TWM555729U - Nerve catheter containing highly-biocompatible micro scaffold used in minimally invasive neurosurgery - Google Patents

Nerve catheter containing highly-biocompatible micro scaffold used in minimally invasive neurosurgery Download PDF

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TWM555729U
TWM555729U TW106216738U TW106216738U TWM555729U TW M555729 U TWM555729 U TW M555729U TW 106216738 U TW106216738 U TW 106216738U TW 106216738 U TW106216738 U TW 106216738U TW M555729 U TWM555729 U TW M555729U
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collagen
nerve
peptide
tubular body
acellular
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TW106216738U
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Chinese (zh)
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Ching-Cheng Huang
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Parsd Medical Science And Technology Co Ltd
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Description

用於神經外科微創含高生物相容性微支架之神經導管 Minimally invasive nerve catheter with high biocompatibility microscaffold for neurosurgery

本創作為用於神經外科微創含高生物相容性微支架之神經導管,尤指一種可以用於神經外科重建修復之神經導管。 This creation is a minimally invasive neurocatheter containing a highly biocompatible microstent in neurosurgery, especially a nerve conduit that can be used for neurosurgical reconstruction.

在臨床手術中,常需對組織缺損進行修補,然而自體移植的有限來源,而異體與異種移植則具高傳染風險。因此,現今有越來越多不同的有機、無機、金屬材料應用於組織工程。此外為了避免二次手術,使用生物可降解材料有其必要性。目前所使用之不同材料皆有其優缺點,為了解決醫療上不同問題,開發新的功能性複合材料仍是研究重點之一。組織工程是連接工程和生物學的一個跨學科領域。組織工程發展生物基材,它可以修復,恢復或改善組織之功能。其中組織工程涉及三個主要策略:利用體外細胞或細胞替代物,取代有限的組織功能;誘導組織生成,例如生長因子(growth factors)的利用;發展生物支架(scaffold)有利於組織修補與再生。因此,支架的發展關鍵因素是模仿細胞外基質(ECM)的物理和生物功能設計而成之生長環境,是在細胞培養基材重要發展技術。應用於微創外科手術中,不同形式的缺損以不同修補方式,開發不同功能性支架應用於臨 床是必要的。周邊神經損傷是臨床處理中比較棘手的問題,自體神經移植為傳統治療神經缺損的方法,也是目前最主要且效果最佳的修復技術,但具有供應區神經取得不易,以及取得供應區神經時可能會造成供應部位的功能遭受破壞等問題。而神經導管接合術可以解決此難題,將兩神經斷端置於神經導管的兩端內部後加以縫合固定,藉由神經導管的輔助引導神經再生。此步驟可簡化手術程序與時間,也避免手術縫合線對神經造成的拉扯傷害,植入神經導管處避免結締組織的增生,影響正常神經生長。神經導管必須具有良好的生物相容性與較佳的機械強度等特性,具生物可降解性神經導管材料則可避免二次手術問題。申請人有鑑於此,乃秉持從事生物醫學工程及材料之多年經驗,經不斷研究、實驗,遂研發創作一種用於神經外科微創含高生物相容性微支架之神經導管,可用於之醫療器材及生物醫學材料,祈使供應用於臨床使用。 In clinical surgery, it is often necessary to repair tissue defects, but the limited source of autologous transplantation, while allogeneic and xenotransplantation have a high risk of infection. Therefore, more and more different organic, inorganic, and metallic materials are used in tissue engineering today. In addition, in order to avoid secondary surgery, it is necessary to use biodegradable materials. The different materials currently used have their advantages and disadvantages. In order to solve different medical problems, the development of new functional composite materials is still one of the research priorities. Tissue engineering is an interdisciplinary field that connects engineering and biology. Tissue engineering develops biological substrates that can repair, restore or improve the function of tissues. Among them, tissue engineering involves three main strategies: the use of in vitro cells or cell substitutes to replace limited tissue functions; the induction of tissue production, such as the utilization of growth factors; the development of biological scaffolds for tissue repair and regeneration. Therefore, the key factor in the development of scaffolds is the growth environment designed by mimicking the physical and biological functions of extracellular matrix (ECM), which is an important development technique in cell culture media. Used in minimally invasive surgery, different forms of defects are developed in different repair ways, and different functional stents are applied to the application. A bed is necessary. Peripheral nerve injury is a difficult problem in clinical treatment. Autologous nerve transplantation is a traditional method for the treatment of nerve defects. It is also the most important and best repair technique at present, but it is difficult to obtain nerves in the supply area and obtain nerves in the supply area. It may cause problems such as damage to the function of the supply site. The nerve catheterization can solve this problem. The two nerve ends are placed inside the two ends of the nerve catheter and then fixed by suture, and the nerve conduit is used to guide nerve regeneration. This step can simplify the procedure and time of the operation, and also avoid the pulling injury of the nerve by the surgical suture. The nerve catheter is implanted to avoid the proliferation of connective tissue and affect the normal nerve growth. The nerve conduit must have good biocompatibility and better mechanical strength, and the biodegradable nerve conduit material can avoid secondary surgery problems. In view of this, the applicant has been engaged in biomedical engineering and materials for many years of experience. Through continuous research and experimentation, he has developed a neurocatheter for neurosurgery minimally invasive micro-stent with high biocompatibility, which can be used for medical treatment. Equipment and biomedical materials are pledged for clinical use.

