GASTRIC DIVERTER AND ANTIBACTERIAL DIGESTIVE TRACT CATHETER THEREOF
20200069910 ยท 2020-03-05
Inventors
Cpc classification
A61M25/0017
HUMAN NECESSITIES
A61F5/0076
HUMAN NECESSITIES
A61M2025/0056
HUMAN NECESSITIES
A61F2/848
HUMAN NECESSITIES
Y02A50/30
GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
A61M2205/0205
HUMAN NECESSITIES
International classification
Abstract
A gastric diverter and an antibacterial digestive tract catheter thereof are provided. The catheter comprises a membrane tube (31). One end of the membrane tube (31) is connected to a stent (32). The membrane tube (31) is made of an antibacterial material. The membrane tube (31) has an outer diameter of 10-35 mm, and a wall thickness of 0.001-0.3 mm. The membrane tube (31) is fixedly connected to the stent (32) by means of stitching, hot pressing, ultrasonic welding, or laser welding. The antibacterial digestive tract catheter is made of an antibacterial material to minimize occurrences of intestinal inflammation, and to ameliorate metabolic diseases, while also avoiding complications such as liver abscess and pancreatitis. Thus, the invention provides a safer and more effective medical instrument for the treatment of metabolic diseases such as diabetes.
Claims
1. An antibacterial digestive tract catheter of a gastric diverter, characterized by comprising a membrane tube (31), wherein one end of the membrane tube (31) is connected to a stent (32); the membrane tube (31) is made of an antibacterial material, and has an outer diameter of 10-35 mm, and a wall thickness of 0.001-0.3 mm; the membrane tube (31) is fixedly connected to the stent (32) by means of suturing, hot pressing, ultrasonic welding or laser welding.
2. The antibacterial digestive tract catheter of the gastric diverter according to claim 1, wherein the membrane tube (31) contains a polymer material, an antibacterial material and a developing material; and the raw materials are uniformly mixed and then subjected to blow molding, extrusion, or mold forming to form a thin film, a tubular film or a thin-wall tube.
3. The antibacterial digestive tract catheter of the gastric diverter according to claim 1, wherein the membrane tube (31) is a thin film, a tubular film or a thin-wall tube made of the polymer material with the outer surface brushed with the antibacterial material.
4. The antibacterial digestive tract catheter of the gastric diverter according to claim 2, wherein the polymer material is any one or several of polyethylene, fluorine polymer, polyurethane and silica gel.
5. The antibacterial digestive tract catheter of the gastric diverter according to claim 1, wherein the antibacterial material is one or more of nano silver ions, silver particles, nano silver, nano copper ions, copper particles, vanillin, an ethyl vanillin compound or chitosan.
6. The antibacterial digestive tract catheter of the gastric diverter according to claim 2, wherein the developing material is one or more of barium sulfate, bismuth carbonate and a tungsten compound.
7. The antibacterial digestive tract catheter of the gastric diverter according to claim 1, wherein the stent (32) is a mesh tube woven from a weaving wire (103), and the weaving wire is a biocompatible elastic wire, which may be a metal wire, a polymer material wire or a degradable material wire.
8. The antibacterial digestive tract catheter of the gastric diverter according to claim 6, wherein the stent (32) includes an upper stent section (101) and a lower stent section (102), and the outer diameter of the upper stent section (101) is 5-15 mm greater than the lower stent section (102).
9. The antibacterial digestive tract catheter of the gastric diverter according to claim 1, wherein the stent (32) is provided with a developing ring (106) and a withdrawal wire (105).
10. A gastric diverter, characterized by comprising a shell, a release body, a pushing component and the antibacterial digestive tract catheter according to claim 1, wherein the shell (1) is tubular; one end of the shell (1) has a first opening (11), and the other end of the shell (1) has a second opening (13); a to-be-released folded catheter is arranged in the shell (1); the release body (2) is arranged at the first opening (11) and connected to one end of the membrane tube (31), and is made of a material that is digested and absorbed or dissolved by a human intestinal tract; the pushing component includes an inner tube (41), a middle tube (42) and an outer tube (43) which are arranged in a sleeved manner in sequence and is able to move relative to each other; one portion of the inner tube (41) is located in the shell (1) and connected to the release body (2) one end of the middle tube (42) extends into the shell (1) through the second opening (13), and is fixedly provided with a stopper piston (12) which is located in the shell (1) and configured for abutting against the membrane tube (31); the outer tube (43) is located outside the shell (1), with one end fixedly connected to the second opening (13); the inner tube (41) moves axially toward an operator to disengage the release body (2) from the shell (1); the inner tube (41) and the middle tube (42) drive the membrane tube (31) to be separated from the shell and spread and then released at designated positions of the human intestinal tract.
