CN110051921A - A kind of taper drug coated balloon catheter - Google Patents
A kind of taper drug coated balloon catheter Download PDFInfo
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- CN110051921A CN110051921A CN201810046546.9A CN201810046546A CN110051921A CN 110051921 A CN110051921 A CN 110051921A CN 201810046546 A CN201810046546 A CN 201810046546A CN 110051921 A CN110051921 A CN 110051921A
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- sacculus
- conduit
- distal portion
- balloon catheter
- drug coated
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS 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
- A61L29/00—Materials for catheters, medical tubing, cannulae, or endoscopes or for coating catheters
- A61L29/08—Materials for coatings
- A61L29/085—Macromolecular materials
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS 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
- A61L29/00—Materials for catheters, medical tubing, cannulae, or endoscopes or for coating catheters
- A61L29/14—Materials characterised by their function or physical properties, e.g. lubricating compositions
- A61L29/16—Biologically active materials, e.g. therapeutic substances
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M29/00—Dilators with or without means for introducing media, e.g. remedies
- A61M29/02—Dilators made of swellable material
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/02—General characteristics of the apparatus characterised by a particular materials
- A61M2205/0238—General characteristics of the apparatus characterised by a particular materials the material being a coating or protective layer
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- Engineering & Computer Science (AREA)
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- Biomedical Technology (AREA)
- Chemical & Material Sciences (AREA)
- Medicinal Chemistry (AREA)
- Molecular Biology (AREA)
- Vascular Medicine (AREA)
- Anesthesiology (AREA)
- Heart & Thoracic Surgery (AREA)
- Hematology (AREA)
- Media Introduction/Drainage Providing Device (AREA)
Abstract
The present invention relates to the field of medical instrument technology, it is especially for the drug coated balloon catheter of interventional therapeutic technique, specifically disclose a kind of taper drug coated balloon catheter, it includes conduit and sacculus, sacculus is in the distensible front for being set to conduit of folded state, the surface of sacculus is equipped with medication coat, and sacculus is along conduit tube axial direction by distally proximally including distal portion, main part and close end;When sacculus is in expansion state, the tapered structure of main part, sacculus is gradually reduced in main part from one side of close end to distal portion side diameter, and sacculus is fixed on conduit by distal portion and close end contraction;When sacculus is in folded state, distal portion is equipped with curved bend tune at conduit.Taper drug coated balloon catheter of the present invention is suitable for long section diseased region, has preferable push ability, and medication coat is bonded perfection with blood vessel, drug is enable more effectively to be discharged into diseased region vascular wall.
Description
Technical field
The present invention relates to the field of medical instrument technology, the medicine-coated balloon for being especially for interventional therapeutic technique is led
Pipe.
Background technique
So far from the 1970s, vascular interventional treatment experienced balloon dilatation, bare metal stent and drug and wash
3-6 months restenosis rates of the development of de- bracket, target vessel drop to 5%-10% from 30%-50%, achieve it is larger into
Exhibition.But after implant FirebirdTM, patient needs to take for a long time duplex Anti-platelet therapy, once occur in bracket again
Narrow, the repetition implantation of bracket for eluting medicament can cause the adverse events of high risk.In addition, blood vessel caused by bracket for eluting medicament
Endothelium healing delay, bracket advanced thrombus and atherosclerosis etc. all become the problem after influencing clinic more.
The appearance of drug coated balloon catheter (drug coated balloon, DCB) is brought newly to vascular interventional treatment
Hope, drug coated balloon catheter is a kind of blood vessel interventional medical device of local administration based on sacculus, distensible ball
Capsule surface coats the coating containing therapeutic agent, and when lesion locations are expanded, drug discharges rapidly sacculus in 30-120s, seeps
Thoroughly into vascular tissue, inhibit vascellum endometrial hyperplasia, to achieve the purpose that treat vascular lesion.
Different from bracket for eluting medicament, the drug of medicine-coated balloon discharges rapidly in a short time, on the one hand, it is required that medicine
For object coating foley's tube in the blood vessels in transmission process, the drug loss of balloon surface is few, and on the other hand, medicine-coated balloon is led
When pipe is transported to lesion locations pressurising expansion, the drug of balloon surface can be promptly released into vascular wall, to reach treatment lesion
Purpose.
