CN116407667A - Liquid embolic agent and preparation method and application thereof - Google Patents
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Abstract
Description
技术领域technical field
本发明涉及医疗器械技术领域,特别是涉及一种液体栓塞剂及其制备方法和应用。The invention relates to the technical field of medical devices, in particular to a liquid embolic agent and its preparation method and application.
背景技术Background technique
栓塞术也可称栓塞治疗(embolotherapy),是经动脉或静脉内导管将栓塞剂有控制地注入到病变器官的供应血管内,使之发生闭塞,中断血供,以期达到控制出血、治疗肿瘤和血管性病变以及消除患病器官功能之目的。目前,介入栓塞技术在脑动静脉畸形(AVM)以及脑动静脉瘘(DVF)等血管异常病灶的临床治疗中的应用非常地广泛。而介入栓塞剂是一种具有栓塞肿瘤血管的功能的试剂,其可在肿瘤血管官腔内形成栓塞,进而阻塞血管管腔,最终达到肿瘤的缺血和坏死的目的。Embolization can also be called embolization therapy (embolotherapy), which is to controlly inject embolic agents into the supply vessels of diseased organs through arterial or intravenous catheters, so as to make them occluded and interrupt the blood supply, so as to control bleeding, treat tumors and Vascular disease and the purpose of eliminating the function of diseased organs. At present, interventional embolization technology is widely used in the clinical treatment of vascular abnormalities such as cerebral arteriovenous malformation (AVM) and cerebral arteriovenous fistula (DVF). The interventional embolic agent is a reagent that has the function of embolizing tumor blood vessels, which can form an embolism in the lumen of tumor blood vessels, and then block the lumen of the blood vessels, and finally achieve the purpose of ischemia and necrosis of the tumor.
目前,介入栓塞剂的种类非常繁多,按照状态分类包括有固体栓塞剂和液体栓塞剂两大类。固体栓塞剂的栓塞过程虽然相对简单,但需要大直径的微导管,不能进入到接近AVM等病灶部位进行更为精准的栓塞,并且颗粒栓塞后容易出现血管再通的问题。因此,固体栓塞材料多用于术前栓塞,难以满足治愈性栓塞的需求。At present, there are many types of interventional embolic agents, classified according to their status, including solid embolic agents and liquid embolic agents. Although the embolization process of solid embolic agents is relatively simple, it requires a large-diameter microcatheter, which cannot enter the lesion site close to the AVM for more precise embolization, and the problem of vascular recanalization is prone to occur after particle embolization. Therefore, solid embolic materials are mostly used for preoperative embolization, which is difficult to meet the needs of curative embolization.
相比于固体栓塞剂来说,液体栓塞剂具有更强的流动性,其能够通过更细的微导管,直接注入肿瘤组织内并均匀地充满病变血管,完全适用于不同大小和各种形状的肿瘤,使肿瘤组织和栓塞材料之间不留任何空隙,从而对血管实现封堵,降低血管再通可能性,实现精准和永久性的栓塞。Compared with solid embolic agents, liquid embolic agents have stronger fluidity. They can be directly injected into tumor tissue and evenly filled with diseased blood vessels through thinner microcatheters. They are completely suitable for patients with different sizes and shapes. Tumor, so that no gap is left between the tumor tissue and the embolization material, so as to block the blood vessel, reduce the possibility of blood vessel recanalization, and achieve precise and permanent embolization.
目前临床运用较广泛的液体栓塞剂包括有粘附性液体栓塞剂和非粘附性液体栓塞剂两大类。Onyx液体栓塞剂是由乙烯乙烯醇共聚物、二甲基亚砜(英文简称,DMSO)及微米级钽粉按一定比例混合形成的混悬液,其是一种新型血管内非粘附性液体栓塞剂,也是最为常用的非粘附性液体栓塞剂之一。Onyx液体栓塞剂的工作原理是,乙烯乙烯醇共聚物为非水溶性,但可溶于二甲基亚砜中,纳米级钽粉作为显影剂,当该液体栓塞剂与水性溶液(例如血液)接触时,二甲基亚砜快速弥撒到水性溶液中,乙烯乙烯醇共聚物则沉淀为固体,而起到栓塞作用,例如可对颅内等病灶的血管管路实现封堵,进而达到阻断血流的目的。而显影剂微米级钽粉可在X射线下显影,进而被显影影像获取到,以便于疾病的治疗和诊断。Currently, there are two types of liquid embolic agents that are widely used clinically, including adhesive liquid embolic agents and non-adhesive liquid embolic agents. Onyx liquid embolic agent is a suspension formed by mixing ethylene vinyl alcohol copolymer, dimethyl sulfoxide (DMSO) and micron tantalum powder in a certain proportion. It is a new type of intravascular non-adhesive liquid Embolic agents are also one of the most commonly used non-adhesive liquid embolic agents. The working principle of Onyx liquid embolic agent is that ethylene vinyl alcohol copolymer is insoluble in water but soluble in dimethyl sulfoxide, and nanoscale tantalum powder is used as a developer. When the liquid embolic agent is mixed with an aqueous solution (such as blood) When in contact, dimethyl sulfoxide quickly diffuses into the aqueous solution, and the ethylene vinyl alcohol copolymer precipitates into a solid, which acts as an embolism. purpose of blood flow. The developer micron-sized tantalum powder can be developed under X-rays, and then obtained by the developed image, so as to facilitate the treatment and diagnosis of diseases.
