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CN104857570B - A kind of degradable zinc-containing alloy support and preparation method thereof - Google Patents

A kind of degradable zinc-containing alloy support and preparation method thereof Download PDF

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CN104857570B
CN104857570B CN201510224871.6A CN201510224871A CN104857570B CN 104857570 B CN104857570 B CN 104857570B CN 201510224871 A CN201510224871 A CN 201510224871A CN 104857570 B CN104857570 B CN 104857570B
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stent
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刘西伟
杨映红
蒲忠杰
武楠
崔凯
杨明
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Lepu Medical Technology Beijing Co Ltd
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Abstract

本发明涉及一种可降解锌基合金支架及其制备方法,所述支架包括可降解锌基材料支架基体,支架基体表面设置有含治疗性药物的可降解聚合物洗脱涂层,所述支架基体为圆筒式网状结构。所述制备方法包括,1)将可降解锌基材料加工成支架基体;2)对支架基体进行表面预处理;3)对支架基体进行电解抛光处理;4)在处理后支架表面涂覆携带治疗性药物的可降解高分子材料。本发明提供的支架因基体材料锌合金较为优越的耐腐蚀性能而在植入4个月以上保持支架的良好支撑性,基体表面涂覆有生物相容性良好的聚合物涂层,改善锌基合金的相容性利于内皮细胞在支架表面覆盖,并可控制药物释放,减小了药物突释使药物缓慢持续保持一定浓度释放,以降低支架植入后局部炎症、再狭窄及支架内血栓风险。

The invention relates to a degradable zinc-based alloy stent and a preparation method thereof. The stent includes a stent matrix of a degradable zinc-based material, and the surface of the stent matrix is provided with a degradable polymer eluting coating containing therapeutic drugs. The stent The matrix is a cylindrical mesh structure. The preparation method includes: 1) processing the degradable zinc-based material into a stent matrix; 2) performing surface pretreatment on the stent matrix; 3) performing electrolytic polishing on the stent matrix; 4) coating the surface of the stent after treatment Degradable polymer materials for sexual drugs. The stent provided by the present invention maintains good support of the stent after being implanted for more than 4 months due to the superior corrosion resistance of the base material zinc alloy, and the surface of the base is coated with a polymer coating with good biocompatibility to improve the zinc-based The compatibility of the alloy is conducive to the coverage of endothelial cells on the surface of the stent, and can control the drug release, reducing the sudden release of the drug and allowing the drug to be released slowly and continuously at a certain concentration, so as to reduce the risk of local inflammation, restenosis and stent thrombosis after stent implantation .

Description

一种可降解锌基合金支架及其制备方法A kind of degradable zinc-based alloy stent and its preparation method

技术领域technical field

本发明涉及的是一种可生物降解型金属支架及其制备方法,属于植入性医疗器械技术领域。The invention relates to a biodegradable metal bracket and a preparation method thereof, belonging to the technical field of implantable medical devices.

背景技术Background technique

1977年Gruentzing成功地进行了首例经皮腔内冠状动脉成形术,开启了单纯的球囊扩张治疗心血管的时代,这种不开胸的新技术终结了心脏外科手术独领冠状动脉血运重建的历史。1987年Sigwart首次成功地实施了冠状动脉支架手术,大量的临床实验证实了冠脉支架植入能有效避免单纯球囊扩张的医用弊端,而被广泛接受成为冠心病介入治疗史上的第二个里程碑。冠状动脉支架置入后在病变位置可长时间保持支撑状态,能够有效解决术后急性血管闭塞的危险,提高PTCA的安全性,并且能够改善病变血管的负性重塑,使术后支架内中远期再狭窄发生率降低至15%以下,冠脉支架植入大大地拓宽了心血管疾病支架介入治疗的适应证。2003年以来,随着以CYPHER和TAXUS为代表的药物洗脱支架的问世,并在临床应用取得了可喜的成效,药物抑制平滑肌细胞增生以之降低血管内再狭窄的药物洗脱支架时代到来了,一上市就成为心血管疾病支架介入治疗的新焦点,药物洗脱支架既可像裸支架一般发挥着防止支架置入术后早期血管弹性回缩作用,又可因为抗增殖药物的药理作用而降低术后平滑肌细胞增生,防止因新生内膜增厚而导致的再狭窄,成为新的具有里程碑意义的突破。In 1977, Gruentzing successfully performed the first case of percutaneous transluminal coronary angioplasty, which opened the era of simple balloon dilatation for cardiovascular treatment. This new technology without thoracotomy ended the dominance of coronary blood supply in cardiac surgery History of reconstruction. In 1987, Sigwart successfully implemented coronary artery stent surgery for the first time. A large number of clinical experiments confirmed that coronary artery stent implantation can effectively avoid the medical disadvantages of simple balloon expansion, and it was widely accepted as the second milestone in the history of interventional treatment of coronary heart disease. . After the coronary artery stent is implanted, it can maintain a support state for a long time at the lesion position, which can effectively solve the risk of acute vascular occlusion after surgery, improve the safety of PTCA, and improve the negative remodeling of diseased blood vessels, so that the postoperative The incidence of long-term restenosis is reduced to less than 15%, and the implantation of coronary stents has greatly broadened the indications for stent interventional treatment of cardiovascular diseases. Since 2003, with the advent of drug-eluting stents represented by CYPHER and TAXUS, and achieved gratifying results in clinical applications, the era of drug-eluting stents that inhibit smooth muscle cell proliferation and reduce intravascular restenosis has come. , has become a new focus of stent interventional therapy for cardiovascular diseases as soon as it is launched on the market. Drug-eluting stents can not only prevent early vascular elastic recoil after stent implantation like bare stents, but also can be inhibited by the pharmacological effects of anti-proliferative drugs. It has become a new landmark breakthrough to reduce postoperative smooth muscle cell proliferation and prevent restenosis caused by neointimal thickening.

但近10年的发展,也暴露出药物支架的短板,如药物洗脱支架虽可有效减少再狭窄的发生,但延迟血管内皮愈合,导致血管难以修复重建完成内皮化,使得支架长期裸露于血管中,增加了支架内中远期血栓的发生。目前临床应用的支架,不能完全降解,长期存留在血管壁,影响血管舒缩功能,增加局部炎症、再狭窄及支架内血栓风险。然而,理想的支架系统应与冠脉生理结构和功能相容,其植入后不仅能改善冠脉的局部血供,而且可以恢复和保持血管原有的功能,可降解支架则在理论上能使血管结构和功能恢复至自然状态,被认为是继PTCA、BMS、DES之后的冠脉介入治疗的“第四次技术创新”。近年来,美国Abbott公司和德国Biotronik公司在完全可降解支架领域取得了重大突破,以BVS和AMS支架为代表的可降解冠脉支架有望引领冠心病介入治疗的第四次革命。技术革命带来了冠状动脉心脏病治疗的全新时代,支架介入技术一方面取代传统外科手术治疗疾病,提供一种创伤较小的治疗手段,另一方面使一些传统手术难以处理的疾病得以完满解决,支架介入技术已经成为治疗冠心病的有效手段,为广大患者带来福音。However, the development in the past 10 years has also exposed the shortcomings of drug-eluting stents. For example, although drug-eluting stents can effectively reduce the occurrence of restenosis, they delay the healing of the vascular endothelium, making it difficult to repair and reconstruct the blood vessels to complete endothelialization, making the stents exposed for a long time. In blood vessels, the occurrence of medium and long-term thrombosis in the stent is increased. The currently clinically used stents cannot be completely degraded and remain in the vessel wall for a long time, affecting the vasomotor function and increasing the risk of local inflammation, restenosis and stent thrombosis. However, an ideal stent system should be compatible with the physiological structure and function of the coronary artery. After implantation, it can not only improve the local blood supply of the coronary artery, but also restore and maintain the original function of the blood vessel. The degradable stent can theoretically Restoring the structure and function of blood vessels to their natural state is considered to be the "fourth technological innovation" in coronary interventional therapy following PTCA, BMS, and DES. In recent years, Abbott of the United States and Biotronik of Germany have made major breakthroughs in the field of fully degradable stents. Degradable coronary stents represented by BVS and AMS stents are expected to lead the fourth revolution in interventional treatment of coronary heart disease. The technological revolution has brought about a new era of coronary heart disease treatment. On the one hand, stent intervention technology replaces traditional surgery to treat diseases and provides a less invasive treatment method. On the other hand, it completely solves some diseases that are difficult to treat with traditional surgery. , Stent interventional technology has become an effective means of treatment of coronary heart disease, bringing good news to the majority of patients.