It is good it is adherent be drug coated balloon catheter one of the key factor that can be released effectively rapidly of drug.General feelings
Under condition, the medicine-coated balloon of 10%-20% bigger than lesion locations diameter can be selected to lead according to the diameter of lesion vessels when treatment
Pipe, to ensure that drug coated balloon catheter can be bonded completely with vascular wall.But the diameter of the blood vessel of human body is simultaneously uneven, with lower limb
For blood vessel, blood vessel diameter is smaller more down.For some long section lesions, lesion top and bottom diameter difference is larger.Operation
In the process, if the drug coated balloon catheter diameter of selection is excessive, lesion lower end blood vessel excessive tearing may be caused to damage;If
The drug coated balloon catheter diameter of selection is too small, and lesion upper end cannot be completely adherent, influences controlling for drug coated balloon catheter
Therapeutic effect can only be implanted into two drug coated balloon catheters different even more than diameter respectively, and not only surgical procedure is complicated, and
And increase the financial burden of patient.
Application No. is 200720190054.4 Chinese patents to disclose a kind of conical saccule dilating catheter for the prior art, packet
Sacculus, conduit, female Luer are included, sacculus is located at conduit front, and conduit, which couples female Luer or couples Rule by pillar, to be connect
Head is provided with inner tube in conduit, and the balloon distal and balloon proximal of sacculus are both ends cone section structure, and the interlude of sacculus is transition
Pyramidal structure., mainly solving the technical problems that improving the adherent effect of sacculus, improvement balloon expandable causes blood vessel distal end for it
Excess damage.However, the conical saccule dilating catheter is not belonging to drug coated balloon catheter, it is primarily adapted for use in coronary artery ball
Capsule dilatation or mount, therefore used just for coronary artery pathological changes region.
Application No. is 201310228389.0 Chinese patents to disclose a kind of conical saccule dilating catheter for the prior art, should
Sacculus is tapered, and proximal part balloon diameter is greater than distal end balloon diameter, and the balloon surface can be coated with carrying antiproliferative
The polymer of drug.
The taper sacculus of the above prior art is all used just for large and medium-sized artery and coronary artery pathological changes region, sacculus cone
Shape principal length is shorter, such as conical saccule dilating catheter above-mentioned, and the interlude transition taper length of sacculus is 5-100mm,
It is especially greater than the IVC stenosis lesion of 150mm for the length section stenotic lesion of some peripheral blood vessels to length of lesion
It is not available.
And longer sacculus can dramatically increase sacculus in interventional procedure with length increase and transport difficulty.And in sacculus
When length is longer, due to difficulty of transportation, balloon surface drug premature disconnection can be aggravated, so that the drug of balloon surface was pushed in sacculus
It results in greater loss in journey because blood washes away.
Summary of the invention
The technical problem to be solved in the present invention is to provide a kind of taper drug coated balloon catheters, are able to solve medicinal balloon
Medication coat be bonded the technologies such as bad, sacculus push ability difference and its caused drug premature disconnection with long section blood vessel and ask
Topic.
In order to solve the above technical problems, the technical solution used in the present invention is: a kind of taper drug coated balloon catheter,
Including conduit and sacculus, the sacculus is in the distensible front for being set to the conduit of folded state, and the surface of the sacculus is set
There is medication coat, the sacculus includes distal portion, main part and close end along conduit tube axial direction;
When sacculus is in expansion state, the tapered structure of main part, the sacculus is in main part by close end side
It is gradually reduced to distal portion side diameter, the sacculus is fixed on conduit in distal portion and close end contraction;
When sacculus is in folded state, the sacculus is equipped with curved bend tune, the sacculus in distal portion at conduit
It is not more than the collapsed outer diameter of balloon body in the maximum gauge of curved bend tune.
Optionally, distal portion whole installation is curved bend tune or local setting is curved bend tune.
Preferably, the distal portion further includes straight section, and curved bend tune side tends to conduit outer wall, another lateral institute
State straight section smooth transition.The curved bend tune is seamlessly transitted to the straight section, further decrease sacculus by resistance, make ball
The distal portion of capsule smoothly can stably pass through body lumen.
Further, the distal portion is equipped with supporter, can support the curved bend tune in the balloon distal portion.It folds
Under state, setting supporter can make sacculus made of flexible material in the curved bend tune of distal portion composition rock-steady structure.
