WO1988001155A1 - Implant en biomateriaux ayant une surface a charge positive nette - Google Patents
Implant en biomateriaux ayant une surface a charge positive netteInfo
- Publication number
- WO1988001155A1 WO1988001155A1 PCT/US1987/002055 US8702055W WO8801155A1 WO 1988001155 A1 WO1988001155 A1 WO 1988001155A1 US 8702055 W US8702055 W US 8702055W WO 8801155 A1 WO8801155 A1 WO 8801155A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- implant
- compound
- biomaterial
- amino groups
- biomaterial implant
- Prior art date
Links
Classifications
-
- 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
- A61L27/36—Materials for grafts or prostheses or for coating grafts or prostheses containing ingredients of undetermined constitution or reaction products thereof, e.g. transplant tissue, natural bone, extracellular matrix
- A61L27/3683—Materials for grafts or prostheses or for coating grafts or prostheses containing ingredients of undetermined constitution or reaction products thereof, e.g. transplant tissue, natural bone, extracellular matrix subjected to a specific treatment prior to implantation, e.g. decellularising, demineralising, grinding, cellular disruption/non-collagenous protein removal, anti-calcification, crosslinking, supercritical fluid extraction, enzyme treatment
- A61L27/3695—Materials for grafts or prostheses or for coating grafts or prostheses containing ingredients of undetermined constitution or reaction products thereof, e.g. transplant tissue, natural bone, extracellular matrix subjected to a specific treatment prior to implantation, e.g. decellularising, demineralising, grinding, cellular disruption/non-collagenous protein removal, anti-calcification, crosslinking, supercritical fluid extraction, enzyme treatment characterised by the function or physical properties of the final product, where no specific conditions are defined to achieve this
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS 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
- A61F2/00—Filters 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
- A61F2/02—Prostheses implantable into the body
- A61F2/24—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K35/00—Medicinal preparations containing materials or reaction products thereof with undetermined constitution
- A61K35/12—Materials from mammals; Compositions comprising non-specified tissues or cells; Compositions comprising non-embryonic stem cells; Genetically modified cells
- A61K35/34—Muscles; Smooth muscle cells; Heart; Cardiac stem cells; Myoblasts; Myocytes; Cardiomyocytes
-
- 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
- A61L27/36—Materials for grafts or prostheses or for coating grafts or prostheses containing ingredients of undetermined constitution or reaction products thereof, e.g. transplant tissue, natural bone, extracellular matrix
-
- 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
- A61L2400/02—Treatment of implants to prevent calcification or mineralisation in vivo
Definitions
- This invention relates to preventing calcification of bi ⁇ material implants.
- Biomaterial implants e.g., bioprosthetic heart
- pathologic calcification defined as the deposition of calcium phosphate mineral salts in association with a disease process. Pathologic calcification represents the main source of bioprosthetic heart valve failure.
- the iny.ention features a biomaterial implant covalently bonded-to a compound that imparts a positive charge to the implant sufficient to substantially repel calcium ions in the environment of
- the compound, after bonding to said implant has at least one free basic
- the compound 25 functional group (e.g., an amino group) that imparts the positive charge to the implant; the compound has at least six amino groups; the compound has a molecular weight of greater than 600; and the compound is a polypeptide such as protamine, polylysine, or
- the implant is made of natural tissue or collagen and is stabilized with a stabilizing reagent (e.g., glutaraldehyde) that forms a covalent bond with an amino group of the implant.
- a stabilizing reagent e.g., glutaraldehyde
- natural tissue refers to tissue derived from humans or animals.
- calcification is prevented by the addition of positive charges to the implant.
- the positive charge repels positively charged calcium ions which could otherwise attach to the implant and act as nucleation sites for calcification. Covalently bonding the compound to the implant minimizes long-term calcification because the compound remains attached to the implant.
- Particular advantage is gained where the compound is used with implants that have been treated with gluteraldehyde, which consumes the naturally-present basic functionality (e.g., amino groups) of the implant; it is hypothesized that such consumption normally is a cause of calcification.
- the compounds are easy to use and non-toxic.
- biomaterial implants are produced from collagen or derived from natural tissue, e.g., porcine aortic valves or bovine pericardium, and are stabilized with glutaraldehyde, which reacts with some of the amino groups of the implants.