完全可降解冠脉支架在介入治疗中启到一种“临时性支架”的作用,并且支架材料具有良好的生物相容性,在置入病变位置的早期能够维持有效的血管支撑,在一定作用时间后可以完全降解,因而从根本上克服了永久性金属支架的诸多缺点与并发症,并且能够更好地负载药物、细胞,通过生物材料的逐步降解而实现携带物质控释及缓释发挥其功效,成为当前国内外冠心病介入治疗研究的前沿热点。目前生物可降解支架的研究着重两个方面:可降解高分子支架及可降解金属支架。The fully degradable coronary stent plays the role of a "temporary stent" in interventional therapy, and the stent material has good biocompatibility, and can maintain effective vascular support in the early stage of implantation in the lesion site. It can be completely degraded after a period of time, thus fundamentally overcoming many shortcomings and complications of permanent metal stents, and can better load drugs and cells, and realize the controlled release and sustained release of the carried substances through the gradual degradation of biomaterials. Efficacy has become a frontier hotspot in the research of interventional therapy for coronary heart disease at home and abroad. The current research on biodegradable stents focuses on two aspects: degradable polymer stents and degradable metal stents.

聚合物支架方面,早期的研究倾向于选用降解速度较慢的支架,能使血管内膜形成完整,避免血栓发生,但降解速度过慢会影响血管本身的生长性,延长血管壁的炎症反应,同时因高分子强度较低,其支架会因支撑力不足而导致弹性回缩,这限制了其在小血管腔的使用;生物可降解金属支架具有金属裸支架的力学支撑性能,能够有效的预防早期回缩,并且具有X射线的不可穿透性,兼具聚合物支架的可降解特性,而受到研究者们的广泛关注,目前研究的可降解金属支架主要包括铁合金支架和镁合金支架。如专利CN101496910 A和CN 102228721 A公示了一种铁基可降解支架,专利CN 101708140 A、CN101468216 A和CN102488932 A公示了一种镁基可降解支架。In terms of polymer stents, early studies tended to use stents with a slower degradation rate, which can complete the formation of the vascular intima and avoid thrombosis, but too slow degradation rate will affect the growth of the blood vessel itself and prolong the inflammatory response of the vessel wall. At the same time, due to the low strength of the polymer, the stent will cause elastic retraction due to insufficient supporting force, which limits its use in small blood vessel lumens; biodegradable metal stents have the mechanical support properties of bare metal stents, and can effectively prevent Early retraction, X-ray impenetrability, and the degradable properties of polymer stents have attracted extensive attention from researchers. The current research on degradable metal stents mainly includes iron alloy stents and magnesium alloy stents. For example, patents CN101496910 A and CN 102228721 A disclose an iron-based degradable stent, and patents CN 101708140 A, CN101468216 A and CN102488932 A disclose a magnesium-based degradable stent.

然而,当前研究的可降解支架仍存在一些弊端,限制其广泛应用。对可降解聚合物支架而言,还存在有显影效果较差的难题尚需攻克,除REVA的支架系酪氨酸聚碳酸酯构成可自身显影,便于植入过程和术后随访的可视化,而其他可降解支架大都在一端特制了重金属钽的显影标志而自身不显影,这必然会给进行两支架对位相接使用手术带来困难,限制了其在较长血管病变中的应用,同时支架降解后作为标志的钽也将存留在体内,作为异物长期存在;对可降解金属支架而言,镁合金支架表现出较快的降解速度,而铁合金支架降解速度较慢,均不利于血管本身的重建,需要控制降解速度及提供较为适当的支撑力来适应正性血管重构的过程。However, the degradable scaffolds currently studied still have some disadvantages, which limit their wide application. For degradable polymer stents, there is still a problem of poor imaging effect that needs to be overcome. In addition to REVA, the stent is made of tyrosine polycarbonate and can be visualized by itself, which is convenient for the visualization of the implantation process and postoperative follow-up. Most of the other degradable stents have a specially made heavy metal tantalum imaging mark at one end and do not develop themselves. This will inevitably bring difficulties to the operation of aligning and connecting the two stents, which limits its application in longer vascular lesions. At the same time, the stent After degradation, tantalum as a sign will also remain in the body and exist as a foreign body for a long time; for degradable metal stents, magnesium alloy stents show a faster degradation rate, while iron alloy stents degrade slower, which is not conducive to the blood vessel itself. Reconstruction requires controlling the degradation rate and providing more appropriate supporting force to adapt to the process of positive vascular remodeling.

锌是人体必需微量元素之一,在机体内参与所有生理代谢过程,锌除了在多种金属酶、转录因子及其他蛋白中起着催化或构建作用外,还以神经递质或调质样的形式发挥其功能。金属锌相较于聚合物具有优异的力学性能及可显影性,同时研究发现具有较好的生物相容性,降解性能优异于镁基合金,作为生物医用金属材料具有潜在的研究价值。然而,锌基合金作为可降解金属材料却鲜见报道,经对现有技术的文献检索发现,D Vojtěch等报道了Zn-Mg合金的机械性能及腐蚀性能,并探讨了其在骨科植入中应用的可行性(Actabiomaterialia,2011,7(9):3515-3522);PK Bowen等报道了纯锌在小鼠腹主动脉的植入实验,揭示了其体内腐蚀特性,探讨了纯Zn作为支架用金属材料的可行性(AdvancedMaterials,2013,25(18):2577-2582),然而,可降解锌及其合金的支架的设计却未见报道。Zinc is one of the essential trace elements in the human body. It participates in all physiological metabolic processes in the body. In addition to playing a catalytic or structural role in various metalloenzymes, transcription factors and other proteins, zinc also acts as a neurotransmitter or modulator. Form fulfills its function. Compared with polymers, zinc metal has excellent mechanical properties and developability. At the same time, studies have found that it has better biocompatibility and better degradation performance than magnesium-based alloys. It has potential research value as a biomedical metal material. However, zinc-based alloys are rarely reported as degradable metal materials. After searching the literature of the prior art, D Vojtěch et al. reported the mechanical properties and corrosion properties of Zn-Mg alloys, and discussed its application in orthopedic implants. Feasibility of application (Actabiomaterialia,2011,7(9):3515-3522); PK Bowen et al. reported the implantation experiment of pure zinc in the abdominal aorta of mice, revealed its corrosion characteristics in vivo, and discussed pure Zn as a scaffold The feasibility of using metallic materials (Advanced Materials, 2013, 25(18): 2577-2582), however, the design of scaffolds that can degrade zinc and its alloys has not been reported.

发明内容Contents of the invention

本发明的目的正是提供以锌及锌合金制作而成的新型可降解金属基支架,用以克服传统金属裸支架在体内不可降解,长期作为异物存留体内产生炎性刺激反应,又可以避免可降解聚合物支架在体力学支撑性能不佳和不具备显影效果而带来的医学限制以及可降解铁基支架、镁基支架降解速度与管腔重建不匹配的弊端,同时通过在支架表面携带可以抑制平滑肌细胞增生的药物,通过药物的药理学作用抑制内膜增生、增厚,从而减少甚至消灭支架内再狭窄的发生。The purpose of the present invention is to provide a new type of degradable metal-based stent made of zinc and zinc alloy, to overcome the non-degradable traditional metal-based stent in the body, and to avoid inflammatory irritation caused by long-term foreign matter in the body. Degradable polymer stents have medical limitations caused by poor mechanical support performance and no imaging effect, as well as the disadvantages of degradable iron-based stents and magnesium-based stents that do not match the degradation speed and lumen reconstruction. Drugs that inhibit the proliferation of smooth muscle cells inhibit intimal hyperplasia and thickening through the pharmacological effects of drugs, thereby reducing or even eliminating the occurrence of in-stent restenosis.

本发明的目的是这样实现的:The purpose of the present invention is achieved like this:

一种新型可降解锌基合金支架,包括:可降解锌基材料支架基体;所述支架基体表面设置有含治疗性药物的可降解聚合物洗脱涂层;所述支架基体为圆筒式网状结构。A novel degradable zinc-based alloy stent, comprising: a degradable zinc-based material stent base; the surface of the stent base is provided with a degradable polymer eluting coating containing therapeutic drugs; the stent base is a cylindrical mesh shape structure.

所述的支架基体优选为圆筒式网状结构,表现出较好的柔韧性,便于介入放置,且径向支撑性能较好,并因基体材料金属锌赋予了支架较好的显影性能,方便手术操作支架介入及术后跟踪。The stent matrix is preferably a cylindrical mesh structure, which exhibits good flexibility, is convenient for intervention and placement, and has good radial support performance, and the stent has good development performance due to the metal zinc of the matrix material, which is convenient Surgical operation stent intervention and postoperative follow-up.

