WO2023029734A1 - Repair device for joint tissue - Google Patents

Repair device for joint tissue Download PDF

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Publication number
WO2023029734A1
WO2023029734A1 PCT/CN2022/103737 CN2022103737W WO2023029734A1 WO 2023029734 A1 WO2023029734 A1 WO 2023029734A1 CN 2022103737 W CN2022103737 W CN 2022103737W WO 2023029734 A1 WO2023029734 A1 WO 2023029734A1
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WO
WIPO (PCT)
Prior art keywords
capsule
fixing part
joint tissue
tissue according
repairing joint
Prior art date
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PCT/CN2022/103737
Other languages
French (fr)
Chinese (zh)
Inventor
刘琛
常兆华
聂京闽
岳斌
葛亮
Original Assignee
上海竞捷医疗科技有限公司
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Application filed by 上海竞捷医疗科技有限公司 filed Critical 上海竞捷医疗科技有限公司
Publication of WO2023029734A1 publication Critical patent/WO2023029734A1/en

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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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/08Muscles; Tendons; Ligaments

Definitions

  • the present application relates to the technical field of medical devices, in particular to a repair device for joint tissue.
  • the rotator cuff is the muscle-tendon structure that connects the scapula to the head of the humerus and is located on the outer layer of the shoulder joint capsule and the inner layer of the deltoid muscle.
  • the rotator cuff is composed of anterior rotator cuff (subscapularis), upper rotator cuff (supraspinatus and infraspinatus), and posterior rotator cuff (infraspinatus and teres minor).
  • the function of external rotation and abduction the more important function is to stabilize the position of the humeral head on the glenoid during activities, maintain the muscle moment arm, and avoid the pain caused by the upward movement of the humeral head and impact on the acromion. Therefore, the rotator cuff plays an extremely important role in maintaining the stability of the shoulder joint and in the process of shoulder joint movement.
  • the pain caused by rotator cuff injury can be treated by implanting a prosthesis (such as a balloon).
  • a prosthesis such as a balloon
  • the distance between the humeral head and the fracture surface of the tendon acts as a "lever", preventing the impact of the damaged rotator cuff and the bony structure of the acromion, increasing the stability of the glenohumeral joint, and reducing the subacromial pressure, thereby
  • it can also reduce the upward movement of the humeral head, increase the shoulder-humeral distance, increase the shoulder joint abduction arm, and quickly improve the mobility of the shoulder joint.
  • the prosthesis after the prosthesis is implanted in the shoulder joint, as the shoulder joint moves, the prosthesis will also rub against the humeral head. Over time, it will break due to frequent friction and reduce the service life of the prosthesis.
  • the present application provides a repair device for joint tissue, comprising:
  • a cushion which may be in a deflated state or an expanded state, said cushion comprising a cavity configured for filling with an inflation substance to bring said cushion into said expanded state;
  • a fixing part one end of the fixing part is arranged on the buffer part, and the other end is a free end for fixing with the target tissue;
  • the fixing part has deformability and can be deformed under the action of an external force to allow the buffer part It moves within a predetermined range defined by the deformation of the fixing part.
  • the fixing part includes an elastic member, and the elastic member can be elastically deformed under the action of external force.
  • the elastic member includes at least one elastic thread.
  • the elastic member comprises at least one elastic band.
  • the fixing part is a non-elastic member and the fixing part has the ability of stretching and contracting.
  • the buffer part is made of polyethylene, polyester, polytetrafluoroethylene, polypropylene, polyamide, nickel-titanium alloy or stainless steel.
  • the material of the fixing part is ultra-high molecular weight polyethylene, polyurethane, polyethylene terephthalate, thermoplastic rubber or thermoplastic vulcanized rubber.
  • the cushioning part includes a bladder and a bladder cover, and the surface of the bladder is braided to form the bladder cover.
  • the capsule casing includes an inner space, the capsule is disposed in the interior space, the fixing part is disposed on the surface of the capsule casing, and there is a movable space between the capsule and the capsule casing , so as to allow the buffer part to move in the activity space.
  • the capsule casing is fixed on the surface of the capsule, and the fixing part is arranged on the surface of the capsule casing.
  • the capsule body and the capsule casing are integrally braided and formed by braiding wires.
  • the fixing part and the capsule casing are integrally braided and formed by braiding wires.
  • the cushioning part includes a capsule and a capsule casing
  • the fixing part is arranged on the surface of the capsule
  • the surface of the capsule forms the capsule casing by electrostatic spraying.
  • the use of the fixing part can ensure that the buffer part can move flexibly in the joint tissue with the joint movement, but not too far from the original position. Based on the limited range provided for the buffer part On the one hand, it can ensure that the buffer part adapts to the relative position change of the humeral head and the acromion during the shoulder joint movement, avoiding the buffer part called the hindrance of the humeral head activity, and on the other hand, it can reduce the impact of the buffer part and the inner acromion of the shoulder joint. , humeral head and other positions of the friction, improve the service life of the buffer.
  • FIG. 1 is a schematic structural view of a repair device in some embodiments of the present application.
  • Fig. 2 is a schematic diagram of a non-stressed state of the fixing part in some embodiments of the present application
  • Fig. 3 is an enlarged schematic diagram of the non-stressed state of the fixing part shown in Fig. 2;
  • Fig. 4 is a schematic diagram of the stress state of the fixing part in some embodiments of the present application.
  • Fig. 5 is an enlarged schematic diagram of the stressed state of the fixing part shown in Fig. 2;
  • Fig. 6 is a schematic diagram of the level structure of the repair device in other embodiments of the present application.
  • FIG. 7 is an enlarged schematic view of the level of the repair device shown in FIG. 6;
  • Fig. 8 is a schematic structural diagram of a repair device in another embodiment of the present application.
  • Fig. 9 is a schematic diagram of a non-stressed state of the fixing part in other embodiments of the present application.
  • Fig. 10 is a schematic diagram of a stressed state of a fixing part in other embodiments of the present application.
  • capsule body 101, capsule body; 102, capsule body coat.
  • first and second are used for descriptive purposes only, and cannot be interpreted as indicating or implying relative importance or implicitly specifying the quantity of indicated technical features.
  • the features defined as “first” and “second” may explicitly or implicitly include at least one of these features.
  • “plurality” means at least two, such as two, three, etc., unless otherwise specifically defined.
  • a first feature being "on” or “under” a second feature may mean that the first and second features are in direct contact, or that the first and second features are indirect through an intermediary. touch.
  • “above”, “above” and “above” the first feature on the second feature may mean that the first feature is directly above or obliquely above the second feature, or simply means that the first feature is higher in level than the second feature.
  • “Below”, “beneath” and “beneath” the first feature may mean that the first feature is directly below or obliquely below the second feature, or simply means that the first feature is less horizontally than the second feature.
  • an embodiment of the present application provides a repair device for joint tissue, including a buffer part 100 and a fixation part 200.
  • the buffer part 100 can be in a shrinking state or an expanded state. Cavity, the cavity is configured to be filled with a filling material to make the cushioning part 100 in the expanded state; one end of the fixing part 200 is arranged on the buffering part 100, and the other end of the fixing part 200 is The free end is used for fixing with the target tissue; the fixing part 200 has deformability and can be deformed under the action of external force, so as to allow the buffer part 100 to move within a predetermined range defined by the deformation of the fixing part 200 .
  • the joint tissue is not limited to the joint tissue of the human body or the joint tissue of other animals.
  • the shrinking state of the buffer part 100 means that the buffer part 100 can reduce its own volume.
  • the atrophy shape of 100 in the shrunk state is not limited, as long as it meets the delivery requirements.
  • the delivery device uses the delivery catheter to deliver the buffer part 100
  • the atrophied state of the buffer part 100 needs to be adapted to the tubular lumen of the delivery catheter.
  • the strip is contained within the delivery catheter.
  • the expanded state is relative to the shrunken state.
  • the expanded state of the cushioning part 100 means that the buffering part 100 can expand its own volume. It can form an effective support between the acromion and the humeral head, maintain and increase the distance between the acromion and the humeral head, and play a therapeutic effect. It is enough to form an effective support between the peak and the humeral head.
  • the cushioning part 100 in the expanded state is a cystic structure with a certain thickness. Surface shape of intra-articular tissue structures.
  • the joint tissue can be joints in various parts such as shoulder joints and knee joints, and the repair device can also be a buffer unit 100 applied to shoulder joint treatment, or a buffer unit 100 applied to knee joints or other joint treatments.
  • the buffer unit 100 The type and structural form of , can be set according to the joint position actually used, which is not specifically limited.
  • the deformability of the fixed part 200 means that the fixed part 200 can cause its own shape to change when it is subjected to an external force.
  • the fixed part 200 can cause its own shape to change when it is subjected to an external force.
  • FIGS. Elongation or shortening, or changes in structural shape, thickness, etc. under the condition of external force, as for the specific shape change of the fixed part 200 it needs to depend on the specific situation of the external force actually received by the fixed part 200, so the fixed
  • the shape change of the part 200 is not specifically limited.
  • the shape change of the fixed part 200 may have elastic capacity, or the morphological change of the fixed part 200 may not have elastic capacity, that is, the elastic capacity is not a key factor of the deformability of the fixed part 200.
  • the fixed part 200 can produce a response to the received external force according to the elastic ability of its own deformability.
  • the resistance force which is expressed as the reverse elastic force relative to the external force received.
  • the fixed part 200 will generate a reverse elastic force. The larger the reverse elastic force generated, the smaller the external force received by the fixing part 200, and the smaller the reverse elastic force generated by the fixing part 200 will be.
  • the fixing part 200 When the fixing part 200 is connected to the buffer part 100, if the buffer part 100 receives a force from a certain position of the joint due to the movement of the joint in the joint tissue, the force will be transmitted to the fixing part 200 to form the force received by the fixing part 200. External force, and then the fixing part 200 generates a reverse elastic force relative to the received external force, and the reverse elastic force will continue to be applied to the buffer part 100 in reverse.
  • the buffer part 100 moves with the movement of the joint tissue, it can be pulled back to its original position by the reverse elastic force, so that the buffer part 100 can move flexibly in the joint tissue with the joint movement, but it does not
  • the original position is the position where the cushioning part 100 is fixed in advance.
