CA1069394A

CA1069394A - Sutures antimicrobiennes

Sutures antimicrobiennes

Info

Publication number: CA1069394A
Authority: CA; Canada
Prior art keywords: suture; surgical aid; heparin; surgical; coated
Prior art date: 1975-10-31
Legal status : Expired

Application number

CA238,786A

Other languages

English (en)

Inventor

Martin Stephenson

Current Assignee

Johnson and Johnson Medical SAS

Original Assignee

Ethicon SAS

Priority date

1975-10-31

Filing date

1975-10-31

Publication date

1980-01-08

1975-10-31 Application filed by Ethicon SAS filed Critical Ethicon SAS

1975-10-31 Priority to CA238,786A priority Critical patent/CA1069394A/fr

1980-01-08 Application granted granted Critical

1980-01-08 Publication of CA1069394A publication Critical patent/CA1069394A/fr

Status Expired legal-status Critical Current

Links

230000000845 anti-microbial effect Effects 0.000 title claims abstract description 41
229920000669 heparin Polymers 0.000 claims abstract description 52
229960002897 heparin Drugs 0.000 claims abstract description 49
HTTJABKRGRZYRN-UHFFFAOYSA-N Heparin Chemical compound OC1C(NC(=O)C)C(O)OC(COS(O)(=O)=O)C1OC1C(OS(O)(=O)=O)C(O)C(OC2C(C(OS(O)(=O)=O)C(OC3C(C(O)C(O)C(O3)C(O)=O)OS(O)(=O)=O)C(CO)O2)NS(O)(=O)=O)C(C(O)=O)O1 HTTJABKRGRZYRN-UHFFFAOYSA-N 0.000 claims abstract description 42
239000004599 antimicrobial Substances 0.000 claims abstract description 22
229920002635 polyurethane Polymers 0.000 claims abstract description 14
239000004814 polyurethane Substances 0.000 claims abstract description 14
239000004744 fabric Substances 0.000 claims abstract description 5
239000000243 solution Substances 0.000 claims description 27
ZMXDDKWLCZADIW-UHFFFAOYSA-N N,N-Dimethylformamide Chemical compound CN(C)C=O ZMXDDKWLCZADIW-UHFFFAOYSA-N 0.000 claims description 24
238000000034 method Methods 0.000 claims description 21
229920001971 elastomer Polymers 0.000 claims description 17
239000000806 elastomer Substances 0.000 claims description 17
238000000576 coating method Methods 0.000 claims description 16
229920006318 anionic polymer Polymers 0.000 claims description 14
239000011248 coating agent Substances 0.000 claims description 14
125000002947 alkylene group Chemical group 0.000 claims description 12
125000000129 anionic group Chemical group 0.000 claims description 12
125000002091 cationic group Chemical group 0.000 claims description 11
239000007788 liquid Substances 0.000 claims description 10
125000000217 alkyl group Chemical group 0.000 claims description 9
238000009833 condensation Methods 0.000 claims description 8
230000005494 condensation Effects 0.000 claims description 8
PGBHMTALBVVCIT-VCIWKGPPSA-N framycetin Chemical compound N[C@@H]1[C@@H](O)[C@H](O)[C@H](CN)O[C@@H]1O[C@H]1[C@@H](O)[C@H](O[C@H]2[C@@H]([C@@H](N)C[C@@H](N)[C@@H]2O)O[C@@H]2[C@@H]([C@@H](O)[C@H](O)[C@@H](CN)O2)N)O[C@@H]1CO PGBHMTALBVVCIT-VCIWKGPPSA-N 0.000 claims description 8
229920001296 polysiloxane Polymers 0.000 claims description 8
UFHFLCQGNIYNRP-UHFFFAOYSA-N Hydrogen Chemical compound [H][H] UFHFLCQGNIYNRP-UHFFFAOYSA-N 0.000 claims description 7
239000004952 Polyamide Substances 0.000 claims description 7
