CN116602807B - Capsule type self-produced gas stomach volume-reducing weight-reducing air bag - Google Patents
Capsule type self-produced gas stomach volume-reducing weight-reducing air bag Download PDFInfo
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- CN116602807B CN116602807B CN202310577291.XA CN202310577291A CN116602807B CN 116602807 B CN116602807 B CN 116602807B CN 202310577291 A CN202310577291 A CN 202310577291A CN 116602807 B CN116602807 B CN 116602807B
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices ; Anti-rape devices
- A61F5/0003—Apparatus for the treatment of obesity; Anti-eating devices
- A61F5/0013—Implantable devices or invasive measures
- A61F5/003—Implantable devices or invasive measures inflatable
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices ; Anti-rape devices
- A61F5/0003—Apparatus for the treatment of obesity; Anti-eating devices
- A61F5/0013—Implantable devices or invasive measures
- A61F5/0036—Intragastrical devices
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y02—TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
- Y02A—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
- Y02A50/00—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
- Y02A50/30—Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change
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- Health & Medical Sciences (AREA)
- Child & Adolescent Psychology (AREA)
- Obesity (AREA)
- Nursing (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Medicinal Preparation (AREA)
- Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
Abstract
Description
技术领域Technical Field
本发明涉及医疗器械技术领域,具体涉及一种胶囊封装的利用胃内温度诱导梯度自产气组合物膨胀的胃减容减重气囊。The invention relates to the technical field of medical devices, and in particular to a capsule-encapsulated gastric volume-reducing and weight-reducing air bag that expands a gas-generating composition by inducing a gradient in the stomach temperature.
背景技术Background technique
现有的肥胖症治疗方法主要有控制饮食、运动减重、药物治疗、手术治疗等。单纯的控制饮食和运动减重需要较强的意志控制力,多数人功亏一篑。手术减重效果虽然明显,但手术对医疗水平要求很高,对患者造成的创伤恢复期长,不但花费大,而且造成机体创伤,中医谓之伤元气,因此很难为患者所接受。The existing treatments for obesity mainly include diet control, exercise weight loss, drug therapy, and surgical treatment. Simply controlling diet and exercising to lose weight requires strong willpower, and most people fail. Although surgery has obvious weight loss effects, it requires a high level of medical skills, and the trauma caused to the patient takes a long time to recover. It is not only expensive, but also causes trauma to the body, which is called "injury to the vital energy" in traditional Chinese medicine, so it is difficult for patients to accept it.
为了克服现有减重方法的诸多弊端,近年来许多国家开展了在胃内放入水囊或气囊,以占据胃内容积减少食量的减重方式,这种方式经大量实践证明是一种减重的有效手段。该方法将球囊连接导管,由术者将空球囊植入胃中,再将气体或生理盐水注入球囊内,使球囊在胃内膨胀,完成后将导管拔除。充有气体或液体的胃内球囊占据患者的胃容积,造成饱腹感,达到减少进食量,减轻体重的目的。该方法是一种较为安全有效的医学减重治疗技术,在美国等多国获得批准并临床应用的产品有ORBERA®和Spatz3,见文献CHOI S J,CHOI H S. Various intragastric balloons under clinical investigation[J].Clinical Endoscopy,2018,51(5):407–415。但是该方法存在缺点:球囊植入时需全身麻醉,容易对咽喉和食管造成损伤,操作繁琐,存在风险,患者较为痛苦。In order to overcome the many drawbacks of existing weight loss methods, many countries have carried out weight loss methods in recent years, which are to place water or air balloons in the stomach to occupy the gastric volume and reduce food intake. This method has been proven to be an effective means of weight loss through a large number of practices. This method connects the balloon to the catheter, and the surgeon implants the empty balloon into the stomach, then injects gas or saline into the balloon to expand the balloon in the stomach, and removes the catheter after completion. The gastric balloon filled with gas or liquid occupies the patient's stomach volume, causing a sense of fullness, thereby reducing food intake and weight loss. This method is a relatively safe and effective medical weight loss treatment technology. Products approved and clinically used in the United States and other countries include ORBERA® and Spatz3. See the literature CHOI S J, CHOI HS. Various intragastric balloons under clinical investigation [J]. Clinical Endoscopy, 2018, 51 (5): 407–415. However, this method has disadvantages: general anesthesia is required for balloon implantation, which can easily cause damage to the throat and esophagus, and the operation is cumbersome, there are risks, and the patient is in pain.
ANNALS OF BIOMEDICAL ENGINEERING,2021,49:1391–1401报道了可吞咽式自产气的减重胶囊,产气机制是将有机酸(如柠檬酸)水溶液与碱式碳酸盐(如碳酸氢钾、碳酸氢钠)分开置入胃内球囊的不同仓室内,患者自主将减肥胶囊吞入胃内后,通过体外施加磁场驱动打开胃内球囊的磁性阀门,使酸、碱反应物接触发生反应,产生二氧化碳气体而使胃内球囊膨胀,此方法避免了手术痛苦,但也有一些弊端:ANNALS OF BIOMEDICAL ENGINEERING, 2021, 49: 1391–1401 reported a swallowable self-gassing weight loss capsule. The gas production mechanism is to place an aqueous solution of an organic acid (such as citric acid) and an alkaline carbonate (such as potassium bicarbonate, sodium bicarbonate) separately into different chambers of an intragastric balloon. After the patient swallows the weight loss capsule into the stomach on his own, a magnetic field is applied in vitro to drive the magnetic valve of the intragastric balloon to open, so that the acid and alkaline reactants come into contact and react, producing carbon dioxide gas to expand the intragastric balloon. This method avoids the pain of surgery, but it also has some disadvantages:
1)酸碱反应物和水占据的体积比较大。据文献给出的数据:在长35mm,直径12.39mm,体积为4.2mL(V1)的胶囊内,可容纳1.12克的酸碱反应物和1mL水,此时的产气量约120mL(V2),产气体积倍率V2/V1为120/4.2=28.57。如达到业内共识的400-600mL疗效体积,则需一次吞咽4只胶囊。据大量文献记载,通常植入球囊的数量为1-2只,过小及过多则会增加意外泄漏和幽门梗阻的风险。(一定体积的胶囊产气量的多少可以描述为产气体积倍率:V2/V1,其中V1为胶囊初始体积,V2为膨胀后气囊的体积。较小的胶囊初始体积便于自主吞咽,而进入胃内后则希望充盈成为体积更大的气囊。)1) Acid-base reactants and water occupy a relatively large volume. According to the data given in the literature: In a capsule with a length of 35mm, a diameter of 12.39mm, and a volume of 4.2mL ( V1 ), 1.12 grams of acid-base reactants and 1mL of water can be contained. At this time, the gas production is about 120mL ( V2 ), and the gas production volume ratio V2 / V1 is 120/4.2=28.57. If the industry consensus of 400-600mL therapeutic volume is achieved, 4 capsules need to be swallowed at a time. According to a large number of literature records, the number of balloons usually implanted is 1-2. Too small or too many will increase the risk of accidental leakage and pyloric obstruction. (The amount of gas produced by a certain volume of capsule can be described as the gas production volume ratio: V2 / V1 , where V1 is the initial volume of the capsule and V2 is the volume of the balloon after expansion. A smaller initial volume of the capsule is convenient for autonomous swallowing, and after entering the stomach, it is hoped that it will be filled into a larger balloon.)
