WO2014094652A1 - Method for preparing biodegradable polymer frame - Google Patents

Method for preparing biodegradable polymer frame Download PDF

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Publication number
WO2014094652A1
WO2014094652A1 PCT/CN2013/090097 CN2013090097W WO2014094652A1 WO 2014094652 A1 WO2014094652 A1 WO 2014094652A1 CN 2013090097 W CN2013090097 W CN 2013090097W WO 2014094652 A1 WO2014094652 A1 WO 2014094652A1
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WO
WIPO (PCT)
Prior art keywords
pipe
biodegradable polymer
original
tube
temperature
Prior art date
Application number
PCT/CN2013/090097
Other languages
French (fr)
Chinese (zh)
Inventor
陈宝爱
孟娟
陈树国
罗七一
Original Assignee
上海微创医疗器械(集团)有限公司
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Publication of WO2014094652A1 publication Critical patent/WO2014094652A1/en

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Classifications

    • 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
    • A61F2/86Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
    • A61F2/90Stents 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
    • A61F2/91Stents 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
    • 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
    • A61F2/86Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
    • A61F2/90Stents 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
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B29WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
    • B29CSHAPING OR JOINING OF PLASTICS; SHAPING OF MATERIAL IN A PLASTIC STATE, NOT OTHERWISE PROVIDED FOR; AFTER-TREATMENT OF THE SHAPED PRODUCTS, e.g. REPAIRING
    • B29C71/00After-treatment of articles without altering their shape; Apparatus therefor
    • B29C71/0063After-treatment of articles without altering their shape; Apparatus therefor for changing crystallisation
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B29WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
    • B29CSHAPING OR JOINING OF PLASTICS; SHAPING OF MATERIAL IN A PLASTIC STATE, NOT OTHERWISE PROVIDED FOR; AFTER-TREATMENT OF THE SHAPED PRODUCTS, e.g. REPAIRING
    • B29C71/00After-treatment of articles without altering their shape; Apparatus therefor
    • B29C71/0072After-treatment of articles without altering their shape; Apparatus therefor for changing orientation
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B29WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
    • B29CSHAPING OR JOINING OF PLASTICS; SHAPING OF MATERIAL IN A PLASTIC STATE, NOT OTHERWISE PROVIDED FOR; AFTER-TREATMENT OF THE SHAPED PRODUCTS, e.g. REPAIRING
    • B29C71/00After-treatment of articles without altering their shape; Apparatus therefor
    • B29C71/02Thermal after-treatment
    • 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
    • A61F2210/00Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2210/0004Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof bioabsorbable
    • 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
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B29WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
    • B29CSHAPING OR JOINING OF PLASTICS; SHAPING OF MATERIAL IN A PLASTIC STATE, NOT OTHERWISE PROVIDED FOR; AFTER-TREATMENT OF THE SHAPED PRODUCTS, e.g. REPAIRING
    • B29C71/00After-treatment of articles without altering their shape; Apparatus therefor
    • B29C71/02Thermal after-treatment
    • B29C2071/022Annealing
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B29WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
    • B29CSHAPING OR JOINING OF PLASTICS; SHAPING OF MATERIAL IN A PLASTIC STATE, NOT OTHERWISE PROVIDED FOR; AFTER-TREATMENT OF THE SHAPED PRODUCTS, e.g. REPAIRING
    • B29C49/00Blow-moulding, i.e. blowing a preform or parison to a desired shape within a mould; Apparatus therefor
    • B29C49/0005Blow-moulding, i.e. blowing a preform or parison to a desired shape within a mould; Apparatus therefor characterised by the material
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B29WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
    • B29CSHAPING OR JOINING OF PLASTICS; SHAPING OF MATERIAL IN A PLASTIC STATE, NOT OTHERWISE PROVIDED FOR; AFTER-TREATMENT OF THE SHAPED PRODUCTS, e.g. REPAIRING
    • B29C49/00Blow-moulding, i.e. blowing a preform or parison to a desired shape within a mould; Apparatus therefor
    • B29C49/02Combined blow-moulding and manufacture of the preform or the parison
    • B29C49/04Extrusion blow-moulding
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B29WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
    • B29KINDEXING SCHEME ASSOCIATED WITH SUBCLASSES B29B, B29C OR B29D, RELATING TO MOULDING MATERIALS OR TO MATERIALS FOR MOULDS, REINFORCEMENTS, FILLERS OR PREFORMED PARTS, e.g. INSERTS
    • B29K2995/00Properties of moulding materials, reinforcements, fillers, preformed parts or moulds
    • B29K2995/0037Other properties
    • B29K2995/0059Degradable
    • B29K2995/006Bio-degradable, e.g. bioabsorbable, bioresorbable or bioerodible

Definitions

  • the present invention relates to a method of preparing a biodegradable polymer scaffold for medical use. Background technique
  • biodegradable stents As an important device for the treatment of vascular stenosis, stents have been widely used in the field of cardiovascular diseases. For metal stents that are widely used in clinical practice, because they will remain in the human body after completing the treatment task, there are MRI or CT images that weaken the coronary arteries, interfere with surgical revascularization, hinder the formation of collateral circulation, and inhibit vascular integrity. Reshape and other defects. Based on these issues, biodegradable stents have attracted widespread attention as a possible alternative solution.
  • the biodegradable stent is made of a degradable polymeric material or a metallic material. After implantation in the lesion, the biodegradable stent can support the blood vessels in a short period of time and achieve revascularization.
  • the biodegradable scaffold degrades into an organic substance that can be absorbed and metabolized by the human body in the human environment, and eventually the scaffold disappears.
  • Common degradable polymer materials that can be used for stent preparation include polylactic acid, polyglycolic acid, polycaprolactone, etc.; common degradable metal materials that can be used for stent preparation are magnesium alloys, iron-based alloys, and the like.
  • the degradable metal material is difficult to ensure the effective support time of the stent because the degradation time is too fast.
  • Biodegradable polymer materials (such as polylactic acid and its copolymers) have been approved by the US Food and Drug Administration as FDA-approved bioengineerable materials for humans.
  • biodegradable scaffolds with biodegradable polymer materials as raw materials is a hot research topic.
  • biodegradable polymer materials such as polylactic acid, polyglycolic acid, polycaprolactone
  • the mechanical properties of the other are relatively weak, and its Young's modulus is only about 0.1-4 GPa, and the strength is only 40-80 MPa. Due to the low mechanical strength of the material, the stents made of these materials have a small radial support force and are difficult to support the blood vessels.
  • the elastic range of these materials is larger than that of the conventional metal stent material, so that the prepared stent has a high rebound rate after expansion, which is also a big problem.
  • the object of the present invention is to develop a preparation method of a biodegradable polymer scaffold, so that the prepared biodegradable polymer scaffold has high immediate support force, is not easy to be broken, and the tube is The internal stress can be effectively released, thereby increasing the shelf life of the stent.
  • a method of preparing a biodegradable polymer scaffold comprising the steps of:
  • Step 1) preparing a biodegradable polymer raw tubing from a biodegradable polymer material
  • Step 2) placing the raw pipe prepared in the step 1) into a tubular mold, heating the raw pipe, and injecting a high-pressure gas into the original pipe to follow a radial direction of the original pipe Inflating the original tubing in a direction such that an outer diameter of the inflated tubing is equal to an inner diameter of the tubular mold such that the tubing is capable of achieving a high orientation in a radial direction; and, prior to inflating the tubing in the radial direction After inflating the pipe along the radial direction or after inflating the pipe along the radial direction, axially stretching the pipe along the axial direction of the pipe to achieve the pipe at the diameter Simultaneous orientation of the direction and the axial direction;
  • Step 4) The shaped tube obtained in the step 3) is prepared into the biodegradable polymer scaffold.
  • orientation here refers to a technical term in the field of materials science, which means that the molecular chains in a certain material are preferentially arranged in a certain direction.
  • the above "allowing the tube to be highly oriented in the radial direction” means that the molecular chains in the material of the tube are preferentially aligned substantially in the radial direction; the above-mentioned “implementing the tube in the radial direction and The simultaneous orientation of the axial direction means that the molecular chains within the material of the tube are preferentially aligned substantially in both the radial direction and the axial direction.
  • the molecular chains in the material can generally be arranged substantially radially by expanding the tubes in their radial directions, and can be expanded by causing the tubes to expand in both their radial and axial directions.
  • the expansion and stretching are such that the molecular chains in the material are aligned substantially in both the radial direction and the axial direction.
  • the biodegradable polymer material in the step 1) is polylactic acid, polyglycolic acid, polycaprolactone, polydioxanone, polyanhydride, tyrosine polycarbonate or a copolymer thereof Or a blend.
  • the degradation cycle of the stent in the human body can be from one month to three years, and the user can make any selection according to their respective needs.
  • the original pipe obtained in the step 1) is an amorphous pipe, and the amorphous pipe has a crystallinity of less than 20%.
  • the step 2) comprises the following steps:
  • the annealing in the step 3) means placing the inflated tube at the annealing temperature for a predetermined time, the predetermined time being 5 minutes to 24 hours.
  • the inflated tube is annealed The liner is placed in the interior of the inflated tubing and then removed from the interior of the inflated tubing after annealing is complete. The use of a core prevents the tube from shrinking during annealing.
  • the shaped tube is prepared by laser cutting to prepare the biodegradable polymer scaffold; or the shaped tube is cut into strips and then woven into the bio- Degradation of polymer scaffolds.
  • the raw pipe is preheated at a preheating temperature before heating the raw pipe and the tubular die to the orientation temperature, the preheating temperature Higher than the glass transition temperature of the polymeric material.
  • the preheating temperature is lower than the glass transition temperature of the polymer material and the sum of 20 °C.
  • heating is performed by a resistance wire wound on the tubular mold, or by using a high-pressure gas injected into the inside of the original pipe, thereby heating the original pipe and the The tubular mold is heated to the orientation temperature.
  • the outer diameter ratio of the original pipe and the inflated pipe is between 1:1.5 and 1:5; the original pipe and the inflated pipe are The wall thickness ratio is between 1.5:1 and 5:1; and the length ratio of the original tubing to the inflated tubing is between 1:1 and 1:2.
