The method of fluid intervention is carried out for the microtubular of ganglioside GM_3 operation and using it
Technical field
The present invention relates to ganglioside GM_3 field of surgical, more specifically to one kind by microflow control technique, liquid bolt
The new technology that suppository technology and microtubular technology are combined, the technology can realize liquid embolizing agent in solidifying in microtubular, shape
Into the filling " polymer springs circle " developed of spiral rice noodles shape.
Background technology
Due to mechanical damage, vascular sclerosis, hypertension, the hyperplasia of vascular smooth muscle cells, bacterium or virus infection, vein
The effect of the internal and external factor such as the induction of valve disease or blood flow impact, can form hemangioma in artery and vein vascular.Hemangioma is divided into
Aneurysm and phlebangioma, wherein, the aneurysm with boss wall in encephalic is produced, referred to as cerebral aneurysm.Arteriae cerebri
Knurl easily induces subarachnoid hemorrhage in rupture, so as to cause sufferer apoplexy;Even, 80% or more patient recurring
Can be dead after cerebral aneurysm rupture.Therefore, the earlier stage occurred as far as possible in cerebral aneurysm carries out embolism or envelope
It is stifled to turn into optimal healing means.
In the method for embolism cerebral aneurysm, typically the aneurysm formed is blocked using surgical operation,
Including clamping aneurysm neck for the cutting of aneurysm mother's artery, ligation and using aneurysm clip, so as to block blood to dynamic
The impact of arteries and veins knurl.But this method is time-consuming longer and is likely to cause aneurysmal breakage.In recent years, with blood vessel image
Development, using intervention operation method, by various embolism materials being delivered in cerebral aneurysm to block, embolism artery
Knurl instead of traditional surgical operation gradually.However, thrombosis rate using the method for noble metal turn is relatively low, easy shape
Cause cerebrum block etc. into large-scale thrombus.And as a rule, an aneurysm filling operation, averagely needs 4-5
Turn.Turn expense is tens of thousands of tens of thousands of to ten.It is undoubtedly a huge burden for patient and patient family.
Have been disclosed for multiple intra-arterial knurl choke material at present, be broadly divided into solid embolism materials such as noble metal turn and
The class of liquid embolic material two.Liquid embolic material can be directly injected into aneurysm knurl intracavitary, adapt to the dynamic of different shape and size
Arteries and veins knurl chamber, make not staying any space between knurl wall and embolism materials, so as to reach permanent occlusion.Such as the Onyx of EV3 Company
HD500 is exactly a liquid embolizing agent specifically for aneurysm filling.Onyx glue composition is very simple, and it is gathered by polyvinyl alcohol
Ethylene copolymer EVOH, dimethyl sulfoxide (DMSO) DMSO solvents and the Ta powder used Ta compositions of micron.Wherein Onyx18 and Onyx34 move in brain
It is commonly used in the embolism of venous malformation (AVM).Because it allows doctor to inject for a long time, with more preferable dispersivity and more
High thrombosis rate, autography, and there is the characteristics of non-adhering.But Onyx HD500 are applied to the liquid of intracranial aneurysm filling
Body embolism materials are cumbersome but because it is using complexity.Need to protect the knurl mouth of parent artery with sacculus, prevent liquid
Body glue is gone to outside aneurysm.And want multiple full and contraction operation.Nonetheless still it is possible to there can be liquid glue race
Go out aneurysmal dangerous generation.So this product has stopped selling substantially.
Micro-fluidic (Microfluidics) is referred to using microchannel (size arrives hundreds of microns to be tens of) processing or manipulated
Science and Technology involved by the system of minute fluid (volume for nanoliter arrive A Sheng), it is one and is related to chemistry, fluid physics, micro-
Electronics, new material, the emerging cross discipline of biology and biomedical engineering.One of micro-fluidic key character is minute yardstick ring
There is unique fluid properties, such as laminar flow and drop under border.It is micro-fluidic to realize one by these unique fluid phenomenons
Serial conventional method is difficult to the micro Process completed and microoperation.Main fluid phenomenon has drop and laminar flow.
1, the drop of microflow control technique
When the immiscible liquid of two-phase (You Heshui) flows in microfluidic channel, in liquid/liquid interface tension force and shearing
In the presence of power, wherein one phase flow is known from experience to form highly homogeneous cutout, i.e. drop.In method prepared by emulsion, if
It is top-down to say the method based on stirring, then it is micro-fluidic, it is bottom-to-top method.It is micro-fluidic can be with very high
Flux prepare high degree of monodispersity drop emulsion.Common MCA is T-shaped and ψ types.In some cases, contain
The aqueous phase liquid of different high molecular polymers can also form immiscible drop in microfluidic channel.Based on this method, China
Liu Shanshan of middle University of Science and Technology et al. is prepared for PCI autography blood vessel embolism polymer microballoon.They are with sodium alginate
The aqueous solution is dispersed phase, to contain generated in-situ CaCl2The atoleine of nanoparticle is continuous phase, micro-fluidic based on drop type
Technology combination precrosslink method, size tunable and single dispersing, the calcium alginate gel bead of good sphericity is made.Method can pass through
Change micro fluidic device construction size and the velocity ratio of continuous phase and dispersed phase, regulation and control gel micro-ball size is at 40 μm~700 μm
Between.Resulting microspherulite diameter distribution is homogeneous, and has good X-ray developability.
