WO2022052524A1 - Balloon catheter - Google Patents

Balloon catheter Download PDF

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Publication number
WO2022052524A1
WO2022052524A1 PCT/CN2021/097502 CN2021097502W WO2022052524A1 WO 2022052524 A1 WO2022052524 A1 WO 2022052524A1 CN 2021097502 W CN2021097502 W CN 2021097502W WO 2022052524 A1 WO2022052524 A1 WO 2022052524A1
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WO
WIPO (PCT)
Prior art keywords
balloon
hole
administration
wall
state
Prior art date
Application number
PCT/CN2021/097502
Other languages
French (fr)
Chinese (zh)
Inventor
段志邦
史增佐
周宇
朱清
Original Assignee
上海鸿脉医疗科技有限公司
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
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Application filed by 上海鸿脉医疗科技有限公司 filed Critical 上海鸿脉医疗科技有限公司
Publication of WO2022052524A1 publication Critical patent/WO2022052524A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • A61M25/1002Balloon catheters characterised by balloon shape
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • A61M25/1011Multiple balloon catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • A61M25/1027Making of balloon catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • A61M25/1027Making of balloon catheters
    • A61M25/1029Production methods of the balloon members, e.g. blow-moulding, extruding, deposition or by wrapping a plurality of layers of balloon material around a mandril
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • A61M25/1011Multiple balloon catheters
    • A61M2025/1013Multiple balloon catheters with concentrically mounted balloons, e.g. being independently inflatable
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • A61M2025/1043Balloon catheters with special features or adapted for special applications
    • A61M2025/1045Balloon catheters with special features or adapted for special applications for treating bifurcations, e.g. balloons in y-configuration, separate balloons or special features of the catheter for treating bifurcations
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • A61M2025/1043Balloon catheters with special features or adapted for special applications
    • A61M2025/105Balloon catheters with special features or adapted for special applications having a balloon suitable for drug delivery, e.g. by using holes for delivery, drug coating or membranes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • A61M2025/1043Balloon catheters with special features or adapted for special applications
    • A61M2025/1075Balloon catheters with special features or adapted for special applications having a balloon composed of several layers, e.g. by coating or embedding
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • A61M2025/1043Balloon catheters with special features or adapted for special applications
    • A61M2025/1079Balloon catheters with special features or adapted for special applications having radio-opaque markers in the region of the balloon
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/32General characteristics of the apparatus with radio-opaque indicia

Definitions

  • the invention relates to the technical field of medical devices, in particular to a balloon catheter.
  • Interventional medical devices have experienced three milestones of rapid development: simple balloon dilatation (PTCA), bare metal stent (BMS), and drug-eluting stent (DES).
  • PTCA simple balloon dilatation
  • BMS bare metal stent
  • DES drug-eluting stent
  • the emergence of drug-eluting stents has achieved great success in the treatment of vascular stenosis, showing the potential of DES in the treatment of stenosis.
  • DES is the first choice for the treatment of obstructive coronary heart disease, but it has problems such as late stent thrombosis, long vascular healing time, and easy influence on vascular pulsation.
  • ISR In-stent restenosis
  • small vessel disease and bifurcation disease all limit the application of DES.
  • DCB drug-coated balloon
  • anti-proliferative drugs are coated on the surface of the balloon, and when in use, the balloon is pushed to the target lesion to expand the balloon to release the drug.
  • the drug balloon of this design There are still some problems in the use of the drug balloon of this design. For example, in the process of pushing, the drug is easy to fall off and lose, resulting in insufficient dose of the drug or even the drug that falls off will cause toxic side effects; the drug coated on the surface of the drug balloon is likely to form large drug particles during expansion, which can easily lead to distal vascular embolism. , has a high safety risk; and the drug dose is not controllable, and one balloon can only be used for one site.
  • perfusion drug balloons are designed, that is, the drug solution is injected from the inner cavity of the balloon and flows out through the micropores on the surface of the balloon or other parts, so that the drug solution is absorbed by the tissue.
  • the advantages of this designed drug balloon are that there is no drug loss during the pushing process, no large particles are generated, and the drug dosage is controllable.
  • the existing perfusion drug balloon (such as Chinese patent CN 104436421 A) has the problem that it cannot be fully expanded, resulting in the inability of the balloon and the blood vessel wall to fully fit, resulting in a large amount of drug loss (drug loss to the distal end), reducing The transfer rate of the drug is improved, and the side effect of the drug on the human body is improved.
  • this kind of drug balloon also has the problem that the air cannot be completely expelled during the folding process, so that air remains inside the balloon. This not only increases the outside diameter of the passage of the balloon, but also prevents the balloon from being emptied to contain gas before entering the body. These gases can easily form air emboli in the human body, endangering the lives of patients.
  • the purpose of the present invention is to provide a balloon catheter, which can ensure that the balloon can be fully expanded during the filling process, reduce the loss of drugs, improve the transfer rate of drugs, and will not form air emboli in the human body , to improve security.
  • the present invention provides a balloon catheter, comprising a catheter body and a balloon disposed at the distal end of the catheter body; wherein, a drug administration hole is provided on the surface of the balloon;
  • the balloon catheter has a first state and a second state; when the balloon catheter is in the first state, the administration hole does not penetrate the balloon wall; when the balloon catheter is in the second state In the state, the drug delivery hole penetrates through the balloon wall and is used for releasing the drug solution.
  • the administration hole is provided on the outer surface of the balloon and does not penetrate through the inner surface of the balloon, or the administration hole It is disposed on the inner surface of the balloon and does not penetrate the outer surface of the balloon.
  • the depth of the administration hole is 1% to 99% of the wall thickness of the balloon.
  • the depth of the administration hole is 80% of the wall thickness of the balloon.
  • the number of the administration holes is multiple, and when the balloon catheter is in the first state, the depths of the multiple administration holes are the same or different.
  • the shape of the administration hole is a regular shape or an irregular shape.
  • the number of the administration holes is multiple, and the shapes of the multiple administration holes are the same or different.
  • the number of the administration holes is multiple, and a plurality of the administration holes are regularly or irregularly distributed on the balloon.
  • the expanded shape of the balloon is a straight shape or a dumbbell shape.
  • the balloon is made of imaging material.
  • the drug delivery hole that does not penetrate the wall of the balloon is formed on the surface of the balloon by a laser etching process.
  • the balloon includes a first balloon and a second balloon, and the second balloon is nested in the first balloon;
  • the dosing hole includes a first dosing hole and a second dosing hole, and the first dosing hole is provided on the surface of the first balloon, and the second dosing hole is provided on the surface of the second balloon. the second administration hole;
  • the first administration hole does not penetrate the balloon wall of the first balloon; when the balloon catheter is in the second state, the first administration hole does not penetrate the balloon wall of the first balloon;
  • the first dosing hole penetrates the balloon wall of the first balloon for releasing the medicinal liquid;
  • the second dosing hole always penetrates the balloon wall of the second balloon.
  • the balloon includes a first balloon and a second balloon, and the second balloon is nested in the first balloon;
  • the dosing hole includes a first dosing hole and a second dosing hole, and the first dosing hole is provided on the surface of the first balloon, and the second dosing hole is provided on the surface of the second balloon. the second administration hole;
  • the second administration hole does not penetrate through the balloon wall of the second balloon; when the balloon catheter is in the second state, the second administration hole does not penetrate the balloon wall of the second balloon;
  • the second dosing hole penetrates the balloon wall of the second balloon for releasing the medical liquid;
  • the first dosing hole always penetrates the balloon wall of the first balloon.
  • the first dosing hole and the second dosing hole are dislocated.
  • the drug delivery hole is used to penetrate through the balloon wall under the pressure of the medicinal liquid when the medicinal liquid fills the balloon.
  • a dosing hole is provided on the surface of the balloon, and the dosing hole does not pass through with the balloon before releasing the medicinal liquid, so that the balloon can be fully expanded during the filling process, so as to be fully connected with the blood vessel wall. fit.
  • the drug delivery hole ruptures under the pressure of the drug solution and leaks the drug solution, thereby releasing the drug solution, so that the injected drug solution can continue to Metastases to the lesion site to achieve the purpose of targeted therapy.
  • this drug delivery hole ensures the effect of balloon dilation of blood vessels, so that the medicinal liquid can be transferred to the diseased part in time, which reduces the loss of medicinal liquid, prevents excessive drugs from entering the human body circulation, and reduces the effect of drugs on the human body. side effect.
  • it is also convenient to completely empty the air inside the balloon during the folding process, so that no air remains inside the balloon, thereby reducing the passing outer diameter of the balloon and improving the efficiency of the balloon.
  • the ability of the balloon to pass through the lesion the balloon is evacuated before entering the body, and there is no air inside, which also reduces the probability of air embolism in the blood vessel, improves the safety of the operation, and reduces the risk of the operation.
  • FIG. 1 is a schematic structural diagram of a balloon catheter provided by a preferred embodiment of the present invention.
  • Fig. 2 is a schematic diagram of setting round dosing holes on the surface of the balloon provided by a preferred embodiment of the present invention, wherein the dosing holes are regularly distributed on the balloon;
  • Fig. 3 is a schematic diagram of setting rectangular dosing holes on the surface of the balloon provided by a preferred embodiment of the present invention, wherein the dosing holes are regularly distributed on the balloon;
  • Fig. 4 is a schematic diagram of setting round dosing holes on the surface of the balloon provided by a preferred embodiment of the present invention, wherein the dosing holes are regularly distributed on the balloon, and the diameter of the dosing holes is larger and the distribution is more sparse;
  • FIG. 5 is a schematic diagram of setting regular and irregular shaped dosing holes on the surface of the balloon provided by a preferred embodiment of the present invention.
  • FIG. 6 is a schematic diagram of setting a drug delivery hole on the inner surface of the balloon according to a preferred embodiment of the present invention.
  • Figure 7 is a schematic diagram of setting a drug delivery hole on the outer surface of the balloon provided by a preferred embodiment of the present invention.
  • FIG. 8 is a schematic diagram of the distal end position of a balloon catheter with a double-layered balloon provided by a preferred embodiment of the present invention.
