Warp-Knit Prosthetic Porous Structure for Strength and Tissue Ingrowth
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Solution Overview
Problem
Existing lightweight porous knits for abdominal wall reinforcement exhibit poor mechanical strength, leading to potential fracture, shear force imbalances, and discomfort due to high intra-abdominal pressure, which can result in hernia repair recurrences and patient pain.
Innovation Solution
A prosthetic porous knit with a specific knitting pattern on a warp knitting machine using biocompatible polymer monofilaments, featuring a lightweight and macroporous structure with uniform shear force distribution, ensuring good visibility and tissue ingrowth.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Weight of moving object
If lightweight porous knits are used for abdominal wall reinforcement, then the prosthesis conforms to the abdominal wall and facilitates tissue ingrowth, but the mechanical strength is poor and resistance to fracture is low
Solution Approach 1:
The patent combines polyester monofilaments (providing mechanical strength) with polypropylene monofilaments (providing porosity and flexibility) in a single knit structure. This composite approach allows the prosthesis to simultaneously achieve lightweight properties, macroporous structure for tissue ingrowth, and sufficient mechanical strength to resist fracture during suturing and under intra-abdominal pressure.
2Adaptability or versatility
If the knit is made pliant and soft to conform to the abdominal wall, then flexibility and tissue conformity are improved, but resistance to fracture during suturing deteriorates
Solution Approach 1:
The patent creates different mechanical properties in different regions of the knit structure by using alternating rows of different monofilament types. The polyester rows provide strength and stiffness for fracture resistance, while the polypropylene rows provide flexibility and porosity for tissue conformity. This local differentiation allows the single prosthesis to simultaneously exhibit both pliancy for conformity and strength for fracture resistance.
3Reliability
If high porosity is achieved to facilitate tissue ingrowth, then tissue integration is improved, but mechanical strength and structural integrity deteriorate
Solution Approach 1:
The patent incorporates polypropylene monofilaments which inherently create a macroporous structure with high porosity that facilitates tissue ingrowth. However, to compensate for the mechanical weakness of highly porous structures, the patent combines these with polyester monofilaments that provide the necessary structural integrity and mechanical strength, creating a composite knit that maintains both high porosity and sufficient strength.
4Ease of manufacture
If the knit structure is simplified to reduce manufacturing complexity, then ease of manufacture is improved, but uniformity of shear force distribution deteriorates
Solution Approach 1:
The patent employs a periodic knitting pattern where rows of polyester monofilaments and rows of polypropylene monofilaments alternate in a regular sequence. This periodic structure, defined by specific guide bar patterns on the warp knitting machine, ensures uniform distribution of mechanical properties throughout the prosthesis, resulting in homogeneous shear force distribution at fixation points while maintaining relatively simple manufacturing through standardized machine operations.
Data Source
AI summary
The invention relates to a prosthetic porous knit based on a monofilament of a biocompatible polymer material, the pattern followed for the knitting of said monofilament on a warp knitting machine having two guide bars B1, B2 being the following, according to the ISO 11676 standard:Bar B1: 1.2/4.5/4.3/4.5/4.3/1.0/1.2/1.0//Bar B2: 4.3/1.0/1.2/1.0/1.2/4.5/4.3/4.5//The invention further relates to a method for producing such a knit and to a hernia prosthesis comprising such a knit.


