WO2013078779A1 - Biodegradable macromolecule reticular balloon, manufacturing thereof, balloon-sealing apparatus and balloon-transporting apparatus - Google Patents
Biodegradable macromolecule reticular balloon, manufacturing thereof, balloon-sealing apparatus and balloon-transporting apparatus Download PDFInfo
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- WO2013078779A1 WO2013078779A1 PCT/CN2012/001624 CN2012001624W WO2013078779A1 WO 2013078779 A1 WO2013078779 A1 WO 2013078779A1 CN 2012001624 W CN2012001624 W CN 2012001624W WO 2013078779 A1 WO2013078779 A1 WO 2013078779A1
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- Prior art keywords
- balloon
- fixing
- fixed
- delivery device
- wall
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L29/00—Materials for catheters, medical tubing, cannulae, or endoscopes or for coating catheters
- A61L29/04—Macromolecular materials
- A61L29/06—Macromolecular materials obtained otherwise than by reactions only involving carbon-to-carbon unsaturated bonds
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L29/00—Materials for catheters, medical tubing, cannulae, or endoscopes or for coating catheters
- A61L29/14—Materials characterised by their function or physical properties, e.g. lubricating compositions
- A61L29/146—Porous materials, e.g. foams or sponges
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L29/00—Materials for catheters, medical tubing, cannulae, or endoscopes or for coating catheters
- A61L29/14—Materials characterised by their function or physical properties, e.g. lubricating compositions
- A61L29/148—Materials at least partially resorbable by the body
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- D—TEXTILES; PAPER
- D01—NATURAL OR MAN-MADE THREADS OR FIBRES; SPINNING
- D01D—MECHANICAL METHODS OR APPARATUS IN THE MANUFACTURE OF ARTIFICIAL FILAMENTS, THREADS, FIBRES, BRISTLES OR RIBBONS
- D01D5/00—Formation of filaments, threads, or the like
- D01D5/0007—Electro-spinning
- D01D5/0061—Electro-spinning characterised by the electro-spinning apparatus
- D01D5/0076—Electro-spinning characterised by the electro-spinning apparatus characterised by the collecting device, e.g. drum, wheel, endless belt, plate or grid
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- D—TEXTILES; PAPER
- D01—NATURAL OR MAN-MADE THREADS OR FIBRES; SPINNING
- D01F—CHEMICAL FEATURES IN THE MANUFACTURE OF ARTIFICIAL FILAMENTS, THREADS, FIBRES, BRISTLES OR RIBBONS; APPARATUS SPECIALLY ADAPTED FOR THE MANUFACTURE OF CARBON FILAMENTS
- D01F6/00—Monocomponent artificial filaments or the like of synthetic polymers; Manufacture thereof
- D01F6/78—Monocomponent artificial filaments or the like of synthetic polymers; Manufacture thereof from copolycondensation products
- D01F6/84—Monocomponent artificial filaments or the like of synthetic polymers; Manufacture thereof from copolycondensation products from copolyesters
Definitions
- the invention relates to a degradable polymer mesh balloon supporting surgical device, in particular to a degradable polymer mesh balloon and a preparation, a balloon sealing device and a conveying device.
- the ideal treatment should be able to quickly reduce the pain caused by the fracture, correct the kyphosis caused by the fracture, and restore the patient's ability to move as soon as possible.
- Minimally invasive surgery such as percutaneous vertebroplasty (PVP) and percutaneous kyphoplasty (PKP) are performed by directly perforating the needle into the fractured vertebral body, directly into the bone cement or dilating with a dilator. After the bone cement is injected, the height of the fractured vertebral body is restored to a certain extent, and the vertebral body is quickly reinforced to achieve the purpose of relieving pain and recovering as soon as possible.
- PVP percutaneous vertebroplasty
- PGP percutaneous kyphoplasty
- Acrylic resin bone cement has high hardness and does not promote bone growth, which can lead to the occurrence of secondary fractures and vertebral fracture signs of adjacent vertebral bodies, which cannot be applied to young people. It is therefore necessary to explore the clinical use of other bone cement substitutes.
- Calcium phosphate cement has a microporous structure and a calcium component, and thus has many advantages, such as bone growth, which is conducive to the growth of new bone, recovery of vertebral bone mass and twist.
- bone growth which is conducive to the growth of new bone, recovery of vertebral bone mass and twist.
- Some devices have been developed clinically to reduce the collapse of bone cement.
- A-Spine Asia developed a Vessel-X filling net bag (Spine. 2007; 32: 2076-2082), which is made of non-elastic polyterephthalic acid.
- the ethylene glycol ester constitutes a two-layer mesh structure.
- Rotter R. et al. (Eur. Spine J.
- the degradable polymer mesh balloon needs to be implanted into the injured vertebra and closed the tail end. It is necessary to avoid the bone cement overflowing from the balloon end, and reduce the collapse caused by excessive contact between the bone cement and the body fluid, and ensure the ball. After the bone cement is infused into the capsule, it is kept in an expanded state, and the height loss caused by the withdrawal of the bone expander in other ways of PKP is avoided. It is also necessary to design a fixed sealing device matched with the degradable polymer mesh balloon and Conveying device. Summary of the invention
- the present invention aims to provide a degradable polymer mesh balloon and a preparation, a balloon sealing device and a delivery device.
- a degradable polymer reticular balloon for treating a vertebral body fracture is formed by electrospinning a biodegradable polymer material through a balloon receiving device. 2 ⁇ 1. 5 ⁇ ⁇ The diameter of the fiber is 0. 2 ⁇ 1. 5 ⁇ ⁇ .
- the balloon is spherical or ellipsoidal.
- the balloon has a burst pressure of 6-20 atmospheres.
- the biodegradable polymer material is: polylactic acid, polycaprolactone, polyglycolic acid, lactic acid-glycolic acid copolymer, any two or two of block copolymers of lactic acid and caprolactone The above blends.
- the polylactic acid is: D-type polylactic acid, L-type polylactic acid or a blended product of the two, or a copolymerized product of the two.
- a method for preparing a degradable polymer reticular balloon for treating a vertebral body fracture is as follows: the specific steps of the method are: dissolving the biodegradable polymer material in an organic solvent to prepare a solution having a mass percentage of 1 to 30%; using an electrospinning method, and controlling the ejection rate to 0. l ⁇ 2.
- the voltage is 3 ⁇ 30kV ;
- the balloon receiving device is a titanium alloy rod, the distance between the ejector spout and the balloon receiving device is l ⁇ 20cm, the balloon receiving device The rotation speed is l ⁇ 100 rpm, and the discharged fibers are collected for a time of l ⁇ 8h, that is, a degradable polymer mesh balloon is obtained.
- the organic solvent is at least one of chloroform, methanol, ethanol, dichloromethane, acetone, dimethylformamide, toluene, trichloromethane and hexamethylene.
- a fixed closure device for a degradable polymeric mesh balloon includes a balloon-fixed inner cannula, a balloon-fixed outer cannula, and a threaded embolus, wherein the balloon is fixed
- the inner wall of the inner sleeve is provided with a threaded plug fixing thread
- the inner wall of the balloon fixing outer sleeve is provided with a balloon delivery device fixing thread
- the threaded plug is provided with a balloon fixing inner sleeve fixing thread
- the proximal end of the threaded plug is provided with a push rod fixing groove
- the balloon fixing outer sleeve is sleeved outside the outer wall of the balloon tail end
- the inner wall of the balloon tail end is sleeved outside the balloon fixed inner sleeve
- the threaded screw and the balloon-fixed inner cannula are fixedly threaded by a matching screw thread
- the balloon delivery device fixing thread is only distributed in a proximal end region of the inner wall of the balloon-fixed outer cannula, and the distal end region of the inner wall of the balloon-fixing outer cannula is the outer wall contact surface of the balloon tail end, the balloon The inner wall of the fixed outer cannula is in close contact with the outer wall of the balloon distal end.
- the outer wall of the balloon fixed inner cannula is the inner wall contact surface of the balloon tail end, and the outer wall of the balloon fixed inner cannula is in close contact with the inner wall of the balloon distal end.
- the outer diameter of the balloon-fixed inner cannula is slightly smaller than the inner diameter of the balloon-fixed outer cannula.
- the push rod fixing groove is a slotted screwdriver groove.
- the balloon-fixed inner cannula, the balloon-fixed outer cannula, and the threaded emboss are all made of a degradable material, or a titanium alloy material.
- a delivery device for a degradable polymeric mesh balloon comprising a balloon delivery device, and a pusher
- the balloon delivery device comprises a hollow tubular body portion, and a fixation a rod
- a distal end of the hollow tubular body portion is provided with a balloon-fixing outer cannula fixing thread
- a proximal end of the hollow tubular body portion is provided with a cementing device fixing thread
- the fixing rod is connected to the hollow tubular body
- the push rod includes a screwdriver portion and a push rod cap connected to a proximal end of the screwdriver portion
- the distal end of the screwdriver portion is a threaded plug fixing a screwdriver head
- the screwdriver head is fixed with a threaded plug push rod
- the grooves match.
