[go: up one dir, main page]

CN115382028A - A kind of degradable stapler material and its preparation method and application - Google Patents

A kind of degradable stapler material and its preparation method and application Download PDF

Info

Publication number
CN115382028A
CN115382028A CN202211136912.2A CN202211136912A CN115382028A CN 115382028 A CN115382028 A CN 115382028A CN 202211136912 A CN202211136912 A CN 202211136912A CN 115382028 A CN115382028 A CN 115382028A
Authority
CN
China
Prior art keywords
layer
stapler
degradable
release layer
metal
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN202211136912.2A
Other languages
Chinese (zh)
Inventor
常蕾
郭瑞霞
王雪青
田万家
雷宁静
王剑锋
杨道科
陈义兵
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
First Affiliated Hospital of Zhengzhou University
Original Assignee
First Affiliated Hospital of Zhengzhou University
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by First Affiliated Hospital of Zhengzhou University filed Critical First Affiliated Hospital of Zhengzhou University
Priority to CN202211136912.2A priority Critical patent/CN115382028A/en
Publication of CN115382028A publication Critical patent/CN115382028A/en
Pending legal-status Critical Current

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L31/00Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
    • A61L31/02Inorganic materials
    • A61L31/022Metals or alloys
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L31/00Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
    • A61L31/005Ingredients of undetermined constitution or reaction products thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L31/00Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
    • A61L31/04Macromolecular materials
    • A61L31/043Proteins; Polypeptides; Degradation products thereof
    • A61L31/046Fibrin; Fibrinogen
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L31/00Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
    • A61L31/04Macromolecular materials
    • A61L31/048Macromolecular materials obtained by reactions only involving carbon-to-carbon unsaturated bonds
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L31/00Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
    • A61L31/04Macromolecular materials
    • A61L31/06Macromolecular materials obtained otherwise than by reactions only involving carbon-to-carbon unsaturated bonds
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L31/00Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
    • A61L31/14Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L31/00Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
    • A61L31/14Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
    • A61L31/148Materials at least partially resorbable by the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L31/00Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
    • A61L31/14Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
    • A61L31/16Biologically active materials, e.g. therapeutic substances
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2300/00Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices
    • A61L2300/20Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices containing or releasing organic materials
    • A61L2300/30Compounds of undetermined constitution extracted from natural sources, e.g. Aloe Vera
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2300/00Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices
    • A61L2300/40Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices characterised by a specific therapeutic activity or mode of action
    • A61L2300/404Biocides, antimicrobial agents, antiseptic agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2300/00Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices
    • A61L2300/40Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices characterised by a specific therapeutic activity or mode of action
    • A61L2300/41Anti-inflammatory agents, e.g. NSAIDs
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2300/00Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices
    • A61L2300/40Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices characterised by a specific therapeutic activity or mode of action
    • A61L2300/412Tissue-regenerating or healing or proliferative agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2300/00Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices
    • A61L2300/40Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices characterised by a specific therapeutic activity or mode of action
    • A61L2300/412Tissue-regenerating or healing or proliferative agents
    • A61L2300/414Growth factors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2300/00Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices
    • A61L2300/40Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices characterised by a specific therapeutic activity or mode of action
    • A61L2300/416Anti-neoplastic or anti-proliferative or anti-restenosis or anti-angiogenic agents, e.g. paclitaxel, sirolimus
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2300/00Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices
    • A61L2300/60Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices characterised by a special physical form
    • A61L2300/602Type of release, e.g. controlled, sustained, slow

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Surgery (AREA)
  • Vascular Medicine (AREA)
  • Epidemiology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Chemical & Material Sciences (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Inorganic Chemistry (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Medicinal Chemistry (AREA)
  • Molecular Biology (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Materials For Medical Uses (AREA)

Abstract

本发明公开了一种可降解吻合器材料及其制备方法和应用,包括多层复合的吻合器本体,吻合器本体包括金属层、药物层和抗菌保护层,金属层、药物层和抗菌保护层复合形成柱状吻合器本体。本发明四层的复合结构,除了有传统纯金属吻合器的强度、力学性能,还包含治疗药物缓释层、促生长因子缓释层和抗菌保护层,在吻合伤口的同时,起到治疗伤口炎症、伤口发生癌变、加速伤口愈合、防止伤口发生细菌感染的效果,同时材料自身在体内会随着伤口愈合缓慢降解为无毒的小分子,通过机体代谢清除,避免了吻合器取出造成的二次伤害;本发明采用锌‑铁复合金属,相对于纯锌、纯镁、纯铁、以及锌合金材料、镁合金材料具有更合适的降解速率、力学强度和生物相容性。

Figure 202211136912

The invention discloses a degradable stapler material and its preparation method and application, comprising a multi-layer composite stapler body, the stapler body includes a metal layer, a drug layer and an antibacterial protective layer, and the metal layer, a drug layer and an antibacterial protective layer Composite to form a cylindrical stapler body. The four-layer composite structure of the present invention, in addition to the strength and mechanical properties of traditional pure metal staplers, also includes a slow-release layer for therapeutic drugs, a slow-release layer for growth-promoting factors, and an antibacterial protective layer, which can treat wounds while anastomosis Inflammation, wound canceration, accelerated wound healing, and the effect of preventing bacterial infection of the wound. At the same time, the material itself will slowly degrade into non-toxic small molecules as the wound heals in the body, which will be eliminated through the body's metabolism, avoiding secondary damage caused by the removal of the stapler. Secondary injury; the present invention adopts zinc-iron composite metal, has more suitable degradation rate, mechanical strength and biocompatibility with respect to pure zinc, pure magnesium, pure iron, and zinc alloy material, magnesium alloy material.

Figure 202211136912

Description

一种可降解吻合器材料及其制备方法和应用A kind of degradable stapler material and its preparation method and application

技术领域technical field

本发明涉及医疗器材技术领域,特别是指一种可降解吻合器材料及其制备方法。The invention relates to the technical field of medical equipment, in particular to a degradable stapler material and a preparation method thereof.

背景技术Background technique

吻合器是医学上使用的替代手工缝合的设备,主要工作原理是利用该设备对组织进行离断或吻合,类似于订书机。根据适用范围不同,主要可分为皮肤吻合器、消化道(食道、胃肠等)圆形吻合器、直肠吻合器、圆形痔吻合器、包皮环切吻合器、血管吻合器、疝气吻合器、肺切割缝合器等。Stapler is a device used in medicine to replace manual suturing. The main working principle is to use the device to cut or staple tissue, similar to a stapler. According to the scope of application, it can be divided into skin staplers, digestive tract (esophagus, gastrointestinal, etc.) circular staplers, rectal staplers, circular hemorrhoid staplers, circumcision staplers, blood vessel staplers, hernia staplers , Lung cutting stapler, etc.