  • the expansion pressure is maintained for a predetermined time while maintaining the orientation temperature, the predetermined time being between 2 seconds and 10 minutes. This allows the tubing to be sufficiently oriented at the above temperatures and pressures to improve the mechanical properties of the final stent.
  • the inflated tube and the tubular mold are The temperature is rapidly lowered to at least 20 ° C below the glass transition temperature of the polymeric material.
  • the tube can be highly oriented in the radial and axial directions before being cut into a stent, so that the strength and toughness of the material in the radial direction and the axial direction are greatly improved. Moreover, through a certain period of annealing, a perfect crystallization system is formed, and the internal stress of the pipe is released, which effectively improves the support force and toughness of the stent immediately and after storage, and reduces the fracture phenomenon during the retraction and expansion of the stent. .
  • the stent can be automatically loaded and the radial support force of the stent can be more than 120KPa after 3 months of storage, and the retraction rate after the stent is expanded can be controlled within 5%, and the stent is not expanded during the expansion process. It is prone to breakage.
  • the method of the present invention merely involves innovating the method of processing the stent without altering the raw material of the stent and thus has no effect on the biosafety of the stent.
  • Figure 1 is a schematic cross-sectional view along the longitudinal axis of the tubular mold and the original tubing showing the original tubing placed in the tubular mold.
  • Figure 2 is a schematic cross-sectional view along the longitudinal axis of the tubular mold and the inflated tubing, showing the condition after the original tubing is inflated, wherein the arrows in the figure indicate that the tubing is subjected to radial and axial directions, respectively. Force.
  • Figure 3 shows a structural view of the resulting stent of the present invention.
  • the present invention generally provides a method of preparing a biodegradable polymer scaffold for medical use.
  • the raw materials for common biodegradable stents are polymeric materials and degradable metallic materials.
  • Step 1) preparing biodegradable polymer raw tubing from biodegradable polymer material 2;
  • Step 2) The original pipe 2 prepared in the step 1) is placed in the tubular mold 1 (as shown in FIG. 1, the original pipe 2 is inserted into the inner hole of the tubular mold 1), and the original pipe 2 is subjected to Heating, and injecting high pressure gas into the original pipe 2 to inflate the original pipe 2 in the radial direction of the original pipe 2 such that the outer diameter of the inflated pipe 3 is equal to the tubular die 1 Inner diameter (as shown in Figure 2), making the pipe radial
  • the direction can achieve a high degree of orientation; and the tube can be axially stretched along the axial direction of the tube before inflating the tube along the radial direction, or can be inflated along the radial direction At the same time, the pipe is axially stretched along the axial direction of the pipe, or the pipe may be axially stretched along the axial direction of the pipe after inflating the pipe along the radial direction to realize the pipe in the pipe. Simultaneous orientation of the radial direction and the axial direction;
  • Step 3) annealing the inflated tube 3 at an annealing temperature to obtain a shaped tube, wherein the annealing temperature is higher than a glass transition temperature Tg of the polymer material and lower than a melting temperature Tm of the polymer material ;
  • Step 4) The shaped tube obtained in the step 3) is prepared into the biodegradable polymer scaffold.
  • the final biodegradable polymer scaffold 4 is shown in FIG.
  • the degradable stent obtained by the above method of the invention not only has a high immediate support force, is not easy to be broken, but also has an effective crystallization system, and the internal stress of the tube is also effectively released, so that the shelf life of the stent is positively improved.
  • the biodegradable polymer material in the step 1) is polylactic acid, polyglycolic acid, polycaprolactone, polydioxanone, polyanhydride, tyrosine polycarbonate or a copolymer thereof Or a blend.
  • the final biodegradable polymer scaffold 4 can be degraded in the human body for one month to three years, and the user can make any choice according to his own needs.
  • the original pipe 2 obtained in the step 1) is an amorphous pipe, and the amorphous pipe has a crystallinity of less than 20%.
  • the step 2) comprises the following steps:
  • the pipe is piped along the axial direction of the pipe before inflating the pipe along the radial direction, while inflating the pipe along the radial direction or after inflating the pipe along the radial direction Axial stretching
  • the temperature Tg is below; then, the expansion pressure is removed, and the inflated tube 3 is taken out.
  • the annealing in the step 3) means that the inflated tube 3 is placed at the annealing temperature for a predetermined time, the predetermined time being 5 minutes to 24 hours.
  • a suitable size liner is placed inside the inflated tube 3 before annealing the inflated tube 3, and then the lining is completed after the annealing is completed.
  • the core is taken out from the inside of the inflated tubing 3.
  • the shaped tube is prepared by laser cutting to prepare the biodegradable polymer holder 4; or the shaped tube is cut into strips and then woven into the living body.
  • the raw pipe 2 is preheated at a preheating temperature T1 before the raw pipe 2 and the tubular die 1 are heated to the orientation temperature T,
  • the preheating temperature T1 is higher than the glass transition temperature Tg of the polymer material.
  • the preheating temperature T1 is lower than the glass transition temperature Tg of the polymer material and
  • the sum of 20 °C. Gp, the preheating temperature T1>Tg, and the specific range of the preheating temperature T1 may be: Tg ⁇ Tg+20° C., where Tg is the glass transition temperature of the polymer material.
  • Tg is the glass transition temperature of the polymer material.
  • the growth of crystal nucleus in the polymer is favored, and the size growth of the crystal is disadvantageous, which is advantageous for forming a large number of small-sized crystals, which contributes to the improvement of the strength and toughness of the tube.
  • a resistance wire is wound around the outer circumference of the tubular mold 1 to form a heater, which is heated by a resistance wire wound on the tubular mold 1; or the original is injected
  • the high-pressure gas inside the pipe 2 has a high temperature, and is heated by a high-pressure gas injected into the inside of the original pipe 2, thereby heating the original pipe 2 and the tubular die 1 to the orientation temperature.
  • the heating method of the present invention is not limited, and the above is merely illustrative.
  • the original pipe 2 has a predetermined outer diameter, a predetermined wall thickness and a predetermined length
  • the inflated pipe 3 has a corresponding outer diameter, wall thickness and length after inflation.
  • the outer diameter ratio of the original pipe 2 and the inflated pipe 3 is between 1:1.5 and 1:5; the wall thickness ratio of the original pipe 2 and the inflated pipe 3 is 1.5:1 and Between 5:1; and the length ratio of the original tubing 2 and the inflated tubing 3 is between 1:1 and 1:2.
  • the expansion pressure is maintained for a predetermined time while maintaining the orientation temperature T, the predetermined time being between 2 seconds and 10 minutes. This allows the tubing to be sufficiently oriented at the above temperatures and pressures to improve the mechanical properties of the final stent.
  • said inflated tubing 3 and said tubular mould 1 are rapidly cooled to a temperature of at least 20 ° C below the glass transition temperature Tg of the polymeric material.
  • the polymer material of the original pipe 2 selected in the present example is a biodegradable polymer material polylactic acid.
  • the polylactic acid particles were extruded to obtain a raw pipe 2 having an outer diameter of 1.5 mm and a wall thickness of 0.5 mm.
  • the original pipe 2 was placed in a stainless steel tubular mold 1 having an inner diameter of 2.5 mm as shown in FIG.
  • Polylactic acid raw tubing 2 is closed at one end and high pressure gas at the other end The road is connected.
  • the original pipe 2 and the tubular mold 1 are heated to raise the temperature to 120 ° C, and then the original pipe 2 is filled with high-pressure nitrogen gas having a pressure of 200 psi, and the original pipe 2 is axially wound. Stretching, the stretching distance is 40mm.
  • the original pipe 2 was prepared into a pipe having an outer diameter of 2.5 mm and a wall thickness of 0.15 mm under high temperature, high pressure and tensile conditions, that is, the inflated pipe 3, as shown in FIG. Thereafter, the entire system was rapidly cooled to room temperature, and then the pressure was released, and the inflated tube 3 was taken out. Finally, the inflated pipe 3 is placed on a metal core with an outer diameter of 2.2 mm, and annealed in an oven at 90 ° C for 5 minutes, and then the annealed formed pipe is laser-cut, and finally obtained as shown in FIG. 3 .
  • the prepared stent was crimped onto a suitable balloon, and the outer diameter of the stent after crimping was 1.0 mm. Then, the stent was expanded to an outer diameter of 3.0 mm in physiological saline at 37 ° C, and the stent was not broken during the expansion. After the balloon is withdrawn, the support force of the stent after expansion is measured to be greater than 100 kPa. At the same time, the stent prepared in the same manner was crimped onto a suitable balloon, and then vacuum-filled with an aluminum foil bag and placed at room temperature for 3 months.
  • the polymer material of the original pipe 2 selected in the present example is a biodegradable polymer material polylactic acid-polyglycolic acid copolymer (PLGA) with a copolymerization ratio of 85:15.
  • PLGA polylactic acid-polyglycolic acid copolymer
  • the entire system was then rapidly cooled to 20 ° C and then depressurized to remove the inflated tubing 3 .
  • the inflated pipe 3 is placed on a metal core with an outer diameter of 2.2 mm, and annealed in an oven at 80 ° C for 30 minutes, and then the annealed formed pipe is laser-cut into a sheet having a width of 0.2 mm.
  • the sheet is woven to finally obtain a stent that meets the needs.
  • the prepared stent is crimped onto a suitable balloon, and the outer diameter of the stent after pressing is 1. lmm. Then, the stent was expanded to an outer diameter of 2.5 mm in physiological saline at 37 ° C, and the stent was not broken during the expansion.
  • the supporting force of the stent after expansion was measured, and as a result, the supporting force was about 140 kPa.
  • the stent prepared in the same manner was crimped onto a suitable balloon, and then vacuum-filled with an aluminum foil bag and placed at room temperature for 3 months. Then, the stent was taken out, and the stent was expanded to an outer diameter of 2.5 mm in physiological saline at 37 ° C, and the stent was not broken during the expansion. After the balloon was withdrawn, the support force of the stent after expansion was measured, and the support force was about 145 kpa.
  • the stent prepared in the same manner is firstly pressed into a suitable balloon, and then the stent that has not been stored and stored at room temperature for 3 months is separately delivered to the stenosis of the blood vessel, and the balloon is filled to expand the stent, thereby expanding the narrow blood vessel. No fracture of the stent was observed during the opening process. After the balloon was withdrawn, angiography observed that the blood vessels were still stretched by the stent, and no adverse events of stent collapse occurred during the entire procedure. After 1.5 years, the stent was not seen during clinical follow-up by intravascular ultrasound, indicating that the stent body material was completely degraded, and the stent lesion was implanted. : There was no restenosis and inflammatory reaction.
