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Application of Knitted Fabrics in Technical and Medical Textiles

Friday, 27 December 2013

APPLICATION OF KNITTED FABRICS IN TECHNICAL & MEDICAL TEXTILES 
 Abdulwahid Dadhiwale
D.K.T.E society’s textile and enginieering institute of technology
Diploma In Textile Manufactures
Email: wahidw202@gmail.com




Abstract:
Knitted fabrics and knitting technology play very important role on the fields of technical and medical textiles and their importance is ever greater. Experts estimate that their annual consumption is increasing by 3,8 % in average and it can reach about 24 million tons in 2010. Within this the consumption of each sector is increasing. Roughly one third of the world’s fibre consumption is used for production of technical textiles.

The term “technical textiles” covers many fields of application that are mirrored in the terminology of Tech-textile which is very much used generally when grouping these products. Techtextil differentiates 11 groups and knitted fabrics and products made by knitting technologies can be found in each of them.

The lecture introduces such applications on many examples. We think that use of knitting technologies in the development of technical and medical textiles can help this sector to survive this difficult period of the European textile industry.

Keywords: knitting, knitted fabrics, technical textiles, medical textiles

1. INTRODUCTION
Importance of technical textiles is great and increasing. Experts estimate that annual rising ratio of this application of textile materials is 3.8 % in average and consumption in each filed of this group of applications is anticipated as growing. Roughly one third of the quantity of the world’s fibre consumption is used in production of technical textiles. Range of technical textiles is very wide. There are various definitions of this term from which we usually use the list disseminated by the well known international fair of these products, Techtextil, which contains 11 groups.
Fig 1.Technical textiles
Thus, we can say that the term “technical textiles” can be defined as do not belong to them the usual underwear and outerwear products as well as products called ordinary home textiles and household textiles (table linen, bed linen, dishcloth, curtains, etc.) except the ones used in furniture and upholstery.

Most of technical textiles are made of non-conventional materials, they are usually man-made fibres, in many cases special types developed for specific applications. Metallic yarns (thin wires) alone or parallel to other yarns are also used in some technical knitted fabrics. However, traditional materials, including those of natural origin, play important role in some fields.

Though each production technologies are involved in these fields, from spinning to the various kinds of fabric manufacture, including manufacture of ropes and twines, we concentrate in this paper to the role of knitting technologies.

2. USE OF KNITTING TECHNOLOGIES IN MANUFACTURE OF TECHNICAL TEXTILES
Studying the objects exhibited on fairs and the articles published in technical papers and on the Internet we have the experience that various kinds of warp knitted fabrics play the most important role among knitted technical textiles. These fabrics are made on tricot, raschel, crochet and knit braiding1 machines. Products of these machines can be used in themselves, like nets or bandages, but also as reinforcement materials in composites or backing materials for laminated or coated fabrics.

However, besides warp knitting technology important products are made also on weft knitting, mainly on circular knitting machines but V-bed flat knitting must not be neglected either.

2.1 Nets
Application field of nets is extremely wide. Agriculture, fishing, packaging, transport, sports, shading technology, construction, healthcare, surgery, safety technology and military presents many good examples for that. Many of these nets are made by raschel or crocheting technology the great advantage of which is that they do not contain knots (Fig. 2). This makes the nets easier to handle because the layers do not tangle up and there are no knots that could harm the good packed into the net. Warp knitted nets – both flat and tubular ones – can be produced with very high productivity.

Materials used for net manufacture are very different, depending on the end use. Spun yarns or filament yarns, narrow plastic tapes are commonly used for this purpose. Elastic nets are made with using of elastane yarns.
Figure 2: Raschel net does not contain knots
Width of flat nets knitted on raschel or tricot machines may reach as well 5 to 6 metres while to make narrower variants (up to 100 to 120 cm width) crochet machines are also available. Raschel machines with two needle bars are able to produce wide tubular net fabrics. To manufacture tubular nets of smaller diameters (from 1 or 2 centimetres to about 20 cm) knit breading machines can be used very effectively but their final diameter can be extended in the practice if they contain elastane yarns.

