WO2022142788A1 - Embolic material and manufacturing method therefor - Google Patents

Embolic material and manufacturing method therefor Download PDF

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Publication number
WO2022142788A1
WO2022142788A1 PCT/CN2021/130763 CN2021130763W WO2022142788A1 WO 2022142788 A1 WO2022142788 A1 WO 2022142788A1 CN 2021130763 W CN2021130763 W CN 2021130763W WO 2022142788 A1 WO2022142788 A1 WO 2022142788A1
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WIPO (PCT)
Prior art keywords
helical
helical member
shaping
wire
emboli
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PCT/CN2021/130763
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French (fr)
Chinese (zh)
Inventor
张朔
杨瑞
蔡亮
郭远益
钱少君
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神遁医疗科技(上海)有限公司
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Publication of WO2022142788A1 publication Critical patent/WO2022142788A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12099Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
    • A61B17/12109Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder in a blood vessel
    • A61B17/12113Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder in a blood vessel within an aneurysm
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12131Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
    • A61B17/1214Coils or wires
    • A61B17/12145Coils or wires having a pre-set deployed three-dimensional shape
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12131Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
    • A61B17/1214Coils or wires
    • A61B17/1215Coils or wires comprising additional materials, e.g. thrombogenic, having filaments, having fibers, being coated
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00004(bio)absorbable, (bio)resorbable, resorptive
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00526Methods of manufacturing
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831Material properties
    • A61B2017/00902Material properties transparent or translucent
    • A61B2017/00915Material properties transparent or translucent for radioactive radiation
    • A61B2017/0092Material properties transparent or translucent for radioactive radiation for X-rays

Definitions

  • the invention relates to the technical field of medical devices, in particular to an intravascular embolus and a preparation method thereof.
  • the bare metal spring coil Axium Prime is made of platinum-tungsten alloy material and prefabricated into a two-dimensional or three-dimensional structure for intraoperative embolization.
  • Bio-modified spring coil Matrix by covering a layer of PLGA (polylactic-co-glycolic acid) biomaterial on the surface of the metal ring, utilizes the thrombosis-inducing and biodegradable properties of the PLGA material itself to reduce the occupancy effect.
  • the hydrogel coil Hydrocoil adds hydrophilic polypropylene hydrogel inside the metal ring. After implantation, the hydrogel absorbs a large amount of water and expands violently, filling the coil cavity completely to reduce the recanalization rate of the aneurysm.
  • the degradable/absorbable spring coil is still in the conceptual stage, and there is no mature market product.
  • spring coils made of absorbable bioactive materials usually have good X-ray permeability, so that the development effect is poor in the actual pushing operation process, which increases the difficulty of the doctor's operation.
  • a few reports have proposed adding radiopaque components to the degradable coils.
  • the structure of such coils is relatively complex, and the difficulty of connecting and fixing the components is relatively high.
  • the present invention provides an emboli and a preparation method thereof.
  • the visibility of the emboli satisfies the clinical requirements and the supportability and stability in the aneurysm, at least part of the emboli can be gradually degraded and absorbed by the body, It is converted into small molecular substances that are harmless to the body, so as to alleviate the effect of occupying space.
  • the present invention provides a plug, comprising a tubular first helical member having an inner cavity, a second helical member nested on the outer side of the first helical member, and at least partially disposed on the first helical member.
  • a shaping member in an inner cavity of a helical member wherein the first helical member comprises a radiopaque material, the second helical member comprises a bioabsorbable material, and one end of the shaping member is fixed to the first helical member and one end of the second helical member.
  • the first helical member comprises a radiopaque material and the second helical member comprises a bioabsorbable material.
  • the first helical member is a metal member made of one of platinum, iridium, gold, silver, tantalum and tungsten or an alloy thereof.
  • the first helical part is a composite material part doped with a developing substance in a matrix, wherein the developing substance is an iodine contrast agent or barium sulfate, and the matrix is polylactic acid, polyglycolic acid, lactic acid- One or more of glycolic acid copolymer, polydioxanone, polycaprolactone, polyurethane, chitosan and hyaluronic acid.
  • the developing substance is an iodine contrast agent or barium sulfate
  • the matrix is polylactic acid, polyglycolic acid, lactic acid- One or more of glycolic acid copolymer, polydioxanone, polycaprolactone, polyurethane, chitosan and hyaluronic acid.
  • the second helical part is polylactic acid, polyglycolic acid, lactic acid-glycolic acid copolymer, polydioxanone, polycaprolactone, polyurethane, chitosan, hyaluronic acid, magnesium , one or more of magnesium alloys, iron and iron alloys.
  • the shaping member includes at least one shaping wire, wherein the cross section of each shaping wire is circular, oval or polygonal.
  • the material of the shaping part is one or more of cobalt-chromium alloy, nickel-titanium alloy and platinum-tungsten alloy.
  • the shaping member has at least one secondary structure of spiral, wave, tetrahedron, pentahedron and hexahedron.
  • the outer diameter of the second helical part is in the range of 0.005-0.05 inches and the length in the range of 0.5-200 cm, wherein the cross section of the wire material wound around the second helical part is a circle or a circle
  • the diameter or radius of curvature of the wire has a size in the range of 0.0005-0.005 inches.
  • the outer diameter of the first helical member is in the range of 0.002-0.02 inches, and the length is 10%-100% of the length of the tubular structure wound by the second helical member, wherein the winding of the The cross-section of the wire of the first helical member is a circle or part of a circle, and the diameter or radius of curvature of the wire has a size ranging from 0.0003 to 0.003 inches.
  • the shaping member includes at least one shaping wire, and the diameter of the shaping wire does not exceed 90% of the inner diameter of the first helical member.
  • first helical part, the second helical part and the shaping part are coaxial or axially parallel, and/or the axial length of the first helical part is not greater than that of the second helical part The axial length of the part.
  • At least one end of the second helical member is sealed by forming a spherical cap by means of hot melting or dispensing, wherein at least part of the first helical member is wrapped around the spherical cap.
  • one end of the shaping member is fixed to one end of the first helical member and the second helical member through the ball cap.
  • one end of the shaping member is set as an inverted J-shaped hook, and at least a part of the inverted J-shaped hook is wrapped around the ball cap.
  • the plug further comprises a fixing member disposed at least partially in the inner cavity of the first helical member, wherein the fixing member and the first helical member are coaxial or axially parallel.
  • the fixing member is a polymer wire, wherein the material for making the polymer wire is polypropylene, polyester, nylon, polylactic acid, polyglycolic acid, lactic acid-glycolic acid copolymer, polyglycolic acid One or more of caprolactones.
  • the polymer wire is connected to both ends of the first helical part and the second helical part by physical winding or knotting, so as to fix the first helical part and the second helical part.
  • the second helical part is connected to both ends of the first helical part and the second helical part by physical winding or knotting, so as to fix the first helical part and the second helical part.
  • the polymer filament is knotted by wrapping at least one helix on the first helical member and at least one helix on the second helical member to retain the first helix
  • the member and the second helical member are coaxial or axially parallel.
  • the plug has at least one secondary structure of helical, wavy, tetrahedral, pentahedral and hexahedral.
  • the present invention also provides an embolism, comprising a tubular first helical part with an inner cavity, a second helical part wound around the outer side of the first helical part, and at least partially disposed on the first helical part.
  • a shaping member within the lumen of a helical member and a fixation member disposed at least partially within the lumen of the first helical member wherein: the first helical member comprises a radiopaque material and the second helical member comprises a bioabsorbable material material; the fixing member is respectively connected to both ends of the second helical member by physical winding or knotting; one end of the shaping member is fixed to one end of the first helical member and the second helical member; and At least one end of the second helical part is sealed by forming a spherical cap by means of hot melting or dispensing, and at least a part of the first helical part and the shaping part is wrapped around the spherical cap.
  • the present invention also provides a method for preparing an embolus, which is characterized by comprising the following steps: pre-forming the wound first helical part and the shaping part on a mold according to a preset shape, respectively. ; Set the pre-shaped shaped part in the inner cavity of the pre-shaped first helical part; and set the wound second helical part on the wound of the first helical part outside.
  • the emboli preparation method further includes: disposing a fixing member in the inner cavity of the first helical member; The two ends of the first helical part and the second helical part are respectively connected in a knotted manner; and one end of the shaping part is fixed together with one end of the first and second helical parts.
  • the way of tying the polymer wire with the first helical part and the second helical part is that the polymer wire simultaneously ties at least one turn of the helical and the second helical part on the first helical part. At least one turn of the helix on the second helical part is knotted to keep the first helical part and the second helical part coaxial or axially parallel.
  • emboli provided by the present invention and the preparation method thereof have the following advantages:
  • the above-mentioned emboli adopts a double-layer structure of bioabsorbable material and metal opaque material, so that the emboli maintains the good development and support characteristics of traditional metal coils, while the bioabsorbable material is partially It can be partially degraded and absorbed within a certain period of time, which can effectively alleviate the problems of large aneurysms, such as the mass effect that may cause compression of surrounding tissues and nerves.
  • the stereotyped parts provided in the double-layer helical structure of the above-mentioned emboli not only have good visibility, but also have a three-dimensional pre-shaped structure that can improve the stability of the emboli, so that it can have better performance in aneurysms. supportive.
  • FIG. 1 is a partial cross-sectional view of an embolus according to an embodiment of the present invention.
  • Figure 2 is a cross-sectional view of the embolic device shown in Figure 1;
  • FIG. 3 is a cross-sectional view of an embolic device according to another embodiment of the present invention.
  • distal end and proximal end are used; “proximal end” is the end close to the medical device operator; “distal end” is the end away from the medical device operator.
  • distal end is the end close to the medical device operator; “distal end” is the end away from the medical device operator.
