WO1993013136A1 - Ultra-pure polysaccharide materials for medical use - Google Patents
Ultra-pure polysaccharide materials for medical use Download PDFInfo
- Publication number
- WO1993013136A1 WO1993013136A1 PCT/US1992/009497 US9209497W WO9313136A1 WO 1993013136 A1 WO1993013136 A1 WO 1993013136A1 US 9209497 W US9209497 W US 9209497W WO 9313136 A1 WO9313136 A1 WO 9313136A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- solution
- membrane
- pore size
- molecular weight
- ultra
- Prior art date
Links
- 239000005017 polysaccharide Substances 0.000 title claims abstract description 35
- 229920001282 polysaccharide Polymers 0.000 title claims abstract description 34
- 150000004676 glycans Chemical class 0.000 title claims abstract description 11
- 239000000463 material Substances 0.000 title claims description 51
- 238000000034 method Methods 0.000 claims abstract description 32
- 230000008569 process Effects 0.000 claims abstract description 12
- 239000012535 impurity Substances 0.000 claims abstract description 9
- 239000000020 Nitrocellulose Substances 0.000 claims abstract description 8
- 229920001220 nitrocellulos Polymers 0.000 claims abstract description 8
- 230000002209 hydrophobic effect Effects 0.000 claims abstract description 5
- 108090000765 processed proteins & peptides Proteins 0.000 claims abstract description 5
- 229920001184 polypeptide Polymers 0.000 claims abstract description 4
- 102000004196 processed proteins & peptides Human genes 0.000 claims abstract description 4
- 239000000243 solution Substances 0.000 claims description 75
- 239000012528 membrane Substances 0.000 claims description 36
- 238000001914 filtration Methods 0.000 claims description 15
- 238000000108 ultra-filtration Methods 0.000 claims description 15
- 239000011148 porous material Substances 0.000 claims description 10
- 239000007864 aqueous solution Substances 0.000 claims description 4
- 239000000945 filler Substances 0.000 claims 1
- 239000010408 film Substances 0.000 description 40
- 210000004379 membrane Anatomy 0.000 description 29
- 150000004804 polysaccharides Chemical class 0.000 description 25
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 18
- 229920001661 Chitosan Polymers 0.000 description 17
- 210000001519 tissue Anatomy 0.000 description 16
- 235000010443 alginic acid Nutrition 0.000 description 15
- 229920000615 alginic acid Polymers 0.000 description 15
- FHVDTGUDJYJELY-UHFFFAOYSA-N 6-{[2-carboxy-4,5-dihydroxy-6-(phosphanyloxy)oxan-3-yl]oxy}-4,5-dihydroxy-3-phosphanyloxane-2-carboxylic acid Chemical compound O1C(C(O)=O)C(P)C(O)C(O)C1OC1C(C(O)=O)OC(OP)C(O)C1O FHVDTGUDJYJELY-UHFFFAOYSA-N 0.000 description 13
- 229940072056 alginate Drugs 0.000 description 13
- 239000000499 gel Substances 0.000 description 12
- 230000037390 scarring Effects 0.000 description 9
- 210000002435 tendon Anatomy 0.000 description 9
- 230000002265 prevention Effects 0.000 description 8
- KIUKXJAPPMFGSW-DNGZLQJQSA-N (2S,3S,4S,5R,6R)-6-[(2S,3R,4R,5S,6R)-3-Acetamido-2-[(2S,3S,4R,5R,6R)-6-[(2R,3R,4R,5S,6R)-3-acetamido-2,5-dihydroxy-6-(hydroxymethyl)oxan-4-yl]oxy-2-carboxy-4,5-dihydroxyoxan-3-yl]oxy-5-hydroxy-6-(hydroxymethyl)oxan-4-yl]oxy-3,4,5-trihydroxyoxane-2-carboxylic acid Chemical compound CC(=O)N[C@H]1[C@H](O)O[C@H](CO)[C@@H](O)[C@@H]1O[C@H]1[C@H](O)[C@@H](O)[C@H](O[C@H]2[C@@H]([C@@H](O[C@H]3[C@@H]([C@@H](O)[C@H](O)[C@H](O3)C(O)=O)O)[C@H](O)[C@@H](CO)O2)NC(C)=O)[C@@H](C(O)=O)O1 KIUKXJAPPMFGSW-DNGZLQJQSA-N 0.000 description 7
- 229920002674 hyaluronan Polymers 0.000 description 7
- 229960003160 hyaluronic acid Drugs 0.000 description 7
- 230000000399 orthopedic effect Effects 0.000 description 7
- 238000012360 testing method Methods 0.000 description 7
- 206010061218 Inflammation Diseases 0.000 description 6
- 230000015572 biosynthetic process Effects 0.000 description 6
- 230000004054 inflammatory process Effects 0.000 description 6
- 210000000629 knee joint Anatomy 0.000 description 6
- 210000000988 bone and bone Anatomy 0.000 description 5
- 239000012530 fluid Substances 0.000 description 5
- 239000000047 product Substances 0.000 description 5
- 238000000746 purification Methods 0.000 description 5
- 239000013014 purified material Substances 0.000 description 5
- 239000002510 pyrogen Substances 0.000 description 5
- 235000010413 sodium alginate Nutrition 0.000 description 5
- 239000000661 sodium alginate Substances 0.000 description 5
- 229940005550 sodium alginate Drugs 0.000 description 5
- IXPNQXFRVYWDDI-UHFFFAOYSA-N 1-methyl-2,4-dioxo-1,3-diazinane-5-carboximidamide Chemical compound CN1CC(C(N)=N)C(=O)NC1=O IXPNQXFRVYWDDI-UHFFFAOYSA-N 0.000 description 4
- VTYYLEPIZMXCLO-UHFFFAOYSA-L Calcium carbonate Chemical compound [Ca+2].[O-]C([O-])=O VTYYLEPIZMXCLO-UHFFFAOYSA-L 0.000 description 4
- 229920002101 Chitin Chemical class 0.000 description 4
- 208000027418 Wounds and injury Diseases 0.000 description 4
- FJWGYAHXMCUOOM-QHOUIDNNSA-N [(2s,3r,4s,5r,6r)-2-[(2r,3r,4s,5r,6s)-4,5-dinitrooxy-2-(nitrooxymethyl)-6-[(2r,3r,4s,5r,6s)-4,5,6-trinitrooxy-2-(nitrooxymethyl)oxan-3-yl]oxyoxan-3-yl]oxy-3,5-dinitrooxy-6-(nitrooxymethyl)oxan-4-yl] nitrate Chemical compound O([C@@H]1O[C@@H]([C@H]([C@H](O[N+]([O-])=O)[C@H]1O[N+]([O-])=O)O[C@H]1[C@@H]([C@@H](O[N+]([O-])=O)[C@H](O[N+]([O-])=O)[C@@H](CO[N+]([O-])=O)O1)O[N+]([O-])=O)CO[N+](=O)[O-])[C@@H]1[C@@H](CO[N+]([O-])=O)O[C@@H](O[N+]([O-])=O)[C@H](O[N+]([O-])=O)[C@H]1O[N+]([O-])=O FJWGYAHXMCUOOM-QHOUIDNNSA-N 0.000 description 4
- 229920002678 cellulose Polymers 0.000 description 4
- 239000001913 cellulose Substances 0.000 description 4
- 238000000502 dialysis Methods 0.000 description 4
- 238000002513 implantation Methods 0.000 description 4
- 229940079938 nitrocellulose Drugs 0.000 description 4
- 239000008213 purified water Substances 0.000 description 4
- 238000011282 treatment Methods 0.000 description 4
- UXVMQQNJUSDDNG-UHFFFAOYSA-L Calcium chloride Chemical compound [Cl-].[Cl-].[Ca+2] UXVMQQNJUSDDNG-UHFFFAOYSA-L 0.000 description 3
- 206010018910 Haemolysis Diseases 0.000 description 3
- HTTJABKRGRZYRN-UHFFFAOYSA-N Heparin Chemical compound OC1C(NC(=O)C)C(O)OC(COS(O)(=O)=O)C1OC1C(OS(O)(=O)=O)C(O)C(OC2C(C(OS(O)(=O)=O)C(OC3C(C(O)C(O)C(O3)C(O)=O)OS(O)(=O)=O)C(CO)O2)NS(O)(=O)=O)C(C(O)=O)O1 HTTJABKRGRZYRN-UHFFFAOYSA-N 0.000 description 3
- OKKJLVBELUTLKV-UHFFFAOYSA-N Methanol Chemical compound OC OKKJLVBELUTLKV-UHFFFAOYSA-N 0.000 description 3
- 241000283973 Oryctolagus cuniculus Species 0.000 description 3
- 206010034464 Periarthritis Diseases 0.000 description 3
- 206010003246 arthritis Diseases 0.000 description 3
- 239000001110 calcium chloride Substances 0.000 description 3
- 229910001628 calcium chloride Inorganic materials 0.000 description 3
- 230000002380 cytological effect Effects 0.000 description 3
- 230000003013 cytotoxicity Effects 0.000 description 3
- 231100000135 cytotoxicity Toxicity 0.000 description 3
- 238000011156 evaluation Methods 0.000 description 3
- 201000010603 frozen shoulder Diseases 0.000 description 3
- 230000008588 hemolysis Effects 0.000 description 3
- 229920000669 heparin Polymers 0.000 description 3
- 229960002897 heparin Drugs 0.000 description 3
- 230000036512 infertility Effects 0.000 description 3
- 208000014674 injury Diseases 0.000 description 3
- 238000002684 laminectomy Methods 0.000 description 3
- 239000011159 matrix material Substances 0.000 description 3
- 238000011587 new zealand white rabbit Methods 0.000 description 3
- 210000000056 organ Anatomy 0.000 description 3
- 102000004169 proteins and genes Human genes 0.000 description 3
- 108090000623 proteins and genes Proteins 0.000 description 3
- 230000008929 regeneration Effects 0.000 description 3
- 238000011069 regeneration method Methods 0.000 description 3
- 210000002151 serous membrane Anatomy 0.000 description 3
- 239000000230 xanthan gum Substances 0.000 description 3
- 229920001285 xanthan gum Polymers 0.000 description 3
- 235000010493 xanthan gum Nutrition 0.000 description 3
- 229940082509 xanthan gum Drugs 0.000 description 3
- QTBSBXVTEAMEQO-UHFFFAOYSA-M Acetate Chemical compound CC([O-])=O QTBSBXVTEAMEQO-UHFFFAOYSA-M 0.000 description 2
- PHOQVHQSTUBQQK-SQOUGZDYSA-N D-glucono-1,5-lactone Chemical compound OC[C@H]1OC(=O)[C@H](O)[C@@H](O)[C@@H]1O PHOQVHQSTUBQQK-SQOUGZDYSA-N 0.000 description 2
- 102000009123 Fibrin Human genes 0.000 description 2
- 108010073385 Fibrin Proteins 0.000 description 2
- BWGVNKXGVNDBDI-UHFFFAOYSA-N Fibrin monomer Chemical compound CNC(=O)CNC(=O)CN BWGVNKXGVNDBDI-UHFFFAOYSA-N 0.000 description 2
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 2
- 108090000373 Tissue Plasminogen Activator Proteins 0.000 description 2
- 102000003978 Tissue Plasminogen Activator Human genes 0.000 description 2
- 230000002159 abnormal effect Effects 0.000 description 2
- 239000013543 active substance Substances 0.000 description 2
- 239000000783 alginic acid Substances 0.000 description 2
- 229960001126 alginic acid Drugs 0.000 description 2
- 150000004781 alginic acids Chemical class 0.000 description 2
- 210000001264 anterior cruciate ligament Anatomy 0.000 description 2
- 230000004888 barrier function Effects 0.000 description 2
- 230000008901 benefit Effects 0.000 description 2
- 235000010410 calcium alginate Nutrition 0.000 description 2
- 239000000648 calcium alginate Substances 0.000 description 2
- 229960002681 calcium alginate Drugs 0.000 description 2
- 229910000019 calcium carbonate Inorganic materials 0.000 description 2
- OKHHGHGGPDJQHR-YMOPUZKJSA-L calcium;(2s,3s,4s,5s,6r)-6-[(2r,3s,4r,5s,6r)-2-carboxy-6-[(2r,3s,4r,5s,6r)-2-carboxylato-4,5,6-trihydroxyoxan-3-yl]oxy-4,5-dihydroxyoxan-3-yl]oxy-3,4,5-trihydroxyoxane-2-carboxylate Chemical class [Ca+2].O[C@@H]1[C@H](O)[C@H](O)O[C@@H](C([O-])=O)[C@H]1O[C@H]1[C@@H](O)[C@@H](O)[C@H](O[C@H]2[C@H]([C@@H](O)[C@H](O)[C@H](O2)C([O-])=O)O)[C@H](C(O)=O)O1 OKHHGHGGPDJQHR-YMOPUZKJSA-L 0.000 description 2
- 210000000845 cartilage Anatomy 0.000 description 2
- 150000001768 cations Chemical class 0.000 description 2
- 230000008021 deposition Effects 0.000 description 2
- 239000003599 detergent Substances 0.000 description 2
- 239000002158 endotoxin Substances 0.000 description 2
- 238000000605 extraction Methods 0.000 description 2
- 210000000416 exudates and transudate Anatomy 0.000 description 2
- 229950003499 fibrin Drugs 0.000 description 2
- 239000003102 growth factor Substances 0.000 description 2
- 238000001727 in vivo Methods 0.000 description 2
- 230000002757 inflammatory effect Effects 0.000 description 2
- 230000028709 inflammatory response Effects 0.000 description 2