2.2 Knitted fabrics with orientated behaviours
Knitted fabrics with orientated behaviours are made usually with lots of yarns laid lengthwise, crosswise and/or diagonally into the fabric. Their keeping together is performed by warp knitted loops. Aim of these 1 Knit braider is a circular warp knitting machine working with latch needles, making similar products as braiding machines (nets, twines, etc.)

a) b) c)
Figure 3: Knitted fabrics with orientated behaviours
a) Monoaxial [5], b) biaxial, c) multiaxal [5]

structures is mainly to reduce the stretch and/or to increase the forth of the fabric in one or more directions. If this effect is realized only in one direction (lengthwise or crosswise) the fabric is called “unidirectional” or “monoaxial”. If this behaviour asserts itself in both directions the fabric is called “biaxial”. “Multiaxial” or “multidirectional” fabrics have almost the same behaviour in every direction (Fig. 3.). To manufacture such fabrics special tricot and raschel machines have been developed completed by equipment to prepare and lead the lots of reinforcing yarns into the place of loop formation. In these fabric constructions the laid-in yarns play the main role, the loops only link them together.

There are a great number of end uses for these fabrics. Biaxial fabrics with PVC coating, for instance, are used for manufacture of stressed roof constructions by which very wide spaces can be covered. Fabrics with directed behaviours are available also as reinforcement materials of composites or for geogrids.

2.3 Spacer fabrics
Among knitted fabrics perhaps the most spectacular development can be registered in case of spacer fabrics. This is already the product of the 21st century, their development began only several years ago but it has made great progress since then. Though the principle of the fabrication is not new, it goes back to the manufacture of plush fabrics on raschel machine, the adaptation of this technology to make a completely new type of fabric is very ingenious. At the beginning they were developed really on two needle bar raschel machines but now there are also circular knitting machines on the market for manufacturing of such products and, of course, V-bed flat knitting machines are also able to make spacer fabrics of some kinds (Fig. 4). The two surface layers of spacer fabrics are usually linked by relatively thick monofilaments which makes the fabric elastic when pressed in thickness direction. This is the most important reason why spacer fabrics have found many fields of application. They can substitute foam in seats or beds, in orthopaedic support devices, in bras and shoes. It can serve in smart clothes as heat insulation or for forming of ventilation passages. As a type of geotextiles spacer fabrics can be used to lead off water from the soil. In manufacturing of composites used in the motor industry or ship building they can work as reinforcement inlay. Using proper yarns or with application of special treatment they can be electrically conductive, flame retardant, antibacterial, etc.

As we see at this moment, most spacer fabrics used are made on raschel machines or, in recent times, also on crochet machines. Needle bed distance on these machines can be varied within wide range and fabric thickness can reach even 60 mm. On circular knitting machines needle bed distance is much more limited, only thinner (thickness of some millimetres) spacer fabrics can be made on them. However, these variants are also very important and can be found in many products. I am convinced that spacer fabrics will have high importance in the future among technical end uses,including healthcare. a) b) c)
a) Raschel [5], b) circular knitted [4], c) V-bed flat knitted [3]
Figure 4: Spacer fabrics
2.4 Stitch bonding
Stitch bonding machines combine knitting and sewing. They have grown from warp knitting technology and their products occupy an intermediate position between knitted and nonwoven fabrics. This fabric contains a carded web which is reinforced by yarns or loops formed from fibres pulled out from the web itself. Needles of the warp knitting machine pierce holes through the web and work like a sewing needle when forming a seam of chain stitching (called pillar stitch in warp knitting technology) or zigzag seam where stitches made on neighbouring needles couple with each other (called tricot lap in warp knitting technology). These fabrics have great importance in almost each class of technical textiles. They are used very often as reinforcing materials in composites or for heat or sound insulation, filling materials in clothes or furniture, etc. A further variant of such fabrics is when not only carded web but lots of yarns are laid in various directions over the web and all of these are stitched together. This formation may be called “composite fabric” since it is a composition of various types of textiles (web and yarns). They find application fields among filters, geotextiles, reinforcement materials in composites, etc.

Advantage of these fabrics is that the carded web may be made of various fibres which, because of their length or quality, can not be spun, even in various blending, fabric thickness and stitch density (number of stitches in length unit) as well as yarn counts (in accordance with machine cut) can be varied in relatively wide range. The fabric can be easily formed. At the end of its lifetime it can be torn and recycled.

