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WO2020134542A1 - Drug eluting device and manufacturing method thereof - Google Patents

Drug eluting device and manufacturing method thereof Download PDF

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Publication number
WO2020134542A1
WO2020134542A1 PCT/CN2019/114702 CN2019114702W WO2020134542A1 WO 2020134542 A1 WO2020134542 A1 WO 2020134542A1 CN 2019114702 W CN2019114702 W CN 2019114702W WO 2020134542 A1 WO2020134542 A1 WO 2020134542A1
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WO
WIPO (PCT)
Prior art keywords
drug
layer
substrate
active
base
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PCT/CN2019/114702
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French (fr)
Chinese (zh)
Inventor
林文娇
胡军
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先健科技(深圳)有限公司
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Publication of WO2020134542A1 publication Critical patent/WO2020134542A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/82Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2240/00Manufacturing or designing of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2240/001Designing or manufacturing processes

Definitions

  • the invention relates to the field of implantable medical devices, in particular to a drug eluting device and a manufacturing method thereof.
  • drug-eluting stents in the treatment of cardiovascular diseases is becoming more and more widespread.
  • the inner and outer surfaces of most drug-eluting stents are coated with drugs.
  • a drug-eluting stent When a drug-eluting stent is implanted in a blood vessel, only the outer and side surfaces of the stent are in contact with the vessel wall, and the outer surface of the stent
  • the active drugs released from the lateral surface will enter the blood vessel wall to play a therapeutic effect, and the active drugs on the inner surface of the stent will not only play a therapeutic role, but will be released into the blood and circulate to the whole body, which may play a role in other organs. toxic side effect.
  • active drugs on the inner surface of the stent will also inhibit endothelialization of the stent, thereby increasing the risk of thrombosis.
  • the drug release cycle of the existing drug-eluting stent is too short, which makes it difficult to match the release of the drug with the repair process of the diseased tissue, so that it is difficult to effectively play a therapeutic role.
  • a drug eluting device includes a base and a drug-loading layer; the base has an outer surface, a side surface and an inner surface, the drug-loading layer contains a drug carrier and an active drug, and the outer surface, the side surface and the inner of the base The surfaces are covered by the drug-carrying layer; the active drug is only distributed in at least a part of the drug-carrying layer covering the outer surface and the side surface, and in the thickness direction of the at least part of the region, close to the The concentration of the active drug on the side of the substrate is greater than the concentration of the active drug on the side away from the substrate.
  • the concentration of the active drug gradually decreases from the side close to the base to the side far from the base.
  • a groove or micropore is formed on the substrate, the groove or micropore is filled with an active drug, and the drug-carrying layer covers the groove or micropore.
  • the grooves or micropores are covered by the at least a portion of the drug carrier layer where the active drug is distributed; or,
  • the groove or micropore is covered by the area of the drug-carrying layer where the active drug is not distributed.
  • the drug eluting device further includes a pure drug layer, the pure drug layer covers at least part of the outer surface and the side surface of the substrate, and the pure drug layer is carried by the carrier The drug layer is completely covered.
  • the active drug in the drug-carrying layer is only distributed in the area of the drug-carrying layer covering the outer surface of the substrate; or, the active drug in the drug-carrying layer is only distributed in the A partial area of the drug-carrying layer covering the outer surface of the substrate; or, the active drug in the drug-carrying layer is distributed in the area of the drug-carrying layer covering the outer surface and the side surface of the substrate; Alternatively, the active drug in the drug-carrying layer is distributed in a region where the drug-carrying layer covers the outer surface of the substrate and at least a part of the side surface.
  • the thickness of the area covering the outer surface of the substrate and the area covering the side surface of the drug-carrying layer are both greater than the area of the drug-carrying layer covering the inner surface of the substrate thickness of.
  • the thickness of the drug-carrying layer is 3-20 microns.
  • the drug carrier is a degradable polymer
  • the mass ratio of the degradable polymer to the active drug is 10:1 to 1:3.
  • a method for manufacturing a drug eluting device including:
  • the substrate having an outer surface, an inner surface and a side surface
  • the active drug is dissolved in the solvent I to form a drug solution, and then the drug solution is coated on at least a part of the outer surface and the side surface of the substrate, and after drying, the outer surface and the outer surface are formed on the substrate Pure drug layer in at least part of the side surface; and,
  • the drug carrier is dissolved in the solvent II to form a coating solution, and then the coating solution is coated on the outer surface, inner surface and side surface of the substrate, the solvent II dissolves the active drug in the pure drug layer
  • a drug-carrying layer containing the active drug and a drug carrier is formed on the surface of the substrate, and the outer surface, side surfaces, and inner surface of the substrate are covered by the drug-carrying layer, and the drug-carrying layer
  • the active drug in the layer is distributed in at least a part of the drug-carrying layer covering the outer surface and the side surface, and in the thickness direction of the at least part of the region, the concentration of the active drug on the side close to the substrate It is greater than the concentration of active drug on the side away from the matrix.
  • the active drug of the drug eluting device is only distributed in at least a part of the area covering the outer surface and the side surface of the base body of the drug-loading layer, while the area of the drug-loading layer covering the inner surface has no distribution of active drug. Therefore, the drug-eluting device can avoid the toxic and side effects of the active drug on other organs, and avoid the inhibitory effect of the active drug on the endothelialization of the device, thereby facilitating the attachment of endothelial cells on the device to reduce the risk of thrombosis.
  • the concentration of the active drug on the side near the substrate is greater than the concentration of the active drug on the side away from the substrate, which is beneficial to prolong the activity
  • the release cycle of the drug is beneficial to match the release of the active drug with the repair process of the diseased tissue and improve the therapeutic effect.
  • FIG. 1 is a schematic structural diagram of a drug eluting device according to an embodiment
  • FIG. 2 is a schematic diagram of the structure of a drug eluting device according to another embodiment
  • FIG. 3 is a schematic structural diagram of a drug eluting device according to another embodiment
  • FIG. 4 is a schematic structural diagram of a drug eluting device according to another embodiment
  • FIG. 5 is a schematic structural diagram of a drug eluting device according to another embodiment
  • FIG. 6 is a schematic structural diagram of a drug eluting device according to another embodiment.
  • a drug eluting device provided in an embodiment includes a base 1 and a drug carrying layer 3.
  • the base 1 is a hollow lumen structure.
  • the base 1 has an inner surface 101, an outer surface 102, and a side surface 103.
  • the inner surface 101 is the surface directly contacting the blood
  • the outer surface 102 is the surface directly contacting the blood vessel wall
  • the inner surface 101 and the outer surface 102 are opposite
  • the side surface 103 Connecting inner surface 101 and outer surface 102.
  • the substrate 1 can be made of a bioabsorbable material.
  • the substrate 1 is made of iron, iron-based alloy, magnesium, magnesium-based alloy, zinc, zinc-based alloy, or absorbable polymer material.
  • Absorbable polymer materials are polylactic acid, polyglycolic acid, etc.
  • the base 1 is made of an iron-based alloy with a carbon content of not higher than 2.11 wt.% or the base 1 is made of pure iron.
  • the base 1 is made of a material that is not bioabsorbable.
  • the base 1 is made of nickel-titanium alloy, cobalt-chromium alloy or stainless steel.
  • the drug carrier layer 3 completely covers the inner surface 101, the outer surface 102 and the side surface 103 of the base 1.
  • the drug-carrying layer 3 contains a drug carrier (not shown in FIG. 1) and an active drug 301.
  • the active drug 301 is only distributed in at least a part of the region of the drug-carrying layer 3 covering the outer surface 102 and the side surface 103 of the substrate 1, and the area of the drug-carrying layer 3 covering the inner surface 101 of the substrate 1 does not contain the active drug 301. In this way, the phenomenon that the active drug 301 is contained on the inner surface 101 and causes the active drug 301 to be released into the blood to cause toxic and side effects is avoided.
  • endothelial cells will crawl on the inner surface 101 of the base 1 to form an endothelial cell layer without the inhibitory effect.
  • the inner surface 101 does not contain the active drug 301, which avoids the inhibitory effect of endothelial cell crawling, which is beneficial to the rapid endothelial cell crawling on the inner surface 101 of the base 101 to quickly form an endothelial cell layer, which is conducive to avoiding thrombosis Formation, reducing the risk of blood clots.
  • the concentration of the active drug 301 on the side closer to the base 1 is greater than that of the active drug 301 on the side away from the base 1 concentration.
  • the concentration of the active drug 301 on the side close to the base 1 is greater than the concentration of the active drug 301 on the side far from the base 1 is beneficial to delay the release cycle of the active drug 301 and avoid the release of the active drug 301 too fast to control the long-acting of the active drug 301
  • the release promotes the release of the active drug 301 to match the repair process of the diseased tissue, thereby improving the therapeutic effect.
  • the concentration of the active drug 301 in the thickness direction of the region of the drug-carrying layer 3 covering the outer surface 102 and the side surface 103 of the base 1 from the side close to the base 1 to the side far from the base 1 The gradual decrease is beneficial to further control the release of the active drug 301 and improve the therapeutic effect.
  • the active drug 301 is only distributed on at least part of the area of the outer surface 102 and the side surface 103 of the drug-carrying layer 3 covering the base 1, which means that the active drug 301 is distributed on the outer surface 102 and the side of the drug-carrying layer 3 covering the base 1
  • the active drug 301 is not distributed in the area of the drug-loading layer 3 covering the inner surface 101 of the substrate 1; or, the active drug 301 is distributed only in the entire area of the drug-loading layer 3 covering the outer surface 102 of the substrate 1
  • the active drug 301 is not distributed in the region of the drug-loading layer 3 covering the inner surface 101 of the substrate 1; or, the active drug 301 is only distributed on the outer surface 102 of the drug-loading layer 3 covering the substrate 1
  • the active drug 301 is not distributed in the area of the drug carrier layer 3 covering the inner surface 101 and the side surface 103 of the drug carrier layer 3; or, the active drug 301 is
  • the active drug 301 is selected from at least one of anti-angiogenesis drugs, anti-thrombotic drugs, anti-inflammatory drugs, and anti-sensitizing drugs.
  • the angiogenesis-inhibiting drug is selected from at least one of paclitaxel, paclitaxel derivatives, rapamycin and rapamycin derivatives.
  • the antiplatelet drug is cilostazol.
  • the antithrombotic drug is heparin.
  • the anti-inflammatory drug is dexamethasone.
  • Anti-sensitizing drugs selected from diphenhydramine, chlorpheniramine, promethazine, hydrocortisone, triamcinolone, methylprednisolone, loratadine, fexofenadine, levocetine At least one of liazine, mizolastine and ebastine.
  • the drug carrier is a degradable polymer.
  • the degradable polymer is selected from at least one of degradable polyester and degradable acid anhydride.
  • the degradable polyester is selected from polylactic acid, polyglycolic acid, polylactic acid glycolic acid copolymer, polycaprolactone, polyacrylate, polyhydroxy fatty acid ester, polysuccinate, polysalicylic acid Anhydride ester, polytrimethylene carbonate, polydioxanone, poly( ⁇ -alkanoate), poly( ⁇ -hydroxybutyrate), polyethylene glycolate and polyhydroxybutyrate At least one of ester valerate copolymers.
  • the degradable polyanhydride is at least one selected from the group consisting of poly 1,3-bis(p-carboxyphenoxy)propane-gluconic acid, polyerucic acid dimer-gluconic acid, and polyfumaric acid-gluconic acid.
  • the degradable polymer is formed by copolymerizing at least two of the monomers forming the above-mentioned degradable polyester and the monomers forming the above-mentioned degradable acid anhydride.
  • the degradation of the above-mentioned degradable polyester and degradable polyanhydride will produce acidic products around the matrix 1, thereby forming a local low pH environment.
  • the matrix 1 is formed of an absorbable metal or alloy, it is beneficial to accelerate the later stage of the matrix 1 corrosion.
  • the thickness of the drug carrier layer 3 is 3-20 microns.
  • the mass ratio of the degradable polymer (drug carrier) in the drug carrier layer 3 to the active drug 301 is 10:1 to 1:3.
  • the thickness of the drug carrier layer 3 is reasonably set so that the degradation cycle of the degradable polymer contained in the drug carrier layer 3 matches the degradation or corrosion cycle of the substrate 1
  • the degradation products of the degradable polymer accelerate the degradation or corrosion of the matrix 1, thereby helping to reduce inflammation and reduce long-term clinical risk.
  • the thickness of the drug-loading layer 3 is 3-20 ⁇ m means that the average thickness of the drug-loading layer 3 is 3-20 ⁇ m, that is, the thickness and coverage of the area of the drug-loading layer 3 covering the inner surface 101 of the base 1
  • the average value of the thickness of the area of the outer surface 102 and the thickness of the area covering the side surface 103 is 3 to 20 ⁇ m.
  • the thickness of the region covering the outer surface 102 of the base 1 and the thickness covering the side surface 103 of the drug-loading layer 3 are both greater than the thickness of the region covering the inner surface 101 of the base 1 by the drug-loading layer 3. That is, the drug-carrying layer 3 has a layered structure with asymmetric thickness.
  • the base 1 is provided with grooves or micro holes. Please refer to FIG. 2.
  • the base 1 is provided with a groove 104, and the surface where the opening end of the groove 104 is located is coplanar with the outer surface 102 of the base 1.
  • the groove 104 is filled with active medicine.
  • the region of the drug-loading layer 3 containing the active drug 301 covers the groove 104.
  • the active drug filled in the groove 104 and the active drug 301 in the drug-loading layer 3 may be the same or different.
  • the release of the active drug filled in the groove 104 is later than the release of the active drug 301 in the drug-loading layer 3. In this way, the release cycle of the active drug (active drug 301 and active drug filled in the groove 104) is further extended, thereby improving the therapeutic effect.
  • the drug-loaded layer 3 covers the groove 104, but the area of the drug-loaded layer 3 where the active drug 301 is distributed does not cover the groove 104, and the area of the drug-loaded layer 3 where the active drug 301 is not distributed covers the recess ⁇ 104. In this way, the release of the active drug filled in the groove 104 can also be delayed, thereby facilitating the overall delay of the release of the active drug (active drug 301 and active drug filled in the groove 104) of the drug eluting device.
  • the base 1 is made of an absorbable material, and the active drug filled in the groove 104 is different from the active drug 301 in the drug-loading layer 3.
  • the active drug 301 in the drug-carrying layer 3 is a drug that inhibits vascular proliferation, so as to inhibit vascular proliferation.
  • the active drug filled in the groove 104 is an anti-inflammatory drug.
  • the drug-loading layer 3 gradually degrades, and the active drug 301 gradually releases, which plays a role in inhibiting vascular proliferation.
  • the substrate 1 begins to degrade or corrode, and the degradation of the drug-loading layer 3 barely exposes the substrate 1, the substrate 1
  • the anti-inflammatory response drug filled in the groove 104 is gradually released to exert a curative effect, and the inflammatory response that may be generated due to the degradation or corrosion of the substrate 1 is suppressed.
  • the substrate 1 is provided with micropores for filling the active drug.
  • the opening direction of the micropores is parallel to the thickness direction of the substrate 1
  • the micropores extend from the outer surface 102 to the inner surface 101 of the substrate 1
  • the opening direction of the micropores is perpendicular to the thickness direction of the substrate 1
  • the micropores extend from the side surface 103 on one side of the base 1 to the side surface 103 on the other side.
  • the drug eluting device further includes a pure drug layer 2.
  • the pure drug layer 2 contains only active drugs and does not contain any drug carriers and other substances.
  • the active drug in the pure drug layer 2 is the same as the active drug 301 in the drug carrier layer 3.
  • the pure drug layer 2 completely covers the outer surface 102 and the side surface 103 of the base 1, and the pure drug layer 2 does not completely cover the inner surface 101 of the base 1.
  • the pure drug layer 2 completely covers the outer surface 102 of the base 1, only partially covering the side surface 103 of the base 1, and the pure drug layer 2 does not completely cover the inside of the base 1 Surface 101.
  • the pure drug layer 2 completely covers the outer surface 102 of the base 1, and the pure drug layer 2 completely does not cover the side surface 103 and the inner surface 101 of the base 1.
  • the pure drug layer 2 only covers a part of the outer surface 102 of the base 1, and some areas of the outer surface 102 of the base 1 are not covered by the pure drug layer 2, and the pure drug layer 2 does not cover the base at all 1 ⁇ 101 ⁇ 103 ⁇ 1 inner surface 101 and side surface 103.
  • a pure drug layer 2 is provided between the substrate 1 and the drug-loading layer 3, that is, a layer containing active drugs is layered, which is beneficial to further prolong the release period of the active drugs.
  • the base 1 may be provided with grooves 104 or micro holes for drug loading, or the base 1 may not be provided with any grooves 104 or micro holes.
  • the drug eluting device includes a pure drug layer 2, and a groove 104 is formed on the base 1, and the pure drug layer 2 covers the groove 104.
  • the drug-carrying layer 3 of the above-mentioned drug eluting device completely covers the inner surface 101, the outer surface 102 and the side surface 103 of the substrate 1, that is, the drug-carrying layer 3 is a complete and continuous coating, and the complete and continuous coating
  • the drug-carrying layer 3 is a complete and continuous coating, and the complete and continuous coating
  • the release period of the active drug 301 of the drug eluting device is longer, which is beneficial to match the release of the active drug 301 with the repair process of the diseased tissue, thereby improving the therapeutic effect.
  • the inner surface 101 of the base 1 does not contain the active drug 301, which can avoid the side effects of the active drug 301, and is beneficial for the endothelial cells to crawl on the device to reduce the risk of thrombosis.
  • the reliability of the drug-eluting device is high, and the drug-carrying layer 3 is not easily separated from the base body 1 and falls off the base body 1 during the expansion process. After implantation in the body, the release of the active drug 301 is consistent with the tissue repair process, and the degradation of the drug-loaded layer 3 matches the corrosion of the matrix 1 to promote rapid corrosion of the matrix 1 and a low long-term clinical risk.
