WO2022206148A1 - Developing filament and occluder with developing function - Google Patents

Developing filament and occluder with developing function Download PDF

Info

Publication number
WO2022206148A1
WO2022206148A1 PCT/CN2022/073717 CN2022073717W WO2022206148A1 WO 2022206148 A1 WO2022206148 A1 WO 2022206148A1 CN 2022073717 W CN2022073717 W CN 2022073717W WO 2022206148 A1 WO2022206148 A1 WO 2022206148A1
Authority
WO
WIPO (PCT)
Prior art keywords
developing
wire
nanoparticles
filament
double bond
Prior art date
Application number
PCT/CN2022/073717
Other languages
French (fr)
Chinese (zh)
Inventor
王云兵
郭高阳
杨立
Original Assignee
四川大学
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.)
Filing date
Publication date
Application filed by 四川大学 filed Critical 四川大学
Publication of WO2022206148A1 publication Critical patent/WO2022206148A1/en

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39Markers, e.g. radio-opaque or breast lesions markers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L31/00Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
    • A61L31/04Macromolecular materials
    • A61L31/048Macromolecular materials obtained by reactions only involving carbon-to-carbon unsaturated bonds
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L31/00Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
    • A61L31/04Macromolecular materials
    • A61L31/06Macromolecular materials obtained otherwise than by reactions only involving carbon-to-carbon unsaturated bonds
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L31/00Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
    • A61L31/08Materials for coatings
    • A61L31/10Macromolecular materials
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L31/00Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
    • A61L31/12Composite materials, i.e. containing one material dispersed in a matrix of the same or different material
    • A61L31/125Composite materials, i.e. containing one material dispersed in a matrix of the same or different material having a macromolecular matrix
    • A61L31/128Composite materials, i.e. containing one material dispersed in a matrix of the same or different material having a macromolecular matrix containing other specific inorganic fillers not covered by A61L31/126 or A61L31/127
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L31/00Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
    • A61L31/12Composite materials, i.e. containing one material dispersed in a matrix of the same or different material
    • A61L31/125Composite materials, i.e. containing one material dispersed in a matrix of the same or different material having a macromolecular matrix
    • A61L31/129Composite materials, i.e. containing one material dispersed in a matrix of the same or different material having a macromolecular matrix containing macromolecular fillers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L31/00Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
    • A61L31/14Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L31/00Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
    • A61L31/14Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
    • A61L31/16Biologically active materials, e.g. therapeutic substances
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L31/00Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
    • A61L31/14Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
    • A61L31/18Materials at least partially X-ray or laser opaque
    • 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
    • A61B17/0057Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00575Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closure at remote site, e.g. closing atrial septum defects
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00575Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closure at remote site, e.g. closing atrial septum defects
    • A61B2017/00606Implements H-shaped in cross-section, i.e. with occluders on both sides of the opening
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00575Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closure at remote site, e.g. closing atrial septum defects
    • A61B2017/00623Introducing or retrieving devices therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831Material properties
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3966Radiopaque markers visible in an X-ray image
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2400/00Materials characterised by their function or physical properties
    • A61L2400/10Materials for lubricating medical devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2400/00Materials characterised by their function or physical properties
    • A61L2400/12Nanosized materials, e.g. nanofibres, nanoparticles, nanowires, nanotubes; Nanostructured surfaces
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2430/00Materials or treatment for tissue regeneration
    • A61L2430/36Materials or treatment for tissue regeneration for embolization or occlusion, e.g. vaso-occlusive compositions or devices