  • each embodiment of the following description has one or more technical features, but this does not mean that the person using the present invention must implement all the technical features in any embodiment at the same time, or can only implement different embodiments separately.
  • One or all of the technical features of the .
  • those skilled in the art can selectively implement some or all of the technical features in any embodiment according to the disclosure of the present invention and depending on design specifications or actual requirements, or A combination of some or all of the technical features in the multiple embodiments is selectively implemented, thereby increasing the flexibility of the implementation of the present invention.
  • the present invention repeats reference numerals and/or letters in various embodiments. This repetition is for simplicity and clarity, and does not in itself indicate a relationship between the various embodiments and/or configurations discussed. It will also be understood that when an element is referred to as being "connected" to another element, it can be directly connected to the other element or one or more intervening elements may be present.
  • the proximal end is the end close to the operator, and the distal end is the end that first enters the human body.
  • the core idea of the present invention is to provide a balloon catheter, wherein the drug delivery hole is provided on the surface of the balloon for releasing the medicinal liquid, but before the medicinal liquid is released, it does not penetrate through the balloon wall, and there is no medicinal liquid from The problem of balloon leakage. In this way, the integrity of the balloon is ensured, so that the pressure of the balloon can be maintained during the filling process, so that the balloon can be fully expanded and fully fitted with the blood vessel wall, reducing the loss of the drug solution, improving the transfer rate of the drug, and preventing overdose. Enter the circulation of the human body and reduce the side effects of the drug on the human body.
  • the balloon when the pressure inside the balloon reaches a certain value, due to the relatively weak structure at the dosing hole (that is, the wall of the balloon at the dosing hole is thin, the ultimate compression strength is low, and it is easy to rupture), the balloon will not The drug hole is easily ruptured by the pressure of the drug solution. After the dosing hole is ruptured, the medicinal liquid inside the balloon can be released, so that the medicinal liquid can be transferred to the lesion site to achieve the purpose of targeted therapy.
  • the dosing hole does not penetrate the balloon initially, it is easy to completely empty the air inside the balloon during the folding process, so that no air remains inside the balloon, thereby reducing the outer diameter of the balloon.
  • the outer diameter of the balloon can be easily designed to be the theoretical minimum value. It should be understood that, the smaller the passing outer diameter of the balloon, the easier it is to pass through the diseased part, and the stronger the ability to pass through the diseased part. It should be understood that the passing outer diameter is the minimum outer diameter of the balloon catheter passing through the lesion. Moreover, since the balloon is evacuated before entering the body, there is no air inside, which reduces the probability of air embolism in the blood vessel, improves the safety of the operation, and reduces the risk of the operation.
  • FIG. 1 is a schematic structural diagram of a balloon catheter provided by a preferred embodiment of the present invention.
  • an embodiment of the present invention provides a balloon catheter 100 , and the balloon catheter 100 may be a coaxial overall exchange type (Over The Wire, OTW) or a rapid exchange type (Rapid Exchange System).
  • the specific exchange form is not limited.
  • the balloon catheter 100 of the present embodiment is a drug perfusion balloon, which provides drugs to the lesion through a hole on the surface of the balloon.
  • the balloon catheter 100 includes a balloon 11 and a catheter body 12 , and the balloon 11 is disposed at the distal end of the catheter body 12 .
  • the balloon 11 may be a single-layer balloon or a multi-layer balloon, which is not limited.
  • the so-called single-layer balloon means that the number of balloons 11 is one, but the balloon 11 has only one wall made of the same material.
  • the so-called multi-layer balloon means that the number of the balloon 11 is one, but the balloon 11 is composed of multi-layer walls made of different materials, such as two layers of walls of different materials.
  • a plurality of drug administration holes 111 are opened on the surface of the balloon 11 .
  • the number of the administration holes 111 is not required, and the shape of the administration holes 111 is not limited. It may be a regular shape as shown in FIG. 2 to FIG.
  • the regular-shaped dosing hole 111 may be a circle, a rectangle, a triangle, a quadrangle or other polygons, an ellipse, or the like.
  • the shapes of the administration holes 111 on the balloon 11 may be the same or different.
  • the balloon 11 can be provided with both regular-shaped drug delivery holes 111 and irregularly-shaped drug delivery holes 111 at the same time. Irregularly shaped dosing holes 111 .
  • circular drug administration holes 111 are uniformly provided on the balloon 11 ; or as shown in FIG. 3 , rectangular drug administration holes 111 are uniformly provided on the balloon 11 ; or as shown in FIG. 5 .
  • the balloon 11 is provided with both an elliptical dosing hole 111 and an irregularly shaped dosing hole 111 . Therefore, the administration holes 111 can be arranged in various manners, which are not limited in the present invention.
  • administration hole 111 when the balloon catheter 100 is in the first state (ie, the initial state), the administration hole 111 does not penetrate through the balloon wall, that is, the administration hole 111 is only connected to the balloon.
  • the outer surface penetrates or communicates with the inner surface of the balloon without penetrating both the inner and outer surfaces of the balloon 11 at the same time.
  • the drug delivery hole 111 when the balloon catheter 100 is in the second state (ie, the drug delivery hole 111 is ruptured and the drug solution is leaked, which is the use state), the drug delivery hole 111 penetrates the wall of the balloon, that is, the drug delivery hole 111 and the outer surface of the balloon It penetrates through the inner surface to release the liquid medicine.
  • the first state ie, the initial state
  • the administration hole 111 does not penetrate through the balloon wall, that is, the administration hole 111 is only connected to the balloon.
  • the outer surface penetrates or communicates with the inner surface of the balloon without penetrating both the inner and outer surfaces of the balloon 11 at the same time.
  • the inner surface 112 of the balloon is perforated to form the administration hole 111 , and the depth of the administration hole 111 may be the same or different.
  • the depths of the administration holes 111 are different to accommodate balloons with uneven wall thickness, and none of these administration holes 111 penetrates through the outer surface 113 of the balloon.
  • holes are formed on the outer surface 113 of the balloon to form dosing holes 111 , and the depths of the dosing holes 111 may be the same or different.
  • the depths of the administration holes 111 are different to accommodate balloons with uneven wall thickness, and none of these administration holes 111 penetrates through the inner surface 112 of the balloon.
  • a circular drug delivery hole 111 can be formed by punching a hole on the surface of the balloon 11 through a sample injection needle, or a laser etching process can be used on the surface of the balloon 11
  • the upper holes are punched to form regular or irregular shaped dosing holes 111 .
  • the wall thickness of the balloon is usually very small, eg, only 0.03 mm to 0.04 mm. There are certain difficulties in the process of processing a drug delivery hole that does not penetrate the balloon on such a thin balloon wall.
  • the laser control parameters are optimized.
  • the focal point of the laser is at a predetermined depth in the thickness direction of the balloon, and the focal point of the laser is much smaller than the wall thickness of the balloon.
  • the laser light source is preferably carbon dioxide, ultraviolet light or blue light source, the energy of the laser is 0.001MW ⁇ 1000MW, and the wavelength of the laser is preferably 1nm ⁇ 2000nm, so as to facilitate accurate processing on the ball-like balloon without breaking the balloon.
  • the medicine hole 111 ensures the machining accuracy of the medicine hole 111 .
  • the administration holes 111 may be distributed on the balloon 11 regularly or irregularly, for example, as shown in FIG. 2 to FIG. 4 , the administration holes 111 are regularly distributed on the balloon 11 , as shown in FIG. 5, the administration holes 111 are irregularly distributed on the balloon 11.
  • the dosing holes 111 are irregularly distributed on the balloon 11, which not only helps to reduce the diameter of the dosing holes 111, but also facilitates adaptation to irregular lesions, so as to achieve the targeting of irregular lesions. dosing.
  • the depth of the administration hole 111 is preferably 1% to 99% of the wall thickness of the balloon. For example, 10% to 90%, 30% to 90%, 50% to 90%, and 70% to 90%.
  • the depth of the administration hole 111 is 80% of the wall thickness of the balloon, so as to ensure that the administration hole 111 can rupture and leak under the action of a lower pressure of the medical fluid.
  • the administration holes 111 are preferably distributed along the entire circumference of the balloon 11 to achieve 360° administration.
  • the catheter body 12 includes an outer tube 121 and an inner tube 122 , the inner tube 122 is inserted into the outer tube 121 , and the distal end of the inner tube 122 protrudes from the distal end of the outer tube 121 .
  • the proximal end of the balloon 11 is connected to the outer tube 121
  • the distal end of the balloon 11 is connected to the inner tube 122 .
  • the inner tube 122 is used for a guide wire
  • a perfusion channel is formed between the outer tube 121 and the inner tube 122, and the distal end of the perfusion channel is communicated with the inner cavity of the balloon 11, so as to pass the perfusion channel to the balloon
  • the inside of the balloon 11 is transported with a medical liquid.
  • the balloon 11 can be filled with the drug solution, and after the drug solution hole 111 is opened, the drug solution can be released through the drug solution hole 111 .
  • a section of the inner tube 122 located in the balloon 11 is provided with a developing structure made of a developing material for positioning the balloon 11 during the operation.
  • the developing structures may include proximal developing structures 123 and distal developing structures 124, and these developing structures may be developing spots, developing rings or developing segments.
  • the developing structure can be nested on the inner tube 122 , or made integrally with the inner tube 122 .
  • some lengths of the inner tube 122 inside the balloon 11 are designed to be developed, so that the developing structure and the inner tube 122 are integrally formed.
  • the proximal visualization structure 123 is disposed corresponding to the proximal end of the balloon 11, which is convenient for imaging and positioning the position of the proximal end of the balloon under X-rays. The position of the distal end of the balloon is located by X-ray imaging.
  • the balloon 11 is made of a developing material, so that the balloon 11 itself can also be visualized, which is convenient for observing the expansion state of the balloon 11 during the operation, so that the doctor can perform the operation more accurately.
  • the developing material for preparing the balloon 11 is not limited, including but not limited to barium sulfate.
  • the shape of the balloon 11 can be straight, that is, the balloon 11 after expansion is a cylinder with a uniform diameter, which is convenient for matching blood vessels with a uniform diameter. In other embodiments, the shape of the balloon 11 may be a dumbbell shape, that is, the two ends are large and the middle is small.