2)以现有的技术产品,如果使胶囊的产气量达到200mL,按产气反应的化学方程式计算,每只胶囊需内含1.9克的反应物和1.5mL-2mL的水,再加上球囊材料的体积,经累加总体积将达到约7mL(直径13mm、长度45mm),如此大的物体,通过咽喉或食管(特别是食管狭窄处)时容易出现嵌顿、梗阻,如果此时意外产气后果将不可控。这就使得患者产生恐惧心理,难以接受自主吞咽或吞咽失败。2) With existing technology products, if the gas production of the capsule reaches 200mL, according to the chemical equation of the gas production reaction, each capsule needs to contain 1.9 grams of reactants and 1.5mL-2mL of water, plus the volume of the balloon material, the total volume will reach about 7mL (13mm in diameter, 45mm in length). Such a large object is prone to incarceration and obstruction when passing through the throat or esophagus (especially the narrow part of the esophagus). If the gas is accidentally produced at this time, the consequences will be uncontrollable. This makes patients fearful and difficult to accept autonomous swallowing or swallowing failure.
由上述可以看出现有技术由于受到酸碱产气剂产气能力的限制,即使此类胶囊的产气体积倍率接近理论极限,但因受制于胶囊体积的限制,仍无法达到理想的应用需求。From the above, it can be seen that the existing technology is limited by the gas production capacity of acid-base gas generators. Even if the gas production volume ratio of such capsules is close to the theoretical limit, it is still unable to meet the ideal application requirements due to the limitation of capsule volume.
因此,目前还需对自产气吞咽式减肥胶囊进行改进,以满足实用化需求。Therefore, there is a need to improve the self-gas-generating swallowing weight-loss capsule to meet practical needs.
发明内容Summary of the invention
为了解决现有技术的不足,本发明目的在于提供一种使用安全、产气体积倍率高的胃减容减重胶囊,有利于患者吞咽并减少吞入数量,满足治疗需求。In order to address the deficiencies of the prior art, the present invention aims to provide a gastric volume reduction and weight reduction capsule that is safe to use and has a high gas production volume ratio, which is conducive to swallowing by patients and reduces the amount swallowed, thereby meeting treatment needs.
为实现本发明目的,本发明提供了一种利用胃内温度诱导梯度产气组合物作为产气剂,并进一步制成一种胶囊式自产气胃减容减重气囊。To achieve the purpose of the present invention, the present invention provides a composition for generating gas by inducing a gradient of gas in the stomach temperature as a gas generating agent, and further prepares a capsule-type self-gas generating gastric volume and weight reducing air bag.
本发明采取的技术方案是:The technical solution adopted by the present invention is:
所述温度诱导梯度产气组合物由如下组分组成,各组分以质量百分比计:组分A1%-20%,组分B 5%-30%,组分C 55%-95%,组分D 0.05%-0.5%,组分E 0.05%-0.5%。The temperature-induced gradient gas generation composition is composed of the following components, each component is calculated by mass percentage: component A 1%-20%, component B 5%-30%, component C 55%-95%, component D 0.05%-0.5%, component E 0.05%-0.5%.
优选产气组合物的组分组成为:组分A 1%-10%,组分B 5%-20%,组分C 70%-90%,组分D 0.05%-0.5%,组分E 0.05%-0.5%。Preferably, the gas generating composition comprises: component A 1%-10%, component B 5%-20%, component C 70%-90%, component D 0.05%-0.5%, and component E 0.05%-0.5%.
所述组分A选自:1,1,1,3,3-五氟丙烷-乙醇共沸物(乙醇的质量百分比1%-20%)、反式-1-氯-3,3,3-三氟丙烯任意一种或两种。The component A is selected from: any one or two of 1,1,1,3,3-pentafluoropropane-ethanol azeotrope (ethanol mass percentage 1%-20%) and trans-1-chloro-3,3,3-trifluoropropene.
所述组分B选自:1,1,1,3,3-五氟丁烷-乙醇共沸物(乙醇的质量百分比1%-20%)、一氟三氯甲烷任意一种或两种。The component B is selected from: any one or two of 1,1,1,3,3-pentafluorobutane-ethanol azeotrope (the mass percentage of ethanol is 1%-20%) and monofluorotrichloromethane.
所述组分C选自:顺-1,1,1,4,4,4-六氟-2-丁烯、1,1,1,3,3-五氟丁烷、1-氟-1,1-二氯乙烷任意一种或多种。The component C is selected from any one or more of cis-1,1,1,4,4,4-hexafluoro-2-butene, 1,1,1,3,3-pentafluorobutane, and 1-fluoro-1,1-dichloroethane.
