WO2023125042A1 - Liquid embolic agent, and preparation method therefor and use thereof - Google Patents

Liquid embolic agent, and preparation method therefor and use thereof Download PDF

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WO2023125042A1
WO2023125042A1 PCT/CN2022/139290 CN2022139290W WO2023125042A1 WO 2023125042 A1 WO2023125042 A1 WO 2023125042A1 CN 2022139290 W CN2022139290 W CN 2022139290W WO 2023125042 A1 WO2023125042 A1 WO 2023125042A1
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developable
liquid embolic
embolic agent
porous particles
metal
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PCT/CN2022/139290
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French (fr)
Chinese (zh)
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张国艺
郭远益
朱家琪
虞鹏
王亦群
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神泓医疗科技(上海)有限公司
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Publication of WO2023125042A1 publication Critical patent/WO2023125042A1/en

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    • 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
    • A61L24/00Surgical adhesives or cements; Adhesives for colostomy devices
    • A61L24/001Use of materials characterised by their function or physical properties
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/30Macromolecular organic or inorganic compounds, e.g. inorganic polyphosphates
    • A61K47/32Macromolecular compounds obtained by reactions only involving carbon-to-carbon unsaturated bonds, e.g. carbomers, poly(meth)acrylates, or polyvinyl pyrrolidone
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K49/00Preparations for testing in vivo
    • A61K49/04X-ray contrast preparations
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    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/0012Galenical forms characterised by the site of application
    • A61K9/0019Injectable compositions; Intramuscular, intravenous, arterial, subcutaneous administration; Compositions to be administered through the skin in an invasive manner
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
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    • A61K9/08Solutions
    • 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
    • A61L24/00Surgical adhesives or cements; Adhesives for colostomy 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
    • A61L24/00Surgical adhesives or cements; Adhesives for colostomy devices
    • A61L24/0005Ingredients of undetermined constitution or reaction products thereof
    • 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
    • A61L24/00Surgical adhesives or cements; Adhesives for colostomy devices
    • A61L24/001Use of materials characterised by their function or physical properties
    • A61L24/0015Medicaments; Biocides
    • 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
    • A61L24/00Surgical adhesives or cements; Adhesives for colostomy devices
    • A61L24/001Use of materials characterised by their function or physical properties
    • A61L24/0036Porous materials, e.g. foams or sponges
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    • A61L24/00Surgical adhesives or cements; Adhesives for colostomy devices
    • A61L24/04Surgical adhesives or cements; Adhesives for colostomy devices containing macromolecular materials
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    • A61L24/00Surgical adhesives or cements; Adhesives for colostomy devices
    • A61L24/04Surgical adhesives or cements; Adhesives for colostomy devices containing macromolecular materials
    • A61L24/046Surgical adhesives or cements; Adhesives for colostomy devices containing macromolecular materials obtained otherwise than by reactions only involving carbon-to-carbon unsaturated bonds
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    • A61L24/00Surgical adhesives or cements; Adhesives for colostomy devices
    • A61L24/04Surgical adhesives or cements; Adhesives for colostomy devices containing macromolecular materials
    • A61L24/06Surgical adhesives or cements; Adhesives for colostomy devices containing macromolecular materials obtained by reactions only involving carbon-to-carbon unsaturated bonds
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    • A61L2300/00Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices
    • A61L2300/40Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices characterised by a specific therapeutic activity or mode of action
    • A61L2300/416Anti-neoplastic or anti-proliferative or anti-restenosis or anti-angiogenic agents, e.g. paclitaxel, sirolimus
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    • 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
    • A61L2400/06Flowable or injectable implant compositions

Definitions

  • the present application relates to the technical field of medical devices, in particular to a liquid embolic agent and its preparation method and application.
  • Embolism refers to the phenomenon that abnormal substances insoluble in blood appear in the circulating blood and flow with the blood, thereby blocking the lumen of the blood vessel.
  • the embolic agent is a reagent that has the function of embolizing tumor blood vessels. Its principle of action is to form an embolism in the lumen of the tumor blood vessels, thereby blocking the lumen of the blood vessels, and finally leading to ischemia and necrosis of the tumor.
  • Embolization also known as embolization therapy (embolotherapy) is the controlled injection of embolic agents into the supply vessels of diseased organs through arterial or intravenous catheters, causing occlusion and interruption of blood supply, in order to achieve control of bleeding, treatment of tumors and blood vessels.
  • sexual lesions and the purpose of eliminating the function of diseased organs.
  • Interventional embolization technology is widely used in the clinical treatment of vascular abnormalities such as cerebral arteriovenous malformation (AVM), cerebral arteriovenous fistula (DVF), and subdural hematoma.
  • AVM cerebral arteriovenous malformation
  • DVDF cerebral arteriovenous fistula
  • subdural hematoma subdural hematoma
  • interventional embolic agents there are many types of interventional embolic agents, classified according to their status, including solid embolic agents and liquid embolic agents.
  • solid embolic agent such as coil, gelatin sponge, etc.
  • liquid embolic agents After the solid embolic agent (such as coil, gelatin sponge, etc.) enters the target blood vessel, it stays in the blood vessel with similar diameter to form a mechanical embolism. Thrombosis often occurs around the embolus and at the distal end of the embolized blood vessel, resulting in local blood vessels. Flow interruption is mostly used for embolization of small arteries or arteriovenous fistulas, and can also be used for protective embolization when superselective intubation is not possible.
  • Liquid embolic agents have strong fluidity and can be directly injected into the tumor tissue to evenly fill diseased blood vessels through thinner microcatheters. Gaps, so as to achieve complete embolization, to achieve closure after curing, reduce the possibility of blood vessel recanalization, and achieve precise and permanent embolization.
  • liquid embolic agents (such as absolute ethanol, sodium morrhuate, iodized oil, etc.) mostly damage the vascular endothelium through chemical destruction, coagulate and destroy the formed components in the blood into mud, and block the capillary bed. Liquid embolic agents stay in the hepatic sinusoids and small arteries for a long time, and cause secondary thrombosis in small arteries, and are mostly used to embolize the vascular bed and arteries of tumors.
  • liquid embolic agents there are two types of liquid embolic agents that are widely used clinically, including adhesive liquid embolic agents and non-adhesive liquid embolic agents.
  • the most commonly used non-adhesive liquid embolic agent is Onyx liquid embolic agent, whose main components include ethylene vinyl alcohol copolymer, dimethyl sulfoxide, and micron-sized tantalum powder as a developer.
  • the embolization principle of Onyx liquid embolic agent is that metal tantalum powder is stirred or shaken violently for a long time in the dimethyl sulfoxide solution of polymer with micron-sized tantalum powder as the developer to form a suspension of tantalum powder, which is passed through micron After the catheter is injected into the blood vessels of intracranial and other lesions, an embolism is formed to block the vascular access and achieve the purpose of blocking blood flow.
  • metal tantalum powder is used as the developer of the liquid embolic agent, and the liquid embolic agent needs to be mixed for a long time before use, so as to prevent the developer from standing and settling and affecting its performance.
  • the sedimentation of the developer will inevitably occur during the bolus injection, which will prevent part of the embolic agent from being diffused to the deeper disease site, and at the same time, the sedimentation of part of the developer will cause the concentration of the developer to change, which will eventually lead to the reduction of the developing performance. .
  • liquid embolic agent and its preparation method and application are provided.
  • liquid embolism comprising:
  • the developable porous particles include porous particles of at least one of metal material, alloy material and metal compound material;
  • the developable porous particles are porous solid particles, and the interior and/or surface of the solid particles have porous pores.
  • the developable porous particles have porous pores on their surfaces.
  • the developable porous particles are prepared by a polymer template method, and the developable porous particles include a core of polymer material and a shell of developable metal material, alloy material or metal compound material.
  • the developable porous particles have porous pores inside and on the surface, at least some of which are through holes.
  • the developable porous particles are prepared by sintering or hydrogenation, and the shape of the developable porous particles is spherical, ellipsoidal, polyhedral or coral-like.
  • the particle size of the developable porous particles is 0.1 ⁇ m-200 ⁇ m;
  • the pore diameter of the developable porous particles is 1nm-500nm;
  • the porosity of the developable porous particles is 10%-70%.
  • the metal material is one of gold, silver, platinum, iridium, chromium, tantalum, bismuth, cobalt, tungsten and barium;
  • the alloy material is formed of at least two of gold, silver, platinum, iridium, chromium, tantalum, bismuth, cobalt, tungsten and barium;
  • the material of the metal compound is a metal salt, metal oxide, metal carbide and metal nitrogen insoluble in the solvent formed by one of gold, silver, platinum, iridium, chromium, tantalum, bismuth, cobalt, tungsten and barium. at least one of the compounds.
  • the polymer has a weight average molecular weight of 10,000 to 400,000;
  • the polymer is any one of polyolefins, polyolefin alcohols, polymethacrylates, polyurethanes, polyesters, polyethers, polysiloxanes and polyamides, or at least two of them copolymer;
  • the solvent is at least one of biocompatible organic solvent, water and buffer.
  • the polymer in the liquid embolic agent, by mass fraction, the polymer is 3%-10%, the developable porous particles is 20%-40%, and the solvent is 60%. ⁇ 75%.
  • Another aspect of the present application provides a method for preparing a liquid embolic agent, comprising the steps of:
  • Another aspect of the present application provides the application of the liquid embolic agent described in any one of the above in the preparation of medical interventional devices or interventional therapy drugs.
  • Another aspect of the present application provides a medical interventional device, including a device body and the liquid embolism described in any one of the above-mentioned devices disposed in the device body.
  • Another aspect of the present application provides an interventional therapy drug, which contains the liquid embolic agent as described in any one of the above.
  • the above-mentioned liquid embolic agent uses the developable porous particles of the above-mentioned specific type of material as the developer.
  • Existence which reduces the density per unit volume of the developer, and then has a lower average density, so the required buoyancy is reduced, that is, the suspension stability in the same solution is improved, which in turn reduces the sedimentation velocity, which is conducive to lifting the embolic agent.
  • the homogeneity of the developable porous particles in the product can provide a good development effect. Compared with the traditional embolic agent, the homogeneity time required before use is shorter, and the ease of use is improved to a certain extent.
  • the developable porous particles with lower average density can play a certain "lubricity" effect in the polymer solution formed by the polymer and the solvent, thereby reducing the viscosity of the polymer solution.
  • the developable porous particles with better suspension stability are conducive to the better forward dispersion of the liquid embolic agent during bolus injection, and are conducive to reducing reflux. In this way, the liquid embolic agent can be better pushed from the multi-dimensionality of the liquid embolic agent's uniformity, viscosity, and reflux reduction, thereby improving the development performance of the above-mentioned liquid embolic agent.
  • Fig. 1 is the scanning electron micrograph of the metal tantalum porous particle that embodiment 1 makes;
  • Fig. 2 is the physical photograph of the liquid embolic agent that embodiment 1 and comparative example 1 make;
  • Fig. 3 is the development photo under X-ray after the liquid embolic agent that embodiment 1 and comparative example 1 make leave standstill 5min;
  • Fig. 4 is the developing photo under X-ray after the liquid embolic agent that embodiment 1 and comparative example 1 make leave standstill 20min;
  • Fig. 5 is the variation curve of the brightness value of the liquid embolic agent prepared in Example 1 and Comparative Example 1 under X-ray at the sample 1/2 height with the standing time;
  • Fig. 6 is the physical photo of the liquid embolism prepared in Example 1 solidified in water.
  • first and second are used for descriptive purposes only, and cannot be interpreted as indicating or implying relative importance or implicitly specifying the quantity of indicated technical features.
  • the features defined as “first” and “second” may explicitly or implicitly include at least one of these features.
  • “plurality” means at least two, such as two, three, etc., unless otherwise specifically defined.
  • liquid embolic agent which comprises, by mass fraction: 2%-20% of a polymer, 10%-50% of developable porous microparticles and 50%-78% of a solvent.
