EP0830115A1 - Abdeckmembran - Google Patents
AbdeckmembranInfo
- Publication number
- EP0830115A1 EP0830115A1 EP96909032A EP96909032A EP0830115A1 EP 0830115 A1 EP0830115 A1 EP 0830115A1 EP 96909032 A EP96909032 A EP 96909032A EP 96909032 A EP96909032 A EP 96909032A EP 0830115 A1 EP0830115 A1 EP 0830115A1
- Authority
- EP
- European Patent Office
- Prior art keywords
- covering
- bone
- soft tissue
- tissue
- cover membrane
- 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.)
- Withdrawn
Links
Classifications
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- 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
- A61F2/28—Bones
-
- 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
- A61F2/30—Joints
- A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
- A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
-
- 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
- A61F2/0077—Special surfaces of prostheses, e.g. for improving ingrowth
-
- 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
- A61F2/28—Bones
- A61F2/2846—Support means for bone substitute or for bone graft implants, e.g. membranes or plates for covering bone defects
-
- 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
- A61L31/005—Ingredients of undetermined constitution or reaction products thereof
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
- A61L31/02—Inorganic materials
-
- 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
- A61L31/043—Proteins; Polypeptides; Degradation products thereof
- A61L31/044—Collagen
-
- 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
-
- 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
- A61F2/28—Bones
- A61F2002/2835—Bone graft implants for filling a bony defect or an endoprosthesis cavity, e.g. by synthetic material or biological 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
- 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
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30003—Material related properties of the prosthesis or of a coating on the prosthesis
- A61F2002/3006—Properties of materials and coating materials
- A61F2002/30062—(bio)absorbable, biodegradable, bioerodable, (bio)resorbable, resorptive
-
- 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
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30003—Material related properties of the prosthesis or of a coating on the prosthesis
- A61F2002/3006—Properties of materials and coating materials
- A61F2002/30062—(bio)absorbable, biodegradable, bioerodable, (bio)resorbable, resorptive
- A61F2002/30064—Coating or prosthesis-covering structure made of biodegradable 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
- 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
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30317—The prosthesis having different structural features at different locations within the same prosthesis
- A61F2002/30322—The prosthesis having different structural features at different locations within the same prosthesis differing in surface structures
-
- 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
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30667—Features concerning an interaction with the environment or a particular use of the prosthesis
- A61F2002/30677—Means for introducing or releasing pharmaceutical products, e.g. antibiotics, into the body
-
- 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
- A61F2/30—Joints
- A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
- A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
- A61F2002/30878—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves with non-sharp protrusions, for instance contacting the bone for anchoring, e.g. keels, pegs, pins, posts, shanks, stems, struts
-
- 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
- A61F2/30—Joints
- A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
- A61F2002/30929—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth having at least two superposed coatings
-
- 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
- A61F2/30—Joints
- A61F2/3094—Designing or manufacturing processes
- A61F2002/30971—Laminates, i.e. layered products
-
- 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
-
- 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
- A61F2240/00—Manufacturing or designing of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2240/001—Designing or manufacturing 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
- A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2250/0014—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis
- A61F2250/0026—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis differing in surface structures
-
- 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
- A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
- A61F2250/0067—Means for introducing or releasing pharmaceutical products into the body
-
- 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
- A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
- A61F2310/00005—The prosthesis being constructed from a particular material
- A61F2310/00179—Ceramics or ceramic-like structures
- A61F2310/00293—Ceramics or ceramic-like structures containing a phosphorus-containing compound, e.g. apatite
-
- 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
- A61L2430/00—Materials or treatment for tissue regeneration
- A61L2430/02—Materials or treatment for tissue regeneration for reconstruction of bones; weight-bearing implants
Definitions
- the invention relates to a covering membrane made of body-compatible, possibly at least partially resorbable membrane material for temporarily covering a recess in the body's own bone tissue filled with bone building material, in particular hydroxyapatite granules.
- bone building material which is usually made from a mis ⁇ chung from bone substitute material, such as hydroxyapatite granules, and the body's own bone particles, or also from bone substitute material or body's own bone particles alone.
- bone building material which is usually made from a mis ⁇ chung from bone substitute material, such as hydroxyapatite granules, and the body's own bone particles, or also from bone substitute material or body's own bone particles alone.