  • the stent prepared according to the technical method of the present invention can achieve the radial support force of the stent after 3 months of storage and can reach 120KPa or more, and the retraction rate after stent expansion can be controlled within 5%, and the stent does not expand during the expansion process. It is prone to breakage.
  • the method of the present invention merely involves innovating the method of processing the stent without altering the raw material of the stent and thus has no effect on the biosafety of the stent.

Abstract

A method for preparing a biodegradable polymer frame comprises the following steps: 1) preparing a biodegradable polymer original tube (2) by using a biodegradable polymer material; 2) placing the original tube (2) in a tubular die (1), heating the original tube, and filling the original tube (2) with high-pressure gas, so that the original tube (2) can be highly oriented at the radial direction, and moreover, axially stretching the tube (2) along the axial direction of the tube (2), so that the tube (2) is oriented at the radial direction and the axial direction at the same time; 3) annealing the huffed tube (3) at the annealing temperature, to obtain the formed tube, the annealing temperature being higher than the transformation temperature (Tg) at which the polymer material is vitrified and being lower than the melting temperature (Tm) of the polymer material; and 4) preparing a biodegradable polymer frame (4) by using the formed tube. With the method, the short-time sustenance of the frame (4) is enhanced, so that fracture can be avoided; moreover, the internal stress of the tube can be effectively released, thereby improving the service life of the frame.

Description

一种生物可降解聚合物支架的制备方法 技术领域  Method for preparing biodegradable polymer scaffold
本发明涉及一种用于医疗用途的生物可降解聚合物支架的制备方 法。 背景技术  The present invention relates to a method of preparing a biodegradable polymer scaffold for medical use. Background technique
支架作为治疗血管狭窄的重要器械已经在心血管疾病领域得到了 越来越广阔的应用。 对于目前广泛应用于临床的金属支架, 由于其在 完成治疗任务后将永久存留于人体, 所以存在削弱冠状动脉的 MRI或 CT影像、 干扰外科血运重建、 阻碍侧枝循环的形成、 抑制血管正性重 塑等缺陷。 基于这些问题, 生物可降解支架作为可能的一种替代解决 方案引起了人们的广泛关注。 生物可降解支架由可降解的聚合物材料或金属材料制成。 在植入 病变部位后, 生物可降解支架可以在短期内起到支撑血管的作用, 实 现血运重建。 在治疗完成以后, 生物可降解支架在人体环境内会降解 成为可被人体吸收、 代谢的有机物, 最终该支架会消失。 常见的可用于支架制备的可降解聚合物材料有聚乳酸、聚乙醇酸、 聚己内酯等; 常见的可用于支架制备的可降解金属材料有镁合金、 铁 基合金等等。 但是, 在应用过程中发现, 可降解金属材料由于降解时 间太快, 很难保证支架的有效支撑时间。而生物可降解聚合物材料(如 聚乳酸及其共聚物等) 已被美国食品与药物管理局 FDA批准为可应用 于人体的生物工程材料。 以生物可降解聚合物材料为原材料的生物可 降解支架的研究是目前的研究热点。 常见的生物可降解聚合物材料 (如聚乳酸、 聚乙醇酸、 聚己内酯 等) 的力学性能比较弱, 其杨氏模量只有 0.1-4GPa 左右, 强度只有 40-80MPa。 由于材料的力学强度低, 所以由这些材料制成的支架的径 向支撑力较小, 很难起到支撑血管的作用。 并且, 这些材料的弹性范 围大于传统的金属支架材料, 使得制备成的支架在扩张以后的回弹率 较高, 这也是一个很大的问题。 另外, 这些材料的塑性变形区小, 韧 性差, 使得支架在扩张过程中容易出现断裂等不良事件。 此外, 由于支架在制备完成后必定要经历一定时期的存储, 支架 货架寿命短也会影响支架的应用。 为了解决支架的支撑力和韧性的问题, 美国专利文献 US8012402 对制备支架的原始聚合物管材在玻璃化转变温度以上进行吹胀, 以得 到高结晶度的管材, 该管材切割得到的支架由于实现了径向的取向, 所以支撑力得到了较大的提高。 但是, 由于管材在吹胀这个较短时间 的过程中并不能形成完善的结晶体系, 并且在吹胀完成后的淬冷时管 材内部会残留较多的内应力, 所以造成支架容易断裂。 另外, 美国专利文献 US20110260352在解决支架的物理老化时提 出, 将吹胀后的管材或吹胀后管材切割的支架降温后再升高到一个高 于室温、 低于材料的玻璃化转变温度的温度, 以提高管材的结晶度, 减缓管材在存储过程中的物理老化。 但是, 经研究发现, 上述的处理 效果的技术优点并不明显, 无法减缓材料的物理老化, 用该方法处理 后的支架仍然容易发生断裂。 发明内容 As an important device for the treatment of vascular stenosis, stents have been widely used in the field of cardiovascular diseases. For metal stents that are widely used in clinical practice, because they will remain in the human body after completing the treatment task, there are MRI or CT images that weaken the coronary arteries, interfere with surgical revascularization, hinder the formation of collateral circulation, and inhibit vascular integrity. Reshape and other defects. Based on these issues, biodegradable stents have attracted widespread attention as a possible alternative solution. The biodegradable stent is made of a degradable polymeric material or a metallic material. After implantation in the lesion, the biodegradable stent can support the blood vessels in a short period of time and achieve revascularization. After the treatment is completed, the biodegradable scaffold degrades into an organic substance that can be absorbed and metabolized by the human body in the human environment, and eventually the scaffold disappears. Common degradable polymer materials that can be used for stent preparation include polylactic acid, polyglycolic acid, polycaprolactone, etc.; common degradable metal materials that can be used for stent preparation are magnesium alloys, iron-based alloys, and the like. However, it has been found in the application process that the degradable metal material is difficult to ensure the effective support time of the stent because the degradation time is too fast. Biodegradable polymer materials (such as polylactic acid and its copolymers) have been approved by the US Food and Drug Administration as FDA-approved bioengineerable materials for humans. The research of biodegradable scaffolds with biodegradable polymer materials as raw materials is a hot research topic. Common biodegradable polymer materials (such as polylactic acid, polyglycolic acid, polycaprolactone) The mechanical properties of the other are relatively weak, and its Young's modulus is only about 0.1-4 GPa, and the strength is only 40-80 MPa. Due to the low mechanical strength of the material, the stents made of these materials have a small radial support force and are difficult to support the blood vessels. Moreover, the elastic range of these materials is larger than that of the conventional metal stent material, so that the prepared stent has a high rebound rate after expansion, which is also a big problem. In addition, these materials have small plastic deformation zones and poor toughness, which makes the stent prone to breakage and other adverse events during the expansion process. In addition, since the stent must be stored for a certain period of time after preparation, the short shelf life of the stent will also affect the application of the stent. In order to solve the problem of the supporting force and the toughness of the stent, US Pat. No. 8,012,402, inflates the original polymer tube for preparing the stent above the glass transition temperature to obtain a tube of high crystallinity, and the stent obtained by cutting the tube is realized. The radial orientation, so the support force is greatly improved. However, since the pipe does not form a perfect crystallization system during the short period of inflation, and there is much internal stress remaining inside the pipe after quenching after completion of inflation, the stent is easily broken. In addition, in the physical aging of the stent, the US Patent Document US20110260352 proposes to lower the stent after the inflated tube or the inflated tube is cooled to a temperature higher than room temperature and lower than the glass transition temperature of the material. To improve the crystallinity of the pipe and slow down the physical aging of the pipe during storage. However, it has been found through research that the technical advantages of the above treatment effects are not obvious and the physical aging of the material cannot be alleviated, and the stent treated by this method is still prone to breakage. Summary of the invention
鉴于现有技术的上述技术问题, 本发明的目的在于开发一种生物 可降解聚合物支架的制备方法, 使得制备的生物可降解聚合物支架的 即刻的支撑力高, 不易发生断裂, 且管材的内应力可被有效释放, 从 而能提高支架的货架寿命。 根据本发明, 提供了一种生物可降解聚合物支架的制备方法, 包 括如下步骤: In view of the above technical problems of the prior art, the object of the present invention is to develop a preparation method of a biodegradable polymer scaffold, so that the prepared biodegradable polymer scaffold has high immediate support force, is not easy to be broken, and the tube is The internal stress can be effectively released, thereby increasing the shelf life of the stent. According to the present invention, there is provided a method of preparing a biodegradable polymer scaffold comprising the steps of:
步骤 1 ) : 由生物可降解聚合物材料制备生物可降解聚合物原始 管材;  Step 1): preparing a biodegradable polymer raw tubing from a biodegradable polymer material;
步骤 2 ) : 将所述步骤 1 ) 中制备的原始管材放入管状模具中, 对 所述原始管材进行加热, 并且向所述原始管材内注入高压气体, 以沿 着所述原始管材的径向方向吹胀所述原始管材, 以使得吹胀后管材的 外径等于所述管状模具的内径, 使得管材在径向方向能够实现高度取 向; 并且, 在沿着所述径向方向吹胀管材之前、 在沿着所述径向方向 吹胀管材的同时或者在沿着所述径向方向吹胀管材之后, 沿着管材的 轴向方向对管材进行轴向拉伸, 以实现管材在所述径向方向和所述轴 向方向的同时取向;  Step 2): placing the raw pipe prepared in the step 1) into a tubular mold, heating the raw pipe, and injecting a high-pressure gas into the original pipe to follow a radial direction of the original pipe Inflating the original tubing in a direction such that an outer diameter of the inflated tubing is equal to an inner diameter of the tubular mold such that the tubing is capable of achieving a high orientation in a radial direction; and, prior to inflating the tubing in the radial direction After inflating the pipe along the radial direction or after inflating the pipe along the radial direction, axially stretching the pipe along the axial direction of the pipe to achieve the pipe at the diameter Simultaneous orientation of the direction and the axial direction;
步骤 3 ) : 将吹胀后管材在退火温度下进行退火, 以得到成型管 材, 其中所述退火温度高于聚合物材料的玻璃化转变温度且低于聚合 物材料的熔融温度;  Step 3): annealing the inflated tube at an annealing temperature to obtain a shaped tube, wherein the annealing temperature is higher than a glass transition temperature of the polymer material and lower than a melting temperature of the polymer material;
