CN104510544A - Automatic-expansion patch and using method thereof - Google Patents

Automatic-expansion patch and using method thereof Download PDF

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Publication number
CN104510544A
CN104510544A CN201410649063.XA CN201410649063A CN104510544A CN 104510544 A CN104510544 A CN 104510544A CN 201410649063 A CN201410649063 A CN 201410649063A CN 104510544 A CN104510544 A CN 104510544A
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China
Prior art keywords
support
sticking patch
patch
opening
mesh sheet
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CN201410649063.XA
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Chinese (zh)
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CN104510544B (en
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贾忠
王平
朱妍慧
谢琦
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Individual
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Abstract

The invention relates to an automatic-expansion patch and a using method of the automatic-expansion patch. The automatic-expansion patch overcomes the defect that an existing patch is soft on the whole and can be conveniently contracted, but the patch cannot be conveniently expanded to be flat so as to cover a weak area or a defect area. A net sheet is combined with an automatic-expansion reinforcing support, and the support is arranged in a radiating mode relative to the center of the patch; meshes of the net sheet cover the surface of the support. Due to the fact that the net sheet is combined with the automatic-expansion reinforcing support, before the patch is used, the support is soft, and contraction of the patch cannot be affected. After the patch is put into a human body, the support expands automatically or through the external force, the support is arranged in the radiating mode, and therefore the support can support the whole patch, portions without expanding cannot be reserved on the patch, the expansion effect is good, the operation that a machine stretches into the interior to conduct manual intervention is not required, expansion of the patch is accomplished at one time, and the operation time is short.

