CN217548307U - A kind of PTFE artificial blood vessel and covered stent - Google Patents
A kind of PTFE artificial blood vessel and covered stent Download PDFInfo
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Abstract
Description
技术领域technical field
本发明涉及一种人工血管,特别涉及一种PTFE人工血管及覆膜支架。The invention relates to an artificial blood vessel, in particular to a PTFE artificial blood vessel and a covered stent.
背景技术Background technique
聚四氟乙烯(PTFE)材料无毒无害、具生理惰性、表面疏水、耐老化,是一种理想的人工血管材料,已广泛应用于临床。但用于小口径(直径<6mm)人工血管时,血流速度缓慢,材料表面血液和组织细胞相容性不佳,极易出现血栓及新生内膜过度增生,导致血管的远期通畅率极低,内皮细胞层的存在可以阻止形成血栓和内膜增生,因此,构建有利于血管快速内皮化的表面是目前解决小口径聚四氟乙烯人工血管远期通畅率不佳的重点研究方向。Polytetrafluoroethylene (PTFE) material is non-toxic, harmless, physiologically inert, surface hydrophobic, and resistant to aging. It is an ideal artificial blood vessel material and has been widely used in clinical practice. However, when used for small-diameter (diameter <6mm) artificial blood vessels, the blood flow rate is slow, the compatibility of blood and tissue cells on the surface of the material is not good, thrombosis and excessive neointimal hyperplasia are very likely to occur, resulting in extremely high long-term patency of blood vessels. The existence of endothelial cell layer can prevent thrombosis and intimal hyperplasia. Therefore, building a surface that is conducive to rapid endothelialization of blood vessels is a key research direction to solve the poor long-term patency rate of small-diameter PTFE artificial blood vessels.
仿生概念的兴起为制备利于内皮化的表面提供了灵感,天然血管的内膜具有沿着血液流动方向的微米尺度上的沟槽,模仿天然血管内膜的结构有利于内皮细胞快速沿着沟槽方向生长,从而实现人工血管表面内皮化。此外,静电纺丝技术制备的微纳米纤维膜的结构与天然的细胞外基质的结构相似,有利于内皮细胞的粘附和增殖。目前,利用静电纺丝技术制备各种材料的人工血管已经受到广泛关注,但限于PTFE被加热到熔点以上后基本不会流动(难以实现熔融静电纺丝)以及没有溶剂能溶解它(难以实现溶液静电纺丝),目前少有通过静电纺丝技术制备PTFE小口径人工血管的报导,目前利用静电纺丝技术制备的PTFE管状纤维膜主要是和金属支架结合使用,以覆膜支架的形式植入体内,PTFE管状纤维膜的表面无进一步的处理,仍然面临内表面血液和细胞相容性差,长期通畅率不佳的问题。The rise of the biomimetic concept provides inspiration for the preparation of surfaces conducive to endothelialization. The intima of natural blood vessels has grooves on the micrometer scale along the direction of blood flow. The structure of imitating the intima of natural blood vessels facilitates endothelial cells to quickly follow the grooves. growth direction, so as to achieve endothelialization on the surface of artificial blood vessels. In addition, the structure of the micro-nanofibrous membrane prepared by electrospinning technology is similar to that of the natural extracellular matrix, which is beneficial to the adhesion and proliferation of endothelial cells. At present, the use of electrospinning technology to prepare artificial blood vessels of various materials has received extensive attention, but it is limited to the fact that PTFE basically does not flow after being heated above its melting point (difficult to achieve melt electrospinning) and no solvent can dissolve it (difficult to achieve solution). Electrospinning), there are few reports on the preparation of PTFE small-diameter artificial blood vessels by electrospinning technology. At present, the PTFE tubular fiber membrane prepared by electrospinning technology is mainly used in combination with metal stents and implanted in the form of covered stents. In vivo, the surface of the PTFE tubular fiber membrane has no further treatment, and still faces the problems of poor blood and cell compatibility on the inner surface and poor long-term patency rate.
发明内容SUMMARY OF THE INVENTION
为此,本发明提供了一种PTFE人工血管以解决上述技术问题。Therefore, the present invention provides a PTFE artificial blood vessel to solve the above technical problems.
