Disclosure of Invention
In order to solve the technical problems, the invention provides a production process of a thermoplastic polyurethane material for medical treatment.
The aim of the invention can be achieved by the following technical scheme:
A production process of a thermoplastic polyurethane material for medical treatment comprises the following steps:
firstly, adding polyhexamethylene carbonate dihydric alcohol into a flask, introducing nitrogen, heating to 75 ℃ and stirring at a constant speed until the mixture is melted, adding isophorone diisocyanate, preserving heat and magnetically stirring for 3 hours to obtain a prepolymer, then adding dimethyl carbonate to reduce the viscosity, continuously stirring and reacting for 1 hour, cooling to 60 ℃, adding dibutyl tin dilaurate and 2, 2-bis (hydroxymethyl) propionic acid, continuously stirring and reacting for 3 hours to obtain polyurethane resin, and controlling the dosage ratio of the polyhexamethylene carbonate dihydric alcohol to the isophorone diisocyanate to the dimethyl carbonate to the 2, 2-bis (hydroxymethyl) propionic acid to be 10-15 g:4-5 mL:25-30 mL:1.5-2 mL, wherein the dosage of the dibutyl tin dilaurate is 0.1-0.3% of the weight of the polyhexamethylene carbonate dihydric alcohol;
In the first step, poly (hexamethylene carbonate) dihydric alcohol is used as a soft segment, isophorone diisocyanate is used as a hard end, 2-bis (hydroxymethyl) propionic acid is used as a chain extender, and polycarbonate polyurethane is prepared under the action of a catalyst dibutyl tin dilaurate, the hydrogen bond between the poly (hexamethylene carbonate) dihydric alcohol and the hard segment is strong, the crystallization degree is high, so that the poly (hexamethylene carbonate) dihydric alcohol has better hydrolysis resistance, and compared with the existing polyether polyurethane carbonate group, the conjugation and molecular chain rigidity are higher than those of ether groups, the poly (hexamethylene carbonate) has better oxidation resistance, the complex water environment in a human body can be prevented from causing the oxidative degradation caused by uncontrollable hydrolysis of a thermoplastic polyurethane molecular chain, H + released by macrophages, enzyme, in-vivo free radical and other oxidation mediums, and a carboxyl structure is introduced, so that the next grafting reaction is facilitated;
Secondly, mixing the prepared polyurethane resin and modified barium sulfate, and then feeding the mixture into a double-screw extruder for extrusion and granulation to obtain a sample, wherein the rotating speed of a screw is controlled to be 100r/min, the extrusion temperature is 195 ℃, and the weight ratio of the polyurethane resin to the modified barium sulfate is 4-5:1;
Thirdly, adding the prepared sample into tetrahydrofuran, stirring at a constant speed, adding heparin, stirring for 15min, adding 4-dimethylaminopyridine and diisopropylcarbodiimide, stirring for 4h in an ice-water bath, transferring to room temperature, continuously stirring for 4h, filtering, and drying in vacuum to obtain the thermoplastic polyurethane material for medical use, wherein the weight ratio of the sample, heparin, 4-dimethylaminopyridine, diisopropylcarbodiimide and tetrahydrofuran is controlled to be 10-20:1:0.1-0.2:0.3-0.5:20-30.
In the third step, carboxyl introduced in the sample under the action of 4-dimethylaminopyridine and diisopropylcarbodiimide can react with hydroxyl on the heparin structure so as to graft heparin on the surface of the material.
Further, the modified barium sulfate comprises the following steps:
step S1, adding barium carbonate into deionized water, magnetically stirring at 45 ℃ and adding sodium sulfate, magnetically stirring for 30min, slowly adding an aqueous solution of polyethylenimine, uniformly stirring, transferring into a reaction kettle, heating to 150 ℃, preserving heat for reaction for 10h, filtering after the reaction is finished, respectively washing with deionized water and absolute ethyl alcohol for three times, and drying to obtain pretreated barium sulfate, wherein the weight ratio of the barium carbonate to the polyethylenimine to the deionized water is controlled to be 4.58-5.02 g:0.144 g:50 mL, and the molar ratio of the barium carbonate to the sodium sulfate is 1:1;
the aqueous solution of the polyethyleneimine is formed by mixing the polyethyleneimine and deionized water according to the dosage ratio of 0.144g to 10 mL.