- 239000007924 injection Substances 0.000 description 2
- 238000002347 injection Methods 0.000 description 2
- 239000000314 lubricant Substances 0.000 description 2
- 238000004519 manufacturing process Methods 0.000 description 2
- 229920000609 methyl cellulose Polymers 0.000 description 2
- 239000001923 methylcellulose Substances 0.000 description 2
- 235000010981 methylcellulose Nutrition 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 210000004400 mucous membrane Anatomy 0.000 description 2
- 210000005036 nerve Anatomy 0.000 description 2
- 102000039446 nucleic acids Human genes 0.000 description 2
- 108020004707 nucleic acids Proteins 0.000 description 2
- 150000007523 nucleic acids Chemical class 0.000 description 2
- 210000004224 pleura Anatomy 0.000 description 2
- -1 poly (tetrafluoroethylene) Polymers 0.000 description 2
- 239000002994 raw material Substances 0.000 description 2
- 230000000717 retained effect Effects 0.000 description 2
- 239000011780 sodium chloride Substances 0.000 description 2
- 239000000126 substance Substances 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 210000001179 synovial fluid Anatomy 0.000 description 2
- 229960000187 tissue plasminogen activator Drugs 0.000 description 2
- 230000008733 trauma Effects 0.000 description 2
- SQDAZGGFXASXDW-UHFFFAOYSA-N 5-bromo-2-(trifluoromethoxy)pyridine Chemical compound FC(F)(F)OC1=CC=C(Br)C=N1 SQDAZGGFXASXDW-UHFFFAOYSA-N 0.000 description 1
- 206010000060 Abdominal distension Diseases 0.000 description 1
- 229920002134 Carboxymethyl cellulose Polymers 0.000 description 1
- 229920001287 Chondroitin sulfate Polymers 0.000 description 1
- 102000008186 Collagen Human genes 0.000 description 1
- 108010035532 Collagen Proteins 0.000 description 1
- 206010010356 Congenital anomaly Diseases 0.000 description 1
- AEMOLEFTQBMNLQ-AQKNRBDQSA-N D-glucopyranuronic acid Chemical compound OC1O[C@H](C(O)=O)[C@@H](O)[C@H](O)[C@H]1O AEMOLEFTQBMNLQ-AQKNRBDQSA-N 0.000 description 1
- 241001269524 Dura Species 0.000 description 1
- 206010063395 Dural tear Diseases 0.000 description 1
- 108090000790 Enzymes Proteins 0.000 description 1
- 102000004190 Enzymes Human genes 0.000 description 1
- 206010016654 Fibrosis Diseases 0.000 description 1
- IAJILQKETJEXLJ-UHFFFAOYSA-N Galacturonsaeure Natural products O=CC(O)C(O)C(O)C(O)C(O)=O IAJILQKETJEXLJ-UHFFFAOYSA-N 0.000 description 1
- 239000000899 Gutta-Percha Substances 0.000 description 1
- 229920000663 Hydroxyethyl cellulose Polymers 0.000 description 1
- 239000004354 Hydroxyethyl cellulose Substances 0.000 description 1
- 229920002153 Hydroxypropyl cellulose Polymers 0.000 description 1
- DGAQECJNVWCQMB-PUAWFVPOSA-M Ilexoside XXIX Chemical compound C[C@@H]1CC[C@@]2(CC[C@@]3(C(=CC[C@H]4[C@]3(CC[C@@H]5[C@@]4(CC[C@@H](C5(C)C)OS(=O)(=O)[O-])C)C)[C@@H]2[C@]1(C)O)C)C(=O)O[C@H]6[C@@H]([C@H]([C@@H]([C@H](O6)CO)O)O)O.[Na+] DGAQECJNVWCQMB-PUAWFVPOSA-M 0.000 description 1
- 208000004575 Infectious Arthritis Diseases 0.000 description 1
- WHUUTDBJXJRKMK-VKHMYHEASA-N L-glutamic acid Chemical compound OC(=O)[C@@H](N)CCC(O)=O WHUUTDBJXJRKMK-VKHMYHEASA-N 0.000 description 1
- JVTAAEKCZFNVCJ-UHFFFAOYSA-M Lactate Chemical compound CC(O)C([O-])=O JVTAAEKCZFNVCJ-UHFFFAOYSA-M 0.000 description 1
- 206010024453 Ligament sprain Diseases 0.000 description 1
- 241001465754 Metazoa Species 0.000 description 1
- 238000011887 Necropsy Methods 0.000 description 1
- 240000000342 Palaquium gutta Species 0.000 description 1
- 239000008156 Ringer's lactate solution Substances 0.000 description 1
- 208000024288 Rotator Cuff injury Diseases 0.000 description 1
- 206010039227 Rotator cuff syndrome Diseases 0.000 description 1
- 208000010040 Sprains and Strains Diseases 0.000 description 1
- 108010023197 Streptokinase Proteins 0.000 description 1
- XSQUKJJJFZCRTK-UHFFFAOYSA-N Urea Chemical compound NC(N)=O XSQUKJJJFZCRTK-UHFFFAOYSA-N 0.000 description 1
- 210000000683 abdominal cavity Anatomy 0.000 description 1
- 238000010521 absorption reaction Methods 0.000 description 1
- 239000002253 acid Substances 0.000 description 1
- 208000026816 acute arthritis Diseases 0.000 description 1
- 230000001154 acute effect Effects 0.000 description 1
- 239000012670 alkaline solution Substances 0.000 description 1
- 238000004458 analytical method Methods 0.000 description 1
- 230000003110 anti-inflammatory effect Effects 0.000 description 1
- 230000002965 anti-thrombogenic effect Effects 0.000 description 1
- 239000012736 aqueous medium Substances 0.000 description 1
- 210000001188 articular cartilage Anatomy 0.000 description 1
- 239000000560 biocompatible material Substances 0.000 description 1
- 210000004204 blood vessel Anatomy 0.000 description 1
- ZEWYCNBZMPELPF-UHFFFAOYSA-J calcium;potassium;sodium;2-hydroxypropanoic acid;sodium;tetrachloride Chemical compound [Na].[Na+].[Cl-].[Cl-].[Cl-].[Cl-].[K+].[Ca+2].CC(O)C(O)=O ZEWYCNBZMPELPF-UHFFFAOYSA-J 0.000 description 1
- 229960000411 camphor oil Drugs 0.000 description 1
- 239000010624 camphor oil Substances 0.000 description 1
- 239000004202 carbamide Substances 0.000 description 1
- 239000001768 carboxy methyl cellulose Substances 0.000 description 1
- 235000010948 carboxy methyl cellulose Nutrition 0.000 description 1
- 125000002057 carboxymethyl group Chemical group [H]OC(=O)C([H])([H])[*] 0.000 description 1
- 239000008112 carboxymethyl-cellulose Substances 0.000 description 1
- 239000000969 carrier Substances 0.000 description 1
- 230000015556 catabolic process Effects 0.000 description 1
- 210000003164 cauda equina Anatomy 0.000 description 1
- 210000004027 cell Anatomy 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 238000006243 chemical reaction Methods 0.000 description 1
- 239000007795 chemical reaction product Substances 0.000 description 1
- 239000003795 chemical substances by application Substances 0.000 description 1
- 210000001612 chondrocyte Anatomy 0.000 description 1
- 229940059329 chondroitin sulfate Drugs 0.000 description 1
- 229920001436 collagen Polymers 0.000 description 1
- 230000000536 complexating effect Effects 0.000 description 1
- 210000002808 connective tissue Anatomy 0.000 description 1
- 238000004132 cross linking Methods 0.000 description 1
- 239000013078 crystal Substances 0.000 description 1
- 230000006378 damage Effects 0.000 description 1
- 230000003247 decreasing effect Effects 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 238000006731 degradation reaction Methods 0.000 description 1
- 238000007865 diluting Methods 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- YVIGPQSYEAOLAD-UHFFFAOYSA-L disodium;dodecyl phosphate Chemical compound [Na+].[Na+].CCCCCCCCCCCCOP([O-])([O-])=O YVIGPQSYEAOLAD-UHFFFAOYSA-L 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 230000004064 dysfunction Effects 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 229940088598 enzyme Drugs 0.000 description 1
- 238000000855 fermentation Methods 0.000 description 1
- 230000004151 fermentation Effects 0.000 description 1
- 230000004761 fibrosis Effects 0.000 description 1
- 238000004108 freeze drying Methods 0.000 description 1
- 235000012209 glucono delta-lactone Nutrition 0.000 description 1
- 229940097043 glucuronic acid Drugs 0.000 description 1
- 229930195712 glutamate Natural products 0.000 description 1
- 229920000588 gutta-percha Polymers 0.000 description 1
- 235000019447 hydroxyethyl cellulose Nutrition 0.000 description 1
- 239000001863 hydroxypropyl cellulose Substances 0.000 description 1
- 235000010977 hydroxypropyl cellulose Nutrition 0.000 description 1
- 210000000936 intestine Anatomy 0.000 description 1
- 238000007918 intramuscular administration Methods 0.000 description 1
- 150000002500 ions Chemical class 0.000 description 1
- 210000003734 kidney Anatomy 0.000 description 1
- 238000013150 knee replacement Methods 0.000 description 1
- 150000002632 lipids Chemical class 0.000 description 1
- 229920006008 lipopolysaccharide Polymers 0.000 description 1
- 229940057995 liquid paraffin Drugs 0.000 description 1
- 210000004185 liver Anatomy 0.000 description 1
- 238000005461 lubrication Methods 0.000 description 1
- 239000002609 medium Substances 0.000 description 1
- 210000000713 mesentery Anatomy 0.000 description 1
- 125000002496 methyl group Chemical group [H]C([H])([H])* 0.000 description 1
- 230000004899 motility Effects 0.000 description 1
- 208000018731 motor weakness Diseases 0.000 description 1
- 210000003205 muscle Anatomy 0.000 description 1
- 230000003387 muscular Effects 0.000 description 1
- 229930014626 natural product Natural products 0.000 description 1
- 125000000449 nitro group Chemical group [O-][N+](*)=O 0.000 description 1
- 230000003287 optical effect Effects 0.000 description 1
- 230000008520 organization Effects 0.000 description 1
- 230000002138 osteoinductive effect Effects 0.000 description 1
- 208000035824 paresthesia Diseases 0.000 description 1
- 210000000505 parietal peritoneum Anatomy 0.000 description 1
- 230000001575 pathological effect Effects 0.000 description 1
- 239000002953 phosphate buffered saline Substances 0.000 description 1
- 238000000554 physical therapy Methods 0.000 description 1
- 239000002504 physiological saline solution Substances 0.000 description 1
- 239000004014 plasticizer Substances 0.000 description 1
- 229920001308 poly(aminoacid) Polymers 0.000 description 1
- 229920001296 polysiloxane Polymers 0.000 description 1
- 229920001343 polytetrafluoroethylene Polymers 0.000 description 1
- 238000002360 preparation method Methods 0.000 description 1
- 238000012545 processing Methods 0.000 description 1
- 238000011321 prophylaxis Methods 0.000 description 1
- 230000003134 recirculating effect Effects 0.000 description 1
- 239000004627 regenerated cellulose Substances 0.000 description 1
- 230000008439 repair process Effects 0.000 description 1
- 230000004044 response Effects 0.000 description 1
- 206010039073 rheumatoid arthritis Diseases 0.000 description 1
- 210000000513 rotator cuff Anatomy 0.000 description 1
- 231100000241 scar Toxicity 0.000 description 1
- 230000001953 sensory effect Effects 0.000 description 1
- 229910052708 sodium Inorganic materials 0.000 description 1
- 210000004872 soft tissue Anatomy 0.000 description 1
- 239000002195 soluble material Substances 0.000 description 1
- 239000002904 solvent Substances 0.000 description 1
- 238000012289 standard assay Methods 0.000 description 1
- 238000011146 sterile filtration Methods 0.000 description 1
- 239000008174 sterile solution Substances 0.000 description 1