传统的医用吻合器是采用稳定性极好的钛合金、镍合金、钽合金等,虽然他们具有较好的生物相容性,但化学性质极其稳定,手术缝合后会长期存留在体内,需通过手术方式取出,造成二次伤害。近年来,可生物降解材料越来越受到人们的关注,包括可生物降解的高分子材料,无机纳米材料和有机-无机杂化材料等,其独特的可生物降解性能使其在生物医学领域得到了广泛应用。但是现有的可降解吻合器材料的性能单一,作用单一。Traditional medical staplers use titanium alloys, nickel alloys, and tantalum alloys with excellent stability. Although they have good biocompatibility, their chemical properties are extremely stable, and they will remain in the body for a long time after surgical suturing. Surgical removal, causing secondary damage. In recent years, biodegradable materials have attracted more and more attention, including biodegradable polymer materials, inorganic nanomaterials, and organic-inorganic hybrid materials. Their unique biodegradable properties make them widely used in the field of biomedicine. widely used. However, the existing degradable stapler materials have single performance and single function.

发明内容Contents of the invention

针对上述背景技术中的不足,本发明提出一种可降解吻合器材料及其制备方法,解决了现有技术中吻合器的性能单一的问题。In view of the deficiencies in the above-mentioned background technology, the present invention proposes a degradable stapler material and its preparation method, which solves the problem of single performance of the stapler in the prior art.

本发明的技术方案是这样实现的:Technical scheme of the present invention is realized like this:

一种可降解吻合器材料,包括多层复合的吻合器本体,吻合器本体包括金属层、药物层和抗菌保护层,金属层、药物层和抗菌保护层复合形成柱状吻合器本体。A degradable stapler material includes a multi-layer composite stapler body. The stapler body includes a metal layer, a drug layer and an antibacterial protective layer. The metal layer, the drug layer and the antibacterial protective layer are composited to form a cylindrical stapler body.

进一步地,所述中间层包括治疗药物缓释层和促生长因子缓释层,促生长因子缓释层包裹在治疗药物缓释层外侧。Further, the middle layer includes a therapeutic drug slow-release layer and a growth-promoting factor sustained-release layer, and the growth-promoting factor sustained-release layer is wrapped outside the therapeutic drug sustained-release layer.

进一步地,所述金属层为丝状结构,所述治疗药物缓释层、促生长因子缓释层和保护层由内到外层层包裹在金属层上形成柱状的吻合器本体。Further, the metal layer has a filamentous structure, and the slow-release layer of therapeutic drug, slow-release layer of growth-promoting factor and protective layer are wrapped on the metal layer from inside to outside to form a columnar stapler body.

一种可降解吻合器材料的制备方法,包括金属层的制备方法,所述的金属层的制备方法包括如下步骤:A method for preparing a degradable stapler material, including a method for preparing a metal layer, the method for preparing a metal layer includes the following steps:

A1. 将二水合硫酸锌和四水合硫酸铁配置成浓度分别为0.2-0.6摩尔/升和0.5-0.8摩尔/升的水溶液,再配置浓度为0.2-0.5摩尔/升的柠檬酸钠水溶液,浓度为0.1-0.3摩尔/升的硼酸水溶液,浓度为0.15-0.25摩尔/升的磷酸二氢钠水溶液;A1. Prepare zinc sulfate dihydrate and ferric sulfate tetrahydrate into aqueous solutions with a concentration of 0.2-0.6 mol/liter and 0.5-0.8 mol/liter respectively, and then prepare an aqueous solution of sodium citrate with a concentration of 0.2-0.5 mol/liter. It is 0.1-0.3 mol/liter boric acid aqueous solution, and the concentration is 0.15-0.25 mol/liter sodium dihydrogen phosphate aqueous solution;

A2.将步骤A1配置好的溶液按照二水合硫酸锌溶液:四水合硫酸铁溶液:柠檬酸钠水溶液:硼酸水溶液:磷酸二氢钠水溶液的体积比2-3:3-5:5-7:3-7:2-5混合,然后加入所有物料质量的0.2-0.35倍的短碳纤维,加浓度为1摩尔/升的盐酸/硫酸混合溶液,调节体系pH值达到3-4,体系在30-35℃条件下持续搅拌30分钟,得到复合金属离子溶液;A2. The solution configured in step A1 is according to the volume ratio of zinc sulfate dihydrate solution: ferric sulfate tetrahydrate solution: sodium citrate aqueous solution: boric acid aqueous solution: sodium dihydrogen phosphate aqueous solution 2-3:3-5:5-7: Mix 3-7:2-5, then add short carbon fibers 0.2-0.35 times the mass of all materials, add a mixed solution of hydrochloric acid/sulfuric acid with a concentration of 1 mol/liter, adjust the pH of the system to 3-4, and the system at 30- Continue stirring for 30 minutes at 35°C to obtain a composite metal ion solution;

A3. 以石墨为阳极,直径为0.05-0.1毫米的细铁丝为阴极,阴极先使用砂纸打磨干净,然后用无水乙醇清洗表面3次,丙酮清洗表面3次;将步骤A2得到的复合金属离子溶液加入电解槽中,阴阳两极也置于电解槽中;然后在温度为40-55℃,电流密度为20-35毫安/平方厘米的条件下电沉积4小时,得到所述的金属层的基材。A3. Use graphite as the anode, and a thin iron wire with a diameter of 0.05-0.1 mm as the cathode. The cathode is first polished with sandpaper, and then the surface is cleaned 3 times with absolute ethanol and 3 times with acetone; the composite metal ion obtained in step A2 The solution is added to the electrolytic cell, and the cathode and anode are also placed in the electrolytic cell; then electrodeposited for 4 hours at a temperature of 40-55 ° C and a current density of 20-35 mA/cm2 to obtain the metal layer. Substrate.

进一步地,所述治疗药物缓释层是在金属层表面生长一层谷胱甘肽(GSH)响应和氧化还原物种(ROS)响应的聚合物前药凝胶。Further, the therapeutic drug slow-release layer is a glutathione (GSH)-responsive and redox-species (ROS)-responsive polymer prodrug gel grown on the surface of the metal layer.