Preferably, the curved bend tune is set to the junction of the distal portion and conduit outer wall, the distal portion with
Conduit outer wall is welded by solder, and the solder is filled between the curved bend tune and conduit outer wall of the distal portion, welded
Supporter as curved bend tune afterwards.
Optionally, the solder is identical as the material of sacculus, it is preferred that the material of the solder and sacculus is low compliance
Or it is particularly preferred as without compliant material such as one of polyethylene, polyethylene terephthalate, nylon and polyurethane
Nylon-12, nylon-11, PEBAX or PEEK;Sacculus and conduit solder through laser welding, curved bend tune side with lead
Pipe outer wall is smoothly connected.
Supporter uses solder, and when on the one hand expanding sacculus pressurising, weld stress more evenly, increases welding surface
Product is welded stronger;Another aspect solder can support arc bending section, keep balloon body portion smoother by human body pipe
Chamber, the passability enhancing of sacculus.
Preferred laser welding includes that arc solder is first welded in inner tube surrounding, then uses identical welding procedure,
Sacculus is welded along solder and is extended on conduit, curved bend tune is formed.
Preferably, the radian of the curved bend tune is 10-30 degree.Radian selected by sacculus curved bend tune should not be too small,
The entire length that may cause bending section is larger, so that the entire length of balloon tip is influenced, and too long tip length may
Cause to cause injury of blood vessel when intravascular transport;If selected radian is excessive, may will increase arc-shaped bend section passes through resistance.
Preferably, the conical apex angle degree of the tapered structure in balloon body portion is 1.1 ± 0.8 degree.Preferred taper
Apex angle degree makes balloon body portion match with long sections of straight diameter gradual change blood vessel, can make the medication coat loaded in balloon body portion
With long section lesion vessels wall good fit, drug is more accurate in diseased region release, avoids.
Preferably, the length in the balloon body portion is greater than 100 millimeters, further preferably 100-300 millimeters.The present invention
Taper drug coated balloon catheter is particularly suitable for long section lesion vessels, can effectively improve the passability and pushability of foley's tube
Can, reduce drug premature disconnection.
On the basis of aforementioned balloon structure feature selecting, the preferred distal portion of the present invention, main part and close end are along conduit
Axial length ratio is ± 100:8 ± 57 ± 4:200.Distal portion curved bend tune and straight section are preferred along the length ratio of conduit axial direction
For 2-3:1.When folded state, sacculus is 1.2mm-1.85mm in 11 maximum gauge of distal end curved bend tune.The taper of the structure
Medicine-coated balloon, which can be taken into account, obtains preferable push ability and passability, has excellent operability, effectively avoids being situated between
Enter art process to the physical damnification of blood vessel, reduces the conveying difficulty of foley's tube, reduce drug premature disconnection.
To the present invention further improve, the wall thickness in the balloon body portion from one side of close end to distal portion side gradually
Reduce.Balloon body portion is reduced from one side of close end to distal portion side balloon wall thickness, so that balloon body portion is close to distal end
The collapsed outer diameter of portion side is smaller, to obtain better flexibility, becomes strong by the ability of crooked position, and folded state
Balloon body portion with sacculus wall thickness change can also be in approximately conical shape structure, particularly in view of the length of sacculus is grown very much
When 100mm or more, the sacculus of the folded state of approximately conical shape structure can be improved push power by the transmission effect of proximate, make
The push performance of foley's tube improves the push ability for further increasing foley's tube.
Preferably, the proximal end side in balloon body portion and distal end side sacculus wall thickness are respectively 0.08 ± 0.03mm, 0.07
± 0.02mm, the ratio between both ends wall thickness are 1-2:1.
Be configured in foley's tube of the present invention sacculus fill substance transfer passage, as needed, conduit be chosen as casing,
Double lumen tube or three lumens fill as sacculus using shell clearance or individual lumen and connect in the transfer passage and sacculus of substance
It is logical.
Preferably, the conduit is casing, including outer tube and inner tube, and for said inner tube by stretching out in outer tube, the sacculus is remote
The closed inner tube for being fixed on extension in end, close end is closed to be fixed on outer tube, and the full of sacculus is formed between outer tube and inner tube
Channel.Inner tube stretches out outer tube, is located at conduit front, has smaller caliber, and the passability of foley's tube is more preferable, and full logical
Road can be connected to sacculus in a ring, and balloon expandable is rapider, more efficient.
