TW201909933A - Granule aggregate for substituting bone and manufacturing method thereof - Google Patents

Granule aggregate for substituting bone and manufacturing method thereof Download PDF

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TW201909933A
TW201909933A TW107128015A TW107128015A TW201909933A TW 201909933 A TW201909933 A TW 201909933A TW 107128015 A TW107128015 A TW 107128015A TW 107128015 A TW107128015 A TW 107128015A TW 201909933 A TW201909933 A TW 201909933A
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bone
collagen
growth factor
weight
replacing
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TW107128015A
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Chinese (zh)
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金基洙
宋錫範
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南韓商阿爾法生物有限公司
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    • 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
    • A61L27/00Materials for grafts or prostheses or for coating grafts or prostheses
    • A61L27/40Composite materials, i.e. containing one material dispersed in a matrix of the same or different material
    • A61L27/42Composite materials, i.e. containing one material dispersed in a matrix of the same or different material having an inorganic matrix
    • A61L27/425Composite materials, i.e. containing one material dispersed in a matrix of the same or different material having an inorganic matrix of phosphorus containing material, e.g. apatite
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/28Bones
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/46Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4601Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for introducing bone substitute, for implanting bone graft implants or for compacting them in the bone cavity
    • 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
    • A61L27/00Materials for grafts or prostheses or for coating grafts or prostheses
    • A61L27/02Inorganic materials
    • A61L27/12Phosphorus-containing materials, e.g. apatite
    • 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
    • A61L27/00Materials for grafts or prostheses or for coating grafts or prostheses
    • A61L27/14Macromolecular materials
    • A61L27/22Polypeptides or derivatives thereof, e.g. degradation products
    • A61L27/24Collagen
    • 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
    • A61L27/00Materials for grafts or prostheses or for coating grafts or prostheses
    • A61L27/40Composite materials, i.e. containing one material dispersed in a matrix of the same or different material
    • A61L27/44Composite materials, i.e. containing one material dispersed in a matrix of the same or different material having a macromolecular matrix
    • A61L27/46Composite 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
    • 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
    • A61L27/00Materials for grafts or prostheses or for coating grafts or prostheses
    • A61L27/50Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
    • A61L27/54Biologically active materials, e.g. therapeutic substances
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/178Syringes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/28Bones
    • A61F2002/2835Bone graft implants for filling a bony defect or an endoprosthesis cavity, e.g. by synthetic material or biological material
    • 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
    • A61L2300/00Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices
    • A61L2300/40Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices characterised by a specific therapeutic activity or mode of action
    • A61L2300/412Tissue-regenerating or healing or proliferative agents
    • A61L2300/414Growth factors
    • 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
    • A61L2400/00Materials characterised by their function or physical properties
    • A61L2400/06Flowable or injectable implant 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
    • A61L2430/00Materials or treatment for tissue regeneration
    • A61L2430/02Materials or treatment for tissue regeneration for reconstruction of bones; weight-bearing implants

Abstract

Provided are granule aggregate for a substituting bone and a manufacturing method thereof. More particularly, provided are granule aggregate for a substituting bone which optimizes the composition of a calcium phosphate compound and collagen in order to prevent a substituting bone from being falling into small pieces even when constant shear force is applied, thereby facilitating the supply of the substituting bone to a bone defect portion or a tooth extraction portion both of which require filling, and a manufacturing method thereof.

Description

用於替代骨的顆粒聚集體、其製造方法及容納其的擠出容器  Particle aggregate for replacing bone, manufacturing method thereof and extrusion container containing the same  

本發明關於用於替代骨的顆粒聚集體及其製造方法,更特別地關於以下用於替代骨的顆粒聚集體及其製造方法:其藉由優化磷酸鈣化合物和膠原蛋白的組成使其即使受到恒定的剪切力時也不變成小塊,從而有助於將替代骨提供到均需要填充的骨缺損部位或拔牙部位。 The present invention relates to a particle aggregate for replacing bone and a method for producing the same, and more particularly to the following particle aggregate for replacing bone and a method for producing the same: it optimizes the composition of the calcium phosphate compound and collagen even if it is subjected to The constant shear force does not become a small piece, which helps to provide replacement bone to the bone defect or extraction site that needs to be filled.

替代骨是一種被植入來增強或填充骨折的骨缺損部位或拔牙部位的材料。到目前為止,已經引入了自體骨、同種異體骨、異種骨和合成骨。 An alternative bone is a material that is implanted to reinforce or fill a fractured or defected portion of a bone. So far, autologous bone, allogeneic bone, xenogenic bone and synthetic bone have been introduced.

其中,自體骨是最理想的材料,其幾乎沒有免疫副作用並具有優異的骨再生特性。然而,自體骨的缺點在於收穫需要二次手術,並且可收穫的量是有限的。同種異體骨的優點在於它易於供應,並且供體無需二次手術。然而,同種異體骨的缺點在於其存在將疾病轉移給其他人的可能性,並且可能引起倫理問題。異種骨易於供應和製造。然而異種骨的缺點在於,動物疾病可能轉移給人類,並且骨誘導能力顯著降低。合成骨的優點在於易於供應且可以將其製造成各種形式,並且炎症反應的可能性低。然而合成骨的缺點在於,體內吸收緩慢,並且骨誘導 能力顯著降低。 Among them, autologous bone is the most ideal material, which has almost no immune side effects and has excellent bone regeneration characteristics. However, the disadvantage of autologous bone is that the harvest requires a second surgery and the amount that can be harvested is limited. The advantage of allogeneic bone is that it is easy to supply and the donor does not require secondary surgery. However, a disadvantage of allogeneic bone is its potential to transfer disease to others and may cause ethical problems. Xenogenic bones are easy to supply and manufacture. Disadvantages of xenogeneic bone, however, are that animal diseases may be transferred to humans and the osteoinductive capacity is significantly reduced. The advantage of synthetic bone is that it is easy to supply and can be manufactured in various forms, and the possibility of an inflammatory reaction is low. However, synthetic bone has disadvantages in that absorption in the body is slow and bone induction ability is remarkably lowered.

在上述材料中,儘管合成骨具有缺點,然而製造容易以各種形式提供的新合成骨的研究已經積極開展,以藉由促進合成骨的體內吸收來改善骨誘導能力。 Among the above materials, although synthetic bone has disadvantages, research on manufacturing new synthetic bone which is easy to provide in various forms has been actively carried out to improve osteoinductive ability by promoting in vivo absorption of synthetic bone.

由常規合成骨製成的替代骨已經以粉末或固定塊形式供應於骨缺損部位或拔牙部位。在替代骨是粉末形式的情況下,存在的缺點是需要額外措施以使替代骨在被供應到骨缺損部位或拔牙部位之後不會分離。在替代骨是塊狀的情況下,存在替代骨不能有效地適應骨缺損部位或拔牙部位的各種形式的缺點。 The replacement bone made of conventional synthetic bone has been supplied to the bone defect site or the extraction site in the form of a powder or a fixed block. In the case where the replacement bone is in the form of a powder, there is a disadvantage in that additional measures are required to prevent the replacement bone from separating after being supplied to the bone defect site or the tooth extraction site. In the case where the replacement bone is massive, there are disadvantages in that the replacement bone cannot effectively adapt to various forms of the bone defect site or the tooth extraction site.

為了解決這些問題,已經嘗試將膠原蛋白添加到常規合成骨中以提供柔韌性。美國專利第7189263號(2007年5月13日登記)和歐洲專利公佈第0621044號(1994年10月26日公佈)公開了將11至43重量份的膠原蛋白和200至10萬重量份的膠原蛋白分別與100重量份的磷酸鈣化合物混合的發明。 In order to solve these problems, it has been attempted to add collagen to conventional synthetic bone to provide flexibility. U.S. Patent No. 7,819,263 (registered on May 13, 2007) and European Patent Publication No. 0621,044 (published on Oct. 26, 1994) discloses the use of 11 to 43 parts by weight of collagen and 200 to 100,000 parts by weight of collagen. An invention in which a protein is mixed with 100 parts by weight of a calcium phosphate compound, respectively.

