EP2170983A2 - Nanopartikuläre füllstoffe - Google Patents
Nanopartikuläre füllstoffeInfo
- Publication number
- EP2170983A2 EP2170983A2 EP08781477A EP08781477A EP2170983A2 EP 2170983 A2 EP2170983 A2 EP 2170983A2 EP 08781477 A EP08781477 A EP 08781477A EP 08781477 A EP08781477 A EP 08781477A EP 2170983 A2 EP2170983 A2 EP 2170983A2
- Authority
- EP
- European Patent Office
- Prior art keywords
- polymer
- composite
- pdlla
- neutralising agent
- nanoparticulate
- 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- Withdrawn
Links
- 239000000945 filler Substances 0.000 title description 12
- 229920000642 polymer Polymers 0.000 claims abstract description 72
- 239000002131 composite material Substances 0.000 claims abstract description 71
- 239000003795 chemical substances by application Substances 0.000 claims abstract description 28
- 230000003472 neutralizing effect Effects 0.000 claims abstract description 26
- 239000002105 nanoparticle Substances 0.000 claims abstract description 20
- 239000007857 degradation product Substances 0.000 claims abstract description 12
- 230000002378 acidificating effect Effects 0.000 claims abstract description 11
- 238000010348 incorporation Methods 0.000 claims abstract description 7
- 238000004519 manufacturing process Methods 0.000 claims abstract description 6
- VTYYLEPIZMXCLO-UHFFFAOYSA-L Calcium carbonate Chemical group [Ca+2].[O-]C([O-])=O VTYYLEPIZMXCLO-UHFFFAOYSA-L 0.000 claims description 38
- 229910000019 calcium carbonate Inorganic materials 0.000 claims description 20
- 229920001577 copolymer Polymers 0.000 claims description 15
- 239000002861 polymer material Substances 0.000 claims description 14
- BHPQYMZQTOCNFJ-UHFFFAOYSA-N Calcium cation Chemical compound [Ca+2] BHPQYMZQTOCNFJ-UHFFFAOYSA-N 0.000 claims description 8
- 229910001424 calcium ion Inorganic materials 0.000 claims description 8
- VSIIXMUUUJUKCM-UHFFFAOYSA-D pentacalcium;fluoride;triphosphate Chemical compound [F-].[Ca+2].[Ca+2].[Ca+2].[Ca+2].[Ca+2].[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O VSIIXMUUUJUKCM-UHFFFAOYSA-D 0.000 claims description 6
- 229910052586 apatite Inorganic materials 0.000 claims description 5
- 229920001432 poly(L-lactide) Polymers 0.000 claims description 5
- QORWJWZARLRLPR-UHFFFAOYSA-H tricalcium bis(phosphate) Chemical compound [Ca+2].[Ca+2].[Ca+2].[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O QORWJWZARLRLPR-UHFFFAOYSA-H 0.000 claims description 5
- 239000001506 calcium phosphate Substances 0.000 claims description 4
- 229910000389 calcium phosphate Inorganic materials 0.000 claims description 4
- 235000011010 calcium phosphates Nutrition 0.000 claims description 4
- 229910052588 hydroxylapatite Inorganic materials 0.000 claims description 4
- XYJRXVWERLGGKC-UHFFFAOYSA-D pentacalcium;hydroxide;triphosphate Chemical group [OH-].[Ca+2].[Ca+2].[Ca+2].[Ca+2].[Ca+2].[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O XYJRXVWERLGGKC-UHFFFAOYSA-D 0.000 claims description 4
- JVTAAEKCZFNVCJ-REOHCLBHSA-N L-lactic acid Chemical compound C[C@H](O)C(O)=O JVTAAEKCZFNVCJ-REOHCLBHSA-N 0.000 claims description 3
- 238000000034 method Methods 0.000 claims description 3
- 238000002156 mixing Methods 0.000 claims description 3
- 150000003839 salts Chemical group 0.000 claims description 3
- BVKZGUZCCUSVTD-UHFFFAOYSA-M Bicarbonate Chemical compound OC([O-])=O BVKZGUZCCUSVTD-UHFFFAOYSA-M 0.000 claims description 2
- BVKZGUZCCUSVTD-UHFFFAOYSA-L Carbonate Chemical compound [O-]C([O-])=O BVKZGUZCCUSVTD-UHFFFAOYSA-L 0.000 claims description 2
- 150000003013 phosphoric acid derivatives Chemical class 0.000 claims description 2
- 229920001244 Poly(D,L-lactide) Polymers 0.000 claims 3
- 239000000243 solution Substances 0.000 description 16
- 230000015556 catabolic process Effects 0.000 description 10
- 230000008859 change Effects 0.000 description 10
- 238000006731 degradation reaction Methods 0.000 description 10
- JJTUDXZGHPGLLC-UHFFFAOYSA-N lactide Chemical compound CC1OC(=O)C(C)OC1=O JJTUDXZGHPGLLC-UHFFFAOYSA-N 0.000 description 10
- 210000000988 bone and bone Anatomy 0.000 description 9
- KCXVZYZYPLLWCC-UHFFFAOYSA-N EDTA Chemical compound OC(=O)CN(CC(O)=O)CCN(CC(O)=O)CC(O)=O KCXVZYZYPLLWCC-UHFFFAOYSA-N 0.000 description 8
- 230000009467 reduction Effects 0.000 description 8
- 238000009826 distribution Methods 0.000 description 7
- 239000007943 implant Substances 0.000 description 7
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- 239000011575 calcium Substances 0.000 description 5
- 238000005227 gel permeation chromatography Methods 0.000 description 5
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- 239000007924 injection Substances 0.000 description 5
- 239000000843 powder Substances 0.000 description 5