11. A gastric diverter, characterized by comprising a shell, a release body, a pushing component and the antibacterial digestive tract catheter according to claim 2, wherein the shell (1) is tubular; one end of the shell (1) has a first opening (11), and the other end of the shell (1) has a second opening (13); a to-be-released folded catheter is arranged in the shell (1); the release body (2) is arranged at the first opening (11) and connected to one end of the membrane tube (31), and is made of a material that is digested and absorbed or dissolved by a human intestinal tract; the pushing component includes an inner tube (41), a middle tube (42) and an outer tube (43) which are arranged in a sleeved manner in sequence and is able to move relative to each other; one portion of the inner tube (41) is located in the shell (1) and connected to the release body (2) one end of the middle tube (42) extends into the shell (1) through the second opening (13), and is fixedly provided with a stopper piston (12) which is located in the shell (1) and configured for abutting against the membrane tube (31); the outer tube (43) is located outside the shell (1), with one end fixedly connected to the second opening (13); the inner tube (41) moves axially toward an operator to disengage the release body (2) from the shell (1); the inner tube (41) and the middle tube (42) drive the membrane tube (31) to be separated from the shell and spread and then released at designated positions of the human intestinal tract.
12. A gastric diverter, characterized by comprising a shell, a release body, a pushing component and the antibacterial digestive tract catheter according to claim 3, wherein the shell (1) is tubular; one end of the shell (1) has a first opening (11), and the other end of the shell (1) has a second opening (13); a to-be-released folded catheter is arranged in the shell (1); the release body (2) is arranged at the first opening (11) and connected to one end of the membrane tube (31), and is made of a material that is digested and absorbed or dissolved by a human intestinal tract; the pushing component includes an inner tube (41), a middle tube (42) and an outer tube (43) which are arranged in a sleeved manner in sequence and is able to move relative to each other; one portion of the inner tube (41) is located in the shell (1) and connected to the release body (2) one end of the middle tube (42) extends into the shell (1) through the second opening (13), and is fixedly provided with a stopper piston (12) which is located in the shell (1) and configured for abutting against the membrane tube (31); the outer tube (43) is located outside the shell (1), with one end fixedly connected to the second opening (13); the inner tube (41) moves axially toward an operator to disengage the release body (2) from the shell (1); the inner tube (41) and the middle tube (42) drive the membrane tube (31) to be separated from the shell and spread and then released at designated positions of the human intestinal tract.
13. A gastric diverter, characterized by comprising a shell, a release body, a pushing component and the antibacterial digestive tract catheter according to claim 4, wherein the shell (1) is tubular; one end of the shell (1) has a first opening (11), and the other end of the shell (1) has a second opening (13); a to-be-released folded catheter is arranged in the shell (1); the release body (2) is arranged at the first opening (11) and connected to one end of the membrane tube (31), and is made of a material that is digested and absorbed or dissolved by a human intestinal tract; the pushing component includes an inner tube (41), a middle tube (42) and an outer tube (43) which are arranged in a sleeved manner in sequence and is able to move relative to each other; one portion of the inner tube (41) is located in the shell (1) and connected to the release body (2) one end of the middle tube (42) extends into the shell (1) through the second opening (13), and is fixedly provided with a stopper piston (12) which is located in the shell (1) and configured for abutting against the membrane tube (31); the outer tube (43) is located outside the shell (1), with one end fixedly connected to the second opening (13); the inner tube (41) moves axially toward an operator to disengage the release body (2) from the shell (1); the inner tube (41) and the middle tube (42) drive the membrane tube (31) to be separated from the shell and spread and then released at designated positions of the human intestinal tract.
