EP0724622A1 - Contact lens cleaning solution based on quaternary ammonium phosphate esters - Google Patents

Contact lens cleaning solution based on quaternary ammonium phosphate esters

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Publication number
EP0724622A1
EP0724622A1 EP94923277A EP94923277A EP0724622A1 EP 0724622 A1 EP0724622 A1 EP 0724622A1 EP 94923277 A EP94923277 A EP 94923277A EP 94923277 A EP94923277 A EP 94923277A EP 0724622 A1 EP0724622 A1 EP 0724622A1
Authority
EP
European Patent Office
Prior art keywords
solution
present
polyoxypropylene
polyoxyethylene
block copolymer
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Withdrawn
Application number
EP94923277A
Other languages
German (de)
French (fr)
Inventor
Joseph E. Vigh
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Allergan Inc
Original Assignee
Allergan Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Allergan Inc filed Critical Allergan Inc
Publication of EP0724622A1 publication Critical patent/EP0724622A1/en
Withdrawn legal-status Critical Current

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Classifications

    • CCHEMISTRY; METALLURGY
    • C11ANIMAL OR VEGETABLE OILS, FATS, FATTY SUBSTANCES OR WAXES; FATTY ACIDS THEREFROM; DETERGENTS; CANDLES
    • C11DDETERGENT COMPOSITIONS; USE OF SINGLE SUBSTANCES AS DETERGENTS; SOAP OR SOAP-MAKING; RESIN SOAPS; RECOVERY OF GLYCEROL
    • C11D3/00Other compounding ingredients of detergent compositions covered in group C11D1/00
    • C11D3/48Medical, disinfecting agents, disinfecting, antibacterial, germicidal or antimicrobial compositions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L12/00Methods or apparatus for disinfecting or sterilising contact lenses; Accessories therefor
    • A61L12/08Methods or apparatus for disinfecting or sterilising contact lenses; Accessories therefor using chemical substances
    • A61L12/14Organic compounds not covered by groups A61L12/10 or A61L12/12
    • A61L12/143Quaternary ammonium compounds
    • CCHEMISTRY; METALLURGY
    • C11ANIMAL OR VEGETABLE OILS, FATS, FATTY SUBSTANCES OR WAXES; FATTY ACIDS THEREFROM; DETERGENTS; CANDLES
    • C11DDETERGENT COMPOSITIONS; USE OF SINGLE SUBSTANCES AS DETERGENTS; SOAP OR SOAP-MAKING; RESIN SOAPS; RECOVERY OF GLYCEROL
    • C11D3/00Other compounding ingredients of detergent compositions covered in group C11D1/00
    • C11D3/0005Other compounding ingredients characterised by their effect
    • C11D3/0078Compositions for cleaning contact lenses, spectacles or lenses
    • CCHEMISTRY; METALLURGY
    • C11ANIMAL OR VEGETABLE OILS, FATS, FATTY SUBSTANCES OR WAXES; FATTY ACIDS THEREFROM; DETERGENTS; CANDLES
    • C11DDETERGENT COMPOSITIONS; USE OF SINGLE SUBSTANCES AS DETERGENTS; SOAP OR SOAP-MAKING; RESIN SOAPS; RECOVERY OF GLYCEROL
    • C11D3/00Other compounding ingredients of detergent compositions covered in group C11D1/00
    • C11D3/16Organic compounds
    • C11D3/37Polymers
    • C11D3/3703Macromolecular compounds obtained otherwise than by reactions only involving carbon-to-carbon unsaturated bonds
    • C11D3/3707Polyethers, e.g. polyalkyleneoxides
    • CCHEMISTRY; METALLURGY
    • C11ANIMAL OR VEGETABLE OILS, FATS, FATTY SUBSTANCES OR WAXES; FATTY ACIDS THEREFROM; DETERGENTS; CANDLES
    • C11DDETERGENT COMPOSITIONS; USE OF SINGLE SUBSTANCES AS DETERGENTS; SOAP OR SOAP-MAKING; RESIN SOAPS; RECOVERY OF GLYCEROL
    • C11D1/00Detergent compositions based essentially on surface-active compounds; Use of these compounds as a detergent
    • C11D1/008Polymeric surface-active agents
    • CCHEMISTRY; METALLURGY
    • C11ANIMAL OR VEGETABLE OILS, FATS, FATTY SUBSTANCES OR WAXES; FATTY ACIDS THEREFROM; DETERGENTS; CANDLES
    • C11DDETERGENT COMPOSITIONS; USE OF SINGLE SUBSTANCES AS DETERGENTS; SOAP OR SOAP-MAKING; RESIN SOAPS; RECOVERY OF GLYCEROL
    • C11D1/00Detergent compositions based essentially on surface-active compounds; Use of these compounds as a detergent
    • C11D1/66Non-ionic compounds
    • C11D1/722Ethers of polyoxyalkylene glycols having mixed oxyalkylene groups; Polyalkoxylated fatty alcohols or polyalkoxylated alkylaryl alcohols with mixed oxyalkylele groups

Definitions

  • the present invention generally relates to a composition for and a method of cleaning and disinfecting contact lenses and more particularly relates to an improved composition for a contact lens cleaning and disinfecting solution containing a non-ionic surfactant and a triquatemary phosphate ester and a method of using the solution.
  • It contains a polyoxyethylene/polyoxypropylene block copolymer having a molecular weight between 1900 and 15,500, a microbial growth inhibitor of benzalkonium chloride, purified water and a sufficient amount of at least one essentially neutral, water-soluble compatible salt to provide a solution salt content equivalent to about 0.5% to 1 .8% (w/v) sodium chloride.
  • the solution may optionally contain bisodium or trisodium ethylenediamine tetraacetate and a polymeric viscosity-building agent.
  • Krezanoski, et al. employed benzalkonium chloride as the anti-microbial agent which when combined with the surfactant of polyoxyethylene/polyoxypropylene block copolymer has been found to be not completely effective in its anti-microbial activities.
  • U.S. Patent No. 4,504,405 to Howes discloses a substantially isotonic aqueous solution suitable for the cleaning of soft and gas permeable contact lenses comprising a sterile aqueous solution of 0.01 % to 2.00% of an ophthalmically acceptable non-ionic surface active agent, 0.0012% to 0.003% of a chlorohexidine salt and sufficient amount of non-ionic tonicity adjusting agent.
  • the solution taught by Howes may preferably include a non-ionic surface active agent of polyoxyethylene/polyoxypropylene block copolymer.
  • Howes does not teach the use of the desirable triquatemary phosphate ester anti-microbial agent.