- 239000008223 sterile water Substances 0.000 description 1
- 229960005202 streptokinase Drugs 0.000 description 1
- 210000001258 synovial membrane Anatomy 0.000 description 1
- 229940124597 therapeutic agent Drugs 0.000 description 1
- 239000010409 thin film Substances 0.000 description 1
- 210000000115 thoracic cavity Anatomy 0.000 description 1
- 230000009772 tissue formation Effects 0.000 description 1
- 230000008736 traumatic injury Effects 0.000 description 1
- 210000000623 ulna Anatomy 0.000 description 1
- 229940045136 urea Drugs 0.000 description 1
- 230000002792 vascular Effects 0.000 description 1
- 238000005406 washing Methods 0.000 description 1
- 229920003169 water-soluble polymer Polymers 0.000 description 1
Classifications
-
- B—PERFORMING OPERATIONS; TRANSPORTING
- B01—PHYSICAL OR CHEMICAL PROCESSES OR APPARATUS IN GENERAL
- B01D—SEPARATION
- B01D61/00—Processes of separation using semi-permeable membranes, e.g. dialysis, osmosis or ultrafiltration; Apparatus, accessories or auxiliary operations specially adapted therefor
- B01D61/58—Multistep processes
-
- B—PERFORMING OPERATIONS; TRANSPORTING
- B01—PHYSICAL OR CHEMICAL PROCESSES OR APPARATUS IN GENERAL
- B01D—SEPARATION
- B01D61/00—Processes of separation using semi-permeable membranes, e.g. dialysis, osmosis or ultrafiltration; Apparatus, accessories or auxiliary operations specially adapted therefor
- B01D61/24—Dialysis ; Membrane extraction
- B01D61/243—Dialysis
-
- C—CHEMISTRY; METALLURGY
- C08—ORGANIC MACROMOLECULAR COMPOUNDS; THEIR PREPARATION OR CHEMICAL WORKING-UP; COMPOSITIONS BASED THEREON
- C08B—POLYSACCHARIDES; DERIVATIVES THEREOF
- C08B37/00—Preparation of polysaccharides not provided for in groups C08B1/00 - C08B35/00; Derivatives thereof
- C08B37/0003—General processes for their isolation or fractionation, e.g. purification or extraction from biomass
-
- C—CHEMISTRY; METALLURGY
- C08—ORGANIC MACROMOLECULAR COMPOUNDS; THEIR PREPARATION OR CHEMICAL WORKING-UP; COMPOSITIONS BASED THEREON
- C08B—POLYSACCHARIDES; DERIVATIVES THEREOF
- C08B37/00—Preparation of polysaccharides not provided for in groups C08B1/00 - C08B35/00; Derivatives thereof
- C08B37/0006—Homoglycans, i.e. polysaccharides having a main chain consisting of one single sugar, e.g. colominic acid
- C08B37/0024—Homoglycans, i.e. polysaccharides having a main chain consisting of one single sugar, e.g. colominic acid beta-D-Glucans; (beta-1,3)-D-Glucans, e.g. paramylon, coriolan, sclerotan, pachyman, callose, scleroglucan, schizophyllan, laminaran, lentinan or curdlan; (beta-1,6)-D-Glucans, e.g. pustulan; (beta-1,4)-D-Glucans; (beta-1,3)(beta-1,4)-D-Glucans, e.g. lichenan; Derivatives thereof
- C08B37/0027—2-Acetamido-2-deoxy-beta-glucans; Derivatives thereof
- C08B37/003—Chitin, i.e. 2-acetamido-2-deoxy-(beta-1,4)-D-glucan or N-acetyl-beta-1,4-D-glucosamine; Chitosan, i.e. deacetylated product of chitin or (beta-1,4)-D-glucosamine; Derivatives thereof
-
- C—CHEMISTRY; METALLURGY
- C08—ORGANIC MACROMOLECULAR COMPOUNDS; THEIR PREPARATION OR CHEMICAL WORKING-UP; COMPOSITIONS BASED THEREON
- C08B—POLYSACCHARIDES; DERIVATIVES THEREOF
- C08B37/00—Preparation of polysaccharides not provided for in groups C08B1/00 - C08B35/00; Derivatives thereof
- C08B37/006—Heteroglycans, i.e. polysaccharides having more than one sugar residue in the main chain in either alternating or less regular sequence; Gellans; Succinoglycans; Arabinogalactans; Tragacanth or gum tragacanth or traganth from Astragalus; Gum Karaya from Sterculia urens; Gum Ghatti from Anogeissus latifolia; Derivatives thereof
- C08B37/0084—Guluromannuronans, e.g. alginic acid, i.e. D-mannuronic acid and D-guluronic acid units linked with alternating alpha- and beta-1,4-glycosidic bonds; Derivatives thereof, e.g. alginates
-
- B—PERFORMING OPERATIONS; TRANSPORTING
- B01—PHYSICAL OR CHEMICAL PROCESSES OR APPARATUS IN GENERAL
- B01D—SEPARATION
- B01D61/00—Processes of separation using semi-permeable membranes, e.g. dialysis, osmosis or ultrafiltration; Apparatus, accessories or auxiliary operations specially adapted therefor
- B01D61/14—Ultrafiltration; Microfiltration
- B01D61/145—Ultrafiltration
Definitions
- This invention relates to a process for ultra-purifying "medical grade" poly- saccharides so that they may be safely placed internally within the body. More particularly, this invention relates to the prevention of post-surgical fibrin build-up, which ultimately leads to formation of adhesions between adjacent internal body tissues, by the use of highly purified polysaccharides.
- polysaccharides are biodegradable/biocompatible, bioresorbable, biological in nature, and can be easily modified (e.g. cross-linking) to produce devices that can be internally placed in the body for varying lengths of time.
- a polysaccharide for an external application such as a wound dressing
- Hyaluronic acid is one of the few polysaccharides which has found commercial success as an intra-ocular replacement fluid during select ophthalmic procedures. More recently, methyl cellulose has also been offered commercially for similar applications. Internal applications, such as these, require extensive and costly purification processes (U.S.
- Patent 4,141 ,973 for Hyaluronic Acid It has been found that "medical grade" polysaccharide materials such as alginic acid, chitosan, cellulose and derivatives thereof are so impure as to cause severe inflammations when implanted internally in certain sites. There has been a long felt need to provide an inexpensive method of producing highly purified polysaccharides for implantation into the body.
- the highly purified polysaccharide film or solution produced by the purification process of the present invention is primarily used for prevention of fibrous deposition in orthopedic applications, but is also used in applications such as a lavage fluid, joint lubricant, artificial synovial fluid, anti-inflammatory material, an adjunct to physical therapy and a carrier matrix for pharmacologically active agents including growth factors and other osteo-inductive factors.
- the solutions or films may be further modified by various chemical methods already recognized in the literature.
- Tissues such as blood vessels or organs including kidney, liver and intestines are coated with mucous membranes or serous membranes so that they can function independently of each other.
- mucous or serous membranes are the body wall pleura and organ pleura in the thoracic cavity, and the parietal peritoneum and mesentery in the abdominal cavity, each protecting the corresponding organs.
- Surgical trauma or inflammation in those portions of the body coated with serous membranes may result in the adhesion regardless of the size of the affected part. Such adhesions between tissues may be observed in all tissues of the body, not just those mentioned above.
- Adhesions between tissues can lead to severe pain, decreased function, and even permanent loss of motility.
- conditions such as acute or chronic arthritis (e.g. suppurative arthritis, rheumatoid arthritis, gonorrheal arthritis, tuberculous), or traumatic injuries at the joint (e.g. fracture or sprain), would result in aklotic disease wherein the surface of the bones, as well as the effected soft tissues constituting the joint, adhere to each other and thereby restrict the mobility of the joint.
- Another adhesion condition, congenital radioulnar syntosis, wherein a spoke bone and an ulna adhere together, is difficult to remedy by a surgical operation since the separated bones frequently re-adhere.
- the highly purified polysaccharide material of the present invention may be used for orthopedic applications such as prevention of intra-articular adhesion, flexor tendon adhesions, spinal scarring, frozen shoulder, rotator cuff injury and others. Furthermore, this highly purified material may be used as a matrix for growing chondrocytes or other cells for re-implantation and regeneration of natural tissues such as cartilage. As a matrix, the material may also serve as a carrier for growth factors, pharmacologically active agents which might induce the regeneration of selected tissues.
- biodegradable polysaccharide gel, solution or film of the present invention would be placed between tissues to affect adhesion formation, localized in contact with the affected tissue(s) for other applications referenced, and affixed to cover the affected tissue for regeneration.
- the application of these materials may occur before, during or post operatively.
- Co-pending application 07/644,758, filed January 24, 1991 and assigned to the assignee of the present invention relates to the use of derivatives of chitosan for adhesion prevention.
- Still other polysaccharides such as xanthan gum (Higham, U.S. Patent 4,994,277), oxidized regenerated cellulose (Linsky, EP 0262890 and EP 0213563), and sodium/calcium alginate (G. Blaine, Medical Press, August 20, 1947, p. 166).
- An object of this invention is to provide an inexpensive and efficient method of preparing highly purified biodegradable polysaccharides for internal biomedical applications. It is another object of this invention to provide a filtration process for purifying polysaccharides so that a more manageable and easily manipulated film composed of highly purified polysaccharide material may be manufactured.
- the materials of choice in this invention include, but are not limited to, methyl cellulose and derivatives thereof, chitin/chitosan and derivatives, alginic acid, xanthan gum, and low molecular weight hyaluronic acid (> 750,000 daltons).
- Other materials such as collagen, polyamino acids, and others may also successfully be employed utilizing the purification method of this invention. While there have been patents that addressed the purification of naturally occurring hyaluronic acid for medical applications (Balazs, U.S.
- this invention provides for a simple filtering procedure which can be employed for all polysaccharides to be used for internal applications. While many “medical grade” polysaccharides can be purchased from various suppliers, most are unfit for internal implantation in several tissues and result in severe inflammatory responses. What are referred to as “medical grade” are, for the most part, materials approved for food substitutes or for external use. In the present invention, these materials are rendered free of all excess inflammatory agents such as protein, nucleic acids, pyrogen, lipids, hydrophobic impurities, low molecular weight impurities and others.