14. A gastric diverter, characterized by comprising a shell, a release body, a pushing component and the antibacterial digestive tract catheter according to claim 5, wherein the shell (1) is tubular; one end of the shell (1) has a first opening (11), and the other end of the shell (1) has a second opening (13); a to-be-released folded catheter is arranged in the shell (1); the release body (2) is arranged at the first opening (11) and connected to one end of the membrane tube (31), and is made of a material that is digested and absorbed or dissolved by a human intestinal tract; the pushing component includes an inner tube (41), a middle tube (42) and an outer tube (43) which are arranged in a sleeved manner in sequence and is able to move relative to each other; one portion of the inner tube (41) is located in the shell (1) and connected to the release body (2) one end of the middle tube (42) extends into the shell (1) through the second opening (13), and is fixedly provided with a stopper piston (12) which is located in the shell (1) and configured for abutting against the membrane tube (31); the outer tube (43) is located outside the shell (1), with one end fixedly connected to the second opening (13); the inner tube (41) moves axially toward an operator to disengage the release body (2) from the shell (1); the inner tube (41) and the middle tube (42) drive the membrane tube (31) to be separated from the shell and spread and then released at designated positions of the human intestinal tract.
15. A gastric diverter, characterized by comprising a shell, a release body, a pushing component and the antibacterial digestive tract catheter according to claim 6, wherein the shell (1) is tubular; one end of the shell (1) has a first opening (11), and the other end of the shell (1) has a second opening (13); a to-be-released folded catheter is arranged in the shell (1); the release body (2) is arranged at the first opening (11) and connected to one end of the membrane tube (31), and is made of a material that is digested and absorbed or dissolved by a human intestinal tract; the pushing component includes an inner tube (41), a middle tube (42) and an outer tube (43) which are arranged in a sleeved manner in sequence and is able to move relative to each other; one portion of the inner tube (41) is located in the shell (1) and connected to the release body (2) one end of the middle tube (42) extends into the shell (1) through the second opening (13), and is fixedly provided with a stopper piston (12) which is located in the shell (1) and configured for abutting against the membrane tube (31); the outer tube (43) is located outside the shell (1), with one end fixedly connected to the second opening (13); the inner tube (41) moves axially toward an operator to disengage the release body (2) from the shell (1); the inner tube (41) and the middle tube (42) drive the membrane tube (31) to be separated from the shell and spread and then released at designated positions of the human intestinal tract.
16. A gastric diverter, characterized by comprising a shell, a release body, a pushing component and the antibacterial digestive tract catheter according to claim 7, wherein the shell (1) is tubular; one end of the shell (1) has a first opening (11), and the other end of the shell (1) has a second opening (13); a to-be-released folded catheter is arranged in the shell (1); the release body (2) is arranged at the first opening (11) and connected to one end of the membrane tube (31), and is made of a material that is digested and absorbed or dissolved by a human intestinal tract; the pushing component includes an inner tube (41), a middle tube (42) and an outer tube (43) which are arranged in a sleeved manner in sequence and is able to move relative to each other; one portion of the inner tube (41) is located in the shell (1) and connected to the release body (2) one end of the middle tube (42) extends into the shell (1) through the second opening (13), and is fixedly provided with a stopper piston (12) which is located in the shell (1) and configured for abutting against the membrane tube (31); the outer tube (43) is located outside the shell (1), with one end fixedly connected to the second opening (13); the inner tube (41) moves axially toward an operator to disengage the release body (2) from the shell (1); the inner tube (41) and the middle tube (42) drive the membrane tube (31) to be separated from the shell and spread and then released at designated positions of the human intestinal tract.
17. A gastric diverter, characterized by comprising a shell, a release body, a pushing component and the antibacterial digestive tract catheter according to claim 8, wherein the shell (1) is tubular; one end of the shell (1) has a first opening (11), and the other end of the shell (1) has a second opening (13); a to-be-released folded catheter is arranged in the shell (1); the release body (2) is arranged at the first opening (11) and connected to one end of the membrane tube (31), and is made of a material that is digested and absorbed or dissolved by a human intestinal tract; the pushing component includes an inner tube (41), a middle tube (42) and an outer tube (43) which are arranged in a sleeved manner in sequence and is able to move relative to each other; one portion of the inner tube (41) is located in the shell (1) and connected to the release body (2) one end of the middle tube (42) extends into the shell (1) through the second opening (13), and is fixedly provided with a stopper piston (12) which is located in the shell (1) and configured for abutting against the membrane tube (31); the outer tube (43) is located outside the shell (1), with one end fixedly connected to the second opening (13); the inner tube (41) moves axially toward an operator to disengage the release body (2) from the shell (1); the inner tube (41) and the middle tube (42) drive the membrane tube (31) to be separated from the shell and spread and then released at designated positions of the human intestinal tract.