Medication coat of the present invention is optionally the drug containing therapeutic dose and the good load of biocompatibility
Body.Coated carrier material preferably includes the poly- cream of l-lactic acid (PLLA), polylactic-co-glycolic acid (PLGA), racemic
Acid (PDLLA), polyethylene glycol, polyethylene glycol-polycaprolactone, polysorbate, PVP, xylan alcohol, polyglycerol ester, alginic acid
Sodium, chitosan, chitin, glucan, poly- hard acid esters, poly- citrate etc.;Drug preferably includes anti-oxidation medicine, anticoagulant
Blood class drug, inhibits in vascular smooth muscle cell curing class drug, anti-inflammatory drug or immune suppressant drug anticancer class drug
One or more.
Above-mentioned anti-oxidation medicine includes superoxide dismutase, catalase, Co-Q10, glutathione peroxidase
Enzyme;Anticoagulants include aspirin, heparin, clopidogrel etc.;Anticancer class drug includes colchicin, taxol;Suppression
Vascular smooth muscle cell curing class drug processed includes angiogenic peptide, cortin, calcium ion antagonist;Anti-inflammatory drug includes more raw
Mycin, Depsidomycin, KanglemycinC, Spergualin, Mytiocin, Gllooxin;Immune suppressant drug packet
Include rapamycin, Ciclosporin A, cyclosporin C, brefeldin A.
In use, be pushed to lesion locations from puncture orifice about needs 1min to medicinal balloon catheter, and medicinal balloon
Drug release effective storage life is 2min or so.Therefore the longer push time, it is early during transportation to will result directly in drug
The amount of releasing increases.And since drug is mostly lipophilicity, it is insoluble in water, agglomeration of reuniting is easy, big particle is formed, in transmission process
In these big drug microparticles carried by carrier, be easy to be rushed by blood de-.If the particle number to fall off is more, it is easy to cause distal end
The complication such as vascular occlusion, thrombus, serious person will lead to amputation.Therefore, for make balloon structure have better blood stream physical strength
It learns, the curved bend tune being arranged at catheter tip by balloon distal portion can reduce blood flow to sacculus when sacculus transports
Body surfaces medication coat washes away, and helps to reduce medication coat premature disconnection caused by by influence of blood flow in balloon body, so that
What drug can be concentrated more discharges in diseased region, improves therapeutic effect.
To sum up, taper drug coated balloon catheter of the present invention has the advantages that compared with the prior art
(1), distal portion setting curved bend tune common flat bevel compared with the prior art, under equal conditions, arc
Bending section is tending to conduit side with longer gentle face, and the angle of the gentle face and conduit is smaller, so that balloon distal
Enhanced by the ability of Stenosis.And since sacculus is after the maximum gauge of curved bend tune is folded no more than balloon body
Outer diameter, therefore, the setting of curved bend tune will not cause to hinder to the push of balloon body, and sacculus integrally has good push away
Send power.
(2), balloon structure of the present invention has better hemodynamics, through balloon distal portion at catheter tip
The curved bend tune of setting can reduce blood flow when foley's tube transports and wash away to balloon body surface drug coating, help
In reducing medication coat premature disconnection caused by by influence of blood flow in balloon body, enable what drug more concentrated to release in diseased region
It puts, improves therapeutic effect.
(3), balloon body portion is reduced from one side of close end to distal portion side balloon wall thickness, so that balloon body portion is leaned on
The collapsed outer diameter of nearly distal portion side is smaller, to obtain better flexibility, becomes strong by the ability of crooked position, and
The balloon body portion of folded state can also be in approximately conical shape structure, cooperate with balloon distal portion and seamlessly transit, passability is more preferable, into one
Step improves the push ability of foley's tube.
(4), drug coated balloon catheter of the present invention can be suitable for the length lesion that length is greater than 100mm, especially suitable
In peripheral blood vessel lesion, overcome the prior art makes because sacculus is bonded to be segmented due to bad, sacculus passability is poor with blood vessel
The problem of with multiple medicinal balloons, the medical treatment cost of patient can be greatly reduced using sacculus coated catheters of the present invention.
Detailed description of the invention
The present invention will be further described in detail below with reference to the accompanying drawings and specific embodiments.