  • the core idea of the present invention is to provide an embolus, comprising a tubular first helical part with an inner lumen, a second helical part nested on the outer side of the first helical part, and at least partially disposed in the first helical part
  • a shaping member in the lumen of the member wherein the first helical member comprises a radiopaque material, the second helical member comprises a bioabsorbable material, and one end of the shaping member is fixed to the first helical member and one end of the second helical member.
  • the first helical member includes a radiopaque material and the second helical member includes a bioabsorbable material.
  • the present invention also provides an embolism, comprising a tubular first helical member having an inner cavity, a second helical member wound around the outer side of the first helical member, and at least partially disposed on the first helical member.
  • a shaping member in the lumen of a helical member and a fixing member at least partially disposed in the lumen of the first helical member, wherein:
  • the first helical member includes a radiopaque material and the second helical member includes a bioabsorbable material;
  • the fixing parts are respectively connected to both ends of the second helical part by means of physical winding or knotting;
  • One end of the shaping member is fixed to one end of the first helical member and the second helical member;
  • At least one end of the second helical part is formed into a spherical cap by means of hot melting or dispensing for end capping, and at least a part of the first helical part and the shaping part is wrapped around the spherical cap.
  • the embolus in the present application can be a coil applied to the treatment of intracranial vascular diseases, which is used to treat vascular diseases such as intracranial aneurysms.
  • the vascular implant can also be applied to the treatment of non-intracranial vascular aneurysms and other diseases.
  • the biological material in the double-layer structure can be gradually degraded and absorbed by the body, and converted into small molecular substances that are harmless to the body, thereby reducing the effect of occupying space.
  • the shaped parts arranged in the double-layer helical structure can not only improve the supportability and stability of the emboli during surgical operations, but also have certain radiographic visibility.
  • FIG. 1 is a partial cross-sectional view of an embolic device 10 according to an embodiment of the present invention.
  • FIG. 2 is a cross-sectional view of the plug 10 shown in FIG. 1 .
  • the emboli 10 is an elongated device of greater length extending from its proximal end 160 to its distal end 140 .
  • the proximal end of the plug 10 is arranged to connect with a pusher (not shown) of the plug 10 .
  • the plug 10 includes a tubular first helical member 100 having an inner lumen 110, a second helical member 120 nested on the outer side of the first helical member 100, and a second helical member 120 disposed at least partially within the lumen 110 of the first helical member 100.
  • Forming part 130 .
  • the first helical part 100 , the second helical part 120 and the shaping part 130 are coaxial or axially parallel.
  • the first helical member 100 includes a radiopaque material.
  • the first helical member 100 is a metal member made of one of platinum, iridium, gold, silver, tantalum and tungsten or an alloy thereof, and the metal wire made of the above-mentioned materials is in a core of a predetermined diameter.
  • the first helical member 100 is formed by helical winding on the column.
  • the pitch of the coil of the first helical part 100 may be uniform, may also be gradually changed along the length of the coil, and may also have different pitches in different sections of the coil.
  • the first helical part 100 is a composite material part with a matrix doped with a developing substance, wherein the developing substance can be an iodine contrast agent or barium sulfate, and the matrix can be polylactic acid, polyglycolic acid, lactic acid-hydroxyl One or more of acetic acid copolymer, polydioxanone, polycaprolactone, polyurethane, chitosan and hyaluronic acid.
  • the first helical part 100 is formed by helically winding a filamentary composite material part on a stem of predetermined diameter.
  • the second helical member 120 includes a bioabsorbable material, which may be polylactic acid, polyglycolic acid, lactic acid-co-glycolic acid, polydioxanone, polycaprolactone One or more of ester, polyurethane, chitosan, hyaluronic acid, magnesium, magnesium alloy, iron and iron alloy.
  • the above-mentioned second helical part 120 can also be modified, for example, some active substances, which can be growth factors or certain drug molecules, are loaded inside or on the surface of the second helical part 120.
  • the second helical part 120 is formed by helically winding a polymer or metal wire made of the above-mentioned materials on a core column with a predetermined diameter. It can be understood that the pitch of the coils of the second helical part 120 may be uniform, may also be gradual along the length of the coil, and may also have different pitches in different sections of the coil.
  • the volume of the second helical member 120 made of bioabsorbable material accounts for a percentage of the total volume of the entire emboli 10 ranging from 30% to 90%.
  • the emboli 10 using the double-layer structure of bioabsorbable material and metal opaque material maintains the better developing and supporting characteristics of traditional metal coils, and the bioabsorbable material part can be used within a certain period of time. It is partially degraded and absorbed, which can effectively alleviate problems such as mass effect that may cause compression of surrounding tissues and nerves for large aneurysms.
  • the outer diameter of the first helical member 100 is in the range of 0.002-0.02 inches
  • the cross-section of the wire wound around the first helical member 100 is a circle or a portion of a circle
  • the diameter or curvature of the wire is The size range of 2 times the radius is 0.0003-0.003 inches.
  • the outer diameter of the second helical member 120 is in the range of 0.005-0.05 inches
  • the cross-section of the wire wound around the second helical member 120 is a circle or part of a circle, and the diameter of the wire is twice the size of the radius of curvature The range is 0.0005-0.005 inches.
  • the second helical part 120 is wrapped outside the first helical part 100 , and the axial length of the first helical part 100 is not greater than the axial length of the second helical part 120 .
  • the length of the second helical part 120 is in the range of 0.5-200 cm.
  • the length of the first helical part 100 is slightly shorter than the length of the second helical part 120, which is 10% of the length of the tubular structure wound by the second helical part 120- 100%.
  • the distal end 132 of the shaping member 130 is fixed to the distal ends 140 of the first helical member 100 and the second helical member 120 , and the proximal end 134 of the shaping member 130 is a free end, which is provided on the first helical member 100 . in the proximal lumen 110 .
  • the distal end 132 of the shaping member 130 is provided as an inverted J-shaped hook, which is connected with at least one coil of the distal end 140 of the first helical member 100, such as the last coil, and then is heated by melting or spotting
  • An atraumatic distal tip is formed on the distal ends 140 of the first helical member 100 and the second helical member 120 by means of glue, and the distal end 132 of the shaping member 130 is attached to the distal end of the first helical member 100 and the second helical member 120.
  • the ends 140 are firmly joined to each other, ie, at least a portion of the inverted J-shaped hook and the distal ends 140 of the first and second helical members 100, 120 are wrapped around the atraumatic distal tip.
  • the atraumatic distal tip can be the spherical cap 150 shown in Figure 2, or it can be a conical or oval closed end.
  • the atraumatic distal tip may be formed from a polymeric material such as polyester, acrylic adhesive, or other polymeric material suitable for hot melt or dispensing.
  • the distal end 132 of the shaping member 130 can also be connected to the distal end 140 of the first helical member 100 and the second helical member 120 by other means, such as straight, inverted J, or other shapes
  • the distal end 132 of the shaping member 130 is directly wrapped and fixed by the ball cap 150; or the distal end 132 of the shaping member 130 is first connected to at least one coil of the second helical member 120 and then wrapped and fixed by the ball cap 150;
  • the shaping part 130 is connected to at least one end of the first helical part 100 and the second helical part 120 in a knotted manner.
  • the proximal end 134 of the shaping member 130 is connected to the proximal end 160 of the first helical member 100, and the distal end 132 is the free end.
  • the proximal end 134 and the distal end 132 may also be connected to the proximal end 160 and the distal end 140 of the first helical member 100, respectively.
  • the shaping member 130 includes at least one shaping wire, wherein the cross-section of each shaping wire is circular, oval or polygonal, and its diameter does not exceed 90% of the inner diameter of the first helical member 100, wherein, The inner diameter of the first helical member 100 is in the range of 0.001-0.01 inches.
  • the material for forming the shaping part 130 is memory alloy, which can be one or more of cobalt-chromium alloy, nickel-titanium alloy and platinum-tungsten alloy.
  • the shaping member 130 made of the above-mentioned materials not only enhances the visibility of the double-layer helical structure in blood vessels and aneurysms, but also can perform three-dimensional pre-sizing of the memory alloy, which is used to improve the stability of the emboli 10 and make it in the artery.
  • the tumor can have better support.
  • the shaping member 130 may be pre-shaped to have at least one secondary structure of helical, wavy, tetrahedral, pentahedral, and hexahedral.
  • FIG. 3 is a cross-sectional view of an embolic device 10 according to another embodiment of the present invention.
  • the plug 10 includes a tubular first helical member 100 having an inner lumen 110 , a second helical member 120 nested on the outer side of the first helical member 100 , and a second helical member 120 disposed at least partially in the lumen 110 of the first helical member 100 .
  • the shaping part 130 and the fixing part 170 at least partially placed in the inner cavity 110 of the first helical part 100 .
  • the structures and usage of the first helical member 100 , the second helical member 120 and the shaping member 130 are substantially the same as those in the embodiment shown in FIG. 2 , and will not be repeated here.
  • the fixed member 170 and the first helical member 100 are coaxial or axially parallel.
  • the fixing member 170 may be a polymer wire material, and the material of the polymer wire material is polypropylene, polyester, nylon, polylactic acid, polyglycolic acid, lactic acid-glycolic acid copolymer, polyhexamethylene One or more of the lactones.
  • the polymer wire is connected to both ends of the first helical part 100 and the second helical part 120 by physical winding or knotting, respectively, so as to fix the first helical part 100 and the second helical part 120 .
  • the fixing member 170 is knotted with the first helical member 100 and the second helical member 120 in a manner that the fixing member 170 simultaneously ties at least one turn of the helix on the first helical member 100 and the second helix on the second helical member 120 . At least one turn of the helix is knotted to keep the first helical part 100 and the second helical part 120 coaxially or axially parallel. It can be understood that the connection position of the fixing member 170 with the first helical member 100 and/or the second helical member 120 is not limited to that shown in FIG. 3 , and the fixing member 170 can be knotted at any position on the circumference of the helical member.