  • the surface of the substrate 1 is roughened, which is conducive to the adhesion of the pure drug layer 2 and/or the drug-loading layer 3 on the substrate 1, which is beneficial to improve the reliability of the drug eluting device and avoid expansion.
  • the pure drug layer 2 and/or the drug-loading layer 3 fall off from the substrate 1.
  • the drug eluting device may be other devices such as drug eluting stents, including but not limited to cardiovascular stents, cerebrovascular stents, peripheral vascular stents, biliary stents, esophageal stents, airway stents, orthopedic implants, etc.
  • drug eluting stents including but not limited to cardiovascular stents, cerebrovascular stents, peripheral vascular stents, biliary stents, esophageal stents, airway stents, orthopedic implants, etc.
  • A. Provide a base, the base having an outer surface, an inner surface, and a side surface.
  • the method before performing the next step, further includes the steps of roughening the surface of the substrate and/or opening grooves or micropores in the substrate.
  • the drug solution contains only the active drug and solvent I.
  • the coating method includes but is not limited to spraying, leaching, dipping, rolling or electrospinning. During the coating process, the inner surface of the substrate is shielded to avoid the formation of a drug coating on the inner surface of the substrate. In one embodiment, during the coating process, a cylindrical inner brace is extended into the inner cavity of the base body to shield the inner surface of the base body.
  • the solvent II dissolves the active drug in the pure drug layer and dries on the surface of the substrate.
  • a drug-carrying layer containing an active drug and a drug carrier is formed, and the outer surface, the side surface, and the inner surface of the substrate are covered by the drug-carrying layer, and the active drug in the drug-carrying layer is distributed on the part of the drug-carrying layer covering the outer surface and the side surface At least part of the region, and in the thickness direction of the at least part of the region, the concentration of the active drug on the side close to the substrate is greater than the concentration of the active drug on the side far from the substrate.
  • the coating solution contains only the drug carrier and solvent II, and does not contain any active drug.
  • the solvent II dissolves the active drug in the pure drug layer means that the solvent II partially dissolves the active drug in the pure drug layer or completely dissolves the active drug in the pure drug layer.
  • the concentration of the active drug on the side close to the base is greater than the concentration of the active drug on the side far from the base. Further, in the thickness direction where the drug-loading layer covers at least a part of the base, the concentration of the active drug gradually decreases from the side close to the base to the side far from the base.
  • step B After completing step B, first remove the cylindrical inner brace and then proceed to step C, so that the drug-carrying layer completely covers the inner surface, outer surface, and side surfaces of the substrate.
  • the concentration of the drug carrier in the coating solution is 1 mg/mL to 15 mg/mL, and the coating speed is 0.01 mL/min to 0.20 mL/min.
  • the final drug eluting device when the final drug eluting device further includes a pure drug layer, it can be achieved by simultaneously controlling the concentration of the drug carrier in the coating solution, the coating speed, and the thickness of the pure drug layer. For example, when the concentration of the drug carrier in the coating solution and the coating speed of the coating solution are fixed, the thickness of the pure drug layer can be increased, so that the resulting drug eluting device further includes a layer between the substrate and the drug carrier layer Pure medicine layer.
  • the manufacturing method of the above drug eluting device first forms a pure drug layer on the substrate, and then transfers the active drug in the pure drug layer to the drug carrier layer by means of solvent transfer, so that the active drug is dispersed in the drug carrier, and In the thickness direction of the drug carrier layer covering at least part of the substrate, the concentration of the active drug on the side near the substrate is greater than the concentration of the active drug on the side away from the substrate, the concentration of the drug carrier and the active drug passing through the drug carrier layer Distribution controls the long-acting release of active drugs.
  • the drug-eluting device manufactured by the manufacturing method of the drug-eluting device not only has a longer release period of the active drug and a lower risk of thrombosis, but also disperses the active drug by forming a pure drug layer and then transferring the active drug through the solvent
  • the way in the drug carrier realizes that the inner surface of the matrix does not contain the active drug, on the other hand, compared with the traditional method of dissolving the active drug and the drug carrier in the solvent at the same time to obtain a coating solution, and using an internal strut or barrier After the rod covers the inner surface of the substrate, the coating solution is sprayed on the substrate.
  • the integrity of the coating obtained by the above-mentioned drug eluting device manufacturing method is better It will not cause damage to the coating when the device is separated from the inner brace or barrier after the coating containing both active drug and drug carrier is formed. Therefore, the production yield of the above-mentioned drug eluting device manufacturing method is high.
  • the 30008 drug eluting stent refers to the nominal expansion pressure (the nominal expansion pressure refers to the pressure used when expanding the stent to the nominal diameter), the nominal diameter after expansion is 3 mm, and the nominal length is 8 mm.
  • the nominal diameter refers to the inner diameter of the matrix after expansion (implanted into the blood vessel and the expansion of the inner diameter of the matrix)
  • the nominal length is the length of the matrix after expansion (implanted into the blood vessel and the expansion is completed, the length of the matrix).
  • the drug-eluting stent was implanted into the iliac artery of New Zealand rabbits, and the New Zealand rabbits were sacrificed at the follow-up node X months after implantation, the stent was removed, and the drug (such as acetonitrile) in the stent was extracted with a suitable solvent, using high performance liquid chromatography (HPLC)
  • HPLC high performance liquid chromatography
  • the remaining drug amount on the stent is tested, and the test result is compared with the theoretical drug amount of the stent obtained by the coating quality calculation before the stent is implanted to obtain the mass percentage of the remaining drug of the stent, such as the remaining drug on the stent If the mass percentage is ⁇ 5%, it is considered that X months is the drug release cycle of the stent.
  • the drug-eluting stent is expanded under the rated burst pressure after simulated delivery, and then the expanded stent is magnified under a microscope to observe the damage and peeling of the coating from 50 times to 200 times.
  • the distribution of drugs on the surface of the stent can be characterized by Raman spectroscopy.
  • the specific characterization method is: using the Raman spectrometer of Thermo Fisher Scientific Corporation to perform Raman spectroscopy on the outer surface and the side surface of the coating at a wavelength of 532 nm
  • a certain step length for example, 1 ⁇ m
  • the stent was embedded in resin to grind the sample, the section of the stent was observed by SEM, and the thickness of the drug coating applied on the stent was measured.
  • Endothelialization speed test the drug-eluting device is implanted into the rabbit iliac artery. After a certain period of time, the blood vessel where the drug-eluting device is located is taken out, soaked with glutaraldehyde (such as 6h), dried, then cut along the axial direction, and gold sprayed , SEM measurement and observation of drug-eluting device endothelial coverage, when the coverage rate reached more than 90%, indicating that the drug-eluting device has completed endothelialization.
  • glutaraldehyde such as 6h
  • the drug-eluting stent was implanted into the rabbit iliac artery. After a certain period of time, the blood vessel containing the drug-eluting stent was removed and soaked with formalin. Formalin-fixed tissue specimens were removed by chemical treatment, then the paraffin was embedded, paraffin-embedded, sliced with Leica 2135 microtome, slice thickness 4-5 ⁇ m, and then HE stained to observe pathology.
  • Inflammation score calculation 0 points: There are no inflammatory cells (lymphocytes, eosinophils, macrophages, etc.) around the media and intima. 1 point: Infiltrated by a small amount of inflammatory cells around the media and intima. 2 points: moderate infiltration of inflammatory cells in the intima, media and adventitia, accounting for 25%-50% of the vascular area. 3 points: There are a large number of inflammatory cells in the intima, media and adventitia. Surround the entire blood vessel, occupying more than 50% of the blood vessel area, and calculate the average value through multiple observations. The larger the score, the more severe the inflammation.
  • test methods for the above parameters or performance are not limited to the methods listed above, and any method mastered by those skilled in the art can be used for testing.
  • the ethyl acetate solution of rapamycin is sprayed onto the substrate by ultrasonic spraying, and after drying, the inner brace is removed to obtain a stent containing a pure drug layer, wherein the pure drug layer completely covers the outer surface and the side surface of the substrate; Spray the ethyl acetate solution of polyracemic lactic acid on the inner surface, outer surface and side surface of the stent.
  • the coating speed in this step is 0.03mL/min. Dissolve all the rapamycin in the pure drug layer into the poly racemic lactic acid coating, and dry to obtain a drug-eluting stent.
  • the drug-eluting stent contains an iron-based matrix and a drug-carrying layer.
  • the drug-loading layer covers the iron-based matrix
  • the mass ratio of rapamycin to polyracemic lactic acid on the stent is 1:3, and the average thickness of the drug-loaded layer is 10 ⁇ m.
  • the stent was expanded under the rated blasting pressure.
  • the results showed that the drug-loaded layer was intact without peeling or peeling; the stent was completely endothelialized after 1 month of implantation in the New Zealand rabbit iliac artery, and the active drug was released. The period is 12 months.
  • the ethyl acetate solution of rapamycin is sprayed onto the substrate by ultrasonic spraying, and after drying, the inner brace is removed to obtain a stent containing a pure drug layer, wherein the pure drug layer completely covers the outer surface and the side surface of the substrate;
  • Spray the ethyl acetate solution of polyracemic lactic acid on the inner surface, outer surface and side surface of the stent, the coating speed of this step is 0.10mL/min, the ethyl acetate in the ethyl acetate solution of polyracic lactic acid
  • the rapamycin in the pure drug layer is partially dissolved into the polyracemic lactic acid coating, and after drying, a drug-eluting stent is obtained.
  • the drug-eluting stent includes an iron-based matrix, a pure drug layer, and a drug-loading layer.
  • the pure drug layer The outer surface and the side surface of the iron-based substrate are completely covered, the drug-loaded layer completely covers the pure drug layer, and the drug-loaded layer covers the outer surface, the inner surface and the side surface of the iron-based substrate, and the drug-loaded layer covers the outer surface and the side surface
  • the content of rapamycin gradually decreases from the side near the substrate to the side away from the substrate.
  • the mass ratio of rapamycin to polyracemic lactic acid on the stent is 1:3, and the average thickness of the drug-loaded layer is 10 ⁇ m.
  • the stent was expanded under the rated burst pressure. The results showed that the drug-loaded layer was complete without peeling and peeling; the stent was completely endothelialized after 1 month of implantation in the New Zealand rabbit iliac artery, and the active drug release cycle For 15 months.
  • the ethyl acetate solution of rapamycin is sprayed on the substrate by ultrasonic spraying, and after drying, the inner brace is removed to obtain a stent containing a pure drug layer, and the groove of the substrate is filled with rapamycin, pure drug layer Fully cover the outer surface and side surface of the substrate; then spray the ethyl acetate solution of polyracemic lactic acid on the inner surface, outer surface and side surface of the stent, the coating speed of this step is 0.08mL/min, polyracemic The ethyl acetate in the ethyl acetate solution of lactic acid dissolves the rapamycin in the pure drug layer into the poly racemic lactic acid coating, and after drying, a drug-eluting stent is obtained.
  • the drug-eluting stent contains an iron-based matrix, Pure drug layer and drug-loaded layer, and the groove of the iron-based substrate is filled with rapamycin, the pure drug layer completely covers the outer surface and side surface of the iron-based substrate, the drug-loaded layer completely covers the pure drug layer, and the drug-loaded layer
  • the layer covers the outer surface, inner surface and side surface of the iron-based substrate.
  • the content of rapamycin is from the side close to the substrate to far away from the substrate The side gradually decreases.
  • the mass ratio of rapamycin to polyracemic lactic acid on the stent is 1:3, and the average thickness of the drug-loaded layer is 10 ⁇ m.
  • the stent was expanded under the rated blasting pressure.
  • the results showed that the drug-loaded layer was intact without peeling or peeling; the stent was completely endothelialized after 1 month of implantation in the New Zealand rabbit iliac artery, and the active drug was released. The period is 18 months.
  • the ethyl acetate solution of rapamycin is sprayed onto the substrate by ultrasonic spraying, and after drying, the inner brace is removed to obtain a stent containing a pure drug layer, wherein the pure drug layer completely covers the outer surface of the substrate and does not cover the substrate at all Side surface; spraying the ethyl acetate solution of polycaprolactone onto the inner surface, outer surface and side surface of the stent, the coating speed of this step is 0.20mL/min, the ethyl acetate solution of polycaprolactone The ethyl acetate in the solution dissolves part of the rapamycin in the pure drug layer into the poly racemic lactic acid coating.
  • a drug-eluting stent After drying, a drug-eluting stent is obtained.
  • the pure drug layer only covers the outer surface of the iron-based substrate, the drug-loaded layer completely covers the pure drug layer, and the drug-loaded layer covers the outer surface, inner surface, and side surfaces of the iron-based substrate, and the drug-loaded layer covers the area of the outer surface
  • the content of rapamycin gradually decreases from the side near the substrate to the side away from the substrate.
  • the mass ratio of rapamycin to polyracemic lactic acid on the stent is 1:10
  • the average thickness of the drug-carrying layer is 10 ⁇ m.
  • the stent was expanded under the rated blasting pressure.
  • the results showed that the drug-loaded layer was intact without peeling or peeling; the stent was completely endothelialized after 1 month of implantation in the New Zealand rabbit iliac artery, and the active drug was released. The period is 15 months.
  • the ethyl acetate solution of paclitaxel is sprayed onto the substrate by ultrasonic spraying, and after drying, the inner brace is removed to obtain a stent containing a pure drug layer, wherein the pure drug layer completely covers the outer surface of the substrate and partially covers the side surface of the substrate; Then spray the ethyl acetate solution of polyracemic lactic acid on the inner surface, outer surface and side surface of the stent.
  • the coating speed of this step is 0.1mL/min.
  • the ester partially dissolves the paclitaxel in the pure drug layer into the poly racemic lactic acid coating, and after drying, a drug-eluting stent is obtained.
  • the drug-eluting stent includes a magnesium-based matrix, a pure drug layer, and a drug-loading layer, and the pure drug layer is completely covered.
  • the outer surface of the magnesium-based substrate partially covers the side surface of the substrate, the drug-loading layer completely covers the pure drug layer, and the drug-loading layer covers the outer surface, inner surface, and side surfaces of the magnesium-based substrate, and the area of the drug-loading layer covering the outer surface
  • the content of paclitaxel gradually decreases from the side close to the base to the side away from the base along the thickness direction of the base.
  • the mass ratio of paclitaxel and polyracemic lactic acid on the stent is 1:1
  • the average thickness of the drug-loaded layer is 3 ⁇ m.
  • the stent was expanded under the rated blasting pressure.
  • the results showed that the drug-loaded layer was intact without peeling or peeling; the stent was completely endothelialized after 1 month of implantation in the New Zealand rabbit iliac artery, and the active drug was released. The period is 6 months.
  • the aqueous solution of heparin is sprayed onto the substrate by ultrasonic spraying, and after drying, the inner brace is removed to obtain a stent containing a pure drug layer, wherein the pure drug layer completely covers the outer surface and the side surface of the substrate;
  • the ethyl acetate solution is sprayed onto the inner surface, outer surface and side surface of the stent.
  • the coating speed in this step is 0.02mL/min.
  • the heparin is completely dissolved in the poly-racemic lactic acid coating, and after drying, a drug-eluting stent is obtained.
  • the drug-eluting stent includes a L-lactic acid matrix and a drug-carrying layer, and the drug-loading layer covers the outer surface and the inner surface of the L-lactic acid matrix. And the side surface, the area of the drug-carrying layer covering the outer surface and the side surface, along the thickness direction of the base, the content of heparin gradually decreases from the side close to the base to the side away from the base.
  • the mass ratio of heparin on the stent to polyracemic lactic acid is 3:1
  • the average thickness of the drug-loaded layer is 20 ⁇ m.
  • the stent was expanded under the rated blast pressure after simulated delivery in vitro, and the results showed that the drug-loaded layer was intact without peeling or peeling; the stent was completely endothelialized after 2 months of implantation in the New Zealand rabbit iliac artery, and the active drug was released The period is 6 months.
  • the ethyl acetate solution of dexamethasone was sprayed onto the substrate by ultrasonic spraying.
  • the inner brace was removed to obtain a stent containing a pure drug layer, and the groove of the substrate was filled with dexamethasone, which was completely covered by the pure drug layer.
  • the outer surface and the side surface of the substrate put the bracket on the fixture with the blocking rod, the diameter of the blocking rod is smaller than the inner diameter of the bracket, spray the ethyl acetate solution of the polylactic acid-glycolic acid copolymer onto the bracket, and dry it to get the load Medicine layer.
  • the blocking rod partially blocks the inner surface of the base body, so that the thickness of the region covering the outer surface of the base body and the area covering the side surface of the obtained drug-loading layer are both greater than the thickness of the area of the drug-loading layer covering the inner surface of the base body, the The coating speed in the step is 0.08 mL/min.
  • the ethyl acetate in the ethyl acetate solution of the polylactic acid-glycolic acid copolymer will partially dissolve the dexamethasone in the pure drug layer into the polylactic acid-glycolic acid copolymer coating After drying, a drug-eluting stent is obtained.
  • the drug-eluting stent includes a zinc-based matrix, a pure drug layer, and a drug-carrying layer, and the groove of the zinc-based matrix is filled with dexamethasone, and the pure drug layer covers the outside of the zinc-based matrix.
  • the drug-loading layer completely covers the pure drug layer, and the drug-loading layer covers the outer surface, inner surface, and side surface of the zinc-based substrate.
  • the mass ratio of dexamethasone and polylactic acid-glycolic acid copolymer on the stent is 1:1, and the average thickness of the drug-loading layer is 5 ⁇ m.
  • the stent was expanded under the rated blast pressure after simulated delivery in vitro, and the results showed that the drug-loaded layer was intact without peeling or peeling; the stent was completely endothelialized after 2 months of implantation in the New Zealand rabbit iliac artery, and the active drug was released The period is 9 months.
  • the surface of the matrix is roughened
  • the base body is provided with a groove, the plane where the opening end of the groove is located is coplanar with the outer surface of the base body, and the base body is sleeved on the inner brace bar, and the base body is slightly compressed so that the inner surface of the base body is close to the inner brace bar.
