AU2003277264B2 - Process of making bioabsorbable filaments - Google Patents
Process of making bioabsorbable filamentsInfo
- Publication number
- AU2003277264B2 AU2003277264B2 AU2003277264A AU2003277264A AU2003277264B2 AU 2003277264 B2 AU2003277264 B2 AU 2003277264B2 AU 2003277264 A AU2003277264 A AU 2003277264A AU 2003277264 A AU2003277264 A AU 2003277264A AU 2003277264 B2 AU2003277264 B2 AU 2003277264B2
- Authority
- AU
- Australia
- Prior art keywords
- filaments
- monofilament
- suture
- sutures
- making
- 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.)
- Ceased
Links
- 238000000034 method Methods 0.000 title description 11
- 239000008188 pellet Substances 0.000 claims description 4
- 229920000642 polymer Polymers 0.000 claims description 4
- 238000001035 drying Methods 0.000 claims description 3
- 238000004519 manufacturing process Methods 0.000 claims description 3
- 229920001577 copolymer Polymers 0.000 description 9
- 239000011347 resin Substances 0.000 description 7
- 229920005989 resin Polymers 0.000 description 7
- 238000010791 quenching Methods 0.000 description 6
- -1 alkylene carbonate Chemical compound 0.000 description 4
- 239000000975 dye Substances 0.000 description 4
- 210000001519 tissue Anatomy 0.000 description 4
- PEDCQBHIVMGVHV-UHFFFAOYSA-N Glycerine Chemical compound OCC(O)CO PEDCQBHIVMGVHV-UHFFFAOYSA-N 0.000 description 3
- AEMRFAOFKBGASW-UHFFFAOYSA-N Glycolic acid Chemical compound OCC(O)=O AEMRFAOFKBGASW-UHFFFAOYSA-N 0.000 description 3
- 239000003814 drug Substances 0.000 description 3
- 230000000694 effects Effects 0.000 description 3
- 239000003102 growth factor Substances 0.000 description 3
- 239000007788 liquid Substances 0.000 description 3
- YFHICDDUDORKJB-UHFFFAOYSA-N trimethylene carbonate Chemical compound O=C1OCCCO1 YFHICDDUDORKJB-UHFFFAOYSA-N 0.000 description 3
- RKDVKSZUMVYZHH-UHFFFAOYSA-N 1,4-dioxane-2,5-dione Chemical compound O=C1COC(=O)CO1 RKDVKSZUMVYZHH-UHFFFAOYSA-N 0.000 description 2
- ULGZDMOVFRHVEP-RWJQBGPGSA-N Erythromycin Chemical compound O([C@@H]1[C@@H](C)C(=O)O[C@@H]([C@@]([C@H](O)[C@@H](C)C(=O)[C@H](C)C[C@@](C)(O)[C@H](O[C@H]2[C@@H]([C@H](C[C@@H](C)O2)N(C)C)O)[C@H]1C)(C)O)CC)[C@H]1C[C@@](C)(OC)[C@@H](O)[C@H](C)O1 ULGZDMOVFRHVEP-RWJQBGPGSA-N 0.000 description 2
- 206010052428 Wound Diseases 0.000 description 2
- 208000027418 Wounds and injury Diseases 0.000 description 2
- 238000000137 annealing Methods 0.000 description 2
- 229940096890 d&c violet no. 2 Drugs 0.000 description 2
- 238000001125 extrusion Methods 0.000 description 2
- 230000001737 promoting effect Effects 0.000 description 2
- LJFWQNJLLOFIJK-UHFFFAOYSA-N solvent violet 13 Chemical compound C1=CC(C)=CC=C1NC1=CC=C(O)C2=C1C(=O)C1=CC=CC=C1C2=O LJFWQNJLLOFIJK-UHFFFAOYSA-N 0.000 description 2
- 229940124597 therapeutic agent Drugs 0.000 description 2
- 230000008467 tissue growth Effects 0.000 description 2
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 2
- MFRCZYUUKMFJQJ-UHFFFAOYSA-N 1,4-dioxane-2,5-dione;1,3-dioxan-2-one Chemical compound O=C1OCCCO1.O=C1COC(=O)CO1 MFRCZYUUKMFJQJ-UHFFFAOYSA-N 0.000 description 1
- 208000031504 Asymptomatic Infections Diseases 0.000 description 1
- IJGRMHOSHXDMSA-UHFFFAOYSA-N Atomic nitrogen Chemical compound N#N IJGRMHOSHXDMSA-UHFFFAOYSA-N 0.000 description 1
- 108010071942 Colony-Stimulating Factors Proteins 0.000 description 1
- 102000009024 Epidermal Growth Factor Human genes 0.000 description 1
- 101800003838 Epidermal growth factor Proteins 0.000 description 1
- 102000018233 Fibroblast Growth Factor Human genes 0.000 description 1
- 108050007372 Fibroblast Growth Factor Proteins 0.000 description 1
- CEAZRRDELHUEMR-URQXQFDESA-N Gentamicin Chemical compound O1[C@H](C(C)NC)CC[C@@H](N)[C@H]1O[C@H]1[C@H](O)[C@@H](O[C@@H]2[C@@H]([C@@H](NC)[C@@](C)(O)CO2)O)[C@H](N)C[C@@H]1N CEAZRRDELHUEMR-URQXQFDESA-N 0.000 description 1
- 229930182566 Gentamicin Natural products 0.000 description 1