- the resulting products may provide high molecular weight materials, if desired, which are protein, peptide and pyrogen free and whose concentrated solutions do not cause an inflammatory reaction when implanted in animal or human connective tissue spaces.
- This inflammatory reaction, or lack thereof, may be characterized intra-articularly in the highly sensitive stifle joint of the New Zealand white rabbit. Common methods of analyzing inflammation of this joint would include gross evaluation, cytological evaluation, histopathology, and standard assays for inflammatory mediators in synovial the fluid. It should also be noted that these highly purified materials can be further modified (e.g. cross-linked or blended) to provide final products with varying /n vivo residence times.
- a lavage solution or arthroscopic replacement fluid a purified dilute solution of polysaccharide may be employed. This solution ranges in concentration anywhere from 0.1 %-2.0% depending on the molecular weight of the polysaccharide.
- a more viscous solution or gel of the highly purified polysaccharide may be employed. This type of gel may have a concentration anywhere from 0.1% to 10.0% depending on the molecular weight.
- a lyophilized film offers an excellent form for use.
- the physical form of this film can be manipulated to provide the desired flexibility and thickness which will provide a film with better application qualities as well as efficacy qualities.
- the biodegradable polysaccharides to be used in the various orthopedic appli ⁇ cations indicated would eventually be degraded into smaller biocompatible products which could be easily removed from the body through natural excretory routes.
- water soluble polysaccharides In the process of the present invention it is preferred to use water soluble polysaccharides, however, the invention is not limited to a water-soluble polymer.
- these water soluble materials include, but are not limited to: low molecular weight hyaluronic acid (750,000 daltons), carboxymethyl cellulose, hydroxypropyl cellulose, hydroxyethyl cellulose, sodium alginate, chitin, chitosan, chitosan lactate, chitosan glutamate, chitosan acetate, methyl chitosan, N -carboxymethyl chitosan, O-carboxymethyl chitosan, N,O-carboxymethyl chitosan, N,O-carboxymethyl chitosan acetate, N-carboxybutyl chitosan, O-carboxybutyl chitosan, N,O-carboxybutyl chitosan and xant
- dead end filtration When processing the raw material into the purified material suitable for implan ⁇ tation, it is desired to initially proceed through several dead end filtration steps. For dead end filtration, it is preferred to prepare a relatively dilute solution less than 1% and preferably 0.25% in purified water, (this concentration may be varied depending on the material and the molecular weight) with the higher molecular weight material being diluted further in purified water if necessary to facilitate filtering. It is preferred to conduct the serial dead end filtration via nitrocellulose filters which have a high affinity for protein and nucleic acids. Such filters are available commercially from Schleicher and Schuell.
- the membrane as purchased is modified with polypeptides which specifically bind lipopolysaccharides, and other hydrophobic impurities. It is further preferred that the modified ultra-filtration membrane have a pore size that would allow material to not only pass over the membrane, but also through the membrane so that the impurities discussed above are removed in a more efficient manner. This offers exposure of the materials to a greater surface area of the modified filter. It is also desirable, although not necessary, that the ultra-filtration apparatus have a tangential flow. This would allow for a continual circulation of material rather than a single passage as would occur with an axial flow.
- the pore size of the modified membrane can range anywhere from 0.2 microns to 12 microns depending on the material and molecular weight. If a tangential flow apparatus is used, it is also possible to stack several modified membranes one on the other to reduce the filtering time and at the same time increase the surface area for treatment.
- the next step it is then preferred to dialyze the resulting solution via a standard ultra-filtration technique utilizing a lower molecular weight cut-off membrane.
- the molecular weight cut-off will depend upon the molecular weight of the material being purified and the chemical make-up of the material.
- the highly purified polysaccharide solution made by the method of the present invention may then be placed in the appropriate form for various orthopedic and other medical applications.
- a lavage or arthroscopic fluid may be prepared by taking the highly pure material and dialyzing against water, physiological saline, PBS, Ringers, or other physiological solutions to get the desired Ph and ion make-up for the desired application.
- the appropriate concentration can be obtained by diluting the solution with the appropriate aqueous solution, or concentrating by ultra-filtration against the appropriate solution.
- the final concentration should be approximately 0.1%-4.0%, although this may vary according to the material and its characteristics.
- the highly purified material can be formed into films for applications such as anti-adhesion of the flexor tendon, intra-articular adhesions, spinal scarring, and intra and extra-articular shoulder afflictions.
- the desired way is pouring a solution into a shallow flat container, such as a petri dish, and lyophilizing the solution.
- the resulting product is a highly purified film with outstanding handling characteristics.
- the physical characteristics of the films may be manipulated by varying the solution concentration to produce a stronger, less flexible film with a more concentrated solution, or a weaker, more fibrous film with better flexi ⁇ bility with a less concentrated solution.
- the film may be varied in thickness by varying the amount of solution initially placed in the shallow container.
- the other advantage to utilizing a lyophilized film in these appli ⁇ cations, other than facilitated handling, is that the film does not require plasticizers to produce flexibility, and the lyophilized film will have a longer residence time in the specific location due to the initial time needed to hydrate the material prior to the material entering the gelatinous state.
- a third example of an internal application for the highly purified film is to take the lyophilized films and modify them to further increase the residence time in an anti-adhesion or spinal scarring application.
- This can be accomplished by using well known modification techniques such as complexing of sodium alginate films with calcium chloride, or treatment of carboxymethyl chitosan derivatives with an acid solution as discussed in co-pending application 07/644,758.
- modification techniques such as complexing of sodium alginate films with calcium chloride, or treatment of carboxymethyl chitosan derivatives with an acid solution as discussed in co-pending application 07/644,758.
- modification techniques such as complexing of sodium alginate films with calcium chloride, or treatment of carboxymethyl chitosan derivatives with an acid solution as discussed in co-pending application 07/644,758.
- modification techniques such as complexing of sodium alginate films with calcium chloride, or treatment of carboxymethyl chitosan derivatives with an acid solution as discussed in co-pending application 07/644,758.
- a two liter solution of 0.5% high glucuronic acid content (>50%) sodium alginate was prepared in pyrogen free water (saline, PBS, or Ringer's are alternative solvents).
- the resulting solution was passed through a 12 micron nitro-cellulose membrane filter (Schneider and Schuller).
- This solution was then passed through a 0.45 micron nitro ⁇ cellulose filter (it may be necessary to go to a higher pore size, such as 8 microns, prior to the 0.45, depending on the degree of insoluble impurities in the materials and the molecular weight).
- up to a 45 micron filter may be used as a first step and a 1 micron filter may be used as a final step.
- a 0.5 micron Endotoxin Affinity Membrane (AlerCHEK, Portland, ME Cat # 4200) was installed in a tangential flow ultra-filtration apparatus (Filtron Part Number
- the alginate solution was then allowed to pass over and through the membrane, constantly recirculating for approximately one hour (this could be reduced if two or more membranes, or larger membranes with greater surface area, were utilized). After this filtration, the pale yellow color in the starting solution was gone and a crystal clear alginate solution remained.
- the solution was exhaustively dialyzed on a 300,000 molecular weight cutoff membrane to remove any low molecular weight materials which were not removed by the modified ultra-filtration membrane. This was done against water. For this example, a final 1 liter solution was dialyzed against 7 liters of purified water.
- the molecular weight cutoff for the membrane may be varied depending on the material molecular weight. It is most desirable to use the highest molecular weight cutoff membrane to remove as much low molecular weight material without compromising the desired molecular weight range for the end product.
- the solution can be dialyzed against any appropriate aqueous solution depending on the application.
- the resulting highly purified alginate solution was then run through the standard in vivo biocompatibility tests (sterility, cytotoxicity, pyrogen, hemolysis). Results were negative for each of these tests.
- the material was then implanted, via injection, into the stifle joint of an SPF New Zealand white rabbit for a period of 2-4 days.
- the alginate did not produce a gross inflammatory response, or any abnormal cytological or histo- pathological responses. This demonstrates that the material had been purified to a level suitable for internal orthopedic applications.
- the use of the rabbit stifle joint for biocompatibility testing is superior to intra ⁇ muscular testing.
- Standard intra-muscular implantation of "medical grade" alginate has oh several occasions indicated a biocompatible material.
- this "medical grade” material was implanted into the stifle joint of a rabbit, it produced a severe infiammatory reaction. Therefore, the stifle joint, being highly vascular, provides a conservative site for biocompatibility testing.
- the stifle joint is an area where these purified materials may be used for several orthopedic applications.
- a one liter solution of 0.5% alginate was prepared and purified as indicated above in Example 1. Following the dialysis step against water to remove low molecular weight materials, the solution was dialyzed against 7 liters of Ringer's Lactate on an ultra-filtration membrane with a 30,000 molecular weight cutoff. This solution was then concentrated on the same membrane to half the original volume, thus giving a 1 % solu ⁇ tion of alginate in Ringer's. This resulting solution was sterile filtered through a 0.22 micron disposable sterile filter system (Falcon). This may then be utilized as an infrequently applied lavage solution.
- Falcon 0.22 micron disposable sterile filter system
- a nine liter batch of alginate was prepared as indicated in Example 1 with the exception of the medium, in which Ringer's was substituted throughout the procedure instead of water. After sterile filtration through a 0.22 ⁇ m disposable sterile filter setup, the solution was ready for use as an arthroscopy solution for distention of the joint.
- Example 2 A solution was prepared as indicated in Example 1. The dialysis step was conducted against 7 liters of IN. saline. The final step was concentration on the 30K membrane to 1/4 the original volume giving a 2% final solution. This solution could subsequently be used for prevention of intra-articular adhesions, spinal scarring, flexor tendon adhesion, intra-articular injections for inflamed joints, or a lubricant for frozen shoulder.
- a 0.5% solution as prepared in Example 1 was sterile filtered and subsequently freeze dried aseptically. This freeze dried material was then rehydrated with an appropriate aqueous medium to any desired concentration.
- an appropriate aqueous medium for example, 5.25 g of purified, sterile, freeze dried alginate could be rehydrated in 50 cc of Ringer's to give a solution of 10.5%. This could be aseptically placed in a syringe and injected into a 1 liter IN. bag of Ringer's for an arthroscopic procedure, giving a final concentration in the bag of 0.5%.
- Example 1 Approximately 50 cc of the solution prepared in Example 1 was placed into a standard 90 mm diameter petri dish. The petri dish was then placed in a tray drier at -50°C for 3 days (until the material was fully dehydrated). The resulting film was cut into 2.5 cm 2 and sterilized by exposure to 0.5 mRad of gamma irradiation. The resulting film was very flexible and may be applied to prevent flexor tendon adhesions, spinal scarring intra-articular adhesions, frozen shoulder, and rotator cuff repairs.
- Example 7 A film was prepared identical to the one illustrated in Example 6, with the exception that the solution was filter sterilized following the dialysis step and the lyophilization of the film was done aseptically. (Preparation via this method will lead to a material with characteristics more closely aligned with the raw material as degradation created by gamma irradiation would not be evident, as might be the case in Example 6).
- Example 9 A solution was prepared as outlined in Example 1. Following the dialysis against the 7 liters of purified water, the solution was concentrated to 1/4 the original volume producing a 2% solution. A 50 cc sample of this was placed in a petri dish and placed in a tray dryer for three days at -50°C. The resulting film was less fibrous and less flexible, but retained more integrity than that of the film prepared in Example 6. This type of film could be effectively utilized in a spinal scarring application where the laminectomy defect is relatively more substantial.