所述可降解锌基材料为纯锌或锌基合金;所述锌基合金优选为Zn-Mg合金、Zn-Ca合金、Zn-Sr合金、Zn-Sn合金、Zn-Mg-Mn合金、Zn-Mg-Ca合金、Zn-Mg-Sr合金、Zn-Mg-Sn合金、Zn-Mg-Mn-Ca合金、Zn-Mg-Ca-Sr合金等中的一种;进一步优选所述可降解锌基材料为Zn-(0~1.5)%Ca合金、Zn-(0~1.5)%Sn合金、Zn-(0~1.5)%Mg-(0~1)%Mn合金、Zn-(0~1.5)%Mg-(0~1)%Sn合金、Zn-(0~1.5)%Mg-(0~1)%Ca-(0~0.5)%Mn合金、、Zn-(0~1.5)%Mg合金或Zn-(0~1.5)%Mg-(0~1)%Ca合金中的一种。The degradable zinc-based material is pure zinc or zinc-based alloy; the zinc-based alloy is preferably Zn-Mg alloy, Zn-Ca alloy, Zn-Sr alloy, Zn-Sn alloy, Zn-Mg-Mn alloy, Zn -Mg-Ca alloy, Zn-Mg-Sr alloy, Zn-Mg-Sn alloy, Zn-Mg-Mn-Ca alloy, Zn-Mg-Ca-Sr alloy, etc.; further preferably the degradable zinc The base material is Zn-(0~1.5)%Ca alloy, Zn-(0~1.5)%Sn alloy, Zn-(0~1.5)%Mg-(0~1)%Mn alloy, Zn-(0~1.5% )%Mg-(0~1)%Sn alloy, Zn-(0~1.5)%Mg-(0~1)%Ca-(0~0.5)%Mn alloy, Zn-(0~1.5)%Mg Alloy or Zn-(0~1.5)%Mg-(0~1)%Ca alloy.

本发明中术语“Zn-1%Mg合金”含义是指“合金中Mg含量为1%,余量为Zn”;术语“Zn-1%Mg-0.5%Ca合金”含义是指“合金中Mg含量为1%,Ca含量为0.5%,余量为Zn”。其它与之类似。In the present invention, the meaning of the term "Zn-1%Mg alloy" means "the Mg content in the alloy is 1%, and the balance is Zn"; the meaning of the term "Zn-1%Mg-0.5%Ca alloy" means "the Mg content in the alloy is The content is 1%, the Ca content is 0.5%, and the balance is Zn". Others are similar.

所述支架基体表面设置的含治疗性药物的可降解聚合物洗脱涂层,其中所述可降解聚合物包括聚乳酸、聚乙交酯、聚酸酐、聚乳酸共聚物、聚羟基乙酸、聚羟基丁酸戊酯、聚氰基丙烯酸酯等人工合成可降解高分子材料中一种或几种的共聚物,还可以包括胶原蛋白、明胶、甲壳素等天然可降解高分子材料中的一种,甚至可以是人工合成高分子材料与天然可降解高分子材料的共混物;所述的治疗性药物可以为具有抗细胞增生功效的药物如雷帕霉素、紫杉醇、大黄素、姜黄素等中的一种或多种复合;优选治疗性药物为雷帕霉素,优选可降解聚合物为聚乳酸,优选洗脱涂层厚度为10~50μm。The degradable polymer eluting coating containing therapeutic drugs provided on the surface of the stent matrix, wherein the degradable polymer includes polylactic acid, polyglycolide, polyanhydride, polylactic acid copolymer, polyglycolic acid, poly A copolymer of one or more of artificially synthesized degradable polymer materials such as pentyl hydroxybutyrate and polycyanoacrylate, and one of natural degradable polymer materials such as collagen, gelatin, and chitin , it can even be a blend of artificially synthesized polymer materials and natural degradable polymer materials; the therapeutic drugs can be drugs with anti-cell proliferation effects such as rapamycin, paclitaxel, emodin, curcumin, etc. One or more of them are compounded; the preferred therapeutic drug is rapamycin, the preferred degradable polymer is polylactic acid, and the preferred thickness of the eluting coating is 10-50 μm.

所述支架基体表面设置有含治疗性药物的可降解聚合物洗脱涂层能够提高金属裸支架的生物相容性,利于内皮细胞在支架表面覆盖,并可控制药物释放,减小了药物突释使药物缓慢持续保持一定浓度释放,以降低支架植入后急性、亚急性血栓的发生率。The surface of the stent matrix is provided with a degradable polymer eluting coating containing therapeutic drugs, which can improve the biocompatibility of the bare metal stent, facilitate the coverage of endothelial cells on the surface of the stent, and control the release of drugs, reducing drug breakthrough. Release the drug slowly and continuously at a certain concentration to reduce the incidence of acute and subacute thrombosis after stent implantation.

本发明的支架基体可降解锌基材料在设计上从合金元素的生物学效应角度考虑,选用对人体有益元素进行合金化,通过加工后提高综合力学性能,拉拔成管,采用激光雕刻而成裸支架,降解性能优异于镁基支架;所述的支架基体为圆筒式网状结构,支架的设计表现出较好的柔韧性,便于介入放置,且径向支撑性能较好,并因基体材料金属锌赋予了支架较好的显影性能,方便手术操作支架介入及术后跟踪;同时,在可降解锌基合金支架表面涂覆一层或多层含有治疗性药物的可降解聚合物涂层,所设计的可降解聚合物涂层能够提高金属裸支架的生物相容性,利于内皮细胞在支架表面覆盖,并可控制药物释放,减小了药物突释使药物缓慢持续保持一定浓度释放,以降低支架植入后急性、亚急性血栓的发生率。The degradable zinc-based material of the stent matrix of the present invention is designed from the perspective of the biological effects of alloy elements, and is selected to alloy with beneficial elements for the human body. After processing, the comprehensive mechanical properties are improved, drawn into tubes, and laser engraved. The bare stent has better degradation performance than the magnesium-based stent; the stent matrix is a cylindrical mesh structure, and the design of the stent shows good flexibility, which is convenient for intervention and placement, and has better radial support performance, and due to the matrix The material metal zinc endows the stent with better imaging performance, which is convenient for stent intervention and postoperative tracking; at the same time, one or more layers of degradable polymer coatings containing therapeutic drugs are coated on the surface of the degradable zinc-based alloy stent , the designed degradable polymer coating can improve the biocompatibility of the bare metal stent, facilitate the coverage of endothelial cells on the surface of the stent, and control the drug release, reducing the sudden release of the drug so that the drug can be released slowly and continuously at a certain concentration. To reduce the incidence of acute and subacute thrombosis after stent implantation.

本发明还包括:The present invention also includes:

上述可降解锌基合金支架的制备方法,包括:1)将可降解锌基材料加工成支架基体;2)对支架基体进行预处理,剔除加工残留及表面附属物;3)对支架基体进行电解抛光处理;4)对抛光处理后支架基体表面涂覆含治疗性药物的可降解聚合物洗脱涂层。The preparation method of the above-mentioned degradable zinc-based alloy stent includes: 1) processing the degradable zinc-based material into a stent matrix; 2) pretreating the stent matrix to remove processing residues and surface appendages; 3) electrolyzing the stent matrix Polishing treatment; 4) Coating a degradable polymer eluting coating containing therapeutic drugs on the surface of the stent matrix after the polishing treatment.