- the hollow tubular body portion of the balloon delivery device is sleeved outside the screwdriver portion of the pusher, and the screwdriver portion of the pusher is longer than the hollow
- the axial direction of the fixing rod is perpendicular to the axial direction of the hollow tubular body portion.
- the threaded plug fixes the screwdriver head to be a slotted screwdriver head.
- the balloon delivery device and the push rod are each made of a medical steel material, wherein the cemented material of the balloon delivery device and the push rod cap of the push rod may also be made of a plastic material.
- a fixed closure and delivery device for a degradable polymeric mesh balloon comprising a balloon-fixed inner cannula, a balloon-fixed outer cannula, a threaded embolus, a balloon delivery device, and a push rod, wherein an inner wall of the balloon-fixing inner sleeve is provided with a threaded plug fixing thread, and an inner wall of the balloon-fixing outer sleeve is provided with a balloon delivery device fixing thread, and the threaded plug is provided with a ball
- the capsule fixing inner sleeve fixing thread, the proximal end of the threaded plug is provided with a push rod fixing groove, the balloon fixing outer sleeve is sleeved on the outer wall of the balloon tail end, and the inner end wall of the balloon tail end is sleeved on the
- the balloon-fixed inner cannula and the threaded plug are fixedly
- the balloon-fixed inner cannula, the balloon-fixed outer cannula, and the threaded emboss are all made of a degradable material, or a titanium alloy material.
- the balloon-fixed inner cannula, the balloon-fixed outer cannula, and the threaded emboss are both made of a degradable material or a titanium alloy material; the balloon delivery device and the push rod can be made of medical steel material.
- the pusher cap for fixing the threaded portion of the cementing device of the balloon delivery device and the push rod may also be made of a plastic material.
- the technical solution part of the degradable polymer mesh balloon and the preparation method thereof for treating vertebral body fracture according to the present invention is characterized in that the degradable polylactic acid and polycaprolactone block copolymer (PCLLA-CL) are used as raw materials.
- the PCLLA-CL fiber prepared by the electrospinning method has a microporous network-like balloon-like structure, and the balloon has a biodegradable polymer balloon with good mechanical properties, degradable, high mechanical strength and good flexibility.
- the prepared balloon has a nominal pressure of 8 atmospheres, a burst pressure of 14 atmospheres, and a tensile strength of 8 MPa.
- the degradation quality in serum for two weeks is 10-20% (w/w). It solves the problems of bone cement collapse and leakage, which not only compensates for PVP and PKP defects, but also expands the scope of surgery. Moreover, the preparation process of the method of the invention is simple.
- the technical solution part of the degradable polymer mesh balloon sealing device and the conveying device of the present invention is achieved by fixing the balloon inner sleeve and the balloon fixing outer sleeve to fix the balloon tail end according to the following manner.
- the balloon-fixed outer cannula and the balloon delivery device are screwed together and delivered to the injured vertebra, and the bone cement is injected into the balloon through the balloon delivery device to expand the balloon and raise the height of the compressed vertebral body.
- the front end of the push rod is coupled to the threaded plug by a slotted screwdriver head, and the threaded plug is pushed to the position of the balloon-fixed inner sleeve and rotated to close the balloon.
- the invention solves the problem of fixed sealing of the degradable polymer mesh balloon and its operation operation. It can prevent bone cement from overflowing, reduce excessive contact between bone cement and body fluids, and cause bone cement to collapse, maximally keep the balloon inflated and prevent high intraoperative loss.
- the balloon fixation device is composed of degradable materials (polymer, metal, etc.) or titanium alloy. The former can be finally degraded in the body, and the latter has little effect on the healing of vertebral fractures.
- Figure 1 shows a schematic view of the structure of an unexpanded balloon.
- subgraphs A, B, C, and D are a bottom view, a perspective view, a front view, and a left view, respectively, of the unexpanded balloon.
- Figure 2 shows a schematic view of the structure of the balloon-mounted inner cannula.
- subgraphs A, B, C, and D are a bottom view, a perspective view, a front view, and a left view, respectively, of the balloon-mounted inner cannula.
- Figure 3 shows a schematic view of the structure of the balloon-fixed outer cannula.
- subgraphs A, B, C, and D are a bottom view, a perspective view, a front view, and a left view, respectively, of the balloon-fixed outer cannula.
- Figure 4 shows a schematic view of the structure of the threaded plug.
- subgraphs A, B, (:, and D are the bottom, perspective, front, and left views of the threaded plug, respectively.
- Fig. 5 shows a schematic structural view of a balloon delivery device.
- subgraphs A, B, and C are a bottom view, a front view, and a left side view, respectively, of the balloon delivery device.
- Fig. 6 is a view showing the structure of the push rod.
- subgraphs A, B, and C are a bottom view, a front view, and a left view, respectively, of the push rod.
- Figure 7 is a schematic view showing the structure of the inflated balloon after the fixed closure device and its supporting instruments are operated.
- subgraphs A, B, C, and D are bottom view, partial enlarged view, front view, and left side view of the inflated balloon after the fixed closure device and its supporting instruments are respectively operated, wherein subgraph B is subgraph A.
- Fig. 8 is a structural schematic view showing the connection relationship between the fixed closed balloon, the balloon-fixed inner cannula, the balloon-fixed outer cannula, and the threaded emboss.
- subgraphs A, B, C, and D are bottom, perspective, front, and right views of the fixedly closed expanded balloon.
- Figure 9 shows a cross-sectional view of the inflated balloon after fixation.
- 2 is a balloon fixed inner cannula
- 3 is a balloon fixed outer sleeve
- 41 is a balloon fixed inner sleeve fixing thread
- 5 is a balloon delivery device
- 51 is a balloon fixed outer sleeve fixing thread
- 61 is a threaded plug to fix the screwdriver head
- 62 is a putter cap.
- the degradable polymer mesh balloon for treating vertebral body fracture of the present invention and the preparation method thereof are as follows:
- the injection rate is 0.6 mL/h
- a high pressure of 10000 volts is generated between the positive electrode of the needle tip and the negative electrode of the substrate, and the distance between the needle tip and the receiving device is 15 awake, and the collection is performed by electrospinning.
- Fiber prepared to obtain a balloon.
- the performance parameters of the prepared balloon are as follows: balloon inner diameter is 5 mm, balloon outer diameter is 5. 5 mm, named pressure is 8 atm, burst pressure is 14 atm, tensile strength is 8 MPa, bone cement is injected into the balloon After the microbone exudation, the degradation quality in serum within two weeks was 10-20% (w/w).
- degradable polymer mesh balloon sealing device and the conveying device of the present invention are as shown in Fig. 1-9, and the specific embodiments thereof are as follows:
- the fixed sealing device and the conveying device of the degradable polymer mesh balloon provided by the invention are relatively simple and convenient to be processed, and can be processed according to the drawings shown in the specification.
- the fixed sealing device (balloon fixed inner cannula, balloon fixed outer cannula, threaded embossed) is composed of degradable material (degradable polymer, degradable metal, etc.) or titanium alloy, and the conveying device (balloon conveying device and The pusher can be made of medical steel material, wherein the cemented material of the balloon delivery device and the push rod cap of the push rod can also be made of plastic material. Made by metal machining, or injection molded from degradable or plastic materials.
- the fixed sealing device of the degradable polymer mesh balloon of the present invention and the supporting device thereof are also very simple and convenient to use.
- the balloon fixed inner cannula and the balloon are fixed.
- the outer cannula fixes the balloon end
- the balloon fixed outer cannula and the balloon delivery device are screwed together and delivered to the injured vertebra, and the bone cement is injected into the balloon through the balloon delivery device to expand the balloon and compress the vertebral body.
- the height is raised.
- the front end of the push rod is coupled to the threaded plug by a slotted screwdriver head, and the threaded plug is pushed to the position of the balloon-fixed inner sleeve and fixed by rotation to close the balloon. Finally, the push rod is directly withdrawn, and the balloon delivery device is rotated and separated from the fixture to be withdrawn.
- a fixed sealing device for a degradable polymer mesh balloon includes a balloon-fixed inner cannula 2, a balloon-fixed outer cannula 3, and a threaded plug 4, wherein
- the inner wall of the balloon-contained inner cannula 2 is provided with a threaded plug fixing thread 20
- the inner wall of the balloon-fixing outer sleeve 3 is provided with a balloon delivery device fixing thread 30
- the threaded plug 4 is provided with a balloon Fixing the inner sleeve fixing thread 41
- the proximal end of the threaded plug 4 is provided with a push rod fixing groove 42
- the balloon fixing outer sleeve 3 is sleeved outside the outer wall of the balloon tail end 10, the balloon tail
- the inner wall of the end 10 is sleeved outside the balloon-fixed inner cannula 2, and the ball-fixing inner cannula 2 and the threaded plug 4 are fixed between the thread 20 and the balloon by the matching threade
- the balloon delivery device fixing thread 30 is distributed only in the proximal end region of the inner wall of the balloon-fixing outer cannula 3, and the distal end region of the inner wall of the balloon-fixing outer cannula 3 is
- the outer wall contact surface of the tail end 10 the inner wall of the balloon fixed outer sleeve 3 is in close contact with the outer wall of the balloon tail end 10
- the outer wall of the balloon fixed inner sleeve is the inner wall contact surface of the balloon tail end 10
- the balloon is fixed to the inner sleeve. 2 outer wall and ball
- the inner wall of the sac end 10 is in intimate contact.