In the step S1, barium carbonate reacts with sodium sulfate to generate barium sulfate precipitate, and polyethyleneimine is added to prepare pretreated barium sulfate, which is polyethyleneimine barium sulfate;
And S2, dispersing the prepared pretreated barium sulfate in absolute ethyl alcohol, adding bromohexane, magnetically stirring at room temperature and reacting for 12 hours, adding methyl iodide, continuously reacting for 12 hours, respectively washing three times by deionized water and absolute ethyl alcohol after the reaction is finished, drying at 55 ℃ to prepare modified barium sulfate, controlling the weight ratio of the pretreated barium sulfate, bromohexane and absolute ethyl alcohol to be 1:10:50, and controlling the molar ratio of methyl iodide to bromohexane to be 1:1.
The polyethylenimine barium sulfate is provided with a large amount of amino groups, part of amino groups can be converted into quaternary ammonium salts through alkylation modification of bromohexane, and then quaternary ammonium salt structures are connected to the barium sulfate, so that the antibacterial property of the barium sulfate is endowed, and further, the substrate is endowed with excellent antibacterial property, and unreacted amino groups can also react with carboxyl groups on heparin, so that the grafting rate of the heparin and the substrate is improved.
The invention has the beneficial effects that:
The application prepares a thermoplastic polyurethane material for medical treatment, first synthesizes a polycarbonate polyurethane with carboxyl, introduces carboxyl while exerting the excellent performance of polycarbonate polyurethane, can react with hydroxyl on the heparin structure under the action of 4-dimethylaminopyridine and diisopropylcarbodiimide to further graft heparin on the surface of the material, and further can endow the polyurethane material with anticoagulation effect, compared with the existing method of coating free heparin by a coating mode, the application grafts heparin by a chemical bonding mode, so that the heparin structure is more firmly combined with the polyurethane material, and the initial contact activation of thrombin can be blocked by an antithrombin III-mediated way, thereby having better anticoagulation performance;
In addition, the modified barium sulfate is added into the polyurethane material, so that on one hand, the contrast function of the barium sulfate can be exerted, on the other hand, after the quaternary ammonium salt is modified, the antibacterial property of the barium sulfate is endowed, and further, the excellent antibacterial property of the matrix is endowed, bacteria are prevented from adhering to the surface of the material, so that the problem of organism injury is caused by bacterial infection of a human body, and unreacted amino in the quaternary ammonium salt modified barium sulfate can also react with carboxyl on heparin, so that the grafting rate of heparin and the matrix is further improved, and the binding property of heparin and the matrix is improved.
Detailed Description
The following description of the technical solutions in the embodiments of the present invention will be clear and complete, and it is obvious that the described embodiments are only some embodiments of the present invention, but not all embodiments. All other embodiments, which can be made by those skilled in the art based on the embodiments of the invention without making any inventive effort, are intended to be within the scope of the invention.