- 102000002068 Glycopeptides Human genes 0.000 description 1
- 108010015899 Glycopeptides Proteins 0.000 description 1
- 102100039620 Granulocyte-macrophage colony-stimulating factor Human genes 0.000 description 1
- 101000947178 Homo sapiens Platelet basic protein Proteins 0.000 description 1
- 102000014150 Interferons Human genes 0.000 description 1
- 108010050904 Interferons Proteins 0.000 description 1
- 102100020873 Interleukin-2 Human genes 0.000 description 1
- 108010002350 Interleukin-2 Proteins 0.000 description 1
- 108060003100 Magainin Proteins 0.000 description 1
- 102100036154 Platelet basic protein Human genes 0.000 description 1
- 102000010780 Platelet-Derived Growth Factor Human genes 0.000 description 1
- 108010038512 Platelet-Derived Growth Factor Proteins 0.000 description 1
- QAOWNCQODCNURD-UHFFFAOYSA-L Sulfate Chemical compound [O-]S([O-])(=O)=O QAOWNCQODCNURD-UHFFFAOYSA-L 0.000 description 1
- OUUQCZGPVNCOIJ-UHFFFAOYSA-M Superoxide Chemical compound [O-][O] OUUQCZGPVNCOIJ-UHFFFAOYSA-M 0.000 description 1
- 208000007536 Thrombosis Diseases 0.000 description 1
- 102000003978 Tissue Plasminogen Activator Human genes 0.000 description 1
- 108090000373 Tissue Plasminogen Activator Proteins 0.000 description 1
- 108060008682 Tumor Necrosis Factor Proteins 0.000 description 1
- 102000000852 Tumor Necrosis Factor-alpha Human genes 0.000 description 1
- 102000003990 Urokinase-type plasminogen activator Human genes 0.000 description 1
- 108090000435 Urokinase-type plasminogen activator Proteins 0.000 description 1
- 238000010521 absorption reaction Methods 0.000 description 1
- 230000000845 anti-microbial effect Effects 0.000 description 1
- 239000004599 antimicrobial Substances 0.000 description 1
- 230000003115 biocidal effect Effects 0.000 description 1
- 210000000988 bone and bone Anatomy 0.000 description 1
- 230000008468 bone growth Effects 0.000 description 1
- 239000006229 carbon black Substances 0.000 description 1
- 239000003086 colorant Substances 0.000 description 1
- 238000001816 cooling Methods 0.000 description 1
- 239000002537 cosmetic Substances 0.000 description 1
- 229910001873 dinitrogen Inorganic materials 0.000 description 1
- 229940079593 drug Drugs 0.000 description 1
- 229940116977 epidermal growth factor Drugs 0.000 description 1
- 229960003276 erythromycin Drugs 0.000 description 1
- 229940126864 fibroblast growth factor Drugs 0.000 description 1
- 230000012010 growth Effects 0.000 description 1
- 230000035876 healing Effects 0.000 description 1
- 210000000987 immune system Anatomy 0.000 description 1
- 238000010348 incorporation Methods 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 229940079322 interferon Drugs 0.000 description 1
- 230000014759 maintenance of location Effects 0.000 description 1
- 239000000203 mixture Substances 0.000 description 1
- 210000001616 monocyte Anatomy 0.000 description 1
- 238000011275 oncology therapy Methods 0.000 description 1
- 239000002245 particle Substances 0.000 description 1
- 239000000843 powder Substances 0.000 description 1
- TVRGPOFMYCMNRB-UHFFFAOYSA-N quinizarine green ss Chemical compound C1=CC(C)=CC=C1NC(C=1C(=O)C2=CC=CC=C2C(=O)C=11)=CC=C1NC1=CC=C(C)C=C1 TVRGPOFMYCMNRB-UHFFFAOYSA-N 0.000 description 1
- 230000001105 regulatory effect Effects 0.000 description 1
- 239000000126 substance Substances 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
- 230000017423 tissue regeneration Effects 0.000 description 1
