TWI749395B - Method for fabricating polymer fiber tubular structure with high patency rate - Google Patents
Method for fabricating polymer fiber tubular structure with high patency rate Download PDFInfo
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本發明提供一種人工血管,特別是有關於一種可以防止管材扭結的高分子纖維管材結構。 The invention provides an artificial blood vessel, in particular to a polymer fiber tube structure that can prevent the tube from kinking.
根據2014年世界衛生組織(World Health Organization,WHO)報告,近年來由於全球人口持續老化、都市化過度集中、生活型態不健康等因素,其中因癌症、糖尿病、心血管疾病及慢性呼吸道疾病等四大非傳染病死亡的人數約占總死亡人數的5分之4(82%)。更值得注意的是,心血管疾病與糖尿病患者人數有呈現逐年增加的趨勢,因此全球在人工血管的需求量亦有逐年增加的現象,截至2015年的統計,全球人工血管的消費量已達29萬根。 According to the 2014 World Health Organization (WHO) report, in recent years, due to factors such as the continued aging of the global population, excessive urbanization, and unhealthy lifestyles, four of them are caused by cancer, diabetes, cardiovascular disease and chronic respiratory disease. The number of deaths from major non-communicable diseases accounted for about 4/5 (82%) of the total deaths. What’s more noteworthy is that the number of patients with cardiovascular diseases and diabetes is increasing year by year. Therefore, the global demand for artificial blood vessels is also increasing year by year. As of 2015, the global consumption of artificial blood vessels has reached 29. Wangen.
目前使用於下肢周邊血管阻塞的手術是採取繞道人工血管的處置,但因為現有產品與自體血管的性質(如機械性質、生物相容性等)差異過大,因此應用在管徑較為狹窄的下肢周邊血管時,病患時常會有術後效果不佳的情形;而其他處置方法,如:氣球擴張術的治療效果也不甚理想,統計術後三個月內再阻塞的機率仍然高達七成。 The current surgery for peripheral vascular obstruction of the lower extremities is to take the bypass artificial blood vessel treatment, but because the properties of existing products and autologous blood vessels (such as mechanical properties, biocompatibility, etc.) are too different, they are used in lower extremities with narrower diameters. In peripheral blood vessels, patients often have poor postoperative results; other treatment methods, such as balloon dilation, are not very effective, and the probability of re-occlusion within three months after surgery is still as high as 70%. .
聚氨酯(Polyurethane,PU)為一種機械性質可調範圍極廣的高分子材料,且擁有良好的生物相容性與材料安定性。目前已有許多研究導入 該材質於下肢周邊小血管繞道手術治療,並於動物試驗中得到良好的效果,數據顯示聚氨酯具有相當的潛力應用於下肢周邊小血管繞道治療。 Polyurethane (PU) is a polymer material with a wide range of adjustable mechanical properties, and has good biocompatibility and material stability. Many studies have been introduced This material is used in the treatment of small blood vessel bypass in the lower extremities, and has obtained good results in animal experiments. The data shows that polyurethane has considerable potential for the treatment of small blood vessel bypass in the lower extremities.
臨床上,當血管產生血栓或血管狹窄時,在評估後需進行手術的情況下,大多以自體的靜脈作為移植的第一選擇,如未有合適的自體靜脈供使用時,則改以合成材料的人工血管來做為血管移植替代物,然而,目前作為繞道用市售人工血管主要材料為ePTFE與Dacron,此兩種材料用於低阻力的大口徑人工血管(>6mm)具有良好的尺寸穩定性與暢通性,但用在高阻力的小口徑人工血管時,因其材質與自體血管之順應性、彈性與柔韌性差異大,故易於血管接合處產生剪力(shear stress)變化、渦流(turbulent flow)和內膜增生,導致血栓產生,進一步造成術後效果不理想。 Clinically, when blood clots or vascular stenosis are generated, autologous veins are usually the first choice for transplantation when surgery is required after evaluation. If no suitable autologous veins are available for use, then autologous veins are used instead. Artificial blood vessels made of synthetic materials are used as substitutes for vascular grafts. However, the main materials currently commercially available as bypass artificial blood vessels are ePTFE and Dacron. These two materials are good for low-resistance large-diameter artificial blood vessels (>6mm). Dimensional stability and patency, but when used in high-resistance small-caliber artificial blood vessels, due to the large difference between the material and the autogenous blood vessel in compliance, elasticity and flexibility, it is easy to produce shear stress at the junction of the blood vessel. , Turbulent flow and intimal hyperplasia, leading to thrombosis, further resulting in unsatisfactory postoperative effects.