  • U.S. Patent No. 4,908,147 to Tsao, et al. discloses an aqueous self- preserving soft contact lens solution containing between 0.005% to 2.0% by weight of a water-soluble amphoteric surfactant; between 0% to 5% by weight of a substantially non-ionic surfactant which may suitably be a polyoxyethylene/polyoxypropylene block copolymer; between 0% to 5% by weight of a thickener; between 0% to 1 % by weight of a chelating agent; between 0% to 2% by weight of a buffer; between 0% to 2% by weight of a water-soluble salt compatible with ocular tissue, and the remainder water.
  • the purpose of Tsao, et al.'s composition is to preserve and clean soft contact lenses by using an effective surfactant and a preservative of the amphoteric compound. It does not provide a single step from storage - to the eye solution.
  • a commercial lens care solution is supplied by I.C.N. Corporation under the trade name of Unicare Green ® .
  • This commercially available lens care solution contains a polyoxyethylene/polyoxypropylenecopolymer non-ionic surfactant
  • F127 having a molecular weight of 12,600 and containing 70% polyoxyethylene and 30% polyoxypropylene and a triquatemary phosphate ester anti-microbial agent.
  • the solution has poor cleaning properties.
  • the solution also has a poor anti-microbial activity in a six hour log reduction test against 5. marcescens.
  • Detailed information about the polyoxyethylene/polyoxypropylene copolymer non-ionic surfactant may be found in a technical pamphlet published by BASF Corporation (Parsippany, N.J.) "Pluronic ® & Tetronic ® Surfactants” (1989).
  • a cleaning, disinfecting, and rinsing solution for contact lenses having superior cleaning and anti-microbial properties can be formulated.
  • This solution preferably comprises between about 0.1 % to about 1.0% (w/v) of a non-ionic surfactant of polyoxyethylene/polyoxypropylene block copolymer having a molecular weight less than 13,000 daltons, a polyoxypropylene to polyoxyethylene weight ratio between 20/80 and 80/20 and a polyoxypropylene molecular weight range of 2000 to 3000 daltons; between about 0.001 % to about 0.05% (w/v) of a triquaternary phosphate ester; between about 0.1 % to about 0.9% (w/v) of a neutral, water-soluble salt; between about 0.05% to about 0.10% (w/v) of a chelating agent such as disodium edentate; between about 0.1 % to about 0.4% (w/v) of a buffering agent
  • HEC hydroxyethylcellulose
  • the resulting cleaning and disinfecting solution has superior cleaning capability and greatly improved anti-microbial activity due to what is believed to be a potentiating reaction between the non-ionic surfactant and the triquatemary phosphate ester anti-microbial agent.
  • the present invention is also directed to a method of cleaning, disinfecting, and rinsing contact lenses comprising the steps of mixing a non-ionic surfactant of polyoxyethylene/polyoxypropylene block copolymer having a molecular weight range between about 2500 to 13,000 daltons, a polyoxypropylene to polyoxyethylene weight ratio between 20/80 and 80/20 and a polyoxypropylene molecular weight range of 2000 to 3000 daltons; and an anti-microbial agent preferably of triquatemary phosphate ester.
  • a contact lens is then contacted with the solution for a sufficient length of time so that the lens is cleaned, disinfected, and rinsed.
  • the present invention is directed to a new and improved cleaning, disinfecting, and rinsing solution for contact lenses which exhibits superior cleaning capability and greatly improved anti-microbial activity. More specifically, the unexpected effect of potentiation between the non-ionic surfactant and the anti-microbial agent makes this solution extremely effective in killing S. marcescens (ATCC 14041 ).
  • the present invention is further directed to an effective method of cleaning, disinfecting, and rinsing contact lenses in a single step.
  • the present invention can be readily employed with all contact lenses such as conventional hard, soft, gas permeable and silicone lenses. However, it is preferably employed with soft contact lenses such as those commonly referred to as hydrogel lenses prepared by monomers such as hydroxyethylmethacrylate, hydroxyethylmethyl methacrylate, vinylpyrrolidone, glyceromethacrylate, methacrylate or acid esters and the like.
  • the present invention involves a new and improved solution for cleaning, disinfecting, and rinsing contact lenses comprising an unique combination of a non-ionic surfactant and a triquatemary phosphate ester anti-microbial agent.
  • a family of surfactants of non-ionic nature has been employed in the present invention.
  • a suitable family of surfactants for the present invention can be obtained commercially from the BASF Corporation under the trade name of Pluronic ® surfactants.
  • This family of block copolymers can be generally described as polyoxyethylene/polyox ⁇ propylene condensation polymers terminated in primary hydroxyl groups. They are synthesized by first creating a hydrophobe of desired molecular weight by the controlled addition of propylene oxide to the two hydroxyl groups of propylene glycol.
  • ethylene oxide is added to sandwich this hydrophobe between h ⁇ drophile groups where the length of the hydrophile molecules are controlled to constitute between 10% to 80% by weight of the final weight of the molecule.
  • This family of surfactants may be represented by the empirical formula
  • Oxide Oxide Oxide Oxide Oxide where the surfactants may exist in liquid, paste or solid form depending on the molecular weight and the composition ratio of hydrophile (polyoxyethylene) to hydrophobe (polyoxypropylene).
  • surfactants having lower molecular weights were found to be more efficient cleaning agents.
  • a molecular weight range between about 2500 to 13,000 daltons is a suitable range for our invention.
  • Specific examples of Pluronic ® surfactants are satisfactory: L64, F68, F87, F88, F98, P65, P75, P84, P85, P104, and P105.
  • the surfactants of the present invention have a molecular weight of 2500-13,000 daltons, a hydrophobe/hydrophile ratio range of 80/20 to 20/80 and a hydrophobe molecular weight ranging from about 2000-3000 daltons.
  • the physical properties of these Pluronic ® surfactants are listed in Table I.
  • a suitable concentration range for the Pluronic ® surfactants in order to produce satisfactory cleaning is generally 0.01 to 10% (w/v) and preferably between about 0.1 % to about 1 .0% (w/v).
  • the molecular weight of the surfactant should fall in between about 2500 to about 13,000 daltons (preferably 3400 to 6500) and the composition ratio between polyoxypropylene to polyoxyethylene is between about 20/80 to about 80/20 and preferably 40/60 to 60/40.
  • composition ratio we mean the ratio of the weight of polyoxypropylene to the weight of polyoxyethylene contained in the surfactant.
  • the molecular weight of the polyoxypropylene ranges from 2000 to 3000 daltons, preferably 2330 to 2750 daltons.