- Example 9 A solution was prepared as outlined in Example 1. Following the dialysis against the 7 liters of purified water, the solution was concentrated to 1/4 the original volume producing a 2% solution. A 50 cc sample of this was placed in a petri dish and placed in a tray dryer for three days at -50°C. The resulting film was less fibrous and less flexible, but retained more integrity than that of the film prepared in Example 6. This type of film could be effectively utilized in a spinal scarring application where the laminectomy defect is relatively more
- a film was prepared as outlined in Example 6.
- the sterile alginate film was subsequently submerged in a sterile solution of 2% calcium chloride for 30 minutes.
- the resulting film was rendered insoluble in water.
- the film was exhaustively washed in sterile water to remove excess calcium chloride.
- the film was tested for sterility, cytotoxicity, and hemolysis. All tests were negative. This film may be applied in areas where a longer in vivo residence time of the film would be required. This would include spinal scarring, flexor tendon adhesions, and intra-articular adhesions.
- a solution of sodium alginate was prepared as described in Example 1. . Approximately 100 cc were sterile filtered through a 0.22 micron sterile membrane apparatus (Falcon). Under a laminar flow hood, 35 cc of the solution was placed into a sterile container. Approximately 0.158 grams of calcium carbonate (sterilized by steam autoclave) was added to the solution and it was stirred. After about 30 minutes to allow the calcium carbonate to totally disperse, a freshly made solution of D-glucono- delta-lactone (GDL) (0.187 g in 10 cc water) was sterile filtered into the solution.
- GDL D-glucono- delta-lactone
- a gel was prepared as indicated in Example 10. The gel was allowed to dehydrate under laminar flow for 24 hours. The gel was then rehydrated in a 0.1% solution of heparin. This gel could then be used as a method of delivering an anti- thrombogenic material to further assist in reducing fibrinous exudate build up in the process of adhesion formation. This example also indicates the possibility of delivering enzymes such as streptokinase to break down adhesions in areas where they have already formed, or delivery of Tissue Plasminogen Activator (TPA) also known to break down fibrinous tissue.
- TPA Tissue Plasminogen Activator
- Example 6 A solution was prepared as indicated in Example 1. Further, heparin (from Sigma) was added to the solution to give an alginate solution 0.1% in heparin. This was then placed into a film form as indicated in Example 6.
- a 0.5% solution of N.O-CM Chitosan (NOVA Chem) was prepared by dissolving the material in purified pyrogen free water. The solution was initially filtered through a 12 micron nitro-cellulose filter, followed by filtration through an 8 micron nitro-cellufose filter, and a 0.45 micron nitro cellulose filter. The resulting material was passed over and through the 0.5 micron modified ultra-filtration membrane (AlerCHEK) for 8 hours via tangential flow ultrafiitration set (Filtron). The resulting solution was then dialyzed against 7 liters of water on a 30K molecular weight cut off membrane utilizing the same ultra-filtration setup without the modified 0.5 micron filter.
- This solution was then sterile filtered through a 0.45 micron sterile filter (Falcon). 0.5 cc of this solution was placed intra-articularly into a New Zealand white rabbit. After 2 days the rabbit was sacrificed and the joint evaluated. There was no abnormal finding at necropsy, nor on cytological evaluation of the synovial fluid, nor on histology of the various tissues, including the articular cartilage, and the synovial membrane.
- Example 13 A sample of NOCC prepared in Example 13 was taken and processed exactly as the alginate in Example 6. The resulting film was extremely flexible and could be utilized for all the applications noted with the alginate films.
- a 30cc sample of the solution prepared in Example 13 was cast in a 90 mm petri dish and allowed to evaporate for 24 hours. The resulting thin film was easily removed from the plate and may be utilized as described above.
Landscapes
- Chemical & Material Sciences (AREA)
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Chemical Kinetics & Catalysis (AREA)
- Engineering & Computer Science (AREA)
- General Health & Medical Sciences (AREA)
- Water Supply & Treatment (AREA)
- Molecular Biology (AREA)
- Biochemistry (AREA)
- Materials Engineering (AREA)
- Medicinal Chemistry (AREA)
- Polymers & Plastics (AREA)
- Organic Chemistry (AREA)
- Urology & Nephrology (AREA)
- Sustainable Development (AREA)
- Materials For Medical Uses (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
Abstract
A process for purifying polysaccharides includes forming a 1% solution of medial grade polysaccharides and passing them through three filters. The first and second filters being nitrocellulose filters whith the third filter being modified with polypeptides to bind hydrophobic impurities. The resulting solution is then dialyzed to remove low molecular weight impurities.
Description
ULTRA-PURE POLYSACCHARIDE MATERIALS FOR MEDICAL USE
BACKGROUND OF THE INVENTION
Field of the Invention
This invention relates to a process for ultra-purifying "medical grade" poly- saccharides so that they may be safely placed internally within the body. More particularly, this invention relates to the prevention of post-surgical fibrin build-up, which ultimately leads to formation of adhesions between adjacent internal body tissues, by the use of highly purified polysaccharides.
Description of the Prior Art
Recently, polysaccharides have gained attention in the medical field, particularly for use in the area of wound dressings. Materials such as cellulose, cellulose deriva¬ tives, calcium alginate, chitin and chitin derivatives have been found in commercially available wound dressing materials. Other materials such as hyaluronic acid are being explored for wound dressing applications.
The advantage of using select polysaccharides in medical applications is that they are biodegradable/biocompatible, bioresorbable, biological in nature, and can be easily modified (e.g. cross-linking) to produce devices that can be internally placed in the body for varying lengths of time. However, from a biocompatibility standpoint, the use of a polysaccharide for an external application, such as a wound dressing, can differ drastically from use internally. Hyaluronic acid is one of the few polysaccharides which has found commercial success as an intra-ocular replacement fluid during select ophthalmic procedures. More recently, methyl cellulose has also been offered commercially for similar applications. Internal applications, such as these, require extensive and costly purification processes (U.S. Patent 4,141 ,973 for Hyaluronic Acid). It has been found that "medical grade" polysaccharide materials such as alginic acid, chitosan, cellulose and derivatives thereof are so impure as to cause severe inflammations when implanted internally in certain sites. There has been a long felt need to provide an inexpensive method of producing highly purified polysaccharides for implantation into the body.
The highly purified polysaccharide film or solution produced by the purification process of the present invention is primarily used for prevention of fibrous deposition in orthopedic applications, but is also used in applications such as a lavage fluid, joint lubricant, artificial synovial fluid, anti-inflammatory material, an adjunct to physical therapy and a carrier matrix for pharmacologically active agents including growth factors and other osteo-inductive factors. The solutions or films may be further modified by various chemical methods already recognized in the literature.
An adhesion results from the organization of fibrinous exudate on tissue surfaces due to the infliction of trauma or process of inflammation. Tissues such as blood vessels or organs including kidney, liver and intestines are coated with mucous membranes or serous membranes so that they can function independently of each other. Examples of the mucous or serous membranes are the body wall pleura and organ pleura in the thoracic cavity, and the parietal peritoneum and mesentery in the abdominal cavity, each protecting the corresponding organs. Surgical trauma or inflammation in those portions of the body coated with serous membranes may result in the adhesion regardless of the size of the affected part. Such adhesions between tissues may be observed in all tissues of the body, not just those mentioned above. Adhesions between tissues can lead to severe pain, decreased function, and even permanent loss of motility. In the orthopedics field, conditions such as acute or chronic arthritis (e.g. suppurative arthritis, rheumatoid arthritis, gonorrheal arthritis, tuberculous), or traumatic injuries at the joint (e.g. fracture or sprain), would result in aklotic disease wherein the surface of the bones, as well as the effected soft tissues constituting the joint, adhere to each other and thereby restrict the mobility of the joint. Another adhesion condition, congenital radioulnar syntosis, wherein a spoke bone and an ulna adhere together, is difficult to remedy by a surgical operation since the separated bones frequently re-adhere. While complications of the patella-femoral joint following total knee replacement are rare, the dysfunction of the patella-femoral articulation has been found to be secondary to intra-articular fibrous bands (Thorpe et al, Journal of Bone and Joint Surgery (JBJS) Vol. 72A, No. 6, p. 811, 1990). Intra-articular fibrosis in anterior cruciate ligament (ACL) reconstruction has also been noted (K. Shelbourne et al, Am. J. Sports Med., Vol. 19, No. 4, p. 332, 1991).
Adhesions are also prominent in tendon surgery. In this instance, there is a general tendency towards adhesions between the tendon and the tendon sheath and other surrounding tissue during an immobilization period following the operation (P. Matthews et al, JBJS Vol. 58B, No. 2, P. 230, 1976; Matthews, The Hand, Vol. 11 , No. 3, P. 233, 1979; Gelberman et al, Hand Clinics, Vol. 1 , No. 1 , P. 35, 1985). More recently, there has been increased interest in the prevention of the "laminectomy membrane" formed following various spinal procedures. This membrane is a well organized mass of fibrinous tissue which replaces the bone that was removed at the laminectomy. This fibrinous mass binds the dura to overlying muscles (H. LaRocca and I. McNab, JBJS, Vol. 56B, No. 3, P. 545, 1974). This causes narrowing of the spinal canal which places pressure on the cauda equina or nerve roots. This scar tissue formation may require reoperation which is tedious and dangerous, leading to the possibility of dural tears and damage to the emergent nerve roots resulting in motor weakness, sensory change, and painful paresthesia. Numerous papers have been published on various treatments to prevent adhesion formation. Treatments such as liquid paraffin, camphor oil, chondroitin sulfate and urea exhibit an insufficient effect since they function only temporarily. Other prophylactic treatments such as silicone membranes, gutta percha, or poly (tetrafluoroethylene) membranes have been used to serve as barriers to adhesion formation. However, these materials remain in the body and many times are recognized by the body as foreign bodies. Therefore, a second operation may be necessary to remove the barrier material.
The highly purified polysaccharide material of the present invention may be used for orthopedic applications such as prevention of intra-articular adhesion, flexor tendon adhesions, spinal scarring, frozen shoulder, rotator cuff injury and others. Furthermore, this highly purified material may be used as a matrix for growing chondrocytes or other cells for re-implantation and regeneration of natural tissues such as cartilage. As a matrix, the material may also serve as a carrier for growth factors, pharmacologically active agents which might induce the regeneration of selected tissues. The thus highly purified biodegradable polysaccharide gel, solution or film of the present invention would be placed between tissues to affect adhesion formation, localized in contact with the affected tissue(s) for other applications referenced, and affixed to cover the affected tissue for regeneration. The application of these materials may occur before, during or post operatively.
Co-pending application 07/644,758, filed January 24, 1991 and assigned to the assignee of the present invention, relates to the use of derivatives of chitosan for adhesion prevention.
Several patents have been issued revolving around the use of hyaluronic acid for anti-adhesion applications (Balasz, U.S. Patent 4,141,973 and DeBelder, WO 86/00912). While these patents focus on the use of gels and films for the prevention of adhesion formation, they do not address the fabrication of highly purified films which can be easily manufactured, manipulated, and applied for various anti-adhesion applications. Other articles and patents have been issued involving the use of polysac¬ charides as carriers of therapeutic agents to prevent fibrin deposition (Mohler, WO 89/00049; Sheffield, U.S. Patent 4,889,722 and Dizegra, EP 0234887). Still other polysaccharides such as xanthan gum (Higham, U.S. Patent 4,994,277), oxidized regenerated cellulose (Linsky, EP 0262890 and EP 0213563), and sodium/calcium alginate (G. Blaine, Medical Press, August 20, 1947, p. 166).
While these patents and publications all address the uses for the polysaccha¬ rides, the issue of purification and fabrication has been limited.
SUMMARY OF THE INVENTION
An object of this invention is to provide an inexpensive and efficient method of preparing highly purified biodegradable polysaccharides for internal biomedical applications. It is another object of this invention to provide a filtration process for purifying polysaccharides so that a more manageable and easily manipulated film composed of highly purified polysaccharide material may be manufactured.