18. A gastric diverter, characterized by comprising a shell, a release body, a pushing component and the antibacterial digestive tract catheter according to claim 9, wherein the shell (1) is tubular; one end of the shell (1) has a first opening (11), and the other end of the shell (1) has a second opening (13); a to-be-released folded catheter is arranged in the shell (1); the release body (2) is arranged at the first opening (11) and connected to one end of the membrane tube (31), and is made of a material that is digested and absorbed or dissolved by a human intestinal tract; the pushing component includes an inner tube (41), a middle tube (42) and an outer tube (43) which are arranged in a sleeved manner in sequence and is able to move relative to each other; one portion of the inner tube (41) is located in the shell (1) and connected to the release body (2) one end of the middle tube (42) extends into the shell (1) through the second opening (13), and is fixedly provided with a stopper piston (12) which is located in the shell (1) and configured for abutting against the membrane tube (31); the outer tube (43) is located outside the shell (1), with one end fixedly connected to the second opening (13); the inner tube (41) moves axially toward an operator to disengage the release body (2) from the shell (1); the inner tube (41) and the middle tube (42) drive the membrane tube (31) to be separated from the shell and spread and then released at designated positions of the human intestinal tract.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0033]
[0034]
[0035]
[0036]
[0037]
[0038]
[0039]
[0040]
REFERENCE NUMERALS IN THE DRAWINGS
[0041] (1): shell; (11): first opening; (12): stopper piston; (13): second opening; (14): screw cap; (2): release body; (22): inner core; (221): membrane tube connection portion; (222): main body portion; (23): housing; (231): ring step; (31): membrane tube; (32): stent; (41): inner tube; (411): damping tube; (412): second extending end; (42): middle tube; (421): first extending end; (43): outer tube; (44): first handle; (45): Luer taper; (46): second handle; (101): upper stent section; (102): lower stent section; (103): weaving wire; (104): number of heads; (105): withdrawal wire; and (106): developing ring.
DETAILED DESCRIPTION OF THE INVENTION
Best Mode for Carrying out the Invention
[0042] The embodiments of the present invention are described in detail below, and the examples of the embodiments are illustrated in the drawings, wherein the same or similar reference numerals refer to the same or similar elements or elements having the same or similar functions throughout. The embodiments described below with reference to the drawings are exemplary and intended to be explanatory of the present invention and are not to be construed as limiting the present invention.
[0043] In the description of the present invention, it should be understood that directions or position relationships indicated by the terms, such as center, longitudinal, transverse, length, width, thickness, up, down, front, rear, left, right, vertical, horizontal, top, bottom, inside, clockwise and anticlockwise, are directions or position relationships as shown in the drawings, and are only to facilitate and simplify the description of the present invention instead of indicating or implying that devices or elements indicated should have specific directions and be constructed and operated at the specific directions, so that these terms may not be construed as limiting the present invention.
[0044] In addition, the terms first and second are only for description, but not construed as indicating or implying relative importance or impliedly indicating the number of technical features indicated. Therefore, features defined by first and second may explicitly indicate or impliedly include one or more features. In the description of the present invention, unless otherwise specifically specified, the term multiple means that the number is equal to or more than 2.
[0045] In present invention, unless otherwise clearly specified and defined, the terms mounted, coupled, connected and fixed shall be general understandings. For example, it may be fixed connection, detachable connection, or integrated connection. It may be mechanical connection, electrical connection, direct connection, or indirect connection through an intermediate, or communication of insides of two elements. Those of ordinary skill in the art can understand specific meanings of the above-mentioned terms in the present invention according to specific situations.
[0046] In the present invention, unless otherwise clearly specified and defined, a situation that a first feature is above or below a second feature may include direct contact of the first and second features, and may also include a situation that the first and second features are in contact through other features therebetween instead of direct contact. In addition, a situation that the first feature is on, above and on the upside of the second feature includes situations that the first feature is right above and in the oblique above the second feature, or only represents that the horizontal height of the first feature is greater than that of the second feature. A situation that the first feature is under, below and underneath the second feature includes situations that the first feature is right below and in the oblique below the second feature, or only represents that the horizontal height of the first feature is less than that of the second feature.