然而在长期的实际应用中发现,钽为VB族元素,原子序数73,有良好的不透射线性能,密度16.65g/cm3,不溶于水和大部分溶剂,静置时间稍长即会发生沉降,因此采用微米级钽粉作为液体栓塞剂的显影剂,需将微米级钽粉通过长时间的剧烈搅拌或震荡,以促使其均匀分散于聚合物的二甲亚砜溶液中,形成钽粉悬浮液;且均匀分散后需在短时间内使用,以避免显影剂的显影性能。同时,在液体栓塞剂的推送过程中也不可避免地会存在显影剂的沉降问题,进而导致部分显影剂和部分乙烯乙烯醇共聚物的损失,使得最终作用到病症部位的显影剂的浓度降低,导致显影效果欠佳。However, in long-term practical applications, it has been found that tantalum is a VB group element with an atomic number of 73. It has good radiopaque properties, a density of 16.65g/cm 3 , and is insoluble in water and most solvents. Settling, so micron-sized tantalum powder is used as the developer of the liquid embolic agent, and the micron-sized tantalum powder needs to be vigorously stirred or shaken for a long time to promote its uniform dispersion in the polymer dimethyl sulfoxide solution to form tantalum powder Suspension; and it needs to be used within a short time after uniform dispersion to avoid developing performance of the developer. At the same time, in the process of pushing the liquid embolic agent, there will inevitably be the problem of developer sedimentation, which will lead to the loss of part of the developer and part of the ethylene vinyl alcohol copolymer, so that the concentration of the developer that finally acts on the diseased site will decrease. Lead to poor developing effect.
发明内容Contents of the invention
基于此,有必要提供一种存放稳定性及显影效果较佳的液体栓塞剂及其制备方法和应用。Based on this, it is necessary to provide a liquid embolic agent with better storage stability and developing effect, its preparation method and application.
本发明是通过如下的技术方案实现的。The present invention is achieved through the following technical solutions.
本发明的一个方面,提供一种液体栓塞剂,按质量分数计,包括:聚合物、显影剂及溶剂;One aspect of the present invention provides a liquid embolic agent, comprising: a polymer, a developer, and a solvent in terms of mass fraction;
其中,所述显影剂为金属材质的空心微球、合金材质的空心微球和金属化合物材质的空心微球中的至少一种。Wherein, the developer is at least one of hollow microspheres made of metal, hollow microspheres made of alloy and hollow microspheres made of metal compound.
在其中一些实施例中,所述空心微球为表面多孔结构;In some of these embodiments, the hollow microsphere is a surface porous structure;
和/或,所述空心微球的粒径为0.1μm~200μm;And/or, the particle size of the hollow microspheres is 0.1 μm to 200 μm;
和/或,所述空心微球的壁厚为20nm~20μm;And/or, the wall thickness of the hollow microspheres is 20nm-20μm;
和/或,所述空心微球的空心部分的体积占比30%~80%。And/or, the volume of the hollow part of the hollow microspheres accounts for 30%-80%.
在其中一些实施例中,所述金属为金、银、铂、铱、铬、钽、铋、钴、钨及钡中的一种;In some of these embodiments, the metal is one of gold, silver, platinum, iridium, chromium, tantalum, bismuth, cobalt, tungsten, and barium;
所述合金为金、银、铂、铱、铬、钽、铋、钴、钨及钡中的至少两种;The alloy is at least two of gold, silver, platinum, iridium, chromium, tantalum, bismuth, cobalt, tungsten and barium;
所述金属化合物为金、银、铂、铱、铬、钽、铋、钴、钨及钡中的至少一种形成的不溶于所述溶剂的金属盐、金属氧化物、金属碳化物及金属氮化物中的至少一种。The metal compound is a metal salt, metal oxide, metal carbide and metal nitrogen insoluble in the solvent formed by at least one of gold, silver, platinum, iridium, chromium, tantalum, bismuth, cobalt, tungsten and barium at least one of the compounds.
在其中一些实施例中,按质量分数计,所述聚合物为2%~20%,所述显影剂为10%~40%,所述溶剂为40%~88%。In some of the embodiments, by mass fraction, the polymer is 2%-20%, the developer is 10%-40%, and the solvent is 40%-88%.
在其中一些实施例中,所述聚合物的重均分子量为1万~40万。In some of the embodiments, the weight average molecular weight of the polymer is 10,000-400,000.
在其中一些实施例中,所述聚合物为疏水性聚合物和两亲性聚合物中的至少一种;In some of these embodiments, the polymer is at least one of a hydrophobic polymer and an amphiphilic polymer;
和/或,所述溶剂为生物相容性有机溶剂、水及缓冲液中的至少一种。And/or, the solvent is at least one of biocompatible organic solvent, water and buffer.
在其中一些实施例中,所述聚合物为聚烯烃、聚烯烃醇、聚甲基丙烯酸酯、聚氨酯、聚酯、聚醚、聚硅氧烷及聚酰胺中的任意一种,或为其中至少两种的共聚物;In some of these embodiments, the polymer is any one of polyolefin, polyolefin alcohol, polymethacrylate, polyurethane, polyester, polyether, polysiloxane and polyamide, or at least one of them two copolymers;
和/或,所述溶剂为二甲亚砜、N甲基吡咯烷酮、乙醇、异丙醇、水及缓冲液中的至少一种。And/or, the solvent is at least one of dimethyl sulfoxide, N-methylpyrrolidone, ethanol, isopropanol, water and buffer.