- EP 0 475 477 discloses a covering membrane of the type described above, in which the covering membrane is essentially completely resorbable, but there is the possibility that the covering membrane is resorbed so quickly that the bony growth of the bone-building material and so that the healing of the bone defect and the lost periodontal tissue or the dental cement can, under unfavorable circumstances, be disturbed by the inflammatory process accompanying any resorption of foreign tissue.
- the US 48 16 339 shows a cover membrane made of several layers, these layers not consisting of resorbable membrane material, but of polytetrafluoroethylene-containing materials.
- the multilayer structure serves to optimize the waxing properties, but the lack of resorption of the membrane material can lead to long-term problems.
- a cover membrane of the gate Described in accordance with the invention, in which the fact that the membrane material can be more quickly absorbed from the side facing away from the body's own bone than from the side facing towards the body's own bone largely ensures that the bony growth of the bone building material and thus the healing of the bone defect essentially undisturbed by the inflammation process accompanying any resorption of foreign tissue.
- the generic cover membrane has proven itself. However, it has turned out to be desirable to give the soft or connective tissue surrounding the bone defect site the possibility of rapidly growing on the covering membrane, so that a good connection between the soft tissue and the bone that is later restored is ensured. This is particularly, but not exclusively, of particular importance if the covering membrane is to remain in the body.
- the invention is based on the object of developing the generic covering membrane in such a way that a flawless stabilizing and relative movement-avoiding connection of the soft tissue surrounding the bone defect site or of the collagen structures that result from the predeterminated granulation tissue, which after bleeding into the bone defect parts this fills, and the cover membrane is guaranteed.
- this object is achieved in that the side of the covering membrane facing the soft tissue and / or the bone tissue (each) has a retention support device for improving the retention of the soft tissue or the (respective) collagen structure (s) on the covering membrane /exhibit.
- the invention also provides for the retention support device (s) to have at least one mechanical retention aid.
- the invention further provides that the mechanically active retention aid (s) is / are at least partially designed for positive engagement by soft tissue and / or collagen structure (s).
- the mechanical retention aid (s) is / are at least partially formed by projections and / or depressions in the covering membrane of the covering device.
- the invention also provides that the mechanical retention aid (s) is / are at least partially formed by uneven surfaces of the covering membrane of the covering device.
- the invention provides that the mechanical retention aids are at least partially formed by a tissue and / or knitted structure of the surface of the covering membrane of the covering device facing the soft tissue or the bone tissue.
- the invention also provides that the retention support devices are / are formed at least partially by appropriate selection of the chemical composition and / or the morphological structure of the material of the covering membrane in the area of the covering membrane facing the soft tissue or the bone tissue.
- the invention is characterized by at least two layers of different structure and / or composition, the layer facing the soft tissue being the Retention support device (s) has / have.
- the invention is also characterized by open micropores provided in the soft tissue and / or the layer facing the bone tissue.
- the invention is characterized by chemically and / or physically acting molecular docking aids for the soft tissue or the collagen structure (s) provided in the area facing the soft tissue and / or the area facing the bone tissue.
- the invention is based on the surprising finding that it is possible to effectively promote the adhesion of the connective or soft tissue or the collagen structures which sprout into the bone defect site by virtue of the fact that the soft or connective tissue or the bone defect parts facing surface of the covering membrane is formed in such a way that retention support devices are provided for improving the growth of the respective tissue or the respective collagen structures, whereby a reliable stabilizing connection with the covering membrane is ensured.
- retention support devices can be, for example, mechanically acting devices for preferably interlocking gripping through soft or connective tissue or collagen structures.
- chemical, ie molecularly acting, docking aids can also be provided, which may be formed by a corresponding special “special layer” of the cover membrane, which, for. B. facing the connective tissue.
- a corresponding special “special layer” of the cover membrane which, for. B. facing the connective tissue.
- the base layer can be designed in such a way that there is a particularly good cell-occlusive and / or mechanically supportive effect.
- FIG. 1 shows a first embodiment of a cover membrane according to the invention in section perpendicular to the membrane plane;
- FIG. 2 in a representation corresponding to FIG. 1, a further exemplary embodiment of a cover membrane according to the invention.
