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CN105498073A - Degradable implantation catheter carrying drug particles - Google Patents

Degradable implantation catheter carrying drug particles Download PDF

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Publication number
CN105498073A
CN105498073A CN201510931618.4A CN201510931618A CN105498073A CN 105498073 A CN105498073 A CN 105498073A CN 201510931618 A CN201510931618 A CN 201510931618A CN 105498073 A CN105498073 A CN 105498073A
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catheter body
catheter
tumor
degradable
drug particles
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Inventor
黄学全
何闯
杨丽
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First Affiliated Hospital of TMMU
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First Affiliated Hospital of TMMU
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Priority to CN201510931618.4A priority Critical patent/CN105498073A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M31/00Devices for introducing or retaining media, e.g. remedies, in cavities of the body
    • A61M31/002Devices for releasing a drug at a continuous and controlled rate for a prolonged period of time
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2202/00Special media to be introduced, removed or treated
    • A61M2202/0007Special media to be introduced, removed or treated introduced into the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/04General characteristics of the apparatus implanted

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Medicinal Chemistry (AREA)
  • Anesthesiology (AREA)
  • Chemical & Material Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hematology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Materials For Medical Uses (AREA)

Abstract

本发明公开了一种携带特定药物粒子(碘-125籽源及缓释药物颗粒如氟尿嘧啶缓释剂颗粒等)的可降解植入导管,包括用于容纳药物颗粒的导管本体和设于导管本体内的用于将药物间隔开来的间隔块,本发明的携带药物粒子的可降解植入导管,可装入足量的抗肿瘤药物并携带药物一同植入患者的肿瘤部位,通过使抗肿瘤药物颗粒得以在肿瘤内达到预定分布、不进入血管而被冲移位置,在瘤体含液及坏死腔隙仍能保持预定分布,导管降解后瘤体缩小时,植入药物颗粒可相应跟随肿瘤变化部位而不遗留在治疗部位外。

The invention discloses a degradable implanted catheter carrying specific drug particles (iodine-125 seed source and slow-release drug particles such as fluorouracil sustained-release agent particles, etc.), including a catheter body for containing drug particles and a catheter body. The spacer used to separate the drugs, the degradable implant catheter carrying drug particles of the present invention can be filled with a sufficient amount of anti-tumor drugs and implanted into the tumor site of the patient together with the drugs, by making the anti-tumor The drug particles can reach the predetermined distribution in the tumor, do not enter the blood vessel and be washed away, and can still maintain the predetermined distribution in the tumor body fluid and necrotic cavity. When the tumor shrinks after the catheter is degraded, the implanted drug particles can follow the tumor accordingly. Change the site without leaving it outside the treatment site.

Description

携带药物粒子的可降解植入导管Degradable implantable catheter carrying drug particles

技术领域 technical field

本发明涉及医疗领域,尤其涉及一种携带药物粒子的可降解植入导管。 The invention relates to the medical field, in particular to a degradable implant catheter carrying drug particles.

背景技术 Background technique

抗肿瘤药物局部放置能够较好地克服传统实体肿瘤治疗方式全身用药的局部剂量低,效果差,全身毒性大的缺陷,不仅能够提高肿瘤局部的药物浓或剂量,而且可以显著降低全身毒性反应,而药物直接放置于肿瘤组织处且分布符合计划不仅操作困难,需要频繁的进行植入操作,耗时长、增加创伤和治疗风险。 Local placement of antineoplastic drugs can better overcome the defects of low local dose, poor effect and high systemic toxicity of traditional solid tumor treatment. However, the drug is placed directly on the tumor tissue and distributed according to the plan, which is not only difficult to operate, but also requires frequent implantation operations, which takes a long time and increases the risk of trauma and treatment.

因此,需要一种携带药物粒子的可降解植入导管,用于容纳抗肿瘤药物,进而携带抗肿瘤药物一同植入患者的肿瘤部位,在携带药物粒子的可降解植入导管内装入足量的抗肿瘤药物并实现药物粒子的合理分布,以达到最佳的治疗效果。可降解性有助于实现药物颗粒能随肿瘤缩小而跟随肿瘤逐渐聚集,不至于进入周围组织中。 Therefore, there is a need for a degradable implant catheter carrying drug particles, which is used to accommodate anti-tumor drugs, and then implanted with anti-tumor drugs into the patient's tumor site, and a sufficient amount of Anti-tumor drugs and realize the reasonable distribution of drug particles to achieve the best therapeutic effect. The degradability helps to realize that the drug particles can gradually accumulate with the tumor as the tumor shrinks, and will not enter the surrounding tissue.