进一步地,所述治疗药物缓释层的制备方法,包括以下步骤:Further, the preparation method of the therapeutic drug slow-release layer comprises the following steps:

B1.在丙烯酸单体上修饰二硫键连接的喜树碱、二硫键连接的阿霉素、苯硼酸触发基元连接的喜树碱和苯硼酸触发基元连接的阿霉素,将上述四种单体按相等摩尔比混合在一起,加入总质量0.1-0.5%的偶氮二异丁腈,加入总质量1-3倍的N-甲基吡咯烷酮溶液,在室温下搅拌30分钟,得到聚合体系;B1. modify the camptothecin linked by disulfide bond, the doxorubicin linked by disulfide bond, the camptothecin linked by phenylboronic acid trigger motif and the doxorubicin linked by phenylboronic acid trigger motif on the acrylic acid monomer, the above The four monomers are mixed together in an equal molar ratio, adding 0.1-0.5% of the total mass of azobisisobutyronitrile, adding 1-3 times the total mass of N-methylpyrrolidone solution, and stirring at room temperature for 30 minutes to obtain polymerization system;

B2. 将步骤A3制得的金属层的基材经过拉伸、打磨得到粗细均匀的直径为0.3-0.5毫米的圆柱形复合金属细丝;然后将所述的圆柱形复合金属细丝在氩气等离子条件下对表面进行处理,将氩气等离子体处理后的复合金属细丝放入步骤B1得到的聚合体系,金属细丝均匀排布;B2. The substrate of the metal layer obtained in step A3 is stretched and polished to obtain a cylindrical composite metal filament with a diameter of 0.3-0.5 mm; The surface is treated under plasma conditions, and the composite metal filaments treated with argon gas plasma are put into the polymerization system obtained in step B1, and the metal filaments are evenly arranged;

B3. 然后将整个聚合体系抽真空,置换为氩气环境,在150℃条件下聚合2-3小时;体系自然冷却至室温,取出金属细丝;然后对金属细丝表面的凝胶层打磨处理得到粗细均匀的、直径在0.5-0.6毫米的含药物释放层的复合金属细丝。B3. Then vacuumize the entire polymerization system, replace it with an argon environment, and polymerize at 150°C for 2-3 hours; cool the system to room temperature naturally, and take out the metal filament; then polish the gel layer on the surface of the metal filament A composite metal filament containing a drug release layer with a uniform thickness and a diameter of 0.5-0.6 mm is obtained.

进一步地,所述的氩气等离子体处理条件为:电压2-3.5V,电流0.8-1.5A,单次处理时间30分钟,一共处理10次。Further, the argon plasma treatment conditions are as follows: voltage 2-3.5V, current 0.8-1.5A, single treatment time 30 minutes, a total of 10 treatments.

进一步地,所述的促生长因子缓释层是由聚合物改性纤维蛋白负载表皮细胞生长因子、天然芦荟胶和聚甲基烷基醚的复合物层,促生长因子缓释层的制备方法包括以下步骤:Further, the growth-promoting factor slow-release layer is a composite layer of polymer-modified fibrin loaded with epidermal growth factor, natural aloe gel and polymethyl alkyl ether, and the preparation method of the growth-promoting factor slow-release layer Include the following steps:

C1.将分子量为350-600W的侧基修饰酯键连接的琥珀酸酯聚丙烯和纤维蛋白按摩尔质量比为1:20-30的比例混合,加入到pH等于7.4的磷酸缓冲盐溶液中,37℃下搅拌4小时,然后加入表皮细胞生长因子,37℃条件下搅拌12小时,冻干得到负载表皮细胞生长因子的聚合物改性纤维蛋白;C1. The succinate polypropylene with a molecular weight of 350-600W side group modified ester bond and fibrin are mixed in a molar mass ratio of 1:20-30, and added to a phosphate buffered saline solution with a pH equal to 7.4, stirring at 37°C for 4 hours, then adding epidermal growth factor, stirring at 37°C for 12 hours, and freeze-drying to obtain polymer-modified fibrin loaded with epidermal growth factor;

C2.然后将步骤C1得到的负载表皮细胞生长因子的聚合物改性纤维蛋白:天然芦荟胶:聚甲基烷基醚按质量比3-5:1-2:1-1.5混合,加入无水乙醇,在37℃条件下搅拌2小时,然后将含药物释放层的复合金属细丝放入体系中,37℃浸泡4小时;取出细丝后自然风干,然后将细丝打磨后得到粗细均匀,直径为0.6-0.7毫米的细丝材料。C2. then the polymer modified fibrin loaded with epidermal growth factor that step C1 obtains: natural aloe vera gel: polymethyl alkyl ether mixes by mass ratio 3-5:1-2:1-1.5, adds anhydrous Ethanol, stirred at 37°C for 2 hours, then put the composite metal filaments containing the drug-releasing layer into the system, soaked at 37°C for 4 hours; took out the filaments and dried them naturally, and then polished the filaments to obtain uniform thickness, Filamentous material with a diameter of 0.6-0.7 mm.

进一步地,所述的抗菌保护层是为多种聚合物组分成的复合材料层,所述的抗菌保护层的制备方法如下:Further, the antibacterial protective layer is a composite material layer composed of various polymer components, and the preparation method of the antibacterial protective layer is as follows:

将聚赖氨酸、聚[2-甲基丙烯酸-2-甲基-(N,N-二甲氨基)乙酯]、[−(N,N-−二甲氨基)乙酯]和酯基封端的聚苯基氨基甲酸酯按质量比:2-3:3-4:2-5:1-2进行混合,然后混合体系在150-200℃条件下加热熔化,将步骤C2制成的包含三层结构的细丝材料在熔融液中快速拉过,使其表面均匀的裹上一层聚合物层,室温条件下自然冷却;经过打磨抛光后得到粗细均匀,直径约0.8-0.9毫米的可降解吻合器材料。Polylysine, poly[2-methacrylic acid-2-methyl-(N,N-dimethylamino)ethyl ester], [−(N,N-−dimethylamino)ethyl ester] and ester group The end-capped polyphenylcarbamate is mixed according to the mass ratio: 2-3:3-4:2-5:1-2, and then the mixed system is heated and melted at 150-200°C, and the prepared step C2 The filament material with a three-layer structure is quickly pulled through the molten liquid, so that its surface is evenly coated with a layer of polymer layer, and cooled naturally at room temperature; after grinding and polishing, it is uniform in thickness and about 0.8-0.9 mm in diameter. Biodegradable stapler material.

进一步地,所述的金属层用于稳固吻合器的形态;所述的治疗药物缓释层,在组织发生病变时,激活、释放内部包含的药物,用于炎症治疗或者杀死有害细胞;所述的促生长因子缓释层用于缓慢释放细胞促生长因子,加速伤口部位的恢复;所述的抗菌保护层用于防止在伤口部位发生细菌感染。Further, the metal layer is used to stabilize the shape of the stapler; the therapeutic drug slow-release layer activates and releases the drug contained inside when the tissue is lesioned, and is used for inflammation treatment or killing harmful cells; The growth-promoting factor slow-release layer is used for slowly releasing cell growth-promoting factors to accelerate the recovery of the wound site; the antibacterial protective layer is used to prevent bacterial infection at the wound site.