Fig. 1 is a kind of structural schematic diagram of embodiment of taper drug coated balloon catheter of the present invention;
Structural schematic diagram when Fig. 2 is balloon expandable state in Fig. 1;
Structural schematic diagram when Fig. 3 is sacculus folded state in Fig. 1;
Structural schematic diagram when Fig. 4 is a kind of isometrical balloon expandable state of the prior art;
Structural schematic diagram when Fig. 5 is prior art another kind taper balloon expandable state.
Medication coat and sacculus wall thickness are not shown in this specification attached drawing.In each attached drawing, 1, distal portion;11, bending section;
12, straight section;2, main part;3, close end;4;Conduit, 41, outer tube;42, inner tube;5, needle stand;6, guidewire lumen;7, chamber is filled;8,
Developing ring;9, solder.
Specific embodiment
Bad cause is bonded with the non-uniform long section lesion vessels wall of diameter for prior art drug coated balloon catheter
Drug coated balloon catheter therapeutic effect reduce and the foley's tube of long section push ability and passability poor to cause to apply art tired
It is difficult, take a long time, the technical problems such as drug premature disconnection aggravation, the present invention provides a kind of taper drug coated balloon catheters, pass through
The pyramidal structure in balloon body portion and the cooperation of balloon distal portion curved bend tune, can make sacculus medication coat and long section lesion
Vascular wall good fit, while the premature disconnection effect of drug is reduced, drug can more be discharged in diseased region, to improve treatment
Effect, while also effectively raising the push ability and passability of drug coated balloon catheter.
Invention is further described in detail with reference to the accompanying drawings and detailed description.
Total embodiment
Referring to Fig. 1-3, a kind of taper drug coated balloon catheter, including conduit 4 and sacculus, sacculus are expansible in folded state
The front for being set to conduit 4, the surface of sacculus is equipped with medication coat, and sacculus along 4 tube axial direction of conduit includes distal portion 1, main
Body portion 2 and close end 3;
When sacculus is in expansion state, referring to fig. 2, the tapered structure of main part 2, sacculus is in main part 2 by close end 3 one
Lateral 1 side diameter of distal portion is gradually reduced, and sacculus is fixed on conduit 4 in distal portion 1 and the contraction of close end 3;
When sacculus is in folded state, referring to Fig. 3, sacculus is equipped with curved bend tune 11 in distal portion 1 at conduit 4,
Sacculus is not more than the collapsed outer diameter of balloon body in the maximum gauge of curved bend tune 11.
Wherein, conduit 4 is casing, including outer tube 41 and inner tube 42, and inner tube 42 in outer tube 41 by stretching out, balloon distal portion 1
The closed inner tube 42 for being fixed on extension, close end 3 is closed to be fixed on outer tube 41, and sacculus is formed between outer tube 41 and inner tube 42
Full channel.Inner tube 42 stretches out outer tube 41, is located at 4 front of conduit, has smaller caliber, and the passability of foley's tube 4 is more preferable,
And full channel can be connected to sacculus in a ring, and balloon expandable is rapider, more efficient.
It should be noted that those skilled in the art can voluntarily select other conduit forms, such as two-chamber as needed
Pipe or three lumens, are connected in conduit side opening and sacculus using individual lumen, constitute the transfer passage that sacculus fills substance, no
There are technical difficulties.
Referring to Fig. 1, as optional component, the rear portion of conduit 4 is provided with the needle stand 5 of full chamber 7 and guidewire lumen 6, fills
It is full of chamber 7 and guidewire lumen 6 is connected to full channel, inner tube 42 respectively, for is passed through or withdrawing from full substance and seal wire.Full substance
It is chosen as liquid or gas.Inner tube 42 is also being fixed with developing ring 88 close to sacculus both ends position, for indicating in performing the operation
Sacculus position in body lumen.
Referring to fig. 2, when balloon expandable state, distal portion 1 and close end 3 is tapered or approximately conical shape structure, curved bend
The junction of distal portion 1 Yu 4 outer wall of conduit is arranged in tune 11, and distal portion 1 further includes straight section 12, and 11 side of curved bend tune becomes
To 4 outer wall of conduit, another lateral straight section 12 is seamlessly transitted.Curved bend tune 11 is seamlessly transitted to straight section 12, further decreases ball
Capsule by resistance, so that the distal portion 1 of sacculus is smoothly stably passed through body lumen.However, whole in distal portion 1
Design length is shorter, in the lesser situation of diameter, and those skilled in the art also can choose is by 1 whole installation of balloon distal portion
Technical difficulty is not present in curved bend tune 11.