[0047] A gastric diverter as shown in
[0048] The inner tube (41) moves and drives the release body (2) to move, thereby pulling the membrane tube (31) to allow it to spread gradually. The middle tube (42) moves along its axial direction and drives the stopper piston (12) to press against the membrane tube (31) (namely press against the end, which is not connected to the release body (2), of the membrane tube (31)) to push the membrane tube (31) out of the shell (1).
[0049] A protrusion is provided outside the second opening (13) of the shell (1) and has a screw cap (14) screwed thereon. The outer tube (43) passes through the screw cap (14) and is fixedly connected to the second opening (13) of the shell (1). Specifically, the outer tube (43) can be fixedly connected to the second opening (13) by sticking, thermal shrinkage, or other manners.
[0050] In this embodiment, the shell (1) and each part of the pushing component are made of one or more composite materials of polyurethane, polyethylene, and fluoropolymer. Aside from good support performance, pushability, toughness and a smooth surface to be smoothly pushed via an endoscope or in the tracts of the human body, also these materials are not easy to be bent and can be well controlled.
[0051] Specifically, in the use of the gastric diverter of the present embodiment, a guide wire is passed through the inner tube (41), the operator passes the entire device through the human mouth. The shell (1) is guided by the guide wire in cooperation with the gastroscope to the duodenum close to the pylorus and/or an upper part of the pylorus. The guide wire and the pushing component guide and support the movement of the inner tube (41) in the esophagus and gastrointestinal tract, so that the shell (1) and the membrane tube (31) can successfully reach designated positions. Then, the middle tube (42) and the inner tube (41) in the pushing component are operated to release the membrane tube (31) in the shell (1) into the gastrointestinal tract, and the inner tube (41) is operated to move the release body (2) to unfold the folded membrane tube (31). After the release body (2) made of a material that can be digested and absorbed in the human intestinal tract enters the intestines, it can be dissolved or decomposed in a short period of time by digestive juices or water, and then be digested and absorbed in the intestines, thereby completing the release of the membrane tube (31). In this way, a thin-film guide tube forms on the intestinal tissues to prevent and slow down nutrient absorption in the intestinal tract, and regulate the secretion of digestive enzymes, thereby regulating blood sugar and lipid levels and body weight, and avoiding the occurrence of diabetes. The release body (2) is made of a material which meets a biological safety requirement, can be dissolved or decomposed in the human body, and has no toxicity or side effects for the human body. The material may be, for example, one or more compounds of an edible gelling agent, a soy protein powder, starch, a polysaccharide compound, glycerin, branched or amylopectin, and the like. During formulation, the one or more compounds are added, mixed with water and a fat-soluble substance, and then solidified in a corresponding mold, to form a hard solid structure. Moreover, the release body (2) can also be made of a material which can be dissolved but not absorbed in the human body, and completely eliminated from the human body, without toxicity or side effect.
[0052] As shown in
[0053] Preferably, referring to
[0054] Specifically, referring to
[0055] Preferably, referring to
[0056] Specifically, referring to
[0057] Preferably, referring to
[0058] Preferably, referring to
[0059] In the present embodiment, the damping tube (411) can be made from one or more elastic materials of polyurethane, silicone, and TPE, with a surface subjected to physical or chemical processing to increase friction. Accordingly, before the membrane tube (31) is released, the damping tube (411) maintains a relatively static state between the release body (2) and the inner tube (41).
[0060] Preferably, as shown in
[0061] Specifically, during the operation of the middle tube (42), while the middle tube (42) drives the piston stopper (12) to push the stent (32) and the membrane tube (31) outward from the shell (1), the operator has to observe the stent (32) in the shell (1) via the endoscope. When the front end of the stent (32) is about to be out of the shell (1), the operation of the middle tube (42) should be stopped immediately. At the same time, the operator has to adjust the position of the shell (1) so that the stent (32) can be fixed in the duodenal bulb when leaving the shell (1). The stent (32) is elastic and can vary in shape with the peristalsis of the intestinal tract. Also it has a certain supporting force and can be fixed in the duodenal bulb.
[0062] Specifically, in the above embodiment, the structure used to operate the movement of the middle tube (42) and the inner tube (41) includes a first extending end (421) and a first handle (44), a Luer taper (45), a second extending end (412) and a second handle (46). The middle tube (42) has the first extending end (421) extending out of the outer tube (43), the first extending end (421) is connected to the first handle (44), the first handle (44) is provided with the Luer taper (45) communicating the outside with the inside of the middle tube (42), the inner tube (41) has the second extending end (412) extending from the first extending end (421), and the second extending end (412) is connected to the second handle (46).