  • the above-mentioned developable porous particles include porous particles made of at least one of metal, alloy and metal compound materials.
  • the "developable" of the above-mentioned developable porous particles means that they are visible under X-rays. It can be understood that the metal, alloy or metal compound in the above-mentioned developable porous particles contains a developable metal, and a developable metal refers to a metal visible under X-rays.
  • liquid embolic agents described above may comprise one or more developable porous particles.
  • each developable porous particle may be of a different metal material, a different alloy material or a different metal compound material, or contain at least one of the metal material, alloy material and metal compound material. Porous particles of two materials.
  • the above-mentioned liquid embolic agent uses the developable porous particles of the above-mentioned specific type of material as the developer.
  • Existence which reduces the density per unit volume of the developer, and then has a lower average density, so the required buoyancy is reduced, that is, the suspension stability in the same solution is improved, which in turn reduces the sedimentation velocity, which is conducive to lifting the embolic agent.
  • the homogeneity of the developable porous particles in the product can provide a good development effect. Compared with the traditional embolic agent, the homogeneity time required before use is shorter, and the ease of use is improved to a certain extent.
  • the developable porous particles with lower average density can play a certain "lubricity" effect in the polymer solution formed by the polymer and the solvent, thereby reducing the viscosity of the polymer solution.
  • the developable porous particles with better suspension stability are conducive to the better forward dispersion of the liquid embolic agent during bolus injection, and are conducive to reducing reflux. In this way, the liquid embolic agent can be better pushed from the multi-dimensionality of the liquid embolic agent's uniformity, viscosity, and reflux reduction, thereby improving the development performance of the above-mentioned liquid embolic agent.
  • the developable metal is gold (Au), silver (Ag), platinum (Pt), iridium (Ir), chromium (Cr), tantalum (Ta), bismuth ( At least one of Bi), cobalt (Co), tungsten (W) and barium (Ba).
  • the developable metal may also include at least one of lanthanide and actinide metals.
  • the metal material is gold (Au), silver (Ag), platinum (Pt), iridium (Ir), chromium (Cr), tantalum (Ta), bismuth (Bi), cobalt (Co), tungsten (W) And one of barium (Ba).
  • the alloy material is gold (Au), silver (Ag), platinum (Pt), iridium (Ir), chromium (Cr), tantalum (Ta), bismuth (Bi), cobalt (Co), tungsten (W) And at least two of barium (Ba), that is, alloy metal material.
  • the metal compound material is gold (Au), silver (Ag), platinum (Pt), iridium (Ir), chromium (Cr), tantalum (Ta), bismuth (Bi), cobalt (Co), tungsten (W ) and barium (Ba) at least one of metal salts, metal oxides, metal carbides and metal nitrides insoluble in the above solvents.
  • the material of the metal compound is silver halide, bismuth oxide, tantalum carbide, barium sulfate, tungsten oxide, tantalum nitride, tantalum oxide and the like.
  • metal salts, metal oxides, metal carbides and metal nitrides are water-insoluble and non-organic solvent-soluble compounds.
  • the surface of the developable porous particles has porous pores.
  • the developable porous particles are solid particles with porous holes on the surface. It can be understood that the solid particle is relative to the hollow particle herein, and the solid particle means that the particle does not have an internal hollow structure, that is, the internal whole is a solid structure.
  • the porous solid particles herein include, but are not limited to, particles with a solid internal structure but holes on the surface, or particles with a solid internal structure and holes on the surface.
  • the solid particles can be made by polymer templating.
  • the polymer template method refers to the use of polymer microspheres as a template to form a metal layer, alloy layer or metal compound layer on the surface of the polymer microspheres, and then the polymer microsphere templates are not removed, and the polymer microspheres are retained.
  • the template is used as the inner core, and the resulting solid particles include a core of polymer material and a shell of developable metal material, alloy material or metal compound material.
  • the preparation method of the above-mentioned solid particles is as follows: polymer microspheres with a certain particle size are first prepared by emulsion polymerization or self-assembly, and then a metal layer is formed on the surface of the polymer microspheres by deposition or surface modification. Alloy layer or metal compound layer.
  • the polymer microspheres used therein can be directly purchased from the market, such as polyethylene, polystyrene, polystyrene-divinylbenzene and other microspheres.
  • porous holes can be formed in the shell layer by controlling the molecular growth and accumulation process of the metal layer, alloy layer or metal compound layer as the shell layer.
  • both the inside and the surface of the developable porous particles may have porous holes, at least some of which are through holes.
  • a through hole means that both ends of the hole distributed in the particle communicate with the outside, and the hole passes through the inside of the particle from one end and penetrates through the other end.
  • the developable porous particles are prepared by sintering or hydrogenation.
  • metal tantalum porous particles are prepared by high-temperature sintering of high-purity tantalum. The principle is to sinter and melt high-purity tantalum by adding space-occupiers or pore-forming agents at high temperature, and then remove the space-occupiers or pore-forming agents.
  • metal tantalum porous particles are prepared by hydrogenation of tantalum blocks. The principle is to introduce hydrogen gas during the preparation process to control the amount of hydrogen absorbed by the tantalum blocks, and then break and remove hydrogen to form porous pores.
  • the shape of the developable porous particles is a regular shape such as a sphere, an ellipsoid, a polyhedron, or an irregular shape such as a coral shape.
  • the present application uses developable porous particles with a porous structure. The smaller average density improves its suspension stability in the polymer solution, and the larger volume also reduces the risk of being taken away with solvent diffusion.
  • the porosity of the developable porous particles is 10%-70%, optionally 20%-50%.
  • the porosity refers to the percentage of the pore volume in the porous particle to the total volume of the material in the natural state.
  • an appropriate average density can be obtained by optimizing the porosity, and the average density can make the developable porous particles have better suspendability in the liquid embolic agent, be easy to disperse, and not easy to settle.
  • the particle diameter of the developable porous particles is in the range of 0.1-200 ⁇ m, optionally 0.5-100 ⁇ m. It can be understood that the developable porous particles can be monodisperse particles with uniform particle size, or polydisperse particles with different particle sizes. In some examples, the developable porous particles have a pore size ranging from 1 nm to 500 nm. It can be understood that the pore size of the developable porous particles may be uniform in size or polydisperse inhomogeneous in size.
  • the polymer content is 3%-10%
  • the developable porous microparticles content is 20%-40%
  • the solvent content is 60%-75%.
  • the said range is considered continuous and includes the minimum and maximum values of the range and every value between such minimum and maximum values. Further, when a range refers to an integer, every integer between the minimum and maximum of the range is included. Furthermore, when multiple ranges are provided to describe a feature or characteristic, the ranges may be combined. In other words, unless otherwise indicated, all ranges disclosed in this application are to be understood to encompass any and all subranges subsumed therein.
  • 2% ⁇ 20% can take the numerical range of 2% ⁇ 20%, and this range is regarded as continuous, and includes the minimum value and maximum value of this range, and every value between such minimum value and maximum value value. Examples include but are not limited to: 2%, 3%, 4%, 5%, 6%, 7%, 8%, 9%, 10%, 11%, 12%, 13%, 14%, 15%, 16% , 17%, 18%, 19%, 20%; or any two of these values, as an example, including: 2% to 19%, 2% to 18%, 2% to 17% , 2% ⁇ 16%, 2% ⁇ 15%, 2% ⁇ 14%, 2% ⁇ 13%, 2% ⁇ 12%, 2% ⁇ 11%, 2% ⁇ 10%, 2% ⁇ 9%, 2% % ⁇ 8%, 3% ⁇ 19%, 4% ⁇ 19%, 5% ⁇ 19%, 6% ⁇ 19%, 7% ⁇ 19%, 8% ⁇ 19%, 9% ⁇ 19%, 10% ⁇ 19%, 3% ⁇ 18%,
  • 10% ⁇ 50% can take the value range of 10% ⁇ 50%, and the range is regarded as continuous, and includes the minimum value and maximum value of this range, and every value between such minimum value and maximum value For example, including but not limited to: any value in 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%; or the range composed of any two of these values, as Examples include: 10% to 15%, 10% to 19%, 10% to 20%, 10% to 25%, 10% to 30%, 10% to 35%, 10% to 40%, 10% to 45% %, 15% ⁇ 19%, 15% ⁇ 20%, 15% ⁇ 25%, 15% ⁇ 30%, 15% ⁇ 35%, 15% ⁇ 40%, 15% ⁇ 45%, 15% ⁇ 50%, 20% ⁇ 25%, 20% ⁇ 30%, 20% ⁇ 35%, 20% ⁇ 40%, 20% ⁇ 45%, 20% ⁇ 50%, 25% ⁇ 30%, 25% ⁇ 35%, 25% ⁇ 40%, 25% ⁇ 45%, 25% ⁇ 50%, 30% ⁇ 35%, 30% ⁇ 40%, 30% ⁇ 45%, 30% ⁇ 50%, 35% ⁇ 40%, 3
  • “50% ⁇ 78%” can take the value range of 50% ⁇ 78%. This range is regarded as continuous, and includes the minimum value and maximum value of this range, and every value between such minimum value and maximum value. value. For example, including but not limited to: any value in 50%, 55%, 60%, 65%, 70%, 75%, 76%, 77%, 78%; or a range composed of any two of these values, as an example , including: 50% ⁇ 55%, 50% ⁇ 60%, 50% ⁇ 65%, 50% ⁇ 70%, 50% ⁇ 75%, 50% ⁇ 76%, 50% ⁇ 77%, 50% ⁇ 78% , 55% ⁇ 60%, 55% ⁇ 65%, 55% ⁇ 70%, 55% ⁇ 75%, 55% ⁇ 76%, 55% ⁇ 77%, 55% ⁇ 78%, 60% ⁇ 65%, 60% % ⁇ 70%, 60% ⁇ 75%, 60% ⁇ 76%, 60% ⁇ 77%, 60% ⁇ 78%, 65% ⁇ 70%, 65% ⁇ 75%, 65% ⁇ 76%, 65% ⁇ 77%, 65% to 78%.
  • the polymer is any one of polyolefins, polyolefin alcohols, polymethacrylates, polyurethanes, polyesters, polyethers, polysiloxanes, and polyamides, or at least two of them of copolymers.
  • the above-mentioned copolymer can be polyacrylamide-polymethyl methacrylate, ethylene-vinyl alcohol copolymer, polyethylene glycol-polyacrylate copolymer, etc., and can also be a water-insoluble natural polymer, such as Cellulose and its derivatives, etc.
  • copolymers include but not limited to random copolymers, block copolymers, alternating copolymers and graft copolymers.
  • the weight average molecular weight of the polymer is 10,000-400,000, optionally 100,000-300,000. Further, the molar content of the hydrophobic component of the polymer is greater than 35%, optionally greater than 45%.
  • the hydrophilic component is the hydrophilic group contained in the side chain or main chain of the polymer, otherwise it is the hydrophobic component. The higher the content of hydrophobic components, the shorter the precipitation time of the polymer in water, buffer or blood, and the lower the curing rate. The curing rate can be controlled by adjusting the ratio of hydrophilic and hydrophobic components.
  • the solvent is at least one of a biocompatible organic solvent, water and a buffer.
  • the biocompatible organic solvent includes at least one of dimethyl sulfoxide, N-methylpyrrolidone (NMP), ethanol and isopropanol, and these solvents have the advantage of low toxicity.
  • NMP N-methylpyrrolidone
  • the solvent can be selected according to the type of the polymer, as long as it can make the polymer and the solvent form a uniform system.
  • a homogeneous system here refers to a homogeneous clear solution or a homogeneous suspension.
  • the solvent can be a good solvent for the above polymer, that is, the solvent and the polymer can form a uniform clear solution, or the solvent and the polymer can form a homogeneous system under certain conditions.