  • the fixed part 200 can change its shape after being subjected to an external force, but does not generate a reverse elastic force relative to the received external force.
  • the fixed part is a non-elastic member and thus
  • the fixing part has stretchability, for example, the non-elastic fixing part with stretchability can be woven into a net-like structure, and the length of the net-like structure can be extended after being stretched by an external force. Therefore, when the fixing part 200 receives an external force and changes its own shape, the pulling effect on the buffer part 100 is more gentle.
  • the shape change of the fixing part 200 itself also has a range, that is, the fixing part 200 itself After the deformation reaches the limit, the shape change cannot continue.
  • the fixing part 200 When the fixing part 200 is connected to the buffer part 100, if the buffer part 100 receives a force from a certain position of the joint due to the movement of the joint in the joint tissue, the force will be transmitted to the fixing part 200 to form the force received by the fixing part 200. External force, at this time, the fixed part 200 will undergo a shape change due to the external force received, and still form a connection with the buffer part 100 in a gentle connection state.
  • the buffer part 100 is still connected by the fixed part 200, even if the buffer part The position of 100 changes, and it will not deviate from the limited range of movement of the buffer part 100 determined by the fixed part 200 due to its own deformable limit. 200 due to the predetermined range defined by the deformation.
  • the fixed connection of the buffer part 100 can not only come from the connection of the fixed part 200, but also can come from the mutual pressing and fixing of the buffer part 100 and the joint tissue, which all help the buffer part 100
  • the original position is adapted to the movement of the joint, and the original position is the pre-fixed position of the cushioning part 100 .
  • the fixing part 200 that deformability does not have elastic ability can be determined based on the characteristics of the material of the fixing part 200, can also be determined based on the manufacturing structure of the fixing part 200, or can be determined based on both the manufacturing material and the manufacturing structure of the fixing part 200. It is determined that the fixing part 200 has a telescoping function.
  • at least a part of the fixing part 200 can be formed as a mesh structure, and this part of the mesh structure can be a columnar mesh or a sheet mesh.
  • the mesh structure can eliminate or reduce the elastic capacity in the selection of materials, even if it has Elasticity is also so small that it can be ignored.
  • the network structure can change its shape after being subjected to external force due to the characteristics of gaps or pores in the structure.
  • the specific changes are expressed in the size of the gaps or pores in the network structure,
  • the shape changes microscopically, and the changes in the gaps or pores of the network structure can lead to changes in the overall shape of the network structure macroscopically.
  • the proportion of the mesh structure on the fixing part 200 will lead to the actual deformability of the fixing part 200, that is, the larger the ratio of the mesh structure on the fixing part 200, the greater the deformability of the fixing part 200. As the proportion of the fixing part 200 becomes smaller, the deformability of the fixing part 200 becomes smaller.
  • the deformability of the fixing part 200 will be objectively maximized.
  • the cylindrical net or sheet net composed of a mesh structure
  • the cylindrical net or sheet net can be used as a connecting line or a connecting line. Bring to fix the buffer part 100, and play a good connection effect.
  • the deformation ability without elastic ability it can be defined by a unique test method, for example, in the state where one end of the fixed part 200 is constrained, the amount of shape change of the fixed part 200 under the same external force can characterize the fixed part 200 deformation ability. It is possible to more intuitively observe the morphological change of the fixed part 200.
  • a pulling force is applied to the other end of the fixed part 200, and the same pulling force acts
  • the change in length of the lower fixing part 200 can represent the deformability of the fixing part 200 , the greater the change in length, the greater the deformability represented, and the smaller the change in length, the smaller the deformability represented. Therefore, under the same external force, a greater amount of shape change of the fixing part 200 indicates that the fixing part 200 is more likely to be pulled and deformed, and it also indicates a larger range of movement restriction imposed on the buffer part 100 .
  • the fixing part 200 can choose to have the deformation ability with elastic ability according to the demand, and also can choose the deformation ability without elastic ability.
  • the elastic member can be elastically deformed under the action of an external force.
  • the elastic member can be used as an elastic thread or elastic belt with elastic ability.
  • the material of the elastic member can be selected to have any elastic ability. After the elastic part is formed, its structural form is set as an elastic thread or an elastic belt. Both the elastic thread or the elastic belt have the characteristics of taking up little space.
  • the elastic thread or the elastic belt When the elastic thread or the elastic belt is implanted into the joint tissue along with the buffer part 100 Not only can it be smoothly stored in the delivery device of the delivery buffer 100, but also when the elastic wire or elastic belt is implanted into the shoulder joint of the human body, it can occupy a very small space in the tissue of the shoulder joint, reducing the discomfort caused by the human body , it is also possible to connect the buffer part 100 with a very small fluctuation state during the movement of the buffer part 100, so as to prevent the buffer part 100 from deviating from its original position.
  • the elastic member can also adopt other structural forms, such as a sheet, as long as it can meet the connection to the buffer part 100, allow the buffer part 100 to move within a limited range, and keep the connection to the buffer part 100.
  • the actual structural form of the elastic member is not a key factor affecting the stable connection of the buffer part 100 .
  • the buffer part 100 is a buffer part 100, one end of the elastic wire is connected to the surface of the buffer part 100, and the other end is used to connect to the humeral head or acromion.
  • the buffer part 100 is a structure of the buffer part 100 applied to the shoulder joint.
  • the buffer part 100 is an expandable and contractible structure.
  • the buffer part 100 can form a structure that meets the internal tissue space filling and fit of the shoulder joint in an expanded state.
  • the expanded state can be realized by filling lubricating fluid, which is generally physiological saline, and the physiological saline in the buffer part 100 can play a supporting role on the one hand, and the lubricating fluid props up the buffer part 100 to define the shape of the buffer part 100 .
  • the biological characteristics of physiological saline are similar to those of human body fluids, it can be ensured that after the cushioning part 100 is implanted in the tissue of the shoulder joint, the inside and outside of the cushioning part 100 have the same osmotic pressure, preventing the buffering part 100 from breaking and avoiding the shock of the buffer. Body rejection occurs following rupture of the portion 100 .
  • the cushioning part 100 After the cushioning part 100 is implanted into the tissue of the shoulder joint, it can be placed between the humeral head and the acromion.
  • the implantation of the buffering part 100 can maintain and increase the distance between the acromion and the humeral head, and maintain the distance between the humeral head and the tendon.
  • the fracture surface of the rotator cuff acts as a "lever" to prevent the impact of the damaged rotator cuff and the bony structure of the acromion, so as to increase the stability of the glenohumeral joint and reduce the downward pressure of the acromion, so as to relieve pain.
  • Purpose and can reduce the upward movement of the humeral head, increase the shoulder-humeral distance, increase the abduction arm of the shoulder joint, and improve the mobility of the shoulder joint.
  • one end of the elastic wire is connected to the buffering part 100, and the other end can be used to connect the humeral head or acromion, such as in the humerus Head punching connection or rivet connection and so on.
  • the cushioning part 100 After the cushioning part 100 is fixed in the tissue of the shoulder joint, along with the movement of the shoulder joint, the cushioning part 100 will also adapt to the activity state of the joint and take place corresponding activities.
  • the force will be transmitted to the fixed part 200 to form the external force received by the fixed part 200, and then the fixed part 200 will generate a reverse elastic force relative to the received external force, and the reverse elastic force will continue to be applied in the opposite direction
  • the buffer part 100 can be pulled back to its original position by this reverse elastic force, so that the buffer part 100 can move flexibly in the joint tissue with the joint movement, but it does not leave its original position.
  • the limited flexible movement provided for the buffer part 100 can reduce the friction between the buffer part 100 and the inner acromion of the shoulder joint, humeral head, etc., and improve the service life of the buffer part 100 .
  • the application is not limited to the cushioning part 100 in the shoulder joint, but also has the same technical effect for the cushioning part 100 applied to other joints.
  • the material of the buffer part 100 can be polyethylene PE, polyester PET (polyethylene terephthalate), polytetrafluoroethylene PTFE, polypropylene PP, polypropylene Amide PA, nickel-titanium alloy or stainless steel, for example, the buffer part 100 is made of ultra-high molecular weight polyethylene, and the ultra-high molecular weight polyethylene has good wear resistance, which can ensure that the buffer part 100 has good wear resistance and has a longer service life.
  • the cushioning part 100 may be formed by weaving silk threads made of ultra-high molecular weight polyethylene.
  • the material of the fixing part 200 may be ultra-high molecular weight polyethylene, polyurethane, polyethylene terephthalate, thermoplastic rubber or thermoplastic vulcanized rubber.
  • the cushioning part 100 includes a bladder 101 and a bladder cover 102 , and the surface of the bladder 101 is braided to form the bladder cover 102 .
  • the capsule casing 102 includes an inner space, the capsule body 101 is disposed in the interior space, the fixing part 200 is disposed on the surface of the capsule casing 102, and between the capsule body 101 and the capsule casing 102 There is an active space to allow the cushioning part 100 to move in the active space, that is, the capsule 101 is in a movable state in the capsule jacket 102, so that the cushioning part 100 can move according to the interaction between the acromion and the humerus.
  • the state can self-adjust its position in a limited activity space, which has the effect of flexible buffering.
  • the capsule casing 102 is fixed on the surface of the capsule body 101
  • the fixing part 200 is disposed on the surface of the capsule casing 102 .
  • the cushioning part 100 includes a capsule body 101 and a capsule casing 102
  • the fixing part 200 is disposed on the surface of the capsule body 101
  • the surface of the capsule body 101 constitutes the capsule casing 102 by electrostatic spraying.
  • Capsule cover 102 is fixedly sleeved outside the buffer part 100. It can be understood that the capsule cover 102 is a coating coat formed on the surface of the buffer part 100. The coating coat is formed strictly according to the contour of the buffer part 100 surface, and is compatible The surface of the buffer part 100 forms a tight and complete fit. For example, the surface of the buffer part 100 is electrostatically sprayed to form the capsule cover 102, and the electrostatically sprayed capsule cover 102 is tightly and completely attached to the buffer part. 100 surface coating.