本发明的另一个方面,提供一种液体栓塞剂的制备方法,包括如下步骤:Another aspect of the present invention provides a method for preparing a liquid embolic agent, comprising the steps of:
将上述任一项所述的液体栓塞剂中的各组分混合均匀。Mix the components in the liquid embolic agent described in any one of the above evenly.
在其中一些实施例中,所述制备方法还包括所述显影剂的制备步骤:In some of these embodiments, the preparation method also includes the preparation step of the developer:
以聚合物微球为模板,在所述聚合物微球的表面形成金属层、合金层或金属化合物层,去除内核聚合物微球模板,得到金属材质、合金材质或金属化合物材质的空心微球。Using polymer microspheres as a template, forming a metal layer, alloy layer or metal compound layer on the surface of the polymer microspheres, removing the core polymer microsphere template to obtain hollow microspheres made of metal, alloy or metal compound .
本发明的另一个方面,提供上述任一项所述的液体栓塞剂在制备医疗介入器械或介入治疗药物中的应用。Another aspect of the present invention provides the application of the liquid embolic agent described in any one of the above in the preparation of medical interventional devices or interventional therapy drugs.
本发明的另一个方面,提供一种医疗介入器械,其特征在于,包括器械本体及设于所述器械本体内的上述任一项所述的液体栓塞剂。Another aspect of the present invention provides a medical interventional device, which is characterized in that it comprises a device body and the liquid embolic agent described in any one of the above-mentioned devices disposed in the device body.
上述液体栓塞剂,显影剂采用上述特定种类材质的空心微球作为显影剂,与传统球状、块状或粉状的实心微球的微米级钽粉等显影剂相比,由于空心微球的空心结构,可获得大大低于其材质的平均密度,其平均堆积密度也大大降低,其分散于液体栓塞剂中的悬浮稳定性更高,进而可在分散均匀后获得更高的存放稳定性。而悬浮稳定性更佳的空心微球在聚合物和溶剂形成的聚合物溶液中具有类增塑性的作用,有利于液体栓塞剂的推送,使得液体栓塞剂能够更顺序地向前弥散;同时,同样质量的显影剂具有更大的体积,较大的体积也可降低其在体积较小的血管内随着溶剂的扩散被带走的风险,从而有效减少显影剂的沉降,避免显影剂沉降堵塞后续的液体栓塞剂向前弥散的路径,还有效地减少了返流风险,进而可减少显影剂的损失,可使用更少的显影剂和显影金属的用量,提供较佳的显影效果。The above-mentioned liquid embolic agent, the developer uses the hollow microspheres of the above-mentioned specific types of materials as the developer. structure, which can obtain an average density much lower than that of its material, and its average bulk density is also greatly reduced, and its suspension stability in liquid embolic agents is higher, which in turn can obtain higher storage stability after uniform dispersion. The hollow microspheres with better suspension stability have a plasticizing effect in the polymer solution formed by the polymer and the solvent, which is beneficial to the push of the liquid embolic agent, so that the liquid embolic agent can be diffused forward in a more orderly manner; at the same time, The developer of the same quality has a larger volume, and the larger volume can also reduce the risk of being taken away with the diffusion of solvent in the smaller blood vessel, thereby effectively reducing the sedimentation of the developer and avoiding the clogging of the developer sedimentation The forward diffusion path of the subsequent liquid embolic agent also effectively reduces the risk of reflux, thereby reducing the loss of developer, and can use less developer and developer metal to provide a better developing effect.
附图说明Description of drawings
图1为本发明一实施方式采用的空心微球的结构示意图;Fig. 1 is the structural representation of the hollow microsphere that one embodiment of the present invention adopts;
图2为图1所示的空心微球的半剖视图;Fig. 2 is a half-sectional view of the hollow microsphere shown in Fig. 1;
图3为本发明一实施方式制得的液体栓塞剂的各组分相互分散的示意图;Fig. 3 is a schematic diagram of mutual dispersion of the components of the liquid embolism prepared in one embodiment of the present invention;
附图标记说明:Explanation of reference signs:
11、空心结构;12、孔洞。11. Hollow structure; 12. Hole.
具体实施方式Detailed ways
为了便于理解本发明,下面将对本发明进行更全面的描述,并给出了本发明的较佳实施例。但是,本发明可以以许多不同的形式来实现,并不限于本文所描述的实施例。应当理解,提供这些实施例的目的是使对本发明的公开内容的理解更加透彻全面。In order to facilitate the understanding of the present invention, the following will describe the present invention more fully and give preferred embodiments of the present invention. However, the present invention can be embodied in many different forms and is not limited to the embodiments described herein. It should be understood that the purpose of providing these embodiments is to make the understanding of the disclosure of the present invention more thorough and comprehensive.
除非另有定义,本文所使用的所有的技术和科学术语与属于本发明的技术领域的技术人员通常理解的含义相同。本文中在本发明的说明书中所使用的术语只是为了描述具体的实施例的目的,不是旨在于限制本发明。本文所使用的术语“和/或”包括一个或多个相关的所列项目的任意的和所有的组合。Unless otherwise defined, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the technical field of the invention. The terms used herein in the description of the present invention are for the purpose of describing specific embodiments only, and are not intended to limit the present invention. As used herein, the term "and/or" includes any and all combinations of one or more of the associated listed items.