  • the shape of the balloon 11 is preferably a dumbbell shape.
  • the advantage of the dumbbell-shaped balloon 11 is that it can form a blockage at both ends to prevent the loss of the medicinal liquid to the distal end and ensure the transfer rate of the medicinal liquid.
  • the drug delivery hole 111 is mainly arranged on the middle straight section.
  • the balloon catheter further includes a handle 13 .
  • the handle 13 may have a “Y” shape, is disposed at the proximal end of the catheter body 12 , and can be connected to the proximal ends of the inner tube 122 and the outer tube 121 .
  • a plurality of Luer connectors such as two Luer connectors, may be provided on the handle 13 .
  • the guide wire can be passed through the catheter through the luer connector, and the external fluid supply device can be connected with the luer connector, so as to deliver the medical fluid into the catheter.
  • the balloon catheter further includes a stress diffusion tube 14 , and the outer tube 121 is connected to the handle 13 through the stress diffusion tube 14 .
  • the function of the stress diffuser tube 14 is to reduce the loss of pushing force during the advancement of the catheter. Further, the stress diffusion tube 14 and the handle 13 are physically connected together, for example, the inner diameter of the handle 13 is larger than the outer diameter of the stress diffusion tube 14, so that the stress diffusion tube 14 can be inserted into the handle 13 and combined by elastic deformation. together.
  • the medicinal liquid is sent into the balloon 11 through the perfusion channel to inflate the balloon 11 .
  • the pressure is kept constant, so that the balloon 11 is kept in a fully expanded state and fully in contact with the vessel wall.
  • the pressure can be continued or maintained until the administration hole 11 is ruptured to release the medicinal liquid.
  • the medicinal liquid can be released through the drug delivery hole 111 and absorbed by the diseased site, so as to achieve a corresponding therapeutic effect.
  • the administration holes 111 on the surface of the balloon 11 can be distributed 360° in the circumferential direction, so as to realize 360° omnidirectional administration, and the administration efficiency is high.
  • the present invention does not limit the types of drugs to be administered, such as antitumor drugs, antibiotics, thrombolytic drugs, antithrombotic drugs, vasodilators or imaging agents.
  • the surface of the balloon 11 can be provided with a hydrophilic coating to improve the lubricity of the surface of the balloon.
  • the balloon catheter 100 of this embodiment may include a single balloon, or include two nested balloons. As shown in FIG. 8, when the balloon catheter 100 includes two nested balloons, it may include a first balloon 11a (outer balloon) and a second balloon 11b (inner balloon), the second balloon 11b Nested in the first balloon 11a; wherein, the surface of the first balloon 11a is provided with a first administration hole (not shown).
  • the first administration hole does not penetrate the balloon wall of the first balloon 11a; when the balloon catheter 100 is in the second state, the The first dosing hole penetrates through the balloon wall of the first balloon 11a; in addition, the surface of the second balloon 11b is provided with a second dosing hole (not shown), and in the first state and the second state The second dosing hole is always penetrated with the balloon wall of the second balloon 11b.
  • the double-layer balloon can be fully expanded to make full contact with the vessel wall and the air inside the double-layer balloon can be evacuated during the folding process, so as to avoid the formation of air embolism after the air enters the body and the balloon.
  • the outer diameter is small, and the ability to pass through the lesion is strong.
  • the second balloon 11b and the first balloon 11a are fully inflated. After sufficient expansion, the second balloon 11b is continuously filled with the medicinal solution. Under the action of the pressure of the medicinal liquid, the medicinal liquid flows into the first balloon 11a through the second dosing hole on the second balloon 11b, and when the first dosing hole on the first balloon 11a is ruptured, the medicinal liquid flows from the second dosing hole on the second balloon 11b.
  • a balloon 11a overflows into the blood vessel from the first administration hole.
  • this double-layer balloon is beneficial to the buffering effect of the outer layer of the balloon, avoiding the direct injection of the medicinal liquid into the blood vessel at a relatively large speed, reducing the stimulation effect on the blood vessel and reducing the occurrence of vasospasm.
  • the second dosing hole of the second balloon 11b may not penetrate the balloon wall in the initial state, but rupture after subsequent compression, and the first dosing hole of the first balloon 11a Always penetrate the balloon wall of the first balloon 11a.
  • the second administration hole does not penetrate through the balloon wall; when the balloon catheter 100 is in the second state, the first drug delivery hole does not penetrate the wall of the balloon; The second drug delivery hole runs through the balloon wall and is used to release the drug solution. Furthermore, it should be understood that the first dosing hole on the first balloon and the second dosing hole on the second balloon may be dislocated.
  • the balloon catheter 100 of this embodiment can be applied to unbranched blood vessels or branched blood vessels, and can be used for the treatment of blood vessels or cancer.
  • the balloon catheter 100 of the present embodiment can not only administer more accurately, but also has higher safety of administration, and at the same time, the transfer rate of the drug is also high, and the ability to pass through the lesion site is stronger, and the passability is better.
  • the balloon catheter 100 of this embodiment can reduce the side effects of the drug on the human body on the one hand, and realize the slow release and long-term treatment of the drug on the other hand, increase the action period of the drug, and improve the therapeutic effect.

Abstract

A balloon catheter (100), comprising a catheter body (12) and a balloon (11) provided at a distal end of the catheter body (12), wherein a drug delivery hole (111) is provided on the surface of the balloon (11); the balloon catheter (100) has a first state and a second state; when the balloon catheter (100) is in the first state, the drug delivery hole (111) does not penetrate through a balloon wall; when the balloon catheter (100) is in the second state, the drug delivery hole (111) penetrates through the balloon wall for releasing a liquid medicine. During use, when the drug delivery hole does not penetrate through the balloon wall, the pressure of balloon expansion can be ensured to fully expand the balloon, the effect of dilating a blood vessel by the balloon is ensured, and the drug transfer rate is improved; when the drug delivery hole penetrates through the balloon wall, the liquid medicine can be released through the drug delivery hole to achieve the purpose of targeted treatment.

Description

球囊导管Balloon catheter 技术领域technical field
本发明涉及医疗器械技术领域,特别涉及一种球囊导管。The invention relates to the technical field of medical devices, in particular to a balloon catheter.
背景技术Background technique
自上世纪70年代以来,通过介入类医疗器械治疗各种心血管疾病变得越来越常见。介入类医疗器械先后经历了单纯球囊扩张(PTCA)、裸金属支架(BMS)、药物洗脱支架(DES)三个里程碑式的快速发展。尤其是药物涂层支架的出现,在治疗血管狭窄方面取得极大的成功,显示了DES在治疗狭窄方面的潜力。目前,DES是阻塞性冠心病治疗的首选方案,但其具有晚期支架内血栓,血管愈合时间长、容易影响血管脉动等问题。且在支架内再狭窄(ISR)、小血管病变和分叉病变中都限制了DES的应用。在此情况下,药物涂层球囊(DCB)应运而生,并显示了较好的治疗效果。Treatment of various cardiovascular diseases with interventional medical devices has become increasingly common since the 1970s. Interventional medical devices have experienced three milestones of rapid development: simple balloon dilatation (PTCA), bare metal stent (BMS), and drug-eluting stent (DES). In particular, the emergence of drug-eluting stents has achieved great success in the treatment of vascular stenosis, showing the potential of DES in the treatment of stenosis. At present, DES is the first choice for the treatment of obstructive coronary heart disease, but it has problems such as late stent thrombosis, long vascular healing time, and easy influence on vascular pulsation. In-stent restenosis (ISR), small vessel disease and bifurcation disease all limit the application of DES. Under this circumstance, drug-coated balloon (DCB) came into being and showed good therapeutic effect.
目前的药物球囊都是将抗增生药物涂覆在球囊表面,在使用时将球囊推送至靶病变处扩张球囊以释放药物。这种设计的药物球囊在使用上还存在一定的问题。例如,在推送的过程中药物容易脱落损失,导致药物剂量不足甚至脱落的药物会引发毒副作用;药物球囊表面涂覆的药物在扩张时容易形成大的药物颗粒,极易引发远端血管栓塞,具有很高的安全风险;以及药物剂量不可控,且一个球囊只能用于一个部位。针对这些问题,人们设计了灌注药物球囊,即将药物溶液从球囊内腔注入并经球囊表面微孔或其他部分的微孔流出,从而使得药物溶液被组织吸收。这种设计的药物球囊的优点在于在推送过程中药物无损失、无大颗粒的产生、药物剂量可控等。In the current drug balloons, anti-proliferative drugs are coated on the surface of the balloon, and when in use, the balloon is pushed to the target lesion to expand the balloon to release the drug. There are still some problems in the use of the drug balloon of this design. For example, in the process of pushing, the drug is easy to fall off and lose, resulting in insufficient dose of the drug or even the drug that falls off will cause toxic side effects; the drug coated on the surface of the drug balloon is likely to form large drug particles during expansion, which can easily lead to distal vascular embolism. , has a high safety risk; and the drug dose is not controllable, and one balloon can only be used for one site. In response to these problems, perfusion drug balloons are designed, that is, the drug solution is injected from the inner cavity of the balloon and flows out through the micropores on the surface of the balloon or other parts, so that the drug solution is absorbed by the tissue. The advantages of this designed drug balloon are that there is no drug loss during the pushing process, no large particles are generated, and the drug dosage is controllable.
但是,现有的灌注药物球囊(如中国专利CN 104436421 A)存在无法充分扩张的问题,导致球囊与血管壁不能充分贴合,造成了药物的大量流失(药物向远端流失),降低了药物的转移率,而且提高了药物对于人体的副作用。不仅如此,此类药物球囊还存在折叠过程中无法完全将空气排出的问题,使球囊内部残留空气。这不仅增大了球囊的通过外径,而且使得球囊在进入体内之前无法排空而在其内含有气体。这些气体在人体内容易形成气栓,危及 患者生命安全。However, the existing perfusion drug balloon (such as Chinese patent CN 104436421 A) has the problem that it cannot be fully expanded, resulting in the inability of the balloon and the blood vessel wall to fully fit, resulting in a large amount of drug loss (drug loss to the distal end), reducing The transfer rate of the drug is improved, and the side effect of the drug on the human body is improved. Not only that, but this kind of drug balloon also has the problem that the air cannot be completely expelled during the folding process, so that air remains inside the balloon. This not only increases the outside diameter of the passage of the balloon, but also prevents the balloon from being emptied to contain gas before entering the body. These gases can easily form air emboli in the human body, endangering the lives of patients.