Definitions

  • the invention relates to the field of medical instruments, in particular to a developing wire and an occluder with a developing function.
  • Atrial septal defect ASD
  • VSD ventricular septal defect
  • PDA patent ductus arteriosus
  • PFO patent foramen ovale
  • atrial septal defect ASD
  • VSD ventricular septal defect
  • PDA patent ductus arteriosus
  • PFO patent foramen ovale
  • these congenital heart defects may cause cardiac function disorders and other cardiovascular and cerebrovascular complications.
  • decreased atrial contraction in atrial fibrillation patients further reduces the blood flow velocity of the left atrial appendage, which is connected to the left atrium, causing blood to coagulate into a thrombus. If the thrombus falls off, it is likely to reach the intracranial blood vessels through the blood flow, blocking the small cerebral blood vessels, resulting in ischemic stroke.
  • the occluder can be implanted at the site of total heart damage or the left atrial appendage by minimally invasive intervention. This method is the first choice for patients with congenital heart disease due to its mild trauma, safe operation, and accurate short-term and mid-term effects.
  • Most of the frame of the minimally invasive interventional occluder currently used clinically is a mesh structure, which is convenient to be compressed on the delivery device, so as to restore the shape of the diseased part and release it after delivery into the body, thereby completing the occlusion function.
  • most of the previous minimally invasive interventional occluder frames are woven from non-degradable nickel-titanium alloys, which can cause valve damage, atrioventricular block, heart tissue wear, etc. Complications such as thrombosis occur, and the risk of these complications affects patients throughout their lives.
  • the use of degradable materials to prepare an occluder is an ideal choice to overcome these shortcomings. After implantation, it can induce the regeneration of cardiac defect tissue, and completely disappear after cardiac repair. It will not adversely affect the subsequent life of the patient. Ideal for defects and for LAA closure.
  • the current minimally invasive interventional degradable occluder cannot be visualized under X-rays, which is inconvenient for doctors to transport and release the occluder.
  • This problem is solved by adding developing marks on the occluder, but the developing marks are generally non-degradable metals, which will permanently remain in the body and cause foreign body reactions, and in order to minimize the residue of the developing marks, often only a small number of parts of the occluder can be marked.
  • the overall release profile of the occluder cannot be assessed, increasing the risk of surgery for the patient. Therefore, there is an urgent need to solve the technical problem that the imaging mark will remain permanently in the body, and only a small number of parts of the occluder can be marked.
  • the object of the present invention is to provide a developing wire, which can be withdrawn in vitro after the occluder is released, can avoid the permanent residue of the developing mark in the body, and can expand the developing range at the same time, which is beneficial to reduce the difficulty and risk of surgery, And it has low elastic modulus and friction resistance, and has good compliance, and the end of the developing wire will not cause damage to the tissue when withdrawing.
  • a developing wire comprising a wire main body and a first control end and a second control end arranged on the wire main body for picking and placing the wire main body, the first control end and the second control end are respectively located at both ends of the wire main body ;
  • the material of the developing wire is a polymer wire with a lubricating layer on the surface, and the lubricating layer supports the developing material; or the developing wire is a hydrogel wire carrying the developing material.
  • the polymer wire with a lubricating layer on the surface is prepared by comprising the following steps:
  • the polymer wire is at least one of polypropylene wire, polytetrafluoroethylene wire and polyamide wire;
  • the double bond polymerizable precursor is methacrylamide compound, methacrylate At least one of compounds, acrylates, acrylamide compounds, acryloyl chloride, and methacrylic anhydride;
  • the double bond polymerizable monomer is at least one of hyaluronic acid methacrylate, polyvinyl alcohol acrylate, polyethylene glycol diacrylate, vinyl pyrrolidone, sulfobetaine methacrylate and sulfonic acid acrylic acid. kind.
  • the methacrylamide compound is N-(3-aminopropyl) methacrylamide hydrochloride.
  • the surface-loaded developing material and lubricating material polymer wire is prepared by comprising the following steps:
  • step (2) Immerse the filament obtained in step (1) in an aqueous solution containing a double bond polymerizable monomer and an initiator for 5-15 minutes.
  • the concentration of the double bond polymerizable monomer in the aqueous solution containing the double bond polymerizable monomer and the initiator is 0.2 wt % to 50 wt %, and the concentration of the initiator is 0.05 wt % to 2 wt %.
  • the double bond polymerizable precursor supported on the surface of the polymer filament material includes method A or method B:
  • Method A is: under alkaline or neutral conditions, coat the surface of the polymer wire with cross-linkable functional group molecules, and then coat the double bond polymerizable precursor; or coat the cross-linkable functional group molecule with the double bond polymerizable precursor The body is mixed and then coated;
  • the crosslinkable functional group molecule is a tea polyphenol compound, preferably the tea polyphenol compound is at least one of tannic acid, epigallocatechin gallate, and dopamine;
  • Method B is: the surface of the polymer wire is subjected to plasma treatment (introduction of hydroxyl groups), and the double bond polymerizable precursor is coated.
  • method A is: immersing the polymer wire in an aqueous solution containing cross-linkable functional group molecules, adjusting the pH to 7-10, soaking for 4-8 hours, taking out the wire, cleaning and immersing the The double bond polymerizable precursor is soaked in the aqueous solution for 4 to 8 hours, and the wire is taken out.
  • method B is: plasma treatment (introduction of hydroxyl groups) on the surface of the polymer wire material, immersion in a diethyl ether solution of triethylamine, adding the double bond polymerizable precursor at 0-4° C., The reaction was carried out at room temperature for 20 to 30 hours, and the filament was taken out.
  • the concentration of the crosslinkable functional group molecules in the aqueous solution containing the crosslinkable functional group molecules is 1-10 mg/mL; preferably, the concentration of the double bond polymerizable precursor in the aqueous solution It is 0.5 ⁇ 10mg/mL.
  • the concentration of the double bond polymerizable precursor in the solution is 5-15 v/v %.
  • the initiator is a photoinitiator, further Irgacure 2959.
  • the curing method in step (3) is photocuring.
  • the aqueous solution of the double bond-containing polymerizable monomer and the initiator in step (2) may further include a crosslinking agent.
  • the crosslinking agent contains at least two polymerizable functional groups, such as polyethylene glycol diacrylate and N,N'-methylenebisacrylamide.
  • the developing material is at least one of tungsten, tantalum, barium sulfate, bismuth, gold, platinum, osmium, rhenium, iridium, and rhodium; further, the developing material is tungsten nanoparticles, tantalum nanoparticle At least one of particles, barium sulfate nanoparticles, bismuth nanoparticles, gold nanoparticles, platinum nanoparticles, osmium nanoparticles, rhenium nanoparticles, iridium nanoparticles, and rhodium nanoparticles.
  • the base is sodium hydroxide or triethylamine.
  • the coating method is dip coating, wipe coating or spray coating.
  • the developing material-loaded hydrogel thread is prepared by comprising the steps of:
  • step (2) placing the developing material obtained in step (1) in the gel precursor aqueous solution, and injecting it into the mold to solidify to obtain a hydrogel developing line;
  • the gel precursor is polyvinyl alcohol
  • the crosslinkable functional group molecule is a tea polyphenol compound, preferably the crosslinkable functional group molecule is tannic acid, epigallocatechin gallate, and dopamine. at least one.
  • the concentration of the crosslinkable functional group molecules is 5-15 mg/mL.
  • the concentration of the gel precursor in the aqueous gel precursor solution is 20-40 wt%.
  • the concentration of the developing material in the aqueous gel precursor solution is 0.1-20 mg/mL.
  • the pH of the aqueous solution of the crosslinkable functional group molecule is 8-10.
  • the mold is a cylindrical mold.
  • the diameter of the cylindrical mold is 0.1-0.3 mm.
  • the curing in step (2) is repeated freezing and thawing more than 3 times.
  • the developing material is at least one of tungsten, tantalum, barium sulfate, bismuth, gold, platinum, osmium, rhenium, iridium, and rhodium; further, the developing material is tungsten nanoparticles, tantalum At least one of nanoparticles, barium sulfate nanoparticles, bismuth nanoparticles, gold nanoparticles, platinum nanoparticles, osmium nanoparticles, rhenium nanoparticles, iridium nanoparticles, and rhodium nanoparticles.
  • Another object of the present invention is to provide an occluder with a developing function, comprising a support body and a developing wire, wherein the developing wire is the above-mentioned developing wire.
  • the occluder includes a support body in a mesh structure and a first development wire, the first development wire is detachably disposed on the support body, and the first development wire includes a first development wire.
  • a control end, a second control end and a first developing section, the first control end and the second control end are respectively located at two ends of the first developing section, the first developing section is located in the support body, the The support body is provided with a first end portion, and both the first control end and the second control end protrude from the first end portion.
  • the support body includes a first disk body, a second disk body and a connecting waist body, the connecting waist body is located between the first disk body and the second disk body, the The first end is located on the first disc body, and the support body is further provided with a first winding part, a second winding part, a third winding part and a fourth winding part, the first winding part
  • the wrapping portion is located between the first disc body and the connecting waist, the second wrapping portion is located between the second disc body and the connecting waist, and the third wrapping portion and the first wrapping portion are symmetrically arranged, so The fourth winding part and the second winding part are symmetrically arranged.
  • the support body is further provided with a second end portion, the second end portion is located on the second disk body, and the second end portion is disposed corresponding to the first end portion.
  • a second developing wire is further included, and the first developing wire passes through the first end, the first passing part, the second passing part, the second end, the third passing
  • the four winding parts are arranged on the support body to form a first plane
  • the second developing wire is detachably arranged on the support body to form a second plane
  • the first plane and the second plane are at a 90° angle Angle setting.
  • the second developing wire includes a third control end, a fourth control end and a second developing section, and the third control end and the fourth control end are respectively located at two ends of the second developing section. Both the third control end and the fourth control end protrude from the first end of the support body.
  • control end of the developing wire is not its own end, but an additional control wire is connected to any part of the main body of the developing wire, one end of the control wire is connected to the main body of the developing wire, and the other end is connected from the occluder to the main body of the developing wire.
  • control wire Extending out and extending to the outside of the body, preferably, the control wire is connected to the midpoint part of the main body of the developing wire, and the movement of the developing wire can be controlled by the control wire.
  • a flow blocking film is further included, the flow blocking film is sewn on the first disc body, the second disc body and the connecting waist respectively, and the flow blocking film is provided with multiple layers.
  • the material of the support body is prepared from degradable materials, including at least one degradable material selected from polylactic acid, polyglycolic acid, polycaprolactone, polyacid anhydride, and polydioxanone made.
  • the present invention has the following beneficial effects:
  • the developing wire provided by the present invention can be detachably arranged on the support body of the mesh structure.
  • the developing wire can be fixed on the support body, and the occluder can be developed under X-rays. , it is convenient for doctors to transport and release the occluder; at the same time, the development segment is located on the support body, which can expand the development range, which is conducive to evaluating the release form of the occluder, reducing the difficulty and risk of surgery;
  • a control end or a second control end removes the developing wire from the occluder and withdraws it from the human body, so as to avoid the developing mark remaining in the body and causing a foreign body reaction and causing discomfort to the human body.
  • the present invention also specially developed a specific developing wire material, that is, a polymer wire with a lubricating layer loaded with the developing material on the surface, or a hydrogel wire loaded with the developing material, which has a lower elastic modulus, Its elastic modulus is between 0.3-5Gpa, and the elastic modulus of the metal material exceeds 30Gpa, so that the development wire will not cause damage to the tissue during the withdrawal process, and the lubricating layer or hydrogel line on the surface of the development wire has good performance.
  • the lubricity can make the developing wire have lower frictional resistance, thereby greatly reducing the resistance during the withdrawal process, and reducing possible accidental risks and related complications during the withdrawal process.
  • FIG. 1 is a schematic structural diagram of a support body according to an embodiment of the present invention.
  • Fig. 2 is the structural schematic diagram that the developing wire of the embodiment of the present invention is put into the support main body;
  • FIG. 3 is a schematic structural diagram of a control wire according to an embodiment of the present invention.
  • the "plurality” mentioned in the present invention means two or more.
  • "And/or" which describes the association relationship of the associated objects means that there can be three kinds of relationships, for example, A and/or B, which can mean that A exists alone, A and B exist at the same time, and B exists alone.
  • the character "/" generally indicates that the associated objects are an "or" relationship.
  • an element when an element is considered to be “fixed” to another element, it may be directly fixed to the other element, or it may be an intervening element; when an element is considered to be “connected” to another element, it may be It may be directly connected to another element, or there may be intervening elements; when an element is considered to be “mounted” on another element, it may be directly mounted to the other element, or an intervening element may be present.
  • an element When an element is referred to as being "disposed on” another element, it can be directly disposed on the other element or intervening elements may also be present.
  • the "said” and “the” used herein are the technical features or technical contents mentioned or described before the corresponding position, the technical features or technical contents and the technical features or technical contents mentioned above.
  • the technical content can be the same or similar.
  • the present invention provides a developing wire 20 , which includes a wire body and a first control end 21 , a second control end 22 and a first control end 21 and a second control end 22 disposed on the wire body for picking and placing the wire body.
  • the first developing segment 23, the first control end 21 and the second control end 22 are respectively located at two ends of the first developing segment 23;
  • the material of the developing wire is a polymer wire with a lubricating layer on the surface, and the lubricating layer supports the developing material; or the developing wire is a hydrogel wire carrying the developing material.
  • the developing wire prepared by using polymer wire or hydrogel wire has a lower elastic modulus, which is more conducive to the development of the developing wire to be wound and fixed on the occluder, and at the same time, it avoids the withdrawal caused by the high elastic modulus.
  • the developing silk may cause damage to the tissue, thereby helping to protect the human tissue.
  • the polymer wire with a lubricating layer on the surface is prepared by comprising the following steps:
  • the polymer wire is at least one of polypropylene wire, polytetrafluoroethylene wire and polyamide wire;
  • the double bond polymerizable precursor is methacrylamide compound, methacrylate At least one of compounds, acrylates, acrylamide compounds, acryloyl chloride, and methacrylic acid anhydride, preferably the methacrylamide compound is N-(3-aminopropyl)methacrylamide hydrochloride;
  • the double bond polymerizable monomer is at least one of hyaluronic acid methacrylate, polyvinyl alcohol acrylate, polyethylene glycol diacrylate, vinyl pyrrolidone, sulfobetaine methacrylate and sulfonic acid acrylic acid. kind.
  • the double bond polymerizable precursor is tightly loaded on the surface of the polymer wire material to introduce double bonds without damaging the mechanical properties of the wire body; at the same time, the coated specific type of double bond polymerizable monomer is Under the action of the initiator, a cross-linked network with lubricating effect can be formed by itself to achieve a good lubricating effect, and the double bond introduced into the polymer wire can further participate in the copolymerization of the double bond polymerizable monomer, enhancing the lubricating effect of the polymer.
  • the binding force of the cross-linked network and the polymer wire is tightly loaded on the surface of the polymer wire material to introduce double bonds without damaging the mechanical properties of the wire body; at the same time, the coated specific type of double bond polymerizable monomer is Under the action of the initiator, a cross-linked network with lubricating effect can be formed by itself to achieve a good lubricating effect, and the double bond introduced into the polymer wire can further participate in the copolymerization of the double bond
  • the surface-loaded polymer wire material of the developer material and the lubricating material is prepared by comprising the following steps:
  • step (2) Immerse the filament obtained in step (1) in an aqueous solution containing a double bond polymerizable monomer and an initiator for 5-15 minutes.
  • the concentration of the double bond polymerizable monomer in the aqueous solution containing the double bond polymerizable monomer and the initiator is 0.2 wt % to 50 wt %, preferably 1 to 20 wt %, and more preferably 5 to 15 wt %.
  • the concentration of the agent is 0.05wt%-2wt%, preferably 0.05wt%-1wt%, more preferably 0.05wt%-0.5wt%, further preferably 0.05wt%-0.2wt%.
  • the initiator is a photoinitiator, further Irgacure 2959.
  • the curing method in step (3) is photocuring.
  • the double bond polymerizable precursor supported on the surface of the polymer wire material comprises method A or method B:
  • Method A is: under alkaline or neutral conditions, coat the surface of the polymer wire with crosslinkable functional group molecules, and then coat the double bond polymerizable precursor, or coat the crosslinkable functional group molecule with the double bond polymerizable precursor The product is mixed and then coated; wherein, the crosslinkable functional group molecule is a tea polyphenol compound, preferably the tea polyphenol compound is at least one of tannin, epigallocatechin gallate, and dopamine. kind;
  • Method B is: the surface of the polymer wire is subjected to plasma treatment (introduction of hydroxyl groups), and the double bond polymerizable precursor is coated.
  • the method A is to coat the surface of the polymer wire with a specific type of cross-linkable photoenergy group molecules, and then coat the double bond polymerizable precursor.
  • the coated specific types of cross-linkable photo-energy group molecules have strong adhesion to the polymer wire, and can be closely combined with the surface of the polymer wire, thereby realizing the introduction of double bonds or developing materials.
  • the cross-linkable photoenergy group molecules can further undergo self-polymerization, so that they can better adhere to the polymer wire.
  • the specific type of cross-linkable photo-energy group molecule has an active reactive functional group, which can react with the double bond polymerizable precursor, and connect the two through a covalent bond to introduce a double bond, so as to tightly fix the double bond on the surface of the polymer wire.
  • the developing material may be introduced in step (1) or (2), or may be introduced simultaneously in step (1) or (2). Further, when the developing material is introduced in step (1), the developing material can be mixed with the crosslinkable functional group molecules; when the developing material is introduced in step (2), the developing material can be mixed with an initiator.
  • method A is as follows: immersing the polymer wire in an aqueous solution containing crosslinkable functional group molecules, adjusting the pH to 7-10, soaking for 4-8 hours, taking out the wire, and immersing the polymer wire containing the double bond after cleaning.
  • the precursor is soaked in the aqueous solution for 4 to 8 hours, and the filament is taken out.
  • the polymer wire in method A can also be subjected to plasma treatment first, and then immersed in an aqueous solution containing molecules of cross-linkable functional groups.
  • method B is as follows: plasma treatment (introduction of hydroxyl groups) is performed on the surface of the polymer wire, immersed in a diethyl ether solution of triethylamine, and the double bond polymerizable precursor is added at 0-4° C., and the reaction is carried out at room temperature for 20 minutes. ⁇ 30 hours, the filaments are removed.
  • the concentration of the crosslinkable functional group molecules in the aqueous solution containing the crosslinkable functional group molecules is 1-10 mg/mL, preferably 3-7 mg/mL, more preferably 4-6 mg/mL, further 5 mg/mL
  • the concentration of the double bond polymerizable precursor in the aqueous solution is 0.5-10 mg/mL, preferably 0.5-5 mg/mL, more preferably 0.5-2 mg/mL, more preferably 0.8-1.5 mg/mL.
  • the developing material is at least one of tungsten, tantalum, barium sulfate, bismuth, gold, platinum, osmium, rhenium, iridium, and rhodium.
  • the developing material is developing nanoparticles, and further the developing material is tungsten nanoparticles, tantalum nanoparticles, barium sulfate nanoparticles, bismuth nanoparticles, gold nanoparticles, platinum nanoparticles, osmium nanoparticles, rhenium nanoparticles , at least one of iridium nanoparticles and rhodium nanoparticles.
  • the base is at least one of sodium hydroxide and triethylamine.
  • the coating method is dipping or wiping or spraying.
  • the hydrogel thread loaded with developing material is prepared by comprising the following steps:
  • step (2) placing the developing material obtained in step (1) in the gel precursor aqueous solution, and injecting it into the mold to solidify to obtain a hydrogel developing line;
  • the gel precursor is polyvinyl alcohol;
  • the crosslinkable functional group molecule is at least one of tannic acid, epigallocatechin gallate, and dopamine.
  • the developing material is modified with crosslinkable functional group molecules
  • the dispersibility in the gel precursor aqueous solution is better
  • the crosslinkable functional group molecules on the developing material help to increase the hydrogen between the surface of the developing material and the gel precursor. bond to form a cross-linked hydrogel network of the developing material, wherein the introduction of the developing material (especially the developing nanoparticles) not only has the developing function, but also further enhances the mechanical strength of the hydrogel developing line.
  • the concentration of the crosslinkable functional group molecule is 5-15 mg/mL, more preferably 10 mg/mL.
  • the concentration of the gel precursor in the aqueous gel precursor solution is 20-40 wt %, more preferably 25-35 wt %, and more preferably 30 wt %.
  • the concentration of the developing material in the gel precursor aqueous solution is 5-20 mg/mL, more preferably 5-15 mg/mL, and more preferably 10 mg/mL.
  • the mold is a cylindrical mold, and the diameter of the cylindrical mold is 0.1-0.3 mm, more preferably 0.2 mm.
  • this embodiment further provides an occluder with a developing function, including a support body 10 and a developing wire 20 , and the developing wire is the above-mentioned developing wire.
  • the occluder includes a support body 10 in a mesh structure and a first development wire 20 , the first development wire 20 is detachably disposed on the support body 10 , and the first development wire 20 includes The first control end 21 , the second control end 22 and the first developing segment 23 , the first control end 21 and the second control end 22 are respectively located at both ends of the first developing segment 23 , and the first developing segment 23 is located at the In the support body 10 , the support body 10 is provided with a first end portion 11 , and both the first control end 21 and the second control end 22 protrude from the first end portion 11 .
  • the developing wire By dismounting the developing wire on the support body 10 of the mesh structure, during the process of putting the occluder into the human body, the developing wire can be fixed on the support body 10, and the occluder can be developed under X-ray, which is convenient for doctors The occluder is transported and released; at the same time, the development segment is located in the support body 10 to expand the development range. Compared with the previous only marking a small amount of the occluder, the entire development segment is more conducive to evaluating the release form of the occluder, reducing the difficulty of surgery.
  • the developing wire is removed from the occluder and withdrawn from the body by pulling the first control end 21 or the second control end 22, so as to avoid the development mark remaining in the body.
  • the first control end 21 and the second control end 22 from the first end 11 of the support body 10 is conducive to pulling the control developing wire to withdraw from the human body, and at the same time can prevent the developing wire It falls off from the occluder.
  • the two control ends extend from the support body 10 to the outside of the body, so it is more convenient to withdraw the developing wire outside the body.
  • the support body 10 includes a first plate body, a second plate body and a connecting waist body, and the connecting waist body is located between the first plate body and the second plate body And form the "I"-shaped support body 10, the first end portion 11 is located on the first disc body, and the support body 10 is further provided with a first winding portion 13 and a second winding portion 14.
  • the third wrapping part 15, the fourth wrapping part 16 and the second end part 12 the first wrapping part 13 is located between the first disc body and the connecting waist body, and the second wrapping part 14 is located at the Between the second disc body and the connecting waist, the third wrapping portion 15 is symmetrically arranged with the first wrapping portion 13 along the central axis of the support body 10 , and the fourth wrapping portion 16 is also arranged along the axis of the support body 10 .
  • the central axis is symmetrically arranged with the second winding portion 14 , the second end portion 12 is located on the second disc body, and the second end portion 12 is arranged corresponding to the first end portion 11 , wherein the first end portion 11 is The proximal end of the support body 10 is supported, and the second end portion 12 is the distal end of the support body 10 .
  • the wrapping part is arranged between the disc body and the connecting waist, so that the developing wire can better fit the contour of the supporting body 10 and improve the performance of the occluder.
  • the developing wire is not easy to loosen from the occluder during the process of sending the occluder into the human body, so as to ensure normal development and smooth insertion of the occluder.
  • the first developing wire 20 starts from the grid of the first end portion 11 of the support body 10, extends toward the side close to the second end portion 12, first extends to the first winding portion 13, and is wound around the first winding portion 13.
  • the mesh of the second winding part 13 extends to the second winding part 14 and the mesh of the second winding part 15, then extends to the second end part 12, and after passing through the mesh of the second end part 12, It extends back toward the side close to the first end 11 , and then extends to the third winding part 15 , and after passing through the mesh of the third winding part 15 , extends to the fourth winding part 16 , and finally wears
  • the mesh around the fourth wrap-around portion 16 extends back to and from the first end portion 11 .
  • the first developing wire 20 is detachably arranged on the support body 10 by the above-mentioned method of weaving and weaving, so as to expand the developing range of the first developing wire 20 in the occluder, and can roughly develop the outline of the entire occluder.
  • the development mark was only located in individual parts of the occluder, resulting in incomplete development, which is conducive to adjusting the release position of the occluder and grasping the release state of the occluder, reducing the difficulty of the doctor's operation and reducing the risk of the patient's operation.
  • the above threading and weaving method of the developing wire is only one of the preferred embodiments, which can realize rapid threading and development of the basic outline of the occluder, but according to the development requirements of the occluder, Different winding parts are positioned on the support body 10 to realize different winding ways.
  • the second developing wire 30 includes a third control end 31, a fourth control end 32 and a second developing section 33.
  • the third control end 31 and The fourth control ends 32 are respectively located at two ends of the second developing section 33 , and the third control ends 31 and the fourth control ends 32 both extend from the first end 11 of the support body 10 .
  • the second developing wire 30 has the same structure as the first developing wire 20, and the third control end 31 and the fourth control end 32 are protruded from the first end 11 of the support body 10, which is convenient for pulling and controlling the second developing wire 30 to withdraw At the same time, it can prevent the second developing wire 30 from falling off the occluder.
  • the two control ends extend from the support body 10 to the outside of the body, and the developing wire withdrawal operation is performed outside the body. More convenient.
  • the first developing wire 20 is arranged on the support body 10 by the above-mentioned winding method to form a first plane, and the second developing wire 30 is detached and arranged according to the steps similar to the above-mentioned winding method.
  • a second plane is formed on the support body 10, but different from the above-mentioned winding method, the second plane formed by the second developing wire 30 and the first plane formed by the first developing wire 20 are sandwiched at 90°. horn. Since the occluder is a three-dimensional device, setting the second plane and the first plane at an angle of 90° can more comprehensively display the overall outline of the occluder, improve the development effect, and avoid the displacement of the occluder during implantation.
  • a developing angle of the developing wire 20 can be adjusted according to the actual situation.
  • control wire 50 is arranged at Outside the support body 10
  • the control wire 50 and the development wire are connected to the position where the second end 12 of the support body 10 is wound, and the end of the control wire 50 away from the connection with the development wire is the operation end 51, wherein the operation end 51 extends outside the human body
  • the control wire 50 can be connected to the development wire after the development wire is set.
  • both ends of the developing wire 50 are simultaneously pulled out from the second end 12, which speeds up the removal and withdrawal of the developing wire from the occluder The speed of the human body, improve work efficiency.
  • the material of the support body 10 is a degradable material, and the degradable material is at least one material selected from the group consisting of polylactic acid, polyglycolic acid, polycaprolactone, polyacid anhydride and polydioxanone.
  • the occluder made of degradable materials can avoid complications such as valve damage, atrioventricular block, heart tissue wear, and thrombosis caused by the residual body, which is more conducive to the recovery of surgery and avoids adverse effects on the patient's subsequent life.
  • the occluder is also provided with a blocking film (not shown in the figure), the blocking film is sewn on the first disc body, the second disc body and the connecting waist respectively, and the blocking film is provided with multiple Floor.
  • the flow blocking film can be prepared from degradable polymer materials such as polylactic acid. Sewing the blocking film on the occluder is beneficial to promote the growth of the endothelium, making the endothelium easier to crawl, and speeding up the recovery of the patient.
  • Polyvinyl alcohol Type 1799, weight average molecular weight 90,000.
  • Polyethylene glycol diacrylate purchased from TCI, molecular weight 258.
  • the "I"-shaped occluder skeleton is woven with poly-p-dicyclohexanone wire, and then the developing wire starts from the proximal end of the occluder, and passes through the gap in the skeleton along the axial direction of the occluder to reach the occluder.
  • the distal apex of the occluder then starts to pass through the gap toward the proximal end, and returns to the proximal apex, the path of the developing wire is symmetrically distributed along the central axis of the occluder, and finally the end of the developing wire is exposed to the body along the delivery system.
  • a second developing wire is inserted into the skeleton, and the end of the developing wire is exposed along the conveying system to in vitro.
  • the entire occluder can be visualized, which avoids the fact that the development marks are only located in individual parts of the occluder and the development is incomplete. problem, better adjust the release position of the occluder and grasp the release state of the occluder.
  • the developing wire on the occluder can be separated and withdrawn from the occluder by controlling the end outside the body, so as to avoid the residue of the developing substance in the body.
  • hyaluronic acid methacrylate hyaluronic acid was dissolved in an aqueous solution (0.1 wt %), passed through a cation exchange resin, and then lyophilized. Then dissolve in DMSO solution, add methacrylic acid anhydride equivalent to 0.2 equivalent (mass ratio) of hyaluronic acid, react for 24 hours, add chloroform to the reaction solution to precipitate, dissolve the precipitate in water, dialyze it in a dialysis bag, freeze-dry it Hyaluronic acid methacrylate was obtained.
  • double bonds and developing nanoparticles can be introduced simultaneously on the surface of various filaments through simple steps without damaging the mechanical properties of the wire body.
  • the developing nanoparticles have a larger surface area, which can further increase the introduction of double bonds. It can realize the development function at the same time, and the method does not need to pre-treat the wire.
  • step (3) Soak the polypropylene filaments with surface modified double bonds and developed nanoparticles obtained in step (2) in an aqueous solution of 0.5wt% hyaluronic acid methacrylate and 0.1wt% Irgacure 2959 as a photoinitiator for 10 minutes, and take out the filaments under UV light. Cured under light.
  • the hyaluronic acid methacrylate in this step can form a cross-linked network by itself under the polymerization of the initiator, so as to play a lubricating role, and the double bond on the surface of the polypropylene wire can simultaneously participate in the hyaluronic acid methacrylate
  • the copolymerization of double bonds in the hyaluronic acid network enhances the bonding force between the hyaluronic acid network and the polypropylene wire.
  • polyvinyl alcohol acrylate 5.0 g of polyvinyl alcohol (PVA) was dissolved in 100 ml of dimethyl sulfoxide (DMSO). Dimethylaminopyridine and glycidyl acrylate were added in addition amounts of 1.0 mol% (relative to the hydroxyl groups of PVA) and 0.025 mol% (relative to the hydroxyl groups of PVA), respectively. Stir at 60 °C for 6 h, then add acetone to the reaction solution for precipitation, take the precipitate and vacuum dry for 2 days, and store at -5 °C in the dark.
  • DMSO dimethyl sulfoxide
  • double bonds and developing nanoparticles can be simultaneously introduced on the surface of polypropylene wire through a simple step, without causing damage to the mechanical properties of the wire body.
  • the developing nanoparticles can further increase the introduction amount of double bonds and realize the developing function at the same time, and the method does not need to pre-treat the wire.
  • step (3) Soak the polypropylene filaments with surface-modified double bonds and developed nanoparticles obtained in step (2) in 1wt% polyvinyl alcohol acrylate and 0.1wt% Irgacure 2959 aqueous solution of photoinitiator for 10 minutes, take out and carry out under ultraviolet light cured.
  • the polyvinyl alcohol acrylate can be polymerized under the action of the initiator to form a cross-linked network by itself, so as to play a lubricating role, and the double bond on the surface of the polypropylene wire can simultaneously participate in the double bond of the polyvinyl alcohol acrylate. Bond copolymerization, thereby enhancing the bonding force between the polyvinyl alcohol hydrogel network and the polypropylene filament.
  • the polypropylene wire was taken out and washed three times with deionized water to obtain a polytetrafluoroethylene wire with surface-modified double bonds and developed nanoparticles. In this step, double bonds and developing nanoparticles can be simultaneously introduced on the surface of the polytetrafluoroethylene wire through a simple step, without causing damage to the mechanical properties of the wire body.
  • step (2) Soak the polytetrafluoroethylene wire with surface modified double bonds and developed nanoparticles obtained in step (2) in 10 wt % vinylpyrrolidone and 0.1 wt % Irgacure 2959 aqueous solution as a photoinitiator for 10 minutes, take out and cure under ultraviolet light .
  • the vinylpyrrolidone monomer in this step can be polymerized under the action of the initiator to form polyvinylpyrrolidone by itself, which has good hydrophilicity and lubricity.
  • the double bond on the surface of the wire also participates in the polymerization of vinylpyrrolidone.
  • the binding force with the substrate is enhanced, and the double bond epigallocatechin gallate of the lower layer of the polyvinylpyrrolidone also produces hydrogen bonding, which further enhances the binding force with the substrate.
  • step (2) Soak the polytetrafluoroethylene wire with surface modified double bonds and developed nanoparticles obtained in step (2) in 10wt% sulfobetaine methacrylate and 0.1wt% Irgacure 2959 aqueous solution of photoinitiator for 10 minutes, take out Cure under UV light.
  • the sulfobetaine methacrylate monomer in this step can be polymerized under the action of an initiator to form a zwitterionic hydrogel, which has good hydrophilicity, lubricity and anticoagulant properties.
  • the double bond of the hydrogel also participates in the polymerization of the hydrogel, which enhances the bonding force between the hydrogel and the substrate.
  • the PTFE wire was first treated with plasma surface, soaked in an aqueous solution of 5 mg/mL dopamine and 1 mg/mL barium sulfate nanoparticles, added 1M sodium hydroxide to adjust the pH to 8.5, soaked for 6 hours, and then took out the polypropylene
  • the polytetrafluoroethylene wire is taken out and washed three times with deionized water. In this step, double bonds and developing nanoparticles can be simultaneously introduced on the surface of the polytetrafluoroethylene wire without damaging the mechanical properties of the wire body.
  • step (1) The polypropylene filaments with surface-modified double bonds and developed nanoparticles obtained in step (1) were photoinitiated in a 1 wt % hyaluronic acid methacrylate aqueous solution, a 1 mg/mL aqueous solution of bismuth nanoparticles, and 0.1 wt % Soak for 10 minutes in Irgacure 2959 aqueous solution, take out and cure under UV light.
  • the hyaluronic acid methacrylate can be polymerized under the action of an initiator to form a hydrogel, and at the same time, the developing nanoparticles are encapsulated in the hydrogel, which has good lubricity and developing performance.
  • the double bonds on the surface also participate in the polymerization of the hydrogel, which enhances the bonding force between the hydrogel and the substrate.
  • tantalum nanoparticles 0.01 g were ultrasonically dispersed in 10 ml of a 10 mg/mL tannic acid aqueous solution, and sodium hydroxide solution was added to adjust the pH to 9. After 6 hours of reaction, the solution was centrifuged to obtain tannic acid-modified tantalum nanoparticles. The obtained tannic acid-modified tantalum nanoparticles were added to a 30 wt% polyvinyl alcohol aqueous solution for dispersion, with a final concentration of 10 mg/mL. The obtained solution was injected into a cylindrical mold with a diameter of 0.2 mm, and was placed in a freezer at -20 degrees for 24 hours.
  • the nanoparticles are surface-modified with tannic acid, so they have better dispersibility in the polyvinyl alcohol solution, and the tannic acid on the nanoparticles helps to increase the hydrogenation of the nanoparticles in the polyvinyl alcohol. Bonding to form a cross-linked hydrogel network of nanoparticles, in which the introduction of nanoparticles not only has the function of developing, but also further enhances the mechanical strength of the hydrogel developing line.
  • a developing wire the preparation method is as follows: the polypropylene wire is first soaked in a mixed aqueous solution of 5 mg/mL tannic acid and 1 mg/mL tungsten nanoparticles, adding 1 M sodium hydroxide to adjust the pH to 9, soaking for 6 hours, and taking out the Acrylic wire, washed three times with deionized water.
  • a developing wire which is polypropylene wire without treatment.
  • a developing wire is a nickel-titanium alloy wire with a diameter of 0.2 mm.
  • the developing filaments of Examples 2-8 and Comparative Examples 1-3 were wound into the same occluder by the method described in Example 1. After the occluder was transported and released, one end of the developing material was fixed by a tension machine, and the developing filament was withdrawn. , to test its withdrawal force. From the results in Table 1 below, it can be seen that the developed filaments of Examples 2-8 of the present invention have low withdrawal force and elastic modulus.
  • the coating on the surface of the polymer wire does not have a significant effect on the modulus of the polymer wire, and after the surface is polymerized with monomers, the withdrawal force of the developing wire is significantly reduced.
  • Example 5 0.21N 1.1Gpa
  • Example 6 0.17N 1.1Gpa
  • Example 7 0.11N 7.2Gpa