Example 1
A production process of a thermoplastic polyurethane material for medical treatment comprises the following steps:
Firstly, adding polyhexamethylene carbonate dihydric alcohol into a flask, introducing nitrogen, heating to 75 ℃ and stirring at a constant speed until the mixture is melted, adding isophorone diisocyanate, preserving heat and magnetically stirring for 3 hours to obtain a prepolymer, then adding dimethyl carbonate to reduce the viscosity, continuously stirring and reacting for 1 hour, cooling to 60 ℃, adding dibutyl tin dilaurate and 2, 2-bis (hydroxymethyl) propionic acid, continuously stirring and reacting for 3 hours to obtain polyurethane resin, and controlling the dosage ratio of the polyhexamethylene carbonate dihydric alcohol to the isophorone diisocyanate to the dimethyl carbonate to the 2, 2-bis (hydroxymethyl) propionic acid to be 10 g:4 mL:25 mL:1.5 mL, wherein the dosage of the dibutyl tin dilaurate is 0.1 weight of the polyhexamethylene carbonate dihydric alcohol;
Secondly, mixing the prepared polyurethane resin and modified barium sulfate, and then feeding the mixture into a double-screw extruder for extrusion and granulation to obtain a sample, wherein the rotating speed of a screw is controlled to be 100r/min, the extrusion temperature is 195 ℃, and the weight ratio of the polyurethane resin to the modified barium sulfate is 4:1;
Thirdly, adding the prepared sample into tetrahydrofuran, stirring at a constant speed, adding heparin, stirring for 15min, adding 4-dimethylaminopyridine and diisopropylcarbodiimide, stirring for 4h in an ice-water bath, transferring to room temperature, continuously stirring for 4h, filtering, and drying in vacuum to obtain the thermoplastic polyurethane material for medical use, wherein the weight ratio of the sample, heparin, 4-dimethylaminopyridine, diisopropylcarbodiimide and tetrahydrofuran is controlled to be 10:1:0.1:0.3:20.
The modified barium sulfate comprises the following steps:
step S1, adding barium carbonate into deionized water, magnetically stirring at 45 ℃ and adding sodium sulfate, magnetically stirring for 30min, slowly adding an aqueous solution of polyethylenimine, uniformly stirring, transferring to a reaction kettle, heating to 150 ℃, preserving heat for reaction for 10h, filtering after the reaction is finished, respectively washing with deionized water and absolute ethyl alcohol for three times, and drying to obtain pretreated barium sulfate, wherein the weight ratio of the barium carbonate to the polyethylenimine to the deionized water is controlled to be 4.58g to 0.144g to 50mL, and the molar ratio of the barium carbonate to the sodium sulfate is controlled to be 1:1;
the aqueous solution of the polyethyleneimine is formed by mixing the polyethyleneimine and deionized water according to the dosage ratio of 0.144g to 10 mL.
And S2, dispersing the prepared pretreated barium sulfate in absolute ethyl alcohol, adding bromohexane, magnetically stirring at room temperature and reacting for 12 hours, adding methyl iodide, continuously reacting for 12 hours, respectively washing three times by deionized water and absolute ethyl alcohol after the reaction is finished, drying at 55 ℃ to prepare modified barium sulfate, controlling the weight ratio of the pretreated barium sulfate, bromohexane and absolute ethyl alcohol to be 1:10:50, and controlling the molar ratio of methyl iodide to bromohexane to be 1:1.
Example 2
A production process of a thermoplastic polyurethane material for medical treatment comprises the following steps:
firstly, adding polyhexamethylene carbonate dihydric alcohol into a flask, introducing nitrogen, heating to 75 ℃ and stirring at a constant speed until the mixture is melted, adding isophorone diisocyanate, preserving heat and magnetically stirring for 3 hours to obtain a prepolymer, then adding dimethyl carbonate to reduce the viscosity, continuously stirring and reacting for 1 hour, cooling to 60 ℃, adding dibutyl tin dilaurate and 2, 2-bis (hydroxymethyl) propionic acid, continuously stirring and reacting for 3 hours to obtain polyurethane resin, and controlling the dosage ratio of the polyhexamethylene carbonate dihydric alcohol to the isophorone diisocyanate to the dimethyl carbonate to the 2, 2-bis (hydroxymethyl) propionic acid to be 12 g:4.5 mL:28 mL:1.8 mL, wherein the dosage of the dibutyl tin dilaurate is 0.2% of the weight of the polyhexamethylene carbonate dihydric alcohol;
Secondly, mixing the prepared polyurethane resin and modified barium sulfate, and then feeding the mixture into a double-screw extruder for extrusion and granulation to obtain a sample, wherein the rotating speed of a screw is controlled to be 100r/min, the extrusion temperature is 195 ℃, and the weight ratio of the polyurethane resin to the modified barium sulfate is 4:1;
Thirdly, adding the prepared sample into tetrahydrofuran, stirring at a constant speed, adding heparin, stirring for 15min, adding 4-dimethylaminopyridine and diisopropylcarbodiimide, stirring for 4h in an ice-water bath, transferring to room temperature, continuously stirring for 4h, filtering, and drying in vacuum to obtain the thermoplastic polyurethane material for medical use, wherein the weight ratio of the sample, heparin, 4-dimethylaminopyridine, diisopropylcarbodiimide and tetrahydrofuran is 15:1:0.1:0.4:25.