2.5 Knitted fabrics in construction
Construction industry is a great market for textiles and also for knitted fabrics among them. Around buildings being under construction or renovation the scaffold is usually covered by raschel-knitted net (Fig. 5) made of polypropylene foil tapes. Knitted fabrics can be used also to reinforce wall coverings, both outside and inside. Some types of geotextiles and geogrids are also knitted structures, as mentioned above (Fig. 6) Many buildings, and not only provisional ones, have roofs made of textile fabrics (sports stadiums, air terminals, halls for various functions, etc.). If this roof is made from knitted fabric bi- or multiaxial knitted structures are used with waterproof and weatherproof coating. Huge areas, many hundreds of square metres can be covered by such fabrics.
Figure 5 and 6: Scaffold covered by raschel net and Knitted composite fabric used for driveway reinforcement

Figure 7: Warp knitted fabric for reinforcment of concrete slab [2]
Another possible application of knitted fabrics in construction is textile reinforced concrete. There are warp knitted structures developed especially for this purpose like the one shown in Fig. 7. Textile reinforced concrete has the advantage that it is much lighter than the one reinforced by steel bars.

2.6 Knitted fabrics in medical treatment
Many kinds of textiles are used in medical treatment. It is not surprising that a great part of clothing worn by doctors and nurses in hospitals and clinics is product of the knitting industry (e.g. undershirts, socks). But sometimes they are not conventional ones, they are made from yarns or with finishing that make them antibacterial against infections or against of rising of unpleasant sweaty smell. Various types of bandages (both rigid and elastic), surgical stockings, certain parts of orthopaedic equipment (ortheses) (like knee-, wrist- and elbow-braces, calf and lumbar supports, etc.) are also made by knitting technology. An important application field for spacer fabrics is manufacturing of mattresses for beds, operating tables and wheelchairs. Knitted products find application field also among implants: artificial blood vessels (they can be circular knitted or warp knitted, the latter is made on double needle bar raschel machine and can be made also in Y form), surgical meshes (made on tricot machine), coverings of artificial heart valves, etc. (Fig. 8). Thus, development and application of textiles open interesting possibilities for medical sciences and vice versa: manufacture of textiles for medical treatments offer important possibilities for the textile industry. Cooperation of doctors and technical experts of the textile industry can lead to development of new surgical technologies. Structure of the textiles used as implants is determined by its material composition, fibres’ behaviour and features of degradation. Materials of sutures and implants having biologically good properties, designable absorption and degradability and that endure the sterilization process are continuously subjects of research. At the same time, continuous development of textile technologies and machines enables to develop newer and newer methods in surgery and medical treatment. For this mutual development textile technologists and doctors must closely cooperate, while all the administrative procedures concerning manufacturing and trading of such products must be strictly respected.

2.7 Knitted fabrics in functional clothes

Knitted fabrics may be important components of functional clothes, too. For example, spacer fabrics can be used here as lining that, due to its hollow structure, enables ventilation inside the garment or, due to its elastic behaviour in thickness direction, protects against pressure or hit. This is why this fabric is a penchant for lining of motorcyclists’ protective garments. The speciality of a spacer fabric that there is a distance between its two surfaces but they can be springily pressed together enables to use them as electric switch if electrically conductive yarns are used in the two isolated surfaces. When they connect to each other under pressure an electric signal can be created. Also pressure sensor can be built in between the surfaces. Cables can be led in the inside hollow. Undershirts, trousers, socks made from elastic knitted fabrics fit close to the body and if sensors are fastened on them they can transport signals of the movements and the state of the body (perspiring, pulse, breath frequency, etc.).

Remarkable developments are going on – also in Hungary – with knitted fabrics containing metallic fibre components for manufacture of protective underwear against electromagnetic radiation as well as with other types of underwear that contain modacrylic or carbon fibres to make the knitted garments flame retardant. Socks made from heat resistant aramide fibres do good service on hot workplaces. On the recent Technical textile in 2009 a knitting factory presented a complete set of knitted underwear (long-sleeve shirt, trousers, socks, a) b) c)
Figure 8: Knitted implants
a) Artifitial blood vessel [6], b) surgical mesh [8], c) artificial heart valve [7]

hood) made of a special blending of modacrylic, aramide and cotton fibres to be worn in hot work environment. An other set of knitted underwear was made of antistatic polyester completed by antibacterial treatment.

3. CONCLUSIONS
All of these examples prove that there are very many possibilities for the European knitting industry to renew. Hungary has established, under the umbrella of the Hungarian Society of Textile Technology and Science, the National Technology Platform for Renewal of the Textile and Clothing Industry (TEXPLAT), joining the Technology Platforms created by the European Union. Aim of the European Union with this initiative was to strengthen the research and development activity and to speed up the realization of results of innovation in order to react successfully to the challenge of global competition. One of these European Platforms is the European Technology Platform for the Future of the Textile and Clothing Industry (ETP-FTC) – this is the background of the Hungarian project.