- 208000010392 Bone Fractures Diseases 0.000 description 4
- HEDRZPFGACZZDS-UHFFFAOYSA-N Chloroform Chemical compound ClC(Cl)Cl HEDRZPFGACZZDS-UHFFFAOYSA-N 0.000 description 4
- 239000006144 Dulbecco’s modified Eagle's medium Substances 0.000 description 4
- VEXZGXHMUGYJMC-UHFFFAOYSA-N Hydrochloric acid Chemical compound Cl VEXZGXHMUGYJMC-UHFFFAOYSA-N 0.000 description 4
- 238000009835 boiling Methods 0.000 description 4
- 239000005388 borosilicate glass Substances 0.000 description 4
- 230000000694 effects Effects 0.000 description 4
- 238000001125 extrusion Methods 0.000 description 4
- 238000001746 injection moulding Methods 0.000 description 4
- 239000011159 matrix material Substances 0.000 description 4
- 238000012545 processing Methods 0.000 description 4
- RKDVKSZUMVYZHH-UHFFFAOYSA-N 1,4-dioxane-2,5-dione Chemical compound O=C1COC(=O)CO1 RKDVKSZUMVYZHH-UHFFFAOYSA-N 0.000 description 3
- QGZKDVFQNNGYKY-UHFFFAOYSA-O Ammonium Chemical compound [NH4+] QGZKDVFQNNGYKY-UHFFFAOYSA-O 0.000 description 3
- OKKJLVBELUTLKV-UHFFFAOYSA-N Methanol Chemical compound OC OKKJLVBELUTLKV-UHFFFAOYSA-N 0.000 description 3
- MUBZPKHOEPUJKR-UHFFFAOYSA-N Oxalic acid Chemical compound OC(=O)C(O)=O MUBZPKHOEPUJKR-UHFFFAOYSA-N 0.000 description 3
- 229910019142 PO4 Inorganic materials 0.000 description 3
- 229920000954 Polyglycolide Polymers 0.000 description 3
- HEMHJVSKTPXQMS-UHFFFAOYSA-M Sodium hydroxide Chemical compound [OH-].[Na+] HEMHJVSKTPXQMS-UHFFFAOYSA-M 0.000 description 3
- 230000002902 bimodal effect Effects 0.000 description 3
- 230000000593 degrading effect Effects 0.000 description 3
- 239000000463 material Substances 0.000 description 3
- 239000000155 melt Substances 0.000 description 3
- 238000010128 melt processing Methods 0.000 description 3
- 230000003014 reinforcing effect Effects 0.000 description 3
- 238000003860 storage Methods 0.000 description 3
- NLXLAEXVIDQMFP-UHFFFAOYSA-N Ammonia chloride Chemical compound [NH4+].[Cl-] NLXLAEXVIDQMFP-UHFFFAOYSA-N 0.000 description 2
- VHUUQVKOLVNVRT-UHFFFAOYSA-N Ammonium hydroxide Chemical compound [NH4+].[OH-] VHUUQVKOLVNVRT-UHFFFAOYSA-N 0.000 description 2
- OYPRJOBELJOOCE-UHFFFAOYSA-N Calcium Chemical compound [Ca] OYPRJOBELJOOCE-UHFFFAOYSA-N 0.000 description 2
- AVXURJPOCDRRFD-UHFFFAOYSA-N Hydroxylamine Chemical compound ON AVXURJPOCDRRFD-UHFFFAOYSA-N 0.000 description 2
- 229910017912 NH2OH Inorganic materials 0.000 description 2
- KDLHZDBZIXYQEI-UHFFFAOYSA-N Palladium Chemical compound [Pd] KDLHZDBZIXYQEI-UHFFFAOYSA-N 0.000 description 2
- 229920000331 Polyhydroxybutyrate Polymers 0.000 description 2
- 239000004372 Polyvinyl alcohol Substances 0.000 description 2
- 208000027418 Wounds and injury Diseases 0.000 description 2
- 238000010521 absorption reaction Methods 0.000 description 2
- 238000005054 agglomeration Methods 0.000 description 2
- 230000002776 aggregation Effects 0.000 description 2
- 239000007864 aqueous solution Substances 0.000 description 2
- 230000015572 biosynthetic process Effects 0.000 description 2
- 239000000872 buffer Substances 0.000 description 2
- 229910052791 calcium Inorganic materials 0.000 description 2
- AXCZMVOFGPJBDE-UHFFFAOYSA-L calcium dihydroxide Chemical compound [OH-].[OH-].[Ca+2] AXCZMVOFGPJBDE-UHFFFAOYSA-L 0.000 description 2
- 229910052799 carbon Inorganic materials 0.000 description 2
- 230000006378 damage Effects 0.000 description 2
- 229910052587 fluorapatite Inorganic materials 0.000 description 2
- 239000012909 foetal bovine serum Substances 0.000 description 2
- 230000006872 improvement Effects 0.000 description 2
- 208000014674 injury Diseases 0.000 description 2
- JVTAAEKCZFNVCJ-UHFFFAOYSA-N lactic acid Chemical compound CC(O)C(O)=O JVTAAEKCZFNVCJ-UHFFFAOYSA-N 0.000 description 2
- 229960000448 lactic acid Drugs 0.000 description 2
- 238000005259 measurement Methods 0.000 description 2
- 239000002114 nanocomposite Substances 0.000 description 2
- 230000011164 ossification Effects 0.000 description 2
- 229920000747 poly(lactic acid) Polymers 0.000 description 2
- 229920002635 polyurethane Polymers 0.000 description 2
- 239000004814 polyurethane Substances 0.000 description 2
- 229920002451 polyvinyl alcohol Polymers 0.000 description 2
- 235000019422 polyvinyl alcohol Nutrition 0.000 description 2
- 230000002787 reinforcement Effects 0.000 description 2
- 238000011160 research Methods 0.000 description 2
- 238000001878 scanning electron micrograph Methods 0.000 description 2
- 239000010935 stainless steel Substances 0.000 description 2
- 229910001220 stainless steel Inorganic materials 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 238000012360 testing method Methods 0.000 description 2
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 2
