簡易檢索 / 詳目顯示

研究生: 梁耀中
Yao-chung Liang
論文名稱: 連續式毛囊真皮乳頭細胞植入器之開發
The Development of Continuous Implanters for Dermal Papilla Cells
指導教授: 鄭逸琳
Yih-lin Cheng
口試委員: 蔡高岳
Kao-yueh Tsai
林頌然
Sung-jan Lin
學位類別: 碩士
Master
系所名稱: 工程學院 - 機械工程系
Department of Mechanical Engineering
論文出版年: 2009
畢業學年度: 97
語文別: 中文
論文頁數: 103
中文關鍵詞: 快速原型植入器禿髮毛囊真皮乳頭細胞
外文關鍵詞: Rapid Prototyping, Implanter, Alopecia, Hair Follicle, Dermal Papilla Cells
相關次數: 點閱:212下載:0
分享至:
查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報
  • 現今普遍治療雄性禿(androgenetic alopecia)的方法包括口服柔沛(finasteride)、外用生髮水(minoxidil)與植髮(hair transplantation),但這些方法的成效各有所限制。近年經學者研究發現,在體外使毛囊真皮乳頭細胞(dermal papilla cells)大量增生,再將真皮乳頭細胞團植入禿髮處,便可誘導毛囊新生。但現階段的植入方式為採用手術或注射器等方式置入細胞團,須耗費大量時間在製備及裝填細胞團的步驟。為了縮短前置作業時間、加快植入速度與固定植入深度,本研究開發具有細胞儲存能力的連續式細胞團植入器。
    連續式植入器的概念是將半固體狀的真皮乳頭細胞團放入「彈匣」中或直接於「彈匣」中進行培養,再利用各器械的自動進給機制推送植入體透過針具進行植入。植入器械的設計包括自動撐開式、條狀彈匣式與轉盤彈匣式三種,設計完成後利用3D繪圖軟體繪製零件並以快速原型技術製作出原型零件,再將零件與針具結合組裝後,進行多項實驗比較各植入器的特性;並利用染色洋菜膠作為模擬植入體打入豬皮,切片後以放大鏡觀察其植入效果與植入深度並進行評估。測試結果發現轉盤彈匣式具有高容量彈匣及相對舒適的操作方式,自動撐開式則具有刺入皮膚、撐開、推出與切斷植入體的功能,可減少對植入體擠壓的機會,但就現階段實驗結果來說,具有良好植入效果及速度的條狀彈匣式是目前可行性較高且較適合進行細胞團植入的設計。


    Finasteride, minoxidil, and hair transplantation are the popular ways to treat androgenetic alopecia, but each has its limited effects. The recent study found that implanting massively in-vitro proliferated dermal papilla cells into the bald areas could induce the transdifferentiation of epidermis into hair follicles. However, the existing approaches to implant the cell aggregates are by surgery or by syringe, requiring a lot of time on preparation and loading the cells. In order to shorten the preparation time, accelerate implant speed and control implanted depth, this research developed continuous implanters which have cell storage capability.
    The concept of continuous implanter is to place semi-solid dermal papilla cells or cultivate them directly in a cartridge, and an auto-feed mechanism is utilized to push the cells into the derma through a needle. Three designs were investigated—auto-expand type, bar-cartridge type, and rotary-cartridge type. The implanters were designed in 3D CAD software and fabricated their prototypes by rapid prototyping techniques. After assembly of the components and the needles, several tests were conducted to compare the characteristics of the three designs. Moreover, dyed agar was used to simulate the cell aggregates implanting into porcine derma. The implanted biopsy samples were observed by a microscope. The results revealed that the rotary-cartridge type had advantages of high storage capacity and relatively comfortable operation, while the auto-expand type contained functions of penetrating the skin, expanding the cut, and pushing and cutting off the cell implant that would reduce the chance to squeeze the cells. The bar-cartridge type had the best performance and highest speed among the three, and is considered the most feasible and suitable design to continuously implant cell aggregates.