所述组分D为呈味警觉剂,气囊意外破损后释放于胃中,可通过呃逆逸出精油气味,提示气囊破损。其材料选自:丁香酚、肉桂醛、桉树精油、薰衣草精油、罗勒精油、茴香精油、欧薄荷精油、迷迭香精油、藿香精油的任意一种或多种。The component D is a taste alerting agent, which is released in the stomach after the airbag is accidentally damaged, and can emit the smell of essential oil through hiccups, indicating that the airbag is damaged. Its material is selected from: any one or more of eugenol, cinnamaldehyde, eucalyptus essential oil, lavender essential oil, basil essential oil, fennel essential oil, peppermint essential oil, rosemary essential oil, and patchouli essential oil.
所述组分E为呈色警觉剂,气囊意外破损后释放于胃中,可使尿液呈蓝、紫色,提示气囊破损。其材料选自:普鲁士蓝、亚甲基蓝、花青素的任意一种或多种。The component E is a color alerting agent, which is released in the stomach after the airbag is accidentally damaged, and can make the urine blue or purple, indicating that the airbag is damaged. The material is selected from: any one or more of Prussian blue, methylene blue, and anthocyanin.
所述的各组分所占比例之和A%+B%+C%+D%+E%=100%。The sum of the proportions of the various components is A%+B%+C%+D%+E%=100%.
将配制好的产气剂置入气囊中,排出多余空气并密封、折叠,将密封、折叠后的气囊装入胃溶承压封装胶囊中进行整体包覆封装,制成温度诱导梯度产气的胃溶型胃减容减重胶囊。该胃减容减重胶囊由外至内依次包括胃溶承压胶囊层、气囊层和气囊中的产气剂。The prepared gas generating agent is placed in the air bag, the excess air is discharged, the air bag is sealed and folded, and the sealed and folded air bag is placed in a gastric soluble pressure-bearing packaging capsule for overall coating and packaging to prepare a gastric soluble gastric volume reduction and weight reduction capsule with temperature-induced gradient gas production. The gastric volume reduction and weight reduction capsule includes, from the outside to the inside, a gastric soluble pressure-bearing capsule layer, an air bag layer, and a gas generating agent in the air bag.
所述胃溶承压胶囊层使用经改性的聚羟基烷酸酯、羟丙基纤维素、聚乙烯吡咯烷酮以及其他动物源或植物源材料制成。壳体上均匀分布有多个透气小孔,小孔直径0.2mm-3mm,用于气囊过载泄压时气体排出,既可满足泄压需求,又不降低胶囊的承压能力。The gastric soluble pressure-bearing capsule layer is made of modified polyhydroxyalkanoate, hydroxypropyl cellulose, polyvinyl pyrrolidone and other animal or plant-derived materials. The shell is evenly distributed with a plurality of air-permeable holes with a diameter of 0.2 mm to 3 mm, which are used to discharge gas when the airbag is overloaded and depressurized, which can meet the pressure relief requirements without reducing the pressure bearing capacity of the capsule.
胶囊进入胃内后胃溶承压胶囊壳20分种内能够承受0.2MPa的膨胀压强,20分钟-30分钟内胶囊在胃液作用下溃解,释放气囊。After the capsule enters the stomach, the gastric-soluble pressure-bearing capsule shell can withstand an expansion pressure of 0.2MPa within 20 minutes. Within 20 to 30 minutes, the capsule disintegrates under the action of gastric juice and releases the air bag.
优选方案:在自产气气囊囊体两端对应设置两个一次性压强过载泄压安全阀片(见图2 2-5),开启压强设定为0.2MPa,当囊内压强达到设定值时,其中一个过载安全阀片自动开启放气泄压,可防止在食道内停留过久造成的压强过载和意外膨胀,防止食道受损,该阀为爆破片式(非重闭式超压泄放装置),开启方式为脱落型,优选材质为金属膜/非金属复合型,金属镀膜既保证良好的阻隔性,又可CT成像,以了解阀片及球囊的位置及状态。Optimal solution: Two disposable pressure overload relief safety valves are provided at both ends of the self-generated air bag body (see Figure 2 2-5). The opening pressure is set to 0.2MPa. When the pressure in the bag reaches the set value, one of the overload safety valves automatically opens to release air and relieve pressure, which can prevent pressure overload and accidental expansion caused by staying in the esophagus for too long, and prevent damage to the esophagus. The valve is a bursting disc type (non-reclosing overpressure relief device), and the opening method is a detachment type. The preferred material is a metal film/non-metal composite type. The metal coating not only ensures good barrier properties, but also can be imaged by CT to understand the position and status of the valve and balloon.
所述的胶囊式自产气胃减容减重气囊,气囊折叠封装后未产气状态下(包含封装材料、球囊材料、产气剂)全部材料的体积之和约为2.5mL(V1),封装后的胶囊尺寸为:直径12mm、长度25mm;充盈后的气囊直径为73mm-75mm,体积约为200mL(V2)。产气体积倍率V2/V1可达到80,(产气体积倍率是现有技术的2.8倍),也可适当增加气囊直径和产气剂填充量,以获得更大的产气体积倍率和充盈体积。本发明“减重胶囊”成品体积不到现有酸碱反应型产品的1/2,方便患者自主吞服,由于产气体积倍率高,一次只需吞入两颗即可满足治疗需求,符合目前通行的减重治疗需求。The capsule-type self-gas-generating gastric volume reduction and weight loss airbag, after the airbag is folded and packaged, the sum of the volumes of all materials (including packaging materials, balloon materials, and gas generating agents) in the non-gas-generating state is about 2.5mL (V 1 ), and the size of the encapsulated capsule is: diameter 12mm, length 25mm; the diameter of the airbag after filling is 73mm-75mm, and the volume is about 200mL (V 2 ). The gas production volume ratio V 2 /V 1 can reach 80 (the gas production volume ratio is 2.8 times that of the prior art), and the airbag diameter and the filling amount of the gas generating agent can also be appropriately increased to obtain a larger gas production volume ratio and filling volume. The finished product volume of the "weight loss capsule" of the present invention is less than 1/2 of the existing acid-base reaction type product, which is convenient for patients to swallow independently. Due to the high gas production volume ratio, only two capsules need to be swallowed at a time to meet the treatment needs, which meets the current weight loss treatment needs.
