WO2017012386A1 - 一种生物可降解金属血管支架及其应用 - Google Patents
一种生物可降解金属血管支架及其应用 Download PDFInfo
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- WO2017012386A1 WO2017012386A1 PCT/CN2016/080642 CN2016080642W WO2017012386A1 WO 2017012386 A1 WO2017012386 A1 WO 2017012386A1 CN 2016080642 W CN2016080642 W CN 2016080642W WO 2017012386 A1 WO2017012386 A1 WO 2017012386A1
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- blood vessel
- vessel stent
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS 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
- A61F2/00—Filters 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
- A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/86—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
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- A61F2/915—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure made from perforated sheet material or tubes, e.g. perforated by laser cuts or etched holes with bands having a meander structure, adjacent bands being connected to each other
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- A61F2/00—Filters 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
- A61F2/02—Prostheses implantable into the body
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- A61F2/00—Filters 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
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- A61F2/00—Filters 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
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- A61F2/00—Filters 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
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- A61F2/915—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure made from perforated sheet material or tubes, e.g. perforated by laser cuts or etched holes with bands having a meander structure, adjacent bands being connected to each other
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- A61F2/00—Filters 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
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Definitions
- the invention relates to a medical device for interventional treatment of vascular stenosis, in particular to a biodegradable metal blood vessel stent for treating peripheral blood vessels and coronary stenosis or occlusion.
- vascular stents Peripheral intravascular or intracoronary stenting is currently one of the most effective methods for treating stenosis.
- the development of vascular stents has mainly gone through the process from bare metal stents to drug-eluting stents to biodegradable stents.
- the medically used vascular stent is mainly made of a medical metal material such as stainless steel or nickel-titanium alloy, and is sprayed with a drug-eluting stent coated with a polymer drug-loaded coating.
- Drug-eluting stents can inhibit smooth muscle cell regeneration by releasing anti-proliferative drugs, thereby reducing the rate of restenosis of blood vessels, but the metal stent itself is biologically inert, and remains in the body for a long time after implantation in the human body, and there will still be late thrombosis. risk.
- restenosis occurs in the vascular site of the stent, it must be treated by surgery, which further increases the complexity of the procedure due to the early implantation of the permanent stent.
- the biodegradable stent is in service in the body. After the blood vessel is restored, the stent is absorbed by the human body, effectively avoiding this problem.
- biodegradable stents there are three main types of biodegradable stents: polymer polymer stents, iron alloy stents and magnesium alloy stents.
- the biodegradable polymer material has good biocompatibility, but the strength, hardness and rigidity are much lower than that of the metal material.
- the degradable polymer scaffold needs to increase the wire diameter size, and the mechanical properties still have a large gap with the metal scaffold.
- the ferroalloy stent has good mechanical properties, but the degradation rate is very low, and the service time is too long. After the recovery of the vessel wall, the ferroalloy stent still maintains high integrity, and also has the risk of developing late thrombosis.
- Biodegradable magnesium alloy or zinc alloy material has good mechanical properties and biocompatibility, and is known as “revolutionary metal biomaterial”. It is a hot research topic in the field of biomaterials at home and abroad.
- the newly developed medical magnesium alloy material achieves uniform and controllable degradation.
- the magnesium alloy stent can not only provide high support strength of the metal stent, but also can be absorbed by the human body after 6 to 12 months, thereby avoiding long-term foreign body stimulation on the blood vessel wall. To reduce the rate of vascular restenosis, showing great advantages and potential.
- the invention patent of CN103110465 discloses a magnesium alloy vascular stent with moderate metal coverage, good radial support force and good flexibility; the magnesium alloy stent disclosed in the utility model patent CN2936196Y Magnesium alloy vascular stent with excellent mechanical properties. Magnesium disclosed in the above two patents The alloy stent design emphasizes the deformation of the balloon expansion process, but due to the relatively weak room temperature deformation property of the magnesium alloy material, the magnesium alloy stent is easily deformed due to the severe tensile plastic deformation during the crimping process.
- the object of the present invention is to provide a novel biodegradable metal blood vessel stent and the use thereof, and the shape of the degradable magnesium alloy or zinc alloy blood vessel stent can provide good mechanical properties for the stent through its special repeated structural unit design. Long effective service life meets the practical requirements for degradable vascular stents in the clinic.