[0063] Specifically, in the process of operating the middle tube (42) and the inner tube (41) to release the membrane tube (31), the operator can add a certain amount of water or saline through the Luer taper (45). As the water or saline enters the membrane tube (31) through a gap between the middle tube (42) and the inner tube (41), the release of the membrane tube (31) in the duodenum and the dissolution or decomposition of the release body (2) can be accelerated. When the membrane tube (31) is released, the membrane tube (31) and the release body (2) move from the duodenum towards the jejunum with the peristalsis of the intestinal tract for about 1 to 10 minutes. At the same time, as the saline flows towards the membrane tube (31) along the gap between the inner tube (41) and the middle tube (42), the movement of the membrane tube (31) and the release body (2) towards the jejunum and the release of the membrane tube (31) are also accelerated. The membrane tube (31) may contain a developing material, such as barium sulfate, bismuth carbonate, and tungsten, which can be developed under X rays. The release body (2) may also contain a developing material so as to provide its position under X rays, thereby facilitating the operation.
[0064] The present invention can be operated as follows. Firstly, the inner tube (41) is pulled by and towards the operator, such that when the second opening (13) of the shell (1) is pressed against the housing (23), the ring step (231) of the housing (23) is disconnected to separate the release body (2) from the shell (1). Then, the inner tube (41) is operated to move the release body (2) away from the operator (i.e. into the body of a patient), such that one end of the membrane tube (31) extends out of the shell (1) and drives the membrane tube (31) to be unfolded. In this case, the middle tube (42) is then operated to drive the piston stopper (12) to move. The piston stopper (12) pushes the stent (32) on the other end of the membrane tube (31) in the shell (1) to push the whole membrane tube (31) out of the shell (1). It should be noted that when the membrane tube (31) is completely unfolded and the piston stopper (12) pushes the stent (32) to move to the first opening (11) of the shell (1) (when the membrane tube (31) is about to be completely released), the stent (32) has to arrive at a specified release position in the intestinal tract (an appropriate position near the duodenum of the stomach pylorus and/or the upper portion of the stomach pylorus in the stomach of the body). Then, the second handle (46) is pushed in a direction away from the operator so that the stent (32) is completely detached from the shell (1) and fixed in the duodenal bulb. The stent (32) is elastic and can vary in shape with the peristalsis of the intestinal tract. Also, it has a certain supporting force and can be fixed in the duodenal bulb. The unfolded membrane tube (31) may be placed in the digestive tract for 1 to 12 months, and the duration can be adjusted according to disease conditions or actual conditions.
[0065] In this embodiment, there is still another way of operation described as follows. When the middle tube (42) and the inner tube (41) are simultaneously operated to move the piston stopper (12) to push one end of the membrane tube (31) in the shell (1), the inner tube (41) moves to drive the release body (2) to move, and the release body (2) drives the stent (32) on the other end of the membrane tube (31). In this way, the membrane tube (31) is unfolded and extends out of the shell (1). Finally, the whole membrane tube (31) is pushed out of the shell (1) at a specified release position in the intestinal tract.
[0066] As shown in
[0067] Preferably, the catheter contains a polymer material, an antibacterial material and a developing material. The raw materials are uniformly mixed and then subjected to blow molding, extrusion, or mold pressing to form a thin film or a tubular film. Preferably, the polymer material is any one or several of polyethylene, fluorine polymer, polyurethane and silica gel. Preferably, the antibacterial material is one or more of nano silver, nano copper, vanillin, an ethyl vanillin compound or chitosan. Preferably, the developing material is one or more of barium sulfate, bismuth carbonate and a tungsten compound.
[0068] Preferably, the outer diameter of the membrane tube according to the present invention may be 10-40 mm, preferably 15-35 mm, more preferably 15-30 mm. Within this range, the membrane tube (31) may be fully applicable to the human digestive tract and not injure the human tissues.
[0069] Preferably, the length of the membrane tube (31) according to the present invention may be 200-1,500 mm, preferably 200-1,300 mm, more preferably 300-1,200 mm. Within this range, the catheter according to the present invention may be implanted into any position of the digestive tract and define an acting position.
[0070] Preferably, the wall thickness of the membrane tube (31) according to the present invention may be 0.001-0.3 mm, preferably 0.005-0.05 mm, more preferably 0.01-0.03 mm. Within this range, the flexibility of the catheter according to the present invention may be fully guaranteed, and enough strength is maintained.