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Epidemiology (AREA)
  • Vascular Medicine (AREA)
  • Chemical & Material Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Composite Materials (AREA)
  • Cardiology (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Materials Engineering (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Inorganic Chemistry (AREA)
  • Medicinal Chemistry (AREA)
  • Pathology (AREA)
  • Physics & Mathematics (AREA)
  • Optics & Photonics (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Surgical Instruments (AREA)
  • Materials For Medical Uses (AREA)

Abstract

The present invention relates to a developing filament and an occluder with a developing function. The developing filament of the present invention comprises a filament main body and a first control end and a second control end disposed on the filament main body and used for taking in and releasing the filament main body, the first control end and the second control end respectively being positioned at two ends of the filament main body; the material of the developing filament is a polymer wire with a lubricating layer on the surface, the lubricating layer being loaded with a developing material; or the developing filament is a hydrogel wire loaded with a developing material. The developing filament of the present invention can be withdrawn outside the body after release of the occluder and can avoid the permanent residue of developing marks in the body whilst expanding the scope of development, facilitating the reduction of the difficulty and risk of surgery, and has a low elastic modulus and friction resistance, so that the end head of the developing filament will not cause damage to the tissue when being withdrawn.

Description

显影丝及具有显影功能的封堵器Development wire and occluder with development function 技术领域technical field
本发明涉及医疗器械领域,特别是涉及显影丝及具有显影功能的封堵器。The invention relates to the field of medical instruments, in particular to a developing wire and an occluder with a developing function.
背景技术Background technique
常见的先天性心脏病房间隔缺损(ASD),室间隔缺损(VSD),动脉导管未闭(PDA)、卵圆孔未闭(PFO)等心脏部位缺损,这些先天性心脏缺损可能会造成心脏功能紊乱和其他心脑血管并发症。此外,房颤病人心房收缩降低后,会导致与左心房连接的左心耳血流速度进一步降低,导致血液凝固成血栓。如果血栓脱落,就很可能通过血流到达颅内血管,堵死细小的脑血管,导致缺血性脑卒中。封堵器可以通过微创介入的方式植入心脏全损部位或者左心耳部位,该方法由于创伤轻微、手术安全、近中期疗效确切,是先天性心脏病患者的首选治疗方案。Common congenital heart defects such as atrial septal defect (ASD), ventricular septal defect (VSD), patent ductus arteriosus (PDA), patent foramen ovale (PFO) and other heart defects, these congenital heart defects may cause cardiac function disorders and other cardiovascular and cerebrovascular complications. In addition, decreased atrial contraction in atrial fibrillation patients further reduces the blood flow velocity of the left atrial appendage, which is connected to the left atrium, causing blood to coagulate into a thrombus. If the thrombus falls off, it is likely to reach the intracranial blood vessels through the blood flow, blocking the small cerebral blood vessels, resulting in ischemic stroke. The occluder can be implanted at the site of total heart damage or the left atrial appendage by minimally invasive intervention. This method is the first choice for patients with congenital heart disease due to its mild trauma, safe operation, and accurate short-term and mid-term effects.
目前临床使用的微创介入封堵器的框架大部分为网状结构,从而便于压缩在输送装置上,从而输送至体内后在病变部位恢复形状病释放,从而完成封堵功能。为了实现此种功能,以往的微创介入封堵器框架大部分均为不可降解的镍钛合金编织而成,其不可降解作为异物残留会造成瓣膜损伤、房室传导阻滞、心脏组织磨损、血栓等并发症发生,这些并发症风险影响贯穿患者一生。采用可降解材料制备封堵器是克服这些缺点的一个理想选择,其植入后可诱导心脏缺损组织再生,心脏修复后完全消失,不会对患者的后续生活造成不利影响,是治疗先天性心脏缺损和进行左心耳封堵的理想选择。Most of the frame of the minimally invasive interventional occluder currently used clinically is a mesh structure, which is convenient to be compressed on the delivery device, so as to restore the shape of the diseased part and release it after delivery into the body, thereby completing the occlusion function. In order to achieve this function, most of the previous minimally invasive interventional occluder frames are woven from non-degradable nickel-titanium alloys, which can cause valve damage, atrioventricular block, heart tissue wear, etc. Complications such as thrombosis occur, and the risk of these complications affects patients throughout their lives. The use of degradable materials to prepare an occluder is an ideal choice to overcome these shortcomings. After implantation, it can induce the regeneration of cardiac defect tissue, and completely disappear after cardiac repair. It will not adversely affect the subsequent life of the patient. Ideal for defects and for LAA closure.
但是,与传统的镍钛合金材料制备的封堵器相比,目前的微创介入可降解封堵器无法在X光下显影,不便于医生对封堵器进行输送和释放,现有技术通过在封堵器上加入显影标记来解决这一问题,但是显影标记一般为不可降解金属,会永久残留体内引起异物反应,而且为了尽量减少显影标记残留,往往只能标记封堵器的少量部位,无法评估封堵器的整体释放形态,增加了病人手术风险。因此,亟待解决显影标记会永久残留体内,并且只能标记封堵器的少量 部位的技术问题。However, compared with the traditional occluder made of nickel-titanium alloy material, the current minimally invasive interventional degradable occluder cannot be visualized under X-rays, which is inconvenient for doctors to transport and release the occluder. This problem is solved by adding developing marks on the occluder, but the developing marks are generally non-degradable metals, which will permanently remain in the body and cause foreign body reactions, and in order to minimize the residue of the developing marks, often only a small number of parts of the occluder can be marked. The overall release profile of the occluder cannot be assessed, increasing the risk of surgery for the patient. Therefore, there is an urgent need to solve the technical problem that the imaging mark will remain permanently in the body, and only a small number of parts of the occluder can be marked.
发明内容SUMMARY OF THE INVENTION
基于此,本发明的目的是提供一种显影丝,其可以在封堵器释放后在体外操作撤回,能避免显影标记永久残留体内,同时能扩大显影范围,有利于降低手术难度及手术风险,并且具有较低的弹性模量和摩擦阻力,具有良好的顺应性,撤回时显影丝的端头不会对组织造成破坏。Based on this, the object of the present invention is to provide a developing wire, which can be withdrawn in vitro after the occluder is released, can avoid the permanent residue of the developing mark in the body, and can expand the developing range at the same time, which is beneficial to reduce the difficulty and risk of surgery, And it has low elastic modulus and friction resistance, and has good compliance, and the end of the developing wire will not cause damage to the tissue when withdrawing.
具体技术方案如下:The specific technical solutions are as follows:
一种显影丝,包括丝主体和设于丝主体上的用于取放丝主体的第一控制端及第二控制端,所述第一控制端及第二控制端分别位于丝主体的两端;A developing wire, comprising a wire main body and a first control end and a second control end arranged on the wire main body for picking and placing the wire main body, the first control end and the second control end are respectively located at both ends of the wire main body ;
所述显影丝的材料为表面设有润滑层的高分子丝材,所述润滑层负载显影材料;或者所述显影丝为负载显影材料的水凝胶线。The material of the developing wire is a polymer wire with a lubricating layer on the surface, and the lubricating layer supports the developing material; or the developing wire is a hydrogel wire carrying the developing material.
在其中一些实施例中,所述表面设有润滑层的高分子丝材由包括以下步骤制备而成:In some of these embodiments, the polymer wire with a lubricating layer on the surface is prepared by comprising the following steps:
(1)在高分子丝材原料的表面负载双键可聚合前体;(1) Loading a double bond polymerizable precursor on the surface of the polymer wire material;
(2)再在步骤(1)所得丝材表面涂覆双键可聚合单体和引发剂;(2) coating double bond polymerizable monomer and initiator on the surface of the wire material obtained in step (1) again;
(3)然后将步骤(2)所得丝材进行固化;(3) then solidify the wire material obtained in step (2);
其中,在步骤(1)或(2)中引入显影材料;Wherein, introducing developing material in step (1) or (2);
所述高分子丝材为聚丙烯丝材、聚四氟乙烯丝材和聚酰胺丝材中的至少一种;所述双键可聚合前体为甲基丙烯酰胺类化合物、甲基丙烯酸酯类化合物、丙烯酸酯、丙烯酰胺类化合物、丙烯酰氯、甲基丙烯酸酸酐中的至少一种;The polymer wire is at least one of polypropylene wire, polytetrafluoroethylene wire and polyamide wire; the double bond polymerizable precursor is methacrylamide compound, methacrylate At least one of compounds, acrylates, acrylamide compounds, acryloyl chloride, and methacrylic anhydride;
所述双键可聚合单体为透明质酸甲基丙烯酸酯、聚乙烯醇丙烯酸酯、聚乙二醇二丙烯酸酯、乙烯吡咯烷酮、磺酸甜菜碱甲基丙烯酸酯和磺酸丙烯酸中的至少一种。The double bond polymerizable monomer is at least one of hyaluronic acid methacrylate, polyvinyl alcohol acrylate, polyethylene glycol diacrylate, vinyl pyrrolidone, sulfobetaine methacrylate and sulfonic acid acrylic acid. kind.
在其中一些实施例中,所述甲基丙烯酰胺类化合物为N-(3-氨丙基)甲基丙烯酰胺盐酸盐。In some embodiments, the methacrylamide compound is N-(3-aminopropyl) methacrylamide hydrochloride.
在其中一些实施例中,所述表面负载显影材料和润滑材料的高分子丝材由包括以下步骤制备而成:In some of these embodiments, the surface-loaded developing material and lubricating material polymer wire is prepared by comprising the following steps:
(1)在高分子丝材原料的表面负载双键可聚合前体;(1) Loading a double bond polymerizable precursor on the surface of the polymer wire material;
(2)将步骤(1)所得丝材浸入含双键可聚合单体和引发剂的水溶液中,浸泡5~15分钟。(2) Immerse the filament obtained in step (1) in an aqueous solution containing a double bond polymerizable monomer and an initiator for 5-15 minutes.
(3)然后将步骤(2)所得丝材进行固化;(3) then solidify the wire material obtained in step (2);
在其中一些实施例中,所述含双键可聚合单体和引发剂的水溶液中双键可聚合单体的浓度为0.2wt%~50wt%,引发剂的浓度为0.05wt%~2wt%。In some embodiments, the concentration of the double bond polymerizable monomer in the aqueous solution containing the double bond polymerizable monomer and the initiator is 0.2 wt % to 50 wt %, and the concentration of the initiator is 0.05 wt % to 2 wt %.
在其中一些实施例中,步骤(1)中,在高分子丝材原料的表面负载双键可聚合前体包括A方法或B方法:In some of these embodiments, in step (1), the double bond polymerizable precursor supported on the surface of the polymer filament material includes method A or method B:
A方法为:碱性或中性条件下,在高分子丝材的表面涂覆可交联官能团分子,再涂覆双键可聚合前体;或者将可交联官能团分子与双键可聚合前体混合后再涂覆;Method A is: under alkaline or neutral conditions, coat the surface of the polymer wire with cross-linkable functional group molecules, and then coat the double bond polymerizable precursor; or coat the cross-linkable functional group molecule with the double bond polymerizable precursor The body is mixed and then coated;
其中,所述可交联官能团分子为茶多酚类化合物,优选所述茶多酚类化合物为单宁酸、表没食子儿茶素没食子酸酯、多巴胺中的至少一种;Wherein, the crosslinkable functional group molecule is a tea polyphenol compound, preferably the tea polyphenol compound is at least one of tannic acid, epigallocatechin gallate, and dopamine;
B方法为:在高分子丝材表面经等离子处理(引入羟基),涂覆双键可聚合前体。Method B is: the surface of the polymer wire is subjected to plasma treatment (introduction of hydroxyl groups), and the double bond polymerizable precursor is coated.
在其中一些实施例中,A方法为:将高分子丝材浸入含可交联官能团分子的水溶液中,调节pH为7~10,浸泡4~8小时,取出丝材,清洗后浸入含所述双键可聚合前体的水溶液中,浸泡4~8小时,取出丝材。In some of the embodiments, method A is: immersing the polymer wire in an aqueous solution containing cross-linkable functional group molecules, adjusting the pH to 7-10, soaking for 4-8 hours, taking out the wire, cleaning and immersing the The double bond polymerizable precursor is soaked in the aqueous solution for 4 to 8 hours, and the wire is taken out.
在其中一些实施例中,B方法为:在高分子丝材表面经等离子处理(引入羟基),浸泡在三乙胺的乙醚溶液中,于0-4℃加入所述双键可聚合前体,室温下反应20~30小时,取出丝材。In some of the embodiments, method B is: plasma treatment (introduction of hydroxyl groups) on the surface of the polymer wire material, immersion in a diethyl ether solution of triethylamine, adding the double bond polymerizable precursor at 0-4° C., The reaction was carried out at room temperature for 20 to 30 hours, and the filament was taken out.
在其中一些实施例中,A方法中,所述含可交联官能团分子的水溶液中可交联官能团分子的浓度为1~10mg/mL;优选所述双键可聚合前体在水溶液中的浓度为0.5~10mg/mL。In some embodiments, in method A, the concentration of the crosslinkable functional group molecules in the aqueous solution containing the crosslinkable functional group molecules is 1-10 mg/mL; preferably, the concentration of the double bond polymerizable precursor in the aqueous solution It is 0.5~10mg/mL.
在其中一些实施例中,B方法中:双键可聚合前体在溶液中的浓度为5~15v/v%。In some of these embodiments, in Method B: the concentration of the double bond polymerizable precursor in the solution is 5-15 v/v %.
在其中一些实施例中,所述引发剂为光引发剂,进一步为Irgacure 2959。In some of these embodiments, the initiator is a photoinitiator, further Irgacure 2959.
在其中一些实施例中,步骤(3)所述固化的方法为光固化。In some of these embodiments, the curing method in step (3) is photocuring.
在其中一些实施例中,步骤(2)的含双键可聚合单体和引发剂的水溶液中还可以包括交联剂。进一步地,所述交联剂为含有至少两个可聚合官能团分分子,例如聚乙二醇二丙烯酸酯、N,N'-亚甲基双丙烯酰胺。In some of these embodiments, the aqueous solution of the double bond-containing polymerizable monomer and the initiator in step (2) may further include a crosslinking agent. Further, the crosslinking agent contains at least two polymerizable functional groups, such as polyethylene glycol diacrylate and N,N'-methylenebisacrylamide.
在其中一些实施例中,所述显影材料为钨、钽、硫酸钡、铋、金、铂、锇、铼、铱、铑中的至少一种;进一步所述显影材料为钨纳米颗粒、钽纳米颗粒、硫酸钡纳米颗粒、铋纳米颗粒、金纳米颗粒、铂纳米颗粒、锇纳米颗粒、铼纳米颗粒、铱纳米颗粒、铑纳米颗粒中的至少一种。In some embodiments, the developing material is at least one of tungsten, tantalum, barium sulfate, bismuth, gold, platinum, osmium, rhenium, iridium, and rhodium; further, the developing material is tungsten nanoparticles, tantalum nanoparticle At least one of particles, barium sulfate nanoparticles, bismuth nanoparticles, gold nanoparticles, platinum nanoparticles, osmium nanoparticles, rhenium nanoparticles, iridium nanoparticles, and rhodium nanoparticles.
在其中一些实施例中,所述碱为氢氧化钠或三乙胺。In some of these embodiments, the base is sodium hydroxide or triethylamine.
在其中一些实施例中,所述涂覆的方式为浸涂或擦涂或喷涂。In some of the embodiments, the coating method is dip coating, wipe coating or spray coating.
在其中一些实施例中,所述负载显影材料的水凝胶线由包括以下步骤制备:In some of these embodiments, the developing material-loaded hydrogel thread is prepared by comprising the steps of:
(一)将显影材料分散在可交联官能团分子的水溶液中,得到由可交联官能团分子修饰的显影材料;(1) dispersing the developing material in an aqueous solution of cross-linkable functional group molecules to obtain a developing material modified by cross-linkable functional group molecules;
(二)再将步骤(一)所得显影材料置于凝胶前体水溶液中,注入模具中固化,得到水凝胶显影线;(2) placing the developing material obtained in step (1) in the gel precursor aqueous solution, and injecting it into the mold to solidify to obtain a hydrogel developing line;
其中,凝胶前体为聚乙烯醇;所述可交联官能团分子为茶多酚类化合物,优选所述可交联官能团分子为单宁酸、表没食子儿茶素没食子酸酯、多巴胺中的至少一种。Wherein, the gel precursor is polyvinyl alcohol; the crosslinkable functional group molecule is a tea polyphenol compound, preferably the crosslinkable functional group molecule is tannic acid, epigallocatechin gallate, and dopamine. at least one.
在其中一些实施例中,在步骤(一)的可交联官能团分子的水溶液中,可交联官能团分子的浓度为5~15mg/mL。In some of the embodiments, in the aqueous solution of the crosslinkable functional group molecules in step (1), the concentration of the crosslinkable functional group molecules is 5-15 mg/mL.
在其中一些实施例中,凝胶前体水溶液中凝胶前体的浓度为20~40wt%。In some of these embodiments, the concentration of the gel precursor in the aqueous gel precursor solution is 20-40 wt%.
在其中一些实施例中,显影材料在凝胶前体水溶液中的浓度为0.1~20mg/mL。In some of these embodiments, the concentration of the developing material in the aqueous gel precursor solution is 0.1-20 mg/mL.
在其中一些实施例中,可交联官能团分子的水溶液的pH为8~10。In some of these embodiments, the pH of the aqueous solution of the crosslinkable functional group molecule is 8-10.
在其中一些实施例中,所述模具为圆柱体模具。In some of these embodiments, the mold is a cylindrical mold.
在其中一些实施例中,所述圆柱体模具的直径为0.1~0.3mm。In some of these embodiments, the diameter of the cylindrical mold is 0.1-0.3 mm.
在其中一些实施例中,步骤(二)所述固化是为反复冻融3次以上。In some of these embodiments, the curing in step (2) is repeated freezing and thawing more than 3 times.
在其中一些实施例中,,所述显影材料为钨、钽、硫酸钡、铋、金、铂、锇、铼、铱、铑中的至少一种;进一步所述显影材料为钨纳米颗粒、钽纳米颗粒、硫酸钡纳米颗粒、铋纳米颗粒、金纳米颗粒、铂纳米颗粒、锇纳米颗粒、 铼纳米颗粒、铱纳米颗粒、铑纳米颗粒中的至少一种。In some embodiments, the developing material is at least one of tungsten, tantalum, barium sulfate, bismuth, gold, platinum, osmium, rhenium, iridium, and rhodium; further, the developing material is tungsten nanoparticles, tantalum At least one of nanoparticles, barium sulfate nanoparticles, bismuth nanoparticles, gold nanoparticles, platinum nanoparticles, osmium nanoparticles, rhenium nanoparticles, iridium nanoparticles, and rhodium nanoparticles.
本发明的另一目的是提供一种具显影功能的封堵器,包括支撑主体与显影丝,所述显影丝为上述的显影丝。Another object of the present invention is to provide an occluder with a developing function, comprising a support body and a developing wire, wherein the developing wire is the above-mentioned developing wire.
在其中一些实施例中,所述封堵器包括呈网状结构的支撑主体与第一显影丝,所述第一显影丝可拆卸设置于所述支撑主体上,所述第一显影丝包括第一控制端、第二控制端以及第一显影段,所述第一控制端及第二控制端分别位于第一显影段的两端,所述第一显影段位于所述支撑主体中,所述支撑主体上设有第一端部,所述第一控制端及第二控制端均从第一端部伸出。In some embodiments, the occluder includes a support body in a mesh structure and a first development wire, the first development wire is detachably disposed on the support body, and the first development wire includes a first development wire. a control end, a second control end and a first developing section, the first control end and the second control end are respectively located at two ends of the first developing section, the first developing section is located in the support body, the The support body is provided with a first end portion, and both the first control end and the second control end protrude from the first end portion.
在其中一些实施例中,所述支撑主体包括第一盘体、第二盘体及连接腰体,所述连接腰体位于所述第一盘体与所述第二盘体之间,所述第一端部位于所述第一盘体上,所述支撑主体上还设有第一穿绕部、第二穿绕部、第三穿绕部及第四穿绕部,所述第一穿绕部位于第一盘体与连接腰体之间,所述第二穿绕部位于第二盘体与连接腰体之间,所述第三穿绕部与第一穿绕部对称设置,所述第四穿绕部与第二穿绕部对称设置。In some of the embodiments, the support body includes a first disk body, a second disk body and a connecting waist body, the connecting waist body is located between the first disk body and the second disk body, the The first end is located on the first disc body, and the support body is further provided with a first winding part, a second winding part, a third winding part and a fourth winding part, the first winding part The wrapping portion is located between the first disc body and the connecting waist, the second wrapping portion is located between the second disc body and the connecting waist, and the third wrapping portion and the first wrapping portion are symmetrically arranged, so The fourth winding part and the second winding part are symmetrically arranged.
在其中一些实施例中,所述支撑主体上还设有第二端部,所述第二端部位于第二盘体上,且所述第二端部与第一端部对应设置。In some of the embodiments, the support body is further provided with a second end portion, the second end portion is located on the second disk body, and the second end portion is disposed corresponding to the first end portion.
在其中一些实施例中,还包括第二显影丝,所述第一显影丝通过第一端部、第一穿绕部、第二穿绕部、第二端部、第三穿绕部、第四穿绕部设置于支撑主体上并形成第一平面,所述第二显影丝可拆卸设置于支撑主体上并形成第二平面,所述第一平面与所述第二平面之间呈90°夹角设置。In some of the embodiments, a second developing wire is further included, and the first developing wire passes through the first end, the first passing part, the second passing part, the second end, the third passing The four winding parts are arranged on the support body to form a first plane, the second developing wire is detachably arranged on the support body to form a second plane, and the first plane and the second plane are at a 90° angle Angle setting.