本发明的有益效果:本发明具有四层的结构复合材料,具有传统纯金属吻合器材料同样的强度、力学性能;同时本发明包含了治疗药物缓释层、促生长因子缓释层和抗菌保护层,在吻合伤口的同时,还能够起到治疗伤口炎症、伤口发生癌变、加速伤口愈合、防止伤口发生细菌感染的效果,同时材料自身在体内会随着伤口愈合缓慢降解为无毒的小分子,通过机体代谢清除,避免了吻合器取出造成的二次伤害;本发明采用锌-铁复合金属,相对于纯锌、纯镁、纯铁、以及锌合金材料、镁合金材料具有更合适的降解速率、力学强度和生物相容性。Beneficial effects of the present invention: the present invention has a four-layer structural composite material, which has the same strength and mechanical properties as traditional pure metal stapler materials; at the same time, the present invention includes a therapeutic drug slow-release layer, a growth-promoting factor slow-release layer and antibacterial protection While anastomosing the wound, it can also treat wound inflammation, wound canceration, accelerate wound healing, and prevent bacterial infection of the wound. At the same time, the material itself will slowly degrade into non-toxic small molecules as the wound heals in the body. , cleared through the body's metabolism, avoiding the secondary damage caused by the removal of the stapler; the present invention uses zinc-iron composite metal, which has a more suitable degradation rate than pure zinc, pure magnesium, pure iron, and zinc alloy materials and magnesium alloy materials. speed, mechanical strength and biocompatibility.

附图说明Description of drawings

为了更清楚地说明本发明实施例,下面将对实施例描述中所需要使用的附图作简单地介绍,显而易见地,下面描述中的附图仅仅是本发明的一些实施例,对于本领域普通技术人员来讲,在不付出创造性劳动的前提下,还可以根据这些附图获得其他的附图。In order to illustrate the embodiments of the present invention more clearly, the accompanying drawings used in the description of the embodiments will be briefly introduced below. Obviously, the accompanying drawings in the following description are only some embodiments of the present invention. As far as the skilled person is concerned, other drawings can also be obtained based on these drawings on the premise of not paying creative work.

图1为本发明的可降解吻合器材料的结构示意图;Fig. 1 is a schematic structural view of the degradable stapler material of the present invention;

图2为本发明的二硫键触发基元的结构示意图;Figure 2 is a schematic structural view of the disulfide bond triggering motif of the present invention;

图3为本发明的苯硼酸触发基元的结构示意图。Fig. 3 is a schematic structural view of the phenylboronic acid trigger unit of the present invention.

具体实施方式Detailed ways

下面将结合本发明实施例中的附图,对本发明实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本发明一部分实施例,而不是全部的实施例。基于本发明中的实施例,本领域普通技术人员在没有付出创造性劳动前提下所获得的所有其他实施例,都属于本发明保护的范围。The following will clearly and completely describe the technical solutions in the embodiments of the present invention with reference to the accompanying drawings in the embodiments of the present invention. Obviously, the described embodiments are only some, not all, embodiments of the present invention. Based on the embodiments of the present invention, all other embodiments obtained by persons of ordinary skill in the art without making creative efforts belong to the protection scope of the present invention.

如图1所示,实施例1所述的一种可降解吻合器材料,具体的,所述的可降解吻合器材料是多层交叠的圆柱状材料,该材料一共分为四层,分别是核心层的金属层、第二层的治疗药物释放层、第三层的促生长因子缓释层和第四层的抗菌保护层。如图1所示,所述的核心层是金属复合材料的金属层,用于稳固吻合器的形态和材料的力学性能。As shown in Figure 1, a degradable stapler material described in Example 1, specifically, the degradable stapler material is a multilayer overlapping cylindrical material, which is divided into four layers, respectively It is the metal layer of the core layer, the second layer of therapeutic drug release layer, the third layer of growth-promoting factor slow-release layer and the fourth layer of antibacterial protective layer. As shown in FIG. 1 , the core layer is a metal layer of a metal composite material, which is used to stabilize the shape of the stapler and the mechanical properties of the material.

一种可降解吻合器材料的制备方法,包括金属层的制备方法,金属层的制备方法如下:将二水合硫酸锌配置成浓度为0.4 摩尔/升的水溶液,配置0.6摩尔/升的四水合硫酸铁水溶液,再配置浓度为0.3摩尔/升的柠檬酸钠水溶液,浓度为0.25摩尔/升的硼酸水溶液,浓度为0.2摩尔/升的磷酸二氢钠水溶液。然后按二水合硫酸锌溶液::四水合硫酸铁溶液:柠檬酸钠水溶液:硼酸水溶液:磷酸二氢钠水溶液的体积比2:3:5:5:3混合,然后加入所有物料质量的0.3倍的短碳纤维,加浓度为1摩尔/升的盐酸/硫酸混合溶液,调节体系pH值达到3.5,体系在35℃条件下持续搅拌30分钟,得到复合金属离子溶液。然后以石墨为阳极,直径为0.05毫米的细铁丝为阴极,阴极先使用砂纸打磨干净,然后用无水乙醇清洗表面3次,丙酮清洗表面3次。将金属离子溶液加入电解槽中,阴阳两极也置于电解槽中。然后在40-55℃,电流密度为25-35毫安/平方厘米的条件下电沉积4小时。得到所述的金属层的基材。A method for preparing a degradable stapler material, including a method for preparing a metal layer, the method for preparing the metal layer is as follows: configure zinc sulfate dihydrate into an aqueous solution with a concentration of 0.4 mol/liter, and configure 0.6 mol/liter of sulfuric acid tetrahydrate Aqueous iron solution, then configuration concentration is the sodium citrate aqueous solution of 0.3 mol/liter, the concentration is the boric acid aqueous solution of 0.25 mol/liter, and the concentration is the sodium dihydrogen phosphate aqueous solution of 0.2 mol/liter. Then mix according to the volume ratio of zinc sulfate dihydrate solution:: ferric sulfate tetrahydrate solution: sodium citrate solution: boric acid solution: sodium dihydrogen phosphate solution volume ratio 2:3:5:5:3, and then add 0.3 times the mass of all materials Short carbon fiber, add a mixed solution of hydrochloric acid/sulfuric acid with a concentration of 1 mol/liter, adjust the pH value of the system to 3.5, and keep stirring the system at 35°C for 30 minutes to obtain a composite metal ion solution. Then graphite is used as the anode, and a thin iron wire with a diameter of 0.05 mm is used as the cathode. The cathode is firstly polished with sandpaper, and then the surface is cleaned with absolute ethanol for 3 times and acetone for 3 times. The metal ion solution is added to the electrolytic cell, and the negative and positive electrodes are also placed in the electrolytic cell. Then electrodeposit for 4 hours under the conditions of 40-55° C. and current density of 25-35 mA/cm2. Obtain the base material of the metal layer.