  • the above-mentioned polymer is a hydrophobic polymer or an amphiphilic polymer
  • the solvent is a biocompatible organic solvent
  • Another embodiment of the present application also provides a preparation method of the above-mentioned liquid embolic agent, which only needs to mix the above-mentioned polymer, solvent and other components uniformly.
  • the polymer and the solvent may be firstly mixed by means of mechanical stirring to form a homogeneous polymer solution, and then the developer is added, and again mixed by means of mechanical stirring to form a uniform dispersion system.
  • thermosenors in the step of forming a homogeneous polymer solution, methods such as temperature rise, temperature drop, and physical dispersion can be used to assist in promoting its dissolution.
  • the liquid embolic agent After the liquid embolic agent forms a uniform dispersion system, it can be transported or pushed. After reaching the water or blood, with the diffusion of the solvent, the polymer in the liquid embolic agent precipitates out to form a soft embolism, and the embolism The developer in it ensures its good developing performance.
  • Another embodiment of the present application also provides the application of the above-mentioned liquid embolic agent in the preparation of medical interventional devices or interventional therapy drugs.
  • Another embodiment of the present application also provides a medical interventional device, a device body and a reagent disposed in the device body, where the reagent includes any one of the above-mentioned liquid embolic agents.
  • the device body is a catheter.
  • the inner diameter of the catheter is very small, which is called a micro catheter.
  • the inner diameter of the microcatheter is 0.007-0.013 inch (inch).
  • Another embodiment of the present application also provides an interventional therapy drug, the interventional therapy drug comprising any one of the above-mentioned liquid embolic agents.
  • the interventional medicine may also contain active ingredients that have a therapeutic effect on diseases.
  • the interventional medicine may also contain other additives.
  • liquid embolic agent can be used in interventional therapy, for example, in interventional hemostasis, vascular malformation and malignant tumor, including but not limited to cerebral arteriovenous malformation (AVM), hematoma, and cerebral arteriovenous fistula (DVF), subdural hematoma Interventional embolization therapy, treatment of peripheral varicose vessels and blockage of blood flow in tumors and other places.
  • interventional therapy for example, in interventional hemostasis, vascular malformation and malignant tumor, including but not limited to cerebral arteriovenous malformation (AVM), hematoma, and cerebral arteriovenous fistula (DVF), subdural hematoma
  • AVM cerebral arteriovenous malformation
  • DVDF cerebral arteriovenous fistula
  • Interventional embolization therapy treatment of peripheral varicose vessels and blockage of blood flow in tumors and other places.
  • liquid embolic agent reaches the lesion area through the push injection of the microcatheter, touches the blood flow, and begins to solidify as the solvent diffuses.
  • the polymer in the liquid embolic agent slowly precipitates and solidifies to form an embolism, thereby achieving the purpose of blocking the vascular access and blocking the blood flow.
  • the liquid embolic agent containing developable porous particles has a lower average bulk density and lower viscosity. After the liquid embolic agent is pushed from the microcatheter, the microcatheter can be easily withdrawn, reducing the Risk of being pulled on blood vessels.
  • the liquid embolic agent of Example 1 uses metal tantalum porous particles as a developer, and its preparation steps are as follows: Weigh 1 g of vinyl alcohol polymer and dissolve it in 20 g of dimethyl sulfoxide, heat and dissolve to obtain a homogeneous vinyl alcohol polymer solution, Take 5 mL of this solution, add 1.5 g of metal tantalum porous particles, and mix for 10 minutes to obtain a developable liquid embolic agent.
  • the metal tantalum porous particles are coral-like irregular block particles with a large number of holes inside and on the surface, at least some of which are through holes.
  • the pore size is irregular and non-uniform, and the porosity is 40%.
  • Example 2 uses porous tantalum metal particles as a developer, and its preparation method is: weigh 0.5 g of vinyl alcohol polymer and dissolve it in 1.65 g of dimethyl sulfoxide, add 0.6 g of developer, and mix to obtain an embolism.
  • Example 3 uses porous tantalum metal particles as a developer, and its preparation method is: weigh 0.35 g of vinyl alcohol polymer and dissolve it in 1.65 g of dimethyl sulfoxide, add 1.2 g of developer, and mix to obtain an embolism.
  • Comparative Example 1 is basically the same as Example 1, except that in Comparative Example 1, metal tantalum powder with a non-porous structure is used to replace the metal tantalum porous particles prepared in step (1) of Example 1, and the quality is the same.
  • the non-porous metal tantalum powder is a commercial metallurgical tantalum powder.
  • Fig. 2 shows the physical photos of the liquid embolic agent prepared in Example 1 and Comparative Example 1, wherein a is Example 1, and b is Comparative Example 1.
  • Fig. 3 and Fig. 4 show respectively the developing photo under X-ray after the liquid embolic agent that embodiment 1 and comparative example 1 make stand 5min and stand 20min; Wherein a is embodiment 1, b is comparative example 1.
  • the brightness value of the liquid embolism prepared in Example 1 does not change much, especially when the standing time is 25min within 22 minutes; in contrast, as shown in curve b, the brightness value of the liquid embolic agent prepared in Comparative Example 1 has a larger change range, and it is in the early stage of standing, such as standing time 5min A relatively large increase in the brightness value occurs within a period of time, indicating that more sedimentation occurs during the standing process, resulting in a decrease in the uniformity of the liquid embolic agent, which in turn leads to an increase in the brightness value.
  • Example 1 of the present application The liquid embolic agent prepared in Example 1 of the present application was injected into water through a syringe, and the liquid embolic agent instantly solidified to form an integrated black solid embolism mass when it came into contact with water, as shown in FIG. 6 . It shows that the liquid embolic agent of the present application has short curing time and high embolization efficiency.
  • the suspension stability in the same solution is improved, which in turn reduces the sedimentation velocity and reduces the sedimentation of subsequent embolic agents.
  • the risk of the path of forward diffusion is beneficial to improve the uniformity of the developable porous particles in the embolic agent, so as to maintain a good developing effect while using a small amount of metal developer.

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Abstract

The present application relates to a liquid embolic agent, and a preparation method therefor and the use thereof. The liquid embolic agent comprises, by mass fraction: 2-20% of a polymer; 10-50% of developable porous particles, wherein the developable porous particles comprise porous particles of at least one of a metal material, an alloy material and a metal compound material; and 50-78% of a solvent.

Description

液体栓塞剂及其制备方法和应用Liquid embolic agent and its preparation method and application
本申请要求于2021年12月31日申请的,申请号为202111679684.9,申请名称为“液体栓塞剂及其制备方法和应用”的中国专利申请的优先权,在此将其全文引入作为参考。This application claims the priority of the Chinese patent application filed on December 31, 2021 with application number 202111679684.9 and titled "Liquid Embolic Agent and Its Preparation Method and Application", which is hereby incorporated by reference in its entirety.
技术领域technical field
本申请涉及医疗器械技术领域,特别是涉及一种液体栓塞剂及其制备方法和应用。The present application relates to the technical field of medical devices, in particular to a liquid embolic agent and its preparation method and application.
背景技术Background technique
栓塞指不溶于血液的异常物质出现于循环血液中,并随血液流动,进而阻塞血管管腔的现象。而栓塞剂是一种具有栓塞肿瘤血管的功能的试剂,其作用原理正是可在肿瘤血管官腔内形成栓塞,进而阻塞血管管腔,最终使得肿瘤的缺血和坏死。Embolism refers to the phenomenon that abnormal substances insoluble in blood appear in the circulating blood and flow with the blood, thereby blocking the lumen of the blood vessel. The embolic agent is a reagent that has the function of embolizing tumor blood vessels. Its principle of action is to form an embolism in the lumen of the tumor blood vessels, thereby blocking the lumen of the blood vessels, and finally leading to ischemia and necrosis of the tumor.
栓塞术也称栓塞治疗(embolotherapy),是经动脉或静脉内导管将栓塞剂有控制地注入到病变器官的供应血管内,使之发生闭塞,中断血供,以期达到控制出血、治疗肿瘤和血管性病变以及消除患病器官功能之目的。介入栓塞技术在目前的脑动静脉畸形(AVM)以及脑动静脉瘘(DVF)、脑硬膜下血肿等血管异常病灶的临床治疗中应用非常广泛。Embolization, also known as embolization therapy (embolotherapy), is the controlled injection of embolic agents into the supply vessels of diseased organs through arterial or intravenous catheters, causing occlusion and interruption of blood supply, in order to achieve control of bleeding, treatment of tumors and blood vessels. Sexual lesions and the purpose of eliminating the function of diseased organs. Interventional embolization technology is widely used in the clinical treatment of vascular abnormalities such as cerebral arteriovenous malformation (AVM), cerebral arteriovenous fistula (DVF), and subdural hematoma.
目前,介入栓塞剂的种类非常繁多,按照状态分类包括有固体栓塞剂和液体栓塞剂两大类。固体栓塞剂(如弹簧圈、明胶海绵等)进入靶血管后,在其直径相仿的血管停留下来,形成机械性栓塞,栓子周围和被栓血管的远端常可以并发血栓形成,造成局部血流中断,多用于栓塞小动脉或动静脉瘘,在不能超选择性插管时也可以用于保护性栓塞。此外,固体栓塞剂的栓塞过程虽然相对简单,但需要大直径的微导管,不能进入到接近AVM等病灶部位进行更为精准的栓塞,并且颗粒栓塞后容易出现血管再通的问题。因此,固体栓塞材料多用于术前栓塞,难以满足治愈性栓塞的需求。At present, there are many types of interventional embolic agents, classified according to their status, including solid embolic agents and liquid embolic agents. After the solid embolic agent (such as coil, gelatin sponge, etc.) enters the target blood vessel, it stays in the blood vessel with similar diameter to form a mechanical embolism. Thrombosis often occurs around the embolus and at the distal end of the embolized blood vessel, resulting in local blood vessels. Flow interruption is mostly used for embolization of small arteries or arteriovenous fistulas, and can also be used for protective embolization when superselective intubation is not possible. In addition, although the embolization process of solid embolic agents is relatively simple, it requires a large-diameter microcatheter, which cannot enter the lesion site close to the AVM for more precise embolization, and the problem of vascular recanalization is prone to occur after particle embolization. Therefore, solid embolic materials are mostly used for preoperative embolization, which is difficult to meet the needs of curative embolization.
液体栓塞剂的流动性强,可以通过更细的微导管,直接注入肿瘤组织内均 匀地充满病变血管,完全适用于不同大小和各种形状的肿瘤,使肿瘤组织和栓塞材料之间不留任何空隙,从而达到完全性栓塞,固化后实现封堵,降低血管再通可能性,实现精准且永久栓塞。而且,液体栓塞剂(如无水乙醇、鱼肝油酸钠、碘化油等)多通过化学破坏作用损伤血管内皮,并使血液中的有形成分凝固破坏成泥状,淤塞毛细血管床,从而使液性栓塞剂得到较长时间滞留于肝窦内和微小动脉内,并引起小动脉继发血栓形成,多用于栓塞肿瘤的血管床和动脉。Liquid embolic agents have strong fluidity and can be directly injected into the tumor tissue to evenly fill diseased blood vessels through thinner microcatheters. Gaps, so as to achieve complete embolization, to achieve closure after curing, reduce the possibility of blood vessel recanalization, and achieve precise and permanent embolization. Moreover, liquid embolic agents (such as absolute ethanol, sodium morrhuate, iodized oil, etc.) mostly damage the vascular endothelium through chemical destruction, coagulate and destroy the formed components in the blood into mud, and block the capillary bed. Liquid embolic agents stay in the hepatic sinusoids and small arteries for a long time, and cause secondary thrombosis in small arteries, and are mostly used to embolize the vascular bed and arteries of tumors.