Description

From opening sticking patch and using method thereof
Technical field
The present invention relates to a kind of patch structure and using method thereof, what especially do not need manual intervention just can open opens sticking patch and using method thereof certainly.
Background technology
Sticking patch is used to a kind of material of supplement tissue intensity, mainly for stomach wall weak area or defective region, prevents Intraabdominal organ or tissue from stomach wall weak area or defective region bulging.Sticking patch of coming in is widely used in operation, especially in the therapeutic process of hernia, due to the existence of sticking patch, makes the treatment of hernia there occurs basic change.
At present, the synthetic material that sticking patch uses is divided into two large classes: the first kind is polyester patches, propene polymer patch, the expanded polytetrafluoroethylsealing sticking patch of nonabsorable; Equations of The Second Kind is the composite patch that multiple material combines.Sticking patch in use all can be kneaded, repairing enhancing is carried out to enter into interior abdominal wall, but no matter be which kind of sticking patch, sticking patch itself is all soft, cannot automatically open after the reduced volume that kneads, enter into after kneading in stomach wall and also need manually sticking patch to be flattened, cover whole weak area or defective region.When flattening, need hands to put in or apparatus puts in, this will impact stomach wall, sticking patch be flattened perfect condition cumbersome, and always can there is the position do not flattened, and impact uses.
Summary of the invention
The object of this invention is to provide and a kind of put in stomach wall can automatically open from opening sticking patch and using method thereof, without the need to manually flattening, disposablely to complete, the operating time is short again.
The invention solves existing sticking patch overall soft, convenient gathering, but be inconvenient to the defect flattening covering weak area or defective region, provide a kind of from opening sticking patch, convenient gathering, but can automatically open, conveniently flatten.
This invention also solves existing sticking patch entirety more soft, supporting role is not enough, the defect of easily recurrence, providing a kind of from opening sticking patch, automatically opening the support force that rear formation is stronger, not easily recurring.
This invention also solves when existing sticking patch uses and need manually to flatten, troublesome poeration, and the defect not flattening position can be left, a kind of using method from opening sticking patch is provided, draw suitable size in before sticking patch uses, automatically open after entering stomach wall, without the need to manual intervention.
The technical solution adopted for the present invention to solve the technical problems is: a kind of from opening sticking patch, and comprise braiding in netted mesh sheet, mesh sheet is compounded with from opening reinforced support, and the relative patch center of support is radially arranged; The netted of mesh sheet covers rack surface.Mesh sheet compound is from opening reinforced support, and before not using, support is soft shape, do not affect sticking patch to draw in, put into after in human body, support automatically or External Force Acting Automatic-expanding, radially arrange by support, support is made to support whole sticking patch, sticking patch can not leave the position do not flattened, and flattens effective, and need not extend into inside and carry out manual intervention, disposablely complete, the operating time is short.
As preferably, leave gap between the end of support and the periphery of sticking patch, this gap is 3-4mm.The end of support does not reach sticking patch periphery, prevents mesh sheet to be separated with support, makes the influence of end effect of support to abdominal cavity tissue.
As preferably, the periphery of sticking patch is compounded with support, and the peripheral shape of the shape that support encloses and sticking patch adapts.The support of sticking patch periphery makes the periphery of sticking patch have and flattens effect preferably.
As preferably, the support of periphery and the end of radial support are separated.
As preferably, the support of sticking patch periphery is stagewise, and each section is all connected with the end of a wherein radial support.
As preferably, support is flat, and the thickness of support is equal with the thickness of braiding material; The width of support is 2-3mm.The size of support do not affect sticking patch use after impression.
As preferably, support is that Medical memory alloy is made, and support is connected at the center of mesh sheet; Or support adopts the tubular structure of end-enclosed, and the mouth of pipe of support is in the centre of mesh sheet and is connected with aerating device or water filling device.Support adopts Medical memory alloy to make, and Medical memory alloy has the characteristic of restoring according to human body temperature, and before not using, support is soft shape, does not affect sticking patch and draws in, and put into the impact of human body inner recipient temperature, support restores and launches; The support that memorial alloy is made is connected at center, and it is better that support flattens rear support effect; Aerating device or water filling device pass into medium in tubular stent, and support is strutted, and can keep sticking patch flexibility again after removing medium.
As preferably, a side of mesh sheet is fixed with location division in centre, and location division is concave shape; The centre of the another side of mesh sheet is fixed with traction belt.Sticking patch placement is convenient in location division, moves when preventing sticking patch from not fixing; Traction belt can fix sticking patch, sticking patch with organize do not grow up to one time, traction belt can fix sticking patch.
From a using method of opening sticking patch, it is characterized in that comprising the steps: that (1) selects suitable sticking patch according to the area strengthening position, when choosing, whole enhancing position can be supported with sticking patch and be as the criterion;
(2) area is reduced in sticking patch gathering, and open a kerf in the center top strengthening position, the size of otch is as the criterion can put into the sticking patch after gathering;
(3) then sticking patch is put in otch, until sticking patch supports whole enhancing position from opening;
(4) fixing sticking patch closure of incisions.
As preferably, sticking patch puts into process traction belt outwardly, traction belt and otch fixed closed; Sticking patch draws according to strengthening the shape at position, adopts direction in length and breadth to fold during gathering, or is that summit is tapered folding with patch center, or the line crossing center with sticking patch folds for axle wound form.
The invention has the beneficial effects as follows: mesh sheet compound is from opening reinforced support, and before not using, support is soft shape, do not affect sticking patch to draw in, put into after in human body, support automatically or External Force Acting Automatic-expanding, radially arrange by support, support is made to support whole sticking patch, sticking patch can not leave the position do not flattened, and flattens effective, and need not extend into inside and carry out manual intervention, disposablely complete, the operating time is short.
Accompanying drawing explanation
Fig. 1 is a kind of structural representation of the present invention;
Fig. 2 is the second structural representation of the present invention;
Fig. 3 is the third structural representation of the present invention;
Fig. 4 is the present invention's the 4th kind of structural representation;
Fig. 5 is a kind of decomposing schematic representation of the present invention;
Fig. 6 is that the present invention draws schematic diagram in;
In figure: 1, mesh sheet, 2, support, 3, location division, 4, traction belt.
Detailed description of the invention
Below by specific embodiment, and by reference to the accompanying drawings, technical scheme of the present invention is described in further detail.
Embodiment 1: a kind of from opening sticking patch (see accompanying drawing 1), comprises braiding in netted mesh sheet 1 with can the support 2 of reinforcement from opening.Mesh sheet is two-layer, and support is compound between two-layer mesh sheet.The flat structure that support is made up of Medical memory alloy, totally 5, support, 5 relative patch center of support are radially arranged, support is connected at the center of mesh sheet, and 5 supports are distributed on sticking patch.The width of support is 2mm, and the thickness of support is equal with the thickness of braiding material.Sticking patch entirety is rounded, and the length of support is less than the radius of sticking patch, leaves gap between the end of support and the periphery of sticking patch, and gap is 3mm.
Using method from opening sticking patch: the area that (1) strengthens position as required selects suitable sticking patch, when choosing, can support whole enhancing position with sticking patch and be as the criterion; The area of sticking patch is greater than the area that need strengthen position, or the length of sticking patch is greater than and need strengthens the maximum length in position;
(2) area is reduced in sticking patch gathering, sticking patch draws according to the shape strengthening position, if enhancing position is strip, sticking patch holds together to central folding overlapping to cross the line of patch center for the curling winding of axle, if it is circular for strengthening position, sticking patch adopts the mode that direction is folding in length and breadth to draw in (see accompanying drawing 6), or is the tapered folding gathering in summit with patch center;
(3) open a kerf in the center top strengthening position, the size of otch is as the criterion can put into the sticking patch after gathering;
(4) then put in otch by sticking patch, the center top strengthening position is not departed from the center of sticking patch, waits for right times, until sticking patch supports whole enhancing position from opening;
(5) fixing sticking patch closure of incisions.
Embodiment 2: a kind of from opening sticking patch (see accompanying drawing 2), difference from Example 1 is: the periphery of sticking patch is compounded with support 2, and the peripheral shape of the shape that support encloses and sticking patch adapts.The support of periphery and the end of radial support are separated, and the gap of separation is 2mm.The support of periphery adopts identical structure with radial support, and the support of periphery is closed.All the other structures are with reference to embodiment 1.
Embodiment 3: a kind of from opening sticking patch (see accompanying drawing 3), difference from Example 2 is: the support 2 of sticking patch periphery is stagewise, the quantity of radial support is identical with the support number of fragments of periphery, and the middle part of each section is all connected with the end of the radial support of corresponding to it.All the other structures are with reference to embodiment 2, and this utilizes the disconnection position of periphery support convenient folding from opening sticking patch.
Embodiment 4: a kind of from opening sticking patch (see accompanying drawing 4), difference from Example 1 is: a side of mesh sheet is fixed with location division 3 in centre, and location division is concave shape; The centre of the another side of mesh sheet is fixed with traction belt 4(see accompanying drawing 5).Utilize from open sticking patch repair hernical sac time, sticking patch utilizes the location division of concave shape to navigate to the top of hernical sac, prevents sticking patch from occurring displacement, sticking patch in use, traction belt outwardly, during fixing sticking patch, traction belt and otch fixed closed, and unnecessary traction belt is wiped out.All the other structures are with reference to embodiment 1.
Embodiment 5: a kind of from opening sticking patch, the tubular structure that support adopts one end to close, the mouth of pipe is in the center of sticking patch, during use, sticking patch being drawn in and puts into intraperitoneal, then connecting aerating device or water filling device, by being filled with medium to tubular stent inside at the mouth of pipe, make support have the intensity of support, and can automatically flatten.Flattening recession is also fixed sticking patch except aerating device or water filling device and is closed the mouth of pipe and otch.All the other structures are with reference to other embodiments.
Above-described embodiment is several preferred version of the present invention, not does any pro forma restriction to the present invention, also has other variant and remodeling under the prerequisite not exceeding the technical scheme described in claim.