    摘要 I Abstract II 誌謝 III 目錄 IV 圖目錄 VII 表目錄 XIII 第一章 緒論 1 1.1 研究背景 1 1.2 研究動機 1 1.3 研究目的與方法 2 1.4 論文架構 4 第二章 文獻探討 5 2.1 雄性基因禿髮之病理機轉 5 2.1.1 毛囊生長週期的改變 6 2.1.2 毛囊微小化 7 2.1.3 毛囊微小化之成因 7 2.2 雄性禿的治療 8 2.3 植髮技術 10 2.4 適合亞洲人的植髮密度 12 2.5 毛髮移植之綜合性比較 13 2.6 植髮器械及植入工具介紹 14 2.6.1 Choi植髮器 14 2.6.2 毛髮移植筆 16 2.6.3 轉盤式植髮器 18 2.6.4 KNU植髮器 19 2.6.5 顯微毛囊植髮器 21 2.6.6 科維創植髮系統 22 2.6.7 其他植入工具 24 2.7 毛囊複製技術 25 2.7.1 ICX-TRC毛髮再生療法 27 2.7.2 真皮乳頭細胞之微組織培養 28 2.7.3 皮膚結構 29 2.8 快速原型技術 31 2.8.1 雷射光合高分子成型 32 2.8.2 選擇性雷射燒結成型 33 2.8.3 熔融沉積成型 34 2.8.4 三維印刷成型 35 2.8.5 PolyJetTM技術 36 第三章 植入器之設計與原型製作 37 3.1 植入機制的選擇 37 3.2 Objet Eden 330快速原型系統 40 3.3 裝管植入體式設計 46 3.3.1 初始設計-手動撐開式 47 3.3.2 修改設計-自動撐開式 51 3.4 彈匣式設計 67 3.4.1 條狀彈匣式 68 3.4.2 轉盤彈匣式 77 3.5 製作結果與討論 86 第四章 植入器原型之測試與比較 88 4.1 性能測試 88 4.1.1 模擬植入 88 4.1.2 零件組裝與彈匣更換 89 4.1.3 操作與控制 90 4.2 植入效果 92 4.2.1 植入體製備 92 4.2.2 測試方法 94 4.2.3 測試結果與比較 95 4.3 植入深度控制 97 4.4 綜合比較 100 第五章 結論與未來研究方向 102 5.1 結論 102 5.2 未來工作與展望 103 參考文獻 104 附錄一 植入測試豬皮切片 112 附錄二 注射針頭規格表 120

    【1】Lee, H. J., Ha, S. J., Kim, D., Kim, H. O., Kim, J. W., "Perception of Men with Androgenetic Alopecia by Women and Nonbalding Men in Korea: How the Nonbald Regard the Bald," International Journal of Dermatology, Vol.41, No.12, pp.867-869 (2002)
    【2】Young, T. H., Lee, C. Y., Chiu, H. C., Hsu, C. J., Lin, S. J., "Self-Assembly of Dermal Papilla Cells into Inductive Spheroidal Microtissues on Poly(Ethylene-Co-Vinyl Alcohol) Membranes for Hair Follicle Regeneration," Biomaterials, Vol.29, No.26, pp.3521-3530 (2008)
    【3】Intercytex, (http://www.intercytex.com)
    【4】Sinclair, R. D., "Male Androgenetic Alopecia," The Journal of Men's Health & Gender, Vol.1, No.4, pp.319-327 (2004)
    【5】蔡仁雨,皮膚美容外科學,武陵出版有限公司,台北,第84-135頁 (2000)
    【6】蔡長祐、蔡仁雨,「台灣男性雄性禿之診療現況」,臺灣醫界,第五十一卷,第八期,第326-330頁 (2008)
    【7】Olsen, E. A., Dunlap, F. E., Funicella, T., Koperski, J. A., Swinehart, J. M., Tschen, E. H., Trancik, R. J., "A Randomized Clinical Trial of 5% Topical Minoxidil Versus 2% Topical Minoxidil and Placebo in the Treatment of Androgenetic Alopecia in Men," Journal of the American Academy of Dermatology, Vol.47, No.3, pp.377-385 (2002)
    【8】Kaufman, K. D., Olsen, E. A., Whiting, D., Savin, R., DeVillez, R., Bergfeld, W., Price, V. H., Van Neste, D., Roberts, J. L., Hordinsky, M., Shapiro, J., Binkowitz, B., Gormley, G. J., "Finasteride in the Treatment of Men with Androgenetic Alopecia. Finasteride Male Pattern Hair Loss Study Group," Journal of the American Academy of Dermatology, Vol.39, No.4 Pt 1, pp.578-589 (1998)
    【9】Dermweb, (http://www.dermatology.org/hairinfo/02.html)
    【10】蔡長祐、蔡仁雨,「植髮手術的現況與未來」,中華皮膚科醫學雜誌,第二十五卷,第三期,第186-193頁 (2007)
    【11】Shiell, R. C., "A Review of Modern Surgical Hair Restoration Techniques," Journal of Cutaneous and Aesthetic Surgery, Vol.1, No.1, pp.13-16 (2008)