Referring to Fig. 3, when sacculus folded state, distal portion 1 is equipped with supporter, is capable of the curved bend of supporting balloon distal portion 1
Tune 11.Under folded state, setting supporter can make sacculus made of flexible material in the arc of the composition rock-steady structure of distal portion 1
Shape bending section 11.
Specifically, distal portion 1 is welded with 42 outer wall of inner tube by solder 9, the curved bend tune 11 and conduit 4 of distal portion 1
Solder 9 is filled between outer wall, after weld formation the supporter as curved bend tune 11, sacculus and conduit 4 use solder 9 through Laser Welding
It connects, 11 side of curved bend tune is smoothly connected with 4 outer wall of conduit.
Supporter uses solder 9, and when on the one hand expanding sacculus pressurising, weld stress more evenly, increases welding surface
Product is welded stronger;Another aspect solder 9 can support arc bending section 11, enable balloon body portion 2 it is smoother pass through people
Body lumen, the passability enhancing of sacculus.However, as optional other alternative solutions, those skilled in the art also be can choose
Other longitudinal cross-sections are that the annular structural part of arc is fixed on 4 periphery of conduit, constitute arc as support body supports balloon distal portion 1
Shape bending section 11.
As preferred embodiment, solder 9 is identical as the material of sacculus, is low compliance or without compliant material,
It is further preferred such as one of polyethylene, polyethylene terephthalate, nylon and polyurethane, solder 9 and sacculus
Material be selected as Nylon-12, nylon-11, PEBAX (block polyether acidamide resin) or PEEK (polyether-ether-ketone).
Laser welding process includes that solder 9 is first welded in 42 surrounding of inner tube, then welds sacculus simultaneously along solder 9
It extends on conduit 4, forms curved bend tune 11.
By microscope fitting it has been observed that further selecting the conical apex angle degree of the tapered structure in balloon body portion 2
It is 1.1 ± 0.8 degree, as shown in angle b in attached drawing 2, balloon body portion 2 and long sections of straight is made using the conical apex angle degree of the selection
Diameter gradual change blood vessel matches, and can make the medication coat loaded in balloon body portion 2 and long section lesion vessels wall good fit, medicine
Object discharges more accurate in diseased region.
Embodiment 1
On the basis of aforementioned total embodiment, in the case that each feature is a certain determining selection in aforementioned selection, into
The radian of different curved bend tunes 11 is arranged in one step, as shown in angle a in Fig. 2.
By largely pushing experimental studies have found that radian selected by sacculus curved bend tune 11 should not be too small, bending may cause
The entire length of section 11 is larger, to influence the entire length of balloon tip, and too long tip length may cause it is intravascular
Injury of blood vessel is caused when transporting;If selected radian is excessive, may will increase arc-shaped bend section 11 passes through resistance.
As preferred embodiment, the radian of curved bend tune 11 is 10-30 degree, reduces pass through resistance as far as possible.
Embodiment 2
On the basis of embodiment 1, further setting sacculus has different following parameters.
Selection balloon distal portion 1, main part 2 and close end 3 are followed successively by 2-20mm, 50- along the axial length of conduit 4
350mm, 2-20mm, 1 curved bend tune 11 of distal portion and straight section 12 are 1-5:1 along the axial length ratio of conduit 4, when folded state
Sacculus is 1mm-2mm in the maximum gauge of distal end curved bend tune 11.
By push power and time of delivery statistics discovery, further select distal portion 1, main part 2 and close end 3 along conduit
4 axial length are followed successively by 7 ± 4mm, 200 ± 100mm, 8 ± 5mm, and 1 curved bend tune 11 of distal portion is with straight section 12 along conduit 4
Axial length is than being preferably 2-3:1.When folded state, sacculus is 1.2mm- in 11 maximum gauge of distal end curved bend tune
1.85mm.The taper medicine-coated balloon of the structure, which can be taken into account, obtains preferable push ability and passability, has excellent
Operability effectively avoids interventional procedure process to the physical damnification of blood vessel, reduces the conveying difficulty of foley's tube 4, reduces drug
Premature disconnection.
