Implantable mesh combining biodegradable and non-biodegradable fibers
Disclosed are mesh materials adapted for use in an implantable sling. The mesh materials include biodegradable and non-degradable components that may be adapted to facilitate scar-tissue in-growth as the biodegradable components degrade.
1. A mesh for use in an implantable sling comprising:
a plurality of non-biodegradable transverse strands; and
a plurality of non-biodegradable longitudinal strands, the plurality of non-biodegradable transverse strands and the plurality of non-biodegradable longitudinal strands being arranged in a uniform grid,
wherein:
a plurality of biodegradable fibers are woven through the uniform grid, the plurality of biodegradable fibers being arranged in a same direction as the plurality of non-biodegradable longitudinal strands, and
the plurality of biodegradable fibers being of varying length, a longest biodegradable fiber of the plurality of biodegradable fibers having a length that is shorter than a longitudinal length of the uniform grid.
2. The mesh of claim 1 , wherein at least one of the plurality of non-biodegradable longitudinal strands and the plurality of non-biodegradable transverse strands includes an exterior biodegradable shell.
3. The mesh of claim 1 , wherein at least one of the plurality of biodegradable fibers includes a material that degrades in-vivo at a rate that facilitates a predetermined rate of scar tissue in-growth into the mesh.
4. The mesh of claim 1 , wherein a ratio of biodegradable fibers to non-degradable longitudinal strands is greater than about 1/4 and less than about 3/1.
5. The mesh of claim 1 , further comprising a therapeutic-agent.
6. The mesh of claim 1 , wherein, upon degradation of at least one biodegradable fiber of the plurality of biodegradable fibers, a gap of greater than about 50 μm forms in the mesh between a first transverse non-biodegradable strand of the plurality of transverse non-biodegradable strands and a second transverse non-biodegradable strand of the plurality of transverse non-biodegradable strands, the first transverse non-biodegradable strand being adjacent to the second non-biodegradable strand in the uniform grid.
7. The mesh of claim 1 , wherein at least one non-biodegradable transverse strand of the plurality of non-biodegradable transverse strands is attached to two or more of the plurality of non-biodegradable longitudinal strands by an adhesive.
8. The mesh of claim 1 , wherein the uniform grid is adapted to extend across a patient's urethra.
9. The mesh of claim 1 , wherein a ratio of biodegradable fibers to non-degradable longitudinal strands is more than 1/4 and less than 2/1.
10. A mesh for use in an implantable sling comprising:
a plurality of non-biodegradable transverse strands;
a plurality of non-biodegradable longitudinal strands, the plurality of non-biodegradable transverse strands and the plurality of non-biodegradable longitudinal strands being arranged in a grid; and
a plurality of biodegradable longitudinal segments, each biodegradable longitudinal segment of the plurality of biodegradable longitudinal segments connecting only a respective first non-biodegradable transverse strand of the plurality of non-biodegradable transverse strands and a respective second non-biodegradable transverse strand of the plurality of non-biodegradable transverse strands that is adjacent to the respective first non-biodegradable transverse strand in the grid.
11. The mesh of claim 10 , wherein at least one of the plurality of non-biodegradable longitudinal strands and the plurality of non-biodegradable transverse strands includes an exterior biodegradable shell.
12. The mesh of claim 10 , wherein the plurality of biodegradable longitudinal segments are attached to the grid using an adhesive.
13. The mesh of claim 10 , wherein the plurality of biodegradable longitudinal segments are laser welded to the grid.
14. The mesh of claim 10 , wherein the plurality of biodegradable longitudinal segments are formed by patterned air-drying of a solvent including a biodegradable polymer.
15. The mesh of claim 10 , wherein at least one of the plurality of biodegradable longitudinal segments includes a material that degrades in-vivo at a rate that facilitates a predetermined rate of scar tissue in-growth into the mesh.
16. The mesh of claim 10 , wherein at least one of the plurality of biodegradable longitudinal segments includes a therapeutic-agent.
17. The mesh of claim 10 , wherein the grid is adapted to extend across a patient's urethra.
18. The mesh of claim 10 , wherein the grid is non-uniform.
19. The mesh of claim 10 , wherein any three sequential non-biodegradable transverse strands of the plurality of non-biodegradable transverse strands in the grid have, at most, two of the three sequential non-biodegradable transverse strands connected by one or more biodegradable longitudinal segments of the plurality of biodegradable longitudinal segments.