- RBMHUYBJIYNRLY-UHFFFAOYSA-N 2-[(1-carboxy-1-hydroxyethyl)-hydroxyphosphoryl]-2-hydroxypropanoic acid Chemical compound OC(=O)C(O)(C)P(O)(=O)C(C)(O)C(O)=O RBMHUYBJIYNRLY-UHFFFAOYSA-N 0.000 description 1
- ALRHLSYJTWAHJZ-UHFFFAOYSA-N 3-hydroxypropionic acid Chemical compound OCCC(O)=O ALRHLSYJTWAHJZ-UHFFFAOYSA-N 0.000 description 1
- OZJPLYNZGCXSJM-UHFFFAOYSA-N 5-valerolactone Chemical compound O=C1CCCCO1 OZJPLYNZGCXSJM-UHFFFAOYSA-N 0.000 description 1
- 208000006386 Bone Resorption Diseases 0.000 description 1
- OKTJSMMVPCPJKN-UHFFFAOYSA-N Carbon Chemical compound [C] OKTJSMMVPCPJKN-UHFFFAOYSA-N 0.000 description 1
- 229910000684 Cobalt-chrome Inorganic materials 0.000 description 1
- JVTAAEKCZFNVCJ-UWTATZPHSA-N D-lactic acid Chemical compound C[C@@H](O)C(O)=O JVTAAEKCZFNVCJ-UWTATZPHSA-N 0.000 description 1
- ZGTMUACCHSMWAC-UHFFFAOYSA-L EDTA disodium salt (anhydrous) Chemical compound [Na+].[Na+].OC(=O)CN(CC([O-])=O)CCN(CC(O)=O)CC([O-])=O ZGTMUACCHSMWAC-UHFFFAOYSA-L 0.000 description 1
- AEMRFAOFKBGASW-UHFFFAOYSA-N Glycolic acid Polymers OCC(O)=O AEMRFAOFKBGASW-UHFFFAOYSA-N 0.000 description 1
- 206010020649 Hyperkeratosis Diseases 0.000 description 1
- 206010061218 Inflammation Diseases 0.000 description 1
- 208000034530 PLAA-associated neurodevelopmental disease Diseases 0.000 description 1
- 206010033733 Papule Diseases 0.000 description 1
- BELBBZDIHDAJOR-UHFFFAOYSA-N Phenolsulfonephthalein Chemical compound C1=CC(O)=CC=C1C1(C=2C=CC(O)=CC=2)C2=CC=CC=C2S(=O)(=O)O1 BELBBZDIHDAJOR-UHFFFAOYSA-N 0.000 description 1
- 229920003171 Poly (ethylene oxide) Polymers 0.000 description 1
- 239000004793 Polystyrene Substances 0.000 description 1
- CZMRCDWAGMRECN-UGDNZRGBSA-N Sucrose Chemical compound O[C@H]1[C@H](O)[C@@H](CO)O[C@@]1(CO)O[C@@H]1[C@H](O)[C@@H](O)[C@H](O)[C@@H](CO)O1 CZMRCDWAGMRECN-UGDNZRGBSA-N 0.000 description 1
- 229930006000 Sucrose Natural products 0.000 description 1
- 238000003917 TEM image Methods 0.000 description 1
- 229910001069 Ti alloy Inorganic materials 0.000 description 1
- 238000005411 Van der Waals force Methods 0.000 description 1
- 239000002253 acid Substances 0.000 description 1
- 150000007513 acids Chemical class 0.000 description 1
- 229910045601 alloy Inorganic materials 0.000 description 1
- 239000000956 alloy Substances 0.000 description 1
- 235000019270 ammonium chloride Nutrition 0.000 description 1
- 239000000908 ammonium hydroxide Substances 0.000 description 1
- XEXFVRMLYUDDJY-UHFFFAOYSA-N azane;hydrate;hydrochloride Chemical compound [NH4+].[NH4+].[OH-].[Cl-] XEXFVRMLYUDDJY-UHFFFAOYSA-N 0.000 description 1
- 238000005452 bending Methods 0.000 description 1
- 230000008901 benefit Effects 0.000 description 1
- 230000024279 bone resorption Effects 0.000 description 1
- 239000007853 buffer solution Substances 0.000 description 1
- 239000006227 byproduct Substances 0.000 description 1
- 239000000920 calcium hydroxide Substances 0.000 description 1
- 229910001861 calcium hydroxide Inorganic materials 0.000 description 1
- 230000003197 catalytic effect Effects 0.000 description 1
- 238000006243 chemical reaction Methods 0.000 description 1
- 229910052589 chlorapatite Inorganic materials 0.000 description 1
- 238000003776 cleavage reaction Methods 0.000 description 1
- 239000010952 cobalt-chrome Substances 0.000 description 1
- 230000007797 corrosion Effects 0.000 description 1
- 238000005260 corrosion Methods 0.000 description 1
- 239000013078 crystal Substances 0.000 description 1
- 229940022769 d- lactic acid Drugs 0.000 description 1
- 230000003247 decreasing effect Effects 0.000 description 1
- 230000001934 delay Effects 0.000 description 1
- 230000001419 dependent effect Effects 0.000 description 1
- CGMRCMMOCQYHAD-UHFFFAOYSA-J dicalcium hydroxide phosphate Chemical compound [OH-].[Ca++].[Ca++].[O-]P([O-])([O-])=O CGMRCMMOCQYHAD-UHFFFAOYSA-J 0.000 description 1
- 150000004683 dihydrates Chemical class 0.000 description 1
- 238000004090 dissolution Methods 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- PROQIPRRNZUXQM-ZXXIGWHRSA-N estriol Chemical compound OC1=CC=C2[C@H]3CC[C@](C)([C@H]([C@H](O)C4)O)[C@@H]4[C@@H]3CCC2=C1 PROQIPRRNZUXQM-ZXXIGWHRSA-N 0.000 description 1
- 229940077441 fluorapatite Drugs 0.000 description 1
- PCHJSUWPFVWCPO-UHFFFAOYSA-N gold Chemical compound [Au] PCHJSUWPFVWCPO-UHFFFAOYSA-N 0.000 description 1
- 239000010931 gold Substances 0.000 description 1
- 229910052737 gold Inorganic materials 0.000 description 1
- 230000035876 healing Effects 0.000 description 1
- 238000010438 heat treatment Methods 0.000 description 1
- 230000007062 hydrolysis Effects 0.000 description 1
- 238000006460 hydrolysis reaction Methods 0.000 description 1
