WO2023224199A1 - Snare-shaped electrode for electroporation - Google Patents

Snare-shaped electrode for electroporation Download PDF

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Publication number
WO2023224199A1
WO2023224199A1 PCT/KR2022/019380 KR2022019380W WO2023224199A1 WO 2023224199 A1 WO2023224199 A1 WO 2023224199A1 KR 2022019380 W KR2022019380 W KR 2022019380W WO 2023224199 A1 WO2023224199 A1 WO 2023224199A1
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WIPO (PCT)
Prior art keywords
snare
electroporation
electrode
unit
drug injection
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PCT/KR2022/019380
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French (fr)
Korean (ko)
Inventor
문진희
박광진
이미소
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주식회사 밀알
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Publication of WO2023224199A1 publication Critical patent/WO2023224199A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053Mechanical features of the instrument of device
    • A61B2018/00107Coatings on the energy applicator
    • A61B2018/00154Coatings on the energy applicator containing and delivering drugs
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B2018/1405Electrodes having a specific shape
    • A61B2018/1407Loop
    • A61B2018/141Snare

Definitions

  • the present invention relates to a snare-shaped electroporation electrode, and more specifically, to an electrode capable of electroporation and drug injection into a subject for electroporation and drug injection, which is provided as a snare-shaped electrode with an inner diameter that expands or reduces the target.
  • This relates to a snare-shaped electroporation electrode that allows electroporation and drug injection in the most appropriate form depending on the size or shape of the electrode, and as a result, can efficiently kill the target through electroporation with increased effectiveness.
  • a tumor refers to cells in the body that have grown autonomously and excessively. Tumors develop regardless of the overall health of the organism. Tumors are divided into malignant tumors and benign tumors, and malignant tumors are called cancer. Since benign tumors are not cancerous, there is no major problem if they are resected according to the area.
  • Electroporation is a technology that forms nanometer-sized pores on the surface of cell membranes by applying electric pulses with a width of nanoseconds to milliseconds to cells through electrical stimulation at a certain range of intensity. Since its discovery in the 1970s, it has been used in various biotechnologies for decades. applied to the field. Micropores on the cell membrane surface created under appropriate electric pulse conditions have the reversible property of disappearing again after a certain period of time, which is called reversible electroporation. It is mainly used to inject substances such as hydrophilic drugs, genes, enzymes, and antibodies into cells. It was used to
  • Irreversible electroporation technology is not a desirable phenomenon in terms of reversible electroporation, but on the contrary, technological approaches that take advantage of its advantages are also being made.
  • electroporation was mainly used in the food industry as a technology to kill microorganisms or as an in vitro gene injection technology for cells, but with the development of technology, it received great attention as a medical technology for treating cancer, and many studies were conducted.
  • Applications of electroporation include the delivery of DNA, RNA, siRNA, peptides, proteins, antibodies, drugs or other substances to a variety of cells such as mammalian cells, plant cells, yeast, other processing cells, bacteria, other microorganisms and cells from the human body. encompasses. Electrical stimulation during the delivery process can also be used for cell fusion in the production of other fused cells.
  • cells are suspended in a buffer or medium favorable for cell survival, and the cell suspension is placed in a rectangular cuvette into which at least one flat electrode for electrical discharge is inserted. That is, when a mixed solution containing cells and foreign molecules including nucleic acids, drugs, and other compounds to be injected into the cells is placed between the electrodes and an electric pulse is applied from the outside, small pores are formed on the surface of the initial cell membrane and exist around it. Some foreign molecules move into the cell, and when the external power source is turned off, the pores on the cell membrane surface disappear and return to the initial state of the cell membrane. By taking advantage of this phenomenon, substances that cannot pass through the cell membrane can be injected into the cell.
  • Conventional electroporators capable of such electroporation usually include a main body that outputs electrical signals or pulse-type electrical signals; a monitoring unit that monitors electrical signals output from the main body; An alarm unit that generates an alarm signal when a failure is detected in the monitoring unit and generates a treatment completion signal when treatment is completed; a storage unit that stores patient data or treatment data; A display unit that displays a patient data input screen or treatment screen; An input unit that receives patient data or treatment setting data; and a control unit that sets the electrical signal according to the treatment setting data input from the input unit and controls the main body unit to apply the electrical signal, and the output pulse is configured to use a separate handpiece-type electrode applicator. It's common.
  • the conventional electroporator is a needle type, which involves widely injecting an apoptotic drug into the tumor area and then applying electroporation. Side effects may occur due to the anticancer drug spreading to surrounding tissues other than the tumor, and existing skin tumors When electroporation is applied to deep areas, targeting precision may decrease during the process of inserting the needle for drug injection and reinserting the electrode for electroporation.
  • the electrode includes a positive electrode portion and a negative electrode portion, and the positive electrode portion and the negative electrode.
  • the technology is disclosed as "an irreversible electroporation electrode used for tumor treatment where the parts alternate and are continuously connected along one direction, the positive electrode part contains platinum, the negative electrode part contains an optical fiber, and the electrode applies near-infrared rays and pulses. .
  • Patent Document 1 Republic of Korea Patent Publication No. 10-2020-0109626 (published on September 23, 2020. Title of invention: Electrode for irreversible electroporation)
  • the technical problem to be achieved by the present invention is to solve the problems or needs described above, and is to provide a snare-shaped electroporation electrode capable of both electroporation and drug injection into a subject.
  • Another object of the present invention is to provide a snare-shaped electroporation electrode that allows electroporation and drug injection in the most suitable form according to the size or shape of the target to be killed through a snare-shaped electrode whose inner diameter is expanded or reduced.
  • the snare-shaped electroporation electrode according to an embodiment of the present invention for realizing the above-described problem is a snare-shaped electroporation electrode for electroporation and drug injection into a target for electroporation and drug injection, and has a cylindrical shape. It includes an electrode receiving portion 100 in which a hole 110 is formed.
  • a snare electrode 200 is inserted into the hole 110 and moves forward and backward in the first direction inside the electrode receiving portion 100, and the inner diameter is expanded and contracted; and formed on the inner peripheral surface of the snare electrode 200. It includes a plurality of electroporation and drug injection units 300 that are coupled to the connection hole 222 and directly contact the object.
  • an electricity supply unit 400 is provided inside the snare electrode 200 and connected to the electroporation and drug injection unit 300 to supply electricity to the electroporation and drug injection unit 300.
  • the snare electrode 200 is provided in a hollow shape so that the supplied drug can be delivered to the electroporation and drug injection unit 300, and moves back and forth in the first direction within the electrode receiving unit 100.
  • the snare unit 220 has a first restoring force to maintain the snare shape, so when the operating unit 210 moves forward, the inner diameter is expanded by the first restoring force, and the operating unit 210 moves backward.
  • the end of the electrode receiving portion 100 may press one side of the snare portion 220 to reduce the inner diameter.
  • one side of the snare portion 220 can be gripped during assembly, thereby improving assembly efficiency, and when the manipulation portion 210 moves rearward in the first direction, the snare portion 220 accommodates the electrode.
  • a protruding line 221 is further provided so that it can be aligned and inserted into the portion 100.
  • the electricity supply unit 400 is connected to the electroporation and drug injection unit 300, so that when the electricity supply unit moves forward in the first direction, the electroporation and drug injection unit 300 protrudes. As a result, the electroporation and drug injection unit 300 is in close contact with the object, and when the electricity supply unit 400 moves backward in the first direction, the electroporation and drug injection unit is in close contact with the target.
  • the unit 300 is provided to be restored, and the electricity supply unit 400 is preferably made of a hard conductive material.
  • the electroporation and drug injection unit 300 includes a flexible plastic material 310 that is coupled to the snare unit 220 and whose position changes by the operation of the electricity supply unit 400; and a metal material 320 that extends from the flexible plastic material 310 and is in close contact with the target to perform electroporation and drug injection.
  • the flexible plastic material 310 protrudes out of the snare portion 220 so that the metal material 320 comes into close contact with the object. It is positioned so that when the electricity supply unit 400 moves rearward in the first direction, the metal material 320 is positioned inside the snare unit 220 to return to its original position.
  • the flexible plastic material 310 has a tapered cross-section so that it can be easily moved when moving inside and outside the snare part 220 according to the operation of the electricity supply part 400. desirable.
  • the flexible plastic material 310 includes an electricity supply hole 311 through which electricity transmitted from the electricity supply unit 400 can be supplied; and a drug injection hole 312 for delivering the drug injected into the snare electrode 200 to the metal material 310.
  • the metal material 320 is preferably provided with an attachment 321 having a slope at its end to facilitate electroporation and drug injection into the target.
  • both electroporation and drug injection are possible at the location of the target requiring treatment, thereby improving the accuracy of the electroporation method and enabling efficient electroporation treatment.
  • electroporation is an electroporation procedure that improves the effectiveness of electroporation and drug injection by responding to the shape or size of the target through a snare-shaped electrode whose inner diameter can be reduced or expanded depending on the shape or size of the target requiring treatment. possible.
  • FIG. 1 and 2 are diagrams for explaining the overall configuration of a snare-shaped electroporation electrode according to a preferred embodiment of the present invention.
  • Figure 3 is a diagram for explaining the detailed configuration of the snare electrode of the snare-type electroporation electrode according to a preferred embodiment of the present invention.
  • Figure 4 is a diagram for explaining the protruding line of the snare electrode of the snare-shaped electroporation electrode according to a preferred embodiment of the present invention.
  • Figure 5 is a diagram for explaining the detailed configuration of the electroporation and drug injection section of the snare-shaped electroporation electrode according to a preferred embodiment of the present invention.
  • Figure 6 is a diagram for explaining the electricity supply hole and drug injection hole of the electroporation and drug injection section of the snare-shaped electroporation electrode according to a preferred embodiment of the present invention.
  • Figure 7 is a diagram for explaining electroporation and attachment of a drug injection portion of a snare-shaped electroporation electrode according to a preferred embodiment of the present invention.
  • Figures 8 and 9 are diagrams for explaining the electricity supply part of the snare-shaped electroporation electrode according to a preferred embodiment of the present invention.
  • Electroporation is a technology that forms nanometer-sized pores on the surface of cell membranes by applying electric pulses with a width of nanoseconds to milliseconds to cells through electrical stimulation at a certain range of intensity. Since its discovery in the 1970s, it has been used in various biotechnologies for decades. applied to the field. Micropores on the cell membrane surface created under appropriate electric pulse conditions have the reversible property of disappearing again after a certain period of time, which is called reversible electroporation. It is mainly used to inject substances such as hydrophilic drugs, genes, enzymes, and antibodies into cells. It was used to
  • Irreversible electroporation technology is not a desirable phenomenon in terms of reversible electroporation, but on the contrary, technological approaches that take advantage of its advantages are also being made.
  • the conventional electroporator is a needle type, which involves widely injecting an apoptotic drug into the tumor area and then applying electroporation. Side effects may occur due to the anticancer drug spreading to surrounding tissues other than the tumor, and existing skin tumors When electroporation is applied to deep areas, targeting precision may decrease during the process of inserting the needle for drug injection and reinserting the electrode for electroporation.
  • the present invention is an electrode capable of electroporation and drug injection into an electroporation and drug injection target. It is provided in the form of a snare with an inner diameter that expands or contracts, allowing electroporation and drug injection in the most suitable form depending on the size or shape of the target. This is about a snare-shaped electroporation electrode that can kill a target as efficiently as possible, and will be described below with reference to the drawings.
  • FIG. 1 and 2 are diagrams for explaining the overall configuration of a snare-shaped electroporation electrode according to a preferred embodiment of the present invention.