  • the ethyl acetate solution of loratadine is sprayed onto the substrate by ultrasonic spraying, and after drying, the inner brace is removed to obtain a stent containing a pure drug layer, wherein the pure drug layer completely covers the outer surface and the side surface of the substrate; Spray the ethyl acetate solution of poly-L-lactic acid on the inner surface, outer surface and side surface of the stent.
  • the coating speed in this step is 0.03mL/min.
  • the ethyl acetate in the ethyl acetate solution of poly-L-lactic acid will be pure
  • the loratadine in the drug layer is completely dissolved in the poly-L-lactic acid coating, and the drug-eluting stent is obtained after drying.
  • the drug-eluting stent includes an iron-based substrate and a drug-carrying layer, and the drug-loading layer covers the outer surface of the iron-based substrate On the surface, inner surface and side surface, the area of the drug-carrying layer covering the outer surface and the side surface, along the thickness direction of the substrate, the content of loratadine gradually decreases from the side near the substrate to the side away from the substrate.
  • the mass ratio of loratadine and poly-L-lactic acid on the stent is 1:6, and the average thickness of the drug-carrying layer is 15 ⁇ m.
  • the stent was expanded under the rated blasting pressure after simulated delivery in vitro, and the results showed that the stent coating was complete without peeling and peeling; the stent was completely endothelialized after implantation of the New Zealand rabbit iliac artery for 1 month, and the stent drug was released The period is 15 months.
  • the ethyl acetate solution of dexamethasone was sprayed into the groove on the substrate by ultrasonic spraying. After drying, the ethyl acetate solution of rapamycin was sprayed onto the substrate. After drying, the inner brace was removed to obtain the pure drug.
  • the layer of the stent, and the groove contains dexamethasone, wherein the pure drug layer (containing only rapamycin) completely covers the outer surface and the side surface of the substrate; then the ethyl acetate solution of polyracic lactic acid is sprayed onto the stent On the inner surface, outer surface and side surface, the coating speed of this step is 0.01mL/min.
  • the ethyl acetate in the ethyl acetate solution of polyracemic lactic acid will completely dissolve the rapamycin in the pure drug layer to the poly
  • a drug-eluting stent is obtained after drying.
  • the drug-eluting stent includes an iron-based substrate, a drug-loading layer, and dexamethasone in the groove, and the drug-loading layer covers the outer surface and inner surface of the iron-based substrate And the side surface, the area of the drug-carrying layer covering the outer surface and the side surface, along the thickness direction of the substrate, the content of rapamycin gradually decreases from the side near the substrate to the side away from the substrate.
  • the mass ratio of dexamethasone, rapamycin and polyracemic lactic acid on the stent is 1:2:6, and the average thickness of the drug-loaded layer is 10 ⁇ m.
  • the stent was expanded under the rated burst pressure. The results showed that the stent coating was complete without peeling and peeling; the stent was completely endothelialized after implantation of the New Zealand rabbit iliac artery for 1 month. The release period of the mycocin is 12 months, and the inflammatory response score of 12 months is 1 point.
  • the coating speed in this step is 0.08mL/min.
  • Paromycin is partially dissolved in the polyracemic lactic acid coating, and after drying, a drug-eluting stent is obtained.
  • the drug-eluting stent includes an iron-based matrix, a pure drug layer, and a drug-carrying layer, and the grooves of the iron-based matrix are filled with Rapamycin, the pure drug layer only partially covers the outer surface of the iron-based substrate, and the drug-loaded layer of the iron-based substrate completely covers the pure drug layer, and the drug-loaded layer covers the outer surface, inner surface, and side surfaces of the iron-based substrate, On the area of the drug-carrying layer covering the outer surface and the side surface, the content of rapamycin gradually decreases from the side close to the base to the side away from the base along the thickness direction of the base.
  • the mass ratio of rapamycin to polyracemic lactic acid on the stent is 1:3, and the average thickness of the drug-loaded layer is 10 ⁇ m.
  • the stent was expanded under the rated blasting pressure.
  • the results showed that the drug-loaded layer was intact without peeling or peeling; the stent was completely endothelialized after 1 month of implantation in the New Zealand rabbit iliac artery, and the active drug was released. The period is 18 months.
  • a mixed solution of rapamycin and poly-racic acid with a mass ratio of 1:3 ethyl acetate First prepare a mixed solution of rapamycin and poly-racic acid with a mass ratio of 1:3 ethyl acetate; prepare an iron-based matrix of 30008 size, and sleeve the iron-based matrix on the inner brace bar, slightly compress the iron-based matrix
  • the base makes the inner surface of the iron-based base close to the inner brace.
  • the above mixed solution is sprayed onto the iron-based substrate by ultrasonic spraying, and after drying, the inner brace is removed to obtain the stent containing the drug-loaded layer.
  • the stent includes an iron-based substrate and a drug-carrying layer, and the drug-loading layer covers the outer surface and the side surface of the iron-based substrate.
  • the mass ratio of rapamycin to polyracemic lactic acid on the stent is 1:3, and the average thickness of the drug-carrying layer is
  • the stent was expanded under the rated blasting pressure. The results showed that the drug-loaded layer was damaged and part of the drug-loaded layer fell off; the stent was completely endothelialized after 1 month of implantation in the New Zealand rabbit iliac artery, and the active drug The release period is 3 months, and the 12-month inflammatory response score is 2 points.
  • a mixed solution of rapamycin and poly-racemic acid with a mass ratio of 1:1 ethyl acetate First prepare a mixed solution of rapamycin and poly-racemic acid with a mass ratio of 1:1 ethyl acetate; prepare an iron-based matrix of 30008 size.
  • the above mixed solution is sprayed onto the iron-based substrate by ultrasonic spraying, and after drying, a stent containing a drug-loaded layer is obtained.
  • the stent includes the iron-based substrate and the drug-loaded layer, wherein the drug-loaded layer completely covers the surface of the iron-based substrate.
  • the average thickness of the drug carrier layer is 20 ⁇ m.
  • the stent was expanded under the rated blasting pressure. The results showed that the drug-loaded layer was complete without peeling and peeling; the stent was completely endothelialized after 3 months of implantation in the New Zealand rabbit iliac artery, and the active drug was released. The period is 3 months.

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Abstract

A drug eluting device and a manufacturing method thereof, the drug eluting device comprising a base (1) and a drug-carrying layer (3); the base (1) having an outer surface (102), a lateral surface (103) and an inner surface (101); the drug-carrying layer (3) comprising a drug carrier and an active drug (301); the outer surface (102), lateral surface (103) and inner surface (101) of the base (1) all being covered by the drug-carrying layer (3); the active drug (301) only being distributed on at least a portion of the areas of the drug-carrying layer (3) covering the outer surface (102) and lateral surface (103), and, in the depth direction of the at least portion of areas, the concentration of the active drug (301) at a side adjacent to the base (1) being greater than the concentration of the active drug (301) on a side furthest from the base (1), and an area of the drug-carrying layer (3) disposed at the inner surface (101) of the base (1) not containing the active drug (301). The drug eluting device has a relatively long active-drug release period, and has a relatively low risk of blood clots.

Description

一种药物洗脱器械及其制造方法Drug eluting apparatus and manufacturing method thereof 技术领域Technical field
本发明涉及植入式医疗器械领域,具体涉及一种药物洗脱器械及其制造方法。The invention relates to the field of implantable medical devices, in particular to a drug eluting device and a manufacturing method thereof.
背景技术Background technique
药物洗脱支架在治疗心血管疾病中的应用越来越广泛。目前,大多数的药物洗脱支架的内表面和外表面都涂覆有药物,当将药物洗脱支架植入血管中后,只有支架的外表面和侧表面与血管壁接触,支架的外表面和侧表面释放出来的活性药物会进入血管壁中发挥疗效,而支架的内表面的活性药物不仅无法起到治疗作用,反而会被释放进入血液,并循环至全身,可能会对其他器官起到毒副作用。另外,支架的内表面的活性药物还会抑制支架内皮化,从而增加血栓形成的风险。The use of drug-eluting stents in the treatment of cardiovascular diseases is becoming more and more widespread. At present, the inner and outer surfaces of most drug-eluting stents are coated with drugs. When a drug-eluting stent is implanted in a blood vessel, only the outer and side surfaces of the stent are in contact with the vessel wall, and the outer surface of the stent The active drugs released from the lateral surface will enter the blood vessel wall to play a therapeutic effect, and the active drugs on the inner surface of the stent will not only play a therapeutic role, but will be released into the blood and circulate to the whole body, which may play a role in other organs. toxic side effect. In addition, active drugs on the inner surface of the stent will also inhibit endothelialization of the stent, thereby increasing the risk of thrombosis.
并且,现有的药物洗脱支架的药物的释放周期过短,导致药物的释放难以与病变组织的修复进程相匹配,从而难以有效地起到治疗的作用。In addition, the drug release cycle of the existing drug-eluting stent is too short, which makes it difficult to match the release of the drug with the repair process of the diseased tissue, so that it is difficult to effectively play a therapeutic role.
发明内容Summary of the invention
基于此,有必要提供一种活性药物的释放周期较长,且血栓风险较低的药物洗脱器械。Based on this, it is necessary to provide a drug eluting device with a longer release period of active drugs and a lower risk of thrombosis.
一种药物洗脱器械,包括基体和载药层;所述基体具有外表面、侧表面和内表面,所述载药层含有药物载体和活性药物,所述基体的外表面、侧表面和内表面均被所述载药层覆盖;所述活性药物仅分布在所述载药层的覆盖所述外表面和侧表面的至少部分区域,且在所述至少部分区域的厚度方向上,靠近所述基体的一侧的活性药物的浓度大于远离所述基体的一侧的活性药物的浓度。A drug eluting device includes a base and a drug-loading layer; the base has an outer surface, a side surface and an inner surface, the drug-loading layer contains a drug carrier and an active drug, and the outer surface, the side surface and the inner of the base The surfaces are covered by the drug-carrying layer; the active drug is only distributed in at least a part of the drug-carrying layer covering the outer surface and the side surface, and in the thickness direction of the at least part of the region, close to the The concentration of the active drug on the side of the substrate is greater than the concentration of the active drug on the side away from the substrate.
在其中一个实施例中,在所述至少部分区域的厚度方向上,从靠近所述基体的一侧至远离所述基体的一侧,所述活性药物的浓度逐渐降低。In one of the embodiments, in the thickness direction of the at least part of the region, the concentration of the active drug gradually decreases from the side close to the base to the side far from the base.
在其中一个实施例中,所述基体上形成有凹槽或微孔,所述凹槽或微孔中填充有活性药物,且所述载药层覆盖所述凹槽或微孔。In one of the embodiments, a groove or micropore is formed on the substrate, the groove or micropore is filled with an active drug, and the drug-carrying layer covers the groove or micropore.
在其中一个实施例中,所述凹槽或微孔被所述载药层的分布有所述活性药物的所述至少部分区域所覆盖;或者,In one of the embodiments, the grooves or micropores are covered by the at least a portion of the drug carrier layer where the active drug is distributed; or,
所述凹槽或微孔被所述载药层的不分布有所述活性药物的区域所覆盖。The groove or micropore is covered by the area of the drug-carrying layer where the active drug is not distributed.
在其中一个实施例中,所述药物洗脱器械还包括纯药层,所述纯药层包覆所述基体的外表面和侧表面的至少部分区域,且所述纯药层被所述载药层完全覆盖。In one of the embodiments, the drug eluting device further includes a pure drug layer, the pure drug layer covers at least part of the outer surface and the side surface of the substrate, and the pure drug layer is carried by the carrier The drug layer is completely covered.
在其中一个实施例中,所述载药层中的活性药物仅分布在所述载药层的覆盖所述基体的外表面的区域;或者,所述载药层中的活性药物仅分布在所述载药层的覆盖所述基体的外表面的部分区域;或者,所述载药层中的活性药物分布在所述载药层的覆盖所述基体的外表面的区域和侧表面的区域;或者,所述载药层中的活性药物分布在所述载药层覆盖在所述基体的外表面的区域和至少部分侧表面的区域。In one embodiment, the active drug in the drug-carrying layer is only distributed in the area of the drug-carrying layer covering the outer surface of the substrate; or, the active drug in the drug-carrying layer is only distributed in the A partial area of the drug-carrying layer covering the outer surface of the substrate; or, the active drug in the drug-carrying layer is distributed in the area of the drug-carrying layer covering the outer surface and the side surface of the substrate; Alternatively, the active drug in the drug-carrying layer is distributed in a region where the drug-carrying layer covers the outer surface of the substrate and at least a part of the side surface.
在其中一个实施例中,所述载药层的覆盖所述基体的外表面的区域的厚度 和覆盖所述侧表面的区域的厚度均大于所述载药层覆盖所述基体的内表面的区域的厚度。In one of the embodiments, the thickness of the area covering the outer surface of the substrate and the area covering the side surface of the drug-carrying layer are both greater than the area of the drug-carrying layer covering the inner surface of the substrate thickness of.
在其中一个实施例中,所述载药层的厚度为3~20微米。In one of the embodiments, the thickness of the drug-carrying layer is 3-20 microns.
在其中一个实施例中,所述药物载体为可降解聚合物,所述可降解聚合物与所述活性药物的质量比为10:1至1:3。In one of the embodiments, the drug carrier is a degradable polymer, and the mass ratio of the degradable polymer to the active drug is 10:1 to 1:3.
一种药物洗脱器械的制造方法,包括:A method for manufacturing a drug eluting device, including:
提供基体,所述基体具有外表面、内表面和侧表面;Providing a substrate, the substrate having an outer surface, an inner surface and a side surface;
将活性药物溶解于溶剂I中形成药物溶液,然后将所述药物溶液涂覆在可所述基体的外表面和侧表面的至少部分区域,干燥后在所述基体上形成覆盖所述外表面和侧表面的至少部分区域的纯药层;及,The active drug is dissolved in the solvent I to form a drug solution, and then the drug solution is coated on at least a part of the outer surface and the side surface of the substrate, and after drying, the outer surface and the outer surface are formed on the substrate Pure drug layer in at least part of the side surface; and,
将药物载体溶解于溶剂II中形成涂层溶液,然后将所述涂层溶液涂覆在所述基体的外表面、内表面和侧表面,所述溶剂II溶解所述纯药层中的活性药物,干燥后在所述基体的表面形成含有所述活性药物和药物载体的载药层,所述基体的所述外表面、侧表面和内表面均被所述载药层覆盖,所述载药层中的活性药物分布在所述载药层的覆盖所述外表面和侧表面的至少部分区域,且在所述至少部分区域的厚度方向上,靠近所述基体的一侧的活性药物的浓度大于远离所述基体的一侧的活性药物的浓度。The drug carrier is dissolved in the solvent II to form a coating solution, and then the coating solution is coated on the outer surface, inner surface and side surface of the substrate, the solvent II dissolves the active drug in the pure drug layer After drying, a drug-carrying layer containing the active drug and a drug carrier is formed on the surface of the substrate, and the outer surface, side surfaces, and inner surface of the substrate are covered by the drug-carrying layer, and the drug-carrying layer The active drug in the layer is distributed in at least a part of the drug-carrying layer covering the outer surface and the side surface, and in the thickness direction of the at least part of the region, the concentration of the active drug on the side close to the substrate It is greater than the concentration of active drug on the side away from the matrix.
上述药物洗脱器械的活性药物仅分布在载药层的覆盖基体的外表面和侧表面的至少部分区域,而载药层的覆盖内表面的区域没有活性药物的分布。因而,该药物洗脱器械能够避免活性药物对其他器官产生毒副作用,且避免了活性药物对器械内皮化的抑制作用,从而有利于内皮细胞在器械上爬附,以降低血栓风险。并且,在载药层的覆盖基体的外表面和侧表面的至少部分区域的厚度方向上,靠近基体的一侧的活性药物的浓度大于远离基体的一侧的活性药物的浓度,有利于延长活性药物的释放周期,从而有利于活性药物的释放与病变组织的修复进程相匹配,提高疗效。The active drug of the drug eluting device is only distributed in at least a part of the area covering the outer surface and the side surface of the base body of the drug-loading layer, while the area of the drug-loading layer covering the inner surface has no distribution of active drug. Therefore, the drug-eluting device can avoid the toxic and side effects of the active drug on other organs, and avoid the inhibitory effect of the active drug on the endothelialization of the device, thereby facilitating the attachment of endothelial cells on the device to reduce the risk of thrombosis. In addition, in the thickness direction of at least part of the region covering the outer surface and the side surface of the substrate, the concentration of the active drug on the side near the substrate is greater than the concentration of the active drug on the side away from the substrate, which is beneficial to prolong the activity The release cycle of the drug is beneficial to match the release of the active drug with the repair process of the diseased tissue and improve the therapeutic effect.
附图说明BRIEF DESCRIPTION
通过阅读下文优选实施方式的详细描述,各种其他的优点和益处对于本领域普通技术人员将变得清楚明了。附图仅用于示出优选实施方式的目的,而并不认为是对本发明的限制。而且在整个附图中,用相同的参考符号表示相同的部件。在附图中:By reading the detailed description of the preferred embodiments below, various other advantages and benefits will become clear to those of ordinary skill in the art. The drawings are only for the purpose of showing the preferred embodiments, and are not considered to limit the present invention. Furthermore, throughout the drawings, the same reference symbols are used to denote the same components. In the drawings:
图1为一实施方式的药物洗脱器械的结构示意图;FIG. 1 is a schematic structural diagram of a drug eluting device according to an embodiment;
图2为另一实施方式的药物洗脱器械的结构示意图;2 is a schematic diagram of the structure of a drug eluting device according to another embodiment;
图3为另一实施方式的药物洗脱器械的结构示意图;3 is a schematic structural diagram of a drug eluting device according to another embodiment;
图4为另一实施方式的药物洗脱器械的结构示意图;4 is a schematic structural diagram of a drug eluting device according to another embodiment;
图5为另一实施方式的药物洗脱器械的结构示意图;FIG. 5 is a schematic structural diagram of a drug eluting device according to another embodiment;
图6为另一实施方式的药物洗脱器械的结构示意图。FIG. 6 is a schematic structural diagram of a drug eluting device according to another embodiment.
