WETTABLE SILICONE HYDROGEL COMPOSITIONS AND METHODS BACKGROUND OF THE INVENTION This is a continuation-in-part application of copending application, Ser. No. 07/758 , 047 filed September 12 , 1991.
Field of the Invention
The present invention relates to improved polymeric silicone-containing hydrogel compositions useful for the production of biomedical devices, especially contact lenses.
Background
Hydrogels have been a desirable material for the preparation of biomedical devices, and have been known since at least ichterle, et al U.S. Patent No. 3,220,960 which disclosed hydrogels comprising a hydrated polymer of a hydroxyalkyl acrylate or methacrylate crosslinked with a corresponding diester (poly 2-hydroxyethyl methacrylate, known as HEMA) .
A hydrogel is a hydrated crosslinked polymeric system that contains water in an equilibrium state. The physical properties of hydrogels can vary widely and are mostly determined by their water content. Since hydrogels exhibit excellent biocompatibility, there has been extensive interest in the use of hydrogels for biomedical devices, especially contact lenses.
In the field of contact lenses, various factors combine to yield a material that has appropriate characteristics. Oxygen permeability, wettability, material strength and stability are but a few of the factors which must be carefully balanced to achieve a useable end-result contact lens. Since the cornea receives its oxygen supply exclusively from contact with the atmosphere, good oxygen permeability is a critical characteristic for any contact lens material.
It was discovered in the field that certain crosslinked polymeric materials could be hydrated and retain their water content. It was further found that the higher the water content within contact lenses made from these crosslinked hydrogel polymers, the greater was the oxygen permeability through the lens to the cornea.
High water-containing hydrogels have at times exhibited undesirable mechanical properties. For example, such hydrogels are not easily formed into hydrolytically stable lenses. Further such materials have at times exhibited tearing or other breakage as a result of poor tensile strength. What was needed was a highly oxygen permeable material that was durable and highly wettable. Wettability is important in that if
the lens is not sufficiently wettable, it does not remain lubricated and therefore cannot be worn comfortably on the eye. The optimal contact lens would have not only excellent oxygen permeability, but also excellent tear fluid wettability.
Silicone-containing materials were tried as viable contact lens materials and displayed very good oxygen permeability and durability. However, most silicone- containing materials are largely hydrophobic and therefore not sufficiently wettable. Further, it is believed that such hydrophobicity causes enhanced deposit problems, which may result in discomfort when wearing contact lenses made from these silicone- containing polymers.
Therefore, an optimal hydrogel material for biomedical devices, such as contact lenses, would have ideal rigidity, high oxygen permeability and a high degree of wettability.
SUMMARY OF THE INVENTION In accordance with this invention, the surface wettability of hydrogels such as silicone-containing hydrogels, and more specifically urethane prepolymeric hydrogels and ethylenically terminated polysiloxane hydrogels, can be significantly enhanced by the addition
of at least one ethylenically unsaturated dibasic acid or corresponding anhydride monomer in the monomer mix. It is believed that these hydrophilic dibasic acid monomers react with the predominantly hydrophobic silicone-containing monomers and prepolymers to produce highly wettable hydrogels.
Further, in accordance with the instant invention, a method for making a wettable silicone-containing hydrogel composition is disclosed comprising the steps of a) combining an ethylenically unsaturated dibasic acid or acid anhydride and at least one silicone- containing prepolymer into a monomer mix and b) curing the monomer mix resulting from step a) to form a silicone-containing hydrogel composition.
DETAILED DESCRIPTION OF THE INVENTION The present invention relates to improved wettability of hydrogels, especially silicone-containing hydrogels with ideal rigidity suitable for biomedical applications such as contact lenses.
The silicone-containing hydrogels of the present invention display improved wettability as a result of the presence of an ethylenically unsaturated dibasic acid or corresponding acid anhydride in the monomer mix with the silicone-containing monomer or prepolymer.
Silicone hydrogels (i.e., hydrogels containing silicone) are usually prepared by polymerizing a mixture containing at least one silicone-containing monomer and at least one hydrophilic monomer. Either the silicone- containing monomer or the hydrophilic monomer may function as a crosslinking agent (a crosslinker being defined as a monomer having multiple polymerizable fuctionalities) or a separate crosslinker may be employed.