Embodiment 3
On the basis of total embodiment, further select the wall thickness in balloon body portion 2 from 3 one side of close end to distal portion 1
Side is gradually reduced.Select balloon body portion 2 proximal end side and distal end side sacculus wall thickness be respectively 0.03-0.15mm,
0.03-0.13mm。
By push power and time of delivery statistics discovery, balloon body portion 2 is from 3 one side of close end to 1 side ball of distal portion
Wall thickness reduces, so that collapsed outer diameter of the balloon body portion 2 close to 1 side of distal portion is smaller, to obtain preferably submissive
Property, become strong by the ability of crooked position, and the balloon body portion 2 of folded state can also be in approximate cone with sacculus wall thickness change
Shape structure, particularly in view of the length of sacculus is grown in 100mm or more very much, the sacculus of the folded state of approximately conical shape structure can
Push power is improved by the transmission effect of proximate, the push performance of foley's tube 4 is improved and further increases foley's tube 4
Push ability.
As preferred embodiment, balloon body portion 2 is subtracted from 3 one side of close end to 1 side balloon wall thickness of distal portion
Small, the proximal end side in balloon body portion 2 and distal end side sacculus wall thickness are respectively 0.08 ± 0.03mm, 0.07 ± 0.02mm,
The ratio between both ends wall thickness is 1-2:1, and the pushability of foley's tube effectively improves, drug premature disconnection rate reduces.
Brought effect is selected in order to which foregoing embodiments are explained further, is illustrated by following comparative example.
It is applied respectively with the taper drug of the isometrical foley's tube of the prior art, taper foley's tube and present invention
Layer foley's tube compares experiment, and the barrel forms that each foley's tube is all made of same size are made as conduit, and sacculus is equal
For Nylon-12 material, only balloon structure is different, be successively named as DCB1, DCB2 ..., DCB17.
Hereinafter, the sacculus specifications parameter of each foley's tube is all the same in addition to illustrating.
Wherein, DCB1 is isometrical sacculus, and referring to fig. 4, balloon body portion is isometrical cylinder, sacculus in expansion state
Distal portion and close end be taper;DCB2 is taper sacculus, and referring to Fig. 5, balloon body portion is taper in expansion state,
The distal portion and close end of sacculus are taper.
DCB3-DCB17 of the embodiment of the present invention is the drug coated balloon catheter of previous embodiment different size, sacculus knot
Structure is referring to Fig. 1.
All sacculus are all made of same process and prepare medication coat.Medicine coating carrier is poly- hard acid esters, and drug is purple
China fir alcohol.
Comparative example 1
Take a simulated blood vessel, the intravascular narrow positions for having one section of 1cm long.Each medication coat is each passed through with guiding wire
Foley's tube, and guiding wire and each drug coated balloon catheter are fixed.By leading by drug coated balloon catheter distal end
Guide wire penetrates simulated blood vessel, and clamps guiding wire with puller system, opens puller system, records each drug coated balloon catheter
Front end passes through the maximum, force F when narrow positions of simulated blood vessel.
Comparative example 2
In addition, the blood vessel of pig is taken to do transporting test in vitro, the loss of drug in transmission process is studied.
Each drug coated balloon catheter is passed through with guiding wire respectively, is placed in 37 DEG C of PBS solution, using simulated blood vessel
The push process of system aids drug coating foley's tube in blood, the pipeline diameter of simulated blood vessel system are 5-8cm, blood
Flow velocity is 35cm/s.After simulation process, through the loss result S for calculating each sacculus drug.
Each drug coated balloon catheter specification and its test result F, S see the table below.
By the above comparing result as it can be seen that taper drug coated balloon catheter of the embodiment of the present invention is isometrical compared with the prior art
Drug coated balloon catheter, taper drug coated balloon catheter, push ability and passability significantly improve, sacculus transport process medicine
The premature disconnection amount of object significantly reduces, and is conducive to the application of outer perimeter section lesion vessels, can effectively reduce surgical procedure difficulty, raising is controlled
Therapeutic effect.
Taper drug coated balloon catheter provided by the invention is described in detail above, using specific in the present invention
A example is expounded embodiments of the present invention, the present invention that the above embodiments are only used to help understand, should
It points out, to those of ordinary skill in the art, without departing from the principle of the present invention, the present invention can also be carried out
Several improvement, these improvement are also fallen within the protection scope of the claims of the present invention.