然而,在此情況下,由於過量的膠原蛋白,混合溶液的黏度過度升高,使得合成骨難以均勻地分散。因此,工業上對於具有可變形狀的合成替代骨的需求很大。 However, in this case, the viscosity of the mixed solution is excessively increased due to excessive collagen, so that it is difficult to uniformly disperse the synthetic bone. Therefore, there is a great demand in the industry for synthetic replacement bones having a variable shape.

專利文獻1:美國專利第7189263號(2007年5月13日登記)。 Patent Document 1: U.S. Patent No. 7,819,263 (registered on May 13, 2007).

專利文獻2:歐洲專利公佈第0621044號(1994年10月26 日公佈)。 Patent Document 2: European Patent Publication No. 0612104 (published on October 26, 1994).

本發明藉由向由磷酸鈣化合物組成的合成骨中添加膠原蛋白,而提供用於具有期望黏彈性水平的替代骨的顆粒聚集體,從而有效地適應骨缺損部位和拔牙部位的各種形式,同時,即使受到剪切力時也不會變成小塊。 The present invention provides a particle aggregate for a substitute bone having a desired level of viscoelasticity by adding collagen to synthetic bone composed of a calcium phosphate compound, thereby effectively adapting various forms of the bone defect site and the tooth extraction site, while simultaneously Even if it is subjected to shearing force, it will not become a small piece.

本發明還提供一種用於替代骨的顆粒聚集體的製造方法。 The present invention also provides a method of producing a particle aggregate for replacing bone.

根據示例性實施方案,用於替代骨的顆粒聚集體包括:100重量份的磷酸鈣化合物和0.5至3重量份,較佳0.7至2.8重量份,更佳0.9至2.6重量份,甚至更佳1.1至2.5重量份的膠原蛋白。 According to an exemplary embodiment, the particle aggregate for replacing bone comprises: 100 parts by weight of a calcium phosphate compound and 0.5 to 3 parts by weight, preferably 0.7 to 2.8 parts by weight, more preferably 0.9 to 2.6 parts by weight, even more preferably 1.1. To 2.5 parts by weight of collagen.

另外,顆粒可以藉由噴霧乾燥磷酸鈣化合物的微細粒,然後燒結該微細粒以使其聚集形成大粒,然後用膠原蛋白塗覆其表面來製造。 Further, the particles can be produced by spray-drying fine particles of a calcium phosphate compound, then sintering the fine particles to aggregate them to form large particles, and then coating the surface with collagen.

另外,顆粒的平均粒徑可以為0.05至2mm,較佳0.08至1.5mm,更佳0.1至1mm。 Further, the particles may have an average particle diameter of from 0.05 to 2 mm, preferably from 0.08 to 1.5 mm, more preferably from 0.1 to 1 mm.

另外,顆粒的平均表面積與平均粒徑的比,即顆粒的平均表面積/平均粒徑可以為0.3至45mm,較佳0.6至25mm,更佳1至15mm。 Further, the ratio of the average surface area to the average particle diameter of the particles, i.e., the average surface area/average particle diameter of the particles may be from 0.3 to 45 mm, preferably from 0.6 to 25 mm, more preferably from 1 to 15 mm.

另外,磷酸鈣化合物的微細粒的平均粒徑可以為10至1000nm,較佳30至500nm,更佳50至100nm。 Further, the fine particles of the calcium phosphate compound may have an average particle diameter of 10 to 1000 nm, preferably 30 to 500 nm, more preferably 50 to 100 nm.

此外,燒結可以在500℃至800℃,較佳550℃至750℃,更佳600℃至700℃下進行60至90分鐘。 Further, the sintering may be carried out at 500 ° C to 800 ° C, preferably 550 ° C to 750 ° C, more preferably 600 ° C to 700 ° C for 60 to 90 minutes.

另外,本發明用於替代骨的顆粒聚集體的抗剪切力指數可以為50×10-9至2000×10-9,較佳100×10-9至1000×10-9,更佳200×10-9至600×10-9In addition, the shear resistance index of the particle aggregate for replacing bone of the present invention may be 50×10 -9 to 2000×10 -9 , preferably 100×10 -9 to 1000×10 -9 , more preferably 200× 10 -9 to 600 × 10 -9 .

根據另一個示例性實施方案,本發明的顆粒聚集體還可以包含促骨發生因子(osteogenesis promoting factor)。 According to another exemplary embodiment, the particle aggregate of the present invention may further comprise an osteogenic promoting factor.

根據另一個示例性實施方案,磷酸鈣化合物可以選自磷酸三鈣、β-磷酸三鈣、磷酸二氫鈣、雙相磷酸鈣、磷酸七鈣、磷酸四鈣、磷酸八鈣、焦磷酸鈣、偏磷酸鈣、碳酸磷灰石(缺鈣羥基磷灰石)、羥基磷灰石、氧磷灰石及其組合。 According to another exemplary embodiment, the calcium phosphate compound may be selected from the group consisting of tricalcium phosphate, β-tricalcium phosphate, calcium dihydrogen phosphate, biphasic calcium phosphate, heptacalcium phosphate, tetracalcium phosphate, octacalcium phosphate, calcium pyrophosphate, Calcium metaphosphate, carbonate apatite (calcium deficiency hydroxyapatite), hydroxyapatite, oxyapatite, and combinations thereof.

另外,膠原蛋白可以從哺乳動物,較佳牛,更佳牛腱中獲得。 In addition, collagen can be obtained from mammals, preferably cattle, and better calves.

根據另一個示例性實施方案,促骨發生因子可以選自轉化生長因子-β(TGF-β)、成纖維細胞生長因子(FGF)、骨形成蛋白(BMP)、血管內皮生長因子(VEGF)、表皮生長因子(EGF)、胰島素樣生長因子(IGF)、血小板源生長因子(PDGF)、神經生長因子(NGF)、肝細胞生長因子(HGF)、胎盤生長因子(PGF)、粒細胞集落刺激因子(G-CSF)、抗壞血酸-2-磷酸酯或其鹽(ascorbate 2-phosphate)、激活素、抑制素及其組合。 According to another exemplary embodiment, the osteogenic factor may be selected from the group consisting of transforming growth factor-β (TGF-β), fibroblast growth factor (FGF), bone morphogenetic protein (BMP), vascular endothelial growth factor (VEGF), Epidermal growth factor (EGF), insulin-like growth factor (IGF), platelet-derived growth factor (PDGF), nerve growth factor (NGF), hepatocyte growth factor (HGF), placental growth factor (PGF), granulocyte colony-stimulating factor (G-CSF), ascorbate 2-phosphate, activin, statin, and combinations thereof.

根據另一個示例性實施方案,本發明的擠出 容器可以容納用於替代骨的顆粒聚集體。 According to another exemplary embodiment, the extrusion container of the present invention can accommodate particle aggregates for replacing bone.

根據另一個示例性實施方案,擠出容器可以是注射器。 According to another exemplary embodiment, the extrusion container may be a syringe.

根據另一個示例性實施方案,用於替代骨的顆粒聚集體的製造方法包括以下步驟:(A)藉由向100重量份的水中,添加0.7至2.5重量份,較佳0.8至2.3重量份,更佳0.9至2.1重量份的膠原蛋白、和0.02至0.06重量份,較佳0.03至0.05重量份,更佳0.035至0.045重量份的氯化氫來製造膠原蛋白混合溶液;(B)藉由將膠原蛋白溶解在膠原蛋白混合溶液中來製造膠原蛋白水溶液;(C)藉由混合40至70重量%,較佳45至65重量%,更佳50至60重量%的膠原蛋白水溶液和30至60重量%,較佳35至55重量%,更佳40至50重量%的磷酸鈣化合物來製造用於替代骨的混合物;(D)冷凍用於替代骨的混合物;和(E)藉由冷凍乾燥用於替代骨的冷凍混合物,製造用於替代骨的顆粒聚集體。 According to another exemplary embodiment, the method for producing a particle aggregate for replacing bone includes the following steps: (A) by adding 0.7 to 2.5 parts by weight, preferably 0.8 to 2.3 parts by weight, to 100 parts by weight of water, More preferably 0.9 to 2.1 parts by weight of collagen, and 0.02 to 0.06 parts by weight, preferably 0.03 to 0.05 parts by weight, more preferably 0.035 to 0.045 parts by weight of hydrogen chloride to produce a collagen mixed solution; (B) by collagen Dissolved in a collagen mixed solution to produce an aqueous collagen solution; (C) by mixing 40 to 70% by weight, preferably 45 to 65% by weight, more preferably 50 to 60% by weight of the aqueous collagen solution and 30 to 60% by weight Preferably, 35 to 55% by weight, more preferably 40 to 50% by weight, of the calcium phosphate compound is used to make a mixture for replacing bone; (D) frozen to replace the mixture of bone; and (E) by freeze drying for Instead of a frozen mixture of bone, a particle aggregate for replacing bone is made.