发明内容SUMMARY OF THE INVENTION
为了解决上述技术问题,本发明的目的在于提供一种球囊导管,可以确保球囊在充盈过程中能够充分扩张,减少药物的损失,提高药物的转移率,而且不会在人体内形成气栓,提高安全性。In order to solve the above technical problems, the purpose of the present invention is to provide a balloon catheter, which can ensure that the balloon can be fully expanded during the filling process, reduce the loss of drugs, improve the transfer rate of drugs, and will not form air emboli in the human body , to improve security.
为实现上述目的,本发明提供一种球囊导管,包括导管主体和设置于所述导管主体之远端的球囊;其中,所述球囊的表面设置有给药孔;In order to achieve the above object, the present invention provides a balloon catheter, comprising a catheter body and a balloon disposed at the distal end of the catheter body; wherein, a drug administration hole is provided on the surface of the balloon;
所述球囊导管具有第一状态和第二状态;当所述球囊导管处于所述第一状态时,所述给药孔不贯穿球囊壁;当所述球囊导管处于所述第二状态时,所述给药孔贯穿球囊壁,用于释放药液。The balloon catheter has a first state and a second state; when the balloon catheter is in the first state, the administration hole does not penetrate the balloon wall; when the balloon catheter is in the second state In the state, the drug delivery hole penetrates through the balloon wall and is used for releasing the drug solution.
可选地,当所述球囊导管处于所述第一状态时,所述给药孔设置在所述球囊的外表面且不贯穿所述球囊的内表面,或者,所述给药孔设置在所述球囊的内表面且不贯穿所述球囊的外表面。Optionally, when the balloon catheter is in the first state, the administration hole is provided on the outer surface of the balloon and does not penetrate through the inner surface of the balloon, or the administration hole It is disposed on the inner surface of the balloon and does not penetrate the outer surface of the balloon.
可选地,当所述球囊导管处于所述第一状态时,所述给药孔的深度为所述球囊的壁厚的1%~99%。Optionally, when the balloon catheter is in the first state, the depth of the administration hole is 1% to 99% of the wall thickness of the balloon.
可选地,当所述球囊导管处于所述第一状态时,所述给药孔的深度为所述球囊的壁厚的80%。Optionally, when the balloon catheter is in the first state, the depth of the administration hole is 80% of the wall thickness of the balloon.
可选地,所述给药孔的数量为多个,且当所述球囊导管处于所述第一状态时,多个所述给药孔的深度相同或不相同。Optionally, the number of the administration holes is multiple, and when the balloon catheter is in the first state, the depths of the multiple administration holes are the same or different.
可选地,所述给药孔的形状为规则形状或不规则形状。Optionally, the shape of the administration hole is a regular shape or an irregular shape.
可选地,所述给药孔的数量为多个,且多个所述给药孔的形状相同或不相同。Optionally, the number of the administration holes is multiple, and the shapes of the multiple administration holes are the same or different.
可选地,所述给药孔的数量为多个,多个所述给药孔规则或不规则地分布在所述球囊上。Optionally, the number of the administration holes is multiple, and a plurality of the administration holes are regularly or irregularly distributed on the balloon.
可选地,所述球囊扩张后的形状为平直状或哑铃状。Optionally, the expanded shape of the balloon is a straight shape or a dumbbell shape.
可选地,所述球囊由显影材料制成。Optionally, the balloon is made of imaging material.
可选地,利用激光刻蚀工艺在所述球囊的表面形成不贯穿球囊壁的所述 给药孔。Optionally, the drug delivery hole that does not penetrate the wall of the balloon is formed on the surface of the balloon by a laser etching process.
可选地,所述球囊包括第一球囊和第二球囊,所述第二球囊嵌套于所述第一球囊内;Optionally, the balloon includes a first balloon and a second balloon, and the second balloon is nested in the first balloon;
所述给药孔包括第一给药孔和第二给药孔,且在所述第一球囊的表面设置有所述第一给药孔,在所述第二球囊的表面设置有所述第二给药孔;The dosing hole includes a first dosing hole and a second dosing hole, and the first dosing hole is provided on the surface of the first balloon, and the second dosing hole is provided on the surface of the second balloon. the second administration hole;
当所述球囊导管处于所述第一状态时,所述第一给药孔不贯穿所述第一球囊的球囊壁;当所述球囊导管处于所述第二状态时,所述第一给药孔贯穿所述第一球囊的球囊壁,用于释放药液;所述第二给药孔始终贯穿所述第二球囊的球囊壁。When the balloon catheter is in the first state, the first administration hole does not penetrate the balloon wall of the first balloon; when the balloon catheter is in the second state, the first administration hole does not penetrate the balloon wall of the first balloon; The first dosing hole penetrates the balloon wall of the first balloon for releasing the medicinal liquid; the second dosing hole always penetrates the balloon wall of the second balloon.
可选地,所述球囊包括第一球囊和第二球囊,所述第二球囊嵌套于所述第一球囊内;Optionally, the balloon includes a first balloon and a second balloon, and the second balloon is nested in the first balloon;
所述给药孔包括第一给药孔和第二给药孔,且在所述第一球囊的表面设置有所述第一给药孔,在所述第二球囊的表面设置有所述第二给药孔;The dosing hole includes a first dosing hole and a second dosing hole, and the first dosing hole is provided on the surface of the first balloon, and the second dosing hole is provided on the surface of the second balloon. the second administration hole;
当所述球囊导管处于所述第一状态时,所述第二给药孔不贯穿所述第二球囊的球囊壁;当所述球囊导管处于所述第二状态时,所述第二给药孔贯穿所述第二球囊的球囊壁,用于释放药液;所述第一给药孔始终贯穿所述第一球囊的球囊壁。When the balloon catheter is in the first state, the second administration hole does not penetrate through the balloon wall of the second balloon; when the balloon catheter is in the second state, the second administration hole does not penetrate the balloon wall of the second balloon; The second dosing hole penetrates the balloon wall of the second balloon for releasing the medical liquid; the first dosing hole always penetrates the balloon wall of the first balloon.
可选地,所述第一给药孔和第二给药孔错位设置。Optionally, the first dosing hole and the second dosing hole are dislocated.
可选地,所述给药孔用于在药液充盈所述球囊时,在所述药液的压力作用下贯穿所述球囊壁。Optionally, the drug delivery hole is used to penetrate through the balloon wall under the pressure of the medicinal liquid when the medicinal liquid fills the balloon.
在本发明的球囊导管中,球囊表面设置有给药孔,且给药孔在释放药液之前与球囊不贯通,以使球囊在充盈过程中能够充分扩张,从而与血管壁充分贴合。当球囊内部的压力达到一定值后,由于给药孔处的结构比较薄弱,给药孔在药液的压力作用下破裂而泄漏药液,从而释放药液,使灌注的药液能够持续地转移至病变部位,达到靶向治疗的目的。这种给药孔的结构设计,保证了球囊扩张血管的效果,使药液能够及时转移到病变部位,减少了药液的流失,并防止了过量药物进入人体循环,降低了药物对人体的副作用。而且,在给药孔破裂而泄漏药液之前,也方便在折叠过程中将球囊内部的空气 完全排空,使球囊内部不会残留空气,以此减小球囊的通过外径,提升球囊通过病变部位的能力。此外,球囊在进入体内之前被排空,内部不存在空气,也减少了在血管中气栓形成的几率,提高了手术的安全性,降低了手术风险。In the balloon catheter of the present invention, a dosing hole is provided on the surface of the balloon, and the dosing hole does not pass through with the balloon before releasing the medicinal liquid, so that the balloon can be fully expanded during the filling process, so as to be fully connected with the blood vessel wall. fit. When the pressure inside the balloon reaches a certain value, due to the weak structure of the drug delivery hole, the drug delivery hole ruptures under the pressure of the drug solution and leaks the drug solution, thereby releasing the drug solution, so that the injected drug solution can continue to Metastases to the lesion site to achieve the purpose of targeted therapy. The structure design of this drug delivery hole ensures the effect of balloon dilation of blood vessels, so that the medicinal liquid can be transferred to the diseased part in time, which reduces the loss of medicinal liquid, prevents excessive drugs from entering the human body circulation, and reduces the effect of drugs on the human body. side effect. Moreover, before the dosing hole is ruptured and the liquid medicine leaks, it is also convenient to completely empty the air inside the balloon during the folding process, so that no air remains inside the balloon, thereby reducing the passing outer diameter of the balloon and improving the efficiency of the balloon. The ability of the balloon to pass through the lesion. In addition, the balloon is evacuated before entering the body, and there is no air inside, which also reduces the probability of air embolism in the blood vessel, improves the safety of the operation, and reduces the risk of the operation.
附图说明Description of drawings
图1是本发明优选实施例提供的球囊导管的结构示意图;1 is a schematic structural diagram of a balloon catheter provided by a preferred embodiment of the present invention;
图2是本发明优选实施例提供的在球囊表面设置圆形的给药孔的示意图,其中,给药孔规则地分布在球囊上;Fig. 2 is a schematic diagram of setting round dosing holes on the surface of the balloon provided by a preferred embodiment of the present invention, wherein the dosing holes are regularly distributed on the balloon;
图3是本发明优选实施例提供的在球囊表面设置长方形的给药孔的示意图,其中,给药孔规则地分布在球囊上;Fig. 3 is a schematic diagram of setting rectangular dosing holes on the surface of the balloon provided by a preferred embodiment of the present invention, wherein the dosing holes are regularly distributed on the balloon;
图4是本发明优选实施例提供的在球囊表面设置圆形的给药孔的示意图,其中,给药孔规则地分布在球囊上,且给药孔的直径更大,分布更稀疏;Fig. 4 is a schematic diagram of setting round dosing holes on the surface of the balloon provided by a preferred embodiment of the present invention, wherein the dosing holes are regularly distributed on the balloon, and the diameter of the dosing holes is larger and the distribution is more sparse;
图5是本发明优选实施例提供的在球囊表面设置规则和不规则形状的给药孔的示意图;5 is a schematic diagram of setting regular and irregular shaped dosing holes on the surface of the balloon provided by a preferred embodiment of the present invention;
图6是本发明优选实施例提供的在球囊内表面上设置给药孔的示意图;FIG. 6 is a schematic diagram of setting a drug delivery hole on the inner surface of the balloon according to a preferred embodiment of the present invention;
图7是本发明优选实施例提供的在球囊外表面上设置给药孔的示意图;Figure 7 is a schematic diagram of setting a drug delivery hole on the outer surface of the balloon provided by a preferred embodiment of the present invention;
图8是本发明优选实施例提供的具有双层球囊的球囊导管的远端位置的示意图。FIG. 8 is a schematic diagram of the distal end position of a balloon catheter with a double-layered balloon provided by a preferred embodiment of the present invention.