- 230000003301 hydrolyzing effect Effects 0.000 description 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-M hydroxide Chemical group [OH-] XLYOFNOQVPJJNP-UHFFFAOYSA-M 0.000 description 1
- 230000028993 immune response Effects 0.000 description 1
- 230000004054 inflammatory process Effects 0.000 description 1
- 230000028709 inflammatory response Effects 0.000 description 1
- 229910052500 inorganic mineral Inorganic materials 0.000 description 1
- 150000002500 ions Chemical class 0.000 description 1
- 159000000003 magnesium salts Chemical class 0.000 description 1
- 238000002595 magnetic resonance imaging Methods 0.000 description 1
- 239000001630 malic acid Substances 0.000 description 1
- 229910052751 metal Inorganic materials 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 239000011859 microparticle Substances 0.000 description 1
- 239000011707 mineral Substances 0.000 description 1
- 239000000178 monomer Substances 0.000 description 1
- 239000012299 nitrogen atmosphere Substances 0.000 description 1
- 230000002188 osteogenic effect Effects 0.000 description 1
- 230000001009 osteoporotic effect Effects 0.000 description 1
- 235000006408 oxalic acid Nutrition 0.000 description 1
- 239000005022 packaging material Substances 0.000 description 1
- 229910052763 palladium Inorganic materials 0.000 description 1
- 230000005298 paramagnetic effect Effects 0.000 description 1
- 229960003531 phenolsulfonphthalein Drugs 0.000 description 1
- 229910052585 phosphate mineral Inorganic materials 0.000 description 1
- 230000000704 physical effect Effects 0.000 description 1
- 229920001434 poly(D-lactide) Polymers 0.000 description 1
- 229920000117 poly(dioxanone) Polymers 0.000 description 1
- 229920003229 poly(methyl methacrylate) Polymers 0.000 description 1
- 229920001610 polycaprolactone Polymers 0.000 description 1
- 239000004632 polycaprolactone Substances 0.000 description 1
- 239000004417 polycarbonate Substances 0.000 description 1
- 229920000515 polycarbonate Polymers 0.000 description 1
- 229920000728 polyester Polymers 0.000 description 1
- 229920006149 polyester-amide block copolymer Polymers 0.000 description 1
- 229920002643 polyglutamic acid Polymers 0.000 description 1
- 239000004926 polymethyl methacrylate Substances 0.000 description 1
- 229920001184 polypeptide Polymers 0.000 description 1
- 229920002223 polystyrene Polymers 0.000 description 1
- 239000004810 polytetrafluoroethylene Substances 0.000 description 1
- 229920001343 polytetrafluoroethylene Polymers 0.000 description 1
- 238000001556 precipitation Methods 0.000 description 1
- 230000036316 preload Effects 0.000 description 1
- 102000004196 processed proteins & peptides Human genes 0.000 description 1
- 108090000765 processed proteins & peptides Proteins 0.000 description 1
- 230000004044 response Effects 0.000 description 1
- 238000004626 scanning electron microscopy Methods 0.000 description 1
- 230000007017 scission Effects 0.000 description 1
- 210000002966 serum Anatomy 0.000 description 1
- 239000002904 solvent Substances 0.000 description 1
- 241000894007 species Species 0.000 description 1
- 239000007921 spray Substances 0.000 description 1
- 239000012086 standard solution Substances 0.000 description 1
- 239000005720 sucrose Substances 0.000 description 1
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Classifications
-
- C—CHEMISTRY; METALLURGY
- C08—ORGANIC MACROMOLECULAR COMPOUNDS; THEIR PREPARATION OR CHEMICAL WORKING-UP; COMPOSITIONS BASED THEREON
- C08F—MACROMOLECULAR COMPOUNDS OBTAINED BY REACTIONS ONLY INVOLVING CARBON-TO-CARBON UNSATURATED BONDS
- C08F2/00—Processes of polymerisation
- C08F2/44—Polymerisation in the presence of compounding ingredients, e.g. plasticisers, dyestuffs, fillers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS 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
- A61L27/00—Materials for grafts or prostheses or for coating grafts or prostheses
- A61L27/40—Composite materials, i.e. containing one material dispersed in a matrix of the same or different material
- A61L27/44—Composite materials, i.e. containing one material dispersed in a matrix of the same or different material having a macromolecular matrix
- A61L27/446—Composite materials, i.e. containing one material dispersed in a matrix of the same or different material having a macromolecular matrix with other specific inorganic fillers other than those covered by A61L27/443 or A61L27/46
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS 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
- A61L27/00—Materials for grafts or prostheses or for coating grafts or prostheses
- A61L27/40—Composite materials, i.e. containing one material dispersed in a matrix of the same or different material