The materials of choice in this invention include, but are not limited to, methyl cellulose and derivatives thereof, chitin/chitosan and derivatives, alginic acid, xanthan gum, and low molecular weight hyaluronic acid (> 750,000 daltons). Other materials such as collagen, polyamino acids, and others may also successfully be employed utilizing the purification method of this invention.
While there have been patents that addressed the purification of naturally occurring hyaluronic acid for medical applications (Balazs, U.S. 4,141 ,973; Hildesheim, EP 0239335; Delia Valle, EP 0138572 and Brown, EP 0144019), this invention provides for a simple filtering procedure which can be employed for all polysaccharides to be used for internal applications. While many "medical grade" polysaccharides can be purchased from various suppliers, most are unfit for internal implantation in several tissues and result in severe inflammatory responses. What are referred to as "medical grade" are, for the most part, materials approved for food substitutes or for external use. In the present invention, these materials are rendered free of all excess inflammatory agents such as protein, nucleic acids, pyrogen, lipids, hydrophobic impurities, low molecular weight impurities and others. The resulting products may provide high molecular weight materials, if desired, which are protein, peptide and pyrogen free and whose concentrated solutions do not cause an inflammatory reaction when implanted in animal or human connective tissue spaces. This inflammatory reaction, or lack thereof, may be characterized intra-articularly in the highly sensitive stifle joint of the New Zealand white rabbit. Common methods of analyzing inflammation of this joint would include gross evaluation, cytological evaluation, histopathology, and standard assays for inflammatory mediators in synovial the fluid. It should also be noted that these highly purified materials can be further modified (e.g. cross-linked or blended) to provide final products with varying /n vivo residence times.
It is important to place the materials purified by the process of the present invention into the appropriate physical form to be effective in each application. In two related uses of the present invention, a lavage solution or arthroscopic replacement fluid, a purified dilute solution of polysaccharide may be employed. This solution ranges in concentration anywhere from 0.1 %-2.0% depending on the molecular weight of the polysaccharide. In other related applications such as adhesion prevention, artificial synovia! jluid, or joint lubrication, a more viscous solution or gel of the highly purified polysaccharide may be employed. This type of gel may have a concentration anywhere from 0.1% to 10.0% depending on the molecular weight. in yet other applications, such as spinal scarring, flexor tendon adhesions, and intra-articular adhesions, a lyophilized film offers an excellent form for use. The physical form of this film can be manipulated to provide the desired flexibility and thickness which will provide a film with better application qualities as well as efficacy qualities.
The biodegradable polysaccharides to be used in the various orthopedic appli¬ cations indicated would eventually be degraded into smaller biocompatible products which could be easily removed from the body through natural excretory routes.
These and other objects and features of the present invention wiH become apparent from the following detailed description, which discloses several examples of the invention.
DESCRIPTION OF THE PREFERRED EMBODIMENT
In the process of the present invention it is preferred to use water soluble polysaccharides, however, the invention is not limited to a water-soluble polymer. Examples of these water soluble materials include, but are not limited to: low molecular weight hyaluronic acid (750,000 daltons), carboxymethyl cellulose, hydroxypropyl cellulose, hydroxyethyl cellulose, sodium alginate, chitin, chitosan, chitosan lactate, chitosan glutamate, chitosan acetate, methyl chitosan, N -carboxymethyl chitosan, O-carboxymethyl chitosan, N,O-carboxymethyl chitosan, N,O-carboxymethyl chitosan acetate, N-carboxybutyl chitosan, O-carboxybutyl chitosan, N,O-carboxybutyl chitosan and xanthan gum. AH of these products are prepared from natural products or may be obtained through well known fermentation methods and are for the most part commercially available in a medical grade.
When processing the raw material into the purified material suitable for implan¬ tation, it is desired to initially proceed through several dead end filtration steps. For dead end filtration, it is preferred to prepare a relatively dilute solution less than 1% and preferably 0.25% in purified water, (this concentration may be varied depending on the material and the molecular weight) with the higher molecular weight material being diluted further in purified water if necessary to facilitate filtering. It is preferred to conduct the serial dead end filtration via nitrocellulose filters which have a high affinity for protein and nucleic acids. Such filters are available commercially from Schleicher and Schuell.
Following dead end filtration it is desired to process the resulting solution by a modified method of ultra-filtration. In this method, a derivatized ultra-filtration
(UF) membrane is utilized. A membrane of this type is available through AlerCHEK
(Portland, Maine). The membrane as purchased is modified with polypeptides which specifically bind lipopolysaccharides, and other hydrophobic impurities. It is further
preferred that the modified ultra-filtration membrane have a pore size that would allow material to not only pass over the membrane, but also through the membrane so that the impurities discussed above are removed in a more efficient manner. This offers exposure of the materials to a greater surface area of the modified filter. It is also desirable, although not necessary, that the ultra-filtration apparatus have a tangential flow. This would allow for a continual circulation of material rather than a single passage as would occur with an axial flow. The pore size of the modified membrane can range anywhere from 0.2 microns to 12 microns depending on the material and molecular weight. If a tangential flow apparatus is used, it is also possible to stack several modified membranes one on the other to reduce the filtering time and at the same time increase the surface area for treatment.
In the next step, it is then preferred to dialyze the resulting solution via a standard ultra-filtration technique utilizing a lower molecular weight cut-off membrane. Once again, the molecular weight cut-off will depend upon the molecular weight of the material being purified and the chemical make-up of the material. In this step, it is desired to use a membrane having the highest possible molecular weight cut-off while still retaining the material with the desired molecular weight. This step will remove any low molecular weight materials which were not removed by absorption onto the modified ultra-filtration membrane in the preceding step. This retained material would then be rendered high in purity.
The highly purified polysaccharide solution made by the method of the present invention may then be placed in the appropriate form for various orthopedic and other medical applications. For example, a lavage or arthroscopic fluid may be prepared by taking the highly pure material and dialyzing against water, physiological saline, PBS, Ringers, or other physiological solutions to get the desired Ph and ion make-up for the desired application. The appropriate concentration can be obtained by diluting the solution with the appropriate aqueous solution, or concentrating by ultra-filtration against the appropriate solution. The final concentration should be approximately 0.1%-4.0%, although this may vary according to the material and its characteristics. Alternatively, the highly purified material can be formed into films for applications such as anti-adhesion of the flexor tendon, intra-articular adhesions, spinal scarring, and intra and extra-articular shoulder afflictions. While there are several ways to prepare films, the desired way is pouring a solution into a shallow flat container, such as a petri dish, and lyophilizing the solution. The resulting product is a highly purified film with
outstanding handling characteristics. The physical characteristics of the films may be manipulated by varying the solution concentration to produce a stronger, less flexible film with a more concentrated solution, or a weaker, more fibrous film with better flexi¬ bility with a less concentrated solution. Again, depending on the application, the film may be varied in thickness by varying the amount of solution initially placed in the shallow container. The other advantage to utilizing a lyophilized film in these appli¬ cations, other than facilitated handling, is that the film does not require plasticizers to produce flexibility, and the lyophilized film will have a longer residence time in the specific location due to the initial time needed to hydrate the material prior to the material entering the gelatinous state.
A third example of an internal application for the highly purified film is to take the lyophilized films and modify them to further increase the residence time in an anti-adhesion or spinal scarring application. This can be accomplished by using well known modification techniques such as complexing of sodium alginate films with calcium chloride, or treatment of carboxymethyl chitosan derivatives with an acid solution as discussed in co-pending application 07/644,758. There are, of course, other methods of modifying the various other polysaccharides mentioned which are well known.
It is also possible in this invention to first produce a modified gel with the highly purified solution, and then fyophilize the gel into a film form.
The invention will now be described in further detail with reference being made to the following examples. It should, however, be recognized that the examples are given as being illustrative of the present invention and are not intended to define the spirit and scope thereof.
Example 1
Atwo liter solution of 0.5% high glucuronic acid content (>50%) sodium alginate was prepared in pyrogen free water (saline, PBS, or Ringer's are alternative solvents). The resulting solution was passed through a 12 micron nitro-cellulose membrane filter (Schneider and Schuller). This solution was then passed through a 0.45 micron nitro¬ cellulose filter (it may be necessary to go to a higher pore size, such as 8 microns, prior to the 0.45, depending on the degree of insoluble impurities in the materials and the molecular weight). Also, if necessary, up to a 45 micron filter may be used as a first step and a 1 micron filter may be used as a final step.
A 0.5 micron Endotoxin Affinity Membrane (AlerCHEK, Portland, ME Cat # 4200) was installed in a tangential flow ultra-filtration apparatus (Filtron Part Number
FS021K01) and the resulting setup was totally dehydrogenated by passage of a dilute alkaline solution or a dilute sodium dodecylphosphate detergent. This was then flushed out with a dilute methanol solution (10%) followed by exhaustive washing with pyrogen- free water. Removal of trace detergent can be determined by UV analysis at 270 nm.
The alginate solution was then allowed to pass over and through the membrane, constantly recirculating for approximately one hour (this could be reduced if two or more membranes, or larger membranes with greater surface area, were utilized). After this filtration, the pale yellow color in the starting solution was gone and a crystal clear alginate solution remained.
Next, the solution was exhaustively dialyzed on a 300,000 molecular weight cutoff membrane to remove any low molecular weight materials which were not removed by the modified ultra-filtration membrane. This was done against water. For this example, a final 1 liter solution was dialyzed against 7 liters of purified water. As noted above, the molecular weight cutoff for the membrane may be varied depending on the material molecular weight. It is most desirable to use the highest molecular weight cutoff membrane to remove as much low molecular weight material without compromising the desired molecular weight range for the end product. The solution can be dialyzed against any appropriate aqueous solution depending on the application.
Finally, the solution was concentrated via standard ultra-filtrations technique to a 1 % concentration.
The resulting highly purified alginate solution was then run through the standard in vivo biocompatibility tests (sterility, cytotoxicity, pyrogen, hemolysis). Results were negative for each of these tests. The material was then implanted, via injection, into the stifle joint of an SPF New Zealand white rabbit for a period of 2-4 days. The alginate did not produce a gross inflammatory response, or any abnormal cytological or histo- pathological responses. This demonstrates that the material had been purified to a level suitable for internal orthopedic applications.
The use of the rabbit stifle joint for biocompatibility testing is superior to intra¬ muscular testing. Standard intra-muscular implantation of "medical grade" alginate has oh several occasions indicated a biocompatible material. However, when this "medical grade" material was implanted into the stifle joint of a rabbit, it produced a severe
infiammatory reaction. Therefore, the stifle joint, being highly vascular, provides a conservative site for biocompatibility testing. Furthermore, the stifle joint is an area where these purified materials may be used for several orthopedic applications.
Example 2
A one liter solution of 0.5% alginate was prepared and purified as indicated above in Example 1. Following the dialysis step against water to remove low molecular weight materials, the solution was dialyzed against 7 liters of Ringer's Lactate on an ultra-filtration membrane with a 30,000 molecular weight cutoff. This solution was then concentrated on the same membrane to half the original volume, thus giving a 1 % solu¬ tion of alginate in Ringer's. This resulting solution was sterile filtered through a 0.22 micron disposable sterile filter system (Falcon). This may then be utilized as an infrequently applied lavage solution.
Example 3
A nine liter batch of alginate was prepared as indicated in Example 1 with the exception of the medium, in which Ringer's was substituted throughout the procedure instead of water. After sterile filtration through a 0.22 μm disposable sterile filter setup, the solution was ready for use as an arthroscopy solution for distention of the joint.
[Example 4
A solution was prepared as indicated in Example 1. The dialysis step was conducted against 7 liters of IN. saline. The final step was concentration on the 30K membrane to 1/4 the original volume giving a 2% final solution. This solution could subsequently be used for prevention of intra-articular adhesions, spinal scarring, flexor tendon adhesion, intra-articular injections for inflamed joints, or a lubricant for frozen shoulder.