此外,术语“第一”、“第二”仅用于描述目的,而不能理解为指示或暗示相对重要性或者隐含指明所指示的技术特征的数量。由此,限定有“第一”、“第二”的特征可以明示或者隐含地包括至少一个该特征。在本发明的描述中,“多个”的含义是至少两个,例如两个,三个等,除非另有明确具体的限定。In addition, the terms "first" and "second" are used for descriptive purposes only, and cannot be interpreted as indicating or implying relative importance or implicitly specifying the quantity of indicated technical features. Thus, the features defined as "first" and "second" may explicitly or implicitly include at least one of these features. In the description of the present invention, "plurality" means at least two, such as two, three, etc., unless otherwise specifically defined.
本发明一实施方式提供了一种液体栓塞剂,按质量分数计,包括:聚合物2%~20%、显影剂10%~40%及溶剂40%~88%;One embodiment of the present invention provides a liquid embolic agent, which comprises, by mass fraction: 2% to 20% of a polymer, 10% to 40% of a developer, and 40% to 88% of a solvent;
其中,显影剂为金属材质的空心微球、合金材质的空心微球和金属化合物材质的空心微球中的至少一种。Wherein, the developer is at least one of hollow microspheres made of metal, hollow microspheres made of alloy and hollow microspheres made of metal compound.
显影剂是指在X射线下可视的试剂。可理解,上述显影剂中的金属、合金或金属化合物中含有可显影金属,可显影金属是指X射线下可视的金属。A developer refers to an agent that is visible under X-rays. It can be understood that the metal, alloy or metal compound in the above-mentioned developer contains a developable metal, and a developable metal refers to a metal visible under X-rays.
本发明中的合金包括两种不同金属形成的金属合金。Alloys in the present invention include metal alloys formed from two different metals.
本发明中的金属化合物是指金属与非金属元素形成的化合物。The metal compound in the present invention refers to a compound formed of a metal and a non-metal element.
可理解,上述液体栓塞剂的显影剂可包含一种或多种空心微球。当含有多种空心微球时,各空心微球可为不同种的金属材质、不同种的合金材质或不同种的金属化合物材质,或者含有金属材质、合金材质和金属化合物材质中的至少两种材质。It can be understood that the imaging agent of the above-mentioned liquid embolic agent may contain one or more hollow microspheres. When containing multiple hollow microspheres, each hollow microsphere can be made of different metal materials, different alloy materials or different metal compound materials, or contain at least two of metal materials, alloy materials and metal compound materials material.
上述液体栓塞剂,显影剂采用上述特定种类材质的空心微球作为显影剂,与传统球状、块状或粉状的实心微球的微米级钽粉等显影剂相比,由于空心微球的空心结构,可获得大大低于其材质的平均密度,其平均堆积密度也大大降低,其分散于液体栓塞剂中的悬浮稳定性更高,进而可在分散均匀后获得更高的存放稳定性。而悬浮稳定性更佳的空心微球在聚合物和溶剂形成的聚合物溶液中具有类增塑性的作用,有利于液体栓塞剂的推送,使得液体栓塞剂能够更顺序地向前弥散;同时,同样质量的显影剂具有更大的体积,较大的体积也可降低其在体积较小的血管内随着溶剂的扩散被带走的风险,从而有效减少显影剂的沉降,避免显影剂沉降堵塞后续的液体栓塞剂向前弥散的路径,还有效地减少了返流风险,进而可减少显影剂的损失,可使用更少的显影剂和显影金属的用量,提供较佳的显影效果。The above-mentioned liquid embolic agent, the developer uses the hollow microspheres of the above-mentioned specific types of materials as the developer. structure, which can obtain an average density much lower than that of its material, and its average bulk density is also greatly reduced, and its suspension stability in liquid embolic agents is higher, which in turn can obtain higher storage stability after uniform dispersion. The hollow microspheres with better suspension stability have a plasticizing effect in the polymer solution formed by the polymer and the solvent, which is beneficial to the push of the liquid embolic agent, so that the liquid embolic agent can be diffused forward in a more orderly manner; at the same time, The developer of the same quality has a larger volume, and the larger volume can also reduce the risk of being taken away with the diffusion of solvent in the smaller blood vessel, thereby effectively reducing the sedimentation of the developer and avoiding the clogging of the developer sedimentation The forward diffusion path of the subsequent liquid embolic agent also effectively reduces the risk of reflux, thereby reducing the loss of developer, and can use less developer and developer metal to provide a better developing effect.
在其中一些实施例中,上述金属为金(Au)、银(Ag)、铂(Pt)、铱(Ir)、铬(Cr)、钽(Ta)、铋(Bi)、钴(Co)、钨(W)及钡(Ba)中的一种。这些金属在X射线下具有良好的可视性。In some of these embodiments, the aforementioned metals are gold (Au), silver (Ag), platinum (Pt), iridium (Ir), chromium (Cr), tantalum (Ta), bismuth (Bi), cobalt (Co), One of tungsten (W) and barium (Ba). These metals have good visibility under X-rays.
