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CN119632735A - A meniscus implant - Google Patents

A meniscus implant Download PDF

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Publication number
CN119632735A
CN119632735A CN202411592552.6A CN202411592552A CN119632735A CN 119632735 A CN119632735 A CN 119632735A CN 202411592552 A CN202411592552 A CN 202411592552A CN 119632735 A CN119632735 A CN 119632735A
Authority
CN
China
Prior art keywords
implant
meniscus
periphery
reinforcing ring
connecting hole
Prior art date
Legal status (The legal status 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 status listed.)
Pending
Application number
CN202411592552.6A
Other languages
Chinese (zh)
Inventor
俞臻
李欢
周鹏
刘宇欣
吴家鹿
张锐阳
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Chapter Ix Intelligent Medical Technology Changzhou Co ltd
First Peoples Hospital of Changzhou
Original Assignee
Chapter Ix Intelligent Medical Technology Changzhou Co ltd
First Peoples Hospital of Changzhou
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 Chapter Ix Intelligent Medical Technology Changzhou Co ltd, First Peoples Hospital of Changzhou filed Critical Chapter Ix Intelligent Medical Technology Changzhou Co ltd
Priority to CN202411592552.6A priority Critical patent/CN119632735A/en
Publication of CN119632735A publication Critical patent/CN119632735A/en
Pending legal-status Critical Current

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Abstract

The invention provides a meniscus implant, which relates to the technical field of medical equipment and comprises an implant, wherein the implant comprises an implant body and an implant periphery, a plurality of connecting holes, a reinforcing ring and a reinforcing ring, wherein the connecting holes penetrate through the implant periphery and are used for guiding suture lines to penetrate through, the reinforcing ring is arranged in the connecting holes, and the suture lines penetrate through the connecting holes to fixedly connect the implant with the edge of a primary meniscus. According to the meniscus implant provided by the invention, the connecting hole and the reinforcing ring embedded in the hole are formed in the implant, so that a stable anchor point is provided for the implant, the suture line can be tightly attached to the reinforcing ring when passing through the implant, and direct friction with the surface of the implant is avoided, so that the notch is reduced, and the service life of the implant is effectively prolonged.