  • the capsule cover 102 can also be an independent self-supporting structure, that is, it does not necessarily need to be attached to the surface of the cushioning part 100 to form the capsule cover 102, but is similar to a sleeve-like structure, which is set on The outer surface of the cushioning part 100, and at least a part or all of it forms a connection with the surface of the buffering part 100.
  • One way is to weave the bladder cover 102 on the surface of the buffering part 100 by braiding wires.
  • the braided The method can connect the entire area of the capsule cover 102 with the surface of the cushioning part 100 one-to-one, or connect multiple key areas or key points between the capsule cover 102 and the cushioning part 100, so that the capsule cover 102 can also be stabilized.
  • the fixed sleeve is arranged on the surface of the buffer part 100 to form a structure similar to an integral body.
  • the cushioning part 100 and the bladder cover 102 can all be formed by weaving, and the braiding form can be that the buffering part 100 and the bladder cover 102 are woven separately, and then the bladder cover 102 is sheathed on the surface of the buffering part 100, and the bladder The entire area of the jacket 102 is connected one-to-one with the surface of the cushioning part 100, or connects multiple key areas or key points between the capsule jacket 102 and the buffering part 100.
  • the buffering part 100 and the cushioning part 100 can be connected
  • the bladder cover 102 is integrally braided and formed by braiding wires.
  • the integrated weaving method provides a more stable connection between the bladder cover 102 and the cushioning part 100, and the fixing part 200 and the bladder cover 102 can be integrally braided by braiding wires.
  • Forming, the integrally formed weaving method also provides a more stable connection between the fixed part 200 and the capsule cover 102, and the cushioning part 100, the fixed part 200 and the capsule cover 102 can also be integrally woven and formed to provide A more stable connection among the cushioning part 100 , the fixing part 200 and the capsule cover 102 .
  • the material of the capsule body cover 102 can be ultra-high molecular weight polyethylene or titanium alloy.
  • the outer layer of the capsule body 102 is equivalent to the outer layer of the repair device, so that the repair device has good wear resistance.
  • the wear resistance of the repair device no longer depends on the buffer part 100, which can allow
  • the cushioning portion 100 is made of other materials that do not have good wear resistance, such as lower cost, as long as they can satisfy filling and not materials with good wear resistance.
  • the capsule jacket 102 Regardless of whether the capsule jacket 102 is outside or the cushioning portion 100 itself is outside, its mechanical properties need to have good breaking strength, such as tensile (breaking) capacity above 100N, and wear resistance needs to be able to withstand at least 5 million times of friction , the surface roughness requires smoothness to reduce wear caused by friction between it and adjacent bone structures.
  • the present application also provides a prosthesis system, including the prosthetic device, and the prosthesis system further includes a delivery device connected to the prosthetic device for transporting the prosthetic device.
  • the function of the delivery device is to smoothly transport the repair device into the tissue of the joint tissue to realize the implantation of the repair device.
  • the repair device can be smoothly implanted into the tissue of the shoulder joint, and for the knee joint. Said that the prosthetic device can be successfully implanted in the tissue of the knee joint.
  • the conveying device can adopt an existing device structure, which is not limited here.

Abstract

A repair device for a joint tissue, comprising a cushioning portion (100) and a fixing portion (200). The cushioning portion (100) comprises a cavity, the cavity allowing the filling of a filling substance so that the cushioning portion (100) is in an expanded state; the fixing portion (200) is provided on the cushioning portion (100); the fixing portion (200) has a deformation capability and can deform under the action of an external force, so as to allow the cushioning portion (100) to move within a predetermined range defined by the deformation of the fixing portion (200).

Description

用于关节组织的修复装置Repair device for joint tissue 技术领域technical field
本申请涉及医疗器械技术领域,特别是涉及一种用于关节组织的修复装置。The present application relates to the technical field of medical devices, in particular to a repair device for joint tissue.
背景技术Background technique
肩袖是连接肩胛骨和肱骨头的肌肉-肌腱结构,位于肩关节囊的外层,三角肌的内层。肩袖由前肩袖(肩胛下肌)、上肩袖(冈上肌和冈下肌)、后肩袖(冈下肌和小圆肌)构成,肩袖除了有一定的使上臂内旋、外旋和外展的功能,更主要的功能是在活动过程中稳定肱骨头在关节盂上的位置,维持肌肉力臂,避免肱骨头上移撞击肩峰造成疼痛等。因此,肩袖在肩关节的稳定性的维持以及肩关节的活动过程中,均扮演着极其重要的角色。The rotator cuff is the muscle-tendon structure that connects the scapula to the head of the humerus and is located on the outer layer of the shoulder joint capsule and the inner layer of the deltoid muscle. The rotator cuff is composed of anterior rotator cuff (subscapularis), upper rotator cuff (supraspinatus and infraspinatus), and posterior rotator cuff (infraspinatus and teres minor). The function of external rotation and abduction, the more important function is to stabilize the position of the humeral head on the glenoid during activities, maintain the muscle moment arm, and avoid the pain caused by the upward movement of the humeral head and impact on the acromion. Therefore, the rotator cuff plays an extremely important role in maintaining the stability of the shoulder joint and in the process of shoulder joint movement.
然而随着年龄增长,长期反复的肩关节活动、肩峰下骨质增生、或是反复剧烈的活动,均可能造成肩峰下软组织(关节滑囊、肩袖)的磨损、撕裂,使得肱骨头的稳定性、活动性受损,在肩关节活动过程中患者手臂无法外展、上举等,并由于骨质间或骨质与肩袖的撞击带来剧烈的疼痛,还会导致患者因疼痛而夜不能眠,严重影响生活质量以及自理能力。However, with age, long-term repeated shoulder joint activities, subacromial bone hyperplasia, or repeated violent activities may cause wear and tear of subacromial soft tissues (joint bursa, rotator cuff), making the humerus The stability and mobility of the head are impaired, and the patient's arm cannot be abducted or raised during the shoulder joint movement, and severe pain is caused by the impact between the bone or the bone and the rotator cuff, which may also cause the patient to suffer from pain. The inability to sleep at night seriously affects the quality of life and self-care ability.
目前,对于肩袖损伤带来的疼痛问题可以采用植入假体(如球囊)的方式治疗,假体可以植入到肩峰与肱骨头之间,维持、增加肩峰与肱骨头之间的距离,在肱骨头与肌腱的断裂面之间起到“杠杆”的作用,防止受损肩袖与肩峰的骨性结构发生撞击,增加盂肱关节稳定性,降低肩峰下压力,从而缓解疼痛,还可以减少肱骨头上移,增加肩-肱距离,增加肩关节外展力臂, 快速改善肩关节的活动能力。At present, the pain caused by rotator cuff injury can be treated by implanting a prosthesis (such as a balloon). The distance between the humeral head and the fracture surface of the tendon acts as a "lever", preventing the impact of the damaged rotator cuff and the bony structure of the acromion, increasing the stability of the glenohumeral joint, and reducing the subacromial pressure, thereby To relieve pain, it can also reduce the upward movement of the humeral head, increase the shoulder-humeral distance, increase the shoulder joint abduction arm, and quickly improve the mobility of the shoulder joint.
但是,假体植入到肩关节内以后,随着肩关节的活动,假体也会随之与肱骨头发生摩擦,久而久之便会因频繁的摩擦发生破裂,降低假体使用寿命。However, after the prosthesis is implanted in the shoulder joint, as the shoulder joint moves, the prosthesis will also rub against the humeral head. Over time, it will break due to frequent friction and reduce the service life of the prosthesis.
发明内容Contents of the invention
根据本申请的各种实施例,本申请提供了一种用于关节组织的修复装置,包括:According to various embodiments of the present application, the present application provides a repair device for joint tissue, comprising:
缓冲部,可呈萎缩状态或膨胀状态,所述缓冲部包含空腔,所述空腔被配置为用于填充充盈物质以使所述缓冲部呈所述膨胀状态;及a cushion, which may be in a deflated state or an expanded state, said cushion comprising a cavity configured for filling with an inflation substance to bring said cushion into said expanded state; and
固定部,所述固定部一端设置在所述缓冲部上,另一端为自由端用于与目标组织固定;所述固定部具有变形能力,能够在外力作用下发生形变,以允许所述缓冲部在因所述固定部形变而限定出的预定范围内活动。A fixing part, one end of the fixing part is arranged on the buffer part, and the other end is a free end for fixing with the target tissue; the fixing part has deformability and can be deformed under the action of an external force to allow the buffer part It moves within a predetermined range defined by the deformation of the fixing part.
一方面,所述固定部包含弹性件,所述弹性件能够在外力作用下发生弹性形变。On the one hand, the fixing part includes an elastic member, and the elastic member can be elastically deformed under the action of external force.
一方面,所述弹性件包含至少一根弹性线。In one aspect, the elastic member includes at least one elastic thread.
一方面,所述弹性件包含至少一条弹性带。In one aspect, the elastic member comprises at least one elastic band.
一方面,所述固定部为非弹性件且所述固定部具有伸缩能力。On the one hand, the fixing part is a non-elastic member and the fixing part has the ability of stretching and contracting.
一方面,所述缓冲部的材质为聚乙烯、聚酯、聚四氟乙烯、聚丙烯、聚酰胺、镍钛合金或不锈钢。On the one hand, the buffer part is made of polyethylene, polyester, polytetrafluoroethylene, polypropylene, polyamide, nickel-titanium alloy or stainless steel.
一方面,所述固定部的材质为超高分子量聚乙烯、聚氨酯、聚对苯二甲酸乙二醇酯、热塑性橡胶或热塑性硫化橡胶。On the one hand, the material of the fixing part is ultra-high molecular weight polyethylene, polyurethane, polyethylene terephthalate, thermoplastic rubber or thermoplastic vulcanized rubber.
一方面,所述缓冲部包含囊体及囊体外套,所述囊体的表面通过编织线编织构成所述囊体外套。On the one hand, the cushioning part includes a bladder and a bladder cover, and the surface of the bladder is braided to form the bladder cover.