Within this project the Hungarian Society of Textile Technology and Science prepared in 2009 a Strategic

Plan for the research, development and innovation of the Hungarian textile and clothing industry. In this plan all the possible scopes of development were examined and evaluated. Many proposals have been

formulated also for the knitting industry, most of them are in connection with the subjects expounded above. Our opinion and the proposals have been collected in a study presented to the concerning government office, calling the officials’ attention to the aspect that the Hungarian textile and clothing industry could chose a completely new way for developing and it must not be considered as subject of write-off. The next step is going on this year: we have to discuss with entrepreneurs what can be really put into practise from our proposals. They are in difficult position nowadays, the Hungarian economy is not on the top and only few companies of the textile and clothing industry are able to invest new technology. However, there are also good examples and we do hope that some of the possible solutions will be realized in the near future.

4. REFERENCES
  1. AVR – Allgemeiner Vliesstoff-Report, 2007. No. 3.
  2. Liba – New double needle bar knitting machine for technical textiles. Melliand International, 2008. No. 2. p. 105 
  3. Kanakaraj, P.; Anbumani, N.: 3D knitted spacer fabrics and their application. Melliand International, 2007. No. 1. pp. 47–52.
  4.  http://www.mayercie.de/en/news/43_1687.htm Accessed: 2009-01-27 
  5. Karl Mayer’s leaflets
  6. www.goremedical.com/en/file/73641.pdf Accessed: 2009-04-09 
  7. http://www.ismaap.org/81.0.html Accessed: 2009-04-06 
  8. http://www.tmte.hu/11kiadvanyok/111matete/111_2009_04_pdf/133_Techtextil.pdf Accessed: 2010-02 
 

Modern Wound Care Products

Thursday, 19 December 2013

Modern Wound Care Products
Abdulwahid Dadhiwale
D.K.T.E society’s textile and enginieering institute of technology  
Diploma In Textile Manufactures
Email: wahidw202@gmail.com



Abstract:

Medical textiles are one of the major growth areas within technical textile and the use textile materials for the medical and health care products ranges from bandage materials to scaffolds tissue culturing and large variety of theses for permanent body implants. It will be stressed that one of the high tech of medical textile is the application of bandages for enhancing the quality of life. The use of the textile fibres in medical application is becoming very popular. There is no doubt that this diversification will lead to a resurgence of the textile industry.
Wound Care Products
Introduction:
An important growing field of the textile industry is the medical and related health care and hygiene sector. The application of textiles in the medical field is huge and diverse, ranging from single thread suture to the complex composite structure for bone replacement, and from the simple cleaning wipe to advanced barrier fabrics, used in operation theatres. Textile materials and products that are engineered to meet particular needs are suitable for medical applications, where a combination of strength, flexibility and sometimes moisture and air permeability are required.

The major fibres for medical textiles are:


Natural:
  1. Cotton
  2. Silk
  3. Regenerated cellulose
Synthetic:
  1. Polyester
  2. Viscose
  3. Lyocell
  4. Polyamide
  5. Polyvinyl alcohol
  6. Polyurethane urea (PUUR)
  7. Polypropiolactone (PPL)
  8. Polycaprolactone (PCL)
Natural Polymer:
  1. Biological protein
  • Collagen
  • CatgutBrenan
  • ferulate
  1. Chitin
  2. Alginate
  3. Polylactic acid (PLA)
  4. Chitosan
  5. Polyglycolic acid (PGA)
Desired Properties of Medical textiles:
  1. Bio – degradable
  2. Purified and Hygienic
  3. Fast & Highly absorbent
  4. Better Insulation
  5. Good thermal stability
  6. Non toxic
  7. Non allergic
  8. Able to be sterilized 9. Antimicrobial
Bandages in wound care
Bandages are very common in wound dressings. There are different types of bandages depending on the type of wound. Designed to perform a whole variety of special functions depending upon the type of wound and medical requirement
  • Woven, non- woven or knitted
  • Elastic or non- elastic
  • Gauze – open weave absorbent fabric used for
  • burns and scalds
  • Lint – for first aid and mild burn injuries
  • Wadding – covered with non woven and highly absorbent
Different type of bandages, their Fibre type and fabric structure:
Bandage
Fibre type
Fabric structure
Compression
Cotton, polyamide, elastomeric yarns
Knitted, woven
Orthopaedic
Cotton, viscose, polyester, PP, polyurethane foam
Nonwoven, woven
Adhesive
Cotton, viscose, PP, glass, plastic film
Knitted, woven, Nonwoven
Light support
Cotton, viscose, elastomeric yarn
Knitted, woven, Nonwoven
Retention
Polyamide. Cotton, viscose
Knitted, woven, Nonwoven
 
