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PT80340B - Malha utilizada em intervencoes cirurgicas - Google Patents

Malha utilizada em intervencoes cirurgicas Download PDF

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Publication number
PT80340B
PT80340B PT80340A PT8034085A PT80340B PT 80340 B PT80340 B PT 80340B PT 80340 A PT80340 A PT 80340A PT 8034085 A PT8034085 A PT 8034085A PT 80340 B PT80340 B PT 80340B
Authority
PT
Portugal
Prior art keywords
woven
filaments
yarn
denier
mesh
Prior art date
Application number
PT80340A
Other languages
English (en)
Other versions
PT80340A (en
Inventor
Barry Lee Dumican
Alan Lawrence Kaganov
Thomas Alexander Ritter
Original Assignee
American Cyanamid Co
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by American Cyanamid Co filed Critical American Cyanamid Co
Publication of PT80340A publication Critical patent/PT80340A/pt
Publication of PT80340B publication Critical patent/PT80340B/pt

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00—Bandages or dressings; Absorbent pads
    • D—TEXTILES; PAPER
    • D04—BRAIDING; LACE-MAKING; KNITTING; TRIMMINGS; NON-WOVEN FABRICS
    • D04B—KNITTING
    • D04B21/00—Warp knitting processes for the production of fabrics or articles not dependent on the use of particular machines; Fabrics or articles defined by such processes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/0063—Implantable repair or support meshes, e.g. hernia meshes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L27/00—Materials for grafts or prostheses or for coating grafts or prostheses
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
    • A61L31/04—Macromolecular materials
    • A61L31/041—Mixtures of macromolecular compounds
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
    • A61L31/04—Macromolecular materials
    • A61L31/06—Macromolecular materials obtained otherwise than by reactions only involving carbon-to-carbon unsaturated bonds
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
    • A61L31/14—Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
    • A61L31/148—Materials at least partially resorbable by the body
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B29—WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
    • B29D—PRODUCING PARTICULAR ARTICLES FROM PLASTICS OR FROM SUBSTANCES IN A PLASTIC STATE
    • B29D5/00—Producing elements of slide fasteners; Combined making and attaching of elements of slide fasteners
    • B29D5/04—Producing elements of slide fasteners; Combined making and attaching of elements of slide fasteners the interlocking members being formed by continuous meander of filamentary material
    • D—TEXTILES; PAPER
    • D04—BRAIDING; LACE-MAKING; KNITTING; TRIMMINGS; NON-WOVEN FABRICS
    • D04B—KNITTING
    • D04B21/00—Warp knitting processes for the production of fabrics or articles not dependent on the use of particular machines; Fabrics or articles defined by such processes
    • D04B21/10—Open-work fabrics
    • D04B21/12—Open-work fabrics characterised by thread material
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2210/00—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2210/0004—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof bioabsorbable
    • D—TEXTILES; PAPER
    • D10—INDEXING SCHEME ASSOCIATED WITH SUBLASSES OF SECTION D, RELATING TO TEXTILES
    • D10B—INDEXING SCHEME ASSOCIATED WITH SUBLASSES OF SECTION D, RELATING TO TEXTILES
    • D10B2509/00—Medical; Hygiene
    • D10B2509/08—Hernia repair mesh
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10S425/00—Plastic article or earthenware shaping or treating: apparatus
    • Y10S425/814—Zipper
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
    • Y10T29/00—Metal working
    • Y10T29/51—Plural diverse manufacturing apparatus including means for metal shaping or assembling
    • Y10T29/5101—Slide fastener or slide fastener element
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
    • Y10T29/00—Metal working
    • Y10T29/53—Means to assemble or disassemble
    • Y10T29/53291—Slide fastener
    • Y10T29/53304—Means to assemble teeth onto stringer