步骤 4 ) : 将所述步骤 3 ) 中得到的成型管材制备成所述生物可降 解聚合物支架。 请注意, 这里的 "取向" 是指材料学领域中的一个技术术语, 它 是指使一定材料中的分子链优先沿某一个方向排列。 因而, 上述的 "使 得管材在径向方向能够实现高度取向" 是指使得所述管材的材料内的 分子链优先大致沿着径向方向排列; 上述的 "实现管材在所述径向方 向和所述轴向方向的同时取向" 是指使得所述管材的材料内的分子链 优先大致沿着所述径向方向和所述轴向方向这两个方向排列。 在实际 加工处理中, 通常可以通过使得管材沿其径向方向扩张膨胀来使得材 料中的分子链大致沿径向排列, 且可以通过使得管材沿其径向方向和 轴向方向这两个方向扩张膨胀和拉伸来使得材料中的分子链大致沿径 向方向和轴向方向这两个方向排列。 通过本发明的上述方法得到的可降解支架的即刻的支撑力高, 不 易发生断裂, 而且由于形成了较完善的结晶体系, 管材的内应力也被 有效释放, 所以对于提高支架的货架寿命也有积极的作用。 优选的是, 所述步骤 1 ) 中的生物可降解聚合物材料是聚乳酸、 聚乙醇酸、 聚己内酯、 聚二氧六环酮、 聚酸酐、 酪氨酸聚碳酸酯或者 其共聚物或共混物。 根据选用的材料的不同, 所述支架在人体内的降 解周期可以为一个月到三年, 用户可以根据各自需求而进行任意选择。 优选的是, 所述步骤 1 ) 中得到的原始管材为无定形管材, 该无 定形管材的结晶度低于 20%。 优选的是, 所述步骤 2) 包括如下步骤: Step 4): The shaped tube obtained in the step 3) is prepared into the biodegradable polymer scaffold. Please note that "orientation" here refers to a technical term in the field of materials science, which means that the molecular chains in a certain material are preferentially arranged in a certain direction. Thus, the above "allowing the tube to be highly oriented in the radial direction" means that the molecular chains in the material of the tube are preferentially aligned substantially in the radial direction; the above-mentioned "implementing the tube in the radial direction and The simultaneous orientation of the axial direction means that the molecular chains within the material of the tube are preferentially aligned substantially in both the radial direction and the axial direction. In actual processing, the molecular chains in the material can generally be arranged substantially radially by expanding the tubes in their radial directions, and can be expanded by causing the tubes to expand in both their radial and axial directions. The expansion and stretching are such that the molecular chains in the material are aligned substantially in both the radial direction and the axial direction. The immediate support force of the degradable stent obtained by the above method of the present invention is high, It is prone to breakage, and the internal stress of the pipe is also effectively released due to the formation of a relatively perfect crystallization system, so it also has a positive effect on improving the shelf life of the stent. Preferably, the biodegradable polymer material in the step 1) is polylactic acid, polyglycolic acid, polycaprolactone, polydioxanone, polyanhydride, tyrosine polycarbonate or a copolymer thereof Or a blend. Depending on the materials selected, the degradation cycle of the stent in the human body can be from one month to three years, and the user can make any selection according to their respective needs. Preferably, the original pipe obtained in the step 1) is an amorphous pipe, and the amorphous pipe has a crystallinity of less than 20%. Preferably, the step 2) comprises the following steps:
步骤 a) : 将所述原始管材放入导热性好且不易变形的所述管状模 具中;  Step a): placing the original pipe into the tubular mold having good thermal conductivity and being not easily deformed;
步骤 b ) : 将所述原始管材和所述管状模具加热到取向温度, 该 取向温度高于聚合物材料的玻璃化转变温度且低于聚合物材料的熔融 温度, 并且向所述原始管材的内部注入高压气体从而向所述原始管材 施加扩张压力, 以沿着所述原始管材的径向方向吹胀所述原始管材; 并且, 在沿着所述径向方向吹胀管材之前、 在沿着所述径向方向吹胀 管材的同时或者在沿着所述径向方向吹胀管材之后, 沿着管材的轴向 方向对管材进行轴向拉伸;  Step b): heating the original tube and the tubular mold to an orientation temperature that is higher than a glass transition temperature of the polymer material and lower than a melting temperature of the polymer material, and toward the interior of the original tube Injecting a high pressure gas to apply an expansion pressure to the original pipe to inflate the original pipe in a radial direction of the original pipe; and, before inflating the pipe along the radial direction, along the Simultaneously stretching the tube in the radial direction or axially stretching the tube along the axial direction of the tube after inflating the tube along the radial direction;
步骤 c ) : 对管材保持步骤 b ) 中的扩张压力, 通过水冷或气冷的 方式对吹胀后管材和所述管状模具进行迅速降温, 以使其降温至聚合 物材料的玻璃化转变温度以下; 然后, 撤除所述扩张压力, 取出所述 吹胀后管材。 优选的是, 所述步骤 3 ) 中的退火是指将所述吹胀后管材在所述 退火温度下放置一段预定时间, 该预定时间为 5分钟〜 24小时。 优选的是, 在所述步骤 3 ) 中, 在对所述吹胀后管材进行退火之 前在所述吹胀后管材的内部放置衬芯, 然后在退火完成后将所述衬芯 从所述吹胀后管材的内部取出。 衬芯的使用可以防止管材在退火过程 中尺寸发生萎缩。 优选的是, 在所述步骤 4 ) 中, 将所述成型管材通过激光切割而 制备成所述生物可降解聚合物支架; 或者将所述成型管材切割为条状 材料后编织成所述生物可降解聚合物支架。 优选的是, 在所述步骤 b ) 中, 在将所述原始管材和所述管状模 具加热到所述取向温度之前, 在预热温度下对所述原始管材进行预热, 所述预热温度高于聚合物材料的玻璃化转变温度。 优选的是, 所述预 热温度低于聚合物材料的玻璃化转变温度和 20°C之和。 在该温度范围 下有利于聚合物中晶核的生长, 并且不利于晶体的尺寸增长, 这样有 利于形成大量的小尺寸晶体, 有助于管材强度和韧性的同时提高。 优选的是, 在所述步骤 b)中, 利用缠绕在所述管状模具上的电阻 丝进行加热, 或者利用注入所述原始管材的内部的高压气体进行加热, 从而将所述原始管材和所述管状模具加热到所述取向温度。 优选的是, 在所述步骤 b)中, 所述原始管材和所述吹胀后管材的 外径比在 1 :1.5和 1 :5之间; 所述原始管材和所述吹胀后管材的壁厚比 在 1.5:1和 5:1之间; 并且所述原始管材和所述吹胀后管材的长度比在 1 :1禾卩 1 :2之间。 优选的是, 在所述步骤 b ) 中, 在保持所述取向温度的同时, 使 所述扩张压力保持一段预定时间, 该预定时间在 2秒和 10分钟之间。 这样可以使得管材在上述温度和压力下充分取向, 以提高最终支架的 力学性能。 优选的是, 在所述步骤 c) 中, 将所述吹胀后管材和所述管状模具 迅速降温至低于聚合物材料的玻璃化转变温度至少 20°C。 通过本发明的制备方法, 可以使管材在切割成支架之前, 在径向 和轴向方向上实现高度取向, 使材料在径向和轴向的强度和韧性得到 大幅度提高。 并且, 通过一定时间的退火, 形成完善的结晶体系, 并 释放了管材的内应力, 有效提高了支架在即刻以及存储后的支撑力和 韧性, 降低了支架的回缩和扩张过程中的断裂现象。 根据本发明的技术方法制备成的支架的即刻以及存储 3个月后的 支架径向支撑力均可以达到 120KPa以上, 支架扩张后的回缩率可以控 制在 5%以内, 支架在扩张过程中不容易出现断裂。 此外, 本发明的这 种方法只是涉及将支架的加工制备方法进行创新, 而不改变支架的原 材料, 因而对支架的生物安全性没有任何影响。 附图说明 Step c): for the tube to maintain the expansion pressure in step b), the inflated tube and the tubular mold are rapidly cooled by water cooling or air cooling to lower the temperature below the glass transition temperature of the polymer material. Then, the expansion pressure is removed, and the inflated tubing is taken out. Preferably, the annealing in the step 3) means placing the inflated tube at the annealing temperature for a predetermined time, the predetermined time being 5 minutes to 24 hours. Preferably, in the step 3), the inflated tube is annealed The liner is placed in the interior of the inflated tubing and then removed from the interior of the inflated tubing after annealing is complete. The use of a core prevents the tube from shrinking during annealing. Preferably, in the step 4), the shaped tube is prepared by laser cutting to prepare the biodegradable polymer scaffold; or the shaped tube is cut into strips and then woven into the bio- Degradation of polymer scaffolds. Preferably, in the step b), the raw pipe is preheated at a preheating temperature before heating the raw pipe and the tubular die to the orientation temperature, the preheating temperature Higher than the glass transition temperature of the polymeric material. Preferably, the preheating temperature is lower than the glass transition temperature of the polymer material and the sum of 20 °C. In this temperature range, the growth of crystal nucleus in the polymer is favored, and the size growth of the crystal is disadvantageous, which is advantageous for forming a large number of small-sized crystals, which contributes to the improvement of the strength and toughness of the tube. Preferably, in the step b), heating is performed by a resistance wire wound on the tubular mold, or by using a high-pressure gas injected into the inside of the original pipe, thereby heating the original pipe and the The tubular mold is heated to the orientation temperature. Preferably, in the step b), the outer diameter ratio of the original pipe and the inflated pipe is between 1:1.5 and 1:5; the original pipe and the inflated pipe are The wall thickness ratio is between 1.5:1 and 5:1; and the length ratio of the original tubing to the inflated tubing is between 1:1 and 1:2. Preferably, in the step b), the expansion pressure is maintained for a predetermined time while maintaining the orientation temperature, the predetermined time being between 2 seconds and 10 minutes. This allows the tubing to be sufficiently oriented at the above temperatures and pressures to improve the mechanical properties of the final stent. Preferably, in the step c), the inflated tube and the tubular mold are The temperature is rapidly lowered to at least 20 ° C below the glass transition temperature of the polymeric material. By the preparation method of the present invention, the tube can be highly oriented in the radial and axial directions before being cut into a stent, so that the strength and toughness of the material in the radial direction and the axial direction are greatly improved. Moreover, through a certain period of annealing, a perfect crystallization system is formed, and the internal stress of the pipe is released, which effectively improves the support force and toughness of the stent immediately and after storage, and reduces the fracture phenomenon during the retraction and expansion of the stent. . According to the technical method of the present invention, the stent can be automatically loaded and the radial support force of the stent can be more than 120KPa after 3 months of storage, and the retraction rate after the stent is expanded can be controlled within 5%, and the stent is not expanded during the expansion process. It is prone to breakage. Moreover, the method of the present invention merely involves innovating the method of processing the stent without altering the raw material of the stent and thus has no effect on the biosafety of the stent. DRAWINGS
为了更清楚地说明本发明实施例的技术方案, 下面将对实施例描 述中所需要使用的附图作简单地介绍。 显而易见的是, 下面描述中的 附图仅仅是本申请中记载的一些特定实施例, 其不是对本发明的保护 范围的限制。 对于本领域普通技术人员来讲, 在不付出创造性劳动的 前提下, 当然还可以根据本发明的这些实施例及其附图获得一些其它 的实施例和附图。 图 1 是沿着管状模具和原始管材的纵向轴线剖开的示意图, 其示 出了放入管状模具中的原始管材。  In order to more clearly illustrate the technical solutions of the embodiments of the present invention, the drawings to be used in the description of the embodiments will be briefly described below. It is apparent that the drawings in the following description are only some of the specific embodiments described in the present application, and are not intended to limit the scope of the invention. It will be apparent to those skilled in the art that other embodiments and figures may be obtained in accordance with the embodiments of the present invention and the accompanying drawings without departing from the invention. Figure 1 is a schematic cross-sectional view along the longitudinal axis of the tubular mold and the original tubing showing the original tubing placed in the tubular mold.