发明内容 Contents of the invention

有鉴于此,本发明的目的是提供一种携带药物粒子的可降解植入导管,可装入足量的抗肿瘤药物并携带药物一同植入患者的肿瘤细胞处,通过抗肿瘤药物的缓慢释放实现长期的治疗,节约治疗费用。 In view of this, the object of the present invention is to provide a degradable implant catheter carrying drug particles, which can be filled with a sufficient amount of anti-tumor drugs and implanted into the patient's tumor cells together with the drugs, through the slow release of anti-tumor drugs Achieve long-term treatment and save treatment costs.

本发明的携带药物粒子的可降解植入导管,包括用于容纳药物的导管本体和设于导管本体内的用于将药物间隔开来的间隔块。 The degradable implantable catheter carrying drug particles of the present invention comprises a catheter body for containing drugs and a spacer block arranged in the catheter body for separating the drugs.

进一步,所述导管本体和间隔块均由可降解材料制成。 Further, both the catheter body and the spacer are made of degradable materials.

进一步,所述导管本体的内径为0.9-1.0mm,壁厚为0.08~0.12mm。 Further, the inner diameter of the catheter body is 0.9-1.0mm, and the wall thickness is 0.08-0.12mm.

进一步,所述导管本体侧壁设置至少一个侧孔或者将导管本体侧壁开口形成C型管结构。 Further, the side wall of the conduit body is provided with at least one side hole or the opening of the side wall of the conduit body is formed into a C-shaped tube structure.

进一步,所述侧孔沿导管本体长向的间距为10~20mm。 Further, the distance between the side holes along the length of the catheter body is 10-20mm.

进一步,所述导管本体的一端封闭,另一端呈喇叭口状,其封闭端为平头、尖头、圆头并且可以是分叉状。 Further, one end of the catheter body is closed, and the other end is in the shape of a bell mouth, and the closed end is flat, pointed, round and may be bifurcated.

进一步,所述可降解材料为可生物蚀解或生物降解的金属、合金或者聚合物。 Further, the degradable material is bioerodible or biodegradable metal, alloy or polymer.

进一步,所述可降解材料为镁、铁、镁基合金、聚乳酸、聚乙醇酸、聚乳酸-乙醇酸共聚物、聚酰胺、聚酯、聚酯酰胺、聚酐、聚原酸酯、聚磷腈、假聚氨基酸、聚甘油-癸二酸酯、聚己内酯、聚己内酯衍生物、基于氨基醇的聚酯酰胺、聚辛烷二醇柠檬酸酯、水凝胶或者可固化的生物可再吸收的弹性体。 Further, the degradable material is magnesium, iron, magnesium-based alloy, polylactic acid, polyglycolic acid, polylactic acid-glycolic acid copolymer, polyamide, polyester, polyester amide, polyanhydride, polyorthoester, poly Phosphazenes, pseudopolyamino acids, polyglycerol-sebacate, polycaprolactone, polycaprolactone derivatives, aminoalcohol-based polyesteramides, polyoctanediol citrate, hydrogels or curable bioresorbable elastomers.

本发明的有益效果是:本发明的携带药物粒子的可降解植入导管,可装入足量的抗肿瘤药物并通过该携带药物粒子的可降解植入导管携带药物一同植入患者的肿瘤细胞处,通过抗肿瘤药物的缓慢释放实现长期的治疗,节约治疗费用。 The beneficial effects of the present invention are: the degradable implant catheter carrying drug particles of the present invention can be loaded with a sufficient amount of anti-tumor drugs and implanted into the patient's tumor cells together with the drug through the degradable implant catheter carrying drug particles Long-term treatment can be achieved through the slow release of anti-tumor drugs, saving treatment costs.

附图说明 Description of drawings

图1为本发明的结构示意图。 Fig. 1 is a structural schematic diagram of the present invention.