- the outer diameter of the balloon-fixed inner cannula 2 is slightly smaller than the inner diameter of the balloon-fixed outer cannula 3.
- the push rod fixing groove 42 is a slotted screwdriver groove.
- the balloon-fixed inner cannula 2, the balloon-fixed outer cannula 3, and the threaded plug 4 are each made of a degradable material, or a titanium alloy material.
- a delivery device for a degradable polymer mesh balloon includes a balloon delivery device 5 and a push rod 6, wherein the balloon delivery device 5 includes a hollow tubular body portion And a fixing rod 52, the distal end of the hollow tubular body portion is provided with a balloon fixing outer sleeve fixing thread 51, and the proximal end of the hollow tubular body portion is provided with a bone cement filling device fixing thread 53, the fixing rod 52 Connected to the hollow tubular body portion, the push rod 6 includes a screwdriver portion, and a push rod cap 62 connected to the proximal end of the screwdriver portion, and the distal end of the screwdriver portion is a threaded plug fixing the screwdriver head 61.
- the hollow tubular body portion of the balloon delivery device 5 is sheathed outside the screwdriver portion of the push rod 6, and the length of the screwdriver portion is longer than the length of the hollow tubular body portion.
- the axial direction of the fixing rod 52 is perpendicular to the axial direction of the hollow tubular body portion.
- the threaded plug fixing screwdriver head 61 is a slotted screwdriver head.
- a fixed sealing and conveying device for a degradable polymer mesh balloon comprising a balloon fixed inner cannula 2, a balloon fixed outer cannula 3, a threaded plug 4, and a balloon delivery device 5 And the push rod 6, wherein the inner wall of the balloon-fixing inner sleeve 2 is provided with a threaded plug fixing thread 20, and the inner wall of the balloon-fixing outer sleeve 3 is provided with a balloon delivery device fixing thread 30, The threaded plug 4 is provided with a balloon-fixing inner sleeve fixing thread 41.
- the proximal end of the threaded plug 4 is provided with a push rod fixing groove 42, and the balloon fixing outer sleeve 3 is sleeved on the balloon.
- the balloon-fixed inner sleeve 2 and the threaded plug 4 are screwed by the matching threaded plug fixing thread 20 and the balloon-fixing inner sleeve fixing thread 41,
- the length of the balloon-fixed inner cannula 2 is shorter than the length of the balloon-fixed outer cannula 3;
- the balloon delivery device 5 includes a hollow tubular body portion, and a fixed rod 52, the distal end of which is disposed a balloon fixed outer sleeve fixing thread 51, the hollow
- the proximal end of the tubular body portion is provided with a bone cement filling device fixing thread 53, the fixing rod 52 is connected to the hollow tubular body portion,
- the push rod 6 includes a screwdriver portion, and a push connected to the proximal end of the screwdriver portion a rod cap
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Abstract
Description
可降解高分子网状球囊及制备、 球囊封闭装置及输送装置 技术领域 Degradable polymer mesh balloon and preparation, balloon sealing device and conveying device
本发明涉及可降解高分子网状球囊配套手术器材,具体涉及可降解高分子网 状球囊及制备、 球囊封闭装置及说输送装置。 The invention relates to a degradable polymer mesh balloon supporting surgical device, in particular to a degradable polymer mesh balloon and a preparation, a balloon sealing device and a conveying device.
背景技术 Background technique
外伤、 疾病 (如全身性疾病、 肿瘤等)及骨质疏松都可引发椎体骨折。 椎体 骨折所引起的剧烈疼痛及活动受限使病人生活书质量下降,并有继发其它病变的可 能, 甚至导致截瘫和死亡。 理想的治疗方法应该能迅速减轻因骨折引起的疼痛, 能矫正因骨折引起的脊柱后凸畸形,尽早恢复病人活动能力。当前主要有三种治 疗方法: 传统保守治疗, 传统外科开放手术治疗和微创手术治疗。 与其它两种方 法比较, 微创手术治疗治疗时间短, 创口小, 疼痛小, 血液损失少, 恢复时间短 和住院时间短, 因而逐渐被广泛应用并将成为未来的主流治疗方法。 Trauma, diseases (such as systemic diseases, tumors, etc.) and osteoporosis can cause vertebral fractures. Severe pain and limited mobility caused by vertebral fractures reduce the quality of life books, and may have secondary lesions, even paraplegia and death. The ideal treatment should be able to quickly reduce the pain caused by the fracture, correct the kyphosis caused by the fracture, and restore the patient's ability to move as soon as possible. There are currently three main treatment methods: traditional conservative treatment, traditional surgical open surgery and minimally invasive surgery. Compared with the other two methods, minimally invasive surgery has a short treatment time, small wounds, less pain, less blood loss, shorter recovery time and shorter hospital stay, so it is gradually being widely used and will become the mainstream treatment method in the future.
微创手术治疗如经皮椎体成形术(PVP)和经皮椎体后凸成形术(PKP)是将 穿刺针经皮直接刺入骨折的椎体内,直接注入骨水泥或用扩张器扩张后再注入骨 水泥, 使骨折的椎体高度得到一定程度的恢复, 快速加固椎体, 达到止疼及尽快 恢复活动的目的。 目前微创手术治疗主要存在两类问题,一是使用的骨水泥为丙 烯酸树脂骨水泥而导致的问题, 二是骨水泥泄露而导致的问题。丙烯酸树脂骨水 泥硬度大且对骨生长无促进作用, 可导致邻近椎体继发骨折及椎体裂隙征的出 现, 不能应用于年轻人。 因此需要探索其他骨水泥替代物的临床使用。 Minimally invasive surgery such as percutaneous vertebroplasty (PVP) and percutaneous kyphoplasty (PKP) are performed by directly perforating the needle into the fractured vertebral body, directly into the bone cement or dilating with a dilator. After the bone cement is injected, the height of the fractured vertebral body is restored to a certain extent, and the vertebral body is quickly reinforced to achieve the purpose of relieving pain and recovering as soon as possible. At present, there are two main problems in minimally invasive surgery. One is the problem caused by the bone cement used as the acrylic resin bone cement, and the other is the problem caused by the leakage of the bone cement. Acrylic resin bone cement has high hardness and does not promote bone growth, which can lead to the occurrence of secondary fractures and vertebral fracture signs of adjacent vertebral bodies, which cannot be applied to young people. It is therefore necessary to explore the clinical use of other bone cement substitutes.
磷酸钙骨水泥具有微孔结构和钙成分, 因而具有很多优势, 如促骨生长, 有 利于新骨的长入, 椎体骨质量和髙度的恢复等。 然而, 因其遇水溃散、 承压能力 低无法应用到椎体手术中。临床上一些设备被研发出来降低骨水泥的溃散。如中 国台湾冠亚生技股份有限公司 (A-Spine Asia) 开发出来一种 Vessel-X充填网 袋 (Spine. 2007 ; 32 : 2076-2082 ) , 该网袋是由非弹力聚对苯二甲酸乙二醇酯 组成双层网孔结构。 最近 Rotter R.等人 (Eur. Spine J. 2010 ; 19 : 916-923 ) 开出来了一种金属网状支架。然而这些支架是非弹力的, 且不可降解因而可能会 带来长期的风险。 另外, Vessel-X 充填网袋和金属网状支架网目大小分别为 lOOMm和 100mm水平, 可能不能阻止磷酸钙骨水泥的遇水溃散, 因而不能被应用 于磷酸钙骨水泥的临床使用。理论上, 如果磷酸钙骨水泥注入到生物可降解和生 物相容的球囊中,憐酸钙骨水泥的两个局限性可以被抑制。而且在该球囊的降解 过程中, 磯酸钙骨水泥可以缓慢暴露于周围的骨, 因而可以保留有磷酸钙骨水泥 的促骨生长优势。 Calcium phosphate cement has a microporous structure and a calcium component, and thus has many advantages, such as bone growth, which is conducive to the growth of new bone, recovery of vertebral bone mass and twist. However, due to its water collapse and low pressure bearing capacity, it cannot be applied to vertebral surgery. Some devices have been developed clinically to reduce the collapse of bone cement. For example, A-Spine Asia developed a Vessel-X filling net bag (Spine. 2007; 32: 2076-2082), which is made of non-elastic polyterephthalic acid. The ethylene glycol ester constitutes a two-layer mesh structure. Recently, Rotter R. et al. (Eur. Spine J. 2010; 19: 916-923) developed a metal mesh stent. However, these stents are non-elastic and non-degradable and may Bring long-term risks. In addition, Vessel-X filling mesh bags and metal mesh stents have mesh sizes of lOOMm and 100mm, respectively, which may not prevent the calcium phosphate cement from collapsing with water, and thus cannot be applied to the clinical use of calcium phosphate cement. In theory, if calcium phosphate cement is injected into a biodegradable and biocompatible balloon, the two limitations of the calcium-calcium cement can be suppressed. Moreover, during the degradation of the balloon, the calcium sulphate cement can be slowly exposed to the surrounding bone, thereby preserving the bone growth advantage of the calcium phosphate cement.