  • Pluronic ® P65, P75 and P85 all have a composition ratio of 50/50 for polyoxypropylene/polyoxyethylene. There is an equal amount of hydrophile and hydrophobe in these surfactants.
  • Another Pluronic ® surfactant P84 employed in the present invention has a polyoxypropylene to polyoxyethylene ratio of 80/20. It is reasonable to believe that other surfactants having a polyoxypropylene to polyoxyethylene appropriate ratio should work equally well in our invention.
  • the hydrophobe content is too high, i.e., above 80%, or the molecular weight of the surfactant is above 13,000 daltons, the surfactant becomes too cytotoxic to be used in a lens care solution.
  • the hydrophobe concentration is too low, i.e., below 20%, or the molecular weight of the surfactant is below 2500 daltons, the cleaning efficiency of the solution is believed to be reduced. It is also important that the molecular weight of the polyoxypropylene be between about 2000 and about 3000 daltons.
  • the preferred and optimal composition of hydrophobe/hydrophile in the surfactant of the present invention is between about 80/20 to about 20/80, and 50/50, respectively.
  • Another significant aspect of the present invention is the preferred use of a specific microbicidal agent of a triquatemary phosphate ester of cocoamidopropyl PG dimonium chloride phosphate.
  • This triquatemary phosphate ester is commercially available as Phospholipid ® PTC (previously known as Monaquat ® PTC) supplied by Mona Industries.
  • Phospholipid ® PTC previously known as Monaquat ® PTC
  • This triquatemary phosphate ester has good, broad spectrum in its anti-bacteria properties. Unlike other quaternary ammonium compounds, it also has considerable anti-fungal activity in the concentration range of about 100 to about 300 ppm calculated as active solids.
  • the anti-fungal activity of the triquatemary phosphate ester makes it potentially useful when combined with other preservatives such as WSCP (water soluble cationic polymer), etc., to provide full spectrum microbicidal activity with reduced cytotoxicity.
  • WSCP water soluble cationic polymer
  • Pluronic ® P85 is added, a sufficient improvement in the microbicidal activity is achieved.
  • the presently useful water soluble cationic polymers preferably have the following repeating unit
  • R 1 # R 4 and R ⁇ are each independently selected from alkylene radicals containing 1 to about 6 carbon atoms
  • R 2 , R 3 , R 5 and R 7 are each independently selected from alkyl radicals containing 1 to about 6 carbon atoms
  • each A " is independently selected from ophthalmically acceptable anions
  • x is the number of repeating units in the polymer and is an integer in the range of about
  • WSCP poly [oxyethylene (dimethyliminio) ethylene - (dimethyliminio) ethylene dichloride]
  • WSCP disinfecting agents are commercially available from Buckman Laboratories, Inc. and are described in U.S. Patent No. 4,250,269 which is incorporated herein by reference.
  • Monaquat ® PTC may be empirically represented by the formula CH 3 0
  • R C 5 ⁇ C 17 Alkyl
  • Monaquat ® PTC offers excellent substantivity, lubricity and feel to human hair and skin. It is adequately described in U.S. Patent No. 4,209,449 which is incorporated herein by reference.
  • Phospholipid ® PTC is a synthetic, vegetable derived multicationic phospholipid complex. It can be obtained from Mona Industries, Inc. of Paterson, New Jersey. Its CTFA description is cocamidopropyl PG-Dimonium chloride phosphate with the formula:
  • Another disinfecting agent is the poly quaternary amine Croquat L. Croquat
  • Croquat L is a quaternary ammonium substituted polypeptide which is based on a collagen hydrolysate of relatively low molecular weight, includes lauryl trimethyl ammonium chloride groups and has a molecular weight in the range of 500 to about 5000.
  • Croquat L is commercially available from Croda, inc.
  • the solution should be formulated to contain the same salt concentration as that present in human body fluids.
  • a neutral, water-soluble salt of sodium chloride is employed for this purpose.
  • Other neutral, water-soluble salts such as potassium chloride may also be suitably used.
  • the solution in the present invention also contains a salt of ethylenediamine tetraacetate such as disodium EDTA.
  • This salt is useful as a chelating agent and also as an anti-microbial aid.
  • Other salts suitable for the present invention are sodium hexametaphosphate, sodium citrate, and other chelating agents.
  • buffering agents are used in the present invention to adjust pH value of the solution at a desirable level of 8 or below.
  • a preferred level of pH in the present invention is between about 6.9 and about 7.9.
  • the buffering agents used are boric acid and sodium borate.
  • Other similar acids including, but not limited to, tricine may be suitably used to bring the pH value of the solution to a desired level. It is also believed that the borate buffer facilitates antifungal activity.
  • a viscosity-enhancing agent is also employed in the present invention to bring the viscosity of the solution to a desirable value to provide cushioning of the contact lens in the eye and thus improving comfort to the wearer.
  • a desirable viscosity-enhancing agent for the present invention is HEC
  • hydroxyethyl cellulose (hydroxyethyl cellulose).
  • Other polymeric cellulosic material such as hydroxyethyl methyl cellulose or polymeric non-ionic thickeners such as HPMC
  • hydroxypropyl methylcellulose HPC(hydroxypropyl cellulose)andPVA(polyvinyl acetate, with buffers other than the boric acid system) may also be suitably used.
  • EXAMPLE 1 A cleaning, disinfecting, and rinsing solution for contact lenses is prepared with the following composition.
  • HEC 0.50% (w/v) EXAMPLE 2 A new and improved cleaning, disinfecting, and rinsing solution is prepared by the following composition.
  • Example 2 This solution is similar to that in Example 1 except the content of EDTA is doubled. As will be shown later in Table II, it has improved microbicidal activity against S. marcescens at 6 hours and against A. fumigatus at 4 hours.
  • EXAMPLE 3 A new and improved cleaning, disinfecting, and rinsing solution for contact lenses is formulated by the following composition:
  • Phospholipid ® PTC was increased from 0.03% to 0.035%.
  • EXAMPLE 4 A cleaning and disinfecting solution for contact lenses is formulated by the composition:
  • This example is similar to that in Example 4 except that the content of Phospholipid ® PTC is increased from 0.035% to 0.04%.
  • a cleaning, disinfecting, and rinsing solution for contact lenses is formulated by the composition:
  • EXAMPLE 6 This example is a commercially available lens care solution supplied by ICN Corporation under the trade name of Unicare Green ® . It has the following composition:
  • This commercial product uses Pluronic ® F127 instead of P85 used in the present invention and HPMC (hydroxypropyl methyl cellulose) instead of HEC used in the present invention.