- Fig. 3 shows another embodiment of a
- the surface facing the connective or soft tissue lying at the top of the drawing has a covering membrane 18, projections 36 and depressions 38, which are each designed so that they form through collagen structures of the connective tissue that grows from above ⁇ can be encompassed, whereby the retention of Connective tissue on the cover membrane 18 is improved.
- the covering membrane 18 is constructed from a base layer 40, which faces the bone, and a cover layer 42, the latter having open micropores 44, which are also suitable for the ingrowth of collagen structures.
- the covering membrane 18 has a backing layer 46 on the side of the base layer 40 facing away from the covering layer 42, ie facing the bone defect site, which is also provided with open micropores 44, which are used to ingrow collagen structures from the bone defect site are suitable.
- the layers 42 and 46 preferably have such a resorption genetics that there is a resorption time of about 6 to 12 weeks in periodontal surgery and a resorption time of about 6 to 9 months in bone surgery.
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Transplantation (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Cardiology (AREA)
- Surgery (AREA)
- Epidemiology (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Chemical & Material Sciences (AREA)
- Inorganic Chemistry (AREA)
- Chemical Kinetics & Catalysis (AREA)
- Prostheses (AREA)
- Materials For Medical Uses (AREA)
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE19520867 | 1995-06-08 | ||
DE19520867A DE19520867C2 (de) | 1995-06-08 | 1995-06-08 | Abdeckmembran |
PCT/DE1996/000630 WO1996041594A1 (de) | 1995-06-08 | 1996-04-03 | Abdeckmembran |
Publications (1)
Publication Number | Publication Date |
---|---|
EP0830115A1 true EP0830115A1 (de) | 1998-03-25 |
Family
ID=7763879
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
EP96909032A Withdrawn EP0830115A1 (de) | 1995-06-08 | 1996-04-03 | Abdeckmembran |
Country Status (9)
Country | Link |
---|---|
EP (1) | EP0830115A1 (hu) |
JP (1) | JPH11507281A (hu) |
KR (1) | KR100250116B1 (hu) |
AU (1) | AU700349B2 (hu) |
BR (1) | BR9609157A (hu) |
CA (1) | CA2217036A1 (hu) |
DE (1) | DE19520867C2 (hu) |
HU (1) | HUP9802830A3 (hu) |
WO (1) | WO1996041594A1 (hu) |
Families Citing this family (13)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
DE19654884C2 (de) * | 1996-03-04 | 1999-07-29 | Kirsch Axel | Formkörper |
DE19608250C2 (de) * | 1996-03-04 | 1999-08-05 | Kirsch Axel | Abdeckmembran und Verfahren zu deren Herstellung |
SE510025C2 (sv) * | 1996-05-10 | 1999-04-12 | Robert J Medoff | Fasthållningsanordning för graftmaterial |
AT405236B (de) * | 1997-07-18 | 1999-06-25 | Implantech Medizintechnik Ges | Implantat, insbesondere gelenk-prothesenimplantat |
DE19835251A1 (de) | 1998-07-10 | 2000-03-23 | Eckhard Binder | Formteile, insbesondere Folien, zur Förderung der Neubildung von Knochenmaterial im Kiefer |
DE19830992C2 (de) * | 1998-07-10 | 2000-06-08 | Eckhard Binder | Formteile, insbesondere Folien, zur Förderung der Neubildung von Knochenmaterial im Kiefer |
EP1206225B1 (en) * | 1999-07-28 | 2005-03-09 | Interface Biotech A/S | In vitro repair of bone and/or cartilage defects |
DE19940977A1 (de) * | 1999-08-28 | 2001-03-01 | Lutz Claes | Folie aus resorbierbarem Polymermaterial und Verfahren zur Herstellung einer solchen Folie |
AU783038B2 (en) | 1999-12-15 | 2005-09-15 | Zimmer Gmbh | Preparation for repairing cartilage defects or cartilage/bone defects in human or animal joints |