针对这种情况, 需要一项新的技术不仅可以解决磯酸钙骨水泥溃散与渗漏, 不能承重等问题,也能维持磷酸钙骨水泥的优势,释放钙离子,促进新骨的生成, 避免临床上的二次手术。 同时, 可降解高分子网状球囊在使用中需要植入伤椎并 封闭尾端, 需要避免骨水泥从球囊尾端外溢,减少骨水泥与体液过多度接触而导 致的溃散, 保证球囊内灌注骨水泥后一直保持膨胀状态, 避免 PKP其他方式中伴 随骨扩张器撤出而导致的高度丢失,也有必要设计一种与可降解高分子网状球囊 相配套的固定封闭装置及其输送装置。 发明内容 In response to this situation, a new technology is needed not only to solve the problem of calcium acid cement bone cement collapse and leakage, but also to bear weight and other problems, but also to maintain the advantages of calcium phosphate cement, release calcium ions, promote new bone formation, and avoid Clinical secondary surgery. At the same time, the degradable polymer mesh balloon needs to be implanted into the injured vertebra and closed the tail end. It is necessary to avoid the bone cement overflowing from the balloon end, and reduce the collapse caused by excessive contact between the bone cement and the body fluid, and ensure the ball. After the bone cement is infused into the capsule, it is kept in an expanded state, and the height loss caused by the withdrawal of the bone expander in other ways of PKP is avoided. It is also necessary to design a fixed sealing device matched with the degradable polymer mesh balloon and Conveying device. Summary of the invention
针对现有技术中的缺陷,本发明目的在于提供一种可降解高分子网状球囊及 制备、 球囊封闭装置及输送装置。 In view of the deficiencies in the prior art, the present invention aims to provide a degradable polymer mesh balloon and a preparation, a balloon sealing device and a delivery device.
根据本发明的一个方面, 涉及一种椎体骨折治疗用可降解高分子网状球囊, 该网状球囊是由可生物降解的高分子材料通过静电纺丝形成纤维,经球囊接收装 置接收而得到中空装球囊, 该球囊内径为 1〜10誦, 球囊膜厚度控制在 0. 1〜 0. 2隱; 所述的纤维的直径为 0. 2〜1. 5 μ πι。 According to an aspect of the invention, a degradable polymer reticular balloon for treating a vertebral body fracture is formed by electrospinning a biodegradable polymer material through a balloon receiving device. 2 〜1. 5 μ πι。 The diameter of the fiber is 0. 2~1. 5 μ πι.
优选地, 所述的球囊为球形或椭球形。 Preferably, the balloon is spherical or ellipsoidal.
优选地, 所述的球囊的爆破压为 6-20个大气压。 Preferably, the balloon has a burst pressure of 6-20 atmospheres.
优选地, 所述的可生物降解的高分子材料为: 聚乳酸、 聚己内酯、 聚羟基乙 酸、 乳酸 -羟基乙酸共聚物, 乳酸和己内酯的嵌段共聚物中任意两种或两种以上 的共混物。 Preferably, the biodegradable polymer material is: polylactic acid, polycaprolactone, polyglycolic acid, lactic acid-glycolic acid copolymer, any two or two of block copolymers of lactic acid and caprolactone The above blends.
优选地, 所述的聚乳酸为: D-型聚乳酸、 L型聚乳酸或者二者共混产物, 或 者二者共聚产物。 Preferably, the polylactic acid is: D-type polylactic acid, L-type polylactic acid or a blended product of the two, or a copolymerized product of the two.
根据本发明的另一个方面,涉及一种制备椎体骨折治疗用可降解高分子网状 球囊的方法, 该方法的具体步骤为: 将可生物降解的高分子材料溶解于有机溶剂 中配制成质量百分比为 1〜30%的溶液; 采用静电纺丝法, 并控制喷射速率为 0. l〜2. 0mL/h, 电压为 3〜30kV; 球囊接收装置为一钛合金棒, 喷射器喷出口与 该球囊接收装置之间的距离为 l〜20cm, 球囊接收装置的转速为 l〜100rpm, 收 集喷出的纤维, 时间为 l〜8h, 即得到可降解高分子网状球囊。 According to another aspect of the present invention, a method for preparing a degradable polymer reticular balloon for treating a vertebral body fracture is as follows: the specific steps of the method are: dissolving the biodegradable polymer material in an organic solvent to prepare a solution having a mass percentage of 1 to 30%; using an electrospinning method, and controlling the ejection rate to 0. l~2. 0mL / h, the voltage is 3~30kV ; the balloon receiving device is a titanium alloy rod, the distance between the ejector spout and the balloon receiving device is l~20cm, the balloon receiving device The rotation speed is l~100 rpm, and the discharged fibers are collected for a time of l~8h, that is, a degradable polymer mesh balloon is obtained.
优选地, 所述的有机溶剂为氯仿、 甲醇、 乙醇、 二氯甲垸、 丙酮、 二甲基甲 酰胺、 甲苯、 三氯甲垸和正己垸中的至少一种。 Preferably, the organic solvent is at least one of chloroform, methanol, ethanol, dichloromethane, acetone, dimethylformamide, toluene, trichloromethane and hexamethylene.
根据本发明的另一个方面, 涉及一种可降解高分子网状球囊的固定封闭装 置, 包括球囊固定内套管、 球囊固定外套管、 以及螺纹栓子, 其中, 所述球囊固 定内套管的内壁设置有螺纹栓子固定螺纹,所述球囊固定外套管的内壁设置有球 囊输送装置固定螺纹, 所述螺纹栓子上设置有球囊固定内套管固定螺纹,所述螺 纹栓子的近端设置有推杆固定凹槽, 所述球囊固定外套管套于球囊尾端外壁之 外,所述球囊尾端内壁套于所述球囊固定内套管之外,所述球囊固定内套管与螺 纹栓子之间通过相匹配的所述螺纹栓子固定螺纹和球囊固定内套管固定螺纹螺 纹连接, 所述球囊固定内套管的长度短于所述球囊固定外套管的长度。 According to another aspect of the present invention, a fixed closure device for a degradable polymeric mesh balloon includes a balloon-fixed inner cannula, a balloon-fixed outer cannula, and a threaded embolus, wherein the balloon is fixed The inner wall of the inner sleeve is provided with a threaded plug fixing thread, the inner wall of the balloon fixing outer sleeve is provided with a balloon delivery device fixing thread, and the threaded plug is provided with a balloon fixing inner sleeve fixing thread, The proximal end of the threaded plug is provided with a push rod fixing groove, the balloon fixing outer sleeve is sleeved outside the outer wall of the balloon tail end, and the inner wall of the balloon tail end is sleeved outside the balloon fixed inner sleeve Between the balloon-fixed inner cannula and the threaded emboss, the threaded screw and the balloon-fixed inner cannula are fixedly threaded by a matching screw thread, and the length of the balloon-fixed inner cannula is shorter than The balloon secures the length of the outer cannula.
优选地,所述球囊输送装置固定螺纹仅分布在所述球囊固定外套管内壁的近 端区域, 所述球囊固定外套管内壁的远端区域为球囊尾端外壁接触面,球囊固定 外套管的内壁与球囊尾端外壁紧密接触,所述球囊固定内套管外壁为球囊尾端内 壁接触面, 球囊固定内套管的外壁与球囊尾端内壁紧密接触。 Preferably, the balloon delivery device fixing thread is only distributed in a proximal end region of the inner wall of the balloon-fixed outer cannula, and the distal end region of the inner wall of the balloon-fixing outer cannula is the outer wall contact surface of the balloon tail end, the balloon The inner wall of the fixed outer cannula is in close contact with the outer wall of the balloon distal end. The outer wall of the balloon fixed inner cannula is the inner wall contact surface of the balloon tail end, and the outer wall of the balloon fixed inner cannula is in close contact with the inner wall of the balloon distal end.
优选地, 所述球囊固定内套管的外径略小于所述球囊固定外套管的内径。 优选地, 所述推杆固定凹槽为一字螺丝刀凹槽。 Preferably, the outer diameter of the balloon-fixed inner cannula is slightly smaller than the inner diameter of the balloon-fixed outer cannula. Preferably, the push rod fixing groove is a slotted screwdriver groove.
优选地, 所述球囊固定内套管、球囊固定外套管、 以及螺纹栓子均由可降解 材料、 或者钛合金材料制成。 Preferably, the balloon-fixed inner cannula, the balloon-fixed outer cannula, and the threaded emboss are all made of a degradable material, or a titanium alloy material.