239000004721 Polyphenylene oxide Substances 0.000 claims description 7
239000001257 hydrogen Substances 0.000 claims description 7
229910052739 hydrogen Inorganic materials 0.000 claims description 7
229920002647 polyamide Polymers 0.000 claims description 7
229920000570 polyether Polymers 0.000 claims description 7
JOYRKODLDBILNP-UHFFFAOYSA-N urethane group Chemical group NC(=O)OCC JOYRKODLDBILNP-UHFFFAOYSA-N 0.000 claims description 7
125000002887 hydroxy group Chemical group [H]O* 0.000 claims description 6
IQPQWNKOIGAROB-UHFFFAOYSA-N isocyanate group Chemical group [N-]=C=O IQPQWNKOIGAROB-UHFFFAOYSA-N 0.000 claims description 6
229920001730 Moisture cure polyurethane Polymers 0.000 claims description 5
239000007864 aqueous solution Substances 0.000 claims description 5
229940053050 neomycin sulfate Drugs 0.000 claims description 5
229920000058 polyacrylate Polymers 0.000 claims description 5
229960002796 polystyrene sulfonate Drugs 0.000 claims description 5
239000011970 polystyrene sulfonate Substances 0.000 claims description 5
VEXZGXHMUGYJMC-UHFFFAOYSA-M Chloride anion Chemical compound [Cl-] VEXZGXHMUGYJMC-UHFFFAOYSA-M 0.000 claims description 4
CEAZRRDELHUEMR-URQXQFDESA-N Gentamicin Chemical compound O1[C@H](C(C)NC)CC[C@@H](N)[C@H]1O[C@H]1[C@H](O)[C@@H](O[C@@H]2[C@@H]([C@@H](NC)[C@@](C)(O)CO2)O)[C@H](N)C[C@@H]1N CEAZRRDELHUEMR-URQXQFDESA-N 0.000 claims description 4
229930182566 Gentamicin Natural products 0.000 claims description 4
238000001035 drying Methods 0.000 claims description 4
229960002385 streptomycin sulfate Drugs 0.000 claims description 4
QAOWNCQODCNURD-UHFFFAOYSA-L Sulfate Chemical compound [O-]S([O-])(=O)=O QAOWNCQODCNURD-UHFFFAOYSA-L 0.000 claims description 3
239000003960 organic solvent Substances 0.000 claims description 3
CZTQZXZIADLWOZ-CRAIPNDOSA-N cefaloridine Chemical compound O=C([C@@H](NC(=O)CC=1SC=CC=1)[C@H]1SC2)N1C(C(=O)[O-])=C2C[N+]1=CC=CC=C1 CZTQZXZIADLWOZ-CRAIPNDOSA-N 0.000 claims description 2
229960003866 cefaloridine Drugs 0.000 claims description 2
XMEVHPAGJVLHIG-FMZCEJRJSA-N chembl454950 Chemical compound [Cl-].C1=CC=C2[C@](O)(C)[C@H]3C[C@H]4[C@H]([NH+](C)C)C(O)=C(C(N)=O)C(=O)[C@@]4(O)C(O)=C3C(=O)C2=C1O XMEVHPAGJVLHIG-FMZCEJRJSA-N 0.000 claims description 2
229960004989 tetracycline hydrochloride Drugs 0.000 claims description 2
229920001467 poly(styrenesulfonates) Polymers 0.000 claims 4
229940070721 polyacrylate Drugs 0.000 claims 2
YVSHCKXUFJPXCX-ZWOKJYBLSA-N 2-[(1r,2r,3s,4r,5r,6s)-3-(diaminomethylideneamino)-4-[(2r,3r,4r,5s)-3-[(2s,3s,4s,5r,6s)-4,5-dihydroxy-6-(hydroxymethyl)-3-(methylamino)oxan-2-yl]oxy-4-formyl-4-hydroxy-5-methyloxolan-2-yl]oxy-2,5,6-trihydroxycyclohexyl]guanidine;(2s,5r,6r)-3,3-dimethyl-7- Chemical compound N([C@H]1[C@H]2SC([C@@H](N2C1=O)C(O)=O)(C)C)C(=O)CC1=CC=CC=C1.CN[C@H]1[C@H](O)[C@@H](O)[C@H](CO)O[C@H]1O[C@@H]1[C@](C=O)(O)[C@H](C)O[C@H]1O[C@@H]1[C@@H](N=C(N)N)[C@H](O)[C@@H](N=C(N)N)[C@H](O)[C@H]1O YVSHCKXUFJPXCX-ZWOKJYBLSA-N 0.000 claims 1