- the present invention provides a biodegradable metal blood vessel stent comprising a plurality of main structural support rings, a plurality of said main structural support rings are sequentially connected to form a tubular structure, and a plurality of adjacent main body unit support rings are arranged
- the connecting rods are connected, and each of the main structural support rings includes a plurality of body units connected in a wavy structure.
- the blood vessel stent has any two adjacent body structure support rings which are mirror-symmetric with each other.
- the connecting rod has an "n"-shaped structure, and is composed of an arc portion and two straight portions disposed at both ends of the curved portion, and the outer side of the curved portion has a smooth curved shape.
- the inner side is a smooth circular curve structure with two symmetrical intersections.
- the number of the main body units in the circumferential direction of the blood vessel stent is 4-8.
- the connecting rods in the circumferential direction of the blood vessel stent are arranged in a spiral shape in space, and the number is 2 to 4.
- the main body unit comprises a top portion, two elliptical arc portions, two straight rod portions and two inflection curve portions, two of the elliptical arc portions are located at two ends of the top, and the two of the straight rod portions Each is connected to an elliptical arc portion, and each of the two inflection curves is connected to the straight rod portion.
- the top side of the main body unit is provided with a convex unit, the height of the convex unit is 0.01-1 mm, the long axis of the elliptical arc portion is 0.1-0.5 mm, and the short axis is 0.05-0.40 mm. .
- the blood vessel stent has an outer diameter of 1 to 5 mm, a wall thickness of 0.1 to 0.3 mm, a length of 10 to 100 mm, a metal rod width of the main body unit of 0.1 to 0.3 mm, and a connecting rod width of 0.06 to 0.25 mm.
- the center line of the curved portion of the connecting rod has a radius of approximately 0.10 to 0.30 mm.
- it is made of a magnesium alloy or a zinc alloy material.
- the invention also provides a use of a biodegradable metal vascular stent as described above for the treatment of coronary vascular or peripheral vascular disease.
- the present invention has the following beneficial effects:
- the biodegradable metal vascular stent has good biocompatibility and is uniformly degraded in the body. After the blood vessel is completely reconstructed at the lesion, the stent is absorbed by the human body, thereby effectively avoiding long-term foreign body stimulation of the vascular tissue.
- magnesium alloy or zinc alloy material in the yield strength, elongation, breaking strength and other mechanical properties of the material compared to stainless steel, cobalt-chromium alloy, titanium alloy and other permanent support materials have a certain gap, so the existing permanent support design in the pressure grip
- the excessive deformation introduced during the expansion process is not suitable for magnesium alloy or zinc alloy material.
- the biodegradable metal blood vessel stent is added by the inflection, the larger deformation arc, the protrusion outside the deformation arc, and the smoothly changing support.
- the width of the rod makes the stress concentration during the crimping and expansion process significantly improved, and the plastic deformation is uniformly dispersed to a larger extent. Therefore, the biodegradable metal blood vessel stent has good radial support force, good flexibility, and pressure.
- the grip and the balloon are uniformly deformed during the expansion process, are not easily broken, and have low residual stress.
- the biodegradable metal blood vessel stent adopts a finely adjusted arc and a contour of the inflection edge to make the two stiffnesses match each other, and participate in the pressure grip and the expansion deformation together, and the adjacent support rods are parallel to each other to fully utilize the space when the end point is pressed. At the same time of dispersing plastic deformation, the elastic rebound after the crimping is reduced.
- the biodegradable metal blood vessel stent has a unique shape design, which makes the plastic deformation during the crimping and expanding process less, and reduces the mechanical damage that may be introduced during the deformation process; the stress concentration in the stent is effectively improved and reduced.
- the rate of corrosion of the biodegradable metal stent in the blood environment, so the biodegradable metal stent has a long corrosion fatigue life and a long effective service time.
- the stent of the present invention can also be used as a degradable stent for the treatment of other stenosis, such as esophageal stent, tracheal stent, bile duct stent, pancreatic duct stent, and catheter. Brackets, etc.
- Figure 1 is a schematic perspective view of a biodegradable metal blood vessel stent of the present invention
- FIG. 2 is a schematic plan view showing the planar development of the biodegradable metal blood vessel stent of the present invention
- Figure 3 is a front elevational view showing the structure of the main unit of the present invention.