  • the snare-shaped electroporation electrode for electroporation and drug injection into an electroporation and drug injection target has a cylindrical shape and a hole 110 inside, as shown in FIGS. 1 and 2. It includes an electrode receiving portion 100 that is formed.
  • the snare electrode 200 is inserted into the hole 110 and moves forward and backward in the first direction 10 inside the electrode receiving portion 100, and the inner diameter of the snare electrode 200 is expanded and contracted, and on the inner peripheral surface of the snare electrode 200. It includes a plurality of electroporation and drug injection units 300 that are coupled to the formed connection hole 222 and directly contact the object.
  • the target is a cancer that can be immediately identified by the eye without any additional equipment, such as oral cancer, or a cancer that can be visually identified through an endoscopic camera, such as colon cancer or stomach cancer.
  • Cancers such as oral cancer, colon cancer, or stomach cancer have a shape or form that makes it easy to tighten a snare, so the snare electrode is the type of cancer that allows electroporation and drug injection with the highest efficiency.
  • a snare means a noose, and is a shape that can tighten something by hanging it.
  • a treatment target such as cancer cells
  • the meaning of the expansion and contraction of the inner diameter of the snare electrode 200 is not that the thickness of the snare electrode 200 is changed, but that the diameter is changed by moving the snare electrode 200 forward and backward while the thickness is the same. refers to the length
  • a first manipulation unit may be provided in combination with the snare electrode 200 to manipulate the forward and backward movement of the snare electrode 200.
  • the snare electrode coupled to the first manipulation unit moves forward and backward.
  • the first manipulation part is provided with a first gripping groove to facilitate gripping.
  • forward in the first direction refers to the direction of the arrow shown in FIG. 1
  • backward in the first direction refers to the direction opposite to the direction of the arrow shown in FIG. 1.
  • an electricity supply unit 400 provided inside the snare electrode 200 and connected to the electroporation and drug injection unit 300 to supply electricity to the electroporation and drug injection unit 300.
  • the snare electrode 200 is preferably provided in a hollow shape so that the supplied drug can be delivered to the electroporation and drug injection unit 300.
  • the hollow formed inside is used as a passage through which the drug can move.
  • Figure 3 is a diagram for explaining the detailed configuration of the snare electrode of the snare-type electroporation electrode according to a preferred embodiment of the present invention.
  • the snare electrode 200 is formed on an operation unit 210 that moves back and forth in the first direction within the electrode receiving unit 100 and a distal end of the operation unit 210, and the operation unit ( It is preferable that 210) is provided with a snare portion 220 whose inner diameter expands and contracts as it moves forward and backward.
  • the snare unit 220 has a first restoring force to maintain the snare shape, so when the operating unit 210 moves forward, the inner diameter is expanded by the first restoring force, and the operating unit 210 moves backward.
  • the end of the electrode receiving portion 100 may press one side of the snare portion 220 to reduce the inner diameter.
  • the first restoring force refers to the force that maintains the shape of the snare unit 220 when the manipulation unit 210 moves to the forefront.
  • the inner diameter of the snare part 220 is expanded to the greatest extent
  • the force that maintains the shape in which the inner diameter of the snare part 220 is expanded to the greatest extent is the first force. It is resilience.
  • Figure 4 is a diagram for explaining the protruding line of the snare electrode of the snare-shaped electroporation electrode according to a preferred embodiment of the present invention.
  • one side of the snare portion 220 can be gripped during assembly, thereby improving assembly efficiency, and when the manipulation portion 210 moves rearward in the first direction, the snare portion 220 It is possible to further provide a protruding line 221 so that the portion 220 can be aligned and inserted into the electrode receiving portion 100.
  • the snare electrode 200 when inserting the snare electrode 200 into the electrode receiving portion 100, the snare electrode 200 may be pushed too far into the electrode receiving portion 100, requiring reassembly. Occurs.
  • the electrode receiving portion and the snare electrode can be easily reassembled by holding the protruding line 221 provided on the snare electrode 200 or pulling a locking member on the protruding line 221. .
  • the protruding line 221 is preferably positioned to protrude outside the electrode receiving unit 100 when the manipulation unit 210 is moved rearmost.
  • the electricity supply unit 400 is connected to the electroporation and drug injection unit 300, so that when the electricity supply unit moves forward in the first direction, the electroporation and drug injection unit 300 protrudes. As a result, the electroporation and drug injection unit 300 is in close contact with the object, and when the electricity supply unit 400 moves backward in the first direction, the electroporation and drug injection unit is in close contact with the target. It is provided so that the unit 300 can be restored, and the electricity supply unit 400 is preferably made of a hard conductive material.
  • the rigidity is such that when the electricity supply unit 400 is moved forward in the first direction, the electricity supply unit 400 is bent or rolled, preventing the electroporation and drug injection unit 300 from protruding. It is desirable to have strength to prevent failures from occurring. If the rigidity is too high, the inside of the snare electrode may be damaged or the electroporation and drug injection unit 300 may not be able to move flexibly.
  • close contact means hanging the snare part 220 on the treatment object, tightening the treatment object as much as possible by reducing the inner diameter of the snare part 200 to fit the shape or form of the treatment object, and the snare part 220 is connected to the treatment object. While tightening the treatment target as much as possible, the electric supply unit 400 is moved forward in the first direction to protrude the drug injection unit 300, resulting in the drug injection unit 300 penetrating the treatment target. says
  • Figure 5 is a diagram for explaining the detailed configuration of the electroporation and drug injection section of the snare-shaped electroporation electrode according to a preferred embodiment of the present invention.
  • the electroporation and drug injection unit 300 includes a flexible plastic material 310 that is coupled to the snare unit 220 and whose position changes by the operation of the electricity supply unit 400; and a metal material 320 that extends from the flexible plastic material 310 and is in close contact with the target to perform electroporation and drug injection.
  • the flexible plastic material 310 protrudes to the outside of the snare unit 220 or returns to the inside. It is made of a flexible material that can be easily used.
  • the flexible plastic material 310 protrudes out of the snare portion 220 so that the metal material 320 comes into close contact with the object. It is desirable that the metal material 320 be positioned inside the snare unit 220 so that it returns when the electricity supply unit 400 moves backward in the first direction.
  • a second operation unit may be provided in combination with the electricity supply unit 400 to manipulate the forward and backward movement of the electricity supply unit 400.
  • the electricity supply unit coupled to the second operating unit moves forward and backward.
  • the second manipulation unit is provided with a second gripping groove to facilitate gripping.
  • the flexible plastic material 310 has a tapered cross-section so that it can be easily moved when moving the inside and outside of the snare part 220 according to the operation of the electricity supply part 400.
  • Figure 6 is a diagram for explaining the electricity supply hole and drug injection hole of the electroporation and drug injection section of the snare-shaped electroporation electrode according to a preferred embodiment of the present invention.
  • the flexible plastic material 310 stores the drug injected into the electricity supply hole 311 through which electricity transmitted from the electricity supply unit 400 can be supplied and the snare electrode 200. It is preferable that each drug injection hole 312 for delivering the drug to the metal material 310 is provided.
  • Figure 7 is a diagram for explaining electroporation and attachment of a drug injection portion of a snare-shaped electroporation electrode according to a preferred embodiment of the present invention.
  • the metal material 320 is provided with an attachment 321 having a slope at the end to facilitate electroporation and drug injection into the target.
  • the attachment allows the treatment target to penetrate well, thereby maximizing the efficiency of perforation and drug injection.
  • Figures 8 and 9 are diagrams for explaining the electricity supply part of the snare-shaped electroporation electrode according to a preferred embodiment of the present invention.
  • a step is formed in the electricity supply unit 400 to provide a step surface 411 and a step space 410, and the flexible plastic material 310 is located in the step space 410 of the electricity supply unit 400. It has a second restoring force so that when the electric supply unit 400 is manipulated to move forward in the second direction 20 through the second operation unit, the step pushes the flexible plastic material 310 and generates a pressing force.
  • the flexible plastic material 310 may be provided to protrude out of the snare portion 220.
  • the electric supply unit 400 when the electric supply unit 400 is manipulated to move backward in the second direction 20 through the second operation unit, the electric supply unit 400 returns to its original state, and the electric supply unit 400 returns to its original position, thereby causing the flexible
  • the plastic material 310 is positioned again in the step space 410 inside the snare portion 220 by the second restoring force.
  • the flexible plastic material 310 protrudes out of the snare portion 220, and as a result, the metal material 320 protrudes, and the protruding metal material can be in close contact with the treatment target.
  • the second restoring force refers to a force that allows the flexible plastic material 310 to contact the step surface 411 and to position the flexible plastic material 310 in the step space.
  • the second restoring force is provided so that its force is smaller than the pressing force. If the force of the second restoring force is greater than the pressing force, the flexible plastic material 310 may not protrude out of the snare portion 220.
  • the electric supply unit 400 is further provided with a plurality of drug supply holes so that the drug injected into the electric supply unit 400 is delivered to the drug injection hole provided in the electroporation and drug injection unit 300. It is desirable to be
  • the snare-type electroporation electrode When using the snare-type electroporation electrode according to an embodiment of the present invention described above, it has both an electric supply channel and a drug injection channel, so both electroporation and drug injection are possible at the location of the target requiring treatment. It is possible to perform efficient electroporation procedures by increasing the accuracy of electroporation, and can respond to the shape or size of the target through a snare-shaped electrode whose inner diameter can be reduced or expanded depending on the shape or size of the target requiring treatment. Electroporation with improved effectiveness during electroporation and drug injection is possible, and electroporation and drug injection are possible as multiple metal materials provided at the end of the snare-shaped electrode penetrate the target requiring treatment, making it possible to perform electroporation and drug injection. It is different from other types of electrodes and enables efficient killing of target cells.

Abstract

The present invention relates to a snare-shaped electrode for electroporation, which applies electroporation to and injects a drug into a subject which is to be electroporated and injected with drug, the snare-shaped electrode comprising: an electrode receiving part (100) having a cylindrical shape and having a hole (110) formed therein; a snare electrode (200) inserted into the hole (110) and allowing the inner diameter to be expanded or reduced by forward and backward movement in a first direction (10) in the electrode receiving part (100); a plurality of electroporation and drug injection parts (300) coupled to connection holes (222) formed through the inner circumferential surface of the snare electrode (200) to come into direct contact with the subject; and an electricity supplying part (400) provided in the snare electrode (200) and connected to the electroporation and drug injection parts (300) to supply electricity to the electroporation and drug injection parts (300).

Description

스네어 형태의 전기천공용 전극Snare-shaped electroporation electrode
본 발명은 스네어 형태의 전기천공용 전극에 관한 것으로, 보다 상세하게는, 전기천공 및 약물주입 대상에 전기천공 및 약물주입이 가능한 전극으로서, 내경이 확장되거나 축소되는 스네어 형태의 전극으로 구비되어 대상의 크기나 모양에 따라 가장 적합한 형태로 전기천공 및 약물주입이 가능하여, 결과적으로 유효성을 높인 전기천공법을 통해 효율적으로 대상을 사멸시킬 수 있는 스네어 형태의 전기천공용 전극에 관한 것이다.The present invention relates to a snare-shaped electroporation electrode, and more specifically, to an electrode capable of electroporation and drug injection into a subject for electroporation and drug injection, which is provided as a snare-shaped electrode with an inner diameter that expands or reduces the target. This relates to a snare-shaped electroporation electrode that allows electroporation and drug injection in the most appropriate form depending on the size or shape of the electrode, and as a result, can efficiently kill the target through electroporation with increased effectiveness.