Any known silicone-containing monomer may be used in the process of this invention to form the silicone hydrogels of this invention, as will be apparent to one skilled in the art. The monomers added to the monomeric mixture may be monomers or prepolymers. A "prepolymer" is a reaction intermediate polymer of medium molecular weight having polymerizable groups. Thus it is understood that the terms "silicone-containing monomers" and "hydrophilic monomers" include prepolymers. Examples of such monomers may be found in United States Patent NOS. 4,136,250; 4,153,641; 4,740,533; 5,034,461; and 5,070,215.
Additional crosslinking agents which may be incorporated into the silicone-containing hydrogel of the present invention include polyvinyl, typically di-
or tri-vinyl monomers, most commonly the di- or tri( eth)acrylates of dihydric ethylene glycol, triethylene glycol, butylene glycol, hexane-l,6-diol, thio-diethylene glycol-diacrylate and methacrylate; neopentyl glycol diacrylate; trimethylolpropane triacrylate and the like; N,N'-dihydroxyethylene- bisacrylamide and -bismethacrylamides; also diallyl compounds like diallyl phthalate and triallyl cyanurate; divinylbenzene; ethylene glycol divinyl ether; and the (meth)acrylate esters of polyols such as triethanolamine, glycerol, pentanerythritol, butylene glycol, mannitol, and sorbitol. Further, illustrations include N,N-methylene-bis-(meth)acrylamide, sulfonated divinylbenzene, and divinylsulfone. Also useful are the reaction products of hydroxyalkyl (meth)acrylates with unsaturated isocyanates, for example the reaction product of 2-hydroxyethyl methacrylate with 2- iεocyanatoethyl methacrylate (IEM) as disclosed in U.S. Patent No. 4,954,587.
Other known crosslinking agents are polyether- bisurethane-dimethacrylates as described in U.S. Patent No. 4,192,827, and those crosslinkers obtained by reaction of polyethylene glycol, polypropylene glycol and polytetramethylene glycol with 2-isocyanatoethyl methacrylate (IEM) or m-isopropenyl- ,ω -dimethylbenzyl isocyanates (m-TMI) , and polysiloxane-bisurethane-
dimethacrylates as described in U.S. Patent Nos. 4,486,577 and 4,605,712. Still other known crosslinking agents are the reaction products of polyvinyl alcohol, ethoxylated polyvinyl alcohol or of polyvinyl alcohol- co-ethylene with 0.1 to 10 mol % vinyl isocyanates like IEM or m-TMI.
One preferred class of suitable silicone-containing monomers contemplated by the present invention are bulky polysiloxanylalkyl (meth)acrylic monomers represented by the formula (I) :
wherein:
X is 0 or NR; each R is independently hydrogen or methyl; and each R is independently a lower alkyl or phenyl group; and f is 1 or 3 to 10.
Such bulky monomers include methacryloxypropyl tris(trimethylsiloxy)silane, pentamethyldisiloxanylmethylmethacrylate, tris(trimethylsiloxy)methacryloxy propylsilane, phenyltetramethyldisiloxanylethyl acetate, and methyldi(trimethylsiloxy)methacryloxymethyl silane.
A further preferred class of silicone-containing monomers is a poly(organosiloxane) prepolymer represented by the formula (II) :
R3 R5 R3 (II) A-(R7)-Si-[0-Si]n-0-Si-(R7)-A
R4 R6 R4
wherein:
A is an activated unsaturated group, such as an ester or amide of an acrylic or a methacrylic acid; each R3-R6 is independently selected from the group consisting of a monovalent hydrocarbon radical or a halogen substituted monovalent hydrocarbon radical having 1 to 18 carbon atoms which may have ether linkages between carbon atoms;
R7 is a divalent hydrocarbon radical having from 1 to 22 carbon atoms; and n is 0 or an integer greater than or equal to 1.