    【12】Orentreich, N., "Autografts in Alopecias and Other Selected Dermatological Conditions," Annals of the New York Academy of Sciences, Vol.83, pp.463-479 (1959)
    【13】Headington, J. T., "Transverse Microscopic Anatomy of the Human Scalp. A Basis for a Morphometric Approach to Disorders of the Hair Follicle," Archives of Dermatology, Vol.120, No.4, pp.449-456 (1984)
    【14】Limmer, B. L., "Elliptical Donor Stereoscopically Assisted Micrografting as an Approach to Further Refinement in Hair Transplantation," Journal of Dermatologic Surgery & Oncology, Vol.20, No.12, pp.789-793 (1994)
    【15】Bemstein, R. M., Rassman, W. R., Szaniawski, W., Halperin, A., "Follicular Transplantation," International Journal of Aesthetic and Restorative Surgery, Vol.3, pp.119-132 (1995)
    【16】Rassman, W., "Mega-Transplants in Transition," Hair Transplant Forum International, Vol.3, pp.11 (1993)
    【17】Kim, J. C., Choi, Y. C., "Regrowth of Grafted Human Scalp Hair after Removal of the Bulb," Dermatologic Surgery, Vol.21, No.4, pp.312-313 (1995)
    【18】Limmer, R., "Bob Limmer Does It All One Hair at a Time!" Hair Transplant Forum, Vol.2, pp.8-9 (1991)
    【19】Seager, D., "Binocular Stereoscopic Dissection Microscopes-Should We All Be Using Them?" Hair Transplant Forum International, Vol.6, pp.2-5 (1996)
    【20】Rassman, W. R., Bernstein, R. M., McClellan, R., Jones, R., Worton, E., Uyttendaele, H., "Follicular Unit Extraction: Minimally Invasive Surgery for Hair Transplantation," Dermatologic Surgery, Vol.28, No.8, pp.720-728 (2002)
    【21】Marzola, M., "Single Scar Harvesting Technique in Hair Transplantation," Hair Transplant Forum 1ntemational, Vol.15, pp.113, 116 (2005)
    【22】Tsai, R. Y., Lee, S. H., Chan, H. L., "The Distribution of Follicular Units in the Chinese Scalp: Implications for Reconstruction of Natural-Appearing Hairlines in Orientals," Dermatologic Surgery, Vol.28, No.6, pp.500-503 (2002)
    【23】Whitworth, J. M., Stough, D. B., Limmer, B., Limrner, B., Seager, D., Boudjema, P., Barrera, A., Choi, Y.-C., Mangubat, A., "A Comparison of Graft Implantation Techniques for Hair Transplantation," Semlnars In Cutaneous Medlclne and Surgery, Vol.18, No.2, pp.177-183 (1999)
    【24】Choi, Y. C., Kim, J. C., "Single Hair Transplantation Using the Choi Hair Transplanter," Journal of Dermatologic Surgery & Oncology, Vol.18, No.11, pp.945-948 (1992)
    【25】Choi, Y. C., "Single-Hair Transplantation by Choi’s Procedure," International Journal of Cosmetic Surgery, Vol.2, No.3 (2000)
    【26】Rassman, W. R., "Hair Implanting Instrument," U.S. Pat. 5817120 (1998)
    【27】Leadm Corpooration, (http://www.leadm.com)
    【28】Kim, J. C., "Hair Transplanter," U.S. Pat. US 6461369 B1 (2002)