종양은 자율성을 가지고 과잉으로 발육한 체내의 세포를 의미한다. 종양은 개체의 전체성과는 관계없이 발육한다. 종양은 악성 종양과 양성 종양으로 나누어지며, 악성 종양을 암이라고 한다. 양성 종양은 암이 아니기 때문에 그 부위에 따라 절제를 하면 큰 문제는 없다.A tumor refers to cells in the body that have grown autonomously and excessively. Tumors develop regardless of the overall health of the organism. Tumors are divided into malignant tumors and benign tumors, and malignant tumors are called cancer. Since benign tumors are not cancerous, there is no major problem if they are resected according to the area.
종양을 치료하기 위해서는 종양을 절제하는 외과적인 방법, 종양에 방사선을 쬐어 조직을 파괴하는 방법, 그리고 항암제를 투여하여 악성 종양인 암세포를 괴사시키는 방법 등이 사용되고 있다. 초기 암 종양에 대해서는 종양을 절제하는 외과적 방법을 사용할 수 있다. 그러나, 악성 종양에 대해서는 위험 부담이 있고, 방사선 치료나 항암제 치료는 초기에는 효과가 크나 악성 종양은 효과가 크지 않다. To treat a tumor, surgical methods to excise the tumor, a method to destroy the tissue by irradiating the tumor, and a method to kill cancer cells, which are malignant tumors, by administering anticancer drugs are used. For early-stage cancerous tumors, surgical methods to excise the tumor can be used. However, there is a risk for malignant tumors, and although radiation therapy or chemotherapy treatment is initially effective, it is not effective for malignant tumors.
더욱이, 환자의 면역력이 떨어져서 몸이 허약해지므로, 허약한 환자들에게 적용할 수 없기 떄문에 항암제를 투여하여 악성 종양인 암세포를 괴사시키는 방법을 활용해야 하며, 악성 종양에 함암제를 투여하는 방법에는 전기천공법을 활용하고 있다.Moreover, since the patient's immune system is low and the body becomes weak, it cannot be applied to weak patients. Therefore, a method of administering anticancer drugs to kill cancer cells, which are malignant tumors, must be used. Methods of administering anticancer drugs to malignant tumors include: Electroporation is used.
전기천공은 전기 자극으로 세포에 nanosecond ~ millisecond 정도의 폭을 가지는 전기 펄스를 일정 범위 세기로 인가하여 세포막 표면에 나노미터 크기의 미세한 기공을 형성하는 기술로, 1970년대 발견 이래 수십 년 동안 다양한 생명공학 분야에 적용됐다. 적절한 전기 펄스 조건에서 생성된 세포막 표면의 미세 기공은 일정 시간 후 다시 사라지는 가역적 특성을 가져 이것을 가역적 전기천공(reversible electroporation)이라 부르며, 주로 친수성 약물, 유전자, 효소, 항체 등의 물질을 세포 내로 주입하는 데 사용됐다. Electroporation is a technology that forms nanometer-sized pores on the surface of cell membranes by applying electric pulses with a width of nanoseconds to milliseconds to cells through electrical stimulation at a certain range of intensity. Since its discovery in the 1970s, it has been used in various biotechnologies for decades. applied to the field. Micropores on the cell membrane surface created under appropriate electric pulse conditions have the reversible property of disappearing again after a certain period of time, which is called reversible electroporation. It is mainly used to inject substances such as hydrophilic drugs, genes, enzymes, and antibodies into cells. It was used to
반면 이것보다 강한 전기 펄스에 따라 생성된 미세 기공은 사라지지 않고 결국 세포의 생명력을 잃게 하는 기전으로 작용하며, 이것을 비가역 전기천공(irreversible electroporation)이라고 한다. 비가역적 전기천공 기술은 가역적 전기천공 측면에서는 바람직한 현상이 아니지만, 반대로 그 장점을 이용한 기술적 접근도 이루어지고 있다.On the other hand, fine pores created by stronger electric pulses do not disappear and act as a mechanism that ultimately causes the cells to lose their vitality, which is called irreversible electroporation. Irreversible electroporation technology is not a desirable phenomenon in terms of reversible electroporation, but on the contrary, technological approaches that take advantage of its advantages are also being made.
오래전부터 전기천공은 주로 식품산업에서 미생물을 죽이는 기술이나 세포에 대한 체외(in vitro) 유전자 주입 기술에서 응용됐으나, 기술의 발달로 암을 치료하기 위한 의학적 기술로 큰 주목을 받으면서 많은 연구가 진행되고 있다. 전기천공의 응용 분야는 포유류 세포, 식물 세포, 효모, 다른 진행 세포, 박테리아, 다른 미생물 및 인체로부터의 세포와 같은 다양한 세포에 DNA, RNA, siRNA, 펩타이드, 단백질, 항체, 약물 또는 다른 물질의 전달을 포괄한다. 전달 과정에서의 전기 자극은 다른 융합 세포의 생산에서 세포 융합을 위해 사용될 수도 있다. For a long time, electroporation was mainly used in the food industry as a technology to kill microorganisms or as an in vitro gene injection technology for cells, but with the development of technology, it received great attention as a medical technology for treating cancer, and many studies were conducted. there is. Applications of electroporation include the delivery of DNA, RNA, siRNA, peptides, proteins, antibodies, drugs or other substances to a variety of cells such as mammalian cells, plant cells, yeast, other processing cells, bacteria, other microorganisms and cells from the human body. encompasses. Electrical stimulation during the delivery process can also be used for cell fusion in the production of other fused cells.
먼저 in vitro 방식의 세포 융합에서는 세포는 세포 생존에 유리한 버퍼 또는 배지에 현탁 되고, 세포 현탁액은 전기 방전을 위한 적어도 하나 이상의 평면 전극이 삽입된 직사각형 큐벳에 놓인다. 즉 전극 사이에 세포와 해당 세포에 주입하고자 하는 핵산, 약물 및 기타 화합물을 포함하는 외래 분자를 포함하는 혼합용액을 담지한 후 외부에서 전기 펄스를 가하면 초기 세포막 표면에 작은 기공이 형성되어 주위에 존재하던 외래 분자 일부가 세포 안으로 이동하며, 외부 전원을 차단하면 다시 세포막 표면의 기공이 사라져 초기 세포막의 상태로 되돌아오게 되는 현상을 이용하여 세포막을 통과하지 못하는 물질을 세포 내로 주입할 수 있도록 하는 것이다. First, in in vitro cell fusion, cells are suspended in a buffer or medium favorable for cell survival, and the cell suspension is placed in a rectangular cuvette into which at least one flat electrode for electrical discharge is inserted. That is, when a mixed solution containing cells and foreign molecules including nucleic acids, drugs, and other compounds to be injected into the cells is placed between the electrodes and an electric pulse is applied from the outside, small pores are formed on the surface of the initial cell membrane and exist around it. Some foreign molecules move into the cell, and when the external power source is turned off, the pores on the cell membrane surface disappear and return to the initial state of the cell membrane. By taking advantage of this phenomenon, substances that cannot pass through the cell membrane can be injected into the cell.
이러한 전기천공이 가능한 종래의 전기천공기는 보통 전기신호 또는 펄스형 전기신호를 출력하는 본체부; 상기 본체부에서 출력되는 전기신호를 모니터링 하는 감시부; 감시부에서 장애가 검출되면 경보 신호음을 발생시키고, 치료가 종료되면 치료종료 신호음을 발생시키는 경보부; 환자 데이터 또는 치료 데이터를 저장하는 저장부; 환자 데이터 입력화면 또는 치료 화면을 표시하는 표시부; 환자 데이터 또는 치료 설정 데이터를 입력받는 입력부; 및 상기 입력부로부터 입력된 상기 치료 설정 데이터에 따라 상기 전기신호를 설정하고, 상기 전기신호가 인가되도록 상기 본체부를 제어하는 제어부를 포함하고 출력된 펄스는 별도의 핸드피스타입의 전극 어플리케이터를 이용하는 구성이 일반적이다. Conventional electroporators capable of such electroporation usually include a main body that outputs electrical signals or pulse-type electrical signals; a monitoring unit that monitors electrical signals output from the main body; An alarm unit that generates an alarm signal when a failure is detected in the monitoring unit and generates a treatment completion signal when treatment is completed; a storage unit that stores patient data or treatment data; A display unit that displays a patient data input screen or treatment screen; An input unit that receives patient data or treatment setting data; and a control unit that sets the electrical signal according to the treatment setting data input from the input unit and controls the main body unit to apply the electrical signal, and the output pulse is configured to use a separate handpiece-type electrode applicator. It's common.
그러나, 종래의 전기천공기는 니들 타입으로서, 세포사멸 약물을 종양 부위에 광범위하게 주사한 후 전기천공을 가하는 방식으로, 종양 이외의 주변조직으로 퍼진 항암약물에 의해 부작용이 발생할 수 있으며, 기존 피부 종양에 적용하는 전기천공법을 심부에 적용할 경우 약물주입을 위해 바늘을 삽입하고 전기천공을 위한 전극을 재삽입하는 과정에서 타겟팅 정밀도가 떨어질 수 있었다.However, the conventional electroporator is a needle type, which involves widely injecting an apoptotic drug into the tumor area and then applying electroporation. Side effects may occur due to the anticancer drug spreading to surrounding tissues other than the tumor, and existing skin tumors When electroporation is applied to deep areas, targeting precision may decrease during the process of inserting the needle for drug injection and reinserting the electrode for electroporation.
관련하여 특허 문헌 대한민국 공개특허 제10-2020-0109626호(2020.09.23. 공개. 발명의 명칭 : 비가역적 전기천공용 전극)에 따르면, " 전극은 양전극부 및 음전극부를 포함하고, 양전극부와 음전극부는 교변하여 일방향을 따라 연속 연결되고, 양전극부는 백금을 포함하고, 음전극부는 광섬유를 포함하고, 전극은 근적외선과 펄스를 인가하는 종양 치료에 사용되는 비가역적 전기천공용 전극"이라는 기술이 개시되어 있다. In relation to this, according to the patent document Republic of Korea Patent Publication No. 10-2020-0109626 (published on September 23, 2020. Name of the invention: electrode for irreversible electroporation), “the electrode includes a positive electrode portion and a negative electrode portion, and the positive electrode portion and the negative electrode The technology is disclosed as "an irreversible electroporation electrode used for tumor treatment where the parts alternate and are continuously connected along one direction, the positive electrode part contains platinum, the negative electrode part contains an optical fiber, and the electrode applies near-infrared rays and pulses. .
하지만, 위 특허 문헌에서는 광섬유를 통해 근적외선과 펄스를 둘다 인가하여 세포막의 상태 변화에 일조하는 전기천공용 전극이지만, 전기천공과 약물주입이 모두 가능한 융복합 전극에 대한 구성, 암세포의 크기나 형태에 대응하여 내경이 확장되거나 축소될 수 있는 스네어 타입의 전극, 전극이 암세포를 뚫고 들어감으로써 전기천공 및 약물주입의 유효성을 향상시키는 기술과 관련된 기술의 특징적 구성에 대해서는 전혀 개시되어 있지 않아 종래의 문제점을 해결할 수 없었다. However, in the above patent document, it is an electroporation electrode that contributes to changes in the state of the cell membrane by applying both near-infrared rays and pulses through an optical fiber, but the configuration of a fusion electrode capable of both electroporation and drug injection, and the size and shape of cancer cells. There is no disclosure at all about the characteristic configuration of the technology related to the snare-type electrode whose inner diameter can be expanded or reduced correspondingly, and the technology that improves the effectiveness of electroporation and drug injection by allowing the electrode to penetrate cancer cells, thereby solving the problems of the prior art. Couldn't solve it.