  • A. niger was conducted. This standard log reduction test is expressed in the units of log reduction in a number of contaminating organisms. A ten-fold reduction in the number of contaminating organisms is a one-log reduction. For example, reducing a contamination level of 1 ,000,000 organisms to 100,000 organisms is a one-log reduction. Reducing a contamination level of 10,000 organisms to 1 ,000 organisms is also a one-log reduction. It is desired based on worldwide preservation and disinfection criteria that after six hours exposure to the disinfection solution, the bacteria should be reduced by at least three logs and the fungi should be reduced by at least one log. It should be noted that this test is a log reduction from a six-log challenge. Therefore, a requirement for a three-log reduction means that the solution must be able to reduce a challenge of 10 6 organisms to 10 3 organisms in the required time period.
  • the results after 6 hours achieved by the present invention is a 4.9 log reduction when compared to a 1 .9 log reduction achieved by the Unicare Green ® product.
  • the 3 log difference represents that the disinfecting function of the present invention is 1 ,000 times more effective than the Unicare Green ® solution in the killing of S. marcescens bacteria.
  • the use of the non-ionic surfactants of the present invention greatly potentiated the microbicidal activity of the anti-microbial agent used. See Table III below which shows use of the surfactants of the present invention (Entry Nos. 1 -4, 6, 7 and 9) having superior microbicidal activity against S. marcescens than those outside the present invention (Entry Nos. 5 and 8).

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Abstract

Method of using and composition for a contact lens cleaning, disinfecting, and rinsing solution containing a non-ionic surfactant, a triquaternary phosphate ester, disodium edentate and other additives. The non-ionic surfactant is a block copolymer of polyoxypropylene and polyoxethylene when blended with the triquaternary phosphate ester produces a potentiated effect in its anti-microbial activities in the treatment of S. marcescens. The resulting solution has superior cleaning, greatly improved anti-microbial and low cytotoxicity properties.

Description

CONTACT LENS CLEANING SOLUTION BASED ON QUATERNARY AMMONIUM
PHOSPATE ESTERS
Field of the Invention
The present invention generally relates to a composition for and a method of cleaning and disinfecting contact lenses and more particularly relates to an improved composition for a contact lens cleaning and disinfecting solution containing a non-ionic surfactant and a triquatemary phosphate ester and a method of using the solution. Background of the Invention
In the normal course of wearing and caring for contact lenses, the process of cleaning, disinfecting, and rinsing are necessary to ensure the ocular health of the contact lens wearer. The rapid development of various types of contact lenses during the past twenty years, i.e., hard contact lens, gas permeable contact lens, soft contact lens made of either hydrophobic or hydrophilic materials, has led to a variety of contact lens care solutions being developed for the consumer market. In most instances, a different solution must be used for each of the individual steps of cleaning, disinfecting, storing, and rinsing before the lenses are ready to be inserted into the eye.
It is desirable for those providing lens care solutions to develop a single solution that can be used to clean, disinfect/store, and rinse contact lenses in a single operation. Such a solution would enable a contact lens wearer to remove a pair of contact lenses from a storage container and insert them into the eyes directly. One such solution was disclosed in U.S. Patent No. 3,882,036 and U.S. Patent No. 3,954,644, both to Krezanoski, et al. It is intended for use in the cleaning, storing and wetting of flexible silicone contact lenses. It contains a polyoxyethylene/polyoxypropylene block copolymer having a molecular weight between 1900 and 15,500, a microbial growth inhibitor of benzalkonium chloride, purified water and a sufficient amount of at least one essentially neutral, water-soluble compatible salt to provide a solution salt content equivalent to about 0.5% to 1 .8% (w/v) sodium chloride. The solution may optionally contain bisodium or trisodium ethylenediamine tetraacetate and a polymeric viscosity-building agent. However, Krezanoski, et al. employed benzalkonium chloride as the anti-microbial agent which when combined with the surfactant of polyoxyethylene/polyoxypropylene block copolymer has been found to be not completely effective in its anti-microbial activities.
U.S. Patent No. 4,504,405 to Howes discloses a substantially isotonic aqueous solution suitable for the cleaning of soft and gas permeable contact lenses comprising a sterile aqueous solution of 0.01 % to 2.00% of an ophthalmically acceptable non-ionic surface active agent, 0.0012% to 0.003% of a chlorohexidine salt and sufficient amount of non-ionic tonicity adjusting agent. The solution taught by Howes may preferably include a non-ionic surface active agent of polyoxyethylene/polyoxypropylene block copolymer. However, Howes does not teach the use of the desirable triquatemary phosphate ester anti-microbial agent.
U.S. Patent No. 4,908,147 to Tsao, et al. discloses an aqueous self- preserving soft contact lens solution containing between 0.005% to 2.0% by weight of a water-soluble amphoteric surfactant; between 0% to 5% by weight of a substantially non-ionic surfactant which may suitably be a polyoxyethylene/polyoxypropylene block copolymer; between 0% to 5% by weight of a thickener; between 0% to 1 % by weight of a chelating agent; between 0% to 2% by weight of a buffer; between 0% to 2% by weight of a water-soluble salt compatible with ocular tissue, and the remainder water. The purpose of Tsao, et al.'s composition is to preserve and clean soft contact lenses by using an effective surfactant and a preservative of the amphoteric compound. It does not provide a single step from storage - to the eye solution.
A commercial lens care solution is supplied by I.C.N. Corporation under the trade name of Unicare Green®. This commercially available lens care solution contains a polyoxyethylene/polyoxypropylenecopolymer non-ionic surfactant
"F127" having a molecular weight of 12,600 and containing 70% polyoxyethylene and 30% polyoxypropylene and a triquatemary phosphate ester anti-microbial agent. The solution has poor cleaning properties. The solution also has a poor anti-microbial activity in a six hour log reduction test against 5. marcescens. Detailed information about the polyoxyethylene/polyoxypropylene copolymer non-ionic surfactant may be found in a technical pamphlet published by BASF Corporation (Parsippany, N.J.) "Pluronic® & Tetronic® Surfactants" (1989).
It is therefore an object of the present invention to overcome the various drawbacks associated with the use of prior art lens cleaning solutions. It is another object of the present invention to provide a single solution for the cleaning, disinfecting, and rinsing of contact lenses by using a unique combination of a non-ionic surfactant and an anti-microbial agent.
It is yet another object of the present invention to provide a cleaning, disinfecting, and rinsing solution for contact lenses containing a non-ionic surfactant having low molecular weight for enhanced cleaning capability and an anti-microbial agent.