一种PTFE人工血管,包括管体,所述的管体包括管壁及由管壁围设的流通通道,所述的管壁包括朝向流通通道一侧的内侧,管壁内侧设置有若干沟槽,管体还包括沿长度方向的首端及尾端,所述的沟槽自首端延伸至尾端,且,所述的管壁由PTFE纤维相互纠缠形成网络状结构体。A PTFE artificial blood vessel, comprising a pipe body, the pipe body includes a pipe wall and a circulation channel surrounded by the pipe wall, the pipe wall includes an inner side facing one side of the circulation channel, and the inner side of the pipe wall is provided with a number of grooves , the pipe body also includes a head end and a tail end along the length direction, the groove extends from the head end to the tail end, and the pipe wall is entangled with PTFE fibers to form a network structure.
进一步的,所述的流通通道具有1-6mm的直径。Further, the flow channel has a diameter of 1-6mm.
进一步的,所述的PTFE纤维通直径为400nm-2500nm之间,且,管体的拉伸断裂强度在1-3MPa,断裂伸长率在50%-350%之间。Further, the diameter of the PTFE fiber is between 400nm-2500nm, and the tensile breaking strength of the pipe body is between 1-3MPa, and the elongation at break is between 50%-350%.
进一步的,所述的管壁厚度为60-300微米之间,且,孔隙率在65-85%之间。Further, the thickness of the tube wall is between 60-300 microns, and the porosity is between 65-85%.
进一步的,所述的沟槽的长度方向平行于管体轴线。Further, the length direction of the groove is parallel to the axis of the pipe body.
进一步的,所述的沟槽的开口宽度为400-1000μm,以及深度为10-1000μm。Further, the opening width of the trench is 400-1000 μm, and the depth is 10-1000 μm.
进一步的,相邻的沟槽之间的间距为10-1000μm。Further, the spacing between adjacent trenches is 10-1000 μm.
进一步的,所述的PTFE纤维呈随机排列形式。Further, the PTFE fibers are randomly arranged.
一种覆膜支架,所述的覆膜支架包括覆膜管及设置在覆膜管内的弹性支架,其中,所述的覆膜管包括管体,所述的管体包括管壁及由管壁围设的流通通道,所述的管壁包括朝向流通通道一侧的内侧,管壁内侧设置有若干沟槽,管体还包括沿长度方向的首端及尾端,所述的沟槽自首端延伸至尾端,且,所述的管壁由PTFE纤维相互纠缠形成网络状结构体。A covered stent, the covered stent includes a covered tube and an elastic support arranged in the covered tube, wherein the covered tube includes a tube body, and the tube body includes a tube wall and a structure formed by the tube wall. The surrounding circulation channel, the pipe wall includes an inner side facing the side of the circulation channel, a number of grooves are arranged on the inner side of the pipe wall, and the pipe body also includes a head end and a tail end along the length direction, and the groove starts from the head end. Extending to the tail end, and the tube wall is formed by PTFE fibers entangled with each other to form a network structure.
有益效果:本实用新型实施例提供一种PTFE人工血管,包括管体,所述的管体包括管壁及由管壁围设的流通通道,所述的管壁包括朝向流通通道一侧的内侧,管壁内侧设置有若干沟槽,管体还包括沿长度方向的首端及尾端,所述的沟槽自首端延伸至尾端,且,所述的管壁由PTFE纤维相互纠缠形成网络状结构体,通过在管壁内侧形成沟槽,使得管壁上形成微图案,这些微图案能更进一步促进和引导血液中的内皮细胞在人工血管内表面进行吸附、生长以及向内渗透,更快的促进人工血管的内表面的内皮化速度,本实用新型同时还提供一种覆膜支架。Beneficial effect: The embodiment of the present utility model provides a PTFE artificial blood vessel, including a pipe body, the pipe body includes a pipe wall and a circulation channel surrounded by the pipe wall, and the pipe wall includes an inner side facing the side of the circulation channel , the inner side of the pipe wall is provided with a number of grooves, the pipe body also includes a head end and a tail end along the length direction, the groove extends from the head end to the tail end, and the pipe wall is entangled by PTFE fibers to form a network By forming grooves on the inner side of the tube wall, micropatterns are formed on the tube wall. These micropatterns can further promote and guide the endothelial cells in the blood to adsorb, grow and infiltrate on the inner surface of the artificial blood vessel. The endothelialization speed of the inner surface of the artificial blood vessel is quickly promoted, and the utility model also provides a covered stent at the same time.