Example 5
As an alternative to concentrating the purified solution via ultra-filtration, a 0.5% solution as prepared in Example 1 was sterile filtered and subsequently freeze dried aseptically. This freeze dried material was then rehydrated with an appropriate aqueous medium to any desired concentration. For example, 5.25 g of purified, sterile,
freeze dried alginate could be rehydrated in 50 cc of Ringer's to give a solution of 10.5%. This could be aseptically placed in a syringe and injected into a 1 liter IN. bag of Ringer's for an arthroscopic procedure, giving a final concentration in the bag of 0.5%.
Example 6
Approximately 50 cc of the solution prepared in Example 1 was placed into a standard 90 mm diameter petri dish. The petri dish was then placed in a tray drier at -50°C for 3 days (until the material was fully dehydrated). The resulting film was cut into 2.5 cm2 and sterilized by exposure to 0.5 mRad of gamma irradiation. The resulting film was very flexible and may be applied to prevent flexor tendon adhesions, spinal scarring intra-articular adhesions, frozen shoulder, and rotator cuff repairs.
Example 7 A. film was prepared identical to the one illustrated in Example 6, with the exception that the solution was filter sterilized following the dialysis step and the lyophilization of the film was done aseptically. (Preparation via this method will lead to a material with characteristics more closely aligned with the raw material as degradation created by gamma irradiation would not be evident, as might be the case in Example 6).
Example 8
A solution was prepared as outlined in Example 1. Following the dialysis against the 7 liters of purified water, the solution was concentrated to 1/4 the original volume producing a 2% solution. A 50 cc sample of this was placed in a petri dish and placed in a tray dryer for three days at -50°C. The resulting film was less fibrous and less flexible, but retained more integrity than that of the film prepared in Example 6. This type of film could be effectively utilized in a spinal scarring application where the laminectomy defect is relatively more substantial.
Example 9
A film was prepared as outlined in Example 6. The sterile alginate film was subsequently submerged in a sterile solution of 2% calcium chloride for 30 minutes. The resulting film was rendered insoluble in water. The film was exhaustively washed in sterile water to remove excess calcium chloride. The film was tested for sterility, cytotoxicity, and hemolysis. All tests were negative. This film may be applied in areas where a longer in vivo residence time of the film would be required. This would include spinal scarring, flexor tendon adhesions, and intra-articular adhesions.
Example 10
A solution of sodium alginate was prepared as described in Example 1. . Approximately 100 cc were sterile filtered through a 0.22 micron sterile membrane apparatus (Falcon). Under a laminar flow hood, 35 cc of the solution was placed into a sterile container. Approximately 0.158 grams of calcium carbonate (sterilized by steam autoclave) was added to the solution and it was stirred. After about 30 minutes to allow the calcium carbonate to totally disperse, a freshly made solution of D-glucono- delta-lactone (GDL) (0.187 g in 10 cc water) was sterile filtered into the solution. This was allowed to be stirred for about 20 minutes at which point a sample of 30 cc was poured into a 90 mm dish. After about 24 hours a smooth optical clear gel was obtained. The gel was then extensively washed against water and tested for sterility, cytotoxicity (direct and extraction), and hemolysis (direct and extraction). All tests were negative. This material may be used to prevent spinal scarring, intra-articular adhesions, and may have some potential as an artificial cartilage.
Example 11
A gel was prepared as indicated in Example 10. The gel was allowed to dehydrate under laminar flow for 24 hours. The gel was then rehydrated in a 0.1% solution of heparin. This gel could then be used as a method of delivering an anti- thrombogenic material to further assist in reducing fibrinous exudate build up in the process of adhesion formation. This example also indicates the possibility of delivering enzymes such as streptokinase to break down adhesions in areas where they have already formed, or delivery of Tissue Plasminogen Activator (TPA) also known to break down fibrinous tissue.
Example 12
A solution was prepared as indicated in Example 1. Further, heparin (from Sigma) was added to the solution to give an alginate solution 0.1% in heparin. This was then placed into a film form as indicated in Example 6.
Example 13
A 0.5% solution of N.O-CM Chitosan (NOVA Chem) was prepared by dissolving the material in purified pyrogen free water. The solution was initially filtered through a 12 micron nitro-cellulose filter, followed by filtration through an 8 micron nitro-cellufose filter, and a 0.45 micron nitro cellulose filter. The resulting material was passed over and through the 0.5 micron modified ultra-filtration membrane (AlerCHEK) for 8 hours via tangential flow ultrafiitration set (Filtron). The resulting solution was then dialyzed against 7 liters of water on a 30K molecular weight cut off membrane utilizing the same ultra-filtration setup without the modified 0.5 micron filter. This solution was then sterile filtered through a 0.45 micron sterile filter (Falcon). 0.5 cc of this solution was placed intra-articularly into a New Zealand white rabbit. After 2 days the rabbit was sacrificed and the joint evaluated. There was no abnormal finding at necropsy, nor on cytological evaluation of the synovial fluid, nor on histology of the various tissues, including the articular cartilage, and the synovial membrane.
Example 14
A sample of NOCC prepared in Example 13 was taken and processed exactly as the alginate in Example 6. The resulting film was extremely flexible and could be utilized for all the applications noted with the alginate films.
Example 15
A 30cc sample of the solution prepared in Example 13 was cast in a 90 mm petri dish and allowed to evaporate for 24 hours. The resulting thin film was easily removed from the plate and may be utilized as described above.
While several examples of the present invention have been described, it is obvious that many changes and modifications may be made thereunto, without departing from the spirit and scope of the invention.
Claims
1. A process for purifying polysaccharides comprising: filtering a polysaccharide solution having a concentration of less than 1% through a first nitrocellulose filter having a pore size of at least 45 microns; filtering the resulting solution through a second nitrocellulose filter having a pore size of less than 12 microns; filtering the resultant solution through a membrane having a pore size less than 12 microns, said membrane modified with polypeptides to bind hydrophobic impurities; and dialyzing the resulting solution with a membrane having a lower molecular weight cut-off than the first ultra-filtration membrane.
2. The process for purifying polysaccharides as set forth in claim 1 wherein said first filter has a pore size of 8 to 12 microns and said second filler has a pore size of .22 to .45 micron.
3. A polysaccharide material for biomedical application made by the process of claim 1.
4. A process for purifying polysaccharides comprising the steps of: forming a less than 1% by weight aqueous solution of polysaccharides; passing this solution through at least one filtration step with a nitrocellulose filter having a pore size of less than one micron; filtering the resultant solution with a membrane having a pore size less than 12 microns, said membrane modified with polypeptides to bind hydrophobic impurities; and dialyzing the second resultant solution against an aqueous solution.
5. A polysaccharide material for biomedical applications made by the process of claim 4.
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US812,185 | 1977-07-01 | ||
US81218591A | 1991-12-20 | 1991-12-20 |
Publications (1)
Publication Number | Publication Date |
---|---|
WO1993013136A1 true WO1993013136A1 (en) | 1993-07-08 |
Family
ID=25208795
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US1992/009497 WO1993013136A1 (en) | 1991-12-20 | 1992-11-13 | Ultra-pure polysaccharide materials for medical use |
Country Status (3)
Country | Link |
---|---|
AU (1) | AU3065192A (en) |
PT (1) | PT101140A (en) |
WO (1) | WO1993013136A1 (en) |
Cited By (30)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2000029449A1 (en) * | 1998-11-13 | 2000-05-25 | Cp Kelco U.S. Inc. | Biopolymer salts with low endotoxin levels, biopolymer compositions thereof and methods of making the same |
CN1062870C (en) * | 1997-12-16 | 2001-03-07 | 张文沂 | Method for purifying sun-flower seed low-ester pectine |
CN1086391C (en) * | 1998-12-12 | 2002-06-19 | 中国科学院新疆化学研究所 | Oligosaccharide purification method |
US6544503B1 (en) | 1995-06-06 | 2003-04-08 | C. R. Bard, Inc. | Process for the preparation of aqueous dispersions of particles of water-soluble polymers and the particles obtained |
EP1452546A3 (en) * | 1993-12-01 | 2004-10-13 | Marine Polymer Technologies, Inc. | Poly-beta-1,4-N-Acetyglucosamine |
WO2009054181A1 (en) | 2007-10-24 | 2009-04-30 | Mochida Pharmaceutical Co., Ltd. | Composition for treatment of joint disease |
WO2009063291A1 (en) * | 2007-11-13 | 2009-05-22 | Bio-Technology General (Israel) Ltd. | Dilute filtration sterilization process for viscoelastic biopolymers |
WO2009093184A1 (en) * | 2008-01-23 | 2009-07-30 | Universita' Degli Studi Di Perugia | A process for the ultrapurification of alginates |
WO2013027854A1 (en) | 2011-08-23 | 2013-02-28 | 持田製薬株式会社 | Composition for regeneration of cartilage |
US8530644B2 (en) | 2008-06-19 | 2013-09-10 | Bender Analytical Holding B.V. | Method for removing impurities from biopolymer material |
JPWO2016114355A1 (en) * | 2015-01-15 | 2017-04-27 | 国立大学法人 東京大学 | Anti-adhesion composition |
EP3189859A1 (en) | 2007-02-21 | 2017-07-12 | Mochida Pharmaceutical Co., Ltd. | Composition for treatment of cartilage disease |
WO2017159700A1 (en) | 2016-03-14 | 2017-09-21 | 公益財団法人田附興風会 | Nerve regeneration-inducing material |
WO2017163603A1 (en) | 2016-03-23 | 2017-09-28 | 国立大学法人北海道大学 | Composition for treating intervertebral disc |
WO2018012605A1 (en) | 2016-07-13 | 2018-01-18 | 持田製薬株式会社 | Adhesion-preventing composition |
WO2018159768A1 (en) | 2017-03-02 | 2018-09-07 | 持田製薬株式会社 | Composition for treating fibrocartilage tissue damage |
WO2018164128A1 (en) | 2017-03-07 | 2018-09-13 | 持田製薬株式会社 | Alginate liquid formulation |
WO2019138583A1 (en) | 2018-01-15 | 2019-07-18 | 持田製薬株式会社 | Anti-adhesion composition |
WO2019168058A1 (en) | 2018-02-28 | 2019-09-06 | 持田製薬株式会社 | Novel photocrosslinkable alginic acid derivative |
WO2019189330A1 (en) | 2018-03-28 | 2019-10-03 | 持田製薬株式会社 | Novel reactive alginic acid derivatives |