本創作係關於一種用於神經外科微創含高生物相容性微支架之神經導管,其中包含一管狀本體,其中心具有貫穿該管狀本體兩端神經連接的一神經導引通道以及分別設置於該管狀本體相對應兩端之兩個的神經連接口;該管狀本體之管壁包含複數個分布均勻的高生物相容性微支架以及複數個穿插在該高生物相容性微支架間的微通道,其中該微通道各具有於外環境通連的一微通道通孔,該高生物相容性微支架內各包含一空隙空間,可用來容置複數個機能性微粒。 The present invention relates to a neurocatheter for neurosurgery minimally invasive bioconducting microscaffolds comprising a tubular body having a nerve guiding channel extending through the nerve ends of the tubular body and respectively disposed at The tubular body corresponds to two nerve connection ports at both ends; the tube wall of the tubular body comprises a plurality of uniformly distributed high biocompatibility micro-stents and a plurality of micro-interspersed between the high biocompatible micro-stents The channel, wherein the microchannels each have a microchannel through hole connected to the external environment, and the high biocompatible micro-frames each include a void space for accommodating a plurality of functional particles.

優選地,該管狀本體係由一選自由膠原蛋白,膠原胜肽,膠原蛋白衍生明膠,海藻酸鈉,纖維素,多醣體,甲殼素,聚乳酸,聚乳酸酯及其組合之生物可分解高分子所組成。 Preferably, the tubular system consists of a biodegradable selected from the group consisting of collagen, collagen peptide, collagen-derived gelatin, sodium alginate, cellulose, polysaccharide, chitin, polylactic acid, polylactate and combinations thereof. Composition of polymers.

更優選地,該管狀本體為一選自由多孔性膠原蛋白,塗佈性膠原蛋白,人工仿生網狀膠原蛋白,脫細胞真皮膠原蛋白,脫細胞動物組織膠原蛋白,脫細胞軟骨膠原蛋白,脫細胞小腸膜膠原蛋白,魚膠原蛋白,豬膠原蛋白,牛膠原蛋白,膠原多胜肽,第二型膠原蛋白,魚膠原胜肽,豬膠原胜肽,牛膠原胜肽,膠原多胜肽及其組合之膠原蛋白。 More preferably, the tubular body is selected from the group consisting of porous collagen, coated collagen, artificial biomimetic reticular collagen, acellular dermal collagen, decellularized animal tissue collagen, decellularized cartilage collagen, and decellularized. Small intestinal membrane collagen, fish collagen, porcine collagen, bovine collagen, collagen polypeptide, type II collagen, fish collagen peptide, porcine collagen peptide, bovine collagen peptide, collagen multipeptide and combinations thereof Collagen.