采用如图4模拟装置,使用本发明胶囊,经吞咽模拟进入胃内后,胃溶承压封装胶囊层在预设的20分钟-30分钟时间内经胃酸作用溃解,此时气囊解脱约束,封入气囊中的产气剂在人体胃内37℃-40℃温度环境下(经发明人实际测定,并结合文献数据确认)诱发梯度气化;气囊完成膨胀过程(见图2中B图),占据胃内体积,饮食减少,实现减重治疗。By adopting the simulation device as shown in Figure 4, using the capsule of the present invention, after swallowing simulation enters the stomach, the gastric-soluble pressure-bearing encapsulation capsule layer is disintegrated by the action of gastric acid within a preset time of 20 minutes to 30 minutes, at which time the airbag is released from its restraint, and the gas-generating agent sealed in the airbag induces gradient gasification under the temperature environment of 37°C to 40°C in the human stomach (actually measured by the inventor and confirmed in combination with literature data); the airbag completes the expansion process (see Figure B in Figure 2), occupies the volume in the stomach, reduces food intake, and achieves weight loss treatment.
本发明原理:属于物理产气,利用胃内温度诱发产气剂组合物梯度气化(本发明产气剂温度-膨胀体积曲线见附图5),不需要匹配充气或化学反应装置,产气剂利用率近100%,较少的产气剂能产生更多的气体。选用的组合物主要组分为生物惰性化合物,全部组份均对人体无害。各组分毒理学数据如下:1,1,1,3,3-五氟丙烷毒理学数据:皮肤途径没有毒性,当大鼠和小鼠的暴露于203,000 ppm或101,000 ppm的五氟丙烷环境中,没有死亡率或显著毒性迹象(Toxicological Sciences, 1999, 52(2):289–301)。反式-1-氯-3,3,3-三氟丙烯毒理学数据:非致突变和无致畸性,对啮齿动物的毒性在遗传毒性试验中呈阴性,对哺乳动物的毒性潜力非常低,雄性斯普拉格·道利大鼠和雌性新西兰大白兔分别暴露于2000、5000和10,000 PPM的反式-1-氯-3,3,3-三氟丙烯中,在暴露6小时后,收集48小时内的尿液,未检出毒物(Toxicology and Applied Pharmacology, 2013,268:343–351)。一氟三氯甲烷毒理学数据:雄性和雌性F-344大鼠暴露于6小时/天,5天/周,平均水平为0、29、62和121 ppm,为期13周,未引起中毒征象(JOURNAL OF THE AMERICAN COLLEGE OFTOXICOLOGY,1988,7(5) 663-674)。顺-1,1,1,4,4,4-六氟-2-丁烯毒理学数据:4小时LC50在大鼠中是1425 ppm。Fischer-344大鼠每天6小时,5天/周,平均HFIB浓度为3、10、30和90ppm,持续13周,没有动物死亡(TOXICOLOGY AND APPLIED PHARMACOLOGY,1986,86:327-340)。1-氟-1,1-二氯乙烷毒理学数据:具有非常低的急性毒性,对兔子皮肤施用2000 mg/kg体重,不会产生不良反应,5000 mg/kg体重的口服给药不会导致大鼠死亡或出现毒性的临床症状,在大鼠体内的4小时LC50约为62000 ppm,大鼠在2000、8000或20000ppm的浓度下重复暴露6小时/天、5天/周、长达90天,不会产生显著的不良反应(Food and ChemicalToxicology,1995,33(6):483-490)。1,1,1,3,3-五氟丁烷毒理学数据:毒理学有关指标都低于1-氟-1,1-二氯乙烷,在本发明专利中使用更安全(JOURNAL OF CELLULAR PLASTICS,1999,35:328-331)。The principle of the present invention: it belongs to physical gas production, and uses the temperature in the stomach to induce the gradient gasification of the gas generating agent composition (the temperature-expansion volume curve of the gas generating agent of the present invention is shown in Figure 5), and there is no need to match the inflation or chemical reaction device. The utilization rate of the gas generating agent is nearly 100%, and less gas generating agent can produce more gas. The main components of the selected composition are biologically inert compounds, and all components are harmless to the human body. The toxicological data of each component are as follows: 1,1,1,3,3-pentafluoropropane toxicological data: There is no toxicity through the skin route. When rats and mice are exposed to 203,000 ppm or 101,000 ppm of pentafluoropropane, there is no mortality or significant toxicity signs (Toxicological Sciences, 1999, 52(2):289–301). Toxicological data of trans-1-chloro-3,3,3-trifluoropropene: It is non-mutagenic and non-teratogenic. Its toxicity to rodents was negative in the genetic toxicity test. Its toxicity potential to mammals is very low. Male Sprague Dawley rats and female New Zealand rabbits were exposed to 2000, 5000 and 10,000 PPM of trans-1-chloro-3,3,3-trifluoropropene, respectively. After 6 hours of exposure, urine was collected within 48 hours and no toxicants were detected (Toxicology and Applied Pharmacology, 2013, 268: 343–351). Toxicological data of chlorofluoroform: Male and female F-344 rats were exposed to 6 hours/day, 5 days/week, with average levels of 0, 29, 62 and 121 ppm for 13 weeks, and no signs of poisoning were induced (JOURNAL OF THE AMERICAN COLLEGE OFTOXICOLOGY, 1988, 7(5) 663-674). Toxicological data of cis-1,1,1,4,4,4-hexafluoro-2-butene: 4-hour LC50 in rats is 1425 ppm. Fischer-344 rats were exposed to HFIB for 6 hours per day, 5 days/week, with average HFIB concentrations of 3, 10, 30 and 90 ppm for 13 weeks, and no animals died (TOXICOLOGY AND APPLIED PHARMACOLOGY, 1986, 86: 327-340). Toxicological data of 1-fluoro-1,1-dichloroethane: It has very low acute toxicity. No adverse reaction occurs when 2000 mg/kg body weight is applied to rabbit skin. Oral administration of 5000 mg/kg body weight does not cause death or clinical symptoms of toxicity in rats. The 4-hour LC50 in rats is about 62000 ppm. Rats are repeatedly exposed to 2000, 8000 or 20000 ppm for 6 hours/day, 5 days/week, and up to 90 days without significant adverse reactions (Food and Chemical Toxicology, 1995, 33 (6): 483-490). Toxicological data of 1,1,1,3,3-pentafluorobutane: The toxicological indicators are all lower than those of 1-fluoro-1,1-dichloroethane, and it is safer to use in the patent of this invention (JOURNAL OF CELLULAR PLASTICS, 1999, 35: 328-331).