图 2是沿着管状模具和吹胀后管材的纵向轴线剖开的示意图, 其 示出了原始管材被吹胀后的情形, 其中图中的箭头分别表示管材在径 向方向和轴向方向受到的力。  Figure 2 is a schematic cross-sectional view along the longitudinal axis of the tubular mold and the inflated tubing, showing the condition after the original tubing is inflated, wherein the arrows in the figure indicate that the tubing is subjected to radial and axial directions, respectively. Force.
图 3 示出了本发明最终得到的支架的结构图。 附图标记说明: 1代表管状模具, 2代表原始管材, 3代表吹胀后管材, 4代表最 终的生物可降解聚合物支架。 具体实施方式 Figure 3 shows a structural view of the resulting stent of the present invention. Description of the reference signs: 1 represents a tubular mold, 2 represents the original tubing, 3 represents the inflated tubing, and 4 represents the final biodegradable polymer scaffold. detailed description
为了使本领域技术人员更好地理解本申请中的技术方案, 下面将 结合本发明实施例中的附图, 对本发明实施例中的技术方案进行清楚、 完整地描述。 显然, 所描述的实施例仅仅是本申请一部分实施例, 而 不是全部的实施例。 基于本申请所述的具体实施例, 本领域普通技术 人员在没有做出创造性劳动的前提下所获得的所有其它实施例, 都应 当落在本发明构思范围之内。 本发明总体上提供了一种用于医疗用途的生物可降解聚合物支架 的制备方法。 如前所述, 常见的生物可降解支架的原材料有聚合物材料和可降 解金属材料。 可降解金属材料的降解时间太快, 很难保证支架的有效 支撑时间。 而生物可降解聚合物材料的降解时间则比金属材料长。 所 以, 本发明的支架主要考虑使用生物可降解的聚合物材料构成。 以下参考图 1~图 3来详细描述本发明的优选实施例。 本发明总体上提供了一种生物可降解聚合物支架的制备方法, 包 括如下步骤:  For a better understanding of the technical solutions in the present application, the technical solutions in the embodiments of the present invention will be clearly and completely described in the following with reference to the accompanying drawings. It is apparent that the described embodiments are only a part of the embodiments of the present application, and not all of them. All other embodiments obtained by a person of ordinary skill in the art based on the specific embodiments described herein, without departing from the inventive scope, should fall within the scope of the present invention. The present invention generally provides a method of preparing a biodegradable polymer scaffold for medical use. As mentioned earlier, the raw materials for common biodegradable stents are polymeric materials and degradable metallic materials. The degradation time of the degradable metal material is too fast, and it is difficult to ensure the effective support time of the stent. The biodegradable polymer material has a longer degradation time than the metal material. Therefore, the stent of the present invention is mainly constructed using a biodegradable polymer material. Preferred embodiments of the present invention are described in detail below with reference to Figs. 1 through 3. The present invention generally provides a method of preparing a biodegradable polymer scaffold comprising the following steps:
步骤 1 ) : 由生物可降解聚合物材料制备生物可降解聚合物原始 管材 2;  Step 1): preparing biodegradable polymer raw tubing from biodegradable polymer material 2;
步骤 2 ) : 将所述步骤 1 ) 中制备的原始管材 2放入管状模具 1中 (如图 1所示, 将原始管材 2插入管状模具 1 的内孔中) , 对所述原 始管材 2进行加热, 并且向所述原始管材 2 内注入高压气体, 以沿着 所述原始管材 2的径向方向吹胀所述原始管材 2, 以使得吹胀后管材 3 的外径等于所述管状模具 1 的内径 (如图 2所示) , 使得管材在径向 方向能够实现高度取向; 并且, 可以在沿着所述径向方向吹胀管材之 前沿着管材的轴向方向对管材进行轴向拉伸, 或者可以在沿着所述径 向方向吹胀管材的同时沿着管材的轴向方向对管材进行轴向拉伸, 或 者可以在沿着所述径向方向吹胀管材之后沿着管材的轴向方向对管材 进行轴向拉伸, 以实现管材在所述径向方向和所述轴向方向的同时取 向; Step 2): The original pipe 2 prepared in the step 1) is placed in the tubular mold 1 (as shown in FIG. 1, the original pipe 2 is inserted into the inner hole of the tubular mold 1), and the original pipe 2 is subjected to Heating, and injecting high pressure gas into the original pipe 2 to inflate the original pipe 2 in the radial direction of the original pipe 2 such that the outer diameter of the inflated pipe 3 is equal to the tubular die 1 Inner diameter (as shown in Figure 2), making the pipe radial The direction can achieve a high degree of orientation; and the tube can be axially stretched along the axial direction of the tube before inflating the tube along the radial direction, or can be inflated along the radial direction At the same time, the pipe is axially stretched along the axial direction of the pipe, or the pipe may be axially stretched along the axial direction of the pipe after inflating the pipe along the radial direction to realize the pipe in the pipe. Simultaneous orientation of the radial direction and the axial direction;
步骤 3 ) : 将吹胀后管材 3在退火温度下进行退火, 以得到成型 管材, 其中所述退火温度高于聚合物材料的玻璃化转变温度 Tg且低于 聚合物材料的熔融温度 Tm; Step 3): annealing the inflated tube 3 at an annealing temperature to obtain a shaped tube, wherein the annealing temperature is higher than a glass transition temperature Tg of the polymer material and lower than a melting temperature Tm of the polymer material ;
步骤 4 ) : 将所述步骤 3 ) 中得到的成型管材制备成所述生物可降 解聚合物支架。 图 3中示出了最终的生物可降解聚合物支架 4。 通过本发明的上述方法得到的可降解支架不仅即刻的支撑力高, 不易发生断裂, 而且由于形成了较完善的结晶体系, 管材的内应力也 被有效释放, 所以对于提高支架的货架寿命有积极的作用。 优选的是, 所述步骤 1 ) 中的生物可降解聚合物材料是聚乳酸、 聚乙醇酸、 聚己内酯、 聚二氧六环酮、 聚酸酐、 酪氨酸聚碳酸酯或者 其共聚物或共混物。 根据选用的材料的不同, 最终的生物可降解聚合 物支架 4 在人体内的降解周期可以为一个月到三年, 用户可以根据各 自需求而进行任意选择。 优选的是, 所述步骤 1 ) 中得到的原始管材 2为无定形管材, 该 无定形管材的结晶度低于 20%。 优选的是, 所述步骤 2) 包括如下步骤:  Step 4): The shaped tube obtained in the step 3) is prepared into the biodegradable polymer scaffold. The final biodegradable polymer scaffold 4 is shown in FIG. The degradable stent obtained by the above method of the invention not only has a high immediate support force, is not easy to be broken, but also has an effective crystallization system, and the internal stress of the tube is also effectively released, so that the shelf life of the stent is positively improved. The role. Preferably, the biodegradable polymer material in the step 1) is polylactic acid, polyglycolic acid, polycaprolactone, polydioxanone, polyanhydride, tyrosine polycarbonate or a copolymer thereof Or a blend. Depending on the materials selected, the final biodegradable polymer scaffold 4 can be degraded in the human body for one month to three years, and the user can make any choice according to his own needs. Preferably, the original pipe 2 obtained in the step 1) is an amorphous pipe, and the amorphous pipe has a crystallinity of less than 20%. Preferably, the step 2) comprises the following steps:
步骤 a) : 将原始管材 2放入导热性好且不易变形的所述管状模具 Step a): placing the original pipe 2 into the tubular mold which is thermally conductive and is not easily deformed
1中; 1;
步骤 b ) :将所述原始管材 2和所述管状模具 1加热到取向温度 T, 该取向温度 Τ高于聚合物材料的玻璃化转变温度 Tg且低于聚合物材料 的熔融温度 Tm, 并且向所述原始管材 2的内部注入高压气体从而向所 述原始管材 2施加扩张压力, 以沿着所述原始管材 2 的径向方向吹胀 所述原始管材 2; 并且, 在沿着所述径向方向吹胀管材之前、 在沿着所 述径向方向吹胀管材的同时或者在沿着所述径向方向吹胀管材之后, 沿着管材的轴向方向对管材进行轴向拉伸; Step b): heating the original pipe 2 and the tubular mold 1 to an orientation temperature T which is higher than the glass transition temperature Tg of the polymer material and lower than the polymer material a melting temperature Tm, and injecting a high-pressure gas into the interior of the original pipe 2 to apply an expansion pressure to the original pipe 2 to inflate the original pipe 2 in a radial direction of the original pipe 2; The pipe is piped along the axial direction of the pipe before inflating the pipe along the radial direction, while inflating the pipe along the radial direction or after inflating the pipe along the radial direction Axial stretching