- biomaterial implants include heart valves, vascular grafts, breast implants, hip and tendon prostheses, intracardiac patches, and artificial heart devices having biolized surfaces.
- the biomaterial implants preferably are covalently bonded, prior to implantation, to a compound that has a plurality of amino groups.
- a compound that has a plurality of amino groups When such a compound is reacted with the implant in accordance with the method described below, at least one of the amino groups covalently bonds to the implant. If the compound has more then two amino groups, some of the amino groups do not bond to the implant and thus remain free. If the compound has two amino groups,- generally only one of the amino groups bonds to the implant, thus leaving one amino group per compound free.
- the free, unreacted amino groups are basic, i.e., are positively charged at physiological pH. The positive charge imparted to the implant by the charged amino groups inhibits calcificaion of the implant.
- the compound is a nontoxic, water soluble, organic polymer that has a molecular weight of greater than 600, more preferably greater than 2000, and has at least 6 amino groups.
- Such polymers molecules are efficient at spreading through the implant the positive charges associated with each molecule.
- the biomaterial implants of the invention are prepared by contacting a conventionally fabricated biomaterial implant with the compound in a suitable aqueous buffer solution, e.g., HEPES, to allow the compound to penetrate into the tissue.
- a suitable aqueous buffer solution e.g., HEPES
- the pH of the buffer solution is between 7.0 and 8.0.
- the implants are then contacted with a buffered solution of glutaraldehyde.
- the implant can be reduced with sodium borohydride following glutaraldehyde treatment.
- the compound covalently bonds to the implant through the glutaraldehyde, which reacts with both an amino group of the compound and an amino group of the implant.
- the glutaraldehyde thus both stabilizes the tissue and serves as the crosslinking reagent that attaches the compound to the implant.
- a collagen sponge treated according to the invention was prepared as follows.
- Type I collagen " sponges were cut into small pieces
- Biomaterial implants of the invention can be surgically implanted using conventional surgical techniques. It is believed that calcification is prevented as follows. Biomaterial implants in general are substantially composed of collagen Type I. Collagen Type I contains 30-35 lysine and hydroxylysine residues per 1000 amino acid residues; these residues have basic, positively charged amino groups. Collagen Type I also contains many acidic, negatively charged ⁇ arboxylate groups.
- the gluteraldehyde reacts primarily with the amino group-, of the lysine and hydroxylysine residues of collagen.
- the implant has fewer basic amino groups. Because the number of carboxylate groups is unchanged, the implant will have more of a negative charge associated with it following glutaraldehyde treatment. The increased negative charge will tend to attract Ca +2 to the implant; the most likely affinity sites for the ions are the carboxylate groups. Bonding the compound to the implant compensates for the amino groups that are consumed during glutaraldehyde treatment.
- the amino groups effectively neutralize the acidic groups of the tissue, thus making the carboxylate groups less attractive to Ca +2.
- the positively charged groups repel calcium ions, thus preventing the ions from interacting with the tissue.
- the compounds can be bound to synthetic polymers used to fabricate biomaterial implants, e.g., silicone rubbers, polyurethane elastomers, and polymer hydrogels.
- the polymers must contain suitable functional groups which are capable of covalently bonding to the compound.
- Compounds can also be contacted with, the implant after or during the period in which the implant is treated with gluteraldehyde.
- Compounds can be covalently bonded to the implant through standard crosslinking reagents such as 1,2 cyclohexanedione, formaldehyde, DMA, and CNBr (all of which are available from PIERCE).
- standard crosslinking reagents such as 1,2 cyclohexanedione, formaldehyde, DMA, and CNBr (all of which are available from PIERCE).
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Veterinary Medicine (AREA)
- Cardiology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Chemical & Material Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Vascular Medicine (AREA)
- Medicinal Chemistry (AREA)
- Epidemiology (AREA)
- Chemical Kinetics & Catalysis (AREA)
- Dermatology (AREA)
- Botany (AREA)
- Heart & Thoracic Surgery (AREA)
- Cell Biology (AREA)
- Developmental Biology & Embryology (AREA)
- Molecular Biology (AREA)
- Biotechnology (AREA)
- Immunology (AREA)
- Virology (AREA)
- Zoology (AREA)
- Pharmacology & Pharmacy (AREA)
- Materials For Medical Uses (AREA)
Abstract
Un implant en biomatériaux, dérivés de préférence de tissus animaux traités au glutaraldéhyde, est lié par covalence à un composé qui donne une charge positive nette à l'implant. L'implant est de préférence traité avec un acide polyaminé ayant des groupes amino libres afin de donner la charge positive nette à la surface de l'implant.