A further preferred class of silicone-containing monomers are the monomers having the following schematic representations:
(III) E(*D*A"*D*G)a*D*A"*D*E'; or
(IV) E(*D*G*D*A")a*D*G*D*E'; where
D denotes an alkyl diradical, an alkyl cycloalkyl diradical, a cycloalkyl diradical, an aryl diradical or an alkylaryl diradical having 6 to 30 carbon atoms;
G denotes an alkyl diradical, a cycloalkyl diradical, an alkyl cycloalkyl diradical, an aryl diradical or an alkylaryl diradical having 1 to 40 carbon atoms and which may contain ether, thio or amine linkages in the main chain;
* denotes a urethane or ureido linkage; a is at least 1;
A" denotes a divalent polymeric radical of formula (V):
Rs
(V) -(CH2 )n- -Si-o- -Si (CH2)m-
T-S'
P R5 wherein: Rs and Rs independently denote an alkyl or fluoro-substituted alkyl group having 1 to 10 carbon atoms which may contain ether linkages between carbon atoms;
m is at least 1; and p provides a moiety weight of 400 to 10,000;
E and E' independently denote a polymerizable unsaturated organic radical represented by formula (VI) :
R12 I
(VI) R13-CH=C-(CH2)w-(X)x-(2)z-(Ar)y-R14- wherein: R14 denotes a divalent alkylene radical having 1 to 10 carbon atoms;
R12 denotes H or CH3;
,13 denotes H, a (C^-Cg) alkyl radical or a
-CO-Y-R15 group wherein Y is -0-, -S- or -NH- and R15 is a alkyl radical having 1 to 12 carbon atoms;
X is -CO- or -0C0-;
Z is -O- or -NH-;
Ar denotes an aromatic radical having 6 to 30 carbon atoms; w is 0 to 6; x is 0 or 1; y is 0 or 1; and z is 0 or 1. A preferred urethane monomer is represented by formula (VII) :
u
CH3-Si-CH3 I (CH2)n
CH3 a
H2C=C H H H H 1 ( I I COOCH2CH2OCN-R16-NCOCH2CH2OCH2CH2OCN-R16-NCO
|! K li /I
0 0 o o
wherein:
R16 is a diradical of a diisocyanate after removal of the isocyanate group, and is most preferably the diradical of isophorone diisocyanate, and m, p and a are the same as previously defined. Preferably, the sum of m and a is 3 or 4, and more preferably, a is 1 and m is 3 or 4. Preferably, p is at least 30.
It is contemplated that the wettable silicone- containing hydrogels of the present invention, when used in contact lens applications, can produce a wide variety of types of hydrogel contact lenses. As is understood in the field, in general, hydrogel contact lenses should
have oxygen permeabilities with DK values greater than 20 x lO""11 cm3 x cm/sec x cm2 x mmHg (or DK units) and preferably greater than 60 DK. They should have a Young's modulus of elasticity in the range of 5 to 400 g/mm2, preferably greater than 20g/mm2 as measured by ASTM test method D1938. Their water content should be between 10% to 80 %, and preferably between 20 to 60%. The contact angle, which is a measurement of the wettability of the lens, should be less than 80 degrees and should preferably be less than 40 degrees.
The present invention further provides articles of manufacture which can be used for biomedical devices, such as, surgical devices, heart valves, vessel substitutes, intrauterine devices, membranes and other films, diaphragms, catheters, mouth guards, denture liners, intraocular devices, and especially contact lenses.
The terms "shaped articles for use in biomedical applications" or "biomedical devices" mean the materials disclosed herein have physicochemical properties rendering them suitable for prolonged contact with living tissue, blood and the mucous membranes.
Further, notations such as "(meth)acrylate" or "(meth)acrylamide" are used herein to denote optional
/-* methyl substitution. Thus, for example, methyl
(meth)acrylaye includes both methyl acrylate and methyl methacrylate, and N-alkyl (meth)acrylamide includes both N-alkyl acrylamide and N-alkyl methacrylamide.
The term "dibasic acid" is understood by those skilled in the field to describe compounds which contain groups, each of which supplies an hydrogen atom. The presence of two acid groups on these aforementioned dibasic acid compounds, and their anhydride forms where sterically possible, results in a reduction by one-half of the molar amount needed to be supplied to the reaction, as compared with conventional monobasic acids such as methacrylic acid. This is important because the hydrogel characteristics are drastically affected by even small increases in molar amounts of substituents used in the polymeric mix. For example, while a concentration of acid exceeding 10 weight percent might be desirable from a wettability standpoint, such a concentration may adversely affect other properties of the resulting hydrogel. The resulting polymeric film may have undesirable optical characteristics such as cloudiness, etc. When dibasic acids are used, only half the weight percent of the amount of monobasic acid need be used to obtain a comparable effect on the polymeric mixture.