目前临床运用较广泛的液体栓塞剂包括有粘附性液体栓塞剂和非粘附性液体栓塞剂两大类。非粘附性液体栓塞剂中最为常用的为Onyx液体栓塞剂,其主要成分包括乙烯乙烯醇共聚物、二甲基亚砜和作为显影剂的微米级钽粉。Onyx液体栓塞剂的栓塞作用原理是金属钽粉在微米级钽粉作为显影剂聚合物的二甲基亚砜溶液中通过长时间的剧烈搅拌或震荡,形成钽粉悬浮液,该悬浮液通过微导管注入颅内等病灶的血管后,形成栓塞团,封堵血管通路,达到阻断血流的目的。Currently, there are two types of liquid embolic agents that are widely used clinically, including adhesive liquid embolic agents and non-adhesive liquid embolic agents. The most commonly used non-adhesive liquid embolic agent is Onyx liquid embolic agent, whose main components include ethylene vinyl alcohol copolymer, dimethyl sulfoxide, and micron-sized tantalum powder as a developer. The embolization principle of Onyx liquid embolic agent is that metal tantalum powder is stirred or shaken violently for a long time in the dimethyl sulfoxide solution of polymer with micron-sized tantalum powder as the developer to form a suspension of tantalum powder, which is passed through micron After the catheter is injected into the blood vessels of intracranial and other lesions, an embolism is formed to block the vascular access and achieve the purpose of blocking blood flow.
然而实际应用中发现,采用金属钽粉末作为液体栓塞剂的显影剂,液体栓塞剂使用前需要较长时间的混合,以避免显影剂静置沉降影响其使用性能。此外,在推注过程中也不可避免地会发生显影剂的沉降,如此将使得部分栓塞剂不能弥散至更深的病症部位,同时部分显影剂的沉降引起显影剂浓度改变,最终导致显影性能的降低。However, it has been found in practical applications that metal tantalum powder is used as the developer of the liquid embolic agent, and the liquid embolic agent needs to be mixed for a long time before use, so as to prevent the developer from standing and settling and affecting its performance. In addition, the sedimentation of the developer will inevitably occur during the bolus injection, which will prevent part of the embolic agent from being diffused to the deeper disease site, and at the same time, the sedimentation of part of the developer will cause the concentration of the developer to change, which will eventually lead to the reduction of the developing performance. .
发明内容Contents of the invention
基于此,根据本申请的各实施例,提供一种液体栓塞剂及其制备方法和应用。Based on this, according to various embodiments of the present application, a liquid embolic agent and its preparation method and application are provided.
本申请是通过如下的技术方案实现的。This application is achieved through the following technical solutions.
本申请的一个方面,提供一种液体栓塞剂,按质量分数计,包括:One aspect of the present application provides a liquid embolism, comprising:
聚合物2%~20%;Polymer 2% ~ 20%;
可显影多孔微粒10%~50%,所述可显影多孔微粒包括金属材质、合金材质和金属化合物材质中的至少一种的多孔微粒;及10% to 50% of developable porous particles, the developable porous particles include porous particles of at least one of metal material, alloy material and metal compound material; and
溶剂50%~78%。Solvent 50%~78%.
在其中一些实施例中,所述可显影多孔微粒为多孔状的实心颗粒,所述实心颗粒的内部和/或表面具有多孔孔洞。In some of the embodiments, the developable porous particles are porous solid particles, and the interior and/or surface of the solid particles have porous pores.
在其中一些实施例中,所述可显影多孔微粒的表面具有多孔孔洞。In some embodiments, the developable porous particles have porous pores on their surfaces.
在其中一些实施例中,所述可显影多孔微粒通过聚合物模板法制得,所述可显影多孔微粒包括聚合物材料的内核和可显影的金属材质、合金材质或金属化合物材质的外壳。In some embodiments, the developable porous particles are prepared by a polymer template method, and the developable porous particles include a core of polymer material and a shell of developable metal material, alloy material or metal compound material.
在其中一些实施例中,所述可显影多孔微粒的内部和表面具有多孔孔洞,其中至少部分孔洞为通孔。In some embodiments, the developable porous particles have porous pores inside and on the surface, at least some of which are through holes.
在其中一些实施例中,所述可显影多孔微粒通过烧结或氢化方法制备,所述可显影多孔微粒的形态为球形、椭球体、多面体或珊瑚状。In some embodiments, the developable porous particles are prepared by sintering or hydrogenation, and the shape of the developable porous particles is spherical, ellipsoidal, polyhedral or coral-like.
在其中一些实施例中,所述可显影多孔微粒的粒径为0.1μm~200μm;In some of these embodiments, the particle size of the developable porous particles is 0.1 μm-200 μm;
和/或,所述可显影多孔微粒的孔径为1nm~500nm;And/or, the pore diameter of the developable porous particles is 1nm-500nm;
和/或,所述可显影多孔微粒的孔隙率为10%~70%。And/or, the porosity of the developable porous particles is 10%-70%.
在其中一些实施例中,所述金属材质为金、银、铂、铱、铬、钽、铋、钴、钨及钡中的一种;In some of these embodiments, the metal material is one of gold, silver, platinum, iridium, chromium, tantalum, bismuth, cobalt, tungsten and barium;
所述合金材质为金、银、铂、铱、铬、钽、铋、钴、钨及钡中的至少两种形成;The alloy material is formed of at least two of gold, silver, platinum, iridium, chromium, tantalum, bismuth, cobalt, tungsten and barium;
所述金属化合物材质为金、银、铂、铱、铬、钽、铋、钴、钨及钡中的一种形成的不溶于所述溶剂的金属盐、金属氧化物、金属碳化物及金属氮化物中的至少一种。The material of the metal compound is a metal salt, metal oxide, metal carbide and metal nitrogen insoluble in the solvent formed by one of gold, silver, platinum, iridium, chromium, tantalum, bismuth, cobalt, tungsten and barium. at least one of the compounds.
在其中一些实施例中,所述聚合物的重均分子量为1万~40万;In some of these embodiments, the polymer has a weight average molecular weight of 10,000 to 400,000;
和/或,所述聚合物为聚烯烃、聚烯烃醇、聚甲基丙烯酸酯、聚氨酯、聚酯、聚醚、聚硅氧烷及聚酰胺中的任意一种,或为其中至少两种的共聚物;And/or, the polymer is any one of polyolefins, polyolefin alcohols, polymethacrylates, polyurethanes, polyesters, polyethers, polysiloxanes and polyamides, or at least two of them copolymer;
和/或,所述溶剂为生物相容性有机溶剂、水及缓冲液中的至少一种。And/or, the solvent is at least one of biocompatible organic solvent, water and buffer.
在其中一些实施例中,在所述液体栓塞剂中,按质量分数计,所述聚合物为3%~10%,所述可显影多孔微粒为20%~40%,所述溶剂为60%~75%。In some of these embodiments, in the liquid embolic agent, by mass fraction, the polymer is 3%-10%, the developable porous particles is 20%-40%, and the solvent is 60%. ~75%.
本申请的另一个方面,提供一种液体栓塞剂的制备方法,包括如下步骤:Another aspect of the present application provides a method for preparing a liquid embolic agent, comprising the steps of:
将上述任一项所述的液体栓塞剂中的各组分混合均匀。Mix the components in the liquid embolic agent described in any one of the above evenly.
本申请的另一个方面,提供上述任一项所述的液体栓塞剂在制备医疗介入器械或介入治疗药物中的应用。Another aspect of the present application provides the application of the liquid embolic agent described in any one of the above in the preparation of medical interventional devices or interventional therapy drugs.
本申请的另一个方面,提供一种医疗介入器械,包括器械本体及设于所述器械本体内的上述任一项所述的液体栓塞剂。Another aspect of the present application provides a medical interventional device, including a device body and the liquid embolism described in any one of the above-mentioned devices disposed in the device body.
本申请的另一个方面,提供一种介入治疗药物,所述介入治疗药物包含有如上述任一项所述的液体栓塞剂。Another aspect of the present application provides an interventional therapy drug, which contains the liquid embolic agent as described in any one of the above.
上述液体栓塞剂,采用上述特定种类材质的可显影多孔微粒作为显影剂,相比传统球状、块状或粉状的无孔实心微球的微米级钽粉等显影剂而言,由于多孔结构的存在,减小了该显影剂单位体积的密度,进而具有更低的平均密度,因此所需的浮力减小,即相同溶液中的悬浮稳定性提高,进而降低了沉降速度,有利于提升栓塞剂中的可显影多孔微粒的均匀性,以便提供良好的显影效果,相比于传统栓塞剂在使用前所需的均匀时间更短,一定程度改善了使用的简便性。The above-mentioned liquid embolic agent uses the developable porous particles of the above-mentioned specific type of material as the developer. Existence, which reduces the density per unit volume of the developer, and then has a lower average density, so the required buoyancy is reduced, that is, the suspension stability in the same solution is improved, which in turn reduces the sedimentation velocity, which is conducive to lifting the embolic agent. The homogeneity of the developable porous particles in the product can provide a good development effect. Compared with the traditional embolic agent, the homogeneity time required before use is shorter, and the ease of use is improved to a certain extent.
此外,平均密度更低的可显影多孔微粒在聚合物和溶剂形成的聚合物溶液中可以起到一定的“润滑性”作用,从而降低了聚合物溶液的粘度。且,悬浮稳定性更佳的可显影多孔微粒有利于液体栓塞剂在推注时更好地向前弥散,有利于减少反流。如此该液体栓塞剂从液体栓塞剂的均匀性、粘度和减少反流的多维度,使得液体栓塞剂能更好地被推送,进而提高上述液体栓塞剂的显影性能。In addition, the developable porous particles with lower average density can play a certain "lubricity" effect in the polymer solution formed by the polymer and the solvent, thereby reducing the viscosity of the polymer solution. Moreover, the developable porous particles with better suspension stability are conducive to the better forward dispersion of the liquid embolic agent during bolus injection, and are conducive to reducing reflux. In this way, the liquid embolic agent can be better pushed from the multi-dimensionality of the liquid embolic agent's uniformity, viscosity, and reflux reduction, thereby improving the development performance of the above-mentioned liquid embolic agent.
附图说明Description of drawings
图1为实施例1制得的金属钽多孔微粒的扫描电镜图;Fig. 1 is the scanning electron micrograph of the metal tantalum porous particle that embodiment 1 makes;
图2为实施例1和对比例1制得的液体栓塞剂的实物照片;Fig. 2 is the physical photograph of the liquid embolic agent that embodiment 1 and comparative example 1 make;
图3为实施例1和对比例1制得的液体栓塞剂静置5min后在X射线下的显影照片;Fig. 3 is the development photo under X-ray after the liquid embolic agent that embodiment 1 and comparative example 1 make leave standstill 5min;
图4为实施例1和对比例1制得的液体栓塞剂静置20min后在X射线下的显影照片;Fig. 4 is the developing photo under X-ray after the liquid embolic agent that embodiment 1 and comparative example 1 make leave standstill 20min;
图5为对实施例1和对比例1制得的液体栓塞剂在X射线下样品1/2高度处的亮度值随静置时间的变化曲线;Fig. 5 is the variation curve of the brightness value of the liquid embolic agent prepared in Example 1 and Comparative Example 1 under X-ray at the sample 1/2 height with the standing time;
图6为实施例1制得的液体栓塞剂在水中固化的实物照片。Fig. 6 is the physical photo of the liquid embolism prepared in Example 1 solidified in water.
具体实施方式Detailed ways
为了便于理解本申请,下面将对本申请进行更全面的描述,并给出了本申请的较佳实施例。但是,本申请可以以许多不同的形式来实现,并不限于本文所描述的实施例。应当理解,提供这些实施例的目的是使对本申请的公开内容的理解更加透彻全面。In order to facilitate the understanding of the present application, the following will describe the present application more fully and give preferred embodiments of the present application. However, the present application can be embodied in many different forms and is not limited to the embodiments described herein. It should be understood that the purpose of providing these embodiments is to make the understanding of the disclosure of the application more thorough and comprehensive.