具体实施方式detailed description
下面将参照附图更详细地描述本公开的示例性实施方式。虽然附图中显示了本公开的示例性实施方式,然而应当理解,可以以各种形式实现本公开而不应被这里阐述的实施方式所限制。相反,提供这些实施方式是为了能够更透彻 地理解本公开,并且能够将本公开的范围完整的传达给本领域的技术人员。Hereinafter, exemplary embodiments of the present disclosure will be described in more detail with reference to the accompanying drawings. Although the exemplary embodiments of the present disclosure are shown in the drawings, it should be understood that the present disclosure can be implemented in various forms and should not be limited by the embodiments set forth herein. Rather, these embodiments are provided to enable a more thorough understanding of the present disclosure and to fully convey the scope of the present disclosure to those skilled in the art.
参阅图1,一实施方式提供的一种药物洗脱器械,包括基体1和载药层3。Referring to FIG. 1, a drug eluting device provided in an embodiment includes a base 1 and a drug carrying layer 3.
基体1为镂空的管腔结构。基体1具有内表面101、外表面102和侧表面103。其中,当将药物洗脱器械植入血管中时,内表面为101为与血液直接接触的表面,外表面102为与血管壁直接接触的表面,内表面101和外表面102相对,侧表面103连接内表面101和外表面102。The base 1 is a hollow lumen structure. The base 1 has an inner surface 101, an outer surface 102, and a side surface 103. When the drug eluting device is implanted in the blood vessel, the inner surface 101 is the surface directly contacting the blood, the outer surface 102 is the surface directly contacting the blood vessel wall, the inner surface 101 and the outer surface 102 are opposite, and the side surface 103 Connecting inner surface 101 and outer surface 102.
在一实施方式中,基体1可由生物可吸收的材料的制成。例如,基体1由铁、铁基合金、镁、镁基合金、锌、锌基合金或可吸收的高分子材料等材料制成。可吸收的高分子材料为聚乳酸、聚乙醇酸等等。本实施方式中,基体1由碳含量不高于2.11wt.%的铁基合金制成或基体1由纯铁制成。In one embodiment, the substrate 1 can be made of a bioabsorbable material. For example, the substrate 1 is made of iron, iron-based alloy, magnesium, magnesium-based alloy, zinc, zinc-based alloy, or absorbable polymer material. Absorbable polymer materials are polylactic acid, polyglycolic acid, etc. In this embodiment, the base 1 is made of an iron-based alloy with a carbon content of not higher than 2.11 wt.% or the base 1 is made of pure iron.
在其他实施方式中,基体1由生物不可吸收的材料制成。例如,基体1由镍钛合金、钴铬合金或不锈钢等材料制成。In other embodiments, the base 1 is made of a material that is not bioabsorbable. For example, the base 1 is made of nickel-titanium alloy, cobalt-chromium alloy or stainless steel.
载药层3完全覆盖基体1的内表面101、外表面102和侧表面103。载药层3含有药物载体(图1未示)和活性药物301。活性药物301仅分布在载药层3的覆盖基体1的外表面102和侧表面103的至少部分区域,载药层3的覆盖基体1的内表面101的区域不含有活性药物301。如此,避免了内表面101上含有活性药物301而导致活性药物301释放到血液中而引起毒副作用的现象。并且,在将该药物洗脱器械植入血管病变部位后,在没有抑制作用的前提下,内皮细胞会爬附于基体1的内表面101上而形成内皮细胞层。内表面101上不含有活性药物301,避免了对内皮细胞爬附的抑制作用,有利于内皮细胞在基体101的内表面101上快速爬附而快速地形成内皮细胞层,从而有利于避免血栓的形成,降低血栓风险。The drug carrier layer 3 completely covers the inner surface 101, the outer surface 102 and the side surface 103 of the base 1. The drug-carrying layer 3 contains a drug carrier (not shown in FIG. 1) and an active drug 301. The active drug 301 is only distributed in at least a part of the region of the drug-carrying layer 3 covering the outer surface 102 and the side surface 103 of the substrate 1, and the area of the drug-carrying layer 3 covering the inner surface 101 of the substrate 1 does not contain the active drug 301. In this way, the phenomenon that the active drug 301 is contained on the inner surface 101 and causes the active drug 301 to be released into the blood to cause toxic and side effects is avoided. In addition, after the drug-eluting device is implanted into the vascular lesion site, endothelial cells will crawl on the inner surface 101 of the base 1 to form an endothelial cell layer without the inhibitory effect. The inner surface 101 does not contain the active drug 301, which avoids the inhibitory effect of endothelial cell crawling, which is beneficial to the rapid endothelial cell crawling on the inner surface 101 of the base 101 to quickly form an endothelial cell layer, which is conducive to avoiding thrombosis Formation, reducing the risk of blood clots.
并且,在载药层3的覆盖基体1的外表面102和侧表面103的区域的厚度方向上,靠近基体1的一侧的活性药物301的浓度大于远离基体1的一侧的活性药物301的浓度。靠近基体1的一侧的活性药物301的浓度大于远离基体1的一侧的活性药物301的浓度有利于延缓活性药物301的释放周期,避免活性药物301释放过快,以控制活性药物301长效释放,促进活性药物301的释放与病变组织的修复进程相匹配,从而提高疗效。In addition, in the thickness direction of the region of the drug-carrying layer 3 covering the outer surface 102 and the side surface 103 of the base 1, the concentration of the active drug 301 on the side closer to the base 1 is greater than that of the active drug 301 on the side away from the base 1 concentration. The concentration of the active drug 301 on the side close to the base 1 is greater than the concentration of the active drug 301 on the side far from the base 1 is beneficial to delay the release cycle of the active drug 301 and avoid the release of the active drug 301 too fast to control the long-acting of the active drug 301 The release promotes the release of the active drug 301 to match the repair process of the diseased tissue, thereby improving the therapeutic effect.
在一实施方式中,在载药层3的覆盖基体1的外表面102和侧表面103的区域的厚度方向上,从靠近基体1的一侧至远离基体1的一侧,活性药物301的浓度逐渐降低,有利于进一步控制活性药物301的释放,提高疗效。In one embodiment, the concentration of the active drug 301 in the thickness direction of the region of the drug-carrying layer 3 covering the outer surface 102 and the side surface 103 of the base 1 from the side close to the base 1 to the side far from the base 1 The gradual decrease is beneficial to further control the release of the active drug 301 and improve the therapeutic effect.
其中,活性药物301仅分布在载药层3的覆盖基体1的外表面102和侧表面103的至少部分区域,是指活性药物301分布在载药层3的覆盖基体1的外表面102和侧表面103的全部区域,活性药物301在载药层3的覆盖基体1的内表面101的区域没有分布;或者,活性药物301仅分布在载药层3的覆盖基体1的外表面102的全部区域和侧表面103的部分区域,活性药物301在载药层3的覆盖基体1的内表面101的区域也没有分布;或者,活性药物301仅分布在载药层3的覆盖基体1的外表面102的全部区域,活性药物301在载药层3的覆盖基体1的内表面101的区域和侧表面103的区域均没有分布;或者,活性药物301仅分布在载药层3的覆盖基体1的外表面102的部分区域,除了该区域,载药层3的覆盖基体1的外表面102的其他区域没有活性药物301分布,并且,活性药物301在载药层3的覆盖基体1的内表面101的区域和侧表 面103的区域均没有分布。Wherein, the active drug 301 is only distributed on at least part of the area of the outer surface 102 and the side surface 103 of the drug-carrying layer 3 covering the base 1, which means that the active drug 301 is distributed on the outer surface 102 and the side of the drug-carrying layer 3 covering the base 1 In the entire area of the surface 103, the active drug 301 is not distributed in the area of the drug-loading layer 3 covering the inner surface 101 of the substrate 1; or, the active drug 301 is distributed only in the entire area of the drug-loading layer 3 covering the outer surface 102 of the substrate 1 And part of the side surface 103, the active drug 301 is not distributed in the region of the drug-loading layer 3 covering the inner surface 101 of the substrate 1; or, the active drug 301 is only distributed on the outer surface 102 of the drug-loading layer 3 covering the substrate 1 The active drug 301 is not distributed in the area of the drug carrier layer 3 covering the inner surface 101 and the side surface 103 of the drug carrier layer 3; or, the active drug 301 is only distributed outside the drug carrier layer 3 covering the substrate 1 Part of the area of the surface 102, except for this area, other areas of the drug-loading layer 3 covering the outer surface 102 of the base 1 are not distributed with the active drug 301, and the active drug 301 is on the inner surface 101 of the drug-loading layer 3 covering the inner surface 101 of the base 1 The area and the area of the side surface 103 are not distributed.
在一实施方式中,活性药物301选自抑制血管增生药物、抗血栓类药物、抗炎症反应药物及抗致敏药物中的至少一种。其中,抑制血管增生药物选自紫杉醇、紫杉醇衍生物、雷帕霉素及雷帕霉素衍生物中的至少一种。抗血小板类药物为西洛他唑。抗血栓类药物为肝素。抗炎症反应药物为地塞米松。抗致敏药物选自苯海拉明、氯苯那敏、异丙嗪、氢化可的松、曲安奈德、甲基强的松龙、氯雷他定、非索非那定、左西替利嗪、咪唑斯汀及依巴斯汀中的至少一种。In one embodiment, the active drug 301 is selected from at least one of anti-angiogenesis drugs, anti-thrombotic drugs, anti-inflammatory drugs, and anti-sensitizing drugs. Wherein, the angiogenesis-inhibiting drug is selected from at least one of paclitaxel, paclitaxel derivatives, rapamycin and rapamycin derivatives. The antiplatelet drug is cilostazol. The antithrombotic drug is heparin. The anti-inflammatory drug is dexamethasone. Anti-sensitizing drugs selected from diphenhydramine, chlorpheniramine, promethazine, hydrocortisone, triamcinolone, methylprednisolone, loratadine, fexofenadine, levocetine At least one of liazine, mizolastine and ebastine.
在一实施方式中,药物载体为可降解聚合物。在一实施方式中,可降解聚合物选自可降解聚酯和可降解酸酐中的至少一种。In one embodiment, the drug carrier is a degradable polymer. In one embodiment, the degradable polymer is selected from at least one of degradable polyester and degradable acid anhydride.
在一实施方式中,可降解聚酯选自聚乳酸、聚乙醇酸、聚乳酸乙醇酸共聚物、聚己内酯、聚丙烯酸酯、聚羟基脂肪酸酯、聚丁二酸酯、聚水杨酸酐酯、聚三亚甲基碳酸酯、聚二氧六环酮、聚(β-链烷酸酯)、聚(β-羟基丁酸酯)、聚乙二酸乙二醇酯及聚羟基丁酸酯戊酸酯共聚物中的至少一种。可降解聚酸酐选自聚1,3-双(对羧基苯氧基)丙烷-葵二酸、聚芥酸二聚体-葵二酸及聚富马酸-葵二酸中的至少一种。In one embodiment, the degradable polyester is selected from polylactic acid, polyglycolic acid, polylactic acid glycolic acid copolymer, polycaprolactone, polyacrylate, polyhydroxy fatty acid ester, polysuccinate, polysalicylic acid Anhydride ester, polytrimethylene carbonate, polydioxanone, poly(β-alkanoate), poly(β-hydroxybutyrate), polyethylene glycolate and polyhydroxybutyrate At least one of ester valerate copolymers. The degradable polyanhydride is at least one selected from the group consisting of poly 1,3-bis(p-carboxyphenoxy)propane-gluconic acid, polyerucic acid dimer-gluconic acid, and polyfumaric acid-gluconic acid.
在一实施方式中,可降解聚合物由形成上述可降解聚酯的单体和形成上述可降解酸酐的单体中的至少两种共聚而成。In one embodiment, the degradable polymer is formed by copolymerizing at least two of the monomers forming the above-mentioned degradable polyester and the monomers forming the above-mentioned degradable acid anhydride.
上述可降解聚酯和可降解聚酸酐的降解会在基体1的周围产生酸性产物,从而形成局部低pH值环境,当基体1由可吸收的金属或合金形成时,有利于加速基体1后期的腐蚀。The degradation of the above-mentioned degradable polyester and degradable polyanhydride will produce acidic products around the matrix 1, thereby forming a local low pH environment. When the matrix 1 is formed of an absorbable metal or alloy, it is beneficial to accelerate the later stage of the matrix 1 corrosion.
在一实施方中,载药层3的厚度为3~20微米。在一实施方式中,载药层3中的可降解聚合物(药物载体)与活性药物301的质量比为10:1至1:3。通过合理地设置可降解聚合物与活性药物301的质量比,以较好地实现活性药物301的控释,有利于活性药物301的释放与组织修复进行相匹配。同时,当基体1为可降解或可腐蚀的基体时,合理地设置载药层3的厚度,使得载药层3所含的可降解聚合物的降解周期与基体1的降解或腐蚀周期相匹配,实现在组织修复完成后,可降解聚合物的降解产物加速基体1的降解或腐蚀,从而有利于降低炎症反应,降低远期临床风险。In one embodiment, the thickness of the drug carrier layer 3 is 3-20 microns. In one embodiment, the mass ratio of the degradable polymer (drug carrier) in the drug carrier layer 3 to the active drug 301 is 10:1 to 1:3. By reasonably setting the mass ratio of the degradable polymer to the active drug 301, the controlled release of the active drug 301 is better achieved, which is beneficial to the matching of the release of the active drug 301 and tissue repair. At the same time, when the substrate 1 is a degradable or corrodible substrate, the thickness of the drug carrier layer 3 is reasonably set so that the degradation cycle of the degradable polymer contained in the drug carrier layer 3 matches the degradation or corrosion cycle of the substrate 1 After the tissue repair is completed, the degradation products of the degradable polymer accelerate the degradation or corrosion of the matrix 1, thereby helping to reduce inflammation and reduce long-term clinical risk.
需要说明的是,载药层3的厚度为3~20微米是指载药层3的平均厚度为3~20微米,即载药层3的覆盖基体1的内表面101的区域的厚度、覆盖外表面102的区域的厚度及覆盖侧表面103的区域的厚度的平均值为3~20微米。It should be noted that the thickness of the drug-loading layer 3 is 3-20 μm means that the average thickness of the drug-loading layer 3 is 3-20 μm, that is, the thickness and coverage of the area of the drug-loading layer 3 covering the inner surface 101 of the base 1 The average value of the thickness of the area of the outer surface 102 and the thickness of the area covering the side surface 103 is 3 to 20 μm.
在一实施方式中,载药层3的覆盖基体1的外表面102的区域的厚度和覆盖侧表面103的区域的厚度均大于载药层3覆盖基体1的内表面101的区域的厚度。即,载药层3为厚度不对称的层状结构。In one embodiment, the thickness of the region covering the outer surface 102 of the base 1 and the thickness covering the side surface 103 of the drug-loading layer 3 are both greater than the thickness of the region covering the inner surface 101 of the base 1 by the drug-loading layer 3. That is, the drug-carrying layer 3 has a layered structure with asymmetric thickness.
在一实施方式中,基体1上开设有凹槽或微孔。请参阅图2,图2所示的实施方式中,基体1上开设有凹槽104,且凹槽104的开口端所在的表面与基体1的外表面102共面。凹槽104中填充有活性药物。载药层3的含有活性药物301的区域覆盖凹槽104。凹槽104中填充的活性药物与载药层3中的活性药物301可以相同,也可以不同。并且,凹槽104的填充的活性药物的释放晚于载药层3中的活性药物301的释放。如此,进一步延长了活性药物(活性药物301和凹槽104中填充的活性药物)的释放周期,从而提高疗效。In one embodiment, the base 1 is provided with grooves or micro holes. Please refer to FIG. 2. In the embodiment shown in FIG. 2, the base 1 is provided with a groove 104, and the surface where the opening end of the groove 104 is located is coplanar with the outer surface 102 of the base 1. The groove 104 is filled with active medicine. The region of the drug-loading layer 3 containing the active drug 301 covers the groove 104. The active drug filled in the groove 104 and the active drug 301 in the drug-loading layer 3 may be the same or different. Also, the release of the active drug filled in the groove 104 is later than the release of the active drug 301 in the drug-loading layer 3. In this way, the release cycle of the active drug (active drug 301 and active drug filled in the groove 104) is further extended, thereby improving the therapeutic effect.
在另一实施方式中,载药层3覆盖凹槽104,但载药层3的分布有活性药 物301的区域不覆盖凹槽104,载药层3的不分布有活性药物301的区域覆盖凹槽104。如此,亦能延缓凹槽104中填充的活性药物的释放,从而有利于整体上延缓该药物洗脱器械的活性药物(活性药物301和凹槽104中填充的活性药物)的释放。In another embodiment, the drug-loaded layer 3 covers the groove 104, but the area of the drug-loaded layer 3 where the active drug 301 is distributed does not cover the groove 104, and the area of the drug-loaded layer 3 where the active drug 301 is not distributed covers the recess槽104. In this way, the release of the active drug filled in the groove 104 can also be delayed, thereby facilitating the overall delay of the release of the active drug (active drug 301 and active drug filled in the groove 104) of the drug eluting device.
在一实施方式中,基体1由可吸收材料制成,且凹槽104中填充的活性药物与载药层3中的活性药物301不同。其中,载药层3中的活性药物301为抑制血管增生药物,以抑制血管增生。凹槽104中填充的活性药物为抗炎症反应药物。载药层3逐渐降解、活性药物301逐渐释放,发挥抑制血管增生作用,当血管中的病变组织修复完成时,基体1开始降解或腐蚀,载药层3的降解裸露出基体1,基体1的凹槽104中填充的抗炎症反应药物逐渐释放而发挥疗效,抑制由于基体1降解或腐蚀可能产生的炎症反应。In one embodiment, the base 1 is made of an absorbable material, and the active drug filled in the groove 104 is different from the active drug 301 in the drug-loading layer 3. Among them, the active drug 301 in the drug-carrying layer 3 is a drug that inhibits vascular proliferation, so as to inhibit vascular proliferation. The active drug filled in the groove 104 is an anti-inflammatory drug. The drug-loading layer 3 gradually degrades, and the active drug 301 gradually releases, which plays a role in inhibiting vascular proliferation. When the repair of the diseased tissue in the blood vessel is completed, the substrate 1 begins to degrade or corrode, and the degradation of the drug-loading layer 3 barely exposes the substrate 1, the substrate 1 The anti-inflammatory response drug filled in the groove 104 is gradually released to exert a curative effect, and the inflammatory response that may be generated due to the degradation or corrosion of the substrate 1 is suppressed.