  • the fixing member 170 may be connected with the shaping member 130 to stabilize the fixing member 170 , the first helical member 100 and the shaping member 130 effect.
  • the knotting manner of the fixing member 170 with the first helical member 100 and the second helical member 120 may also be: the fixing member 170 only ties at least one turn of the helical member or the second helical member on the first helical member 100 . At least one turn of the helix on the 120 is knotted.
  • the present invention also provides a method for preparing an emboli 10, with reference to FIG. 3, which mainly includes the following steps:
  • the wound first helical part 100 and the shaping part 130 are respectively pre-shaped on the mold according to preset shapes, wherein the preset shapes can be helical, wave, tetrahedron, At least one of the pentahedron and the hexahedron, the preset shapes of the first helical part 100 and the shaping part 130 are also corresponding to each other.

Abstract

An embolic material and a manufacturing method therefor; the embolic material comprises a tubular first helical component (100) having an inner cavity (110), a second helical component (120) fitted on the outer side face of the first helical component (100), and a shaping component (130) at least partially provided in the inner cavity (110) of the first helical component (100); the first helical component (100) comprises a radiopaque material, the second helical component (120) comprises a bio-absorbable material, and one end of the shaping component (130) is fixed to one end of the first helical component (100) and one end of the second helical component (120). In the embolic material (10) having a double-layer structure, the shaping component (130) is provided, so that the embolic material (10) has the performance of degradability and alleviating the space occupying effect, and has the characteristics such as good developing performance and supporting performance in aneurysm.

Description

一种栓塞物及其制备方法A kind of embolism and preparation method thereof 技术领域technical field
本发明涉及医疗器械技术领域,具体涉及一种血管内栓塞物及其制备方法。The invention relates to the technical field of medical devices, in particular to an intravascular embolus and a preparation method thereof.
背景技术Background technique
随着国内生活水平的提高,由血管的异常改变或者老化等因素引起的血管类疾病发病率也在逐年增加,表现形式包括颅内动脉瘤、内脏动脉瘤、外周动脉瘤、动静脉畸形和血管瘤等。针对于此类疾病,国内外采取的治疗方案主要为外科手术治疗和介入治疗两种。由于外科手术治疗带来的巨大创伤和一系列并发症,血管内介入微创治疗的方案越来越受到医生和患者的青睐。例如,在动脉瘤或畸形血管内植入弹簧圈进行栓塞改变血流动力学,达到完全栓塞或血栓形成以达到治疗目的。With the improvement of domestic living standards, the incidence of vascular diseases caused by abnormal changes in blood vessels or factors such as aging is also increasing year by year, including intracranial aneurysms, visceral aneurysms, peripheral aneurysms, arteriovenous malformations and blood vessels tumor etc. For these diseases, the main treatment options at home and abroad are surgical treatment and interventional treatment. Due to the huge trauma and a series of complications caused by surgical treatment, endovascular interventional minimally invasive treatment options are increasingly favored by doctors and patients. For example, implantation of coils in aneurysms or malformed vessels for embolization changes hemodynamics and achieves complete embolization or thrombosis for therapeutic purposes.
现如今,市面上已有的弹簧圈包括:预定型的裸金属弹簧圈、表面覆盖生物活性材料的生物修饰弹簧圈和高膨胀性水凝胶弹簧圈。其中,裸金属弹簧圈Axium Prime为采用铂钨合金材料,预制成二维或三维结构用于术中栓塞使用。生物修饰弹簧圈Matrix,通过在金属圈表面覆盖一层PLGA(聚乳酸-羟基乙酸共聚物)材料的生物材料,利用PLGA材料本身的诱导血栓形成和生物可降解性能,实现占位效应的降低。水凝胶圈Hydrocoil通过在金属圈内部添加亲水性聚丙烯水凝胶,植入后水凝胶大量吸水体积剧烈膨胀,将弹簧圈腔内完全填充,以减少动脉瘤的再通率。Today, existing coils on the market include: pre-shaped bare metal coils, bio-modified coils covered with bioactive materials, and highly swellable hydrogel coils. Among them, the bare metal spring coil Axium Prime is made of platinum-tungsten alloy material and prefabricated into a two-dimensional or three-dimensional structure for intraoperative embolization. Bio-modified spring coil Matrix, by covering a layer of PLGA (polylactic-co-glycolic acid) biomaterial on the surface of the metal ring, utilizes the thrombosis-inducing and biodegradable properties of the PLGA material itself to reduce the occupancy effect. The hydrogel coil Hydrocoil adds hydrophilic polypropylene hydrogel inside the metal ring. After implantation, the hydrogel absorbs a large amount of water and expands violently, filling the coil cavity completely to reduce the recanalization rate of the aneurysm.
目前,可降解/吸收的弹簧圈仍处于概念阶段,还没有成熟的上市产品。根据调研,可吸收的生物活性材料制成的弹簧圈通常X射线透过性好,以至于在实际的推送操作过程中显影效果较差,增加了医生手术操作难度。另外,少数报道提出了在可降解弹簧圈中添加不透射线部件,这种弹簧圈结构的结构相对复杂,各部件之间连接和固定的难度也相对较高。At present, the degradable/absorbable spring coil is still in the conceptual stage, and there is no mature market product. According to research, spring coils made of absorbable bioactive materials usually have good X-ray permeability, so that the development effect is poor in the actual pushing operation process, which increases the difficulty of the doctor's operation. In addition, a few reports have proposed adding radiopaque components to the degradable coils. The structure of such coils is relatively complex, and the difficulty of connecting and fixing the components is relatively high.
因此,需要一种新的栓塞物,来解决至少上述问题。Therefore, there is a need for a new emboli that solves at least the above problems.
发明内容SUMMARY OF THE INVENTION
本发明提供了一种栓塞物及其制备方法,该栓塞物在可视性满足临床需求和其在动脉瘤中支撑性和稳定性的前提下,至少部分栓塞物可以逐渐被机体降解和吸收,转化成对机体无害的小分子物质,从而起到缓解占位效应的效果。The present invention provides an emboli and a preparation method thereof. On the premise that the visibility of the emboli satisfies the clinical requirements and the supportability and stability in the aneurysm, at least part of the emboli can be gradually degraded and absorbed by the body, It is converted into small molecular substances that are harmless to the body, so as to alleviate the effect of occupying space.
为实现上述目的,本发明提供了一种栓塞物,包括具有内腔的管状的第一螺旋部件、嵌套于所述第一螺旋部件外侧面的第二螺旋部件和至少部分置于所述第一螺旋部件内腔中的定型部件,其中,所述第一螺旋部件包括不透射线材料,所述第二螺旋部件包括生物可吸收材料,所述定型部件的一端固定于所述第一螺旋部件及第二螺旋部件的一端。In order to achieve the above object, the present invention provides a plug, comprising a tubular first helical member having an inner cavity, a second helical member nested on the outer side of the first helical member, and at least partially disposed on the first helical member. A shaping member in an inner cavity of a helical member, wherein the first helical member comprises a radiopaque material, the second helical member comprises a bioabsorbable material, and one end of the shaping member is fixed to the first helical member and one end of the second helical member.
可选地,所述第一螺旋部件包括不透射线材料,所述第二螺旋部件包括生物可吸收材料。Optionally, the first helical member comprises a radiopaque material and the second helical member comprises a bioabsorbable material.
可选地,所述第一螺旋部件为铂、铱、金、银、钽和钨中的一种或其合金制成的金属部件。Optionally, the first helical member is a metal member made of one of platinum, iridium, gold, silver, tantalum and tungsten or an alloy thereof.
可选地,所述第一螺旋部件为基体中掺杂了显影物质的复合材料部件,其中,所述显影物质为碘造影剂或硫酸钡,所述基体为聚乳酸、聚羟基乙酸、乳酸-羟基乙酸共聚物、聚对二氧杂环己酮、聚己内酯、聚氨酯、壳聚糖和透明质酸中的一种或几种。Optionally, the first helical part is a composite material part doped with a developing substance in a matrix, wherein the developing substance is an iodine contrast agent or barium sulfate, and the matrix is polylactic acid, polyglycolic acid, lactic acid- One or more of glycolic acid copolymer, polydioxanone, polycaprolactone, polyurethane, chitosan and hyaluronic acid.
可选地,所述第二螺旋部件为聚乳酸、聚羟基乙酸、乳酸-羟基乙酸共聚物、聚对二氧杂环己酮、聚己内酯、聚氨酯、壳聚糖、透明质酸、镁、镁合金、铁和铁合金中的一种或几种。Optionally, the second helical part is polylactic acid, polyglycolic acid, lactic acid-glycolic acid copolymer, polydioxanone, polycaprolactone, polyurethane, chitosan, hyaluronic acid, magnesium , one or more of magnesium alloys, iron and iron alloys.
可选地,所述定型部件包括至少一根定型丝材,其中每根所述定型丝材的截面为圆形、椭圆形或多边形。Optionally, the shaping member includes at least one shaping wire, wherein the cross section of each shaping wire is circular, oval or polygonal.
可选地,所述定型部件的材料为钴铬合金、镍钛合金和铂钨合金中的一种或几种。Optionally, the material of the shaping part is one or more of cobalt-chromium alloy, nickel-titanium alloy and platinum-tungsten alloy.
可选地,所述定型部件具有螺旋形、波浪形、四面体、五面体和六面体中的至少一种二级结构。Optionally, the shaping member has at least one secondary structure of spiral, wave, tetrahedron, pentahedron and hexahedron.