本发明的优点:该类组合物主要组分为有机惰性产气剂,所有组分性质稳定并对人体无害,由胃内温度诱发梯度产气,属于物理产气,产气剂利用率近100%,不产生无效占用胶囊体积的副产物,产气体积倍率高,产气过程温和平缓,最大压强恒定且远低于二氧化碳。所述产气剂的气化温度范围设定为30℃-38℃。在38℃及1个标准大气压下,1mL本发明产气剂可气化为约200mL的气体,产气体积倍率远高于酸碱反应型产气剂,所以本发明可以将减重胶囊的体积制作得更小,使用时更加安全、便捷。实际制作并经试制封装的样品示意图如图1,实际尺寸为长度25mm,直径12mm,体积约为2.5mL,外形呈常见口服胶囊的圆头柱状体,长度较短,直径较小,便于自主吞咽,易被患者所接受。Advantages of the present invention: The main components of this type of composition are organic inert gas generating agents, all of which are stable and harmless to the human body. The gradient gas generation is induced by the temperature in the stomach, which belongs to physical gas generation. The utilization rate of the gas generating agent is nearly 100%, and no byproducts that ineffectively occupy the volume of the capsule are produced. The gas generation volume ratio is high, the gas generation process is gentle and gentle, and the maximum pressure is constant and far lower than carbon dioxide. The gasification temperature range of the gas generating agent is set to 30°C-38°C. At 38°C and 1 standard atmospheric pressure, 1mL of the gas generating agent of the present invention can be gasified into about 200mL of gas, and the gas generation volume ratio is much higher than that of the acid-base reaction type gas generating agent. Therefore, the present invention can make the volume of the weight loss capsule smaller, which is safer and more convenient to use. The schematic diagram of the sample actually produced and packaged after trial production is shown in Figure 1. The actual size is 25mm in length, 12mm in diameter, and the volume is about 2.5mL. The shape is a round-headed columnar body of a common oral capsule, with a short length and a small diameter, which is convenient for autonomous swallowing and easily accepted by patients.
附图说明BRIEF DESCRIPTION OF THE DRAWINGS
图1是本发明胃溶减重胶囊外观。FIG. 1 is an appearance of a gastric-soluble weight-reducing capsule of the present invention.
图2是本发明胃溶减重胶囊的气囊膨胀前后A-A剖面示意图,2-1胃溶承压封装胶囊,2-2气囊,2-3产气剂,2-4排气孔,2-5过载泄压安全阀片;其中图A气囊膨胀前,图B气囊膨胀后。Figure 2 is a schematic diagram of the A-A cross-section of the gastric-soluble weight-loss capsule of the present invention before and after the airbag is expanded, 2-1 is the gastric-soluble pressure-bearing packaging capsule, 2-2 is the airbag, 2-3 is the gas generating agent, 2-4 is the exhaust hole, and 2-5 is the overload pressure relief safety valve sheet; Figure A is before the airbag is expanded, and Figure B is after the airbag is expanded.
图3是本发明气囊综合检测装置示意图,图中3-1同步恒温室,3-2恒温水浴槽,3-3水,3-4精密压力计,3-5温度计,3-6压强测试产气瓶,3-7气囊阻隔性测试端口,3-8产气量测试瓶,3-9量筒(排水法产气量计量),3-10材料性能测试釜,3-11膜材料耐压测试端口,3-12膜材料阻隔性测试端口,3-13气囊耐压测试端口,3-14胃溶承压封装胶囊测试端口,3-15阀门。Fig. 3 is a schematic diagram of the comprehensive detection device for airbags of the present invention, in which 3-1 is a synchronous constant temperature chamber, 3-2 is a constant temperature water bath, 3-3 is water, 3-4 is a precision pressure gauge, 3-5 is a thermometer, 3-6 is a pressure test gas production bottle, 3-7 is an airbag barrier test port, 3-8 is a gas production test bottle, 3-9 is a measuring cylinder (gas production measurement by water displacement method), 3-10 is a material performance test kettle, 3-11 is a membrane material pressure test port, 3-12 is a membrane material barrier test port, 3-13 is an airbag pressure test port, 3-14 is a gastric soluble pressure-bearing packaging capsule test port, and 3-15 is a valve.
图4是吞咽及胃内测试模型装置图:4-1恒温水浴槽,4-2水,4-3食管,4-4进入食管并下行的本发明减重胶囊,4-5模拟胃,4-6模拟胃内容物(用0.1M盐酸调整为pH=3的水、羧甲基纤维素、牛奶、蔬菜糜、防腐剂混合物),4-7为充盈膨胀状态的本发明气囊。Figure 4 is a diagram of the swallowing and intragastric test model device: 4-1 is a constant temperature water bath, 4-2 is water, 4-3 is the esophagus, 4-4 is the weight loss capsule of the present invention entering the esophagus and descending, 4-5 is a simulated stomach, 4-6 is a simulated stomach content (water adjusted to pH=3 with 0.1M hydrochloric acid, carboxymethyl cellulose, milk, vegetable puree, and a preservative mixture), and 4-7 is the airbag of the present invention in a filled and expanded state.
图5是本发明产气剂温度-膨胀体积曲线。FIG. 5 is a temperature-expansion volume curve of the gas generating agent of the present invention.