[0071] The implantable catheter may be implanted into the digestive tract. The digestive tract includes an esophagus, a stomach, a duodenum, a jejunum, an ileum and the like, so that different positions of the implantable catheter may correspond to the esophagus, the stomach, the duodenum, the jejunum, the ileum and the like, respectively. Since the catheter has different functions at different positions, different effects may be exerted on different parts of the digestive tract. The implantable catheter may have the function of isolating food in the intestinal tract and changing the physiological flowing direction of the food. After the catheter is implanted for a period of time, the insulin resistance of the body of the patient disappears. Furthermore, the flowing mode of the food may also promote the insulin secretion in the body of the patient, reduce apoptosis of pancreatic islet cells to multiply the pancreatic islet cells, recover pancreas pancreatic islet functions and cure the metabolic diseases such as diabetes and obesity. The implantable catheter has a tensile modulus of more than 250 MP and an elongation of more than 230 percent. The material is flexible. Nausea, vomiting, abdominal pain and other phenomena caused by the implantation in the body can be significantly reduced.
[0072] The implantable catheter according to the present invention may be implanted into the digestive tract to treat endocrine diseases, such as diabetes, pancreatic islet dysfunction and obesity, or lower digestive tract diseases, such as inflammation. In comparison with conventional technology, the implantable catheter of the present invention has the advantages of simple structure, good structural applicability, simple manufacturing process, low cost, high production speed, quality assurance, convenience in manufacturing and the like. Furthermore, after implantation, the implantable catheter is comfortable and compliant, and will not cause harm to human tissues.
[0073] In addition, the barium sulfate contained in the implantable catheter of the present invention is visible under X-ray and the like. In addition, the implantable catheter of the present invention may be connected to the stent. After the catheter is connected to the stent, stimulation to the digestive tract can be reduced, and it is safer and more convenient to lift, pull, adjust or withdraw the stent.
[0074] In one implementation of the catheter of the present invention, nano silver is selected as the antibacterial material. Nano silver powder is added into polytetrafluoroethylene material powder according to an adding ratio of 1/10000 to 1/1000 percent by weight, and then an auxiliary such as alcohol is added. The two materials are fully and uniformly mixed. The mixture is put into a special preparation device to manufacture a tube blank through heating, pressurization and other processes, and a heating temperature is about 300 DEG C. Then, the tube blank is put into a designed extrusion mold for secondary forming of a catheter. The tube blank is put into a designed iron rod, and the iron rod is placed into a heating furnace with ventilation to volatilize the solvent such as the alcohol and solidify the tube blank. The processed catheter is put into a thermal treatment furnace again for sizing. The obtained catheter is a highly-biocompatible flexible thin-wall tube with a diameter of 10-40 mm and a wall thickness of 0.01-0.1 mm, and can be retained for a long time in the human body without adverse effects on the human body. The long-time retention refers to retention in the human digestive tract for three months or longer time.
[0075] Preferably, a developing material may also be added into the material to determine a position for catheter implantation in clinical use, determine whether twisting and knotting exist and the like.
[0076] Preferably, the implantable catheter should have good chemical and biological stability, and chemical changes shall not occur and soluble substances unfavorable for the human body shall not be produced under the influence of various strong acids and strong alkalis as well as biological enzymes in the digestive tract.
[0077] Preferably, the catheter has an obvious antibacterial and inhibitory effect on pathogenic microorganisms, maintains the antibacterial property within relatively long time, is non-toxic and harmless to the human body, and is environmentally friendly.
[0078] Preferably, the catheter has good physical properties, and has certain strength and flexibility in the human tissues.
[0079] In another implementation of the present invention, chitosan is selected as an antibacterial material. The chitosan is added into a PE master batch according to an adding ratio of 5-25 percent by weight to prepare a chitosan-containing PE master batch. Linear low-density polyethylene (LLDPE) is selected as a base material. The chitosan-containing PE master batch is added into LLDPE plastic particles for uniform mixing. A thin-wall tube is processed by an extrusion process at a preferable processing temperature of 100 to 130 DEG C. A gas pressure needs to be controlled in the extrusion process to keep a stable inner diameter. A catheter prepared from the obtained antibacterial material is a flexible thin-wall tube that has a wall thickness of 0.01-0.1 mm and a diameter of 10-40 mm, may not generate adverse effects to the digestive tract and has a relatively good bacteriostatic effect.