一方面,所述囊体外套包含内空间,所述囊体设置于所述内空间,所述固定部设置在所述囊体外套的表面,所述囊体和囊体外套之间具有活动空间,以允许所述缓冲部在该活动空间内运动。On the one hand, the capsule casing includes an inner space, the capsule is disposed in the interior space, the fixing part is disposed on the surface of the capsule casing, and there is a movable space between the capsule and the capsule casing , so as to allow the buffer part to move in the activity space.
一方面,所述囊体外套固定于所述囊体的表面,且所述固定部设置在所述囊体外套的表面。On the one hand, the capsule casing is fixed on the surface of the capsule, and the fixing part is arranged on the surface of the capsule casing.
一方面,所述囊体和所述囊体外套通过编织线一体编织成型。On the one hand, the capsule body and the capsule casing are integrally braided and formed by braiding wires.
一方面,所述固定部与所述囊体外套通过编织线一体编织成型。On the one hand, the fixing part and the capsule casing are integrally braided and formed by braiding wires.
一方面,所述缓冲部包含囊体以及囊体外套,所述固定部设置在所述囊体的表面,所述囊体的表面通过静电喷涂形成所述囊体外套。On the one hand, the cushioning part includes a capsule and a capsule casing, the fixing part is arranged on the surface of the capsule, and the surface of the capsule forms the capsule casing by electrostatic spraying.
上述用于关节组织的修复装置,固定部的使用可以保证缓冲部既能够在关节组织内随着关节活动而灵活移动,但又不过分脱离原位,基于这种为缓冲部提供的具有限制范围的灵活运动,一方面可以保障缓冲部适应肩关节活动过程中肱骨头与肩峰的相对位置变化,避免缓冲部称为肱骨头活动的阻碍,另一方面可以减少缓冲部与肩关节内肩峰、肱骨头等位置的摩擦,提高缓冲部的使用寿命。In the above-mentioned repair device for joint tissue, the use of the fixing part can ensure that the buffer part can move flexibly in the joint tissue with the joint movement, but not too far from the original position. Based on the limited range provided for the buffer part On the one hand, it can ensure that the buffer part adapts to the relative position change of the humeral head and the acromion during the shoulder joint movement, avoiding the buffer part called the hindrance of the humeral head activity, and on the other hand, it can reduce the impact of the buffer part and the inner acromion of the shoulder joint. , humeral head and other positions of the friction, improve the service life of the buffer.
附图说明Description of drawings
为了更清楚地说明本申请实施例或相关技术中的技术方案,下面将对实施例或相关技术描述中所需要使用的附图作简单地介绍,显而易见地,下面描述中的附图仅仅是本申请的一些实施例,对于本领域普通技术人员来讲,在不付出创造性劳动的前提下,还可以根据这些附图获得其他的附图。In order to more clearly illustrate the technical solutions in the embodiments of the present application or related technologies, the following will briefly introduce the accompanying drawings that need to be used in the description of the embodiments or related technologies. Obviously, the accompanying drawings in the following description are only For some embodiments of the application, those skilled in the art can also obtain other drawings based on these drawings without creative work.
图1为本申请一些实施例中的修复装置的结构示意图;FIG. 1 is a schematic structural view of a repair device in some embodiments of the present application;
图2为本申请一些实施例中的固定部的非受力状态示意图;Fig. 2 is a schematic diagram of a non-stressed state of the fixing part in some embodiments of the present application;
图3为图2所示的固定部的非受力状态的放大示意图;Fig. 3 is an enlarged schematic diagram of the non-stressed state of the fixing part shown in Fig. 2;
图4为本申请一些实施例中的固定部的受力状态示意图;Fig. 4 is a schematic diagram of the stress state of the fixing part in some embodiments of the present application;
图5为图2所示的固定部的受力状态的放大示意图;Fig. 5 is an enlarged schematic diagram of the stressed state of the fixing part shown in Fig. 2;
图6为本申请另一些实施例中的修复装置的层面结构示意图;Fig. 6 is a schematic diagram of the level structure of the repair device in other embodiments of the present application;
图7为图6所示的修复装置的层面放大示意图;FIG. 7 is an enlarged schematic view of the level of the repair device shown in FIG. 6;
图8为本申请另一些实施例中的修复装置的结构示意图;Fig. 8 is a schematic structural diagram of a repair device in another embodiment of the present application;
图9为本申请另一些实施例中的固定部的非受力状态示意图;Fig. 9 is a schematic diagram of a non-stressed state of the fixing part in other embodiments of the present application;
图10为本申请另一些实施例中的固定部的受力状态示意图。Fig. 10 is a schematic diagram of a stressed state of a fixing part in other embodiments of the present application.
附图标记:Reference signs:
100、缓冲部;200、固定部;100, buffer part; 200, fixed part;
101、囊体;102、囊体外套。101, capsule body; 102, capsule body coat.
具体实施方式Detailed ways
为使本申请的上述目的、特征和优点能够更加明显易懂,下面结合附图对本申请的具体实施方式做详细的说明。在下面的描述中阐述了很多具体细节以便于充分理解本申请。但是本申请能够以很多不同于在此描述的其它方式来实施,本领域技术人员可以在不违背本申请内涵的情况下做类似改进,因此本申请不受下面公开的具体实施例的限制。In order to make the above-mentioned purpose, features and advantages of the present application more obvious and understandable, the specific implementation manners of the present application will be described in detail below in conjunction with the accompanying drawings. In the following description, numerous specific details are set forth in order to provide a thorough understanding of the application. However, the present application can be implemented in many other ways different from those described here, and those skilled in the art can make similar improvements without departing from the connotation of the present application, so the present application is not limited by the specific embodiments disclosed below.
在本申请的描述中,需要理解的是,术语“中心”、“纵向”、“横向”、“长度”、“宽度”、“厚度”、“上”、“下”、“前”、“后”、“左”、“右”、“竖直”、“水平”、“顶”、“底”、“内”、“外”、“顺时针”、“逆时针”、“轴向”、“径向”、“周向”等指示的方位或位置关系为基于附图所示的方位或位置关系,仅是为了便于描述本申请和简化描述,而不是指示或暗示所指的装置或元件必须具有特定的方位、以特定的方位构造和操作,因此不能理解为对本申请的限制。In the description of the present application, it should be understood that the terms "center", "longitudinal", "transverse", "length", "width", "thickness", "upper", "lower", "front", " Back", "Left", "Right", "Vertical", "Horizontal", "Top", "Bottom", "Inner", "Outer", "Clockwise", "Counterclockwise", "Axial" , "radial", "circumferential" and other indicated orientations or positional relationships are based on the orientations or positional relationships shown in the drawings, and are only for the convenience of describing the application and simplifying the description, rather than indicating or implying the referred device or Elements must have certain orientations, be constructed and operate in certain orientations, and thus should not be construed as limiting the application.
此外,术语“第一”、“第二”仅用于描述目的,而不能理解为指示或暗示相对重要性或者隐含指明所指示的技术特征的数量。由此,限定有“第一”、“第二”的特征可以明示或者隐含地包括至少一个该特征。在本申请的描述中,“多个”的含义是至少两个,例如两个,三个等,除非另有明确具体的限定。In addition, the terms "first" and "second" are used for descriptive purposes only, and cannot be interpreted as indicating or implying relative importance or implicitly specifying the quantity of indicated technical features. Thus, the features defined as "first" and "second" may explicitly or implicitly include at least one of these features. In the description of the present application, "plurality" means at least two, such as two, three, etc., unless otherwise specifically defined.
在本申请中,除非另有明确的规定和限定,术语“安装”、“相连”、“连接”、“固定”等术语应做广义理解,例如,可以是固定连接,也可以是可拆卸连接,或成一体;可以是机械连接,也可以是电连接;可以是直接相连,也可以通过中间媒介间接相连,可以是两个元件内部的连通或两个元件的相互作用关系,除非另有明确的限定。对于本领域的普通技术人员而言,可以 根据具体情况理解上述术语在本申请中的具体含义。In this application, terms such as "installation", "connection", "connection" and "fixation" should be interpreted in a broad sense, for example, it can be a fixed connection or a detachable connection, unless otherwise clearly specified and limited. , or integrated; it may be mechanically connected or electrically connected; it may be directly connected or indirectly connected through an intermediary, and it may be the internal communication of two components or the interaction relationship between two components, unless otherwise specified limit. Those of ordinary skill in the art can understand the specific meanings of the above terms in this application according to specific situations.
在本申请中,除非另有明确的规定和限定,第一特征在第二特征“上”或“下”可以是第一和第二特征直接接触,或第一和第二特征通过中间媒介间接接触。而且,第一特征在第二特征“之上”、“上方”和“上面”可是第一特征在第二特征正上方或斜上方,或仅仅表示第一特征水平高度高于第二特征。第一特征在第二特征“之下”、“下方”和“下面”可以是第一特征在第二特征正下方或斜下方,或仅仅表示第一特征水平高度小于第二特征。In the present application, unless otherwise clearly specified and limited, a first feature being "on" or "under" a second feature may mean that the first and second features are in direct contact, or that the first and second features are indirect through an intermediary. touch. Moreover, "above", "above" and "above" the first feature on the second feature may mean that the first feature is directly above or obliquely above the second feature, or simply means that the first feature is higher in level than the second feature. "Below", "beneath" and "beneath" the first feature may mean that the first feature is directly below or obliquely below the second feature, or simply means that the first feature is less horizontally than the second feature.
需要说明的是,当元件被称为“固定于”或“设置于”另一个元件,它可以直接在另一个元件上或者也可以存在居中的元件。当一个元件被认为是“连接”另一个元件,它可以是直接连接到另一个元件或者可能同时存在居中元件。本文所使用的术语“垂直的”、“水平的”、“上”、“下”、“左”、“右”以及类似的表述只是为了说明的目的,并不表示是唯一的实施方式。It should be noted that when an element is referred to as being “fixed on” or “disposed on” another element, it may be directly on the other element or there may be an intervening element. When an element is referred to as being "connected to" another element, it can be directly connected to the other element or intervening elements may also be present. As used herein, the terms "vertical", "horizontal", "upper", "lower", "left", "right" and similar expressions are for the purpose of illustration only and are not intended to represent the only embodiment.