    【29】허을, "식모침 교환 식모기," K.R. Pat. 2020000024387 (2001)
    【30】Boudjema, P., Boolauck, S. J., Automated Hair Transplant System: The Boudjema Techniqu, In: Stough Db, Haber Rs, Eds., St. Louis: Mosby, pp. 370-374 (1996)
    【31】New Hair Institude, (http://www.newhair.com)
    【32】Boudjema, P. J., "Device for Implanting Small-Diameter Capillary Grafts," U.S. Pat. 6059807 (2000)
    【33】Rassman, W. R., Bernstein, R. M., "Rapid Fire Hair Implanter Carousel. A New Surgical Instrument for the Automation of Hair Transplantation," Dermatologic Surgery, Vol.24, No.6, pp.623-627 (1998)
    【34】Lee, S. J., Lee, H. J., Hwang, S. J., Kim, D. W., Jun, J. B., Chung, S. L., Kim, J. C., "Evaluation of Survival Rate after Follicular Unit Transplantation Using the Knu Implanter," Dermatologic Surgery, Vol.27, No.8, pp.716-720 (2001)
    【35】Shiao, T. K., Shiao, I. S., "Easier and More Efficient Implanting: A Two-Handed Technique for Faster and Less Traumatic Graft Placement," Hair Transplant Forum International, Vol.16, No.5, pp.169-170 (2006)
    【36】Shiao, I. S., "Micro-Implanter for Hair Follicle," U.S. Pat. US 2008/0009896 A1 (2008)
    【37】Boudjema, P. J., "Device for Transplanting Small Diameter Hair Grafts," U.S. Pat. 5827297 (1998)
    【38】Boudjema, P. J., "Instrument for Cutting Calibrated Hair Grafts," U.S. Pat. 5662661 (1997)
    【39】Medicamat, (http://www.medicamat.com/)
    【40】O'Brien, J. A., Lummis, S. C., "Diolistics: Incorporating Fluorescent Dyes into Biological Samples Using a Gene Gun," Trends Biotechnol, Vol.25, No.11, pp.530-534 (2007)
    【41】Injex, (http://www.injex.com/)
    【42】Bennett, S., Potter, C., "Pushing the Boundaries of Needle-Free Injection," Drug Delivery Report, pp.24-27 (2006)
    【43】Zeranol Ralgro, (http://www.ralgro.com/)
    【44】Oliver, R. F., "The Experimental Induction of Whisker Growth in the Hooded Rat by Implantation of Dermal Papillae," Journal of Embryology & Experimental Morphology, Vol.18, No.1, pp.43-51 (1967)
    【45】Jahoda, C. A., Oliver, R. F., "The Growth of Vibrissa Dermal Papilla Cells in Vitro," British Journal of Dermatology, Vol.110, pp.623-627 (1981)
    【46】Messenger, A. G., "The Culture of Dermal Papilla Cells from Human Hair Follicles," British Journal of Dermatology, Vol.110, No.6, pp.685-689 (1984)
    【47】Jahoda, C. A., Horne, K. A., Oliver, R. F., "Induction of Hair Growth by Implantation of Cultured Dermal Papilla Cells," Nature, Vol.311, No.5986, pp.560-562 (1984)
    【48】Li, Y., Li, G. Q., Lin, C. M., Cai, X. N., "One-Step Collagenase I Treatment: An Efficient Way for Isolation and Cultivation of Human Scalp Dermal Papilla Cells," Journal of Dermatological Science, Vol.37, No.1, pp.58-60 (2005)