- A61L27/44—Composite materials, i.e. containing one material dispersed in a matrix of the same or different material having a macromolecular matrix
- A61L27/46—Composite materials, i.e. containing one material dispersed in a matrix of the same or different material having a macromolecular matrix with phosphorus-containing inorganic fillers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS 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
- A61L27/00—Materials for grafts or prostheses or for coating grafts or prostheses
- A61L27/50—Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
- A61L27/58—Materials at least partially resorbable by the body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS 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
- A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
- A61L31/12—Composite materials, i.e. containing one material dispersed in a matrix of the same or different material
- A61L31/125—Composite materials, i.e. containing one material dispersed in a matrix of the same or different material having a macromolecular matrix
- A61L31/127—Composite materials, i.e. containing one material dispersed in a matrix of the same or different material having a macromolecular matrix containing fillers of phosphorus-containing inorganic materials
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS 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
- A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
- A61L31/12—Composite materials, i.e. containing one material dispersed in a matrix of the same or different material
- A61L31/125—Composite materials, i.e. containing one material dispersed in a matrix of the same or different material having a macromolecular matrix
- A61L31/128—Composite materials, i.e. containing one material dispersed in a matrix of the same or different material having a macromolecular matrix containing other specific inorganic fillers not covered by A61L31/126 or A61L31/127
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS 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
- A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
- A61L31/14—Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
- A61L31/148—Materials at least partially resorbable by the body
-
- B—PERFORMING OPERATIONS; TRANSPORTING
- B82—NANOTECHNOLOGY
- B82Y—SPECIFIC USES OR APPLICATIONS OF NANOSTRUCTURES; MEASUREMENT OR ANALYSIS OF NANOSTRUCTURES; MANUFACTURE OR TREATMENT OF NANOSTRUCTURES
- B82Y30/00—Nanotechnology for materials or surface science, e.g. nanocomposites
-
- C—CHEMISTRY; METALLURGY
- C08—ORGANIC MACROMOLECULAR COMPOUNDS; THEIR PREPARATION OR CHEMICAL WORKING-UP; COMPOSITIONS BASED THEREON
- C08K—Use of inorganic or non-macromolecular organic substances as compounding ingredients
- C08K3/00—Use of inorganic substances as compounding ingredients
- C08K3/18—Oxygen-containing compounds, e.g. metal carbonyls
- C08K3/24—Acids; Salts thereof
- C08K3/26—Carbonates; Bicarbonates
-
- C—CHEMISTRY; METALLURGY
- C08—ORGANIC MACROMOLECULAR COMPOUNDS; THEIR PREPARATION OR CHEMICAL WORKING-UP; COMPOSITIONS BASED THEREON
- C08K—Use of inorganic or non-macromolecular organic substances as compounding ingredients
- C08K3/00—Use of inorganic substances as compounding ingredients
- C08K3/32—Phosphorus-containing compounds
-
- C—CHEMISTRY; METALLURGY
- C08—ORGANIC MACROMOLECULAR COMPOUNDS; THEIR PREPARATION OR CHEMICAL WORKING-UP; COMPOSITIONS BASED THEREON
- C08L—COMPOSITIONS OF MACROMOLECULAR COMPOUNDS
- C08L67/00—Compositions of polyesters obtained by reactions forming a carboxylic ester link in the main chain; Compositions of derivatives of such polymers
- C08L67/04—Polyesters derived from hydroxycarboxylic acids, e.g. lactones
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS 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
- A61L2400/00—Materials characterised by their function or physical properties
- A61L2400/12—Nanosized materials, e.g. nanofibres, nanoparticles, nanowires, nanotubes; Nanostructured surfaces
-
- C—CHEMISTRY; METALLURGY
- C08—ORGANIC MACROMOLECULAR COMPOUNDS; THEIR PREPARATION OR CHEMICAL WORKING-UP; COMPOSITIONS BASED THEREON
- C08K—Use of inorganic or non-macromolecular organic substances as compounding ingredients
- C08K3/00—Use of inorganic substances as compounding ingredients
- C08K3/18—Oxygen-containing compounds, e.g. metal carbonyls
- C08K3/24—Acids; Salts thereof
- C08K3/26—Carbonates; Bicarbonates
- C08K2003/265—Calcium, strontium or barium carbonate
Definitions
- the present invention relates generally to orthopaedic implants and more particularly to bioresorbable polymer composites comprising nanoparticles, wherein the nanoparticles are capable of buffering the acidic degradation products of the polymer.