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US89836186A | 1986-08-20 | 1986-08-20 | |
US898,361 | 1986-08-20 |
Publications (1)
Publication Number | Publication Date |
---|---|
WO1988001155A1 true WO1988001155A1 (fr) | 1988-02-25 |
Family
ID=25409340
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US1987/002055 WO1988001155A1 (fr) | 1986-08-20 | 1987-08-20 | Implant en biomateriaux ayant une surface a charge positive nette |
Country Status (4)
Country | Link |
---|---|
EP (1) | EP0277995A4 (fr) |
JP (1) | JPH01500730A (fr) |
IL (1) | IL83592A0 (fr) |
WO (1) | WO1988001155A1 (fr) |
Cited By (12)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP0364517A1 (fr) * | 1988-02-03 | 1990-04-25 | Biomedical Design Inc | Prevention de la calcification de protheses. |
US5480963A (en) * | 1994-07-22 | 1996-01-02 | United States Surgical Corporation | Absorbable copolymers derived from tricarboxylic acids and surgical articles made therefrom |
WO1997027886A1 (fr) * | 1996-02-05 | 1997-08-07 | St. Jude Medical, Inc. | Biomateriaux resistant a la calcification |
US6193749B1 (en) | 1996-02-05 | 2001-02-27 | St. Jude Medical, Inc. | Calcification-resistant biomaterials |
US6254635B1 (en) | 1998-02-02 | 2001-07-03 | St. Jude Medical, Inc. | Calcification-resistant medical articles |
WO2001058503A1 (fr) * | 2000-02-09 | 2001-08-16 | The Children's Hospital Of Philadelphia | Stabilisation d'un tissu bioprothetique implantable |
US6302909B1 (en) | 1996-07-31 | 2001-10-16 | St. Jude Medical, Inc. | Calcification-resistant biomaterials |
US8565872B2 (en) | 2004-07-12 | 2013-10-22 | Medtronic ATS Medical, Inc. | Anti-coagulation and demineralization system for conductive medical devices |
US8653632B2 (en) | 2007-03-28 | 2014-02-18 | Medtronic Ats Medical Inc. | System and method for conditioning implantable medical devices |
US9649499B2 (en) | 2007-03-28 | 2017-05-16 | Medtronic ATS Medical, Inc. | Method for inhibiting platelet interaction with biomaterial surfaces |
US9844667B2 (en) | 2006-04-12 | 2017-12-19 | Medtronic Ats Medical Inc. | System for conditioning surfaces in vivo |
CN111569152A (zh) * | 2020-05-28 | 2020-08-25 | 四川大学 | 一种兼具抗凝血和抗钙化性能的生物瓣膜及其制备方法 |
Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4378224A (en) * | 1980-09-19 | 1983-03-29 | Nimni Marcel E | Coating for bioprosthetic device and method of making same |
US4521564A (en) * | 1984-02-10 | 1985-06-04 | Warner-Lambert Company | Covalent bonded antithrombogenic polyurethane material |
US4553974A (en) * | 1984-08-14 | 1985-11-19 | Mayo Foundation | Treatment of collagenous tissue with glutaraldehyde and aminodiphosphonate calcification inhibitor |
Family Cites Families (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
IN157379B (fr) * | 1981-04-30 | 1986-03-15 | Extracorporeal Med Spec | |
US4402697A (en) * | 1982-08-25 | 1983-09-06 | Extracorporeal Medical Specialties, Inc. | Method for inhibiting mineralization of natural tissue during implantation |
-
1987
- 1987-08-20 JP JP62505273A patent/JPH01500730A/ja active Pending
- 1987-08-20 IL IL83592A patent/IL83592A0/xx unknown
- 1987-08-20 EP EP19870905705 patent/EP0277995A4/fr not_active Withdrawn
- 1987-08-20 WO PCT/US1987/002055 patent/WO1988001155A1/fr not_active Application Discontinuation
Patent Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4378224A (en) * | 1980-09-19 | 1983-03-29 | Nimni Marcel E | Coating for bioprosthetic device and method of making same |
