A kind of manufacturing method of controllable antibacterial trachea bracket
Technical field
The present invention relates to trachea bracket technical field, more particularly to a kind of manufacturing method of controllable antibacterial trachea bracket.
Background technology
Tracheae and bronchiostenosis can be caused by Different types of etiopathogenises, including:Inflammatory granuloma, wound, tracheomalacia, tumour
Deng.Tracheostenosis can cause obstructive pneumonia, atelectasis and expiratory dyspnea, serious to make patient that respiratory failure occur and jeopardize
Life.
Tracheal stent placing is one of the important means for the treatment of tracheostenosis, can release expiratory dyspnea rapidly.Improvement is faced
Bed symptom.Include clinically at present mainly metallic support and silicon stent etc. using more trachea bracket.Metal tracheae holder
Mostly be woven into netty circular tube shape using ti-ni shape memory alloy or stainless steel material, according to whether overlay film can be divided into again overlay film frame and
Bare bracket.Silicone trachea bracket can plant silicone material by medical grade and be made, and have two kinds of Y types and straight barrel type, it is possible to provide Duo Zhongzhi
Diameter and shape meet the needs of different patients, are removed compared to metallic support more convenient.
Extrusion molding biology 3D printing technique installs an extrusion axle additional in existing three axis 3D printing platforms, utilizes air pressure, work
The mode of plug or Screw Extrusion consolidates biomaterial extrusion molding while squeezing out using modes such as photocuring or cationic cures
Change sizing.
Trachea bracket can be placed in human body in short term or for a long time, clinical upper bracket merging after-poppet be in an open environment (with
Air is identical) in, the microorganism infection for being easy to be brought by respiratory movement does not have since rack surface does not have blood circulation yet
Cellular immune function, thus it is postoperative, and bacterium is easy to be colonized on holder and breeds and be difficult to clean off, gas after causing holder to place
Repeated infection in road, or even jeopardize patients ' lives..Therefore trachea bracket is improved, so that it is had antibacterial action has one
Fixed realistic meaning.In addition, different patient be placed in the period, implantation site the different demands for antibacterial coat also not to the utmost
It is identical.Therefore a kind of trachea bracket having controllable antibacterial coat is designed to have great importance.
Invention content
The present invention provides a kind of manufacturing methods of controllable antibacterial trachea bracket so that the trachea bracket realization after merging can
The antibacterial effect of control.
A kind of manufacturing method of controllable antibacterial trachea bracket, includes the following steps:
Step 1:Configure antiseptic solution and the degradable host material of bio-compatible;
Step 2:Geometric parameter and antimicrobial component of the determining degradable antibiotic layer in trachea bracket matrix surface according to demand
Concentration;
Step 3: calculating printing path and print parameters according to the geometric parameter of step 2 and antimicrobial component concentration;
Step 4: degradable antibacterial mixing material is printed upon rami tracheales according to the printing path of step 3 and print parameters
Frame matrix surface;
Step 5:The degradable antibacterial mixing material of printing is cured, degradable antibiotic layer film-forming.It is solidified into
The technique of film may be used sol-gal process and lead to after that is, antimicrobial component solution and the mixing of degradable host material are printed upon surface
It crosses drying means solvent (water or other solvents) volatilize, degradable matrix film is left, wherein being dispersed with antimicrobial component particle.
The present invention prints after being mixed antimicrobial component and the degradable host material of bio-compatible by way of 3D printing
Onto existing trachea bracket matrix, film-forming.After being placed in human body with trachea bracket afterwards, with degradable host material
Gradual degradation gradually release antimicrobial component, by control the geometric parameter control antibacterial of antimicrobial component concentration and antibiotic layer at
Rate of release, concentration, the antibacterial time etc. divided so that the trachea bracket after merging realizes controllable antibacterial effect.
Common trachea bracket not only may be implemented in the controllable antibacterial trachea bracket that the method proposed in through the invention obtains
Function, be also equipped with controllable antibacterial functions, degradable antibiotic layer can be designed according to the actual conditions of different patients, realized personalized
Customization.
Trachea bracket matrix described in step 3 is using clinically common silicone trachea bracket or metal tracheae holder.
Described in step 4 trachea bracket matrix surface printing before, trachea bracket matrix surface need to be cleared up.
The 3D platform print platforms used in step 4 are the biological 3D printing platforms of extrusion molding, and extrusion way can make
Air pressure extrusion, piston squeezes out or Screw Extrusion, squeezed out here using extruder pump in the form of piston etc..