따라서, 전기천공 및 약물주입 대상에 전기천공 및 약물주입이 가능하고, 내경이 확장되거나 축소되는 스네어 형태의 전극으로 구비되어 대상의 크기나 모양에 따라 가장 적합한 형태로 전기천공 및 약물주입이 가능하여, 결과적으로 유효성을 높인 전기천공법을 통해 효율적으로 대상을 사멸시킬 수 있는 스네어 형태의 전기천공용 전극에 대한 필요성이 존재하는 것이다.Therefore, electroporation and drug injection are possible into the target, and it is equipped with a snare-shaped electrode with an inner diameter that expands or contracts, allowing electroporation and drug injection in the most appropriate form depending on the size or shape of the target. , As a result, there is a need for a snare-type electroporation electrode that can efficiently kill a target through electroporation with increased effectiveness.
[선행기술문헌][Prior art literature]
[특허문헌][Patent Document]
(특허문헌 1) 대한민국 공개특허 제10-2020-0109626호(2020.09.23. 공개. 발명의 명칭 : 비가역적 전기천공용 전극)(Patent Document 1) Republic of Korea Patent Publication No. 10-2020-0109626 (published on September 23, 2020. Title of invention: Electrode for irreversible electroporation)
본 발명이 이루고자 하는 기술적 과제는, 전술한 바와 같은 문제점 내지는 필요성을 해결하기 위한 것으로, 전기천공 및 약물주입 대상에 전기천공 및 약물주입이 모두 가능한 스네어 형태의 전기천공용 전극을 제공하는 것이다.The technical problem to be achieved by the present invention is to solve the problems or needs described above, and is to provide a snare-shaped electroporation electrode capable of both electroporation and drug injection into a subject.
본 발명의 다른 목적은, 내경이 확장되거나 축소되는 스네어 형태의 전극을 통해 사멸 대상의 크기나 모양에 따라 가장 적합한 형태로 전기천공 및 약물주입이 가능한 스네어 형태의 전기천공용 전극을 제공하는 것이다.Another object of the present invention is to provide a snare-shaped electroporation electrode that allows electroporation and drug injection in the most suitable form according to the size or shape of the target to be killed through a snare-shaped electrode whose inner diameter is expanded or reduced.
한편, 본 발명에서 이루고자 하는 기술적 과제들은 이상에서 언급한 기술적 과제들로 제한되지 않으며, 언급하지 않은 또 다른 기술적 과제들은 아래의 기재로부터 본 발명이 속하는 기술분야에서 통상의 지식을 가진 자에게 명확하게 이해될 수 있을 것이다.Meanwhile, the technical problems to be achieved in the present invention are not limited to the technical problems mentioned above, and other technical problems not mentioned will be clearly apparent to those skilled in the art from the description below. It will be understandable.
상술한 과제를 실현하기 위한 본원 발명의 일 실시예에 따른 스네어 형태의 전기천공용 전극은, 전기천공 및 약물주입 대상에 전기천공 및 약물을 주입하는 스네어 형태의 전기천공용 전극으로서, 원통 형상으로 내부에 홀(110)이 형성되는 전극수용부(100);를 포함한다.The snare-shaped electroporation electrode according to an embodiment of the present invention for realizing the above-described problem is a snare-shaped electroporation electrode for electroporation and drug injection into a target for electroporation and drug injection, and has a cylindrical shape. It includes an electrode receiving portion 100 in which a hole 110 is formed.
여기에, 상기 홀(110)에 내입되어 상기 전극수용부(100) 내부에서 제 1 방향으로 전후방이동하며 내경이 확장 및 축소되는 스네어 전극(200);과 상기 스네어 전극(200)의 내주면에 형성된 연결공(222)에 결합되어 상기 대상에 직접 접촉하는 복수개의 전기천공 및 약물주입부(300);를 포함한다.Here, a snare electrode 200 is inserted into the hole 110 and moves forward and backward in the first direction inside the electrode receiving portion 100, and the inner diameter is expanded and contracted; and formed on the inner peripheral surface of the snare electrode 200. It includes a plurality of electroporation and drug injection units 300 that are coupled to the connection hole 222 and directly contact the object.
여기서, 상기 스네어 전극(200) 내부에 구비되어 상기 전기천공 및 약물주입부(300)와 연결됨으로써 상기 전기천공 및 약물주입부(300)에 전기를 공급하는 전기공급부(400);를 포함한다.Here, an electricity supply unit 400 is provided inside the snare electrode 200 and connected to the electroporation and drug injection unit 300 to supply electricity to the electroporation and drug injection unit 300.
이때, 상기 스네어 전극(200)은 공급된 약물이 상기 전기천공 및 약물주입부(300)에 전달될 수 있도록 중공형으로 구비되고, 상기 전극수용부(100) 내부에서 제 1 방향으로 전후이동하는 조작부(210); 및 상기 조작부(210)의 선단부에 형성되어 상기 조작부(210)가 전후방이동함에 따라 내경이 확장 및 축소되는 스네어부(220);로 구비된다.At this time, the snare electrode 200 is provided in a hollow shape so that the supplied drug can be delivered to the electroporation and drug injection unit 300, and moves back and forth in the first direction within the electrode receiving unit 100. Control unit 210; and a snare portion 220 formed at the distal end of the operating unit 210, the inner diameter of which expands and contracts as the operating unit 210 moves forward and backward.
여기서, 상기 스네어부(220)는 스네어 형상을 유지하도록 제 1 복원력을 가지고 있어 상기 조작부(210)가 전방으로 이동할 경우에는 상기 제 1 복원력에 의해 내경이 확장되고, 상기 조작부(210)가 후방으로 이동할 경우에는 상기 전극수용부(100)의 종단이 상기 스네어부(220)의 일측을 가압하여 내경이 축소되는 것이 가능하다.Here, the snare unit 220 has a first restoring force to maintain the snare shape, so when the operating unit 210 moves forward, the inner diameter is expanded by the first restoring force, and the operating unit 210 moves backward. When moving, the end of the electrode receiving portion 100 may press one side of the snare portion 220 to reduce the inner diameter.
또한, 상기 스네어부(220)의 일측에는 조립 시 파지가 가능하여 조립성이 향상될 수 있고, 상기 조작부(210)가 제 1 방향으로 최후방 이동할 경우에 상기 스네어부(220)가 상기 전극수용부(100)에 정렬되어 내입될 수 있도록 돌출라인(221);이 더 구비되는 것이다.In addition, one side of the snare portion 220 can be gripped during assembly, thereby improving assembly efficiency, and when the manipulation portion 210 moves rearward in the first direction, the snare portion 220 accommodates the electrode. A protruding line 221 is further provided so that it can be aligned and inserted into the portion 100.
한편, 상기 전기공급부(400)는 상기 전기천공 및 약물주입부(300)와 연결되어 있어, 상기 전기공급부가 제 1 방향의 전방으로 이동할 경우에는, 상기 전기천공 및 약물주입부(300)를 돌출시켜 결과적으로 상기 전기천공 및 약물주입부(300)가 상기 대상에 밀착 접촉하고, 상기 전기공급부(400)가 제 1 방향의 후방으로 이동할 경우에는, 상기 대상에 밀착 접촉된 상기 전기천공 및 약물주입부(300)가 원복되도록 구비되며, 상기 전기공급부(400)는 경성의 도전성 재질로 구비되는 것이 바람직하다.Meanwhile, the electricity supply unit 400 is connected to the electroporation and drug injection unit 300, so that when the electricity supply unit moves forward in the first direction, the electroporation and drug injection unit 300 protrudes. As a result, the electroporation and drug injection unit 300 is in close contact with the object, and when the electricity supply unit 400 moves backward in the first direction, the electroporation and drug injection unit is in close contact with the target. The unit 300 is provided to be restored, and the electricity supply unit 400 is preferably made of a hard conductive material.
또한, 상기 전기천공 및 약물주입부(300)는 상기 스네어부(220)에 결합하여 상기 전기공급부(400)의 동작에 의해 위치가 변하는 유연플라스틱재(310); 및 상기 유연플라스틱재(310)에 연장형성되어 상기 대상에 밀접 접촉해 전기천공 및 약물주입을 하는 금속재(320);로 구비된다.In addition, the electroporation and drug injection unit 300 includes a flexible plastic material 310 that is coupled to the snare unit 220 and whose position changes by the operation of the electricity supply unit 400; and a metal material 320 that extends from the flexible plastic material 310 and is in close contact with the target to perform electroporation and drug injection.
이때, 상기 유연플라스틱재(310)는 상기 전기공급부(400)가 제 1 방향의 전방으로 이동할 경우에는, 상기 금속재(320)가 상기 대상에 밀접 접촉하기 위해 상기 스네어부(220)의 외부로 돌출하여 위치하고, 상기 전기공급부(400)가 제 1 방향의 후방으로 이동할 경우에는, 상기 금속재(320)가 원복하도록 상기 스네어부(220)의 내부로 들어와 위치하도록 구비되는 것이다.At this time, when the electric supply unit 400 moves forward in the first direction, the flexible plastic material 310 protrudes out of the snare portion 220 so that the metal material 320 comes into close contact with the object. It is positioned so that when the electricity supply unit 400 moves rearward in the first direction, the metal material 320 is positioned inside the snare unit 220 to return to its original position.
여기서, 상기 유연 플라스틱재(310)는 상기 전기공급부(400)의 동작에 따라, 상기 스네어부(220)의 내외부를 이동할 때, 용이하게 움직일 수 있도록 단면이 테이퍼드(tapered) 형상으로 구비되는 것이 바람직하다.Here, the flexible plastic material 310 has a tapered cross-section so that it can be easily moved when moving inside and outside the snare part 220 according to the operation of the electricity supply part 400. desirable.
또한, 상기 유연 플라스틱재(310)는 상기 전기공급부(400)로부터 전달된 전기가 공급될 수 있는 전기공급홀(311); 및 상기 스네어 전극(200)에 주입된 약물을 상기 금속재(310)에 전달하는 약물주입홀(312);이 각각 구비되는 것이다.In addition, the flexible plastic material 310 includes an electricity supply hole 311 through which electricity transmitted from the electricity supply unit 400 can be supplied; and a drug injection hole 312 for delivering the drug injected into the snare electrode 200 to the metal material 310.
한편, 상기 금속재(320)는 상기 대상에 용이하게 전기천공과 약물주입이 가능하도록 종단에 기울기가 형성된 첨부(321)로 구비되는 것이 바람직하다.Meanwhile, the metal material 320 is preferably provided with an attachment 321 having a slope at its end to facilitate electroporation and drug injection into the target.
이에 본 발명에 따른 스네어 형태의 전기천공용 전극에 따르면, Accordingly, according to the snare-shaped electroporation electrode according to the present invention,
첫째, 전기공급채널과 약물주입채널을 모두 가지고 있어 치료가 필요한 대상의 위치에 전기천공 및 약물주입이 모두 가능하여 전기천공법의 정확도를 높혀 효율적으로 전기천공법 시술을 할 수 있다.First, since it has both an electric supply channel and a drug injection channel, both electroporation and drug injection are possible at the location of the target requiring treatment, thereby improving the accuracy of the electroporation method and enabling efficient electroporation treatment.
둘째, 치료가 필요한 대상의 모양이나 크기에 따라 내경이 축소되거나 확장되는 것이 가능한 스네어 형태의 전극을 통해 대상의 모양이나 크기에 대응할 수 있어 전기천공 및 약물주입 시 유효성을 향상시킨 전기천공법 시술이 가능하다.Second, electroporation is an electroporation procedure that improves the effectiveness of electroporation and drug injection by responding to the shape or size of the target through a snare-shaped electrode whose inner diameter can be reduced or expanded depending on the shape or size of the target requiring treatment. possible.
