Microstructure soft tissue graft
Soft tissue repair grafts are described comprising an anti-adhesion layer, a structural layer, and a localization layer. These layers may be distinct or integrated into one substrate. The term layer is used to distinguish tissue repair graft functionality rather than distinct material layers. The distinct layers of functionality may comprise a single plane of a substance.
1. A soft tissue repair graft comprising:
a first layer comprising a biocompatible, non-bioabsorbable polymeric mesh having a first surface and a second surface;
a second layer comprising an anti-adhesion formation polymeric material;
a third layer comprising a microstructured surface, wherein the microstructured surface comprises a first microstructured pattern and a second microstructured pattern, the first microstructured pattern having at least a first microfeature and a second microfeature wherein the first and second microfeatures are configured hierarchically, the second microstructured pattern having a barbed microfeature configured to invasively engage a target surface, the first microstructured pattern being disposed about the microstructured surface at a first position, and the second microstructured pattern being disposed about the microstructured surface at a second position different from the first position;
wherein the second pattern is configured to distribute a force over the area of contact of the target surface when the force is exerted on the soft tissue repair graft to invasively engage the second pattern, and wherein no single microfeature of the second pattern exerts more than 0.025 kg/cm 3 of the volume of the single microfeature when the soft tissue repair graft is separated from the target surface, and wherein the separation force exceeds 25 kg/cm 2 of the contact area between the soft tissue repair graft and target surface; and
wherein the second layer is attached to at least a portion of the first surface of the first layer and the third layer is attached to at least a portion of the second surface of the first layer.
2. The soft tissue repair graft of claim 1 wherein the anti-adhesion formation polymeric material comprises bioabsorbable material and the microstructured surface comprises a nonbioabsorbable polymeric material.
3. The soft tissue repair graft of claim 1 wherein the anti-adhesion formation polymeric material comprises a bioabsorbable polymeric material and the microstructured surface comprises a bioabsorbable polymeric material.
4. The soft tissue repair graft of claim 1 wherein the anti-adhesion formation polymeric material comprises a non-bioabsorbable polymeric material and the microstructured surface comprises a non-bioabsorbable polymeric material.
5. The soft tissue repair graft of claim 1 wherein the anti-adhesion formation polymeric material comprises a non-bioabsorbable polymeric material and the microstructured surface comprises a bioabsorbable polymeric material.
6. The soft tissue repair graft of claim 1 wherein the microstructured surface comprises a first bioabsorbable polymeric material, and wherein the first pattern comprises a second bioabsorbable polymeric material and the second pattern comprises the first bioabsorbable polymeric material.
7. The soft tissue repair graft of claim 1 wherein the microstructured surface comprises a non-bioabsorbable polymeric material, and wherein the first pattern comprises a bioabsorbable polymeric material and the second pattern comprises the non-bioabsorbable polymeric material.
8. The soft tissue repair graft of claim 1 wherein the third layer comprises fenestrations such that tissue growth from the target surface penetrates through the third layer fenestrations and into the first layer.
9. The soft tissue repair graft of claim 1 , wherein the polymeric mesh comprises pores with a diameter between 0.5 mm and 6 mm.
10. The soft tissue repair graft of claim 1 , wherein the polymeric mesh comprises warp knitted filament having a diameter of between 5 microns and 100 microns.
11. The soft tissue repair graft of claim 1 , wherein the graft has a mass per unit area less than 300 g/m 2 .
12. The soft tissue repair graft of claim 1 , wherein the second layer is attached to at least a portion of the first surface of the first layer at attachment sites, the attachment sites comprising a first filament for attaching the first and second layers together, and wherein adjacent attachment sites are separated by a distance of between 1 mm and 20 mm.
13. The soft tissue repair graft of claim 12 , wherein the third layer is attached to at least a portion of the second surface of the first layer at attachment sites, the attachment sites comprising a second filament for attaching the first and third layers together, and wherein adjacent attachment sites are separated by a distance of between 0.1 mm and 10 mm.
14. The soft tissue repair graft of claim 13 , wherein the first filament is bioabsorbable.