Landscapes

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

Description

Descrição pormenorizada
0 material do invento pode ser quer um tecido entretecido ou tecido. 0 tecido tem um peso médio.
Um material deste invento, descrito de um modo mais completo no Exemplo 1, é uma malha entretecida estirável. A malha pode ser manufacturado numa máquina de tricô de calibre 14 ou, alternativamente, numa máquina de urdir "Paschel" de calibre 28, utilizando-se uma constru ção de 2 barras. Em qualquer uma destas máquinas, a malha não é fixada por acção do calor.
0 fio utilizado na tricotagem da malha
pode estar entre cerca de 150 a 600 denier, com 1 a 5 voltas por polegada de torcedura. De preferencia, a malha
tem uma construção de ponto cerrado para não desfiar.
A uti 1 idade deste material é, principalmente, na área de reparo do orgão. Especificamente este tecido pode ser mais útil no reparo de orgãos deliçados,por exemplo, o baço, o figado, ou o rim. Este material também
pode ser útil no reparo do pancreas. Por fim, a utilidade
k
deste material é como uma ligadura de superficie do orgão durante a cura interna do orgão. Contudo, este material também pode ser utilizado como uma ligadura de retracção para outros fins, por exemplo, como uma ligadura de retracção durante a terapia de irradiação.
Um outro material descrito nos exemplos a e 3 é uma malha entretecida semi-estirável. Pode ser entretecida numa mãquina de tricô de calibre 28, utilizando-se uma construção de 1 barra. A malha pode ser entretecida a partir de um fio que tem cerca de 30 a 100 denier.
A utilidade desta malha entretecida semi-estirável é no reparo da parede abdominal, no reparo de hérnias ou na cirurgia oral como um suporte temporário ou como um material para acondicionar a fim de estimular o desenvolvimento interno do tecido.
Um outro material deste invento, o qual é descrito de um modo mais completo, nos exemplos 4 e 5, tami bem é um material entretecido. 0 material é fixado por accão do calor sem estiramento e ê estabilizado. A fixação ao c£' lor pode ser feito numa armação de um estirador. 0 material
> pode ser manufacturado numa mãquina de tricô de calibre 24 ou
numa máquina "Raschel" de calibre 48, utilizando-se uma con^t trução de 2 barras.
0 material pode ser de cerca de75 até
250 denier com cerca de 1/4 a 5 voltas por polegada. De
preferencia, o material também é manufacturado utilizando-se
um ponto de cadeia por questões de estabilidade.
A utilidade deste material pode ser no
reparo da parede abdominal. Outros empregos podem ser no
reparo de desarranjos do diafragma. Ainda outras utilizações
podem ser como um suporte rectal no prolapso reconente. Por
fim, o tecido pode ser útil no amolecimento da traqueia.
Ainda, um outro tecido deste invento descrito nos exemplos 6 e 7, ê um tecimento. 0 tecimento ê estabilizado. 0 tecido é manufacturado num tear.
0 produto é feito a partir de fios de entre cerca de 150 a 350 denier. 0 fio de urdidura tem entre cerca de 4 a 10 voltas por polegada de trança e o fio de trama tem entre cerca de 1/4 a 5 voltas por polegada de trança. 0 tecimento pode ser liso ou pode ter outras configurações, por exemplo, entrançado ou acetinado, por fim, o
tecido tecido tem uma porisidade â água de cerca de zero 2
até 1000 ml/min/cm a 120 mm de mercúrio.
São contemplados por este invento exemplos de tecidos ou de malha tipicos conforme se segue:
EXemplo 1
Tricô de calibre 14 (14 agulhas) polegada
Este exemplo é uma malha tricotada, a qual não foi nem estirada nem fixada ao calor:
A) Modelo da linha métrica:
Barra dianteira: (2/0 2/4) χ 2,(4/6 4/2) χ 2
Barra traseira : (4/6 4/2) χ 2,(2/0 2/4) χ 2
B) Descrição do fio:
3 fios simples, 110 den./50 fil. de ácido poliglicólico (Homopolímero)
C) Peso do tecido:
5,0 até 7,5 onças/jarda quadrada
D) Qualidade do tecido:
16 polegadas (por 480 carreiras)
Exemplo 2
Tricô de calibre 28 (28 agulhas)polegada
Este exemplo de copolimero de uma malha entretecida apertada de copolimero de glicolido e lactidp da técnica de especialidade anterior foi quer estirada quer fixada ao calor. Além disso, a malha entretecida foi pre-pressionada, ou seja, estirada antes de fixada ao calor.
A) Modelo da linha métrica:
Barra dianteira: 1/0 1/2
Barra traseira: nenhuma
B) Descrição do fio:
62 den. /28 fil de ácido poliglicolico (homopolimero)
C) Peso do material:
1,00 até 2,75 onças/jarda quadrada
D) Qualidade do material:
8 polegadas/por 480 carreiras
Exemplo 4
Tricô "Raschel" polegada
de calibre 48 ou tricô de calibre 24(24
agulhí.s)
Este invento descreve um material tricotado, o qual foi fixado, ao calor mas não foi estirado.
A) Modelo da linha métrica:
Barra dianteira : 1/0 0/1 (ponto de cadeia)
Barra traseira: 1/0 4/5
B) Descrição do fio
123 den./56 fil. de ácido poliglicólico (homopolímero
C) Peso do material
6,25 + 0,50 onças/jarda quadrada
D) Qualidade do material:
14 polegadas(por 480 carreiras)
Exemplo 5
Tricô "Raschel" de calibre 48 ou tricô de calibre 24( 24 agulhas) polegada
Este exemplo, descreve um material tecido o qual foi fixado ao calor mas não foi estirado. 0 modelo da linha métrica é o mesmo do exemplo 4.
A) Modelo da linha métrica
Barra dianteira: 1/0 0/1 (ponto de cadeia)
Barra traseira: 1/0 4/5
B) Descrição do fio:
110 den./50 fil. de ácido poliglicólico (homopolímero)
C) Peso do material
5,85 + 0,50 onças/jarda quadrada
D) Qualidade do material
14 polegadas (por 480 carreiras)
Exemplo 6
1 χ 1 material liso tecido
Este exemplo descreve um material tecido o qual não foi nem estirado nem fixado ao calor.
A) Fio de urdidura e fios de enchimento: 5 fios simples
46 denier/21 fil. de ácido poliglicólico (homopolimero)
B) Torcedura de fio de urdidura: 5 voltas por polegada
C) Torcedura de fio de enchimento: 1,5 voltas por polegada
D) Peso do material: 4,00 + 0,50 onças/jarda quadrada
1
Exemplo 7
1 χ 1 material liso tecido
Este exemplo descreve um material tecido o qual não foi nem estirado nem fixado ao calor.
A) Fio de urdidura e fios de enchimento : 250 denier/50 fil. de um copolimero de glicolido e trimetileno carbonato .
B) Torcedura de fio de urdidura: 5 torceduras por polegada
C) Torcedura de fio de enchimento: 1,5 torceduras por polegada
0)
Peso do material
4,00 + 0,50
onças/jarda quadrada.