[0080] Preferably, a developing material may also be added into the material to determine the position of the catheter in the human digestive tract. Preferably, the developing material uses barium sulfate. The specific adding amount is 10 to 35 percent by weight.
[0081] The antibacterial digestive tract catheter prepared by the above implementation of the present invention is subjected to a bacteriostatic test. The same material (but with no bacteriostatic material) is used to prepare a film-like catheter of the same size. A strip material of 15 mm*30 mm is selected and placed into an agar culture medium. They are placed in two culture dishes respectively and cultured for 48 hours under the same culture conditions. It can be found that the total number of colonies cultured by using the digestive tract catheter used in the present invention is less than that of colonies cultured by using the sample without the bacteriostatic material by 50 percent or above.
[0082] As shown in
[0083] As shown in
[0084] Preferably, the stent may be of a funnel shape as shown in
[0085] Preferably, the stent (32) may also be of a round ball shape as shown in
[0086] Preferably, the stent (32) may also be of a wine glass shape as shown in
[0087] Preferably, the upper stent section (101) of the stent (32) is 5-15 mm high, and the lower stent section (102) is also 5-15 mm high. The specific heights may be slightly adjusted according to a specific physiologically anatomical structure of the human body.
[0088] The stent (32) is regularly arranged in the shape of a rhombus, a hexagon and a honeycomb and placed in the duodenal bulb. The stent (32) is elastic and can vary in shape with the peristalsis of the intestinal tract. Also it has a certain supporting force and can be fixed in the duodenal bulb.
[0089] A weaving wire (103) of the stent (32) may be a wire of a metal material, a polymer material or a degradable material. The metal wire material may be a stainless steel wire and a nickel-titanium alloy wire. The polymer material may be PE (polyethylene), PU (polyurethane) and PTFE (polytetrafluoroethylene). The degradable material may be PPDO (poly(p-dioxanone)), PLLA (polylactic acid), PGA (polyglycolic acid) and the like. The material meets a biocompatibility requirement, suitable for long-term implantation in the human body. It is tough and elastic, has a certain supporting force in the digestive tract, and is connected to the membrane tube (31) to prevent slippage.
[0090] Preferably, the weaving wire (103) uses a nickel-titanium alloy. The nickel-titanium alloy wire preferably meets the long-term implantation requirement and has a preferable austenitic phase change point of 0 to 10 degrees.
[0091] The stent (32) is woven from a wire on a mold and then subjected to heat setting. A set product may be of a structure as shown in
[0092] Specifically, a weaving route of the stent (32) is of a convolution body shape rotating around the middle axis. The rotating direction of the convolution body may be a clockwise rotating direction or an anticlockwise rotating direction when overlooked from the head end portion.
[0093] As shown in
[0094] Preferably, the stent (32) coated with a film is convenient to take out. Preferably, the film may be various flexible materials that meet the human biocompatibility, such as silica gel, fluoroplastic, PE and TPU, with a thickness of 0.01-0.2 mm.
[0095] The stent (32) is woven from a single wire. The number of heads (104) of the stent (32) may be preferably 10-30, more preferably 15-25, and most preferably 18-24.
[0096] The stent (32) is provided with a developing ring (106) that may be clearly located under the X-ray. The developing ring (106) may be a heavy metal material that is harmless to the human body, such as platinum, gold and tantalum.
[0097] In the descriptions of this description, the descriptions with reference to the terms one embodiment, some embodiments, example, specific example, or some examples and the like mean that specific features, structures, materials or characteristics described in conjunction with the embodiments or examples are included in at least one embodiment or example of the present invention. In this description, the schematic representation of the above terms does not necessarily refer to the same embodiment or example. Moreover, the specific features, structures, materials or characteristics described herein may be combined in any suitable modes in any one or more embodiments or examples.
[0098] Although the embodiments of the present invention have been shown and described in the foregoing, it can be understood that the foregoing embodiments are illustrative and not construed as limiting the present invention. Those of ordinary skill in the art can make changes, modifications, substitutions and transformations to the foregoing embodiments within the scope of the present invention and without departing from the principle and concept of the present invention. Any modifications, equivalent substitutions, improvements and the like that are made without departing from the spirit and principle of the present invention shall all fall within the protection scope of the present invention.