参阅图1所示,本申请一实施例提供了一种用于关节组织的修复装置,包括缓冲部100、固定部200,缓冲部100可呈萎缩状态或膨胀状态,所述缓冲部100包含空腔,所述空腔被配置为用于填充充盈物质以使所述缓冲部100呈所述膨胀状态;所述固定部200一端设置在所述缓冲部100上,所述固定部200另一端为自由端用于与目标组织固定;所述固定部200具有变形能力,能够在外力作用下发生形变,以允许所述缓冲部100在因所述固定部200形变而限定出的预定范围内活动。其中,关节组织不限于人体的关节组织或者其他动物的关节组织。As shown in FIG. 1 , an embodiment of the present application provides a repair device for joint tissue, including a buffer part 100 and a fixation part 200. The buffer part 100 can be in a shrinking state or an expanded state. Cavity, the cavity is configured to be filled with a filling material to make the cushioning part 100 in the expanded state; one end of the fixing part 200 is arranged on the buffering part 100, and the other end of the fixing part 200 is The free end is used for fixing with the target tissue; the fixing part 200 has deformability and can be deformed under the action of external force, so as to allow the buffer part 100 to move within a predetermined range defined by the deformation of the fixing part 200 . Wherein, the joint tissue is not limited to the joint tissue of the human body or the joint tissue of other animals.
缓冲部100的萎缩状态表示缓冲部100可以缩小其本身体积,缩小的程度主要取决于输送需求,保证缓冲部100的体积缩小至能够被容纳在输送装置内,被顺利输送至预定位置,缓冲部100呈萎缩状态时的萎缩形状不限,只要满足输送需求即可,例如,输送装置利用输送导管输送缓冲部100时,缓冲部100的萎缩状态便需要与输送导管的管状内腔适配,呈长条状被容纳在输送导管内。The shrinking state of the buffer part 100 means that the buffer part 100 can reduce its own volume. The atrophy shape of 100 in the shrunk state is not limited, as long as it meets the delivery requirements. For example, when the delivery device uses the delivery catheter to deliver the buffer part 100, the atrophied state of the buffer part 100 needs to be adapted to the tubular lumen of the delivery catheter. The strip is contained within the delivery catheter.
相应的,膨胀状态是相对于萎缩状态而言的,缓冲部100的膨胀状态表 示缓冲部100可以扩大其本身体积,扩大的程度主要取决于肩关节的修复需求,保证缓冲部100的体积扩大后能够在肩峰与肱骨头之间形成有效支撑,得以维持、增加肩峰与肱骨头之间的距离,起到治疗的效果,缓冲部100呈膨胀状态时的膨胀形状不限,只要满足在肩峰与肱骨头之间形成有效支撑即可,例如,膨胀状态的缓冲部100为具有一定厚度的囊状结构,所述囊状结构两侧表面具有温柔贴合肌腱、肱骨头、肩峰等肩关节内组织结构的表面形状。Correspondingly, the expanded state is relative to the shrunken state. The expanded state of the cushioning part 100 means that the buffering part 100 can expand its own volume. It can form an effective support between the acromion and the humeral head, maintain and increase the distance between the acromion and the humeral head, and play a therapeutic effect. It is enough to form an effective support between the peak and the humeral head. For example, the cushioning part 100 in the expanded state is a cystic structure with a certain thickness. Surface shape of intra-articular tissue structures.
关节组织可以为肩关节、膝关节等各部位的关节,该修复装置也可以为应用于肩关节治疗的缓冲部100,或者为应用于膝关节或其他关节治疗的缓冲部100,对于缓冲部100的类型、结构形态,可以根据实际使用的关节位置进行设置,对此并不做具体限定。The joint tissue can be joints in various parts such as shoulder joints and knee joints, and the repair device can also be a buffer unit 100 applied to shoulder joint treatment, or a buffer unit 100 applied to knee joints or other joint treatments. For the buffer unit 100 The type and structural form of , can be set according to the joint position actually used, which is not specifically limited.
该固定部200的变形能力表示固定部200可以在受到外力的情况下导致自身的形态发生变化,例如参阅图2至图5所示,固定部200的形态变化可以表现为在受到外力的情况下伸长或缩短,或者表现为在受到外力的情况下结构形状、厚度等发生变化,至于固定部200的形态变化具体如何,需要取决于固定部200实际所受到的外力的具体情况,因此对固定部200的形态变化并不做出具体的限定。而且,固定部200的形态变化可以具备弹性能力,固定部200的形态变化也可以不具备弹性能力,即弹性能力并不是固定部200的变形能力的关键因素,因此,固定部200的这种变形能力所导致的形态变化,只要能够在固定部200受到外力的状态下实现自身的形态变化,满足连接并允许修复装置在关节内随着关节的活动而灵活移动即可。The deformability of the fixed part 200 means that the fixed part 200 can cause its own shape to change when it is subjected to an external force. For example, referring to FIGS. Elongation or shortening, or changes in structural shape, thickness, etc. under the condition of external force, as for the specific shape change of the fixed part 200, it needs to depend on the specific situation of the external force actually received by the fixed part 200, so the fixed The shape change of the part 200 is not specifically limited. Moreover, the shape change of the fixed part 200 may have elastic capacity, or the morphological change of the fixed part 200 may not have elastic capacity, that is, the elastic capacity is not a key factor of the deformability of the fixed part 200. Therefore, this deformation of the fixed part 200 The morphological change caused by the ability should only be able to realize its own morphological change when the fixing part 200 is subjected to external force, satisfy the connection and allow the prosthetic device to move flexibly within the joint along with the movement of the joint.
对于变形能力也同时具备弹性能力而言,固定部200在受到外力的情况下,且自身的形态也发生变化后,固定部200可以根据其自身的变形能力所具备的弹性能力产生对受到的外力的对抗力,该对抗力表现为相对于受到的外力的反向弹性力。例如,固定部200在受到外力的情况下,固定部200会产生反向的弹性力,这种反向的弹性力可以抵抗其受到的外力,且固定部200受到的外力越大,固定部200产生的反向弹性力也会越大,固定部200受到 的外力变小,固定部200产生的反向弹性力也会变小。该固定部200连接缓冲部100时,如果缓冲部100在关节组织内因关节的活动而受到来自于关节某一位置的作用力,该作用力便会传递到固定部200上形成固定部200受到的外力,随之固定部200产生相对于该受到的外力的反向弹性力,该反向弹性力会继续反向施加到缓冲部100上。缓冲部100在随着关节组织的活动而移动的过程中,可以被这种反向弹性力拉回原位,使缓冲部100既能够在关节组织内随着关节活动而灵活移动,但又不脱离原位,该原位即缓冲部100被预先固定的位置。For deformability and elastic ability at the same time, when the fixed part 200 is subjected to an external force and its own shape changes, the fixed part 200 can produce a response to the received external force according to the elastic ability of its own deformability. The resistance force, which is expressed as the reverse elastic force relative to the external force received. For example, when the fixed part 200 is subjected to an external force, the fixed part 200 will generate a reverse elastic force. The larger the reverse elastic force generated, the smaller the external force received by the fixing part 200, and the smaller the reverse elastic force generated by the fixing part 200 will be. When the fixing part 200 is connected to the buffer part 100, if the buffer part 100 receives a force from a certain position of the joint due to the movement of the joint in the joint tissue, the force will be transmitted to the fixing part 200 to form the force received by the fixing part 200. External force, and then the fixing part 200 generates a reverse elastic force relative to the received external force, and the reverse elastic force will continue to be applied to the buffer part 100 in reverse. When the buffer part 100 moves with the movement of the joint tissue, it can be pulled back to its original position by the reverse elastic force, so that the buffer part 100 can move flexibly in the joint tissue with the joint movement, but it does not The original position is the position where the cushioning part 100 is fixed in advance.
对于变形能力不具备弹性能力而言,固定部200可以在受到外力后使自身的形态发生变化,但不产生相对于受到的外力的反向弹性力,如所述固定部为非弹性件且所述固定部具有伸缩能力,例如,所述具有伸缩能力的非弹性固定部可以是通过编织成网状结构,该网状结构经过外力拉伸之后长度可变长。因此,固定部200在受到外力并使自身发生形态变化过程中,对缓冲部100的拉动作用更为平缓,其中,该固定部200的自身形态变化也是具有范围的,也即在固定部200自身形变达到极限后不能够继续发生形态变化。该固定部200连接缓冲部100时,如果缓冲部100在关节组织内因关节的活动而受到来自于关节某一位置的作用力,该作用力便会传递到固定部200上形成固定部200受到的外力,此时,固定部200会因受到的外力发生形态变化,并依旧以平缓的连接状态与缓冲部100形成连接。缓冲部100在随着关节组织的活动而移动的过程中,虽然固定部200没有拉动缓冲部100回到原位的反向弹性力,但是缓冲部100也依旧被固定部200连接,即便缓冲部100的位置发生变化,也不会脱离固定部200因其自身可形变极限而确定的对缓冲部100的活动限制范围,该活动限制范围也是缓冲部100能够活动的范围,进而构成所述固定部200因形变限定出的预定范围。可以理解的是,此时缓冲部100的固定连接其实不仅可以来自于固定部200的连接,还可以来自于缓冲部100与关节组织的相互挤压的固定,这均有助于缓冲部100不过分脱离原位,适应关节的活动,该原位即缓冲部100被预先固定的位置。For deformability without elasticity, the fixed part 200 can change its shape after being subjected to an external force, but does not generate a reverse elastic force relative to the received external force. If the fixed part is a non-elastic member and thus The fixing part has stretchability, for example, the non-elastic fixing part with stretchability can be woven into a net-like structure, and the length of the net-like structure can be extended after being stretched by an external force. Therefore, when the fixing part 200 receives an external force and changes its own shape, the pulling effect on the buffer part 100 is more gentle. Wherein, the shape change of the fixing part 200 itself also has a range, that is, the fixing part 200 itself After the deformation reaches the limit, the shape change cannot continue. When the fixing part 200 is connected to the buffer part 100, if the buffer part 100 receives a force from a certain position of the joint due to the movement of the joint in the joint tissue, the force will be transmitted to the fixing part 200 to form the force received by the fixing part 200. External force, at this time, the fixed part 200 will undergo a shape change due to the external force received, and still form a connection with the buffer part 100 in a gentle connection state. During the movement of the buffer part 100 with the movement of the joint tissue, although the fixed part 200 has no reverse elastic force to pull the buffer part 100 back to its original position, the buffer part 100 is still connected by the fixed part 200, even if the buffer part The position of 100 changes, and it will not deviate from the limited range of movement of the buffer part 100 determined by the fixed part 200 due to its own deformable limit. 200 due to the predetermined range defined by the deformation. It can be understood that at this time, the fixed connection of the buffer part 100 can not only come from the connection of the fixed part 200, but also can come from the mutual pressing and fixing of the buffer part 100 and the joint tissue, which all help the buffer part 100 The original position is adapted to the movement of the joint, and the original position is the pre-fixed position of the cushioning part 100 .