可选地,所述第二螺旋部件的外径尺寸范围为0.005-0.05英寸,长度尺 寸范围为0.5-200厘米,其中,绕制所述第二螺旋部件的丝材的截面为圆形或圆形的一部分,该丝材的直径或曲率半径的2倍的尺寸范围为0.0005-0.005英寸。Optionally, the outer diameter of the second helical part is in the range of 0.005-0.05 inches and the length in the range of 0.5-200 cm, wherein the cross section of the wire material wound around the second helical part is a circle or a circle The diameter or radius of curvature of the wire has a size in the range of 0.0005-0.005 inches.
可选地,所述第一螺旋部件的外径尺寸范围为0.002-0.02英寸,长度为所述第二螺旋部件绕制成的管状结构的长度的10%-100%,其中,绕制所述第一螺旋部件的丝材的截面为圆形或圆形的一部分,该丝材的直径或曲率半径的2倍的尺寸范围为0.0003-0.003英寸。Optionally, the outer diameter of the first helical member is in the range of 0.002-0.02 inches, and the length is 10%-100% of the length of the tubular structure wound by the second helical member, wherein the winding of the The cross-section of the wire of the first helical member is a circle or part of a circle, and the diameter or radius of curvature of the wire has a size ranging from 0.0003 to 0.003 inches.
可选地,所述定型部件包括至少一根定型丝材,所述定型丝材的直径不超过所述第一螺旋部件的内径的90%。Optionally, the shaping member includes at least one shaping wire, and the diameter of the shaping wire does not exceed 90% of the inner diameter of the first helical member.
可选地,所述第一螺旋部件、所述第二螺旋部件和所述定型部件同轴或轴向平行,和/或,所述第一螺旋部件的轴向长度不大于所述第二螺旋部件的轴向长度。Optionally, the first helical part, the second helical part and the shaping part are coaxial or axially parallel, and/or the axial length of the first helical part is not greater than that of the second helical part The axial length of the part.
可选地,所述第二螺旋部件的至少一端通过热熔或点胶的方式形成球帽进行封端,其中,所述第一螺旋部件的至少部分包覆于所述球帽。Optionally, at least one end of the second helical member is sealed by forming a spherical cap by means of hot melting or dispensing, wherein at least part of the first helical member is wrapped around the spherical cap.
可选地,所述定型部件的一端通过所述球帽固定于所述第一螺旋部件及第二螺旋部件的一端。Optionally, one end of the shaping member is fixed to one end of the first helical member and the second helical member through the ball cap.
可选地,所述定型部件的一端设置为倒J型弯钩,所述倒J型弯钩的至少部分包覆于所述球帽。Optionally, one end of the shaping member is set as an inverted J-shaped hook, and at least a part of the inverted J-shaped hook is wrapped around the ball cap.
可选地,所述栓塞物还包括至少部分置于所述第一螺旋部件内腔中的固定部件,其中,所述固定部件和所述第一螺旋部件同轴或轴向平行。Optionally, the plug further comprises a fixing member disposed at least partially in the inner cavity of the first helical member, wherein the fixing member and the first helical member are coaxial or axially parallel.
可选地,所述固定部件为聚合物丝材,其中,制成所述聚合物丝材的材料为聚丙烯,聚酯,尼龙,聚乳酸,聚羟基乙酸,乳酸-羟基乙酸共聚物,聚己内酯中的一种或几种。Optionally, the fixing member is a polymer wire, wherein the material for making the polymer wire is polypropylene, polyester, nylon, polylactic acid, polyglycolic acid, lactic acid-glycolic acid copolymer, polyglycolic acid One or more of caprolactones.
可选地,所述聚合物丝材通过物理缠绕或打结的方式分别连接于所述第一螺旋部件和所述第二螺旋部件的两端,用以固定所述第一螺旋部件和所述第二螺旋部件。Optionally, the polymer wire is connected to both ends of the first helical part and the second helical part by physical winding or knotting, so as to fix the first helical part and the second helical part. The second helical part.
可选地,所述聚合物丝材将所述第一螺旋部件上的至少一圈螺旋和所述第二螺旋部件上的至少一圈螺旋缠绕在一起进行打结,以保持所述第一螺旋 部件和所述第二螺旋部件同轴或轴向平行。Optionally, the polymer filament is knotted by wrapping at least one helix on the first helical member and at least one helix on the second helical member to retain the first helix The member and the second helical member are coaxial or axially parallel.
可选地,所述栓塞物具有螺旋形、波浪形、四面体、五面体和六面体中的至少一种二级结构。Optionally, the plug has at least one secondary structure of helical, wavy, tetrahedral, pentahedral and hexahedral.
为实现上述目的,本发明还提供了一种栓塞物,包括具有内腔的管状第一螺旋部件、缠绕于所述第一螺旋部件外侧面的第二螺旋部件、至少部分置于所述第一螺旋部件内腔中的定型部件和至少部分置于所述第一螺旋部件内腔中的固定部件,其中:所述第一螺旋部件包括不透射线材料,所述第二螺旋部件包括生物可吸收材料;所述固定部件通过物理缠绕或打结的方式分别连接于所述第二螺旋部件的两端;所述定型部件的一端固定于所述第一螺旋部件及第二螺旋部件的一端;以及所述第二螺旋部件的至少一端通过热熔或点胶的方式形成球帽进行封端,所述第一螺旋部件和所述定型部件的至少部分包覆于所述球帽。In order to achieve the above object, the present invention also provides an embolism, comprising a tubular first helical part with an inner cavity, a second helical part wound around the outer side of the first helical part, and at least partially disposed on the first helical part. A shaping member within the lumen of a helical member and a fixation member disposed at least partially within the lumen of the first helical member, wherein: the first helical member comprises a radiopaque material and the second helical member comprises a bioabsorbable material material; the fixing member is respectively connected to both ends of the second helical member by physical winding or knotting; one end of the shaping member is fixed to one end of the first helical member and the second helical member; and At least one end of the second helical part is sealed by forming a spherical cap by means of hot melting or dispensing, and at least a part of the first helical part and the shaping part is wrapped around the spherical cap.
为实现上述目的,本发明还提供了一种栓塞物制备方法,其特征在于,包括下列步骤:将绕制好的第一螺旋部件和定型部件按照预设的形状分别在模具上进行预定型处理;将预定型好的所述定型部件设置于预定型好的所述第一螺旋部件的内腔中;以及将绕制好的第二螺旋部件套设于绕制好的所述第一螺旋部件外侧。In order to achieve the above purpose, the present invention also provides a method for preparing an embolus, which is characterized by comprising the following steps: pre-forming the wound first helical part and the shaping part on a mold according to a preset shape, respectively. ; Set the pre-shaped shaped part in the inner cavity of the pre-shaped first helical part; and set the wound second helical part on the wound of the first helical part outside.
可选的,该栓塞物制备方法还包括:将固定部件设置于所述第一螺旋部件的内腔中;将设置于所述第一螺旋部件的内腔中的所述固定部件通过物理缠绕或打结的方式分别连接于所述第一螺旋部件和所述第二螺旋部件的两端;以及将所述定型部件的一端与所述第一螺旋部件及第二螺旋部件的一端固定在一起。Optionally, the emboli preparation method further includes: disposing a fixing member in the inner cavity of the first helical member; The two ends of the first helical part and the second helical part are respectively connected in a knotted manner; and one end of the shaping part is fixed together with one end of the first and second helical parts.
可选地,所述聚合物丝材与所述第一螺旋部件和所述第二螺旋部件的打结方式为所述聚合物丝材同时对所述第一螺旋部件上的至少一圈螺旋和所述第二螺旋部件上的至少一圈螺旋打结,以保持所述第一螺旋部件和所述第二螺旋部件同轴或轴向平行。Optionally, the way of tying the polymer wire with the first helical part and the second helical part is that the polymer wire simultaneously ties at least one turn of the helical and the second helical part on the first helical part. At least one turn of the helix on the second helical part is knotted to keep the first helical part and the second helical part coaxial or axially parallel.
综上,本发明提供的栓塞物以及其制备方法具有如下优点:To sum up, the emboli provided by the present invention and the preparation method thereof have the following advantages:
第一、上述栓塞物采用生物可吸收材料和金属不透射材料的双层结构, 使栓塞物在保持了传统的金属弹簧圈较好的显影性和支撑性等特征的同时,生物可吸收材料部分可以在一定时间内被部分降解和吸收,能够有效缓解对于大型动脉瘤可能引起压迫周围组织和神经的占位效应等问题。First, the above-mentioned emboli adopts a double-layer structure of bioabsorbable material and metal opaque material, so that the emboli maintains the good development and support characteristics of traditional metal coils, while the bioabsorbable material is partially It can be partially degraded and absorbed within a certain period of time, which can effectively alleviate the problems of large aneurysms, such as the mass effect that may cause compression of surrounding tissues and nerves.
第二、上述栓塞物的双层螺旋结构中设置的定型部件不仅具有良好的可视性,其具有的立体预定型结构能够提高栓塞物的稳定性,使其在动脉瘤中可以具有更好的支撑性。Second, the stereotyped parts provided in the double-layer helical structure of the above-mentioned emboli not only have good visibility, but also have a three-dimensional pre-shaped structure that can improve the stability of the emboli, so that it can have better performance in aneurysms. supportive.
附图说明Description of drawings
图1是本发明一实施例的栓塞物的局部剖视图;1 is a partial cross-sectional view of an embolus according to an embodiment of the present invention;
图2是图1所示的栓塞物的剖视图;Figure 2 is a cross-sectional view of the embolic device shown in Figure 1;
图3是本发明另一实施例的栓塞物的剖视图。3 is a cross-sectional view of an embolic device according to another embodiment of the present invention.