셋째, 스네어 형태의 전극 끝단에 구비된 복수의 금속재가 치료가 필요한 대상을 뚫고 들어간 이후, 전기천공 및 약물주입을 진행하기 때문에 종래의 니들 타입의 전극과는 차별화되어 대상 세포의 효율적인 사멸이 가능하다. Third, after the multiple metal materials provided at the end of the snare-shaped electrode penetrate the target requiring treatment, electroporation and drug injection are performed, making it different from the conventional needle-type electrode and enabling efficient killing of target cells. .
한편, 본 발명에서 얻을 수 있는 효과는 이상에서 언급한 효과들로 제한되지 않으며, 언급하지 않은 또 다른 효과들은 아래의 기재로부터 본 발명이 속하는 기술분야에서 통상의 지식을 가진 자에게 명확하게 이해될 수 있을 것이다.Meanwhile, the effects that can be obtained from the present invention are not limited to the effects mentioned above, and other effects not mentioned will be clearly understood by those skilled in the art from the description below. You will be able to.
본 명세서에 첨부되는 다음의 도면들은 본 발명의 바람직한 일실시예를 예시하는 것이며, 발명의 상세한 설명과 함께 본 발명의 기술적 사상을 더욱 이해시키는 역할을 하는 것이므로, 본 발명은 그러한 도면에 기재된 사항에만 한정되어 해석되어서는 아니 된다.The following drawings attached to this specification illustrate a preferred embodiment of the present invention, and serve to further understand the technical idea of the present invention along with the detailed description of the invention. Therefore, the present invention is limited to the matters described in such drawings. It should not be interpreted in a limited way.
도 1 및 2는 본 발명의 바람직한 일 실시예에 따른 스네어 형태의 전기천공용 전극의 전체적인 구성을 설명하기 위한 도면이다.1 and 2 are diagrams for explaining the overall configuration of a snare-shaped electroporation electrode according to a preferred embodiment of the present invention.
도 3은 본 발명의 바람직한 일 실시예에 따른 스네어 형태의 전기천공용 전극의 스네어 전극의 자세한 구성을 설명하기 위한 도면이다.Figure 3 is a diagram for explaining the detailed configuration of the snare electrode of the snare-type electroporation electrode according to a preferred embodiment of the present invention.
도 4는 본 발명의 바람직한 일 실시예에 따른 스네어 형태의 전기천공용 전극의 스네어 전극의 돌출라인을 설명하기 위한 도면이다.Figure 4 is a diagram for explaining the protruding line of the snare electrode of the snare-shaped electroporation electrode according to a preferred embodiment of the present invention.
도 5는 본 발명의 바람직한 일 실시예에 따른 스네어 형태의 전기천공용 전극의 전기천공 및 약물주입부의 자세한 구성을 설명하기 위한 도면이다.Figure 5 is a diagram for explaining the detailed configuration of the electroporation and drug injection section of the snare-shaped electroporation electrode according to a preferred embodiment of the present invention.
도 6은 본 발명의 바람직한 일 실시예에 따른 스네어 형태의 전기천공용 전극의 전기천공 및 약물주입부의 전기공급홀 및 약물주입홀을 설명하기 위한 도면이다.Figure 6 is a diagram for explaining the electricity supply hole and drug injection hole of the electroporation and drug injection section of the snare-shaped electroporation electrode according to a preferred embodiment of the present invention.
도 7은 본 발명의 바람직한 일 실시예에 따른 스네어 형태의 전기천공용 전극의 전기천공 및 약물주입부의 첨부를 설명하기 위한 도면이다.Figure 7 is a diagram for explaining electroporation and attachment of a drug injection portion of a snare-shaped electroporation electrode according to a preferred embodiment of the present invention.
도 8 및 9는 본 발명의 바람직한 일 실시예에 따른 스네어 형태의 전기천공용 전극의 전기공급부를 설명하기 위한 도면이다.Figures 8 and 9 are diagrams for explaining the electricity supply part of the snare-shaped electroporation electrode according to a preferred embodiment of the present invention.
본 명세서에 개시되어 있는 본 발명의 개념에 따른 실시 예들에 대해서 특정한 구조적 또는 기능적 설명은 단지 본 발명의 개념에 따른 실시 예들을 설명하기 위한 목적으로 예시된 것으로서, 본 발명의 개념에 따른 실시 예들은 다양한 형태들로 실시될 수 있으며 본 명세서에 설명된 실시 예들에 한정되지 않는다.Specific structural or functional descriptions of the embodiments according to the concept of the present invention disclosed in this specification are merely illustrative for the purpose of explaining the embodiments according to the concept of the present invention, and the embodiments according to the concept of the present invention are It may be implemented in various forms and is not limited to the embodiments described herein.
본 발명의 개념에 따른 실시 예들은 다양한 변경들을 가할 수 있고 여러 가지 형태들을 가질 수 있으므로 실시 예들을 도면에 예시하고 본 명세서에서 상세하게 설명하고자 한다. 그러나 이는 본 발명의 개념에 따른 실시 예들을 특정한 개시 형태들에 대해 한정하려는 것이 아니며, 본 발명의 사상 및 기술 범위에 포함되는 모든 변경, 균등물, 또는 대체물을 포함한다.Since the embodiments according to the concept of the present invention can make various changes and have various forms, the embodiments will be illustrated in the drawings and described in detail in this specification. However, this is not intended to limit the embodiments according to the concept of the present invention to specific disclosed forms, and includes all changes, equivalents, or substitutes included in the spirit and technical scope of the present invention.
전기천공은 전기 자극으로 세포에 nanosecond ~ millisecond 정도의 폭을 가지는 전기 펄스를 일정 범위 세기로 인가하여 세포막 표면에 나노미터 크기의 미세한 기공을 형성하는 기술로, 1970년대 발견 이래 수십 년 동안 다양한 생명공학 분야에 적용됐다. 적절한 전기 펄스 조건에서 생성된 세포막 표면의 미세 기공은 일정 시간 후 다시 사라지는 가역적 특성을 가져 이것을 가역적 전기천공(reversible electroporation)이라 부르며, 주로 친수성 약물, 유전자, 효소, 항체 등의 물질을 세포 내로 주입하는 데 사용됐다. Electroporation is a technology that forms nanometer-sized pores on the surface of cell membranes by applying electric pulses with a width of nanoseconds to milliseconds to cells through electrical stimulation at a certain range of intensity. Since its discovery in the 1970s, it has been used in various biotechnologies for decades. applied to the field. Micropores on the cell membrane surface created under appropriate electric pulse conditions have the reversible property of disappearing again after a certain period of time, which is called reversible electroporation. It is mainly used to inject substances such as hydrophilic drugs, genes, enzymes, and antibodies into cells. It was used to
반면 이것보다 강한 전기 펄스에 따라 생성된 미세 기공은 사라지지 않고 결국 세포의 생명력을 잃게 하는 기전으로 작용하며, 이것을 비가역 전기천공(irreversible electroporation)이라고 한다. 비가역적 전기천공 기술은 가역적 전기천공 측면에서는 바람직한 현상이 아니지만, 반대로 그 장점을 이용한 기술적 접근도 이루어지고 있다.On the other hand, fine pores created by stronger electric pulses do not disappear and act as a mechanism that ultimately causes the cells to lose their vitality, which is called irreversible electroporation. Irreversible electroporation technology is not a desirable phenomenon in terms of reversible electroporation, but on the contrary, technological approaches that take advantage of its advantages are also being made.
그러나, 종래의 전기천공기는 니들 타입으로서, 세포사멸 약물을 종양 부위에 광범위하게 주사한 후 전기천공을 가하는 방식으로, 종양 이외의 주변조직으로 퍼진 항암약물에 의해 부작용이 발생할 수 있으며, 기존 피부 종양에 적용하는 전기천공법을 심부에 적용할 경우 약물주입을 위해 바늘을 삽입하고 전기천공을 위한 전극을 재삽입하는 과정에서 타겟팅 정밀도가 떨어질 수 있었다.However, the conventional electroporator is a needle type, which involves widely injecting an apoptotic drug into the tumor area and then applying electroporation. Side effects may occur due to the anticancer drug spreading to surrounding tissues other than the tumor, and existing skin tumors When electroporation is applied to deep areas, targeting precision may decrease during the process of inserting the needle for drug injection and reinserting the electrode for electroporation.
이에 본 발명은, 전기천공 및 약물주입 대상에 전기천공 및 약물주입이 가능한 전극으로서, 내경이 확장되거나 축소되는 스네어 형태로 구비되어 대상의 크기나 모양에 따라 가장 적합한 형태로 전기천공 및 약물주입이 가능하여 효율적으로 대상을 사멸시킬 수 있는 스네어 형태의 전기천공용 전극에 대한 것으로, 도면을 참조하여 아래에서 설명하기로 한다.Accordingly, the present invention is an electrode capable of electroporation and drug injection into an electroporation and drug injection target. It is provided in the form of a snare with an inner diameter that expands or contracts, allowing electroporation and drug injection in the most suitable form depending on the size or shape of the target. This is about a snare-shaped electroporation electrode that can kill a target as efficiently as possible, and will be described below with reference to the drawings.
도 1 및 2는 본 발명의 바람직한 일 실시예에 따른 스네어 형태의 전기천공용 전극의 전체적인 구성을 설명하기 위한 도면이다.1 and 2 are diagrams for explaining the overall configuration of a snare-shaped electroporation electrode according to a preferred embodiment of the present invention.
본 발명의 일 실시 예에 따르는 전기천공 및 약물주입 대상에 전기천공 및 약물을 주입하는 스네어 형태의 전기천공용 전극은 먼저, 도 1 및 2에 도시된 바와 같이 원통 형상으로 내부에 홀(110)이 형성되는 전극수용부(100)를 포함한다.The snare-shaped electroporation electrode for electroporation and drug injection into an electroporation and drug injection target according to an embodiment of the present invention has a cylindrical shape and a hole 110 inside, as shown in FIGS. 1 and 2. It includes an electrode receiving portion 100 that is formed.
또한, 상기 홀(110)에 내입되어 상기 전극수용부(100) 내부에서 제 1 방향(10)으로 전후방이동하며 내경이 확장 및 축소되는 스네어 전극(200)과 상기 스네어 전극(200)의 내주면에 형성된 연결공(222)에 결합되어 상기 대상에 직접 접촉하는 복수개의 전기천공 및 약물주입부(300)를 포함한다.In addition, the snare electrode 200 is inserted into the hole 110 and moves forward and backward in the first direction 10 inside the electrode receiving portion 100, and the inner diameter of the snare electrode 200 is expanded and contracted, and on the inner peripheral surface of the snare electrode 200. It includes a plurality of electroporation and drug injection units 300 that are coupled to the formed connection hole 222 and directly contact the object.
여기서, 상기 대상은 구강암 등과 같이 별도의 장비 없이 눈으로 바로 식별 가능한 암이거나, 대장암 또는 위암 등과 같이 내시경 카메라를 통해 눈으로 식별 가능한 암인 것이 바람직하다. Here, it is preferable that the target is a cancer that can be immediately identified by the eye without any additional equipment, such as oral cancer, or a cancer that can be visually identified through an endoscopic camera, such as colon cancer or stomach cancer.
구강암, 대장암 또는 위암 등과 같은 암은 스네어를 걸어서 조이기 용이한 모양 또는 형태를 가지고 있어, 스네어 전극이 가장 고효율로 전기천공 및 약물주입이 가능한 암의 형태인 것이다.Cancers such as oral cancer, colon cancer, or stomach cancer have a shape or form that makes it easy to tighten a snare, so the snare electrode is the type of cancer that allows electroporation and drug injection with the highest efficiency.