图6是本发明产气剂温度-压强曲线。FIG. 6 is a temperature-pressure curve of the gas generating agent of the present invention.
具体实施方式Detailed ways
为了更好地阐述本发明,以下结合实施例及附图对本发明作具体阐述。In order to better illustrate the present invention, the present invention is specifically described below in conjunction with embodiments and drawings.
实施例1Example 1
所述产气剂由如下组分组成,各组分以重量百分比计:The gas generating agent is composed of the following components, each component is expressed in weight percentage:
1,1,1,3,3-五氟丙烷(97%)-乙醇(3%)共沸物和反式-1-氯-3,3,3-三氟丙烯(两者重量比 1:1)1%;一氟三氯甲烷和1,1,1,3,3-五氟丁烷(95%)-乙醇(5%)共沸物的混合物(两者重量比 1:2 )20%;1-氟-1,1-二氯乙烷、1,1,1,3,3-五氟丁烷和顺-1,1,1,4,4,4-六氟-2-丁烯混合物(三者重量比 4:3:3)78%;0.5%丁香酚;0.5%亚甲基蓝。将上述产气剂1.0mL置入附图3中3-8产气量测试瓶中,温度30℃以下产气量0mL。31℃-34℃ 2分钟内产气量为2.1mL,31℃-34℃ 2-10分钟产气量为9.7mL,35-38℃ 2分钟产气量158.9mL,38℃最大产气量194.0mL。1,1,1,3,3-pentafluoropropane (97%)-ethanol (3%) azeotrope and trans-1-chloro-3,3,3-trifluoropropene (weight ratio of the two is 1:1) 1%; mixture of chlorofluorotrichloromethane and 1,1,1,3,3-pentafluorobutane (95%)-ethanol (5%) azeotrope (weight ratio of the two is 1:2) 20%; mixture of 1-fluoro-1,1-dichloroethane, 1,1,1,3,3-pentafluorobutane and cis-1,1,1,4,4,4-hexafluoro-2-butene (weight ratio of the three is 4:3:3) 78%; 0.5% eugenol; 0.5% methylene blue. 1.0 mL of the above gas generating agent is placed in the gas generating test bottle 3-8 in Figure 3, and the gas generating capacity is 0 mL when the temperature is below 30°C. The gas production within 2 minutes at 31℃-34℃ is 2.1mL, the gas production within 2-10 minutes at 31℃-34℃ is 9.7mL, the gas production within 2 minutes at 35-38℃ is 158.9mL, and the maximum gas production at 38℃ is 194.0mL.
使用0.06mm厚度的PA/EVOH/PE复合膜材料作为气囊材料,制成容量为200mL的气囊样品,充入1.0克上述产气剂,在39±1℃温度、模拟胃环境条件进行测试,气囊体积可保持180天基本无变化。A PA/EVOH/PE composite film material with a thickness of 0.06 mm was used as the airbag material to make an airbag sample with a capacity of 200 mL. 1.0 g of the above-mentioned gas generating agent was filled into the airbag and tested at a temperature of 39±1°C and simulated gastric environment conditions. The volume of the airbag could remain basically unchanged for 180 days.
利用如图3装置对实施例1所述的产气剂进行温度-压强测试,测试条件为产气剂过量50%、20℃-50℃,将1.5克产气剂置于容量为200mL的压强测试瓶3-6中,测得最高压强为0.0984MPa。结果见图6。模拟气囊在胃内滞留期间意外吞入高达50℃热饮或食物造成的胃内短暂温升,由此可知在胃内容物可能达到的最高温度下,气囊需承受的最小膨胀压强,这对于选取或制备合适的材料、设计冗余可靠的气囊结构强度有实际参考意义。The gas generating agent described in Example 1 was subjected to a temperature-pressure test using the device shown in Figure 3. The test conditions were 50% excess gas generating agent, 20°C-50°C, and 1.5 grams of gas generating agent was placed in a pressure test bottle 3-6 with a capacity of 200mL. The maximum pressure measured was 0.0984MPa. The results are shown in Figure 6. The transient temperature rise in the stomach caused by accidentally swallowing hot drinks or food up to 50°C during the retention of the airbag in the stomach can be simulated. It can be known that at the highest temperature that the gastric contents may reach, the minimum expansion pressure that the airbag needs to withstand has practical reference significance for selecting or preparing suitable materials and designing redundant and reliable airbag structural strength.
根据上述测试结果,从使用安全性阐述:在室温30℃以下产气剂不气化,吞咽过程经食管进入胃内的2秒-15秒内,经模型内测定,产气剂在食管内逐渐受热但不会整体达到气化温度,当出现吞咽意外滞留食管内时,即使产气剂整体超过气化温度,因为封装在胃溶承压封装胶囊内,气囊仍不会发生膨胀。According to the above test results, the safety of use is explained as follows: the gas generating agent does not vaporize at room temperature below 30°C. During the swallowing process, the gas generating agent enters the stomach through the esophagus within 2 seconds to 15 seconds. According to the measurement in the model, the gas generating agent is gradually heated in the esophagus but does not reach the vaporization temperature as a whole. When the gas generating agent is accidentally retained in the esophagus after swallowing, even if the gas generating agent exceeds the vaporization temperature as a whole, the airbag will not expand because it is encapsulated in a gastric-soluble pressure-bearing capsule.
关于使用安全保障的进一步说明:胃溶承压封装胶囊可保证自产气胃内气囊在贮存期间及吞咽通过食管时意外滞留时间过长,温度达到体温时也不气化膨胀。胃溶承压封装胶囊在进入胃中后,pH=3酸性环境下20分钟-30分钟内逐渐降解崩溃,气囊解脱承压约束,产气剂逐渐气化至气囊完全膨胀。膨胀后的气囊直径为73mm-75mm,幽门能通过的物体最大尺寸不超过40mm,因此该直径的气囊可以保证不会通过幽门进入肠道。Further explanation on the safety of use: The gastric-soluble pressure-capsulated capsule can ensure that the self-gas-generating gastric balloon will not accidentally stay in the stomach for too long during storage and when swallowed through the esophagus, and will not gasify and expand when the temperature reaches body temperature. After entering the stomach, the gastric-soluble pressure-capsulated capsule will gradually degrade and collapse within 20 minutes to 30 minutes in an acidic environment of pH=3. The balloon is freed from the pressure constraint, and the gas-generating agent gradually gasifies until the balloon is fully expanded. The diameter of the inflated balloon is 73mm-75mm, and the maximum size of an object that can pass through the pylorus does not exceed 40mm, so a balloon of this diameter can be guaranteed not to pass through the pylorus into the intestine.