进一步地,上述合金为金(Au)、银(Ag)、铂(Pt)、铱(Ir)、铬(Cr)、钽(Ta)、铋(Bi)、钴(Co)、钨(W)及钡(Ba)中的至少两种,即为合金金属材质。Further, the above-mentioned alloy is gold (Au), silver (Ag), platinum (Pt), iridium (Ir), chromium (Cr), tantalum (Ta), bismuth (Bi), cobalt (Co), tungsten (W) And at least two of barium (Ba), that is, alloy metal material.
进一步地,上述金属化合物为金(Au)、银(Ag)、铂(Pt)、铱(Ir)、铬(Cr)、钽(Ta)、铋(Bi)、钴(Co)、钨(W)及钡(Ba)中的至少一种形成的不溶于上述溶剂的金属盐、金属氧化物、金属碳化物及金属氮化物中的至少一种。例如金属化合物材质为卤化银、氧化铋、碳化钽、硫酸钡、氧化钨、氮化钽、氧化钽等。Further, the above metal compounds are gold (Au), silver (Ag), platinum (Pt), iridium (Ir), chromium (Cr), tantalum (Ta), bismuth (Bi), cobalt (Co), tungsten (W ) and barium (Ba) formed at least one of at least one of metal salts, metal oxides, metal carbides and metal nitrides insoluble in the above solvents. For example, the material of the metal compound is silver halide, bismuth oxide, tantalum carbide, barium sulfate, tungsten oxide, tantalum nitride, tantalum oxide and the like.
进一步地,上述金属盐、金属氧化物、金属碳化物及金属氮化物为非水溶且非有机溶剂溶解性化合物。Further, the above-mentioned metal salts, metal oxides, metal carbides and metal nitrides are water-insoluble and non-organic solvent-soluble compounds.
在其中一些实施例中,空心微球为表面多孔结构。如此可进一步降低空心微球的平均密度。In some of these embodiments, the hollow microspheres are superficially porous. This can further reduce the average density of the hollow microspheres.
图1和图2示出了显影剂的结构示意图。从图1中可看出,显影剂的表面为具有孔洞12的多孔结构。从图2的剖视图可知,显影剂的内部为空心结构11。在如图1和图2的具体示例中,显影剂为具有空心部分11的空心微球,且该空心微球的表面(即空心微球的表壁)还具有孔洞12。采用该结构的显影剂形成的液体栓塞剂在固化前的混合状态各组分处于相互分散的状态,如图3所示。Figure 1 and Figure 2 show the schematic structure of the developer. It can be seen from FIG. 1 that the surface of the developer has a porous structure with
可理解,在其他实施例中,显影剂可为具有空心部分11的空心微球,其空心微球的表面不具有孔洞12。It can be understood that, in other embodiments, the developer can be a hollow microsphere with a
在其中一些实施例中,空心微球的粒径为0.1μm~200μm,例如0.1μm、0.3μm、0.5μm、0.7μm、0.9μm、1μm、2μm、10μm、20μm、50μm、100μm、120μm、150μm、200μm。在保证平均密度低于聚合物和溶剂形成的聚合物溶液,以保证空心微球在聚合物溶液中的悬浮稳定性的基础上,或适当地增大空心微球的粒径,以进一步减少了返流风险。进一步地,空心微球的粒径为0.5μm~100μm。In some of these embodiments, the particle size of the hollow microspheres is 0.1 μm to 200 μm, such as 0.1 μm, 0.3 μm, 0.5 μm, 0.7 μm, 0.9 μm, 1 μm, 2 μm, 10 μm, 20 μm, 50 μm, 100 μm, 120 μm, 150 μm , 200 μm. On the basis of ensuring that the average density is lower than the polymer solution formed by the polymer and the solvent to ensure the suspension stability of the hollow microspheres in the polymer solution, or appropriately increase the particle size of the hollow microspheres to further reduce the Reflux risk. Further, the particle size of the hollow microspheres is 0.5 μm-100 μm.
可理解,空心微球可为均一粒径的单分散颗粒,也可为多种不同粒径的多分散颗粒。It can be understood that the hollow microspheres can be monodisperse particles with a uniform particle size, or polydisperse particles with various particle sizes.
在其中一些实施例中,空心微球的壁厚为20nm~20μm,例如20nm、30nm、40nm、60nm、60nm、70nm、80nm、90nm、100nm、200nm、400nm、1μm、2μm、5μm、10μm、20μm。由于空心微球中含有上述可显影的金属,这些金属本身的密度较高,所以空心微球的壁厚无需太厚,空心微球薄薄的壁厚即可满足显影效果的要求。如此,壁厚较薄的空心微球可获得更小的平均密度和更大的体积。In some of these embodiments, the wall thickness of the hollow microspheres is 20nm-20μm, such as 20nm, 30nm, 40nm, 60nm, 60nm, 70nm, 80nm, 90nm, 100nm, 200nm, 400nm, 1μm, 2μm, 5μm, 10μm, 20μm . Since the hollow microspheres contain the above-mentioned developable metals, and these metals themselves have a high density, the wall thickness of the hollow microspheres does not need to be too thick, and the thin wall thickness of the hollow microspheres can meet the requirements of the developing effect. In this way, hollow microspheres with thinner walls can obtain smaller average density and larger volume.
