CA2503490A1 - Medical device surface coating comprising bioactive compound - Google Patents

Medical device surface coating comprising bioactive compound Download PDF

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Publication number
CA2503490A1
CA2503490A1 CA002503490A CA2503490A CA2503490A1 CA 2503490 A1 CA2503490 A1 CA 2503490A1 CA 002503490 A CA002503490 A CA 002503490A CA 2503490 A CA2503490 A CA 2503490A CA 2503490 A1 CA2503490 A1 CA 2503490A1
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CA
Canada
Prior art keywords
medical device
peo
factor
protein
surfactant
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CA002503490A
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French (fr)
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CA2503490C (en
Inventor
Bo Nilsson
Jonas Andersson
Karin Caldwell
Jennifer Neff
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Allvivo Inc
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Individual
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Filing date
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Publication of CA2503490A1 publication Critical patent/CA2503490A1/en
Application granted granted Critical
Publication of CA2503490C publication Critical patent/CA2503490C/en
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L33/00Antithrombogenic treatment of surgical articles, e.g. sutures, catheters, prostheses, or of articles for the manipulation or conditioning of blood; Materials for such treatment
    • A61L33/0005Use of materials characterised by their function or physical properties
    • A61L33/0011Anticoagulant, e.g. heparin, platelet aggregation inhibitor, fibrinolytic agent, other than enzymes, attached to the substrate
    • A61L33/0017Anticoagulant, e.g. heparin, platelet aggregation inhibitor, fibrinolytic agent, other than enzymes, attached to the substrate using a surface active agent
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L27/00Materials for grafts or prostheses or for coating grafts or prostheses
    • A61L27/28Materials for coating prostheses
    • A61L27/34Macromolecular materials
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L27/00Materials for grafts or prostheses or for coating grafts or prostheses
    • A61L27/50Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
    • A61L27/54Biologically active materials, e.g. therapeutic substances
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L29/00Materials for catheters, medical tubing, cannulae, or endoscopes or for coating catheters
    • A61L29/08Materials for coatings
    • A61L29/085Macromolecular materials
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L29/00Materials for catheters, medical tubing, cannulae, or endoscopes or for coating catheters
    • A61L29/14Materials characterised by their function or physical properties, e.g. lubricating compositions
    • A61L29/16Biologically active materials, e.g. therapeutic substances
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L31/00Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
    • A61L31/08Materials for coatings
    • A61L31/10Macromolecular materials
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L31/00Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
    • A61L31/14Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
    • A61L31/16Biologically active materials, e.g. therapeutic substances
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2300/00Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices
    • A61L2300/40Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices characterised by a specific therapeutic activity or mode of action
    • A61L2300/42Anti-thrombotic agents, anticoagulants, anti-platelet agents

Abstract

Coatings comprising protein resistant components and therapeutic components on medical devices are disclosed. The coatings act to down-regulate complement activation. Medical devices can be coated with these coatings to prevent side effects and improve patency.

Claims (39)