所述步骤2)对支架基体进行预处理,剔除加工残留及表面附属物,包括:a)对支架基体进行机械处理;b)对机械处理后的支架基体进行酸洗或碱洗处理;c)对酸洗或者碱洗处理后的支架基体进行超声波清洗。其中,所述a)对支架基体进行机械处理即使用物理的方法,剔除加工镂空残留毛刺等。所述b)对机械处理后的支架基体进行酸洗或碱洗处理,即将支架放入酸洗液或碱洗液中进行清洗处理(室温下),除去支架表面的油污或氧化物等杂质。所述的酸洗液为醋酸与中性钠盐混合溶液,可以是醋酸与氯化钠或硝酸钠等中性钠盐的共混溶液,可在室温下清洗3-5分钟;所述的碱洗液为氢氧化钠与碱性钠盐混合溶液,可以是氢氧化钠与碳酸钠或碳酸氢钠等碱性钠盐的共混溶液,可在室温下清洗5-10分钟。所述c)对酸洗或者碱洗处理后的支架基体进行超声波清洗即使用清水,一般是纯水对处理后支架进行清洗,去除附着在支架表面的酸或者碱液。The step 2) pretreating the stent matrix to remove processing residues and surface appendages, including: a) performing mechanical treatment on the stent matrix; b) performing pickling or alkali cleaning on the mechanically treated stent matrix; c) Ultrasonic cleaning is performed on the stent matrix after pickling or alkali cleaning. Wherein, said a) mechanically treating the stent matrix means using physical methods to remove residual burrs and the like after hollowing out. b) pickling or alkali cleaning the mechanically treated stent matrix, that is, placing the stent in pickling solution or alkaline solution for cleaning (at room temperature) to remove impurities such as oil stains or oxides on the surface of the stent. The pickling solution is a mixed solution of acetic acid and neutral sodium salt, which can be a blend solution of acetic acid and neutral sodium salts such as sodium chloride or sodium nitrate, and can be cleaned at room temperature for 3-5 minutes; the alkali The washing liquid is a mixed solution of sodium hydroxide and alkaline sodium salt, which can be a blended solution of sodium hydroxide and alkaline sodium salt such as sodium carbonate or sodium bicarbonate, and can be cleaned at room temperature for 5-10 minutes. In c) ultrasonic cleaning of the acid-washed or alkaline-washed stent matrix is to use clean water, generally pure water, to clean the treated stent to remove acid or lye attached to the surface of the stent.

所述步骤3)对支架基体进行电解抛光处理即将支架基体放入(悬挂于)盛放电解液的电解槽进行电解抛光处理,具体工艺为:直流电压为2.5~30V,电流为0.2~10A,电解抛光时间为0.5~20分钟,电解温度为10~40℃;所述电解液为酸的醇溶液,所述酸可以是磷酸或高氯酸或其混合液;所述电解液成分可以是磷酸与无水乙醇的体积比为2~5∶5~2,也可以是高氯酸与无水乙醇的体积比为1~4∶20,或者还可以是高氯酸:磷酸:无水乙醇的体积比为1~5∶5~15∶24~40。所述的电解抛光工艺还包括对抛光处理后支架进行纯化水清洗处理的步骤。Step 3) Perform electropolishing treatment on the bracket base, that is, put the bracket base into (suspend) the electrolytic tank containing the electrolyte to perform electrolytic polishing treatment. The specific process is: the DC voltage is 2.5-30V, and the current is 0.2-10A. The electropolishing time is 0.5-20 minutes, and the electrolysis temperature is 10-40°C; the electrolyte is an alcoholic acid solution, and the acid can be phosphoric acid or perchloric acid or a mixture thereof; the electrolyte component can be phosphoric acid The volume ratio with dehydrated ethanol is 2~5:5~2, also can be that the volume ratio of perchloric acid and dehydrated alcohol is 1~4:20, or can also be perchloric acid: phosphoric acid: dehydrated alcohol The volume ratio is 1-5:5-15:24-40. The electrolytic polishing process also includes the step of cleaning the polished bracket with purified water.

所述步骤4)对抛光处理后支架基体表面涂覆含治疗性药物的可降解聚合物洗脱涂层即通过喷涂、浸涂或静电涂覆等方法将配置的含治疗性药物的可降解聚合物溶液涂覆在锌及锌合金支架基体表面,优选喷涂工艺,优选涂覆可降解聚合物洗脱涂层的厚度为10~50μm;更优选涂层厚度为20~40μm;The step 4) coating the degradable polymer eluting coating containing therapeutic drug on the surface of the stent matrix after polishing treatment, that is, the degradable polymer containing therapeutic drug is prepared by spraying, dipping or electrostatic coating. The solution is coated on the surface of the zinc and zinc alloy stent substrate, preferably by spraying, preferably with a thickness of 10-50 μm for degradable polymer elution coating; more preferably, the thickness of the coating is 20-40 μm;

所述含治疗性药物的可降解聚合物溶液为携带上述治疗性药物的上述高分子材料聚合物-有机溶剂溶液,其中高分子材料聚合物优选为聚乳酸;所述有机溶剂优选为氯仿、二氯甲烷、四氟氢喃等易挥发性有机溶剂;优选有机溶剂为氯仿;优选药物(如雷帕霉素)与高分子材料聚合物(如聚乳酸)的质量比为1~3∶9~27,高分子材料聚合物(如聚乳酸)与有机溶剂(如氯仿)的体积比为1~5∶20~50;优选药物为雷帕霉素;更优选的方案是所述含治疗性药物的可降解聚合物溶液为携带雷帕霉素的聚乳酸-氯仿均一溶液,雷帕霉素与聚乳酸的质量比为1∶10,聚乳酸与氯仿的体积比为1∶20。The degradable polymer solution containing the therapeutic drug is the above-mentioned high molecular material polymer-organic solvent solution carrying the above-mentioned therapeutic drug, wherein the high molecular material polymer is preferably polylactic acid; the organic solvent is preferably chloroform, bis Chloromethane, tetrafluorohydrofuran and other volatile organic solvents; the preferred organic solvent is chloroform; the mass ratio of the preferred drug (such as rapamycin) and high molecular material polymer (such as polylactic acid) is 1~3:9~ 27. The volume ratio of high molecular material polymer (such as polylactic acid) to organic solvent (such as chloroform) is 1-5: 20-50; the preferred drug is rapamycin; the more preferred solution is that the therapeutic drug The degradable polymer solution is a polylactic acid-chloroform homogeneous solution carrying rapamycin, the mass ratio of rapamycin to polylactic acid is 1:10, and the volume ratio of polylactic acid to chloroform is 1:20.

由生物可降解性材料制成的支架具有暂时存留性的特点,其代谢产物对机体无害,它既能在短期内为管腔提供必要的支撑,同时又可以避免金属支架长期存留所造成的并发症,还可以携带各种药物及外源性基因作用于病变管腔,已经成为防治支架内再狭窄及支架内血栓的研究新方向。本发明提出的一种新型可降解锌基合金支架其优势在于:The stent made of biodegradable materials has the characteristics of temporary persistence, and its metabolites are harmless to the body. It can not only provide the necessary support for the lumen in the short term, but also avoid the damage caused by the long-term storage of metal stents. Complications can also carry various drugs and exogenous genes to act on the diseased lumen, which has become a new research direction for the prevention and treatment of in-stent restenosis and in-stent thrombosis. The advantages of the novel degradable zinc-based alloy stent proposed by the present invention are:

1、从基体材料的成分设计上讲,优先考虑合金元素的生物学效应,选用对人体有益元素进行合金化,避开了具有细胞毒性和遗传毒性的合金化元素的引入,制备的锌基合金低毒性、生物相容性好。1. From the perspective of the composition design of the matrix material, the biological effects of the alloying elements are given priority, and the elements beneficial to the human body are selected for alloying, avoiding the introduction of alloying elements with cytotoxicity and genotoxicity, and the prepared zinc-based alloy Low toxicity, good biocompatibility.

从镁的生物学效应角度来看,镁离子(Mg2+)是人体细胞内第二重要的阳离子,对人体无害。此外镁还具有多种特殊的生理功能,它能激活体内多种酶,抑制神经异常兴奋性,维持核酸结构的稳定性,参与体内蛋白质的合成、肌肉收缩及体温调节等。From the perspective of the biological effect of magnesium, magnesium ion (Mg 2+ ) is the second most important cation in human cells and is harmless to human body. In addition, magnesium also has a variety of special physiological functions. It can activate various enzymes in the body, inhibit abnormal nerve excitability, maintain the stability of nucleic acid structure, participate in protein synthesis, muscle contraction and temperature regulation in the body.

从锰的生物学效应角度来看,锰是对心血管有利的元素,尤其是对维护细胞线粒体功能十分重要。并可保持正常的脑功能,还能维持正常的糖、脂肪代谢,改善机体的造血功能。锰还能增强内分泌功能,维持甲状腺的正常功能,促进性激素的合成,调节神经反应能力。From the perspective of the biological effects of manganese, manganese is an element beneficial to the cardiovascular system, especially important for maintaining the function of mitochondria in cells. It can also maintain normal brain function, maintain normal sugar and fat metabolism, and improve the body's hematopoietic function. Manganese can also enhance endocrine function, maintain normal thyroid function, promote the synthesis of sex hormones, and regulate nerve response.