Description

Meniscus implant
Technical Field
The invention relates to the technical field of medical instruments, in particular to a meniscus implant.
Background
The meniscus is responsible for shock absorption, load transfer, lubrication, and stability of the knee joint. Menisci are important to reduce the incidence of degenerative joint disease. Unfortunately, after trauma or severe injury, the meniscus may be damaged, for example, by the formation of, for example, a crack in the meniscus. Injury to the meniscus is associated with changes in joint function, which can lead to disability and degenerative joint changes. One of the strategies for meniscus repair is to suggest the use of biocompatible synthetic or natural scaffolds as a matrix to promote defect remodeling and healing. If there are too many cracks, the meniscus may have to be trimmed so that only the outer edge of the meniscus may be left. A meniscal implant made of synthetic or natural material may be anchored to the rim, for example via surgical sutures.
In the prior art, the use of sutures to penetrate the implant during the suturing of the meniscus implant to the native meniscus may create deeper cuts or indentations in the material, which may compromise the structural integrity of the implant, reduce its ability to withstand the daily loads of the knee joint, delay the healing process, increase the risk of postoperative complications, and ultimately affect the long-term stability and function of the knee joint.
Disclosure of Invention
In order to solve the problem of deep notch caused by suturing a meniscus implant and a primary meniscus in the prior art, the invention provides the meniscus implant, wherein a connecting hole is formed in the meniscus implant, and a reinforcing ring is arranged in the connecting hole, so that the anchoring stability of the implant is enhanced, direct friction between a suture line and the implant is avoided, and the problem of deep notch caused by suturing the meniscus implant and the primary meniscus in the prior art is solved.
The technical scheme adopted for solving the technical problems is as follows:
a meniscus implant comprising:
the implant comprises an implant body and an implant periphery;
the connecting holes penetrate through the periphery of the implant and are used for guiding the suture to pass through;
the reinforcing ring is arranged in the connecting hole;
The suture passes through the connecting hole to realize the fixed connection between the implant and the edge of the primary meniscus.
Optionally, the implant periphery is of a C-shaped configuration, and the implant periphery comprises an implant upper periphery, an implant lower periphery, and an implant outer periphery.
Optionally, the diameter of the connecting hole is 1mm-1.5mm.
Optionally, the outer diameter of the reinforcing ring is not greater than the inner diameter of the connecting hole.
Optionally, the number of the reinforcing rings is two, and the reinforcing rings are respectively arranged above and below the connecting hole.
Optionally, a plurality of the attachment holes are equally spaced along the implant periphery.
Optionally, the number of the connecting holes is four, and the connecting holes are symmetrically distributed on the upper periphery of the implant and the lower periphery of the implant.
Optionally, the reinforcement ring is made of a biocompatible material.
Optionally, an elastic buffer layer is arranged on the inner wall of the reinforcing ring.
Alternatively, the implant is made of a material having a tensile elastic modulus ec of at least 10MPa measured in the circumferential direction, a tensile elastic modulus Er of at least 1MPa measured in the radial direction, and a compressive elastic modulus Eco of at least 0.1 MPa.
The beneficial effects of the invention are as follows:
The meniscus implant provided by the invention realizes breakthrough improvement of the traditional meniscus repair technology by arranging the connecting holes and the reinforcing rings embedded in the holes on the implant, the connecting holes not only provide stable anchor points for the implant, but also ensure that the suture thread can be tightly attached to the reinforcing rings when passing through the reinforcing rings, thereby reducing the incision and effectively prolonging the service life of the implant, and in addition, the design also reduces the risk of the patient needing to perform operation again due to the damage of the implant.
Drawings
The invention will be further described with reference to the drawings and examples.
FIG. 1 is a schematic illustration of the structure of a meniscal implant of the present invention;
FIG. 2 is a schematic illustration of the assembly of a meniscal implant with a native meniscal edge in accordance with the present invention;
FIG. 3 is a schematic diagram showing the assembly of a meniscal implant with a primary meniscal edge in accordance with the present invention;
FIG. 4 is a top view of a meniscal implant of the present invention with an indication of the direction of measurement of the tensile elastic modulus;
Fig. 5 is a cross-sectional view taken along A-A in fig. 4 with an indication of the measurement direction of the modulus of elasticity under compression.
In the figures, 1-implant, 11-implant body, 12-implant periphery, 121-implant upper periphery, 122-implant lower periphery, 123-implant outer periphery, 2-attachment holes, 3-reinforcement ring, 31-elastic buffer layer, 4-suture.
Detailed Description
The present invention will now be described in further detail. The embodiments described below are exemplary and intended to illustrate the invention and should not be construed as limiting the invention, as all other embodiments, based on which a person of ordinary skill in the art would obtain without inventive faculty, are within the scope of the invention.
In order that the above objects, features and advantages of the invention will be readily understood, a more particular description of the invention will be rendered by reference to specific embodiments thereof which are illustrated in the appended drawings.
To solve the problem of deep cuts caused by prior art meniscal implants being sutured with native menisci, the present invention provides a meniscal implant, as shown in FIGS. 1-3, comprising an implant 1, wherein the implant 1 comprises an implant body 11 and an implant periphery 12;
A plurality of attachment holes 2, the attachment holes 2 extending through the implant periphery 12 for guiding the suture 4 therethrough;
the reinforcing ring 3 is arranged inside the connecting hole 2;