根據另一個示例性實施方案,本發明的用於替代骨的顆粒聚集體的製造方法還可包括步驟(C)之後和步驟(D)之前,將用於替代骨的混合物填充在擠出容器中的步驟。 According to another exemplary embodiment, the method of manufacturing the particle aggregate for replacing bone of the present invention may further include filling the mixture for replacing the bone in the extrusion container after the step (C) and before the step (D) A step of.

另外,步驟(C)的磷酸鈣化合物可以藉由噴霧乾燥磷酸鈣化合物的微細粒,然後燒結微細顆以使其聚集 而形成大粒。 Further, the calcium phosphate compound of the step (C) can be formed into a large particle by spray drying the fine particles of the calcium phosphate compound and then sintering the fine particles to aggregate them.

另外,顆粒的平均粒徑可以為0.05至2mm,較佳0.08至1.5mm,更佳0.1至1mm。 Further, the particles may have an average particle diameter of from 0.05 to 2 mm, preferably from 0.08 to 1.5 mm, more preferably from 0.1 to 1 mm.

另外,顆粒的平均表面積與平均粒徑的比可以為0.3至45mm,較佳0.6至25mm,更佳1至15mm。 Further, the ratio of the average surface area to the average particle diameter of the particles may be from 0.3 to 45 mm, preferably from 0.6 to 25 mm, more preferably from 1 to 15 mm.

另外,磷酸鈣化合物的平均粒徑可以為10至1000nm,較佳30至500nm,更佳50至100nm。 Further, the calcium phosphate compound may have an average particle diameter of 10 to 1000 nm, preferably 30 to 500 nm, more preferably 50 to 100 nm.

此外,燒結可以在500℃至800℃,較佳550℃至750℃,更佳600℃至700℃下進行60至90分鐘。 Further, the sintering may be carried out at 500 ° C to 800 ° C, preferably 550 ° C to 750 ° C, more preferably 600 ° C to 700 ° C for 60 to 90 minutes.

另外,本發明用於替代骨的顆粒聚集體的抗剪切力指數可以為50×10-9至2000×10-9,較佳100×10-9至1000×10-9,更佳200×10-9至600×10-9In addition, the shear resistance index of the particle aggregate for replacing bone of the present invention may be 50×10 -9 to 2000×10 -9 , preferably 100×10 -9 to 1000×10 -9 , more preferably 200× 10 -9 to 600 × 10 -9 .

另外,本發明用於替代骨的顆粒聚集體的製造方法還可以包括促骨發生因子。 Further, the method for producing a particle aggregate for replacing bone of the present invention may further include an osteogenic factor.

另外,磷酸鈣化合物可以選自磷酸三鈣、β-磷酸三鈣、磷酸二氫鈣、雙相磷酸鈣、磷酸七鈣、磷酸四鈣、磷酸八鈣、焦磷酸鈣、偏磷酸鈣、碳酸磷灰石(缺鈣羥基磷灰石)、羥基磷灰石、氧磷灰石及其組合。 In addition, the calcium phosphate compound may be selected from the group consisting of tricalcium phosphate, β-tricalcium phosphate, calcium dihydrogen phosphate, biphasic calcium phosphate, heptacalcium phosphate, tetracalcium phosphate, octacalcium phosphate, calcium pyrophosphate, calcium metaphosphate, and phosphorus carbonate. Gray stone (calcium-deficient hydroxyapatite), hydroxyapatite, oxyapatite, and combinations thereof.

另外,膠原蛋白可以從哺乳動物,較佳牛,更佳牛腱中獲得。 In addition, collagen can be obtained from mammals, preferably cattle, and better calves.

另外,促骨發生因子可以選自轉化生長因子-β(TGF-β)、成纖維細胞生長因子(FGF)、骨形成蛋白(BMP)、血管內皮生長因子(VEGF)、表皮生長因子(EGF)、胰島素樣生長因子(IGF)、血小板源生長因子(PDGF)、神經 生長因子(NGF)、肝細胞生長因子(HGF)、胎盤生長因子(PGF)、粒細胞集落刺激因子(G-CSF)、抗壞血酸-2-磷酸酯或其鹽、激活素、抑制素及其組合。 In addition, the osteogenic factor may be selected from the group consisting of transforming growth factor-β (TGF-β), fibroblast growth factor (FGF), bone morphogenetic protein (BMP), vascular endothelial growth factor (VEGF), and epidermal growth factor (EGF). , insulin-like growth factor (IGF), platelet-derived growth factor (PDGF), nerve growth factor (NGF), hepatocyte growth factor (HGF), placental growth factor (PGF), granulocyte colony-stimulating factor (G-CSF), Ascorbic acid-2-phosphate or a salt thereof, activin, statin, and combinations thereof.

此外,步驟(E)的冷凍乾燥可以在-90℃至-50℃,較佳-80℃至-60℃,更佳-75℃至-65℃下進行。 Further, the freeze-drying of the step (E) may be carried out at -90 ° C to -50 ° C, preferably -80 ° C to -60 ° C, more preferably -75 ° C to -65 ° C.

此外,步驟(E)的冷凍乾燥可以進行24至96小時,較佳30至84小時,更佳36至72小時。 Further, the freeze-drying of the step (E) may be carried out for 24 to 96 hours, preferably 30 to 84 hours, more preferably 36 to 72 hours.

另外,本發明用於替代骨的顆粒聚集體的製造方法還可以包括步驟(E)之後的滅菌步驟。 Further, the method for producing a particle aggregate for replacing bone of the present invention may further include a sterilization step after the step (E).

另外,滅菌可以是使用伽馬射線的滅菌。 Alternatively, the sterilization may be sterilization using gamma rays.

同時,本發明用於替代骨的顆粒聚集體的特徵為其藉由上述製造方法製造。 Meanwhile, the particle aggregate of the present invention for replacing bone is characterized by being manufactured by the above-described manufacturing method.

根據本發明的用於替代骨的顆粒聚集體的優點在於,由於合成骨由諸如磷酸鈣化合物和膠原蛋白而非活體骨骼的原料製成,因此有助於其供應,其可以製造成各種形式,並且炎症反應的可能性低。另外,藉由優化磷酸鈣化合物和膠原蛋白的組成,解決了混合溶液的黏度過度增加使合成骨難以均勻分散的問題。最重要的是,藉由組成的這種優化,即使受到恒定的剪切力,替代骨也不會變成小塊,因此易於將替代骨供應到需要填充的骨缺損部位或拔牙部位。 An advantage of the particle aggregate for replacing bone according to the present invention is that since synthetic bone is made of a raw material such as a calcium phosphate compound and collagen instead of living bone, it contributes to its supply, which can be manufactured in various forms, And the possibility of an inflammatory reaction is low. In addition, by optimizing the composition of the calcium phosphate compound and collagen, the problem that the excessive increase in the viscosity of the mixed solution makes it difficult to uniformly disperse the synthetic bone is solved. Most importantly, with this optimization of composition, even if subjected to a constant shearing force, the replacement bone does not become a small piece, so it is easy to supply the replacement bone to the bone defect site or the extraction site to be filled.

