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Title: Method for manufacturing an implant consisting of
a carrier material containing medically active agents
United States Patent: 6,251,673
Inventors: Winkler; Heinz (Vienna, AT)
Assignee: Mediphore-Biotechnologie AG (Vienna, AT)
Appl. No.: 254555
Filed: May 4, 1999
PCT Filed: September 10, 1997
PCT NO: PCT/AT97/00198
371 Date: May 4, 1999
102(e) Date: May 4, 1999
PCT PUB.NO.: WO98/10802
PCT PUB. Date: March 19, 1998
Foreign Application Priority Data: Sep 10, 1996[AU]
(1606/96)
Abstract
The invention concerns an implant consisting of a carrier material
containing medical substances such as pharmaceuticals, antibiotics,
cytotstatic agents, hormones or the like made out of organic matter,
preferably of a biological tissue of human, animal or plant origin, which
before being incubated preferably in vacuum with one or the substances, is
broken up, cleaned and freeze-dried.
SUMMARY OF THE INVENTION
From U.S. Pat. No. 4,882,149 A, a carrier material is
known which is air-dried at 100oC. after washing. Such a high
temperature damages the molecular structures of the carrier material and
causes it to wrinkle, by which the cavities of the carrier material, which
are the determining factor for the effectiveness of the active agent to be
absorbed/adsorbed, are so much reduced in size that only a small quantity
of this active agent can be stored in the carrier material. If bone
material is used as carrier material, such treatment results in glue,
which cannot be absorbed/adsorbed at all by the active agents.
From EP 419 275 A1, a demineralized bone power is known with a medication
as another component.
WO 86/07265 discloses an implant that consists of natural bone materials
and adsorbed physiological substances such as an antibiotic.
It is an object of the present invention to suggest a method for
manufacturing an implant which consists of a carrier material which is
preferably adsorbable and with which a local application of medically
active agents of many different kinds is made possible in variable doses
over variable periods of time. To achieve this objective, it is suggested
that an organic material forming the carrier material, in particular a
biological tissue of human, animal or plant origin such as bone, sinew,
muscle or the like, is comminuted, cleaned and freeze-dried, after which
this carrier material is incubated with a solution containing the active
agents. By means of such freeze-drying prior to incubation, the organic
material forming the carrier material is prepared in such a way that on
the one it is as dry as possible and therefore able to absorb/adsorb a
very large amount of the active agent, and that on the other hand it is
not damaged and completely retains its structures in the molecular as well
as in the microscopic and macroscopic range. Such an implant manufactured
in accordance with the method according to the invention therefore has the
advantage that when the solution containing the effective agent is
incubated, a very good enrichment according to its concentration gradient
is ensured, whereby the complete rehydration of the freeze-dried material
is achieved, and the effective agent is deposited in the organic material
in an appropriately high dose, adsorbed and molecularly incorporated if
necessary. By choosing the carrier material, the particle size, the
concentration of the solution containing the active agent, and the
incubation period, the effective intensity and the period of effectiveness
of the active agent can be controlled and thus adapted to the requirements
at hand.
It is already known that an implant can be freeze-dried after incubation.
In this case, freeze-drying serves the purpose of making the implant
imperishable, and since incubation of the carrier material occurs prior to
freeze-drying, the latter has no effect of the behavior of the carrier
material during incubation.
It stands to reason that after comminution, unwanted portions of the
carrier material, such as tissue parts between the actual carrier
structures (bone trabecula), should be removed, so that the enlarged
contact areas result in better perfusion and increased adsorption of the
solution containing the active agents.
The necessary cleaning of the organic material is done in a preferred step
by means of a washing liquid that is preferably heated to a temperature
between 40o and 60oC., which can be moved, for
example by means of ultrasound and/or by shaking the vessel in which it is
to be placed.
It is practical to subject the organic material, prior to freeze-drying,
to fat removal by treating it with a fat-dissolving substance, such as
ether. On the one hand, this increases the wettability of the surface of
the organic material through the solution containing the active agent, and
on the other hand, the ability of the organic material to absorb fatty or
oily solutions is increased, which means that such fatty and oily
solutions can also be stored in the carrier material to a large degree.
Subsequently, the organic material can be treated with alcohol and then
washed in sterilized water.
Finally, the organic material, after freeze-drying, can be subjected to
ionizing radiation, which causes molecular changes in the organic
material, resulting in better bonding with the active agent.
The freeze-dried material will be even better able to store the active
agents if the freeze-dried material is incubated in a vacuum with a
solution containing the active agent, since this means that the solution
together with the dissolved active agents can penetrate the deepest
structures of the carrier material without hindrance.
It has been shown that favorable results are obtained when the organic
material is freeze-dried up to a residual moisture content below 10%,
preferably below 5%.
A particularly gentle method of treating the carrier material is to
freeze-dry it at a temperature between -20o and -40oC.,
preferably at -30oC.
Claim 1 of 20 Claims
What is claimed is:
1. A method for manufacturing a medically active implant including a
medically active agent comprising the steps of providing an organic
material as a carrier material, comminuting the carrier material, cleaning
the carrier material, freeze-drying the carrier material, thereafter
combining the carrier material with the active agent, and incubating the
carrier material and active agent.
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