Claims (10)
1. a kind of taper drug coated balloon catheter, including conduit and sacculus, the sacculus is set in folded state is distensible
The surface of the front of the conduit, the sacculus is equipped with medication coat, it is characterised in that: the sacculus is along conduit tube axial direction packet
Include distal portion, main part and close end;
When sacculus is in expansion state, the tapered structure of main part, the sacculus is in main part from one side of close end to remote
End side diameter is gradually reduced, and the sacculus is fixed on conduit by distal portion and close end contraction;
When sacculus is in folded state, the sacculus is equipped with curved bend tune in distal portion at conduit, and the sacculus is in arc
The maximum gauge of shape bending section is not more than the collapsed outer diameter of balloon body.
2. taper drug coated balloon catheter according to claim 1, it is characterised in that: the distal portion further includes straight
Section, the side of the curved bend tune tend to conduit outer wall, another lateral straight section smooth transition.
3. taper drug coated balloon catheter according to claim 2, it is characterised in that: the distal portion is equipped with support
Body can support the curved bend tune.
4. taper drug coated balloon catheter according to claim 3, it is characterised in that: the curved bend tune is set to
The junction of the distal portion and conduit outer wall;The distal portion and conduit outer wall are welded by solder, the arc of the distal portion
The solder is filled between shape bending section and conduit outer wall, after weld formation the supporter as curved bend tune.
5. taper drug coated balloon catheter according to claim 4, it is characterised in that: the material of the solder and sacculus
It is identical, it is preferred that the material of the solder and sacculus is for low compliance or without compliant material, such as polyethylene, poly- terephthaldehyde
One of sour glycol ester, nylon and polyurethane;It is described to be welded as laser welding.
6. taper drug coated balloon catheter according to claim 1-5, it is characterised in that: the arc-shaped bend
The radian of section is 10-30 degree.
7. taper drug coated balloon catheter according to claim 1-5, it is characterised in that: the balloon body
The wall thickness in portion is gradually reduced from one side of close end to distal portion side, it is preferred that the proximal end side and distal end one in balloon body portion
Side sacculus wall thickness is respectively 0.08 ± 0.03mm, 0.07 ± 0.02mm, and the ratio between both ends wall thickness is 1-2:1.
8. taper drug coated balloon catheter according to claim 1-5, it is characterised in that: the balloon body
The conical apex angle degree of the tapered structure in portion is 1.1 ± 0.8 degree.
9. taper drug coated balloon catheter according to claim 1-5, it is characterised in that: the balloon body
The length in portion is 100-300 millimeters;Distal portion, main part and close end are 7 ± 4:200 ± 100 along the length ratio of conduit axial direction:
8±5;It is preferably 2-3:1 that distal portion curved bend tune and straight section compare along the length of conduit axial direction;When folded state, sacculus is remote
End curved bend tune maximum gauge is 1.2mm-1.85mm.
10. taper drug coated balloon catheter according to claim 1-5, it is characterised in that: the conduit is
Casing, including outer tube and inner tube, said inner tube in outer tube by stretching out, the closed inner tube for being fixed on extension in balloon distal portion,
Close end is closed to be fixed on outer tube, and the full channel of sacculus is formed between outer tube and inner tube.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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CN201810046546.9A CN110051921A (en) | 2018-01-18 | 2018-01-18 | A kind of taper drug coated balloon catheter |
Applications Claiming Priority (1)
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CN201810046546.9A CN110051921A (en) | 2018-01-18 | 2018-01-18 | A kind of taper drug coated balloon catheter |
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Publication Number | Publication Date |
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CN110051921A true CN110051921A (en) | 2019-07-26 |
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CN201810046546.9A Pending CN110051921A (en) | 2018-01-18 | 2018-01-18 | A kind of taper drug coated balloon catheter |
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Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN114042229A (en) * | 2021-12-13 | 2022-02-15 | 贝朗医疗(苏州)有限公司 | Drug release balloon catheter system and preparation method thereof |
CN114432504A (en) * | 2022-01-30 | 2022-05-06 | 苏州浩微生物医疗科技有限公司 | Surface treatment composition, balloon microcatheter with composition and preparation method |
-
2018
- 2018-01-18 CN CN201810046546.9A patent/CN110051921A/en active Pending
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN114042229A (en) * | 2021-12-13 | 2022-02-15 | 贝朗医疗(苏州)有限公司 | Drug release balloon catheter system and preparation method thereof |
CN114432504A (en) * | 2022-01-30 | 2022-05-06 | 苏州浩微生物医疗科技有限公司 | Surface treatment composition, balloon microcatheter with composition and preparation method |
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