CN110269741B - 一种二次膨胀泪点塞的制备方法 - Google Patents

一种二次膨胀泪点塞的制备方法 Download PDF

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CN110269741B
CN110269741B CN201910453401.5A CN201910453401A CN110269741B CN 110269741 B CN110269741 B CN 110269741B CN 201910453401 A CN201910453401 A CN 201910453401A CN 110269741 B CN110269741 B CN 110269741B
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李金徽
李少军
黄杰辉
杨习锋
曾晨光
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Guangzhou Sun Shing Biotech Co ltd
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Abstract

本发明提供一种二次膨胀泪点塞的制备方法,选用水凝胶类材质,可以直接植入到泪小管中,不接触角膜,减少异物感;植入前和植入过程中,栓塞已经吸水膨胀一次,其性能柔软,手术过程不易损害泪小管;植入到指定位置后,在泪液作用下,再次膨胀,达到固定的作用。制备方法包括:(1)将阴离子单体、阳离子单体、主要单体、交联剂、引发剂与盐溶液充分混合,得到混合溶液;(2)将混合溶液注入到模具中,通过热引发或光引发或催化剂引发成型,得水凝胶;(3)水凝胶经去离子水浸泡、裁切、包装、灭菌。

Description

一种二次膨胀泪点塞的制备方法
技术领域
本发明涉及医疗器械领域,具体涉及二次膨胀泪点塞的制备方法。
背景技术
干眼症是指任何原因造成的泪液质量异常或动力学异常,导致泪膜稳定性下降,并伴有眼部不适和眼表组织病变特征的多种疾病的总称,又称角结膜干燥症。
干眼症已成为全球流行性疾病,其患病率有逐渐增加的趋势。其发病机制非常复杂,角膜、结膜、泪腺、睑板腺以及它们之间连接的神经通路共同发挥作用对泪膜形成和泪液分泌的调控作用,维持和保护眼表的正常结构和功能,其中任何一个环节的异常均会破坏眼表正常修复及预防机制,导致干眼。
通过泪点塞封堵泪道,能较好维护泪膜稳定性,缓解干眼症状。其中,栓塞主要分为硅胶塞子和水凝胶类材质栓塞两种。其中硅胶塞制造材料为医用硅胶,一般带有一个帽子,栓塞尾部在泪点外,与角膜接触,有异物感;水凝胶类栓塞分为可降解栓赛和不可降解栓塞,其植入部位为泪小管。可降解栓塞,通常使用胶原制造,一般在2到6个月之间降解。不可降解栓塞中使用较广泛的SmartPlug栓塞,其制备材料为聚丙烯酸脂类,在体温下变形收缩,堵塞泪道。一般的,水凝胶类的泪点塞其干燥状态普遍较硬,植入过程中,容易损坏泪小管壁。
发明内容
本发明提供一种二次膨胀泪点塞的制备方法,选用水凝胶类材质,可以直接植入到泪小管中,不接触角膜等,减少异物感;植入前和植入过程中,栓塞已经吸水膨胀一次,其性能柔软,手术过程不易损害泪小管;植入到指定位置后,在泪液作用下,再次膨胀,达到固定的作用。
本发明一种二次膨胀泪点塞的制备方法的技术方案包括:
(1)将阴离子单体、阳离子单体、主要单体、交联剂、引发剂与盐溶液充分混合,得到混合溶液;
选取甲基丙烯酸、丙烯酸、4-苯乙烯磺酸及其它们的钠盐钾盐中的任一种或几种作为阴离子单体;
选取甲基丙烯酰丙基三甲基氯化铵、甲基丙烯酸二甲氨基乙酯中的任一种或几种作为阳离子单体;
选取甲基丙烯酸羟乙酯、乙烯基吡咯烷酮中的任一种或几种作为主要单体;
选取过硫酸铵、过硫酸钾、水溶性偶氮类引发剂以及水溶性光引发剂中的任意一种或者几种作为引发剂;
选取氯化钠或氯化钾无机盐溶液作为盐溶液;
(2)当引发剂包含过硫酸铵或过硫酸钾时,将混合溶液加入催化剂注入到模具中;当引发剂为水溶性偶氮类引发剂和/或水溶性光引发剂时,将混合溶液直接注入到模具中;
(3)通过热引发、催化剂引发或者光引发聚合,得到水凝胶。
(4)成型好的水凝胶经去离子水浸泡、裁切、包装、灭菌,得泪点塞。
进一步地,选取乙二醇二醋酸酯、聚乙二醇二丙烯酸酯、N,N'-亚甲基双丙烯酰胺中的任一种或者几种作为交联剂。
进一步地,阴离子单体浓度为0.05~6mol/L,阳离子单体浓度为0.05~6mol/L,主要单体浓度为0.05~6mol/L。
进一步地,交联剂浓度为0.01~0.2mol/L。
进一步地,盐溶液浓度为0~3mol/L。
进一步地,引发剂浓度为0.001~0.1mol/L。
进一步地,催化剂为四甲基乙二胺。
经上述方法制得的泪点塞为含水的水凝胶,具有一定生物相容性。植入前已在去离子水中充分溶胀,其直径小于泪小管,植入时栓塞柔软,方便植入且不易损坏泪小管,降低了手术风险。在植入后,泪液中存在的盐类,可使水凝胶泪点塞网络中的正负基团的静电相互作用被破坏,使泪点塞的体积变大,从而适应泪小管尺寸,堵塞泪小管,达到保存泪液的目的,在植入过程能最大限度减少对泪小管的损伤。
具体实施方式
本发明提供一种二次膨胀泪点塞的制备方法,选用水凝胶类材质,可以直接植入到泪小管中,不接触角膜等,减少异物感;植入前已在去离子水中充分溶胀,其性能柔软,手术过程不易损害泪小管;植入到指定位置后,在泪液作用下,再次膨胀,达到固定的作用。