The modified barium sulfate comprises the following steps:
Step S1, adding barium carbonate into deionized water, magnetically stirring at 45 ℃ and adding sodium sulfate, magnetically stirring for 30min, slowly adding an aqueous solution of polyethylenimine, uniformly stirring, transferring into a reaction kettle, heating to 150 ℃, preserving heat for reaction for 10h, filtering after the reaction is finished, respectively washing with deionized water and absolute ethyl alcohol for three times, and drying to obtain pretreated barium sulfate, wherein the weight ratio of the barium carbonate to the polyethylenimine to the deionized water is 5g to 0.144g to 50mL, and the molar ratio of the barium carbonate to the sodium sulfate is 1 to 1;
the aqueous solution of the polyethyleneimine is formed by mixing the polyethyleneimine and deionized water according to the dosage ratio of 0.144g to 10 mL.
And S2, dispersing the prepared pretreated barium sulfate in absolute ethyl alcohol, adding bromohexane, magnetically stirring at room temperature and reacting for 12 hours, adding methyl iodide, continuously reacting for 12 hours, respectively washing three times by deionized water and absolute ethyl alcohol after the reaction is finished, drying at 55 ℃ to prepare modified barium sulfate, controlling the weight ratio of the pretreated barium sulfate, bromohexane and absolute ethyl alcohol to be 1:10:50, and controlling the molar ratio of methyl iodide to bromohexane to be 1:1.
Example 3
A production process of a thermoplastic polyurethane material for medical treatment comprises the following steps:
Firstly, adding polyhexamethylene carbonate dihydric alcohol into a flask, introducing nitrogen, heating to 75 ℃, stirring at a constant speed until the mixture is melted, adding isophorone diisocyanate, preserving heat and magnetically stirring for 3 hours to obtain a prepolymer, then adding dimethyl carbonate to reduce the viscosity, continuously stirring and reacting for 1 hour, cooling to 60 ℃, adding dibutyl tin dilaurate and 2, 2-bis (hydroxymethyl) propionic acid, continuously stirring and reacting for 3 hours to obtain polyurethane resin, and controlling the dosage ratio of the polyhexamethylene carbonate dihydric alcohol to the isophorone diisocyanate to the dimethyl carbonate to the 2, 2-bis (hydroxymethyl) propionic acid to be 15 g:5 mL:30 mL:2 mL, wherein the dosage of the dibutyl tin dilaurate is 0.3% of the weight of the polyhexamethylene carbonate dihydric alcohol;
Secondly, mixing the prepared polyurethane resin and modified barium sulfate, and then feeding the mixture into a double-screw extruder for extrusion and granulation to obtain a sample, wherein the rotating speed of a screw is controlled to be 100r/min, the extrusion temperature is 195 ℃, and the weight ratio of the polyurethane resin to the modified barium sulfate is 5:1;
Thirdly, adding the prepared sample into tetrahydrofuran, stirring at a constant speed, adding heparin, stirring for 15min, adding 4-dimethylaminopyridine and diisopropylcarbodiimide, stirring for 4h in an ice-water bath, transferring to room temperature, continuously stirring for 4h, filtering, and drying in vacuum to obtain the thermoplastic polyurethane material for medical use, wherein the weight ratio of the sample, heparin, 4-dimethylaminopyridine, diisopropylcarbodiimide and tetrahydrofuran is controlled to be 20:1:0.2:0.5:30.