在一实施方式中,基体1上开设有用于填充活性药物的微孔。其中,微孔的开孔方向平行于基体1的厚度方向,微孔从基体1的外表面102延伸至内表面101,和/或,微孔的开孔的方向垂直于基体1的厚度方向,微孔从基体1的一侧的侧表面103延伸至另一侧的侧表面103。In one embodiment, the substrate 1 is provided with micropores for filling the active drug. Wherein, the opening direction of the micropores is parallel to the thickness direction of the substrate 1, the micropores extend from the outer surface 102 to the inner surface 101 of the substrate 1, and/or the opening direction of the micropores is perpendicular to the thickness direction of the substrate 1, The micropores extend from the side surface 103 on one side of the base 1 to the side surface 103 on the other side.
请参阅图3,在一实施方式中,药物洗脱器械还包括纯药层2。纯药层2仅含有活性药物,不含有任何药物载体及其他物质。纯药层2中的活性药物与载药层3中的活性药物301相同。图3所示的实施方式中,纯药层2完全包覆在基体1的外表面102和侧表面103,且纯药层2完全不覆盖基体1的内表面101。在另一实施方式中,如图4所示,纯药层2完全包覆在基体1的外表面102,仅部分覆盖基体1的侧表面103,且纯药层2完全不覆盖基体1的内表面101。在另一实施方式中,如图5所示,纯药层2完全包覆在基体1的外表面102,且纯药层2完全不覆盖基体1的侧表面103和内表面101。在另一实施方式中,纯药层2仅覆盖基体1的外表面102的部分区域,基体1的外表面102有部分区域不被纯药层2所覆盖,并且纯药层2完全不覆盖基体1的内表面101和侧表面103。在基体1和载药层3之间设置纯药层2,即分层设置含有活性药物的层,有利于进一步延长活性药物的释放周期。Please refer to FIG. 3. In one embodiment, the drug eluting device further includes a pure drug layer 2. The pure drug layer 2 contains only active drugs and does not contain any drug carriers and other substances. The active drug in the pure drug layer 2 is the same as the active drug 301 in the drug carrier layer 3. In the embodiment shown in FIG. 3, the pure drug layer 2 completely covers the outer surface 102 and the side surface 103 of the base 1, and the pure drug layer 2 does not completely cover the inner surface 101 of the base 1. In another embodiment, as shown in FIG. 4, the pure drug layer 2 completely covers the outer surface 102 of the base 1, only partially covering the side surface 103 of the base 1, and the pure drug layer 2 does not completely cover the inside of the base 1 Surface 101. In another embodiment, as shown in FIG. 5, the pure drug layer 2 completely covers the outer surface 102 of the base 1, and the pure drug layer 2 completely does not cover the side surface 103 and the inner surface 101 of the base 1. In another embodiment, the pure drug layer 2 only covers a part of the outer surface 102 of the base 1, and some areas of the outer surface 102 of the base 1 are not covered by the pure drug layer 2, and the pure drug layer 2 does not cover the base at all 1的内面101和侧面103。 1 inner surface 101 and side surface 103. A pure drug layer 2 is provided between the substrate 1 and the drug-loading layer 3, that is, a layer containing active drugs is layered, which is beneficial to further prolong the release period of the active drugs.
当药物洗脱器械还包括纯药层2时,基体1上可以开设有用于载药的凹槽104或微孔,或者,基体1也可以不开设任何凹槽104或微孔。图6所示的实施方式中,药物洗脱器械包括纯药层2,且基体1上开设有凹槽104,纯药层2覆盖凹槽104。When the drug eluting device further includes the pure drug layer 2, the base 1 may be provided with grooves 104 or micro holes for drug loading, or the base 1 may not be provided with any grooves 104 or micro holes. In the embodiment shown in FIG. 6, the drug eluting device includes a pure drug layer 2, and a groove 104 is formed on the base 1, and the pure drug layer 2 covers the groove 104.
上述药物洗脱器械的载药层3完全包覆基体1的内表面101、外表面102和侧表面103,即载药层3为完整的、连续的涂层,通过完整的、连续的涂层载药,且避免基体1的内表面101不含有活性药物301,不仅血栓风险低,还能使药物洗脱器械扩张时,载药层3不易与基体1发生分离而从基体1上脱落。The drug-carrying layer 3 of the above-mentioned drug eluting device completely covers the inner surface 101, the outer surface 102 and the side surface 103 of the substrate 1, that is, the drug-carrying layer 3 is a complete and continuous coating, and the complete and continuous coating When the drug is loaded, and the inner surface 101 of the base 1 does not contain the active drug 301, not only the risk of thrombus is low, but also when the drug eluting device is expanded, the drug-loaded layer 3 is not easily separated from the base 1 and falls off the base 1.
因此,上述药物洗脱器械的活性药物301的释放周期较长,有利于活性药物301的释放与病变组织的修复进程相匹配,从而提高疗效。并且,基体1的内表面101上不含有活性药物301,能够避免活性药物301的副作用,且有利于内皮细胞在器械上爬附,以降低血栓风险。同时,该药物洗脱器械的可靠性较高,在扩张过程中载药层3不易与基体1发生分离而从基体1上脱落。在植入体内后,活性药物301的释放与组织修复进程相一致,且载药层3的降解与基体1的腐蚀相匹配,以促进基体1快速腐蚀,远期临床风险较低。Therefore, the release period of the active drug 301 of the drug eluting device is longer, which is beneficial to match the release of the active drug 301 with the repair process of the diseased tissue, thereby improving the therapeutic effect. In addition, the inner surface 101 of the base 1 does not contain the active drug 301, which can avoid the side effects of the active drug 301, and is beneficial for the endothelial cells to crawl on the device to reduce the risk of thrombosis. At the same time, the reliability of the drug-eluting device is high, and the drug-carrying layer 3 is not easily separated from the base body 1 and falls off the base body 1 during the expansion process. After implantation in the body, the release of the active drug 301 is consistent with the tissue repair process, and the degradation of the drug-loaded layer 3 matches the corrosion of the matrix 1 to promote rapid corrosion of the matrix 1 and a low long-term clinical risk.
在一实施方式中,基体1的表面经过粗糙化处理,有利于纯药层2和/或载药层3在基体1上的附着,有利于提高该药物洗脱器械的可靠性,避免在扩张过程中,纯药层2和/或载药层3从基体1上脱落。In one embodiment, the surface of the substrate 1 is roughened, which is conducive to the adhesion of the pure drug layer 2 and/or the drug-loading layer 3 on the substrate 1, which is beneficial to improve the reliability of the drug eluting device and avoid expansion. During the process, the pure drug layer 2 and/or the drug-loading layer 3 fall off from the substrate 1.
上述药物洗脱器械可以为药物洗脱支架等其他器械,包括但不限于心血管支架、脑血管支架、外周血管支架、胆道支架、食道支架、气道支架或骨科植入物等等。The drug eluting device may be other devices such as drug eluting stents, including but not limited to cardiovascular stents, cerebrovascular stents, peripheral vascular stents, biliary stents, esophageal stents, airway stents, orthopedic implants, etc.
一实施方式的药物洗脱器械的制造方法,包括如下步骤:A method for manufacturing a drug eluting device according to an embodiment includes the following steps:
A、提供基体,该基体具有外表面、内表面和侧表面。A. Provide a base, the base having an outer surface, an inner surface, and a side surface.
在一实施方式中,在进行下一步的步骤之前,还包括对基体的表面进行粗糙化处理和/或在基体上开设凹槽或微孔的步骤。In one embodiment, before performing the next step, the method further includes the steps of roughening the surface of the substrate and/or opening grooves or micropores in the substrate.
B、将活性药物溶解于溶剂I中形成药物溶液,然后将药物溶液涂覆在基体的外表面和侧表面中的至少部分区域,干燥后在基体上形成覆盖外表面和侧表面的至少部分区域的纯药层。B. Dissolve the active drug in solvent I to form a drug solution, and then apply the drug solution to at least part of the outer surface and side surface of the substrate, and after drying, form at least part of the area covering the outer surface and side surface on the substrate Pure medicine layer.
药物溶液仅包含活性药物和溶剂I。涂覆的方法包括但不限于喷涂、浸提、蘸取、辊压或静电纺丝等方式。涂覆过程中,将基体的内表面进行遮蔽,避免在基体的内表面形成药物涂层。在一实施方式中,在涂覆过程中,将一圆柱形内撑杆伸入基体的内腔中实现对基体的内表面的遮蔽。The drug solution contains only the active drug and solvent I. The coating method includes but is not limited to spraying, leaching, dipping, rolling or electrospinning. During the coating process, the inner surface of the substrate is shielded to avoid the formation of a drug coating on the inner surface of the substrate. In one embodiment, during the coating process, a cylindrical inner brace is extended into the inner cavity of the base body to shield the inner surface of the base body.
C、将药物载体溶解于溶剂II中形成涂层溶液,然后将涂层溶液涂覆基体的外表面、内表面和侧表面,溶剂II溶解纯药层中的活性药物,干燥后在基体的表面形成含有活性药物和药物载体的载药层,基体的外表面、侧表面和内表面均被载药层覆盖,载药层中的活性药物分布在载药层的覆盖外表面和侧表面的部分的至少部分区域,且在该至少部分区域的厚度方向上,靠近基体的一侧的活性药物的浓度大于远离基体的一侧的活性药物的浓度。C. Dissolve the drug carrier in the solvent II to form a coating solution, and then apply the coating solution to the outer surface, inner surface and side surface of the substrate. The solvent II dissolves the active drug in the pure drug layer and dries on the surface of the substrate A drug-carrying layer containing an active drug and a drug carrier is formed, and the outer surface, the side surface, and the inner surface of the substrate are covered by the drug-carrying layer, and the active drug in the drug-carrying layer is distributed on the part of the drug-carrying layer covering the outer surface and the side surface At least part of the region, and in the thickness direction of the at least part of the region, the concentration of the active drug on the side close to the substrate is greater than the concentration of the active drug on the side far from the substrate.
涂层溶液仅含有药物载体和溶剂II,而不含有任何活性药物。溶剂II溶解纯药层中的活性药物是指溶剂II部分溶解纯药层中的活性药物或全部溶解纯药层中的活性药物。The coating solution contains only the drug carrier and solvent II, and does not contain any active drug. The solvent II dissolves the active drug in the pure drug layer means that the solvent II partially dissolves the active drug in the pure drug layer or completely dissolves the active drug in the pure drug layer.
通过控制步骤C中涂层溶液的固含量(药物载体的浓度)和涂覆速度,可以控制纯药层中的药物是否全部被溶剂II溶解并转移到载药层中来,并且实现在载药层的覆盖基体的至少部分区域的厚度方向上,靠近基体的一侧的活性药物的浓度大于远离基体的一侧的活性药物的浓度。进一步地,在载药层覆盖基体的至少部分区域的厚度方向上,从靠近基体的一侧至远离基体的一侧,活性药物的浓度逐渐降低。By controlling the solid content (concentration of drug carrier) and coating speed of the coating solution in step C, it can be controlled whether the drug in the pure drug layer is completely dissolved by the solvent II and transferred to the drug carrier layer, and the In the thickness direction of the layer covering at least a part of the base, the concentration of the active drug on the side close to the base is greater than the concentration of the active drug on the side far from the base. Further, in the thickness direction where the drug-loading layer covers at least a part of the base, the concentration of the active drug gradually decreases from the side close to the base to the side far from the base.
在完成步骤B之后,先取下圆柱形内撑杆再进行步骤C的步骤,使得载药层完全包覆基体的内表面、外表面和侧表面。After completing step B, first remove the cylindrical inner brace and then proceed to step C, so that the drug-carrying layer completely covers the inner surface, outer surface, and side surfaces of the substrate.
在一实施方式中,涂层溶液中的药物载体的浓度为1mg/mL~15mg/mL,涂覆速度为0.01mL/min~0.20mL/min。In one embodiment, the concentration of the drug carrier in the coating solution is 1 mg/mL to 15 mg/mL, and the coating speed is 0.01 mL/min to 0.20 mL/min.
在一实施方式中,当最终得到的药物洗脱器械还包含纯药层时,可以通过同时控制涂层溶液中的药物载体的浓度、涂覆速度和纯药层的厚度实现。例如,当涂层溶液中的药物载体的浓度及涂层溶液的涂覆速度一定时,可以增加纯药层的厚度,使得最终得到的药物洗脱器械还包含位于基体和载药层之间的纯药层。In one embodiment, when the final drug eluting device further includes a pure drug layer, it can be achieved by simultaneously controlling the concentration of the drug carrier in the coating solution, the coating speed, and the thickness of the pure drug layer. For example, when the concentration of the drug carrier in the coating solution and the coating speed of the coating solution are fixed, the thickness of the pure drug layer can be increased, so that the resulting drug eluting device further includes a layer between the substrate and the drug carrier layer Pure medicine layer.
上述药物洗脱器械的制造方法通过先在基体上形成纯药层,然后再通过溶 剂转移的方式将纯药层中的活性药物转移至载药层中,使得活性药物分散于药物载体中,并且在载药层的覆盖基体的至少部分区域的厚度方向上,靠近基体的一侧的活性药物的浓度大于远离基体的一侧的活性药物的浓度,通过载药层的药物载体及活性药物的浓度分布控制活性药物的长效释放。采用该药物洗脱器械的制造方法制造得到的药物洗脱器械不仅活性药物的释放周期较长、血栓风险较低,并且,通过先形成纯药层,再通过溶剂转移活性药物使活性药物分散于药物载体中的方式,一方面实现了在基体的内表面不含有活性药物,另一方面,相对于传统的将活性药物和药物载体同时溶解于溶剂中获得涂层溶液,并用内撑杆或阻挡杆对基体的内表面进行遮蔽后,再将涂层溶液喷涂在基体上的方式,无论是纯药层还是载药层,上述药物洗脱器械的制造方法所获得的涂层的完整性较好,不会因为在形成同时含有活性药物和药物载体的涂层之后,再将器械与内撑杆或阻挡杆剥离时,对涂层造成损伤。因此,上述药物洗脱器械的制造方法的生产良率较高。The manufacturing method of the above drug eluting device first forms a pure drug layer on the substrate, and then transfers the active drug in the pure drug layer to the drug carrier layer by means of solvent transfer, so that the active drug is dispersed in the drug carrier, and In the thickness direction of the drug carrier layer covering at least part of the substrate, the concentration of the active drug on the side near the substrate is greater than the concentration of the active drug on the side away from the substrate, the concentration of the drug carrier and the active drug passing through the drug carrier layer Distribution controls the long-acting release of active drugs. The drug-eluting device manufactured by the manufacturing method of the drug-eluting device not only has a longer release period of the active drug and a lower risk of thrombosis, but also disperses the active drug by forming a pure drug layer and then transferring the active drug through the solvent The way in the drug carrier, on the one hand, realizes that the inner surface of the matrix does not contain the active drug, on the other hand, compared with the traditional method of dissolving the active drug and the drug carrier in the solvent at the same time to obtain a coating solution, and using an internal strut or barrier After the rod covers the inner surface of the substrate, the coating solution is sprayed on the substrate. Whether it is a pure drug layer or a drug-loaded layer, the integrity of the coating obtained by the above-mentioned drug eluting device manufacturing method is better It will not cause damage to the coating when the device is separated from the inner brace or barrier after the coating containing both active drug and drug carrier is formed. Therefore, the production yield of the above-mentioned drug eluting device manufacturing method is high.
下面以30008规格的药物洗脱支架为例,通过具体实施例对上述药物洗脱器械进一步阐述。Taking the drug eluting stent of 30008 size as an example, the above drug eluting device will be further described through specific examples.
30008规格的药物洗脱支架是指在名义扩张压力(名义扩张压是指将支架扩张至名义直径时所用的压力)下,扩张后的名义直径为3mm,名义长度为8mm。其中,名义直径是指基体扩张后的内径(植入血管中并扩张完成后,基体的内径),名义长度为基体扩张后的长度(植入血管中并扩张完成后,基体的长度)。The 30008 drug eluting stent refers to the nominal expansion pressure (the nominal expansion pressure refers to the pressure used when expanding the stent to the nominal diameter), the nominal diameter after expansion is 3 mm, and the nominal length is 8 mm. Among them, the nominal diameter refers to the inner diameter of the matrix after expansion (implanted into the blood vessel and the expansion of the inner diameter of the matrix), the nominal length is the length of the matrix after expansion (implanted into the blood vessel and the expansion is completed, the length of the matrix).
下述对具体实施例的检测和实验方法作如下说明:The following describes the detection and experimental methods of the specific embodiments as follows:
I、药物释放周期的测试方法:I. Test method of drug release cycle:
将药物洗脱支架植入到新西兰兔的髂动脉,在植入后X个月随访节点上处死新西兰兔,取出支架,用合适的溶剂萃取支架中的药物(如乙腈),采用高效液相色谱(HPLC)对支架上剩余药量进行检测,将检测结果与支架植入前的通过涂层质量计算得到的支架理论药量进行对比,得到支架剩余药物的质量百分比,如支架上剩余的药物的质量百分比≤5%,则认为X个月为此支架的药物释放周期。The drug-eluting stent was implanted into the iliac artery of New Zealand rabbits, and the New Zealand rabbits were sacrificed at the follow-up node X months after implantation, the stent was removed, and the drug (such as acetonitrile) in the stent was extracted with a suitable solvent, using high performance liquid chromatography (HPLC) The remaining drug amount on the stent is tested, and the test result is compared with the theoretical drug amount of the stent obtained by the coating quality calculation before the stent is implanted to obtain the mass percentage of the remaining drug of the stent, such as the remaining drug on the stent If the mass percentage is ≤5%, it is considered that X months is the drug release cycle of the stent.