具体实施方式detailed description
以下通过特定的具体实例说明本发明的实施方式,本领域技术人员可由本说明书所揭露的内容轻易地了解本发明的其他优点与功效。本发明还可以通过其他不同的具体实施方式加以实施或应用。本说明书中的各项细节也可以基于不同观点与应用,在没有背离本发明的精神下进行各种修饰或改变。需要说明的是,本实施例中所提供的附图仅以示意方式说明本发明的基本构想,因此附图中仅显示与本发明中有关的组件而非按照实际实施时的组件数目、形状及尺寸绘制。实际实施时各组件的型态、数量及比例可随意改变,且各组件的布局型态也可能更为复杂。The embodiments of the present invention are described below through specific specific examples, and those skilled in the art can easily understand other advantages and effects of the present invention from the contents disclosed in this specification. The present invention can also be implemented or applied in other different specific embodiments. Various details in this specification can also be modified or changed in various ways without departing from the spirit of the present invention based on different viewpoints and applications. It should be noted that the drawings provided in this embodiment are only used to illustrate the basic concept of the present invention in a schematic way, so the drawings only show the components related to the present invention rather than the number, shape and the number of components in actual implementation. Dimensions are drawn. In actual implementation, the type, quantity and proportion of each component can be changed at will, and the layout of each component may also be more complicated.
另外,以下说明内容的各个实施例分别具有一个或多个技术特征,然此并不意味着使用本发明者必需同时实施任一实施例中的所有技术特征,或仅能分开实施不同实施例中的一部或全部技术特征。换句话说,在实施为可能的前提下,本领域技术人员可依据本发明的公开内容,并视设计规范或际需求,选择性地实施任一实施例中的部分或全部的技术特征,或者选择性地实施多个实施例中的部分或全部的技术特征的组合,借此增加本发明实施时的弹性。In addition, each embodiment of the following description has one or more technical features, but this does not mean that the person using the present invention must implement all the technical features in any embodiment at the same time, or can only implement different embodiments separately. One or all of the technical features of the . In other words, under the premise of possible implementation, those skilled in the art can selectively implement some or all of the technical features in any embodiment according to the disclosure of the present invention and depending on design specifications or actual requirements, or A combination of some or all of the technical features in the multiple embodiments is selectively implemented, thereby increasing the flexibility of the implementation of the present invention.
为使本发明的目的、优点和特征更加清楚,以下结合附图对本发明作进一步详细说明。需说明的是,附图均采用非常简化的形式且均使用非精准的比例,仅用以方便、明晰地辅助说明本发明实施例的目的。如在本说明书中所使用的,单数形式“一”、“一个”以及“该”包括复数对象,除非内容另外明确指出外。如在本说明书中所使用的,“多个”的含义通常包括至少二个,除非内容另外明确指出外。如在本说明书中所使用的,术语“或”通常是以包括“和/或”的含义而进行使用的,除非内容另外明确指出外。还应理解的是,本发明在各个实施例中重复参考数字和/或字母。该重复是出于简单和清楚的目的,并且其本身不指示所讨论的各种实施例和/或配置之间的关系。还将理解的是,当元件被称为“连接”另一个元件时,其可以直接连接至另一个元件,或者可以存在一个或多个中间元件。本文中,所述近端为靠近操作者的一端,所述远端为首先进入人体的一端。In order to make the objects, advantages and features of the present invention clearer, the present invention will be further described in detail below with reference to the accompanying drawings. It should be noted that, the accompanying drawings are all in a very simplified form and in inaccurate scales, and are only used to facilitate and clearly assist the purpose of explaining the embodiments of the present invention. As used in this specification, the singular forms "a," "an," and "the" include plural referents unless the content clearly dictates otherwise. As used in this specification, the meaning of "plurality" generally includes at least two, unless the content clearly dictates otherwise. As used in this specification, the term "or" is generally employed in its sense including "and/or" unless the content clearly dictates otherwise. It will also be understood that the present invention repeats reference numerals and/or letters in various embodiments. This repetition is for simplicity and clarity, and does not in itself indicate a relationship between the various embodiments and/or configurations discussed. It will also be understood that when an element is referred to as being "connected" to another element, it can be directly connected to the other element or one or more intervening elements may be present. Here, the proximal end is the end close to the operator, and the distal end is the end that first enters the human body.
本发明的核心思想是提供一种球囊导管,其中,给药孔设置于球囊表面上设置,用于释放药液,但在释放药液之前并没有贯穿球囊壁,不存在药液从球囊泄漏的问题。这样做,保证了球囊的完整性,使球囊在充盈过程中的压力能够保持,从而能够充分扩张并与血管壁充分贴合,减少药液的损失,提高药物的转移率,防止过量药物进入人体循环,降低药物对人体的副作用。此外,当球囊内部的压力达到一定值后,由于给药孔处的结构比较薄弱(即给药孔处的球囊的壁较薄,受压极限强度低,容易破裂),球囊在给药孔处容易受药液的压力作用破裂。在给药孔破裂后,球囊内部的药液便可以得到释放,使药液转移至病变部位,达到靶向治疗目的。尤其的,因为给药孔在初 始时不贯穿球囊,所以在折叠过程中,容易将球囊内部的空气完全排空,使球囊内部不会残留空气,从而减小球囊的通过外径,使球囊的通过外径容易被设计为理论上的最小值。应理解,球囊的通过外径越小,越容易通过病变部位,穿越病变部位的能力越强。应理解,通过外径即是球囊导管通过病变处的最小外径。而且,由于球囊在进入体内之前被排空,内部不存在空气,减少了血管中气栓形成的几率,提高了手术的安全性,降低了手术风险。The core idea of the present invention is to provide a balloon catheter, wherein the drug delivery hole is provided on the surface of the balloon for releasing the medicinal liquid, but before the medicinal liquid is released, it does not penetrate through the balloon wall, and there is no medicinal liquid from The problem of balloon leakage. In this way, the integrity of the balloon is ensured, so that the pressure of the balloon can be maintained during the filling process, so that the balloon can be fully expanded and fully fitted with the blood vessel wall, reducing the loss of the drug solution, improving the transfer rate of the drug, and preventing overdose. Enter the circulation of the human body and reduce the side effects of the drug on the human body. In addition, when the pressure inside the balloon reaches a certain value, due to the relatively weak structure at the dosing hole (that is, the wall of the balloon at the dosing hole is thin, the ultimate compression strength is low, and it is easy to rupture), the balloon will not The drug hole is easily ruptured by the pressure of the drug solution. After the dosing hole is ruptured, the medicinal liquid inside the balloon can be released, so that the medicinal liquid can be transferred to the lesion site to achieve the purpose of targeted therapy. In particular, because the dosing hole does not penetrate the balloon initially, it is easy to completely empty the air inside the balloon during the folding process, so that no air remains inside the balloon, thereby reducing the outer diameter of the balloon. , so that the outer diameter of the balloon can be easily designed to be the theoretical minimum value. It should be understood that, the smaller the passing outer diameter of the balloon, the easier it is to pass through the diseased part, and the stronger the ability to pass through the diseased part. It should be understood that the passing outer diameter is the minimum outer diameter of the balloon catheter passing through the lesion. Moreover, since the balloon is evacuated before entering the body, there is no air inside, which reduces the probability of air embolism in the blood vessel, improves the safety of the operation, and reduces the risk of the operation.
以下结合附图和优选实施例对本发明提出的球囊导管做进一步的说明。The balloon catheter proposed by the present invention will be further described below with reference to the accompanying drawings and preferred embodiments.
图1为本发明优选实施例提供的球囊导管的结构示意图。如图1所示,本发明实施例提供一种球囊导管100,该球囊导管100可以是同轴整体交换型(Over The Wire,OTW)或者快速交换型(Rapid Exchange System)。具体交换形式不加限定。FIG. 1 is a schematic structural diagram of a balloon catheter provided by a preferred embodiment of the present invention. As shown in FIG. 1 , an embodiment of the present invention provides a balloon catheter 100 , and the balloon catheter 100 may be a coaxial overall exchange type (Over The Wire, OTW) or a rapid exchange type (Rapid Exchange System). The specific exchange form is not limited.
本实施例的球囊导管100为灌注药物球囊,其通过球囊表面的孔为病变部位提供药物。具体的,所述球囊导管100包括球囊11和导管主体12,所述球囊11设置于导管主体12的远端。球囊11可以是单层球囊或多层球囊,不作限定。所谓单层球囊是指球囊11的数量为一个,但球囊11仅具有由相同材料制成的一层壁。所谓多层球囊是指球囊11的数量为一个,但球囊11由不同材料制成的多层壁组成,如由两层不同材料的壁组成。The balloon catheter 100 of the present embodiment is a drug perfusion balloon, which provides drugs to the lesion through a hole on the surface of the balloon. Specifically, the balloon catheter 100 includes a balloon 11 and a catheter body 12 , and the balloon 11 is disposed at the distal end of the catheter body 12 . The balloon 11 may be a single-layer balloon or a multi-layer balloon, which is not limited. The so-called single-layer balloon means that the number of balloons 11 is one, but the balloon 11 has only one wall made of the same material. The so-called multi-layer balloon means that the number of the balloon 11 is one, but the balloon 11 is composed of multi-layer walls made of different materials, such as two layers of walls of different materials.