从钙的生物学效应角度来看,钙可以维持细胞的正常生理状态细胞内的钙离子是细胞对刺激产生反应的媒介。钙和受体钙等共同调节机体许多重要的生理功能,包括骨骼肌和心肌的收缩,平滑肌及非肌肉细胞活动及神经兴奋的维持。钙还参与血液凝固过程。目前已知至少有4种依赖维生素K的钙结合蛋白参与血液凝固过程,即在钙离子存在下才可能完成级联反应,最后使可溶性纤维蛋白原转变为纤维蛋白,形成凝血。From the perspective of the biological effects of calcium, calcium can maintain the normal physiological state of cells. Calcium ions in cells are the medium for cells to respond to stimuli. Calcium and receptor calcium jointly regulate many important physiological functions of the body, including contraction of skeletal muscle and cardiac muscle, smooth muscle and non-muscle cell activity and maintenance of nerve excitation. Calcium is also involved in the blood clotting process. At present, at least four vitamin K-dependent calcium-binding proteins are known to participate in the blood coagulation process, that is, the cascade reaction can only be completed in the presence of calcium ions, and finally the soluble fibrinogen is converted into fibrin to form blood coagulation.

从锶的生物学效应角度来看,锶是人体不可缺少的一种微量元素,是人体骨骼和牙齿的正常组成部分,对人体的功能主要是与骨骼的形成密切相关;它与血管的功能及构造也有关系,其作用机制可能是锶在肠内与钠竞争吸收,从而减少人体对钠的吸收,增加钠的排泄,有预防心血管疾病的作用等。From the perspective of the biological effects of strontium, strontium is an indispensable trace element for the human body and a normal component of human bones and teeth. Its function on the human body is mainly related to the formation of bones; The structure is also related, and its mechanism of action may be that strontium competes with sodium for absorption in the intestine, thereby reducing the body's absorption of sodium, increasing sodium excretion, and preventing cardiovascular diseases.

2、生物医用可降解锌基合金支架具有可控的生物吸收降解特性,不会如不锈钢、钴铬、镍钛等传统金属支架,植入后作为一个不可吸收的异物长期存在,对组织产生很强的炎症反应,且长期存留在管腔壁内,影响管腔舒缩功能,增加局部炎症、再狭窄及支架内血栓风险;所述的锌基合金在生理环境中腐蚀特征为均匀腐蚀,支架在血管中可长时间保持支撑状态,有效支撑性达4个月以上,能够有效解决术后急性管腔闭塞的危险,避免可降解铁基支架、镁基支架降解速度与管腔重建不匹配的弊端,利于管腔本身的重建;相较于可降解聚合物支架,所述的锌基支架具有较好的显影性能,方便手术操作支架介入及术后跟踪,且提供的支撑力较为适当能适应正性管腔重构的过程。2. The biomedical degradable zinc-based alloy stent has controllable bioabsorption and degradation characteristics. It will not be like traditional metal stents such as stainless steel, cobalt chromium, and nickel titanium. Strong inflammatory response, and persists in the lumen wall for a long time, affects the diastolic function of the lumen, increases the risk of local inflammation, restenosis and thrombosis in the stent; the corrosion characteristic of the zinc-based alloy in the physiological environment is uniform corrosion, and the stent It can maintain a support state for a long time in the blood vessel, and the effective support can reach more than 4 months. It can effectively solve the risk of acute lumen occlusion after surgery, and avoid the mismatch between the degradation speed of degradable iron-based stents and magnesium-based stents and lumen reconstruction. Disadvantages, which are beneficial to the reconstruction of the lumen itself; compared with degradable polymer stents, the zinc-based stent has better imaging performance, which is convenient for surgical operation stent intervention and postoperative tracking, and the supporting force provided is more appropriate and can adapt to The process of positive luminal remodeling.

3、本发明提供的锌基合金支架表面是一层或多层含有治疗性药物的可降解聚合物涂层,生物相容性较好,可显著提高锌基合金支架的相容性,能够抗凝血抗增生,降低急性血栓和血管炎症反应,利于内皮细胞在支架表面覆盖;同时治疗性药物在聚合物中均匀共混,可实现药物的可控释放,减小了药物突释使药物缓慢持续保持一定浓度释放,以降低支架植入后急性、亚急性血栓的发生率。3. The surface of the zinc-based alloy stent provided by the present invention is one or more layers of degradable polymer coatings containing therapeutic drugs, which has good biocompatibility, can significantly improve the compatibility of the zinc-based alloy stent, and can resist Coagulation and anti-proliferation, reduce acute thrombosis and vascular inflammation, and facilitate the coverage of endothelial cells on the surface of the stent; at the same time, the therapeutic drug is uniformly blended in the polymer, which can realize the controlled release of the drug, reducing the sudden release of the drug and slowing down the drug Keep releasing at a certain concentration to reduce the incidence of acute and subacute thrombosis after stent implantation.

本发明提供的一种可降解锌基合金支架制备方法,其方法简便,电解抛光工艺安全,应用此方法可制备的可降解锌基合金支架可以为血管支架、气管支架、食道支架、肠道支架、胆道支架或尿道支架等。A method for preparing a degradable zinc-based alloy stent provided by the present invention is simple and convenient, and the electrolytic polishing process is safe. The degradable zinc-based alloy stent that can be prepared by using this method can be a vascular stent, a tracheal stent, an esophageal stent, and an intestinal stent , biliary stent or urethral stent, etc.

附图说明Description of drawings

本发明的具体实施例将结合说明书附图来进行详细说明。Specific embodiments of the present invention will be described in detail in conjunction with the accompanying drawings.

图1是本发明提供的一种可降解锌基合金支架其制备方法的流程图。Fig. 1 is a flowchart of a preparation method of a degradable zinc-based alloy stent provided by the present invention.

具体实施方式detailed description

下面给出本发明的实施例对本发明进一步说明,而不是限制本发明的范围。The following examples of the present invention are given to further illustrate the present invention, but not to limit the scope of the present invention.

本发明中的一种新型可降解锌基合金支架,包括:可降解锌基材料支架基体;所述支架基体表面设置有含治疗性药物的可降解聚合物洗脱涂层;所述支架基体为圆筒式网状结构。其中,支架基体材料在设计上从合金元素的生物学效应角度考虑,选用对人体有益元素进行合金化,通过加工后提高综合力学性能,拉拔成管,采用激光雕刻而成裸支架,降解性能优异于镁基支架;所述可降解锌基材料为纯锌或锌基合金;所述锌基合金优选为Zn-Mg合金、Zn-Ca合金、Zn-Sr合金、Zn-Sn合金、Zn-Mg-Mn合金、Zn-Mg-Ca合金、Zn-Mg-Sr合金、Zn-Mg-Sn合金、Zn-Mg-Mn-Ca合金、Zn-Mg-Ca-Sr合金等中的一种;进一步优选所述可降解锌基材料为Zn-(0~1.5)%Ca合金、Zn-(0~1.5)%Sn合金、Zn-(0~1.5)%Mg-(0~1)%Mn合金、Zn-(0~1.5)%Mg-(0~1)%Sn合金、Zn-(0~1.5)%Mg-(0~1)%Ca-(0~0.5)%Mn合金、、Zn-(0~1.5)%Mg合金或Zn-(0~1.5)%Mg-(0~1)%Ca合金中的一种。A novel degradable zinc-based alloy stent in the present invention comprises: a degradable zinc-based material stent matrix; the surface of the stent matrix is provided with a degradable polymer eluting coating containing therapeutic drugs; the stent matrix is Cylindrical mesh structure. Among them, the base material of the stent is designed from the perspective of the biological effects of alloying elements, and the elements beneficial to the human body are selected for alloying. Superior to magnesium-based stents; the degradable zinc-based material is pure zinc or zinc-based alloy; the zinc-based alloy is preferably Zn-Mg alloy, Zn-Ca alloy, Zn-Sr alloy, Zn-Sn alloy, Zn- One of Mg-Mn alloy, Zn-Mg-Ca alloy, Zn-Mg-Sr alloy, Zn-Mg-Sn alloy, Zn-Mg-Mn-Ca alloy, Zn-Mg-Ca-Sr alloy, etc.; further Preferably, the degradable zinc-based material is Zn-(0-1.5)% Ca alloy, Zn-(0-1.5)% Sn alloy, Zn-(0-1.5)% Mg-(0-1)% Mn alloy, Zn-(0~1.5)%Mg-(0~1)%Sn alloy, Zn-(0~1.5)%Mg-(0~1)%Ca-(0~0.5)%Mn alloy, Zn-( One of 0-1.5)% Mg alloy or Zn-(0-1.5)% Mg-(0-1)% Ca alloy.