步骤 c ) : 对管材保持步骤 b ) 中的扩张压力, 通过水冷或气冷的 方式对吹胀后管材 3和所述管状模具 1进行迅速降温, 以使其降温至 聚合物材料的玻璃化转变温度 Tg以下; 然后, 撤除所述扩张压力, 取 出所述吹胀后管材 3。 优选的是, 所述步骤 3 ) 中的退火是指将所述吹胀后管材 3在所 述退火温度下放置一段预定时间, 该预定时间为 5分钟〜 24小时。优选 的是, 在所述步骤 3 ) 中, 在对所述吹胀后管材 3进行退火之前在所述 吹胀后管材 3 的内部放置尺寸合适的衬芯, 然后在退火完成后将所述 衬芯从所述吹胀后管材 3 的内部取出。 衬芯的使用可以防止管材在退 火过程中尺寸发生萎缩。 优选的是, 在所述步骤 4 ) 中, 将所述成型管材通过激光切割而 制备成所述生物可降解聚合物支架 4;或者将所述成型管材切割为条状 材料后编织成所述生物可降解聚合物支架 4。 优选的是, 在所述步骤 b) 中, 在将所述原始管材 2和所述管状 模具 1加热到所述取向温度 T之前,在预热温度 T1下对所述原始管材 2进行预热, 所述预热温度 T1高于聚合物材料的玻璃化转变温度 Tg。 优选的是, 所述预热温度 T1低于聚合物材料的玻璃化转变温度 Tg和 Step c): for the tube to maintain the expansion pressure in step b), the inflated tube 3 and the tubular mold 1 are rapidly cooled by water cooling or air cooling to cool the glass transition to the polymer material. The temperature Tg is below; then, the expansion pressure is removed, and the inflated tube 3 is taken out. Preferably, the annealing in the step 3) means that the inflated tube 3 is placed at the annealing temperature for a predetermined time, the predetermined time being 5 minutes to 24 hours. Preferably, in the step 3), a suitable size liner is placed inside the inflated tube 3 before annealing the inflated tube 3, and then the lining is completed after the annealing is completed. The core is taken out from the inside of the inflated tubing 3. The use of a core prevents the tubing from shrinking during the annealing process. Preferably, in the step 4), the shaped tube is prepared by laser cutting to prepare the biodegradable polymer holder 4; or the shaped tube is cut into strips and then woven into the living body. Degradable polymer scaffold 4. Preferably, in the step b), the raw pipe 2 is preheated at a preheating temperature T1 before the raw pipe 2 and the tubular die 1 are heated to the orientation temperature T, The preheating temperature T1 is higher than the glass transition temperature Tg of the polymer material. Preferably, the preheating temperature T1 is lower than the glass transition temperature Tg of the polymer material and
20°C之和。 gp, 所述预热温度 Tl>Tg, 且所述预热温度 T1的具体范围 可以为: Tg~Tg+20°C, 其中 Tg是聚合物材料的玻璃化转变温度。在该 温度范围下有利于聚合物中晶核的生长, 并且不利于晶体的尺寸增长, 这样有利于形成大量的小尺寸晶体, 有助于管材强度和韧性的同时提 高。 优选的是, 在所述步骤 b)中, 所述管状模具 1 的外周上缠绕有电 阻丝以形成加热器, 利用缠绕在所述管状模具 1上的电阻丝进行加热; 或者使得注入所述原始管材 2 的内部的高压气体具有高温, 利用注入 所述原始管材 2 的内部的高压气体进行加热, 从而将所述原始管材 2 和所述管状模具 1 加热到所述取向温度。 当然, 本发明的加热方式不 受限制, 以上仅仅是举例说明。 优选的是, 在所述步骤 b)中, 原始管材 2具有预定的外径、 预定 的壁厚和预定的长度, 吹胀后管材 3 具有吹胀后的相应的外径、 壁厚 和长度, 所述原始管材 2和所述吹胀后管材 3的外径比在 1 : 1.5和 1 :5 之间; 所述原始管材 2和所述吹胀后管材 3的壁厚比在 1.5 : 1和 5: 1之 间; 并且所述原始管材 2和所述吹胀后管材 3的长度比在 1 : 1和 1 :2之 间。 优选的是, 在所述步骤 b ) 中, 在保持所述取向温度 T 的同时, 使所述扩张压力保持一段预定时间,该预定时间在 2秒和 10分钟之间。 这样可以使得管材在上述温度和压力下充分取向, 以提高最终支架的 力学性能。 优选的是, 在所述步骤 c ) 中, 将所述吹胀后管材 3和所述管状模 具 1迅速降温至低于聚合物材料的玻璃化转变温度 Tg至少 20°C。 以下采用具体参数描述本发明的制备方法的两个实例。 实例一: The sum of 20 °C. Gp, the preheating temperature T1>Tg, and the specific range of the preheating temperature T1 may be: Tg~Tg+20° C., where Tg is the glass transition temperature of the polymer material. In this temperature range, the growth of crystal nucleus in the polymer is favored, and the size growth of the crystal is disadvantageous, which is advantageous for forming a large number of small-sized crystals, which contributes to the improvement of the strength and toughness of the tube. Preferably, in the step b), a resistance wire is wound around the outer circumference of the tubular mold 1 to form a heater, which is heated by a resistance wire wound on the tubular mold 1; or the original is injected The high-pressure gas inside the pipe 2 has a high temperature, and is heated by a high-pressure gas injected into the inside of the original pipe 2, thereby heating the original pipe 2 and the tubular die 1 to the orientation temperature. Of course, the heating method of the present invention is not limited, and the above is merely illustrative. Preferably, in the step b), the original pipe 2 has a predetermined outer diameter, a predetermined wall thickness and a predetermined length, and the inflated pipe 3 has a corresponding outer diameter, wall thickness and length after inflation. The outer diameter ratio of the original pipe 2 and the inflated pipe 3 is between 1:1.5 and 1:5; the wall thickness ratio of the original pipe 2 and the inflated pipe 3 is 1.5:1 and Between 5:1; and the length ratio of the original tubing 2 and the inflated tubing 3 is between 1:1 and 1:2. Preferably, in the step b), the expansion pressure is maintained for a predetermined time while maintaining the orientation temperature T, the predetermined time being between 2 seconds and 10 minutes. This allows the tubing to be sufficiently oriented at the above temperatures and pressures to improve the mechanical properties of the final stent. Preferably, in said step c), said inflated tubing 3 and said tubular mould 1 are rapidly cooled to a temperature of at least 20 ° C below the glass transition temperature Tg of the polymeric material. Two examples of the preparation method of the present invention are described below using specific parameters. Example 1:
本实例中选取的原始管材 2 的聚合物材料为生物可降解高分子材 料聚乳酸。将该聚乳酸粒子通过挤出得到外径为 1.5mm、壁厚为 0.5mm 的原始管材 2。将该原始管材 2放入内径为 2.5mm的不锈钢管状模具 1 中, 如图 1 中所示。 聚乳酸原始管材 2 的一端封闭, 另一端与高压气 路相连。 首先, 对原始管材 2和管状模具 1进行加热, 使其温度升到 120°C, 继而向原始管材 2中充入压强为 200psi (磅 /平方英寸) 的高压 氮气, 同时对原始管材 2进行轴向拉伸, 拉伸距离为 40mm。 原始管材 2在高温、 高压以及拉伸的条件下制备成了外径 2.5mm、 壁厚 0.15mm 的管材, 即吹胀后管材 3, 如图 2中所示。 之后将整个系统迅速冷却到 室温, 然后泄压, 取出吹胀后管材 3。 最后将吹胀后管材 3套在外径为 2.2mm的金属衬芯上, 置于 90°C的烘箱中进行退火 5分钟, 然后将退 火完成的成型管材进行激光切割, 最终得到如图 3 所示的最终的生物 可降解聚合物支架 4。 将制备完成的支架压握到合适的球囊上, 压握后支架的外径为 1.0mm。 然后, 在 37°C的生理盐水中把支架扩张到外径 3.0mm, 扩张 过程中支架未发生断裂。 球囊回撤后, 测量扩张后支架的支撑力大于 100kpa。 同时, 将用同样方法制备得到的支架压握到合适的球囊上, 然后 用铝箔袋抽真空充氮气包装, 在室温条件下放置 3 个月。 然后将支架 取出, 在 37°C的生理盐水中把支架扩张到外径 3.0mm, 扩张过程中支 架未发生断裂。 球囊回撤后, 测量扩张后支架的支撑力, 结果支撑力 大于 100kpa。 将用同样方法制备的支架首先压握到合适的球囊, 然后分别将未 储存和室温存储 3 个月后的支架输送到血管的狭窄部位, 充盈球囊以 扩张支架, 从而撑开狭窄的血管, 撑开过程中, 未观察到支架的断裂。 球囊回抽后, 血管造影观察到, 血管仍然被支架撑开, 整个手术过程 中未发生支架塌陷的不良事件。 2年后, 通过血管内超声进行临床随访 时已看不到支架, 这说明支架主体材料完全降解, 植入支架的病变部 位没有出现再狭窄现象和炎症反应。 实例二 本实例中选取的原始管材 2 的聚合物材料为生物可降解高分子材 料聚乳酸-聚乙醇酸共聚物 (PLGA) , 共聚比例为 85 : 15。 将该共聚粒 子通过注塑得到外径为 1.2mm、 壁厚为 0.3mm的原始管材 2。 将该原 始管材 2放入内径为 2.5mm的不锈钢管状模具 1中。 PLGA原始管材 2 的一端封闭, 另一端与高压气路相连。 首先, 对原始管材 2 和管状模 具 1进行加热使其升温至 80°C,继而向原始管材 2中充入压强为 400psi 的高压氦气。 原始管材 2在高温、 高压的条件下制备成了外径 2.5mm、 壁厚 0.15mm的管材。 之后将整个系统迅速冷却到 20°C, 然后泄压, 取出吹胀后管材 3。 最后将吹胀后管材 3套在外径为 2.2mm的金属衬 芯上, 置于 80°C的烘箱中进行退火 30分钟, 然后将退火完成的成型管 材通过激光切割为宽度 0.2mm的薄片, 将该薄片进行编织, 最终得到 满足需求的支架。 将制备完成的支架压握到合适的球囊上, 压握后支架的外径为 l . lmm。 然后, 在 37°C的生理盐水中把支架扩张到外径 2.5mm, 扩张 过程中支架未发生断裂。 测量扩张后支架的支撑力, 结果支撑力为 140kpa左右。 同时, 将用同样方法制备得到的支架压握到合适的球囊上, 然后 用铝箔袋抽真空充氮气包装, 在室温条件下放置 3 个月。 然后, 将支 架取出, 在 37°C的生理盐水中把支架扩张到外径 2.5mm, 扩张过程中, 支架未发生断裂。 球囊回撤后, 测量扩张后支架的支撑力, 结果支撑 力为 145kpa左右。 将用同样方法制备的支架首先压握到合适的球囊, 然后分别将未 储存和室温存储 3 个月后的支架输送到血管的狭窄部位, 充盈球囊以 扩张支架, 从而撑开狭窄的血管, 撑开过程中未观察到支架的断裂。 球囊回抽后, 血管造影观察到, 血管仍然被支架撑开, 整个手术过程 中未发生支架塌陷的不良事件。 1.5年后, 通过血管内超声进行临床随 访时已看不到支架, 这说明支架主体材料完全降解, 植入支架的病变 :位没有出现再狭窄现象和炎症反应。 通过本发明的制备方法, 可以使管材在切割成支架之前, 在径向 和轴向方向上实现高度取向, 使材料在径向和轴向的强度和韧性得到 大幅度提高。 并且, 通过一定时间的退火, 形成完善的结晶体系, 并 释放了管材的内应力, 有效提高了支架在即刻以及存储后的支撑力和 韧性, 降低了支架的回缩和扩张过程中的断裂现象。 根据本发明的技术方法制备成的支架的即刻以及存储 3个月后的 支架径向支撑力均可以达到 120KPa以上,支架扩张后的回缩率可以控 制在 5%以内, 支架在扩张过程中不容易出现断裂。 此外, 本发明的这 种方法只是涉及将支架的加工制备方法进行创新, 而不改变支架的原 材料, 因而对支架的生物安全性没有任何影响。 以上所述仅是本申请的一些具体实施例。 应当指出, 对于本技术 领域的普通技术人员来说, 在不脱离本申请发明原理和发明构思的前 提下, 还可以对上述实施例进行各种组合或做出若干改进和变型, 这 些组合、 改进和变型也应视为落在本申请的保护范围和发明构思之内。 