接着如图2和图3所示,所述球囊11的表面开设有若干给药孔111。给药孔111的数量没有要求,且所述给药孔111的形状亦不限定,可以是图2至图4所示的规则形状,也可以是图5所示的不规则形状。规则形状的给药孔111可以是圆形,还可以是长方形,或者为三角形、四边形或其他多边形,也可以是椭圆形等。进一步的,在球囊11上的给药孔111的形状可以相同或不相同。进一步的,在球囊11上既可以设置规则形状的给药孔111,还可同时设置不规则形状的给药孔111,或者是,在球囊11上统一设置规则形状的给药孔111或不规则形状的给药孔111。例如图2和图4所示,在球囊11上统一设置圆形的给药孔111;或者如图3所示,在球囊11上统一设置长方形的给药孔111;或者如图5所示,在球囊11上既设置椭圆形的给药孔111,又设置不规则形状的给药孔111。因此,给药孔111存在多种设置方式,本发明 对此没有限定。Next, as shown in FIG. 2 and FIG. 3 , a plurality of drug administration holes 111 are opened on the surface of the balloon 11 . The number of the administration holes 111 is not required, and the shape of the administration holes 111 is not limited. It may be a regular shape as shown in FIG. 2 to FIG. The regular-shaped dosing hole 111 may be a circle, a rectangle, a triangle, a quadrangle or other polygons, an ellipse, or the like. Further, the shapes of the administration holes 111 on the balloon 11 may be the same or different. Further, the balloon 11 can be provided with both regular-shaped drug delivery holes 111 and irregularly-shaped drug delivery holes 111 at the same time. Irregularly shaped dosing holes 111 . For example, as shown in FIG. 2 and FIG. 4 , circular drug administration holes 111 are uniformly provided on the balloon 11 ; or as shown in FIG. 3 , rectangular drug administration holes 111 are uniformly provided on the balloon 11 ; or as shown in FIG. 5 . As shown, the balloon 11 is provided with both an elliptical dosing hole 111 and an irregularly shaped dosing hole 111 . Therefore, the administration holes 111 can be arranged in various manners, which are not limited in the present invention.
应知晓,无论何种给药孔111,当球囊导管100处于第一状态下(也即初始状态)时,给药孔111并不贯穿球囊壁,也即给药孔111仅与球囊外表面贯通或与球囊内表面贯通,而不同时贯通球囊11的内表面和外表面。但当球囊导管100处于第二状态时(即给药孔111破裂而泄漏药液,此为使用状态),给药孔111贯穿球囊壁,也即给药孔111与球囊的外表面和内表面贯通,以释放药液。在一些实施例中,如图6所示,在球囊的内表面112上打孔形成给药孔111,给药孔111的深度可以相同或不相同。例如,给药孔111的深度各不相同,以适应壁厚不均匀的球囊,且这些给药孔111均不贯通球囊的外表面113。在另一些实施例中,如图7所示,在球囊的外表面113上打孔形成给药孔111,给药孔111的深度可以相同或不相同。例如,给药孔111的深度各不相同,以适应壁厚不均匀的球囊,且这些给药孔111均不贯通球囊的内表面112。本发明对给药孔111的形成方式不加限定,例如可以通过进样针在球囊11的表面上打孔形成圆形的给药孔111,或者使用激光刻蚀工艺在球囊11的表面上打孔形成规则或不规则形状的给药孔111。应理解,球囊的壁厚通常很小,例如只有0.03mm~0.04mm。在如此薄的球囊壁上加工不贯穿球囊的给药孔,在工艺上存在一定的难度。为了克服此难度,优选利用激光刻蚀工艺在球囊11的表面开设不贯穿球囊壁的给药孔111,且为了保证打孔的精度,在激光控制参数上做了优化。优选激光的焦点在球囊的厚度方向的预定深度上,并且激光的焦点远小于球囊的壁厚。此外,激光光源优选为二氧化碳、紫外光或蓝光光源,激光的能量为0.001MW~1000MW,激光波长优选为1nm~2000nm,以此方便在类似球体的球囊上精确加工不击穿球囊的给药孔111,保证给药孔111的加工精度。It should be known that no matter what kind of administration hole 111 is, when the balloon catheter 100 is in the first state (ie, the initial state), the administration hole 111 does not penetrate through the balloon wall, that is, the administration hole 111 is only connected to the balloon. The outer surface penetrates or communicates with the inner surface of the balloon without penetrating both the inner and outer surfaces of the balloon 11 at the same time. However, when the balloon catheter 100 is in the second state (ie, the drug delivery hole 111 is ruptured and the drug solution is leaked, which is the use state), the drug delivery hole 111 penetrates the wall of the balloon, that is, the drug delivery hole 111 and the outer surface of the balloon It penetrates through the inner surface to release the liquid medicine. In some embodiments, as shown in FIG. 6 , the inner surface 112 of the balloon is perforated to form the administration hole 111 , and the depth of the administration hole 111 may be the same or different. For example, the depths of the administration holes 111 are different to accommodate balloons with uneven wall thickness, and none of these administration holes 111 penetrates through the outer surface 113 of the balloon. In other embodiments, as shown in FIG. 7 , holes are formed on the outer surface 113 of the balloon to form dosing holes 111 , and the depths of the dosing holes 111 may be the same or different. For example, the depths of the administration holes 111 are different to accommodate balloons with uneven wall thickness, and none of these administration holes 111 penetrates through the inner surface 112 of the balloon. The present invention does not limit the formation method of the drug delivery hole 111 , for example, a circular drug delivery hole 111 can be formed by punching a hole on the surface of the balloon 11 through a sample injection needle, or a laser etching process can be used on the surface of the balloon 11 The upper holes are punched to form regular or irregular shaped dosing holes 111 . It should be understood that the wall thickness of the balloon is usually very small, eg, only 0.03 mm to 0.04 mm. There are certain difficulties in the process of processing a drug delivery hole that does not penetrate the balloon on such a thin balloon wall. In order to overcome this difficulty, it is preferable to use a laser etching process to open a drug delivery hole 111 on the surface of the balloon 11 that does not penetrate the balloon wall, and in order to ensure the accuracy of the punching, the laser control parameters are optimized. Preferably, the focal point of the laser is at a predetermined depth in the thickness direction of the balloon, and the focal point of the laser is much smaller than the wall thickness of the balloon. In addition, the laser light source is preferably carbon dioxide, ultraviolet light or blue light source, the energy of the laser is 0.001MW~1000MW, and the wavelength of the laser is preferably 1nm~2000nm, so as to facilitate accurate processing on the ball-like balloon without breaking the balloon. The medicine hole 111 ensures the machining accuracy of the medicine hole 111 .
进一步的,所述给药孔111可以规则地或不规则地分布在球囊11上,例如图2至图4所示,所述给药孔111规则地分布在球囊11上,又例如图5所示,所述给药孔111不规则地分布在球囊11上。较佳地,所述给药孔111不规则地分布在球囊11上,不仅有利于减小给药孔111的孔径,而且也方便适应不规则的病变位置,实现不规则病变位置的靶向给药。此外,在第一状态 下,所述给药孔111的深度优选为球囊壁厚的1%~99%。例如为10%~90%,30%~90%,50%~90%,70%~90%。所述给药孔111的深度更优选为球囊壁厚的80%,保证在较低的药液压力作用下给药孔111能够破裂泄漏。另外,所述给药孔111优选沿球囊11的整个周向分布,以实现360°的给药。Further, the administration holes 111 may be distributed on the balloon 11 regularly or irregularly, for example, as shown in FIG. 2 to FIG. 4 , the administration holes 111 are regularly distributed on the balloon 11 , as shown in FIG. 5, the administration holes 111 are irregularly distributed on the balloon 11. Preferably, the dosing holes 111 are irregularly distributed on the balloon 11, which not only helps to reduce the diameter of the dosing holes 111, but also facilitates adaptation to irregular lesions, so as to achieve the targeting of irregular lesions. dosing. In addition, in the first state, the depth of the administration hole 111 is preferably 1% to 99% of the wall thickness of the balloon. For example, 10% to 90%, 30% to 90%, 50% to 90%, and 70% to 90%. More preferably, the depth of the administration hole 111 is 80% of the wall thickness of the balloon, so as to ensure that the administration hole 111 can rupture and leak under the action of a lower pressure of the medical fluid. In addition, the administration holes 111 are preferably distributed along the entire circumference of the balloon 11 to achieve 360° administration.
进一步的,所述导管主体12包括外管121和内管122,所述内管122插入外管121中,且所述内管122的远端伸出外管121的远端。所述球囊11的近端与外管121连接,球囊11的远端与内管122连接。其中,所述内管122用于通导丝,所述外管121和内管122之间形成灌注通道,所述灌注通道的远端与球囊11的内腔连通,以通过灌注通道向球囊11的内部输送药液。在输送药液的过程中,首先当给药孔111未打开时,可通过药液充盈球囊11,而在给药孔111打开后,即可通过给药孔111释放药液。Further, the catheter body 12 includes an outer tube 121 and an inner tube 122 , the inner tube 122 is inserted into the outer tube 121 , and the distal end of the inner tube 122 protrudes from the distal end of the outer tube 121 . The proximal end of the balloon 11 is connected to the outer tube 121 , and the distal end of the balloon 11 is connected to the inner tube 122 . Wherein, the inner tube 122 is used for a guide wire, a perfusion channel is formed between the outer tube 121 and the inner tube 122, and the distal end of the perfusion channel is communicated with the inner cavity of the balloon 11, so as to pass the perfusion channel to the balloon The inside of the balloon 11 is transported with a medical liquid. In the process of delivering the drug solution, first, when the drug delivery hole 111 is not opened, the balloon 11 can be filled with the drug solution, and after the drug solution hole 111 is opened, the drug solution can be released through the drug solution hole 111 .