图中:In the picture:
10-栓塞物;100-第一螺旋部件;110-内腔;120-第二螺旋部件;130-定型部件;132-定型部件的远端;134-定型部件的近端;140-远端;150-球帽;160-近端;170-固定部件。10-embolism; 100-first helical part; 110-lumen; 120-second helical part; 130-styling part; 132-distal end of shaping part; 134-proximal end of shaping part; 150-ball cap; 160-proximal; 170-fixed part.
具体实施方式Detailed ways
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。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.
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,复数形式“多个”包括两个以上的对象,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,以及术语“安装”、“相连”、“连接”应做广义理解,例如,可以是固定连接,也可以是可拆卸连接,或一体地连接。可以是机械连接,也可以是电连接。可以是直接相连,也可以通过中间媒介间接相连,可以是两个元件内部的连通或两个元件的相互作用关系。对于本领域的普通技术人员而言,可以根据具体情况理解上述术语在本发明中的具 体含义。附图中相同或相似的附图标记代表相同或相似的部件。As used in this specification, the singular forms "a," "an," and "the" include plural referents, and the plural forms "a plurality" include two or more referents 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, and the terms "installed", "connected", "connected" shall be To be understood in a broad sense, for example, it may be a fixed connection, a detachable connection, or an integral connection. It can be a mechanical connection or an electrical connection. It can be directly connected, or indirectly connected through an intermediate medium, and it can be the internal communication between two elements or the interaction relationship between the two elements. For those of ordinary skill in the art, the specific meanings of the above terms in the present invention can be understood according to specific situations. The same or similar reference numbers in the drawings represent the same or similar parts.
此外,在以下说明中,为了便于描述,使用了“远端”和“近端”;“近端”是接近医疗器械操作者的一端;“远端”是远离医疗器械操作者的一端。另外,在下文的描述中,给出了大量具体的细节以便提供对本发明更为彻底的理解。然而,对于本领域技术人员而言显而易见的是,本发明可以无需一个或多个这些细节而得以实施。在其他的例子中,为了避免与本发明发生混淆,对于本领域公知的一些技术特征未进行描述。In addition, in the following description, for convenience of description, "distal end" and "proximal end" are used; "proximal end" is the end close to the medical device operator; "distal end" is the end away from the medical device operator. Furthermore, in the following description, numerous specific details are set forth in order to provide a more thorough understanding of the present invention. It will be apparent, however, to one skilled in the art that the present invention may be practiced without one or more of these details. In other instances, some technical features known in the art have not been described in order to avoid obscuring the present invention.
本发明的核心思想在于提供一种栓塞物,包括具有内腔的管状的第一螺旋部件、嵌套于所述第一螺旋部件外侧面的第二螺旋部件和至少部分置于所述第一螺旋部件的内腔中的定型部件,其中,所述第一螺旋部件包括不透射线材料,所述第二螺旋部件包括生物可吸收材料,所述定型部件的一端固定于所述第一螺旋部件及第二螺旋部件的一端。所述第一螺旋部件包括不透射线材料,所述第二螺旋部件包括生物可吸收材料。The core idea of the present invention is to provide an embolus, comprising a tubular first helical part with an inner lumen, a second helical part nested on the outer side of the first helical part, and at least partially disposed in the first helical part A shaping member in the lumen of the member, wherein the first helical member comprises a radiopaque material, the second helical member comprises a bioabsorbable material, and one end of the shaping member is fixed to the first helical member and one end of the second helical member. The first helical member includes a radiopaque material and the second helical member includes a bioabsorbable material.
为实现上述目的,本发明还提供了一种栓塞物,包括具有内腔的管状的第一螺旋部件、缠绕于所述第一螺旋部件外侧面的第二螺旋部件、至少部分置于所述第一螺旋部件的内腔中的定型部件和至少部分置于所述第一螺旋部件的内腔中的固定部件,其中:In order to achieve the above object, the present invention also provides an embolism, comprising a tubular first helical member having an inner cavity, a second helical member wound around the outer side of the first helical member, and at least partially disposed on the first helical member. A shaping member in the lumen of a helical member and a fixing member at least partially disposed in the lumen of the first helical member, wherein:
所述第一螺旋部件包括不透射线材料,所述第二螺旋部件包括生物可吸收材料;the first helical member includes a radiopaque material and the second helical member includes a bioabsorbable material;
所述固定部件通过物理缠绕或打结的方式分别连接于所述第二螺旋部件的两端;The fixing parts are respectively connected to both ends of the second helical part by means of physical winding or knotting;
所述定型部件的一端固定于所述第一螺旋部件及第二螺旋部件的一端;以及One end of the shaping member is fixed to one end of the first helical member and the second helical member; and
所述第二螺旋部件的至少一端通过热熔或点胶的方式形成球帽以进行封端,所述第一螺旋部件和所述定型部件的至少部分包覆于所述球帽。At least one end of the second helical part is formed into a spherical cap by means of hot melting or dispensing for end capping, and at least a part of the first helical part and the shaping part is wrapped around the spherical cap.
可以理解的是,本申请中的栓塞物,可以是一种应用于颅内血管疾病治疗的弹簧圈,用于治疗颅内动脉瘤等血管疾病。另外,该血管植入物也可以应用于非颅内的血管动脉瘤等疾病的治疗。It can be understood that the embolus in the present application can be a coil applied to the treatment of intracranial vascular diseases, which is used to treat vascular diseases such as intracranial aneurysms. In addition, the vascular implant can also be applied to the treatment of non-intracranial vascular aneurysms and other diseases.
该栓塞物在植入病灶一段时间后,双层结构中的生物材料可逐渐被机体降解和吸收,转化成对机体无害的小分子物质,从而起到降低占位效应的效果。此外,双层螺旋结构中设置的定型部件不仅可以在手术操作中提高栓塞物的支撑性和稳定性,还具有一定的射线可视性。After the emboli is implanted in the lesion for a period of time, the biological material in the double-layer structure can be gradually degraded and absorbed by the body, and converted into small molecular substances that are harmless to the body, thereby reducing the effect of occupying space. In addition, the shaped parts arranged in the double-layer helical structure can not only improve the supportability and stability of the emboli during surgical operations, but also have certain radiographic visibility.
以下结合附图和若干实施例对本发明提出的栓塞物及其制备方法作进一步的说明。The emboli proposed by the present invention and the preparation method thereof will be further described below with reference to the accompanying drawings and several embodiments.
图1是本发明一实施例的栓塞物10的局部剖视图。图2是图1所示的栓塞物10的剖视图。如图所示栓塞物10处于其线性初级形状,栓塞物10为从其近端160延伸至其远端140的长度较大的细长装置。栓塞物10的近端被设置与该栓塞物10的推送装置(未示出)连接。栓塞物10包括具有内腔110的管状的第一螺旋部件100、嵌套于第一螺旋部件100外侧面的第二螺旋部件120和至少部分置于所述第一螺旋部件100内腔110中的定型部件130。其中,第一螺旋部件100、第二螺旋部件120和定型部件130同轴或轴向平行。FIG. 1 is a partial cross-sectional view of an embolic device 10 according to an embodiment of the present invention. FIG. 2 is a cross-sectional view of the plug 10 shown in FIG. 1 . As shown in its linear primary shape, the emboli 10 is an elongated device of greater length extending from its proximal end 160 to its distal end 140 . The proximal end of the plug 10 is arranged to connect with a pusher (not shown) of the plug 10 . The plug 10 includes a tubular first helical member 100 having an inner lumen 110, a second helical member 120 nested on the outer side of the first helical member 100, and a second helical member 120 disposed at least partially within the lumen 110 of the first helical member 100. Forming part 130 . Wherein, the first helical part 100 , the second helical part 120 and the shaping part 130 are coaxial or axially parallel.
其中,第一螺旋部件100包括不透射线材料。在一些实施方式中,第一螺旋部件100为铂、铱、金、银、钽和钨中的一种或其合金制成的金属部件,由上述材料制成的金属丝在预设直径的芯柱上螺旋绕制成第一螺旋部件100。其中,该第一螺旋部件100的线圈的节距可以是均匀的,也可以沿着线圈的长度而渐变,还可以在线圈的不同区段具有不同的节距。Therein, the first helical member 100 includes a radiopaque material. In some embodiments, the first helical member 100 is a metal member made of one of platinum, iridium, gold, silver, tantalum and tungsten or an alloy thereof, and the metal wire made of the above-mentioned materials is in a core of a predetermined diameter. The first helical member 100 is formed by helical winding on the column. Wherein, the pitch of the coil of the first helical part 100 may be uniform, may also be gradually changed along the length of the coil, and may also have different pitches in different sections of the coil.
在一些实施方式中,第一螺旋部件100为基体中掺杂了显影物质的复合材料部件,其中,显影物质可以为碘造影剂或硫酸钡,基体可以为聚乳酸、聚羟基乙酸、乳酸-羟基乙酸共聚物、聚对二氧杂环己酮、聚己内酯、聚氨酯、壳聚糖和透明质酸中的一种或几种。丝状的复合材料部件在预设直径的芯柱上螺旋绕制成该第一螺旋部件100。In some embodiments, the first helical part 100 is a composite material part with a matrix doped with a developing substance, wherein the developing substance can be an iodine contrast agent or barium sulfate, and the matrix can be polylactic acid, polyglycolic acid, lactic acid-hydroxyl One or more of acetic acid copolymer, polydioxanone, polycaprolactone, polyurethane, chitosan and hyaluronic acid. The first helical part 100 is formed by helically winding a filamentary composite material part on a stem of predetermined diameter.