- Fracture fixation plates are the most commonly employed devices for surgical support of fractured bone.
- the plates are placed across the site of fractures bones and exert pressure on the fractured ends of the bone, thereby improving the rigidity until unity of the fracture is complete.
- the plates are manufactured of a rigid metal, such as stainless steel, cobalt chrome alloys and titanium alloys.
- the large difference in elastic modulus between the underlying bone (14-24 GPa) and the metallic implants (100-240 GPa) causes a majority of the load of the body to be carried by the implant while fracture healing is taking place.
- bioresorbable polymers such as polylactide (PLA), polyglycolide (PGA) and their copolymers.
- PLA polylactide
- PGA polyglycolide
- the potential of bioresorbable plates produced by polymers such as PLA and PGA is limited by the modest initial mechanical properties with respect to bone, the rate of loss of these polymers, and the evolution of acidic degradation products on hydrolytic cleavage of the polymer backbone, as detailed in Pietrzak et al., Bone, Vol. 19, pp. 109S-
- CaCO 3 , ⁇ -tricalcium phosphate and hydroxyapatite exhibit a buffering capability when used to reinforce bioresorbable polymers derived from glycolide and lactide, as further described in Agrawal et al., Journal of Biomedicals Material Research, Vol. 38, pp105-114 (1997).
- the mechanical properties of a composite are dependent on the strength of the interface between the two different phases, i.e. the matrix and the reinforcement. Strong adhesion between the two phases is often difficult to achieve when microparticles are used as the reinforcing element, as further described in Gasser, Injury International Journal of the Care of the Injured, Vol. 31 , pp. S-D48-53 (2000) and Liu et al., Biomaterials, Vol. 18, 1263-1270 (1997). In Uecla et al, Biomaterials, Vol. 24, pp.
- nanoparticles comprising a neutralising agent for incorporation within a bioresorbable polymer to neutralise the acidic degradation products of said bioresorbable polymer.
- the neutralising agent is typically a basic nanoparticulate filler.
- the neutralising agent is a salt capable of neutralising the acidic degradation products.
- suitable salts include, but are not limited to, a carbonate, a bicarbonate, or a phosphate salt.
- the neutralising agent is a hydroxide.
- a particularly advantageous neutralising agent is one which is also a source of free calcium ions.
- Calcium ions are known to be osteogenic and therefore their release from the bioresorbable polymer can also promote osteogenesis.
- the neutralising agent is a calcium carbonate (CaCO 3 ) or a calcium phosphate.
- An example of a suitable calcium phosphate is apatite.
- Apatite is a group of phosphate minerals, usually referring to hydroxylapatite, fluorapatite, and chlorapatite, named for high concentrations of OH “ , F " , or Cl " ions, respectively, in the crystal.
- the formula of the admixture of the three most common species is written as Ca 5 (PO 4 ) 3 (OH, F, Cl), and the formulae of the individual minerals are written as Ca 5 (PO 4 )S(OH), Ca 5 (PO 4 ) 3 F and Ca 5 (PO 4 J 3 CI, respectively.
- the apatite is hydroxyapatite.
- the concentration of the neutralising agent within the polymer is from between about 5-20 wt %, specifically from about 7-15 wt %.
- the diameter of the nanoparticle is less than about 100nm.
- the larger surface area to volume ratio of the nanoparticles improves the bonding between the matrix and reinforcement phase when compared to microparticfes of the basic fillers.
- the larger surface area to volume ratio of the nanoparticles also significantly reduces the concentration of the basic fillers required to provide the same buffering capability as microparticlulate fillers.
- large quantities of filler particles within a composite can result in particle agglomeration due to the attractive van der Waals forces [13].
- Lower concentrations of particles, optionally with the use of a surfactant allow these forces to be overcome by the repulsive forces, resulting in a composite with the filler homogenously dispersed within the polymer matrix.
- a bioresorbable polymer includes all bioresorbable polymers except poly-L-lactic acid (PLLA). This includes, without limitation, the following:
- Lactide/e-caprolactone copolymers PLA/polyethylene oxide copolymers
- Polyesteramides Polyesters of oxalic acid
- Polydihydropyrans Polyalkyl-2-cyanocrylates Polyurethanes (PU) Polyvinylalcohol (PVA) Polypeptides Poly-b-malic acid (PM LA)
- Polymers comprising nanoparticles of a neutralising agent can be manufactured in a similar way to their micron-sized equivalents, through dissolution of the polymer in a solvent followed by the addition of the nanoparticles.
- a polymeric composite comprising a first polymer and a second polymer, wherein the first polymer has a molecular weight less than the second polymer, and wherein nanoparticles of a neutralising agent are distributed throughout at least the first polymer.
- both the first polymer and the second polymer is poly-DL-lactic acid (PDLLA) or copolymers thereof and the first polymer comprises nanoparticles of calcium carbonate.