1‧‧‧主體 1‧‧‧ Subject

2‧‧‧推桿 2‧‧‧Put

3‧‧‧墊圈 3‧‧‧Washers

4‧‧‧蓋子 4‧‧‧ cover

圖1是顯示容納本發明用於替代骨的顆粒聚集體的擠出容器的實施方案的連接圖;圖2是顯示構成圖1的擠出容器的主體的透視圖;圖3是顯示構成圖1的擠出容器的推桿的透視圖;圖4是顯示構成圖1的擠出容器的墊圈的透視圖;圖5是顯示構成圖1的擠出容器的蓋子的透視圖;圖6是容納本發明用於替代骨的顆粒聚集體的擠出容器的另一個實施方案的圖;圖7是顯示以下狀態的圖:部分的本發明用於替代骨的顆粒聚集體從擠出容器中排出,然後藉由打開蓋子並進行擠出而與圖6的實施方案的容器分離;圖8是顯示本發明用於替代骨的顆粒聚集體的吸收性的照片;和圖9是顯示可商購獲得的常規磷酸鈣化合物聚集體的吸收性的照片。 1 is a connection diagram showing an embodiment of an extrusion container accommodating the particle aggregate of the present invention for replacing bone; FIG. 2 is a perspective view showing a main body constituting the extrusion container of FIG. 1; Fig. 4 is a perspective view showing a gasket constituting the extrusion container of Fig. 1; Fig. 5 is a perspective view showing a lid constituting the extrusion container of Fig. 1; A diagram of another embodiment of an extrusion container for replacing a particle aggregate of bone; FIG. 7 is a view showing a state in which a part of the particle aggregate of the present invention for replacing bone is discharged from an extrusion container, and then Separating from the container of the embodiment of Fig. 6 by opening the lid and performing extrusion; Fig. 8 is a photograph showing the absorbability of the particle aggregate of the present invention for replacing bone; and Fig. 9 is a view showing a commercially available conventional Photograph of the absorbency of calcium phosphate compound aggregates.

在下文中,將詳細描述本發明的較佳實施方案。在以下描述中,闡述了許多具體細節,例如特定部件,以提供對本發明更透徹地理解。應當理解提供這些具體細節是為了便於透徹理解本發明,並且對於本案所屬技術領域中具有通常知識者顯而易見的是,在沒有這些具體細節的情況下可以實現本發明。另外,當可能使本發明的主題不清楚時,在本發明的以下描述中,將省略本文包含的已知功能和結構的詳細描述。 Hereinafter, preferred embodiments of the present invention will be described in detail. In the following description, numerous specific details are set forth It is to be understood that the specific details of the invention are to be understood as a In addition, the detailed description of known functions and structures contained herein will be omitted in the following description of the present invention when the subject matter of the present invention is unclear.

另外,除非在整個說明書中另有指明,否則術語“包括”或“含有”指包括任何部件(或組分)而無限制,並且不能解釋為排除增加另外的部件(或組分)。 In addition, the term "comprising" or "comprising" is used to include any component (or component) without limitation, and is not to be construed as excluding the addition of additional components (or components).

在本發明中,“抗剪切力指數”由下式定義:抗剪切力指數=(膠原蛋白的質量/磷酸鈣化合物的質量)×磷酸鈣化合物的微細粒的平均粒徑/(顆粒的平均表面積/顆粒的平均粒徑)。 In the present invention, the "shear resistance index" is defined by the following formula: shear resistance index = (mass of collagen / mass of calcium phosphate compound) × average particle diameter of fine particles of calcium phosphate compound / (particle Average surface area / average particle size of the particles).

本發明用於替代骨的顆粒聚集體的特徵為,其包含100重量份的磷酸鈣化合物和0.5至3重量份,較佳0.7至2.8重量份,更佳0.9至2.6重量份,甚至更佳1.1至2.5重量份的膠原蛋白。 The particle aggregate for replacing bone of the present invention is characterized in that it comprises 100 parts by weight of a calcium phosphate compound and 0.5 to 3 parts by weight, preferably 0.7 to 2.8 parts by weight, more preferably 0.9 to 2.6 parts by weight, even more preferably 1.1. To 2.5 parts by weight of collagen.

此處,所述顆粒可以藉由噴霧乾燥磷酸鈣化合物的微細粒,然後燒結微細粒以使其聚集形成大粒,然後用膠原蛋白塗覆其表面來製造。 Here, the particles may be produced by spray drying fine particles of a calcium phosphate compound, then sintering the fine particles to aggregate them to form large particles, and then coating the surface with collagen.

這樣,由於磷酸鈣化合物形成顆粒而非處於微細粒狀態,促進了其與膠原蛋白的混合,並且更易於藉由擠出容器注射。特別地,本發明藉由向磷酸鈣化合物添加膠原蛋白能夠改變替代骨的形狀,從而允許骨缺損部位和拔牙部位被完全填充而無空隙,從而提高骨再生速率。 Thus, since the calcium phosphate compound forms particles rather than being in a fine particle state, it is promoted to be mixed with collagen, and is more easily injected by an extrusion container. In particular, the present invention can change the shape of the replacement bone by adding collagen to the calcium phosphate compound, thereby allowing the bone defect site and the extraction site to be completely filled without voids, thereby increasing the rate of bone regeneration.

然而,如果膠原蛋白與磷酸鈣化合物的相對含量小於上述範圍,則當藉由用手捏合而對其施加剪切力時,顆粒聚集體容易變成小塊。因此,聚集體必須小心處理,從而顯著降低操作者的可操作性。相反,如上所述,當相對含量超過上述範圍時,由於過量的膠原蛋白,磷酸 鈣化合物的混合溶液的黏度過度增加,使得替代骨難以均勻地分散。 However, if the relative content of the collagen and the calcium phosphate compound is less than the above range, when a shearing force is applied thereto by hand kneading, the particle aggregate tends to become a small piece. Therefore, the aggregate must be handled with care to significantly reduce the operator's operability. On the contrary, as described above, when the relative content exceeds the above range, the viscosity of the mixed solution of the calcium phosphate compound is excessively increased due to excessive collagen, so that it is difficult to uniformly disperse the substitute bone.

其中磷酸鈣化合物的微細粒聚集在一起形成大粒的顆粒的平均粒徑可以是0.05至2mm,較佳0.08至1.5mm,更佳0.1至1mm。當平均粒徑在上述範圍內時,可以確保對剪切力的抗性,使得操作者可以藉由手指的簡單運動而容易地改變替代骨的形狀。 The particles in which the fine particles of the calcium phosphate compound are aggregated to form large particles may have an average particle diameter of 0.05 to 2 mm, preferably 0.08 to 1.5 mm, more preferably 0.1 to 1 mm. When the average particle diameter is within the above range, resistance to shearing force can be ensured, so that the operator can easily change the shape of the replacement bone by simple movement of the finger.

另外,平均表面積與顆粒的平均粒徑的比,即顆粒的平均表面積/平均粒徑可以為0.3至45mm,較佳0.6至25mm,更佳1至15mm。當平均表面積與平均粒徑的比在上述範圍內時,可以同樣地確保上述對剪切力的抗性,從而可以確保操作者的可操作性。 Further, the ratio of the average surface area to the average particle diameter of the particles, i.e., the average surface area/average particle diameter of the particles may be from 0.3 to 45 mm, preferably from 0.6 to 25 mm, more preferably from 1 to 15 mm. When the ratio of the average surface area to the average particle diameter is within the above range, the above resistance to shearing force can be similarly ensured, so that the operability of the operator can be ensured.

構成顆粒的磷酸鈣化合物的微細粒的平均粒徑可以是10至1000nm,較佳30至500nm,更佳50至100nm。當平均粒徑在上述範圍內時,可以在防止經濟性降低的同時獲得期望的孔隙率水平。 The fine particles of the calcium phosphate compound constituting the particles may have an average particle diameter of 10 to 1000 nm, preferably 30 to 500 nm, more preferably 50 to 100 nm. When the average particle diameter is within the above range, a desired porosity level can be obtained while preventing economical reduction.

將磷酸鈣化合物的微細粒噴霧乾燥並燒結形成顆粒的燒結溫度為500℃至800℃,較佳550℃至750℃,更佳600℃至700℃,燒結時間可以是60至90分鐘。當燒結溫度和燒結時間在上述範圍內時,可以在防止經濟性降低的同時獲得在上述平均粒徑範圍和平均表面積與平均粒徑比範圍中的顆粒。 The fine particles of the calcium phosphate compound are spray-dried and sintered to form pellets having a sintering temperature of from 500 ° C to 800 ° C, preferably from 550 ° C to 750 ° C, more preferably from 600 ° C to 700 ° C, and the sintering time may be from 60 to 90 minutes. When the sintering temperature and the sintering time are within the above range, particles in the above average particle diameter range and average surface area to average particle diameter ratio range can be obtained while preventing economical reduction.