在其中一些实施例中,所述第二显影丝包括第三控制端、第四控制端及第二显影段,所述第三控制端及第四控制端分别位于所述第二显影段的两端,所述第三控制端及第四控制端均从支撑主体的第一端部伸出。In some embodiments, the second developing wire includes a third control end, a fourth control end and a second developing section, and the third control end and the fourth control end are respectively located at two ends of the second developing section. Both the third control end and the fourth control end protrude from the first end of the support body.
在其中一些实施例中,显影丝的控制端不是自身的端头,而是在显影丝主体任一部位额外连接一根控制丝,控制丝的一端与显影丝主体连接,另外一端从封堵器伸出,并延伸至体外,优选地,该控制丝与显影丝材主体中点部分连接,通过控制丝可以控制显影丝的移动。In some of these embodiments, the control end of the developing wire is not its own end, but an additional control wire is connected to any part of the main body of the developing wire, one end of the control wire is connected to the main body of the developing wire, and the other end is connected from the occluder to the main body of the developing wire. Extending out and extending to the outside of the body, preferably, the control wire is connected to the midpoint part of the main body of the developing wire, and the movement of the developing wire can be controlled by the control wire.
在其中一些实施例中,还包括阻流膜,所述阻流膜分别缝制于第一盘体、 第二盘体以及连接腰体上,所述阻流膜设有多层。In some of the embodiments, a flow blocking film is further included, the flow blocking film is sewn on the first disc body, the second disc body and the connecting waist respectively, and the flow blocking film is provided with multiple layers.
在其中一些实施例中,所述支撑主体的材料采用可降解材料,包括聚乳酸、聚乙醇酸、聚己内酯、聚酸酐、聚对二氧环己酮中的至少一种可降解材料制备而成。In some embodiments, the material of the support body is prepared from degradable materials, including at least one degradable material selected from polylactic acid, polyglycolic acid, polycaprolactone, polyacid anhydride, and polydioxanone made.
与现有技术相比,本发明具有以下有益效果:Compared with the prior art, the present invention has the following beneficial effects:
本发明所提供的显影丝,可以可拆卸设置于网状结构的支撑主体上,在将封堵器放入人体过程中,显影丝可固定在支撑主体上,封堵器可在X光下显影,便于医生输送和释放封堵器;同时,显影段位于支撑主体上能扩大显影范围,利于评估封堵器的释放形态,降低手术难度以及手术风险;当封堵器释放完成后,通过控制第一控制端或第二控制端将显影丝从封堵器中卸下并撤出人体外,从而避免显影标记残留体内而导致引起异物反应,避免对人体造成不适。The developing wire provided by the present invention can be detachably arranged on the support body of the mesh structure. During the process of putting the occluder into the human body, the developing wire can be fixed on the support body, and the occluder can be developed under X-rays. , it is convenient for doctors to transport and release the occluder; at the same time, the development segment is located on the support body, which can expand the development range, which is conducive to evaluating the release form of the occluder, reducing the difficulty and risk of surgery; A control end or a second control end removes the developing wire from the occluder and withdraws it from the human body, so as to avoid the developing mark remaining in the body and causing a foreign body reaction and causing discomfort to the human body.
同时,在实际应用过程中,为了解决现有的金属显影丝弹性模量过高,且材质较硬,顺应性差,穿绕和撤出困难,且导致撤回时端头可能对组织造成破坏的技术问题,本发明还专门研发了特定的显影丝材料,即采用表面设有负载显影材料润滑层的高分子丝材,或者采用负载显影材料的水凝胶线,其具有较低的弹性模量,其弹性模量在0.3-5Gpa之间,而金属材料的弹性模量超过30Gpa,使得显影丝撤回的过程中不会对组织造成破坏,并且显影丝表面的润滑层或者水凝胶线具有良好的润滑性,可以使得显影丝具有较低的摩擦阻力,从而大大降低了撤回过程中的阻力,降低撤回过程中可能的意外风险和相关并发症。At the same time, in the actual application process, in order to solve the problem that the elastic modulus of the existing metal developing wire is too high, the material is hard, the compliance is poor, the winding and withdrawal are difficult, and the tip may cause damage to the tissue during withdrawal. Problem, the present invention also specially developed a specific developing wire material, that is, a polymer wire with a lubricating layer loaded with the developing material on the surface, or a hydrogel wire loaded with the developing material, which has a lower elastic modulus, Its elastic modulus is between 0.3-5Gpa, and the elastic modulus of the metal material exceeds 30Gpa, so that the development wire will not cause damage to the tissue during the withdrawal process, and the lubricating layer or hydrogel line on the surface of the development wire has good performance. The lubricity can make the developing wire have lower frictional resistance, thereby greatly reducing the resistance during the withdrawal process, and reducing possible accidental risks and related complications during the withdrawal process.
附图说明Description of drawings
此处的附图,示出了本发明所述技术方案的具体实例,并与具体实施方式构成说明书的一部分,用于解释本发明的技术方案、原理及效果。The accompanying drawings here show specific examples of the technical solutions of the present invention, and form a part of the specification together with the specific embodiments, and are used to explain the technical solutions, principles and effects of the present invention.
除非特别说明或另有定义,不同附图中,相同的附图标记代表相同或相似的技术特征,对于相同或相似的技术特征,也可能会采用不同的附图标记进行表示。Unless otherwise specified or otherwise defined, in different drawings, the same reference numerals represent the same or similar technical features, and the same or similar technical features may also be represented by different reference numerals.
图1是本发明实施例支撑主体的结构示意图。FIG. 1 is a schematic structural diagram of a support body according to an embodiment of the present invention.
图2是本发明实施例显影丝放入支撑主体中的结构示意图;Fig. 2 is the structural schematic diagram that the developing wire of the embodiment of the present invention is put into the support main body;
图3是本发明实施例控制丝的结构示意图。FIG. 3 is a schematic structural diagram of a control wire according to an embodiment of the present invention.
附图标记说明:Description of reference numbers:
10、支撑主体;11、第一端部;12、第二端部;13、第三穿绕部;14、第四穿绕部;15、第三穿绕部;16、第四穿绕部;20、第一显影丝;21、第一控制端;22、第二控制端;23、第一显影段;30、第二显影丝;31、第三控制端;32、第四控制端;33、第二显影段;50、控制丝;51、操作端。。10. Supporting body; 11. First end; 12. Second end; 13. Third wrapping part; 14. Fourth wrapping part; 15. Third wrapping part; 16. Fourth wrapping part 20, the first development wire; 21, the first control end; 22, the second control end; 23, the first development section; 30, the second development wire; 31, the third control end; 32, the fourth control end; 33. Second developing section; 50. Control wire; 51. Operation end. .
具体实施方式Detailed ways
本发明下列实施例中未注明具体条件的实验方法,通常按照常规条件,或按照制造厂商所建议的条件。实施例中所用到的各种常用化学试剂,均为市售产品。The experimental methods that do not specify specific conditions in the following examples of the present invention are usually in accordance with conventional conditions, or in accordance with the conditions suggested by the manufacturer. Various common chemical reagents used in the examples are all commercially available products.
除非另有定义,本发明所使用的所有的技术和科学术语与属于本发明的技术领域的技术人员通常理解的含义相同。本发明的说明书中所使用的术语只是为了描述具体的实施例的目的,不用于限制本发明。Unless otherwise defined, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs. The terms used in the description of the present invention are only for the purpose of describing specific embodiments, and are not used to limit the present invention.
本发明的术语“包括”和“具有”以及它们任何变形,意图在于覆盖不排他的包含。例如包含了一系列步骤的过程、方法、装置、产品或设备没有限定于已列出的步骤或模块,而是可选地还包括没有列出的步骤,或可选地还包括对于这些过程、方法、产品或设备固有的其它步骤。The terms "comprising" and "having" and any variations thereof of the present invention are intended to cover a non-exclusive inclusion. For example, a process, method, apparatus, product or device comprising a series of steps is not limited to the listed steps or modules, but optionally also includes unlisted steps, or optionally also includes steps for these processes, other steps inherent in the method, product or device.
在本发明中提及的“多个”是指两个或两个以上。“和/或”,描述关联对象的关联关系,表示可以存在三种关系,例如,A和/或B,可以表示:单独存在A,同时存在A和B,单独存在B这三种情况。字符“/”一般表示前后关联对象是一种“或”的关系。The "plurality" mentioned in the present invention means two or more. "And/or", which describes the association relationship of the associated objects, means that there can be three kinds of relationships, for example, A and/or B, which can mean that A exists alone, A and B exist at the same time, and B exists alone. The character "/" generally indicates that the associated objects are an "or" relationship.
需要说明的是,当元件被认为“固定于”另一个元件,它可以是直接固定在另一个元件上,也可以是存在居中的元件;当一个元件被认为是“连接”另一个元件,它可以是直接连接到另一个元件,也可以是同时存在居中元件;当一个元件被认为是“安装在”另一个元件,它可以是直接安装在另一个元件,也可以是同时存在居中元件。当一个元件被认为是“设在”另一个元件,它可以是直接设在另一个 元件,也可以是同时存在居中元件。It should be noted that when an element is considered to be "fixed" to another element, it may be directly fixed to the other element, or it may be an intervening element; when an element is considered to be "connected" to another element, it may be It may be directly connected to another element, or there may be intervening elements; when an element is considered to be "mounted" on another element, it may be directly mounted to the other element, or an intervening element may be present. When an element is referred to as being "disposed on" another element, it can be directly disposed on the other element or intervening elements may also be present.
除非特别说明或另有定义,本文所使用的“所述”、“该”为相应位置之前所提及或描述的技术特征或技术内容,该技术特征或技术内容与其所提及的技术特征或技术内容可以是相同的,也可以是相似的。Unless specifically stated or otherwise defined, the "said" and "the" used herein are the technical features or technical contents mentioned or described before the corresponding position, the technical features or technical contents and the technical features or technical contents mentioned above. The technical content can be the same or similar.
毫无疑义,与本发明的目的相违背,或者明显矛盾的技术内容或技术特征,应被排除在外。Undoubtedly, technical content or technical features that go against the purpose of the present invention, or are obviously contradictory, should be excluded.
如图1及图2所示,本发明方式提供一种显影丝20,包括丝主体和设于所述丝主体上的用于取放丝主体的第一控制端21、第二控制端22以及第一显影段23,所述第一控制端21及第二控制端22分别位于第一显影段23的两端;As shown in FIG. 1 and FIG. 2 , the present invention provides a developing wire 20 , which includes a wire body and a first control end 21 , a second control end 22 and a first control end 21 and a second control end 22 disposed on the wire body for picking and placing the wire body. the first developing segment 23, the first control end 21 and the second control end 22 are respectively located at two ends of the first developing segment 23;
所述显影丝的材料为表面设有润滑层的高分子丝材,所述润滑层负载显影材料;或者所述显影丝为负载显影材料的水凝胶线。The material of the developing wire is a polymer wire with a lubricating layer on the surface, and the lubricating layer supports the developing material; or the developing wire is a hydrogel wire carrying the developing material.
采用高分子丝材或水凝胶线制备的显影丝相对与以往的金属显影丝弹性模量更低,更有利于显影丝穿绕固定于封堵器上,同时避免了高弹性模量导致撤出过程中显影丝可能对组织造成破坏,进而有利于保护人体组织。Compared with the previous metal developing wire, the developing wire prepared by using polymer wire or hydrogel wire has a lower elastic modulus, which is more conducive to the development of the developing wire to be wound and fixed on the occluder, and at the same time, it avoids the withdrawal caused by the high elastic modulus. In the process of extraction, the developing silk may cause damage to the tissue, thereby helping to protect the human tissue.
优选地,所述表面设有润滑层的高分子丝材由包括以下步骤制备而成:Preferably, the polymer wire with a lubricating layer on the surface is prepared by comprising the following steps:
(1)在高分子丝材原料的表面负载双键可聚合前体;(1) Loading a double bond polymerizable precursor on the surface of the polymer wire material;
(2)再在步骤(1)所得丝材表面涂覆双键可聚合单体和引发剂;(2) coating double bond polymerizable monomer and initiator on the surface of the wire material obtained in step (1) again;
(3)然后将步骤(2)所得丝材进行固化;(3) then solidify the wire material obtained in step (2);
其中,在步骤(1)或(2)中引入显影材料;Wherein, introducing developing material in step (1) or (2);
所述高分子丝材为聚丙烯丝材、聚四氟乙烯丝材和聚酰胺丝材中的至少一种;所述双键可聚合前体为甲基丙烯酰胺类化合物、甲基丙烯酸酯类化合物、丙烯酸酯、丙烯酰胺类化合物、丙烯酰氯、甲基丙烯酸酸酐中的至少一种,优选所述甲基丙烯酰胺类化合物为N-(3-氨丙基)甲基丙烯酰胺盐酸盐;所述双键可聚合单体为透明质酸甲基丙烯酸酯、聚乙烯醇丙烯酸酯、聚乙二醇二丙烯酸酯、乙烯吡咯烷酮、磺酸甜菜碱甲基丙烯酸酯和磺酸丙烯酸中的至少一种。The polymer wire is at least one of polypropylene wire, polytetrafluoroethylene wire and polyamide wire; the double bond polymerizable precursor is methacrylamide compound, methacrylate At least one of compounds, acrylates, acrylamide compounds, acryloyl chloride, and methacrylic acid anhydride, preferably the methacrylamide compound is N-(3-aminopropyl)methacrylamide hydrochloride; The double bond polymerizable monomer is at least one of hyaluronic acid methacrylate, polyvinyl alcohol acrylate, polyethylene glycol diacrylate, vinyl pyrrolidone, sulfobetaine methacrylate and sulfonic acid acrylic acid. kind.
其中,通过在高分子丝材原料的表面紧密负载双键可聚合前体以引入双键,而不对丝材本体的力学性能造成破坏;同时,涂覆的特定种类的双键可聚合单 体在引发剂的作用下自身可以形成具有润滑作用的交联网络,实现很好的润滑作用,而高分子丝材上引入的双键可以进一步参与双键可聚合单体的共聚,增强具有润滑作用的交联网络与高分子丝材的结合力。Among them, the double bond polymerizable precursor is tightly loaded on the surface of the polymer wire material to introduce double bonds without damaging the mechanical properties of the wire body; at the same time, the coated specific type of double bond polymerizable monomer is Under the action of the initiator, a cross-linked network with lubricating effect can be formed by itself to achieve a good lubricating effect, and the double bond introduced into the polymer wire can further participate in the copolymerization of the double bond polymerizable monomer, enhancing the lubricating effect of the polymer. The binding force of the cross-linked network and the polymer wire.
进一步地,所述表面负载显影材料和润滑材料的高分子丝材由包括以下步骤制备而成:Further, the surface-loaded polymer wire material of the developer material and the lubricating material is prepared by comprising the following steps:
(1)在高分子丝材原料的表面负载双键可聚合前体;(1) Loading a double bond polymerizable precursor on the surface of the polymer wire material;
(2)将步骤(1)所得丝材浸入含双键可聚合单体和引发剂的水溶液中,浸泡5~15分钟。(2) Immerse the filament obtained in step (1) in an aqueous solution containing a double bond polymerizable monomer and an initiator for 5-15 minutes.
(3)然后将步骤(2)所得丝材进行固化;(3) then solidify the wire material obtained in step (2);
优选地,所述含双键可聚合单体和引发剂的水溶液中双键可聚合单体的浓度为0.2wt%~50wt%,优选为1~20wt%,更优选为5~15wt%,引发剂的浓度为0.05wt%~2wt%,优选为0.05wt%~1wt%,更优选为0.05wt%~0.5wt%,进一步优选为0.05wt%~0.2wt%。Preferably, the concentration of the double bond polymerizable monomer in the aqueous solution containing the double bond polymerizable monomer and the initiator is 0.2 wt % to 50 wt %, preferably 1 to 20 wt %, and more preferably 5 to 15 wt %. The concentration of the agent is 0.05wt%-2wt%, preferably 0.05wt%-1wt%, more preferably 0.05wt%-0.5wt%, further preferably 0.05wt%-0.2wt%.
优选地,所述引发剂为光引发剂,进一步为Irgacure 2959。Preferably, the initiator is a photoinitiator, further Irgacure 2959.
优选地,步骤(3)所述固化的方法为光固化。Preferably, the curing method in step (3) is photocuring.
优选地,步骤(1)中,在高分子丝材原料的表面负载双键可聚合前体包括A方法或B方法:Preferably, in step (1), the double bond polymerizable precursor supported on the surface of the polymer wire material comprises method A or method B:
A方法为:碱性或中性条件下,在高分子丝材的表面涂覆可交联官能团分子,再涂覆双键可聚合前体,或者将可交联官能团分子与双键可聚合前体混合后再涂覆;其中,所述可交联官能团分子为茶多酚类化合物,优选所述茶多酚类化合物为单宁酸、表没食子儿茶素没食子酸酯、多巴胺中的至少一种;Method A is: under alkaline or neutral conditions, coat the surface of the polymer wire with crosslinkable functional group molecules, and then coat the double bond polymerizable precursor, or coat the crosslinkable functional group molecule with the double bond polymerizable precursor The product is mixed and then coated; wherein, the crosslinkable functional group molecule is a tea polyphenol compound, preferably the tea polyphenol compound is at least one of tannin, epigallocatechin gallate, and dopamine. kind;
B方法为:在高分子丝材表面经等离子处理(引入羟基),涂覆双键可聚合前体。Method B is: the surface of the polymer wire is subjected to plasma treatment (introduction of hydroxyl groups), and the double bond polymerizable precursor is coated.
其中,A方法通过在高分子丝材的表面涂覆特定种类的可交联光能团分子,再涂覆双键可聚合前体。所述涂覆特定种类的可交联光能团分子与高分子丝材具有较强的黏附性,可以紧密结合在高分子丝材的表面,从而实现双键或显影材料的引入。尤其是在碱性条件下,可交联光能团分子可以进一步发生自身聚合,从而可以更好地与高分子丝材进行黏附。同时,该特定种类的可交联光能 团分子具有活性发应官能团,其可以与双键可聚合前体反应,将两者通过共价键连接从而引入双键,以将双键紧密的固定在高分子丝材的表面。Among them, the method A is to coat the surface of the polymer wire with a specific type of cross-linkable photoenergy group molecules, and then coat the double bond polymerizable precursor. The coated specific types of cross-linkable photo-energy group molecules have strong adhesion to the polymer wire, and can be closely combined with the surface of the polymer wire, thereby realizing the introduction of double bonds or developing materials. Especially under alkaline conditions, the cross-linkable photoenergy group molecules can further undergo self-polymerization, so that they can better adhere to the polymer wire. At the same time, the specific type of cross-linkable photo-energy group molecule has an active reactive functional group, which can react with the double bond polymerizable precursor, and connect the two through a covalent bond to introduce a double bond, so as to tightly fix the double bond on the surface of the polymer wire.
可选地,显影材料可以在步骤(1)或(2)中引入,或者也可以在步骤(1)或(2)中同时引入。进一步地,在步骤(1)中引入显影材料时,可以将显影材料与可交联官能团分子混合;在步骤(2)中引入显影材料时,可以将显影材料与引发剂混合。Alternatively, the developing material may be introduced in step (1) or (2), or may be introduced simultaneously in step (1) or (2). Further, when the developing material is introduced in step (1), the developing material can be mixed with the crosslinkable functional group molecules; when the developing material is introduced in step (2), the developing material can be mixed with an initiator.
进一步地,A方法为:将高分子丝材浸入含可交联官能团分子的水溶液中,调节pH为7~10,浸泡4~8小时,取出丝材,清洗后浸入含所述双键可聚合前体的水溶液中,浸泡4~8小时,取出丝材。Further, method A is as follows: immersing the polymer wire in an aqueous solution containing crosslinkable functional group molecules, adjusting the pH to 7-10, soaking for 4-8 hours, taking out the wire, and immersing the polymer wire containing the double bond after cleaning. The precursor is soaked in the aqueous solution for 4 to 8 hours, and the filament is taken out.
可选地,A方法中的高分子丝材还可以先经过等离子处理,再浸入含可交联官能团分子的水溶液中。Optionally, the polymer wire in method A can also be subjected to plasma treatment first, and then immersed in an aqueous solution containing molecules of cross-linkable functional groups.
进一步地,B方法为:在高分子丝材表面经等离子处理(引入羟基),浸泡在三乙胺的乙醚溶液中,于0-4℃加入所述双键可聚合前体,室温下反应20~30小时,取出丝材。Further, method B is as follows: plasma treatment (introduction of hydroxyl groups) is performed on the surface of the polymer wire, immersed in a diethyl ether solution of triethylamine, and the double bond polymerizable precursor is added at 0-4° C., and the reaction is carried out at room temperature for 20 minutes. ~30 hours, the filaments are removed.
优选地,所述含可交联官能团分子的水溶液中可交联官能团分子的浓度为1~10mg/mL,优选为3~7mg/mL,更优选为4~6mg/mL,进一步为5mg/mL;所述双键可聚合前体在水溶液中的浓度为0.5~10mg/mL,优选为0.5~5mg/mL,更优选为0.5~2mg/mL,更优选为0.8~1.5mg/mL。Preferably, the concentration of the crosslinkable functional group molecules in the aqueous solution containing the crosslinkable functional group molecules is 1-10 mg/mL, preferably 3-7 mg/mL, more preferably 4-6 mg/mL, further 5 mg/mL The concentration of the double bond polymerizable precursor in the aqueous solution is 0.5-10 mg/mL, preferably 0.5-5 mg/mL, more preferably 0.5-2 mg/mL, more preferably 0.8-1.5 mg/mL.