人工血管使用所存在的另一個問題是扭結(kink)。例如:當人工血管被植入病患的體內時,時常會遇到人工血管因為彎曲而導致整個管材產生扭結的現象。因此,植入人工血管時產生扭結的現象,導致血流阻塞而引起血栓,進一步造成術後效果不佳。 Another problem in the use of artificial blood vessels is kink. For example, when an artificial blood vessel is implanted in a patient's body, it is often encountered that the artificial blood vessel is bent and the entire tube is kinked. Therefore, the kinking phenomenon occurs when the artificial blood vessel is implanted, which leads to obstruction of blood flow and thrombosis, which further causes poor postoperative effects.
根據現有技術的問題,本發明的主要目的是提供一種防止管材扭結的高分子纖維管材結構,降低血流阻塞而引起血栓的問題。 According to the problems of the prior art, the main purpose of the present invention is to provide a polymer fiber tube structure that prevents the tube from kinking, and reduces the problem of thrombosis caused by obstruction of blood flow.
根據本發明的目的,本發明提供一種高分子纖維管材結構,包括:第一管件、第二管件及線圈纏繞結構,且第一管件具有內表面及外表面,由含矽聚碳酸酯型聚氨酯彈性體構成;第二管件,具有內表面及外表面,由聚碳酸酯型聚氨酯彈性體構成,第二管件包覆在第一管件的外表面, 使得第一管件和第二管件為同心圓結構;以及線圈纏繞結構,內嵌在第一管件的外表面或在第二管件的外表面。 According to the objective of the present invention, the present invention provides a polymer fiber tube structure, including: a first tube, a second tube, and a coil winding structure, and the first tube has an inner surface and an outer surface, and is made of silicon-containing polycarbonate polyurethane elastic Body composition; the second pipe has an inner surface and an outer surface, composed of polycarbonate polyurethane elastomer, the second pipe is wrapped on the outer surface of the first pipe, Make the first pipe and the second pipe have a concentric structure; and a coil winding structure, which is embedded on the outer surface of the first pipe or on the outer surface of the second pipe.
根據上述,本發明還提供一種高分子纖維管材結構的製備方法,其步驟包括:形成具有內表面及外表面的第一管件形成具有內表面及外表面的第二管件,且包覆在第一管件的外表面使得第一管件與第二管件為同心圓以及形成線圈纏繞結構在第一管件的外表面或是在第二管件的外表面,其中,形成第一管件的形成步驟還包括:提供含矽聚碳酸酯型聚氨酯溶液、將含矽聚碳酸酯型聚氨酯溶液噴出以形成含矽聚碳酸酯型聚氨酯纖維、以及收集含矽聚碳酸酯型聚氨酯彈性體以形成第一管件。第二管件的形成步驟還包括:提供聚碳酸酯型聚氨酯溶液以及利用將聚碳酸酯型聚氨酯溶液噴出而包覆第一管件的外表面以形成聚碳酸酯型聚氨酯彈性體,其中聚碳酸酯型聚氨酯彈性體為第二管件。 According to the above, the present invention also provides a method for preparing a polymer fiber tube structure, the steps of which include: forming a first tube having an inner surface and an outer surface to form a second tube having an inner surface and an outer surface, and covering the first tube. The outer surface of the pipe is such that the first pipe and the second pipe are concentric circles and a coil winding structure is formed on the outer surface of the first pipe or on the outer surface of the second pipe, wherein the forming step of forming the first pipe further includes: The silicon-containing polycarbonate polyurethane solution is sprayed out to form the silicon-containing polycarbonate polyurethane fiber, and the silicon-containing polycarbonate polyurethane elastomer is collected to form the first pipe. The step of forming the second pipe further includes: providing a polycarbonate polyurethane solution and spraying the polycarbonate polyurethane solution to coat the outer surface of the first pipe to form a polycarbonate polyurethane elastomer, wherein the polycarbonate polyurethane Polyurethane elastomer is the second pipe.