另外,本發明用於替代骨的顆粒聚集體的抗剪切力指數可以為50×10-9至2000×10-9,較佳100×10-9至 1000×10-9,更佳200×10-9至600×10-9In addition, the shear resistance index of the particle aggregate for replacing bone of the present invention may be 50×10 -9 to 2000×10 -9 , preferably 100×10 -9 to 1000×10 -9 , more preferably 200× 10 -9 to 600 × 10 -9 .

上述定義的抗剪切力指數為無量綱變量,其表示當受到剪切力時,本發明用於替代骨的顆粒聚集體保持聚集狀態而不會變成小塊的程度:抗剪切力指數=(膠原蛋白的質量/磷酸鈣化合物的質量)×磷酸鈣化合物的微細粒的平均粒徑/(顆粒的平均表面積/顆粒的平均粒徑)。 The shear resistance index defined above is a dimensionless variable which indicates that when the shearing force is applied, the particle aggregate of the present invention for replacing bone remains in an aggregated state without becoming a small block: shear resistance index = (mass of collagen / mass of calcium phosphate compound) × average particle diameter of fine particles of calcium phosphate compound / (average surface area of particles / average particle diameter of particles).

考慮到每個變量的含義,首先,隨著膠原蛋白質量與磷酸鈣化合物質量的比變大,由於膠原蛋白本身的黏彈性,聚集體對剪切力的抗性變強。因此,膠原蛋白的質量與磷酸鈣化合物的質量的比與抗剪切力指數成正比。 Taking into account the meaning of each variable, first, as the ratio of the amount of collagen protein to the mass of the calcium phosphate compound becomes larger, the resistance of the aggregate to shear force becomes stronger due to the viscoelasticity of the collagen itself. Therefore, the ratio of the mass of collagen to the mass of the calcium phosphate compound is proportional to the shear resistance index.

接下來,隨著磷酸鈣化合物微細粒的平均粒徑變大,微細粒聚集成的顆粒的表面積變小,因此膠原蛋白在顆粒表面上比在顆粒內部更多地分佈,使對剪切力的抗性變強。因此,磷酸鈣化合物微細粒的平均粒徑與抗剪切力指數成正比。 Next, as the average particle diameter of the fine particles of the calcium phosphate compound becomes larger, the surface area of the fine particle-aggregated particles becomes smaller, so that the collagen is more distributed on the surface of the particles than inside the particles, so that the shear force is The resistance becomes stronger. Therefore, the average particle diameter of the fine particles of the calcium phosphate compound is proportional to the shear resistance index.

最後,隨著顆粒的平均表面積與顆粒的平均粒徑的比變大,膠原蛋白在顆粒表面上比在顆粒內部更少地分佈,使其對剪切力的抗性變弱。因此,顆粒的平均表面積與抗剪切力指數成反比。 Finally, as the ratio of the average surface area of the particles to the average particle size of the particles becomes larger, collagen is less distributed on the surface of the particles than inside the particles, making it less resistant to shear forces. Therefore, the average surface area of the particles is inversely proportional to the shear resistance index.

當本發明用於替代骨的顆粒聚集體的抗剪切力指數在上述範圍內時,由於在填充時不留空隙地完全填充骨缺損部位或拔牙部位時聚集體不會變成小塊,因此可 以容易地進行程序。特別是當抗剪切力指數在上述範圍內時,程序變得更簡單,因為操作者只需手指適當用力進行簡單運動,就可以獲得用於替代骨的顆粒聚集體的期望形狀。 When the shear resistance index of the particle aggregate for replacing bone of the present invention is within the above range, since the aggregate does not become a small block when the bone defect portion or the tooth extraction portion is completely filled without leaving a void at the time of filling, Easy to program. Particularly when the shear resistance index is within the above range, the procedure becomes simpler, since the operator can obtain a desired shape of the particle aggregate for replacing the bone by simply applying a simple force with a finger.

可以無限制地使用磷酸鈣化合物,只要其是可以用作本發明領域中替代骨的化合物即可,磷酸鈣化合物可以選自例如磷酸三鈣、β-磷酸三鈣、磷酸二氫鈣、雙相磷酸鈣、磷酸七鈣、磷酸四鈣、磷酸八鈣、焦磷酸鈣、偏磷酸鈣、碳酸磷灰石(缺鈣羥基磷灰石)、羥基磷灰石、氧磷灰石及其組合。 The calcium phosphate compound can be used without limitation as long as it is a compound which can be used as a substitute for bone in the field of the present invention, and the calcium phosphate compound can be selected, for example, from tricalcium phosphate, ?-tricalcium phosphate, calcium dihydrogen phosphate, and biphasic Calcium phosphate, heptacalcium phosphate, tetracalcium phosphate, octacalcium phosphate, calcium pyrophosphate, calcium metaphosphate, carbonate apatite (calcium deficiency hydroxyapatite), hydroxyapatite, oxyapatite, and combinations thereof.

另外,可以無限制地使用膠原蛋白,只要其是可以用作本發明領域中替代骨的材料即可,並且膠原蛋白可以從例如哺乳動物,較佳牛,更佳牛腱中獲得。 In addition, collagen may be used without limitation as long as it is a material which can be used as a substitute for bone in the field of the present invention, and collagen can be obtained, for example, from a mammal, preferably a cow, and more preferably a calf.

本發明用於替代骨的顆粒聚集體還可以包括促骨發生因子,從而進一步提高骨再生速率以減少患者的不便。 The particle aggregates of the present invention for replacing bone may also include an osteogenic factor to further increase the rate of bone regeneration to reduce the inconvenience of the patient.

可以無限制地使用促骨發生因子,只要其是可以在本發明領域中使用的因子即可,並且促骨發生因子可以選自,例如轉化生長因子-β(TGF-β)、成纖維細胞生長因子(FGF)、骨形成蛋白(BMP)、血管內皮生長因子(VEGF)、表皮生長因子(EGF)、胰島素樣生長因子(IGF)、血小板源生長因子(PDGF)、神經生長因子(NGF)、肝細胞生長因子(HGF)、胎盤生長因子(PGF)、粒細胞集落刺激因子(G-CSF)、抗壞血酸-2-磷酸酯或其鹽、激活素、抑制素 及其組合。 The osteogenic factor can be used without limitation as long as it is a factor which can be used in the field of the present invention, and the osteogenic factor can be selected, for example, from transforming growth factor-β (TGF-β), fibroblast growth. Factor (FGF), bone morphogenetic protein (BMP), vascular endothelial growth factor (VEGF), epidermal growth factor (EGF), insulin-like growth factor (IGF), platelet-derived growth factor (PDGF), nerve growth factor (NGF), Hepatocyte growth factor (HGF), placental growth factor (PGF), granulocyte colony stimulating factor (G-CSF), ascorbyl-2-phosphate or a salt thereof, activin, statin, and combinations thereof.

同時,本發明的擠出容器的特徵為容納用於替代骨的顆粒聚集體。操作者用手指擠出在擠出容器中容納的全部或部分本發明的用於替代骨的顆粒聚集體,將擠出的顆粒聚集體捏成期望形狀,然後藉由按壓將期望形狀的顆粒聚集體推入骨缺損部位或拔牙部位的區域以填充骨缺損部位或拔牙部位的區域,以使得沒有空隙。 At the same time, the extrusion container of the present invention is characterized by containing agglomerates of particles for replacing bone. The operator squeezes all or part of the particle aggregate of the present invention for replacing the bone contained in the extrusion container with a finger, kneads the extruded particle aggregate into a desired shape, and then aggregates the particles of a desired shape by pressing The body is pushed into the bone defect site or the region of the tooth extraction site to fill the region of the bone defect site or the tooth extraction site so that there is no void.

在本發明中,不限制擠出容器,只要其可以藉由擠出方法提供本發明用於替代骨的顆粒聚集體即可,並且擠出容器可以是例如注射器。 In the present invention, the extrusion container is not limited as long as it can provide the particle aggregate of the present invention for replacing bone by an extrusion method, and the extrusion container can be, for example, a syringe.