suture 4 passes through attachment hole 2, effecting a secure attachment of implant 1 to native meniscus edge 5.
The meniscus implant provided by the invention realizes breakthrough improvement of the traditional meniscus repair technology by arranging the connecting holes 2 and the reinforcing rings 3 embedded in the holes on the implant 1, the connecting holes 2 not only provide stable anchor points for the implant 1, but also ensure that the suture 4 can be tightly attached to the reinforcing rings 3 when passing through the reinforcing rings 3, thereby reducing the incision and effectively prolonging the service life of the implant, and in addition, the design also reduces the risk of the patient needing to perform a re-operation due to the damage of the implant.
In order to enhance the stability and conformability of the implant 1 within the meniscus, the present invention preferably has an implant perimeter 12 in a C-shaped configuration that matches the natural contour of the native meniscus, and preferably the implant perimeter 12 includes an implant upper perimeter 121, an implant lower perimeter 122, and an implant outer perimeter 123.
The preferred diameter of the attachment hole 2 of the present invention is 1mm to 1.5mm, which is a size range that allows the suture 4 to pass smoothly while maintaining sufficient peripheral strength to avoid compromising the structural integrity of the implant 1 due to the oversized holes.
In order to ensure that the reinforcing ring 3 can be matched with the connecting hole 2, the outer diameter of the reinforcing ring 3 is preferably not larger than the inner diameter of the connecting hole 2, and further, the number of the reinforcing rings 3 is preferably two, and the reinforcing rings are respectively arranged above and below the connecting hole 2, so that extra supporting points are provided for the suture 4, direct contact between the suture 4 and the implant 1 is effectively avoided, thus reducing the impression caused by the suture 4 on the implant 1, meanwhile, the reinforcing ring 3 is not arranged in the middle part of the connecting hole 2, a space is reserved, and the elasticity of the implant 1 in the middle part of the connecting hole 2 can be maintained, so that the flexibility and the adaptability of the implant 1 are maintained, and different physiological conditions and movement requirements can be better adapted.
The present invention preferably provides for a plurality of attachment holes 2 to be equally spaced along the implant periphery 12.
After a plurality of connecting holes 2 are distributed equidistantly along the periphery 12 of the implant, starting from the connecting hole 2 at the most edge of the upper periphery 121 or the lower periphery 122 of the implant, a suture 4 is led to sequentially penetrate through each connecting hole and the primary meniscus edge 5, so that the implant 1 and the primary meniscus edge 5 are uniformly fixed, and finally, the suture is knotted and fixed at the primary meniscus edge 5, so that the whole implantation process is completed.
The design can provide evenly distributed anchor points, is beneficial to realizing the balanced fixation of the implant 1 and the primary meniscus edge 5, avoids local stress concentration, thereby reducing the damage risk of the implant 1 or surrounding tissues caused by uneven stress, and is convenient for the arrangement and adjustment of the suture 4 in operation, and improves the convenience of operation and the reliability of the repair effect.
Further, the number of attachment holes 2 is preferably four in the present invention, symmetrically distributed on the implant upper periphery and the implant lower periphery 122.
After the four connecting holes 2 are symmetrically distributed on the implant upper periphery 121 and the implant lower periphery 122, firstly starting from two connecting holes 2 at one end, after the suture 4 passes through the two holes and is connected with the primary meniscus edge 5, knotting is carried out for the first time to ensure preliminary fixation, then, after the suture 4 passes through the corresponding two connecting holes 2 at the other end, the penetrating and connecting processes are repeated, and after the completion, knotting fixation is carried out for the second time.
The arrangement of the attachment holes 2 allows for an effective fixation of the implant 1 to the primary meniscus edge 5 with a minimum number of attachment points, which reduces the surgical complexity and potential surgical trauma, maintains the structural integrity and mechanical properties of the implant 1 and reduces the invasiveness of the primary meniscus edge 5 by reducing the number of attachment holes 2, and in addition, the four symmetrically distributed attachment holes 2 also allow for a uniform force distribution, thereby improving the stability and durability of the implant 1 and reducing the risk of postoperative complications.
The reinforcement ring 3 is preferably made of a biocompatible material which is more friendly to the patient's immune system and which significantly reduces the immune response elicited by the implant 1 and thus the risk of post-operative inflammation and rejection.
Furthermore, the inner wall of the reinforcement ring 3 is preferably provided with the elastic buffer layer 31, so that a soft contact surface is provided for the suture thread 4, friction between the suture thread 4 and the reinforcement ring 3 is remarkably reduced, the structural integrity of the suture thread 4 is protected, the fixed state of the implant 1 can be more stably maintained, and the reliability of the whole implantation system and the success rate of operations are improved.
As shown in Figs. 4-5, the preferred implant 1 of the present invention may be made of a synthetic material, such as polyurethane, having a tensile elastic modulus Eci of at least 10MPa measured circumferentially, a tensile elastic modulus Er of at least 1MPa measured radially, and a compressive elastic modulus Eco of at least 0.1MPa, which ensure proper flexibility and strength of the implant 1 when subjected to physiological loading, while withstanding the stresses generated by knee joint movement, while maintaining long-term stability and durability.
With the above-described preferred embodiments according to the present invention as an illustration, the above-described descriptions can be used by persons skilled in the relevant art to make various changes and modifications without departing from the scope of the technical idea of the present invention. The technical scope of the present invention is not limited to the description, but must be determined according to the scope of claims.