1. A medical device comprising:
a structure adapted for introduction into a patient or contact with blood or tissue of a patient, wherein the structure comprises a surface;
a layer of surfactant adsorbed on the surface of the medical device, wherein the surfactant on the surface of the medical device is substantially non-activating or deactivating to the complement cascade as compared to the non-coated surface of the medical device.
2. The medical device of Claim 1, wherein the medical device is selected from the group consisting of balloon catheters, A/V shunts, vascular grafts, stems, pacemaker leads, pacemakers, heart valves, catheters, and guide wires.
3. The medical device of Claim 1, wherein the medical device is selected from the group consisting of cardiopulmonary bypass device, plasmapheresis device, plateletpheresis device, leukopheresis device, LDL removal device, hemodialysis device, hemofiltration filters, ultrafiltration device, hemoperfusion device, blood oxygenator, blood pump, blood sensor, and tubing used to carry blood which is then returned to the patient.
4. The medical device according to Claim 1, wherein the surfactant is selected from the group consisting of factor H, factor H like protein 1 (FHL-1), factor H
related proteins (FHR 3, FHR-4).
5. The medical device of Claim 1, wherein the surfactant comprises a block copolymer.
6. The medical device of Claim 1, wherein the surfactant comprises a block copolymer comprising hydrophobic regions and hydrophilic regions.
7. The medical device of Claim 1, wherein the surfactant comprises a PLURONICS block copolymer.
8. The medical device of Claim 1, wherein the surfactant comprises a therapeutic entity attached thereto.
9. The medical device of Claim 8, wherein the surfactant comprises a compound with the formula:
THERAPEUTIC ENTITY ~ COPOLYMER
wherein the copolymer comprises one or more hydrophilic domains and at least one hydrophobic domain.
10. The medical device of Claim 9, wherein the therapeutic entity is a protein, protein fragment, peptide, oligonucleotide, carbohydrate, proteoglycan, antibody or drug.
11. The medical device of Claim 9, wherein the therapeutic entity is a regulator of complement activation or an active domain thereof.
12. The medical device of Claim 9, wherein the regulator of complement activation is selected from the group consisting of factor H, factor H like protein 1 (FHL-1), factor H related proteins (FHR-3, FHR-4), C4 binding protein (C4bp), complement receptor 1 (CR1), compstatin, decay-accelerating factor (DAF), membrane cofactor protein (MCP), vaccinia virus complement control protein (VCP) and small pox inhibitor of complement enzymes (SPICE).
13. The medical device of Claim 9, wherein the copolymer comprises polymer units selected from the group consisting of polyethylene oxide (PEO) and polypropylene oxide (PPO), PEO and polybutadiene, PEO and poly(N-acetylethyleneimine), PEO
and phenyl boronic acid, PEO and polyurethane, PEO and polymethylmethacrylate (PMMA), and PEO and polydimethyl sulfoxide.
14. The medical device of Claim 9, wherein the hydrophilic domain comprises polyethylene oxide.
15. The medical device of Claim 9, wherein the hydrophobic domain comprises a polymer unit selected from the group consisting of polypropylene oxide (PPO), polybutadiene, poly(N-acetylethyleneimine), phenyl boronic acid, polyurethane, polymethylmethacrylate (PMMA), and polydimethyl sulfoxide.
16. A method for coating a medical device with a surface coating comprising:
providing the medical device with a surface;
providing a surfactant;
adsorbing the surfactant on the surface of the medical device; wherein the surfactant on the surface of the medical device is substantially non-activating or deactivating to the complement cascade as compared to the non-coated surface of the medical device.
17. The method of Claim 16, wherein the medical device is selected from the group consisting of balloon catheters, A/V shunts, vascular grafts, stents, pacemaker leads, pacemakers, heart valves, catheters, and guide wires.
18. The method of Claim 16, wherein the medical device is selected from the group consisting of cardiopulmonary bypass device, plasmapheresis device, plateletpheresis device, leukopheresis device, LDL removal device, hemodialysis device, hemofiltration filters, ultrafiltration device, hemoperfusion device, blood oxygenator, blood pump, blood sensor, and tubing used to carry blood which is then returned to the patient.
19. The method according to Claim 16, wherein the surfactant is selected from the group consisting of factor H, factor H like protein 1 (FHL-1), factor H
related proteins (FHR-3, FHR-4).
20. The method of Claim 16, wherein the surfactant is adsorbed on the surface of the medical device with a block copolymer.
21. The method of Claim 16, wherein the surfactant is adsorbed on the surface of the medical device with a block copolymer comprising hydrophobic regions and hydrophilic regions.
22. The method of Claim 16, wherein the surfactant is adsorbed on the surface of the medical device with a PLURONICS block copolymer.