圖1是顯示容納本發明用於替代骨的顆粒聚集體的擠出容器的實施方案的連接圖,圖2至圖5分別是顯示構成圖1的擠出容器的主體(1)、推桿(2)、墊圈(3)和蓋子(4)的透視圖。 BRIEF DESCRIPTION OF THE DRAWINGS Fig. 1 is a connection diagram showing an embodiment of an extrusion container for accommodating a particle aggregate of the present invention for replacing bone, and Figs. 2 to 5 are views showing a main body (1) and a push rod constituting the extrusion container of Fig. 1, respectively. 2), perspective view of the gasket (3) and the cover (4).

另外,圖6是容納本發明用於替代骨的顆粒聚集體的擠出容器的另一個實施方案的圖,圖7是顯示以下狀態的圖:部分的本發明用於替代骨的顆粒聚集體從擠出容器中排出,然後藉由打開蓋子並進行擠出而與圖6的實施方案的容器中分離。 In addition, Fig. 6 is a view showing another embodiment of an extrusion container for accommodating the particle aggregate of the present invention for replacing bone, and Fig. 7 is a view showing a state in which a part of the particle aggregate for replacing bone of the present invention is It is discharged from the extrusion container and then separated from the container of the embodiment of Fig. 6 by opening the lid and performing extrusion.

同時,本發明用於替代骨的顆粒聚集體的製造方法起始於以下步驟:藉由向100重量份的水中添加0.7至2.5重量份,較佳0.8至2.3重量份,更佳0.9至2.1重量份的膠原蛋白、和0.02至0.06重量份,較佳0.03至0.05重量份,更佳0.035至0.045重量份的氯化氫來製造膠原蛋白混合溶 液。如果氯化氫的量少於上述範圍,則膠原蛋白的溶解度不足以使上述量的膠原蛋白完全溶解。相反,如果該量超過上述範圍,則由於高酸性而對人體有害。 Meanwhile, the method for producing a particle aggregate for replacing bone of the present invention starts from the step of adding 0.7 to 2.5 parts by weight, preferably 0.8 to 2.3 parts by weight, more preferably 0.9 to 2.1% by weight to 100 parts by weight of water. The collagen is mixed, and 0.02 to 0.06 parts by weight, preferably 0.03 to 0.05 parts by weight, more preferably 0.035 to 0.045 parts by weight, of hydrogen chloride is used to produce a collagen mixed solution. If the amount of hydrogen chloride is less than the above range, the solubility of collagen is insufficient to completely dissolve the above amount of collagen. On the contrary, if the amount exceeds the above range, it is harmful to the human body due to high acidity.

當如上所述製造膠原蛋白混合溶液時,溶解混合溶液中的膠原蛋白以製造膠原蛋白水溶液。然後,藉由混合40至70重量%,較佳45至65重量%,更佳50至60重量%的膠原蛋白水溶液和30至60重量%,較佳35至55重量%,更佳40至50重量%的磷酸鈣化合物來製造用於替代骨的混合物。 When the collagen mixed solution is produced as described above, the collagen in the mixed solution is dissolved to produce an aqueous collagen solution. Then, by mixing 40 to 70% by weight, preferably 45 to 65% by weight, more preferably 50 to 60% by weight, of the aqueous collagen solution and 30 to 60% by weight, preferably 35 to 55% by weight, more preferably 40 to 50% A weight percent calcium phosphate compound is used to make a mixture for replacing bone.

磷酸鈣化合物可以藉由噴霧乾燥磷酸鈣化合物的微細粒,然後燒結該微細粒使其聚集而形成大粒。 The calcium phosphate compound can form a large particle by spray-drying fine particles of the calcium phosphate compound and then sintering the fine particles to aggregate.

如果膠原蛋白與磷酸鈣化合物的相對含量小於上述範圍,則如上所述,當用手捏合而對顆粒聚集體施加剪切力時,顆粒聚集體容易變成小塊。因此,聚集體必須小心處理,從而顯著降低操作者的可操作性。相反,如上所述,當相對含量超過上述範圍時,由於過量的膠原蛋白,磷酸鈣化合物的混合溶液的黏度過度增加,使得替代骨難以均勻地分散。 If the relative content of the collagen and the calcium phosphate compound is less than the above range, as described above, when the shearing force is applied to the aggregate of the particles by hand kneading, the aggregate of the particles easily becomes a small block. Therefore, the aggregate must be handled with care to significantly reduce the operator's operability. In contrast, as described above, when the relative content exceeds the above range, the viscosity of the mixed solution of the calcium phosphate compound is excessively increased due to excessive collagen, so that it is difficult to uniformly disperse the substitute bone.

然後將其中混合有磷酸鈣化合物和膠原蛋白的替代骨的混合物冷凍,然後冷凍乾燥以製造本發明用於替代骨的顆粒聚集體。冷凍乾燥可在-90℃至-50℃,較佳-80℃至-60℃,更佳-75℃至-65℃下進行。當冷凍乾燥溫度在上述範圍內時,可以防止乾燥時間過度增加,同時防止經濟性降低。此外,冷凍乾燥可以進行24至96小時,較佳 30至84小時,更佳36至72小時。當冷凍乾燥時間在上述範圍內時,可以完全乾燥顆粒聚集體,同時防止經濟性降低。 The mixture of the replacement bone in which the calcium phosphate compound and collagen are mixed is then frozen, and then freeze-dried to produce the particle aggregate of the present invention for replacing bone. Freeze drying can be carried out at -90 ° C to -50 ° C, preferably -80 ° C to -60 ° C, more preferably -75 ° C to -65 ° C. When the freeze-drying temperature is within the above range, excessive increase in drying time can be prevented while preventing economical reduction. Further, the freeze-drying can be carried out for 24 to 96 hours, preferably 30 to 84 hours, more preferably 36 to 72 hours. When the freeze-drying time is within the above range, the particle aggregates can be completely dried while preventing economical reduction.

本發明用於替代骨的顆粒聚集體的製造方法還可以包括在冷凍步驟之前將用於替代骨的混合物填充於擠出容器中的步驟,以及在冷凍乾燥步驟後的滅菌步驟。可以無限制地進行滅菌,只要其是可以在本發明領域中使用的滅菌方法即可,例如其可以是使用伽馬射線的滅菌。 The method for producing a particle aggregate for replacing bone of the present invention may further include a step of filling the mixture for replacing the bone in the extrusion container before the freezing step, and a sterilization step after the freeze-drying step. Sterilization may be carried out without limitation as long as it is a sterilization method which can be used in the field of the invention, for example, it may be sterilization using gamma rays.

同時,本發明用於替代骨的顆粒聚集體的特徵為其藉由上述製造方法製造。 Meanwhile, the particle aggregate of the present invention for replacing bone is characterized by being manufactured by the above-described manufacturing method.

在下文中,將描述本發明的實施例。 Hereinafter, embodiments of the invention will be described.

實施例Example

實施例1:用於替代骨的顆粒聚集體 Example 1: Particle aggregates for replacing bone

向已經添加7ml 0.5N HCl的500ml蒸餾水中,再添加10g膠原蛋白粉(COLLAGEN SOLUTIONS,荷蘭),然後充分溶解以製備膠原蛋白水溶液。將5g膠原蛋白水溶液與5g平均粒徑為500μm,平均表面積為3.5mm2的β-磷酸三鈣顆粒混合,所述β-磷酸三鈣顆粒藉由在600℃下將平均粒徑為70nm的β-磷酸三鈣微細粒燒結90分鐘製備,然後將混合物填充到擠出容器中。使填充物冷凍,然後在-75℃下冷凍乾燥60小時以得到本發明用於替代骨的顆粒聚集體。用黏彈性計(Malvern,英國)測量的顆粒聚集體的黏彈性和計算的抗剪切力指數如下表1所示。 To 500 ml of distilled water to which 7 ml of 0.5 N HCl had been added, 10 g of collagen powder (COLLAGEN SOLUTIONS, Netherlands) was further added, followed by thorough dissolution to prepare an aqueous collagen solution. 5 g of the collagen aqueous solution was mixed with 5 g of β-tricalcium phosphate particles having an average particle diameter of 500 μm and an average surface area of 3.5 mm 2 , which was β-adhered to an average particle diameter of 70 nm at 600 ° C. The tricalcium phosphate fine particles were prepared by sintering for 90 minutes, and then the mixture was filled into an extrusion vessel. The filler was frozen and then freeze-dried at -75 ° C for 60 hours to obtain a particle aggregate of the present invention for replacing bone. The viscoelasticity and calculated shear resistance index of the particle aggregates measured by a viscoelasticity meter (Malvern, UK) are shown in Table 1 below.