除非另有定义,本文所使用的所有的技术和科学术语与属于本申请的技术领域的技术人员通常理解的含义相同。本文中在本申请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,不是旨在于限制本申请。本文所使用的术语“和/或”包括一个或多个相关的所列项目的任意的和所有的组合。Unless otherwise defined, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the technical field to which this application belongs. The terms used herein in the specification of the application are only for the purpose of describing specific embodiments, and are not intended to limit the application. As used herein, the term "and/or" includes any and all combinations of one or more of the associated listed items.
此外,术语“第一”、“第二”仅用于描述目的,而不能理解为指示或暗示相对重要性或者隐含指明所指示的技术特征的数量。由此,限定有“第一”、“第二”的特征可以明示或者隐含地包括至少一个该特征。在本申请的描述中,“多个”的含义是至少两个,例如两个,三个等,除非另有明确具体的限定。In addition, the terms "first" and "second" are used for descriptive purposes only, and cannot be interpreted as indicating or implying relative importance or implicitly specifying the quantity of indicated technical features. Thus, the features defined as "first" and "second" may explicitly or implicitly include at least one of these features. In the description of the present application, "plurality" means at least two, such as two, three, etc., unless otherwise specifically defined.
本申请一实施方式提供了一种液体栓塞剂,按质量分数计,包括:聚合物2%~20%、可显影多孔微粒10%~50%及溶剂50%~78%。One embodiment of the present application provides a liquid embolic agent, which comprises, by mass fraction: 2%-20% of a polymer, 10%-50% of developable porous microparticles and 50%-78% of a solvent.
其中,上述可显影多孔微粒包括金属材质、合金材质和金属化合物材质中的至少一种的多孔微粒。Wherein, the above-mentioned developable porous particles include porous particles made of at least one of metal, alloy and metal compound materials.
上述可显影多孔微粒的“可显影”是指在X射线下可视。可理解,上述可显影多孔微粒中的金属、合金或金属化合物中含有可显影金属,可显影金属是指X射线下可视的金属。The "developable" of the above-mentioned developable porous particles means that they are visible under X-rays. It can be understood that the metal, alloy or metal compound in the above-mentioned developable porous particles contains a developable metal, and a developable metal refers to a metal visible under X-rays.
可理解,上述液体栓塞剂可包含一种或多种可显影多孔微粒。当含有多种可显影多孔微粒时,各可显影多孔微粒可为不同种的金属材质、不同种的合金材质或不同种的金属化合物材质,或者含有金属材质、合金材质和金属化合物材质中的至少两种材质的多孔微粒。It will be appreciated that the liquid embolic agents described above may comprise one or more developable porous particles. When a plurality of developable porous particles are contained, each developable porous particle may be of a different metal material, a different alloy material or a different metal compound material, or contain at least one of the metal material, alloy material and metal compound material. Porous particles of two materials.
上述液体栓塞剂,采用上述特定种类材质的可显影多孔微粒作为显影剂,相比传统球状、块状或粉状的无孔实心微球的微米级钽粉等显影剂而言,由于多孔结构的存在,减小了该显影剂单位体积的密度,进而具有更低的平均密度,因此所需的浮力减小,即相同溶液中的悬浮稳定性提高,进而降低了沉降速度,有利于提升栓塞剂中的可显影多孔微粒的均匀性,以便提供良好的显影效果,相比于传统栓塞剂在使用前所需的均匀时间更短,一定程度改善了使用的简便性。The above-mentioned liquid embolic agent uses the developable porous particles of the above-mentioned specific type of material as the developer. Existence, which reduces the density per unit volume of the developer, and then has a lower average density, so the required buoyancy is reduced, that is, the suspension stability in the same solution is improved, which in turn reduces the sedimentation velocity, which is conducive to lifting the embolic agent. The homogeneity of the developable porous particles in the product can provide a good development effect. Compared with the traditional embolic agent, the homogeneity time required before use is shorter, and the ease of use is improved to a certain extent.
此外,平均密度更低的可显影多孔微粒在聚合物和溶剂形成的聚合物溶液中可以起到一定的“润滑性”作用,从而降低了聚合物溶液的粘度。且,悬浮稳定性更佳的可显影多孔微粒有利于液体栓塞剂在推注时更好地向前弥散,有利于减少反流。如此该液体栓塞剂从液体栓塞剂的均匀性、粘度和减少反流的多维度,使得液体栓塞剂能更好地被推送,进而提高上述液体栓塞剂的显影性能。In addition, the developable porous particles with lower average density can play a certain "lubricity" effect in the polymer solution formed by the polymer and the solvent, thereby reducing the viscosity of the polymer solution. Moreover, the developable porous particles with better suspension stability are conducive to the better forward dispersion of the liquid embolic agent during bolus injection, and are conducive to reducing reflux. In this way, the liquid embolic agent can be better pushed from the multi-dimensionality of the liquid embolic agent's uniformity, viscosity, and reflux reduction, thereby improving the development performance of the above-mentioned liquid embolic agent.
在其中一些实施例中,在其中一些实施例中,可显影金属为金(Au)、银(Ag)、铂(Pt)、铱(Ir)、铬(Cr)、钽(Ta)、铋(Bi)、钴(Co)、钨(W)及钡(Ba)中的至少一种。在一些实施方式中,可显影金属也可以包括镧系、锕系金属中的至少一种。In some of these embodiments, the developable metal is gold (Au), silver (Ag), platinum (Pt), iridium (Ir), chromium (Cr), tantalum (Ta), bismuth ( At least one of Bi), cobalt (Co), tungsten (W) and barium (Ba). In some embodiments, the developable metal may also include at least one of lanthanide and actinide metals.
进一步地,金属材质为金(Au)、银(Ag)、铂(Pt)、铱(Ir)、铬(Cr)、钽(Ta)、铋(Bi)、钴(Co)、钨(W)及钡(Ba)中的一种。Further, the metal material is gold (Au), silver (Ag), platinum (Pt), iridium (Ir), chromium (Cr), tantalum (Ta), bismuth (Bi), cobalt (Co), tungsten (W) And one of barium (Ba).
进一步地,合金材质为金(Au)、银(Ag)、铂(Pt)、铱(Ir)、铬(Cr)、钽(Ta)、铋(Bi)、钴(Co)、钨(W)及钡(Ba)中的至少两种,即为合金金属材质。Further, the alloy material is gold (Au), silver (Ag), platinum (Pt), iridium (Ir), chromium (Cr), tantalum (Ta), bismuth (Bi), cobalt (Co), tungsten (W) And at least two of barium (Ba), that is, alloy metal material.
进一步地,金属化合物材质为金(Au)、银(Ag)、铂(Pt)、铱(Ir)、铬(Cr)、钽(Ta)、铋(Bi)、钴(Co)、钨(W)及钡(Ba)中的一种形成的不溶于上述溶剂的金属盐、金属氧化物、金属碳化物及金属氮化物中的至少一种。例如金属化合物材质为卤化银、氧化铋、碳化钽、硫酸钡、氧化钨、氮化钽、氧化钽等。Further, the metal compound material is gold (Au), silver (Ag), platinum (Pt), iridium (Ir), chromium (Cr), tantalum (Ta), bismuth (Bi), cobalt (Co), tungsten (W ) and barium (Ba) at least one of metal salts, metal oxides, metal carbides and metal nitrides insoluble in the above solvents. For example, the material of the metal compound is silver halide, bismuth oxide, tantalum carbide, barium sulfate, tungsten oxide, tantalum nitride, tantalum oxide and the like.
进一步地,上述金属盐、金属氧化物、金属碳化物及金属氮化物为非水溶 且非有机溶剂溶解性化合物。Further, the above-mentioned metal salts, metal oxides, metal carbides and metal nitrides are water-insoluble and non-organic solvent-soluble compounds.
在其中一些实施例中,可显影多孔微粒的表面具有多孔孔洞。In some of these embodiments, the surface of the developable porous particles has porous pores.
进一步地,可显影多孔微粒为表面具有多孔孔洞的实心颗粒。可理解,本文中实心颗粒是相对空心颗粒来说的,实心颗粒是指颗粒不具有内部空心结构,即内部整体是呈现实心的结构。本文中多孔状的实心颗粒包括但不限于内部整体实心结构但表面具有孔洞的颗粒,或者是内部整体实心结构和表面同时具有孔洞的颗粒。Further, the developable porous particles are solid particles with porous holes on the surface. It can be understood that the solid particle is relative to the hollow particle herein, and the solid particle means that the particle does not have an internal hollow structure, that is, the internal whole is a solid structure. The porous solid particles herein include, but are not limited to, particles with a solid internal structure but holes on the surface, or particles with a solid internal structure and holes on the surface.
在一些示例中,该实心颗粒可通过聚合物模板法制得。聚合物模板法是指以聚合物微球为模板,在聚合物微球的表面形成金属层、合金层或金属化合物层,然后不去除其中的聚合物微球模板,保留其中的聚合物微球模板作为内核,得到的实心颗粒包括聚合物材料的内核和可显影的金属材质、合金材质或金属化合物材质的外壳。In some examples, the solid particles can be made by polymer templating. The polymer template method refers to the use of polymer microspheres as a template to form a metal layer, alloy layer or metal compound layer on the surface of the polymer microspheres, and then the polymer microsphere templates are not removed, and the polymer microspheres are retained. The template is used as the inner core, and the resulting solid particles include a core of polymer material and a shell of developable metal material, alloy material or metal compound material.
具体地,上述实心颗粒的制备方法如下:采用乳液聚合或自组装等方法先制备得到一定粒径的聚合物微球,然后在聚合物微球的表面采用沉积或表面修饰的方法形成金属层、合金层或金属化合物层。其中用到的聚合物微球可通过市面直接购买获得,例如聚乙烯、聚苯乙烯、聚苯乙烯-二乙烯基苯等微球。其中,可通过控制作为壳层的金属层、合金层或金属化合物层的分子生长堆积工艺,进而使得壳层中形成多孔孔洞。Specifically, the preparation method of the above-mentioned solid particles is as follows: polymer microspheres with a certain particle size are first prepared by emulsion polymerization or self-assembly, and then a metal layer is formed on the surface of the polymer microspheres by deposition or surface modification. Alloy layer or metal compound layer. The polymer microspheres used therein can be directly purchased from the market, such as polyethylene, polystyrene, polystyrene-divinylbenzene and other microspheres. Among them, porous holes can be formed in the shell layer by controlling the molecular growth and accumulation process of the metal layer, alloy layer or metal compound layer as the shell layer.
进一步地,可显影多孔微粒的内部和表面可均具有多孔孔洞,其中至少部分孔洞为通孔。通孔是指分布于微粒的该孔洞的两端均与外部连通,且该孔洞自一端穿过微粒的内部与另一端贯穿。Further, both the inside and the surface of the developable porous particles may have porous holes, at least some of which are through holes. A through hole means that both ends of the hole distributed in the particle communicate with the outside, and the hole passes through the inside of the particle from one end and penetrates through the other end.
进一步地,该可显影多孔微粒通过烧结或氢化方法制备。例如,金属钽多孔微粒通过高纯钽采用高温烧结的方法制备,其原理是将采用高温将高纯钽加入占位剂或造孔剂烧结熔融,然后除去占位剂或造孔剂。例如,金属钽多孔微粒通过钽块体采用氢化方法制备,其原理是在制备过程通入氢气,控制钽块体吸氢的量,然后破碎,除氢,形成多孔孔洞。Further, the developable porous particles are prepared by sintering or hydrogenation. For example, metal tantalum porous particles are prepared by high-temperature sintering of high-purity tantalum. The principle is to sinter and melt high-purity tantalum by adding space-occupiers or pore-forming agents at high temperature, and then remove the space-occupiers or pore-forming agents. For example, metal tantalum porous particles are prepared by hydrogenation of tantalum blocks. The principle is to introduce hydrogen gas during the preparation process to control the amount of hydrogen absorbed by the tantalum blocks, and then break and remove hydrogen to form porous pores.