Claims (11)

  1. REIVINDICAÇÕES
    l9. - Malha cirúrgica tecida, caracteriza da por compreender uma pluralidade de filamentos,sendo cada um dos filamentos manufacturado a partir de um polímero,tendo uma cadeia de éster de ácido glicólico e estando os referidos filamentos enfeixados ou entrançados num fio de valor superior a 60 denier e contendo até 4 fios simples, contendo cada fio simples mais do que cerca de 25 filamentos e sendo o refe rido fio tecido de modo a formar uma malha,
  2. 2-. - Material cirúrgico tecido, caracte rizado por compreender uma pluralidade de filamentos, manufacturado cada um dos filamentos a partir de um polímero, uma cadeia de éster de ácido glicólico e estando os referidos filamentos enfeixados ou entrançados de modo a formar um fio e sendo o referido fio tecido de forma a obter-se um material cirúrgico.
  3. 3â. - Material tecido de acordo com a reivindicação 1 ou com a reivindicação 2, caracterizado por o referido polímero ser um homopolímero.
  4. 4â. - Material tecido de acordo com a reivindicação 1 ou com a reivindicãõ 2, caracterizado por o referido polímero ser um copolímero.
  5. 5â. - Material tecido de acordo com a reivindicação 4, caracterizado por o referido polímero ser manufacturado a partir de glicolico e a partir de carbonato de trimetileno.
  6. 6â. - Malha tecida de acordo com a reivindicação 5 caracterizada por o referido fio ter um valor
    de cerca de 65 a 85 denier e por conter cerca de 5 a 25 filamentos .
  7. 7a. - Malha tecida de acordo com a reivindicação 1, caracterizada por o referido fio ter um valor de até cerca de 150 denier, e por o número total de filamentos por fio, ser de até cerca de 75.
  8. 8a. - Material tecido de acordo com a reivindicação 2, caracterizado por o referido fio ter um valor de até cerca de 150 denier e por conter até cerca de 75 filamentos.
  9. 9a. - Material tecido de acordo com a reivindicação 8, caracterizado por o referido fio ter um valor de cerca de 100 a 135 denier e por conter cerca de 40 a 75 filamentos.
  10. 10a. - Material tecido de acordo com a reivindicação 8 ou com a reivindicação 9, manufacturado numa máquina de tecer "Raschel" de calibre 48, caracterizado por o modelo do ponto ser
    Barra dianteira: 1/0 0/1
    Barra traseira : 1/0 4/5.
  11. 11a. - Material tecido de acordo com a reivindicação 10, caracterizado por o peso do referido material tecido ser de cerca de (4 a 10 onças/jardas quadradas),
    135,6 a 339 g/m2.
    -1812â. - Material tecido de acordo com a
    reivindicação 11, caracterizado por a qualidade do referido
    material tecido ser de cerca de 25,4a 50,8 cm (10 a 20 pole
    gadas) por 480 carreiras.
PT80340A 1984-04-26 1985-04-23 Malha utilizada em intervencoes cirurgicas PT80340B (pt)

Applications Claiming Priority (1)

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

Publications (2)

Publication Number Publication Date
PT80340A PT80340A (en) 1985-05-01
PT80340B true PT80340B (pt) 1987-05-29

Family

ID=24418194

Family Applications (1)

Application Number Title Priority Date Filing Date
PT80340A PT80340B (pt) 1984-04-26 1985-04-23 Malha utilizada em intervencoes cirurgicas

Country Status (18)

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

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US4633873A (en) 1987-01-06
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