最優選地,該管狀本體為一種利用親水性震動切削動物組織及超臨界二氧化碳脫脂,酶處理所得的膠原蛋白。 Most preferably, the tubular body is a collagen obtained by hydrolytically cutting animal tissue and supercritical carbon dioxide degreasing, enzyme treatment.

優選地,該高生物相容性微支架為一選自由多孔性膠原蛋白,塗佈性膠原蛋白,人工仿生網狀膠原蛋白,脫細胞真皮膠原蛋白,脫細胞動物組織膠原蛋白,脫細胞軟骨膠原蛋白,脫細胞小腸膜膠原蛋白,魚膠原蛋白,豬膠原蛋白,牛膠原蛋白,膠原多胜肽,第二型膠原蛋白,魚膠原胜肽,豬膠原胜肽,牛膠原胜肽,膠原多胜肽及其組合之膠原蛋白。 Preferably, the highly biocompatible microscaffold is selected from the group consisting of porous collagen, coated collagen, artificial biomimetic reticular collagen, acellular dermal collagen, decellularized animal tissue collagen, and decellularized cartilage collagen. Protein, acellular small intestinal membrane collagen, fish collagen, porcine collagen, bovine collagen, collagen polypeptide, type II collagen, fish collagen peptide, porcine collagen peptide, bovine collagen peptide, collagen multi-win Collagen and its combination of collagen.

更優選地,該高生物相容性微支架為一種利用親水性震動切削動物組織及超臨界二氧化碳脫脂,酶處理所得的膠原蛋白。 More preferably, the highly biocompatible microscaffold is a collagen obtained by hydrolyzing animal tissue and supercritical carbon dioxide degreasing and enzymatic treatment.

1‧‧‧神經導管 1‧‧‧Nervous catheter

10‧‧‧高生物相容性微支架 10‧‧‧High biocompatible micro scaffold

11‧‧‧空隙空間 11‧‧‧ void space

20‧‧‧管狀本體 20‧‧‧Tube body

25‧‧‧微通道 25‧‧‧Microchannel

27‧‧‧微通道通孔 27‧‧‧Microchannel through hole

50‧‧‧神經導引通道 50‧‧‧Neural guiding channel

55‧‧‧神經連接口 55‧‧‧Neural connection

1000‧‧‧病灶神經斷端 1000‧‧‧ lesion nerve ending

第1圖:本創作之用於神經外科微創含高生物相容性微支架之神經導管第一實施例(A)結構示意圖及(B)臨床應用示意圖。 Fig. 1 is a schematic view showing the structure of a first embodiment (A) for a minimally invasive nerve catheter containing a highly biocompatible microstent in neurosurgery and (B) a schematic diagram of clinical application.

為讓本創作之上述及其他目的、特徵及優點能更明顯易懂,下文特舉本創作之較佳實施例,並配合所附圖式,作詳細說明如下: In order to make the above and other objects, features and advantages of the present invention more comprehensible, the preferred embodiments of the present invention are described in detail below with reference to the accompanying drawings.