进一步地,该可显影多孔微粒的形态为球形、椭球体、多面体等规则形态或珊瑚状等不规则形态。Further, the shape of the developable porous particles is a regular shape such as a sphere, an ellipsoid, a polyhedron, or an irregular shape such as a coral shape.
相较于传统的包含可显影金属粉末的液体栓塞剂,由于金属密度较高,较大的可显影金属粉末粒径会导致其在溶液中快速沉降,从而堵塞了后续栓塞剂向前弥散的路径,增加返流风险,可显影金属粉末的粒径太小则易被溶剂扩散时带走。而本申请采用具有多孔结构的可显影多孔微粒,较小的平均密度提升了其在聚合物溶液中的悬浮稳定性,体积较大也降低了其随着溶剂扩散被带走的风险。Compared with traditional liquid embolic agents containing developable metal powders, due to the higher metal density, the larger particle size of developable metal powders will cause them to settle rapidly in solution, thereby blocking the forward diffusion path of subsequent embolic agents , increasing the risk of reflux, the particle size of the developable metal powder is too small and it is easy to be taken away by the solvent diffusion. However, the present application uses developable porous particles with a porous structure. The smaller average density improves its suspension stability in the polymer solution, and the larger volume also reduces the risk of being taken away with solvent diffusion.
进一步地,可显影多孔微粒的孔隙率为10%~70%,可选为20%~50%。其中,孔隙率是指多孔状颗粒中孔隙体积与材料在自然状态下总体积的百分比。对于可显影多孔微粒而言,可通过优化孔隙率得到合适的平均密度,该平均密度可使得该可显影多孔微粒能够在液体栓塞剂中具有较好的悬浮性,易于分散,不易沉降。Further, the porosity of the developable porous particles is 10%-70%, optionally 20%-50%. Among them, the porosity refers to the percentage of the pore volume in the porous particle to the total volume of the material in the natural state. For the developable porous particles, an appropriate average density can be obtained by optimizing the porosity, and the average density can make the developable porous particles have better suspendability in the liquid embolic agent, be easy to disperse, and not easy to settle.
在一些示例中,可显影多孔微粒的粒径范围为0.1~200μm,可选为0.5~100μm。可理解,可显影多孔微粒可为均一粒径的单分散颗粒,也可为多种不同粒径的多分散颗粒。在一些示例中,可显影多孔微粒的孔径为1nm~500nm。可理解,可显影多孔微粒的孔径可为大小均一的孔洞,也可为多分散的大小不均一的孔洞。In some examples, the particle diameter of the developable porous particles is in the range of 0.1-200 μm, optionally 0.5-100 μm. It can be understood that the developable porous particles can be monodisperse particles with uniform particle size, or polydisperse particles with different particle sizes. In some examples, the developable porous particles have a pore size ranging from 1 nm to 500 nm. It can be understood that the pore size of the developable porous particles may be uniform in size or polydisperse inhomogeneous in size.
进一步可选地,在液体栓塞剂中,按质量分数计,聚合物为3%~10%,可显影多孔微粒为20%~40%,溶剂为60%~75%。Further optionally, in the liquid embolic agent, by mass fraction, the polymer content is 3%-10%, the developable porous microparticles content is 20%-40%, and the solvent content is 60%-75%.
当本申请中公开一个数值范围时,上述范围视为连续,且包括该范围的最小值及最大值,以及这种最小值与最大值之间的每一个值。进一步地,当范围是指整数时,包括该范围的最小值与最大值之间的每一个整数。此外,当提供多个范围描述特征或特性时,可以合并该范围。换言之,除非另有指明,否则本申请中所公开之所有范围应理解为包括其中所归入的任何及所有的子范围。When a numerical range is disclosed in this application, the said range is considered continuous and includes the minimum and maximum values of the range and every value between such minimum and maximum values. Further, when a range refers to an integer, every integer between the minimum and maximum of the range is included. Furthermore, when multiple ranges are provided to describe a feature or characteristic, the ranges may be combined. In other words, unless otherwise indicated, all ranges disclosed in this application are to be understood to encompass any and all subranges subsumed therein.
例如,“2%~20%”即可取2%~20%的数值范围,该范围视为连续,且包括该范围的最小值及最大值,以及这种最小值与最大值之间的每一个值。例如包括但不限于:2%、3%、4%、5%、6%、7%、8%、9%、10%、11%、12%、13%、14%、15%、16%、17%、18%、19%、20%中的任意数值;或这些数值中任意两个组成的范围,作为示例,包括:2%~19%、2%~18%、2%~17%、2%~16%、 2%~15%、2%~14%、2%~13%、2%~12%、2%~11%、2%~10%、2%~9%、2%~8%、3%~19%、4%~19%、5%~19%、6%~19%、7%~19%、8%~19%、9%~19%、10%~19%、3%~18%、4%~18%、5%~18%、6%~18%、7%~18%、8%~18%、9%~18%、10%~18%、3%~19%、4%~15%、5%~15%、6%~15%、7%~15%、8%~15%、9%~15%、10%~15%。For example, "2%~20%" can take the numerical range of 2%~20%, and this range is regarded as continuous, and includes the minimum value and maximum value of this range, and every value between such minimum value and maximum value value. Examples include but are not limited to: 2%, 3%, 4%, 5%, 6%, 7%, 8%, 9%, 10%, 11%, 12%, 13%, 14%, 15%, 16% , 17%, 18%, 19%, 20%; or any two of these values, as an example, including: 2% to 19%, 2% to 18%, 2% to 17% , 2%~16%, 2%~15%, 2%~14%, 2%~13%, 2%~12%, 2%~11%, 2%~10%, 2%~9%, 2% %~8%, 3%~19%, 4%~19%, 5%~19%, 6%~19%, 7%~19%, 8%~19%, 9%~19%, 10%~ 19%, 3%~18%, 4%~18%, 5%~18%, 6%~18%, 7%~18%, 8%~18%, 9%~18%, 10%~18% , 3% to 19%, 4% to 15%, 5% to 15%, 6% to 15%, 7% to 15%, 8% to 15%, 9% to 15%, 10% to 15%.
例如,10%~50%”即可取10%~50%的数值范围,该范围视为连续,且包括该范围的最小值及最大值,以及这种最小值与最大值之间的每一个值。例如包括但不限于:10%、15%、20%、25%、30%、35%、40%、45%、50%中的任意数值;或这些数值中任意两个组成的范围,作为示例,包括:10%~15%、10%~19%、10%~20%、10%~25%、10%~30%、10%~35%、10%~40%、10%~45%、15%~19%、15%~20%、15%~25%、15%~30%、15%~35%、15%~40%、15%~45%、15%~50%、20%~25%、20%~30%、20%~35%、20%~40%、20%~45%、20%~50%、25%~30%、25%~35%、25%~40%、25%~45%、25%~50%、30%~35%、30%~40%、30%~45%、30%~50%、35%~40%、35%~45%、35%~50%、40%~45%、45%~50%。For example, "10%~50%" can take the value range of 10%~50%, and the range is regarded as continuous, and includes the minimum value and maximum value of this range, and every value between such minimum value and maximum value For example, including but not limited to: any value in 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%; or the range composed of any two of these values, as Examples include: 10% to 15%, 10% to 19%, 10% to 20%, 10% to 25%, 10% to 30%, 10% to 35%, 10% to 40%, 10% to 45% %, 15%~19%, 15%~20%, 15%~25%, 15%~30%, 15%~35%, 15%~40%, 15%~45%, 15%~50%, 20%~25%, 20%~30%, 20%~35%, 20%~40%, 20%~45%, 20%~50%, 25%~30%, 25%~35%, 25% ~40%, 25%~45%, 25%~50%, 30%~35%, 30%~40%, 30%~45%, 30%~50%, 35%~40%, 35%~45% %, 35% to 50%, 40% to 45%, 45% to 50%.
例如,“50%~78%”即可取50%~78%的数值范围,该范围视为连续,且包括该范围的最小值及最大值,以及这种最小值与最大值之间的每一个值。例如包括但不限于:50%、55%、60%、65%、70%、75%、76%、77%、78%中的任意数值;或这些数值中任意两个组成的范围,作为示例,包括:50%~55%、50%~60%、50%~65%、50%~70%、50%~75%、50%~76%、50%~77%、50%~78%、55%~60%、55%~65%、55%~70%、55%~75%、55%~76%、55%~77%、55%~78%、60%~65%、60%~70%、60%~75%、60%~76%、60%~77%、60%~78%、65%~70%、65%~75%、65%~76%、65%~77%、65%~78%。For example, "50%~78%" can take the value range of 50%~78%. This range is regarded as continuous, and includes the minimum value and maximum value of this range, and every value between such minimum value and maximum value. value. For example, including but not limited to: any value in 50%, 55%, 60%, 65%, 70%, 75%, 76%, 77%, 78%; or a range composed of any two of these values, as an example , including: 50%~55%, 50%~60%, 50%~65%, 50%~70%, 50%~75%, 50%~76%, 50%~77%, 50%~78% , 55%~60%, 55%~65%, 55%~70%, 55%~75%, 55%~76%, 55%~77%, 55%~78%, 60%~65%, 60% %~70%, 60%~75%, 60%~76%, 60%~77%, 60%~78%, 65%~70%, 65%~75%, 65%~76%, 65%~ 77%, 65% to 78%.
可理解,液体栓塞剂中各组分的质量分数之和为100%。It can be understood that the sum of the mass fractions of the components in the liquid embolic agent is 100%.
在其中一些实施例中,聚合物为聚烯烃、聚烯烃醇、聚甲基丙烯酸酯、聚氨酯、聚酯、聚醚、聚硅氧烷及聚酰胺中的任意一种,或为其中至少两种的共聚物。进一步地,上述共聚物可为聚丙烯酰胺-聚甲基丙烯酸甲酯、乙烯-乙烯醇共聚物、聚乙二醇-聚丙烯酸酯共聚物等,也可以是水难溶性的天然聚合物,如纤维素及其衍生物等。进一步地,共聚物包括但不限于无归共聚物、嵌段共聚物、交替共聚物及接枝共聚物。In some of these embodiments, the polymer is any one of polyolefins, polyolefin alcohols, polymethacrylates, polyurethanes, polyesters, polyethers, polysiloxanes, and polyamides, or at least two of them of copolymers. Further, the above-mentioned copolymer can be polyacrylamide-polymethyl methacrylate, ethylene-vinyl alcohol copolymer, polyethylene glycol-polyacrylate copolymer, etc., and can also be a water-insoluble natural polymer, such as Cellulose and its derivatives, etc. Further, copolymers include but not limited to random copolymers, block copolymers, alternating copolymers and graft copolymers.
进一步地,聚合物的重均分子量为1万~40万,可选为10万~30万。进一步地,聚合物的疏水组分的摩尔含量大于35%,可选为大于45%。其中,亲水组分即为在聚合物的侧链或主链中含有的亲水基团,否则为疏水组分。疏水组分含量越高,聚合物在水、缓冲液或血液析出时间短,固化速率小,可通过调节亲疏水组分比例控制固化速率。Further, the weight average molecular weight of the polymer is 10,000-400,000, optionally 100,000-300,000. Further, the molar content of the hydrophobic component of the polymer is greater than 35%, optionally greater than 45%. Among them, the hydrophilic component is the hydrophilic group contained in the side chain or main chain of the polymer, otherwise it is the hydrophobic component. The higher the content of hydrophobic components, the shorter the precipitation time of the polymer in water, buffer or blood, and the lower the curing rate. The curing rate can be controlled by adjusting the ratio of hydrophilic and hydrophobic components.