1:高分子纖維管材結構 1: Polymer fiber pipe structure
11:第一管件 11: The first pipe fitting
12:第二管件 12: The second pipe
20:線圈纏繞結構 20: Coil winding structure
22:線圈纏繞結構 22: Coil winding structure
30:黏附層 30: Adhesion layer
L1,L2,L3,L4:間隔距離 L1, L2, L3, L4: separation distance
S1-S6:高分子纖維管材結構的製備方法步驟流程 S1-S6: Step process of preparation method of polymer fiber tube structure
圖1是根據本發明所揭露的技術,表示高分子纖維管材結構的側示圖。 Fig. 1 is a side view showing the structure of a polymer fiber tube according to the disclosed technology of the present invention.
圖2是根據本發明所揭露的技術,表示高分子纖維管材結構的製備方法步驟流程圖。 Fig. 2 is a flow chart showing the steps of a method for preparing a polymer fiber tube structure according to the technology disclosed in the present invention.
圖3a是根據本發明所揭露的技術,表示在高分子纖維管材結構中的第一管材的外表面上內嵌有線圈纏繞結構的截面示意圖。 3a is a schematic cross-sectional view showing a coil winding structure embedded on the outer surface of the first tube in the polymer fiber tube structure according to the technology disclosed in the present invention.
圖3b是根據本發明所揭露的技術,表示在高分子纖維管材結構中的第一管材的外表面上內嵌有線圈纏繞結構的截面示意圖。 3b is a schematic cross-sectional view showing a coil winding structure embedded on the outer surface of the first tube in the polymer fiber tube structure according to the technology disclosed in the present invention.
圖3c是根據本發明所揭露的技術,表示在高分子纖維管材結構中,第一管材內層纖維結構的SEM圖。 Fig. 3c is an SEM image of the inner fiber structure of the first tube in the polymer fiber tube structure according to the technology disclosed in the present invention.
圖4a是根據本發明所揭露的技術,表示在高分子纖維管材結構中的第二管材的外表面上內嵌有線圈纏繞結構的示意圖。 4a is a schematic diagram showing a coil winding structure embedded on the outer surface of the second tube in the polymer fiber tube structure according to the technology disclosed in the present invention.
圖4b是根據本發明所揭露的技術,表示在高分子纖維管材結構中的第二管材的外表面上內嵌有線圈纏繞結構的截面示意圖。 4b is a schematic cross-sectional view showing a coil winding structure embedded on the outer surface of the second tube in the polymer fiber tube structure according to the technology disclosed in the present invention.
圖4c是根據本發明所揭露的技術,表示在高分子纖維管材結構中,第二管材外層纖維結構的SEM圖。 Fig. 4c is an SEM image showing the outer fiber structure of the second tube in the polymer fiber tube structure according to the technology disclosed in the present invention.
圖5是根據本發明所揭露的技術,表示在高分子纖維管材結構中的第一管材的內表面及第二管材的外表面上內嵌有線圈纏繞結構的截面示意圖。 FIG. 5 is a schematic cross-sectional view showing the inner surface of the first tube and the outer surface of the second tube in the polymer fiber tube structure according to the technology disclosed in the present invention.
圖6是根據本發明所揭露的技術,表示在高分子纖維管材結構中的第一管材的內表面及第二管材的之間設有黏附層的截面示意圖。 6 is a schematic cross-sectional view showing that an adhesion layer is provided between the inner surface of the first tube and the second tube in the polymer fiber tube structure according to the technology disclosed in the present invention.
圖7是根據本發明所揭露的技術,表示對高分子纖維管材結構的雙層纖維結構進行SEM/EDS mapping的示意圖。 FIG. 7 is a schematic diagram showing the SEM/EDS mapping of the double-layer fiber structure of the polymer fiber tube structure according to the technology disclosed in the present invention.
