ES2600359T3 - Hilo quirúrgico que comprende células y método de fabricación del hilo - Google Patents

Hilo quirúrgico que comprende células y método de fabricación del hilo Download PDF

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Publication number
ES2600359T3
ES2600359T3 ES10728212.1T ES10728212T ES2600359T3 ES 2600359 T3 ES2600359 T3 ES 2600359T3 ES 10728212 T ES10728212 T ES 10728212T ES 2600359 T3 ES2600359 T3 ES 2600359T3
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ES
Spain
Prior art keywords
thread
cells
surgical
cell retention
manufacturing
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.)
Active
Application number
ES10728212.1T
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English (en)
Inventor
Ithamar Stocchero
Erich Odermatt
Lutz Funk
Volker Friedrich
Marta Casanovas Albalate
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.)
Aesculap AG
B Braun Surgical SA
Original Assignee
Aesculap AG
B Braun Surgical SA
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
Priority claimed from PCT/EP2009/007950 external-priority patent/WO2010052007A2/en
Priority claimed from PCT/EP2009/007948 external-priority patent/WO2010052005A1/en
Application filed by Aesculap AG , B Braun Surgical SA filed Critical Aesculap AG
Application granted granted Critical
Publication of ES2600359T3 publication Critical patent/ES2600359T3/es
Active legal-status Critical Current
Anticipated expiration legal-status Critical

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/04Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06166Sutures
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS 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
    • A61L17/00Materials for surgical sutures or for ligaturing blood vessels ; Materials for prostheses or catheters
    • A61L17/005Materials for surgical sutures or for ligaturing blood vessels ; Materials for prostheses or catheters containing a biologically active substance, e.g. a medicament or a biocide
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS 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
    • A61L17/00Materials for surgical sutures or for ligaturing blood vessels ; Materials for prostheses or catheters
    • A61L17/14Post-treatment to improve physical properties
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS 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
    • A61L31/00Materials 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
    • A61L31/005Ingredients of undetermined constitution or reaction products thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00831Material properties
    • A61B2017/00889Material properties antimicrobial, disinfectant
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00831Material properties
    • A61B2017/00893Material properties pharmaceutically effective
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/04Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06004Means for attaching suture to needle
    • A61B2017/06028Means for attaching suture to needle by means of a cylindrical longitudinal blind bore machined at the suture-receiving end of the needle, e.g. opposite to needle tip
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/04Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06166Sutures
    • A61B2017/06176Sutures with protrusions, e.g. barbs
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS 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
    • A61L2300/00Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices
    • A61L2300/40Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices characterised by a specific therapeutic activity or mode of action
    • A61L2300/404Biocides, antimicrobial agents, antiseptic agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS 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
    • A61L2300/00Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices
    • A61L2300/40Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices characterised by a specific therapeutic activity or mode of action
    • A61L2300/412Tissue-regenerating or healing or proliferative agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS 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
    • A61L2300/00Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices
    • A61L2300/40Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices characterised by a specific therapeutic activity or mode of action
    • A61L2300/412Tissue-regenerating or healing or proliferative agents
    • A61L2300/414Growth factors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS 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
    • A61L2300/00Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices
    • A61L2300/60Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices characterised by a special physical form
    • A61L2300/64Animal cells

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Vascular Medicine (AREA)
  • Chemical & Material Sciences (AREA)
  • Epidemiology (AREA)
  • Molecular Biology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Biomedical Technology (AREA)
  • Materials Engineering (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Materials For Medical Uses (AREA)
  • Micro-Organisms Or Cultivation Processes Thereof (AREA)

Abstract

Hilo quirúrgico (100) que comprende una estructura de retención celular (110) y células (120), donde la estructura de retención celular (110) comprende elementos de retención celular (115) que sobresalen de la superficie del hilo (100), caracterizado por el hecho de que el hilo (100) está colonizado sólo parcialmente por las células (120), y las células (120) están fijadas entre los elementos de retención celular (115) y áreas de superficie del hilo bajo los elementos de retención celular (115).