H
The preferred range of dibasic acid concentration is about from 0.5 weight percent of the polymeric hydrogel mix to about 10 weight percent, and more preferably from about 2 weight percent to about 5 weight percent.
The resulting hydrogels of the present invention show great promise as a superior material for various biomedical devices such as surgical implants, blood vessels, artificial ureters, artificial breast tissue and membranes intended to come into contact with body fluid outside of the body, e.g., membranes for kidney dialysis and heart/lung machines and the like. It is known that blood, for example, is readily and rapidly damaged when it comes into contact with artificial surfaces. The design of a synthetic surface which is antithrombogenic and nonhemolytic to blood is necessary for prostheses and devices used with blood.
Further, although the exact mechanisms are not fully understood at the present time, these hydrophilic bifunctional or dibasic carboxylic acid monomers appear to reduce the deposition problems normally associated with, and believed to be caused by, the high hydrophobicity of the hydrophobic silicone-containing monomers.
Two preferred classes of silicone-containing monomers contemplated by the present invention are urethane-containing prepolymers, and ethylenically terminated polysiloxane containing monomers, such as, most preferably ,ω bis(methacryloxybutyl)polysiloxane (M2D2s) . The ethylenically unsaturated dibasic carboxylic acid containing monomer, (or the corresponding anhydride-containing monomer) of the present invention is preferably itaconic acid, maleic acid or their anhydrides, and fumaric acid, and most preferably are itaconic and maleic acid and their anhydrides.
The monomer mixes employed in this invention, can be readily cured to cast shapes by conventional methods such as UV polymerization, or thermal polymerization, or combinations thereof, as commonly used in polymerizing ethylenically unsaturated compounds. Representative free radical thermal polymerization initiators are organic peroxides, such as acetal peroxide, lauroyl peroxide, decanoyl peroxide, stearoyl peroxide, benzoyl peroxide, tertiarybutyl peroxypivalate, peroxydicarbonate, and the like, employed in a concentration of about 0.01 to 1 percent by weight of the total monomer mixture. Representative UV initiators are those known in the field such as, benzoin methyl ether, benzoin ethyl ether, Darocure 1173, 1164, 2273,
/ <-
1116, 2959, 3331 (EM Industries) and Igracure 651 and 184 (Ciba-Geigy) .
Polymerization of the crosslinker of this invention with other comonomers is generally performed in the presence of a diluent. The polymerization product will then be in the form of a gel. If the diluent is nonagueous, the diluent must be removed from the gel and replaced with water through the use of extraction and hydration protocols well known to those skilled in the art.
It is also possible to perform the polymerization in the absence of diluent to produce a xerogel. These xerogels may then be hydrated to form the hydrogels as is well known in the art.
In addition to the above-mentioned polymerization initiators, the copolymer of the present invention may also include other monomers as will be apparent to one skilled in the art. For example, the monomer mix may include additional hydrophilic monomers such as N-vinyl pyrrolidone and N,N-dimethylacrylamide, colorants, or UV-absorbing and toughening agents such as those known in the contact lens art.
The polymers of this invention can be formed into contact lenses by εpincasting processes (such as those disclosed in U.S. Pat. Nos. 3,408,429 and 3,496,254), cast molding processes (such as those disclosed in U.S.
Pat. Nos. 4,084,459 and 4,197,266), or any other known method for making contact lenses. Polymerization may be conducted either in a spinning mold, or a stationary mold corresponding to a desired contact lens shape. The lens may be further subjected to mechanical finishing, as occasion demands. Polymerization may also be conducted in an appropriate mold or vessel to form buttons, plates or rods, which may then be processed
(e.g., cut or polished via lathe or laser) to give a contact lens having a desired shape.
The hydrogels of the present invention are oxygen transporting, hydrolytically stable, biologically inert, and transparent. The monomers and prepolymers employed in accordance with this invention, are readily polymerized to form three dimensional networks which permit the transport of oxygen and are optically clear, strong and hydrophilic.
The relative softness or hardness of the contact lenses fabricated from the resulting polymer of this invention can be varied by deceasing or increasing the molecular weight of the polysiloxane prepolymer end-
capped with the activated unsaturated group or by varying the percent of the comonomer. Generally, as the ratio of polysiloxane units to end-cap units increases, the softness of the material increases.
