CN105903086A - Central venous catheter capable of preventing thrombus - Google Patents

Central venous catheter capable of preventing thrombus Download PDF

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Publication number
CN105903086A
CN105903086A CN201610399962.8A CN201610399962A CN105903086A CN 105903086 A CN105903086 A CN 105903086A CN 201610399962 A CN201610399962 A CN 201610399962A CN 105903086 A CN105903086 A CN 105903086A
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CN
China
Prior art keywords
medicine
central venous
venous catheter
tissue factor
medication coat
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN201610399962.8A
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Chinese (zh)
Inventor
葛晨亮
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Individual
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Individual
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Publication date
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Priority to CN201610399962.8A priority Critical patent/CN105903086A/en
Publication of CN105903086A publication Critical patent/CN105903086A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L29/00Materials for catheters, medical tubing, cannulae, or endoscopes or for coating catheters
    • A61L29/14Materials characterised by their function or physical properties, e.g. lubricating compositions
    • A61L29/16Biologically active materials, e.g. therapeutic substances
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2300/00Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices
    • A61L2300/40Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices characterised by a specific therapeutic activity or mode of action
    • A61L2300/42Anti-thrombotic agents, anticoagulants, anti-platelet agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2300/00Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices
    • A61L2300/60Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices characterised by a special physical form
    • A61L2300/606Coatings

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Medicinal Chemistry (AREA)
  • Molecular Biology (AREA)
  • Epidemiology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Materials For Medical Uses (AREA)

Abstract

The invention discloses a central venous catheter capable of preventing thrombus. The central venous catheter comprises a central venous catheter body and medical coating layers coating the walls of the catheter. Each medicine coating layer comprises medicine and a medicine carrier, wherein the medicine is tissue factor pathway inhibitor TFPI-1 or TFPI-2, and the mass ratio of the medicine to the medicine carrier is 1:(4-7.9). Both the inner wall and the outer wall of the catheter body are coated with the medicine coating layers. The thickness of the medicine coating layers is 20-40 micrometers. The central venous catheter has the advantages that the tissue factor pathway inhibitor is applied to the central venous catheter body, so that thrombogenesis and bacterial infection in the central venous catheter body are effectively prevented, the pain and burden of a patient are reduced, the workload of medical staff is reduced, and working efficiency is improved. The tissue factor pathway inhibitor is tissue factor physiological inhibitor, has good blood compatibility and tissue compatibility compared with other medicine, has no toxic or side effect and has few influences on the human body.