한편, 스네어(snare)란 올가미를 뜻하며, 어떠한 것을 걸어 조일 수 있는 형태를 말한다. 다시 말해, 상기 스네어 전극으로 암세포와 같은 치료 대상을 걸고, 그다음 스네어 전극을 조임으로써 스네어 전극이 치료 대상을 조이는 형태로 접촉될 수 있는 것이다.Meanwhile, a snare means a noose, and is a shape that can tighten something by hanging it. In other words, by hooking a treatment target, such as cancer cells, onto the snare electrode and then tightening the snare electrode, the snare electrode can be brought into contact with the treatment target.
상기 스네어 전극(200)의 내경이 확장 및 축소되는 것의 의미는, 상기 스네어 전극(200)의 굵기가 변경되는 것이 아닌, 굵기는 동일한 상태에서 상기 스네어 전극(200)이 전후방이동함으로써 변경되는 지름의 길이를 말한다. The meaning of the expansion and contraction of the inner diameter of the snare electrode 200 is not that the thickness of the snare electrode 200 is changed, but that the diameter is changed by moving the snare electrode 200 forward and backward while the thickness is the same. refers to the length
다시 말해, 상기 스네어 전극(200)이 전방으로 이동할 경우에는 지름의 길이가 길어져 내경이 확장되고, 반대로 상기 스네어 전극(200)이 후방으로 이동할 경우에는 지름의 길이가 줄어들어 내경이 축소되는 것이다.In other words, when the snare electrode 200 moves forward, the length of the diameter increases and the inner diameter expands. Conversely, when the snare electrode 200 moves backward, the length of the diameter decreases and the inner diameter decreases.
여기서, 스네어 전극(200)과 결합하여 스네어 전극(200)의 전후방이동을 조작하는 제 1 조작부가 구비될 수 있다. 제 1 조작부를 전후방이동시키면, 제 1 조작부와 결합되어 있는 스네어 전극이 전후방으로 이동하는 것이다. 이때, 제 1 조작부는 파지가 용이하도록 제 1 파지홈으로 구비되는 것이 바람직하다.Here, a first manipulation unit may be provided in combination with the snare electrode 200 to manipulate the forward and backward movement of the snare electrode 200. When the first manipulation unit is moved forward and backward, the snare electrode coupled to the first manipulation unit moves forward and backward. At this time, it is preferable that the first manipulation part is provided with a first gripping groove to facilitate gripping.
이때, 제 1 방향의 전방은 도 1에 도시된 화살표 방향을 말하며, 제 1 방향의 후방은 도 1에 도시된 화살표 방향의 반대 방향을 말한다.At this time, forward in the first direction refers to the direction of the arrow shown in FIG. 1, and backward in the first direction refers to the direction opposite to the direction of the arrow shown in FIG. 1.
여기에, 상기 스네어 전극(200) 내부에 구비되어 상기 전기천공 및 약물주입부(300)와 연결됨으로써 상기 전기천공 및 약물주입부(300)에 전기를 공급하는 전기공급부(400)를 포함한다.Here, it includes an electricity supply unit 400 provided inside the snare electrode 200 and connected to the electroporation and drug injection unit 300 to supply electricity to the electroporation and drug injection unit 300.
이때, 상기 스네어 전극(200)은 공급된 약물이 상기 전기천공 및 약물주입부(300)에 전달될 수 있도록 중공형으로 구비되는 것이 바람직하다. 즉, 내부에 형성된 중공은 약물이 이동할 수 있는 통로로 활용되는 것이다.At this time, the snare electrode 200 is preferably provided in a hollow shape so that the supplied drug can be delivered to the electroporation and drug injection unit 300. In other words, the hollow formed inside is used as a passage through which the drug can move.
도 3은 본 발명의 바람직한 일 실시예에 따른 스네어 형태의 전기천공용 전극의 스네어 전극의 자세한 구성을 설명하기 위한 도면이다.Figure 3 is a diagram for explaining the detailed configuration of the snare electrode of the snare-type electroporation electrode according to a preferred embodiment of the present invention.
또한, 도 3에 도시된 바와 같이 상기 스네어 전극(200)은 상기 전극수용부(100) 내부에서 제 1 방향으로 전후이동하는 조작부(210) 및 상기 조작부(210)의 선단부에 형성되어 상기 조작부(210)가 전후방이동함에 따라 내경이 확장 및 축소되는 스네어부(220)로 구비되는 것이 바람직하다.In addition, as shown in FIG. 3, the snare electrode 200 is formed on an operation unit 210 that moves back and forth in the first direction within the electrode receiving unit 100 and a distal end of the operation unit 210, and the operation unit ( It is preferable that 210) is provided with a snare portion 220 whose inner diameter expands and contracts as it moves forward and backward.
여기서, 상기 스네어부(220)는 스네어 형상을 유지하도록 제 1 복원력을 가지고 있어 상기 조작부(210)가 전방으로 이동할 경우에는 상기 제 1 복원력에 의해 내경이 확장되고, 상기 조작부(210)가 후방으로 이동할 경우에는 상기 전극수용부(100)의 종단이 상기 스네어부(220)의 일측을 가압하여 내경이 축소되는 것이 가능하다. Here, the snare unit 220 has a first restoring force to maintain the snare shape, so when the operating unit 210 moves forward, the inner diameter is expanded by the first restoring force, and the operating unit 210 moves backward. When moving, the end of the electrode receiving portion 100 may press one side of the snare portion 220 to reduce the inner diameter.
이때, 상기 제 1 복원력은 상기 조작부(210)가 최전방으로 이동했을 때, 상기 스네어부(220)의 형태를 유지하는 힘을 말한다. 다시 말해, 상기 조작부(210)가 최전방으로 이동했을 때 상기 스네어부(220)의 내경은 가장 크게 확장되고, 상기 스네어부(220)의 내경이 가장 크게 확장된 그 형상을 유지하는 힘이 제 1 복원력인 것이다.At this time, the first restoring force refers to the force that maintains the shape of the snare unit 220 when the manipulation unit 210 moves to the forefront. In other words, when the operation unit 210 moves to the forefront, the inner diameter of the snare part 220 is expanded to the greatest extent, and the force that maintains the shape in which the inner diameter of the snare part 220 is expanded to the greatest extent is the first force. It is resilience.
도 4는 본 발명의 바람직한 일 실시예에 따른 스네어 형태의 전기천공용 전극의 스네어 전극의 돌출라인을 설명하기 위한 도면이다.Figure 4 is a diagram for explaining the protruding line of the snare electrode of the snare-shaped electroporation electrode according to a preferred embodiment of the present invention.
여기에, 도 4에 도시된 바와 같이 상기 스네어부(220)의 일측에는 조립 시 파지가 가능하여 조립성이 향상될 수 있고, 상기 조작부(210)가 제 1 방향으로 최후방 이동할 경우에 상기 스네어부(220)가 상기 전극수용부(100)에 정렬되어 내입될 수 있도록 돌출라인(221)이 더 구비되는 것이 가능하다.Here, as shown in FIG. 4, one side of the snare portion 220 can be gripped during assembly, thereby improving assembly efficiency, and when the manipulation portion 210 moves rearward in the first direction, the snare portion 220 It is possible to further provide a protruding line 221 so that the portion 220 can be aligned and inserted into the electrode receiving portion 100.
예를 들어, 상기 전극수용부(100)에 상기 스네어 전극(200)을 내입시킬 때, 상기 스네어 전극(200)을 상기 전극수용부(100) 내부로 너무 많이 밀어 넣어, 재조립이 필요한 경우가 발생한다. For example, when inserting the snare electrode 200 into the electrode receiving portion 100, the snare electrode 200 may be pushed too far into the electrode receiving portion 100, requiring reassembly. Occurs.
여기서, 상기 스네어 전극(200)에 구비된 상기 돌출라인(221)을 파지하거나 상기 돌출라인(221)에 걸림부재를 걸어 잡아당김으로써 손쉽게 상기 전극수용부와 상기 스네어 전극을 재조립을 할 수 있다.Here, the electrode receiving portion and the snare electrode can be easily reassembled by holding the protruding line 221 provided on the snare electrode 200 or pulling a locking member on the protruding line 221. .
이때, 상기 돌출 라인(221)은 상기 조작부(210)가 최후방으로 이동한 경우에는, 상기 전극수용부(100)의 외부에 돌출되어 위치하는 것이 바람직하다.At this time, the protruding line 221 is preferably positioned to protrude outside the electrode receiving unit 100 when the manipulation unit 210 is moved rearmost.
한편, 상기 전기공급부(400)는 상기 전기천공 및 약물주입부(300)와 연결되어 있어, 상기 전기공급부가 제 1 방향의 전방으로 이동할 경우에는, 상기 전기천공 및 약물주입부(300)를 돌출시켜 결과적으로 상기 전기천공 및 약물주입부(300)가 상기 대상에 밀착 접촉하고, 상기 전기공급부(400)가 제 1 방향의 후방으로 이동할 경우에는, 상기 대상에 밀착 접촉된 상기 전기천공 및 약물주입부(300)가 원복되도록 구비되되, 상기 전기공급부(400)는 경성의 도전성 재질로 구비되는 것이 바람직하다.Meanwhile, the electricity supply unit 400 is connected to the electroporation and drug injection unit 300, so that when the electricity supply unit moves forward in the first direction, the electroporation and drug injection unit 300 protrudes. As a result, the electroporation and drug injection unit 300 is in close contact with the object, and when the electricity supply unit 400 moves backward in the first direction, the electroporation and drug injection unit is in close contact with the target. It is provided so that the unit 300 can be restored, and the electricity supply unit 400 is preferably made of a hard conductive material.
여기에, 상기 경성의 강도는 상기 전기공급부(400)를 제 1 방향의 전방으로 이동시킬 경우에, 상기 전기공급부(400)가 굽어지거나 말려서, 상기 전기천공 및 약물주입부(300)를 돌출시키지 못하는 경우가 발생하지 않도록 하는 강도 구비되는 것이 바람직하다. 상기 경성의 강도가 너무 높을 경우에는 스네어 전극 내부를 손상시키거나 상기 전기천공 및 약물주입부(300)가 유연하게 움직일 수 없을 것이다.Here, the rigidity is such that when the electricity supply unit 400 is moved forward in the first direction, the electricity supply unit 400 is bent or rolled, preventing the electroporation and drug injection unit 300 from protruding. It is desirable to have strength to prevent failures from occurring. If the rigidity is too high, the inside of the snare electrode may be damaged or the electroporation and drug injection unit 300 may not be able to move flexibly.
여기서, 밀착 접촉이란 상기 스네어부(220)를 치료 대상에 걸고, 상기 스네어부(200)의 내경을 치료 대상의 모양이나 형태에 맞게 축소시켜 치료 대상을 최대한 조이고, 상기 스네어부(220)가 상기 치료 대상을 최대한 조인 상태에서 상기 전기공급부(400)를 제 1 방향의 전방으로 이동시켜 상기 약물주입부(300)를 돌출시킴으로써, 결과적으로 상기 약물주입부(300)가 치료 대상을 뚫고 들어간 형태를 말한다.Here, close contact means hanging the snare part 220 on the treatment object, tightening the treatment object as much as possible by reducing the inner diameter of the snare part 200 to fit the shape or form of the treatment object, and the snare part 220 is connected to the treatment object. While tightening the treatment target as much as possible, the electric supply unit 400 is moved forward in the first direction to protrude the drug injection unit 300, resulting in the drug injection unit 300 penetrating the treatment target. says
도 5는 본 발명의 바람직한 일 실시예에 따른 스네어 형태의 전기천공용 전극의 전기천공 및 약물주입부의 자세한 구성을 설명하기 위한 도면이다.Figure 5 is a diagram for explaining the detailed configuration of the electroporation and drug injection section of the snare-shaped electroporation electrode according to a preferred embodiment of the present invention.