变形能力不具备弹性能力的固定部200,可以基于对固定部200的制作材料的特性而确定,也可以基于固定部200的制作结构而确定,或者基于固定部200的制作材料和制作结构共同而确定固定部200具有伸缩功能。例如,固定部200可以在其自身上至少一部分形成为网状结构,该部分网状结构可以为柱形网或片状网,网状结构可以在材料的选择上消除或降低弹性能力,即便具备弹性能力也非常小,以至于可以忽略不计。当非弹性材料构成网状结构时,网状结构因其结构上具备间隙或孔隙的特点,便可以在受到外力后发生形态变化,具体的变化表现为网状结构具备的间隙或孔隙的大小、形状发生微观的变化,利用网状结构的间隙或孔隙的变化,宏观上便可以导致网状结构整体发生形态的变化。网状结构在固定部200上的占比将导致固定部200的实际变形能力,即网状结构在固定部200上的占比越大,固定部200的变形能力则越大,网状结构在固定部200上的占比变小,固定部200的变形能力则变小,甚至当固定部200整体均成网状结构时,固定部200的变形能力将达到客观上的最大化。基于这种由网状结构构成的柱形网或片状网,在柱形网的直径较小、或片状网的厚度较小时,柱形网或片状网完全可以当作连接线或连接带来固定缓冲部100,并起到良好的连接效果。The fixing part 200 that deformability does not have elastic ability can be determined based on the characteristics of the material of the fixing part 200, can also be determined based on the manufacturing structure of the fixing part 200, or can be determined based on both the manufacturing material and the manufacturing structure of the fixing part 200. It is determined that the fixing part 200 has a telescoping function. For example, at least a part of the fixing part 200 can be formed as a mesh structure, and this part of the mesh structure can be a columnar mesh or a sheet mesh. The mesh structure can eliminate or reduce the elastic capacity in the selection of materials, even if it has Elasticity is also so small that it can be ignored. When the non-elastic material forms a network structure, the network structure can change its shape after being subjected to external force due to the characteristics of gaps or pores in the structure. The specific changes are expressed in the size of the gaps or pores in the network structure, The shape changes microscopically, and the changes in the gaps or pores of the network structure can lead to changes in the overall shape of the network structure macroscopically. The proportion of the mesh structure on the fixing part 200 will lead to the actual deformability of the fixing part 200, that is, the larger the ratio of the mesh structure on the fixing part 200, the greater the deformability of the fixing part 200. As the proportion of the fixing part 200 becomes smaller, the deformability of the fixing part 200 becomes smaller. Even when the whole fixing part 200 has a net-like structure, the deformability of the fixing part 200 will be objectively maximized. Based on this cylindrical net or sheet net composed of a mesh structure, when the diameter of the cylindrical net is small, or the thickness of the sheet net is small, the cylindrical net or sheet net can be used as a connecting line or a connecting line. Bring to fix the buffer part 100, and play a good connection effect.
对于不具备弹性能力的变形能力,可以通过特有的测试方式来定义,例如,在固定部200的一端被约束的状态下,在相同外力作用下固定部200的形态变化量来表征该固定部200的变形能力。能够更直观观察固定部200的形态变化量的可以为固定部200为线状或带状时,在固定部200的一端被约束的状态下,对固定部200另一端施加拉力,在相同拉力作用下固定部200的长度变化量可以表征该固定部200的变形能力,当长度变化量越大则其表征的变形能力则越大,反之长度变化量越小则其表征的变形能力则越小。因此,在相同外力作用下,固定部200的形态变化量越大,则表明固定部200越易于被牵拉变形,同时也表明其对缓冲部100施加的活动限制范围越大。For the deformation ability without elastic ability, it can be defined by a unique test method, for example, in the state where one end of the fixed part 200 is constrained, the amount of shape change of the fixed part 200 under the same external force can characterize the fixed part 200 deformation ability. It is possible to more intuitively observe the morphological change of the fixed part 200. When the fixed part 200 is in the shape of a line or a belt, in the state where one end of the fixed part 200 is constrained, a pulling force is applied to the other end of the fixed part 200, and the same pulling force acts The change in length of the lower fixing part 200 can represent the deformability of the fixing part 200 , the greater the change in length, the greater the deformability represented, and the smaller the change in length, the smaller the deformability represented. Therefore, under the same external force, a greater amount of shape change of the fixing part 200 indicates that the fixing part 200 is more likely to be pulled and deformed, and it also indicates a larger range of movement restriction imposed on the buffer part 100 .
固定部200可以根据需求选择具备弹性能力的变形能力,也可以选择不具备弹性能力的变形能力,例如,当固定部200选择具备弹性能力的变形能 力时,所述固定部200可以采用为弹性件,弹性件能够在外力作用下发生弹性形变,弹性件的形式有很多种,例如,所述弹性件可以采用为具备弹性能力的弹性线或弹性带,弹性件的本身材质可以选取任意具备弹性能力的材质,构成弹性件后将其结构形式设置为弹性线或弹性带,弹性线或弹性带均具备占用空间小的特点,当弹性线或弹性带随缓冲部100植入关节组织的过程中,不仅可以顺利的收纳在输送缓冲部100的输送装置内,而且当弹性线或弹性带植入到人体肩关节以后,可以在肩关节的组织内占用极小的空间,降低人体对其产生的不适,也能够在缓冲部100的活动中以极小的变动状态连接缓冲部100,防止缓冲部100脱离原位。而除此之外,弹性件也可以采用其他结构形式,如片状等,只要能够满足对缓冲部100的连接,允许缓冲部100在限制范围内活动,并保持对缓冲部100的连接即可,弹性件的实际结构形式并不是影响缓冲部100稳定连接的关键因素。The fixing part 200 can choose to have the deformation ability with elastic ability according to the demand, and also can choose the deformation ability without elastic ability. , the elastic member can be elastically deformed under the action of an external force. There are many forms of the elastic member. For example, the elastic member can be used as an elastic thread or elastic belt with elastic ability. The material of the elastic member can be selected to have any elastic ability. After the elastic part is formed, its structural form is set as an elastic thread or an elastic belt. Both the elastic thread or the elastic belt have the characteristics of taking up little space. When the elastic thread or the elastic belt is implanted into the joint tissue along with the buffer part 100 Not only can it be smoothly stored in the delivery device of the delivery buffer 100, but also when the elastic wire or elastic belt is implanted into the shoulder joint of the human body, it can occupy a very small space in the tissue of the shoulder joint, reducing the discomfort caused by the human body , it is also possible to connect the buffer part 100 with a very small fluctuation state during the movement of the buffer part 100, so as to prevent the buffer part 100 from deviating from its original position. In addition, the elastic member can also adopt other structural forms, such as a sheet, as long as it can meet the connection to the buffer part 100, allow the buffer part 100 to move within a limited range, and keep the connection to the buffer part 100. However, the actual structural form of the elastic member is not a key factor affecting the stable connection of the buffer part 100 .
所述缓冲部100为缓冲部100,所述弹性线的一端与所述缓冲部100的表面连接,另一端用于连接肱骨头或肩峰。缓冲部100为应用于肩关节的缓冲部100结构,缓冲部100为可扩张收缩的结构,一般缓冲部100在扩张的状态下能够形成符合肩关节内部组织空间填充与贴合,缓冲部100的扩张状态可以通过填充润滑液实现,润滑液一般为生理盐水,缓冲部100中的生理盐水一方面可以起到支撑作用,润滑液将缓冲部100撑起以限定出缓冲部100的外形。另一方面也由于生理盐水的生物特性与人体体液相近,可保证缓冲部100植入到肩关节的组织内后,缓冲部100的内外具备相同的渗透压,防止缓冲部100破裂,且避免缓冲部100破裂后发生人体排斥。The buffer part 100 is a buffer part 100, one end of the elastic wire is connected to the surface of the buffer part 100, and the other end is used to connect to the humeral head or acromion. The buffer part 100 is a structure of the buffer part 100 applied to the shoulder joint. The buffer part 100 is an expandable and contractible structure. Generally, the buffer part 100 can form a structure that meets the internal tissue space filling and fit of the shoulder joint in an expanded state. The expanded state can be realized by filling lubricating fluid, which is generally physiological saline, and the physiological saline in the buffer part 100 can play a supporting role on the one hand, and the lubricating fluid props up the buffer part 100 to define the shape of the buffer part 100 . On the other hand, because the biological characteristics of physiological saline are similar to those of human body fluids, it can be ensured that after the cushioning part 100 is implanted in the tissue of the shoulder joint, the inside and outside of the cushioning part 100 have the same osmotic pressure, preventing the buffering part 100 from breaking and avoiding the shock of the buffer. Body rejection occurs following rupture of the portion 100 .