It is a further object of the present invention to provide a cleaning, disinfecting, and rinsing solution for contact lenses containing a non-ionic surfactant having low molecular weight for enhanced cleaning property and an anti-microbial agent of triquatemary phosphate ester such that a potentiating reaction between the surfactant and the anti-microbial agent occurs to produce greatly improved anti-microbial activity.
It is another further object of the present invention to provide a cleaning, disinfecting, and rinsing solution for contact lenses that has superior cleaning capability, greatly improved anti-microbial activity, and low cytotoxicity.
It is yet another further object of the present invention to provide a method of cleaning, disinfecting, and rinsing contact lenses with a single solution comprising a non-ionic surfactant of polyoxyethylene/polyoxypropylene block copolymer and a triquatemary phosphate ester.
Summary of the Invention
In an attempt to develop a single solution for the cleaning, disinfecting, and rinsing of contact lenses, the inventors have accidentally and unexpectedly discovered that by the unique combination of a low molecular weight non-ionic surfactant and a triquatemary phosphate ester, the resulting solution not only has superior cleaning property but also has greatly improved anti-microbial activity.
In accordance with a preferred embodiment of the present invention, a cleaning, disinfecting, and rinsing solution for contact lenses having superior cleaning and anti-microbial properties can be formulated. This solution preferably comprises between about 0.1 % to about 1.0% (w/v) of a non-ionic surfactant of polyoxyethylene/polyoxypropylene block copolymer having a molecular weight less than 13,000 daltons, a polyoxypropylene to polyoxyethylene weight ratio between 20/80 and 80/20 and a polyoxypropylene molecular weight range of 2000 to 3000 daltons; between about 0.001 % to about 0.05% (w/v) of a triquaternary phosphate ester; between about 0.1 % to about 0.9% (w/v) of a neutral, water-soluble salt; between about 0.05% to about 0.10% (w/v) of a chelating agent such as disodium edentate; between about 0.1 % to about 0.4% (w/v) of a buffering agent of sodium borate; between about 0.4% to about 1 .0% (w/v) of another buffering agent of boric acid, and between about 0.2% to about
0.8% (w/v) of a polymeric thickener of hydroxyethylcellulose (HEC).
The resulting cleaning and disinfecting solution has superior cleaning capability and greatly improved anti-microbial activity due to what is believed to be a potentiating reaction between the non-ionic surfactant and the triquatemary phosphate ester anti-microbial agent.
The present invention is also directed to a method of cleaning, disinfecting, and rinsing contact lenses comprising the steps of mixing a non-ionic surfactant of polyoxyethylene/polyoxypropylene block copolymer having a molecular weight range between about 2500 to 13,000 daltons, a polyoxypropylene to polyoxyethylene weight ratio between 20/80 and 80/20 and a polyoxypropylene molecular weight range of 2000 to 3000 daltons; and an anti-microbial agent preferably of triquatemary phosphate ester. A contact lens is then contacted with the solution for a sufficient length of time so that the lens is cleaned, disinfected, and rinsed. Detailed Description of the Invention
The present invention is directed to a new and improved cleaning, disinfecting, and rinsing solution for contact lenses which exhibits superior cleaning capability and greatly improved anti-microbial activity. More specifically, the unexpected effect of potentiation between the non-ionic surfactant and the anti-microbial agent makes this solution extremely effective in killing S. marcescens (ATCC 14041 ). The present invention is further directed to an effective method of cleaning, disinfecting, and rinsing contact lenses in a single step.
The present invention can be readily employed with all contact lenses such as conventional hard, soft, gas permeable and silicone lenses. However, it is preferably employed with soft contact lenses such as those commonly referred to as hydrogel lenses prepared by monomers such as hydroxyethylmethacrylate, hydroxyethylmethyl methacrylate, vinylpyrrolidone, glyceromethacrylate, methacrylate or acid esters and the like. In our preferred embodiment, the present invention involves a new and improved solution for cleaning, disinfecting, and rinsing contact lenses comprising an unique combination of a non-ionic surfactant and a triquatemary phosphate ester anti-microbial agent. In order to produce a solution that is ophthalmically safe to the contact lens user, a family of surfactants of non-ionic nature has been employed in the present invention. A suitable family of surfactants for the present invention can be obtained commercially from the BASF Corporation under the trade name of Pluronic® surfactants. This family of block copolymers can be generally described as polyoxyethylene/polyoxγpropylene condensation polymers terminated in primary hydroxyl groups. They are synthesized by first creating a hydrophobe of desired molecular weight by the controlled addition of propylene oxide to the two hydroxyl groups of propylene glycol. In the second step of the synthesis, ethylene oxide is added to sandwich this hydrophobe between hγdrophile groups where the length of the hydrophile molecules are controlled to constitute between 10% to 80% by weight of the final weight of the molecule. This family of surfactants may be represented by the empirical formula
CH3
HO - (CH2 - CH20)x - (CH2 - CHO)y - (CH2 - CH20)z - H
I I I
Ethylene Propylene Ethylene
Oxide Oxide Oxide where the surfactants may exist in liquid, paste or solid form depending on the molecular weight and the composition ratio of hydrophile (polyoxyethylene) to hydrophobe (polyoxypropylene).
In accordance with a preferred embodiment of the invention, surfactants having lower molecular weights were found to be more efficient cleaning agents.
A molecular weight range between about 2500 to 13,000 daltons is a suitable range for our invention. Specific examples of Pluronic® surfactants are satisfactory: L64, F68, F87, F88, F98, P65, P75, P84, P85, P104, and P105. In general, the surfactants of the present invention have a molecular weight of 2500-13,000 daltons, a hydrophobe/hydrophile ratio range of 80/20 to 20/80 and a hydrophobe molecular weight ranging from about 2000-3000 daltons. The physical properties of these Pluronic® surfactants are listed in Table I.
Pluronic® Avg. ol. Melt/Pour Viscositv, Surface Foam Height - wt, Point, °C CPS Tension mm (01.% daltons (Brookfield) dynes/cm aqueous
@ 60°C @25°C, @ 50° C)
0.1 %
P65 3400 27 180 46 70
P75 4150 27 250 43 100
P84 4200 34 280 42 90
P85 4600 34 310 42 70
L64 2900 16 850 43 40
F68 8400 52 1000 50 35
F87 7700 50 700 44 80
F88 1 1 ,400 54 2300 48 80
F98 13,000 58 2700 43 40
TABLE I
A suitable concentration range for the Pluronic® surfactants in order to produce satisfactory cleaning is generally 0.01 to 10% (w/v) and preferably between about 0.1 % to about 1 .0% (w/v). To function satisfactorily in our new and improved solution, the molecular weight of the surfactant should fall in between about 2500 to about 13,000 daltons (preferably 3400 to 6500) and the composition ratio between polyoxypropylene to polyoxyethylene is between about 20/80 to about 80/20 and preferably 40/60 to 60/40. By composition ratio, we mean the ratio of the weight of polyoxypropylene to the weight of polyoxyethylene contained in the surfactant. Preferably, the molecular weight of the polyoxypropylene ranges from 2000 to 3000 daltons, preferably 2330 to 2750 daltons.
