Adhesive structure with tissue piercing protrusions on its surface
An implant having an adhesive structure comprising a planar surface having two sides and rectangular cuboid-based protrusions having pyramidal tips extending from at least one of said sides, optionally having a porous basic supporting structure, and methods of making and using such implants.
1. An adhesive structure comprising a planar surface having two sides and a plurality of rectangular cuboid-based protrusions having pyramidal tips, said protrusions extending from at least one of said sides, wherein the protrusions extend substantially normal to the planar surface, and wherein faces of said rectangular cuboid-based protrusions are serrated.
2. The adhesive structure of claim 1 , wherein the protrusions extend within +/−10 degrees of normal to the planar surface.
3. The adhesive structure of claim 1 , wherein the protrusions have aspect ratios, measured as the ratio of height/width, of at least about 0.5.
4. The adhesive structure of claim 3 , wherein the protrusions have aspect ratios from about 1 to 5.
5. The adhesive structure of claim 1 , wherein the rectangular cuboid bases of said protrusions are substantially square in horizontal cross-section and the pyramidal tips are square pyramids extending from said rectangular cuboid bases.
6. The adhesive structure of claim 5 , wherein the rectangular cuboid bases of said protrusions have widths from about 1 to 500 microns, the pyramidal tips have an included angle of about 54 degrees, and the protrusions have heights greater than or equal to about 0.5 micron.
7. The adhesive structure of claim 1 , wherein the planar surface is a polymeric film and the protrusions are integral with said film.
8. The adhesive structure of claim 7 , wherein the polymeric film is an elastomer film.
9. The adhesive structure of claim 7 , wherein the polymer of said polymeric film and protrusions is a biodurable polymer or a bioabsorbable polymer.
10. The adhesive structure of claim 9 , wherein the polymer is a bioabsorbable polymer.
11. The adhesive structure of claim 7 , wherein the film has a thickness from about 20 microns to about 200 microns.
12. The adhesive structure of claim 1 , wherein said protrusions extend from both sides of said planar surface.
13. The adhesive structure of claim 1 , further comprising a porous basic structure laminated to the side of said planar surface opposite said protrusions.
14. The adhesive structure of claim 13 , further comprising a second planar surface having two sides with rectangular cuboid-based protrusions having pyramidal tips extending therefrom, laminated to said porous basic structure such that said protrusions extend from both sides of said structure.
15. The adhesive structure of claim 13 , wherein said porous basic structure is made from a biodurable polymer and said planar surface and protrusions are made from a bioabsorbable polymer.
16. The adhesive structure of claim 1 , having a density of protrusions from the surface thereof from about 400 to about 20,000 protrusions/cm 2 .
17. The adhesive structure of claim 1 , further comprising an adhesion barrier laminated to said porous basic structure on the side opposite said adhesive structure.
18. A surgical procedure comprising:
inserting into a patient at a surgical repair site an implant comprising an adhesive structure comprising a planar surface having two sides and a plurality of rectangular cuboid-based protrusions having pyramidal tips and serrated faces, said protrusions extending substantially normal to the planar surface from at least one of said sides;
approximating edges of the surgical repair site; and
pressing said adhesive structure against the surgical repair site.
19. The surgical procedure of claim 18 , wherein the surgical repair is a urethral repair.
20. The surgical procedure of claim 18 , wherein the surgical repair is a pelvic floor repair.
21. The surgical procedure of claim 18 , wherein the surgical repair is a cosmesis.
22. The surgical procedure of claim 18 , wherein the surgical repair is a fascia repair.
23. The surgical procedure of claim 18 , wherein the surgical repair is a connective tissue repair.
24. The surgical procedure of claim 18 , wherein the surgical repair is a vascular tissue repair.
25. The surgical procedure of claim 18 , wherein the surgical repair is a neural tissue repair.
26. The surgical procedure of claim 18 , wherein the surgical repair is a bone tissue repair.
27. The surgical procedure of claim 18 , wherein the surgical repair is an abdominal wall incision.
28. The surgical procedure of claim 18 , wherein the surgical repair is a hernia.
29. A surgical procedure comprising:
inserting into a patient at a surgical repair site an implant comprising an adhesive structure comprising a planar surface having two sides and a plurality of rectangular cuboid-based protrusions having pyramidal tips and serrated faces, said protrusions extending substantially normal to the planar surface from at least one of said sides;
approximating edges of the surgical repair site; and
pressing said adhesive structure against the surgical repair site substantially without mechanical fixation of the device.
30. The surgical procedure of claim 29 , further comprising removing and repositioning the implant without damaging tissue surrounding the surgical repair site.
31. The surgical procedure of claim 29 , wherein said adhesive structure provides an adhesion force of from about 20 kN/m 2 to about 50 kN/m 2 to said surgical repair site.