121623A1 (de) |
WO (1) | WO2002089867A1 (de) |
Families Citing this family (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
DE102004051195B4 (de) * | 2004-10-21 | 2006-11-23 | Polytech Silimed Europe Gmbh | Verwendung eines Implantats zur chirurgischen Rekonstruktion von Sehnen oder Bändern |
DE102011102039A1 (de) * | 2011-05-19 | 2012-11-22 | Feg Textiltechnik Forschungs- Und Entwicklungsgesellschaft Mbh | Implantat |
Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
FR2735353A1 (fr) * | 1995-06-16 | 1996-12-20 | Cousin Biotech | Plaque souple a memoire |
US5728157A (en) * | 1989-02-15 | 1998-03-17 | Xomed Surgical Products, Inc. | Biocompatible composite prostheses |
EP0905101A1 (de) * | 1997-09-24 | 1999-03-31 | JENERIC/PENTRON Incorporated | Wärmebehandlung von Fasern für verstärkte dentale Prothesen und Verfahren zur Herstellung |
-
2001
- 2001-05-03 DE DE10121623A patent/DE10121623A1/de not_active Withdrawn
-
2002
- 2002-05-03 WO PCT/DE2002/001605 patent/WO2002089867A1/de not_active Application Discontinuation
- 2002-05-03 EP EP02726083A patent/EP1383552B1/de not_active Expired - Lifetime
- 2002-05-03 DE DE10291908T patent/DE10291908D2/de not_active Expired - Fee Related
- 2002-05-03 DE DE50205874T patent/DE50205874D1/de not_active Expired - Fee Related
- 2002-05-03 AT AT02726083T patent/ATE318153T1/de not_active IP Right Cessation
Patent Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5728157A (en) * | 1989-02-15 | 1998-03-17 | Xomed Surgical Products, Inc. | Biocompatible composite prostheses |
FR2735353A1 (fr) * | 1995-06-16 | 1996-12-20 | Cousin Biotech | Plaque souple a memoire |
EP0905101A1 (de) * | 1997-09-24 | 1999-03-31 | JENERIC/PENTRON Incorporated | Wärmebehandlung von Fasern für verstärkte dentale Prothesen und Verfahren zur Herstellung |
Also Published As
Publication number | Publication date |
---|---|
DE10291908D2 (de) | 2004-09-23 |
DE10121623A1 (de) | 2002-11-07 |
ATE318153T1 (de) | 2006-03-15 |
EP1383552A1 (de) | 2004-01-28 |
DE50205874D1 (de) | 2006-04-27 |
EP1383552B1 (de) | 2006-02-22 |
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