根据本发明的另一个方面, 还提供一种可降解高分子网状球囊的输送装置, 包括球囊输送装置、 以及推杆, 其中, 所述球囊输送装置包括中空管状主体部、 以及固定杆,所述中空管状主体部的远端设置有球囊固定外套管固定螺纹,所述 中空管状主体部的近端设置有骨水泥灌注装置固定螺纹,所述固定杆连接于所述 中空管状主体部,所述推杆包括螺丝刀部、 以及连接于所述螺丝刀部近端的推杆 帽,所述螺丝刀部的远端为螺纹栓子固定螺丝刀头, 所述螺丝刀头与螺纹栓子推 杆固定凹槽相匹配。所述球囊输送装置的中空管状主体部套在所述推杆的螺丝刀 部之外, 所述推杆的螺丝刀部要长于所述球囊输送装置的中空管状主体部。 According to another aspect of the present invention, there is also provided a delivery device for a degradable polymeric mesh balloon, comprising a balloon delivery device, and a pusher, wherein the balloon delivery device comprises a hollow tubular body portion, and a fixation a rod, a distal end of the hollow tubular body portion is provided with a balloon-fixing outer cannula fixing thread, a proximal end of the hollow tubular body portion is provided with a cementing device fixing thread, and the fixing rod is connected to the hollow tubular body The push rod includes a screwdriver portion and a push rod cap connected to a proximal end of the screwdriver portion, the distal end of the screwdriver portion is a threaded plug fixing a screwdriver head, and the screwdriver head is fixed with a threaded plug push rod The grooves match. The hollow tubular body portion of the balloon delivery device is sleeved outside the screwdriver portion of the pusher, and the screwdriver portion of the pusher is longer than the hollow tubular body portion of the balloon delivery device.
优选地, 所述固定杆的轴向与所述中空管状主体部的轴向之间相垂直。 优选地, 所述螺纹栓子固定螺丝刀头为一字螺丝刀头。 Preferably, the axial direction of the fixing rod is perpendicular to the axial direction of the hollow tubular body portion. Preferably, the threaded plug fixes the screwdriver head to be a slotted screwdriver head.
优选地,所述球囊输送装置和推杆均可由医用钢材料制成, 其中球囊输送装 置的骨水泥灌注装置固定螺纹部分和推杆的推杆帽也可以由塑料材料制成。 Preferably, the balloon delivery device and the push rod are each made of a medical steel material, wherein the cemented material of the balloon delivery device and the push rod cap of the push rod may also be made of a plastic material.
根据本发明的又一个方面,还提供一种可降解高分子网状球囊的固定封闭及 输送装置, 包括球囊固定内套管、 球囊固定外套管、 螺纹栓子、 球囊输送装置以 及推杆, 其中, 所述球囊固定内套管的内壁设置有螺纹栓子固定螺紋, 所述球囊 固定外套管的内壁设置有球囊输送装置固定螺紋,所述螺纹栓子上设置有球囊固 定内套管固定螺纹,所述螺纹栓子的近端设置有推杆固定凹槽,所述球囊固定外 套管套于球囊尾端外壁,所述球囊尾端内壁套于所述球囊固定内套管之外,所述 球囊固定内套管与螺紋栓子之间通过相匹配的所述螺纹栓子固定螺纹和球囊固 定内套管固定螺纹螺紋连接,所述球囊固定内套管的长度短于所述球囊固定外套 管的长度; 所述球囊输送装置包括中空管状主体部、 以及固定杆, 所述中空管状 主体部的远端设置有球囊固定外套管固定螺纹,所述中空管状主体部的近端设置 有骨水泥灌注装置固定螺紋, 所述固定杆连接于所述中空管状主体部, 所述推杆 包括螺丝刀部、 以及连接于所述螺丝刀部近端的推杆帽,所述螺丝刀部的远端为 螺纹栓子固定螺丝刀头, 所述中空管状主体部套在所述螺丝刀部之外,所述螺丝 刀部的长度长于所述中空管状主体部的长度; 其中, 所述推杆固定凹槽与螺纹栓 子固定螺丝刀头相匹配,所述球囊固定外套管与球囊输送装置之间通过相匹配的 所述球囊输送装置固定螺纹和球囊固定外套管固定螺纹螺纹连接。 According to still another aspect of the present invention, there is also provided a fixed closure and delivery device for a degradable polymeric mesh balloon, comprising a balloon-fixed inner cannula, a balloon-fixed outer cannula, a threaded embolus, a balloon delivery device, and a push rod, wherein an inner wall of the balloon-fixing inner sleeve is provided with a threaded plug fixing thread, and an inner wall of the balloon-fixing outer sleeve is provided with a balloon delivery device fixing thread, and the threaded plug is provided with a ball The capsule fixing inner sleeve fixing thread, the proximal end of the threaded plug is provided with a push rod fixing groove, the balloon fixing outer sleeve is sleeved on the outer wall of the balloon tail end, and the inner end wall of the balloon tail end is sleeved on the In addition to the balloon-fixed inner cannula, the balloon-fixed inner cannula and the threaded plug are fixedly threaded by a matching threaded plug fixing thread and a balloon-fixed inner cannula, the balloon The length of the fixed inner cannula is shorter than the length of the balloon-fixed outer cannula; the balloon delivery device comprises a hollow tubular body portion, and a fixing rod, and the distal end of the hollow tubular body portion is provided with a balloon fixing jacket a tube fixing thread, a proximal end of the hollow tubular body portion is provided with a bone cement filling device fixing thread, the fixing rod is connected to the hollow tubular body portion, the push rod comprises a screwdriver portion, and is connected to the screwdriver portion a proximal push rod cap, the distal end of the screwdriver portion is a threaded plug fixing a screwdriver head, the hollow tubular body portion is sleeved outside the screwdriver portion, and the length of the screwdriver portion is longer than the hollow tubular body portion The length of the push rod fixing groove is matched with the threaded plug fixing screwdriver head, and the ball fixing fixed outer sleeve and the balloon conveying device fix the thread and the ball through the matched balloon conveying device The balloon is fixed to the outer sleeve to fix the threaded connection.
优选地, 所述球囊固定内套管、球囊固定外套管、 以及螺纹栓子均由可降解 材料、 或者钛合金材料制成。 Preferably, the balloon-fixed inner cannula, the balloon-fixed outer cannula, and the threaded emboss are all made of a degradable material, or a titanium alloy material.
优选地, 所述球囊固定内套管、球囊固定外套管、 以及螺纹栓子均由可降解 材料、 或者钛合金材料制成; 所述球囊输送装置和推杆均可由医用钢材料制成, 其中球囊输送装置的骨水泥灌注装置固定螺纹部分和推杆的推杆帽也可以由塑 料材料制成。 Preferably, the balloon-fixed inner cannula, the balloon-fixed outer cannula, and the threaded emboss are both made of a degradable material or a titanium alloy material; the balloon delivery device and the push rod can be made of medical steel material. The pusher cap for fixing the threaded portion of the cementing device of the balloon delivery device and the push rod may also be made of a plastic material.
本发明所述的椎体骨折治疗用可降解高分子网状球囊及其制备方法的技术 方案部分, 其以可降解聚乳酸和聚已内酯嵌段共聚物(PCLLA- CL) 为原料, 采用 静电纺丝法制备得到的 PCLLA- CL纤维具有微孔网状球囊样结构, 该球囊具有良 好力学性能、 可降解的、 力学强度大, 且柔顺性良好的生物降解高分子球囊。 所 制备得到的球囊命名压为 8个大气压,爆破压为 14个大气压,拉伸强度为 8MPa, 骨水泥注入球囊后可见微量骨水泥渗出,可使压缩的椎体高度得以抬升甚至完全 恢复。 在血清中两周内的降解质量为 10-20% ( w/w ) 。 解决了骨水泥溃散与渗漏 等问题, 既弥补 PVP、 PKP缺陷, 又扩大手术适用范围。 且本发明方法制备过程 简单。 The technical solution part of the degradable polymer mesh balloon and the preparation method thereof for treating vertebral body fracture according to the present invention is characterized in that the degradable polylactic acid and polycaprolactone block copolymer (PCLLA-CL) are used as raw materials. The PCLLA-CL fiber prepared by the electrospinning method has a microporous network-like balloon-like structure, and the balloon has a biodegradable polymer balloon with good mechanical properties, degradable, high mechanical strength and good flexibility. The prepared balloon has a nominal pressure of 8 atmospheres, a burst pressure of 14 atmospheres, and a tensile strength of 8 MPa. After the bone cement is injected into the balloon, a small amount of bone cement is observed to exude, so that the height of the compressed vertebral body can be raised or even completely recovered. The degradation quality in serum for two weeks is 10-20% (w/w). It solves the problems of bone cement collapse and leakage, which not only compensates for PVP and PKP defects, but also expands the scope of surgery. Moreover, the preparation process of the method of the invention is simple.