The modified barium sulfate comprises the following steps:
Step S1, adding barium carbonate into deionized water, magnetically stirring at 45 ℃ and adding sodium sulfate, magnetically stirring for 30min, slowly adding an aqueous solution of polyethylenimine, uniformly stirring, transferring to a reaction kettle, heating to 150 ℃, preserving heat for reaction for 10h, filtering after the reaction is finished, respectively washing with deionized water and absolute ethyl alcohol for three times, and drying to obtain pretreated barium sulfate, wherein the weight ratio of the barium carbonate to the polyethylenimine to the deionized water is 5.02g to 0.144g to 50mL, and the molar ratio of the barium carbonate to the sodium sulfate is 1 to 1;
the aqueous solution of the polyethyleneimine is formed by mixing the polyethyleneimine and deionized water according to the dosage ratio of 0.144g to 10 mL.
And S2, dispersing the prepared pretreated barium sulfate in absolute ethyl alcohol, adding bromohexane, magnetically stirring at room temperature and reacting for 12 hours, adding methyl iodide, continuously reacting for 12 hours, respectively washing three times by deionized water and absolute ethyl alcohol after the reaction is finished, drying at 55 ℃ to prepare modified barium sulfate, controlling the weight ratio of the pretreated barium sulfate, bromohexane and absolute ethyl alcohol to be 1:10:50, and controlling the molar ratio of methyl iodide to bromohexane to be 1:1.
Biological tests were performed on the medical thermoplastic polyurethane materials prepared in examples 1-3;
1. acute systemic toxicity
The test is carried out on a test sample of 0.9% sodium chloride injection (SC) and cottonseed oil (CSO) according to the method of national standard GB/T16886.112011, medical instrument biology evaluation 11 part: systemic toxicity test.
Leaching the test sample using SC and CSO, and administering to the test animal by intraperitoneal Injection (IP); all animal status and number of dead animals were observed and recorded immediately after injection, 4h, 24h, 48h and 72h, respectively. All animals were weighed 24h, 48h and 72h after injection and recorded.
Under the test conditions, animals in the test group and the control group are not dead, all the test mice are not toxic, and the quality of the mice is increased. The test results show that the test solutions of the thermoplastic polyurethane materials of the examples 1-3 have no acute systemic effect on the test mice.
2. Cytotoxicity test
The test uses an in vitro cell culture method to evaluate toxicology risks. The test is carried out according to the MTT method of national standard GB/T16886.5-2017, medical appliance biology evaluation part 5, in vitro cytotoxicity test.
Sample test solution, a negative control, a positive control leaching solution and a medium control are respectively placed in a hole of a cell culture plate for 6L 929 mouse fibroblasts, the cells are cultured in a cell culture box with 5% CO 2 and 37 ℃, the morphological changes of the cells of the test sample group, the negative control group, the positive control group and the medium control group after being cultured are observed under a microscope after 24 hours, and the cell survival rate of each test sample group, the negative control group and the positive control group) relative to the medium control group is measured by an MTT method.
Under the test conditions, the cell viability of the test liquid of the thermoplastic polyurethane materials of the examples 1-3 is in the range of 81-90%, and the test liquid has no potential cytotoxicity. ( Reference standard: survival rates of less than 70% are potentially toxic )
3. Skin sensitization test
The test is based on the national standard GB/T16886.10-2017, medical instrument biology evaluation part 10, stimulation and skin sensitization test, and the maximum skin sensitization dosage test is carried out on the 0.9% sodium chloride injection (SC) and the cottonseed oil (CSO) test liquid of the test sample, so as to evaluate the potential of the test sample to cause guinea pigs to generate skin sensitization reaction under the test condition.
Test samples were leached using SC and CSO. Each test solution was injected intradermally and blocked in the shaved area of the back of guinea pigs in the test group to induce skin sensitization; after the induction period, the test liquid-impregnated filter paper sheet was closed and fixed to the abdominal shaved area of the test group animals for 24 hours. All animals were observed and recorded for skin conditions at the challenge site 24h and 48h after removal of the filter paper sheet, as described and graded according to Magnusson and K l i gman grading standards. Animals in the control group were operated in the same manner.