Of the different surfactants employed in the present invention, Pluronic® P65, P75 and P85 all have a composition ratio of 50/50 for polyoxypropylene/polyoxyethylene. There is an equal amount of hydrophile and hydrophobe in these surfactants. Another Pluronic® surfactant P84 employed in the present invention has a polyoxypropylene to polyoxyethylene ratio of 80/20. It is reasonable to believe that other surfactants having a polyoxypropylene to polyoxyethylene appropriate ratio should work equally well in our invention. It is believed that when the hydrophobe content is too high, i.e., above 80%, or the molecular weight of the surfactant is above 13,000 daltons, the surfactant becomes too cytotoxic to be used in a lens care solution. On the other hand, when the hydrophobe concentration is too low, i.e., below 20%, or the molecular weight of the surfactant is below 2500 daltons, the cleaning efficiency of the solution is believed to be reduced. It is also important that the molecular weight of the polyoxypropylene be between about 2000 and about 3000 daltons. This was shown to be the case in an ineffective prior art product of Unicare Green® in which Pluronic® F127 was used which contains polyoxypropylene having a molecular weight of 4000 daltons. The preferred and optimal composition of hydrophobe/hydrophile in the surfactant of the present invention is between about 80/20 to about 20/80, and 50/50, respectively.
Another significant aspect of the present invention is the preferred use of a specific microbicidal agent of a triquatemary phosphate ester of cocoamidopropyl PG dimonium chloride phosphate. This triquatemary phosphate ester is commercially available as Phospholipid® PTC (previously known as Monaquat® PTC) supplied by Mona Industries. This triquatemary phosphate ester has good, broad spectrum in its anti-bacteria properties. Unlike other quaternary ammonium compounds, it also has considerable anti-fungal activity in the concentration range of about 100 to about 300 ppm calculated as active solids. The anti-fungal activity of the triquatemary phosphate ester makes it potentially useful when combined with other preservatives such as WSCP (water soluble cationic polymer), etc., to provide full spectrum microbicidal activity with reduced cytotoxicity. In this regard it is particularly noteworthy that WSCP is not very active against S. marcescens, but as Pluronic® P85 is added, a sufficient improvement in the microbicidal activity is achieved.
While the lower end of the concentration of Phospholipid® PTC is about 100 ppm, it is possible to lower the concentration to about 10 ppm by adding other preservatives such as benzyl alcohol or potentiating agents. The presently useful water soluble cationic polymers preferably have the following repeating unit
R2 R7
| A" | A" ( 0 - R, - N+ - R4 - N+ - R6 ) x I I wherein R1 # R4 and Rβ are each independently selected from alkylene radicals containing 1 to about 6 carbon atoms, R2, R3, R5 and R7 are each independently selected from alkyl radicals containing 1 to about 6 carbon atoms, each A" is independently selected from ophthalmically acceptable anions, and x is the number of repeating units in the polymer and is an integer in the range of about
5 to about 30.
A specific example of WSCP is poly [oxyethylene (dimethyliminio) ethylene - (dimethyliminio) ethylene dichloride] ("WSCP(D") as shown below.
WSCP disinfecting agents are commercially available from Buckman Laboratories, Inc. and are described in U.S. Patent No. 4,250,269 which is incorporated herein by reference.
Monaquat® PTC may be empirically represented by the formula CH3 0
I II
[R - CONH - CH2 - CH2 - CH2 - NΘ - CH2 - CH - CH2θ]3 - P + 3 Clθ
I I
CH, OH
R = C5 ~ C17 Alkyl
Monaquat® PTC offers excellent substantivity, lubricity and feel to human hair and skin. It is adequately described in U.S. Patent No. 4,209,449 which is incorporated herein by reference.
Phospholipid® PTC is a synthetic, vegetable derived multicationic phospholipid complex. It can be obtained from Mona Industries, Inc. of Paterson, New Jersey. Its CTFA description is cocamidopropyl PG-Dimonium chloride phosphate with the formula:
R = cocamidopropyl; x + y = 3
Another disinfecting agent is the poly quaternary amine Croquat L. Croquat
L is a quaternary ammonium substituted polypeptide which is based on a collagen hydrolysate of relatively low molecular weight, includes lauryl trimethyl ammonium chloride groups and has a molecular weight in the range of 500 to about 5000. Croquat L is commercially available from Croda, inc.
To make the present solution more physiologically compatible with the human eyes, it is desirable to make the solution isotonic with human body fluids, that is, the solution should be formulated to contain the same salt concentration as that present in human body fluids. A neutral, water-soluble salt of sodium chloride is employed for this purpose. Other neutral, water-soluble salts such as potassium chloride may also be suitably used.
The solution in the present invention also contains a salt of ethylenediamine tetraacetate such as disodium EDTA. This salt is useful as a chelating agent and also as an anti-microbial aid. Other salts suitable for the present invention are sodium hexametaphosphate, sodium citrate, and other chelating agents.
Other additives such as buffering agents are used in the present invention to adjust pH value of the solution at a desirable level of 8 or below. A preferred level of pH in the present invention is between about 6.9 and about 7.9. The buffering agents used are boric acid and sodium borate. Other similar acids including, but not limited to, tricine may be suitably used to bring the pH value of the solution to a desired level. It is also believed that the borate buffer facilitates antifungal activity.
A viscosity-enhancing agent is also employed in the present invention to bring the viscosity of the solution to a desirable value to provide cushioning of the contact lens in the eye and thus improving comfort to the wearer. A desirable viscosity-enhancing agent for the present invention is HEC
(hydroxyethyl cellulose). Other polymeric cellulosic material such as hydroxyethyl methyl cellulose or polymeric non-ionic thickeners such as HPMC
(hydroxypropyl methylcellulose),HPC(hydroxypropyl cellulose)andPVA(polyvinyl acetate, with buffers other than the boric acid system) may also be suitably used.
The following examples 1 through 5 are different embodiments of the present invention.