第1實施例 First embodiment

本創作用於神經外科微創含高生物相容性微支架之神經導管之第1實施例及其臨床應用將參閱第1圖加以說明。本創作用於神經外科微創含高生物相容性微支架之神經導管1,其中包含一管狀本體20,其中心具有貫穿的一神經導引通道50以及分別設置於該管狀本體20相對應兩端之兩個的神經連接口55,可用來連接病灶神經斷端1000,該管狀本體20之管壁包含複數個分布均勻的高生物相容性微支架10以及複數個穿插在該高生物相容性微支架10間的微通道25,其中該微通道25各具有於外環境通連的一微通道通孔27,該高生物相容性微支架10內各包含一空隙空間11,可用來容置複數個機能性微粒。而臨床應用時,利用神經導管接合術,將兩個病灶神經斷端1000置於本創作之神經導管1的兩端該神經連接口55內部後加以縫合固定,藉由本創作之神經導管1的輔助引導神經再生。優選地,該管狀本體20係由一選自由膠原蛋白,膠原胜肽,膠原蛋白衍生明膠,海藻酸鈉,纖維素,多醣體,甲殼素,聚乳酸,聚乳酸酯及其組合之生物可分解高分子所組成。更優選地,該管狀本體20為一選自由多孔性膠原蛋白,塗佈性膠原蛋白,人工仿生網狀膠原蛋白,脫細胞真皮膠原蛋白,脫細胞動物組織膠原蛋白,脫細胞軟骨膠原蛋白,脫細胞小腸膜膠原蛋白,魚膠原蛋白,豬膠原蛋白,牛膠原蛋白,膠原多胜肽,第二型膠原蛋白,魚膠原胜肽,豬膠原胜肽,牛膠原胜肽,膠原多胜肽及其組 合之膠原蛋白。最優選地,該管狀本體20為一種利用親水性震動切削動物組織及超臨界二氧化碳脫脂,酶處理所得的膠原蛋白。優選地,該高生物相容性微支架10為一選自由多孔性膠原蛋白,塗佈性膠原蛋白,人工仿生網狀膠原蛋白,脫細胞真皮膠原蛋白,脫細胞動物組織膠原蛋白,脫細胞軟骨膠原蛋白,脫細胞小腸膜膠原蛋白,魚膠原蛋白,豬膠原蛋白,牛膠原蛋白,膠原多胜肽,第二型膠原蛋白,魚膠原胜肽,豬膠原胜肽,牛膠原胜肽,膠原多胜肽及其組合之膠原蛋白。更優選地,該高生物相容性微支架10為一種利用親水性震動切削動物組織及超臨界二氧化碳脫脂,酶處理所得的膠原蛋白。 The first embodiment of the present invention for neurosurgery minimally invasive nerve catheters containing highly biocompatible microscaffolds and their clinical applications will be described with reference to FIG. The present invention is for neurosurgery minimally invasive nerve catheter 1 containing a highly biocompatible micro-scaffold, comprising a tubular body 20 having a nerve guiding channel 50 penetrating through the center and two corresponding to the tubular body 20 respectively. The two neural connection ports 55 of the end can be used to connect the lesion nerve end 1000, the tube wall of the tubular body 20 comprises a plurality of uniformly distributed highly biocompatible micro-scaffolds 10 and a plurality of interspersed in the high biocompatible The microchannels 25 between the micro-frames 10, wherein the micro-channels 25 each have a micro-channel through-hole 27 connected to the external environment, and the high bio-compatible micro-frames 10 each include a void space 11 for receiving Set up several functional particles. In clinical application, the two nerve endings 1000 are placed in the inner end of the nerve connecting port 55 of the present invention by nerve conduit splicing, and then sutured and fixed by the nerve conduit 1 of the present invention. Guide nerve regeneration. Preferably, the tubular body 20 is made of a bio-selectable material selected from the group consisting of collagen, collagen peptide, collagen-derived gelatin, sodium alginate, cellulose, polysaccharide, chitin, polylactic acid, polylactate and combinations thereof. Decomposes the composition of the polymer. More preferably, the tubular body 20 is selected from the group consisting of porous collagen, coated collagen, artificial biomimetic reticular collagen, acellular dermal collagen, decellularized animal tissue collagen, decellularized cartilage collagen, and Cell small intestinal membrane collagen, fish collagen, porcine collagen, bovine collagen, collagen polypeptide, type II collagen, fish collagen peptide, porcine collagen peptide, bovine collagen peptide, collagen polypeptide and group Combined with collagen. Most preferably, the tubular body 20 is a collagen obtained by hydrolyzing animal tissue and supercritical carbon dioxide degreasing and enzymatic treatment. Preferably, the highly biocompatible microscaffold 10 is selected from the group consisting of porous collagen, coated collagen, artificial biomimetic reticular collagen, acellular dermal collagen, decellularized animal tissue collagen, and decellularized cartilage. Collagen, acellular small intestinal membrane collagen, fish collagen, porcine collagen, bovine collagen, collagen polypeptide, type II collagen, fish collagen peptide, porcine collagen peptide, bovine collagen peptide, collagen Collagen and its combination of collagen. More preferably, the highly biocompatible microscaffold 10 is a collagen obtained by hydrolyzing animal tissue and supercritical carbon dioxide degreasing and enzymatic treatment.