- Figure 4 is a front elevational view showing the structure of the connecting rod of the present invention.
- FIGS. 1 to 4 The structure of a biodegradable metal blood vessel stent according to this embodiment is as shown in FIGS. 1 to 4, and includes a plurality of main structural support rings 3, and a plurality of main structural supports 3 rings are sequentially connected to form a tubular structure, and two adjacent main body units.
- the support rings 3 are connected by a plurality of connecting rods 2, and the main structural support ring 3 comprises a plurality of main body units 1 connected in a wavy structure.
- any two adjacent ones of the main body structural support rings 3 are mirror-symmetrical to each other.
- the connecting rod 2 has an "n"-shaped structure composed of an arc portion 21 and two straight portions 22 provided at both ends of the curved portion 21, and the outer side of the curved portion 21 is deformed.
- the number of the main body units in the circumferential direction of the vascular stent is 4-8, and 8 is selected in the embodiment; the connecting rods in the circumferential direction of the vascular stent are arranged in a spiral shape in space, and the number is 2 to 4, in this embodiment It is three.
- the main body unit 1 has a structure similar to a "V" shape, including a top portion, two elliptical arc portions 12, two straight rod portions 13, and two inflection curve portions 14, two elliptical arc portions 12 Located at both ends of the top, the two straight rod portions 13 are each connected to an elliptical arc portion 12, and the two inflection curve portions 14 are each connected to the straight rod portion 13.
- the top portion of the main unit 1 is further provided with a convex unit 11 having a height of 0.01 to 1 mm, wherein the elliptical arc portion 12 has a major axis of 0.1 to 0.5 mm and a minor axis of 0.05 to 0.40 mm.
- the main body unit and the connecting rod in the blood vessel stent are made of a magnesium alloy material, and the outer diameter of the blood vessel stent is 1 to 5 mm, the wall thickness is 0.1 to 0.3 mm, and the length is 10 to 100 mm; the width of the metal rod of the main unit is 0.1 to 0.3. Mm, the width of the connecting rod is 0.06 to 0.25 mm, and the radius of the center line of the curved portion of the connecting rod is approximately 0.10 to 0.30 mm.
- the biodegradable metal vascular stent can spray a polymer drug-loaded coating on the surface, and the stent is uniformly deformed during the pressure-clamp expansion process, which is favorable for maintaining the integrity of the polymer drug-loaded coating and reducing the risk of coating wrinkles and peeling. .
- the biodegradable metal blood vessel stent maintains good support and flexibility of the stent while avoiding local stress accelerated corrosion caused by stress concentration caused by large plastic deformation.
- the most preferred material of the biodegradable metal blood vessel stent is Mg-Nd-Zn-Zr magnesium alloy, but it is not Limited to the magnesium alloy material, for other biomagnesium alloys and zinc alloy materials, the parameters such as elastic modulus, Poisson's ratio, density, etc. vary little, according to yield strength, elongation, static tensile curve and expected crimping and expansion dimensions.
- the inner and outer contour lines of the elliptical arc portion 12 of the main body unit and the inflection curve portion 14 of the main body unit can be slightly adjusted without changing the shape of the main body unit 1.
- the number of the main body units 1 in the circumferential direction of the blood vessel stent is 4 to 8, and the number of the connecting rods is 2 to 4, and the connecting rods 2 are arranged in a spiral shape in space.
- Other compositions and connection relationships are the same as in the specific embodiment 1.
- the biodegradable metal blood vessel stent formed by the method can adjust the number of the main body unit and the connecting rod according to the target expansion size without excessive adjustment of the specific main body contour, and can adapt to a larger range of sizes, and has Very good flexibility.
- the height of the convex unit at the end of the main body unit is 0.01 to 0.06 mm, and the center line of the elliptical arc portion of the main unit is approximately 0.15 to 0.35.
- Mm the short axis is 0.10 to 0.30 mm, and the metal rod width of the main unit is between 0.1 mm and 0.2 mm.
- the biodegradable metal blood vessel stent according to the embodiment relates to an outer diameter of the blood vessel stent of 1 mm to 5 mm, a wall thickness of 0.1 mm to 0.2 mm, and a length of the blood vessel stent of 10 mm to 50 mm, and other compositions and connection relationships and a specific embodiment. the same.