使用上述实施例产气剂制成“减重胶囊”,其中气囊制做材料需满足如下条件:对本发明产气剂阻隔性好、无毒、耐腐蚀的柔性膜材料,如PVDC、BOPA、BOPP、BOPET、PVA、EVOH、PE及其多层复合、多层共挤、涂敷材料等,优选BOPA内侧涂敷PVDC材料,厚度为0.06毫米。The gas generating agent of the above embodiment is used to make a "weight-reducing capsule", in which the material for making the airbag must meet the following conditions: a flexible film material with good barrier properties to the gas generating agent of the present invention, non-toxic and corrosion-resistant, such as PVDC, BOPA, BOPP, BOPET, PVA, EVOH, PE and their multi-layer composite, multi-layer co-extruded, coated materials, etc., preferably BOPA is coated with PVDC material on the inside with a thickness of 0.06 mm.
通常一个减重治疗周期为180天,治疗结束(或需要时)可经胃镜下刺破气囊,排出气体后经胃镜下取出。也可使用可降解材料制作气囊,在完成治疗周期后气囊降解崩溃,残体经肠道自行排出体外。Usually, a weight loss treatment cycle lasts for 180 days. At the end of treatment (or when necessary), the balloon can be punctured under gastroscopy, and removed under gastroscopy after the gas is discharged. The balloon can also be made of degradable materials. After the treatment cycle is completed, the balloon will degrade and collapse, and the residue will be discharged from the body through the intestines.
实施例2Example 2
所述产气剂由如下组分组成,各组分以重量百分比计:反式-1-氯-3,3,3-三氟丙烯15%;一氟三氯甲烷15%;1-氟-1,1-二氯乙烷69.8%;茴香精油0.1%;花青素0.1%。将上述组合物作为产气剂。The gas generating agent is composed of the following components, each component is calculated by weight percentage: trans-1-chloro-3,3,3-trifluoropropene 15%; monochlorotrifluoromethane 15%; 1-fluoro-1,1-dichloroethane 69.8%; fennel essential oil 0.1%; anthocyanin 0.1%. The above composition is used as a gas generating agent.
将上述产气剂1.0克置入附图3中3-8产气量测试瓶中进行测试,30℃以下产气量4.8mL,31℃-34℃ 2分钟内产气量为32.0 mL,31℃-34℃ 2-10分钟产气量为36.4 mL,35℃-38℃ 2分钟产气量172.5 mL,38℃最大产气量196.7 mL。1.0 g of the above-mentioned gas generating agent was placed into the gas production test bottle 3-8 in Figure 3 for testing. The gas production was 4.8 mL below 30°C, 32.0 mL within 2 minutes at 31°C-34°C, 36.4 mL at 31°C-34°C for 2-10 minutes, 172.5 mL at 35°C-38°C for 2 minutes, and 196.7 mL at 38°C.
实施例3Example 3
所述产气剂由如下组分组成,各组分以重量百分比计:The gas generating agent is composed of the following components, each component is expressed in weight percentage:
1,1,1,3,3-五氟丙烷(95%)-乙醇(5%)共沸物和反式-1-氯-3,3,3-三氟丙烯的共混物(两者重量比 1:2)20%;1,1,1,3,3-五氟丁烷(95%)-乙醇(5%)的共沸物25%;顺-1,1,1,4,4,4-六氟-2-丁烯54.8%;薰衣草精油0.1%;普鲁士蓝0.1%。将上述组合物作为产气剂。20% of a blend of 1,1,1,3,3-pentafluoropropane (95%)-ethanol (5%) azeotrope and trans-1-chloro-3,3,3-trifluoropropene (weight ratio 1:2); 25% of a blend of 1,1,1,3,3-pentafluorobutane (95%)-ethanol (5%); 54.8% of cis-1,1,1,4,4,4-hexafluoro-2-butene; 0.1% of lavender essential oil; and 0.1% of Prussian blue. The above composition is used as a gas generating agent.
将上述产气剂1.0克置入附图3中3-8产气量测试瓶中进行测试,30℃以下产气量为7.8 mL,31℃-34℃ 2分钟内产气量为40.0 mL,31℃-34℃ 2-10分钟产气量为62.6 mL,35℃-38℃ 2分钟产气量132.8 mL,38℃最大产气量178.5 mL。1.0 g of the above-mentioned gas generating agent was placed into the gas production test bottle 3-8 in Figure 3 for testing. The gas production below 30°C was 7.8 mL, the gas production within 2 minutes at 31°C-34°C was 40.0 mL, the gas production at 2-10 minutes at 31°C-34°C was 62.6 mL, the gas production at 2 minutes at 35°C-38°C was 132.8 mL, and the maximum gas production at 38°C was 178.5 mL.
实施例4Example 4
使用如图4所示模型,使用本发明制备的“胃溶减容减重胶囊”经食管以50mL25℃温水冲入模型胃内,胃内容物预设温度为38℃。经计时,胶囊自食管上端开口以温水通过食管冲入胃内的时间为2秒-5秒,以偏振光背光源透照观察,胶囊进入胃内后至24分钟时,可见胶囊溃解,此时内置气囊开始产气膨胀,至265秒时停止膨胀,尺寸充盈至75mm的最大直径,体积约为200mL。Using the model shown in FIG4 , the "gastric-soluble volume-reducing and weight-reducing capsule" prepared by the present invention was flushed into the model stomach through the esophagus with 50 mL of 25° C. warm water, and the preset temperature of the stomach contents was 38° C. After timing, the time for the capsule to be flushed into the stomach through the esophagus with warm water from the upper end of the esophagus was 2 seconds to 5 seconds. After observation by polarized backlight, it was observed that the capsule disintegrated 24 minutes after entering the stomach, and the built-in airbag began to produce gas and expand, and stopped expanding at 265 seconds, and the size was filled to a maximum diameter of 75 mm, with a volume of about 200 mL.