将产品在体外置于37℃模拟体液(Hank's solution)中实验,测得腐蚀速率为0.20mm/year,可以满足人们的使用需求。The product was placed in a simulated body fluid (Hank's solution) at 37°C for an experiment in vitro, and the measured corrosion rate was 0.20mm/year, which can meet people's needs for use.

如图1所示,所述的第二层的治疗药物缓释层是在金属层的基材表面生长一层谷胱甘肽(GSH)响应和氧化还原物种(ROS)响应的聚合物前药凝胶。该层会在组织发生病变,激活,释放内部包含的药物,例如炎症或者癌变时会激活,释放内部包含的药物,用于炎症治疗或者杀死癌细胞。具体的所述的聚合物前药凝胶的制备方法如下:在丙烯酸单体上修饰二硫键连接的喜树碱、二硫键连接的阿霉素、苯硼酸触发基元连接的喜树碱、苯硼酸触发基元连接的阿霉素,将上述四种单体按相等摩尔比混合在一起,加入总质量0.2%的偶氮二异丁腈,加入总质量1-3倍的N-甲基吡咯烷酮溶液,在室温下搅拌30分钟,得到聚合体系。将所述的核心层的金属层的基材经过拉伸、打磨得到粗细均匀的直径为0.3毫米的圆柱形复合金属细丝。然后将所述的圆柱形复合金属细丝在氩气等离子条件下对表面进行处理,可使得聚合物凝胶层在金属复合物表面黏合的更牢固。具体的,所述的氩气等离子体处理条件为:电压2-3.5V,电流1-1.5A,单次处理时间30分钟,一共处理10次。将氩气等离子体处理后复合金属细丝放入聚合体系,金属细丝均匀排布。然后将整个体系抽真空,置换为氩气环境,在150℃条件下聚合2-3小时,使得金属细丝表面有聚合物凝胶层。体系自然冷却至室温,取出金属细丝。然后对金属细丝表面的凝胶层打磨处理得到粗细均匀的,直径在0.5毫米的含药物释放层的复合金属细丝。As shown in Figure 1, the second therapeutic drug slow-release layer is a layer of glutathione (GSH)-responsive and redox-species (ROS)-responsive polymer prodrugs grown on the substrate surface of the metal layer gel. This layer will activate when the tissue becomes lesioned, activate, and release the drugs contained in it, such as inflammation or cancer, and release the drugs contained in it to treat inflammation or kill cancer cells. The specific preparation method of the polymer prodrug gel is as follows: modify the camptothecin linked by the disulfide bond, the doxorubicin linked by the disulfide bond, and the camptothecin linked by the phenylboronic acid trigger element on the acrylic acid monomer 1. Doxorubicin connected with phenylboronic acid trigger unit, mix the above four monomers together in equal molar ratio, add 0.2% of the total mass of azobisisobutyronitrile, and add 1-3 times the total mass of N-formazycin The base pyrrolidone solution was stirred at room temperature for 30 minutes to obtain a polymerization system. The base material of the metal layer of the core layer is stretched and polished to obtain cylindrical composite metal filaments with uniform thickness and diameter of 0.3 mm. Then, the surface of the cylindrical composite metal filament is treated under the condition of argon plasma, so that the polymer gel layer can be bonded more firmly on the surface of the metal composite. Specifically, the argon plasma treatment conditions are: voltage 2-3.5V, current 1-1.5A, single treatment time 30 minutes, a total of 10 treatments. The composite metal filaments treated with argon gas plasma are put into the polymerization system, and the metal filaments are evenly arranged. Then the whole system is evacuated, replaced with an argon environment, and polymerized at 150° C. for 2-3 hours, so that a polymer gel layer is formed on the surface of the metal filament. The system was naturally cooled to room temperature, and the metal filaments were taken out. Then, the gel layer on the surface of the metal filament is polished to obtain a composite metal filament with a uniform thickness and a diameter of 0.5 mm containing a drug releasing layer.

具体的,所述的谷胱甘肽(GSH)响应和氧化还原物种(ROS)响应的聚合物前药凝胶的单体中的触发基元包括二硫键触发基元和苯硼酸触发基元,具体结构如图2和图3所示,图2为二硫键触发基元,图3为苯硼酸触发基元,n和m的值为4-100。Specifically, the triggering motifs in the monomers of the glutathione (GSH) responsive and redox species (ROS) responsive polymer prodrug gels include disulfide bond triggering motifs and phenylboronic acid triggering motifs , the specific structure is shown in Figure 2 and Figure 3, Figure 2 is a disulfide bond triggering motif, Figure 3 is a phenylboronic acid triggering motif, and the values of n and m are 4-100.

将上述制备的载有喜树碱与阿霉素的药物释放层凝胶材料称取1mg加入10ml PBS的EP管中混匀,37℃震荡,分别在0h、1h、2h、4h、8h、12h、24h、48h、72h,使用ELISA试剂盒监测上清中药物释放浓度。对照组为单纯未加工药物。Weigh 1 mg of the above-prepared drug-releasing layer gel material loaded with camptothecin and doxorubicin, add 10 ml of PBS into an EP tube, mix evenly, shake at 37°C, and set the temperature at 0h, 1h, 2h, 4h, 8h, 12h, respectively. At 24h, 48h, and 72h, ELISA kits were used to monitor the drug release concentration in the supernatant. The control group was pure unprocessed medicine.