Description

imagen1
imagen2
imagen3
imagen4
imagen5
imagen6
debajo de los elementos de retención celular.
[0080] Respecto a los detalles y ventajas adicionales, en particular respecto al hilo y a las células, se hace referencia en su totalidad a la descripción precedente.
[0081] También se describe un método para la reparación de tejidos, en particular para el cierre de bordes de heridas, que comprende el paso de insertar un hilo según la invención en un tejido que ha de ser reparado, en particular en los bordes de herida que ha de ser cerrada.
[0082] Más específicamente, el hilo puede ser insertado, ventajosamente por medios endoscópicos, en un órgano, por ejemplo para favorecer la regeneración de un tejido. Para este propósito, el hilo preferiblemente comprende células diseñadas para segregar factores de crecimiento tales como factores de crecimiento vascular con el objetivo de favorecer el crecimiento vascular local en una área que necesita suministro de sangre, tal como un corazón isquémico o un área recién trasplantada.
[0083] En otra forma de realización, el hilo se puede insertar en el tejido para inhibir la proliferación celular, por ejemplo para tratamientos cancerosos. Con este fin, el hilo preferiblemente comprende células madre que están diseñadas para llevar una sustancia citotóxica.
[0084] El hilo se puede insertar mediante un instrumento quirúrgico adecuado tal como una aguja o cánula quirúrgica.
[0085] Además, se describe un método para rellenar un área del cuerpo, como por ejemplo arrugas, pliegues, el área malar, la nariz, la barbilla, el área mamaria y similares, que comprende el paso de la colocación de un hilo según la presente invención en un área del cuerpo que ha de ser rellenada.
[0086] El hilo se puede colocar en el área del cuerpo deseada de forma mínimamente invasiva.
[0087] En una forma de realización ventajosa, se puede inducir a las células, mediante la administración de agentes útiles, particularmente factores, para que expresen características deseadas, por ejemplo, para segregar sustancias terapéuticas y/o, cuando las células estén presentes como células madre, para favorecer su diferenciación a un tipo de célula deseada. Como alternativa o en combinación, el hilo ya puede estar acabado con agentes y factores útiles, respectivamente.
[0088] Respecto a las otras características y ventajas, en particular respecto al hilo, se hace referencia en su totalidad a la descripción precedente.
[0089] Otras características y ventajas de la invención se harán aparentes a partir de la descripción siguiente de formas de realización preferidas y en referencia a los ejemplos y descripciones de las figuras conjuntamente con las características de las reivindicaciones dependientes y la figura.
[0090] La figura muestra esquemáticamente: Figura 1: una forma de realización del hilo según la invención.
Descripción de la figura
[0091] La Figura 1 muestra esquemáticamente una forma de realización alternativa de un hilo 100 según la presente invención. El hilo 100 comprende una estructura de retención celular 110 que tiene elementos de retención celular 115 en forma de protuberancias, preferiblemente en forma de púas. Las células 120 están fijadas entre las protuberancias 115 y áreas de superficie 108 del hilo bajo las protuberancias
115. De este modo, el riesgo de una pérdida celular, en particular por arancamiento de las células 120 durante la inserción del hilo 100, se puede minimizar eficazmente.
[0092] El hilo 100, como se representa en la figura 1, es útil especialmente como producto de relleno quirúrgico, en particular para rellenar áreas pequeñas del cuerpo. De este modo, el hilo 100 se puede aplicar, por ejemplo, al campo de la cirugía plástica y/o reconstructiva, particularmente para tratar arrugas y pliegues con el objetivo de minimizar su apariencia.
8

Claims (1)

  1. imagen1
ES10728212.1T 2009-06-29 2010-06-25 Hilo quirúrgico que comprende células y método de fabricación del hilo Active ES2600359T3 (es)

Applications Claiming Priority (7)

Application Number Priority Date Filing Date Title
US22114009P 2009-06-29 2009-06-29
US221140P 2009-06-29
WOPCT/EP2009/007950 2009-11-06
WOPCT/EP2009/007948 2009-11-06
PCT/EP2009/007950 WO2010052007A2 (en) 2008-11-06 2009-11-06 Surgical suture material with barbs cut into it in the undrawn state
PCT/EP2009/007948 WO2010052005A1 (en) 2008-11-06 2009-11-06 Surgical thread with sheath-core construction
PCT/EP2010/059091 WO2011000788A1 (en) 2009-06-29 2010-06-25 Surgical thread comprising cells and method of manufacturing the thread

Publications (1)

Publication Number Publication Date
ES2600359T3 true ES2600359T3 (es) 2017-02-08

Family

ID=42537628

Family Applications (1)

Application Number Title Priority Date Filing Date
ES10728212.1T Active ES2600359T3 (es) 2009-06-29 2010-06-25 Hilo quirúrgico que comprende células y método de fabricación del hilo

Country Status (6)

Country Link
US (1) US9017378B2 (es)
EP (2) EP3085313B1 (es)
BR (1) BRPI1016020B8 (es)
ES (1) ES2600359T3 (es)
PL (1) PL2448498T3 (es)
WO (1) WO2011000788A1 (es)

Families Citing this family (8)

* Cited by examiner, † Cited by third party
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KR101256908B1 (ko) 2011-04-28 2013-04-23 (주)에이치비메디컬스 주름제거용 충전체
US20140178343A1 (en) * 2012-12-21 2014-06-26 Jian Q. Yao Supports and methods for promoting integration of cartilage tissue explants
US9986999B2 (en) 2013-08-29 2018-06-05 Teleflex Medical Incorporated High-strength multi-component suture
IL243461A0 (en) * 2016-01-05 2016-02-29 Amir Avraham Skin-augmenting surgical sutures
KR101742658B1 (ko) * 2016-02-24 2017-06-01 조승현 의료용 봉합사 및 이의 제조 장치 및 제조 방법
US12383246B2 (en) 2020-10-12 2025-08-12 Abbott Cardiovascular Systems, Inc. Vessel closure device with improved safety and tract hemostasis
FR3119634B1 (fr) 2021-02-09 2023-04-28 Ferco Dispositif de roulement pour ouvrant coulissant de porte ou fenêtre
KR102491158B1 (ko) * 2022-12-06 2023-01-20 (주)시지바이오 지그재그 형태로 굴곡진 의료용 리프팅 실

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US6174333B1 (en) * 1994-06-06 2001-01-16 Osiris Therapeutics, Inc. Biomatrix for soft tissue regeneration using mesenchymal stem cells
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Also Published As

Publication number Publication date
EP2448498A1 (en) 2012-05-09
WO2011000788A1 (en) 2011-01-06
BRPI1016020A2 (pt) 2017-07-18
EP2448498B1 (en) 2016-08-10
PL2448498T3 (pl) 2017-08-31
US20120232588A1 (en) 2012-09-13
BRPI1016020B1 (pt) 2020-09-29
EP3085313B1 (en) 2021-11-17
BRPI1016020B8 (pt) 2022-05-10
US9017378B2 (en) 2015-04-28
EP3085313A1 (en) 2016-10-26

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