具体实施方式 detailed description

图1为本发明的结构示意图;如图所示:本实施例的携带药物粒子的可降解植入导管,包括用于容纳药物1的导管本体2和设于导管本体2内的用于将药物1间隔开来的间隔块3;导管本体2为具有一定硬度的柔性管状结构,药物1可由导管本体2端部的管口释放出来,也可在导管本体2侧壁上加工孔,使药物1由孔释放出来,均能实现本发明的目的;可根据患病部位合理设置间隔块3的长度和间隔,进而在导管本体2植入人体后能使药物1与患病部位相对应,能合理的施用药物1剂量,并保证治疗效果。 Fig. 1 is a schematic structural diagram of the present invention; as shown in the figure: the degradable implantable catheter carrying drug particles in this embodiment includes a catheter body 2 for containing a drug 1 and a catheter body 2 for dispensing the drug 1 Spacer blocks 3 spaced apart; the catheter body 2 is a flexible tubular structure with a certain hardness, and the drug 1 can be released from the nozzle at the end of the catheter body 2, and holes can also be processed on the side wall of the catheter body 2 to make the drug 1 The purpose of the present invention can be achieved by being released from the hole; the length and interval of the spacer block 3 can be reasonably set according to the diseased part, and then the medicine 1 can be made to correspond to the diseased part after the catheter body 2 is implanted into the human body, which can reasonably Administer 1 dose of the drug and ensure the therapeutic effect.

本实施例中,所述导管本体2和间隔块3均由可降解材料制成;导管本体2和间隔块3植入后能逐渐被人体吸收,简化治疗过程,降低对人体的损害。 In this embodiment, the catheter body 2 and the spacer 3 are made of degradable materials; the catheter body 2 and the spacer 3 can be gradually absorbed by the human body after implantation, which simplifies the treatment process and reduces damage to the human body.

本实施例中,所述导管本体2的内径为0.9~1.0mm,壁厚为0.08~0.12mm;管径小,壁厚薄,适于经穿刺针植入手术,利于降解吸收;可用于容纳直径约0.8mm的圆柱形药物颗粒,并经穿刺针施放,确保达到治疗药物理想分布状态。 In this embodiment, the inner diameter of the catheter body 2 is 0.9-1.0mm, and the wall thickness is 0.08-0.12mm; the tube diameter is small and the wall thickness is thin, which is suitable for implantation through a puncture needle, which is conducive to degradation and absorption; it can be used to accommodate diameters Cylindrical drug particles of about 0.8mm are delivered through a puncture needle to ensure the ideal distribution of therapeutic drugs.

本实施例中,所述导管本体2侧壁设置至少一个侧孔4或者将导管本体2侧壁开口形成C型管结构;即在导管本体2的侧壁上开一到数个侧孔4或切除导管本体2的部分侧壁形成C型管结构,根据药物1吸收性合理设置侧孔4的大小和密度,或者根据药物1吸收性合理设置C型管侧面开口的宽度,其中一个侧孔4设于导管本体2底端,使药物1装填时排除空气便于装填药物及药物逐渐释放出来,作用于患病部位,所述侧孔4为喇叭孔结构,即侧孔4的孔径沿导管本体2径向由内到外逐渐变大,能较好的控制药物1释放持续时间,同时增大作用面积,提高治疗效果;导管本体2上对应除最低端以外的其他侧孔4设有密封于该部分侧孔4外端的膜片,所述膜片与导管本体2一体成型并且膜片与导管本体2的外表面相平,膜片由可生物蚀解或生物降解的金属、合金或者聚合物制成,通过膜片能将侧孔4封住,避免植入前药物1洒落,因此药物1可以是粉末或液体,同时设置膜片使导管本体2的外表面变得平滑,便于植入,植入后膜片优先被降解,使侧孔4打开,实现药物1的释放。 In this embodiment, at least one side hole 4 is provided on the side wall of the catheter body 2 or the opening of the side wall of the catheter body 2 is formed into a C-shaped tube structure; that is, one to several side holes 4 are opened on the side wall of the catheter body 2 Part of the side wall of the catheter body 2 is cut off to form a C-shaped tube structure, and the size and density of the side holes 4 are reasonably set according to the absorbability of the drug 1, or the width of the side opening of the C-shaped tube is reasonably set according to the absorbability of the drug 1, and one of the side holes 4 It is located at the bottom of the catheter body 2, so that the air is removed when the drug 1 is filled, so that the drug can be filled and released gradually to act on the diseased part. The radial direction gradually becomes larger from the inside to the outside, which can better control the release duration of the drug 1, increase the area of action at the same time, and improve the therapeutic effect; the side holes 4 corresponding to the catheter body 2 except the lowest end are provided with seals on the side holes 4. The diaphragm at the outer end of part of the side hole 4, the diaphragm is integrally formed with the catheter body 2 and the diaphragm is flat with the outer surface of the catheter body 2, and the diaphragm is made of bioerodible or biodegradable metal, alloy or polymer , the side hole 4 can be sealed by the diaphragm to prevent the drug 1 from spilling before implantation, so the drug 1 can be powder or liquid, and the diaphragm is set to make the outer surface of the catheter body 2 smooth, which is convenient for implantation. The rear membrane is preferentially degraded, so that the side hole 4 is opened to realize the release of the drug 1 .