附图说明Description of drawings
图1本实用新型实施例提供的PTFE人工血管示意图;The schematic diagram of the PTFE artificial blood vessel provided by the embodiment of the present utility model;
图2为A-A截面示意图;Fig. 2 is A-A sectional schematic diagram;
图3为管壁放大示意图;Fig. 3 is the enlarged schematic diagram of the pipe wall;
图4覆膜支架截面示意图;Figure 4 is a schematic cross-sectional view of the covered stent;
图5制备PTFE人工血管的制备装置示意图。Figure 5 is a schematic diagram of a preparation device for preparing a PTFE artificial blood vessel.
图示元件说明:Description of graphic components:
管体10;首端101;尾端102;管壁11,21;PTFE纤维110;内侧111;外侧112;沟槽113;流通通道12;弹性支架23;接收棒31;纺丝喷嘴32;驱动装置33。
具体实施方式Detailed ways
请参考图1-图3,本发明提供一种PTFE人工血管,包括管体10,所述的管体10包括管壁11及由管壁11围设的用于供血液流过的流通通道12。1-3, the present invention provides a PTFE artificial blood vessel, including a
优选的,所述的流通通道12具有1-6mm的直径,更具体的为2mm、3mm、4mm、5mm或6mm。Preferably, the flow channel 12 has a diameter of 1-6mm, more specifically 2mm, 3mm, 4mm, 5mm or 6mm.
所述的管壁11由PTFE纤维110相互纠缠形成网络状结构体,优选的,所述的PTFE纤维110通过电纺形成,其中,电纺的PTFE纤维110具有400nm-2500nm之间的直径,且,管体10的拉伸断裂强度在1-3MPa,断裂伸长率在50%-350%之间。The
优选的,所述的管壁11具有60-300微米之间的厚度,且,孔隙率在65-85%之间。Preferably, the
所述的管壁11包括朝向流通通道12一侧的内侧111以及与内侧111向背的外侧112,在所述的内侧111设置有若干沟槽113,可以理解的,所述的沟槽113在管壁11上呈现为自内侧111向外侧112方向凹进的凹槽,所述的沟槽113呈长条型,具体的,所述的管体10包括首端101和尾端102,可以理解的,所述的首端101和尾端102是指沿管体10长度方向的两端,同时,首端101可以为这两端中的任意一端,尾端102则为另外一端,所述的沟槽113自首端101延伸到尾端102,即使得沟槽113贯通管体10的长度方向。The
优选的,所述的沟槽113的长度方向平行于管体10轴线。Preferably, the length direction of the
优选的,所述的沟槽113的开口宽度为400-1000μm,以及深度为10-1000μm。Preferably, the opening width of the
优选的,相邻的沟槽113之间的间距为10-1000μm。Preferably, the spacing between
通过在管壁11内侧111形成沟槽113,使得管壁11上形成微图案,这些微图案能更进一步促进和引导血液中的内皮细胞在人工血管内表面进行吸附、生长以及向内渗透,更快的促进人工血管的内表面的内皮化速度。By forming
进一步的,所述的PTFE纤维110呈随机排列形式。Further, the
为了进一步理解本申请的PTFE人工血管的结构,下面结合图5及该PTFE人工血管的制备方法进行说明,在图5中示出了制备PTFE人工血管的制备装置示意图。In order to further understand the structure of the PTFE artificial blood vessel of the present application, the following description is made with reference to FIG. 5 and the preparation method of the PTFE artificial blood vessel. FIG. 5 shows a schematic diagram of a preparation device for preparing the PTFE artificial blood vessel.