本发明所述的可降解高分子网状球囊封闭装置及输送装置技术方案部分,其 目的是按以下方式实现的, 将球囊固定内套管与球囊固定外套管固定球囊尾端, 球囊固定外套管与球囊输送装置通过螺纹结合在一起, 输送到伤椎内,通过球囊 输送装置向球囊内注入骨水泥使得球囊膨胀、压缩椎体高度得以抬升。推杆前端 通过一字螺丝刀头与螺纹栓子结合,将螺纹栓子推送到球囊固定内套管位置并旋 转固定, 从而封闭球囊。 最后, 将推杆直接撤出, 球囊输送装置旋转与固定装置 分离后撤出。解决了可降解高分子网状球囊的固定封闭及其手术操作问题。可防 止骨水泥外溢, 减少骨水泥与体液过度接触而导致骨水泥溃散, 最大程度保持球 囊膨胀状态, 防止术中失高。球囊固定封闭装置均由可降解材料(高分子、 金属 等)或者钛合金组成,前者能够在体内最终降解,后者对椎体骨折愈合影响较小。 The technical solution part of the degradable polymer mesh balloon sealing device and the conveying device of the present invention is achieved by fixing the balloon inner sleeve and the balloon fixing outer sleeve to fix the balloon tail end according to the following manner. The balloon-fixed outer cannula and the balloon delivery device are screwed together and delivered to the injured vertebra, and the bone cement is injected into the balloon through the balloon delivery device to expand the balloon and raise the height of the compressed vertebral body. The front end of the push rod is coupled to the threaded plug by a slotted screwdriver head, and the threaded plug is pushed to the position of the balloon-fixed inner sleeve and rotated to close the balloon. Finally, the push rod is directly withdrawn, and the balloon delivery device is rotated and separated from the fixture to be withdrawn. The invention solves the problem of fixed sealing of the degradable polymer mesh balloon and its operation operation. It can prevent bone cement from overflowing, reduce excessive contact between bone cement and body fluids, and cause bone cement to collapse, maximally keep the balloon inflated and prevent high intraoperative loss. The balloon fixation device is composed of degradable materials (polymer, metal, etc.) or titanium alloy. The former can be finally degraded in the body, and the latter has little effect on the healing of vertebral fractures.
附图说明 DRAWINGS
通过阅读参照以下附图对非限制性实施例所作的详细描述, 本发明的其 它特征、 目的和优点将会变得更明显: Other features, objects, and advantages of the present invention will become more apparent from the Detailed Description of Description
图 1示出了未膨胀的球囊的结构示意图。 图 1中, 子图 A、 B、 C和 D分别为 未膨胀球囊的仰视图、 立体图、 正视图和左视图。 Figure 1 shows a schematic view of the structure of an unexpanded balloon. In Fig. 1, subgraphs A, B, C, and D are a bottom view, a perspective view, a front view, and a left view, respectively, of the unexpanded balloon.
图 2示出了球囊固定内套管的结构示意图。 图 2中, 子图 A、 B、 C和 D分别 为球囊固定内套管的仰视图、 立体图、 正视图和左视图。 Figure 2 shows a schematic view of the structure of the balloon-mounted inner cannula. In Fig. 2, subgraphs A, B, C, and D are a bottom view, a perspective view, a front view, and a left view, respectively, of the balloon-mounted inner cannula.
图 3示出了球囊固定外套管的结构示意图。 图 3中, 子图 A、 B、 C和 D分别 为球囊固定外套管的仰视图、 立体图、 正视图和左视图。 Figure 3 shows a schematic view of the structure of the balloon-fixed outer cannula. In Fig. 3, subgraphs A, B, C, and D are a bottom view, a perspective view, a front view, and a left view, respectively, of the balloon-fixed outer cannula.
图 4示出了螺纹栓子的结构示意图。 图 4中, 子图 A、 B、(:和 D分别为螺纹 栓子的仰视图、 立体图、 正视图和左视图。 Figure 4 shows a schematic view of the structure of the threaded plug. In Figure 4, subgraphs A, B, (:, and D are the bottom, perspective, front, and left views of the threaded plug, respectively.
图 5示出了球囊输送装置的结构示意图。 图 5中, 子图 A、 B、 和 C分别为 球囊输送装置的仰视图、 正视图、 和左视图。 Fig. 5 shows a schematic structural view of a balloon delivery device. In Fig. 5, subgraphs A, B, and C are a bottom view, a front view, and a left side view, respectively, of the balloon delivery device.
图 6示出推杆的结构示意图。 图 6中, 子图 A、 B、 和 C分别为推杆的仰视 图、 正视图、 和左视图。 图 7示出了固定封闭装置及其配套器械工作后膨胀球囊的结构示意图。 图 7 中, 子图 A、 B、 C和 D分别为固定封闭装置及其配套器械工作后膨胀球囊的仰视 图、 局部放大图、 正视图和左视图, 其中, 子图 B为子图 A中球囊固定内套管、 球囊尾端部分、球囊固定外套管、球囊输送装置中空管状主体部远端部分和推杆 螺丝刀部远端部分的放大视图。 Fig. 6 is a view showing the structure of the push rod. In Fig. 6, subgraphs A, B, and C are a bottom view, a front view, and a left view, respectively, of the push rod. Figure 7 is a schematic view showing the structure of the inflated balloon after the fixed closure device and its supporting instruments are operated. In Fig. 7, subgraphs A, B, C, and D are bottom view, partial enlarged view, front view, and left side view of the inflated balloon after the fixed closure device and its supporting instruments are respectively operated, wherein subgraph B is subgraph A. An enlarged view of the central balloon fixed inner cannula, the balloon distal end portion, the balloon-fixed outer cannula, the distal end portion of the hollow tubular body portion of the balloon delivery device, and the distal end portion of the pusher screwdriver portion.
图 8示出固定封闭后膨胀球囊、球囊固定内套管、 球囊固定外套管、 螺纹栓 子之间的连接关系的结构示意图。 图 8中, 子图 A、 B、 C和 D为固定封闭后膨胀 球囊的仰视图、 立体图、 正视图和右视图。 Fig. 8 is a structural schematic view showing the connection relationship between the fixed closed balloon, the balloon-fixed inner cannula, the balloon-fixed outer cannula, and the threaded emboss. In Fig. 8, subgraphs A, B, C, and D are bottom, perspective, front, and right views of the fixedly closed expanded balloon.
图 9示出固定封闭后膨胀球囊的剖面图。 Figure 9 shows a cross-sectional view of the inflated balloon after fixation.
图中: In the picture:
1为球囊; 1 is a balloon;
10为球囊尾端; 10 is the end of the balloon;
2为球囊固定内套管; 2 is a balloon fixed inner cannula;
20为螺纹栓子固定螺紋; 20 is a threaded plug fixing thread;
3为球囊固定外套管; 3 is a balloon fixed outer sleeve;
30为球囊输送装置固定螺纹; 30 is a fixed thread of the balloon delivery device;
4为螺纹栓子; 4 is a threaded plug;
41为球囊固定内套管固定螺纹; 41 is a balloon fixed inner sleeve fixing thread;
42为推杆固定凹槽; 42 is a push rod fixing groove;
5为球囊输送装置; 5 is a balloon delivery device;
51为球囊固定外套管固定螺纹; 51 is a balloon fixed outer sleeve fixing thread;
52为固定杆; 52 is a fixed rod;
53为骨水泥灌注装置固定螺纹; 53 is a fixing thread of the bone cement filling device;
6为推杆; 6 is a putter;
61为螺紋栓子固定螺丝刀头; 61 is a threaded plug to fix the screwdriver head;
62为推杆帽。 62 is a putter cap.
具体实施方式 detailed description
下面结合附图对本发明的实施例作详细说明:本实施例在以本发明技术方案 为前提下进行实施,给出了详细的实施方式和具体的操作过程, 但本发明的保护 范围不限于下述的实施例。 The embodiments of the present invention are described in detail below with reference to the accompanying drawings. This embodiment is implemented on the premise of the technical solution of the present invention, and the detailed implementation manner and the specific operation process are given, but the protection of the present invention. The scope is not limited to the embodiments described below.
本发明的椎体骨折治疗用可降解高分子网状球囊及其制备方法,其具体实施 方式如下: The degradable polymer mesh balloon for treating vertebral body fracture of the present invention and the preparation method thereof are as follows:
实施例 1 : Example 1
称 P (DLLA- CL) 0. 5g, 将其置入 10mL甲醇与二氯甲垸的混合溶剂中, 在室温 下放置于磁力搅拌器上搅拌直至共聚物完全溶解, 溶液呈透明状; 将上述溶液装 入到喷雾装置中的注射器中, 使得其注射速率为 0. 8mL/h, 针尖正极与基片负极 间产生 8000伏的高压, 针尖到接收装置之间的距离为 12讓, 收集经过静电纺丝 喷出的纤维, 制备得到球囊。 将此时得到的样品在扫描电镜下观察。 结果如图 2 所示。 P (DLLA-CL) 0. 5g, placed in 10mL methanol and dichloromethane mixed solvent, placed at room temperature on a magnetic stirrer until the copolymer is completely dissolved, the solution is transparent; The solution is charged into the syringe in the spray device so that the injection rate is 0. 8 mL / h, a high voltage of 8000 volts is generated between the positive electrode of the needle tip and the negative electrode of the substrate, and the distance between the tip of the needle and the receiving device is 12, and the static electricity is collected. The spun fibers are spun to prepare a balloon. The sample obtained at this time was observed under a scanning electron microscope. The result is shown in Figure 2.