设备:安捷伦高效液相色谱仪1260;色谱柱:安捷伦Zobax SB C18 4.6*150mm 5μm。建议测试参数:检测波长:278nm,柱温:50℃,流动相:乙腈:水=65:35,流速:1.0mL/min。Equipment: Agilent High Performance Liquid Chromatograph 1260; Column: Agilent Zobax SB C18 4.6*150mm 5μm. Suggested test parameters: detection wavelength: 278nm, column temperature: 50℃, mobile phase: acetonitrile: water = 65:35, flow rate: 1.0mL/min.
II、支架涂层完整性测试方法:II. Test method of stent coating integrity:
将药物洗脱支架经过模拟输送后在额定爆破压下扩开,然后将扩开后的支架在显微镜下,放大50倍至200倍观察其涂层破损及脱落情况。The drug-eluting stent is expanded under the rated burst pressure after simulated delivery, and then the expanded stent is magnified under a microscope to observe the damage and peeling of the coating from 50 times to 200 times.
III、支架涂层中药物分布的测试方法:III. Test method of drug distribution in stent coating:
支架表面药物的分布情况,可以通过拉曼光谱来表征,具体表征方法为:使用赛默飞世尔公司的拉曼光谱仪,在532nm的波长条件,对涂层外表面和侧表面进行拉曼光谱分析,沿基体的厚度方向,从靠近基体的一侧至远离基体的一侧,以一定的步长(例如1μm)逐步往外聚焦测试,当活性药物的特征峰强度逐渐减弱,则说明活性药物的从从靠近基体的一侧至远离基体的一侧逐步减少。The distribution of drugs on the surface of the stent can be characterized by Raman spectroscopy. The specific characterization method is: using the Raman spectrometer of Thermo Fisher Scientific Corporation to perform Raman spectroscopy on the outer surface and the side surface of the coating at a wavelength of 532 nm According to the analysis, in the thickness direction of the matrix, from the side close to the matrix to the side away from the matrix, focus out the test step by step with a certain step length (for example, 1 μm). When the intensity of the characteristic peak of the active drug gradually weakens, it means that the active drug It gradually decreases from the side close to the base to the side far from the base.
IV:涂层厚度的测试方法:IV: Test method for coating thickness:
将支架镶嵌在树脂中磨样,通过SEM观察支架截面,测量涂覆在支架上的 药物涂层厚度。The stent was embedded in resin to grind the sample, the section of the stent was observed by SEM, and the thickness of the drug coating applied on the stent was measured.
V:内皮化速度测试方法:V: Endothelialization speed test method:
内皮化速度测试:将药物洗脱器械植入兔子髂动脉,一定时间后,取出药物洗脱器械所在的血管,用戊二醛浸泡(如6h),干燥,然后沿轴向剪开,喷金,SEM测量观察药物洗脱器械内皮覆盖率,当覆盖率达到90%以上,说明该药物洗脱器械完成内皮化。Endothelialization speed test: the drug-eluting device is implanted into the rabbit iliac artery. After a certain period of time, the blood vessel where the drug-eluting device is located is taken out, soaked with glutaraldehyde (such as 6h), dried, then cut along the axial direction, and gold sprayed , SEM measurement and observation of drug-eluting device endothelial coverage, when the coverage rate reached more than 90%, indicating that the drug-eluting device has completed endothelialization.
VI:炎性反应积分测试方法VI: Inflammatory response integral test method
将药物洗脱支架植入兔子髂动脉,一定时间后,取出药物洗脱支架所在的血管用福尔马林浸泡。将福尔马林固定好的组织标本,通过化学处理方法将支架杆去除,然后进行石蜡包埋,使用Leica公司2135型切片机切片,切片厚度4-5μm,然后进行HE染色,观察病理。The drug-eluting stent was implanted into the rabbit iliac artery. After a certain period of time, the blood vessel containing the drug-eluting stent was removed and soaked with formalin. Formalin-fixed tissue specimens were removed by chemical treatment, then the paraffin was embedded, paraffin-embedded, sliced with Leica 2135 microtome, slice thickness 4-5μm, and then HE stained to observe pathology.
炎症积分计算:0分:在中膜和内膜周围没有炎症细胞(淋巴细胞、嗜酸性粒细胞、巨噬细胞等)。1分:在中膜和内膜周围由少量的炎症细胞浸润。2分:在内膜、中膜和外膜有中等量的炎症细胞浸润,占25%-50%血管面积。3分:在内膜、中膜和外膜有大量的炎症细胞。环绕整个血管,占据50%以上的血管面积,多次观测计算平均值。积分越大,表示炎症越严重。Inflammation score calculation: 0 points: There are no inflammatory cells (lymphocytes, eosinophils, macrophages, etc.) around the media and intima. 1 point: Infiltrated by a small amount of inflammatory cells around the media and intima. 2 points: moderate infiltration of inflammatory cells in the intima, media and adventitia, accounting for 25%-50% of the vascular area. 3 points: There are a large number of inflammatory cells in the intima, media and adventitia. Surround the entire blood vessel, occupying more than 50% of the blood vessel area, and calculate the average value through multiple observations. The larger the score, the more severe the inflammation.
需要说明的是,上述各项参数或性能的测试方法,不限于上述所列举的方法,任何本领域技术人员掌握的方法均可用以测试。It should be noted that the test methods for the above parameters or performance are not limited to the methods listed above, and any method mastered by those skilled in the art can be used for testing.
实施例1Example 1
先分别配制浓度为5mg/mL的雷帕霉素的乙酸乙酯溶液和浓度为3mg/mL的聚消旋乳酸的乙酸乙酯溶液;准备30008规格的由纯铁形成的基体,并将基体套在内撑杆上,轻微压缩基体使得基体的内表面紧贴内撑杆。然后通过超声喷涂将雷帕霉素的乙酸乙酯溶液喷涂到基体上,干燥后取下内撑杆得到含有纯药层的支架,其中,纯药层完全覆盖基体的外表面和侧表面;再将聚消旋乳酸的乙酸乙酯溶液喷涂到支架的内表面、外表面和侧表面上,该步骤的涂覆速度为0.03mL/min,聚消旋乳酸的乙酸乙酯溶液中的乙酸乙酯将纯药层中的雷帕霉素全部溶解到聚消旋乳酸涂层中,干燥后得到药物洗脱支架,该药物洗脱支架包含铁基基体和载药层,载药层覆盖铁基基体的外表面、内表面和侧表面,载药层的覆盖外表面和侧表面的区域上,沿基体的厚度方向,雷帕霉素的含量从靠近基体的一侧至远离基体的一侧逐渐减小。其中,支架上的雷帕霉素和聚消旋乳酸的质量比为1:3,载药层的平均厚度10μm。First prepare an ethyl acetate solution of rapamycin at a concentration of 5 mg/mL and an ethyl acetate solution of poly-racic lactic acid at a concentration of 3 mg/mL; prepare a matrix of pure iron with a specification of 30008, and cover the matrix On the inner strut, slightly compress the base body so that the inner surface of the base body is close to the inner strut. Then, the ethyl acetate solution of rapamycin is sprayed onto the substrate by ultrasonic spraying, and after drying, the inner brace is removed to obtain a stent containing a pure drug layer, wherein the pure drug layer completely covers the outer surface and the side surface of the substrate; Spray the ethyl acetate solution of polyracemic lactic acid on the inner surface, outer surface and side surface of the stent. The coating speed in this step is 0.03mL/min. Dissolve all the rapamycin in the pure drug layer into the poly racemic lactic acid coating, and dry to obtain a drug-eluting stent. The drug-eluting stent contains an iron-based matrix and a drug-carrying layer. The drug-loading layer covers the iron-based matrix The outer surface, inner surface and side surface of the drug carrier layer covering the outer surface and the side surface, along the thickness direction of the substrate, the content of rapamycin gradually decreases from the side near the substrate to the side away from the substrate small. Among them, the mass ratio of rapamycin to polyracemic lactic acid on the stent is 1:3, and the average thickness of the drug-loaded layer is 10 μm.
该支架在体外经过模拟输送后,在额定爆破压下扩开,结果显示载药层完整无起皮、无剥落;支架在植入新西兰兔髂动脉1个月后完全内皮化,活性药物的释放周期为12个月。After the simulated delivery in vitro, the stent was expanded under the rated blasting pressure. The results showed that the drug-loaded layer was intact without peeling or peeling; the stent was completely endothelialized after 1 month of implantation in the New Zealand rabbit iliac artery, and the active drug was released. The period is 12 months.
实施例2Example 2
先分别配制浓度为5mg/mL的雷帕霉素的乙酸乙酯溶液和浓度为10mg/mL的聚消旋乳酸的乙酸乙酯溶液;准备30008规格的由纯铁形成的基体,并将基体套在内撑杆上,轻微压缩基体使得基体的内表面紧贴内撑杆。然后通过超声喷涂将雷帕霉素的乙酸乙酯溶液喷涂到基体上,干燥后取下内撑杆得到含有纯药层的支架,其中,纯药层完全覆盖基体的外表面和侧表面;再将聚消旋乳酸 的乙酸乙酯溶液喷涂到支架的内表面、外表面和侧表面上,该步骤的涂覆速度为0.10mL/min,聚消旋乳酸的乙酸乙酯溶液中的乙酸乙酯将纯药层中的雷帕霉素部分溶解到聚消旋乳酸涂层中,干燥后得到药物洗脱支架,该药物洗脱支架包含铁基基体、纯药层和载药层,纯药层完全覆盖铁基基体的外表面和侧表面,载药层完全覆盖纯药层,且载药层覆盖铁基基体的外表面、内表面和侧表面,载药层的覆盖外表面和侧表面的区域上,沿基体的厚度方向,雷帕霉素的含量从靠近基体的一侧至远离基体的一侧逐渐减小。其中,支架上的雷帕霉素和聚消旋乳酸的质量比为1:3,载药层的平均厚度10μm。First prepare an ethyl acetate solution of rapamycin at a concentration of 5 mg/mL and an ethyl acetate solution of poly-racic lactic acid at a concentration of 10 mg/mL; prepare a matrix of pure iron with a size of 30008 and coat the matrix On the inner strut, slightly compress the base body so that the inner surface of the base body is close to the inner strut. Then, the ethyl acetate solution of rapamycin is sprayed onto the substrate by ultrasonic spraying, and after drying, the inner brace is removed to obtain a stent containing a pure drug layer, wherein the pure drug layer completely covers the outer surface and the side surface of the substrate; Spray the ethyl acetate solution of polyracemic lactic acid on the inner surface, outer surface and side surface of the stent, the coating speed of this step is 0.10mL/min, the ethyl acetate in the ethyl acetate solution of polyracic lactic acid The rapamycin in the pure drug layer is partially dissolved into the polyracemic lactic acid coating, and after drying, a drug-eluting stent is obtained. The drug-eluting stent includes an iron-based matrix, a pure drug layer, and a drug-loading layer. The pure drug layer The outer surface and the side surface of the iron-based substrate are completely covered, the drug-loaded layer completely covers the pure drug layer, and the drug-loaded layer covers the outer surface, the inner surface and the side surface of the iron-based substrate, and the drug-loaded layer covers the outer surface and the side surface In the area, along the thickness direction of the substrate, the content of rapamycin gradually decreases from the side near the substrate to the side away from the substrate. Among them, the mass ratio of rapamycin to polyracemic lactic acid on the stent is 1:3, and the average thickness of the drug-loaded layer is 10 μm.
该支架在体外经过模拟输送后,在额定爆破压下扩开,结果显示载药层完整无起皮、无剥落;支架在植入新西兰兔髂动脉1个月后完全内皮化,活性药物释放周期为15个月。After the simulated delivery in vitro, the stent was expanded under the rated burst pressure. The results showed that the drug-loaded layer was complete without peeling and peeling; the stent was completely endothelialized after 1 month of implantation in the New Zealand rabbit iliac artery, and the active drug release cycle For 15 months.
实施例3Example 3
先分别配制浓度为5mg/mL的雷帕霉素的乙酸乙酯溶液和浓度为10mg/mL的聚消旋乳酸的乙酸乙酯溶液;准备30008规格的由纯铁形成的基体,基体的表面经过粗糙化处理,基体上开设有凹槽,凹槽的开口端所在的平面与基体的外表面共面,将基体套在内撑杆上,轻微压缩基体使得基体的内表面紧贴内撑杆。然后通过超声喷涂将雷帕霉素的乙酸乙酯溶液喷涂到基体上,干燥后取下内撑杆得到含有纯药层的支架,且基体的凹槽中填充有雷帕霉素,纯药层完全覆盖基体的外表面和侧表面;再将聚消旋乳酸的乙酸乙酯溶液喷涂到支架的内表面、外表面和侧表面上,该步骤的涂覆速度为0.08mL/min,聚消旋乳酸的乙酸乙酯溶液中的乙酸乙酯将纯药层中的雷帕霉素部分溶解到聚消旋乳酸涂层中,干燥后得到药物洗脱支架,该药物洗脱支架包含铁基基体、纯药层和载药层,且铁基基体的凹槽中填充有雷帕霉素,纯药层完全覆盖铁基基体的外表面和侧表面,载药层完全覆盖纯药层,且载药层覆盖铁基基体的外表面、内表面和侧表面,载药层的覆盖外表面和侧表面的区域上,沿基体的厚度方向,雷帕霉素的含量从靠近基体的一侧至远离基体的一侧逐渐减小。其中,支架上的雷帕霉素和聚消旋乳酸的质量比为1:3,载药层的平均厚度10μm。First prepare an ethyl acetate solution of rapamycin at a concentration of 5 mg/mL and an ethyl acetate solution of poly-racic lactic acid at a concentration of 10 mg/mL; prepare a matrix made of pure iron of 30008 size, and the surface of the matrix passes In the roughening process, a groove is formed on the base body, the plane where the opening end of the groove is located is coplanar with the outer surface of the base body, the base body is sleeved on the inner strut, and the base body is slightly compressed so that the inner surface of the base body is close to the inner strut. Then, the ethyl acetate solution of rapamycin is sprayed on the substrate by ultrasonic spraying, and after drying, the inner brace is removed to obtain a stent containing a pure drug layer, and the groove of the substrate is filled with rapamycin, pure drug layer Fully cover the outer surface and side surface of the substrate; then spray the ethyl acetate solution of polyracemic lactic acid on the inner surface, outer surface and side surface of the stent, the coating speed of this step is 0.08mL/min, polyracemic The ethyl acetate in the ethyl acetate solution of lactic acid dissolves the rapamycin in the pure drug layer into the poly racemic lactic acid coating, and after drying, a drug-eluting stent is obtained. The drug-eluting stent contains an iron-based matrix, Pure drug layer and drug-loaded layer, and the groove of the iron-based substrate is filled with rapamycin, the pure drug layer completely covers the outer surface and side surface of the iron-based substrate, the drug-loaded layer completely covers the pure drug layer, and the drug-loaded layer The layer covers the outer surface, inner surface and side surface of the iron-based substrate. On the area of the drug-loaded layer covering the outer surface and the side surface, along the thickness direction of the substrate, the content of rapamycin is from the side close to the substrate to far away from the substrate The side gradually decreases. Among them, the mass ratio of rapamycin to polyracemic lactic acid on the stent is 1:3, and the average thickness of the drug-loaded layer is 10 μm.
该支架在体外经过模拟输送后,在额定爆破压下扩开,结果显示载药层完整无起皮、无剥落;支架在植入新西兰兔髂动脉1个月后完全内皮化,活性药物的释放周期为18个月。After the simulated delivery in vitro, the stent was expanded under the rated blasting pressure. The results showed that the drug-loaded layer was intact without peeling or peeling; the stent was completely endothelialized after 1 month of implantation in the New Zealand rabbit iliac artery, and the active drug was released. The period is 18 months.
实施例4Example 4
先分别配制浓度为5mg/mL的雷帕霉素的乙酸乙酯溶液和浓度为10mg/mL的聚己内酯的乙酸乙酯溶液;准备30008规格的由纯铁形成的基体,并将基体套在内撑杆上,轻微压缩基体使得基体的内表面紧贴内撑杆。然后通过超声喷涂将雷帕霉素的乙酸乙酯溶液喷涂到基体上,干燥后取下内撑杆得到含有纯药层的支架,其中,纯药层完全覆盖基体的外表面,完全不覆盖基体的侧表面;再将聚己内酯的乙酸乙酯溶液喷涂到支架的内表面、外表面和侧表面上,该步骤的涂覆速度为0.20mL/min,聚己内酯的乙酸乙酯溶液中的乙酸乙酯将纯药层中的雷帕霉素部分溶解到聚消旋乳酸涂层中,干燥后得到药物洗脱支架,该药物洗脱支架包含铁基基体、纯药层和载药层,纯药层仅覆盖铁基基体的外表面, 载药层完全覆盖纯药层,且载药层覆盖铁基基体的外表面、内表面和侧表面,载药层的覆盖外表面的区域上,沿基体的厚度方向,雷帕霉素的含量从靠近基体的一侧至远离基体的一侧逐渐减小。其中,支架上的雷帕霉素和聚消旋乳酸的质量比为1:10,载药层的平均厚度10μm。First prepare an ethyl acetate solution of rapamycin at a concentration of 5 mg/mL and an ethyl acetate solution of polycaprolactone at a concentration of 10 mg/mL; prepare a matrix of pure iron with a size of 30008 and coat the matrix On the inner strut, slightly compress the base body so that the inner surface of the base body is close to the inner strut. Then, the ethyl acetate solution of rapamycin is sprayed onto the substrate by ultrasonic spraying, and after drying, the inner brace is removed to obtain a stent containing a pure drug layer, wherein the pure drug layer completely covers the outer surface of the substrate and does not cover the substrate at all Side surface; spraying the ethyl acetate solution of polycaprolactone onto the inner surface, outer surface and side surface of the stent, the coating speed of this step is 0.20mL/min, the ethyl acetate solution of polycaprolactone The ethyl acetate in the solution dissolves part of the rapamycin in the pure drug layer into the poly racemic lactic acid coating. After drying, a drug-eluting stent is obtained. The pure drug layer only covers the outer surface of the iron-based substrate, the drug-loaded layer completely covers the pure drug layer, and the drug-loaded layer covers the outer surface, inner surface, and side surfaces of the iron-based substrate, and the drug-loaded layer covers the area of the outer surface Above, along the thickness direction of the substrate, the content of rapamycin gradually decreases from the side near the substrate to the side away from the substrate. Among them, the mass ratio of rapamycin to polyracemic lactic acid on the stent is 1:10, and the average thickness of the drug-carrying layer is 10 μm.