2, the laminar flow of microflow control technique
Laminar flow is corresponding with turbulent flow, refers to the laminar flow of fluid, and its streamline is parallel to each other with tube wall.In viscous force much
More than inertia force, or when Reynolds number (Reynold number) is less than 3000, laminar flow just occurs.When the stream of a few phase different colours
Body from different entrances enter same microchannel when, even if they dissolve each other, can also form well-bedded multiphase PARALLEL FLOW.
It is regular using this geometry of laminar flow, it is possible to achieve the ordered arrangement of material, chemical environment and cell in microchannel.
The content of the invention
The present invention has following technical essential and key element:
This microtubular for being used for neural interventional treatment is two-piece design.As shown in figure 3, its proximal segment has annula
Structure, there are exocoel 3-1 and inner chamber 3-2.And be single cavity body structure in distal ports, " turn (3-3) can this section again for polymer
Solidification, or spiralization.
Form visible " polymer springs circle " the inner chamber solution of X developments and be necessary for liquid embolic with developability itself
Agent.
Exocoel solution is the aqueous solution for having some shear viscosities, exocoel solution and inner chamber solution in distal end single-chamber section forming layer
Fluid is flowed, and the liquid embolizing agent of inner chamber solution is gradually solidified.
Proximal segment has annula structure, and rule of thumb, it is square structure to be preferably designed for exocoel (1-1 and 4-1),
It is preferred that inner chamber (1-2 and 4-2) is circular configuration.As shown in Figure 1 and Figure 4.
Microflow control technique, liquid embolizing agent technology and microtubular technology are combined by the present invention, and preferred liquid suppository is
Can developer liquids suppository, more preferably non-sticky can developer liquids suppository.Thus achieve liquid embolizing agent direct transformation
Develop visible " polymer springs circle " for X.Closely packed filling can be realized for intracranial aneurysm by being somebody's turn to do " polymer springs circle ".
The injection of inner chamber solution can be stopped at any time during filling, retain the injection flow velocity of exocoel solution, realize similar
Noble metal turn frees process.Simple to operate, process control is good.
Brief description of the drawings
Below in conjunction with drawings and Examples, the invention will be further described, in accompanying drawing:
Fig. 1, microtubular cross-sectional;
Fig. 2:Micro-fluidic vertical section photo;
Fig. 3:Microtubular vertical section and " polymer springs circle " form schematic diagram;
Fig. 4 microfluidic controls are for coiling-type polymer " turn " schematic diagram;
Fig. 5:Polymer " turn " microphotograph.
Embodiment
Below in conjunction with the embodiment of specific embodiment
The above of the present invention is described in further detail.
The present invention is based on micro-fluidic laminar fluid form, and liquid embolizing agent technology is combined in it.Thus, may be used
To be formed " the polymer springs circle " of a kind of injectable.We are for microtubular structure, according to micro-fluidic forming layer manifold state institute
The feature needed is designed, and the microtubular of the design has two-way feed pathway (exocoel inner chamber double cavity structure):Central circular passage
For liquid embolizing agent path, peripheral square duct is the aqueous solution channel (referring to Fig. 2) for having viscosity.The cross-sectional view of structure is such as
Shown in Fig. 1.
Can developer liquids suppository can by polyvinyl alcohol polyethylene and ethylene copolymers (EVOH), dimethyl sulfoxide (DMSO) (DMSO) solvent and
The Ta powder used composition of micron.Tantalum powder is developer or other noble metal micron powders.Polymer EVOH is dissolved in DMSO
In, but it is not dissolved in water.So when EVOH DMSO solution runs into water or blood, polymer will be from DMSO solvents
In be precipitated out.Ta powder can be embedded in the colloidal condensate of its formation by polymer EVOH precipitation processes.Because it has embedded Ta
Powder, so it can develop under X-ray.Liquid embolizing agent will gradually be cured as polymer in by the microtubular
Rice noodles shape " filling turn ".And we can allow it to be come out in microtubular by the length for the laminar flow section for adjusting microtubular
Fully solidify when in into human body artery knurl.After aneurysm filling is complete, doctor need to only stop bore passages solution
Injection, and retain the solution injection of exocoel passage.This process is visual to free process for turn.By this process,
Doctor is to clog multiple noble metal turns before " the polymer springs circle " that can use a liquid embolizing agent to be formed reaches
Effect.And filling is finer and close, process is more reliable.And the financial burden of patient can be largely reduced, because " polymer
The cost of turn " is far below noble metal turn.
In addition, this microtubular for being used for neural interventional treatment is two-piece design.As shown in figure 3, its proximal segment has together
Axle double cavity structure, there are exocoel 3-1 and inner chamber 3-2.And be single cavity body structure in distal ports, " turn (3-3) can be again for polymer
This section solidifies, or spiralization.