US4521564A (en) * | 1984-02-10 | 1985-06-04 | Warner-Lambert Company | Covalent bonded antithrombogenic polyurethane material |
US4553974A (en) * | 1984-08-14 | 1985-11-19 | Mayo Foundation | Treatment of collagenous tissue with glutaraldehyde and aminodiphosphonate calcification inhibitor |
Non-Patent Citations (3)
Title |
---|
NOISHIKI et al "A Method to Give an Antithrombogenicity to Biological Materials" Abstract from the 9th Ann. Mtg. of the Soc. of Biomaterials, (1985), p. 17, col. 1, 1.s 16-30 * |
PCT/US83/01703, American Hospital Supply, 24 May 1984 (see pages 4 and 5) * |
See also references of EP0277995A4 * |
Cited By (19)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP0364517A4 (en) * | 1988-02-03 | 1991-01-16 | Biomedical Design, Inc. | Prevention of prosthesis calcification |
EP0364517A1 (fr) * | 1988-02-03 | 1990-04-25 | Biomedical Design Inc | Prevention de la calcification de protheses. |
US5480963A (en) * | 1994-07-22 | 1996-01-02 | United States Surgical Corporation | Absorbable copolymers derived from tricarboxylic acids and surgical articles made therefrom |
WO1997027886A1 (fr) * | 1996-02-05 | 1997-08-07 | St. Jude Medical, Inc. | Biomateriaux resistant a la calcification |
US6193749B1 (en) | 1996-02-05 | 2001-02-27 | St. Jude Medical, Inc. | Calcification-resistant biomaterials |
US6302909B1 (en) | 1996-07-31 | 2001-10-16 | St. Jude Medical, Inc. | Calcification-resistant biomaterials |
US6254635B1 (en) | 1998-02-02 | 2001-07-03 | St. Jude Medical, Inc. | Calcification-resistant medical articles |
US6391538B1 (en) | 2000-02-09 | 2002-05-21 | The Children's Hospital Of Philadelphia | Stabilization of implantable bioprosthetic tissue |
WO2001058503A1 (fr) * | 2000-02-09 | 2001-08-16 | The Children's Hospital Of Philadelphia | Stabilisation d'un tissu bioprothetique implantable |
US6824970B2 (en) | 2000-02-09 | 2004-11-30 | The Children's Hospital Of Philadelphia | Stabilization of implantable bioprosthetic tissue |
US8565872B2 (en) | 2004-07-12 | 2013-10-22 | Medtronic ATS Medical, Inc. | Anti-coagulation and demineralization system for conductive medical devices |
US9844667B2 (en) | 2006-04-12 | 2017-12-19 | Medtronic Ats Medical Inc. | System for conditioning surfaces in vivo |
US10406355B2 (en) | 2006-04-12 | 2019-09-10 | Medtronic Vascular, Inc. | System for conditioning surfaces in vivo |
US8653632B2 (en) | 2007-03-28 | 2014-02-18 | Medtronic Ats Medical Inc. | System and method for conditioning implantable medical devices |
US9649499B2 (en) | 2007-03-28 | 2017-05-16 | Medtronic ATS Medical, Inc. | Method for inhibiting platelet interaction with biomaterial surfaces |
US11020515B2 (en) | 2007-03-28 | 2021-06-01 | Medtronic ATS Medical, Inc. | Method for inhibiting platelet interaction with biomaterial surfaces |
US11850335B2 (en) | 2007-03-28 | 2023-12-26 | Medtronic ATS Medical, Inc. | Method for inhibiting platelet interaction with biomaterial surfaces |
CN111569152A (zh) * | 2020-05-28 | 2020-08-25 | 四川大学 | 一种兼具抗凝血和抗钙化性能的生物瓣膜及其制备方法 |
WO2021239080A1 (fr) * | 2020-05-28 | 2021-12-02 | 杭州启明医疗器械股份有限公司 | Valve cardiaque biologique ayant à la fois des propriétés d'anticoagulation et d'anti-calcification, et sa méthode de préparation |
Also Published As
Publication number | Publication date |
---|---|
EP0277995A4 (fr) | 1989-11-07 |
IL83592A0 (en) | 1988-01-31 |
EP0277995A1 (fr) | 1988-08-17 |
JPH01500730A (ja) | 1989-03-16 |
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