该支架在体外经过模拟输送后,在额定爆破压下扩开,结果显示载药层完整无起皮、无剥落;支架在植入新西兰兔髂动脉1个月后完全内皮化,活性药物的释放周期为15个月。After the simulated delivery in vitro, the stent was expanded under the rated blasting pressure. The results showed that the drug-loaded layer was intact without peeling or peeling; the stent was completely endothelialized after 1 month of implantation in the New Zealand rabbit iliac artery, and the active drug was released. The period is 15 months.
实施例5Example 5
先分别配制浓度为5mg/mL的紫杉醇的乙酸乙酯溶液和浓度为15mg/mL的聚消旋乳酸的乙酸乙酯溶液;准备30008规格的由纯镁形成的基体,并将基体套在内撑杆上,轻微压缩基体使得基体的内表面紧贴内撑杆。然后通过超声喷涂将紫杉醇的乙酸乙酯溶液喷涂到基体上,干燥后取下内撑杆得到含有纯药层的支架,其中,纯药层完全覆盖基体的外表面和部分覆盖基体的侧表面;再将聚消旋乳酸的乙酸乙酯溶液喷涂到支架的内表面、外表面和侧表面上,该步骤的涂覆速度为0.1mL/min,聚消旋乳酸的乙酸乙酯溶液中的乙酸乙酯将纯药层中的紫杉醇部分溶解到聚消旋乳酸涂层中,干燥后得到药物洗脱支架,该药物洗脱支架包含镁基基体、纯药层和载药层,纯药层完全覆盖镁基基体的外表面、部分覆盖基体的侧表面,载药层完全覆盖纯药层,且载药层覆盖镁基基体的外表面、内表面和侧表面,载药层的覆盖外表面的区域和覆盖侧表面的部分区域上,沿基体的厚度方向,紫杉醇的含量从靠近基体的一侧至远离基体的一侧逐渐减小。其中,支架上的紫杉醇和聚消旋乳酸的质量比为1:1,载药层的平均厚度3μm。First prepare an ethyl acetate solution of paclitaxel at a concentration of 5 mg/mL and an ethyl acetate solution of poly-racic lactic acid at a concentration of 15 mg/mL; prepare a matrix of pure magnesium with a size of 30008, and put the matrix in the inner support On the rod, the base body is slightly compressed so that the inner surface of the base body is close to the inner brace. Then, the ethyl acetate solution of paclitaxel is sprayed onto the substrate by ultrasonic spraying, and after drying, the inner brace is removed to obtain a stent containing a pure drug layer, wherein the pure drug layer completely covers the outer surface of the substrate and partially covers the side surface of the substrate; Then spray the ethyl acetate solution of polyracemic lactic acid on the inner surface, outer surface and side surface of the stent. The coating speed of this step is 0.1mL/min. The ester partially dissolves the paclitaxel in the pure drug layer into the poly racemic lactic acid coating, and after drying, a drug-eluting stent is obtained. The drug-eluting stent includes a magnesium-based matrix, a pure drug layer, and a drug-loading layer, and the pure drug layer is completely covered. The outer surface of the magnesium-based substrate partially covers the side surface of the substrate, the drug-loading layer completely covers the pure drug layer, and the drug-loading layer covers the outer surface, inner surface, and side surfaces of the magnesium-based substrate, and the area of the drug-loading layer covering the outer surface And on the partial area covering the side surface, the content of paclitaxel gradually decreases from the side close to the base to the side away from the base along the thickness direction of the base. Among them, the mass ratio of paclitaxel and polyracemic lactic acid on the stent is 1:1, and the average thickness of the drug-loaded layer is 3 μm.
该支架在体外经过模拟输送后,在额定爆破压下扩开,结果显示载药层完整无起皮、无剥落;支架在植入新西兰兔髂动脉1个月后完全内皮化,活性药物的释放周期为6个月。After the simulated delivery in vitro, the stent was expanded under the rated blasting pressure. The results showed that the drug-loaded layer was intact without peeling or peeling; the stent was completely endothelialized after 1 month of implantation in the New Zealand rabbit iliac artery, and the active drug was released. The period is 6 months.
实施例6Example 6
先分别配制浓度为5mg/mL的肝素的水溶液和浓度为3mg/mL的聚消旋乳酸的乙酸乙酯溶液;准备30008规格的由左旋聚乳酸形成的基体,并将基体套在内撑杆上,轻微压缩基体使得基体的内表面紧贴内撑杆。然后通过超声喷涂将肝素的水溶液喷涂到基体上,干燥后取下内撑杆得到含有纯药层的支架,其中,纯药层完全覆盖基体的外表面和侧表面;再将聚消旋乳酸的乙酸乙酯溶液喷涂到支架的内表面、外表面和侧表面上,该步骤的涂覆速度为0.02mL/min,聚消旋乳酸的乙酸乙酯溶液中的乙酸乙酯将纯药层中的肝素全部溶解到聚消旋乳酸涂层中,干燥后得到药物洗脱支架,该药物洗脱支架包含左旋聚乳酸基体和载药层,且载药层覆盖左旋聚乳酸基体的外表面、内表面和侧表面,载药层的覆盖外表面和侧表面的区域上,沿基体的厚度方向,肝素的含量从靠近基体的一侧至远离基体的一侧逐渐减小。其中,支架上的肝素和聚消旋乳酸的质量比为3:1,载药层的平均厚度20μm。First prepare an aqueous solution of heparin with a concentration of 5 mg/mL and an ethyl acetate solution of polyracemic lactic acid with a concentration of 3 mg/mL; prepare a matrix formed of L-polylactic acid with a size of 30008 and put the matrix on the inner brace , Slightly compress the base body so that the inner surface of the base body close to the inner strut. Then, the aqueous solution of heparin is sprayed onto the substrate by ultrasonic spraying, and after drying, the inner brace is removed to obtain a stent containing a pure drug layer, wherein the pure drug layer completely covers the outer surface and the side surface of the substrate; The ethyl acetate solution is sprayed onto the inner surface, outer surface and side surface of the stent. The coating speed in this step is 0.02mL/min. The heparin is completely dissolved in the poly-racemic lactic acid coating, and after drying, a drug-eluting stent is obtained. The drug-eluting stent includes a L-lactic acid matrix and a drug-carrying layer, and the drug-loading layer covers the outer surface and the inner surface of the L-lactic acid matrix. And the side surface, the area of the drug-carrying layer covering the outer surface and the side surface, along the thickness direction of the base, the content of heparin gradually decreases from the side close to the base to the side away from the base. Among them, the mass ratio of heparin on the stent to polyracemic lactic acid is 3:1, and the average thickness of the drug-loaded layer is 20 μm.
该支架在体外经过模拟输送后,在额定爆破压下扩开,结果显示载药层完整无起皮、无剥落;支架在植入新西兰兔髂动脉2个月后完全内皮化,活性药 物的释放周期为6个月。The stent was expanded under the rated blast pressure after simulated delivery in vitro, and the results showed that the drug-loaded layer was intact without peeling or peeling; the stent was completely endothelialized after 2 months of implantation in the New Zealand rabbit iliac artery, and the active drug was released The period is 6 months.
实施例7Example 7
先分别配制浓度为5mg/mL的地塞米松的乙酸乙酯溶液和浓度为10mg/mL的聚乳酸-羟基乙酸共聚物的乙酸乙酯溶液;准备30008规格的由纯锌形成的基体,基体的表面经过粗糙化处理,基体上开设有凹槽,凹槽的开口端所在的平面与基体的外表面共面,将基体套在内撑杆上,轻微压缩基体使得基体的内表面紧贴内撑杆。然后通过超声喷涂将地塞米松的乙酸乙酯溶液喷涂到基体上,干燥后取下内撑杆得到含有纯药层的支架,且基体的凹槽中填充有地塞米松,纯药层完全覆盖基体的外表面和侧表面;再将支架套在带有阻挡杆的夹具上,阻挡杆直径小于支架内径,将聚乳酸-羟基乙酸共聚物的乙酸乙酯溶液喷涂到支架上,干燥后得到载药层。阻挡杆部分遮挡了基体的内表面,使得得到的载药层的覆盖基体的外表面的区域的厚度和覆盖侧表面的区域的厚度均大于载药层覆盖基体的内表面的区域的厚度,该步骤的涂覆速度为0.08mL/min,聚乳酸-羟基乙酸共聚物的乙酸乙酯溶液中的乙酸乙酯将纯药层中的地塞米松部分溶解到聚乳酸-羟基乙酸共聚物涂层中,干燥后得到药物洗脱支架,该药物洗脱支架包含锌基基体、纯药层和载药层,且锌基基体的凹槽上填充有地塞米松,纯药层覆盖锌基基体的外表面和侧表面,载药层完全覆盖纯药层,且载药层覆盖锌基基体的外表面、内表面和侧表面,载药层的覆盖外表面和侧表面的区域上,沿基体的厚度方向,地塞米松的含量从靠近基体的一侧至远离基体的一侧逐渐减小。其中,支架上的地塞米松和聚乳酸-羟基乙酸共聚物的质量比为1:1,载药层的平均厚度5μm。First prepare the ethyl acetate solution of dexamethasone with a concentration of 5 mg/mL and the ethyl acetate solution of a polylactic acid-glycolic acid copolymer with a concentration of 10 mg/mL; prepare a matrix made of pure zinc with a specification of 30008. The surface is roughened, and a groove is formed on the base body. The plane of the open end of the groove is coplanar with the outer surface of the base body. The base body is sleeved on the inner brace bar, and the base body is slightly compressed to make the inner surface of the base body close to the inner brace. Rod. Then, the ethyl acetate solution of dexamethasone was sprayed onto the substrate by ultrasonic spraying. After drying, the inner brace was removed to obtain a stent containing a pure drug layer, and the groove of the substrate was filled with dexamethasone, which was completely covered by the pure drug layer. The outer surface and the side surface of the substrate; then put the bracket on the fixture with the blocking rod, the diameter of the blocking rod is smaller than the inner diameter of the bracket, spray the ethyl acetate solution of the polylactic acid-glycolic acid copolymer onto the bracket, and dry it to get the load Medicine layer. The blocking rod partially blocks the inner surface of the base body, so that the thickness of the region covering the outer surface of the base body and the area covering the side surface of the obtained drug-loading layer are both greater than the thickness of the area of the drug-loading layer covering the inner surface of the base body, the The coating speed in the step is 0.08 mL/min. The ethyl acetate in the ethyl acetate solution of the polylactic acid-glycolic acid copolymer will partially dissolve the dexamethasone in the pure drug layer into the polylactic acid-glycolic acid copolymer coating After drying, a drug-eluting stent is obtained. The drug-eluting stent includes a zinc-based matrix, a pure drug layer, and a drug-carrying layer, and the groove of the zinc-based matrix is filled with dexamethasone, and the pure drug layer covers the outside of the zinc-based matrix. On the surface and side surfaces, the drug-loading layer completely covers the pure drug layer, and the drug-loading layer covers the outer surface, inner surface, and side surface of the zinc-based substrate. The area of the drug-loading layer covering the outer surface and the side surface, along the thickness of the substrate In the direction, the content of dexamethasone gradually decreased from the side close to the substrate to the side away from the substrate. Among them, the mass ratio of dexamethasone and polylactic acid-glycolic acid copolymer on the stent is 1:1, and the average thickness of the drug-loading layer is 5 μm.
该支架在体外经过模拟输送后,在额定爆破压下扩开,结果显示载药层完整无起皮、无剥落;支架在植入新西兰兔髂动脉2个月后完全内皮化,活性药物的释放周期为9个月。The stent was expanded under the rated blast pressure after simulated delivery in vitro, and the results showed that the drug-loaded layer was intact without peeling or peeling; the stent was completely endothelialized after 2 months of implantation in the New Zealand rabbit iliac artery, and the active drug was released The period is 9 months.
实施例8Example 8
先分别配制浓度为5mg/mL的氯雷他定的乙酸乙酯溶液和浓度为1mg/mL的聚左旋乳酸的乙酸乙酯溶液;准备30008规格的由纯铁形成的基体,基体的表面经过粗糙化处理,基体上开设有凹槽,凹槽的开口端所在的平面与基体的外表面共面,并将基体套在内撑杆上,轻微压缩基体使得基体的内表面紧贴内撑杆。然后通过超声喷涂将氯雷他定的乙酸乙酯溶液喷涂到基体上,干燥后取下内撑杆得到含有纯药层的支架,其中,纯药层完全覆盖基体的外表面和侧表面;再将聚左旋乳酸的乙酸乙酯溶液喷涂到支架的内表面、外表面和侧表面上,该步骤的涂覆速度为0.03mL/min,聚左旋乳酸的乙酸乙酯溶液中的乙酸乙酯将纯药层中的氯雷他定全部溶解到聚左旋乳酸涂层中,干燥后得到药物洗脱支架,该药物洗脱支架包含铁基基体和载药层,且载药层覆盖铁基基体的外表面、内表面和侧表面,载药层的覆盖外表面和侧表面的区域上,沿基体的厚度方向,氯雷他定的含量从靠近基体的一侧至远离基体的一侧逐渐减小。其中,支架上的氯雷他定和聚左旋乳酸的质量比为1:6,载药层的平均厚度15μm。First prepare the ethyl acetate solution of loratadine with a concentration of 5 mg/mL and the ethyl acetate solution of poly-L-lactic acid with a concentration of 1 mg/mL; prepare a matrix made of pure iron with a size of 30008. The surface of the matrix is roughened The base body is provided with a groove, the plane where the opening end of the groove is located is coplanar with the outer surface of the base body, and the base body is sleeved on the inner brace bar, and the base body is slightly compressed so that the inner surface of the base body is close to the inner brace bar. Then, the ethyl acetate solution of loratadine is sprayed onto the substrate by ultrasonic spraying, and after drying, the inner brace is removed to obtain a stent containing a pure drug layer, wherein the pure drug layer completely covers the outer surface and the side surface of the substrate; Spray the ethyl acetate solution of poly-L-lactic acid on the inner surface, outer surface and side surface of the stent. The coating speed in this step is 0.03mL/min. The ethyl acetate in the ethyl acetate solution of poly-L-lactic acid will be pure The loratadine in the drug layer is completely dissolved in the poly-L-lactic acid coating, and the drug-eluting stent is obtained after drying. The drug-eluting stent includes an iron-based substrate and a drug-carrying layer, and the drug-loading layer covers the outer surface of the iron-based substrate On the surface, inner surface and side surface, the area of the drug-carrying layer covering the outer surface and the side surface, along the thickness direction of the substrate, the content of loratadine gradually decreases from the side near the substrate to the side away from the substrate. Among them, the mass ratio of loratadine and poly-L-lactic acid on the stent is 1:6, and the average thickness of the drug-carrying layer is 15 μm.
该支架在体外经过模拟输送后,在额定爆破压下扩开,结果显示支架涂层完整无起皮、无剥落;支架在植入新西兰兔髂动脉1个月后完全内皮化,支架 的药物释放周期为15个月。The stent was expanded under the rated blasting pressure after simulated delivery in vitro, and the results showed that the stent coating was complete without peeling and peeling; the stent was completely endothelialized after implantation of the New Zealand rabbit iliac artery for 1 month, and the stent drug was released The period is 15 months.
实施例9Example 9
先分别配制浓度为5mg/ml的地塞米松的乙酸乙酯溶液、浓度为5mg/mL的雷帕霉素的乙酸乙酯溶液和浓度为3mg/mL的聚消旋乳酸的乙酸乙酯溶液;准备30008规格的由纯铁形成的基体,基体的表面经过粗糙化处理,基体上开设有凹槽,凹槽的开口端所在的平面与基体的外表面共面,并将基体套在内撑杆上,轻微压缩基体使得基体的内表面紧贴内撑杆。然后通过超声喷涂将地塞米松的乙酸乙酯溶液喷涂到基体上的凹槽中,干燥后继续喷涂雷帕霉素的乙酸乙酯溶液到基体上,干燥后取下内撑杆得到含有纯药层的支架,且凹槽含有地塞米松,其中,纯药层(仅含雷帕霉素)完全覆盖基体的外表面和侧表面;再将聚消旋乳酸的乙酸乙酯溶液喷涂到支架的内表面、外表面和侧表面上,该步骤的涂覆速度为0.01mL/min,聚消旋乳酸的乙酸乙酯溶液中的乙酸乙酯将纯药层中的雷帕霉素全部溶解到聚消旋乳酸涂层中,干燥后得到药物洗脱支架,该药物洗脱支架包含铁基基体、载药层和凹槽中地塞米松,且载药层覆盖铁基基体的外表面、内表面和侧表面,载药层的覆盖外表面和侧表面的区域上,沿基体的厚度方向,雷帕霉素的含量从靠近基体的一侧至远离基体的一侧逐渐减小。其中,支架上的地塞米松、雷帕霉素和聚消旋乳酸的质量比为1:2:6,载药层的平均厚度10μm。Prepare an ethyl acetate solution of dexamethasone at a concentration of 5 mg/ml, an ethyl acetate solution of rapamycin at a concentration of 5 mg/mL, and an ethyl acetate solution of poly-racic lactic acid at a concentration of 3 mg/mL; Prepare a base made of pure iron of 30008 size, the surface of the base is roughened, and a groove is formed on the base, the plane of the opening of the groove is coplanar with the outer surface of the base, and the base is sleeved on the inner brace On the top, the base is slightly compressed so that the inner surface of the base is in close contact with the inner brace. Then, the ethyl acetate solution of dexamethasone was sprayed into the groove on the substrate by ultrasonic spraying. After drying, the ethyl acetate solution of rapamycin was sprayed onto the substrate. After drying, the inner brace was removed to obtain the pure drug. The layer of the stent, and the groove contains dexamethasone, wherein the pure drug layer (containing only rapamycin) completely covers the outer surface and the side surface of the substrate; then the ethyl acetate solution of polyracic lactic acid is sprayed onto the stent On the inner surface, outer surface and side surface, the coating speed of this step is 0.01mL/min. The ethyl acetate in the ethyl acetate solution of polyracemic lactic acid will completely dissolve the rapamycin in the pure drug layer to the poly In the racemic lactic acid coating, a drug-eluting stent is obtained after drying. The drug-eluting stent includes an iron-based substrate, a drug-loading layer, and dexamethasone in the groove, and the drug-loading layer covers the outer surface and inner surface of the iron-based substrate And the side surface, the area of the drug-carrying layer covering the outer surface and the side surface, along the thickness direction of the substrate, the content of rapamycin gradually decreases from the side near the substrate to the side away from the substrate. Among them, the mass ratio of dexamethasone, rapamycin and polyracemic lactic acid on the stent is 1:2:6, and the average thickness of the drug-loaded layer is 10 μm.