Under the test conditions, the test solutions of the thermoplastic polyurethane materials of examples 1 to 3 did not cause skin sensitization in guinea pigs.
4. Intradermal reaction test
The test uses rabbits to conduct an intradermal reaction test to evaluate the potential of a test sample to produce a stimulus response under test conditions. The test is carried out according to the specification of the national standard GB/T16886.10-2017, medical appliance biology evaluation part 10, stimulation and skin sensitization test.
Test samples were leached with 0.9% sodium chloride injection (SC) and cotton with oil (CSO) and a blank solution without test sample was prepared in the same way. The test solution and the blank control solution are injected intradermally at two sides of the home-use vertebra, erythema and edema at the injection site are scored at (24+/-2) h, (48+/-2) h and (72+/-2) h after injection, and the final score of the intradermal reaction of the test sample and the corresponding air-self control is calculated.
Under the test conditions, the final score of the thermoplastic polyurethane materials SC and CSO in the household care of the test liquid in the examples 1-3 is not more than 1.0, and meets the test requirements.
Comparative example 1
This comparative example was compared to example 3, with 1, 4-butanediol instead of 2, 2-bis (hydroxymethyl) propionic acid as chain extender, and the remainder was identical to example 3.
Comparative example 2
In this comparative example, the barium sulfate was not modified as in example 3, but the same as in example 3 was conducted.
Comparative example 3
This comparative example is a coating of heparin as a coating on the surface of TPU as disclosed in the examples of chinese patent No. CN 201811614127.7.
The properties of the polyurethane materials prepared in examples 1 to 3 and comparative examples 1 to 3 were examined, and the results are shown in Table 1 below:
Anticoagulation assay: including Activated Partial Thromboplastin Time (APTT) and Thrombin Time (TT).
The sample was first cut into small pieces of 0.5X0.5 cm 2 and soaked in PBS at 37℃for 30 minutes. Taking fresh whole blood of healthy rats, and centrifuging at4 ℃ for 15 minutes (2500 rpm) to obtain supernatant, namely Platelet Poor Plasma (PPP); the blood coagulation time test method is carried out according to the requirements of the corresponding kit, and comprises the following specific processes:
(1) APTT test
The material was placed in a 1.5mL centrifuge tube, 100. Mu.L PPP was added and incubated at 37℃for 30 minutes. Then sucking 50L of the co-incubated PPP, adding 50 mu L of APTT reagent, mixing uniformly, incubating for 3 minutes at 37 ℃, immediately adding 50 mu L of 0.025M CaCl 2 solution, mixing uniformly, timing, and recording the plasma coagulation time to obtain the APTT.
(2) TT test
The material was placed in a 1.5mL centrifuge tube, 150. Mu.L PPP was added and incubated at 37℃for 30 minutes, then 100. Mu.L of the incubated PPP was aspirated, and 100. Mu.L TT reagent was added and incubated for 3 minutes, and then the plasma clotting time was recorded as TT.
Antibacterial test: the model bacteria are selected from gram positive bacteria: staphylococcus aureus; gram-negative bacteria: coli; the operation method is as follows: activating and amplifying strains of staphylococcus aureus and escherichia coli, diluting the strains into bacterial suspension with the concentration of 5 multiplied by 10 5 CFU/mL, absorbing 200 mu L of the bacterial suspension by a sterile straw respectively, uniformly coating the bacterial suspension on the surfaces of all samples, and culturing for 24 hours at 37 ℃; then, bacteria on the surface of the samples are flushed by using an equal volume of culture medium, the samples are placed at 37 ℃ for further culture for 8 hours, the samples are spread on a flat plate after dilution, the colony numbers of the samples in each group are counted, and the bacteriostasis rate is calculated.
TABLE 1
From Table 1 above, it can be seen that the polyurethane materials prepared in examples 1 to 3 of the present invention have good anticoagulation performance and antibacterial property.
The foregoing is merely illustrative and explanatory of the principles of the invention, as various modifications and additions may be made to the specific embodiments described, or similar thereto, by those skilled in the art, without departing from the principles of the invention or beyond the scope of the appended claims.