缓冲部100被植入到肩关节的组织内后,可以设置在肱骨头与肩峰之间,缓冲部100的植入能够维持、增加肩峰与肱骨头之间的距离,并在肱骨头与肌腱的断裂面之间起到“杠杆”的作用,防止受损肩袖与肩峰的骨性结构发生撞击,以此增加盂肱关节的稳定性、降低肩峰的下压力,以达到缓解疼痛的目的,而且可以减少肱骨头上移,增加肩-肱距离,增加肩关节的外展力臂,改善肩关节的活动能力。After the cushioning part 100 is implanted into the tissue of the shoulder joint, it can be placed between the humeral head and the acromion. The implantation of the buffering part 100 can maintain and increase the distance between the acromion and the humeral head, and maintain the distance between the humeral head and the tendon. The fracture surface of the rotator cuff acts as a "lever" to prevent the impact of the damaged rotator cuff and the bony structure of the acromion, so as to increase the stability of the glenohumeral joint and reduce the downward pressure of the acromion, so as to relieve pain. Purpose, and can reduce the upward movement of the humeral head, increase the shoulder-humeral distance, increase the abduction arm of the shoulder joint, and improve the mobility of the shoulder joint.
所以,缓冲部100与固定部200一同被植入到肩关节的组织内后,所述弹性线的一端与所述缓冲部100连接,另一端可以用来连接肱骨头或肩峰,如在肱骨头上打孔连接或铆钉连接等方式。缓冲部100被固定在肩关节的组织中后,随着肩关节的活动,缓冲部100也会自适应关节的活动状态发生相应的活动,此时缓冲部100会受到来自于关节内某一位置的作用力,该作用力会传递到固定部200上形成固定部200受到的外力,随之固定部200产生相对于该受到的外力的反向弹性力,该反向弹性力会继续反向施加到缓冲部100上,缓冲部100可以被这种反向弹性力拉回原位,使缓冲部100既能够在关节组织内随着关节活动而灵活移动,但又不脱离原位,基于这种为缓冲部100提供的具有限制范围的灵活运动,便可以减少缓冲部100与肩关节内肩峰、肱骨头等位置的摩擦,提高缓冲部100的使用寿命。不限于应用肩关节内的缓冲部100,对于应用于其他关节的缓冲部100而言也具备同样的技术效果。Therefore, after the buffering part 100 and the fixing part 200 are implanted into the tissue of the shoulder joint, one end of the elastic wire is connected to the buffering part 100, and the other end can be used to connect the humeral head or acromion, such as in the humerus Head punching connection or rivet connection and so on. After the cushioning part 100 is fixed in the tissue of the shoulder joint, along with the movement of the shoulder joint, the cushioning part 100 will also adapt to the activity state of the joint and take place corresponding activities. The force will be transmitted to the fixed part 200 to form the external force received by the fixed part 200, and then the fixed part 200 will generate a reverse elastic force relative to the received external force, and the reverse elastic force will continue to be applied in the opposite direction On the buffer part 100, the buffer part 100 can be pulled back to its original position by this reverse elastic force, so that the buffer part 100 can move flexibly in the joint tissue with the joint movement, but it does not leave its original position. Based on this The limited flexible movement provided for the buffer part 100 can reduce the friction between the buffer part 100 and the inner acromion of the shoulder joint, humeral head, etc., and improve the service life of the buffer part 100 . The application is not limited to the cushioning part 100 in the shoulder joint, but also has the same technical effect for the cushioning part 100 applied to other joints.
对于缓冲部100和固定部200的材质,所述缓冲部100的材质可以为聚乙烯PE、聚酯PET(聚对苯二甲酸乙二醇酯)、聚四氟乙烯PTFE、聚丙烯PP、聚酰胺PA、镍钛合金或不锈钢,例如,缓冲部100的材质采用超高分子量聚乙烯,超高分子量聚乙烯具备良好的耐磨性,能够保证缓冲部100具备良好的耐磨效果,使用寿命更长,具体的,缓冲部100可以采用由超高分子量聚乙烯制备的丝线编织形成。所述固定部200的材质可以为超高分子量聚乙烯、聚氨酯、聚对苯二甲酸乙二醇酯、热塑性橡胶或热塑性硫化橡胶。Regarding the material of the buffer part 100 and the fixing part 200, the material of the buffer part 100 can be polyethylene PE, polyester PET (polyethylene terephthalate), polytetrafluoroethylene PTFE, polypropylene PP, polypropylene Amide PA, nickel-titanium alloy or stainless steel, for example, the buffer part 100 is made of ultra-high molecular weight polyethylene, and the ultra-high molecular weight polyethylene has good wear resistance, which can ensure that the buffer part 100 has good wear resistance and has a longer service life. Specifically, the cushioning part 100 may be formed by weaving silk threads made of ultra-high molecular weight polyethylene. The material of the fixing part 200 may be ultra-high molecular weight polyethylene, polyurethane, polyethylene terephthalate, thermoplastic rubber or thermoplastic vulcanized rubber.
参阅图1至图10所示,在一个实施例中,所述缓冲部100包含囊体101、囊体外套102,所述囊体101的表面通过编织线编织构成所述囊体外套102。所述囊体外套102包含内空间,所述囊体101设置于所述内空间,所述固定部200设置在所述囊体外套102的表面,所述囊体101和囊体外套102之间具有一活动空间,以允许所述缓冲部100在该活动空间内运动,即所述囊体101在囊体外套102里处于可活动的状态,使得缓冲部100能根据肩峰和肱骨的相互作用状态在有限的活动空间内能自我调整位置,起到灵活缓冲的效 果。或者,所述囊体外套102固定于所述囊体101的表面,且所述固定部200设置在所述囊体外套102的表面。或者,所述缓冲部100包含囊体101、囊体外套102,所述固定部200设置在所述囊体101的表面,所述囊体101的表面通过静电喷涂构成所述囊体外套102。Referring to FIGS. 1 to 10 , in one embodiment, the cushioning part 100 includes a bladder 101 and a bladder cover 102 , and the surface of the bladder 101 is braided to form the bladder cover 102 . The capsule casing 102 includes an inner space, the capsule body 101 is disposed in the interior space, the fixing part 200 is disposed on the surface of the capsule casing 102, and between the capsule body 101 and the capsule casing 102 There is an active space to allow the cushioning part 100 to move in the active space, that is, the capsule 101 is in a movable state in the capsule jacket 102, so that the cushioning part 100 can move according to the interaction between the acromion and the humerus. The state can self-adjust its position in a limited activity space, which has the effect of flexible buffering. Alternatively, the capsule casing 102 is fixed on the surface of the capsule body 101 , and the fixing part 200 is disposed on the surface of the capsule casing 102 . Alternatively, the cushioning part 100 includes a capsule body 101 and a capsule casing 102 , the fixing part 200 is disposed on the surface of the capsule body 101 , and the surface of the capsule body 101 constitutes the capsule casing 102 by electrostatic spraying.
囊体外套102固定套设在缓冲部100外可以理解为囊体外套102是形成在缓冲部100的表面的涂层外套,该涂层外套是严格按照缓冲部100表面的轮廓形成的,并与缓冲部100表面形成紧密、完整的贴合,例如所述缓冲部100的表面上通过静电喷涂构成所述囊体外套102,经过静电喷涂的囊体外套102便是紧密、完整贴合在缓冲部100表面的涂层。Capsule cover 102 is fixedly sleeved outside the buffer part 100. It can be understood that the capsule cover 102 is a coating coat formed on the surface of the buffer part 100. The coating coat is formed strictly according to the contour of the buffer part 100 surface, and is compatible The surface of the buffer part 100 forms a tight and complete fit. For example, the surface of the buffer part 100 is electrostatically sprayed to form the capsule cover 102, and the electrostatically sprayed capsule cover 102 is tightly and completely attached to the buffer part. 100 surface coating.
除此之外,囊体外套102也可以为能够独立自支撑的结构,即并不一定需要依附于缓冲部100的表面才能够形成囊体外套102,而是类似于套状结构一样,套在缓冲部100的表面外,并至少一部分或全部地与缓冲部100的表面形成连接,一种方式是可以在所述缓冲部100的表面上通过编织线编织构成所述囊体外套102,编织的方式可以将囊体外套102的全部面积与缓冲部100的表面一比一的连接,或连接囊体外套102与缓冲部100的多个关键区域或关键点,从而使囊体外套102也能够稳定的固定套设在缓冲部100的表面,形成类似于一体的结构。In addition, the capsule cover 102 can also be an independent self-supporting structure, that is, it does not necessarily need to be attached to the surface of the cushioning part 100 to form the capsule cover 102, but is similar to a sleeve-like structure, which is set on The outer surface of the cushioning part 100, and at least a part or all of it forms a connection with the surface of the buffering part 100. One way is to weave the bladder cover 102 on the surface of the buffering part 100 by braiding wires. The braided The method can connect the entire area of the capsule cover 102 with the surface of the cushioning part 100 one-to-one, or connect multiple key areas or key points between the capsule cover 102 and the cushioning part 100, so that the capsule cover 102 can also be stabilized. The fixed sleeve is arranged on the surface of the buffer part 100 to form a structure similar to an integral body.
缓冲部100和囊体外套102可以均采用编织的形式形成,编织的形式可以为缓冲部100和囊体外套102单独编织,然后将囊体外套102套在缓冲部100的表面,并使囊体外套102的全部面积与缓冲部100的表面一比一的连接,或连接囊体外套102与缓冲部100的多个关键区域或关键点,除此之外也可以将所述缓冲部100和所述囊体外套102通过编织线一体编织成型,一体成型的编织方式提供了囊体外套102与缓冲部100之间的更加稳定的连接,可以将固定部200与囊体外套102通过编织线一体编织成型,一体成型的编织方式也提供了固定部200与囊体外套102之间的更加稳定的连接,同样也可以将缓冲部100、固定部200和囊体外套102三者一体编织成型,以提供缓冲部100、固定部200和囊体外套102三者之间的更加稳定的连接。The cushioning part 100 and the bladder cover 102 can all be formed by weaving, and the braiding form can be that the buffering part 100 and the bladder cover 102 are woven separately, and then the bladder cover 102 is sheathed on the surface of the buffering part 100, and the bladder The entire area of the jacket 102 is connected one-to-one with the surface of the cushioning part 100, or connects multiple key areas or key points between the capsule jacket 102 and the buffering part 100. In addition, the buffering part 100 and the cushioning part 100 can be connected The bladder cover 102 is integrally braided and formed by braiding wires. The integrated weaving method provides a more stable connection between the bladder cover 102 and the cushioning part 100, and the fixing part 200 and the bladder cover 102 can be integrally braided by braiding wires. Forming, the integrally formed weaving method also provides a more stable connection between the fixed part 200 and the capsule cover 102, and the cushioning part 100, the fixed part 200 and the capsule cover 102 can also be integrally woven and formed to provide A more stable connection among the cushioning part 100 , the fixing part 200 and the capsule cover 102 .