表1治疗药物缓释层体外缓释的结果(%)Table 1 The results of in vitro sustained release of therapeutic drug sustained release layer (%)

Figure DEST_PATH_IMAGE001
Figure DEST_PATH_IMAGE001

如图1所示,所述的第三层的促生长因子缓释层,其功能是缓慢释放细胞促生长因子,达到伤口快速回复的目的。具体的,所述的促生长因子缓释层是由聚合物改性纤维蛋白负载表皮细胞生长因子,天然芦荟胶,聚甲基烷基醚复合物层。具体的制备方法如下:将分子量为350-600W的侧基修饰酯键连接的琥珀酸酯聚丙烯和纤维蛋白按摩尔质量比为1:25的比例混合,加入到pH等于7.4的磷酸缓冲盐溶液中,37℃下搅拌4小时,然后加入表皮细胞生长因子,37℃条件下搅拌12小时,冻干得到负载表皮细胞生长因子的聚合物改性纤维蛋白。然后将所述的负载表皮细胞生长因子的聚合物改性纤维蛋白:天然芦荟胶:聚甲基烷基醚按质量比3:1.5:1混合,加入无水乙醇,在37℃条件下搅拌2小时,然后将含药物释放层的复合金属细丝放入体系中,37℃浸泡4小时。取出细丝后自然风干,然后将细丝打磨后得到粗细均匀,直径为0.6毫米的细丝材料。As shown in FIG. 1 , the function of the growth-promoting factor slow-release layer of the third layer is to slowly release cell growth-promoting factors to achieve the purpose of rapid wound recovery. Specifically, the slow-release layer of the growth-promoting factor is composed of polymer-modified fibrin loaded with epidermal growth factor, natural aloe vera gel, and polymethyl alkyl ether composite layer. The specific preparation method is as follows: mix succinate polypropylene with a molecular weight of 350-600W side group modified ester bond and fibrin at a molar mass ratio of 1:25, and add it to a phosphate buffered saline solution with a pH equal to 7.4 , stirred at 37° C. for 4 hours, then added epidermal growth factor, stirred at 37° C. for 12 hours, and freeze-dried to obtain polymer-modified fibrin loaded with epidermal growth factor. Then the polymer-modified fibrin loaded with epidermal growth factor: natural aloe vera gel: polymethyl alkyl ether was mixed in a mass ratio of 3:1.5:1, added absolute ethanol, and stirred at 37°C for 2 Hours, and then put the composite metal filaments containing the drug-releasing layer into the system, and soak for 4 hours at 37°C. After taking out the filaments, air-dry them naturally, and then grind the filaments to obtain a filament material with a uniform thickness and a diameter of 0.6 mm.

测定药物缓释方法如前所述,对照组为单纯未加工药物。The method for determining sustained release of drugs was as described above, and the control group was simple unprocessed drugs.

表2 促生长因子缓释层体外缓释的结果(%)Table 2 In vitro sustained-release results of the growth-promoting factor sustained-release layer (%)

Figure DEST_PATH_IMAGE002
Figure DEST_PATH_IMAGE002

测定促生长因子缓释层对成纤维细胞迁移能力的影响。将1×106成纤维细胞接种于六孔板中,当细胞增殖至80-90%时,制作划痕,实验组加入含有促生长因子缓释层的无血清培养基,对照组加入无血清培养基,继续培养12h后比较划痕间隙面积。实验组面积为(0.61±0.03)mm2明显低于对照组(1.19±0.02)mm2,表明促生长因子缓释层提高了成纤维细胞的迁移能力。The effect of growth-promoting factor slow-release layer on the migration ability of fibroblasts was determined. Inoculate 1×106 fibroblasts in a six-well plate. When the cells proliferate to 80-90%, make scratches. Add serum-free medium containing growth-promoting factor slow-release layer to the experimental group, and add serum-free culture to the control group. After further culturing for 12 hours, the area of the scratch gap was compared. The area of the experimental group was (0.61±0.03) mm 2 significantly lower than that of the control group (1.19±0.02) mm 2 , indicating that the slow-release layer of growth-promoting factors improved the migration ability of fibroblasts.

如图1所示,所述的第四层抗菌保护层,其主要作用有三个:1.防止材料自身表面形成细菌被膜;2.释放抗菌因子防止伤口部位细菌感染;3.对整个材料起到加固保护的作用,防止内部活性内容物的非必要释放。As shown in Figure 1, the fourth layer of antibacterial protective layer has three main functions: 1. prevent the formation of bacterial film on the surface of the material itself; 2. release antibacterial factors to prevent bacterial infection at the wound site; Reinforces protective action against unwanted release of internal active content.

具体的,所述的抗菌保护层是由多种聚合物组分成的复合材料。所述的抗菌保护层的制备方法如下:将聚赖氨酸:聚[2-甲基丙烯酸-2-甲基-(N,N-二甲氨基)乙酯]:聚[(N,N-−二甲氨基)乙酯]:酯基封端的聚苯基氨基甲酸酯按质量比为2:3.5:3:1进行混合,然后混合体系在150-200℃条件下加热熔化,将上述的包含三层结构的金属细丝在熔融液中快速拉过,使其表面均匀的过上一层聚合物层,室温条件下自然冷却。经过打磨抛光后得到粗细均匀,直径约0.8毫米的可降解吻合器材料。Specifically, the antibacterial protective layer is a composite material composed of various polymer components. The preparation method of the described antibacterial protective layer is as follows: polylysine: poly[2-methacrylic acid-2-methyl-(N,N-dimethylamino)ethyl]:poly[(N,N- −Dimethylamino)ethyl ester]: Ester-terminated polyphenylcarbamate is mixed in a mass ratio of 2:3.5:3:1, and then the mixed system is heated and melted at 150-200°C, and the above-mentioned Metal filaments with a three-layer structure are pulled quickly through the molten liquid, so that the surface is evenly covered with a layer of polymer layer, and cooled naturally at room temperature. After grinding and polishing, a degradable stapler material with a uniform thickness and a diameter of about 0.8 mm was obtained.

其抗菌效果测试方法如下:将制备得到的含抗菌复合材料的可降解吻合器及对照组不含抗菌复合材料的可降解吻合器分别置入培养皿中,然后在培养皿上涂覆含相同活菌落数的培养基,接着将培养皿放入培养箱中储藏,24小时后计算细菌的菌落数,并计算抑菌率;抑菌率越高说明抗菌效果越好。The antibacterial effect test method is as follows: the prepared degradable stapler containing antibacterial composite material and the degradable stapler without antibacterial composite material in the control group were respectively placed in a petri dish, and then coated with the same biodegradable stapler on the petri dish. Then put the petri dish into the incubator for storage, count the number of bacterial colonies after 24 hours, and calculate the bacteriostatic rate; the higher the bacteriostatic rate, the better the antibacterial effect.

抑菌率=((原始菌落数-24h后的菌落数)/原始菌落数)×100%Bacterial inhibition rate=((number of original colonies-number of colonies after 24h)/number of original colonies)×100%

表3 抗菌保护层抗菌实验结果Table 3 Antibacterial test results of antibacterial protective layer

大肠杆菌抑制率Escherichia coli inhibition rate 金黄色葡萄球菌抑制率Staphylococcus aureus inhibition rate 含抗菌复合材料的可降解吻合器Degradable Stapler Containing Antibacterial Composite Materials 98.9%98.9% 98.4%98.4% 不含抗菌复合材料的可降解吻合器Degradable Stapler Without Antimicrobial Composite 78.4%78.4% 69.7%69.7%

以上所述仅为本发明的较佳实施例而已,并不用以限制本发明,凡在本发明的精神和原则之内,所作的任何修改、等同替换、改进等,均应包含在本发明的保护范围之内。The above descriptions are only preferred embodiments of the present invention, and are not intended to limit the present invention. Any modifications, equivalent replacements, improvements, etc. made within the spirit and principles of the present invention shall be included in the scope of the present invention. within the scope of protection.