S1:提供接收棒31,并在接收棒31上形成复合电纺管,所述的复合电纺管包括贴附接收棒31上的PET层及形成在PET层外的PTFE/PEO层。S1: Provide a
所述的芯轴大致呈一圆棒状,其材质优选的为金属材质,更优选的为不锈钢,优选的,其具有1-6mm的直径,一驱动装置33与芯轴连接,用于驱动芯轴转动,在一个具体实施例中,所述的驱动装置33可以为电机,同时,为了便于与芯轴连接和安装芯轴,在芯轴与驱动装置33之间还设置有联轴器。The mandrel is roughly in the shape of a round bar, and its material is preferably metal, more preferably stainless steel, preferably, it has a diameter of 1-6mm, and a
在接收棒31上方设置有纺丝喷嘴32,用于在接收棒31转动时,从纺丝喷嘴32挤出的纺丝液能够缠绕在接收棒31上,并形成预定的形态,具体的,所述的纺丝喷嘴32为一纺丝针头,同时,所述的纺丝喷嘴32沿芯轴轴向往复运动,以在接收棒31上形成多层的电纺丝,可以理解的,在本发明中多层的具有相同材质的电纺丝被称为一层,如下述描述中的PET层或PEO/PTFE层。A spinning
所述的接收棒31的转速为100-500r/min,纺丝喷嘴32沿芯轴轴向往复运动的速度为10-30mm/s,纺丝液挤出速度0.1-1mL/h,纺丝喷嘴32与接收棒31之间的距离10-20cm,环境温度20-30℃,湿度10%-30%,电压8-15kV。The rotating speed of the receiving
在接收棒31上形成复合电纺管时,先在接收棒31上形成PET层,并在形成的PET层上形成PTFE/PEO层。可以理解的,在形成PET层之前,还包括配制PET纺丝液的步骤,以及在形成PTFE/PEO层之前包括配置PTFE/PEO纺丝液的步骤,其中,所述的PET纺丝液的溶剂为三氟乙酸/二氯甲烷的混合溶液,PET在溶液中的质量分数为8-15%,所述的PTFE/PEO纺丝液包括PTFE水分散液、PEO水溶液、去离子水,其中,溶质质量分数24%-42%,PTFE/PEO纺丝液粘度800-5000mP.S。优选的,PTFE的分子量为100-150Da,PTFE水分散液中PTFE质量分数为58%-62%,PEO的分子量为4000,000-7,000,000Da,配制的PEO水溶液中PEO的质量分数为1-5%。When forming the composite electrospinning tube on the receiving
另外,PTFE/PEO纺丝液中PEO的作用是:充当PTFE的纺丝载体,解决单纯PTFE分散液无法纺丝的问题。在电场作用下,随着PEO被拉伸成纤维,负载在PEO上的PTFE颗粒也堆砌成纤维状,PEO分解温度低于烧结温度,在烧结后被去除,熔融的PTFE填补PEO分解后产生的空缺而形成PTFE纤维110。In addition, the role of PEO in the PTFE/PEO spinning solution is to act as a spinning carrier for PTFE to solve the problem that pure PTFE dispersion cannot be spun. Under the action of the electric field, as the PEO is stretched into fibers, the PTFE particles supported on the PEO are also piled into fibers. The decomposition temperature of PEO is lower than the sintering temperature, and it is removed after sintering. The molten PTFE fills the particles generated by the decomposition of PEO. The vacancies form the
S2:提供沟槽管,并将复合电纺管转移至沟槽管上。S2: Provide the grooved tube and transfer the composite electrospun tube onto the grooved tube.
所述的沟槽管呈中空的管状,包括中孔,其外径略小于芯轴外径,优选的,沟槽管的外径比芯轴外径小0.5-1mm,在这个情形下,一方面可以方便的将步骤S1形成的复合电纺管套入到沟槽管上;二方面是因为复合电纺管主要成分是PTFE,PTFE线膨胀系数大,且PTFE导热性差,易发生变形、开裂现象,故为了制备薄且不裂的纯PTFE电纺管,需要保证复合电纺管与沟槽管之间保留空隙,便于后续高温烧结后PTFE电纺管收缩而不开裂。The grooved tube is in the form of a hollow tube, including a middle hole, and its outer diameter is slightly smaller than the outer diameter of the mandrel. Preferably, the outer diameter of the grooved tube is 0.5-1mm smaller than the outer diameter of the mandrel. In this case, a On the one hand, the composite electrospinning tube formed in step S1 can be easily sleeved on the grooved tube; on the other hand, because the main component of the composite electrospinning tube is PTFE, the coefficient of linear expansion of PTFE is large, and the thermal conductivity of PTFE is poor, which is prone to deformation and cracking. Therefore, in order to prepare a thin and non-cracked pure PTFE electrospinning tube, it is necessary to ensure that there is a gap between the composite electrospinning tube and the grooved tube, so that the PTFE electrospinning tube can shrink without cracking after subsequent high temperature sintering.