1. Sutures
A. Absorbable sutures

1. Surgical gut
  • Made from sub mucous layers of sheep
  • Time for complete absorption depend on the action of hardening agent
2. Fascia Lata
  • Muscle connective tissue of beef
  • Reconstructive orthopaedic surgery & repair of hernias
  • Becomes part of the tissue when the wound is healed
B. Non absorbable sutures

1. Silk
  • High tensile strength
  • Relatively inexpensive
  • Less Tissue Reaction
2. Dacron
  • Greater tensile strength
  • Minimal tissue reaction
  • Maximal visibility
  • Non fraying qualities
3. Silver wire clips
  • Many styles of clips are available for the purpose of holding the edges of the tissue in approximation.
  • Used when the wound is infected
  • Tend to produce scar when used in skin
4. Cotton, Linen, Nylon, Silkworm Gut

5. Smart sutures

Use of Shape Memory Polymer :
Such type of suture is normal at room temperature. It is initially loosely stitched and when it comes in contact with the skin due to body temperature, the thread gets tightened. Therefore, the threads used for these sutures are called as Shape Memory Polymer.

2. Nano Fiber
Application of nano fibres in modern wound care products is as follows:
  • For drug and gene delivery
  • Artificial blood vessels
  • Artificial organs
  • Medical face masks
Properties:
  • Carbon fibre hollow nanotubes, smaller than blood vessels, have potential to carry drugs into blood cell
  • Capable of delivering medicines directly into internal tissues
  • Anti adhesion
Development:

1. Medical application
  • Researchers have spun a Fibre from a compound naturally present in the blood
  • Used as bandage or sutures that ultimately dissolve in the body
  • Minimizes infection rate, blood loss and also absorbed by the body
2. Wound healing
  • Native process of regenerating dermal and epidermal tissues
  • Electrospun nano Fibre membrane
  • Highly porous membrane structure
  • High specific surface area
  • Drug delivery system
3. Treatment of malodorous wounds

Reasons of malodouring:-
  1. Poor hygiene and cleanliness
  2. Chronic illness and wound (leg ulcers, diabetic ulcers, pressure ulcer, etc.)
  3. Dead tissues
  4. Severe colonization or infection of bacterial micro organisms
The malodouring can be avoided by using different materials which can absorb the odor. These materials can be organic or inorganic.

1. Non organic absorptive material
The most common are non organic absorptive material Zeolites. Their uniform micro porous structure makes them ideal for separation and removal of volatile gases. But the main disadvantage of them is that we have to rely on other textile auxiliaries which are not allowed to be used in health care products.

2. Organic absorptive materials
Organic absorptive materials like, cellulose and natural biopolymer e.g. chitin, collagen, wool, polyacrylamide gels adsorb many times their own weight of water.

Activated carbon is one of the most common adsorptive materials used in ancient times. The main disadvantage of activated carbon is its black colour. Cyclodextrins derived from polysaccharides are used as novel deodorizing finish with the capacity to absorb and controlled drug or fragrance release. Exuderm odour Shield, Duo Derm Extra Thin, Tega Sorb these are some of the trade names of the Cyclodextrin.

3. Natural odour adsorbents
Herbal extracts and balms for example: Tea Tree Oil, Neem Oil, Aloe Vera, Manuka Honey.

4. Plasters
There are two main different types of plasters which are as follows:-
   a. Non extensible
   b. Extensible

a. Non extensible
Zinc oxide self adhesive plaster made from cotton, rayon cloth of plain weave evenly spread with pressure sensitive adhesive mass. This is a kind of non extensible plaster.

b. Extensible
Elastic plasters, assorted plasters and hydrocolloid are mechanical organs used for blood purification.