    【49】Osada, A., Iwabuchi, T., Kishimoto, J., Hamazaki, T. S., Okochi, H., "Long-Term Culture of Mouse Vibrissal Dermal Papilla Cells and De Novo Hair Follicle Induction," Tissue Engineering, Vol.13, No.5, pp.975-982 (2007)
    【50】Kelm, J. M., Timmins, N. E., Brown, C. J., Fussenegger, M., Nielsen, L. K., "Method for Generation of Homogeneous Multicellular Tumor Spheroids Applicable to a Wide Variety of Cell Types," Biotechnol Bioeng, Vol.83, No.2, pp.173-180 (2003)
    【51】林頌然, 詹智傑, 許致榮,「再生醫學在皮膚疾病之運用」,再生醫學,台北,第115-128頁 (2008)
    【52】Shimizu, H., Shimizu's Textbook of Dermatology, Nakayama Shoten, Tokyo, pp. 1-20 (2007)
    【53】Farjo Medical Center, (http://www.farjo.net/)
    【54】Teumer, J., Cooley, J., "Follicular Cell Implantation: An Emerging Cell Therapy for Hair Loss," Seminars in Plastic Surgery, Vol.19, No.2, pp.193-200 (2005)
    【55】Kodama, H., "Automatic Method for Fabricating a Three-Dimensional Plastic Model with Photo-Hardening Polymer," Review of Scientific Instruments, Vol.52, No.11 (1981)
    【56】Jacobs, P. F., Stereolithography and other RP&M Technologies: From Rapid Prototyping to Rapid Tooling, Dearborn, Michigan: Society of Manufacturing Engineers (1996)
    【57】Hull, C. W., "Apparatus for Production of Three-Dimensional Objects by Stereolightography," U.S. Pat. 4575330 (1986)
    【58】Custompart.Net, (http://www.custompartnet.com/)
    【59】Deckard, C. R., "Selective Laser Sintering," PhD Thesis, The University of Texas at Austin, Austin, Texas (1988)
    【60】Deckard, C. R., "Method and Apparatus for Producing Parts by Selective Sintering," U.S. Pat. 4863538 (1989)
    【61】Stratasys, Inc., "Fast, Precise, Safe Prototypes with FDM," Proceedings of the 1991 Solid Freeform Fabrication Symposium, Austin, Texas, pp. 115-122 (1991)
    【62】Crump, S. S., "Apparatus and Method for Creating Three-Dimensional Objects," U.S. Pat. 5121329 (1992)
    【63】Sachs, E., Williams, P., Brancazio, D., Cima, M., and Kremmin, K., "Three Dimensional Printing: Rapid Prototypes and Tooling Directly from a CAD Model,” Proceedings of Manufacturing International '90, Atlanta, Georgia, pp. 131-136 (1990)
    【64】Sachs, E. M., Haggerty, J. S., Cima, M. J., Williams, P. A., "Three-Dimensional Printing Techniques," U.S. Pat. 5204055 (1993)
    【65】Gothait, H., "Apparatus and Method for Three Dimensional Model Printing," U.S. Pat. 6259962 (2001)
    【66】Objet Geometries Ltd., (http://www.objet.com/)
    【67】DeLaune, S. C., Ladner, P. K., Fundamentals of Nursing: Standard and Practice, Thomson Delmar Learning, Florence, KY, pp. 707-717 (2006)
    【68】WEISSER, K., "Protract-Retract Mechanism and Writing Instrument Including Same", U.S. Pat. 3137276 (1964)

    無法下載圖示 全文公開日期 2014/07/30 (校內網路)
    全文公開日期 本全文未授權公開 (校外網路)
    全文公開日期 本全文未授權公開 (國家圖書館:臺灣博碩士論文系統)
    QR CODE