Crosslinkable macromers
First Claim
1. A method of delivering an implant article to a tissue site, the method comprising a) providing an article selected from the group consisting of tissue implants and prosthetic devices providing a porous surface, b) providing a crosslinkable macromer system comprising a polymerization initiator and one or more polymers having pendent polymerizable groups, c) implanting the article within the tissue site with the macromer system positioned between the article and the tissue, and d) polymerizing the macromer system to form a crosslinked matrix between the article and the tissue site suitable to permit continuous tissue growth through the matrix and between the implant and the native tissue.
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Accused Products
Abstract
A crosslinkable macromer system and related methods of preparing the system and using the system in the form of a crosslinked matrix between a tissue site and an implant article such as a tissue implant or on the porous surface of a prosthetic device. The macromer system includes two or more polymer-pendent polymerizable groups and one or more initiator groups (e.g., polymer-pendent initiator groups). The polymerizable groups and the initiator group(s), when polymer-pendent, can be pendent on the same or different polymeric backbones. The macromer system provides advantages over the use of polymerizable macromers and separate, low molecular weight initiators, including advantages with respect to such properties as nontoxicity, efficiency, and solubility. A macromer system of the invention can be used as an interface between the tissue site and implant article in a manner sufficient to permit tissue growth through the crosslinked matrix and between the tissue site and implant. In a preferred embodiment, polymers with pendent polymerizable groups, for use in the macromer system, are prepared by reacting a polysaccharide polymer with a reactive moiety in an organic, polar solvent such as formamide.
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Citations
35 Claims
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1. A method of delivering an implant article to a tissue site, the method comprising
a) providing an article selected from the group consisting of tissue implants and prosthetic devices providing a porous surface, b) providing a crosslinkable macromer system comprising a polymerization initiator and one or more polymers having pendent polymerizable groups, c) implanting the article within the tissue site with the macromer system positioned between the article and the tissue, and d) polymerizing the macromer system to form a crosslinked matrix between the article and the tissue site suitable to permit continuous tissue growth through the matrix and between the implant and the native tissue.
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17. A method of preparing a polymerizable macromer system comprising the steps of
a) providing a polymer selected from the group consisting of polysaccharides and polyamino acids, and b) incorporating polymerizable groups into the polymer by reaction of the polymer with a reactive moiety containing an ethylenically unsaturated group capable of undergoing free radical polymerization, wherein the reaction between the polymer and reactive moiety is carried out in a medium comprising a polar organic solvent.
- 24. A polymerizable macromer system comprising a polymer selected from the group consisting of polysaccharides and polyamino acids wherein polymerizable groups have been incorporated into the polymer by reaction of the polymer, in a medium comprising a polar organic solvent, with a reactive moiety containing an ethylenically unsaturated group capable of undergoing free radical polymerization.
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31. An implantable combination comprising
a) an implant article selected from the group consisting of tissue implants and prosthetic devices providing a porous surface, and b) a macromer system positioned upon the article and comprising a polymerization initiator and one or more polymers having pendent polymerizable groups.
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33. An implanted combination within a tissue site, the combination comprising
a) an implant article selected from the group consisting of tissue implants and prosthetic devices providing a porous surface, and b) a crosslinked matrix positioned between the article and the tissue site, the matrix prepared by crosslinking a macromer system comprising a polymerization initiator and one or more polymers having pendent polymerizable groups, wherein the combination is positioned within and/or in apposition to a tissue site.
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34. An implanted combination within a tissue site, the combination comprising
a) an implant article selected from the group consisting of tissue implants and prosthetic devices providing a porous surface, b) a crosslinked matrix positioned between the article and the tissue site, the matrix prepared by crosslinking a macromer system comprising a polymerization initiator and one or more polymers having pendent polymerizable groups, wherein the combination is positioned within and/or in apposition to a tissue site, and wherein continuous tissue ingrowth is present through the matrix and between the tissue site and the implant article.
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35. A crosslinkable macromer system comprising one or more polymers providing pendent polymerizable and pendent initiator groups wherein the system is adapted to be polymerized in order to form a matrix suitable for in vivo application, and wherein either:
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(a) the polymerizable groups and initator group(s) are pendent on different polymers and the initiator groups are independently selected from the group consisting of long wave ultraviolet activatable molecules selected from the group consisting of benzophenone, thioxanthones, and benzoin ethers;
visible light activatable molecules selected from the group consisting of ethyl eosin, eosin Y, rose bengal, camphorquinone and erythrosin; and
thermally activatable molecules selected from the group consisting of 4,4′
azobis(4-cyanopentanoic) acid, and 2,2-azobis[2-(2-imidazolin-2-yl) propane] dihydrochloride, and benzoyl peroxide; and
the pendent polymerizable groups are selected from the group consisting of vinyl groups, acrylate groups, methacrylate groups, ethacrylate groups, 2-phenyl acrylate groups, acrylamide groups, methacrylamide groups, itaconate groups, and styrene groups, or(b) the polymerizable groups and the initiator group(s) are pendent on the same polymer and the initiator groups are independently selected from the group consisting of long wave ultraviolet activatable molecules selected from the group consisting of thioxanthones, and benzoin ethers;
visible light activatable molecules selected from the group consisting of ethyl eosin, eosin Y, rose bengal, camphorquinone and erythrosin; and
thermally activatable molecules selected from the group consisting of 4,4′
azobis(4-cyanopentanoic) acid, and 2,2-azobis[2-(2-imidazolin-2-yl) propane] dihydrochloride, and benzoyl peroxide; and
the pendent polymerizable groups are selected from the group consisting of vinyl groups, acrylate groups, methacrylate groups, ethacrylate groups, 2-phenyl acrylate groups, acrylamide groups, methacrylamide groups, itaconate groups, and styrene groups;
or(c) the polymerizable groups and the initiator group(s) are pendent on the same polymer and the initiator groups are independently selected from the group consisting of long wave ultraviolet activatable molecules selected from the group consisting of benzophenone, thioxanthones, and benzoin ethers;
visible light activatable molecules selected from the group consisting of ethyl eosin, eosin Y, rose bengal, camphorquinone and erythrosin; and
thermally activatable molecules selected from the group consisting of 4,4′
azobis(4-cyanopentanoic) acid, and 2,2-azobis[2-(2-imidazolin-2-yl) propane] dihydrochloride, and benzoyl peroxide; and
the pendent polymerizable groups are selected from the group consisting of acrylate groups, methacrylate groups, ethacrylate groups, 2-phenyl acrylate groups, acrylamide groups, methacrylamide groups, itaconate groups, and styrene groups,wherein the macromer system further comprises a polymerization accelerator comprising a N-vinyl compound.
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Specification