|
|

Title: System for cell growth
United States Patent: 6,340,360
Inventors: Lyles; Mark B. (San Antonio, TX); McLaughlin;
Charles A. (Tega Cay, SC); Halff; Glenn A. (San Antonio, TX); Mallow;
William A. (Helotes, TX)
Assignee: MED USA (San Antonio, TX)
Appl. No.: 170574
Filed: October 13, 1998
Abstract
An implantable infection shield and system for drug delivery in
vascular tissue includes a relatively non-biodegradable porous linked
fibrous biomaterial which controls and directs cell growth and
angiogenesis from adjacent vascular tissue into the implant. Infection
shield embodiments stimulate cell growth and angiogenesis from adjacent
vascular tissue which effectively blocks passage of pathogenic
microorganisms along percutaneously implanted objects. In embodiments for
drug delivery, a reservoir of the same biomaterial may contain either (1)
a cell culture system enclosed within a porous sealable interior chamber
or (2) a biodegradable matrix in which one or more drugs are dispersed.
After implantation of a reservoir of the first embodiment in an organism,
cultured cells obtain food and oxygen via diffusion in tissue fluid
through the porous walls of the interior chamber, while metabolic
products, including drugs, diffuse away from the cell culture in an
analogous manner. In a reservoir of the second embodiment, a biodegradable
matrix substantially fills the pores (voids), and progressive dissolution
of the matrix releases one or more drugs into surrounding tissue fluid.
Reservoirs of either embodiment comprise a plurality of voids of a
predetermined size effective for stimulating angiogenesis from the
surrounding vascular tissue into at least a portion of the reservoir. The
reservoir thus acts to couple a source of drugs to the circulatory system
of the organism.
SUMMARY OF THE INVENTION
Implants for drug delivery and infection control (infection shields)
according to the present invention substantially avoid the shortcomings of
prior implants noted above by incorporating an implantable system for cell
growth control as described herein. Each drug delivery implant of the
present invention comprises a porous linked fibrous biomaterial drug
reservoir, the voids of which, in some embodiments, contain one or more
drugs which may be dispersed within a biodegradable matrix. Cell growth
and angiogenesis within the reservoir is controlled and directed as
described herein. Note that drugs to be delivered, as well as the matrix
materials (if present), may include metabolic products of the organism in
which a drug reservoir is intended to be placed, or of other organisms.
In other embodiments, a cuff-shaped infection shield inhibits the passage
of pathogenic microorganisms along a catheter or other percutaneously
implanted device through control of cell growth and angiogenesis within
the shield as described herein. Further embodiments include a reservoir
having one or more sealable interior chambers containing cultured living
cells which can communicate through porous chamber walls, by the medium of
tissue fluid and/or cell growth medium, with cells of the organism in
which the reservoir may be implanted or with an external fluid exchange
system (as in a bioreactor). Infection shielding cuffs or reservoir
implants according to the present invention both comprise fibrous
biomaterials which are biocompatible. As described herein, biocompatible
implants support controlled cell growth and angiogenesis within an
organism while not evoking a foreign body immune response which
significantly adversely affects preferred implant function. Implant
biomaterials may be biodegradable (i.e., they may dissolve in tissue fluid
to form nontoxic solutions), or they may be substantially
non-biodegradable (e.g., silica fibers).
Implantation of infection shields and drug reservoirs of the present
invention is preferably carried out in vascular tissue of an organism.
Vascular tissue is tissue which contains circulatory system vessels
(including lymphatic and blood vessels) and tissue fluid in sufficient
quantity to sustain cells growing within the implant and to transport drug
released from a reservoir implant to the circulatory system vessels.
Drug transport may be by diffusion, convection, or facilitated diffusion.
In reservoirs which contain cell cultures and are implanted within
vascular tissue, food and oxygen diffuse toward the cultured cells and
metabolic products (including one or more desired drugs) diffuse away from
them via the tissue fluid. Similarly, cells invading the implant from the
local tissue of the organism are sustained through exchange of food,
oxygen and metabolic products with circulatory system vessels growing
within the implant from the local tissue.
In all embodiments of the present invention, a reservoir or infection
shield implanted in vascular tissue tends to: (1) retain the desired
implant shape and structural integrity for a duration of implantation
which substantially exceeds the planned duration of implantation for the
shield or the duration of drug administration from a reservoir implant,
and (2) aid in sustaining cells growing within the implant and/or coupling
drugs emanating from the reservoir to the circulatory system for timely
delivery of effective drug doses to one or more desired sites of action
within the organism. Each implant embodiment reliably performs these
functions over periods of implantation from a few days to several months,
depending on its design. Note that the tendency for embodiments of the
present invention to retain a desired implant shape does not preclude
flexible implants according to the present invention (e.g., implants in
the form of a flexible sheet). In such implants, flexibility does not
substantially degrade the functions of stimulation of cell growth and
angiogenesis, and/or support of cultured cells within the implant.
Drug reservoirs and infection shields in all embodiments of the present
invention comprise relatively non-biodegradable fibrous biomaterials
linked at fiber intersections to aid in substantially retaining their
shape after prolonged implantation. Shape retention includes retention of
the mechanical integrity of any cell culture or biodegradable matrix which
may be present, i.e., substantial disruption of the cell spacing and
matrix fragmentation are avoided for at least the useful life of the
implant. The fiber linking which facilitates shape retention includes
processes capable of substantially maintaining the spatial relationship of
one fiber with respect to other fibers which touch it for the effective
life of an implant comprising fibers. Process examples include fusing
(e.g., with silica fibers), chemical bonding (e.g., with polymer fibers),
and adhesion (e.g., with colloidal silica). Additionally, and
notwithstanding their relatively non-biodegradable porous linked fibrous
biomaterial component, reservoirs and infection shields of the present
invention are substantially biocompatible.
Claim 1 of 6 Claims
What is claimed is:
1. A porous fused fiber composition useful for the culturing of cells,
said composition manufactured from alumina fibers, silica fibers, and
boron nitride.
____________________________________________
If you want to learn more
about this patent, please go directly to the U.S.
Patent and Trademark Office Web site to access the full
patent.
|