23. The method of Claim 16, wherein the surfactant comprises a therapeutic entity attached thereto.
24. The method of Claim 23, wherein the surfactant comprises a compound with the formula:
THERAPEUTIC ENTITY ~ COPOLYMER
wherein the copolymer comprises one or more hydrophilic domains and at least one hydrophobic domain.
25. The method of Claim 24, wherein the therapeutic entity is a protein, protein fragment, peptide, oligonucleotide, carbohydrate, proteoglycan, antibody or drug.
26. The method of Claim 24, wherein the therapeutic entity is a regulator of complement activation or an active domain thereof.
27. The method of Claim 26, wherein the regulator of complement activation is selected from the group consisting of factor H, factor H like protein 1 (FHL-1), factor H related proteins (FHR-3, FHR-4), C4 binding protein (C4bp), complement receptor 1 (CR1), compstatin, decay-accelerating factor (DAF), membrane cofactor protein (MCP), vaccinia virus complement control protein (VCP) and small pox inhibitor of complement enzymes (SPICE).
28. The method of Claim 24, wherein the copolymer comprises polymer units selected from the group consisting of polyethylene oxide (PEO) and polypropylene oxide (PPO), PEO and polybutadiene, PEO and poly(N-acetylethyleneimine), PEO and phenyl boronic acid, PEO and polyurethane, PEO and polymethylmethacrylate (PMMA), and PEO and polydimethyl sulfoxide.
29. The method of Claim 24, wherein the hydrophilic domain comprises polyethylene oxide.
30. The method of Claim 24, wherein the hydrophobic domain comprises a polymer unit selected from the group consisting of polypropylene oxide (PPO), polybutadiene, poly(N-acetylethyleneimine), phenyl boronic acid, polyurethane, polymethylmethacrylate (PMMA), and polydimethyl sulfoxide.
31. A compound for coating a medical device with the formula:
wherein the copolymer comprises one or more hydrophilic domains and at least one hydrophobic domain.
32. The compound according to Claim 31, wherein the therapeutic entity is a protein, protein fragment, peptide, oligonucleotide, carbohydrate, proteoglycan, antibody or drug.
33. The compound according to Claim 31, wherein the therapeutic entity is a regulator of coagulation or an active domain thereof.
34. The compound according to Claim 33, wherein the therapeutic entity is an antibody.
35. The compound according to Claim 31, wherein the therapeutic entity is a regulator of complement activation or an active domain thereof.
36. The compound according to Claim 35, wherein the regulator of complement activation is selected from the group consisting of factor H, factor H like protein 1 (FHL-1), factor H related proteins (FHR-3, FHR-4), C4 binding protein (C4bp), complement receptor 1 (CR1), compstatin, decay-accelerating factor (DAF), membrane cofactor protein (MCP), vaccinia virus complement control protein (VCP) and small pox inhibitor of complement enzymes (SPICE).
37. The compound according to Claim 31, wherein the copolymer comprises polymer units selected from the group consisting of polyethylene oxide (PEO) and polypropylene oxide (PPO), PEO and polybutadiene, PEO and poly(N-acetylethyleneimine), PEO and phenyl boronic acid, PEO and polyurethane, PEO
and polymethylmethacrylate (PMMA), and PEO and polydimethyl sulfoxide.
38. The compound according to Claim 31, wherein the hydrophilic domain comprises polyethylene oxide.
39. The compound according to Claim 31, wherein the hydrophobic domain comprises a polymer unit selected from the group consisting of polypropylene oxide (PPO), polybutadiene, poly(N-acetylethyleneimine), phenyl boronic acid, polyurethane, polymethylmethacrylate (PMMA), and polydimethyl sulfoxide.
CA2503490A 2002-10-21 2003-10-21 Medical device surface coating comprising bioactive compound Expired - Lifetime CA2503490C (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US42039002P 2002-10-21 2002-10-21
US60/420,390 2002-10-21
PCT/US2003/033348 WO2004037310A2 (en) 2002-10-21 2003-10-21 Surface coating comprising bioactive compound

Publications (2)

Publication Number Publication Date
CA2503490A1 true CA2503490A1 (en) 2004-05-06
CA2503490C CA2503490C (en) 2012-04-03

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CA2503490A Expired - Lifetime CA2503490C (en) 2002-10-21 2003-10-21 Medical device surface coating comprising bioactive compound

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US (1) US7459169B2 (en)
EP (1) EP1553993B1 (en)
JP (1) JP5030383B2 (en)
AU (1) AU2003284304B8 (en)
CA (1) CA2503490C (en)
WO (1) WO2004037310A2 (en)

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Also Published As

Publication number Publication date
US7459169B2 (en) 2008-12-02
WO2004037310A3 (en) 2004-07-01
JP2006510396A (en) 2006-03-30
WO2004037310A2 (en) 2004-05-06
AU2003284304B2 (en) 2009-07-23
AU2003284304A1 (en) 2004-05-13
JP5030383B2 (en) 2012-09-19
US20040142011A1 (en) 2004-07-22
EP1553993A2 (en) 2005-07-20
AU2003284304B8 (en) 2009-08-06
EP1553993B1 (en) 2016-03-30
CA2503490C (en) 2012-04-03

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