EXAMPLE 1. A cleaning, disinfecting, and rinsing solution for contact lenses is prepared with the following composition.
Boric acid 0.80% (w/v)
Sodium Borate 0.20% (w/v)
Sodium Chloride 0.30% (w/v)
EDTA 0.05% (w/v) Pluronic® P85 0.50% (w/v)
Phospholipid® PTC 0.03% (w/v)
HEC 0.50% (w/v) EXAMPLE 2. A new and improved cleaning, disinfecting, and rinsing solution is prepared by the following composition.
Boric Acid 0.80% (w/v)
Sodium Borate 0.20% (w/v)
Sodium Chloride 0.30% (w/v)
EDTA 0.10% (w/v)
Pluronic® P85 0.50% (w/v)
Phospholipid® PTC 0.03% (w/v)
HEC 0.50% (w/v)
This solution is similar to that in Example 1 except the content of EDTA is doubled. As will be shown later in Table II, it has improved microbicidal activity against S. marcescens at 6 hours and against A. fumigatus at 4 hours.
EXAMPLE 3. A new and improved cleaning, disinfecting, and rinsing solution for contact lenses is formulated by the following composition:
Boric Acid 0.80% (w/v)
Sodium Borate 0.20% (w/v)
Sodium Chloride 0.30% (w/v) EDTA 0.05% (w/v)
Pluronic® P85 0.50% (w/v)
Phospholipid® PTC 0.035% (w/v)
HEC 0.50% (w/v)
This solution is similar to that in Example 1 except the content of
Phospholipid® PTC was increased from 0.03% to 0.035%. EXAMPLE 4. A cleaning and disinfecting solution for contact lenses is formulated by the composition:
Boric Acid 0.80% (w/v)
Sodium Borate 0.20% (w/v)
Sodium Chloride 0.30% (w/v)
EDTA 0.05% (w/v)
Pluronic® P85 0.50% (w/v)
Phospholipid® PTC 0.04% (w/v)
HEC 0.50% (w/v)
This example is similar to that in Example 4 except that the content of Phospholipid® PTC is increased from 0.035% to 0.04%.
EXAMPLE 5. A cleaning, disinfecting, and rinsing solution for contact lenses is formulated by the composition:
Boric Acid 1.00% (w/v)
Sodium Borate 0.20% (w/v)
Sodium Chloride 0.30% (w/v)
EDTA 0.05% (w/v) Pluronic® P85 0.50% (w/v)
Phospholipid® PTC 0.03% (w/v)
HEC 0.50% (w/v)
This solution is essentially the same as that in Example 1 except the boric acid content is increased from 0.8% (w/v) to 1.0% (w/v). EXAMPLE 6. This example is a commercially available lens care solution supplied by ICN Corporation under the trade name of Unicare Green®. It has the following composition:
Boric Acid 1 .00% (w/v) Sodium Borate 0.20% (w/v)
Sodium Chloride 0.30% (w/v)
EDTA 0.10% (w/v)
Pluronic® F127 0.40% (w/v)
Phospholipid® PTC 0.03% (w/v) HPMC 0.50% (w/v)
This commercial product uses Pluronic® F127 instead of P85 used in the present invention and HPMC (hydroxypropyl methyl cellulose) instead of HEC used in the present invention.
To test the efficacy in the microbicidal activities of the above examples, a standard log reduction test on three bacteria of S. marcescens, A. fumigatus and
A. niger was conducted. This standard log reduction test is expressed in the units of log reduction in a number of contaminating organisms. A ten-fold reduction in the number of contaminating organisms is a one-log reduction. For example, reducing a contamination level of 1 ,000,000 organisms to 100,000 organisms is a one-log reduction. Reducing a contamination level of 10,000 organisms to 1 ,000 organisms is also a one-log reduction. It is desired based on worldwide preservation and disinfection criteria that after six hours exposure to the disinfection solution, the bacteria should be reduced by at least three logs and the fungi should be reduced by at least one log. It should be noted that this test is a log reduction from a six-log challenge. Therefore, a requirement for a three-log reduction means that the solution must be able to reduce a challenge of 106 organisms to 103 organisms in the required time period.
Microbiological studies were conducted on six solutions, i.e., five solutions formulated by the present invention and one prior art solution. The solutions were tested for anti-microbial kill at four and six hours against the following bacteria and fungi among others, 5. marcescens, A. niger, and A. fumigatus. S. marcescens is a gram negative, pigmented bacteria, which is one of the most common and resistant contaminant in contact lens care. For a more complete description of the standard method for log kill determination, see Pflug IJ, Holcomb R.G. "Principles of Thermal Destruction of Microorganisms"; Block SS, ed. Disinfection, sterilization, and preservation, 3rd ed., Philadelphia, Lea & Febiger, 1983: 751 -810; Houlsby R.D. "An Alternative Approach for Preservative Testing of Ophthalmic Multiple-Dose Products", J. Parenter Drug Assoc. , 1980; 34 (4) 272-6.
The results of these microbiological studies are shown in Table II.
Organism and Contact Example Example Example Example Example Example Inoculum size Time 1 2 3 4 5 β
S. marcescens 4 hours 4.60 4.60 >4.90 >4.90 >4.90 0.60
8 x 10s 6 hours 4.90 >4.90 >4.90 >4.90 >4.90 1.90
A Fumigatus 4 hours 1.30 1.48 0.88 1.18 1.18 1.48
6 x 10s 6 hours 1.48 1.48 1.48 1.30 1.48 1.48
A Niger 7 days 1.70 1.48 1.48 1.70 1.70 1.63 3 x 10s
TABLE II
These results show no significant difference between the six solutions when tested against A. fumigatus and A. niger. The data show a 1 .3 to 1.48 log reduction in 6 hours. However, there is a significant difference between solutions when tested against S. marcescens. All solutions in the present invention (Examples 1 through 5) have greater than 4.5 log reduction at 4 hours while the Unicare Green® solution (Example 6) only showed a 0.6 log reduction. More significantly, the results showed that all the solutions in the present invention have far superior microbicidal activity against S. marcescens than the Unicare Green® solution. This is apparently attributed to the use of the surfactants of the present invention instead of the Pluronic® F127 utilized in the Unicare Green® solution. The results after 6 hours achieved by the present invention is a 4.9 log reduction when compared to a 1 .9 log reduction achieved by the Unicare Green® product. The 3 log difference represents that the disinfecting function of the present invention is 1 ,000 times more effective than the Unicare Green® solution in the killing of S. marcescens bacteria. We believe that the use of the non-ionic surfactants of the present invention greatly potentiated the microbicidal activity of the anti-microbial agent used. See Table III below which shows use of the surfactants of the present invention (Entry Nos. 1 -4, 6, 7 and 9) having superior microbicidal activity against S. marcescens than those outside the present invention (Entry Nos. 5 and 8).