胃溶承压封装胶囊壳溃解条件设计参数为:pH=7时,耐压0.2MPa;pH=3、35℃-38℃的胃内环境,溃解时间为20分钟-30分钟,20分钟内耐压0.1MPa。安全约束阈值设定为:胃内环境pH=3、46℃条件下,溃解时间≥20分钟,胶囊20分钟内耐压0.1Mpa。The design parameters for the shell disintegration of gastric-soluble pressure-bearing capsules are: when pH=7, the pressure resistance is 0.2MPa; when pH=3, the gastric environment of 35℃-38℃, the disintegration time is 20 minutes-30 minutes, and the pressure resistance is 0.1MPa within 20 minutes. The safety constraint threshold is set as follows: when the gastric environment pH=3, 46℃, the disintegration time is ≥20 minutes, and the capsule can withstand a pressure of 0.1Mpa within 20 minutes.
实施例5Example 5
在进一步的冗余测试中,将本发明胃减容减重胶囊样品接入图3气囊综合检测装置3-14测试端口,并将其浸入pH=3的模拟胃内容物中。在38℃-50℃温度区间,选点进行承压时间测试,(测试时将2-5过载泄压安全阀片置于失效状态)。胃溶承压封装胶囊在46℃、测得囊内压强为0.089Mpa,恒压保持至21分钟时,胶囊溃解,在预设的安全约束阈值范围内;模拟假想的极端条件:在50℃、囊内压强为0.100Mpa,恒压保持至12分钟时,胶囊溃解,未达到预设的安全约束时间阈值。提示在吞入胶囊时不得使用超过50℃的热水送服。In a further redundant test, the sample of the gastric volume reduction and weight reduction capsule of the present invention was connected to the test port 3-14 of the airbag comprehensive detection device in Figure 3, and immersed in the simulated gastric content of pH=3. In the temperature range of 38℃-50℃, a point was selected to conduct a pressure bearing time test (the 2-5 overload pressure relief safety valve pieces were placed in a failed state during the test). The gastric-soluble pressure-bearing encapsulated capsule was measured at 46℃ and the pressure inside the capsule was 0.089Mpa. When the constant pressure was maintained for 21 minutes, the capsule collapsed, which was within the preset safety constraint threshold; simulating hypothetical extreme conditions: at 50℃, the pressure inside the capsule was 0.100Mpa, and the constant pressure was maintained for 12 minutes. The capsule collapsed and did not reach the preset safety constraint time threshold. It is reminded that when swallowing the capsule, hot water exceeding 50℃ should not be used for delivery.
对胃溶承压胶囊外层进行耐压测试:将胃溶承压减重胶囊样品接入图3气囊综合检测装置3-14测试端口,并将其滞留在模拟食管中段部位,经3-13端口充入压缩空气,对图2中2-2气囊进行加压,2-2在38℃温度下进行耐压测试,(测试时将2-5过载泄压安全阀片置于失效状态)。压强设置为0.400Mpa恒压保持60分钟,胶囊没有爆裂。The outer layer of the gastric-soluble pressure-bearing capsule was subjected to a pressure resistance test: the gastric-soluble pressure-bearing weight-reducing capsule sample was connected to the test port 3-14 of the airbag comprehensive detection device in Figure 3, and retained in the simulated middle part of the esophagus. Compressed air was filled in through the port 3-13, and the airbag 2-2 in Figure 2 was pressurized. The pressure resistance test of 2-2 was carried out at a temperature of 38°C (the overload pressure relief safety valve piece 2-5 was placed in a failed state during the test). The pressure was set to 0.400Mpa and maintained at a constant pressure for 60 minutes, and the capsule did not burst.
实施例6Example 6
吞咽模拟测试:在封装胶囊内填充以下模拟内容物:取折叠后占用容积为1.5mL的可食用淀粉膜,将1mL植物油封入淀粉膜内,与本发明胶囊结构、重量大小一样,制成试制测试胶囊,由受试者自主吞咽,共5人,以50mL温水送服,每人每次吞咽2只,两次吞咽间隔时间30秒,从放入口内开始计时,每只最短用时4秒,最长用时12秒,均可顺利吞入。Swallowing simulation test: The encapsulated capsules were filled with the following simulated contents: an edible starch film with a volume of 1.5 mL after folding was taken, and 1 mL of vegetable oil was sealed in the starch film. The trial test capsules were made to have the same structure and weight as the capsules of the present invention. The capsules were swallowed voluntarily by the subjects, a total of 5 people, with 50 mL of warm water. Each person swallowed 2 capsules each time, with an interval of 30 seconds between two swallowings. The timing started from the time when the capsules were placed in the mouth. The shortest time for each capsule was 4 seconds and the longest time was 12 seconds. All capsules were swallowed smoothly.
经测定,本产气剂在正常胃温38℃条件下,气液共存时最大压强值为0.059MPa且恒定,即使过载泄压安全阀片失效,气囊仍不会发生意外膨胀,因此,本发明胶囊在使用过程中非常安全。It has been determined that under normal stomach temperature of 38°C, the maximum pressure of the gas-generating agent when gas and liquid coexist is 0.059 MPa and is constant. Even if the overload pressure relief safety valve fails, the airbag will not expand accidentally. Therefore, the capsule of the present invention is very safe during use.
本发明胶囊式自产气胃减容减重气囊安全、方便,便于使用,有利于替代目前市售产品。The capsule-type self-gas-generating gastric volume and weight reduction airbag of the present invention is safe, convenient, easy to use, and is conducive to replacing the currently commercially available products.
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