DE102007050440A1 (de) * | 2007-10-18 | 2009-04-23 | Alexakis, Antonis, Dr. med. dent. | Beschichtetes Granulat zur Neubildung von Knochenmaterial |
DE102009020707A1 (de) * | 2009-05-11 | 2010-11-25 | Alexakis, Antonis, Dr. med. dent. | Beschichtetes Granulat zur Neubildung von Knochenmaterial |
US8979942B2 (en) * | 2010-03-05 | 2015-03-17 | Case Western Reserve University | Multilayer surgical membrane |
US8435305B2 (en) | 2010-08-31 | 2013-05-07 | Zimmer, Inc. | Osteochondral graft delivery device and uses thereof |
Family Cites Families (14)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4430760A (en) * | 1981-12-18 | 1984-02-14 | Collagen Corporation | Nonstress-bearing implantable bone prosthesis |
US4629464A (en) * | 1984-09-25 | 1986-12-16 | Tdk Corporation | Porous hydroxyapatite material for artificial bone substitute |
GB8524823D0 (en) * | 1985-10-08 | 1985-11-13 | Finsbury Instr Ltd | Orthopaedic implants |
US4816339A (en) * | 1987-04-28 | 1989-03-28 | Baxter International Inc. | Multi-layered poly(tetrafluoroethylene)/elastomer materials useful for in vivo implantation |
US4865603A (en) * | 1988-02-04 | 1989-09-12 | Joint Medical Products Corporation | Metallic prosthetic devices having micro-textured outer surfaces |
US5152791A (en) * | 1989-12-07 | 1992-10-06 | Olympus Optical Co., Ltd. | Prosthetic artificial bone having ceramic layers of different porosity |
ATE139126T1 (de) * | 1990-09-10 | 1996-06-15 | Synthes Ag | Membran für knochenregenerierung |
DE69121587T3 (de) * | 1990-12-06 | 2000-05-31 | Gore & Ass | Implantierbare bioresorbierbare artikel |
CA2033107C (en) * | 1990-12-24 | 2001-06-12 | Robert Edward Burrell | Actively sterile surfaces |
DE4211343A1 (de) * | 1992-04-04 | 1993-10-07 | S & G Implants Gmbh | Endoprothese |
DE4302708C2 (de) * | 1993-02-01 | 1995-06-01 | Kirsch Axel | Abdeckmembran |
DE4302709C1 (de) * | 1993-02-01 | 1994-07-28 | Kirsch Axel | Abdeckeinrichtung mit Abdeckmembran |
SE504294C2 (sv) * | 1993-10-01 | 1996-12-23 | Lucocer Ab | Implantat avsett att fixeras genom kontakt med nybildad benvävnad |
DE4414675C1 (de) * | 1994-04-27 | 1995-09-28 | Kirsch Axel | Abdeckeinrichtung für Knochendefektstellen und Verfahren zu deren Herstellung |
-
1995
- 1995-06-08 DE DE19520867A patent/DE19520867C2/de not_active Expired - Fee Related
-
1996
- 1996-04-03 EP EP96909032A patent/EP0830115A1/de not_active Withdrawn
- 1996-04-03 AU AU52695/96A patent/AU700349B2/en not_active Ceased
- 1996-04-03 BR BR9609157A patent/BR9609157A/pt not_active Application Discontinuation
- 1996-04-03 KR KR1019970709088A patent/KR100250116B1/ko not_active IP Right Cessation
- 1996-04-03 HU HU9802830A patent/HUP9802830A3/hu unknown
- 1996-04-03 JP JP9502465A patent/JPH11507281A/ja active Pending
- 1996-04-03 CA CA002217036A patent/CA2217036A1/en not_active Abandoned
- 1996-04-03 WO PCT/DE1996/000630 patent/WO1996041594A1/de not_active Application Discontinuation
Non-Patent Citations (1)
Title |
---|
See references of WO9641594A1 * |
Also Published As
Publication number | Publication date |
---|---|
KR19990022607A (ko) | 1999-03-25 |
HUP9802830A3 (en) | 2000-11-28 |
AU5269596A (en) | 1997-01-09 |
DE19520867C2 (de) | 1998-05-20 |
DE19520867A1 (de) | 1996-12-12 |
AU700349B2 (en) | 1999-01-07 |
HUP9802830A2 (hu) | 1999-06-28 |
JPH11507281A (ja) | 1999-06-29 |
KR100250116B1 (ko) | 2000-06-01 |
WO1996041594A1 (de) | 1996-12-27 |
CA2217036A1 (en) | 1996-12-27 |
BR9609157A (pt) | 1999-05-04 |
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