The polymer material of the original pipe 2 selected in the present example is a biodegradable polymer material polylactic acid. The polylactic acid particles were extruded to obtain a raw pipe 2 having an outer diameter of 1.5 mm and a wall thickness of 0.5 mm. The original pipe 2 was placed in a stainless steel tubular mold 1 having an inner diameter of 2.5 mm as shown in FIG. Polylactic acid raw tubing 2 is closed at one end and high pressure gas at the other end The road is connected. First, the original pipe 2 and the tubular mold 1 are heated to raise the temperature to 120 ° C, and then the original pipe 2 is filled with high-pressure nitrogen gas having a pressure of 200 psi, and the original pipe 2 is axially wound. Stretching, the stretching distance is 40mm. The original pipe 2 was prepared into a pipe having an outer diameter of 2.5 mm and a wall thickness of 0.15 mm under high temperature, high pressure and tensile conditions, that is, the inflated pipe 3, as shown in FIG. Thereafter, the entire system was rapidly cooled to room temperature, and then the pressure was released, and the inflated tube 3 was taken out. Finally, the inflated pipe 3 is placed on a metal core with an outer diameter of 2.2 mm, and annealed in an oven at 90 ° C for 5 minutes, and then the annealed formed pipe is laser-cut, and finally obtained as shown in FIG. 3 . The final biodegradable polymer scaffold 4. The prepared stent was crimped onto a suitable balloon, and the outer diameter of the stent after crimping was 1.0 mm. Then, the stent was expanded to an outer diameter of 3.0 mm in physiological saline at 37 ° C, and the stent was not broken during the expansion. After the balloon is withdrawn, the support force of the stent after expansion is measured to be greater than 100 kPa. At the same time, the stent prepared in the same manner was crimped onto a suitable balloon, and then vacuum-filled with an aluminum foil bag and placed at room temperature for 3 months. The stent was then removed, and the stent was expanded to an outer diameter of 3.0 mm in physiological saline at 37 ° C, and the stent was not broken during the expansion. After the balloon was withdrawn, the support force of the stent after expansion was measured, and as a result, the supporting force was greater than 100 kPa. The stent prepared in the same manner is firstly pressed into a suitable balloon, and then the stent that has not been stored and stored at room temperature for 3 months is separately delivered to the stenosis of the blood vessel, and the balloon is filled to expand the stent, thereby expanding the narrow blood vessel. During the distraction, no fracture of the stent was observed. After the balloon was withdrawn, angiography observed that the blood vessels were still stretched by the stent, and no adverse events of stent collapse occurred during the entire procedure. Two years later, the stent was not seen during clinical follow-up by intravascular ultrasound, indicating that the stent body material was completely degraded, and there was no restenosis or inflammatory reaction in the lesion site of the stent. Example two The polymer material of the original pipe 2 selected in the present example is a biodegradable polymer material polylactic acid-polyglycolic acid copolymer (PLGA) with a copolymerization ratio of 85:15. The copolymerized particles were injection-molded to obtain a raw pipe 2 having an outer diameter of 1.2 mm and a wall thickness of 0.3 mm. This raw pipe 2 was placed in a stainless steel tubular mold 1 having an inner diameter of 2.5 mm. The PLGA original pipe 2 is closed at one end and connected to a high pressure gas path at the other end. First, the original pipe 2 and the tubular mold 1 were heated to raise the temperature to 80 ° C, and then the original pipe 2 was charged with a high pressure helium gas having a pressure of 400 psi. The original pipe 2 was prepared into a pipe having an outer diameter of 2.5 mm and a wall thickness of 0.15 mm under conditions of high temperature and high pressure. The entire system was then rapidly cooled to 20 ° C and then depressurized to remove the inflated tubing 3 . Finally, the inflated pipe 3 is placed on a metal core with an outer diameter of 2.2 mm, and annealed in an oven at 80 ° C for 30 minutes, and then the annealed formed pipe is laser-cut into a sheet having a width of 0.2 mm. The sheet is woven to finally obtain a stent that meets the needs. The prepared stent is crimped onto a suitable balloon, and the outer diameter of the stent after pressing is 1. lmm. Then, the stent was expanded to an outer diameter of 2.5 mm in physiological saline at 37 ° C, and the stent was not broken during the expansion. The supporting force of the stent after expansion was measured, and as a result, the supporting force was about 140 kPa. At the same time, the stent prepared in the same manner was crimped onto a suitable balloon, and then vacuum-filled with an aluminum foil bag and placed at room temperature for 3 months. Then, the stent was taken out, and the stent was expanded to an outer diameter of 2.5 mm in physiological saline at 37 ° C, and the stent was not broken during the expansion. After the balloon was withdrawn, the support force of the stent after expansion was measured, and the support force was about 145 kpa. The stent prepared in the same manner is firstly pressed into a suitable balloon, and then the stent that has not been stored and stored at room temperature for 3 months is separately delivered to the stenosis of the blood vessel, and the balloon is filled to expand the stent, thereby expanding the narrow blood vessel. No fracture of the stent was observed during the opening process. After the balloon was withdrawn, angiography observed that the blood vessels were still stretched by the stent, and no adverse events of stent collapse occurred during the entire procedure. After 1.5 years, the stent was not seen during clinical follow-up by intravascular ultrasound, indicating that the stent body material was completely degraded, and the stent lesion was implanted. : There was no restenosis and inflammatory reaction. By the preparation method of the present invention, the tube can be highly oriented in the radial and axial directions before being cut into a stent, so that the strength and toughness of the material in the radial direction and the axial direction are greatly improved. Moreover, through a certain period of annealing, a perfect crystallization system is formed, and the internal stress of the pipe is released, which effectively improves the support force and toughness of the stent immediately and after storage, and reduces the fracture phenomenon during the retraction and expansion of the stent. . The stent prepared according to the technical method of the present invention can achieve the radial support force of the stent after 3 months of storage and can reach 120KPa or more, and the retraction rate after stent expansion can be controlled within 5%, and the stent does not expand during the expansion process. It is prone to breakage. Moreover, the method of the present invention merely involves innovating the method of processing the stent without altering the raw material of the stent and thus has no effect on the biosafety of the stent. The above description is only some specific embodiments of the present application. It should be noted that those skilled in the art can make various combinations or make some improvements and modifications to the above embodiments without departing from the principles and inventive concepts of the present invention. And variations are also considered to fall within the scope of the invention and the inventive concept.