為讓 鈞局貴審查委員及習於此技術人士,對本發明之功效完全了解,茲配合圖示及圖號,係利用本發明一較佳實施例進一步說明。 In order to let the judges of the bureau and those skilled in the art have a complete understanding of the effects of the present invention, a preferred embodiment of the present invention is used for further explanation with the help of the figures and figure numbers.
首先請參考圖1。圖1為根據本發明所揭露的技術,表示高分子纖維管材結構的兩層結構的截面示意圖。在圖1中,高分子纖維管材結構1由第一管件11及第二管件12所組成,其中第一管件11具有內表面及外表面以及第二管件12也具有內表面及外表面,且第二管件12包覆在第一管件11的外表面,使得第一管件11與第二管件12為同心圓結構。在本發明的實施例中,
第一管件11的材料是含矽聚碳酸酯型聚氨酯彈性體,第二管件12的材料是聚碳酸酯型聚氨酯彈性體,其製作步驟如圖2的步驟流程圖所述。
Please refer to Figure 1 first. FIG. 1 is a schematic cross-sectional view showing a two-layer structure of a polymer fiber tube structure according to the disclosed technology of the present invention. In Figure 1, the polymer
如圖2所示,步驟S1:提供含矽聚碳酸酯型聚氨酯溶液。步驟S2:將含矽聚碳酸酯型聚氨酯溶液噴出以形成含矽聚碳酸酯型聚氨酯彈性體。步驟S3:收集含矽聚碳酸酯型聚氨酯彈性體以得到由含矽聚碳酸酯型聚氨酯彈性體所構成的第一管件。步驟S4:提供聚碳酸酯型聚氨酯溶液。步驟S5:將聚碳酸酯型聚氨酯溶液噴出而包覆第一管件的外表面上以形成聚碳酸酯型聚氨酯彈性體,其中聚碳酸酯型聚氨酯彈性體為第二管件。步驟S6:形成線圈纏繞結構在第一管件的外表面或是在第二管件的外表面。對於步驟S1-步驟S6的進一步說明如下所述。 As shown in Figure 2, step S1: Provide a silicon-containing polycarbonate polyurethane solution. Step S2: spray the silicon-containing polycarbonate polyurethane solution to form a silicon-containing polycarbonate polyurethane elastomer. Step S3: Collect the silicon-containing polycarbonate polyurethane elastomer to obtain a first pipe made of the silicon-containing polycarbonate polyurethane elastomer. Step S4: Provide a polycarbonate polyurethane solution. Step S5: spray the polycarbonate polyurethane solution to coat the outer surface of the first pipe to form a polycarbonate polyurethane elastomer, wherein the polycarbonate polyurethane elastomer is the second pipe. Step S6: forming a coil winding structure on the outer surface of the first pipe or on the outer surface of the second pipe. The further description of step S1-step S6 is as follows.