所述的支架基体优选为圆筒式网状结构,支架的设计表现出较好的柔韧性,便于介入放置,且径向支撑性能较好,并因基体材料金属锌赋予了支架较好的显影性能,方便手术操作支架介入及术后跟踪;同时,在可降解锌基材料支架基体表面涂覆一层或多层含有治疗性药物的可降解聚合物洗脱涂层,所述的可降解聚合物包括聚乳酸、聚乙交酯、聚酸酐、聚乳酸共聚物、聚羟基乙酸、聚羟基丁酸戊酯、聚氰基丙烯酸酯等人工合成可降解高分子材料中一种或几种的共聚物,还可以包括胶原蛋白、明胶或甲壳素等天然可降解高分子材料中的一种,甚至还应包括人工合成可降解高分子材料与天然可降解高分子材料的共混物;所设计的可降解聚合物涂层能够提高金属裸支架的生物相容性,利于内皮细胞在支架表面覆盖,并可控制药物释放,减小了药物突释使药物缓慢持续保持一定浓度释放,以降低支架植入后急性、亚急性血栓的发生率。The stent matrix is preferably a cylindrical mesh structure. The design of the stent shows better flexibility, which is convenient for intervention and placement, and has better radial support performance, and the stent has better development due to the metal zinc of the matrix material. performance, which is convenient for stent intervention and postoperative tracking; at the same time, one or more layers of degradable polymer eluting coatings containing therapeutic drugs are coated on the surface of the degradable zinc-based material stent matrix, and the degradable polymer Polylactic acid, polyglycolide, polyanhydride, polylactic acid copolymer, polyglycolic acid, polyhydroxybutyrate, polycyanoacrylate and other artificially synthesized degradable polymer materials It can also include one of natural degradable polymer materials such as collagen, gelatin or chitin, or even a blend of artificially synthesized degradable polymer materials and natural degradable polymer materials; the designed The biodegradable polymer coating can improve the biocompatibility of the bare metal stent, facilitate the coverage of endothelial cells on the surface of the stent, and control the release of drugs, reducing the sudden release of drugs and allowing the drug to be released slowly and continuously at a certain concentration to reduce the risk of stent implantation. The incidence of acute and subacute thrombosis after entry.

本发明实施例的一种可降解锌基合金支架其制备方法的流程如图1所示,包括以下步骤:The flow chart of the preparation method of a degradable zinc-based alloy stent according to an embodiment of the present invention is shown in Figure 1, including the following steps:

1)将可降解锌基材料加工成支架基体;所述的锌基材料为纯锌或锌基合金材料构成,可以加工成血管支架、气管支架、食道支架、肠道支架、胆道支架或尿道支架基体等。1) Process the degradable zinc-based material into a stent matrix; the zinc-based material is composed of pure zinc or zinc-based alloy material, and can be processed into a vascular stent, a tracheal stent, an esophageal stent, an intestinal stent, a biliary stent or a urethral stent matrix etc.

2)支架基体进行预处理,剔除加工残留及表面附属物;包括a)对支架基体进行机械处理;b)对机械处理后的支架基体进行酸洗或碱洗处理;c)对酸洗或者碱洗处理后的支架基体进行超声波清洗。2) The stent matrix is pretreated to remove processing residues and surface appendages; including a) performing mechanical treatment on the stent matrix; b) pickling or alkali cleaning the mechanically treated stent matrix; c) acid-washing or alkali-washing The stent matrix after cleaning is ultrasonically cleaned.

所述的对支架基体进行机械处理步骤,即使用物理的方法,剔除加工镂空残留毛刺等。The step of mechanically treating the bracket base body is to use physical methods to remove residual burrs and the like after hollowing out.

所述的对机械处理后的支架基体进行酸洗或碱洗处理步骤,即将支架放入酸洗液或碱洗液中进行清洗处理(室温下),除去支架表面的油污或氧化物等杂质。The step of acid-washing or alkali-washing the mechanically treated stent matrix is to put the stent into pickling solution or alkaline solution for cleaning treatment (at room temperature) to remove impurities such as oil stains or oxides on the surface of the stent.

所述的酸洗液为醋酸与中性钠盐混合溶液,可以是醋酸与氯化钠或硝酸钠等中性钠盐的共混溶液,可在室温下清洗3-5分钟;所述的碱洗液为氢氧化钠与碱性钠盐混合溶液,可以是氢氧化钠与碳酸钠或碳酸氢钠等碱性钠盐的共混溶液,可在室温下清洗5-10分钟。The pickling solution is a mixed solution of acetic acid and neutral sodium salt, which can be a blend solution of acetic acid and neutral sodium salts such as sodium chloride or sodium nitrate, and can be cleaned at room temperature for 3-5 minutes; the alkali The washing liquid is a mixed solution of sodium hydroxide and alkaline sodium salt, which can be a blended solution of sodium hydroxide and alkaline sodium salt such as sodium carbonate or sodium bicarbonate, and can be cleaned at room temperature for 5-10 minutes.

所述的对酸洗或者碱洗处理后的支架基体进行超声波清洗步骤,即使用清水,一般是纯水对处理后支架进行清洗,去除附着在支架表面的酸或者碱液。The step of ultrasonically cleaning the stent matrix after pickling or alkali cleaning involves cleaning the treated stent with clean water, generally pure water, to remove the acid or lye attached to the surface of the stent.

3)对支架基体进行电解抛光处理,即将支架基体悬挂于盛放电解液的电解槽进行电解抛光处理。3) Electrolytic polishing is performed on the support base, that is, the support base is suspended in an electrolytic tank containing an electrolyte solution for electrolytic polishing.

具体工艺为:直流电压为2.5~30V,电流为0.2~10A,电解抛光时间为0.5~20分钟,电解温度为10~40℃。The specific process is as follows: the DC voltage is 2.5-30V, the current is 0.2-10A, the electrolytic polishing time is 0.5-20 minutes, and the electrolytic temperature is 10-40°C.

所述电解液为酸的醇溶液,所述酸可以是磷酸或高氯酸或其混合液;所述电解液成分可以是磷酸与无水乙醇的体积比为2~5∶5~2,也可以是高氯酸与无水乙醇的体积比为1~4∶20,或者还可以是高氯酸:磷酸:无水乙醇的体积比为1~5∶5~15∶24~40。Described electrolytic solution is the alcoholic solution of acid, and described acid can be phosphoric acid or perchloric acid or its mixture; The volume ratio of perchloric acid to absolute ethanol may be 1-4:20, or the volume ratio of perchloric acid: phosphoric acid: absolute ethanol may be 1-5:5-15:24-40.

所述步骤3)对支架基体进行电解抛光处理还包括对抛光处理后支架进行纯化水清洗处理的步骤,即使用清水,一般是纯水对处理后支架进行清洗,去除附着在支架表面的离子。The step 3) performing electropolishing treatment on the stent matrix also includes the step of cleaning the polished stent with purified water, that is, cleaning the treated stent with clean water, generally pure water, to remove ions attached to the surface of the stent.

4)对抛光处理后支架基体表面涂覆含治疗性药物的可降解聚合物洗脱涂层,,即通过喷涂、浸涂、静电涂覆等方法将配置的含治疗性药物的可降解聚合物溶液涂覆在锌基材料支架基体表面。优选喷涂工艺,优选涂覆可降解聚合物洗脱涂层的厚度为10~50μm;4) Coating the degradable polymer eluting coating containing therapeutic drugs on the surface of the stent matrix after polishing, that is, the degradable polymer containing therapeutic drugs that will be prepared by spraying, dipping, electrostatic coating, etc. The solution is coated on the surface of the zinc-based material stent matrix. Spraying process is preferred, and the thickness of the degradable polymer elution coating is preferably 10-50 μm;

所述可降解聚合物包括聚乳酸、聚乙交酯、聚酸酐、聚乳酸共聚物、聚羟基乙酸、聚羟基丁酸戊酯、聚氰基丙烯酸酯等人工合成可降解高分子材料中一种或几种的共聚物;还可以包括胶原蛋白、明胶、甲壳素等天然可降解高分子材料中的一种或几种,甚至还包括人工合成可降解高分子材料与天然可降解高分子材料的共混物;所述的治疗性药物可以为具有抗细胞增生功效的药物如雷帕霉素、紫杉醇、大黄素、姜黄素等中的一种或多种复合,优选为雷帕霉素。The degradable polymer includes one of artificially synthesized degradable polymer materials such as polylactic acid, polyglycolide, polyanhydride, polylactic acid copolymer, polyglycolic acid, polyhydroxypentyl butyrate, polycyanoacrylate, etc. or several kinds of copolymers; it can also include one or more of natural degradable polymer materials such as collagen, gelatin, and chitin, and even include artificially synthesized degradable polymer materials and natural degradable polymer materials. Blend; the therapeutic drug may be compounded with one or more drugs with anti-cell proliferation effects, such as rapamycin, paclitaxel, emodin, curcumin, etc., preferably rapamycin.