优选地,所述显影材料为钨、钽、硫酸钡、铋、金、铂、锇、铼、铱、铑中的至少一种。进一步地,所述显影材料为显影纳米颗粒,进一步所述显影材料为钨纳米颗粒、钽纳米颗粒、硫酸钡纳米颗粒、铋纳米颗粒、金纳米颗粒、铂纳米颗粒、锇纳米颗粒、铼纳米颗粒、铱纳米颗粒、铑纳米颗粒中的至少一种。Preferably, the developing material is at least one of tungsten, tantalum, barium sulfate, bismuth, gold, platinum, osmium, rhenium, iridium, and rhodium. Further, the developing material is developing nanoparticles, and further the developing material is tungsten nanoparticles, tantalum nanoparticles, barium sulfate nanoparticles, bismuth nanoparticles, gold nanoparticles, platinum nanoparticles, osmium nanoparticles, rhenium nanoparticles , at least one of iridium nanoparticles and rhodium nanoparticles.
优选地,所述碱为氢氧化钠和三乙胺中的至少一种。Preferably, the base is at least one of sodium hydroxide and triethylamine.
优选地,所述涂覆的方式为浸涂或擦涂或喷涂。Preferably, the coating method is dipping or wiping or spraying.
优选地,所述负载显影材料的水凝胶线由包括以下步骤制备:Preferably, the hydrogel thread loaded with developing material is prepared by comprising the following steps:
(一)将显影材料分散在可交联官能团分子和碱的混合溶液中,得到由可交联官能团分子修饰的显影材料;(1) dispersing the developing material in a mixed solution of cross-linkable functional group molecules and alkali to obtain a developing material modified by cross-linkable functional group molecules;
(二)再将步骤(一)所得显影材料置于凝胶前体水溶液中,注入模具中固化,得到水凝胶显影线;(2) placing the developing material obtained in step (1) in the gel precursor aqueous solution, and injecting it into the mold to solidify to obtain a hydrogel developing line;
其中,凝胶前体为聚乙烯醇;所述可交联官能团分子为单宁酸、表没食子儿茶素没食子酸酯、多巴胺中的至少一种。Wherein, the gel precursor is polyvinyl alcohol; the crosslinkable functional group molecule is at least one of tannic acid, epigallocatechin gallate, and dopamine.
其中,显影材料经可交联官能团分子修饰后,在凝胶前体水溶液中的分散性更好,同时显影材料上的可交联官能团分子有助于增加显影材料表面与凝胶前体的氢键作用,形成显影材料交联的水凝胶网络,其中显影材料(尤其是显影纳米颗粒)的引入不仅具有显影功能,更进一步增强了水凝胶显影线的力学强度。Among them, after the developing material is modified with crosslinkable functional group molecules, the dispersibility in the gel precursor aqueous solution is better, and at the same time, the crosslinkable functional group molecules on the developing material help to increase the hydrogen between the surface of the developing material and the gel precursor. bond to form a cross-linked hydrogel network of the developing material, wherein the introduction of the developing material (especially the developing nanoparticles) not only has the developing function, but also further enhances the mechanical strength of the hydrogel developing line.
优选地,在步骤(一)的可交联官能团分子和碱的混合溶液中,可交联官能团分子的浓度为5~15mg/mL,更优选为10mg/mL。Preferably, in the mixed solution of the crosslinkable functional group molecule and the base in step (1), the concentration of the crosslinkable functional group molecule is 5-15 mg/mL, more preferably 10 mg/mL.
优选地,凝胶前体水溶液中凝胶前体的浓度为20~40wt%,更优选为25~35wt%,更优选为30wt%。Preferably, the concentration of the gel precursor in the aqueous gel precursor solution is 20-40 wt %, more preferably 25-35 wt %, and more preferably 30 wt %.
优选地,显影材料在凝胶前体水溶液中的浓度为5~20mg/mL,更优选为5~15mg/mL,更优选为10mg/mL。Preferably, the concentration of the developing material in the gel precursor aqueous solution is 5-20 mg/mL, more preferably 5-15 mg/mL, and more preferably 10 mg/mL.
优选地,所述模具为圆柱体模具,所述圆柱体模具的直径为0.1~0.3mm,更优选为0.2mm。Preferably, the mold is a cylindrical mold, and the diameter of the cylindrical mold is 0.1-0.3 mm, more preferably 0.2 mm.
以下结合具体实施例对本发明作进一步详细的说明。The present invention will be further described in detail below in conjunction with specific embodiments.
如图1及图2所示,本实施方式还提供一种具显影功能的封堵器,包括支撑主体10与显影丝20,所述显影丝为上述的显影丝。As shown in FIG. 1 and FIG. 2 , this embodiment further provides an occluder with a developing function, including a support body 10 and a developing wire 20 , and the developing wire is the above-mentioned developing wire.
具体地,所述封堵器包括呈网状结构的支撑主体10与第一显影丝20,所述第一显影丝20可拆卸设置于所述支撑主体10上,所述第一显影丝20包括第一控制端21、第二控制端22以及第一显影段23,所述第一控制端21及第二控制端22分别位于第一显影段23的两端,所述第一显影段23位于所述支撑主体10中,所述支撑主体10上设有第一端部11,所述第一控制端21及第二控制端22均从第一端部11伸出。Specifically, the occluder includes a support body 10 in a mesh structure and a first development wire 20 , the first development wire 20 is detachably disposed on the support body 10 , and the first development wire 20 includes The first control end 21 , the second control end 22 and the first developing segment 23 , the first control end 21 and the second control end 22 are respectively located at both ends of the first developing segment 23 , and the first developing segment 23 is located at the In the support body 10 , the support body 10 is provided with a first end portion 11 , and both the first control end 21 and the second control end 22 protrude from the first end portion 11 .
通过将显影丝可拆卸设置于网状结构的支撑主体10上,在将封堵器放入人 体过程中,显影丝可固定在支撑主体10上,封堵器可在X光下显影,便于医生输送和释放封堵器;同时,显影段位于支撑主体10中能扩大显影范围,相较于以往只标记封堵器的少量部分,整个显影段更利于评估封堵器的释放形态,降低手术难度以及手术风险;当封堵器释放完成后,通过拉动控制第一控制端21或第二控制端22将显影丝从封堵器中卸下并撤出人体外,从而避免显影标记残留体内而导致引起异物反应,避免对人体造成不适;将第一控制端21和第二控制端22从支撑主体10的第一端部11伸出,利于拉动控制显影丝以撤出人体,同时能防止显影丝从封堵器中脱落,需要说明的是,两个控制端从支撑主体10的伸出后一直延伸至体外,在体外进行显影丝撤出操作更加方便。By dismounting the developing wire on the support body 10 of the mesh structure, during the process of putting the occluder into the human body, the developing wire can be fixed on the support body 10, and the occluder can be developed under X-ray, which is convenient for doctors The occluder is transported and released; at the same time, the development segment is located in the support body 10 to expand the development range. Compared with the previous only marking a small amount of the occluder, the entire development segment is more conducive to evaluating the release form of the occluder, reducing the difficulty of surgery. And the risk of surgery; when the occluder is released, the developing wire is removed from the occluder and withdrawn from the body by pulling the first control end 21 or the second control end 22, so as to avoid the development mark remaining in the body. Causes foreign body reaction and avoids discomfort to the human body; extending the first control end 21 and the second control end 22 from the first end 11 of the support body 10 is conducive to pulling the control developing wire to withdraw from the human body, and at the same time can prevent the developing wire It falls off from the occluder. It should be noted that the two control ends extend from the support body 10 to the outside of the body, so it is more convenient to withdraw the developing wire outside the body.
如图1及图2所示,所述支撑主体10包括第一盘体、第二盘体及连接腰体,所述连接腰体位于所述第一盘体与所述第二盘体之间并形成“工”字型的支撑主体10,所述第一端部11位于所述第一盘体上,所述支撑主体10上还设有第一穿绕部13、第二穿绕部14、第三穿绕部15、第四穿绕部16及第二端部12,所述第一穿绕部13位于第一盘体与连接腰体之间,所述第二穿绕部14位于第二盘体与连接腰体之间,所述第三穿绕部15沿支撑主体10的中轴线与第一穿绕部13对称设置,所述第四穿绕部16同样沿支撑主体10的中轴线与第二穿绕部14对称设置,第二端部12位于第二盘体上,所述第二端部12与所述第一端部11对应设置,其中,第一端部11为支撑主体10的近端,第二端部12为支撑主体10的远端。由于盘体与连接腰体之间是封堵器上弯曲形变程度最高的位置,将穿绕部设置于盘体与连接腰体之间,使得显影丝能更贴合支撑主体10的轮廓,提高显影效果;同时,通过设置多个穿绕部,使得在将封堵器送入人体过程中,显影丝不容易从封堵器中松脱,保证正常显影及封堵器的顺利放入。As shown in FIG. 1 and FIG. 2 , the support body 10 includes a first plate body, a second plate body and a connecting waist body, and the connecting waist body is located between the first plate body and the second plate body And form the "I"-shaped support body 10, the first end portion 11 is located on the first disc body, and the support body 10 is further provided with a first winding portion 13 and a second winding portion 14. , the third wrapping part 15, the fourth wrapping part 16 and the second end part 12, the first wrapping part 13 is located between the first disc body and the connecting waist body, and the second wrapping part 14 is located at the Between the second disc body and the connecting waist, the third wrapping portion 15 is symmetrically arranged with the first wrapping portion 13 along the central axis of the support body 10 , and the fourth wrapping portion 16 is also arranged along the axis of the support body 10 . The central axis is symmetrically arranged with the second winding portion 14 , the second end portion 12 is located on the second disc body, and the second end portion 12 is arranged corresponding to the first end portion 11 , wherein the first end portion 11 is The proximal end of the support body 10 is supported, and the second end portion 12 is the distal end of the support body 10 . Since the position between the disc body and the connecting waist is the position with the highest degree of bending deformation on the occluder, the wrapping part is arranged between the disc body and the connecting waist, so that the developing wire can better fit the contour of the supporting body 10 and improve the performance of the occluder. At the same time, by setting multiple winding parts, the developing wire is not easy to loosen from the occluder during the process of sending the occluder into the human body, so as to ensure normal development and smooth insertion of the occluder.
以下为第一显影丝20在上述支撑主体10中的可拆卸设置的实施方式:The following is an embodiment of the detachable arrangement of the first developing wire 20 in the above-mentioned supporting body 10:
第一显影丝20从支撑主体10的第一端部11的网格开始,朝靠近第二端部12的一侧的方向延伸,先延伸至第一穿绕部13,穿绕第一穿绕部13的网格,再延伸至第二穿绕部14,并穿绕第二穿绕部15的网格,然后延伸至第二端部12,穿绕第二端部12的网格后,往回朝靠近第一端部11的一侧的方向延伸, 接着延伸至第三穿绕部15,穿绕第三穿绕部15的网格后,延伸至第四穿绕部16,最后穿绕第四穿绕部16的网格并延伸回第一端部11,并从第一端部11伸出。第一显影丝20通过以上穿绕编织的方式可拆卸设置于支撑主体10上,扩大第一显影丝20在封堵器中的显影范围,能大概地对整个封堵器的轮廓进行显影,避免了以往显影标记仅位于封堵器个别部位而导致显影不完全的问题,有利于调剂封堵器释放位置以及掌握封堵器的释放状态,降低了医生手术难度的同时也降低了病人手术风险。需要说明的是,以上显影丝的穿绕编织方式仅为其中一个优选的实施方式,能实现快速穿绕并且实现对封堵器基本轮廓的显影,但可以根据对封堵器的显影要求,在支撑主体10上定位不同的穿绕部,实现不同的穿绕方式。The first developing wire 20 starts from the grid of the first end portion 11 of the support body 10, extends toward the side close to the second end portion 12, first extends to the first winding portion 13, and is wound around the first winding portion 13. The mesh of the second winding part 13 extends to the second winding part 14 and the mesh of the second winding part 15, then extends to the second end part 12, and after passing through the mesh of the second end part 12, It extends back toward the side close to the first end 11 , and then extends to the third winding part 15 , and after passing through the mesh of the third winding part 15 , extends to the fourth winding part 16 , and finally wears The mesh around the fourth wrap-around portion 16 extends back to and from the first end portion 11 . The first developing wire 20 is detachably arranged on the support body 10 by the above-mentioned method of weaving and weaving, so as to expand the developing range of the first developing wire 20 in the occluder, and can roughly develop the outline of the entire occluder. In the past, the development mark was only located in individual parts of the occluder, resulting in incomplete development, which is conducive to adjusting the release position of the occluder and grasping the release state of the occluder, reducing the difficulty of the doctor's operation and reducing the risk of the patient's operation. It should be noted that the above threading and weaving method of the developing wire is only one of the preferred embodiments, which can realize rapid threading and development of the basic outline of the occluder, but according to the development requirements of the occluder, Different winding parts are positioned on the support body 10 to realize different winding ways.
为了进一步提高封堵器的显影效果,加设第二显影丝30,第二显影丝30包括第三控制端31、第四控制端32及第二显影段33,所述第三控制端31及第四控制端32分别位于所述第二显影段33的两端,所述第三控制端31及第四控制端32均从支撑主体10的第一端部11伸出。第二显影丝30与第一显影丝20结构相同,将第三控制端31和第四控制端32从支撑主体10的第一端部11伸出,利于拉动控制第二显影丝30以撤出人体,同时能防止第二显影丝30从封堵器中脱落,同样地,需要说明的是,两个控制端从支撑主体10的伸出后一直延伸至体外,在体外进行显影丝撤出操作更加方便。In order to further improve the developing effect of the occluder, a second developing wire 30 is added. The second developing wire 30 includes a third control end 31, a fourth control end 32 and a second developing section 33. The third control end 31 and The fourth control ends 32 are respectively located at two ends of the second developing section 33 , and the third control ends 31 and the fourth control ends 32 both extend from the first end 11 of the support body 10 . The second developing wire 30 has the same structure as the first developing wire 20, and the third control end 31 and the fourth control end 32 are protruded from the first end 11 of the support body 10, which is convenient for pulling and controlling the second developing wire 30 to withdraw At the same time, it can prevent the second developing wire 30 from falling off the occluder. Similarly, it should be noted that the two control ends extend from the support body 10 to the outside of the body, and the developing wire withdrawal operation is performed outside the body. More convenient.
所述第一显影丝20通过上述穿绕方式设置于支撑主体10上并形成第一平面,按照上述穿绕方式类似的步骤穿绕第二显影丝30,所述第二显影丝30可拆卸设置于支撑主体10上并形成第二平面,但与上述穿绕方式不同的是,第二显影丝30穿绕形成的第二平面与第一显影丝20穿绕形成的第一平面呈90°夹角。由于封堵器是个立体装置,将第二平面与第一平面呈90°夹角设置,能更全面显示封堵器整体轮廓,提高显影效果,避免封堵器在植入人体过程中位移影响第一显影丝20的显影角度。但需要说明的是,显影丝的数量以及穿绕形成的平面夹角度数可以根据实际情况调整。The first developing wire 20 is arranged on the support body 10 by the above-mentioned winding method to form a first plane, and the second developing wire 30 is detached and arranged according to the steps similar to the above-mentioned winding method. A second plane is formed on the support body 10, but different from the above-mentioned winding method, the second plane formed by the second developing wire 30 and the first plane formed by the first developing wire 20 are sandwiched at 90°. horn. Since the occluder is a three-dimensional device, setting the second plane and the first plane at an angle of 90° can more comprehensively display the overall outline of the occluder, improve the development effect, and avoid the displacement of the occluder during implantation. A developing angle of the developing wire 20 . However, it should be noted that the number of developing filaments and the number of plane angles formed by winding can be adjusted according to the actual situation.
以上通过拉动显影丝的控制端实现撤出人体外的方式为本发明的优选实施方式,如图3所示,在其中一个实施例中,还包括单独设置的控制丝50,控制丝50设在支撑主体10外,控制丝50与显影丝穿绕于支撑主体10第二端部12的位置连接,控制丝50远离与显影丝连接的一端为操作端51,其中,操作端51延伸至人体外,而且为了防止控制丝50影响显影丝顺利地穿绕设置在封堵器上,可将显影丝设置完成后,再将控制丝50与显影丝连接。当封堵器释放完成后,通过拉动控制丝50的操作端51,显影丝50的两端同时从第二端部12被拉出,加快了将显影丝从封堵器中卸下并撤出人体的速度,提高工作效率。The above method of withdrawing from the human body by pulling the control end of the developing wire is a preferred embodiment of the present invention. As shown in FIG. 3 , in one of the embodiments, a separate control wire 50 is also included, and the control wire 50 is arranged at Outside the support body 10, the control wire 50 and the development wire are connected to the position where the second end 12 of the support body 10 is wound, and the end of the control wire 50 away from the connection with the development wire is the operation end 51, wherein the operation end 51 extends outside the human body In addition, in order to prevent the control wire 50 from affecting the development wire to be smoothly wound on the occluder, the control wire 50 can be connected to the development wire after the development wire is set. After the release of the occluder is completed, by pulling the operating end 51 of the control wire 50, both ends of the developing wire 50 are simultaneously pulled out from the second end 12, which speeds up the removal and withdrawal of the developing wire from the occluder The speed of the human body, improve work efficiency.
所述支撑主体10的材料采用可降解材料,可降解材料为聚乳酸、聚乙醇酸、聚己内酯、聚酸酐和聚对二氧环己酮中的至少一种材料。采用可降解材料制成的封堵器能避免残留体内造成瓣膜损伤、房室传导阻滞、心脏组织磨损、血栓等并发症发生,更有利于手术的恢复以及避免对患者后续生活造成不利影响。The material of the support body 10 is a degradable material, and the degradable material is at least one material selected from the group consisting of polylactic acid, polyglycolic acid, polycaprolactone, polyacid anhydride and polydioxanone. The occluder made of degradable materials can avoid complications such as valve damage, atrioventricular block, heart tissue wear, and thrombosis caused by the residual body, which is more conducive to the recovery of surgery and avoids adverse effects on the patient's subsequent life.
封堵器上还设有阻流膜(图中未示出),所述阻流膜分别缝制于第一盘体、第二盘体以及连接腰体上,所述阻流膜设有多层。所述阻流膜可采用聚乳酸等可降解高分子材料制备而成。在封堵器上缝制阻流膜,有利于促进内皮的生长,使得内皮更加容易爬附,加快患者的康复速度。The occluder is also provided with a blocking film (not shown in the figure), the blocking film is sewn on the first disc body, the second disc body and the connecting waist respectively, and the blocking film is provided with multiple Floor. The flow blocking film can be prepared from degradable polymer materials such as polylactic acid. Sewing the blocking film on the occluder is beneficial to promote the growth of the endothelium, making the endothelium easier to crawl, and speeding up the recovery of the patient.
材料来源:Source of material:
聚乙烯醇:1799型,重均分子量90000。Polyvinyl alcohol: Type 1799, weight average molecular weight 90,000.
聚乙二醇二丙烯酸酯:购买于TCI,分子量258。Polyethylene glycol diacrylate: purchased from TCI, molecular weight 258.
实施例1.含有显影丝的可封堵器的制备Example 1. Preparation of occluder containing developing filaments
采用聚对二环己酮丝编织“工”字形封堵器骨架,随后将显影丝从封堵器的近端开始,沿着骨架的轴向方向,穿过骨架中的空隙,到达封堵器的远端顶点,然后朝近端开始穿过空隙,回到近端顶点处,该显影丝的路径沿封堵器的中心轴线对称分布,最终该显影线的端头沿输送系统暴露于体外。按照类似的步骤,沿着骨架的轴向方向,并且和第一条显影丝走向呈90度夹角的方向,在骨架上 穿插第二条显影丝,该显影线的端头沿输送系统暴露于体外。在该封堵器的植入过程中,由于显影丝位于封堵器骨架的整个轮廓上,可以对整个封堵器进行显影,避免了以往显影标志仅仅位于封堵器个别部位而显影不完全的问题,更好的调节封堵器的释放位置和掌握封堵器的释放状态。同时该封堵器上的显影丝可以通过在体外控制端头而与封堵器分离并撤回,避免了显影物质在体内的残留。The "I"-shaped occluder skeleton is woven with poly-p-dicyclohexanone wire, and then the developing wire starts from the proximal end of the occluder, and passes through the gap in the skeleton along the axial direction of the occluder to reach the occluder. The distal apex of the occluder, then starts to pass through the gap toward the proximal end, and returns to the proximal apex, the path of the developing wire is symmetrically distributed along the central axis of the occluder, and finally the end of the developing wire is exposed to the body along the delivery system. According to similar steps, along the axial direction of the skeleton and in a direction of 90 degrees with the direction of the first developing wire, a second developing wire is inserted into the skeleton, and the end of the developing wire is exposed along the conveying system to in vitro. During the implantation process of the occluder, since the developing wire is located on the entire outline of the occluder skeleton, the entire occluder can be visualized, which avoids the fact that the development marks are only located in individual parts of the occluder and the development is incomplete. problem, better adjust the release position of the occluder and grasp the release state of the occluder. At the same time, the developing wire on the occluder can be separated and withdrawn from the occluder by controlling the end outside the body, so as to avoid the residue of the developing substance in the body.