进一步的,在内管122位于球囊11内的区段上设置有由显影材料制成的显影结构,用于在手术过程中定位球囊11。所述显影结构可包括近端显影结构123和远端显影结构124,这些显影结构可以为显影点、显影环或显影段。例如所述显影结构可嵌套在内管122上,或者与内管122一体制作而成。例如,在制作时,将内管122位于球囊11内部的一些长度设计为可显影,使显影结构与内管122一体成型。所述近端显影结构123对应于球囊11的近端设置,方便在X光下显影定位球囊近端的位置,所述远端显影结构124对应于球囊11的远端设置,方便在X光下显影定位球囊远端的位置。Further, a section of the inner tube 122 located in the balloon 11 is provided with a developing structure made of a developing material for positioning the balloon 11 during the operation. The developing structures may include proximal developing structures 123 and distal developing structures 124, and these developing structures may be developing spots, developing rings or developing segments. For example, the developing structure can be nested on the inner tube 122 , or made integrally with the inner tube 122 . For example, during manufacture, some lengths of the inner tube 122 inside the balloon 11 are designed to be developed, so that the developing structure and the inner tube 122 are integrally formed. The proximal visualization structure 123 is disposed corresponding to the proximal end of the balloon 11, which is convenient for imaging and positioning the position of the proximal end of the balloon under X-rays. The position of the distal end of the balloon is located by X-ray imaging.
优选的,所述球囊11由显影材料制成,使球囊11自身也可显影,方便在手术过程中观察球囊11的扩张状态,以便医生更准确地进行手术操作。制备球囊11的显影材料不限定,包括但不限于硫酸钡。所述球囊11的形状可以是平直状,即扩张后的球囊11为圆柱体,具有均一的直径,便于匹配直径均一的血管。在其他实施例中,所述球囊11的形状可以是哑铃状,即两端大,中间小。考虑到对于长的病变,血管本身存在一定的锥度,为了使药物与血管壁充分接触,而且远端的球囊不伤及正常血管,球囊11的形状优选为哑铃状。哑铃形状的球囊11的好处还在于,能够在两头形成封堵,避免药液向远端流失,确保药液的转移率。其中,当球囊11为哑铃形状时,给药孔111主 要设置在中间的平直段上。Preferably, the balloon 11 is made of a developing material, so that the balloon 11 itself can also be visualized, which is convenient for observing the expansion state of the balloon 11 during the operation, so that the doctor can perform the operation more accurately. The developing material for preparing the balloon 11 is not limited, including but not limited to barium sulfate. The shape of the balloon 11 can be straight, that is, the balloon 11 after expansion is a cylinder with a uniform diameter, which is convenient for matching blood vessels with a uniform diameter. In other embodiments, the shape of the balloon 11 may be a dumbbell shape, that is, the two ends are large and the middle is small. Considering that for long lesions, the blood vessel itself has a certain taper, in order to make the drug fully contact with the blood vessel wall, and the balloon at the distal end does not damage the normal blood vessel, the shape of the balloon 11 is preferably a dumbbell shape. The advantage of the dumbbell-shaped balloon 11 is that it can form a blockage at both ends to prevent the loss of the medicinal liquid to the distal end and ensure the transfer rate of the medicinal liquid. Wherein, when the balloon 11 is in the shape of a dumbbell, the drug delivery hole 111 is mainly arranged on the middle straight section.
进一步的,所述球囊导管还包括手柄13,手柄13可为“Y”形状,设置在导管主体12的近端,可与内管122和外管121的近端连接。进一步的,在手柄13上可设置多个鲁尔接头,如两个鲁尔接头。导丝可通过鲁尔接头穿入导管,且外部供液装置可与鲁尔接头连接,从而向导管内输送药液。进一步的,所述球囊导管还包括应力扩散管14,所述外管121通过应力扩散管14与手柄13连接。应力扩散管14的作用是在导管推进的过程中减少推送力的损失。进一步的,所述应力扩散管14与手柄13通过物理结合的方式连接在一起,例如手柄13的内径大于应力扩散管14的外径,便于应力扩散管14插入手柄13并通过弹性变形的方式结合在一起。Further, the balloon catheter further includes a handle 13 . The handle 13 may have a “Y” shape, is disposed at the proximal end of the catheter body 12 , and can be connected to the proximal ends of the inner tube 122 and the outer tube 121 . Further, a plurality of Luer connectors, such as two Luer connectors, may be provided on the handle 13 . The guide wire can be passed through the catheter through the luer connector, and the external fluid supply device can be connected with the luer connector, so as to deliver the medical fluid into the catheter. Further, the balloon catheter further includes a stress diffusion tube 14 , and the outer tube 121 is connected to the handle 13 through the stress diffusion tube 14 . The function of the stress diffuser tube 14 is to reduce the loss of pushing force during the advancement of the catheter. Further, the stress diffusion tube 14 and the handle 13 are physically connected together, for example, the inner diameter of the handle 13 is larger than the outer diameter of the stress diffusion tube 14, so that the stress diffusion tube 14 can be inserted into the handle 13 and combined by elastic deformation. together.
接下去对本实施例的球囊导管的工作方式再作进一步的说明。Next, the working mode of the balloon catheter of this embodiment will be further described.
首先,当球囊11进入体内之后,通过内管122上的显影结构定位好球囊11后,将药液通过灌注通道送入球囊11,使球囊11充盈。当球囊11到达名义直径后,保持压力不变,使球囊11保持充分扩张状态而与血管壁充分接触。此后,可以继续加压或维持压力,直至给药孔11破裂而释放药液。这使得药液通过给药孔111释放并被病变部位吸收,达到相应的治疗效果。如此设置,在实现靶向给药的同时,还能防止过量药物进入人体循环,降低药物对于人体的副作用。而且,球囊11表面的给药孔111在周向上可360°分布,实现360°全方位的给药,给药效率高。First, after the balloon 11 enters the body, after positioning the balloon 11 through the imaging structure on the inner tube 122 , the medicinal liquid is sent into the balloon 11 through the perfusion channel to inflate the balloon 11 . When the balloon 11 reaches the nominal diameter, the pressure is kept constant, so that the balloon 11 is kept in a fully expanded state and fully in contact with the vessel wall. Thereafter, the pressure can be continued or maintained until the administration hole 11 is ruptured to release the medicinal liquid. This enables the medicinal liquid to be released through the drug delivery hole 111 and absorbed by the diseased site, so as to achieve a corresponding therapeutic effect. With this arrangement, while achieving targeted drug delivery, it can also prevent excessive drugs from entering the circulation of the human body and reduce the side effects of the drugs on the human body. Moreover, the administration holes 111 on the surface of the balloon 11 can be distributed 360° in the circumferential direction, so as to realize 360° omnidirectional administration, and the administration efficiency is high.
进一步的,本发明对给药的药物种类不限定,如可以是抗肿瘤药物、抗生素、溶栓药物、抗血栓药物、血管扩张剂或显影剂等。另外,球囊11的表面可设置亲水涂层,提高球囊表面的润滑性。Further, the present invention does not limit the types of drugs to be administered, such as antitumor drugs, antibiotics, thrombolytic drugs, antithrombotic drugs, vasodilators or imaging agents. In addition, the surface of the balloon 11 can be provided with a hydrophilic coating to improve the lubricity of the surface of the balloon.
进一步的,本实施例的球囊导管100可以包括单个球囊,或者包括两个嵌套的球囊。如图8所示,当球囊导管100包括两个嵌套的球囊时,可包括第一球囊11a(外球囊)和第二球囊11b(内球囊),第二球囊11b嵌套在第一球囊11a内;其中,第一球囊11a的表面设置有第一给药孔(未图示)。当所述球囊导管100处于所述第一状态时,所述第一给药孔不贯穿第一球囊11a的球囊壁;当所述球囊导管100处于所述第二状态时,所述第一给药孔贯穿 第一球囊11a的球囊壁;此外,所述第二球囊11b的表面设置有第二给药孔(未图示),且在第一状态和第二状态下,所述第二给药孔始终与第二球囊11b的球囊壁贯穿。同理,在充盈过程中,双层球囊可以充分扩张而与血管壁充分接触以及在折叠过程中能够排空双层球囊内部的空气,以避免空气进入体内后形成气栓和使得球囊的通过外径小,穿越病变部位的能力强。更详细地,药液通过导通主体12中的灌注通道进入第二球囊11b后,使第二球囊11b和第一球囊11a充分扩张。充分扩张后,继续向第二球囊11b灌注药液。受药液压力作用,药液通过第二球囊11b上的第二给药孔流进第一球囊11a,且当第一球囊11a上的第一给药孔破裂后,药液从第一球囊11a上的第一给药孔中溢出到血管内。这种双层球囊的设计,有利于通过外层球囊的缓冲作用,避免药液以较大的速度直接喷射进血管,降低对血管的刺激作用,减少血管痉挛的发生。可替代地,所述第二球囊11b的第二给药孔可以在初始状态时不贯穿球囊壁,而在后续受压后破裂,且所述第一球囊11a的第一给药孔始终贯穿第一球囊11a的球囊壁。更具体地,当所述球囊导管100处于所述第一状态时,所述第二给药孔不贯穿球囊壁;当所述球囊导管100处于所述第二状态时,所述第二给药孔贯穿球囊壁,用于释放药液。此外,应知晓,第一球囊上的第一给药孔和第二球囊上的第二给药孔可错位设置。Further, the balloon catheter 100 of this embodiment may include a single balloon, or include two nested balloons. As shown in FIG. 8, when the balloon catheter 100 includes two nested balloons, it may include a first balloon 11a (outer balloon) and a second balloon 11b (inner balloon), the second balloon 11b Nested in the first balloon 11a; wherein, the surface of the first balloon 11a is provided with a first administration hole (not shown). When the balloon catheter 100 is in the first state, the first administration hole does not penetrate the balloon wall of the first balloon 11a; when the balloon catheter 100 is in the second state, the The first dosing hole penetrates through the balloon wall of the first balloon 11a; in addition, the surface of the second balloon 11b is provided with a second dosing hole (not shown), and in the first state and the second state The second dosing hole is always penetrated with the balloon wall of the second balloon 11b. In the same way, during the filling process, the double-layer balloon can be fully expanded to make full contact with the vessel wall and the air inside the double-layer balloon can be evacuated during the folding process, so as to avoid the formation of air embolism after the air enters the body and the balloon. The outer diameter is small, and the ability to pass through the lesion is strong. In more detail, after the medicinal liquid enters the second balloon 11b through the perfusion channel in the conduction body 12, the second balloon 11b and the first balloon 11a are fully inflated. After sufficient expansion, the second balloon 11b is continuously filled with the medicinal solution. Under the action of the pressure of the medicinal liquid, the medicinal liquid flows into the first balloon 11a through the second dosing hole on the second balloon 11b, and when the first dosing hole on the first balloon 11a is ruptured, the medicinal liquid flows from the second dosing hole on the second balloon 11b. A balloon 11a overflows into the blood vessel from the first administration hole. The design of this double-layer balloon is beneficial to the buffering effect of the outer layer of the balloon, avoiding the direct injection of the medicinal liquid into the blood vessel at a relatively large speed, reducing the stimulation effect on the blood vessel and reducing the occurrence of vasospasm. Alternatively, the second dosing hole of the second balloon 11b may not penetrate the balloon wall in the initial state, but rupture after subsequent compression, and the first dosing hole of the first balloon 11a Always penetrate the balloon wall of the first balloon 11a. More specifically, when the balloon catheter 100 is in the first state, the second administration hole does not penetrate through the balloon wall; when the balloon catheter 100 is in the second state, the first drug delivery hole does not penetrate the wall of the balloon; The second drug delivery hole runs through the balloon wall and is used to release the drug solution. Furthermore, it should be understood that the first dosing hole on the first balloon and the second dosing hole on the second balloon may be dislocated.