下面对本发明实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本发明一部分实施例,而不是全部的实施例。基于本发明中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都属于本发明保护的范围。
实施例一
本发明提供一种二次膨胀泪点塞的制备方法包括:
(1)将4-苯乙烯磺酸钠、甲基丙烯酰丙基三甲基氯化铵、乙烯基吡咯烷酮、乙二醇二醋酸酯、过硫酸铵与氯化钠溶液充分混合,得到混合溶液。
选取4-苯乙烯磺酸钠的浓度为0.5mol/L;
选取甲基丙烯酰丙基三甲基氯化铵的浓度为0.5mol/L;
选取乙烯基吡咯烷酮的浓度为0.5mol/L;
选取乙二醇二醋酸酯的浓度为0.02mol/L;
选取过硫酸铵的浓度为0.02mol/L;
选取氯化钠溶液的浓度为1mol/L;
(2)取1mL混合溶液,加入四甲基乙二胺10μL,用涡轮震荡使其充分混合。
(3)将溶液注入到内径为1mm的泪点塞模具中,常温下等待2小时,聚合成型,得水凝胶。
(4)水凝胶在去离子水中浸泡三天,将其裁剪为3mm长的样品。最后包装,灭菌得泪点塞。
经上述方法制得的泪点塞,在去离子水中的直径和在泪液中的直径依次递增(1.0mm和1.3mm),确保了植入时栓塞柔软,方便植入且不易损坏泪小管。在植入后,泪点塞的体积变大,适应泪小管尺寸,堵塞泪小管。
实施例二
本发明提供一种二次膨胀泪点塞的制备方法包括:
(1)将4-苯乙烯磺酸钠、甲基丙烯酸二甲氨基乙酯、乙烯基吡咯烷酮、乙二醇二醋酸酯、偶氮二异丁基脒盐酸盐与氯化钠溶液充分混合,得到混合溶液。
选取4-苯乙烯磺酸钠的浓度为1mol/L;
选取甲基丙烯酸二甲氨基乙酯的浓度为1mol/L;
选取乙烯基吡咯烷酮的浓度为0.5mol/L;
选取乙二醇二醋酸酯的浓度为0.02mol/L;
选取偶氮二异丁基脒盐酸盐的浓度为0.01mol/L;
选取氯化钠溶液的浓度为2mol/L;
(2)将溶液注入到内径为0.8mm的泪点塞模具中,将其放置于60℃温度保温箱中等待5小时,聚合成型,得到泪点塞。
(3)水凝胶经纯化水浸泡三天,在含水态下将其裁剪为3mm长的样品。最后包装,灭菌得泪点塞。
经上述方法制得的含水态直径为0.8mm的泪点塞,在去离子水直径和泪液中的直径依次递增(0.8mm和1.4mm),确保了植入时栓塞柔软,方便植入且不易损坏泪小管。在植入后,泪点塞的体积变大,适应泪小管尺寸,堵塞泪小管。
实施例三
本发明提供一种二次膨胀泪点塞的制备方法包括:
(1)将甲基丙烯酸钠、甲基丙烯酰丙基三甲基氯化铵、乙烯基吡咯烷酮、乙二醇二醋酸酯、水溶性光引发剂Irgacure 2959与氯化钠溶液充分混合,得到混合溶液。
选取甲基丙烯酸钠的浓度为1mol/L;
选取甲基丙烯酰丙基三甲基氯化铵的浓度为1mol/L;
选取乙烯基吡咯烷酮的浓度为0.5mol/L;
选取乙二醇二醋酸酯的浓度为0.02mol/L;
选取水溶性光引发剂Irgacure 2959的浓度为0.02mol/L;
选取氯化钠溶液的浓度为1mol/L;
(2)将溶液注入到内径为0.6mm的泪点塞模具中,使用365nm紫外光照射10分钟,聚合成型,得到水凝胶。
(3)水凝胶经纯化水流动浸泡冲洗三天,在含水态下将其裁剪为3mm长的样品。最后包装,灭菌得泪点塞。
经上述方法制得的泪点塞,在去离子水直径和泪液中的直径依次递增(0.6mm和1.0mm),确保了植入时栓塞柔软,方便植入且不易损坏泪小管。在植入后,泪点塞的体积变大,适应泪小管尺寸,堵塞泪小管。
对比例一
(1)将4-苯乙烯磺酸钠、乙烯基吡咯烷酮、乙二醇二醋酸酯、过硫酸铵与氯化钠溶液充分混合,得到混合溶液。
选取4-苯乙烯磺酸钠浓度为1mol/L;
选取乙烯基吡咯烷酮浓度为0.5mol/L;
选取乙二醇二醋酸酯浓度为0.02mol/L;
选取过硫酸铵浓度为0.02mol/L;
选取氯化钠溶液的浓度为1mol/L;
(2)取1mL混合溶液,加入四甲基乙二胺10μL,用涡轮震荡使其充分混合。
(3)将溶液注入到内径为1mm的泪点塞模具中,常温下等待2小时,聚合成型,得到水凝胶。
(4)水凝胶经纯化水浸泡三天,在含水态下将其裁剪为3mm长的样品。最后包装,灭菌得泪点塞。
经上述方法制得的泪点塞。其在去离子水直径和泪液中的直径几乎保持不变(1mm),无法实现二次溶胀。
对比例二
(1)将乙烯基吡咯烷酮、乙二醇二醋酸酯、过硫酸铵与氯化钠溶液充分混合,得到混合溶液。
选取乙烯基吡咯烷酮浓度为1mol/L;
选取乙二醇二醋酸酯浓度为0.02mol/L;
选取过硫酸铵浓度为0.02mol/L;
选取氯化钠溶液的浓度为1mol/L;
(2)取1mL混合溶液,加入四甲基乙二胺10μL,用涡轮震荡使其充分混合。
(3)将溶液注入到内径为0.8mm的泪点塞模具中,常温下等待2小时,聚合成型,得到水凝胶。
(4)水凝胶经纯化水流动浸泡冲洗三天,在含水态下将其裁剪为3mm长的样品。最后包装,灭菌得泪点塞。
经上述方法制得的泪点塞。其在去离子水直径和泪液中的直径几乎保持不变(0.8mm),无法实现二次溶胀。
以上实施例仅用以说明本发明的技术方案,而非对其限制;尽管参照前述实施例对本发明进行了详细的说明,本领域的普通技术人员应当理解:其依然可以对前述各实施例所记载的技术方案进行修改,或者对其中部分技术特征进行等同替换;而这些修改或者替换,并不使相应技术方案的本质脱离本发明各实施例技术方案的精神和范围。