Description

Can the central venous catheter of pre-preventing thrombosis
Technical field
The present invention relates to medical venous duct, particularly to a kind of can the central venous catheter of pre-preventing thrombosis.
Background technology
Central venous catheter is a kind of common medical apparatus and instruments, and it inserts the vein of patient by puncture technique, such as quiet in neck Arteries and veins, infuses to patient.The clinical much client need central venous catheter that peripheral blood vessel condition is very poor is as vein Transfusion path, owing to its misery is little, the advantage of indwelling time length is promoted clinically, but it is a series of also to put Guan Houhui generation Send out disease, particularly conduit dependency thrombosis, not only add misery and financial burden to patient, bring tired to medical worker's work Difficulty, once thrombus breaks loose causes pulmonary infarction even threat to life.
The main method preventing thromboembolism at present clinically is employing heparin in sealing after dialysis, and heparin in sealing repeatedly is not But increase patient medical expense, and the heparin in pipe also can constantly be discharged in blood, increase bleeding risk.Locate clinically Reason thromboembolism and the method for catheter blockage caused because fibrin sheath parcel are usually and repeatedly use after capsid is formed Red cell morphology in urine, but poor effect.Red cell morphology in urine repeatedly there is drawbacks in that 1, somewhat expensive, and patient is difficult to bear, 2, Urokinase has the complication of systemic bleeding, and life-threatening is exactly Complications of Cerebral Hemorrhage.Next to that use fibrin sheath to tear Fibrin sheath is pulled out by de-art, but this operating difficulty is big, and general hospital is difficult to carry out, and operation needs to carry out under radiography, Somewhat expensive.
So be badly in need of clinically a kind of can effectively in prevention center venous duct the new catheter of thrombosis to come elongation center quiet The indwelling time of arteries and veins conduit, reduces misery and burden for patient, improves the work efficiency of medical personnel.
Summary of the invention
It is an object of the invention to overcome above-mentioned weak point and provide a kind of can the central venous catheter of pre-preventing thrombosis.Catheter wall On have medication coat, medication coat is tissue factor pathway inhibitor, and tissue factor pathway inhibitor is the physiology of tissue factor Inhibitor, compared with other drug, has good blood compatibility and histocompatibility.
The present invention adopts the following technical scheme that.
Can the central venous catheter of pre-preventing thrombosis, including central venous catheter and the medication coat that is coated on catheter wall, institute Stating medication coat and include that medicine and pharmaceutical carrier, described medicine are tissue factor pathway inhibitor, described tissue factor approach presses down Thing processed is TFPI-1 or TFPI-2, and medicine is 1:4~7.9 with the mass ratio of pharmaceutical carrier.Described medication coat thickness be 20~ 40 microns.
Described medicine is TFPI-1.
Described medicine is TFPI-2.
Medication coat is all had on the wall of described conduit and outer wall.
The wall of described conduit has medication coat.
Described medication coat, medicine is 1:4 or 1:7 with the mass ratio of pharmaceutical carrier.
Described medication coat thickness is 25 microns or 35 microns.
It is an advantage of the current invention that:
Tissue factor is the startup factor of exogenous cruor pathway.Under physiological conditions, the hemocyte directly contacted with blood circulation With the endotheliocyte not expression tissue factor, when vascular endothelial cell is impaired, tissue factor exposes thus activates platelet, promotes Adhere to each other between platelet and gathering causes Intravascular Thrombus to be formed.
Tissue factor pathway inhibitor is discharged as the medicine of central venous catheter medication coat in conduit, not only may be used With thrombosis in prevention conduit, and the use of anticoagulant can be reduced, thus reduce incidence rate and the treatment cost of bleeding episode With, and owing to only discharging in conduit, functioning efficiency is high, and little on the impact of whole body blood coagulation system.
1. tissue factor pathway inhibitor is applied in central venous catheter, sending out of thrombosis in venous patient conduit can be made Raw rate reduces.
2. the incidence rate that can make patient's bleeding episode reduces.
3. tissue factor pathway inhibitor is the physiological inhibitor of tissue factor, compared with other drug, has good Blood compatibility and histocompatibility, have no side effect, little effect on the human body.
Accompanying drawing explanation
Fig. 1 is the embodiment of the present invention four support and medication coat structure sectional view;
Fig. 2 is the embodiment of the present invention five support and medication coat structure sectional view.
Detailed description of the invention
In conjunction with the embodiments and accompanying drawing, the present invention is further illustrated.
Can the central venous catheter of pre-preventing thrombosis, including central venous catheter and the medication coat that is coated on catheter wall, institute State medication coat and include that medicine and pharmaceutical carrier, described medicine are tissue factor pathway inhibitor, its English entitled tissue Factor pathway inhibitor, described tissue factor pathway inhibitor is TFPI-1 or TFPI-2, and medicine carries with medicine The mass ratio of body is 1:4~7.9.Described medication coat thickness is 20~40 microns.
Described medicine is TFPI-1.
Described medicine is TFPI-2.
Medication coat is all had on the wall of described central venous catheter and outer wall.
The wall of described conduit has medication coat.
Described medication coat, medicine is 1:4 or 1:7 with the mass ratio of pharmaceutical carrier.
Described medication coat thickness is 25 microns or 35 microns.
Described pharmaceutical carrier is prior art.Conventional pharmaceutical carrier be dichloromethane, ethyl acetate, acrylic acid methyl ester., Copolymer containing methyl methacrylate monomer, polylactic acid, polyglycolic acid, poly-racemic lactic acid, polylactide-co-glycolide gather One or more combination in compound, Phosphorylcholine, poly-aethylis carbamas, inorganic microporous aluminium sesquioxide, cellulose Thing.
Medication coat embodiment about the present invention is as follows.
Embodiment one: in medication coat, described medicine, for TFPI-1, described pharmaceutical carrier is dichloromethane, medicine and medicine The mass ratio of thing carrier is 1:4;Medication coat thickness is 25 microns.
Embodiment two: in medication coat, described medicine, for TFPI-2, described pharmaceutical carrier is polylactic acid, medicine and pharmaceutical carrier Mass ratio be 1:7;Medication coat thickness is 35 microns.
Embodiment three: in medication coat, described medicine, for TFPI-1, described pharmaceutical carrier is ethyl acetate, medicine and medicine The mass ratio of thing carrier is 1:5.5;Medication coat thickness is 30 microns.
As follows about the central venous catheter of the present invention and the constructive embodiment of medication coat.
Embodiment four: Fig. 1 is central venous catheter of the present invention and medication coat structure sectional view, the wall of venous duct 1 With all have medication coat 2 on outer wall.
Embodiment five: Fig. 2 is central venous catheter of the present invention and medication coat structure sectional view, the wall of venous duct 1 On have medication coat 2.