最后,应理解,本实施例的球囊导管100可适用于无分支的血管或有分支的血管,且可用于血管或者癌症的治疗。本实施例的球囊导管100不仅可以更加精准的给药,而且给药的安全性更高,同时药物的转移率也高,且穿越病变部位的能力更强,通过性更好。此外,本实施例的球囊导管100还可一方面减小药物对人体的副作用,另一方面实现药物的缓慢释放和长期治疗,增加药物的作用周期,改善治疗效果。Finally, it should be understood that the balloon catheter 100 of this embodiment can be applied to unbranched blood vessels or branched blood vessels, and can be used for the treatment of blood vessels or cancer. The balloon catheter 100 of the present embodiment can not only administer more accurately, but also has higher safety of administration, and at the same time, the transfer rate of the drug is also high, and the ability to pass through the lesion site is stronger, and the passability is better. In addition, the balloon catheter 100 of this embodiment can reduce the side effects of the drug on the human body on the one hand, and realize the slow release and long-term treatment of the drug on the other hand, increase the action period of the drug, and improve the therapeutic effect.
上述描述仅是对本发明较佳实施例的描述,并非对本发明范围的任何限定,本发明领域的普通技术人员根据上述揭示内容做的任何变更、修饰,均属于本发明的保护范围。The above description is only a description of the preferred embodiments of the present invention, and is not intended to limit the scope of the present invention. Any changes and modifications made by those of ordinary skill in the field of the present invention based on the above disclosure all belong to the protection scope of the present invention.

Claims (15)

  1. 一种球囊导管,其特征在于,包括导管主体和设置于所述导管主体之远端的球囊;其中,所述球囊的表面设置有给药孔;A balloon catheter, characterized in that it comprises a catheter body and a balloon disposed at the distal end of the catheter body; wherein, a drug administration hole is provided on the surface of the balloon;
    所述球囊导管具有第一状态和第二状态;当所述给球囊导管处于所述第一状态时,所述给药孔不贯穿球囊壁;当所述球囊导管处于所述第二状态时,所述给药孔贯穿球囊壁,用于释放药液。The balloon catheter has a first state and a second state; when the balloon catheter is in the first state, the drug administration hole does not penetrate the balloon wall; when the balloon catheter is in the first state In the second state, the dosing hole penetrates the wall of the balloon and is used for releasing the medicinal liquid.
  2. 根据权利要求1所述的球囊导管,其特征在于,当所述球囊导管处于所述第一状态时,所述给药孔设置在所述球囊的外表面且不贯穿所述球囊的内表面,或者,所述给药孔设置在所述球囊的内表面且不贯穿所述球囊的外表面。The balloon catheter according to claim 1, wherein when the balloon catheter is in the first state, the drug administration hole is provided on the outer surface of the balloon and does not penetrate the balloon Alternatively, the administration hole is provided on the inner surface of the balloon and does not penetrate through the outer surface of the balloon.
  3. 根据权利要求2所述的球囊导管,其特征在于,当所述球囊导管处于所述第一状态时,所述给药孔的深度为所述球囊的壁厚的1%~99%。The balloon catheter according to claim 2, wherein when the balloon catheter is in the first state, the depth of the administration hole is 1% to 99% of the wall thickness of the balloon .
  4. 根据权利要求3所述的球囊导管,其特征在于,当所述球囊导管处于所述第一状态时,所述给药孔的深度为所述球囊的壁厚的80%。The balloon catheter according to claim 3, wherein when the balloon catheter is in the first state, the depth of the administration hole is 80% of the wall thickness of the balloon.
  5. 根据权利要求1-4中的任一项所述的球囊导管,其特征在于,所述给药孔的数量为多个,且当所述球囊导管处于所述第一状态时,多个所述给药孔的深度相同或不相同。The balloon catheter according to any one of claims 1-4, wherein the number of the administration holes is multiple, and when the balloon catheter is in the first state, there are multiple The depth of the administration holes may or may not be the same.
  6. 根据权利要求1-4中的任一项所述的球囊导管,其特征在于,所述给药孔的形状为规则形状或不规则形状。The balloon catheter according to any one of claims 1-4, wherein the shape of the administration hole is a regular shape or an irregular shape.
  7. 根据权利要求1-4中的任一项所述的球囊导管,其特征在于,所述给药孔的数量为多个,且多个所述给药孔的形状相同或不相同。The balloon catheter according to any one of claims 1-4, wherein the number of the administration holes is multiple, and the shapes of the multiple administration holes are the same or different.
  8. 根据权利要求1-4中的任一项所述的球囊导管,其特征在于,所述给药孔的数量为多个,多个所述给药孔规则或不规则地分布在所述球囊上。The balloon catheter according to any one of claims 1-4, wherein the number of the administration holes is multiple, and the plurality of administration holes are regularly or irregularly distributed in the ball on the sac.
  9. 根据权利要求1-4中的任一项所述的球囊导管,其特征在于,所述球囊扩张后的形状为平直状或哑铃状。The balloon catheter according to any one of claims 1-4, characterized in that, the expanded shape of the balloon is a straight shape or a dumbbell shape.
  10. 根据权利要求1-4中的任一项所述的球囊导管,其特征在于,所述球囊由显影材料制成。The balloon catheter according to any one of claims 1-4, wherein the balloon is made of imaging material.
  11. 根据权利要求1-4中的任一项所述的球囊导管,其特征在于,利用激 光刻蚀工艺在所述球囊的表面形成不贯穿球囊壁的所述给药孔。The balloon catheter according to any one of claims 1-4, characterized in that, the drug administration hole that does not penetrate the balloon wall is formed on the surface of the balloon by using a laser etching process.
  12. 根据权利要求1所述的球囊导管,其特征在于,所述球囊包括第一球囊和第二球囊,所述第二球囊嵌套于所述第一球囊内;The balloon catheter according to claim 1, wherein the balloon comprises a first balloon and a second balloon, and the second balloon is nested in the first balloon;
    所述给药孔包括第一给药孔和第二给药孔,且在所述第一球囊的表面设置有所述第一给药孔,在所述第二球囊的表面设置有所述第二给药孔;The dosing hole includes a first dosing hole and a second dosing hole, and the first dosing hole is provided on the surface of the first balloon, and the second dosing hole is provided on the surface of the second balloon. the second administration hole;
    当所述球囊导管处于所述第一状态时,所述第一给药孔不贯穿所述第一球囊的球囊壁;当所述球囊导管处于所述第二状态时,所述第一给药孔贯穿所述第一球囊的球囊壁,用于释放药液;所述第二给药孔始终贯穿所述第二球囊的球囊壁。When the balloon catheter is in the first state, the first administration hole does not penetrate the balloon wall of the first balloon; when the balloon catheter is in the second state, the first administration hole does not penetrate the balloon wall of the first balloon; The first dosing hole penetrates the balloon wall of the first balloon for releasing the medicinal liquid; the second dosing hole always penetrates the balloon wall of the second balloon.
  13. 根据权利要求1所述的球囊导管,其特征在于,所述球囊包括第一球囊和第二球囊,所述第二球囊嵌套于所述第一球囊内;The balloon catheter according to claim 1, wherein the balloon comprises a first balloon and a second balloon, and the second balloon is nested in the first balloon;
    所述给药孔包括第一给药孔和第二给药孔,且在所述第一球囊的表面设置有所述第一给药孔,在所述第二球囊的表面设置有所述第二给药孔;The dosing hole includes a first dosing hole and a second dosing hole, and the first dosing hole is provided on the surface of the first balloon, and the second dosing hole is provided on the surface of the second balloon. the second administration hole;
    当所述球囊导管处于所述第一状态时,所述第二给药孔不贯穿所述第二球囊的球囊壁;当所述球囊导管处于所述第二状态时,所述第二给药孔贯穿所述第二球囊的球囊壁,用于释放药液;所述第一给药孔始终贯穿所述第一球囊的球囊壁。When the balloon catheter is in the first state, the second administration hole does not penetrate through the balloon wall of the second balloon; when the balloon catheter is in the second state, the second administration hole does not penetrate the balloon wall of the second balloon; The second dosing hole penetrates the balloon wall of the second balloon for releasing the medical liquid; the first dosing hole always penetrates the balloon wall of the first balloon.
  14. 根据权利要求12或13所述的球囊导管,其特征在于,所述第一给药孔和第二给药孔错位设置。The balloon catheter according to claim 12 or 13, wherein the first drug delivery hole and the second drug delivery hole are arranged in a staggered position.
  15. 根据权利要求1所述的球囊导管,其特征在于,所述给药孔用于在药液充盈所述球囊时,在所述药液的压力作用下贯穿所述球囊壁。The balloon catheter according to claim 1, wherein the drug delivery hole is used to penetrate the balloon wall under the action of the pressure of the medicinal liquid when the medicinal liquid fills the balloon.
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