WO2019240219A1 (en) | 2018-06-14 | 2019-12-19 | 持田製薬株式会社 | Novel crosslinked alginic acid |
WO2020262642A1 (en) | 2019-06-28 | 2020-12-30 | 持田製薬株式会社 | Transplantation device using chemically crosslinked alginic acid |
WO2021060336A1 (en) | 2019-09-25 | 2021-04-01 | 持田製薬株式会社 | Novel crosslinked alginic acid structure |
WO2021125255A1 (en) | 2019-12-18 | 2021-06-24 | 持田製薬株式会社 | Novel crosslinked alginic acid |
WO2021145325A1 (en) | 2020-01-14 | 2021-07-22 | 持田製薬株式会社 | Combination and method for treating subject using alginic acid salt |
WO2022025229A1 (en) | 2020-07-31 | 2022-02-03 | 持田製薬株式会社 | Composition for preventing adhesion |
WO2022137345A1 (en) | 2020-12-22 | 2022-06-30 | 持田製薬株式会社 | Transplantation device using chemically crosslinked alginic acid |
WO2022145420A1 (en) | 2020-12-28 | 2022-07-07 | 持田製薬株式会社 | Novel multilayer polymer-coated crosslinked alginate gel fiber |
WO2022145419A1 (en) | 2020-12-28 | 2022-07-07 | 持田製薬株式会社 | Multilayer structure using chemically crosslinked alginic acid |
WO2022270549A1 (en) | 2021-06-23 | 2022-12-29 | 持田製薬株式会社 | Novel polymer-coated crosslinked alginate gel fiber |
Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
FR2196343A1 (en) * | 1972-08-16 | 1974-03-15 | Uniroyal Ltd | |
EP0144019A2 (en) * | 1983-11-25 | 1985-06-12 | Miles Inc. | Ultrapure hyaluronic acid and method of making it |
-
1992
- 1992-11-13 WO PCT/US1992/009497 patent/WO1993013136A1/en active Application Filing
- 1992-11-13 AU AU30651/92A patent/AU3065192A/en not_active Abandoned
- 1992-12-18 PT PT101140A patent/PT101140A/en not_active Application Discontinuation
Patent Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
FR2196343A1 (en) * | 1972-08-16 | 1974-03-15 | Uniroyal Ltd | |
EP0144019A2 (en) * | 1983-11-25 | 1985-06-12 | Miles Inc. | Ultrapure hyaluronic acid and method of making it |
Non-Patent Citations (1)
Title |
---|
DATABASE WPIL Section Ch, Week 9004, Derwent Publications Ltd., London, GB; Class B, AN 90-026249 * |
Cited By (50)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP1452546A3 (en) * | 1993-12-01 | 2004-10-13 | Marine Polymer Technologies, Inc. | Poly-beta-1,4-N-Acetyglucosamine |
US6544503B1 (en) | 1995-06-06 | 2003-04-08 | C. R. Bard, Inc. | Process for the preparation of aqueous dispersions of particles of water-soluble polymers and the particles obtained |
CN1062870C (en) * | 1997-12-16 | 2001-03-07 | 张文沂 | Method for purifying sun-flower seed low-ester pectine |
WO2000029449A1 (en) * | 1998-11-13 | 2000-05-25 | Cp Kelco U.S. Inc. | Biopolymer salts with low endotoxin levels, biopolymer compositions thereof and methods of making the same |
US6451772B1 (en) | 1998-11-13 | 2002-09-17 | Monsanto Company | Biopolymer salts with low endotoxin levels, biopolymer compositions thereof and methods of making the same |
CN1086391C (en) * | 1998-12-12 | 2002-06-19 | 中国科学院新疆化学研究所 | Oligosaccharide purification method |
EP3189859A1 (en) | 2007-02-21 | 2017-07-12 | Mochida Pharmaceutical Co., Ltd. | Composition for treatment of cartilage disease |
WO2009054181A1 (en) | 2007-10-24 | 2009-04-30 | Mochida Pharmaceutical Co., Ltd. | Composition for treatment of joint disease |
JP2011503047A (en) * | 2007-11-13 | 2011-01-27 | バイオ−テクノロジー ゼネラル(イスラエル)リミテッド | Dilution filtration sterilization process for viscoelastic biopolymers |
WO2009063291A1 (en) * | 2007-11-13 | 2009-05-22 | Bio-Technology General (Israel) Ltd. | Dilute filtration sterilization process for viscoelastic biopolymers |
AU2008322629B2 (en) * | 2007-11-13 | 2013-05-16 | Bio-Technology General (Israel) Ltd. | Dilute filtration sterilization process for viscoelastic biopolymers |
US9896518B2 (en) | 2007-11-13 | 2018-02-20 | Bio-Technology General (Israel) Ltd. | Dilute filtration sterilization process for viscoelastic biopolymers |
RU2501811C2 (en) * | 2007-11-13 | 2013-12-20 | Био-Текнолоджи Дженерал (Изрейел) Лтд. | Method for sterilisation by filtration of diluted viscoelastic biopolymers (versions) |
US20100298262A1 (en) * | 2008-01-23 | 2010-11-25 | Giuseppe Pietro Pio Basta | Process for the ultrapurification of alginates |
WO2009093184A1 (en) * | 2008-01-23 | 2009-07-30 | Universita' Degli Studi Di Perugia | A process for the ultrapurification of alginates |
JP2011510150A (en) * | 2008-01-23 | 2011-03-31 | ジーエイチ・ケア・インク・ディービーエイ・アルトユーセル | Ultra high purity purification method of alginate |
AU2009207386B2 (en) * | 2008-01-23 | 2014-03-06 | Gh Care Inc. D/B/A Altucell | A process for the ultrapurification of alginates |
US8765937B2 (en) | 2008-01-23 | 2014-07-01 | GH Care, Inc. | Process for the ultrapurification of alginates |
US8530644B2 (en) | 2008-06-19 | 2013-09-10 | Bender Analytical Holding B.V. | Method for removing impurities from biopolymer material |
WO2013027854A1 (en) | 2011-08-23 | 2013-02-28 | 持田製薬株式会社 | Composition for regeneration of cartilage |
JPWO2016114355A1 (en) * | 2015-01-15 | 2017-04-27 | 国立大学法人 東京大学 | Anti-adhesion composition |
WO2017159700A1 (en) | 2016-03-14 | 2017-09-21 | 公益財団法人田附興風会 | Nerve regeneration-inducing material |
WO2017163603A1 (en) | 2016-03-23 | 2017-09-28 | 国立大学法人北海道大学 | Composition for treating intervertebral disc |
EP4374886A1 (en) | 2016-03-23 | 2024-05-29 | National University Corporation Hokkaido University | Composition for treating intervertebral disc |
WO2018012605A1 (en) | 2016-07-13 | 2018-01-18 | 持田製薬株式会社 | Adhesion-preventing composition |
JP2022090089A (en) * | 2016-07-13 | 2022-06-16 | 持田製薬株式会社 | Adhesion prevention composition |
JPWO2018012605A1 (en) * | 2016-07-13 | 2019-04-25 | 持田製薬株式会社 | Adhesion preventing composition |
US11890145B2 (en) | 2016-07-13 | 2024-02-06 | The University Of Tokyo | Adhesion-preventing composition |
US11464597B2 (en) | 2016-07-13 | 2022-10-11 | The University Of Tokyo | Adhesion-preventing composition |
WO2018159768A1 (en) | 2017-03-02 | 2018-09-07 | 持田製薬株式会社 | Composition for treating fibrocartilage tissue damage |
EP3593807A4 (en) * | 2017-03-07 | 2020-12-16 | Mochida Pharmaceutical Co., Ltd. | LIQUID FORMULATION OF ALGINATE |
WO2018164128A1 (en) | 2017-03-07 | 2018-09-13 | 持田製薬株式会社 | Alginate liquid formulation |
US11969437B2 (en) | 2017-03-07 | 2024-04-30 | Mochida Pharmaceutical Co., Ltd. | Alginate liquid preparation |
EP4295838A3 (en) * | 2017-03-07 | 2024-01-17 | Mochida Pharmaceutical Co., Ltd. | Alginate liquid formulation |
EP4295838A2 (en) | 2017-03-07 | 2023-12-27 | Mochida Pharmaceutical Co., Ltd. | Alginate liquid formulation |
CN111936175A (en) * | 2018-01-15 | 2020-11-13 | 持田制药株式会社 | Anti-blocking composition |
JPWO2019138583A1 (en) * | 2018-01-15 | 2021-01-28 | 持田製薬株式会社 | Adhesion prevention composition |
WO2019138583A1 (en) | 2018-01-15 | 2019-07-18 | 持田製薬株式会社 | Anti-adhesion composition |
WO2019168058A1 (en) | 2018-02-28 | 2019-09-06 | 持田製薬株式会社 | Novel photocrosslinkable alginic acid derivative |
WO2019189330A1 (en) | 2018-03-28 | 2019-10-03 | 持田製薬株式会社 | Novel reactive alginic acid derivatives |
WO2019240219A1 (en) | 2018-06-14 | 2019-12-19 | 持田製薬株式会社 | Novel crosslinked alginic acid |
WO2020262642A1 (en) | 2019-06-28 | 2020-12-30 | 持田製薬株式会社 | Transplantation device using chemically crosslinked alginic acid |
WO2021060336A1 (en) | 2019-09-25 | 2021-04-01 | 持田製薬株式会社 | Novel crosslinked alginic acid structure |
WO2021125255A1 (en) | 2019-12-18 | 2021-06-24 | 持田製薬株式会社 | Novel crosslinked alginic acid |
WO2021145325A1 (en) | 2020-01-14 | 2021-07-22 | 持田製薬株式会社 | Combination and method for treating subject using alginic acid salt |
WO2022025229A1 (en) | 2020-07-31 | 2022-02-03 | 持田製薬株式会社 | Composition for preventing adhesion |
WO2022137345A1 (en) | 2020-12-22 | 2022-06-30 | 持田製薬株式会社 | Transplantation device using chemically crosslinked alginic acid |
WO2022145419A1 (en) | 2020-12-28 | 2022-07-07 | 持田製薬株式会社 | Multilayer structure using chemically crosslinked alginic acid |
WO2022145420A1 (en) | 2020-12-28 | 2022-07-07 | 持田製薬株式会社 | Novel multilayer polymer-coated crosslinked alginate gel fiber |
WO2022270549A1 (en) | 2021-06-23 | 2022-12-29 | 持田製薬株式会社 | Novel polymer-coated crosslinked alginate gel fiber |
Also Published As
Publication number | Publication date |
---|---|
AU3065192A (en) | 1993-07-28 |
PT101140A (en) | 1994-02-28 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
WO1993013136A1 (en) | Ultra-pure polysaccharide materials for medical use | |
EP0648122B1 (en) | PREVENTING TISSUE ADHESION USING $i(IN SITU) MODIFICATION OF ALGINATE | |
EP0190215B1 (en) | Gel for preventing adhesion between body tissues and process for its production | |
AU2004312532B2 (en) | Cohesive gels form cross-linked hyaluronan and/or hylan, their preparation and use | |
KR100374666B1 (en) | Hyaluronic acid gel, process for producing the same and medical material containing the same | |
CA1073360A (en) | Non-antigenic collagen and articles of manufacture | |
KR100620291B1 (en) | Hyaluronic acid gel, preparation method thereof and medical material containing same | |
JPS5988424A (en) | Hemostatic method, fiber proliferation inhibition and tissueregeneration promotion for tissue wound | |
WO1996033751A1 (en) | Injectable hyaluronic acid-containing dual-phase compositions, particularly useful in corrective and plastic surgery | |
GB2314842A (en) | Protein/oxidised regenerated cellulose complexes | |
KR20010102231A (en) | Hyaluronic acid gel composition, process for producing the same, and medical material containing the same | |
EP1753787A1 (en) | Method of covalently linking hyaluronan and chitosan | |
JPH0790041B2 (en) | Material useful for prevention of adhesion between living tissues and preparation method thereof | |
Hu et al. | Study on repair of abdominal wall defect rats with hernia mesh coated with chitosan-based photosensitive hydrogel | |
CN111388755A (en) | Injectable hyaluronic acid/chitosan hydrogel and preparation method thereof | |
WO1996003147A1 (en) | Synthesis of chemical gels from polyelectrolyte polysaccharides by gamma-irradiation | |
JPH0826081B2 (en) | Method for insolubilizing N-carboxyalkyl derivative of chitosan | |
Murali et al. | Natural biopolymers in tissue engineering—role, challenges, and clinical applications | |
JP3420851B2 (en) | Anti-adhesion agent | |
Sionkowska | 11 Natural Polymers As | |
Ikada | Biocompatibility of hydrogels | |
Sionkowska | Natural Polymers as Components of Blends for Biomedical Applications | |
Sarkar et al. | Biopolymers in Wound Dressing | |
Sionkowska | 11 NC atural Polymers as omponents of Blends | |
Weng et al. | Carbohydrate-Derived Self-Crosslinkable In Situ Gelable Hydrogels for Modulation of Wound Healing |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
AK | Designated states |
Kind code of ref document: A1 Designated state(s): AU CA JP |
|
AL | Designated countries for regional patents |
Kind code of ref document: A1 Designated state(s): AT BE CH DE DK ES FR GB GR IE IT LU MC NL SE |
|
122 | Ep: pct application non-entry in european phase |