여기에, 도 5에 도시된 바와 같이 상기 전기천공 및 약물주입부(300)는 상기 스네어부(220)에 결합하여 상기 전기공급부(400)의 동작에 의해 위치가 변하는 유연플라스틱재(310); 및 상기 유연플라스틱재(310)에 연장형성되어 상기 대상에 밀접 접촉해 전기천공 및 약물주입을 하는 금속재(320)로 구비된다.Here, as shown in FIG. 5, the electroporation and drug injection unit 300 includes a flexible plastic material 310 that is coupled to the snare unit 220 and whose position changes by the operation of the electricity supply unit 400; and a metal material 320 that extends from the flexible plastic material 310 and is in close contact with the target to perform electroporation and drug injection.
이때, 상기 유연플라스틱재(310)는 상기 전기공급부(400)가 제 1 방향의 전방으로 이동할 때, 상기 금속재(320)가 상기 스네어부(220)의 외부로 돌출되거나, 내부로 원복하는 동작이 용이할 수 있는 정도의 유연한 재질로 구비되는 것이다. At this time, when the electric supply unit 400 moves forward in the first direction, the flexible plastic material 310 protrudes to the outside of the snare unit 220 or returns to the inside. It is made of a flexible material that can be easily used.
여기서, 상기 유연플라스틱재(310)는 상기 전기공급부(400)가 제 1 방향의 전방으로 이동할 경우에는, 상기 금속재(320)가 상기 대상에 밀접 접촉하기 위해 상기 스네어부(220)의 외부로 돌출하여 위치하고, 상기 전기공급부(400)가 제 1 방향의 후방으로 이동할 경우에는, 상기 금속재(320)가 원복하도록 상기 스네어부(220)의 내부로 들어와 위치하도록 구비되는 것이 바람직하다.Here, when the electric supply unit 400 moves forward in the first direction, the flexible plastic material 310 protrudes out of the snare portion 220 so that the metal material 320 comes into close contact with the object. It is desirable that the metal material 320 be positioned inside the snare unit 220 so that it returns when the electricity supply unit 400 moves backward in the first direction.
한편, 전기공급부(400)와 결합하여 전기공급부(400)의 전후방이동을 조작하는 제 2 조작부가 구비될 수 있다. 제 2 조작부를 전후방이동시키면, 제 2 조작부와 결합되어 있는 전기공급부가 전후방으로 이동하는 것이다. 이때, 제 2 조작부는 파지가 용이하도록 제 2 파지홈으로 구비되는 것이 바람직하다.Meanwhile, a second operation unit may be provided in combination with the electricity supply unit 400 to manipulate the forward and backward movement of the electricity supply unit 400. When the second operating unit is moved forward and backward, the electricity supply unit coupled to the second operating unit moves forward and backward. At this time, it is preferable that the second manipulation unit is provided with a second gripping groove to facilitate gripping.
이때, 상기 유연 플라스틱재(310)는 상기 전기공급부(400)의 동작에 따라 상기 스네어부(220)의 내외부를 이동할 때, 용이하게 움직일 수 있도록 단면이 테이퍼드(tapered) 형상으로 구비되는 것이다.At this time, the flexible plastic material 310 has a tapered cross-section so that it can be easily moved when moving the inside and outside of the snare part 220 according to the operation of the electricity supply part 400.
도 6은 본 발명의 바람직한 일 실시예에 따른 스네어 형태의 전기천공용 전극의 전기천공 및 약물주입부의 전기공급홀 및 약물주입홀을 설명하기 위한 도면이다.Figure 6 is a diagram for explaining the electricity supply hole and drug injection hole of the electroporation and drug injection section of the snare-shaped electroporation electrode according to a preferred embodiment of the present invention.
또한, 도 6에 도시된 바와 같이 상기 유연 플라스틱재(310)는 상기 전기공급부(400)로부터 전달된 전기가 공급될 수 있는 전기공급홀(311) 및 상기 스네어 전극(200)에 주입된 약물을 상기 금속재(310)에 전달하는 약물주입홀(312)이 각각 구비되는 것이 바람직하다.In addition, as shown in FIG. 6, the flexible plastic material 310 stores the drug injected into the electricity supply hole 311 through which electricity transmitted from the electricity supply unit 400 can be supplied and the snare electrode 200. It is preferable that each drug injection hole 312 for delivering the drug to the metal material 310 is provided.
도 7은 본 발명의 바람직한 일 실시예에 따른 스네어 형태의 전기천공용 전극의 전기천공 및 약물주입부의 첨부를 설명하기 위한 도면이다.Figure 7 is a diagram for explaining electroporation and attachment of a drug injection portion of a snare-shaped electroporation electrode according to a preferred embodiment of the present invention.
여기에, 도 7에 도시된 바와 같이 상기 금속재(320)는 상기 대상에 용이하게 전기천공과 약물주입이 가능하도록 종단에 기울기가 형성된 첨부(321)로 구비된다. 즉, 상기 첨부로 치료 대상을 잘 뚫고 들어갈 수 있도록 하여 천기천공 및 약물주입의 효율을 극대화할 수 있는 것이다. Here, as shown in FIG. 7, the metal material 320 is provided with an attachment 321 having a slope at the end to facilitate electroporation and drug injection into the target. In other words, the attachment allows the treatment target to penetrate well, thereby maximizing the efficiency of perforation and drug injection.
도 8 및 9는 본 발명의 바람직한 일 실시예에 따른 스네어 형태의 전기천공용 전극의 전기공급부를 설명하기 위한 도면이다.Figures 8 and 9 are diagrams for explaining the electricity supply part of the snare-shaped electroporation electrode according to a preferred embodiment of the present invention.
한편, 상기 전기공급부(400)에는 단차가 형성되어 단차면(411)과 단차공간(410)을 구비하고, 상기 유연플라스틱재(310)는 상기 전기공급부(400)의 단차공간(410)에 위치하도록 제 2 복원력을 가지고 있고, 상기 제 2 조작부를 통해 상기 전기공급부(400)를 제 2 방향(20)의 전방으로 이동하도록 조작하면, 상기 단차가 상기 유연플라스틱재(310)를 밀면서 발생하는 가압력에 의해 상기 유연플라스틱재(310)가 상기 스네어부(220)의 외부로 돌출되도록 구비될 수 있다. Meanwhile, a step is formed in the electricity supply unit 400 to provide a step surface 411 and a step space 410, and the flexible plastic material 310 is located in the step space 410 of the electricity supply unit 400. It has a second restoring force so that when the electric supply unit 400 is manipulated to move forward in the second direction 20 through the second operation unit, the step pushes the flexible plastic material 310 and generates a pressing force. The flexible plastic material 310 may be provided to protrude out of the snare portion 220.
여기서, 상기 제 2 조작부를 통해 상기 전기공급부(400)를 제 2 방향(20)의 후방으로 이동하도록 조작하면, 상기 전기공급부(400)는 원복하고, 상기 전기공급부(400)가 원복함으로써 상기 유연플라스틱재(310)가 제 2 복원력에 의해 상기 스네어부(220)의 내부인 상기 단차공간(410)에 다시 위치하는 것이다.Here, when the electric supply unit 400 is manipulated to move backward in the second direction 20 through the second operation unit, the electric supply unit 400 returns to its original state, and the electric supply unit 400 returns to its original position, thereby causing the flexible The plastic material 310 is positioned again in the step space 410 inside the snare portion 220 by the second restoring force.
이때, 상기 유연플라스틱재(310)가 상기 스네어부(220)의 외부로 돌출되어 결과적으로 상기 금속재(320)가 돌출되고, 돌출된 상기 금속재는 치료 대상에 밀착 접촉할 수 있는 것이다.At this time, the flexible plastic material 310 protrudes out of the snare portion 220, and as a result, the metal material 320 protrudes, and the protruding metal material can be in close contact with the treatment target.
한편, 제 2 복원력은 상기 유연플라스틱재(310)가 상기 단차면(411)에 접촉할 수 있어 상기 단차공간에 상기 유연플라스틱재(310)가 위치할 수 있는 힘을 말한다.Meanwhile, the second restoring force refers to a force that allows the flexible plastic material 310 to contact the step surface 411 and to position the flexible plastic material 310 in the step space.
이때, 제 2 복원력은 상기 가압력보다 그 힘이 작도록 구비되는 것이 바람직하다. 상기 가압력보다 상기 제 2 복원력의 힘이 클 경우에는 상기 유연플라스틱재(310)가 상기 스네어부(220)의 외부로 돌출되지 못하는 경우가 발생할 수 있다.At this time, it is preferable that the second restoring force is provided so that its force is smaller than the pressing force. If the force of the second restoring force is greater than the pressing force, the flexible plastic material 310 may not protrude out of the snare portion 220.
또 한편, 상기 전기공급부(400)의 내부에는 유동공간이 더 구비되어 상기 전기공급부(400)의 내부에 주입된 약물이 흐르게 할 수 있는 구성도 가능하다. 이때, 상기 전기공급부(400)에는 복수 개의 약물공급홀이 더 구비되어 상기 전기공급부(400)의 내부에 주입된 약물이 상기 전기천공 및 약물주입부(300)에 구비된 약물주입홀로 전달하도록 구비되는 것이 바람직하다.On the other hand, it is possible to further provide a flow space inside the electricity supply unit 400 to allow the drug injected into the electricity supply unit 400 to flow. At this time, the electric supply unit 400 is further provided with a plurality of drug supply holes so that the drug injected into the electric supply unit 400 is delivered to the drug injection hole provided in the electroporation and drug injection unit 300. It is desirable to be
이상에서 설명된 본원 발명의 일 실시 예에 따르는 스네어 형태의 전기천공용 전극을 이용하면, 전기공급채널과 약물주입채널을 모두 가지고 있어 치료가 필요한 대상의 위치에 전기천공 및 약물주입이 모두 가능하여 전기천공법의 정확도를 높혀 효율적인 전기천공법 시술을 할 수 있고, 치료가 필요한 대상의 모양이나 크기에 따라 내경이 축소되거나 확장되는 것이 가능한 스네어 형태의 전극을 통해 대상의 모양이나 크기에 대응할 수 있어 전기천공 및 약물주입 시 유효성을 향상시킨 전기천공법 시술이 가능하고, 스네어 형태의 전극 끝단에 구비된 복수의 금속재가 치료가 필요한 대상을 뚫고 들어감으로써 전기천공 및 약물주입이 가능하기 때문에 종래의 니들 타입의 전극과는 차별화되어 대상 세포의 효율적인 사멸이 가능하다.When using the snare-type electroporation electrode according to an embodiment of the present invention described above, it has both an electric supply channel and a drug injection channel, so both electroporation and drug injection are possible at the location of the target requiring treatment. It is possible to perform efficient electroporation procedures by increasing the accuracy of electroporation, and can respond to the shape or size of the target through a snare-shaped electrode whose inner diameter can be reduced or expanded depending on the shape or size of the target requiring treatment. Electroporation with improved effectiveness during electroporation and drug injection is possible, and electroporation and drug injection are possible as multiple metal materials provided at the end of the snare-shaped electrode penetrate the target requiring treatment, making it possible to perform electroporation and drug injection. It is different from other types of electrodes and enables efficient killing of target cells.