實施例2:羥基磷灰石 Example 2: Hydroxyapatite

除了使用羥基磷灰石(CGBio,韓國)代替β-磷酸三鈣以外,進行與實施例1相同的過程。由此製造的顆粒聚集體的黏彈性和抗剪切力指數如下表1所示。 The same procedure as in Example 1 was carried out except that hydroxyapatite (CGBio, Korea) was used instead of β-tricalcium phosphate. The viscoelasticity and shear resistance index of the thus obtained particle aggregates are shown in Table 1 below.

實施例3:添加促骨發生因子 Example 3: Adding osteogenic factor

除了向蒸餾水中添加0.25mg BMP-2(Daewoong Pharmaceutical Co.,LTD,韓國)外,進行與實施例1相同的過程。由此製造的顆粒聚集體的黏彈性和抗剪切力指數如下表1所示。 The same procedure as in Example 1 was carried out except that 0.25 mg of BMP-2 (Daewoong Pharmaceutical Co., LTD, Korea) was added to distilled water. The viscoelasticity and shear resistance index of the thus obtained particle aggregates are shown in Table 1 below.

比較例1:膠原蛋白的過量使用 Comparative Example 1: Excessive use of collagen

除了使用20g膠原蛋白粉外,進行與實施例1相同的過程。由此製造的顆粒聚集體的黏彈性和抗剪切力指數如下表1所示。包含超出本發明範圍的量的膠原蛋白的結果是黏彈性過度增加(測量值降低),並且抗剪切力指數也在本發明的範圍外。此外,由於黏彈性過高,磷酸鈣化合物的混合溶液的黏度過度增加,取代骨難以均勻地分散。 The same procedure as in Example 1 was carried out except that 20 g of collagen powder was used. The viscoelasticity and shear resistance index of the thus obtained particle aggregates are shown in Table 1 below. The result of inclusion of collagen in an amount outside the scope of the present invention is an excessive increase in viscoelasticity (decreased measurement), and the shear resistance index is also outside the scope of the present invention. Further, since the viscoelasticity is too high, the viscosity of the mixed solution of the calcium phosphate compound is excessively increased, and it is difficult to uniformly disperse the substitute bone.

比較例2:膠原蛋白的微量使用 Comparative Example 2: Micro-use of collagen

除了使用1g膠原蛋白粉外,進行與實施例1相同的過程。由此製造的顆粒聚集體的黏彈性和抗剪切力指數如下表1所示。包含少於本發明範圍的量的膠原蛋白的結果是黏彈性過低(測量值升高),並且抗剪切力指數也在本發明的 範圍外。此外,由於顯著低的黏彈性,當用手捏合顆粒聚集體施加剪切力時,顆粒聚集體容易變成小塊。因此,聚集體必須小心處理,從而顯著降低操作者的可操作性。 The same procedure as in Example 1 was carried out except that 1 g of collagen powder was used. The viscoelasticity and shear resistance index of the thus obtained particle aggregates are shown in Table 1 below. The result of containing collagen in an amount less than the range of the present invention is that the viscoelasticity is too low (measured value is increased), and the shear resistance index is also outside the scope of the present invention. Further, due to the remarkably low viscoelasticity, the particle aggregate tends to become a small block when the shearing force is applied by hand kneading the particle aggregate. Therefore, the aggregate must be handled with care to significantly reduce the operator's operability.

測試實施例1和2:吸收性 Test Examples 1 and 2: Absorbency

測量實施例1中用於取代骨的顆粒聚集體和市售的常規磷酸鈣化合物聚集體(Hansbiomed,韓國)的吸收性,如圖8和圖9所示。藉由拍攝聚集體對藍色液體的吸收程度來測量吸收性。圖8是實施例1中聚集體的照片,圖9是市售聚集體的照片。從圖8和圖9可以看出,本發明的吸收性優於現有技術的吸收性,這種高吸收性藉由激活材料經由血液的輸送來增加骨再生速率,從而解決了替代骨被血液衝開 的問題。 The absorbance of the particle aggregate for replacing bone and the commercially available conventional calcium phosphate compound aggregate (Hansbiomed, Korea) in Example 1 was measured, as shown in Figs. 8 and 9. Absorbance is measured by taking the degree of absorption of the blue liquid by the aggregate. Figure 8 is a photograph of the aggregate in Example 1, and Figure 9 is a photograph of a commercially available aggregate. As can be seen from Figures 8 and 9, the absorbency of the present invention is superior to that of the prior art, which increases the rate of bone regeneration by activating the transport of blood through the blood, thereby solving the replacement of the bone by the blood. Open question.

製造實施例1:用於替代骨的顆粒聚集體(1) Manufacturing Example 1: Particle Aggregate for Replacement of Bone (1)

向已經添加7ml 0.5N HCl的500ml蒸餾水中,再添加10g膠原蛋白粉(COLLAGEN SOLUTIONS,荷蘭),然後充分溶解以製備膠原蛋白水溶液。將5g膠原蛋白水溶液與5g平均粒徑為500μm,平均表面積為32mm2的β-磷酸三鈣顆粒混合,所述β-磷酸三鈣顆粒藉由在600℃下將平均粒徑為70nm的β-磷酸三鈣微細粒燒結90分鐘製備,然後將混合物填充到擠出容器中。使填充物冷凍,然後在-75℃下冷凍乾燥60小時以得到用於替代骨的顆粒聚集體。 To 500 ml of distilled water to which 7 ml of 0.5 N HCl had been added, 10 g of collagen powder (COLLAGEN SOLUTIONS, Netherlands) was further added, followed by thorough dissolution to prepare an aqueous collagen solution. 5 g of an aqueous collagen solution was mixed with 5 g of β-tricalcium phosphate having an average particle diameter of 500 μm and an average surface area of 32 mm 2 , which was subjected to β-phosphoric acid having an average particle diameter of 70 nm at 600 ° C. The tricalcium fine particles were sintered for 90 minutes, and then the mixture was filled into an extrusion vessel. The filler was frozen and then freeze-dried at -75 ° C for 60 hours to obtain a particle aggregate for replacing bone.

製造實施例2:用於替代骨的顆粒聚集體(2) Manufacturing Example 2: Particle agglomerates for replacing bones (2)

除了使用平均表面積為0.03mm2的β-磷酸三鈣顆粒之外,進行與製造實施例1相同的過程來製造用於替代骨的顆粒聚集體。 The same procedure as in Production Example 1 was carried out except that β-tricalcium phosphate particles having an average surface area of 0.03 mm 2 were used to produce particle aggregates for replacing bone.

製造實施例3:用於替代骨的顆粒聚集體(3) Manufacturing Example 3: Particle agglomerates for replacing bones (3)

除了使用平均粒徑為0.01mm的β-磷酸三鈣顆粒之外,進行與製造實施例1相同的過程來製造用於替代骨的顆粒聚集體。 The same procedure as in Production Example 1 was carried out except that β-tricalcium phosphate particles having an average particle diameter of 0.01 mm were used to produce particle aggregates for replacing bone.

製造實施例4:用於替代骨的顆粒聚集體(4) Manufacturing Example 4: Particle aggregates for replacing bones (4)

除了使用平均粒徑為5mm的β-磷酸三鈣顆粒之外,進 行與製造實施例1相同的過程來製造用於替代骨的顆粒聚集體。 The same procedure as in Production Example 1 was carried out except that β-tricalcium phosphate particles having an average particle diameter of 5 mm were used to produce a particle aggregate for replacing bone.

製造實施例5:用於替代骨的顆粒聚集體(5) Manufacturing Example 5: Particle aggregates for replacing bones (5)

除了使用平均粒徑為3nm的β-磷酸三鈣微細粒之外,進行與製造實施例1相同的過程來製造用於替代骨的顆粒聚集體。 The same procedure as in Production Example 1 was carried out to produce a particle aggregate for replacing bone, except that β-tricalcium phosphate fine particles having an average particle diameter of 3 nm were used.