在一些实施方式中,第二螺旋部件120包括生物可吸收材料,该生物可吸收材料可以为聚乳酸、聚羟基乙酸、乳酸-羟基乙酸共聚物、聚对二氧杂环己酮、聚己内酯、聚氨酯、壳聚糖、透明质酸、镁、镁合金、铁和铁合金中的一种或几种。在一些实施方式中,也可以对上述第二螺旋部件120进行改性,例如在该第二螺旋部件120内部或表面负载一些活性物质,可以是生长 因子或者某种药物分子等。由上述材料制成的聚合物或者金属丝材在预设直径的芯柱上螺旋绕制成该第二螺旋部件120。可以理解的是,该第二螺旋部件120的线圈的节距可以是均匀的,也可以沿着线圈的长度而渐变,还可以在线圈的不同区段具有不同的节距。In some embodiments, the second helical member 120 includes a bioabsorbable material, which may be polylactic acid, polyglycolic acid, lactic acid-co-glycolic acid, polydioxanone, polycaprolactone One or more of ester, polyurethane, chitosan, hyaluronic acid, magnesium, magnesium alloy, iron and iron alloy. In some embodiments, the above-mentioned second helical part 120 can also be modified, for example, some active substances, which can be growth factors or certain drug molecules, are loaded inside or on the surface of the second helical part 120. The second helical part 120 is formed by helically winding a polymer or metal wire made of the above-mentioned materials on a core column with a predetermined diameter. It can be understood that the pitch of the coils of the second helical part 120 may be uniform, may also be gradual along the length of the coil, and may also have different pitches in different sections of the coil.
使用生物可吸收材料制成的第二螺旋部件120的体积占整个栓塞物10总体积的百分比范围为30%-90%。采用生物可吸收材料和金属不透射材料的双层结构的栓塞物10,在保持了传统的金属弹簧圈较好的显影性和支撑性等特征的同时,生物可吸收材料部分可以在一定时间内被部分降解和吸收,能够有效缓解对于大型动脉瘤可能引起压迫周围组织和神经的占位效应等问题。The volume of the second helical member 120 made of bioabsorbable material accounts for a percentage of the total volume of the entire emboli 10 ranging from 30% to 90%. The emboli 10 using the double-layer structure of bioabsorbable material and metal opaque material maintains the better developing and supporting characteristics of traditional metal coils, and the bioabsorbable material part can be used within a certain period of time. It is partially degraded and absorbed, which can effectively alleviate problems such as mass effect that may cause compression of surrounding tissues and nerves for large aneurysms.
在一些实施方式中,第一螺旋部件100的外径尺寸范围为0.002-0.02英寸,绕制第一螺旋部件100的丝材的截面为圆形或圆形的一部分,该丝材的直径或曲率半径的2倍的尺寸范围为0.0003-0.003英寸。第二螺旋部件120的外径尺寸范围为0.005-0.05英寸,绕制第二螺旋部件120的丝材的截面为圆形或圆形的一部分,该丝材的直径或曲率半径的2倍的尺寸范围为0.0005-0.005英寸。继续参考图1和图2,第二螺旋部件120包覆在第一螺旋部件100外侧,第一螺旋部件100的轴向长度不大于第二螺旋部件120的轴向长度。第二螺旋部件120的长度尺寸范围为0.5-200厘米,第一螺旋部件100长度比第二螺旋部件120的长度略短,为第二螺旋部件120绕制成的管状结构的长度的10%-100%。In some embodiments, the outer diameter of the first helical member 100 is in the range of 0.002-0.02 inches, the cross-section of the wire wound around the first helical member 100 is a circle or a portion of a circle, and the diameter or curvature of the wire is The size range of 2 times the radius is 0.0003-0.003 inches. The outer diameter of the second helical member 120 is in the range of 0.005-0.05 inches, and the cross-section of the wire wound around the second helical member 120 is a circle or part of a circle, and the diameter of the wire is twice the size of the radius of curvature The range is 0.0005-0.005 inches. Continuing to refer to FIG. 1 and FIG. 2 , the second helical part 120 is wrapped outside the first helical part 100 , and the axial length of the first helical part 100 is not greater than the axial length of the second helical part 120 . The length of the second helical part 120 is in the range of 0.5-200 cm. The length of the first helical part 100 is slightly shorter than the length of the second helical part 120, which is 10% of the length of the tubular structure wound by the second helical part 120- 100%.
如图2所示,定型部件130的远端132固定于第一螺旋部件100和第二螺旋部件120的远端140,定型部件130的近端134为自由端,设置于第一螺旋部件100的近端内腔110中。在本申请的一个实施例中,定型部件130的远端132设置为倒J型弯钩,与第一螺旋部件100远端140的至少一个线圈连接,例如最后一个线圈,然后通过热熔或点胶的方式在第一螺旋部件100和第二螺旋部件120的远端140形成无创伤性的远侧尖端,将定型部件130的远端132与第一螺旋部件100和第二螺旋部件120的远端140彼此牢固地结合在一起,即将所述倒J型弯钩的至少部分与第一螺旋部件100和第二螺旋部件120的远端140包覆于该无创伤性的远侧尖端。该无创伤性的远侧尖 端可以为图2所示的球帽150,也可以为圆锥形或椭圆形的封闭端。其中,该无创伤性的远侧尖端可由聚合物材料形成,例如聚酯、丙烯酸胶黏剂或其他适用于热熔或点胶的聚合物材料。在其他一些实施方式中,定型部件130的远端132也可以通过其他方式与第一螺旋部件100和第二螺旋部件120的远端140连接,例如,直型的、倒J型的或其他形状的定型部件130的远端132直接被球帽150包裹固定;或者定型部件130的远端132先与第二螺旋部件120的至少一个线圈连接后被球帽150包裹固定;又或者通过丝线物理缠绕或打结的方式将定型部件130连接于第一螺旋部件100和第二螺旋部件120的至少一端。As shown in FIG. 2 , the distal end 132 of the shaping member 130 is fixed to the distal ends 140 of the first helical member 100 and the second helical member 120 , and the proximal end 134 of the shaping member 130 is a free end, which is provided on the first helical member 100 . in the proximal lumen 110 . In one embodiment of the present application, the distal end 132 of the shaping member 130 is provided as an inverted J-shaped hook, which is connected with at least one coil of the distal end 140 of the first helical member 100, such as the last coil, and then is heated by melting or spotting An atraumatic distal tip is formed on the distal ends 140 of the first helical member 100 and the second helical member 120 by means of glue, and the distal end 132 of the shaping member 130 is attached to the distal end of the first helical member 100 and the second helical member 120. The ends 140 are firmly joined to each other, ie, at least a portion of the inverted J-shaped hook and the distal ends 140 of the first and second helical members 100, 120 are wrapped around the atraumatic distal tip. The atraumatic distal tip can be the spherical cap 150 shown in Figure 2, or it can be a conical or oval closed end. Therein, the atraumatic distal tip may be formed from a polymeric material such as polyester, acrylic adhesive, or other polymeric material suitable for hot melt or dispensing. In other embodiments, the distal end 132 of the shaping member 130 can also be connected to the distal end 140 of the first helical member 100 and the second helical member 120 by other means, such as straight, inverted J, or other shapes The distal end 132 of the shaping member 130 is directly wrapped and fixed by the ball cap 150; or the distal end 132 of the shaping member 130 is first connected to at least one coil of the second helical member 120 and then wrapped and fixed by the ball cap 150; The shaping part 130 is connected to at least one end of the first helical part 100 and the second helical part 120 in a knotted manner.
在一些实施方式中,定型部件130的近端134与第一螺旋部件100的近端160连接,远端132为自由端。也可以近端134和远端132分别与第一螺旋部件100的近端160和远端140连接。In some embodiments, the proximal end 134 of the shaping member 130 is connected to the proximal end 160 of the first helical member 100, and the distal end 132 is the free end. The proximal end 134 and the distal end 132 may also be connected to the proximal end 160 and the distal end 140 of the first helical member 100, respectively.
在一些实施方式中,定型部件130包括至少一根定型丝材,其中每根定型丝材的截面为圆形、椭圆形或多边形,其直径不超过第一螺旋部件100内径的90%,其中,该第一螺旋部件100的内径范围为0.001-0.01英寸。形成该定型部件130的材料为记忆合金,可为钴铬合金、镍钛合金和铂钨合金中的一种或几种。使用上述材料制造的定型部件130不仅增强了双层螺旋结构在血管及动脉瘤中的可视性,还可以对记忆合金进行立体预定型,用于提高栓塞物10的稳定性,使其在动脉瘤中可以具有更好的支撑性。在一些实施方式中,可以对定型部件130进行预定型,使其具有螺旋形、波浪形、四面体、五面体和六面体中的至少一种二级结构。In some embodiments, the shaping member 130 includes at least one shaping wire, wherein the cross-section of each shaping wire is circular, oval or polygonal, and its diameter does not exceed 90% of the inner diameter of the first helical member 100, wherein, The inner diameter of the first helical member 100 is in the range of 0.001-0.01 inches. The material for forming the shaping part 130 is memory alloy, which can be one or more of cobalt-chromium alloy, nickel-titanium alloy and platinum-tungsten alloy. The shaping member 130 made of the above-mentioned materials not only enhances the visibility of the double-layer helical structure in blood vessels and aneurysms, but also can perform three-dimensional pre-sizing of the memory alloy, which is used to improve the stability of the emboli 10 and make it in the artery. The tumor can have better support. In some embodiments, the shaping member 130 may be pre-shaped to have at least one secondary structure of helical, wavy, tetrahedral, pentahedral, and hexahedral.