所述含治疗性药物的可降解聚合物溶液为携带上述治疗性药物的上述高分子材料聚合物-有机溶剂溶液,其中高分子材料聚合物优选为聚乳酸;所述有机溶剂优选为氯仿、二氯甲烷、四氟氢喃等易挥发性有机溶剂;优选溶剂为氯仿;优选药物为雷帕霉素;The degradable polymer solution containing the therapeutic drug is the above-mentioned high molecular material polymer-organic solvent solution carrying the above-mentioned therapeutic drug, wherein the high molecular material polymer is preferably polylactic acid; the organic solvent is preferably chloroform, bis Volatile organic solvents such as methyl chloride and tetrafluorohydrofuran; the preferred solvent is chloroform; the preferred drug is rapamycin;

优选雷帕霉素与聚乳酸的质量比为1~3∶9~27,聚乳酸与氯仿的体积比为1~5∶20~50。Preferably, the mass ratio of rapamycin to polylactic acid is 1-3:9-27, and the volume ratio of polylactic acid to chloroform is 1-5:20-50.

更优选的方案是所述含治疗性药物的可降解聚合物溶液为携带雷帕霉素的聚乳酸-氯仿均一溶液,雷帕霉素与聚乳酸的质量比为1∶10,聚乳酸与氯仿的体积比为1∶20。A more preferred scheme is that the degradable polymer solution containing therapeutic drugs is a polylactic acid-chloroform homogeneous solution carrying rapamycin, the mass ratio of rapamycin to polylactic acid is 1:10, polylactic acid and chloroform The volume ratio is 1:20.

本发明意外地发现,当选择可降解锌基材料为Zn-1%Mg合金或Zn-1%Mg-0.5%Ca合金,高分子材料聚合物为聚乳酸、治疗性药物为雷帕霉素、制备可降解聚合物溶液有机溶剂为氯仿及药物涂层的厚度为20~40μm时,本发明支架在降解速度、生物相容性和药物缓释等方面的具有特别优异的性能。The present invention unexpectedly finds that when the degradable zinc-based material is selected as Zn-1%Mg alloy or Zn-1%Mg-0.5%Ca alloy, the high molecular material polymer is polylactic acid, and the therapeutic drug is rapamycin, When the organic solvent for preparing the degradable polymer solution is chloroform and the thickness of the drug coating is 20-40 μm, the stent of the present invention has particularly excellent performance in terms of degradation speed, biocompatibility and drug sustained release.

下面给出本发明的一种可降解锌基合金支架及其制备方法优选的实施例。A preferred embodiment of a degradable zinc-based alloy stent and its preparation method according to the present invention is given below.

实施例1Example 1

本发明中的一种新型可降解锌基合金支架,包括可降解锌基材料支架基体和支架基体表面设置有含治疗性药物的可降解聚合物洗脱涂层;其中可降解锌基材料为Zn-1%Mg合金,治疗性药物为雷帕霉素,可降解聚合物为聚乳酸,制备可降解聚合物溶液有机溶剂为氯仿,洗脱涂层厚度为30μm。A novel degradable zinc-based alloy stent in the present invention comprises a degradable zinc-based material stent base and a degradable polymer elution coating containing therapeutic drugs on the surface of the stent base; wherein the degradable zinc-based material is Zn -1% Mg alloy, the therapeutic drug is rapamycin, the degradable polymer is polylactic acid, the organic solvent for preparing the degradable polymer solution is chloroform, and the thickness of the elution coating is 30 μm.

实施例2Example 2

本发明中的一种新型可降解锌基合金支架,包括可降解锌基材料支架基体和支架基体表面设置有含治疗性药物的可降解聚合物洗脱涂层。其中可降解锌基材料为Zn-1%Mg-0.5%Ca合金,治疗性药物为雷帕霉素,可降解聚合物为聚乳酸,制备可降解聚合物溶液有机溶剂为氯仿,洗脱涂层厚度为30μm。A novel degradable zinc-based alloy stent in the present invention comprises a stent matrix of degradable zinc-based material and a degradable polymer eluting coating containing therapeutic drugs on the surface of the stent matrix. Among them, the degradable zinc-based material is Zn-1%Mg-0.5%Ca alloy, the therapeutic drug is rapamycin, the degradable polymer is polylactic acid, the organic solvent for preparing the degradable polymer solution is chloroform, and the coating is eluted The thickness is 30 μm.

实施例3Example 3

实施例1所述新型可降解锌基合金支架的制备方法,包括以下步骤:The preparation method of the novel degradable zinc-based alloy stent described in embodiment 1 comprises the following steps:

1)将可降解锌基材料加工成支架基体;即选用成分为Zn-1%Mg合金为基体材料,拉拔成毛细微管,采用激光雕刻制成血管支架基体。1) Process the degradable zinc-based material into a stent matrix; that is, select a Zn-1%Mg alloy as the matrix material, draw it into capillary microtubes, and use laser engraving to make the stent matrix.

2)支架基体进行预处理,剔除加工残留及表面附属物;2) The stent matrix is pretreated to remove processing residues and surface appendages;

即具体包括a)将上述支架基体先在光学放大镜下剔除加工余料及明显毛刺;b)随后浸入至醋酸和硝酸钠的混合酸洗液中,室温下酸洗处理5min,其中酸洗液成分为40ml/L的醋酸和10g/L的硝酸钠,余量为纯水;c)再将支架基体放置在清水中用超声波清洗机清洗10min。That is, it specifically includes a) removing the processing residues and obvious burrs from the above-mentioned bracket base under an optical magnifying glass; b) then immersing it in a mixed pickling solution of acetic acid and sodium nitrate, and pickling at room temperature for 5 minutes, wherein the components of the pickling solution are 40ml/L acetic acid and 10g/L sodium nitrate, and the balance is pure water; c) Place the stent base in clean water and clean it with an ultrasonic cleaner for 10 minutes.

3)对支架基体进行电解抛光处理3) Perform electrolytic polishing on the stent substrate

将预处理完毕的支架基体干燥后放入盛有电解液的电解槽中电解抛光处理,具体电解抛光工艺为:直流电压为10V,电流为1A,电解抛光时间为3min,电解温度为40℃并使用恒温水浴箱控温;电解液为混合酸醇溶液,具体配方为高氯酸∶磷酸∶无水乙醇体积比为1∶13∶26;随后使用纯水对处理后支架进行超声清洗,以去除附着在支架表面的酸根离子。After drying the pretreated stent matrix, put it into an electrolytic tank filled with electrolyte for electrolytic polishing. The specific electrolytic polishing process is as follows: DC voltage is 10V, current is 1A, electrolytic polishing time is 3min, electrolytic temperature is 40°C and Use a constant temperature water bath to control the temperature; the electrolyte is a mixed acid-alcohol solution, and the specific formula is perchloric acid: phosphoric acid: absolute ethanol volume ratio of 1:13:26; then use pure water to ultrasonically clean the treated bracket to remove Acid ions attached to the surface of the scaffold.

4)对抛光处理后支架基体表面涂覆含治疗性药物的可降解聚合物洗脱涂层;4) Coating a degradable polymer eluting coating containing therapeutic drugs on the surface of the stent matrix after polishing;

将抛光后的支架基体干燥处理后固定在支架超声雾化喷涂机上进行喷涂处理,其中,在推进器中盛放有携带雷帕霉素的聚乳酸-氯仿均一溶液,雷帕霉素与聚乳酸的质量比为1∶10,聚乳酸与氯仿的体积比为1∶20;喷涂后支架放入真空干燥箱中在37℃恒温干燥24h,以除去残余的有机溶剂。After drying the polished stent matrix, fix it on a stent ultrasonic atomization spraying machine for spraying treatment, wherein, the propeller is filled with a polylactic acid-chloroform homogeneous solution carrying rapamycin, rapamycin and polylactic acid The mass ratio of polylactic acid to chloroform was 1:10, and the volume ratio of polylactic acid to chloroform was 1:20; after spraying, the stent was placed in a vacuum drying oven and dried at a constant temperature of 37°C for 24 hours to remove residual organic solvents.