所述的沟槽管外表面设置有若干直纹凸起,这些直纹凸起贯通沟槽管的长度方向,可以理解的,直纹凸起之间为相对的凹槽部,同时,这些直纹凸起用于形成管壁11上的沟槽113。The outer surface of the grooved pipe is provided with a number of straight-grained protrusions, and these straight-grained protrusions run through the length direction of the grooved pipe. The ridges are used to form the
进一步的,所述的直纹凸起具有10-1000μm的高度,相邻的直纹凸起之间的间距为10-1000μm,同时,所述的沟槽管为金属管,一方面空心的金属管更利于所支撑的复合电纺管均匀受热,另一方面,烧结后电纺管熔融流动、向内收缩后紧贴着沟槽管外表面,从而使复合电纺管的内表面也产生纵向的沟槽113,进一步的,所述的沟槽管为铝管或导热系数大于等于金属铝的金属管。Further, the straight-grained protrusions have a height of 10-1000 μm, and the distance between adjacent straight-grained protrusions is 10-1000 μm. Meanwhile, the grooved pipe is a metal pipe. On the one hand, a hollow metal The tube is more conducive to the even heating of the supported composite electrospinning tube. On the other hand, after sintering, the electrospinning tube melts and flows, shrinks inwards and then closes to the outer surface of the grooved tube, so that the inner surface of the composite electrospinning tube also has a longitudinal direction. The
S3:高温烧结复合电纺管。S3: High temperature sintered composite electrospinning tube.
可以理解的,将套设有复合电纺管的沟槽管至于托架上,升温并使得PET、PEO分解,PTFE熔融流动填充PET、PEO分解产生的空隙以及沟槽113空隙,优选的,可以采用箱式炉对复合电纺管进行高温烧结,以4-6℃/min升温至360℃-400℃后保温8-15min。It can be understood that the grooved tube covered with the composite electrospinning tube is placed on the bracket, and the temperature is increased to decompose the PET and PEO. The composite electrospinning tube is sintered at high temperature in a box furnace, heated to 360°C-400°C at 4-6°C/min, and then kept for 8-15min.
通过高温烧结一方面除去复合电纺管中的PET和PEO成分,烧结的温度和保温时间足够使其他组分分解,而PTFE只熔融不分解;二方面使PTFE熔融流动填入空隙,空隙包括其他组分分解后产生的空隙,以及本身复合电纺管与沟槽管之间的空隙,特别是沟槽管上的直纹凸起空隙,有助于冷却收缩后改变复合电纺管的内表面结构;三方面,PTFE颗粒熔融相互扩散粘结成一个整体,大大提高纯聚四氟乙烯管状膜的力学强度。On the one hand, the PET and PEO components in the composite electrospinning tube are removed by high-temperature sintering. The sintering temperature and holding time are sufficient to decompose other components, while PTFE only melts and does not decompose; The voids generated after the components are decomposed, as well as the voids between the composite electrospinning tube and the grooved tube, especially the straight-grained protrusions on the grooved tube, help to change the inner surface of the composite electrospun tube after cooling and shrinkage Structure; three aspects, the PTFE particles are melted and mutually diffused and bonded into a whole, which greatly improves the mechanical strength of the pure PTFE tubular membrane.
S4:冷却并将复合电纺管与沟槽管分离形成PTFE人工血管。S4: cooling and separating the composite electrospun tube from the grooved tube to form a PTFE artificial blood vessel.
同时,请一并参考图4,本申请还提供一种覆膜支架,所述的覆膜支架包括覆膜管及设置在覆膜管内侧,用于支撑管壁21的弹性支架23,可以理解的,所述的覆膜管的结构与上述的PTFE人工血管的结构相同。Meanwhile, please refer to FIG. 4 together, the present application also provides a stent-graft, the stent-graft includes a covered tube and an
以上所述仅为本发明的实施方式,并非因此限制本发明的专利范围,凡是利用本发明说明书及附图内容所作的等效结构或等效流程变换,或直接或间接运用在其他相关的技术领域,均同理包括在本发明的专利保护范围内。The above description is only an embodiment of the present invention, and is not intended to limit the scope of the present invention. Any equivalent structure or equivalent process transformation made by using the contents of the description and drawings of the present invention, or directly or indirectly applied to other related technologies Fields are similarly included in the scope of patent protection of the present invention.
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