Claims (7)

1. can the central venous catheter of pre-preventing thrombosis, including conduit and the medication coat that is coated on catheter wall, described medicine Coating includes medicine and pharmaceutical carrier, it is characterized in that: described medicine is tissue factor pathway inhibitor, described tissue factor approach Mortifier is TFPI-1 or TFPI-2, and medicine is 1:4~7.9 with the mass ratio of pharmaceutical carrier, and described medication coat thickness is 20 ~40 microns.
2. according to described in claim 1 can the central venous catheter of pre-preventing thrombosis, it is characterised in that: described medicine is TFPI- 1。
3. according to described in claim 1 can the central venous catheter of pre-preventing thrombosis, it is characterised in that: described medicine is TFPI- 2。
4. according to described in claim 1 can the central venous catheter of pre-preventing thrombosis, it is characterised in that: described venous duct Medication coat is all had on wall and outer wall.
5. according to described in claim 1 can the central venous catheter of pre-preventing thrombosis, it is characterised in that: described venous duct Wall has medication coat.
6. according to described in claim 1 can the central venous catheter of pre-preventing thrombosis, it is characterized in that: described medication coat, medicine It is 1:4 or 1:7 with the mass ratio of pharmaceutical carrier.
7. according to described in claim 1 can the central venous catheter of pre-preventing thrombosis, it is characterized in that: described medication coat thickness is 25 microns or 35 microns.
CN201610399962.8A 2016-06-08 2016-06-08 Central venous catheter capable of preventing thrombus Pending CN105903086A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201610399962.8A CN105903086A (en) 2016-06-08 2016-06-08 Central venous catheter capable of preventing thrombus

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201610399962.8A CN105903086A (en) 2016-06-08 2016-06-08 Central venous catheter capable of preventing thrombus

Publications (1)

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CN105903086A true CN105903086A (en) 2016-08-31

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113144376A (en) * 2021-04-16 2021-07-23 上海市胸科医院 Nano double-resistance deep venous catheter
CN113144375A (en) * 2021-04-16 2021-07-23 上海市胸科医院 Anti-wall-sticking double-resistance nano hemodialysis catheter

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101185778A (en) * 2007-12-19 2008-05-28 上海赢生医疗科技有限公司 Novel medicinal bracket for treating blood vessel disease
WO2010084199A1 (en) * 2009-01-26 2010-07-29 Academisch Medisch Centrum Drug delivery system for use in the treatment of vascular and vessel-related pathologies
CN204798584U (en) * 2015-05-13 2015-11-25 深圳市顺美医疗科技有限公司 Prevent thrombus central venous catheter
CN105228664A (en) * 2013-03-15 2016-01-06 雅培心血管系统有限公司 For the tissue adherence coating of medicinal balloon

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101185778A (en) * 2007-12-19 2008-05-28 上海赢生医疗科技有限公司 Novel medicinal bracket for treating blood vessel disease
WO2010084199A1 (en) * 2009-01-26 2010-07-29 Academisch Medisch Centrum Drug delivery system for use in the treatment of vascular and vessel-related pathologies
CN105228664A (en) * 2013-03-15 2016-01-06 雅培心血管系统有限公司 For the tissue adherence coating of medicinal balloon
CN204798584U (en) * 2015-05-13 2015-11-25 深圳市顺美医疗科技有限公司 Prevent thrombus central venous catheter

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113144376A (en) * 2021-04-16 2021-07-23 上海市胸科医院 Nano double-resistance deep venous catheter
CN113144375A (en) * 2021-04-16 2021-07-23 上海市胸科医院 Anti-wall-sticking double-resistance nano hemodialysis catheter
CN113144376B (en) * 2021-04-16 2024-03-29 上海市胸科医院 Nanometer double-resistance deep vein catheter
CN113144375B (en) * 2021-04-16 2024-04-02 上海市胸科医院 Wall-sticking-preventing double-resistance nano hemodialysis catheter

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