Claims (10)

1. from opening a sticking patch, comprise braiding in netted mesh sheet, it is characterized in that mesh sheet is compounded with from opening reinforced support, the relative patch center of support is radially arranged; The netted of mesh sheet covers rack surface.
2. according to claim 1 from opening sticking patch, it is characterized in that leaving gap between the end of support and the periphery of sticking patch, this gap is 3-4mm.
3. according to claim 1 from opening sticking patch, it is characterized in that the periphery of sticking patch is compounded with support, the peripheral shape of the shape that support encloses and sticking patch adapts.
4. according to claim 3 from opening sticking patch, it is characterized in that the support of periphery and the end of radial support are separated.
5. according to claim 3 from opening sticking patch, it is characterized in that the support of sticking patch periphery is stagewise, each section is all connected with the end of a wherein radial support.
6. according to claim 1 or 2 or 3 or 4 or 5, certainly open sticking patch, it is characterized in that support is flat, the thickness of support is equal with the thickness of braiding material; The width of support is 2-3mm.
7. according to claim 6 from opening sticking patch, it is characterized in that support is that Medical memory alloy is made, support is connected at the center of mesh sheet; Or support adopts the tubular structure of end-enclosed, and the mouth of pipe of support is in the centre of mesh sheet and is connected with aerating device or water filling device.
8. according to claim 1 or 2 or 3 or 4 or 5, certainly open sticking patch, it is characterized in that a side of mesh sheet is fixed with location division in centre, location division is concave shape; The centre of the another side of mesh sheet is fixed with traction belt.
9. the using method of certainly opening sticking patch described in arbitrary one of claim 1 to 8, is characterized in that comprising the steps: that (1) selects suitable sticking patch according to the area strengthening position, when choosing, can support whole enhancing position be as the criterion with sticking patch;
(2) area is reduced in sticking patch gathering, and open a kerf in the center top strengthening position, the size of otch is as the criterion can put into the sticking patch after gathering;
(3) then sticking patch is put in otch, until sticking patch supports whole enhancing position from opening;
(4) fixing sticking patch closure of incisions.
10. the using method from opening sticking patch according to claim 9, is characterized in that sticking patch puts into process traction belt outwardly, traction belt and otch fixed closed; Sticking patch draws according to strengthening the shape at position, adopts direction in length and breadth to fold during gathering, or is that summit is tapered folding with patch center, or the line crossing center with sticking patch folds for axle wound form.
CN201410649063.XA 2014-11-17 2014-11-17 Automatic-expansion patch and using method thereof Active CN104510544B (en)