Further, although the exact mechanisms are not fully understood at the present time, the hydrophilic ethylenically unsaturated dibasic acid monomers of the present invention significantly reduce the contact angle of the surface - a clear indication to those skilled in the field that enhanced wetting has occurred. The resulting dibasic acid- or anhydride-treated silicone- containing hydrogels were unexpectedly hydrolytically stable, within an acceptable range, while collecting only an acceptable level of deposits.
The resulting polymers and copolymers disclosed herein can be boiled and/or autoclaved in water without being damaged whereby sterilization may be achieved. Thus, an article formed from the disclosed polymers and copolymers may be used, for example, in surgery where an article is needed which is compatible with living tissue or with the mucous membranes.
The following examples serve only to further illustrate aspects of the present invention and should not be construed as limiting the invention.
EXAMPLE 1 Preparation of Polyurethane Monomer Mix (Control)
A formulation containing the following was prepared: urethane prepolymer derived from isophorone diisocyanate, diethylene glycol, polysiloxanediol of molecular weight 3000 and 2-hydroxyethyl methacrylate, 35 parts; 3-methacryloxypropyl tris(trimethylsiloxy)silane, (TRIS), 35 parts; N,N- di ethyl acrylamide, 30 parts; n-hexanol, 40 parts; benzoin methyl ether, 0.2 part. The resulting clear mix was then UV cured into films or filtered through a 1.2 micron filter into a clean glass vial ready for lens casting.
EXAMPLE 2
Preparation of Polyurethane Monomer Mix Containing a Dibasic Acid Monomer.
Monomer mix was prepared as in Example 1 with the addition of 2 parts of maleic, itaconic or fumaric acid to the monomer mix.
_2_) EXAMPLE 3
Preparation of Polyurethane Monomer Mix Containing an Anhydride Monomer.
Monomer mix was prepared as in Example 1 with the addition of 2 parts of itaconic anhydride to the monomer mix.
EXAMPLE 4 Preparation of Dy Containing Monomer Mix a,ω -Bis(methylacryloxybutyl)polysiloxane (M2D25) prepared from the reaction of l,3-bis(4- methacryloxybutyl)disiloxane and 1,1,3,3,5,5-hexamethyl trisiloxane in molar ratio of 1:8.33 was mixed with TRIS, N,N-dimethyl acrylamide(DMA) , a solvent (hexanol) and an initiator (Daroσure-1173, EM Industries) in the following weight percent ratio:
EXAMPLE 5 oD^ mix with acid monomer
The monomer mixture of Example 4 was added with two parts of itaconic acid.
-2/ EXAMPLE 6
Film Casting of Monomer Mixes
The resultant formulations from Examples 1 - 5 were placed between glass plates and cured under UV for 2 hours. After the films were released from the glass, they were extracetd with ethanol for 16 hours and then boiled in water for 4 hours and placed in buffered saline at pH 7.4. The hydrogel films were then characterized for mechanical properties, oxygen permeability, contact angle and others.
EXAMPLE 7
Comparison of Hvdrogel Properties
The following comparative properties of the control polyurethane films combined with 2 parts of the ethylenically unsaturated dibasic carboxylic acids are noted below.
Properties Control Itaconic Acid Maleic Acid
Water content % 24 34 36
Oxygen perm. (Dk) 100 81 89
Modulus g/mm2 100 150 110
Tear strength 15 7 13
The formulations containing the dibasic carboxylic acid monomers gave higher water content, while the other physical properties were virtually unaffected.
EXAMPLE 8
Hydrolvtic Stability Testing
The cured films, after being extracted with solvent
(ethanol) and dried in vacuo, were cut into disks weighing 30 g with a thickness of 250 microns. They were weighed while dry and were then submerged into buffered saline at pH 7.4 in 12 vials and sealed. After equilibration, the films were then placed in an oven at
80 degrees C. Three vials were taken out after 3, 5, 7 and 14 days and the dry weight and water contents were determined gravi etrically. The hydrolytic stabilities were reported as % weight loss after 14 day testing.
Low weight losses are more desirable. Experimentally, it was determined that resultant hydrogels having a weight loss of 7% or less would be considered stable.
