Methods of making implantable collagen fiber

• US 9,873,861 B2
• Filed: 02/10/2015
• Issued: 01/23/2018
• Est. Priority Date: 11/02/2011
• Status: Active Grant

• Current Assignee: Mimedx Group Incorporated
• Original Assignee: Mimedx Group Incorporated
• Inventors: Koob, Thomas J.
• Primary Examiner(s): Long, Scott
• Assistant Examiner(s): Nguyen, Nghi
• Application Number:
  US14/618,310
• Publication Number:
  US 20150152381A1
• Time in Patent Office: 1,078 Days
• Field of Search: None
• CPC Class Codes: A61F 2/0095 Packages or dispensers for prostheses or other implants for intraocular lenses A61F2/1691; for dental surgery A61C19/02
• CPC Class Codes: A61F 2/02 Prostheses implantable into the body closure means for urethra or rectum or for artificial body openings therefor A61F2/0004
• CPC Class Codes: A61F 2/08 Muscles; Tendons; Ligaments sutures A61B17/04
• CPC Class Codes: A61L 2430/10 for reconstruction of tendons or ligaments
• CPC Class Codes: A61L 27/24 Collagen
• CPC Class Codes: A61L 27/3804 characterised by specific cells or progenitors thereof, e.g. fibroblasts, connective tissue cells, kidney cells
• CPC Class Codes: A61L 27/386 Ligaments, tendons
• CPC Class Codes: C12N 2506/1307 from adult fibroblasts
• CPC Class Codes: C12N 2506/1346 from mesenchymal stem cells
• CPC Class Codes: C12N 2527/00 Culture process characterised by the use of mechanical forces, e.g. strain, vibration
• CPC Class Codes: C12N 2533/54 Collagen; Gelatin
• CPC Class Codes: C12N 5/066 Tenocytes; Tendons, Ligaments

Abstract

The invention relates to implantable collagen devices made by seeding at least one elongate collagen construct, e.g., comprising at least one elongate synthetic collagen fiber with a plurality of cells and applying a strain and/or stress to the at least one elongate collagen fiber to induce the cells to differentiate into target phenotypes, e.g., tendon or ligament phenotype cells (and/or fibroblasts), typically with an extracellular matrix of collagen to organize into a tissue on the at least one collagen fiber.

Claims

1. A method of processing an implantable collagen fiber, comprising:

a) placing at least one synthetic elongate collagen fiber in a desired orientation in a tissue culture vessel;

b) seeding the at least one synthetic elongate collagen fiber with a plurality of cells while in the vessel; and

c) applying a strain and/or stress to the at least one synthetic elongate collagen fiber in the vessel and either;

(i) inducing the cells to differentiate into tendon or ligament fibroblasts or tendon or ligament phenotype cells;

(ii) forming an extracellular matrix of collagen, wherein the extracellular matrix comprises collagen in amount greater than other proteins;

or

(iii) both inducing the cells to differentiate into tendon or ligament fibroblasts or tendon or ligament phenotype cells and forming an extracellular matrix, wherein the extracellular matrix comprises collagen in amount greater than other proteins,

wherein the applying step comprises applying a first low offset strain and/or tensile load to the at least one synthetic elongate collagen fiber, then applying a cyclic strain and/or tensile load that varies between 2% to about 15% above the first low offset strain and/or tensile load.

2. The method of claim 1, further comprising (d) producing an implantable collagen fiber construct with (i) the tendon or ligament phenotype differentiated cells or (ii) the tendon or ligament phenotype differentiated cells and the collagen based extracellular matrix based, at least in part, on the applying step.

3. The method of claim 1, wherein the tissue culture vessel comprises a flexible pouch that holds the at least one collagen fiber in a fixed orientation relative to the flexible pouch in the desired orientation.

4. The method of claim 3, wherein the seeding step is carried out by introducing a fluid comprising the plurality of cells into the pouch via a fluid port of the flexible pouch after the at least one synthetic elongate collagen fiber is enclosed in the flexible pouch.

5. The method of claim 1, wherein the cells of the seeding step are selected from the group consisting of embryonic, neonatal or adult cells, pluripotent stem cells from any tissue source, mesenchymal stem cells, tendon and/or ligament fibroblasts, or combinations thereof.