在其中一些实施例中,溶剂为生物相容性有机溶剂、水及缓冲液中的至少一种。进一步地,生物相容性有机溶剂包括二甲基亚砜、N甲基吡咯烷酮(NMP)、乙醇及异丙醇中的至少一种,这些溶剂具有低毒的优点。可理解,可根据聚合物的种类选择其溶剂,只要其能够使聚合物与溶剂形成均一体系即可。此处均一体系是指均一的澄清溶液或均一悬浊液。In some of these embodiments, the solvent is at least one of a biocompatible organic solvent, water and a buffer. Further, the biocompatible organic solvent includes at least one of dimethyl sulfoxide, N-methylpyrrolidone (NMP), ethanol and isopropanol, and these solvents have the advantage of low toxicity. It can be understood that the solvent can be selected according to the type of the polymer, as long as it can make the polymer and the solvent form a uniform system. A homogeneous system here refers to a homogeneous clear solution or a homogeneous suspension.
进一步地,溶剂可为上述聚合物的良溶剂,即溶剂与该聚合物能够形成均一的澄清溶液,或溶剂与聚合物可在特定条件下形成均一体系。Further, the solvent can be a good solvent for the above polymer, that is, the solvent and the polymer can form a uniform clear solution, or the solvent and the polymer can form a homogeneous system under certain conditions.
进一步地,上述聚合物为疏水性聚合物或两亲性聚合物,溶剂为生物相容性有机溶剂。Further, the above-mentioned polymer is a hydrophobic polymer or an amphiphilic polymer, and the solvent is a biocompatible organic solvent.
本申请另一实施方式还提供了上述液体栓塞剂的制备方法,其将上述聚合物、溶剂等其他组分混合均匀即可。Another embodiment of the present application also provides a preparation method of the above-mentioned liquid embolic agent, which only needs to mix the above-mentioned polymer, solvent and other components uniformly.
进一步地,混合可采用常用的搅拌、超声等方法,只要能够使液体栓塞剂能够形成均匀体系即可。Further, common stirring, ultrasonic and other methods can be used for mixing, as long as the liquid embolic agent can form a homogeneous system.
进一步地,可先将聚合物与溶剂经机械搅拌等方式混合形成均一相的聚合物溶液,然后再加入显影剂,再次采用机械搅拌等方式混合形成均匀分散体系,即可。Further, the polymer and the solvent may be firstly mixed by means of mechanical stirring to form a homogeneous polymer solution, and then the developer is added, and again mixed by means of mechanical stirring to form a uniform dispersion system.
更进一步地,在形成均一相的聚合物溶液的步骤中,可采用升温、降温、物理分散等方式辅助促进其溶解。Furthermore, in the step of forming a homogeneous polymer solution, methods such as temperature rise, temperature drop, and physical dispersion can be used to assist in promoting its dissolution.
待液体栓塞剂形成均一的分散体系,可采用输送或推送的方式,到达水或血液中后,随着溶剂的扩散,液体栓塞剂中的聚合物沉淀析出,形成柔软的栓塞团,而栓塞团中的显影剂保证了其良好的显影性能。After the liquid embolic agent forms a uniform dispersion system, it can be transported or pushed. After reaching the water or blood, with the diffusion of the solvent, the polymer in the liquid embolic agent precipitates out to form a soft embolism, and the embolism The developer in it ensures its good developing performance.
本申请另一实施方式还提供了上述液体栓塞剂在制备医疗介入器械或介入治疗药物中的应用。Another embodiment of the present application also provides the application of the above-mentioned liquid embolic agent in the preparation of medical interventional devices or interventional therapy drugs.
本申请另一实施方式还提供了一种医疗介入器械,器械本体及设于器械本体内的试剂,该试剂包含有如上述任一项的液体栓塞剂。Another embodiment of the present application also provides a medical interventional device, a device body and a reagent disposed in the device body, where the reagent includes any one of the above-mentioned liquid embolic agents.
在其中一些实施例中,器械本体为导管。进一步地,该导管的内径很小,称之为微导管。一般地,微导管的内径为0.007~0.013inch(英寸)。In some of these embodiments, the device body is a catheter. Furthermore, the inner diameter of the catheter is very small, which is called a micro catheter. Generally, the inner diameter of the microcatheter is 0.007-0.013 inch (inch).
本申请另一实施方式还提供了一种介入治疗药物,该介入治疗药物包含有如上述任一项的液体栓塞剂。Another embodiment of the present application also provides an interventional therapy drug, the interventional therapy drug comprising any one of the above-mentioned liquid embolic agents.
进一步地,该介入治疗药物中除了含有如上述任一项的液体栓塞剂,还可包含有对疾病具有治疗作用的活性成分。Furthermore, in addition to any of the above-mentioned liquid embolic agents, the interventional medicine may also contain active ingredients that have a therapeutic effect on diseases.
进一步地,该介入治疗药物中除了含有如上述任一项的液体栓塞剂,还可包含有其他添加剂。Furthermore, in addition to any of the above-mentioned liquid embolic agents, the interventional medicine may also contain other additives.
上述液体栓塞剂可用于介入治疗中,例如用于介入止血、血管畸形和恶性肿瘤中,包括但不限于脑动静脉畸形(AVM)、血肿、以及脑动静脉瘘(DVF)、硬膜下血肿的介入栓塞治疗、外周等血管曲张治疗及肿瘤等处血流的封堵治疗。The above-mentioned liquid embolic agent can be used in interventional therapy, for example, in interventional hemostasis, vascular malformation and malignant tumor, including but not limited to cerebral arteriovenous malformation (AVM), hematoma, and cerebral arteriovenous fistula (DVF), subdural hematoma Interventional embolization therapy, treatment of peripheral varicose vessels and blockage of blood flow in tumors and other places.
上述液体栓塞剂通过微导管的推注到达病灶区域,接触到血流,随着溶剂的弥散开始固化。在血流中,液体栓塞剂中的聚合物慢慢沉淀析出固化,形成栓塞团,进而达到封堵血管通路、阻断血流的目的。在一些实施方式中,包含可显影多孔微粒的液体栓塞剂具有较低平均堆积密度和较低粘度,在液体栓塞剂从微导管内推送完成之后,微导管可以很容易被抽出,降低了微导管被拉扯对血管产生的风险。The above-mentioned liquid embolic agent reaches the lesion area through the push injection of the microcatheter, touches the blood flow, and begins to solidify as the solvent diffuses. In the blood flow, the polymer in the liquid embolic agent slowly precipitates and solidifies to form an embolism, thereby achieving the purpose of blocking the vascular access and blocking the blood flow. In some embodiments, the liquid embolic agent containing developable porous particles has a lower average bulk density and lower viscosity. After the liquid embolic agent is pushed from the microcatheter, the microcatheter can be easily withdrawn, reducing the Risk of being pulled on blood vessels.
为了使本申请的目的、技术方案及优点更加简洁明了,本申请用以下具体实施例进行说明,但本申请绝非仅限于这些实施例。以下所描述的实施例仅为本申请较好的实施例,可用于描述本申请,不能理解为对本申请的范围的限制。应当指出的是,凡在本申请的精神和原则之内所做的任何修改、等同替换和改进等,均应包含在本申请的保护范围之内。In order to make the purpose, technical solutions and advantages of the present application more concise and clear, the present application is described with the following specific examples, but the present application is by no means limited to these examples. The embodiments described below are only preferred embodiments of the present application, which can be used to describe the present application, and should not be construed as limiting the scope of the present application. It should be noted that any modifications, equivalent replacements and improvements made within the spirit and principles of the present application shall be included within the protection scope of the present application.
为了更好地说明本申请,下面结合实施例对本申请内容作进一步说明。以下为具体实施例。In order to better illustrate the present application, the content of the present application will be further described below in conjunction with the embodiments. The following are specific examples.
实施例1Example 1
实施例1的液体栓塞剂采用金属钽多孔微粒作为显影剂,其制备步骤如下: 称取乙烯醇聚合物1g溶于二甲基亚砜20g,加热溶解,得到均相的乙烯醇聚合物溶液,取5mL该溶液,加入金属钽多孔微粒1.5g,混合10分钟,即可得到可显影的液体栓塞剂。The liquid embolic agent of Example 1 uses metal tantalum porous particles as a developer, and its preparation steps are as follows: Weigh 1 g of vinyl alcohol polymer and dissolve it in 20 g of dimethyl sulfoxide, heat and dissolve to obtain a homogeneous vinyl alcohol polymer solution, Take 5 mL of this solution, add 1.5 g of metal tantalum porous particles, and mix for 10 minutes to obtain a developable liquid embolic agent.
其中,金属钽多孔微粒的形貌如图1所示,该金属钽多孔微粒为珊瑚状不规则块状颗粒,其内部和表面均具有大量孔洞,其中至少部分孔洞为通孔。孔径为不规则不均一孔径,孔隙率为40%。Among them, the morphology of the metal tantalum porous particles is shown in Figure 1. The metal tantalum porous particles are coral-like irregular block particles with a large number of holes inside and on the surface, at least some of which are through holes. The pore size is irregular and non-uniform, and the porosity is 40%.
实施例2Example 2
实施例2采用多孔钽金属颗粒作为显影剂,其制备方法为:称取乙烯醇聚合物0.5g溶于二甲基亚砜1.65g,加入0.6g显影剂,混合后即得到栓塞剂。Example 2 uses porous tantalum metal particles as a developer, and its preparation method is: weigh 0.5 g of vinyl alcohol polymer and dissolve it in 1.65 g of dimethyl sulfoxide, add 0.6 g of developer, and mix to obtain an embolism.
实施例3Example 3
实施例3采用多孔钽金属颗粒作为显影剂,其制备方法为:称取乙烯醇聚合物0.35g溶于二甲基亚砜1.65g,加入1.2g显影剂,混合后即得到栓塞剂。Example 3 uses porous tantalum metal particles as a developer, and its preparation method is: weigh 0.35 g of vinyl alcohol polymer and dissolve it in 1.65 g of dimethyl sulfoxide, add 1.2 g of developer, and mix to obtain an embolism.
其中,按质量分数计,实施例1~3的液体栓塞剂中各组分占比如表1所示。Wherein, in terms of mass fraction, the proportions of the components in the liquid embolisms of Examples 1-3 are shown in Table 1.
表1Table 1
 the 聚合物(%)polymer(%) 二甲基亚砜(%)Dimethyl sulfoxide (%) 金属钽多孔微粒(%)Metal Tantalum Porous Particles (%)
实施例1Example 1 3.33.3 66.766.7 3030
实施例2Example 2 18.218.2 6060 21.821.8
对比例1Comparative example 1
对比例1与实施例1基本相同,区别仅在于:对比例1采用无孔结构的金属钽粉替代实施例1中步骤(1)中制得的金属钽多孔微粒,质量相同。其中,无孔结构的金属钽粉为商品化的冶金钽粉。Comparative Example 1 is basically the same as Example 1, except that in Comparative Example 1, metal tantalum powder with a non-porous structure is used to replace the metal tantalum porous particles prepared in step (1) of Example 1, and the quality is the same. Among them, the non-porous metal tantalum powder is a commercial metallurgical tantalum powder.
图2示出了实施例1和对比例1制得的液体栓塞剂的实物照片,其中a为实施例1,b为对比例1。Fig. 2 shows the physical photos of the liquid embolic agent prepared in Example 1 and Comparative Example 1, wherein a is Example 1, and b is Comparative Example 1.
从图2中的a和b可以看出,在可见光下两者无明显区别,均为均匀的黑色悬浮液。It can be seen from a and b in Figure 2 that there is no obvious difference between the two under visible light, and both are uniform black suspensions.
图3和图4分别示出了实施例1和对比例1制得的液体栓塞剂静置5min后 和静置20min后在X射线下的显影照片;其中a为实施例1,b为对比例1。Fig. 3 and Fig. 4 show respectively the developing photo under X-ray after the liquid embolic agent that embodiment 1 and comparative example 1 make stand 5min and stand 20min; Wherein a is embodiment 1, b is comparative example 1.
从图3和图4中的a和b可以看出,在X射线下,本申请实施例1制得的液体栓塞剂的显影更加明显,轮廓更加清晰;相比之下,对比例1制得的液体栓塞剂的显影较为模糊,轮廓也不够清晰。As can be seen from a and b in Figure 3 and Figure 4, under X-rays, the development of the liquid embolic agent prepared in Example 1 of the present application is more obvious, and the outline is clearer; The development of the liquid embolic agent is relatively blurred, and the outline is not clear enough.