Claims (10)

1.一种半月板植入物,其特征在于,包括:1. A meniscus implant, comprising: 植入物(1);所述植入物(1)包括植入物本体(11)和植入物周边(12);Implant (1); the implant (1) comprises an implant body (11) and an implant periphery (12); 若干连接孔(2);所述连接孔(2)贯穿所述植入物周边(12),用于引导缝合线(4)穿过;a plurality of connection holes (2); the connection holes (2) penetrate through the periphery of the implant (12) and are used to guide the sutures (4) to pass through; 以及加强环(3);所述加强环(3)安装于所述连接孔(2)的内部;and a reinforcement ring (3); the reinforcement ring (3) is installed inside the connection hole (2); 所述缝合线(4)穿过所述连接孔(2),实现所述植入物(1)与原生半月板边缘(5)的固定连接。The suture thread (4) passes through the connection hole (2) to achieve fixed connection between the implant (1) and the edge (5) of the native meniscus. 2.如权利要求1所述的半月板植入物,其特征在于,所述植入物周边(12)呈C型结构;所述植入物周边(12)包括植入物上周边(121)、植入物下周边(122)以及植入物外周边(123)。2. The meniscus implant according to claim 1, characterized in that the implant periphery (12) is a C-shaped structure; the implant periphery (12) includes an implant upper periphery (121), an implant lower periphery (122) and an implant outer periphery (123). 3.如权利要求1所述的半月板植入物,其特征在于,所述连接孔(2)的直径为1mm-1.5mm。3. The meniscus implant according to claim 1, characterized in that the diameter of the connecting hole (2) is 1 mm-1.5 mm. 4.如权利要求1所述的半月板植入物,其特征在于,所述加强环(3)的外径不大于所述连接孔(2)的内径。4. The meniscus implant according to claim 1, characterized in that the outer diameter of the reinforcement ring (3) is not greater than the inner diameter of the connecting hole (2). 5.如权利要求4所述的半月板植入物,其特征在于,所述加强环(3)数量为两个,分别安装于所述连接孔(2)的上方和下方。5. The meniscus implant according to claim 4, characterized in that there are two reinforcement rings (3), which are respectively installed above and below the connecting hole (2). 6.如权利要求2所述的半月板植入物,其特征在于,若干所述连接孔(2)沿着所述植入物周边(12)等距地间隔开。6. The meniscus implant according to claim 2, characterized in that a plurality of said connection holes (2) are equidistantly spaced along the periphery (12) of said implant. 7.如权利要求2所述的半月板植入物,其特征在于,所述连接孔(2)的数量为四个,对称分布在所述植入物上周边和所述植入物下周边(122)上。7. The meniscus implant according to claim 2, characterized in that the number of the connecting holes (2) is four, which are symmetrically distributed on the upper periphery of the implant and the lower periphery (122) of the implant. 8.如权利要求1所述的半月板植入物,其特征在于,所述加强环(3)由生物相容性材料制成。8. The meniscus implant according to claim 1, characterized in that the reinforcement ring (3) is made of a biocompatible material. 9.如权利要求1所述的半月板植入物,其特征在于,所述加强环(3)的内壁设有弹性缓冲层(31)。9. The meniscus implant according to claim 1, characterized in that an elastic buffer layer (31) is provided on the inner wall of the reinforcement ring (3). 10.如权利要求1所述的半月板植入物,其特征在于,所述植入物(1)由如下材料制成,所述材料具有沿周向测量的最小为10MPa的受拉弹性模量Eci、沿径向测量的最小为1MPa的受拉弹性模量Er,以及最小为0.1MPa的受压弹性模量Eco。10. The meniscus implant as described in claim 1 is characterized in that the implant (1) is made of a material having a tensile elastic modulus Eci of at least 10 MPa measured in the circumferential direction, a tensile elastic modulus Er of at least 1 MPa measured in the radial direction, and a compressive elastic modulus Eco of at least 0.1 MPa.
CN202411592552.6A 2024-11-08 2024-11-08 A meniscus implant Pending CN119632735A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202411592552.6A CN119632735A (en) 2024-11-08 2024-11-08 A meniscus implant

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Application Number Priority Date Filing Date Title
CN202411592552.6A CN119632735A (en) 2024-11-08 2024-11-08 A meniscus implant

Publications (1)

Publication Number Publication Date
CN119632735A true CN119632735A (en) 2025-03-18

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CN202411592552.6A Pending CN119632735A (en) 2024-11-08 2024-11-08 A meniscus implant

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Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101150999A (en) * 2005-03-01 2008-03-26 伊西康有限公司 surgical implant
US20090149939A1 (en) * 2007-12-06 2009-06-11 Cook Incorporated Stent-graft comprising at least one reinforced hole
US20100316830A1 (en) * 2009-06-10 2010-12-16 William A. Cook Australia Pty. Ltd. Reinforcing ring
CN101961256A (en) * 2009-07-24 2011-02-02 德普伊米特克公司 Devices and methods for repairing tissue
CN103415270A (en) * 2011-03-08 2013-11-27 新特斯有限责任公司 Method and implant for replacing damaged meniscal tissue
CN215130925U (en) * 2020-12-02 2021-12-14 紫水晶(山西)再生医学科技有限公司 Knee meniscus made of bioactive glass material

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101150999A (en) * 2005-03-01 2008-03-26 伊西康有限公司 surgical implant
US20090149939A1 (en) * 2007-12-06 2009-06-11 Cook Incorporated Stent-graft comprising at least one reinforced hole
US20100316830A1 (en) * 2009-06-10 2010-12-16 William A. Cook Australia Pty. Ltd. Reinforcing ring
CN101961256A (en) * 2009-07-24 2011-02-02 德普伊米特克公司 Devices and methods for repairing tissue
CN103415270A (en) * 2011-03-08 2013-11-27 新特斯有限责任公司 Method and implant for replacing damaged meniscal tissue
CN215130925U (en) * 2020-12-02 2021-12-14 紫水晶(山西)再生医学科技有限公司 Knee meniscus made of bioactive glass material

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