Claims

1. 一种生物可降解聚合物支架的制备方法, 包括如下步骤: 步骤 1 ) : 由生物可降解聚合物材料制备生物可降解聚合物原始 管材 (2) ; 1. A method for preparing a biodegradable polymer stent, including the following steps: Step 1): Prepare a biodegradable polymer original pipe from a biodegradable polymer material (2);
步骤 2) : 将所述步骤 1 ) 中制备的原始管材 (2) 放入管状模具 ( 1 ) 中, 对所述原始管材 (2 ) 进行加热, 并且向所述原始管材 (2) 内注入高压气体, 以沿着所述原始管材 (2) 的径向方向吹胀所述原始 管材 (2 ) , 以使得吹胀后管材 (3 ) 的外径等于所述管状模具 (1 ) 的 内径, 使得管材在径向方向能够实现高度取向; 并且, 在沿着所述径 向方向吹胀管材之前、 在沿着所述径向方向吹胀管材的同时或者在沿 着所述径向方向吹胀管材之后, 沿着管材的轴向方向对管材进行轴向 拉伸, 以实现管材在所述径向方向和所述轴向方向的同时取向; Step 2): Place the original pipe (2) prepared in step 1) into the tubular mold (1), heat the original pipe (2), and inject high pressure into the original pipe (2) Gas is used to blow the original pipe (2) along the radial direction of the original pipe (2), so that the outer diameter of the blown pipe (3) is equal to the inner diameter of the tubular mold (1), so that The pipe can achieve a high degree of orientation in the radial direction; and, before blowing the pipe along the radial direction, while blowing the pipe along the radial direction, or while blowing the pipe along the radial direction. Afterwards, axially stretching the pipe along the axial direction of the pipe to achieve simultaneous orientation of the pipe in the radial direction and the axial direction;
步骤 3 ) : 将所述吹胀后管材 (3 ) 在退火温度下进行退火, 以得 到成型管材, 其中所述退火温度高于聚合物材料的玻璃化转变温度且 低于聚合物材料的熔融温度; Step 3): Anneal the blown pipe (3) at an annealing temperature to obtain a shaped pipe, wherein the annealing temperature is higher than the glass transition temperature of the polymer material and lower than the melting temperature of the polymer material ;
步骤 4) : 将所述步骤 3 ) 中得到的成型管材制备成所述生物可降 解聚合物支架 (4) 。 Step 4): Prepare the biodegradable polymer scaffold (4) from the shaped pipe obtained in step 3).
2. 根据权利要求 1所述的生物可降解聚合物支架的制备方法, 其 特征在于: 2. The method for preparing a biodegradable polymer scaffold according to claim 1, characterized in that:
所述步骤 1 ) 中的生物可降解聚合物材料是聚乳酸、 聚乙醇酸、 聚己内酯、 聚二氧六环酮、 聚酸酐、 酪氨酸聚碳酸酯或者其共聚物或 共混物。 The biodegradable polymer material in step 1) is polylactic acid, polyglycolic acid, polycaprolactone, polydioxanone, polyanhydride, tyrosine polycarbonate or their copolymers or blends .
3. 根据权利要求 1所述的生物可降解聚合物支架的制备方法, 其 特征在于: 3. The preparation method of the biodegradable polymer scaffold according to claim 1, characterized in that:
所述步骤 1 ) 中得到的原始管材 (2) 为无定形管材, 该无定形管 材的结晶度低于 20%。 The original pipe (2) obtained in step 1) is an amorphous pipe, and the crystallinity of the amorphous pipe is less than 20%.
4. 根据权利要求 1所述的生物可降解聚合物支架的制备方法, 其 特征在于: 4. The method for preparing a biodegradable polymer scaffold according to claim 1, characterized in that:
所述步骤 2) 包括如下步骤: Said step 2) includes the following steps:
步骤 a): 将所述原始管材(2)放入导热性好且不易变形的所述管 状模具 (1) 中; Step a): Put the original pipe (2) into the tubular mold (1) which has good thermal conductivity and is not easily deformed;
步骤 b) : 将所述原始管材 (2) 和所述管状模具 (1) 加热到取 向温度, 该取向温度高于聚合物材料的玻璃化转变温度且低于聚合物 材料的熔融温度, 并且向所述原始管材 (2) 的内部注入高压气体从而 向所述原始管材 (2) 施加扩张压力, 以沿着所述原始管材 (2) 的径 向方向吹胀所述原始管材; 并且, 在沿着所述径向方向吹胀管材之前、 在沿着所述径向方向吹胀管材的同时或者在沿着所述径向方向吹胀管 材之后, 沿着管材的轴向方向对管材进行轴向拉伸; Step b): Heat the original pipe (2) and the tubular mold (1) to an orientation temperature that is higher than the glass transition temperature of the polymer material and lower than the melting temperature of the polymer material, and to High-pressure gas is injected into the interior of the original pipe (2) to apply expansion pressure to the original pipe (2) to inflate the original pipe along the radial direction of the original pipe (2); and, along the before inflating the tube in the radial direction, while inflating the tube in the radial direction, or after inflating the tube in the radial direction, axially conducting the tube along the axial direction of the tube. stretch; stretch
步骤 c) : 对管材保持所述步骤 b) 中的扩张压力, 通过水冷或气 冷的方式对吹胀后管材 (3) 和所述管状模具 (1) 进行迅速降温, 以 使其降温至聚合物材料的玻璃化转变温度以下; 然后, 撤除所述扩张 压力, 取出所述吹胀后管材 (3) 。 Step c): Maintain the expansion pressure in step b) for the pipe, and quickly cool down the blown pipe (3) and the tubular mold (1) by water cooling or air cooling to allow them to cool down to polymerization below the glass transition temperature of the material; then, remove the expansion pressure and take out the inflated pipe (3).
5. 根据权利要求 1~4中的任一项所述的生物可降解聚合物支架的 制备方法, 其特征在于: 5. The preparation method of the biodegradable polymer scaffold according to any one of claims 1 to 4, characterized in that:
所述步骤 3) 中的退火是指将所述吹胀后管材 (3) 在所述退火温 度下放置一段预定时间, 该预定时间为 5分钟〜 24小时。 Annealing in step 3) refers to placing the blown pipe (3) at the annealing temperature for a predetermined period of time, and the predetermined time ranges from 5 minutes to 24 hours.
6. 根据权利要求 5所述的生物可降解聚合物支架的制备方法, 其 特征在于: 6. The method for preparing a biodegradable polymer scaffold according to claim 5, characterized in that:
在所述步骤 3) 中, 在对所述吹胀后管材 (3) 进行退火之前在所 述吹胀后管材 (3) 的内部放置衬芯, 然后在退火完成后将所述衬芯从 所述吹胀后管材 (3) 的内部取出。 In step 3), a lining core is placed inside the inflated pipe (3) before annealing the inflated pipe (3), and then the lining core is removed from the inflated pipe (3) after the annealing is completed. Take out the inside of the pipe (3) after the above inflation.
7. 根据权利要求 1~4中的任一项所述的生物可降解聚合物支架的 制备方法, 其特征在于: 在所述步骤 4) 中, 将所述成型管材通过激光切割而制备成所述 生物可降解聚合物支架 (4) ; 或者将所述成型管材切割为条状材料后 编织成所述生物可降解聚合物支架 (4) 。 7. The preparation method of the biodegradable polymer scaffold according to any one of claims 1 to 4, characterized in that: In the step 4), the shaped pipe is prepared into the biodegradable polymer stent (4) by laser cutting; or the shaped pipe is cut into strip materials and then woven into the biodegradable polymer stent (4). Polymer scaffold (4).
8. 根据权利要求 4所述的生物可降解聚合物支架的制备方法, 其 特征在于: 8. The method for preparing a biodegradable polymer scaffold according to claim 4, characterized in that:
在所述步骤 b) 中, 在将所述原始管材 (2) 和所述管状模具 (1) 加热到所述取向温度之前, 在预热温度下对所述原始管材 (2) 进行预 热, 所述预热温度高于聚合物材料的玻璃化转变温度。 In step b), before heating the original pipe (2) and the tubular mold (1) to the orientation temperature, the original pipe (2) is preheated at a preheating temperature, The preheating temperature is higher than the glass transition temperature of the polymer material.
9. 根据权利要求 8所述的生物可降解聚合物支架的制备方法, 其 特征在于: 9. The method for preparing a biodegradable polymer stent according to claim 8, characterized in that:
所述预热温度低于聚合物材料的玻璃化转变温度和 20°C之和。 The preheating temperature is lower than the glass transition temperature of the polymer material plus 20°C.
10. 根据权利要求 4 所述的生物可降解聚合物支架的制备方法, 其特征在于: 10. The preparation method of the biodegradable polymer scaffold according to claim 4, characterized in that:
在所述步骤 b)中, 利用缠绕在所述管状模具(1)上的电阻丝进行 加热, 或者利用注入所述原始管材 (2) 的内部的高压气体进行加热, 从而将所述原始管材 (2) 和所述管状模具 (1) 加热到所述取向温度。 In step b), heating is performed using a resistance wire wound around the tubular mold (1), or high-pressure gas injected into the interior of the original pipe (2) is used for heating, thereby heating the original pipe (2). 2) and the tubular mold (1) are heated to the orientation temperature.
11. 根据权利要求 4 所述的生物可降解聚合物支架的制备方法, 其特征在于: 11. The preparation method of the biodegradable polymer scaffold according to claim 4, characterized in that:
在所述步骤 b)中, 所述原始管材 (2) 和所述吹胀后管材 (3) 的 外径比在 1:1.5和 1:5之间; 所述原始管材(2)和所述吹胀后管材(3) 的壁厚比在 1.5:1和 5:1之间; 并且所述原始管材(2)和所述吹胀后管 材 (3) 的长度比在 1:1和 1:2之间。 In step b), the outer diameter ratio of the original pipe (2) and the blown pipe (3) is between 1:1.5 and 1:5; the original pipe (2) and the The wall thickness ratio of the blown pipe (3) is between 1.5:1 and 5:1; and the length ratio of the original pipe (2) and the blown pipe (3) is between 1:1 and 1: between 2.
12. 根据权利要求 4 所述的生物可降解聚合物支架的制备方法, 其特征在于: 12. The preparation method of the biodegradable polymer scaffold according to claim 4, characterized in that:
在所述步骤 b) 中, 在保持所述取向温度的同时, 使所述扩张压 力保持一段预定时间, 该预定时间在 2秒和 10分钟之间。 In step b), while maintaining the orientation temperature, the expansion pressure The force is maintained for a predetermined time, the predetermined time being between 2 seconds and 10 minutes.
13. 根据权利要求 4 所述的生物可降解聚合物支架的制备方法, 其特征在于: 13. The preparation method of the biodegradable polymer scaffold according to claim 4, characterized in that:
在所述步骤 c) 中, 将所述吹胀后管材 (3) 和所述管状模具 (1) 迅速降温至低于聚合物材料的玻璃化转变温度至少 20V。 In step c), the blown pipe (3) and the tubular mold (1) are rapidly cooled to at least 20V below the glass transition temperature of the polymer material.
PCT/CN2013/090097 2012-12-21 2013-12-20 Method for preparing biodegradable polymer frame WO2014094652A1 (en)

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