对于囊体外套102的材质,所述囊体外套102的材质可以为超高分子量聚乙烯或钛合金,由于囊体外套102在缓冲部100外,所以当囊体外套102的材质为超高分子量聚乙烯或钛合金时,囊体外套102便相当于修复装置的外层,进而使修复装置具备良好的耐磨性,此时修复装置的耐磨性就不再取决于缓冲部100,可以允许缓冲部100采用其他非具备良好耐磨性的材质,例如成本更低,只要能够满足充盈而非具备良好耐磨性的材质。而无论是囊体外套102在外还是缓冲部100本身在外,其力学性能上都需要具有良好的断裂强度,如抗拉(断裂)能力在100N以上,耐磨损性能需要可承受至少500万次摩擦,表面粗糙度要求光滑,以降低其与相邻骨结构之间的摩擦造成的磨损。For the material of the capsule body cover 102, the material of the capsule body cover 102 can be ultra-high molecular weight polyethylene or titanium alloy. In the case of polyethylene or titanium alloy, the outer layer of the capsule body 102 is equivalent to the outer layer of the repair device, so that the repair device has good wear resistance. At this time, the wear resistance of the repair device no longer depends on the buffer part 100, which can allow The cushioning portion 100 is made of other materials that do not have good wear resistance, such as lower cost, as long as they can satisfy filling and not materials with good wear resistance. Regardless of whether the capsule jacket 102 is outside or the cushioning portion 100 itself is outside, its mechanical properties need to have good breaking strength, such as tensile (breaking) capacity above 100N, and wear resistance needs to be able to withstand at least 5 million times of friction , the surface roughness requires smoothness to reduce wear caused by friction between it and adjacent bone structures.
本申请还提供了一种假体系统,包括所述修复装置,假体系统还包括输送装置,输送装置与所述修复装置连接,用于输送所述修复装置。输送装置的作用在于将修复装置顺利的输送到关节组织的组织内,实现对修复装置的植入,例如对于肩关节来说,修复装置可以顺利植入到肩关节的组织内,对于膝关节来说,修复装置可以顺利植入到膝关节的组织内。输送装置可以采用现有的装置结构,在此不做限定。The present application also provides a prosthesis system, including the prosthetic device, and the prosthesis system further includes a delivery device connected to the prosthetic device for transporting the prosthetic device. The function of the delivery device is to smoothly transport the repair device into the tissue of the joint tissue to realize the implantation of the repair device. For example, for the shoulder joint, the repair device can be smoothly implanted into the tissue of the shoulder joint, and for the knee joint. Said that the prosthetic device can be successfully implanted in the tissue of the knee joint. The conveying device can adopt an existing device structure, which is not limited here.
以上所述实施例的各技术特征可以进行任意的组合,为使描述简洁,未对上述实施例中的各个技术特征所有可能的组合都进行描述,然而,只要这些技术特征的组合不存在矛盾,都应当认为是本说明书记载的范围。The technical features of the above-mentioned embodiments can be combined arbitrarily. To make the description concise, all possible combinations of the technical features in the above-mentioned embodiments are not described. However, as long as there is no contradiction in the combination of these technical features, should be considered as within the scope of this specification.
以上所述实施例仅表达了本申请的几种实施方式,其描述较为具体和详细,但并不能因此而理解为对发明专利范围的限制。应当指出的是,对于本领域的普通技术人员来说,在不脱离本申请构思的前提下,还可以做出若干变形和改进,这些都属于本申请的保护范围。因此,本申请专利的保护范围应以所附权利要求为准。The above-mentioned embodiments only represent several implementation modes of the present application, and the description thereof is relatively specific and detailed, but it should not be construed as limiting the scope of the patent for the invention. It should be noted that those skilled in the art can make several modifications and improvements without departing from the concept of the present application, and these all belong to the protection scope of the present application. Therefore, the scope of protection of the patent application should be based on the appended claims.

Claims (15)

  1. 一种用于关节组织的修复装置,其特征在于,包括:A repair device for joint tissue, characterized in that it comprises:
    缓冲部,可呈萎缩状态或膨胀状态,所述缓冲部包含空腔,所述空腔被配置为用于填充充盈物质以使所述缓冲部呈所述膨胀状态;及a cushion, which may be in a deflated state or an expanded state, said cushion comprising a cavity configured for filling with an inflation substance to bring said cushion into said expanded state; and
    固定部,所述固定部一端设置在所述缓冲部上,另一端为自由端用于与目标组织固定;所述固定部具有变形能力,能够在外力作用下发生形变,以允许所述缓冲部在因所述固定部形变而限定出的预定范围内活动。A fixing part, one end of the fixing part is arranged on the buffer part, and the other end is a free end for fixing with the target tissue; the fixing part has deformability and can be deformed under the action of an external force to allow the buffer part It moves within a predetermined range defined by the deformation of the fixing part.
  2. 根据权利要求1所述的用于关节组织的修复装置,其特征在于,所述固定部包含弹性件,所述弹性件能够在外力作用下发生弹性形变。The device for repairing joint tissue according to claim 1, wherein the fixing part includes an elastic member, and the elastic member can be elastically deformed under the action of an external force.
  3. 根据权利要求2所述的用于关节组织的修复装置,其特征在于,所述弹性件包含至少一根弹性线。The device for repairing joint tissue according to claim 2, wherein the elastic member comprises at least one elastic wire.
  4. 根据权利要求2所述的用于关节组织的修复装置,其特征在于,所述弹性件包含至少一条弹性带。The device for repairing joint tissue according to claim 2, wherein the elastic member comprises at least one elastic band.
  5. 根据权利要求1所述的用于关节组织的修复装置,其特征在于,所述固定部为非弹性件且所述固定部具有伸缩能力。The device for repairing joint tissue according to claim 1, wherein the fixing part is a non-elastic member, and the fixing part has the ability of stretching and contracting.
  6. 根据权利要求1所述的用于关节组织的修复装置,其特征在于,所述缓冲部的材质为聚乙烯、聚酯、聚四氟乙烯、聚丙烯、聚酰胺、镍钛合金或不锈钢。The device for repairing joint tissue according to claim 1, wherein the material of the cushioning part is polyethylene, polyester, polytetrafluoroethylene, polypropylene, polyamide, nickel-titanium alloy or stainless steel.
  7. 根据权利要求1所述的用于关节组织的修复装置,其特征在于,所述固定部的材质为超高分子量聚乙烯、聚氨酯、聚对苯二甲酸乙二醇酯、热塑性橡胶或热塑性硫化橡胶。The device for repairing joint tissue according to claim 1, wherein the material of the fixing part is ultra-high molecular weight polyethylene, polyurethane, polyethylene terephthalate, thermoplastic rubber or thermoplastic vulcanizate.
  8. 根据权利要求1-7中任一项所述的用于关节组织的修复装置,其特征在于,所述缓冲部包含囊体及囊体外套,所述囊体的表面通过编织线编织构成所述囊体外套。The device for repairing joint tissue according to any one of claims 1-7, characterized in that, the cushioning part comprises a capsule and a capsule cover, and the surface of the capsule is braided to form the Capsular coat.
  9. 根据权利要求8所述的用于关节组织的修复装置,其特征在于,所述囊体外套包含内空间,所述囊体设置于所述内空间,所述固定部设置在所述囊体外套的表面,所述囊体和囊体外套之间具有活动空间,以允许所述缓冲 部在该活动空间内运动。The repair device for joint tissue according to claim 8, characterized in that, the capsule casing includes an inner space, the capsule is arranged in the inner space, and the fixing part is arranged in the capsule casing There is an active space between the capsule body and the outer shell of the capsule body to allow the buffer part to move in the active space.
  10. 根据权利要求8所述的用于关节组织的修复装置,其特征在于,所述囊体外套固定于所述囊体的表面。The device for repairing joint tissue according to claim 8, wherein the outer covering of the capsule is fixed on the surface of the capsule.
  11. 根据权利要求10所述的用于关节组织的修复装置,其特征在于,所述固定部设置在所述囊体外套的表面。The device for repairing joint tissue according to claim 10, wherein the fixing part is arranged on the surface of the outer capsule.
  12. 根据权利要求8所述的用于关节组织的修复装置,其特征在于,所述囊体和所述囊体外套通过编织线一体编织成型。The device for repairing joint tissue according to claim 8, characterized in that, the capsule body and the capsule casing are integrally braided and formed by braiding wires.
  13. 根据权利要求8所述的用于关节组织的修复装置,其特征在于,所述固定部与所述囊体外套通过编织线一体编织成型。The device for repairing joint tissue according to claim 8, characterized in that, the fixation part and the capsule sheath are formed integrally by braiding wires.
  14. 根据权利要求1-7中任一项所述的用于关节组织的修复装置,其特征在于,所述缓冲部包含囊体以及囊体外套,所述固定部设置在所述囊体的表面。The device for repairing joint tissue according to any one of claims 1-7, characterized in that, the cushioning part includes a capsule and a capsule casing, and the fixing part is arranged on the surface of the capsule.
  15. 根据权利要求14所述的用于关节组织的修复装置,其特征在于,所述囊体的表面通过静电喷涂形成所述囊体外套。The device for repairing joint tissue according to claim 14, characterized in that, the surface of the capsule is electrostatically sprayed to form the casing of the capsule.
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CN113749817A (en) * 2021-09-01 2021-12-07 上海竞捷医疗科技有限公司 Prosthesis protection device and rotator cuff prosthesis system
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CN112545709A (en) * 2020-12-21 2021-03-26 中山大学附属第三医院 Balloon for treating rotator cuff injury
CN112702978A (en) * 2019-02-13 2021-04-23 约瑟夫·A·阿布德 Joint spacer
CN113749818A (en) * 2021-09-01 2021-12-07 上海竞捷医疗科技有限公司 Prosthetic device for joint tissue

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