实施例 2: Example 2:
称 P (DLLA-CL) 0. 3 g, 将其置入 8 mL二甲基甲酰胺与二氯甲烷的混合溶剂 中, 在室温下放置于磁力搅拌器上搅拌直至共聚物完全溶解, 溶液呈透明状; 将 上述溶液装入到喷雾装置中的注射器中, 使得其注射速率为 1. 2mL/h, 针尖正极 与基片负极间产生 12000伏的高压, 针尖到接收装置之间的距离为 8mm, 收集经 过静电纺丝喷出的纤维, 制备得到球囊。 图 3显示在接收装置上的球囊。 P (DLLA-CL) 0. 3 g, put it into a mixed solvent of 8 mL of dimethylformamide and dichloromethane, and place it on a magnetic stirrer at room temperature until the copolymer is completely dissolved. The solution is filled into a syringe in a spray device such that the injection rate is 1.2 mL/h, a high pressure of 12,000 volts is generated between the positive electrode of the needle tip and the negative electrode of the substrate, and the distance between the tip of the needle and the receiving device is 8 mm. The fibers ejected by electrospinning are collected to prepare a balloon. Figure 3 shows the balloon on the receiving device.
实施例 3: Example 3:
称 P (DLLA- CL) 1. 5 g, 将其置入 20 mL氯仿溶剂中, 在室温下放置于磁力搅 拌器上搅拌直至共聚物完全溶解, 溶液呈透明状; 将上述溶液装入到喷雾装置中 的注射器中, 使得其注射速率为 0. 6mL/h, 针尖正极与基片负极间产生 10000伏 的高压, 针尖到接收装置之间的距离为 15醒, 收集经过静电纺丝喷出的纤维, 制备得到球囊。 P (DLLA-CL) 1. 5 g, put it in 20 mL of chloroform solvent, place it on a magnetic stirrer at room temperature and stir until the copolymer is completely dissolved, the solution is transparent; put the above solution into the spray In the syringe in the device, the injection rate is 0.6 mL/h, a high pressure of 10000 volts is generated between the positive electrode of the needle tip and the negative electrode of the substrate, and the distance between the needle tip and the receiving device is 15 awake, and the collection is performed by electrospinning. Fiber, prepared to obtain a balloon.
实施例 4: Example 4:
称 P (DLLA-CL) 0. 8 g, 将其置入 10 mL二甲基甲酰胺与二氯甲垸的混合溶 剂中, 在室温下放置于磁力搅拌器上搅拌直至共聚物完全溶解, 溶液呈透明状; 将上述溶液装入到喷雾装置中的注射器中, 使得其注射速率为 1. 0mL/h, 针尖正 极与基片负极间产生 15000伏的高压, 针尖到接收装置之间的距离为 10 醒, 收 集经过静电纺丝喷出的纤维, 制备得到球囊。 P (DLLA-CL) 0. 8 g, put it into 10 mL of a mixed solvent of dimethylformamide and dichloromethane, and place it on a magnetic stirrer at room temperature until the copolymer is completely dissolved. The solution is filled into a syringe in a spray device such that the injection rate is 1.0 mL/h, a high pressure of 15,000 volts is generated between the positive electrode of the needle tip and the negative electrode of the substrate, and the distance between the tip of the needle and the receiving device is 10 Wake up, collect the fibers sputtered by electrospinning, and prepare a balloon.
所制备得到的球囊性能参数如下: 球囊内径为 5mm, 球囊外径为 5. 5mm, 命 名压为 8个大气压, 爆破压为 14个大气压, 拉伸强度为 8MPa, 骨水泥注入球囊 后可见微量骨水泥渗出, 在血清中两周内的降解质量为 10- 20% (w/w) 。 The performance parameters of the prepared balloon are as follows: balloon inner diameter is 5 mm, balloon outer diameter is 5. 5 mm, named pressure is 8 atm, burst pressure is 14 atm, tensile strength is 8 MPa, bone cement is injected into the balloon After the microbone exudation, the degradation quality in serum within two weeks was 10-20% (w/w).
本发明的可降解高分子网状球囊封闭装置及输送装置, 如图 1-9所示,其具 体实施方式如下: The degradable polymer mesh balloon sealing device and the conveying device of the present invention are as shown in Fig. 1-9, and the specific embodiments thereof are as follows:
本发明所提供的可降解高分子网状球囊的固定封闭装置及其输送装置加工 制作较为简单方便, 按照说明书附图所示加工制作即可。 固定封闭装置(球囊固 定内套管、 球囊固定外套管、 螺纹栓子)均由可降解材料(可降解高分子、 可降 解金属等)或者钛合金组成, 输送装置(球囊输送装置和推杆)均可由医用钢材 料制成,其中球囊输送装置的骨水泥灌注装置固定螺纹部分和推杆的推杆帽也可 以由塑料材料制成。采用金属机加工工艺制作, 或者采用可降解材料或塑料材料 注塑制作。 The fixed sealing device and the conveying device of the degradable polymer mesh balloon provided by the invention are relatively simple and convenient to be processed, and can be processed according to the drawings shown in the specification. The fixed sealing device (balloon fixed inner cannula, balloon fixed outer cannula, threaded embossed) is composed of degradable material (degradable polymer, degradable metal, etc.) or titanium alloy, and the conveying device (balloon conveying device and The pusher can be made of medical steel material, wherein the cemented material of the balloon delivery device and the push rod cap of the push rod can also be made of plastic material. Made by metal machining, or injection molded from degradable or plastic materials.
本发明的可降解高分子网状球囊的固定封闭装置及其配套输送装置的使用 也很简单方便,在本发明的一个优选的具体实施方式中, 将球囊固定内套管与球 囊固定外套管固定球囊尾端,球囊固定外套管与球囊输送装置通过螺纹结合在一 起, 输送到伤椎内, 通过球囊输送装置向球囊内注入骨水泥使得球囊膨胀、压缩 椎体高度得以抬升。推杆前端通过一字螺丝刀头与螺纹栓子结合,将螺纹栓子推 送到球囊固定内套管位置并旋转固定, 从而封闭球囊。 最后, 将推杆直接撤出, 球囊输送装置旋转与固定装置分离后撤出。 The fixed sealing device of the degradable polymer mesh balloon of the present invention and the supporting device thereof are also very simple and convenient to use. In a preferred embodiment of the present invention, the balloon fixed inner cannula and the balloon are fixed. The outer cannula fixes the balloon end, the balloon fixed outer cannula and the balloon delivery device are screwed together and delivered to the injured vertebra, and the bone cement is injected into the balloon through the balloon delivery device to expand the balloon and compress the vertebral body. The height is raised. The front end of the push rod is coupled to the threaded plug by a slotted screwdriver head, and the threaded plug is pushed to the position of the balloon-fixed inner sleeve and fixed by rotation to close the balloon. Finally, the push rod is directly withdrawn, and the balloon delivery device is rotated and separated from the fixture to be withdrawn.
具体地,根据本发明第一实施例提供的可降解高分子网状球囊的固定封闭装 置, 包括球囊固定内套管 2、 球囊固定外套管 3、 以及螺纹栓子 4, 其中, 所述 球囊固定内套管 2的内壁设置有螺纹栓子固定螺纹 20, 所述球囊固定外套管 3 的内壁设置有球囊输送装置固定螺紋 30, 所述螺纹栓子 4上设置有球囊固定内 套管固定螺纹 41, 所述螺纹栓子 4的近端设置有推杆固定凹槽 42, 所述球囊固 定外套管 3套于球囊尾端 10外壁之外,所述球囊尾端 10内壁套于所述球囊固定 内套管 2之外,所述球囊固定内套管 2与螺纹栓子 4之间通过相匹配的所述螺纹 栓子固定螺纹 20和球囊固定内套管固定螺纹 41螺纹连接,所述球囊固定内套管 2的长度短于所述球囊固定外套管 3的长度。 Specifically, a fixed sealing device for a degradable polymer mesh balloon according to a first embodiment of the present invention includes a balloon-fixed inner cannula 2, a balloon-fixed outer cannula 3, and a threaded plug 4, wherein The inner wall of the balloon-contained inner cannula 2 is provided with a threaded plug fixing thread 20, and the inner wall of the balloon-fixing outer sleeve 3 is provided with a balloon delivery device fixing thread 30, and the threaded plug 4 is provided with a balloon Fixing the inner sleeve fixing thread 41, the proximal end of the threaded plug 4 is provided with a push rod fixing groove 42, and the balloon fixing outer sleeve 3 is sleeved outside the outer wall of the balloon tail end 10, the balloon tail The inner wall of the end 10 is sleeved outside the balloon-fixed inner cannula 2, and the ball-fixing inner cannula 2 and the threaded plug 4 are fixed between the thread 20 and the balloon by the matching threaded plug. The cannula fixation thread 41 is threaded and the length of the balloon fixation inner cannula 2 is shorter than the length of the balloon fixation outer cannula 3.