将实施例1和对比例1制得的液体栓塞剂静置不同时间后在X射线下对样品1/2高度处取样,测试该取样区的亮度值。得到实施例1和对比例1制得的液体栓塞剂在X射线下样品1/2高度处的亮度值随静置时间的变化曲线,如图5所示,其中a为实施例1,b为对比例1。After the liquid embolic agents prepared in Example 1 and Comparative Example 1 were left to stand for different periods of time, samples were taken at 1/2 height of the sample under X-rays, and the brightness value of the sampling area was tested. Obtain the change curve of the brightness value of the liquid embolism prepared in Example 1 and Comparative Example 1 at the sample 1/2 height place under X-rays with the standing time, as shown in Figure 5, wherein a is Example 1, and b is Comparative example 1.
从图5中a和b可以看出,随着静置时间的延长,如曲线a所示,实施例1制得的液体栓塞剂的亮度值的变化幅度不大,特别是静置时间在25min之内,更优在22min内;相比之下,如曲线b所示,对比例1制得的液体栓塞剂的亮度值的变化幅度较大,其在静置的前期,如静置时间5min之内即出现比较大的亮度值增大,说明其在静置过程中出现了比较多的沉降,导致液体栓塞剂的均匀性降低,进而使得亮度值增加。As can be seen from a and b in Figure 5, as the standing time prolongs, as shown in curve a, the brightness value of the liquid embolism prepared in Example 1 does not change much, especially when the standing time is 25min within 22 minutes; in contrast, as shown in curve b, the brightness value of the liquid embolic agent prepared in Comparative Example 1 has a larger change range, and it is in the early stage of standing, such as standing time 5min A relatively large increase in the brightness value occurs within a period of time, indicating that more sedimentation occurs during the standing process, resulting in a decrease in the uniformity of the liquid embolic agent, which in turn leads to an increase in the brightness value.
将本申请实施例1制得的液体栓塞剂通过注射器注射至水中,在接触到水的瞬间,液体栓塞剂瞬间固化形成一体的黑色固体状栓塞团,如图6所示。说明本申请的液体栓塞剂固化时间短,栓塞效率高。The liquid embolic agent prepared in Example 1 of the present application was injected into water through a syringe, and the liquid embolic agent instantly solidified to form an integrated black solid embolism mass when it came into contact with water, as shown in FIG. 6 . It shows that the liquid embolic agent of the present application has short curing time and high embolization efficiency.
综上所述,相比传统的微米级钽粉等显影剂而言,由于多孔结构的存在,提高了相同溶液中的悬浮稳定性,进而降低了沉降速度,减小了沉降物堵塞后续栓塞剂向前弥散的路径的风险。另一方面,多孔结构有利于提升栓塞剂中的可显影多孔微粒的均匀性,以便在使用较小金属显影剂用量的同时,仍保持良好的显影效果。In summary, compared with traditional micron-sized tantalum powder and other developers, due to the existence of porous structure, the suspension stability in the same solution is improved, which in turn reduces the sedimentation velocity and reduces the sedimentation of subsequent embolic agents. The risk of the path of forward diffusion. On the other hand, the porous structure is beneficial to improve the uniformity of the developable porous particles in the embolic agent, so as to maintain a good developing effect while using a small amount of metal developer.
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-mentioned embodiments can be combined arbitrarily. To make the description concise, all possible combinations of the technical features in the above-mentioned embodiments are not described. However, as long as there is no contradiction in the combination of these technical features, should be considered as within the scope of this specification.
以上所述实施例仅表达了本申请的几种实施方式,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,在不脱离本申请构思的前提下,还可以做出若干变形和改 进,这些都属于本申请的保护范围。因此,本申请专利的保护范围应以所附权利要求为准,说明书可以用于解释权利要求的内容。The above-mentioned embodiments only represent several implementation modes of the present application, and the description thereof is relatively specific and detailed, but it should not be construed as limiting the scope of the patent for the invention. It should be noted that for those skilled in the art, without departing from the concept of the present application, several modifications and improvements can be made, and these all belong to the protection scope of the present application. Therefore, the scope of protection of the patent application shall be based on the appended claims, and the description may be used to interpret the content of the claims.

Claims (13)

  1. 一种液体栓塞剂,其特征在于,按质量分数计,包括:A liquid embolic agent, characterized in that, by mass fraction, comprising:
    聚合物2%~20%;Polymer 2% ~ 20%;
    可显影多孔微粒10%~50%,所述可显影多孔微粒包括金属材质、合金材质和金属化合物材质中的至少一种的多孔微粒;及10% to 50% of developable porous particles, the developable porous particles include porous particles of at least one of metal material, alloy material and metal compound material; and
    溶剂50%~78%。Solvent 50%~78%.
  2. 如权利要求1所述的液体栓塞剂,其特征在于,所述可显影多孔微粒的表面具有多孔孔洞。The liquid embolic agent according to claim 1, wherein the surface of the developable porous particles has porous holes.
  3. 如权利要求1至2任一项所述的液体栓塞剂,其特征在于,所述可显影多孔微粒通过聚合物模板法制得,所述可显影多孔微粒包括聚合物材料的内核和可显影的金属材质、合金材质或金属化合物材质的外壳。The liquid embolic agent according to any one of claims 1 to 2, wherein the developable porous microparticles are prepared by a polymer template method, and the developable porous microparticles include an inner core of a polymer material and a developable metal material, alloy material or metal compound material.
  4. 如权利要求1至3任一项所述的液体栓塞剂,其特征在于,所述可显影多孔微粒的内部和表面具有多孔孔洞,其中至少部分孔洞为通孔。The liquid embolic agent according to any one of claims 1 to 3, characterized in that the inside and surface of the developable porous particles have porous holes, wherein at least part of the holes are through holes.
  5. 如权利要求1至4任一项所述的液体栓塞剂,其特征在于,所述可显影多孔微粒通过烧结或氢化方法制备,所述可显影多孔微粒的形态为球形、椭球体、多面体或珊瑚状。The liquid embolic agent according to any one of claims 1 to 4, wherein the developable porous particles are prepared by sintering or hydrogenation, and the shape of the developable porous particles is spherical, ellipsoidal, polyhedral or coral shape.
  6. 如权利要求1至5任一项所述的液体栓塞剂,其特征在于,The liquid embolic agent according to any one of claims 1 to 5, characterized in that,
    所述可显影多孔微粒的粒径为0.1μm~200μm;The particle size of the developable porous particles is 0.1 μm to 200 μm;
    和/或,所述可显影多孔微粒的孔径为1nm~500nm;And/or, the pore diameter of the developable porous particles is 1nm-500nm;
    和/或,所述可显影多孔微粒的孔隙率为10%~70%。And/or, the porosity of the developable porous particles is 10%-70%.
  7. 如权利要求1至6任一项所述的液体栓塞剂,其特征在于,所述金属材质为金、银、铂、铱、铬、钽、铋、钴、钨及钡中的一种;The liquid embolic agent according to any one of claims 1 to 6, wherein the metal material is one of gold, silver, platinum, iridium, chromium, tantalum, bismuth, cobalt, tungsten and barium;
    所述合金材质为金、银、铂、铱、铬、钽、铋、钴、钨及钡中的至少两种形成;The alloy material is formed of at least two of gold, silver, platinum, iridium, chromium, tantalum, bismuth, cobalt, tungsten and barium;
    所述金属化合物材质为金、银、铂、铱、铬、钽、铋、钴、钨及钡中的一种形成的不溶于所述溶剂的金属盐、金属氧化物、金属碳化物及金属氮化物中的至少一种。The material of the metal compound is a metal salt, metal oxide, metal carbide and metal nitrogen insoluble in the solvent formed by one of gold, silver, platinum, iridium, chromium, tantalum, bismuth, cobalt, tungsten and barium. at least one of the compounds.
  8. 如权利要求1至7任一项所述的液体栓塞剂,其特征在于,所述聚合物的 重均分子量为1万~40万;The liquid embolic agent according to any one of claims 1 to 7, wherein the polymer has a weight average molecular weight of 10,000 to 400,000;
    和/或,所述聚合物为聚烯烃、聚烯烃醇、聚甲基丙烯酸酯、聚氨酯、聚酯、聚醚、聚硅氧烷及聚酰胺中的任意一种,或为其中至少两种的共聚物;And/or, the polymer is any one of polyolefins, polyolefin alcohols, polymethacrylates, polyurethanes, polyesters, polyethers, polysiloxanes and polyamides, or at least two of them copolymer;
    和/或,所述溶剂为生物相容性有机溶剂、水及缓冲液中的至少一种。And/or, the solvent is at least one of biocompatible organic solvent, water and buffer.
  9. 如权利要求1至8任一项所述的液体栓塞剂,其特征在于,在所述液体栓塞剂中,按质量分数计,所述聚合物为3%~10%;所述可显影多孔微粒为20%~40%;所述溶剂为65%~75%。The liquid embolic agent according to any one of claims 1 to 8, characterized in that, in the liquid embolic agent, by mass fraction, the polymer is 3% to 10%; the developable porous particles 20% to 40%; the solvent is 65% to 75%.
  10. 一种液体栓塞剂的制备方法,其特征在于,包括如下步骤:A preparation method of liquid embolic agent, is characterized in that, comprises the steps:
    将如权利要求1至9任一项所述的液体栓塞剂中的各组分混合均匀。Mix the components in the liquid embolic agent according to any one of claims 1 to 9 evenly.
  11. 如权利要求1至9任一项所述的液体栓塞剂在制备医疗介入器械或介入治疗药物中的应用。Application of the liquid embolic agent according to any one of claims 1 to 9 in the preparation of medical interventional equipment or interventional treatment medicine.
  12. 一种医疗介入器械,其特征在于,包括器械本体及设于所述器械本体内的如权利要求1至9任一项所述的液体栓塞剂。A medical interventional device, characterized by comprising a device body and the liquid embolic agent according to any one of claims 1 to 9 disposed in the device body.
  13. 一种介入治疗药物,其特征在于,所述介入治疗药物包含有如权利要求1至9任一项所述的液体栓塞剂。An interventional therapy drug, characterized in that the interventional therapy drug contains the liquid embolic agent according to any one of claims 1-9.
PCT/CN2022/139290 2021-12-31 2022-12-15 Liquid embolic agent, and preparation method therefor and use thereof WO2023125042A1 (en)

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CN1192654A (en) * 1995-07-27 1998-09-09 微治疗公司 Novel embolizing compositions
JP2000189511A (en) * 1998-12-25 2000-07-11 Kaneka Medeikkusu:Kk Embolization material
CN1413743A (en) * 2002-10-25 2003-04-30 周星 Vascular suppository material
CN102608886A (en) * 2012-03-02 2012-07-25 湖北鼎龙化学股份有限公司 Low-density carrier core material for electrostatic image developer and preparation method thereof and carrier and application thereof
CN102652729A (en) * 2011-03-04 2012-09-05 香港中文大学 Magnetic nanomaterials and methods for chemoembolisation
CN105209079A (en) * 2013-04-05 2015-12-30 因特伦生物技术株式会社 Metal oxide nanoparticle-based magnetic resonance imaging contrast agent with a central cavity
CN107899064A (en) * 2017-10-27 2018-04-13 华威(深圳)医疗器械有限责任公司 A kind of medicine-carried and the preparation method and its usage for having the liquid embolizing agent of developability concurrently

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1192654A (en) * 1995-07-27 1998-09-09 微治疗公司 Novel embolizing compositions
JP2000189511A (en) * 1998-12-25 2000-07-11 Kaneka Medeikkusu:Kk Embolization material
CN1413743A (en) * 2002-10-25 2003-04-30 周星 Vascular suppository material
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