本实施例中,所述侧孔4沿导管本体2长向的间距为10~20mm;使药物1能够直接作用于病患位置,提高治疗效果,减少用药量,降低用药的副作用。 In this embodiment, the distance between the side holes 4 along the length of the catheter body 2 is 10-20 mm; the drug 1 can directly act on the patient's position, improve the therapeutic effect, reduce the dosage of the drug, and reduce the side effects of the drug.

本实施例中,所述导管本体2的一端封闭,另一端呈喇叭口状,其封闭端为平头、尖头、圆头并且可以是分叉状;方便将药物1装入导管本体2内,封闭端设为分叉状能增大药物1作用面积,同时利用分叉结构对导管本体2进行有效的定位,避免导管本体2发生移位,保证治疗效果。 In this embodiment, one end of the catheter body 2 is closed, and the other end is in the shape of a bell mouth. The closed end is flat, pointed, round and can be bifurcated; Setting the closed end in a bifurcated shape can increase the area of action of the drug 1, and at the same time use the bifurcated structure to effectively position the catheter body 2 to avoid displacement of the catheter body 2 and ensure the therapeutic effect.

本实施例中,所述可降解材料为可生物蚀解或生物降解的金属、合金或者聚合物;导管本体2植入后能逐渐被人体吸收,简化治疗过程,降低对人体的损害。 In this embodiment, the degradable material is a bioerodible or biodegradable metal, alloy or polymer; the catheter body 2 can be gradually absorbed by the human body after implantation, which simplifies the treatment process and reduces damage to the human body.

本实施例中,所述可降解材料为镁、铁、镁基合金、聚乳酸、聚乙醇酸、聚乳酸-乙醇酸共聚物、聚酰胺、聚酯、聚酯酰胺、聚酐、聚原酸酯、聚磷腈、假聚氨基酸、聚甘油-癸二酸酯、聚己内酯、聚己内酯衍生物、基于氨基醇的聚酯酰胺、聚辛烷二醇柠檬酸酯、水凝胶或者可固化的生物可再吸收的弹性体;基于PC的聚合物需要额外的交联剂诸如赖氨酸二异氰酸酯或2,2-双(ε-己内酯-4-基)丙烷以获得弹性体性质,也可以使用以上材料的共聚物、混合物及组合,所述水凝胶的组分按重量百分比包括玉米淀粉4.5-4.7、丙烯酸21.4-22.5、丙烯酰胺9-9.5、过硫酸铵3.2-4.5、碳酸钙4.5-4.7、氢氧化钠9.5-9.9、水余量,即除玉米淀粉、丙烯酸、丙烯酰胺、过硫酸铵、碳酸钙、氢氧化钠以外,其余为水;制备水凝胶时,先将氢氧化钠溶于水中,并加入丙烯酸进行预处理;再依次加入玉米淀粉、丙烯酰胺和碳酸钙,搅拌加温反应后,加入引发剂进行接枝聚合反应;然后将反应后的液体倒入模具中,恒温干燥即可;有工艺简单,产品无毒、生物降解速度快和应用广阔等优点。 In this embodiment, the degradable material is magnesium, iron, magnesium-based alloy, polylactic acid, polyglycolic acid, polylactic acid-glycolic acid copolymer, polyamide, polyester, polyester amide, polyanhydride, polyorthoacid Esters, polyphosphazenes, pseudopolyamino acids, polyglyceryl-sebacate, polycaprolactone, polycaprolactone derivatives, aminoalcohol-based polyesteramides, polyoctanediol citrate, hydrogels or curable bioresorbable elastomers; PC-based polymers require additional crosslinkers such as lysine diisocyanate or 2,2-bis(ε-caprolactone-4-yl)propane for elasticity Body properties, copolymers, mixtures and combinations of the above materials can also be used, the components of the hydrogel include corn starch 4.5-4.7, acrylic acid 21.4-22.5, acrylamide 9-9.5, ammonium persulfate 3.2- 4.5, calcium carbonate 4.5-4.7, sodium hydroxide 9.5-9.9, water balance, that is, except corn starch, acrylic acid, acrylamide, ammonium persulfate, calcium carbonate, and sodium hydroxide, the rest is water; when preparing hydrogel , first dissolve sodium hydroxide in water, and add acrylic acid for pretreatment; then add cornstarch, acrylamide and calcium carbonate in turn, stir and heat for reaction, add initiator to carry out graft polymerization reaction; then the liquid after reaction Pour it into a mold and dry it at a constant temperature; it has the advantages of simple process, non-toxic product, fast biodegradation speed and wide application.