实施例2.水凝胶涂敷的聚丙烯显影丝Example 2. Hydrogel Coated Polypropylene Developer Filament
(1)透明质酸甲基丙烯酸酯的制备:透明质酸溶解在水溶液中(0.1wt%),通过阳离子交换树脂,然后冻干。然后溶解在DMSO溶液中,加入相当于透明质酸0.2当量(质量比)的甲基丙烯酸酸酐,反应24小时,在反应液中加入氯仿沉淀,沉淀溶解在水中,在透析袋中透析,冻干得到透明质酸甲基丙烯酸酯。(1) Preparation of hyaluronic acid methacrylate: hyaluronic acid was dissolved in an aqueous solution (0.1 wt %), passed through a cation exchange resin, and then lyophilized. Then dissolve in DMSO solution, add methacrylic acid anhydride equivalent to 0.2 equivalent (mass ratio) of hyaluronic acid, react for 24 hours, add chloroform to the reaction solution to precipitate, dissolve the precipitate in water, dialyze it in a dialysis bag, freeze-dry it Hyaluronic acid methacrylate was obtained.
(2)聚丙烯丝材先浸泡在5mg/mL单宁酸和1mg/mL钨纳米颗粒的混合水溶液中,加入1M氢氧化钠调节pH为9,浸泡6小时,取出聚丙烯丝材,去离子水清洗三次,然后在N-(3-氨丙基)甲基丙烯酰胺盐酸盐的水溶液(1mg/mL)中(pH=8)浸泡6小时。取出聚丙烯丝材,去离子水清洗三次,得到表面修饰双键和显影纳米颗粒的聚丙烯丝材。本步骤可以通过简单的步骤在各种丝材表面同时引入双键和显影纳米颗粒,而不对丝材本体的力学性能造成破坏,其中显影纳米颗粒具有较大的表面积,可以进一步增加双键的引入量并同时实现显影功能,而且该方法不需要对丝材进行预先处理。(2) The polypropylene wire was first soaked in a mixed aqueous solution of 5 mg/mL tannic acid and 1 mg/mL tungsten nanoparticles, and 1M sodium hydroxide was added to adjust the pH to 9. After soaking for 6 hours, the polypropylene wire was taken out and deionized. It was washed with water three times and then soaked in an aqueous solution (1 mg/mL) of N-(3-aminopropyl)methacrylamide hydrochloride (pH=8) for 6 hours. The polypropylene filament was taken out and washed with deionized water three times to obtain a polypropylene filament with surface-modified double bonds and developed nanoparticles. In this step, double bonds and developing nanoparticles can be introduced simultaneously on the surface of various filaments through simple steps without damaging the mechanical properties of the wire body. The developing nanoparticles have a larger surface area, which can further increase the introduction of double bonds. It can realize the development function at the same time, and the method does not need to pre-treat the wire.
(3)将步骤(2)所得表面修饰双键和显影纳米颗粒的聚丙烯丝材在0.5wt%透明质酸甲基丙烯酸酯和光引发剂0.1wt%Irgacure 2959水溶液中浸泡10分钟,取出在紫外光下进行固化。本步骤中的透明质酸甲基丙烯酸酯可以在引发剂的聚合作用下自身形成交联网络,从而起到润滑作用,而聚丙烯丝材表面的双键可同时参与透明质酸甲基丙烯酸酯中双键的共聚,从而增强了透明质酸网络与聚丙烯丝材的结合力。(3) Soak the polypropylene filaments with surface modified double bonds and developed nanoparticles obtained in step (2) in an aqueous solution of 0.5wt% hyaluronic acid methacrylate and 0.1wt% Irgacure 2959 as a photoinitiator for 10 minutes, and take out the filaments under UV light. Cured under light. The hyaluronic acid methacrylate in this step can form a cross-linked network by itself under the polymerization of the initiator, so as to play a lubricating role, and the double bond on the surface of the polypropylene wire can simultaneously participate in the hyaluronic acid methacrylate The copolymerization of double bonds in the hyaluronic acid network enhances the bonding force between the hyaluronic acid network and the polypropylene wire.
实施例3.水凝胶涂敷的聚丙烯显影丝Example 3. Hydrogel Coated Polypropylene Developer Filament
(1)聚乙烯醇丙烯酸酯制备:将5.0g聚乙烯醇(PVA)溶于100ml二甲基亚砜(DMSO)中。二甲基氨基吡啶和丙烯酸缩水甘油酯分别以1.0mol%(相对于PVA的羟基)和0.025mol%(相对于PVA的羟基)的添加量加入。在60℃下搅拌6h,然后用丙酮加入反应液中进行沉淀,取沉淀真空干燥2天,-5℃避光保存。(1) Preparation of polyvinyl alcohol acrylate: 5.0 g of polyvinyl alcohol (PVA) was dissolved in 100 ml of dimethyl sulfoxide (DMSO). Dimethylaminopyridine and glycidyl acrylate were added in addition amounts of 1.0 mol% (relative to the hydroxyl groups of PVA) and 0.025 mol% (relative to the hydroxyl groups of PVA), respectively. Stir at 60 °C for 6 h, then add acetone to the reaction solution for precipitation, take the precipitate and vacuum dry for 2 days, and store at -5 °C in the dark.
(2)聚丙烯丝材先浸泡在5mg/mL单宁酸和1mg/mL钽纳米颗粒的混合水溶液中,加入1M氢氧化钠调节pH为9,浸泡6小时,取出聚丙烯丝材,去离子水清洗三次,然后在N-(3-氨丙基)甲基丙烯酰胺盐酸盐的水溶液(1mg/mL)中(pH=8)浸泡6小时。取出聚丙烯丝材,去离子水清洗三次,得到表面修饰双键和显影纳米颗粒的聚丙烯丝材。本步骤可以通过简单的步骤在聚丙烯丝材表面同时引入双键和显影纳米颗粒,而不对丝材本体的力学性能造成破坏。其中显影纳米颗粒可以进一步增加双键的引入量并同时实现显影功能,而且该方法不需要对丝材进行预先处理。(2) The polypropylene wire was first soaked in a mixed aqueous solution of 5 mg/mL tannic acid and 1 mg/mL tantalum nanoparticles, and 1M sodium hydroxide was added to adjust the pH to 9. After soaking for 6 hours, the polypropylene wire was taken out and deionized. It was washed with water three times and then soaked in an aqueous solution (1 mg/mL) of N-(3-aminopropyl)methacrylamide hydrochloride (pH=8) for 6 hours. The polypropylene filament was taken out and washed with deionized water three times to obtain a polypropylene filament with surface-modified double bonds and developed nanoparticles. In this step, double bonds and developing nanoparticles can be simultaneously introduced on the surface of polypropylene wire through a simple step, without causing damage to the mechanical properties of the wire body. The developing nanoparticles can further increase the introduction amount of double bonds and realize the developing function at the same time, and the method does not need to pre-treat the wire.
(3)将步骤(2)所得表面修饰双键和显影纳米颗粒的聚丙烯丝材在1wt%聚乙烯醇丙烯酸酯和光引发剂0.1wt%Irgacure 2959水溶液中浸泡10分钟,取出在紫外光下进行固化。本步骤中的聚乙烯醇丙烯酸酯可以在引发剂的作用下发生聚合从而自身形成交联网络,从而起到润滑作用,而聚丙烯丝材表面的双键可同时参与聚乙烯醇丙烯酸酯中双键的共聚,从而增强了聚乙烯醇水凝胶网络与聚丙烯丝材的结合力。(3) Soak the polypropylene filaments with surface-modified double bonds and developed nanoparticles obtained in step (2) in 1wt% polyvinyl alcohol acrylate and 0.1wt% Irgacure 2959 aqueous solution of photoinitiator for 10 minutes, take out and carry out under ultraviolet light cured. In this step, the polyvinyl alcohol acrylate can be polymerized under the action of the initiator to form a cross-linked network by itself, so as to play a lubricating role, and the double bond on the surface of the polypropylene wire can simultaneously participate in the double bond of the polyvinyl alcohol acrylate. Bond copolymerization, thereby enhancing the bonding force between the polyvinyl alcohol hydrogel network and the polypropylene filament.
实施例4.聚合物涂敷的聚四氟乙烯显影丝Example 4. Polymer-Coated PTFE-Developed Filament
(1)聚四氟乙烯丝材先浸泡在5mg/mL表没食子儿茶素没食子酸酯和1mg/mL硫酸钡纳米颗粒的水溶液中,加入1M氢氧化钠调节pH为9,浸泡6小时,取出聚丙烯丝材,去离子水清洗三次,然后在N-(3-氨丙基)甲基丙烯酰胺盐酸盐水溶液(1mg/mL)中(pH=8)浸泡6小时。取出聚丙烯丝材,去离子水清洗三次,得到表面修饰双键和显影纳米颗粒的聚四氟乙烯丝材。本步骤可以通过简单的步骤在聚四氟乙烯丝材表面同时引入双键和显影纳米颗粒,而不对 丝材本体的力学性能造成破坏。(1) The polytetrafluoroethylene wire was first soaked in an aqueous solution of 5 mg/mL epigallocatechin gallate and 1 mg/mL barium sulfate nanoparticles, 1M sodium hydroxide was added to adjust the pH to 9, soaked for 6 hours, and taken out Polypropylene filaments, washed three times with deionized water, and then soaked in an aqueous N-(3-aminopropyl)methacrylamide hydrochloride solution (1 mg/mL) (pH=8) for 6 hours. The polypropylene wire was taken out and washed three times with deionized water to obtain a polytetrafluoroethylene wire with surface-modified double bonds and developed nanoparticles. In this step, double bonds and developing nanoparticles can be simultaneously introduced on the surface of the polytetrafluoroethylene wire through a simple step, without causing damage to the mechanical properties of the wire body.
(2)将步骤(2)所得表面修饰双键和显影纳米颗粒的聚四氟乙烯丝材在10wt%乙烯吡咯烷酮和光引发剂0.1wt%Irgacure 2959水溶液中浸泡10分钟,取出在紫外光下进行固化。本步骤中的乙烯吡咯烷酮单体可以在引发剂的作用下发生聚合从而自身形成聚乙烯吡咯烷酮,具有良好的亲水作用和润滑性,同时丝材表面的双键也才参与了乙烯吡咯烷酮的聚合,增强了与基底的结合力,聚乙烯吡咯烷酮与下层的双键表没食子儿茶素没食子酸酯也会产生氢键作用,进一步增强了与基底的结合力。(2) Soak the polytetrafluoroethylene wire with surface modified double bonds and developed nanoparticles obtained in step (2) in 10 wt % vinylpyrrolidone and 0.1 wt % Irgacure 2959 aqueous solution as a photoinitiator for 10 minutes, take out and cure under ultraviolet light . The vinylpyrrolidone monomer in this step can be polymerized under the action of the initiator to form polyvinylpyrrolidone by itself, which has good hydrophilicity and lubricity. At the same time, the double bond on the surface of the wire also participates in the polymerization of vinylpyrrolidone. The binding force with the substrate is enhanced, and the double bond epigallocatechin gallate of the lower layer of the polyvinylpyrrolidone also produces hydrogen bonding, which further enhances the binding force with the substrate.
实施例5.聚合物涂敷的聚四氟乙烯显影丝Example 5. Polymer-Coated Teflon Developer Filament
(1)聚四氟乙烯丝材先浸泡在5mg/mL多巴胺和1mg/mL硫酸钡纳米颗粒的水溶液中,加入1M氢氧化钠调节pH为8.5,浸泡6小时,取出聚丙烯丝材,去离子水清洗三次,然后在N-(3-氨丙基)甲基丙烯酰胺盐酸盐水溶液(1mg/mL)中(pH=8)浸泡6小时。取出四氟乙烯丝材,去离子水清洗三次,得到表面修饰双键和显影纳米颗粒的聚四氟乙烯丝材。本步骤可以通过简单的步骤在聚四氟乙烯丝材表面同时引入双键和显影纳米颗粒,而不对丝材本体的力学性能造成破坏。(1) The polytetrafluoroethylene wire was first soaked in an aqueous solution of 5 mg/mL dopamine and 1 mg/mL barium sulfate nanoparticles, and 1M sodium hydroxide was added to adjust the pH to 8.5. After soaking for 6 hours, the polypropylene wire was taken out and deionized. Washed with water three times, then soaked in N-(3-aminopropyl)methacrylamide hydrochloride aqueous solution (1 mg/mL) (pH=8) for 6 hours. The tetrafluoroethylene wire was taken out and washed with deionized water three times to obtain a polytetrafluoroethylene wire with surface-modified double bonds and developed nanoparticles. In this step, double bonds and developing nanoparticles can be simultaneously introduced on the surface of the polytetrafluoroethylene wire through a simple step, without causing damage to the mechanical properties of the wire body.
(2)将步骤(2)所得表面修饰双键和显影纳米颗粒的聚四氟乙烯丝材在10wt%磺酸甜菜碱甲基丙烯酸酯和光引发剂0.1wt%Irgacure 2959水溶液中浸泡10分钟,取出在紫外光下进行固化。本步骤中的磺酸甜菜碱甲基丙烯酸酯单体可以在引发剂的作用下发生聚合从而形成两性离子水凝胶,具有良好的亲水作用、润滑性和抗凝血性能,同时丝材表面的双键也才参与了水凝胶的聚合,增强了水凝胶与基底的结合力。(2) Soak the polytetrafluoroethylene wire with surface modified double bonds and developed nanoparticles obtained in step (2) in 10wt% sulfobetaine methacrylate and 0.1wt% Irgacure 2959 aqueous solution of photoinitiator for 10 minutes, take out Cure under UV light. The sulfobetaine methacrylate monomer in this step can be polymerized under the action of an initiator to form a zwitterionic hydrogel, which has good hydrophilicity, lubricity and anticoagulant properties. The double bond of the hydrogel also participates in the polymerization of the hydrogel, which enhances the bonding force between the hydrogel and the substrate.
实施例6.水凝胶涂敷的聚四氟乙烯显影丝Example 6. Hydrogel-coated PTFE developing filament
(1)聚四氟乙烯丝材先进行等离子表面处理,浸泡在5mg/mL多巴胺和1mg/mL硫酸钡纳米颗粒的水溶液中,加入1M氢氧化钠调节pH为8.5,浸泡6 小时,取出聚丙烯丝材,去离子水清洗三次,然后在N-(3-氨丙基)甲基丙烯酰胺盐酸盐水溶液(1mg/mL)中(pH=8)浸泡6小时。取出聚四氟乙烯丝材,去离子水清洗三次,本步骤可以通过简单的步骤在聚四氟乙烯丝材表面同时引入双键和显影纳米颗粒,而不对丝材本体的力学性能造成破坏。(1) The PTFE wire was first treated with plasma surface, soaked in an aqueous solution of 5 mg/mL dopamine and 1 mg/mL barium sulfate nanoparticles, added 1M sodium hydroxide to adjust the pH to 8.5, soaked for 6 hours, and then took out the polypropylene The filaments were washed three times with deionized water, and then soaked in an aqueous N-(3-aminopropyl)methacrylamide hydrochloride solution (1 mg/mL) (pH=8) for 6 hours. The polytetrafluoroethylene wire is taken out and washed three times with deionized water. In this step, double bonds and developing nanoparticles can be simultaneously introduced on the surface of the polytetrafluoroethylene wire without damaging the mechanical properties of the wire body.
(2)在10wt%磺酸丙烯酸和0.5wt%聚乙二醇二丙烯酸酯和光引发剂0.1wt%Irgacure 2959水溶液中浸泡10分钟,取出在紫外光下进行固化。本步骤中的磺酸丙烯酸单体和聚乙二醇二丙烯酸酯可以在引发剂的作用下发生聚合从而形成阴离子水凝胶,具有良好的亲水作用,润滑性和抗凝血性能,同时丝材表面的双键也才参与了水凝胶的聚合,增强了水凝胶与基底的结合力。(2) Soak for 10 minutes in an aqueous solution of 10 wt % sulfonic acid acrylic acid, 0.5 wt % polyethylene glycol diacrylate and 0.1 wt % Irgacure 2959 photoinitiator, take out and cure under ultraviolet light. In this step, the sulfonic acid acrylic monomer and polyethylene glycol diacrylate can be polymerized under the action of the initiator to form an anionic hydrogel, which has good hydrophilicity, lubricity and anticoagulant properties. The double bond on the surface of the material also participates in the polymerization of the hydrogel, which enhances the bonding force between the hydrogel and the substrate.
实施例7.水凝胶涂敷的聚酰胺显影丝Example 7. Hydrogel Coated Polyamide Developer Filament
(1)首先在聚酰胺丝材表面进行等离子处理引入羟基,然后浸泡在含有8wt%体积分数三乙胺的乙醚溶液中,在零度下加入占其10%体积分数的丙烯酰氯,室温反应24小时后,取出聚丙烯丝材,去离子水清洗三次,本步骤可以通过简单的步骤在聚酰胺表面引入双键。(1) First, perform plasma treatment on the surface of the polyamide wire to introduce hydroxyl groups, then soak it in an ether solution containing 8wt% triethylamine, add 10% volume fraction of acryloyl chloride at zero degrees, and react at room temperature for 24 After 1 hour, take out the polypropylene filament and wash it three times with deionized water. This step can introduce double bonds on the surface of the polyamide through simple steps.
(2)将步骤(1)所得表面修饰双键和显影纳米颗粒的聚丙烯丝材在1wt%透明质酸甲基丙烯酸酯水溶液中,1mg/mL铋纳米颗粒的水溶液中和0.1wt%光引发剂Irgacure 2959水溶液中浸泡10分钟,取出在紫外光下进行固化。本步骤中的透明质酸甲基丙烯酸酯可以在引发剂的作用下发生聚合从而形成水凝胶,同时将显影纳米颗粒包裹在水凝胶中,具有良好的润滑性和显影性能,同时丝材表面的双键也才参与了水凝胶的聚合,增强了水凝胶与基底的结合力。(2) The polypropylene filaments with surface-modified double bonds and developed nanoparticles obtained in step (1) were photoinitiated in a 1 wt % hyaluronic acid methacrylate aqueous solution, a 1 mg/mL aqueous solution of bismuth nanoparticles, and 0.1 wt % Soak for 10 minutes in Irgacure 2959 aqueous solution, take out and cure under UV light. In this step, the hyaluronic acid methacrylate can be polymerized under the action of an initiator to form a hydrogel, and at the same time, the developing nanoparticles are encapsulated in the hydrogel, which has good lubricity and developing performance. The double bonds on the surface also participate in the polymerization of the hydrogel, which enhances the bonding force between the hydrogel and the substrate.
实施例8水凝胶显影丝Example 8 Hydrogel developing silk
将0.01g钽纳米颗粒超声分散在10mg/mL单宁酸水溶液10ml中,加入氢氧化钠溶液调节pH为9,反应6小时后,溶液离心,得到单宁酸修饰的钽纳米颗粒。将所得单宁酸修饰的钽纳米颗粒,加入30wt%聚乙烯醇水溶液中进行分散,终浓度为10mg/mL,所得溶液注射入直径0.2mm的圆柱体模具中,放入-20 度冷冻24h,然后取出溶解,反复冻融三次,得到纳米颗粒增强的水凝胶显影线。此技术得到的显影线中由于纳米颗粒经过单宁酸进行表面修饰,因而在聚乙烯醇溶液中分散性更好,同时纳米粒上的单宁酸有助于增加纳米颗粒于聚乙烯醇的氢键作用,形成纳米颗粒交联的水凝胶网络,其中纳米颗粒的引入不仅具有显影功能,更进一步增强了水凝胶显影线的力学强度。0.01 g of tantalum nanoparticles were ultrasonically dispersed in 10 ml of a 10 mg/mL tannic acid aqueous solution, and sodium hydroxide solution was added to adjust the pH to 9. After 6 hours of reaction, the solution was centrifuged to obtain tannic acid-modified tantalum nanoparticles. The obtained tannic acid-modified tantalum nanoparticles were added to a 30 wt% polyvinyl alcohol aqueous solution for dispersion, with a final concentration of 10 mg/mL. The obtained solution was injected into a cylindrical mold with a diameter of 0.2 mm, and was placed in a freezer at -20 degrees for 24 hours. Then take out and dissolve, repeat freeze-thaw three times to obtain nanoparticle-enhanced hydrogel development lines. In the developing lines obtained by this technology, the nanoparticles are surface-modified with tannic acid, so they have better dispersibility in the polyvinyl alcohol solution, and the tannic acid on the nanoparticles helps to increase the hydrogenation of the nanoparticles in the polyvinyl alcohol. Bonding to form a cross-linked hydrogel network of nanoparticles, in which the introduction of nanoparticles not only has the function of developing, but also further enhances the mechanical strength of the hydrogel developing line.
对比例1Comparative Example 1
一种显影丝,制备方式如下:聚丙烯丝材先浸泡在5mg/mL单宁酸和1mg/mL钨纳米颗粒的混合水溶液中,加入1M氢氧化钠调节pH为9,浸泡6小时,取出聚丙烯丝材,去离子水清洗三次。A developing wire, the preparation method is as follows: the polypropylene wire is first soaked in a mixed aqueous solution of 5 mg/mL tannic acid and 1 mg/mL tungsten nanoparticles, adding 1 M sodium hydroxide to adjust the pH to 9, soaking for 6 hours, and taking out the Acrylic wire, washed three times with deionized water.
对比例2Comparative Example 2
一种显影丝,为聚丙烯丝材不做处理。A developing wire, which is polypropylene wire without treatment.
对比例3Comparative Example 3
一种显影丝,为镍钛合金丝,直径0.2mm。A developing wire is a nickel-titanium alloy wire with a diameter of 0.2 mm.
撤回力和弹性模量测试Withdrawal force and elastic modulus testing
将实施例2-8和对比例1-3的显影丝通过实施例1中描述的方式缠绕进同一封堵器中,在封堵器输送释放后,通过拉力机固定显影材一端,撤回显影丝,测试其撤回力。从下表1的结果看出,本发明实施例2-8的显影丝具有低的撤回力和弹性模量。高分子丝材表面的涂层没有对高分子丝材的模量造成明显影响,而且表面进行单体聚合后显著降低了显影丝材的撤回力。The developing filaments of Examples 2-8 and Comparative Examples 1-3 were wound into the same occluder by the method described in Example 1. After the occluder was transported and released, one end of the developing material was fixed by a tension machine, and the developing filament was withdrawn. , to test its withdrawal force. From the results in Table 1 below, it can be seen that the developed filaments of Examples 2-8 of the present invention have low withdrawal force and elastic modulus. The coating on the surface of the polymer wire does not have a significant effect on the modulus of the polymer wire, and after the surface is polymerized with monomers, the withdrawal force of the developing wire is significantly reduced.
表1Table 1
显影丝编号Development wire number 撤回力Withdrawal force 弹性模量Elastic Modulus
实施例2Example 2 0.10N0.10N 1.7Gpa1.7Gpa
实施例3Example 3 0.15N0.15N 1.8Gpa1.8Gpa
实施例4Example 4 0.11N0.11N 1.2Gpa1.2Gpa
实施例5Example 5 0.21N0.21N 1.1Gpa1.1Gpa
实施例6Example 6 0.17N0.17N 1.1Gpa1.1Gpa
实施例7Example 7 0.11N0.11N 7.2Gpa7.2Gpa
实施例8Example 8 0.18N0.18N 0.8Gpa0.8Gpa
对比例1Comparative Example 1 0.53N0.53N 1.7Gpa1.7Gpa
对比例2Comparative Example 2 0.45N0.45N 1.7Gpa1.7Gpa
对比例3Comparative Example 3 2.7N2.7N 55Gpa55Gpa
以上所述实施例的各技术特征可以进行任意的组合,为使描述简洁,未对上述实施例中的各个技术特征所有可能的组合都进行描述,然而,只要这些技术特征的组合不存在矛盾,都应当认为是本说明书记载的范围。The technical features of the above-described embodiments can be combined arbitrarily. For the sake of brevity, all possible combinations of the technical features in the above-described embodiments are not described. However, as long as there is no contradiction between the combinations of these technical features, All should be regarded as the scope described in this specification.
以上所述实施例仅表达了本发明的几种实施方式,其描述较为具体和详细,但并不能因此而理解为对发明专利范围的限制。应当指出的是,对于本领域的普通技术人员来说,在不脱离本发明构思的前提下,还可以做出若干变形和改进,这些都属于本发明的保护范围。因此,本发明专利的保护范围应以所附权利要求为准。The above-mentioned embodiments only represent several embodiments of the present invention, and the descriptions thereof are specific and detailed, but should not be construed as a limitation on the scope of the invention patent. It should be pointed out that for those of ordinary skill in the art, without departing from the concept of the present invention, several modifications and improvements can also be made, which all belong to the protection scope of the present invention. Therefore, the protection scope of the patent of the present invention should be subject to the appended claims.