- PLLA poly-DL-lactic acid
- a method of manufacturing a composite comprising a first polymer including a nanoparticulate neutralising agent distributed throughout and a second polymer, the method comprising the steps of; a) polymerising the first polymer with the nanoparticulate agent to form a combination; and b) blending the combination produced in a) with the second polymer, the second polymer having a high molecular weight than the first polymer.
- the first polymer is PDLLA or copolymers thereof and the nanoparticulate agent is calcium carbonate.
- a composite comprising a polymer material and a nanoparticulate neutralising agent distributed throughout the polymer material, wherein the polymer material consists of PDLLA or copolymers thereof.
- a composite comprising a polymer material and a nanoparticulate neutralising agent distributed throughout the polymer material, wherein the polymer material is any polymer material other than PLLA.
- the polymer included in the polymer/nanoparticulate neutralising agent composite is a polymer having a molecular weight of less than 20 kD.
- the higher molecular weight polymer that the composite is blended with is a polymer having a molecular weight of greater than 20 kD.
- FIG.1 Transmission electron micrograph of nano-particulate calcium carbonate.
- FIG.2 Variation in pH of the solution holding the composites with degradation time. Values are mean ⁇ standard error for triplicate samples.
- FIG.3 Variation in number average molecular weight (M n ) and weight average molecular weight (M w ) of nCaCOyPDLLA composites polymerised for 5 days at 130 0 C using 0.01 wt % SnOCt 2 . The resultant samples were then utilised for melt processing. Values are mean ⁇ standard error for repeated duplicate samples.
- FiG.4 Variation in time with the response of the GPC detector for (a) 100 wt % PDLLA, (b) 30 wt % PDLLAAiCaCO 3 composite and ⁇ c) 15 wt % PDLLAZnCaCO 3 composite, produced by melt processing equal quantities of PDLLA and 30 wt % PDLLA/nCaCO 3 composite.
- FIG.5 Difference in number average molecular weight (M n ) and weight average molecular weight (M w ) of nCaCOs/PDLLA composites following extrusion and injection moulding. Values are mean ⁇ standard error for repeated duplicate samples.
- FIG. ⁇ i SEM micrographs (a-f) illustrating the melt processed composites containing varying concentrations of CaCO 3 . Those images taken in back- scattered electron mode are indicated with BS.
- FIG.6U SEM micrographs (g-j) illustrating the melt processed composites containing varying concentrations of CaCO 3 . Those images taken in back- scattered electron mode are indicated with BS.
- FIG.7 Change in pH of the starting solution holding the PDLLMiCaCO 3 composites versus degradation time. Values are mean + standard error for repeated triplicate samples.
- FIG.8 Variation in mass lass of the composites as they degrade. Values are mean + standard error for repeated triplicate samples.
- FIG.9 Change in (a) number average molecular weight and (b) percentage reduction in number average molecular weight (M n ) with composite degradation time. Values are mean ⁇ standard error for repeated duplicate samples
- FIG.10 Change in the concentration of calcium ions present within the composites. Values are mean for repeated ⁇ standard error for repeated triplicate samples.
- FIG.11 Change in elastic modulus with nCaCO 3 content within PDLLA and processing condition, as determined using dynamic mechanical analysis. Values are calculated at 25 0 C and are mean ⁇ standard error for a minimum of 5 sampfes.
- FIG.12 Variation in storage modulus with nCaCO 3 content within PDLLA and processing condition, as determined using dynamic mechanical analysis. Values were calculated at 37 0 C and are mean ⁇ standard error for a minimum of 5 samples.
- Nano-particulate calcium carbonate (nCaCOa) with a narrow particle size distribution (all particles less than 100 nm) and a low tendency to agglomerate (Figure 1) was precipitated through carbonation of an aqueous solution of calcium hydroxide (Ca(OH) 2 ) in methanol.
- nCaCO 3 was dried thoroughly overnight prior to use and ground together with the monomer before being placed in borosilicate glass boiling tubes.
- D-L lactide, 0.01 wt % Sn ⁇ ct 2 and precipitated nCaCO 3 (14, 17, 20, 25 and 30 wt %) were added to borosilicate glass boiling tubes and polymerised at 130 0 C for 5 days within an inert nitrogen atmosphere.
- Table 1 Molecular weights of the PDLLA/nCaCO 3 composites prior to processing with a higher molecular weight polymer
- the number average molecular weight (M n ) and weight average molecular weight (M w ) of pure PDLLA and the composites were determined using gel permeation chromatography (GPC) (see Table 2). Approximately 0.1 g of the samples were dissolved in 5 ml chloroform and GPC analysis (Polymer
- Composite degradation was measured in terms of mass loss and water absorption, change in polymer molecular weight, pH of the surrounding solution and change in calcium concentration of the solution with time. Rectangles approximately 12 x 4 x 2 mm in size were cut from the injection moulded nCaCCVPDLLA samples using a heated scalpel, the mass recorded and placed individually in a 24 well plate. Samples (10 x 10 x 0.5 mm) were also cut from the pressed 10 wt % fCaCCVPDLLA sheet.
- DMEM phenol red free Dulbecco's Modified Eagle's Medium
- FBS foetal bovine serum
- DMEM was also added to empty wells within the well plate in order to act as blanks.
- the well plates were then placed in an incubator at 37 0 C and 5 % CO 2 for 10 weeks. At pre-determined time points (4, 7, 14, 21 , 35, 42, 49, 56, and 70 days) these were removed and the mass recorded. Hydrolysed samples were also dried under vacuum at 10 ⁇ 1 -10 ⁇ 2 mbar for 48 hours and the dry mass measured, allowing determination of percentage weight loss and water absorption.