首先,選用10wt%~20wt%的含矽聚碳酸酯型聚氨酯溶液置入於一自動進樣裝置的注射器中,以0.5至5.0毫升/小時(mL/h)的進樣速度,經12kV至28kV之電壓以及10公分至25公分的收集距離,將含矽聚碳酸酯型聚氨酯溶液經靜電紡絲技術噴出製得含矽聚碳酸酯型聚氨酯纖維,其中,含矽聚碳酸酯型聚氨酯纖維由沉積電極(未在圖中表示)來收集,在本實施例中,沉積電極為旋轉軸,而由沉積電極所得到層狀的含矽聚碳酸酯型聚氨酯彈性體則是高分子纖維管材結構1的內管件即為第一管件11。緊接著,同樣是將10wt%~20wt%的聚碳酸酯型聚氨酯溶液置換至自動進樣裝置的注射器中,並以0.5至5.0毫升/小時(mL/h)的進樣速度,經12kV至28kV的電壓以及10公分至25公分的收集距離,將聚碳酸酯型聚氨酯溶液經由靜電紡絲技術噴出製得聚碳酸酯型聚氨酯纖維,且聚碳酸酯型聚氨酯纖維是收集在第一管件11的外表面上,即包覆住第一管件11,因此層狀的聚碳酸酯型聚氨酯彈性體則形成了
外管件,即為第二管件12。於本發明的實施例中,第一管件11的厚度佔高分子纖維管材結構1的總厚度範圍為30%~70%及第二管件12的厚度佔高分子纖維管材結構1的總厚度範圍為20%~80%。
Firstly, a 10wt%-20wt% silicon-containing polycarbonate polyurethane solution is selected and placed in a syringe of an automatic sampling device. The sampling speed is 0.5 to 5.0 milliliters/hour (mL/h) and passes through 12kV to 28kV. The voltage and the collection distance of 10 cm to 25 cm, the silicon-containing polycarbonate polyurethane solution is sprayed through the electrospinning technology to prepare the silicon-containing polycarbonate polyurethane fiber, where the silicon-containing polycarbonate polyurethane fiber is deposited The electrode (not shown in the figure) is collected. In this embodiment, the deposition electrode is a rotating shaft, and the layered silicon-containing polycarbonate polyurethane elastomer obtained from the deposition electrode is made of polymer
接著請參考圖3a~圖3c。圖3a是表示在高分子纖維管材結構中的第一管材的外表面內嵌有線圈纏繞結構的示意圖、圖3b為高分子纖維管材結構中的第一管材的外表面內嵌有線圈纏繞結構的截面示意圖及圖3c表示在高分子纖維管材結構中,第一管材內層纖維結構的SEM4圖。 Then please refer to Figure 3a~Figure 3c. Figure 3a is a schematic diagram showing the coil winding structure embedded in the outer surface of the first tube in the polymer fiber tube structure, and Figure 3b is the coil winding structure embedded in the outer surface of the first tube in the polymer fiber tube structure The cross-sectional schematic diagram and FIG. 3c show the SEM4 image of the inner fiber structure of the first tube in the polymer fiber tube structure.
請同時參考圖3a及圖3b,高分子纖維管材結構1由第一管材11及第二管材12所構成,且在第一管材11與第二管材12之間還包含有線圈纏繞結構20(即如圖3a中的虛線所繪示的結構),此線圈纏繞結構20內嵌於第一管材11的外表面上,其目的是藉由線圈纏繞結構20來防止高分子纖維管材結構1扭結,而避免有血流阻塞的問題。
Please refer to Figures 3a and 3b at the same time, the polymer
於本實施例中,線圈纏繞結構20形成於第一管材11的外表面的製作方式是在第一管件11形成之後,再將線圈纏繞結構20纏繞在第一管件11的外表面上,然後再將第二管件12形成以包覆住第一管件11及線圈纏繞結構20。而於本發明的另一實施例中,在第一管件11及第二管件12形成的過程中,線圈纏繞結構20纏繞於第一管件11與第二管件12之間,也就是第一管件11的外表面和第二管件12的內表面接觸的位置。要說明的是,線圈纏繞結構20內嵌於第一管件11的外表面的間隔距離可以是相同,如圖3a中所標示的L1,其間隔距離範圍為100μm-1000μm。於另一較佳的實施例中,線圈纏繞結構20內嵌於第一管件11的外表面上的間隔距離可以是L2、L3或是L4,也就是說,線圈纏繞結構20內嵌於第一管件11的外表面上的間隔距離可以視需求來設置,
因此第一管件11的外表面上內嵌的線圈纏繞結構20的間隔距離可以是等距離如L1所示、也可以是如L2、L3及/或L4所表示的間隔距離,並同時纏繞於第一管件11的外表面上。因此,根據上述,將圖3a及圖3b的高分子纖維管材結構1進行SEM掃描照射,可以得到如圖3c所表示的高分子纖維管材結構1的內層(即第一管件11的外表面及第二管件12的內表面之間的介面)的纖維結構的SEM圖,另外由圖3c也可以證明在高分子纖維管材結構1的內層具有特定的纖維直徑及孔洞。
In this embodiment, the method of forming the
接著,請參考圖4a~圖4c。圖4a是表示在高分子纖維管材結構中的第一管材的外表面上內嵌有線圈纏繞結構的示意圖、圖4b為高分子纖維管材結構中的第二管材的外表面上內嵌有線圈纏繞結構的截面示意圖及圖4c是表示在高分子纖維管材結構中,第二管材外層纖維結構的SEM圖。 Next, please refer to Figure 4a~Figure 4c. Figure 4a is a schematic diagram showing the coil winding structure embedded on the outer surface of the first tube in the polymer fiber tube structure, and Figure 4b is the coil winding structure embedded on the outer surface of the second tube in the polymer fiber tube structure The cross-sectional schematic diagram of the structure and FIG. 4c are the SEM images showing the outer fiber structure of the second tube in the polymer fiber tube structure.