6. The method of claim 3, wherein the seeding step is carried out by immersing or submerging the at least one synthetic elongate collagen fiber into a fluid contained in the flexible pouch, wherein the fluid comprises the plurality of cells.

7. The method of claim 3, wherein the applying step is carried out by attaching a translating mechanical tensioner to opposing end portions of the flexible pouch and extending and retracting the flexible pouch concurrently with the at least one synthetic elongate collagen fiber.

8. The method of claim 1, wherein the applying step is carried out at least periodically after seeding.

9. The method of claim 1, wherein the applying step is carried out after a time sufficient to allow seed attachment to the at least one fiber, then at least periodically until implantation.

10. The method of claim 1, wherein the first low offset strain and/or tensile load is a static strain or stress.

11. The method of claim 1, wherein applying the cyclic strain and/or tensile load comprises initiating the cyclic strain and/or tensile load after a sufficient number of cells attach to the at least one synthetic elongate collagen fiber and cell proliferation on the at least one synthetic elongate collagen fiber is then achieved to a desired level in response to the applying step.

12. The method of claim 10, wherein the static strain or stress is carried out after cells introduced by the seeding step attach to the at least one synthetic elongate collagen fiber in a desired amount for a first time period, then the cyclic strain and/or tensile load is applied for between 5 minutes/day to 24 hours/day for a subsequent time period.

13. The method of claim 1, further comprising, prior to the placing step, winding, twisting, braiding or weaving a plurality of the at least one synthetic elongate collagen fibers into a collagen fiber construct at a defined tension t_f.

14. The method of claim 13, wherein the vessel comprises a flexible pouch that sealably holds the collagen fiber construct therein, and wherein the applying step comprises holding opposing end portions of the collagen fiber construct in and coupled to the flexible pouch at the tension t_f as the first offset strain and/or tensile load.

15. The method of claim 1, wherein the applying of the cyclic strain and/or the tensile load is carried out after the seeding step.

16. The method of claim 1, wherein the cyclic strain and/or tensile load is applied to the at least one synthetic elongate collagen fiber for between about 5 minutes to about 24 hours per day for a defined number of days and/or until the cells differentiate sufficiently and/or produce a desired amount of the extracellular matrix of collagen on the at least one synthetic elongate collagen fiber.

17. The method of claim 1, wherein the applied cyclic strain and/or tensile load cycles at between about 0.5 Hz to about 3 Hz for a defined time period of at least 30 minutes every 24 hours.

18. The method of claim 1, wherein the applying step is carried out to apply strain and/or stress that is uniaxial.

19. The method of claim 1, wherein the at least one synthetic elongate collagen fiber is a plurality of synthetic elongate collagen fibers woven together and arranged as an implantable collagen fiber construct, and wherein the construct has a tensile strength, stiffness, and dynamic flexibility that meets or exceeds that of a natural tissue the implantable collagen fiber construct is designed to mimic.

20. The method of claim 1, wherein the tissue is a tendon or a ligament prosthesis.

21. A method of processing an implantable matrix, comprising:

a) placing an implantable matrix of woven synthetic elongate collagen fibers in a container, wherein the implantable matrix of woven synthetic elongate collagen fibers has a tensile strength, stiffness, and dynamic flexibility that meets or exceeds that of a natural ligament or tendon that the implantable matrix is designed to mimic;

b) seeding the implantable matrix with a plurality of cells; and

c) mechanically applying a first low offset strain and/or tensile load to the implantable matrix, then a cyclic strain and/or tensile load that varies between 2% to about 15% above the first low offset strain and/or tensile load and either;

(i) inducing the cells to differentiate into tendon or ligament fibroblasts or tendon or ligament phenotype cells;

(ii) forming an extracellular matrix of collagen, wherein the extracellular matrix comprises collagen in amount greater than other proteins;

or

(iii) both inducing the cells to differentiate into tendon or ligament fibroblasts or tendon or ligament phenotype cells and forming an extracellular matrix, wherein the extracellular matrix comprises collagen in amount greater than other proteins.

22. The method of claim 21, wherein the woven elongate synthetic collagen fibers are formed from digested Type 1 collagen.

23. The method of claim 21, wherein the woven elongate synthetic collagen fibers are NDGA cross-linked synthetic collagen fibers.

24. The method of claim 21, wherein the first low offset strain and/or tensile load and the cyclic strain and/or tensile load are uniaxial.