Conclusion:
Textiles are gearing towards an integrated future in medical textiles. Biomedical polymers are more and more developing into high-tech products with interesting changes in the market. Medical Textile Competence Centers are being established to make the most of knowledge, expertise and existing collaboration with medical researchers, microbiologists, physiologists and textile scientists.

References
  1. Alagirusamy R. And Das A., Technical Textile Yarns, Woodhead Publication, Page no. 468-513.
  2. Sabit Adanur, Wellington Sears Handbook of Industrial Textiles, Page no. 330-346.
  3. Viju S. and Brinda S.L., Asian Textile Journal, Feb. 2009, page no. 45-49.
  4. Mahfuzur M. & Chowdhary R., Textile Review, May 2009, page no. 10-15.
  5. Pal S., Asian Textile Journal, June 2009, page no. 47-53.
  6. Lipman R.D.A. & Bavel D.V., New Cloth Market, April 2011, page no. 48-55.
  7. Lakshmikanta C.R., Textile Magzine, Nov. 2006, page no 90-94.
  8. Anon, Textile Asia, August 2008, page no 78-79.
  9. Shanmugasundaram O.L., Asian Dyer, April 2008, page no. 54-57.
  10. Basu S.K., Indian Textile Journal, Dec. 2008, page no. 91-95.
  11. Anand S.C. & Lee G., Textile Asia, Nov-Dec. 2008, page no. 29-33. 
 

Artificial Ligaments | Characteristics and Joint Applications of Artificial Ligament

Sunday, 15 September 2013

Artificial Ligaments

Md. Mehedi Hasan Shibli
Department of Textile Engineering
Northern University Bangladesh
Cell: +88 01717979083 
Email: shibli121@yahoo.com





Artificial Ligaments: 
An Artificial ligament is a medical device &the purpose of an artificial ligament to join ends of two bones.
Artificial ligament
  • The artificial ligaments are made from man-made fibers like polyester.
  • The usage of the ligament varies based on type of operation.
  • The artificial ligaments are generally subject to a lot of wear and tear.
  • They also carry a risk of septic arthritis.
Characteristics of Artificial Ligaments:
  1. Ligament is a multilayered or tubular woven structure having intra-particular region, at least one bend region and end regions.
  2. Each region is woven so as to possess the required elasticity and strength.
  3. Polyethylene Terephthalate (PET) is mainly used for manufacturing artificial ligament.
  4. The artificial ligament must be bio-compatible with contact blood and tissue.
  5. Artificial ligament should have good bonding strength.
Raw Materials of Artificial Ligaments:
  1. Polyethylene Terephthalate (PET)
  2. Polyester
  3. Silk
  4. PTFE
  5. Multi filaments are mainly used to make artificial ligaments
Technology Used in Artificial Ligaments:
  • Braiding
Manufacturer of Artificial Ligaments :
  1. LARS ligament company (France)
  2. W. L. Gore & Associates Inc. (USA)
  3. Henan Hongrui Medical Devices Co. Ltd (China)
  4. ATLAS group co. ltd (Turkey)
  5. LA SANY international (India) 
Artificial Ligaments for Joint Applications:
These artificial ligaments, and the associated methods for attachment of them to both natural and artificial bones, will provide major advantages to patients, physicians, and health care institutions by providing an attractive alternative to cadaver allografts as well as autografts harvested from the patient’s own tissue.
Joint Applications for Artificial Ligament
For many patients the strength of a cadaver allograft, which is commonly used for example in an anterior cruciate ligament (ACL) repair of the knee, is not adequate for them to return to the high demand sports that they love. In addition, these grafts carry a small risk of disease transmission. Autografts harvested from the patient’s own patellar tendon and hamstring tendon are stronger than cadaver grafts, but carry the disadvantage of having to cut into healthy tendon elsewhere in the patient’s body, and increased surgical pain. An artificial ligament that is stronger than native ligament is a much needed and welcome alternative.

Surgeons will find the press fit anchor system extremely easy to install, which will save them time and effort in the operating room, and increase the success rates of their repairs.

Health care institutions and insurance providers will appreciate the potentially low cost, and higher success rates of these alternatives.

In addition to their use in repairing tendon and ligament injuries, such as the ACL or Achilles tendon, these artificial ligaments can be used for stabilizing and supporting artificial prosthetic joints, which will enhance their strength and durability. Currently there is no artificial ligament or tendon on the market, so there effectively is no competition.

Some of the variations shown in the patent can also be used to anchor hardware to bone, such as fracture plates or prosthetic joints.