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Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105213077A (en) * 2015-08-19 2016-01-06 中国人民解放军第二军医大学 One covers net support
CN108697496A (en) * 2015-12-28 2018-10-23 C.R.巴德公司 Prosthese for repairing hernia defect
CN110327133A (en) * 2019-07-11 2019-10-15 肖以磊 It is a kind of applied to the artificial dura mater opening cranium and going in bone flap decompression operation
CN111200990A (en) * 2017-10-12 2020-05-26 C.R.巴德公司 Prosthetic curl mitigation
US10722337B2 (en) 2014-03-06 2020-07-28 C.R. Bard, Inc. Hernia repair patch
US11147660B2 (en) 2014-12-01 2021-10-19 C.R. Bard, Inc. Prosthesis for repairing a hernia defect
CN115349987A (en) * 2022-09-15 2022-11-18 上海交通大学 Fibrous ring repairing and implanting device

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US5258000A (en) * 1991-11-25 1993-11-02 Cook Incorporated Tissue aperture repair device
US5769864A (en) * 1994-09-29 1998-06-23 Surgical Sense, Inc. Hernia mesh patch
CN101112335A (en) * 2006-07-28 2008-01-30 北京天助畅运医疗技术有限公司 Embeddable multipurpose external hernia remedying slice
WO2011073225A1 (en) * 2009-12-16 2011-06-23 Sofradim Production Prosthesis comprising a reinforced mesh
CN201879864U (en) * 2010-09-17 2011-06-29 常州市康蒂娜医疗科技有限公司 Surgical repairing patch
CN204274719U (en) * 2014-11-17 2015-04-22 贾忠 From opening sticking patch

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US5258000A (en) * 1991-11-25 1993-11-02 Cook Incorporated Tissue aperture repair device
US5769864A (en) * 1994-09-29 1998-06-23 Surgical Sense, Inc. Hernia mesh patch
CN101112335A (en) * 2006-07-28 2008-01-30 北京天助畅运医疗技术有限公司 Embeddable multipurpose external hernia remedying slice
WO2011073225A1 (en) * 2009-12-16 2011-06-23 Sofradim Production Prosthesis comprising a reinforced mesh
CN201879864U (en) * 2010-09-17 2011-06-29 常州市康蒂娜医疗科技有限公司 Surgical repairing patch
CN204274719U (en) * 2014-11-17 2015-04-22 贾忠 From opening sticking patch

Cited By (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10722337B2 (en) 2014-03-06 2020-07-28 C.R. Bard, Inc. Hernia repair patch
US11147660B2 (en) 2014-12-01 2021-10-19 C.R. Bard, Inc. Prosthesis for repairing a hernia defect
CN105213077B (en) * 2015-08-19 2018-02-02 中国人民解放军第二军医大学 One kind covers net support
CN105213077A (en) * 2015-08-19 2016-01-06 中国人民解放军第二军医大学 One covers net support
CN108697496B (en) * 2015-12-28 2020-09-04 C.R.巴德公司 Prosthesis for repairing hernia defects
US10842605B2 (en) 2015-12-28 2020-11-24 C.R. Bard, Inc. Prosthesis for repairing a hernia defect
US11141256B2 (en) 2015-12-28 2021-10-12 C.R. Bard, Inc. Prosthesis for repairing a hernia defect
CN108697496A (en) * 2015-12-28 2018-10-23 C.R.巴德公司 Prosthese for repairing hernia defect
CN111200990A (en) * 2017-10-12 2020-05-26 C.R.巴德公司 Prosthetic curl mitigation
CN111200990B (en) * 2017-10-12 2022-04-19 C.R.巴德公司 Prosthetic curl mitigation
US11633271B2 (en) 2017-10-12 2023-04-25 C.R. Bard, Inc. Repair prosthetic curl mitigation
US11957559B2 (en) 2017-10-12 2024-04-16 C.R. Bard, Inc. Repair prosthetic curl mitigation
CN110327133A (en) * 2019-07-11 2019-10-15 肖以磊 It is a kind of applied to the artificial dura mater opening cranium and going in bone flap decompression operation
CN115349987A (en) * 2022-09-15 2022-11-18 上海交通大学 Fibrous ring repairing and implanting device

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