The hydrolytic stability data of the control hydrogel film and those modified with two parts of dibasic acids are listed below.
Itaconic Maleic Methacrylic Control Acid Acid Acid
Hydrolytic
14 day 0.9 3.5 3.8 11.5 weight loss %
£3
These results show that the hydrogel films comprising 2 parts of itaconic acid and maleic acid were considered stable. By comparison, hydrogel films derived from a formulation containing methacrylic acid were not as hydrolytically stable.
EXAMPLE 9 Lysozyme Uptake Tests
The tests were accomplished by agitating hydrogel films of known weight, (usually 30-40 mg) in a vial containing a standard buffered saline (5 grams) with 500 ppm of lysozyme for a 7 day period. The amount of lysozyme remaining in the solution was determined by UV spectroscopy and the lysozyme uptake was reported as micrograms of lysozyme per milligram of hydrogel film, using poly(hydroxyethylmethacrylate) (HEMA) hydrogel films as references. The comparative lysozyme uptakes of control hydrogel films and those modified with 2 parts dibasic acid are listed below.
Itaconic Maleic Methacrylic
Control Acid Acid Acid Lysozyme
Uptake 5 19 18 24
A high level of lysozome uptake is not desirable in contact lenses. Such uptake decreases visual acuity and can result in adverse eye physiological side effects. While it is desirable to add ionic monomers into the
silicone-containing hydrogel to improve wettability, the lysozome uptake level should remain at a low level.
EXAMPLE 10 Contact Angle Measurement
The contact angles of the surface of the films prepared from formulations in Examples 1 and 2 were measured by the captive bubble technique. The films were submerged in buffered saline solution and a bubble of air was attached to the undersurface of the film. The angle made by the intersection of the lens and bubble surfaces was measured using a goniometer. A lower contact angle represents a greater degree of hydrophilicity, or film surface wettability. The comparative contact angles of control hydrogel films and those modified with dibasic acids are listed below.
Control Itaconic Acid Maleic Acid Contact Angle 38 27 28
The results show that the ionic nature of the ethylenically unsaturated dibasic carboxylic acid containing compounds and their anhydrides improve wettability of the resulting silicone-containing hydrogels.
EXAMPLE 11 Cast Moldings of Polyurethane Lenses
A polyurethane monomer mix of composition described in Examples 1 and 2 was filtered through a disposable filter of pore size 1.2 microns, into a clean vial. Through an applicator, under an inert nitrogen atmosphere, 60-9Oul of the mix was injected onto a clean plastic mold (for the anterior surface of a lens) and then covered with a second plastic mold (forming the posterior surface of the lens) . The molds are then compressed and cured for 90 minutes in the presence of ultraviolet light (4200 microwatts/cm2) . The molds were opened mechanically and put in a beaker containing aqueous ethanol. The lenses were released from the mold within 10 to 50 minutes. The lenses were then extracted with ethanol for 48 hours, boiled in distilled water for 4 hours and inspected for cosmetic quality and dimension. Lenses passing inspection were thermally disinfected in phosphate-buffered saline prior to on-eye evaluation.
EXAMPLE 12 Clinical Evaluations
The cast molded lenses described in Example 11 were evaluated on six subjects. In each test, a poly(HEMA) control lens was worn on eye one and the test lens on
the other eye. The lenses were analyzed after a minimum of one hour of wear, and optimally for 6 hours, for wettability and surface deposition. The wettability rating scale was 0-4 with 0 representing 2/3 of the anterior surface unwetted by the tear film and 4 representing complete wetting. The deposition scale was also 0-4 with 0 representing no surface deposit and 4 representing multiple deposits of 0.5mm diameter or larger. The results for the lenses of the control formulation made according to Example 1, was 2.0 for wetting and 1.6 for deposit after 1 hour of wear. For lenses comprising 2 parts of itaconic acid, the results showed a wettability rating of 3.0 and deposit rating of 0.3 after six hours of wear. This indicated that the lenses containing itaconic acid have superior wettability and deposit resistance characteristics resulting in a much higher rate of clinical acceptance.
Many other modifications and variations of the present invention are possible to the skilled practitioner in the field in light of the teachings herein. It is therefore understood that, within the scope of the claims, the present invention can be practiced other than as herein specifically described.