Claims (3)

1.一种二次膨胀泪点塞的制备方法,其特征在于,包括以下步骤:
(1)将阴离子单体、阳离子单体、主要单体、交联剂、引发剂与盐溶液充分混合,得到混合溶液;
选取甲基丙烯酸、丙烯酸、4-苯乙烯磺酸及其它们的钠盐钾盐中的任一种或几种作为阴离子单体;选取甲基丙烯酰丙基三甲基氯化铵、甲基丙烯酸二甲氨基乙酯中的任一种或几种作为阳离子单体;选取甲基丙烯酸羟乙酯、乙烯基吡咯烷酮中的任一种或几种作为主要单体;选取过硫酸铵、过硫酸钾、水溶性偶氮类引发剂以及水溶性光引发剂中的任意一种或者几种作为引发剂;选取氯化钠或氯化钾无机盐溶液作为盐溶液;
(2)当引发剂包含过硫酸铵或过硫酸钾时,将混合溶液加入催化剂注入到模具中;当引发剂为水溶性偶氮类引发剂和/或水溶性光引发剂时,将混合溶液直接注入到模具中;
(3)通过热引发、催化剂引发或者光引发聚合,得到水凝胶;
(4)成型好的水凝胶经去离子水浸泡、裁切、包装、灭菌,得泪点塞;
所述的阴离子单体浓度为0.05~6mol/L,阳离子单体浓度为0.05~6mol/L,主要单体浓度为0.05~6mol/L;所述的交联剂浓度为0.01~0.2mol/L;所述的盐溶液浓度为1~3mol/L;所述的引发剂浓度为0.001~0.1mol/L。
2.根据权利要求1所述的二次膨胀泪点塞的制备方法,其特征在于,选取乙二醇二醋酸酯、聚乙二醇二丙烯酸酯、N,N'-亚甲基双丙烯酰胺中的任一种或者几种作为交联剂。
3.根据权利要求1所述的二次膨胀泪点塞的制备方法,其特征在于,
催化剂为四甲基乙二胺。
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