This effect of potentiation or synergism between the two unique components contributes to not only a greatly improved microbicidal activity of the solution, but also a superior cleaning capability. This is shown by data obtained in a Draves test where a significant improvement from 49 for Unicare Green® (Example 6) to 6.5 for the present invention (Example 1 ) was observed.
INGREDIENTS 1 2 a 4 5 5* 6 7 8 β« 9
BORIC ACID 0.8
SODIUM BORATE 0.2
SODIUM CHLORIDE 0.3
EDTA 0.05
PHOSPHOLIPID PTC 0.03
HEC 0.4
PLURONIC P85 0.5
PLURONIC F 127 0.5
PLURONIC L62 LF 0.5
PLURONIC L 92 0.5
PLURONIC P I 04 0.5 0.5
PLURONIC F 77 0.5
PLURONIC F87 0.5
PLURONIC PI 05 0.5 0.5
PLURONIC F 68 0.5
ANTIMICROBIAL ACTIVITY
S. . LOG REDUCTION
4 HRS. 5.3 1.6 TK 5.3 3.3 2.3 4.3 4.6 1.7 1.3 TK
6 HRS. TK 2.6 TK TK 4.3 2.7 TK TK ** 2.3 TK
Repeat Unclear
TABLE III
A desirable range of the present novel invention is shown as follows:
Boric Acid 0.4 - 1.00% (w/v) Sodium Borate 0.1 - 0.40% (w/v) Disodium Edentate 0.01 - 0.10% (w/v) Sodium Chloride 0.1 - 0.90% (w/v) Pluronic® P85 0.1 - 1 .00% (w/v) Phospholipid® PTC 0.01 - 0.05% (w/v) HEC 0.20 - 0.80% (w/v)
While several embodiments of the present invention have been shown and described, other embodiments will be apparent to those skilled in the art. Accordingly, the invention is defined only by the following claims.

Claims

What is claimed is:
1. A contact lens cleaning, disinfecting, and rinsing solution comprising a surfactantof a block copolymer of polyoxypropylene and polyoxyethylene having a composition ratio of between about 80/20 to about 20/80 and an anti- microbial agent.
2. The solution according to claim 1 wherein said block copolymer of polyoxypropylene and polyoxyethylene has a composition ratio of 50/50.
3. The solution according to claim 1 wherein said block copolymer of polyoxypropylene and polyoxyethylene further has a molecular weight range between about 2500 to about 13,000 daltons.
4. The solution according to claim 1 wherein said anti-microbial agent is a triquatemary phosphate ester.
5. The solution according to claim 1 wherein there is present in the solution from about 0.01 % (w/v) to about 10% (w/v) of the surfactant.
6. The solution according to claim 1 wherein there is present in the solution from about 0.001 % (w/v) to about 0.05% (w/v) of the anti-microbial agent.
7. The solution according to claim 1 wherein there is present in the solution from about 0.01 % (w/v) to about 0.10% (w/v) of an alkalinity enhancer.
8. The solution according to claim 1 wherein there is present in the solution from about 0.1 % (w/v) to about 0.9% (w/v) of a neutral, water-soluble salt.
9. The solution according to claim 1 further comprising from about 0.2% (w/v) to about 0.8% (w/v) of a viscosity enhancing agent.
10. The solution according to claim 1 wherein there is present in the solution from about 0.1 % (w/v) to about 1.0% (w/v) of a block copolymer of polyoxypropylene and polyoxyethylene having a composition ratio of about
50/50 and a molecular weight of about 4600 daltons, from about 0.001 % (w/v) to about 0.05% (w/v) of cocoamidopropyl PG dimonium chloride phosphate, from about 0.4% (w/v) to about 1 .0% (w/v) of boric acid, from about 0.1 % (w/v) to about 0.4% (w/v) of sodium borate, from about 0.01 % (w/v) to about 0.10% (w/v) of disodium edatate, from about 0.1 % (w/v) to about 0.9% (w/v) of sodium chloride, and from about 0.2% (w/v) to about 0.8% (w/v) of hydroxy ethyl cellulose.
1 1 . A method of cleaning and disinfecting a contact lens comprising the steps of: forming a solution comprising a non-ionic surfactant of a block copolymer of polyoxypropylene and polyoxyethylene having a composition ratio of between about 80/20 to about 20/80 and an anti-microbial agent; and contacting a contact lens with the solution.
12. The method according to claim 1 1 wherein said block copolymer of polyoxypropylene and polyoxyethylene has a composition ratio of 50/50.
13. The method according to claim 1 1 wherein said block copolymer of polyoxypropylene and polyoxyethylene further has a molecular weight range between about 3400 to about 6500 daltons.
14. The method according to claim 1 1 wherein said anti-microbial agent is a triquatemary phosphate ester.
15. The method according to claim 1 1 wherein there is present in the solution from about 0.01 % (w/v) to about 10% (w/v) of the surfactant.
16. The method according to claim 1 1 wherein there is present in the solution from about 0.01 % (w/v) to about 0.05% (w/v) of the anti-microbial agent.
17. The method according to claim 1 1 wherein there is present in the solution from about 0.01 % (w/v) to about 0.1 % (w/v) of a chelating agent.
18. The method according to claim 1 1 wherein there is present in the solution from about 0.1 % (w/v) to about 0.9% (w/v) of a neutral, water-soluble salt.
19. The method according to claim 1 1 wherein the solution further comprising from about 0.2% (w/v) to about 0.8% (w/v) of a viscosity enhancing agent.
20. The method according to claim 1 1 wherein there is present in the solution from about 0.1 % (w/v) to about 1 .0% (w/v) of a block copolymer of polyoxypropylene and polyoxyethylene having a composition ratio of about 50/50 and a molecular weight of about 4600 daltons, from about 0.01 % (w/v) to about 0.05% (w/v) of cocoamidopropyl PG dimonium chloride phosphate, from about 0.4% (w/v) to about 1.0% (w/v) of boric acid, from about 0.1 %
(w/v) to about 0.4% (w/v) of sodium borate, from about 0.01 % (w/v) to about 0.10% (w/v) of disodium edentate, from about 0.1 % (w/v) to about 0.9% (w/v) of sodium chloride, and from about 0.2% (w/v) to about 0.8% (w/v) of hydroxy ethyl cellulose.
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