在圖4a及圖4b中,是在第二管件12形成之後,將線圈纏繞結構22纏繞於第二管件12的外表面,同樣的,線圈纏繞結構22內嵌於第二管件12的外表面的間隔距離範圍為100μm-1000μm,且線圈纏繞結構22的間隔距離可以相同或是不同。此外,在本發明的實施例中,線圈纏繞結構20及線圈纏繞結構22的直徑範圍為100μm-500μm。同樣的,將圖4a及圖4b的高分子纖維管材結構1進行SEM掃描照射,可以得到如圖3c所表示的高分子纖維管材結構1的外層(即第二管件12的外表面)的纖維結構的SEM圖,由圖4c可證明在高分子纖維管材結構1的外層為具有特定的纖維直徑及孔洞。
In Figures 4a and 4b, after the
而於本發明的另一實施例,則是如圖5所示。圖5是表示在高分子纖維管材結構中的第一管材的內表面及第二管材的外表面內嵌有線圈纏繞結構的截面示意圖。在圖5中,是將前述圖3a~圖3b及圖4a~圖4b結合,也就是
說線圈纏繞結構20可以在第一管件11形成之後,將線圈纏繞結構20纏繞在第一管件11的外表面;或是在第一管件11及第二管件12形成的過程中,再將線圈纏繞結構20纏繞於第一管件11與第二管件12之間。接著,在第二管件12形成之後,再將線圈纏繞結構22纏繞在第二管件12的外表面,於本實施例中,線圈纏繞結構20纏繞於第一管件11的外表面的間隔距離與線圈纏繞結構22纏繞於第二管件12的外表面的間隔距離可以相同或是不同。
In another embodiment of the present invention, it is shown in FIG. 5. 5 is a schematic cross-sectional view showing a coil winding structure embedded in the inner surface of the first tube and the outer surface of the second tube in the polymer fiber tube structure. In Figure 5, the aforementioned Figure 3a~Figure 3b and Figure 4a~Figure 4b are combined, that is
It is said that the
另外,在本發明的另一實施例中,在高分子纖維管材結構1中還包括有一層黏附層30設置在第一管件11及第二管件12之間,如圖6所示。為了方便說明,圖6是以圖3b的結構來舉例說明,但於圖3b或是圖5都可以將黏附層30設置在第一管件11及第二管件12之間。在圖6中,其製備方法包括:先在第一管件11或第二管件12中間塗佈上一層黏附層30,緊接著再將線圈纏繞結構22纏繞於黏附層30上或嵌入在黏附層30裡面,然後,再將第二管件12形成以包覆黏附層30、線圈纏繞結構22以及第一管件11。於一實施例中,黏附層30可以是以交替地方式插入在第一管件11的該外表面和線圈纏繞結構22之間。在本發明的實施例中,黏附層30為緻密聚氨酯。
In addition, in another embodiment of the present invention, the polymer
根據以上所述,將本發明所揭露的高分子纖維管材結構1進行掃描式電子顯微鏡/能量色散X射線譜映射(SEM/EDS mapping),如圖7所示,可以得到圖7中的紅點代表矽元素,也可證明第一管件11為含矽的聚碳酸酯型聚氨酯,第二管件12則為非含矽的聚碳酸酯型聚氨酯。
According to the above, the polymer
S1-S6:高分子纖維管材結構的製備方法步驟流程 S1-S6: Step process of preparation method of polymer fiber tube structure
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