最后说明的是,以上实施例仅用以说明本发明的技术方案而非限制,尽管参照较佳实施例对本发明进行了详细说明,本领域的普通技术人员应当理解,可以对本发明的技术方案进行修改或者等同替换,而不脱离本发明技术方案的宗旨和范围,其均应涵盖在本发明的权利要求范围当中。 Finally, it is noted that the above embodiments are only used to illustrate the technical solutions of the present invention without limitation. Although the present invention has been described in detail with reference to the preferred embodiments, those of ordinary skill in the art should understand that the technical solutions of the present invention can be carried out Modifications or equivalent replacements without departing from the spirit and scope of the technical solution of the present invention shall be covered by the claims of the present invention.

Claims (8)

1. carry a degradable implantation catheter for drug particle, it is characterized in that: comprise catheter body for holding medicine and be located in catheter body for by spacer block spaced apart for medicine.
2. the degradable implantation catheter carrying drug particle according to claim 1, is characterized in that: described catheter body and spacer block are made by degradation material.
3. the degradable implantation catheter carrying drug particle according to claim 2, is characterized in that: the internal diameter of described catheter body is 0.9 ~ 1.0mm, and wall thickness is 0.08 ~ 0.12mm.
4. the degradable implantation catheter carrying drug particle according to claim 2, is characterized in that: described catheter body sidewall arranges at least one side opening or catheter body sidewall opening is formed C type tubular construction.
5. the degradable implantation catheter carrying drug particle according to claim 4, is characterized in that: described side opening along catheter body length to spacing be 10 ~ 20mm.
6. the degradable implantation catheter carrying drug particle according to claim 2, is characterized in that: one end of described catheter body is closed, and the other end is bell mouth shape, and its blind end is tack, tip, round end and can be forked.
7. the degradable implantation catheter carrying drug particle according to claim 2, is characterized in that: described degradation material for separating or biodegradable metal, alloy or polymer in biological erosion.
8. the degradable implantation catheter carrying drug particle according to claim 2, is characterized in that: described degradation material be magnesium, ferrum, magnesium base alloy, polylactic acid, polyglycolic acid, polylactic-co-glycolic acid, polyamide, polyester, polyesteramide, polyanhydride, poe, polyphosphazene, false polyamino acid, polyglycereol-sebacate, polycaprolactone, polycaprolactone derivatives, based on amino alcohol polyesteramide, poly-octane glycol citrate, hydrogel or curable biology can resorbent elastomers.
CN201510931618.4A 2015-12-14 2015-12-14 Degradable implantation catheter carrying drug particles Pending CN105498073A (en)

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CN107970522A (en) * 2017-11-24 2018-05-01 黑龙江工程学院 A kind of degradable metal base subcutaneously carries embedding thing of medicine and preparation method thereof
CN108098735A (en) * 2017-12-12 2018-06-01 上海大学 A kind of biological micro-nano robot and its construction method based on biological 3D printing

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CN2905096Y (en) * 2006-01-01 2007-05-30 张德祥 Catheter for implanting I125 source into canals
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CN107456665A (en) * 2017-09-13 2017-12-12 成都迪康中科生物医学材料有限公司 A kind of degradable conduit for loading drug particle
CN107456665B (en) * 2017-09-13 2018-06-29 成都迪康中科生物医学材料有限公司 A kind of degradable conduit for loading drug particle
CN107970522A (en) * 2017-11-24 2018-05-01 黑龙江工程学院 A kind of degradable metal base subcutaneously carries embedding thing of medicine and preparation method thereof
CN108098735A (en) * 2017-12-12 2018-06-01 上海大学 A kind of biological micro-nano robot and its construction method based on biological 3D printing
CN108098735B (en) * 2017-12-12 2021-11-05 上海大学 A biological micro-nano robot based on biological 3D printing and its construction method

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