该支架在体外经过模拟输送后,在额定爆破压下扩开,结果显示支架涂层完整无起皮、无剥落;支架在植入新西兰兔髂动脉1个月后完全内皮化,支架的雷帕霉素释放周期为12个月,12个月的炎性反应积分为1分。After the simulated delivery in vitro, the stent was expanded under the rated burst pressure. The results showed that the stent coating was complete without peeling and peeling; the stent was completely endothelialized after implantation of the New Zealand rabbit iliac artery for 1 month. The release period of the mycocin is 12 months, and the inflammatory response score of 12 months is 1 point.
实施例10Example 10
先分别配制浓度为5mg/mL的雷帕霉素的乙酸乙酯溶液和浓度为10mg/mL的聚消旋乳酸的乙酸乙酯溶液;准备30008规格的由纯铁形成的基体,基体的表面经过粗糙化处理,基体上开设有凹槽,凹槽的开口端所在的平面与基体的外表面共面,通过喷墨打印机将雷帕霉素的乙酸乙酯溶液喷涂到基体外表面的局部区域上,干燥后取下内撑杆得到含有纯药层的支架,且基体的凹槽中填充有雷帕霉素,纯药层完全覆盖基体的外表面和侧表面;再将聚消旋乳酸的乙酸乙酯溶液喷涂到支架的内表面、外表面和侧表面上,该步骤的涂覆速度为0.08mL/min,聚消旋乳酸的乙酸乙酯溶液中的乙酸乙酯将纯药层中的雷帕霉素部分溶解到聚消旋乳酸涂层中,干燥后得到药物洗脱支架,该药物洗脱支架包含铁基基体、纯药层和载药层,且铁基基体的凹槽中填充有雷帕霉素,纯药层仅部分覆盖铁基基体的外表面,且铁基基体的载药层完全覆盖纯药层,且载药层覆盖铁基基体的外表面、内表面和侧表面,载药层的覆盖外表面和侧表面的区域上,沿基体的厚度方向,雷帕霉素的含量从靠近基体的一侧至远离基体的一侧逐渐减小。铁基基体的部分凹槽被载药层的不分布有所述活性药物的区域所覆盖。其中,支架上的雷帕霉素和聚消旋乳酸的质量比为1:3,载药层的平均厚度10μm。First prepare an ethyl acetate solution of rapamycin at a concentration of 5 mg/mL and an ethyl acetate solution of poly-racic lactic acid at a concentration of 10 mg/mL; prepare a matrix made of pure iron of 30008 size, and the surface of the matrix passes Roughening treatment, a groove is formed on the substrate, the plane of the opening end of the groove is coplanar with the outer surface of the substrate, and the ethyl acetate solution of rapamycin is sprayed onto a local area on the outer surface of the substrate by an inkjet printer , After drying, remove the inner brace to obtain the stent containing the pure drug layer, and the groove of the base is filled with rapamycin, the pure drug layer completely covers the outer surface and the side surface of the base; The ethyl ester solution is sprayed onto the inner surface, outer surface and side surface of the stent. The coating speed in this step is 0.08mL/min. Paromycin is partially dissolved in the polyracemic lactic acid coating, and after drying, a drug-eluting stent is obtained. The drug-eluting stent includes an iron-based matrix, a pure drug layer, and a drug-carrying layer, and the grooves of the iron-based matrix are filled with Rapamycin, the pure drug layer only partially covers the outer surface of the iron-based substrate, and the drug-loaded layer of the iron-based substrate completely covers the pure drug layer, and the drug-loaded layer covers the outer surface, inner surface, and side surfaces of the iron-based substrate, On the area of the drug-carrying layer covering the outer surface and the side surface, the content of rapamycin gradually decreases from the side close to the base to the side away from the base along the thickness direction of the base. Part of the groove of the iron-based substrate is covered by the area of the drug-carrying layer where the active drug is not distributed. Among them, the mass ratio of rapamycin to polyracemic lactic acid on the stent is 1:3, and the average thickness of the drug-loaded layer is 10 μm.
该支架在体外经过模拟输送后,在额定爆破压下扩开,结果显示载药层完整无起皮、无剥落;支架在植入新西兰兔髂动脉1个月后完全内皮化,活性药 物的释放周期为18个月。After the simulated delivery in vitro, the stent was expanded under the rated blasting pressure. The results showed that the drug-loaded layer was intact without peeling or peeling; the stent was completely endothelialized after 1 month of implantation in the New Zealand rabbit iliac artery, and the active drug was released. The period is 18 months.
对比例1Comparative Example 1
先配制雷帕霉素和聚消旋乳酸的质量比为1:3的乙酸乙酯的混合溶液;准备30008规格的铁基基体,并将铁基基体套在内撑杆上,轻微压缩铁基基体使得铁基基体的内表面紧贴内撑杆。然后通过超声喷涂将上述混合溶液喷涂到铁基基体上,干燥后取下内撑杆得到含有载药层的支架。该支架包含铁基基体和载药层,载药层覆盖铁基基体的外表面和侧表面。其中,支架上的雷帕霉素和聚消旋乳酸的质量比为1:3,载药层的平均厚度为10μm。First prepare a mixed solution of rapamycin and poly-racic acid with a mass ratio of 1:3 ethyl acetate; prepare an iron-based matrix of 30008 size, and sleeve the iron-based matrix on the inner brace bar, slightly compress the iron-based matrix The base makes the inner surface of the iron-based base close to the inner brace. Then, the above mixed solution is sprayed onto the iron-based substrate by ultrasonic spraying, and after drying, the inner brace is removed to obtain the stent containing the drug-loaded layer. The stent includes an iron-based substrate and a drug-carrying layer, and the drug-loading layer covers the outer surface and the side surface of the iron-based substrate. Among them, the mass ratio of rapamycin to polyracemic lactic acid on the stent is 1:3, and the average thickness of the drug-carrying layer is 10 μm.
该支架在体外经过模拟输送后,在额定爆破压下扩开,结果显示载药层破损,载药层的部分区域脱落;支架在植入新西兰兔髂动脉1个月后完全内皮化,活性药物的释放周期为3个月,12个月的炎性反应积分为2分。After the simulated delivery in vitro, the stent was expanded under the rated blasting pressure. The results showed that the drug-loaded layer was damaged and part of the drug-loaded layer fell off; the stent was completely endothelialized after 1 month of implantation in the New Zealand rabbit iliac artery, and the active drug The release period is 3 months, and the 12-month inflammatory response score is 2 points.
对比例2Comparative Example 2
先配制雷帕霉素和聚消旋乳酸的质量比为1:1的乙酸乙酯的混合溶液;准备30008规格的铁基基体。通过超声喷涂将上述混合液喷涂到铁基基体上,干燥后得到含有载药层的支架,该支架包含铁基基体和载药层,其中,载药层完全包覆铁基基体的表面。载药层的平均厚度为20μm。First prepare a mixed solution of rapamycin and poly-racemic acid with a mass ratio of 1:1 ethyl acetate; prepare an iron-based matrix of 30008 size. The above mixed solution is sprayed onto the iron-based substrate by ultrasonic spraying, and after drying, a stent containing a drug-loaded layer is obtained. The stent includes the iron-based substrate and the drug-loaded layer, wherein the drug-loaded layer completely covers the surface of the iron-based substrate. The average thickness of the drug carrier layer is 20 μm.
该支架在体外经过模拟输送后,在额定爆破压下扩开,结果显示载药层完整无起皮、无剥落;支架在植入新西兰兔髂动脉3个月后完全内皮化,活性药物的释放周期为3个月。After the simulated delivery in vitro, the stent was expanded under the rated blasting pressure. The results showed that the drug-loaded layer was complete without peeling and peeling; the stent was completely endothelialized after 3 months of implantation in the New Zealand rabbit iliac artery, and the active drug was released. The period is 3 months.
应理解的是,文中使用的术语仅出于描述特定示例实施方式的目的,而无意于进行限制。除非上下文另外明确地指出,否则如文中使用的单数形式“一”、“一个”以及“所述”也可以表示包括复数形式。术语“包括”、“包含”、“含有”以及“具有”是包含性的,并且因此指明所陈述的特征、步骤、操作、元件和/或部件的存在,但并不排除存在或者添加一个或多个其它特征、步骤、操作、元件、部件、和/或它们的组合。文中描述的方法步骤、过程、以及操作不解释为必须要求它们以所描述或说明的特定顺序执行,除非明确指出执行顺序。还应当理解,可以使用另外或者替代的步骤。It should be understood that the terminology used herein is for the purpose of describing particular example embodiments only, and is not intended to be limiting. Unless the context clearly indicates otherwise, the singular forms "a", "an", and "said" as used herein may also mean including the plural forms. The terms "including", "comprising", "containing" and "having" are inclusive and therefore indicate the presence of stated features, steps, operations, elements and/or components, but do not exclude the presence or addition of one or Various other features, steps, operations, elements, components, and/or combinations thereof. The method steps, processes, and operations described herein are not to be construed as requiring that they be performed in the specific order described or illustrated unless the order of execution is clearly indicated. It should also be understood that additional or alternative steps may be used.
以上所述,仅为本发明较佳的具体实施方式,但本发明的保护范围并不局限于此,任何熟悉本技术领域的技术人员在本发明揭露的技术范围内,可轻易想到的变化或替换,都应涵盖在本发明的保护范围之内。因此,本发明的保护范围应以所述权利要求的保护范围为准。The above are only preferred specific embodiments of the present invention, but the scope of protection of the present invention is not limited to this. Any person skilled in the art can easily think of changes or changes within the technical scope disclosed by the present invention. Replacement should be covered within the protection scope of the present invention. Therefore, the protection scope of the present invention shall be subject to the protection scope of the claims.

Claims (10)

  1. 一种药物洗脱器械,其特征在于,包括基体和载药层;所述基体具有外表面、侧表面和内表面,所述载药层含有药物载体和活性药物,所述基体的外表面、侧表面和内表面均被所述载药层覆盖;所述活性药物仅分布在所述载药层的覆盖所述外表面和侧表面的至少部分区域,且在所述至少部分区域的厚度方向上,靠近所述基体的一侧的活性药物的浓度大于远离所述基体的一侧的活性药物的浓度。A drug eluting device, characterized in that it includes a base body and a drug carrying layer; the base body has an outer surface, side surfaces and an inner surface, the drug carrying layer contains a drug carrier and an active drug, the outer surface of the base body, Both the side surface and the inner surface are covered by the drug carrier layer; the active drug is only distributed in at least a part of the drug carrier layer covering the outer surface and the side surface, and in the thickness direction of the at least part of the region Above, the concentration of the active drug on the side close to the base is greater than the concentration of the active drug on the side far from the base.
  2. 根据权利要求1所述的药物洗脱器械,其特征在于,在所述至少部分区域的厚度方向上,从靠近所述基体的一侧至远离所述基体的一侧,所述活性药物的浓度逐渐降低。The drug eluting device according to claim 1, characterized in that, in the thickness direction of the at least part of the area, from the side close to the base to the side far from the base, the concentration of the active drug Gradually decreases.
  3. 根据权利要求1或2所述的药物洗脱器械,其特征在于,所述基体上形成有凹槽或微孔,所述凹槽或微孔中填充有活性药物,且所述载药层覆盖所述凹槽或微孔。The drug eluting device according to claim 1 or 2, wherein a groove or a micro hole is formed on the substrate, the groove or the micro hole is filled with an active drug, and the drug loading layer is covered The groove or micro hole.
  4. 根据权利要求3所述的药物洗脱器械,其特征在于,所述凹槽或微孔被所述载药层的分布有所述活性药物的所述至少部分区域所覆盖;或者,The drug eluting device according to claim 3, characterized in that the grooves or micropores are covered by the at least a portion of the drug carrier layer where the active drug is distributed; or,
    所述凹槽或微孔被所述载药层的不分布有所述活性药物的区域所覆盖。The groove or micropore is covered by the area of the drug-carrying layer where the active drug is not distributed.
  5. 根据权利要求1或2所述的药物洗脱器械,其特征在于:所述药物洗脱器械还包括纯药层,所述纯药层包覆所述基体的外表面和侧表面的至少部分区域,且所述纯药层被所述载药层完全覆盖。The drug eluting device according to claim 1 or 2, characterized in that the drug eluting device further comprises a pure drug layer, the pure drug layer covering at least part of the outer surface and the side surface of the substrate , And the pure drug layer is completely covered by the drug-loading layer.
  6. 根据权利要求1或2所述的药物洗脱器械,其特征在于,所述载药层中的活性药物仅分布在所述载药层的覆盖所述基体的外表面的区域;或者,所述载药层中的活性药物仅分布在所述载药层的覆盖所述基体的外表面的部分区域;或者,所述载药层中的活性药物分布在所述载药层的覆盖所述基体的外表面的区域和侧表面的区域;或者,所述载药层中的活性药物分布在所述载药层覆盖在所述基体的外表面的区域和至少部分侧表面的区域。The drug eluting device according to claim 1 or 2, wherein the active drug in the drug-carrying layer is distributed only in the region of the drug-carrying layer covering the outer surface of the substrate; or, the The active drug in the drug-carrying layer is only distributed in a part of the drug-carrying layer covering the outer surface of the substrate; or, the active drug in the drug-carrying layer is distributed in the drug-carrying layer covering the substrate The area of the outer surface and the area of the side surface; or, the active drug in the drug-carrying layer is distributed in the area of the drug-carrying layer covering the outer surface of the substrate and at least part of the side surface area.
  7. 根据权利要求1或2所述的药物洗脱器械,其特征在于,所述载药层的覆盖所述基体的外表面的区域的厚度和覆盖所述侧表面的区域的厚度均大于所述载药层覆盖所述基体的内表面的区域的厚度。The drug eluting device according to claim 1 or 2, wherein the thickness of the region covering the outer surface of the base and the thickness of the region covering the side surface of the drug-carrying layer are both greater than the load The thickness of the region where the drug layer covers the inner surface of the substrate.
  8. 根据权利要求1所述的药物洗脱器械,其特征在于,所述载药层的厚度为3~20微米。The drug eluting device according to claim 1, wherein the thickness of the drug carrying layer is 3-20 microns.
  9. 根据权利要求1所述的药物洗脱器械,其特征在于,所述药物载体为可降解聚合物,所述可降解聚合物与所述活性药物的质量比为10:1至1:3。The drug eluting device according to claim 1, wherein the drug carrier is a degradable polymer, and the mass ratio of the degradable polymer to the active drug is 10:1 to 1:3.
  10. 一种药物洗脱器械的制造方法,其特征在于,包括:A method for manufacturing a drug eluting device, characterized in that it includes:
    提供基体,所述基体具有外表面、内表面和侧表面;Providing a substrate, the substrate having an outer surface, an inner surface and a side surface;
    将活性药物溶解于溶剂I中形成药物溶液,然后将所述药物溶液涂覆在可所述基体的外表面和侧表面的至少部分区域,干燥后在所述基体上形成覆盖所述外表面和侧表面的至少部分区域的纯药层;及,The active drug is dissolved in the solvent I to form a drug solution, and then the drug solution is coated on at least a part of the outer surface and the side surface of the substrate, and after drying, the outer surface and the outer surface are formed on the substrate Pure drug layer in at least part of the side surface; and,
    将药物载体溶解于溶剂II中形成涂层溶液,然后将所述涂层溶液涂覆在所述基体的外表面、内表面和侧表面,所述溶剂II溶解所述纯药层中的活性药物,干燥后在所述基体的表面形成含有所述活性药物和药物载体的载药层,所述基体的所述外表面、侧表面和内表面均被所述载药层覆盖,所述载药层中的活性药物分布在所述载药层的覆盖所述外表面和侧表面的至少部分区域,且在所述至少部分区域的厚度方向上,靠近所述基体的一侧的活性药物的浓度大于远离所述基体的一侧的活性药物的浓度。The drug carrier is dissolved in the solvent II to form a coating solution, and then the coating solution is coated on the outer surface, inner surface and side surface of the substrate, the solvent II dissolves the active drug in the pure drug layer After drying, a drug-carrying layer containing the active drug and a drug carrier is formed on the surface of the substrate, and the outer surface, side surfaces, and inner surface of the substrate are covered by the drug-carrying layer, and the drug-carrying layer The active drug in the layer is distributed in at least a part of the drug-carrying layer covering the outer surface and the side surface, and in the thickness direction of the at least part of the region, the concentration of the active drug on the side close to the substrate It is greater than the concentration of active drug on the side away from the matrix.
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