实施例4Example 4

实施例2所述新型可降解锌基合金支架的制备方法,包括以下步骤:The preparation method of the novel degradable zinc-based alloy stent described in embodiment 2 comprises the following steps:

1)将可降解锌基材料加工成支架基体;1) Process the degradable zinc-based material into a scaffold matrix;

即选用成分为Zn-1%Mg-0.5%Ca合金为基体材料,拉拔成毛细微管,采用激光雕刻制成血管支架基体。That is, an alloy with a composition of Zn-1%Mg-0.5%Ca is selected as a matrix material, drawn into capillary microtubes, and laser-engraved to form a vascular stent matrix.

2)支架基体进行预处理,剔除加工残留及表面附属物;2) The stent matrix is pretreated to remove processing residues and surface appendages;

具体包括a)先在光学放大镜下剔除加工余料及明显毛刺;b)随后浸入至氢氧化钠和碳酸钠的混合碱洗液中,室温下碱洗处理5min,其中碱洗液成分为10g/L的氢氧化钠和10g/L的碳酸钠,余量为纯水;c)再将支架基体放置在清水中用超声波清洗机清洗10min。The specific steps include: a) first remove the processing residues and obvious burrs under the optical magnifying glass; b) then immerse in the mixed alkali washing solution of sodium hydroxide and sodium carbonate, and perform alkaline washing treatment at room temperature for 5 minutes, wherein the composition of the alkaline washing solution is 10g/L sodium hydroxide and 10g/L sodium carbonate, and the balance is pure water; c) place the stent base in clean water and clean it with an ultrasonic cleaner for 10 minutes.

3)对支架基体进行电解抛光处理3) Perform electrolytic polishing on the stent substrate

将预处理完毕的支架基体干燥后放入盛有电解液的电解槽中电解抛光处理,具体电解抛光工艺为:直流电压为15V,电流为2A,电解抛光时间为5min,电解温度为40℃并使用恒温水浴箱控温,电解液配方为350ml:650ml比例的磷酸酒精溶液;随后使用纯水对处理后支架进行超声清洗,以去除附着在支架表面的离子。After drying the pretreated stent matrix, put it into an electrolytic tank filled with electrolyte for electrolytic polishing. The specific electrolytic polishing process is as follows: DC voltage is 15V, current is 2A, electrolytic polishing time is 5min, electrolytic temperature is 40°C and Use a constant temperature water bath to control the temperature, and the electrolyte formula is 350ml:650ml phosphoric acid alcohol solution; then use pure water to ultrasonically clean the treated stent to remove the ions attached to the surface of the stent.

4)对抛光处理后支架基体表面涂覆含治疗性药物的可降解聚合物洗脱涂层;4) Coating a degradable polymer eluting coating containing therapeutic drugs on the surface of the stent matrix after polishing;

将抛光后的支架基体干燥处理后固定在支架超声雾化喷涂机上进行喷涂处理,其中,在推进器中盛放有携带雷帕霉素的聚乳酸-氯仿均一溶液,雷帕霉素与聚乳酸的质量比为1:10,聚乳酸与氯仿的体积比为1:20;喷涂后支架放入真空干燥箱中在37℃恒温干燥24h,以除去残余的有机溶剂。After drying the polished stent matrix, fix it on a stent ultrasonic atomization spraying machine for spraying treatment, wherein, the propeller is filled with a polylactic acid-chloroform homogeneous solution carrying rapamycin, rapamycin and polylactic acid The mass ratio of polylactic acid to chloroform was 1:10, and the volume ratio of polylactic acid to chloroform was 1:20; after spraying, the stent was placed in a vacuum drying oven and dried at a constant temperature of 37°C for 24 hours to remove residual organic solvents.

实施例5-10该6个实施例可降解锌基合金支架制备方法同实施例3,各自具体参数如表1所示。Examples 5-10 The preparation methods of the degradable zinc-based alloy stents in these 6 examples are the same as in Example 3, and the specific parameters of each are shown in Table 1.

对比实验Comparative Experiment

1*实验中规定变形量为10%时的径向应力。1*The radial stress when the specified deformation is 10% in the experiment.

2*数据引自Journal of Materials Science:Materials in Medicine,2013,24(3):713-724.2*Data quoted from Journal of Materials Science: Materials in Medicine, 2013,24(3):713-724.

3*引自The Lancet,2013,381(9869):836-844.3*Quoted from The Lancet, 2013, 381(9869):836-844.

4*引自International journal of cardiology,2013,167(1):11-21.4*Quoted from International journal of cardiology, 2013, 167(1): 11-21.

虽然,上文中已经用一般性说明及具体实施方案对本发明作了详尽的描述,但在本发明基础上,可以对之作一些修改或改进,这对本领域技术人员而言是显而易见的。因此,在不偏离本发明精神的基础上所做的这些修改或改进,均属于本发明要求保护的范围。Although the present invention has been described in detail with general descriptions and specific embodiments above, it is obvious to those skilled in the art that some modifications or improvements can be made on the basis of the present invention. Therefore, the modifications or improvements made on the basis of not departing from the spirit of the present invention all belong to the protection scope of the present invention.

Claims (5)

1. a kind of degradable zinc-containing alloy support, it is characterised in that include:Degradable Zr-based materials rest body;The support base Body surface face is provided with the degradable polymer eluting coatings containing curative drug;The rest body is drum type brake network structure; The degradable Zr-based materials are Zn- (0~1.5) %Ca alloys, Zn- (0~1.5) %Sn alloys, Zn- (0~1.5) %Mg- (0~1) %Mn alloys, Zn- (0~1.5) %Mg- (0~1) %Sn alloys, Zn- (0~1.5) %Mg- (0~1) %Ca- (0~ 0.5) one kind in %Mn alloys, Zn- (0~1.5) %Mg alloys or Zn- (0~1.5) %Mg- (0~1) %Ca alloys;It is described Degradable polymer is polylactic acid;The curative drug is rapamycin;The thickness of the eluting coatings is 10~50 μm;With Chloroform prepares PLA solution for solvent, and polylactic acid is 1~5: 20~50 with the mass volume ratio of chloroform;Rapamycin and poly- breast The mass ratio of acid is 1~3: 9~27.
2. degradable zinc-containing alloy support according to claim 1, it is characterised in that the degradable Zr-based materials are Zn- 1%Mg alloys or Zn-1%Mg-0.5%Ca alloys;The thickness of the eluting coatings is 30 μm;The mass body of polylactic acid and chloroform Product is than being 1: 20;Rapamycin is 1: 10 with the mass ratio of polylactic acid.
3. degradable zinc-containing alloy support according to claim 1, it is characterised in that the degradable Zr-based materials are Zn- 1%Ca alloys, Zn-1%Sn alloys, Zn-1%Mg-0.5%Mn alloys, Zn-1%Mg-0.5%Sn alloys or Zn-1%Mg- 0.5%Ca-0.1%Mn;The thickness of the eluting coatings is 30 μm;Polylactic acid is 1: 20 with the mass volume ratio of chloroform;Thunder handkerchief Mycin is 1: 10 with the mass ratio of polylactic acid.
4. the preparation method of the arbitrary degradable zinc-containing alloy support of claim 1-3, including:1) by degradable Zr-based materials It is processed into rest body;2) pretreatment is carried out to rest body, processing residual and surface appurtenance is rejected;3) rest body is entered The process of row electrobrightening;4) polishing after-poppet matrix surface degradable polymer eluting of the coating containing curative drug is applied Layer;
The step 2) include:Pickling or alkali cleaning process step are carried out to the rest body after mechanical treatment;The pickle is Acetic acid and Sodium Chloride or the blend solution of sodium nitrate;Described alkali wash water is that sodium hydroxide is molten with sodium carbonate or sodium bicarbonate blending Liquid;
The step 3) it is that rest body is put into electrolyte to carry out electrobrightening process:DC voltage be 2.5~30V, electric current For 0.2~10A, the electrobrightening time is 0.5~20 minute, and electrolysis temperature is 10~40 DEG C;The electrolyte is the anhydrous of acid Ethanol solution, the acid are phosphoric acid or perchloric acid or its mixed liquor;The electrolyte is phosphoric acid and the volume ratio of dehydrated alcohol is 2 ~5: 5~2, or the volume ratio of perchloric acid and dehydrated alcohol is 1~4: 20, or perchloric acid: phosphoric acid: dehydrated alcohol Volume ratio is 1~5: 5~15: 24~40.
5. the preparation method of degradable zinc-containing alloy support according to claim 4, it is characterised in that step 4) it is to configure The degradable polymer solution containing curative drug rest body table is coated in by spraying, dip-coating or electrostatic coating method Face.
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