Below to enumerating example, to the further specific descriptions of the present invention.1, experimental raw and reagent
Polyvinylpyrrolidone (Mn=500,0g/mol, analyzes pure, Chemical Reagent Co., Ltd., Sinopharm Group);Diformazan is sub-
Sulfone (DMSO, analyzes pure, Chemical Reagent Co., Ltd., Sinopharm Group);Polyethylene glycol (PEG400, Mn=400g/mol, analysis is pure,
Chemical Reagent Co., Ltd., Sinopharm Group);Ta powder (micron-nanometer level) (Ningxia east tantalum industry);EVOH polymer (Taiwan Changchun
Company)
2, micro fluidic device is built
Single emulsion capillary micro fluidic device is built:Two pipes are inserted into square tube, Cheng Yi from the both sides of square tube respectively
It is arranged in a straight line, and the pipe after assembling is fixed on slide.As shown in figure 4, the pipe in left side is as interior phase passage, square tube
Left side is as foreign minister's passage, and the pipe on right side is as collecting region one section (4-3).The internal diameter and external diameter of pipe are 600 μm respectively
And 1.0mm, the internal diameter of square tube is 1.0mm.Diameter is truncated to 30 μm by the end of inlet tube after drawing pin device to burn carefully, then by burning pin device
Left and right.The end that one section of collecting region, which connects bigger two sections of the collecting region (4-4) of an internal diameter, (has the polytetrafluoroethyl-ne of different inner diameters
The square tube that alkene pipe either internal diameter is 1mm).
As shown in figure 4, the mixed solution of EVOH/DMSO/Ta powder and the PEG aqueous solution are mixed as interior phase and outside
Liquid.Two-phase is injected in the internal and external channel of micro fluidic device by syringe pump respectively, and two parallel streams are formed in one section of collecting region
Body.Then two parallel fluids enter broader two sections of a collecting region, and screw type can be spontaneously generated in two sections of collecting region
Fiber.Wherein, dj is the diameter of initial fluid in figure;Df is the diameter for the solid fiber being collected into;D1 is the internal diameter of capillary;
D2 is the internal diameter of two sections of collecting region;λ is the wavelength of helically oriented fiber, and l is between one section of end of import pipe end and collecting region
Distance.In this process, after dispersed phase enters one section of collecting region, the DMSO in fluid starts to move to continuous phase liquid PEG phases
Move.With DMSO migration, the viscosity of internal phase fluid increases, and starts to shrink at.This can cause the accumulation of elastic energy and stress,
It can only can be discharged by folding.Meanwhile passage broadens and causes interior foreign minister to produce speed difference, this can be produced to internal phase fluid
Viscous drag, so as to cause curling.In addition, as the DMSO in the mixed solution of EVOH/DMSO/Ta powder is quickly to liquid PEG
Spread in phase, interior phase liquid can progressively solidify, and the shape of spiral will be maintained after solidification.Straight fluid/fiber is changed into screw type
Fiber is to be broadened from the water of interior phase to foreign minister's migration and passage caused by the synergy of (collecting region one section to collecting region two sections).
It should be noted that this and be based on two-phase aqueous systems before, microfluidic control is for the report of microballoon or microfibre difference.At these
In report, they be PEG the aqueous solution and Quick cross-linking in situ realize solidification.
Concentration by simply adjusting the flow velocity of interior foreign minister, l values and EVOH/DMSO solution etc., can be made not similar shape
The fiber of looks, including screw type, the fiber of wavy and unordered curling.For all these fibers, df/djControl 0.5
Left and right (table 1).Illustrate in this preparation process, due to the diffusion of water, the diameter of liquid embolizing agent phase reduces~50%.Cause
This, we can adjust the initial diameter of fluid simply by the flow velocity of foreign minister in change, so as to control final fiber
Diameter (table 1).
Embodiment 1-4 is as shown in table 1:
Influence of foreign minister's flow velocity to dj, df and df/dj in table 1
Embodiment 5, Qin=200 μ L/h, Qout=5mL/h, d1=600 μm, EVOH/DMSO=6wt%), l=3cm dresses
Put.
Embodiment 6, Qin=200 μ L/h, Qout=5mL/h, d1=600 μm, EVOH/DMSO=6wt%), l=6cm dresses
Put.
Embodiment 7, Qin=200 μ L/h, Qout=5mL/h, d1=600 μm, EVOH/DMSO=6wt%), l=9cm dresses
Put.
Embodiment 8, Qin=200 μ L/h, Qout=5mL/h, d1=600 μm, EVOH/DMSO=8wt%), l=9cm dresses
Put.
Embodiment 9, Qin=200 μ L/h, Qout=5mL/h, d1=600 μm, EVOH/DMSO=10wt%), l=9cm dresses
Put.
By above example, micro-fluidic resulting polymer " turn " is as shown in Figure 5.1-9 examples correspond to 5-a respectively
To 5-i.