이상 본 발명은 바람직한 일실시 예를 통하여 설명하였는데, 상술한 실시 예는 본 발명의 기술적 사상을 예시적으로 설명한 것에 불과하며, 본 발명의 기술적 사상을 벗어나지 않는 범위 내에서 다양한 변화가 가능함은 이 분야에서 통상의 지식을 가진 자라면 이해할 수 있을 것이다. 따라서 본 발명은 보호범위는 특정 실시예가 아니라 특허 청구 범위에 기재된 사항에 의해 해석되어야 하며, 그와 도응한 범위 내에 있는 모든 기술적 사상도 본 발명의 권리범위에 포함되는 것으로 해석 되어야 될 것이다.The present invention has been described above through a preferred embodiment, but the above-described embodiment is merely an illustrative explanation of the technical idea of the present invention, and various changes are possible without departing from the technical idea of the present invention. Anyone with ordinary knowledge will be able to understand. Therefore, the scope of protection of the present invention should be interpreted based on the matters stated in the patent claims, not the specific embodiments, and all technical ideas within the scope corresponding thereto should be interpreted as being included in the scope of rights of the present invention.
(부호의 설명)(Explanation of symbols)
100...전극수용부100...electrode receptor
110...홀110...hole
200...스네어 전극200...Snare electrode
210...조작부210...control panel
220...스네어부220...Snare section
221...연결공221...connector
300...전기천공 및 약물주입부300... Electroporation and drug injection section
310...유연플라스틱재310...flexible plastic material
311...전기공급홀311...electricity supply hall
312...약물주입홀312...drug injection hole
320...금속재320...metal
321...첨부321...attached
400...전기공급부400...electricity supply department
410...단차공간410...step space
411...단차면411...step surface

Claims (8)

  1. 전기천공 및 약물주입 대상에 전기천공 및 약물을 주입하는 스네어 형태의 전기천공용 전극에 있어서,In the snare-shaped electroporation electrode for electroporation and drug injection into a target,
    원통 형상으로 내부에 홀(110)이 형성되는 전극수용부(100);An electrode receiving portion 100 having a cylindrical shape with a hole 110 formed therein;
    상기 홀(110)에 내입되어 상기 전극수용부(100) 내부에서 제 1 방향(10)으로 전후방이동하며 내경이 확장 및 축소되는 스네어 전극(200);A snare electrode 200 that is inserted into the hole 110 and moves forward and backward in the first direction 10 within the electrode receiving portion 100, and whose inner diameter expands and contracts;
    상기 스네어 전극(200)의 내주면에 형성된 연결공(222)에 결합되어 상기 대상에 직접 접촉하는 복수개의 전기천공 및 약물주입부(300); 및A plurality of electroporation and drug injection units 300 coupled to the connection hole 222 formed on the inner peripheral surface of the snare electrode 200 and directly contacting the target; and
    상기 스네어 전극(200) 내부에 구비되어 상기 전기천공 및 약물주입부(300)와 연결됨으로써 상기 전기천공 및 약물주입부(300)에 전기를 공급하는 전기공급부(400);를 포함하되,An electricity supply unit 400 provided inside the snare electrode 200 and connected to the electroporation and drug injection unit 300 to supply electricity to the electroporation and drug injection unit 300,
    상기 스네어 전극(200)은,The snare electrode 200 is,
    공급된 약물이 상기 전기천공 및 약물주입부(300)에 전달될 수 있도록 중공형으로 구비되는 것을 특징으로 하는,Characterized in that it is provided in a hollow form so that the supplied drug can be delivered to the electroporation and drug injection unit 300.
    스네어 형태의 전기천공용 전극.Snare-shaped electroporation electrode.
  2. 제 1 항에 있어서,According to claim 1,
    상기 스네어 전극(200)은,The snare electrode 200 is,
    상기 전극수용부(100) 내부에서 제 1 방향으로 전후이동하는 조작부(210); 및 상기 조작부(210)의 선단부에 형성되어 상기 조작부(210)가 전후방이동함에 따라 내경이 확장 및 축소되는 스네어부(220);로 구비되되,an operating unit 210 that moves back and forth in a first direction within the electrode receiving unit 100; And a snare portion 220 formed at the distal end of the operating unit 210, the inner diameter of which expands and contracts as the operating unit 210 moves forward and backward.
    상기 스네어부(220)는,The snare unit 220,
    스네어 형상을 유지하도록 제 1 복원력을 가지고 있어 상기 조작부(210)가 전방으로 이동할 경우에는 상기 제 1 복원력에 의해 내경이 확장되고,It has a first restoring force to maintain the snare shape, so when the operating unit 210 moves forward, the inner diameter is expanded by the first restoring force,
    상기 조작부(210)가 후방으로 이동할 경우에는 상기 전극수용부(100)의 종단이 상기 스네어부(220)의 일측을 가압하여 내경이 축소되는 것을 특징으로 하는,When the manipulation unit 210 moves rearward, the end of the electrode receiving unit 100 presses one side of the snare unit 220 and the inner diameter is reduced.
    스네어 형태의 전기천공용 전극.Snare-shaped electroporation electrode.
  3. 제 2 항에 있어서,According to claim 2,
    상기 스네어부(220)의 일측에는,On one side of the snare portion 220,
    조립 시 파지가 가능하여 조립성이 향상될 수 있고, 상기 조작부(210)가 제 1 방향으로 최후방 이동할 경우에 상기 스네어부(220)가 상기 전극수용부(100)에 정렬되어 내입될 수 있도록 돌출라인(221);이 더 구비되는 것을 특징으로 하는,Assembling can be improved by enabling gripping during assembly, and when the manipulation unit 210 moves rearward in the first direction, the snare unit 220 can be aligned and inserted into the electrode receiving unit 100. Characterized in that it is further provided with a protruding line (221),
    스네어 형태의 전기천공용 전극.Snare-shaped electroporation electrode.
  4. 제 3 항에 있어서,According to claim 3,
    상기 전기공급부(400)는,The electricity supply unit 400,
    상기 전기천공 및 약물주입부(300)와 연결되어 있어, 상기 전기공급부가 제 1 방향의 전방으로 이동할 경우에는, 상기 전기천공 및 약물주입부(300)를 돌출시켜 결과적으로 상기 전기천공 및 약물주입부(300)가 상기 대상에 밀착 접촉하고,It is connected to the electroporation and drug injection unit 300, so that when the electricity supply unit moves forward in the first direction, the electroporation and drug injection unit 300 protrudes, resulting in the electroporation and drug injection. Part 300 is in close contact with the object,
    상기 전기공급부(400)가 제 1 방향의 후방으로 이동할 경우에는, 상기 대상에 밀착 접촉된 상기 전기천공 및 약물주입부(300)가 원복되도록 구비되되,When the electricity supply unit 400 moves backward in the first direction, the electroporation and drug injection unit 300 in close contact with the object is provided to be restored,
    상기 전기공급부(400)는,The electricity supply unit 400,
    경성의 도전성 재질로 구비되는 것을 특징으로 하는,Characterized in that it is made of a hard conductive material,
    스네어 형태의 전기천공용 전극.Snare-shaped electroporation electrode.
  5. 제 4 항에 있어서,According to claim 4,
    상기 전기천공 및 약물주입부(300)는,The electroporation and drug injection unit 300,
    상기 스네어부(220)에 결합하여 상기 전기공급부(400)의 동작에 의해 위치가 변하는 유연플라스틱재(310); 및 상기 유연플라스틱재(310)에 연장형성되어 상기 대상에 밀접 접촉해 전기천공 및 약물주입을 하는 금속재(320);로 구비되며,A flexible plastic material 310 coupled to the snare unit 220 and whose position changes by the operation of the electricity supply unit 400; and a metal material 320 that extends from the flexible plastic material 310 and is in close contact with the object to perform electroporation and drug injection.
    상기 유연플라스틱재(310)는,The flexible plastic material 310 is,
    상기 전기공급부(400)가 제 1 방향의 전방으로 이동할 경우에는, 상기 금속재(320)가 상기 대상에 밀접 접촉하기 위해 상기 스네어부(220)의 외부로 돌출하여 위치하고,When the electricity supply unit 400 moves forward in the first direction, the metal material 320 is positioned to protrude outside the snare unit 220 in order to come into close contact with the object,
    상기 전기공급부(400)가 제 1 방향의 후방으로 이동할 경우에는, 상기 금속재(320)가 원복하도록 상기 스네어부(220)의 내부로 들어와 위치하도록 구비되는 것을 특징으로 하는,When the electricity supply unit 400 moves rearward in the first direction, the metal material 320 is provided to be positioned inside the snare unit 220 to return to its original state.
    스네어 형태의 전기천공용 전극.Snare-shaped electroporation electrode.
  6. 제 5 항에 있어서,According to claim 5,
    상기 유연 플라스틱재(310)는,The flexible plastic material 310 is,
    상기 전기공급부(400)의 동작에 따라, 상기 스네어부(220)의 내외부를 이동할 때, 용이하게 움직일 수 있도록 단면이 테이퍼드(tapered) 형상으로 구비되는 것을 특징으로 하는,Characterized in that the cross-section is provided in a tapered shape so that it can be easily moved when moving the inside and outside of the snare part 220 according to the operation of the electricity supply part 400.
    스네어 형태의 전기천공용 전극.Snare-shaped electroporation electrode.
  7. 제 6 항에 있어서,According to claim 6,
    상기 유연 플라스틱재(310)는,The flexible plastic material 310 is,
    상기 전기공급부(400)로부터 전달된 전기가 공급될 수 있는 전기공급홀(311); 및 상기 스네어 전극(200)에 주입된 약물을 상기 금속재(310)에 전달하는 약물주입홀(312);이 각각 구비되는 것을 특징으로 하는,an electricity supply hole 311 through which electricity delivered from the electricity supply unit 400 can be supplied; and a drug injection hole 312 for delivering the drug injected into the snare electrode 200 to the metal material 310.
    스네어 형태의 전기천공용 전극.Snare-shaped electroporation electrode.
  8. 제 7 항에 있어서,According to claim 7,
    상기 금속재(320)는,The metal material 320 is,
    상기 대상에 용이하게 전기천공과 약물주입이 가능하도록 종단에 기울기가 형성된 첨부(321)로 구비되는 것을 특징으로 하는,Characterized in that it is provided with an attachment 321 with a slope formed at the longitudinal end to enable easy electroporation and drug injection into the target.
    스네어 형태의 전기천공용 전극.Snare-shaped electroporation electrode.
PCT/KR2022/019380 2022-05-19 2022-12-01 Snare-shaped electrode for electroporation WO2023224199A1 (en)

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US5405376A (en) * 1993-08-27 1995-04-11 Medtronic, Inc. Method and apparatus for ablation
JP2002512552A (en) * 1997-07-22 2002-04-23 イーメッド コーポレイション Delivery of drugs into heart tissue by iontophoresis.
US20040010290A1 (en) * 1999-04-09 2004-01-15 Schroeppel Edward A. Method and device for treating cancer with electrical therapy in conjunction with chemotherapeutic agents and radiation therapy
JP2018510015A (en) * 2015-03-31 2018-04-12 オンコセック メディカル インコーポレイテッド System and method for electroporation based on improved tissue sensing
KR102229796B1 (en) * 2020-09-23 2021-03-19 김창보 Endoscopic injector having an electrode and method for using the same

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Publication number Priority date Publication date Assignee Title
US5405376A (en) * 1993-08-27 1995-04-11 Medtronic, Inc. Method and apparatus for ablation
JP2002512552A (en) * 1997-07-22 2002-04-23 イーメッド コーポレイション Delivery of drugs into heart tissue by iontophoresis.
US20040010290A1 (en) * 1999-04-09 2004-01-15 Schroeppel Edward A. Method and device for treating cancer with electrical therapy in conjunction with chemotherapeutic agents and radiation therapy
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KR102229796B1 (en) * 2020-09-23 2021-03-19 김창보 Endoscopic injector having an electrode and method for using the same

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