A kind of 3D printing peripheral nerve catheter and preparation method thereof

A peripheral nerve and 3D printing technology, applied in the field of medical devices, can solve the problems of slow nerve regeneration process, lower nerve regeneration efficiency, and confusion, and achieve increased stability, good spatial stability and pressure resistance, and improved production efficiency. Effect

Inactive Publication Date: 2019-04-02
AFFILIATED HUSN HOSPITAL OF FUDAN UNIV
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

After the previous nerve conduit is implanted in the body, the nerve fiber regeneration method is still disordered and chaotic, and the proximal motor and sensory nerve fibers themselves grow in the corresponding perineurium, but the good order will be lost in the previous conduit Sexuality and directionality, showing mixed growth, which greatly reduces the efficiency of nerve regeneration, and even if the regenerated nerve fibers reach the distal stump, they cannot be correctly docked with the distal motor and sensory nerve fiber bundles, so there is a large rate of nerve fiber misconnection , seriously affected the effect of nerve regeneration
In addition, the nerve regeneration process itself is slow, so all previous nerve conduits were limited to repairing nerve defects within 3 cm, and nerve defects exceeding 3 cm, due to long-term denervation of the effector organs at the distal nerve fiber endings, the corresponding function cannot be achieved. achieve effective recovery
Therefore, several kinds of tissue-engineered nerves in the prior art fail to achieve satisfactory therapeutic effects in terms of the above-mentioned key properties, and cannot solve the different needs of nerve growth factors at different stages in the growth process of the nerves to be repaired.

Method used

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  • A kind of 3D printing peripheral nerve catheter and preparation method thereof
  • A kind of 3D printing peripheral nerve catheter and preparation method thereof
  • A kind of 3D printing peripheral nerve catheter and preparation method thereof

Examples

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Effect test

Embodiment 1

[0037] Through the preparation method of the present invention, a 3D printed peripheral nerve catheter is prepared, and the proportions of PGA and PLA in the mixed material constituting the casing 1 and the hexagonal prism tube 2 are respectively 5:5 and 8:2, and the hexagonal prism tube 2 is set to four , nine nerve growth factor carrier balls 3 (as attached Figure 7), and the arrangement of the nerve growth factor carrier balls 3 is gradually reduced from one end of the hexagonal prism tube 2 to the other end; at the same time, when printing nine nerve growth factor carrier balls 3, the content of PGA in the mixed material used is from the nerve growth The ratio of the factor carrier ball 3 from the high-density end to the low-density end gradually becomes smaller, and finally becomes the same as the ratio of PGA and PLA in the hexagonal prism tube 2, that is, 8:2. In this embodiment, the degradation order of each part of the entire catheter is: NGF carrier balls in the tig...

Embodiment 2

[0039] In this embodiment, a patient with a defect of the superficial radial nerve in the left upper arm was first selected for clinical repair of a 3D peripheral nerve catheter. The patient's nerve defect reached 2.5cm. A peripheral nerve catheter is manufactured through the preparation method of the present invention, and the specific parameters of the catheter are as follows: the length is 3.0 cm, the diameter is 0.3 cm, a hexagonal prism tube is built in, and hollow balls injected with mouse nerve growth factor are evenly distributed in the catheter. The case was followed up at 2 weeks, 1 month, 3 months, and 6 months after the nerve catheter was inserted and repaired. It was confirmed by high-frequency ultrasonography that the regenerated axons of the nerve in the catheter had reached the distal end of the nerve at 3 months after operation.

[0040] On the basis of the first case above, 15 cases of superficial radial nerve defect have been repaired successively. All case...

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Abstract

The invention relates to a 3D-printed peripheral nerve conduit which comprises a casing. One or more hexagonal prism tubes are arranged in the casing, a plurality of nerve growth factor carrier balls are arranged in the hexagonal prism tubes, and nerve growth factors are carried in the nerve growth factor carrier balls. The 3D-printed peripheral nerve conduit is more stable and integral in structure, meanwhile, nerve growth factors can be supplied in a gradient mode, and thus nerve regeneration can be better facilitated.

Description

technical field [0001] The invention relates to the field of medical devices, in particular to a 3D printed peripheral nerve catheter and a preparation method thereof. Background technique [0002] Severe peripheral nerve injury (especially the most severe Sunderland V type - nerve defect injury), common in avulsion injuries, cutting injuries, and severe stretch and crush injuries. This type of peripheral nerve injury has no possibility of self-healing because not only the nerve trunk is completely broken, but also there are gaps of varying degrees between the broken ends. Up to now, domestic and foreign medical treatment for peripheral nerve defects mainly focuses on autologous nerve transplantation and artificial nerve transplantation, but due to many shortcomings of autologous nerve transplantation, such as limited donor nerves, increased trauma, dysfunction and surgical risks Therefore, the research and development of artificial nerves has always been a research hotspot...

Claims

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Application Information

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Patent Type & Authority Patents(China)
IPC IPC(8): A61K38/18A61L27/54A61L27/22A61L27/26B33Y70/00
CPCA61L27/26A61L27/54A61L2300/414C08L67/04
Inventor 徐雷
Owner AFFILIATED HUSN HOSPITAL OF FUDAN UNIV
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