- the biodegradable metal blood vessel stent of the present embodiment is designed to introduce the inflection curve portion 14 in the middle of the straight rod of the main body unit 1, so that the radius of the elliptical arc portion 12 can be increased, the residual stress is more dispersed, and the plastic deformation is more uniform.
- the biodegradable magnesium alloy is used as the material to process the vascular stent.
- the curved part of the main unit adopts the same design. Compared with the straight rod design, the maximum principal strain decreases by about 5.2%, and the maximum residual stress decreases by about 7.6%.
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- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- General Health & Medical Sciences (AREA)
- Veterinary Medicine (AREA)
- Transplantation (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
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- Oral & Maxillofacial Surgery (AREA)
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- Gastroenterology & Hepatology (AREA)
- Pulmonology (AREA)
- Media Introduction/Drainage Providing Device (AREA)
- Prostheses (AREA)
- Materials For Medical Uses (AREA)
Abstract
Description
Claims (10)
- 一种生物可降解金属血管支架,其特征在于,包括若干主体结构支撑环,若干所述主体结构支撑环依次相连环绕形成管状结构,相邻两个主体单元支撑环间由若干个连接杆连接,每个主体结构支撑环包括连接成波浪形结构的若干个主体单元。
- 如权利要求1所述的生物可降解金属血管支架,其特征在于,所述血管支架,其任意相邻两个所述主体结构支撑环互呈镜面对称。
- 如权利要求1所述的生物可降解金属血管支架,其特征在于,所述连接杆呈“n”形结构,由弧形部和设置于所述弧形部的两端的两个直形部组成,且所述弧形部的外侧呈光滑曲线形,内侧为两个对称相交的平滑圆弧曲线结构。
- 如权利要求1所述的生物可降解金属血管支架,其特征在于,所述血管支架周向上主体单元的数量为4~8个。
- 如权利要求1所述的生物可降解金属血管支架,其特征在于,所述血管支架周向上的连接杆在空间上呈螺旋状排列,且数量为2~4个。
- 如权利要求1、2、4或5所述的生物可降解金属血管支架,其特征在于,所述主体单元包括顶部、两个椭圆弧部、两个直杆部以及两个拐折曲线部,两个所述椭圆弧部位于顶部的两端,两个所述直杆部各与一椭圆弧部相连,两个所述拐折曲线部各与一直杆部相连。
- 如权利要求6所述的生物可降解金属血管支架,其特征在于,所述主体单元的顶部外侧设有凸起单元,所述凸起单元的高度为0.01~1mm,所述椭圆弧部的长轴为0.1~0.5mm,短轴为0.05~0.40mm。
- 如权利要求1所述的生物可降解金属血管支架,其特征在于,所述血管支架的外径为1~5mm,壁厚为0.1~0.3mm,长度为10~100mm;主体单元的金属杆宽度为0.1~0.3mm,连接杆宽度为0.06~0.25mm,连接杆弧形部分的中心线近似半圆的半径为0.10~0.30mm。
- 如权利要求1所述的生物可降解金属血管支架,其特征在于,由镁合金或锌合金材料制成。
- 一种如权利要求1~9中任意一项所述的生物可降解金属血管支架在冠状动脉血管或外周血管疾病治疗中的应用。
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CN107550611B (zh) * | 2017-10-18 | 2024-03-15 | 科塞尔医疗科技(苏州)有限公司 | 一种血管支架 |
CN108785755A (zh) * | 2018-06-28 | 2018-11-13 | 王缨 | 镁合金在制备可降解胆道支架中的应用 |
CN109009590B (zh) * | 2018-08-24 | 2024-04-26 | 四川大学 | 生物梯形可降解支架 |
CN112754739A (zh) * | 2019-11-04 | 2021-05-07 | 上海微创医疗器械(集团)有限公司 | 支架 |
CN111529152A (zh) * | 2020-05-15 | 2020-08-14 | 上海君联医疗设备有限公司 | 一种血管支架 |
CN218684866U (zh) * | 2021-07-28 | 2023-03-24 | 陈绍良 | 生物可降解的药物洗脱支架 |
CN117224297B (zh) * | 2023-11-13 | 2024-02-13 | 太原理工大学 | 一种逆式组合结构下肢动脉血管支架 |
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CN106691647A (zh) | 2017-05-24 |
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