Claims (14)

  1. 一种显影丝,其特征在于,包括丝主体和设于丝主体上的用于取放丝主体的第一控制端及第二控制端,所述第一控制端及第二控制端分别位于丝主体的两端;A developing filament is characterized in that it comprises a filament body and a first control end and a second control end arranged on the filament body for picking and placing the filament body, wherein the first control end and the second control end are respectively located on the filament body. both ends of the main body;
    所述显影丝的材料为表面设有润滑层的高分子丝材,所述润滑层负载显影材料;或者所述显影丝为负载显影材料的水凝胶线;The material of the developing wire is a polymer wire with a lubricating layer on the surface, and the lubricating layer supports the developing material; or the developing wire is a hydrogel wire that supports the developing material;
    所述表面设有润滑层的高分子丝材由包括以下步骤制备而成:The polymer wire with lubricating layer on the surface is prepared by comprising the following steps:
    (1)在高分子丝材原料的表面负载双键可聚合前体;(1) Loading a double bond polymerizable precursor on the surface of the polymer wire material;
    (2)再在步骤(1)所得丝材表面涂覆双键可聚合单体和引发剂;(2) coating double bond polymerizable monomer and initiator on the surface of the wire material obtained in step (1) again;
    (3)然后将步骤(2)所得丝材进行固化;(3) then solidify the wire material obtained in step (2);
    其中,在步骤(1)或(2)中引入显影材料;Wherein, introducing developing material in step (1) or (2);
    所述高分子丝材为聚丙烯丝材、聚四氟乙烯丝材和聚酰胺丝材中的至少一种;The polymer wire is at least one of polypropylene wire, polytetrafluoroethylene wire and polyamide wire;
    所述双键可聚合前体为甲基丙烯酰胺类化合物、甲基丙烯酸酯类化合物、丙烯酸酯、丙烯酰胺类化合物、丙烯酰氯、甲基丙烯酸酸酐中的至少一种,The double bond polymerizable precursor is at least one of methacrylamide compounds, methacrylate compounds, acrylates, acrylamide compounds, acryloyl chloride, and methacrylic acid anhydride,
    所述双键可聚合单体为透明质酸甲基丙烯酸酯、聚乙烯醇丙烯酸酯、聚乙二醇二丙烯酸酯、乙烯吡咯烷酮、磺酸甜菜碱甲基丙烯酸酯和磺酸丙烯酸中的至少一种;The double bond polymerizable monomer is at least one of hyaluronic acid methacrylate, polyvinyl alcohol acrylate, polyethylene glycol diacrylate, vinyl pyrrolidone, sulfobetaine methacrylate and sulfonic acid acrylic acid. kind;
    所述负载显影材料的水凝胶线由包括以下步骤制备:The hydrogel line loaded with developing material is prepared by comprising the following steps:
    (一)将显影材料分散在可交联官能团分子的水溶液中,得到由可交联官能团分子修饰的显影材料;(1) dispersing the developing material in an aqueous solution of cross-linkable functional group molecules to obtain a developing material modified by cross-linkable functional group molecules;
    (二)再将步骤(一)所得显影材料置于凝胶前体水溶液中,注入模具中固化,得到水凝胶显影线;(2) placing the developing material obtained in step (1) in the gel precursor aqueous solution, and injecting it into the mold to solidify to obtain a hydrogel developing line;
    其中,所述凝胶前体为聚乙烯醇;所述可交联官能团分子为茶多酚类化合物。Wherein, the gel precursor is polyvinyl alcohol; and the crosslinkable functional group molecule is a tea polyphenol compound.
  2. 根据权利要求1所述的显影丝,其特征在于,所述表面设有润滑层的高分子丝材由包括以下步骤制备而成:The developing filament according to claim 1, wherein the polymer filament with a lubricating layer on the surface is prepared by comprising the following steps:
    (1)在高分子丝材原料的表面负载双键可聚合前体;(1) Loading a double bond polymerizable precursor on the surface of the polymer wire material;
    (2)将步骤(1)所得丝材浸入含双键可聚合单体和引发剂的水溶液中, 浸泡5~15分钟;(2) immersing the wire obtained in step (1) in an aqueous solution containing a double bond polymerizable monomer and an initiator for 5-15 minutes;
    (3)然后将步骤(2)所得丝材进行固化;(3) then solidify the wire material obtained in step (2);
    所述含双键可聚合单体和引发剂的水溶液中双键可聚合单体的浓度为0.2wt%~50wt%,引发剂的浓度为0.05wt%~2wt%。The concentration of the double bond polymerizable monomer in the aqueous solution containing the double bond polymerizable monomer and the initiator is 0.2wt% to 50wt%, and the concentration of the initiator is 0.05wt% to 2wt%.
  3. 根据权利要求1所述的显影丝,其特征在于,步骤(1)中,在高分子丝材原料的表面负载双键可聚合前体包括A方法或B方法:The developing filament according to claim 1, characterized in that, in step (1), the double bond polymerizable precursor loaded on the surface of the polymer filament material comprises method A or method B:
    A方法为:碱性或中性条件下,在高分子丝材的表面涂覆可交联官能团分子,再涂覆双键可聚合前体,或者将可交联官能团分子与双键可聚合前体混合后再涂覆;Method A is: under alkaline or neutral conditions, coat the surface of the polymer wire with crosslinkable functional group molecules, and then coat the double bond polymerizable precursor, or coat the crosslinkable functional group molecule with the double bond polymerizable precursor Body mixed and then coated;
    A方法中,所述可交联官能团分子为茶多酚类化合物;In method A, the crosslinkable functional group molecule is a tea polyphenol compound;
    B方法为:在高分子丝材表面经等离子处理,涂覆双键可聚合前体。Method B is: the surface of the polymer wire is treated by plasma, and the double bond polymerizable precursor is coated.
  4. 根据权利要求3所述的显影丝,其特征在于,A方法为:将高分子丝材浸入含可交联官能团分子的水溶液中,调节pH为7~10,浸泡4~8小时,取出丝材,清洗后浸入含所述双键可聚合前体的水溶液中,浸泡4~8小时,取出丝材;The developing filament according to claim 3, wherein the method A is: immersing the polymer filament in an aqueous solution containing crosslinkable functional group molecules, adjusting the pH to 7-10, soaking for 4-8 hours, and taking out the filament , after cleaning, immerse in the aqueous solution containing the double bond polymerizable precursor, soak for 4 to 8 hours, and take out the wire;
    或,B方法为:在高分子丝材表面经引入羟基的等离子处理,浸泡在三乙胺的乙醚溶液中,于0-4℃加入所述双键可聚合前体,室温下反应20~30小时,取出丝材。Or, method B is: the surface of the polymer wire is subjected to plasma treatment by introducing hydroxyl groups, immersed in a diethyl ether solution of triethylamine, and the double bond polymerizable precursor is added at 0-4°C, and the reaction is carried out at room temperature for 20-30 hours, remove the filament.
  5. 根据权利要求4所述的显影丝,其特征在于,所述含可交联官能团分子的水溶液中可交联官能团分子的浓度为1~10mg/mL;所述双键可聚合前体在水溶液中的浓度为0.5~10mg/mL。The developing filament according to claim 4, wherein the concentration of the crosslinkable functional group molecules in the aqueous solution containing the crosslinkable functional group molecules is 1-10 mg/mL; the double bond polymerizable precursor is in the aqueous solution. The concentration of 0.5 ~ 10mg/mL.
  6. 根据权利要求1~5任一项所述的显影丝,其特征在于,所述引发剂为光引发剂;The developing filament according to any one of claims 1 to 5, wherein the initiator is a photoinitiator;
    和/或,步骤(3)所述固化的方法为光固化;And/or, the method for curing described in step (3) is photocuring;
    和/或,所述显影材料为钨、钽、硫酸钡、铋、金、铂、锇、铼、铱、铑中的至少一种;和/或,所述涂覆的方式为浸涂或擦涂或喷涂。And/or, the developing material is at least one of tungsten, tantalum, barium sulfate, bismuth, gold, platinum, osmium, rhenium, iridium, rhodium; and/or, the coating method is dip coating or rubbing painted or sprayed.
  7. 根据权利要求6所述的显影丝,其特征在于,所述引发剂为Irgacure 2959。The developing silk according to claim 6, is characterized in that, described initiator is Irgacure 2959.
  8. 根据权利要求1所述的显影丝,其特征在于,所述负载显影材料的水凝 胶线中所述可交联官能团分子为单宁酸、表没食子儿茶素没食子酸酯、多巴胺中的至少一种。The developing filament according to claim 1, wherein the crosslinkable functional group molecule in the hydrogel thread carrying the developing material is at least one of tannic acid, epigallocatechin gallate, and dopamine. A sort of.
  9. 根据权利要求8所述的显影丝,其特征在于,在步骤(一)的可交联官能团分子的水溶液中,可交联官能团分子的浓度为5~15mg/mL;The developing silk according to claim 8, wherein in the aqueous solution of the crosslinkable functional group molecules in step (1), the concentration of the crosslinkable functional group molecules is 5-15 mg/mL;
    和/或,凝胶前体水溶液中凝胶前体的浓度为20~40wt%,显影材料在凝胶前体水溶液中的浓度为0.1~20mg/mL;And/or, the concentration of the gel precursor in the gel precursor aqueous solution is 20-40 wt%, and the concentration of the developing material in the gel precursor aqueous solution is 0.1-20 mg/mL;
    和/或,所述模具为圆柱体模具,所述圆柱体模具的直径为0.1~0.3mm;And/or, the mold is a cylindrical mold, and the diameter of the cylindrical mold is 0.1-0.3 mm;
    和/或,所述显影材料为钨、钽、硫酸钡、铋、金、铂、锇、铼、铱、铑中的至少一种。And/or, the developing material is at least one of tungsten, tantalum, barium sulfate, bismuth, gold, platinum, osmium, rhenium, iridium, and rhodium.
  10. 根据权利要求9所述的显影丝,其特征在于,所述显影材料为钨纳米颗粒、钽纳米颗粒、硫酸钡纳米颗粒、铋纳米颗粒、金纳米颗粒、铂纳米颗粒、锇纳米颗粒、铼纳米颗粒、铱纳米颗粒、铑纳米颗粒中的至少一种。The developing wire according to claim 9, wherein the developing material is tungsten nanoparticles, tantalum nanoparticles, barium sulfate nanoparticles, bismuth nanoparticles, gold nanoparticles, platinum nanoparticles, osmium nanoparticles, rhenium nanoparticles At least one of particles, iridium nanoparticles, and rhodium nanoparticles.
  11. 根据权利要求1所述的显影丝,其特征在于,所述甲基丙烯酰胺类化合物为N-(3-氨丙基)甲基丙烯酰胺盐酸盐。The developing filament according to claim 1, wherein the methacrylamide compound is N-(3-aminopropyl) methacrylamide hydrochloride.
  12. 根据权利要求3所述的显影丝,其特征在于,所述茶多酚类化合物为单宁酸、表没食子儿茶素没食子酸酯、多巴胺中的至少一种。The developing silk according to claim 3, wherein the tea polyphenol compound is at least one of tannic acid, epigallocatechin gallate, and dopamine.
  13. 根据权利要求6所述的显影丝,其特征在于,所述显影材料为钨纳米颗粒、钽纳米颗粒、硫酸钡纳米颗粒、铋纳米颗粒、金纳米颗粒、铂纳米颗粒、锇纳米颗粒、铼纳米颗粒、铱纳米颗粒、铑纳米颗粒中的至少一种。The developing filament according to claim 6, wherein the developing material is tungsten nanoparticles, tantalum nanoparticles, barium sulfate nanoparticles, bismuth nanoparticles, gold nanoparticles, platinum nanoparticles, osmium nanoparticles, rhenium nanoparticles At least one of particles, iridium nanoparticles, and rhodium nanoparticles.
  14. 一种具显影功能的封堵器,其特征在于,包括支撑主体与显影丝,所述显影丝为权利要求1~13任一项所述的显影丝。An occluder with a development function is characterized in that it comprises a support body and a development wire, and the development wire is the development wire according to any one of claims 1 to 13 .
PCT/CN2022/073717 2021-03-29 2022-01-25 Developing filament and occluder with developing function WO2022206148A1 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
CN202110335915.8A CN113081312B (en) 2021-03-29 2021-03-29 Developing wire and plugging device with developing function
CN202110335915.8 2021-03-29