製造實施例6:用於替代骨的顆粒聚集體(6) Manufacturing Example 6: Particle agglomerates for replacing bones (6)

除了使用平均粒徑為10μm的β-磷酸三鈣微細粒之外,進行與製造實施例1相同的過程來製造用於替代骨的顆粒聚集體。 The same procedure as in Production Example 1 was carried out to produce a particle aggregate for replacing bone except that β-tricalcium phosphate fine particles having an average particle diameter of 10 μm were used.

製造實施例7:用於替代骨的顆粒聚集體(7) Manufacturing Example 7: Particle agglomerates for replacing bone (7)

除了在400℃下進行燒結之外,進行與製造實施例1相同的過程來製造用於替代骨的顆粒聚集體。 The same procedure as in Production Example 1 was carried out except that sintering was performed at 400 ° C to produce a particle aggregate for replacing bone.

製造實施例8:用於替代骨的顆粒聚集體(8) Manufacturing Example 8: Particle agglomerates for replacing bone (8)

除了在1100℃下進行燒結之外,進行與製造實施例1相同的過程來製造用於替代骨的顆粒聚集體。 The same procedure as in Production Example 1 was carried out except that sintering was performed at 1100 ° C to produce a particle aggregate for replacing bone.

製造實施例9:用於替代骨的顆粒聚集體(9) Manufacturing Example 9: Particle agglomerates for replacing bone (9)

除了燒結進行30分鐘之外,進行與製造實施例1相同的過程來製造用於替代骨的顆粒聚集體。 The same procedure as in Production Example 1 was carried out to produce a particle aggregate for replacing bone except that sintering was performed for 30 minutes.

製造實施例10:用於替代骨的顆粒聚集體(10) Manufacturing Example 10: Particle Aggregate for Replacement of Bone (10)

除了燒結進行2小時之外,進行與製造實施例1相同的過程來製造用於替代骨的顆粒聚集體。 The same procedure as in Production Example 1 was carried out except that sintering was carried out for 2 hours to produce a particle aggregate for replacing bone.

製造實施例11:用於替代骨的顆粒聚集體(11) Manufacturing Example 11: Particle agglomerates for replacing bone (11)

除了使用0.1N HCl之外,進行與製造實施例1相同的過程來製造用於替代骨的顆粒聚集體。 The same procedure as in Production Example 1 was carried out except that 0.1 N HCl was used to produce a particle aggregate for replacing bone.

製造實施例12:用於替代骨的顆粒聚集體(12) Manufacturing Example 12: Particle Aggregate for Replacement of Bone (12)

除了使用5N HCl之外,進行與製造實施例1相同的過程來製造用於替代骨的顆粒聚集體。 The same procedure as in Production Example 1 was carried out except that 5N HCl was used to produce a particle aggregate for replacing bone.

測試實施例3至14:黏彈性和抗剪切力指數 Test Examples 3 to 14: Viscoelasticity and Shear Resistance Index

用黏彈性計(Malvern,英國)測量的製造實施例1至12中顆粒聚集體的黏彈性和計算的抗剪切力指數如下表2所示。 The viscoelasticity and calculated shear resistance index of the particle aggregates in Production Examples 1 to 12 measured by a viscoelasticity meter (Malvern, UK) are shown in Table 2 below.

儘管上面已經描述了本發明的較佳實施方案,但是本發明不限於上述具體實施方案,並且本案所屬技術領域中具有通常知識者應該理解在不脫離本發明要點的情況下可以進行各種改變和修改。因此,本發明的範圍 不應被解釋為受限於上述實施方案,而應由所附申請專利範圍及申請專利範圍的等同方案來確定。 Although the preferred embodiments of the present invention have been described above, the present invention is not limited to the specific embodiments described above, and those skilled in the art should understand that various changes and modifications can be made without departing from the spirit of the invention. . Therefore, the scope of the invention should not be construed as being limited to the above-described embodiments, but should be determined by the scope of the appended claims and the equivalents of the claims.

Claims (8)

一種用於替代骨的顆粒聚集體,其包含:100重量份的磷酸鈣化合物;和0.5至3重量份的膠原蛋白。  A particle aggregate for replacing bone comprising: 100 parts by weight of a calcium phosphate compound; and 0.5 to 3 parts by weight of collagen.   如請求項1所記載之顆粒聚集體,其進一步包含促骨發生因子。  The particle aggregate according to claim 1, which further comprises an osteogenic factor.   如請求項1所記載之顆粒聚集體,其中前述磷酸鈣化合物選自磷酸三鈣、β-磷酸三鈣、磷酸二氫鈣、雙相磷酸鈣、磷酸七鈣、磷酸四鈣、磷酸八鈣、焦磷酸鈣、偏磷酸鈣、碳酸磷灰石(缺鈣羥基磷灰石)、羥基磷灰石、氧磷灰石及其組合。  The particle aggregate according to claim 1, wherein the calcium phosphate compound is selected from the group consisting of tricalcium phosphate, β-tricalcium phosphate, calcium dihydrogen phosphate, biphasic calcium phosphate, heptacalcium phosphate, tetracalcium phosphate, and octacalcium phosphate. Calcium pyrophosphate, calcium metaphosphate, carbonate apatite (calcium deficiency hydroxyapatite), hydroxyapatite, oxyapatite, and combinations thereof.   如請求項2所記載之顆粒聚集體,其中前述促骨發生因子選自轉化生長因子-β(TGF-β)、成纖維細胞生長因子(FGF)、骨形成蛋白(BMP)、血管內皮生長因子(VEGF)、表皮生長因子(EGF)、胰島素樣生長因子(IGF)、血小板源生長因子(PDGF)、神經生長因子(NGF)、肝細胞生長因子(HGF)、胎盤生長因子(PGF)、粒細胞集落刺激因子(G-CSF)、抗壞血酸-2-磷酸酯或其鹽、激活素、抑制素及其組合。  The particle aggregate according to claim 2, wherein the osteogenic factor is selected from the group consisting of transforming growth factor-β (TGF-β), fibroblast growth factor (FGF), bone morphogenetic protein (BMP), and vascular endothelial growth factor. (VEGF), epidermal growth factor (EGF), insulin-like growth factor (IGF), platelet-derived growth factor (PDGF), nerve growth factor (NGF), hepatocyte growth factor (HGF), placental growth factor (PGF), granules Cell colony stimulating factor (G-CSF), ascorbyl-2-phosphate or a salt thereof, activin, statin, and combinations thereof.   一種擠出容器,其容納請求項1至4中任一項所記載之用於替代骨的顆粒聚集體。  An extrusion container accommodating the particle aggregate for replacing bone as recited in any one of claims 1 to 4.   如請求項5所記載之擠出容器,其中前述擠出容器是注射器。  The extrusion container of claim 5, wherein the extrusion container is a syringe.   一種用於替代骨的顆粒聚集體的製造方法,其包括以 下步驟:(A)藉由向100重量份的水中添加0.7至2.5重量份的膠原蛋白和0.02至0.06重量份的氯化氫來製備膠原蛋白混合溶液;(B)藉由將膠原蛋白溶解在前述膠原蛋白混合溶液中來製備膠原蛋白水溶液;(C)藉由將40至70重量%的膠原蛋白水溶液和30至60重量%的磷酸鈣化合物混合來製備用於替代骨的混合物;(D)冷凍前述用於替代骨的混合物;和(E)藉由使冷凍的用於替代骨的混合物冷凍乾燥來製造用於替代骨的顆粒聚集體。  A method for producing a particle aggregate for replacing bone, comprising the steps of: (A) preparing collagen by adding 0.7 to 2.5 parts by weight of collagen and 0.02 to 0.06 part by weight of hydrogen chloride to 100 parts by weight of water; a mixed solution; (B) preparing an aqueous collagen solution by dissolving collagen in the aforementioned collagen mixed solution; (C) by using 40 to 70% by weight of an aqueous collagen solution and 30 to 60% by weight of a calcium phosphate compound Mixing to prepare a mixture for replacing bone; (D) freezing the aforementioned mixture for replacing bone; and (E) fabricating a particle aggregate for replacing bone by freeze-drying the frozen mixture for bone replacement.   如請求項7所記載之製造方法,其進一步包括在步驟(C)之後和步驟(D)之前,將前述用於替代骨的混合物填充於擠出容器中。  The manufacturing method as recited in claim 7, which further comprises, after the step (C) and before the step (D), filling the aforementioned mixture for replacing the bone in the extrusion container.  
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