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. An implantable soft tissue mesh device comprising:
a tissue scaffold layer comprising a biocompatible, non-bioabsorbable polymeric mesh;
a fixation layer comprising a first microstructured pattern, the fixation layer anchored to the tissue scaffold layer, wherein the first microstructured pattern comprises a first microfeature and a second microfeature arranged hierarchically, the first microfeature being from 10 to 100 microns in width, the second microfeature disposed about the first microfeature and being from 10 to 50 microns in width, wherein the fixation layer further comprises fenestrations allowing for tissue ingrowth, and wherein the fixation layer comprises a second microstructured pattern having a barbed microfeature configured to invasively engage a contact surface;
a filament disposed about the tissue scaffold layer and fixation layer for anchoring the fixation layer to the tissue scaffold layer;
wherein the fixation layer is configured to generate a Wenzel-Cassie interface with the contact surface and wherein a single barbed microfeature of the second microstructured pattern exerts no more than 0.025 kg/cm 3 of the volume of the single barbed microfeature and a separation force exceeds 25 kg/cm 2 of a contact area between the implantable soft tissue mesh device and the contact surface when the implantable soft tissue mesh device is separated from the contact surface.
2. The implantable soft tissue mesh device of claim 1 , wherein the first and second microstructured patterns have a fractal dimension greater than 2.
3. The implantable soft tissue mesh device claim 1 , wherein the first microfeature includes a height from 30 to 120 microns and a pitch from 10 to 100 microns.
4. The implantable soft tissue mesh device of claim 3 , wherein the second microfeature includes a height from 30 to 80 microns and a pitch from 10 to 50 microns.
5. The implantable soft tissue mesh device of claim 1 , further comprising an anti-adhesion layer comprising bioabsorbable material.
6. The implantable soft tissue device of claim 5 , wherein the anti-adhesion layer is incorporated into the tissue scaffold layer.
7. The implantable soft tissue device of claim 5 , wherein the anti-adhesion layer is attached to the tissue scaffold layer.
8. The implantable soft tissue mesh device of claim 1 , wherein the fixation layer comprises bioabsorbable polymer material.
9. The implantable soft tissue mesh device of claim 1 , wherein the tissue scaffold layer comprises pores with a diameter from 0.5 mm to 6 mm.
10. The implantable soft tissue mesh device of claim 1 , wherein the tissue scaffold layer comprises warp knitted filament having a diameter from 5 microns to 100 microns.
11. The implantable soft tissue mesh device of claim 1 , wherein the tissue scaffold layer comprises pores with a diameter from 0.5 mm to 6 mm.
12. An implantable soft tissue mesh device comprising:
a tissue scaffold layer comprising a biocompatible, bioabsorbable mesh;
a fixation layer comprising a microstructured surface having a first microstructure pattern, the fixation layer anchored to the tissue scaffold layer, wherein the first microstructure pattern comprises a first microfeature and a second microfeature arranged hierarchically, the first microfeature being from 10 to 100 microns in width, the second microfeature disposed about the first microfeature and being from 10 to 50 microns in width, the fixation layer having a second microstructure pattern having a barbed microfeature, and wherein the fixation layer further comprises fenestrations allowing for tissue ingrowth;
a filament disposed about the tissue scaffold layer and fixation layer for anchoring the fixation layer to the tissue scaffold layer; and
wherein the fixation layer is configured to generate a Wenzel-Cassie interface with a contact surface and wherein the barbed microfeature of the second microstructure pattern exerts no more than 0.025 kg/cm 3 of the volume of the barbed microfeature and a separation force exceeds 25 kg/cm 2 of a contact area between the implantable soft tissue mesh device and the contact surface when the implantable soft tissue mesh device is separated from the contact surface.
13. The implantable soft tissue mesh device of claim 12 , wherein the first and second microstructured patterns have a fractal dimension greater than 2, wherein the first microfeature includes a height from 30 to 120 microns and a pitch from 10 to 100 microns, and wherein the second microfeature includes a height from 30 to 80 microns and a pitch from 10 to 50 microns.
14. The implantable soft tissue mesh device of claim 12 , further comprising an anti-adhesion layer comprising bioabsorbable or non-bioabsorbable material that is incorporated into the tissue scaffold layer.
15. The implantable soft tissue mesh device of claim 12 , wherein the fixation layer comprises bioabsorbable or non-bioabsorbable polymer material.