Claims (10)

1. A degradable stapler material, characterized in that: the anastomat comprises a multi-layer composite anastomat body, wherein the anastomat body comprises a metal layer, a medicine layer and an antibacterial protective layer, and the metal layer, the medicine layer and the antibacterial protective layer are compounded to form a cylindrical anastomat body.
2. The degradable stapler material of claim 1, wherein: the middle layer comprises a therapeutic drug sustained-release layer and a growth-promoting factor sustained-release layer, and the growth-promoting factor sustained-release layer is wrapped outside the therapeutic drug sustained-release layer.
3. The degradable stapler material of claim 2, wherein: the metal layer is of a filamentous structure, and the therapeutic drug slow-release layer, the growth promoting factor slow-release layer and the protective layer are wrapped on the metal layer by layer from inside to outside to form a columnar anastomat body.
4. A method of making a degradable stapler material according to any one of claims 1~3, wherein the method comprises: the preparation method of the metal layer comprises the following steps:
A1. preparing zinc sulfate dihydrate and ferric sulfate tetrahydrate into aqueous solutions with the concentrations of 0.2-0.6 mol/L and 0.5-0.8 mol/L respectively, and then preparing a sodium citrate aqueous solution with the concentration of 0.2-0.5 mol/L, a boric acid aqueous solution with the concentration of 0.1-0.3 mol/L and a sodium dihydrogen phosphate aqueous solution with the concentration of 0.15-0.25 mol/L;
A2. and B, mixing the solution prepared in the step A1 according to a zinc sulfate dihydrate solution: iron sulfate tetrahydrate solution: sodium citrate aqueous solution: boric acid aqueous solution: mixing sodium dihydrogen phosphate aqueous solution in a volume ratio of 2-3:3-5:5-7:3-7:2-5, adding short carbon fibers with the mass of 0.2-0.35 times of that of all the materials, adding a hydrochloric acid/sulfuric acid mixed solution with the concentration of 1 mol/liter, adjusting the pH value of the system to 3-4, and continuously stirring the system at 30-35 ℃ for 30 minutes to obtain a composite metal ion solution;
A3. taking graphite as an anode and a fine iron wire with the diameter of 0.05-0.1 mm as a cathode, polishing the cathode by using sand paper, cleaning the surface by using absolute ethyl alcohol for 3 times, and cleaning the surface by using acetone for 3 times; adding the composite metal ion solution obtained in the step A2 into an electrolytic bath, and placing the anode and the cathode into the electrolytic bath; and then electrodepositing for 4 hours under the conditions that the temperature is 40-55 ℃ and the current density is 20-35 milliampere/square centimeter to obtain the substrate of the metal layer.
5. The method for preparing a degradable stapler material according to claim 4, wherein: the therapeutic drug slow-release layer is formed by growing a layer of polymer prodrug gel with Glutathione (GSH) response and redox species (ROS) response on the surface of the metal layer.
6. The method for preparing a degradable stapler material according to claim 5, wherein: the preparation method of the therapeutic drug sustained-release layer comprises the following steps:
B1. modifying camptothecin connected by disulfide bonds, doxorubicin connected by disulfide bonds, camptothecin connected by phenylboronic acid trigger motifs and doxorubicin connected by phenylboronic acid trigger motifs on acrylic monomers, mixing the four monomers together according to an equal molar ratio, adding azodiisobutyronitrile with the total mass of 0.1-0.5%, adding N-methylpyrrolidone solution with the total mass of 1-3 times, and stirring at room temperature for 30 minutes to obtain a polymerization system;
B2. stretching and polishing the base material of the metal layer prepared in the step A3 to obtain cylindrical composite metal filaments with uniform thickness and diameters of 0.3-0.5 mm; then, processing the surface of the cylindrical composite metal filament under the condition of argon plasma, putting the composite metal filament processed by the argon plasma into the polymerization system obtained in the step B1, and uniformly distributing the metal filaments;
B3. then the whole polymerization system is vacuumized, replaced by an argon environment and polymerized for 2 to 3 hours at the temperature of 150 ℃; naturally cooling the polymerization system to room temperature, and taking out the metal filaments; then the polymer gel layer on the surface of the metal filament is polished to obtain the composite metal filament with uniform thickness and a drug-containing release layer with the diameter of 0.5-0.6 mm.
7. The method for preparing a degradable stapler material according to claim 6, wherein: the argon plasma treatment conditions are as follows: voltage is 2-3.5V, current is 0.8-1.5A, single treatment time is 30 minutes, and treatment is carried out for 10 times in total.
8. The method for preparing a degradable stapler material according to claim 7, wherein: the growth-promoting factor slow-release layer is a composite layer of polymer modified fibrin loaded epidermal growth factors, natural aloe gel and polymethyl alkyl ether, and the preparation method of the growth-promoting factor slow-release layer comprises the following steps:
C1. mixing succinate polypropylene with molecular weight of 350-600W and connected with a side group modified ester bond with fibrin according to a molar mass ratio of 1-20, adding the mixture into phosphate buffered saline solution with pH equal to 7.4, stirring the mixture at 37 ℃ for 4 hours, then adding epidermal growth factor, stirring the mixture at 37 ℃ for 12 hours, and freeze-drying the mixture to obtain polymer modified fibrin loaded with the epidermal growth factor;
C2. and then modifying the polymer loaded with the epidermal cell growth factor obtained in the step C1 with fibrin: natural aloe vera gel: mixing polymethyl alkyl ether according to the mass ratio of 3-5:1-2:1-1.5, adding absolute ethyl alcohol, stirring for 2 hours at 37 ℃, then putting the composite metal filament containing the drug release layer into the system, and soaking for 4 hours at 37 ℃; taking out the filaments, naturally drying the filaments, and then polishing the filaments to obtain the filament material with uniform thickness and diameter of 0.6-0.7 mm.
9. The method for preparing a degradable stapler material according to claim 8, wherein: the antibacterial protective layer is a composite material layer composed of a plurality of polymer components, and the preparation method of the antibacterial protective layer comprises the following steps:
polylysine, poly [ 2-methacrylic acid-2-methyl- (N, N-dimethylamino) ethyl ester ], [ - (N, N-dimethylamino) ethyl ester ] and ester group terminated polyphenyl carbamate are mixed according to the mass ratio: 2-3:3-4:2-5:1-2, heating and melting the mixed system at 150-200 ℃, rapidly pulling the filament material which is prepared in the step C2 and comprises a three-layer structure in molten liquid, uniformly wrapping the surface of the filament material with a polymer layer, and naturally cooling the filament material at room temperature; after grinding and polishing, the degradable anastomat material with uniform thickness and diameter of about 0.8-0.9 mm is obtained.
10. Use of the degradable stapler material of any one of claims 1~3, wherein: the metal layer is used for stabilizing the shape of the anastomat; the therapeutic drug slow-release layer activates and releases the drugs contained in the therapeutic drug slow-release layer when the tissues are diseased, and is used for treating inflammation or killing harmful cells; the growth-promoting factor slow-release layer is used for slowly releasing cell growth-promoting factors and accelerating the recovery of a wound part; the antimicrobial protective layer is used to prevent bacterial infection at the wound site.
CN202211136912.2A 2022-09-19 2022-09-19 A kind of degradable stapler material and its preparation method and application Pending CN115382028A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202211136912.2A CN115382028A (en) 2022-09-19 2022-09-19 A kind of degradable stapler material and its preparation method and application