优选地,可通过控制空心微球的壁厚和空心微球的粒径共同决定空心微球的平均密度,该平均密度能使得微球在溶液中易于分散,不易沉降。进一步地,通过控制空心微球的壁厚和空心微球的粒径,进而可控制空心微球的空心部分的体积占比为30%~80%,更优地控制为40%~60%。将空心微球的空心部分控制在该范围内,可使得空心微球的平均密度不会过大,也不会过小,可在液体栓塞剂中保持很好的悬浮稳定性,利于栓塞剂更好的向前弥散,有利于减少返流。Preferably, the average density of the hollow microspheres can be determined by controlling the wall thickness of the hollow microspheres and the particle size of the hollow microspheres. The average density can make the microspheres easy to disperse in the solution and difficult to settle. Further, by controlling the wall thickness of the hollow microspheres and the particle size of the hollow microspheres, the volume ratio of the hollow part of the hollow microspheres can be controlled to be 30%-80%, more preferably 40%-60%. Controlling the hollow part of the hollow microspheres within this range can make the average density of the hollow microspheres neither too large nor too small, and can maintain good suspension stability in the liquid embolic agent, which is beneficial to the embolism of the embolic agent. Good forward diffusion is beneficial to reduce reflux.
在其中一些实施例中,上述空心微球的制备方法可以为聚合物模板法。具体地,聚合物模板法是指采用乳液聚合或自组装等方法先制备得到一定粒径的聚合物微球,然后在聚合物微球的表面沉积金属层、合金层或在聚合物微球的表面生长接枝形成金属化合物层,该金属、合金或金属化合物层可稳定存在并分离,经特定溶剂洗脱除去除核内的聚合物微球模板,或者通过在特定温度下煅烧或其他手段去除内核聚合物微球模板,得到空心微球。也可以先用溶剂洗脱,然后再煅烧去除聚合物微球模板,得到空心微球。In some of the embodiments, the preparation method of the above-mentioned hollow microspheres may be a polymer template method. Specifically, the polymer template method refers to the preparation of polymer microspheres with a certain particle size by means of emulsion polymerization or self-assembly, and then depositing a metal layer, an alloy layer, or a metal layer on the surface of the polymer microspheres. The surface grows grafted to form a metal compound layer. The metal, alloy or metal compound layer can be stably present and separated, and the polymer microsphere template in the core is removed by elution with a specific solvent, or removed by calcination at a specific temperature or other means Core polymer microsphere template to obtain hollow microspheres. It can also be eluted with a solvent first, and then calcined to remove the polymer microsphere template to obtain hollow microspheres.
进一步地,可通过控制聚合物微球的粒径和沉积的金属层或金属化合物层的厚度来控制空心微球的空心部分的体积占比。更进一步地,采用溶液法形成金属层和金属化合物层时,可通过调节溶液中用于形成金属和金属化合物的原料的浓度,进而控制形成的金属层和金属化合物层的厚度,实现空心部分的体积占比的调节。Further, the volume ratio of the hollow part of the hollow microspheres can be controlled by controlling the particle size of the polymer microspheres and the thickness of the deposited metal layer or metal compound layer. Furthermore, when the metal layer and the metal compound layer are formed by the solution method, the concentration of the raw materials used to form the metal and metal compound in the solution can be adjusted, and then the thickness of the formed metal layer and metal compound layer can be controlled to realize the hollow part. Volume ratio adjustment.
进一步地,可通过控制壳层的分子生长堆积工艺,进而使得壳层形成孔洞。Further, the shell layer can form holes by controlling the molecular growth and accumulation process of the shell layer.
其中的聚合物微球可以为通过市面直接购买到的聚合物微球,如聚乙烯、聚苯乙烯、聚苯乙烯-二乙烯基苯等微球。The polymer microspheres can be polymer microspheres directly purchased from the market, such as polyethylene, polystyrene, polystyrene-divinylbenzene and other microspheres.
进一步优选地,在液体栓塞剂中,按质量分数计,聚合物为3%~10%,显影剂20%~40%,溶剂为60%~75%。Further preferably, in the liquid embolic agent, by mass fraction, the polymer is 3%-10%, the developer is 20%-40%, and the solvent is 60%-75%.
在其中一些实施例中,聚合物为聚烯烃、聚烯烃醇、聚甲基丙烯酸酯、聚氨酯、聚酯、聚醚、聚硅氧烷及聚酰胺中的任意一种,或为其中至少两种的共聚物。进一步地,上述共聚物可为聚丙烯酰胺-聚甲基丙烯酸甲酯、乙烯乙烯醇共聚物、聚乙二醇-聚丙烯酸酯共聚物等,也可以是水难溶性的天然聚合物,如纤维素及其衍生物等。进一步地,共聚物包括但不限于无归共聚物、嵌段共聚物、交替共聚物及接枝共聚物。In some of these embodiments, the polymer is any one of polyolefins, polyolefin alcohols, polymethacrylates, polyurethanes, polyesters, polyethers, polysiloxanes, and polyamides, or at least two of them of copolymers. Further, the above-mentioned copolymer can be polyacrylamide-polymethyl methacrylate, ethylene vinyl alcohol copolymer, polyethylene glycol-polyacrylate copolymer, etc., or it can be a water-insoluble natural polymer, such as fiber and its derivatives, etc. Further, copolymers include but not limited to random copolymers, block copolymers, alternating copolymers and graft copolymers.