本案創作人從事生技醫療美容保養相關產品及生物醫學工程材料開發與研究經驗豐富,有鑑於此,本案創作人依其多年從事相關領域之研發經驗,針對前述之缺失進行深入探討,並依前述需求積極尋求解決之道,歷經長時間的努力研究與多次測試,終於完成此創作。雖然本創作已利用上述較佳實施例揭示,然其並非用以限定本創作,任何熟習此技藝者在不脫離本創作之精神和範圍之內,相對上述實施例進行各種更動與修改仍屬本創作所保護之技術範疇,因此本創作之保護範圍當視後附之申請專利範圍所界定者為準。 The creators of this case have rich experience in the development and research of biomedical and cosmetic related products and biomedical engineering materials. In view of this, the creators of this case have conducted in-depth discussions on the above-mentioned shortcomings based on their years of research and development experience in related fields, and Demand is actively seeking solutions, and after a long period of hard work and multiple tests, this work has finally been completed. Although the present invention has been disclosed by the above-described preferred embodiments, it is not intended to limit the present invention, and it is still within the spirit and scope of the present invention to make various changes and modifications to the above embodiments. The technical scope of the protection is created, so the scope of protection of this creation is subject to the definition of the patent application scope attached.

1‧‧‧神經導管 1‧‧‧Nervous catheter

10‧‧‧高生物相容性微支架 10‧‧‧High biocompatible micro scaffold

11‧‧‧空隙空間 11‧‧‧ void space

20‧‧‧管狀本體 20‧‧‧Tube body

25‧‧‧微通道 25‧‧‧Microchannel

27‧‧‧微通道通孔 27‧‧‧Microchannel through hole

50‧‧‧神經導引通道 50‧‧‧Neural guiding channel

55‧‧‧神經連接口 55‧‧‧Neural connection

1000‧‧‧病灶神經斷端 1000‧‧‧ lesion nerve ending

Claims (6)

