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Thrombus filter capable of realizing delayed recovery and preparation method of thrombus filter

A medical device and hemocompatibility technology, applied in the field of thrombus filters and thrombus filters that can be recovered after a delay, can solve the problems of filter displacement, filter endothelialization or tissue hyperplasia, thrombosis, etc.

Active Publication Date: 2018-03-23
SHANGHAI JUNLIAN MEDICAL EQUIP
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

[0003] In general, IVCFs are made of stainless steel, titanium and its alloys, NiTi alloys, and other materials, but these materials have poor blood compatibility and are prone to cause thrombosis after implantation, thereby causing greater risks; at the same time, when After the filter is implanted in the inferior vena cava, due to the growth of vascular endothelial cells and smooth muscle cells on the surface of the filter and the adsorption and activation of fibrinogen in the blood on the surface of the material, it is easy to cause severe endothelialization or tissue proliferation on the surface of the filter, so that the filter can be removed Very difficult; moreover, the recovery hook on the filter is often covered with fibrin, making the operation of removing the filter extremely difficult
In addition, when the IVCF stays in the body for a long time, it is easy to cause clinical side effects such as filter displacement and secondary thrombus formation. Therefore, a large number of patients with implanted thrombus filters need to take out the thrombus filters. Take it out, otherwise it will be difficult to take it out again, but the patient has not been cured within a week or so, and pulmonary embolism still needs to be prevented. treatment is very important

Method used

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  • Thrombus filter capable of realizing delayed recovery and preparation method of thrombus filter
  • Thrombus filter capable of realizing delayed recovery and preparation method of thrombus filter
  • Thrombus filter capable of realizing delayed recovery and preparation method of thrombus filter

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Experimental program
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Effect test

preparation example Construction

[0104] In the method for preparing the medical device with the blood compatibility coating provided by the invention, the polyacrylic acid coating is deposited by plasma polymerization, which greatly increases the carboxyl content on the filter surface, which is beneficial to improve the grafting of polyethylene glycol and MPC Density, to better stop thrombus formation and tissue growth. Moreover, fixing polyethylene glycol and MPC is a chemical reaction using terminal groups, which does not affect the biological activity of polyethylene glycol and MPC, thereby better inhibiting thrombus formation and cell growth.

[0105] Due to the oxygen plasma cleaning and activation treatment of the filter before the deposition of polyacrylic acid, the polyacrylic acid coating on the surface has a strong binding force, and the subsequent polyethylene glycol and PMC fixation adopts a covalent fixation method, which has a firm binding force and can be more function for a long time.

Embodiment 1

[0107] Embodiment 1: according to the following steps, the instrument surface is processed:

[0108] (1) Surface cleaning and activation: Firstly, ultrasonically clean the nickel-titanium alloy device samples sequentially with acetone, ethanol and distilled water, put the dried samples into a plasma processor, evacuate to below 1Pa, and charge and discharge high-purity oxygen 3 times. Pass through the sample at 2L / min, set the radio frequency discharge power to 100W, treat with oxygen plasma for 10min, and then fully wash with distilled water and dry.

[0109] (2) Surface plasma polymerization deposition of polyacrylic acid film: put the instrument sample after oxygen plasma treatment into a vacuum chamber, evacuate to below 1Pa, pass in 1L / min of acrylic acid gas, 50W radio frequency discharge, and polymerize and deposit for 30min to obtain A device sample with a polyacrylic acid film deposited on its surface.

[0110] (3) Surface-grafted polyethylene glycol: wash the instru...

Embodiment 2

[0112] Embodiment 2: Process the surface of the thrombus filter according to the following steps

[0113] (1) Surface cleaning and activation: The prepared thrombus filter was firstly ultrasonically cleaned with acetone, ethanol and distilled water in sequence, and the dried sample was placed in a plasma processor, vacuumed to below 1Pa, and filled with high-purity oxygen for 3 times. Pass through the sample at 3L / min, set the radio frequency discharge power to 200W, and treat with oxygen plasma for 20min, then fully wash with distilled water and dry.

[0114] (2) Polyacrylic acid film deposited by surface plasma polymerization: put the thrombus filter treated with oxygen plasma into a vacuum chamber, evacuate to below 1Pa, pass in 2L / min of acrylic acid gas, 80W radio frequency discharge, and polymerize and deposit for 45min to obtain A thrombus filter with a polyacrylic acid film deposited on its surface.

[0115] (3) Surface-grafted polyethylene glycol: Wash the thrombus f...

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Abstract

The invention discloses a thrombus filter capable of realizing delayed recovery and a preparation method of the thrombus filter and particularly discloses a blood compatible coating. The blood compatible coating comprises a polyacrylic acid layer and a polyethylene glycol layer, and 2-methacryloyloxyethyl phosphorylcholine is covalently linked with the surface of the polyethylene glycol layer. Theinvention further discloses medical apparatus such as the thrombus filter coated with the blood compatible coating. According to the technical scheme, thrombogenesis and endothelial tissue growth canbe better inhibited. The whole surface coating is adjustable in thickness and surface grafting amount and can well bear stress and strain actions in apparatus assembly and release processes, molecules are firmly combined without falling off, and mechanical properties of the apparatus are not affected.

Description

technical field [0001] The invention belongs to the field of medical devices and relates to a thrombus filter, in particular to a delayed recovery thrombus filter and a manufacturing method thereof. Background technique [0002] Pulmonary embolism (PE) is a clinical and pathophysiological syndrome in which endogenous or exogenous emboli block the pulmonary artery or its branches and cause pulmonary circulation disturbance. PE is usually caused by deep vein thrombosis. Severe PE can cause dyspnea, Syncope, abnormal hypotension and even sudden death. PE is usually treated with anticoagulant and thrombolytic therapy. If anticoagulant therapy fails or the effect is poor, implantation of inferior vena cava filters (IVCFs) may be required. [0003] In general, IVCFs are made of stainless steel, titanium and its alloys, NiTi alloys, and other materials, but these materials have poor blood compatibility and are prone to thrombosis after implantation, thereby causing greater risks; ...

Claims

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Application Information

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Patent Type & Authority Applications(China)
IPC IPC(8): A61L31/10
CPCA61L31/10A61L2400/18A61L2420/02A61L2420/08C08L33/02C08L71/02
Inventor 潘长江崔景民
Owner SHANGHAI JUNLIAN MEDICAL EQUIP
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