进一步地,聚合物的重均分子量为1万~40万,优选为10万~20万。进一步地,上述聚合物为疏水性聚合物或两亲性聚合物。Furthermore, the weight average molecular weight of the polymer is 10,000 to 400,000, preferably 100,000 to 200,000. Further, the above-mentioned polymer is a hydrophobic polymer or an amphiphilic polymer.
进一步地,上述聚合物为两亲性聚合物,聚合物的疏水组分的摩尔含量大于50%,优选为大于60%。其中,亲水组分即为在聚合物的侧链或主链中含有的亲水基团,否则为疏水组分。疏水组分含量越高,聚合物在水、缓冲液或血液析出时间短,固化速率小,可通过调节亲疏水组分比例控制液体栓塞剂固化速率。Further, the above-mentioned polymer is an amphiphilic polymer, and the molar content of the hydrophobic component of the polymer is greater than 50%, preferably greater than 60%. Among them, the hydrophilic component is the hydrophilic group contained in the side chain or main chain of the polymer, otherwise it is the hydrophobic component. The higher the content of the hydrophobic component, the shorter the precipitation time of the polymer in water, buffer or blood, and the lower the solidification rate. The solidification rate of the liquid embolism can be controlled by adjusting the ratio of the hydrophilic and hydrophobic components.
在其中一些实施例中,溶剂为生物相容性有机溶剂、水及缓冲液中的至少一种。进一步地,生物相容性有机溶剂包括二甲基亚砜、N甲基吡咯烷酮(NMP)、乙醇及异丙醇中的至少一种,这些溶剂具有低毒的优点。In some of these embodiments, the solvent is at least one of a biocompatible organic solvent, water and a buffer. Further, the biocompatible organic solvent includes at least one of dimethyl sulfoxide, N-methylpyrrolidone (NMP), ethanol and isopropanol, and these solvents have the advantage of low toxicity.
可理解,可根据聚合物的种类选择其溶剂,只要其能够使聚合物与溶剂形成均一体系即可。此处均一体系是指均一的澄清溶液或均一悬浊液。进一步地,溶剂可为上述聚合物的良溶剂,即溶剂与该聚合物能够形成均一的澄清溶液,或溶剂与聚合物可在特定条件下形成均一体系。It can be understood that the solvent can be selected according to the type of the polymer, as long as it can make the polymer and the solvent form a uniform system. A homogeneous system here refers to a homogeneous clear solution or a homogeneous suspension. Further, the solvent can be a good solvent for the above polymer, that is, the solvent and the polymer can form a uniform clear solution, or the solvent and the polymer can form a homogeneous system under certain conditions.
进一步地,上述聚合物为疏水性聚合物或两亲性聚合物,溶剂为生物相容性有机溶剂。Further, the above-mentioned polymer is a hydrophobic polymer or an amphiphilic polymer, and the solvent is a biocompatible organic solvent.
本发明另一实施方式还提供了上述液体栓塞剂的制备方法,其将上述聚合物、溶剂等其他组分混合均匀即可。Another embodiment of the present invention also provides a preparation method of the above-mentioned liquid embolic agent, which only needs to mix the above-mentioned polymer, solvent and other components uniformly.
进一步地,混合可采用常用的搅拌、超声等方法,只要能够使液体栓塞剂能够形成均匀体系即可。Further, common stirring, ultrasonic and other methods can be used for mixing, as long as the liquid embolic agent can form a homogeneous system.
进一步地,可先将聚合物与溶剂经机械搅拌等方式混合形成均一相的聚合物溶液,然后再加入显影剂,再次采用机械搅拌等方式混合形成均匀分散体系,即可。Further, the polymer and the solvent may be firstly mixed by means of mechanical stirring to form a homogeneous polymer solution, and then the developer is added, and again mixed by means of mechanical stirring to form a uniform dispersion system.
更进一步地,在形成均一相的聚合物溶液的步骤中,可采用升温、降温、物理分散等方式辅助促进其溶解。Furthermore, in the step of forming a homogeneous polymer solution, methods such as temperature rise, temperature drop, and physical dispersion can be used to assist in promoting its dissolution.
待液体栓塞剂形成均一的分散体系,可采用输送或推送的方式,到达水或血液中后,随着溶剂的扩散,液体栓塞剂中的聚合物沉淀析出,形成柔软的栓塞团,而栓塞团中的显影剂保证了其良好的显影性能。在本申请的实施方式中,空心的显影剂的沉降更缓慢,有利于提升栓塞剂中的显影剂的均匀性,以便提供良好的显影效果。After the liquid embolic agent forms a uniform dispersion system, it can be transported or pushed. After reaching the water or blood, with the diffusion of the solvent, the polymer in the liquid embolic agent precipitates out to form a soft embolism, and the embolism The developer in it ensures its good developing performance. In the embodiment of the present application, the hollow developer settles more slowly, which is beneficial to improve the uniformity of the developer in the embolic agent, so as to provide a good developing effect.
本发明另一实施方式还提供了上述液体栓塞剂在制备医疗介入器械或介入治疗药物中的应用。Another embodiment of the present invention also provides the application of the above-mentioned liquid embolic agent in the preparation of medical interventional devices or interventional therapy drugs.