图3是本发明另一实施例的栓塞物10的剖视图。栓塞物10包括具有内腔110的管状的第一螺旋部件100、嵌套于第一螺旋部件100外侧面的第二螺旋部件120、至少部分置于所述第一螺旋部件100内腔110中的定型部件130和至少部分置于所述第一螺旋部件100内腔110中的固定部件170。其中,第一螺旋部件100、第二螺旋部件120和定型部件130的结构和使用方式和图2所示的实施方式中大致相同,在此不再重复说明。在一些实施方式中,固定部件170和第一螺旋部件100同轴或轴向平行。FIG. 3 is a cross-sectional view of an embolic device 10 according to another embodiment of the present invention. The plug 10 includes a tubular first helical member 100 having an inner lumen 110 , a second helical member 120 nested on the outer side of the first helical member 100 , and a second helical member 120 disposed at least partially in the lumen 110 of the first helical member 100 . The shaping part 130 and the fixing part 170 at least partially placed in the inner cavity 110 of the first helical part 100 . The structures and usage of the first helical member 100 , the second helical member 120 and the shaping member 130 are substantially the same as those in the embodiment shown in FIG. 2 , and will not be repeated here. In some embodiments, the fixed member 170 and the first helical member 100 are coaxial or axially parallel.
如图3所示,固定部件170可以为聚合物丝材,制成该聚合物丝材的材料为聚丙烯、聚酯、尼龙、聚乳酸、聚羟基乙酸、乳酸-羟基乙酸共聚物、聚己内酯中的一种或几种。该聚合物丝材通过物理缠绕或打结的方式分别连接于第一螺旋部件100和第二螺旋部件120的两端,用以固定第一螺旋部件100和第二螺旋部件120。As shown in FIG. 3 , the fixing member 170 may be a polymer wire material, and the material of the polymer wire material is polypropylene, polyester, nylon, polylactic acid, polyglycolic acid, lactic acid-glycolic acid copolymer, polyhexamethylene One or more of the lactones. The polymer wire is connected to both ends of the first helical part 100 and the second helical part 120 by physical winding or knotting, respectively, so as to fix the first helical part 100 and the second helical part 120 .
在一些实施方式中,固定部件170与第一螺旋部件100和第二螺旋部件120的打结方式为固定部件170同时对第一螺旋部件100上的至少一圈螺旋和第二螺旋部件120上的至少一圈螺旋打结,以保持第一螺旋部件100和第二螺旋部件120同轴或轴向平行。可以理解的是,固定部件170与第一螺旋部件100和/或第二螺旋部件120的连接位置不局限于图3所示,固定部件170可以在螺旋部件圆周上的任意位置进行打结。In some embodiments, the fixing member 170 is knotted with the first helical member 100 and the second helical member 120 in a manner that the fixing member 170 simultaneously ties at least one turn of the helix on the first helical member 100 and the second helix on the second helical member 120 . At least one turn of the helix is knotted to keep the first helical part 100 and the second helical part 120 coaxially or axially parallel. It can be understood that the connection position of the fixing member 170 with the first helical member 100 and/or the second helical member 120 is not limited to that shown in FIG. 3 , and the fixing member 170 can be knotted at any position on the circumference of the helical member.
如图3所示,固定部件170在与第一螺旋部件100的近端140打结之前,可以先与定型部件130连接,起到稳定固定部件170、第一螺旋部件100和定型部件130三者的作用。As shown in FIG. 3 , before knotting with the proximal end 140 of the first helical member 100 , the fixing member 170 may be connected with the shaping member 130 to stabilize the fixing member 170 , the first helical member 100 and the shaping member 130 effect.
在一些实施方式中,固定部件170与第一螺旋部件100和第二螺旋部件120的打结方式也可以为:固定部件170仅对第一螺旋部件100上的至少一圈螺旋或第二螺旋部件120上的至少一圈螺旋打结。In some embodiments, the knotting manner of the fixing member 170 with the first helical member 100 and the second helical member 120 may also be: the fixing member 170 only ties at least one turn of the helical member or the second helical member on the first helical member 100 . At least one turn of the helix on the 120 is knotted.
为实现上述目的,本发明还提供了一种栓塞物10制备方法,参考图3,主要包括下列步骤:In order to achieve the above purpose, the present invention also provides a method for preparing an emboli 10, with reference to FIG. 3, which mainly includes the following steps:
S1,将绕制好的第一螺旋部件100和定型部件130按照预设的形状分别在模具上进行预定型处理,其中,预设的形状可以为螺旋形(Helical)、波浪形、四面体、五面体和六面体中的至少一种,第一螺旋部件100和定型部件130的预设形状也是互相对应的。S1, the wound first helical part 100 and the shaping part 130 are respectively pre-shaped on the mold according to preset shapes, wherein the preset shapes can be helical, wave, tetrahedron, At least one of the pentahedron and the hexahedron, the preset shapes of the first helical part 100 and the shaping part 130 are also corresponding to each other.
S2,将预定型好的定型部件130设置于预定型好的第一螺旋部件100的内腔110中,即,将丝状的定型部件130穿设于第一螺旋部件100的内腔110中,且将定型部件130的至少一端固定于第一螺旋部件100的至少一端。S2, setting the pre-shaped shaping member 130 in the cavity 110 of the pre-shaped first helical member 100, that is, threading the filamentary shaping member 130 in the inner cavity 110 of the first helical member 100, And at least one end of the shaping member 130 is fixed to at least one end of the first spiral member 100 .
S3,将固定部件170设置于第一螺旋部件100的内腔110中。S3 , disposing the fixing member 170 in the inner cavity 110 of the first spiral member 100 .
S4,将绕制好的第二螺旋部件120套设于绕制好的第一螺旋部件100外 侧。S4, wrapping the wound second helical part 120 on the outside of the wound first helical part 100.
S5,将设置于第一螺旋部件100的内腔110中的固定部件170通过物理缠绕或打结的方式分别连接于第一螺旋部件100和第二螺旋部件120的两端,并在第二螺旋部件120的至少一端通过热熔或点胶的方式形成球帽150以进行封端,其中第一螺旋部件100和定型部件130的至少部分包覆于球帽150。S5, connect the fixing member 170 disposed in the inner cavity 110 of the first helical member 100 to the two ends of the first helical member 100 and the second helical member 120 by physical winding or knotting, respectively, and connect the second helical member 170 to the two ends of the second helical member 100. At least one end of the component 120 is formed into a ball cap 150 by means of hot melting or dispensing for end capping, wherein at least part of the first helical component 100 and the shaping component 130 covers the ball cap 150 .
虽然本发明披露如上,但并不局限于此。本领域的技术人员可以对本发明进行各种改动和变型而不脱离本发明的精神和范围。这样,倘若本发明的这些修改和变型属于本发明权利要求及其等同技术的范围之内,则本发明也意图包含这些改动和变型在内。Although the present invention is disclosed above, it is not limited thereto. Various modifications and variations can be made in the present invention by those skilled in the art without departing from the spirit and scope of the invention. Thus, provided that these modifications and variations of the present invention fall within the scope of the claims of the present invention and their equivalents, the present invention is also intended to include these modifications and variations.

Claims (23)

  1. 一种栓塞物,包括具有内腔的管状的第一螺旋部件、嵌套于所述第一螺旋部件外侧面的第二螺旋部件和至少部分置于所述第一螺旋部件内腔中的定型部件,其特征在于,所述第一螺旋部件包括不透射线材料,所述第二螺旋部件包括生物可吸收材料,所述定型部件的一端固定于所述第一螺旋部件及所述第二螺旋部件的一端。A plug, comprising a tubular first helical member with an inner cavity, a second helical member nested on the outer side of the first helical member, and a shaping member at least partially placed in the inner cavity of the first helical member , characterized in that the first helical member comprises a radiopaque material, the second helical member comprises a bioabsorbable material, and one end of the shaping member is fixed to the first helical member and the second helical member one end.
  2. 如权利要求1所述的栓塞物,其特征在于,所述第一螺旋部件为铂、铱、金、银、钽和钨中的任意一种或其合金制成的金属部件。The embolic device of claim 1, wherein the first helical member is a metal member made of any one of platinum, iridium, gold, silver, tantalum and tungsten or an alloy thereof.
  3. 如权利要求1所述的栓塞物,其特征在于,所述第一螺旋部件为基体中掺杂了显影物质的复合材料部件,其中,所述显影物质为碘造影剂或硫酸钡,所述基体为聚乳酸、聚羟基乙酸、乳酸-羟基乙酸共聚物、聚对二氧杂环己酮、聚己内酯、聚氨酯、壳聚糖和透明质酸中的任意一种或几种。The emboli according to claim 1, wherein the first helical part is a composite material part doped with a developing substance in a matrix, wherein the imaging substance is an iodine contrast agent or barium sulfate, and the matrix is It is any one or more of polylactic acid, polyglycolic acid, lactic acid-glycolic acid copolymer, poly-dioxanone, polycaprolactone, polyurethane, chitosan and hyaluronic acid.
  4. 如权利要求1所述的栓塞物,其特征在于,所述第二螺旋部件为聚乳酸、聚羟基乙酸、乳酸-羟基乙酸共聚物、聚对二氧杂环己酮、聚己内酯、聚氨酯、壳聚糖、透明质酸、镁、镁合金、铁和铁合金中的任意一种或几种。The emboli according to claim 1, wherein the second helical member is polylactic acid, polyglycolic acid, lactic acid-glycolic acid copolymer, polydioxanone, polycaprolactone, polyurethane , any one or more of chitosan, hyaluronic acid, magnesium, magnesium alloy, iron and iron alloy.
  5. 如权利要求1所述的栓塞物,其特征在于,所述定型部件包括至少一根定型丝材,其中,每根所述定型丝材的截面为圆形、椭圆形或多边形。The emboli according to claim 1, wherein the shaping member comprises at least one shaping wire, wherein the cross section of each shaping wire is circular, oval or polygonal.