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202211136912.2A CN115382028A (en) 2022-09-19 2022-09-19 A kind of degradable stapler material and its preparation method and application

Publications (1)

Publication Number Publication Date
CN115382028A true CN115382028A (en) 2022-11-25

Family

ID=84126490

Family Applications (1)

Application Number Title Priority Date Filing Date
CN202211136912.2A Pending CN115382028A (en) 2022-09-19 2022-09-19 A kind of degradable stapler material and its preparation method and application

Country Status (1)

Country Link
CN (1) CN115382028A (en)

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2005051452A2 (en) * 2003-11-20 2005-06-09 Angiotech International Ag Polymer compositions and methods for their use
CN203220398U (en) * 2012-12-21 2013-10-02 爱宝骨科有限公司 Degradable magnesium alloy anastomotic staple for anastomat
WO2014153238A2 (en) * 2013-03-14 2014-09-25 Iasis Molecular Sciences Compositions, methods and devices for promoting wound healing and reducing infection
CN106474545A (en) * 2015-08-28 2017-03-08 先健科技(深圳)有限公司 Available iron based alloy implanted medical device
CN111012420A (en) * 2018-10-09 2020-04-17 上海交通大学 Preparation method and application of antibacterial and biodegradable zinc alloy anastomosis nail
CN213076762U (en) * 2020-04-03 2021-04-30 北京联合大学 A degradable metal staple
CN113476668A (en) * 2021-07-12 2021-10-08 中山大学附属第六医院 Biodegradable anastomosis nail and preparation method thereof

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2005051452A2 (en) * 2003-11-20 2005-06-09 Angiotech International Ag Polymer compositions and methods for their use
CN203220398U (en) * 2012-12-21 2013-10-02 爱宝骨科有限公司 Degradable magnesium alloy anastomotic staple for anastomat
WO2014153238A2 (en) * 2013-03-14 2014-09-25 Iasis Molecular Sciences Compositions, methods and devices for promoting wound healing and reducing infection
CN106474545A (en) * 2015-08-28 2017-03-08 先健科技(深圳)有限公司 Available iron based alloy implanted medical device
CN111012420A (en) * 2018-10-09 2020-04-17 上海交通大学 Preparation method and application of antibacterial and biodegradable zinc alloy anastomosis nail
CN213076762U (en) * 2020-04-03 2021-04-30 北京联合大学 A degradable metal staple
CN113476668A (en) * 2021-07-12 2021-10-08 中山大学附属第六医院 Biodegradable anastomosis nail and preparation method thereof

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
何进: "《基于电沉积的可生物降解铁合金的研究》", 《中国博士学位论文全文数据库》, pages 023 - 160 *

Similar Documents

Publication Publication Date Title
AU2019101531A4 (en) Nano-oxide/kaolin composite hemostatic antibacterial material, hemostatic healing-promoting dressing and preparation method thereof
EP1917047B1 (en) Treatment of chronic ulcerous skin lesions
CN109331216A (en) A kind of fast hemostatic hydrogel and preparation method thereof
CN111956611A (en) Curcumin-loaded nano micelle and preparation method and application thereof
Bao et al. Antibacterial and antioxidant films based on HA/Gr/TA fabricated using electrospinning for wound healing
CN110975002A (en) Hemostatic material for war wounds and preparation method and application thereof
CN112843220A (en) Reverse protein stone membrane for inhibiting scar formation and preparation method thereof
Xu et al. A distinctive nanocomposite hydrogel integrated platform for the healing of wound after the resection of melanoma
CN115382028A (en) A kind of degradable stapler material and its preparation method and application
KR20220100756A (en) Wound treatment and dressing material containing Prussian blue nanoparticles, and manufacturing method thereof
CN117903277A (en) Scallop byssus protein and its preparation and use in products for improving skin performance
CN117414330A (en) An external gel material suitable for oral mucositis caused by chemotherapy and its preparation method
CN110522900A (en) Application of a kind of oyster active peptide in wound repair
CN113069664B (en) Electroactive antibacterial healing-promoting catheter and preparation method thereof
CN107982568A (en) Degradable biological auxiliary material and its preparation method and application
CN101214230A (en) A kind of sterile patch agent for postoperative wound pain relief
CN115068670A (en) Composition combining Fenton reaction antibacterial composite hydrogel and application thereof
Zhang et al. Polyhydroxy structure orchestrates the intrinsic antibacterial property of acrylamide hydrogel as a versatile wound-healing dressing
CN104940981B (en) Biologically active external application dressing and preparation method thereof
CN111956601B (en) Anti-scar biomaterial, preparation method and use thereof
CN113058068A (en) Preparation method of chitosan quaternary ammonium salt doped magnesium ion antibacterial dressing
TWI247614B (en) Wound dressing
CN110478521B (en) Drug-loaded nanofiber and its preparation method and application
CN108144100A (en) A kind of Wound dressing for promoting wound healing and preparation method thereof
CN115054741A (en) Anti-adhesion membrane, preparation method and application of metal-phenol compound in preparation of anti-adhesion membrane

Legal Events

Date Code Title Description
PB01 Publication
PB01 Publication
SE01 Entry into force of request for substantive examination
SE01 Entry into force of request for substantive examination
RJ01 Rejection of invention patent application after publication
RJ01 Rejection of invention patent application after publication

Application publication date: 20221125