The rheological equationm of state of the host material of bio-compatible is suitble to extrusion molding.Preferably, in step 1, use is twin-channel
Antiseptic solution and the degradable host material of bio-compatible are expressed into mixing tube and are sufficiently mixed rear extrusion molding by syringe pump.Bilateral
Two channels of road syringe pump can individually control the rate of extrusion in each channel, be used for while printing in control antibiotic layer
Antimicrobial component content.
The rheological equationm of state of the degradable host material of bio-compatible is suitble to extrusion molding, it is preferred that in step 1, the biology
Compatible degradable host material uses gelatin, methacrylate gelatin, chitosan, alginate and poly lactic-co-glycolic acid
At least one of copolymer.It is at least one refer to can be single ingredient, can also be several mixture.
In order to dissipate with more easily controlling antimicrobial component, it is preferred that in step 2, the degradable antibiotic layer is in tracheae
The geometric parameter on rest body surface includes shape and thickness.
In order to preferably coordinate the structure of trachea bracket, it is preferred that the shape is helical structure.Degradable antibiotic layer can
To use helical structure, the nail male structure of rack surface is avoided, while reducing the influence for expectoration.The geometric parameters of helical structure
Number further includes width and screw pitch.
Preferably, in step 1, the antiseptic solution is using antibiotic, sulfamido, imidazoles, nitro glyoxaline, quinoline promise
At least one of ketone, silver ion and nano-Ag particles.It is gradually released with the degradation of degradable host material after merging human body
It puts, plays antibacterial or antiinflammation.
Preferably, it in step 4, is surface-treated before trachea bracket matrix surface printing.Pass through certain table
Surface treatment improves the surface nature of rest body, is conducive to antiseptic solution and degradable matrix mixed solution adheres to.Mainly improve
Surface hydrophilicity, because silicone trachea bracket is hydrophobic material, and degradable host material is water wetted material, is not easy to adhere to.
Preferably, the surface treatment includes surface cleaning and surface hydrophilic processing.Such as plasma treatment or function dough
It is used for improving surface hydrophilicity Deng, plasma treatment, function dough is fixed using chemical bond using chemical grafting method
Water wetted material.
Preferably, the degradable antibiotic layer is single layer structure, and antimicrobial component content is squeezed by controlling antiseptic solution respectively
Go out and is adjusted with the rate of extrusion of the degradable host material of bio-compatible.Single layer structure, antimicrobial component content and thickness are adjustable.In addition
After antiseptic solution mixes printing with degradable host material, solvent therein vapors away after film-forming, be left antibacterial at
Divide and disperses in degradable host material.
Preferably, the antiseptic solution be Nano silver solution, the degradable host material of bio-compatible be chitosan and
Gelatin mixed solution.Nano silver has broad-spectrum sterilization effect, has no toxic and side effect to human body, not will produce drug dependence;Shell is poly-
Sugar and gelatin mixed solution, bio-compatible is degradable, and film forming and better mechanical property, this can be preferably played in conjunction with after
The advantages of invention.
Beneficial effects of the present invention:
The manufacturing method of the controllable antibacterial trachea bracket of the present invention is by way of printing by antimicrobial component and bio-compatible
It is printed on existing trachea bracket matrix after degradable host material mixing, antimicrobial component is placed in human body with trachea bracket
Afterwards, antimicrobial component gradually is released with the gradual degradation of degradable host material, by controlling antimicrobial component concentration and antibacterial
Rate of release, concentration, the antibacterial time etc. of the geometric parameter control antimicrobial component of layer so that the trachea bracket realization after merging can
The antibacterial effect of control.
Description of the drawings
Fig. 1 is the wire frame flow chart of the manufacturing method of the controllable antibacterial trachea bracket of the present invention.
Fig. 2 is the structural representation for the trachea bracket that the manufacturing method of the controllable antibacterial trachea bracket of the present invention manufactures
Figure.
Fig. 3 is the partial schematic sectional view for the controllable antibacterial trachea bracket that the method for the present invention manufactures.
Fig. 4 is the controllable antibacterial trachea bracket antibiotic layer partial schematic sectional view of the present invention.
Fig. 5 is the structural schematic diagram for the printing equipment that the method for the present invention uses.
Fig. 6 is the schematic cross-sectional view of the mixing tube of the antibiotic layer printing equipment of the present invention.