本发明另一实施方式还提供了一种医疗介入器械,器械本体及设于器械本体内的试剂,该试剂包含有如上述任一项的液体栓塞剂。Another embodiment of the present invention also provides a medical interventional device, a device body and a reagent disposed in the device body, where the reagent includes any one of the above-mentioned liquid embolic agents.
在其中一些实施例中,器械本体为导管。进一步地,该导管的内径很小,称之为微导管。一般地,微导管的内径为0.007~0.013inch(英寸)。In some of these embodiments, the device body is a catheter. Furthermore, the inner diameter of the catheter is very small, which is called a micro catheter. Generally, the inner diameter of the microcatheter is 0.007-0.013 inch (inch).
本发明另一实施方式还提供了一种介入治疗药物,该介入治疗药物包含有如上述任一项的液体栓塞剂。Another embodiment of the present invention also provides a drug for interventional therapy, the drug for interventional therapy includes any one of the above-mentioned liquid embolic agents.
进一步地,该介入治疗药物中除了含有如上述任一项的液体栓塞剂,还可包含有药物或药物的活性组分,作为治疗剂。Furthermore, in addition to any of the above-mentioned liquid embolic agents, the drug for interventional therapy may also contain a drug or an active component of the drug as a therapeutic agent.
进一步地,该介入治疗药物中除了含有如上述任一项的液体栓塞剂,还可包含有其他添加剂。Furthermore, in addition to any of the above-mentioned liquid embolic agents, the interventional medicine may also contain other additives.
上述液体栓塞剂可用于介入治疗中,例如用于介入止血、血管畸形和恶性肿瘤中,包括但不限于脑动静脉畸形(AVM)、血肿、以及脑动静脉瘘(DVF)的介入栓塞治疗、外周等血管曲张治疗及肿瘤等处血流的封堵治疗。The above-mentioned liquid embolic agent can be used in interventional therapy, for example, in interventional hemostasis, vascular malformation and malignant tumor, including but not limited to interventional embolization of cerebral arteriovenous malformation (AVM), hematoma, and cerebral arteriovenous fistula (DVF), Treatment of peripheral varicose vessels and blockage of blood flow in tumors and other places.
上述液体栓塞剂通过微导管的推送到达病灶区域,接触到血流,随着溶剂的弥散开始固化。在血流中,液体栓塞剂中的聚合物慢慢沉淀析出固化,形成栓塞团,进而达到封堵血管通路、阻断血流的目的。The above-mentioned liquid embolic agent reaches the lesion area through the push of the microcatheter, touches the blood flow, and begins to solidify as the solvent diffuses. In the blood flow, the polymer in the liquid embolic agent slowly precipitates and solidifies to form an embolism, thereby achieving the purpose of blocking the vascular access and blocking the blood flow.
在一些实施方式中,包含空心微球结构的显影剂的液体栓塞剂具有较低平均堆积密度和较低粘度,且悬浮的金属微球在聚合物溶液中有一定的“润滑性”,有利于液体栓塞剂的推送,并在液体栓塞剂从微导管内推送完成之后,微导管可以很容易被抽出,降低了微导管被拉扯对血管产生的风险。In some embodiments, the liquid embolic agent containing the developer of the hollow microsphere structure has a lower average bulk density and a lower viscosity, and the suspended metal microspheres have a certain "lubricity" in the polymer solution, which is beneficial to The pushing of the liquid embolic agent, and after the liquid embolic agent is pushed from the microcatheter, the microcatheter can be easily withdrawn, which reduces the risk of the microcatheter being pulled and causing blood vessels.
以上所述实施例的各技术特征可以进行任意的组合,为使描述简洁,未对上述实施例中的各个技术特征所有可能的组合都进行描述,然而,只要这些技术特征的组合不存在矛盾,都应当认为是本说明书记载的范围。The technical features of the above-mentioned embodiments can be combined arbitrarily. To make the description concise, all possible combinations of the technical features in the above-mentioned embodiments are not described. However, as long as there is no contradiction in the combination of these technical features, should be considered as within the scope of this specification.
以上所述实施例仅表达了本发明的几种实施方式,其描述较为具体和详细,但并不能因此而理解为对发明专利范围的限制。应当指出的是,对于本领域的普通技术人员来说,在不脱离本发明构思的前提下,还可以做出若干变形和改进,这些都属于本发明的保护范围。因此,本发明专利的保护范围应以所附权利要求为准,说明书可以用于解释权利要求的内容。The above-mentioned embodiments only express several implementation modes of the present invention, and the descriptions thereof are relatively specific and detailed, but should not be construed as limiting the patent scope of the invention. It should be noted that, for those skilled in the art, several modifications and improvements can be made without departing from the concept of the present invention, and these all belong to the protection scope of the present invention. Therefore, the protection scope of the patent for the present invention should be determined by the appended claims, and the description can be used to interpret the contents of the claims.
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JP2000189511A (en) * | 1998-12-25 | 2000-07-11 | Kaneka Medeikkusu:Kk | Embolization material |
CN102652729A (en) * | 2011-03-04 | 2012-09-05 | 香港中文大学 | Magnetic nanomaterials and methods for chemoembolization |
CN102608886A (en) * | 2012-03-02 | 2012-07-25 | 湖北鼎龙化学股份有限公司 | Low-density carrier core material for electrostatic image developer and preparation method thereof and carrier and application thereof |
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