CZWJCQXZZJHHRH-YCRXJPFRSA-N 2-[(1r,2r,3s,4r,5r,6s)-3-(diaminomethylideneamino)-4-[(2r,3r,4r,5s)-3-[(2s,3s,4s,5r,6s)-4,5-dihydroxy-6-(hydroxymethyl)-3-(methylamino)oxan-2-yl]oxy-4-hydroxy-4-(hydroxymethyl)-5-methyloxolan-2-yl]oxy-2,5,6-trihydroxycyclohexyl]guanidine;sulfuric acid Chemical compound OS(O)(=O)=O.OS(O)(=O)=O.OS(O)(=O)=O.CN[C@H]1[C@H](O)[C@@H](O)[C@H](CO)O[C@H]1O[C@@H]1[C@](CO)(O)[C@H](C)O[C@H]1O[C@@H]1[C@@H](N=C(N)N)[C@H](O)[C@@H](N=C(N)N)[C@H](O)[C@H]1O.CN[C@H]1[C@H](O)[C@@H](O)[C@H](CO)O[C@H]1O[C@@H]1[C@](CO)(O)[C@H](C)O[C@H]1O[C@@H]1[C@@H](N=C(N)N)[C@H](O)[C@@H](N=C(N)N)[C@H](O)[C@H]1O CZWJCQXZZJHHRH-YCRXJPFRSA-N 0.000 claims 1
ZLMJMSJWJFRBEC-UHFFFAOYSA-N Potassium Chemical compound [K] ZLMJMSJWJFRBEC-UHFFFAOYSA-N 0.000 claims 1
229930189077 Rifamycin Natural products 0.000 claims 1
PMZURENOXWZQFD-UHFFFAOYSA-L Sodium Sulfate Chemical compound [Na+].[Na+].[O-]S([O-])(=O)=O PMZURENOXWZQFD-UHFFFAOYSA-L 0.000 claims 1
RTYJTGSCYUUYAL-YCAHSCEMSA-L carbenicillin disodium Chemical compound [Na+].[Na+].N([C@H]1[C@H]2SC([C@@H](N2C1=O)C([O-])=O)(C)C)C(=O)C(C([O-])=O)C1=CC=CC=C1 RTYJTGSCYUUYAL-YCAHSCEMSA-L 0.000 claims 1
150000004683 dihydrates Chemical class 0.000 claims 1
229960001162 dihydrostreptomycin sulfate Drugs 0.000 claims 1
VDUVBBMAXXHEQP-SLINCCQESA-M oxacillin sodium Chemical compound [Na+].N([C@@H]1C(N2[C@H](C(C)(C)S[C@@H]21)C([O-])=O)=O)C(=O)C1=C(C)ON=C1C1=CC=CC=C1 VDUVBBMAXXHEQP-SLINCCQESA-M 0.000 claims 1
229910052700 potassium Inorganic materials 0.000 claims 1
239000011591 potassium Substances 0.000 claims 1
229960003975 potassium Drugs 0.000 claims 1
229960003292 rifamycin Drugs 0.000 claims 1
HJYYPODYNSCCOU-ODRIEIDWSA-N rifamycin SV Chemical compound OC1=C(C(O)=C2C)C3=C(O)C=C1NC(=O)\C(C)=C/C=C/[C@H](C)[C@H](O)[C@@H](C)[C@@H](O)[C@@H](C)[C@H](OC(C)=O)[C@H](C)[C@@H](OC)\C=C\O[C@@]1(C)OC2=C3C1=O HJYYPODYNSCCOU-ODRIEIDWSA-N 0.000 claims 1
229940083555 sodium cephalothin Drugs 0.000 claims 1
239000000975 dye Substances 0.000 abstract description 18
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229940074731 ophthalmologic surgical aids Drugs 0.000 abstract description 5
230000001580 bacterial effect Effects 0.000 abstract description 3
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OKKJLVBELUTLKV-UHFFFAOYSA-N Methanol Chemical compound OC OKKJLVBELUTLKV-UHFFFAOYSA-N 0.000 description 9
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UCSJYZPVAKXKNQ-HZYVHMACSA-N streptomycin Chemical compound CN[C@H]1[C@H](O)[C@@H](O)[C@H](CO)O[C@H]1O[C@@H]1[C@](C=O)(O)[C@H](C)O[C@H]1O[C@@H]1[C@@H](NC(N)=N)[C@H](O)[C@@H](NC(N)=N)[C@H](O)[C@H]1O UCSJYZPVAKXKNQ-HZYVHMACSA-N 0.000 description 4
239000003356 suture material Substances 0.000 description 4
WEEMDRWIKYCTQM-UHFFFAOYSA-N 2,6-dimethoxybenzenecarbothioamide Chemical compound COC1=CC=CC(OC)=C1C(N)=S WEEMDRWIKYCTQM-UHFFFAOYSA-N 0.000 description 3
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125000004432 carbon atom Chemical group C* 0.000 description 3
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ZFGMDIBRIDKWMY-PASTXAENSA-N heparin Chemical compound CC(O)=N[C@@H]1[C@@H](O)[C@H](O)[C@@H](COS(O)(=O)=O)O[C@@H]1O[C@@H]1[C@@H](C(O)=O)O[C@@H](O[C@H]2[C@@H]([C@@H](OS(O)(=O)=O)[C@@H](O[C@@H]3[C@@H](OC(O)[C@H](OS(O)(=O)=O)[C@H]3O)C(O)=O)O[C@@H]2O)CS(O)(=O)=O)[C@H](O)[C@H]1O ZFGMDIBRIDKWMY-PASTXAENSA-N 0.000 description 3
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