  6. 如权利要求1所述的栓塞物,其特征在于,所述定型部件的材料为钴铬合金、镍钛合金和铂钨合金中的一种或几种。The embolus according to claim 1, wherein the material of the shaping part is one or more of cobalt-chromium alloy, nickel-titanium alloy and platinum-tungsten alloy.
  7. 如权利要求1所述的栓塞物,其特征在于,所述定型部件具有螺旋形、波浪形、四面体、五面体和六面体中的至少一种二级结构。The embolus of claim 1, wherein the shaping member has at least one secondary structure selected from the group consisting of helical, wavy, tetrahedral, pentahedral, and hexahedral.
  8. 如权利要求1所述的栓塞物,其特征在于,所述第二螺旋部件的外径尺寸范围为0.005-0.05英寸,长度尺寸范围为0.5-200厘米,其中,绕制所述第二螺旋部件的丝材的截面为圆形或圆形的一部分,该丝材的直径或曲率半径的2倍的尺寸范围为0.0005-0.005英寸。The embolic device of claim 1, wherein the outer diameter of the second helical member is in the range of 0.005-0.05 inches and the length in the range of 0.5-200 cm, wherein the second helical member is wound The cross-section of the wire is a circle or part of a circle, and the diameter or radius of curvature of the wire has a size in the range of 0.0005-0.005 inches.
  9. 如权利要求8所述的栓塞物,其特征在于,所述第一螺旋部件的外径 尺寸范围为0.002-0.02英寸,长度为所述第二螺旋部件绕制成的管状结构的长度的10%-100%,其中,绕制所述第一螺旋部件的丝材的截面为圆形或圆形的一部分,该丝材的直径或曲率半径的2倍的尺寸范围为0.0003-0.003英寸。9. The emboli of claim 8, wherein the outer diameter of the first helical member is in the range of 0.002-0.02 inches in size and the length is 10% of the length of the tubular structure from which the second helical member is wound -100%, wherein the cross-section of the wire around which the first helical member is wound is a circle or part of a circle, and the diameter or radius of curvature of the wire has a size ranging from 0.0003 to 0.003 inches.
  10. 如权利要求8所述的栓塞物,其特征在于,所述定型部件包括至少一根定型丝材,所述定型丝材的直径不超过所述第一螺旋部件的内径的90%。9. The embolic device of claim 8, wherein the shaping member comprises at least one shaping wire, and the shaping wire has a diameter that does not exceed 90% of the inner diameter of the first helical member.
  11. 如权利要求1所述的栓塞物,其特征在于,所述第一螺旋部件、所述第二螺旋部件和所述定型部件同轴或轴向平行,和/或,所述第一螺旋部件的轴向长度不大于所述第二螺旋部件的轴向长度。The emboli according to claim 1, wherein the first helical member, the second helical member and the shaping member are coaxial or axially parallel, and/or the first helical member is The axial length is not greater than the axial length of the second helical member.
  12. 如权利要求1所述的栓塞物,其特征在于,所述第二螺旋部件的至少一端通过热熔或点胶的方式形成球帽以进行封端,其中,所述第一螺旋部件的至少部分包覆于所述球帽。The embolus of claim 1, wherein at least one end of the second helical member is formed into a spherical cap by hot melting or dispensing for end capping, wherein at least part of the first helical member is Covered on the ball cap.
  13. 如权利要求12所述的栓塞物,其特征在于,所述定型部件的一端通过所述球帽固定于所述第一螺旋部件及所述第二螺旋部件的一端。The plug according to claim 12, wherein one end of the shaping member is fixed to one end of the first helical member and the second helical member through the ball cap.
  14. 如权利要求12所述的栓塞物,其特征在于,所述定型部件的一端设置为倒J型弯钩,所述倒J型弯钩的至少部分包覆于所述球帽。The emboli according to claim 12, wherein one end of the shaping member is set as an inverted J-shaped hook, and at least part of the inverted J-shaped hook covers the ball cap.
  15. 如权利要求1所述的栓塞物,还包括至少部分置于所述第一螺旋部件内腔中的固定部件,其中,所述固定部件和所述第一螺旋部件同轴或轴向平行。2. The emboli of claim 1, further comprising a fixation member disposed at least partially within the lumen of the first helical member, wherein the fixation member and the first helical member are coaxial or axially parallel.
  16. 如权利要求1所述的栓塞物,其特征在于,所述固定部件为聚合物丝材,其中,制成所述聚合物丝材的材料为聚丙烯、聚酯、尼龙、聚乳酸、聚羟基乙酸、乳酸-羟基乙酸共聚物、聚己内酯中的一种或几种。The emboli according to claim 1, wherein the fixing member is a polymer wire, wherein the material of the polymer wire is polypropylene, polyester, nylon, polylactic acid, polyhydroxyl One or more of acetic acid, lactic acid-glycolic acid copolymer and polycaprolactone.
  17. 如权利要求16所述的栓塞物,其特征在于,管状的所述聚合物丝材通过物理缠绕或打结的方式分别连接于所述第一螺旋部件和所述第二螺旋部件的两端,用以固定所述第一螺旋部件和所述第二螺旋部件。The emboli according to claim 16, wherein the tubular polymer wire is connected to the two ends of the first helical part and the second helical part by physical winding or knotting, respectively, for fixing the first helical part and the second helical part.
  18. 如权利要求17所述的栓塞物,其特征在于,所述聚合物丝材将所述第一螺旋部件上的至少一圈螺旋和所述第二螺旋部件上的至少一圈螺旋缠绕 在一起进行打结,以保持所述第一螺旋部件和所述第二螺旋部件同轴或轴向平行。18. The embolic of claim 17, wherein the polymeric filaments are wound together at least one helix on the first helical member and at least one helix on the second helical member Knots are tied to keep the first and second helical members coaxial or axially parallel.
  19. 如权利要求1所述的栓塞物,其特征在于,所述栓塞物具有螺旋形、波浪形、四面体、五面体和六面体中的至少一种二级结构。The plug of claim 1, wherein the plug has at least one secondary structure selected from the group consisting of helical, wavy, tetrahedral, pentahedral, and hexahedral.
  20. 一种栓塞物,包括具有内腔的管状的第一螺旋部件、缠绕于所述第一螺旋部件外侧面的第二螺旋部件、至少部分置于所述第一螺旋部件内腔中的定型部件和至少部分置于所述第一螺旋部件内腔中的固定部件,其特征在于:A plug, comprising a tubular first helical member having an inner lumen, a second helical member wound around the outer side of the first helical member, a shaping member at least partially placed in the lumen of the first helical member, and The fixed part placed at least partially in the inner cavity of the first helical part is characterized in that:
    所述第一螺旋部件包括不透射线材料,所述第二螺旋部件包括生物可吸收材料;the first helical member includes a radiopaque material and the second helical member includes a bioabsorbable material;
    所述固定部件通过物理缠绕或打结的方式分别连接于所述第二螺旋部件的两端;The fixing parts are respectively connected to both ends of the second helical part by means of physical winding or knotting;
    所述定型部件的一端固定于所述第一螺旋部件及所述第二螺旋部件的一端;以及One end of the shaping member is fixed to one end of the first helical member and the second helical member; and
    所述第二螺旋部件的至少一端通过热熔或点胶的方式形成球帽以进行封端,所述第一螺旋部件和所述定型部件的至少部分包覆于所述球帽。At least one end of the second helical part is formed into a spherical cap by means of hot melting or dispensing for end capping, and at least a part of the first helical part and the shaping part is wrapped around the spherical cap.
  21. 一种如权利要求1-20中任一项所述的栓塞物制备方法,其特征在于,包括下列步骤:A method for preparing emboli according to any one of claims 1-20, characterized in that, comprising the following steps:
    将绕制好的所述第一螺旋部件和所述定型部件按照预设的形状分别在模具上进行预定型处理;Presetting the wound first helical part and the shaping part on a mold according to a preset shape;
    将预定型好的所述定型部件设置于预定型好的所述第一螺旋部件的内腔中;以及disposing the preformed shaping member in the inner cavity of the preformed first helical member; and
    将绕制好的所述第二螺旋部件套设于绕制好的所述第一螺旋部件外侧。The wound second helical part is sleeved on the outside of the wound first helical part.
  22. 如权利要求21所述的制备方法,其特征在于,还包括:The preparation method of claim 21, further comprising:
    将所述固定部件设置于所述第一螺旋部件的内腔中;disposing the fixing member in the inner cavity of the first helical member;
    将设置于所述第一螺旋部件的内腔中的所述固定部件通过物理缠绕或打 结的方式分别连接于所述第一螺旋部件和所述第二螺旋部件的两端;以及The fixing members provided in the inner cavity of the first helical member are respectively connected to both ends of the first helical member and the second helical member by means of physical winding or knotting; and
    将所述定型部件的一端与所述第一螺旋部件及第二螺旋部件的一端固定在一起。One end of the shaping member is fixed together with one end of the first and second helical members.
  23. 如权利要求22所述的制备方法,其特征在于,所述聚合物丝材与所述第一螺旋部件和所述第二螺旋部件的打结方式为所述聚合物丝材同时对所述第一螺旋部件上的至少一圈螺旋和所述第二螺旋部件上的至少一圈螺旋打结,以保持所述第一螺旋部件和所述第二螺旋部件同轴或轴向平行。The preparation method according to claim 22, wherein the method of tying the polymer wire with the first helical member and the second helical member is that the polymer wire is At least one helix on one helical member and at least one helix on the second helical member are knotted to keep the first helical member and the second helical member coaxial or axially parallel.
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WO2023116498A1 (en) * 2021-12-20 2023-06-29 神遁医疗科技(上海)有限公司 Embolic agent
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