Each reference numeral is in figure:1. trachea bracket matrix, 2. degradable antibiotic layers, 3. silicone trachea brackets follow closely umbo
Structure, 4. degradable antibiotic layer screw pitch, 5. trachea bracket matrix outer diameters, 6. trachea bracket matrix internal diameters, 7. silicone trachea brackets nail
Convex height, 8. antibiotic layer width, the antimicrobial component in 9. antibiotic layers, 10. antibacterial layer thickness, 11. controllable antibacterial trachea brackets,
12. mixing tube, 13. trachea bracket axial rotation devices, 14. hold the syringe of the degradable host material of bio-compatible, and 15. contain
Put the syringe of the solution containing antimicrobial component, 16. binary channels syringe pumps, 17. mixing tube upper covers, 18. mixing pipe shells, 19. mixing
Pipe internal helical blades.
Specific implementation mode
As shown in Figure 1, the controllable antibacterial trachea bracket manufacturing method of the present embodiment, includes the following steps:
Step 1:Configure antiseptic solution (such as Nano silver solution) and the degradable host material of bio-compatible (such as shell gather
Sugar and gelatin mixed solution);
Step 2:The geometric parameter and antimicrobial component concentration of degradable antibiotic layer are determined according to demand;
Step 3:Printing path and print parameters are calculated according to antibiotic layer geometric parameter and antimicrobial component concentration;
Step 4:According to calculated print parameters, degradable antibacterial mixing material is printed upon on 3D printing platform
Rest body surface;
Step 5:Make the degradable coat of the bio-compatible containing antibacterial granule after printing using certain curing mode
Film-forming.
As shown in Fig. 2, the controllable antibacterial trachea bracket that method through this embodiment manufactures, including:Trachea bracket
Matrix 1 and degradable antibiotic layer 2.Degradable antibiotic layer 2 is printed upon 1 appearance of trachea bracket by extruded type biology 3D printing platform
Face can not fall off or be permanently deformed as certain deformation occurs for trachea bracket matrix 1.
As shown in figure 3, the degradable antibiotic layer 2 that manufactures of the method for the present embodiment is in spiral shell in trachea bracket matrix surface
Shape is revolved, antibiotic layer width 8, the antimicrobial component 9 in antibiotic layer and the antibacterial layer thickness 10 of geometric parameter can be taking human as adjustings.It needs
To be illustrated, be herein schematic diagram, the dimension scale in figure does not represent the reality of degradable antibiotic layer 2 and trachea bracket matrix 1
Dimension scale, the actually thickness of degradable antibiotic layer 2 should be much smaller than the thickness of trachea bracket matrix 1.
As shown in Figure 4, be uniformly dispersed in the degradable antibiotic layer 2 that the method for the present embodiment manufactures antibacterial at
Point particle 6, only schematic diagram herein, in practice since the size of antimicrobial component particle 6 should in the micron-scale and hereinafter, antibacterial simultaneously
The shape of ingredient granules 6 may be irregular, it is understood that there may be local agglomeration.
As shown in Figure 5, the degradable antibiotic layer 2 that the method for the present embodiment manufactures can be printed by diagramatic way
It, can be around wherein controllable antibacterial trachea bracket 11 is mounted on trachea bracket axial rotation device 13 in trachea bracket matrix surface
Axial rotation, there are two syringes for installation on binary channels syringe pump 16, respectively hold the degradable host material of bio-compatible
Syringe 14 and the syringe 15 for holding the solution containing antimicrobial component can pass through the feed speed in 16 two channels of control syringe pump
The concentration of antimicrobial component in degradable antibiotic layer 2 is controlled, degradable host material is injected into mixed with the solution containing antimicrobial component
It closes in pipe 12, being sufficiently stirred two kinds of ingredients using helical blade in mixing tube 12 obtains uniform degradable antibacterial mixing material,
Mixing tube 12 is mounted in three-dimensional movement platform, can do three direction movements, cooperation trachea bracket axial rotation device 13 is in gas
Helical structure is printed on pipe holder matrix, avoids the nail male structure 3 on silicon stent surface, while reducing the shadow for expectoration
It rings, naturally it is also possible to print other shapes.
In conclusion the controllable antibacterial trachea bracket manufacturing method of the present embodiment, antibacterial is blended with by print platform
The degradable biological compatible material of ingredient is printed upon trachea bracket matrix surface, by film-forming, forms controllable antibiotic layer, leads to
The controlled release that antibacterial constituent concentration and geometric parameter in degradable antibiotic layer realize antimicrobial component is overregulated, it can be according to different trouble
The actual conditions of person design degradable antibiotic layer, personalized customization are realized, after effectively controllable solution trachea bracket merging
Infection problems.