用於神經外科微創含高生物相容性微支架之神經導管,其中包含一管狀本體,其中心具有貫穿該管狀本體兩端神經連接的一神經導引通道以及分別設置於該管狀本體相對應兩端之兩個的神經連接口,可用來連接病灶神經斷端;該管狀本體之管壁包含複數個分布均勻的高生物相容性微支架以及複數個穿插在該高生物相容性微支架間的微通道,其中該微通道各具有於外環境通連的一微通道通孔,該高生物相容性微支架內各包含一空隙空間,可用來容置複數個機能性微粒。 The invention relates to a neurosurgery minimally invasive nerve catheter with a high biocompatibility microscaffold, comprising a tubular body having a nerve guiding channel passing through the nerve connection at both ends of the tubular body and correspondingly disposed on the tubular body Two nerve ends of the two ends can be used to connect the nerve endings of the lesion; the wall of the tubular body comprises a plurality of highly biocompatible micro-stents uniformly distributed and a plurality of interspersed in the highly biocompatible micro-scaffold An inter-microchannel, wherein each of the microchannels has a microchannel through-hole connected to the external environment, and the high biocompatibility micro-stent comprises a void space for accommodating a plurality of functional particles. 如申請專利範圍第1項所述之神經導管,其中該管狀本體係由一選自由膠原蛋白,膠原胜肽,膠原蛋白衍生明膠,海藻酸鈉,纖維素,多醣體,甲殼素,聚乳酸,聚乳酸酯及其組合之生物可分解高分子所組成。 The nerve conduit of claim 1, wherein the tubular system is selected from the group consisting of collagen, collagen peptide, collagen-derived gelatin, sodium alginate, cellulose, polysaccharide, chitin, polylactic acid, Polylactic acid ester and a combination thereof are composed of biodegradable polymers. 如申請專利範圍第2項所述之神經導管,其中該管狀本體為一選自由多孔性膠原蛋白,塗佈性膠原蛋白,人工仿生網狀膠原蛋白,脫細胞真皮膠原蛋白,脫細胞動物組織膠原蛋白,脫細胞軟骨膠原蛋白,脫細胞小腸膜膠原蛋白,魚膠原蛋白,豬膠原蛋白,牛膠原蛋白,膠原多胜肽,第二型膠原蛋白,魚膠原胜肽,豬膠原胜肽,牛膠原胜肽,膠原多胜肽及其組合之膠原蛋白。 The nerve conduit of claim 2, wherein the tubular body is selected from the group consisting of porous collagen, coated collagen, artificial biomimetic reticular collagen, acellular dermal collagen, and decellularized animal tissue collagen. Protein, acellular cartilage collagen, acellular small intestinal membrane collagen, fish collagen, porcine collagen, bovine collagen, collagen polypeptide, type II collagen, fish collagen peptide, porcine collagen peptide, bovine collagen Collagen with peptides, collagen peptides and combinations thereof. 如申請專利範圍第3項所述之神經導管,其中該管狀本體為一種利用親水 性震動切削動物組織及超臨界二氧化碳脫脂,酶處理所得的膠原蛋白。 The nerve conduit of claim 3, wherein the tubular body is a hydrophilic Sexual vibration cutting animal tissue and supercritical carbon dioxide degreasing, enzymatic treatment of the resulting collagen. 如申請專利範圍第1項所述之神經導管,其中該高生物相容性微支架為一選自由多孔性膠原蛋白,塗佈性膠原蛋白,人工仿生網狀膠原蛋白,脫細胞真皮膠原蛋白,脫細胞動物組織膠原蛋白,脫細胞軟骨膠原蛋白,脫細胞小腸膜膠原蛋白,魚膠原蛋白,豬膠原蛋白,牛膠原蛋白,膠原多胜肽,第二型膠原蛋白,魚膠原胜肽,豬膠原胜肽,牛膠原胜肽,膠原多胜肽及其組合之膠原蛋白。 The nerve conduit of claim 1, wherein the highly biocompatible microscaffold is selected from the group consisting of porous collagen, coated collagen, artificial biomimetic reticular collagen, and acellular dermal collagen. Decellularized animal tissue collagen, acellular cartilage collagen, acellular small intestinal membrane collagen, fish collagen, porcine collagen, bovine collagen, collagen polypeptide, type II collagen, fish collagen peptide, porcine collagen Collagen, peptide collagen peptide, collagen peptide and combinations thereof. 如申請專利範圍第5項所述之神經導管,其中該高生物相容性微支架為一種利用親水性震動切削動物組織及超臨界二氧化碳脫脂,酶處理所得的膠原蛋白。 The nerve conduit of claim 5, wherein the highly biocompatible microscaffold is a collagen obtained by hydrolyzing animal tissue and supercritical carbon dioxide degreasing and enzymatic treatment.
TW106216738U 2017-11-10 2017-11-10 Nerve catheter containing highly-biocompatible micro scaffold used in minimally invasive neurosurgery TWM555729U (en)

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