在本实施例的一个优选例中, 所述球囊输送装置固定螺纹 30仅分布在所述 球囊固定外套管 3内壁的近端区域,所述球囊固定外套管 3内壁的远端区域为尾 端 10外壁接触面,球囊固定外套管 3的内壁与球囊尾端 10外壁紧密接触, 所述 球囊固定内套管外壁为球囊尾端 10内壁接触面, 球囊固定内套管 2的外壁与球 囊尾端 10内壁紧密接触。 所述球囊固定内套管 2的外径略小于所述球囊固定外 套管 3的内径。 所述推杆固定凹槽 42为一字螺丝刀凹槽。 所述球囊固定内套管 2、 球囊固定外套管 3、 以及螺纹栓子 4均由可降解材料、 或者钛合金材料制成。 In a preferred embodiment of the present embodiment, the balloon delivery device fixing thread 30 is distributed only in the proximal end region of the inner wall of the balloon-fixing outer cannula 3, and the distal end region of the inner wall of the balloon-fixing outer cannula 3 is The outer wall contact surface of the tail end 10, the inner wall of the balloon fixed outer sleeve 3 is in close contact with the outer wall of the balloon tail end 10, the outer wall of the balloon fixed inner sleeve is the inner wall contact surface of the balloon tail end 10, and the balloon is fixed to the inner sleeve. 2 outer wall and ball The inner wall of the sac end 10 is in intimate contact. The outer diameter of the balloon-fixed inner cannula 2 is slightly smaller than the inner diameter of the balloon-fixed outer cannula 3. The push rod fixing groove 42 is a slotted screwdriver groove. The balloon-fixed inner cannula 2, the balloon-fixed outer cannula 3, and the threaded plug 4 are each made of a degradable material, or a titanium alloy material.
进一步地, 根据本发明第二实施例提供的可降解高分子网状球囊的输送装 置, 包括球囊输送装置 5、 以及推杆 6, 其中, 所述球囊输送装置 5包括中空管 状主体部、 以及固定杆 52, 所述中空管状主体部的远端设置有球囊固定外套管 固定螺纹 51, 所述中空管状主体部的近端设置有骨水泥灌注装置固定螺纹 53, 所述固定杆 52连接于所述中空管状主体部, 所述推杆 6包括螺丝刀部、 以及连 接于所述螺丝刀部近端的推杆帽 62, 所述螺丝刀部的远端为螺纹栓子固定螺丝 刀头 61, 所述球囊输送装置 5的中空管状主体部套在所述推杆 6的螺丝刀部之 外, 所述螺丝刀部的长度长于所述中空管状主体部的长度。 Further, a delivery device for a degradable polymer mesh balloon according to a second embodiment of the present invention includes a balloon delivery device 5 and a push rod 6, wherein the balloon delivery device 5 includes a hollow tubular body portion And a fixing rod 52, the distal end of the hollow tubular body portion is provided with a balloon fixing outer sleeve fixing thread 51, and the proximal end of the hollow tubular body portion is provided with a bone cement filling device fixing thread 53, the fixing rod 52 Connected to the hollow tubular body portion, the push rod 6 includes a screwdriver portion, and a push rod cap 62 connected to the proximal end of the screwdriver portion, and the distal end of the screwdriver portion is a threaded plug fixing the screwdriver head 61. The hollow tubular body portion of the balloon delivery device 5 is sheathed outside the screwdriver portion of the push rod 6, and the length of the screwdriver portion is longer than the length of the hollow tubular body portion.
在本实施例的一个优选例中, 所述固定杆 52的轴向与所述中空管状主体部 的轴向之间相垂直。 所述螺纹栓子固定螺丝刀头 61为一字螺丝刀头。 In a preferred embodiment of the embodiment, the axial direction of the fixing rod 52 is perpendicular to the axial direction of the hollow tubular body portion. The threaded plug fixing screwdriver head 61 is a slotted screwdriver head.
根据本发明第三实施例提供的可降解高分子网状球囊的固定封闭及输送装 置, 包括球囊固定内套管 2、 球囊固定外套管 3、 螺纹栓子 4、 球囊输送装置 5、 以及推杆 6, 其中, 所述球囊固定内套管 2的内壁设置有螺纹栓子固定螺纹 20, 所述球囊固定外套管 3的内壁设置有球囊输送装置固定螺纹 30,所述螺纹栓子 4 上设置有球囊固定内套管固定螺纹 41, 所述螺纹栓子 4的近端设置有推杆固定 凹槽 42, 所述球囊固定外套管 3套于所述球囊固定内套管 2之外, 所述球囊固 定内套管 2与螺纹栓子 4之间通过相匹配的所述螺纹栓子固定螺纹 20和球囊固 定内套管固定螺纹 41螺紋连接, 所述球囊固定内套管 2的长度短于所述球囊固 定外套管 3的长度; 所述球囊输送装置 5包括中空管状主体部、 以及固定杆 52, 所述中空管状主体部的远端设置有球囊固定外套管固定螺紋 51, 所述中空管状 主体部的近端设置有骨水泥灌注装置固定螺纹 53, 所述固定杆 52连接于所述中 空管状主体部,所述推杆 6包括螺丝刀部、 以及连接于所述螺丝刀部近端的推杆 帽 62, 所述螺丝刀部的远端为螺纹栓子固定螺丝刀头 61, 所述球囊输送装置 5 的中空管状主体部套在所述推杆 6的螺丝刀部之外,所述螺丝刀部的长度长于所 述中空管状主体部的长度; 其中, 所述推杆固定凹槽 42与螺纹栓子固定螺丝刀 头 61相匹配, 所述球囊固定外套管与球囊输送装置之间通过相匹配的所述球囊 输送装置固定螺纹 30和球囊固定外套管固定螺纹 51螺纹连接。所述球囊固定内 套管 2、 球囊固定外套管 3、 以及螺纹栓子 4均由可降解材料、 或者钛合金材料 制成。 A fixed sealing and conveying device for a degradable polymer mesh balloon according to a third embodiment of the present invention, comprising a balloon fixed inner cannula 2, a balloon fixed outer cannula 3, a threaded plug 4, and a balloon delivery device 5 And the push rod 6, wherein the inner wall of the balloon-fixing inner sleeve 2 is provided with a threaded plug fixing thread 20, and the inner wall of the balloon-fixing outer sleeve 3 is provided with a balloon delivery device fixing thread 30, The threaded plug 4 is provided with a balloon-fixing inner sleeve fixing thread 41. The proximal end of the threaded plug 4 is provided with a push rod fixing groove 42, and the balloon fixing outer sleeve 3 is sleeved on the balloon. In addition to the inner sleeve 2, the balloon-fixed inner sleeve 2 and the threaded plug 4 are screwed by the matching threaded plug fixing thread 20 and the balloon-fixing inner sleeve fixing thread 41, The length of the balloon-fixed inner cannula 2 is shorter than the length of the balloon-fixed outer cannula 3; the balloon delivery device 5 includes a hollow tubular body portion, and a fixed rod 52, the distal end of which is disposed a balloon fixed outer sleeve fixing thread 51, the hollow The proximal end of the tubular body portion is provided with a bone cement filling device fixing thread 53, the fixing rod 52 is connected to the hollow tubular body portion, the push rod 6 includes a screwdriver portion, and a push connected to the proximal end of the screwdriver portion a rod cap 62, the distal end of the screwdriver portion is a threaded plug fixing the screwdriver head 61, and the hollow tubular body portion of the balloon delivery device 5 is sleeved outside the screwdriver portion of the push rod 6, the screwdriver portion The length is longer than the length of the hollow tubular body portion; wherein the push rod fixing groove 42 is matched with the threaded plug fixing screwdriver head 61, and the balloon fixing outer sleeve and the balloon conveying device are matched by The balloon delivery device fixation thread 30 is threadedly coupled to the balloon-fixed outer cannula fixation thread 51. The balloon is fixed inside The sleeve 2, the balloon-fixed outer sleeve 3, and the threaded plug 4 are all made of a degradable material, or a titanium alloy material.
以上对本发明的具体实施例进行了描述。 需要理解的是, 本发明并不局 限于上述特定实施方式, 本领域技术人员可以在权利要求的范围内做出各种 变形或修改, 这并不影响本发明的实质内容。 The specific embodiments of the present invention have been described above. It is to be understood that the invention is not limited to the specific embodiments described above, and various modifications and changes can be made by those skilled in the art without departing from the scope of the invention.
Claims
Applications Claiming Priority (6)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2011103946223A CN102433595A (en) | 2011-12-02 | 2011-12-02 | Method for preparing degradable polymer sacculus |
| CN201110394622.3 | 2011-12-02 | ||
| CN2012104904561A CN103284782A (en) | 2012-11-27 | 2012-11-27 | Degradable high polymer reticular balloon for vertebral fracture treatment and preparation method of balloon |
| CN201210490456.1 | 2012-11-27 | ||
| CN201210496696.2A CN102973313B (en) | 2012-11-28 | 2012-11-28 | Fixing and closing device of degradable polymer mesh balloon and its delivery device |
| CN201210496696.2 | 2012-11-28 |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| WO2013078779A1 true WO2013078779A1 (en) | 2013-06-06 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| PCT/CN2012/001624 Ceased WO2013078779A1 (en) | 2011-12-02 | 2012-12-04 | Biodegradable macromolecule reticular balloon, manufacturing thereof, balloon-sealing apparatus and balloon-transporting apparatus |
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| Country | Link |
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| WO (1) | WO2013078779A1 (en) |
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| CN110141760A (en) * | 2019-06-05 | 2019-08-20 | 山东百多安医疗器械有限公司 | A kind of surface carries the vertebral plasty dilating sacculus and preparation method thereof of medicine |
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| CN110141760B (en) * | 2019-06-05 | 2021-10-08 | 山东百多安医疗器械股份有限公司 | Centrum forming expansion balloon with drug loaded on surface and preparation method thereof |
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