Publications (1)

Publication Number Publication Date
WO2022206148A1 true WO2022206148A1 (en) 2022-10-06

Family

ID=76670660

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/CN2022/073717 WO2022206148A1 (en) 2021-03-29 2022-01-25 Developing filament and occluder with developing function

Country Status (3)

Country Link
CN (1) CN113081312B (en)
NL (1) NL2031176B1 (en)
WO (1) WO2022206148A1 (en)

Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113081312B (en) * 2021-03-29 2022-04-15 四川大学 Developing wire and plugging device with developing function
CN116919652B (en) * 2023-09-18 2024-01-19 北京心祐医疗科技有限公司 Degradable filter

Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20140200607A1 (en) * 2013-01-14 2014-07-17 Microvention, Inc. Occlusive Device
US20150283306A1 (en) * 2014-04-03 2015-10-08 Microvention, Inc. Embolic devices
CN109529128A (en) * 2018-11-30 2019-03-29 中国科学院长春应用化学研究所 A kind of anti-infective coating and preparation method thereof
CN109692027A (en) * 2018-12-03 2019-04-30 北京泰杰伟业科技有限公司 A kind of whole course visible takes thrombus device
CN110313946A (en) * 2018-03-28 2019-10-11 上海微创医疗器械(集团)有限公司 A kind of plugging device and preparation method thereof
US20190374229A1 (en) * 2018-06-08 2019-12-12 Boston Scientific Scimed, Inc. Medical device with occlusive member
CN211934176U (en) * 2019-12-31 2020-11-17 杭州诺芮医疗科技有限公司 Improve left auricle of heart and melt plugging device of security
CN111956275A (en) * 2020-09-14 2020-11-20 聚辉医疗科技(深圳)有限公司 Plugging device
CN113081312A (en) * 2021-03-29 2021-07-09 四川大学 Developing wire and plugging device with developing function

Family Cites Families (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103110444A (en) * 2013-01-22 2013-05-22 陈平根 Biodegradable fabric body capable of being developed and conveying device
CN205359523U (en) * 2015-12-08 2016-07-06 上海形状记忆合金材料有限公司 Directional atrial septal defect plugging device
CN212415821U (en) * 2020-08-31 2021-01-29 微创神通医疗科技(上海)有限公司 Hemangioma plugging device, hemangioma plugging treatment device and hemangioma plugging system

Patent Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20140200607A1 (en) * 2013-01-14 2014-07-17 Microvention, Inc. Occlusive Device
US20150283306A1 (en) * 2014-04-03 2015-10-08 Microvention, Inc. Embolic devices
CN110313946A (en) * 2018-03-28 2019-10-11 上海微创医疗器械(集团)有限公司 A kind of plugging device and preparation method thereof
US20190374229A1 (en) * 2018-06-08 2019-12-12 Boston Scientific Scimed, Inc. Medical device with occlusive member
CN109529128A (en) * 2018-11-30 2019-03-29 中国科学院长春应用化学研究所 A kind of anti-infective coating and preparation method thereof
CN109692027A (en) * 2018-12-03 2019-04-30 北京泰杰伟业科技有限公司 A kind of whole course visible takes thrombus device
CN211934176U (en) * 2019-12-31 2020-11-17 杭州诺芮医疗科技有限公司 Improve left auricle of heart and melt plugging device of security
CN111956275A (en) * 2020-09-14 2020-11-20 聚辉医疗科技(深圳)有限公司 Plugging device
CN113081312A (en) * 2021-03-29 2021-07-09 四川大学 Developing wire and plugging device with developing function

Also Published As

Publication number Publication date
CN113081312B (en) 2022-04-15
CN113081312A (en) 2021-07-09
NL2031176A (en) 2022-07-20
NL2031176B1 (en) 2024-05-06

Similar Documents

Publication Publication Date Title
WO2022206148A1 (en) Developing filament and occluder with developing function
US9750506B2 (en) Occluding device for occlusion of a body vessel and method for making the same
US20050113868A1 (en) Device, with electrospun fabric, for a percutaneous transluminal procedure, and methods thereof
US7311861B2 (en) Embolization
JP6942708B2 (en) Lubricating coating with surface salt groups
AU2001245660B2 (en) Embolic compositions
US20130131716A1 (en) Embolization device constructed from expansile polymer
JP2007520275A (en) Medical devices visible under magnetic resonance images
JP2007510464A (en) Embolization composition
JP2014221432A (en) Hydrogel fiber for injection used in medical application
CN109021169A (en) A kind of sodium alginate polymer, novel alga acid natremia pipe embolism chemical therapeutic composition and its preparation method and application
CN108472031B (en) Left auricle plugging device
US20180078661A1 (en) Imageable bioresorbable embolization microspheres
WO2007098066A2 (en) Polymeric heart restraint
WO2017041555A1 (en) Absorbable occluder
CN115025294B (en) Endothelialization promoting surface modification method of degradable occluder and modified degradable occluder prepared by method
CN109195643A (en) Lubricant coating for medical device
CN108339159A (en) Medicine coating and preparation method thereof
US10500314B2 (en) Flexible substrate/liquid electrolyte viscous composite material and preparation method therefor
CN109758194B (en) Atrial septum plugging device
CN113855854B (en) Biological material with 4D construction performance and preparation method and application thereof
US20220296788A1 (en) Injectable biopolymer compositions and associated systems and methods
KR101058196B1 (en) Chitosan microspheres for embolization and preparation method thereof
CN114652366B (en) Degradable composite membrane for heart occluder and preparation method and application thereof
CN113769176B (en) Heparin coating drainage tube for reducing intraocular pressure and preparation method thereof

Legal Events

Date Code Title Description
121 Ep: the epo has been informed by wipo that ep was designated in this application

Ref document number: 22778336

Country of ref document: EP

Kind code of ref document: A1

NENP Non-entry into the national phase

Ref country code: DE

122 Ep: pct application non-entry in european phase

Ref document number: 22778336

Country of ref document: EP

Kind code of ref document: A1