- a buffer solution of ammonium chloride-ammonium hydroxide (NH 2 OH I-ICI) was prepared by dissolving 67.6 g ammonium chloride (NH 4 CI) in 200 ml dH 2 O, followed by the addition of 570 ml concentrated ammonium hydroxide (NH 4 OH). To this 5.0O g of magnesium salt of EDTA was added, diluted to 1000 ml with dH 2 O and stored in a tightly stoppered vessel.
- a standard 0.01 IvI EDTA solution was produced by dissolving 3.72 g disodium ethylenediaminetetraacetic acid (Na 2 EDTA; Fisher Scientific) dihydrate (dried overnight) in dH 2 O and diluted to 1000 ml in a volumetric flask. The molarity of this solution was verified by titrating 25.0 ml of CaCO 3 standard solution. This was created by suspending 1.000 g CaCO 3 which was dried prior to weighing for 1 h at 180 0 C, in approximately 600 ml dH 2 O and dissolving with a minimal amount of dilute HCI. The resultant solution was diluted to 1000 ml in a volumetric flask.
- Ammonium purpurate (1.0 g) was mixed thoroughly with 200 g sucrose in a sealed vessel and subsequently used in 0.2 g quantities as an indicator. An aliquot of known volume of solution with unknown calcium ion concentration was placed in a volumetric flask, 1 ml NH 2 OH HCI, 1 ml NaOH (80 g I "1 ) and ammonium purpurate added, and titrated with EDTA until a colour change from pink to purple was achieved. The EDTA volume was recorded and the calcium concentration determined. The change in molecular weight of the dried samples was also established through the use of GPC.
- the mechanical properties of the nCaCOa/PDLLA composites and pure PDLLA, produced as described above were determined using dynamic mechanical analysis (DMA; TA Instruments).
- the DMA was used in the tensile mode, testing both the extruded fibres and the central long axis of the injection moulded tensile test specimens (ends were removed using a hot scalpel). Two different tests were used; a strain sweep and a temperature sweep. The strain sweep was carried out at 25 0 C, using a pre-load force of 0.01 N and the amplitude gradually increased from 0.5 to 6 ⁇ m. A stress versus strain graph was then plotted and the elastic modulus determined from the gradient.
- DMA dynamic mechanical analysis
- the temperature was gradually increased from 25 to 70 0 C at a rate of 3 0 C min '1 with a constant frequency and amplitude of 1 Hz and 6 ⁇ m respectively.
- the resultant graphs were used to establish the storage modulus at 37 0 C.
- nCaCCVPDLLA composites when determined with DMA, increased with the addition of nCaCO 3 and reached a maximum with 12.5 wt % nCaCO 3 ( Figures 1 1 and 12). Both were significantly higher than pure PDLLA and this was the case for both the extruded and injection moulded samples. However, values were significantly lower for the injection moulded samples in comparison to those which were extruded. These results indicate that nCaCO 3 is effective in reinforcing PDLLA.
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| GBGB0713351.5A GB0713351D0 (en) | 2007-07-10 | 2007-07-10 | Nanoparticulate fillers |
| PCT/US2008/069391 WO2009009520A2 (en) | 2007-07-10 | 2008-07-08 | Nanoparticulate fillers |
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| EP (1) | EP2170983A2 (de) |
| JP (1) | JP5753687B2 (de) |
| AU (1) | AU2008275226B2 (de) |
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| CN105264014A (zh) * | 2013-05-16 | 2016-01-20 | 株式会社索夫塞拉 | 生物降解性材料 |
| MY194363A (en) * | 2016-08-02 | 2022-11-29 | B Braun Surgical Sa | Permanently polarized hydroxyapatite, a process for its manufacture and uses thereof |
| CN109715216A (zh) * | 2016-09-21 | 2019-05-03 | 郡是株式会社 | 缓释性药剂的制造方法和缓释性药剂 |
| JP6462822B2 (ja) * | 2017-10-12 | 2019-01-30 | 株式会社ソフセラ | 生分解性材料 |
| EP3740529A1 (de) | 2018-01-17 | 2020-11-25 | The Secant Group, LLC | Ph-modulierendes biologisch abbaubares polymer und mit poly(glycerin-sebacat) angereicherte zellkulturmedien |
| CZ309811B6 (cs) * | 2021-03-26 | 2023-11-01 | Vysoká Škola Báňská-Technická Univerzita Ostrava | Degradabilní polymerní kompozitní materiál, zejména s antimikrobiálními účinky |
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| US20020115742A1 (en) * | 2001-02-22 | 2002-08-22 | Trieu Hai H. | Bioactive nanocomposites and methods for their use |
| US7785615B2 (en) * | 2004-05-28 | 2010-08-31 | Cordis Corporation | Biodegradable medical implant with encapsulated buffering agent |
| JP2006249184A (ja) * | 2005-03-09 | 2006-09-21 | Osaka Univ | 無機微粒子含有重合性組成物及びその製造方法、並びに、無機微粒子含有重合体組成物 |
| US20070282434A1 (en) * | 2006-05-30 | 2007-12-06 | Yunbing Wang | Copolymer-bioceramic composite implantable medical devices |
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| AU2008275226A1 (en) | 2009-01-15 |
| GB0713351D0 (en) | 2007-08-22 |
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| WO2009009520A2 (en) | 2009-01-15 |
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