- VBEQCZHXXJYVRD-GACYYNSASA-N uroanthelone Chemical compound C([C@@H](C(=O)N[C@H](C(=O)N[C@@H](CS)C(=O)N[C@@H](CC(N)=O)C(=O)N[C@@H](CS)C(=O)N[C@H](C(=O)N[C@@H]([C@@H](C)CC)C(=O)NCC(=O)N[C@@H](CC=1C=CC(O)=CC=1)C(=O)N[C@@H](CO)C(=O)NCC(=O)N[C@@H](CC(O)=O)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N[C@@H](CS)C(=O)N[C@@H](CCC(N)=O)C(=O)N[C@@H]([C@@H](C)O)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N[C@@H](CC(O)=O)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N[C@@H](CC=1C2=CC=CC=C2NC=1)C(=O)N[C@@H](CC=1C2=CC=CC=C2NC=1)C(=O)N[C@@H](CCC(O)=O)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CCCNC(N)=N)C(O)=O)C(C)C)[C@@H](C)O)NC(=O)[C@H](CO)NC(=O)[C@H](CC(O)=O)NC(=O)[C@H](CC(C)C)NC(=O)[C@H](CO)NC(=O)[C@H](CCC(O)=O)NC(=O)[C@@H](NC(=O)[C@H](CC=1NC=NC=1)NC(=O)[C@H](CCSC)NC(=O)[C@H](CS)NC(=O)[C@@H](NC(=O)CNC(=O)CNC(=O)[C@H](CC(N)=O)NC(=O)[C@H](CC(C)C)NC(=O)[C@H](CS)NC(=O)[C@H](CC=1C=CC(O)=CC=1)NC(=O)CNC(=O)[C@H](CC(O)=O)NC(=O)[C@H](CC=1C=CC(O)=CC=1)NC(=O)[C@H](CO)NC(=O)[C@H](CO)NC(=O)[C@H]1N(CCC1)C(=O)[C@H](CS)NC(=O)CNC(=O)[C@H]1N(CCC1)C(=O)[C@H](CC=1C=CC(O)=CC=1)NC(=O)[C@H](CO)NC(=O)[C@@H](N)CC(N)=O)C(C)C)[C@@H](C)CC)C1=CC=C(O)C=C1 VBEQCZHXXJYVRD-GACYYNSASA-N 0.000 description 1
Description
PROCESS OF MAKING BIOABSORBABLE FILAMENTS
BACKGROUND 1. Technical Field
The present disclosure relates to methods for making copolymer filaments for use in producing surgical articles such as sutures. More particularly, this disclosure relates to filaments made from copolymers of glycolide and trimethylene carbonate that are useful in producing surgical sutures.
2. Background of Related Art
Methods for making onofilaments that are suitable surgical sutures generally include the steps of extruding a least one bioabsorable or nonbioabsorable polymer to provide filaments, drawing, or stretching the solidified filaments to achieve molecular orientation and annealing the drawn filaments to relieve internal stresses. Se, e.g. U.S. Pat. Nos.392,891, 3,106,442, 3,630,205, 4,911,165.5,217,485 and U.K. Patent Specification No. 1,588,081 and European Patent Application No.415,783.
It would be desirable to provide a bioabsorbable suture which exhibits good flexibility and handling characteristics while maintaining other desired characteristics, such as knot strength, knot retention and desired absorption characteristics.
SUMMARY
Methods for making a bioabsorbable copolymer filaments are provided herein. The methods include drying the polymer pellets to be extruded, melt extrusion of copolymer components, stretching the filaments in one or more draw steps and permitting the drawn filaments to relax. The copolymer preferably contains units derived from glycolide or glycolic acid and units derived from an alkylene carbonate, such as, for example, trimethylene carbonate.
Brief Descriptions Of The Drawings
Various embodiments are described herein with reference to the drawings, wherein:
FIGS. 1 A and B show a schematic illustration of an apparatus which is suitable for carrying out the method described herein to form a filament; and
FIG. 2 shows a needled suture in accordance with this disclosure.
Detailed Description Of Preferred Embodiments Monofilaments suitable for use as sutures arte provided in accordance with the present disclosure. The monofilaments are made from a bioabsorbale copolymer that contains glycolate units derived and units derived from an alkylene carbonate, such as, for example, trimethylene carbonate.
Glycolide-trimethylene carbonate copolymers from which the present filaments can be made are known to those skilled in the art. Suitable copolymers and methods for making them are disclosed, for example in U.S. Patent Nos. 4,048,256; 4,243,775; 4,300,565; 4,429,080; and 4,438,253 the disclosures of
which are incorporated herein in their entirety by this reference. A particularly useful composition is the glycolide-trimethylene carbonate copolymer from which the commercially available MAXON® sutures are made.
FIG. 1A schematically illustrates a monofϊlament suture manufacturing operation which is especially suitable for producing sutures. Extruder unit 10 is of a known or conventional type and is equipped with controls for regulating the temperature of barrel 11 in various zones thereof, e.g., progressively higher temperatures in three consecutive zones A, B and C along the length of the barrel. Pellets or powder of resin are introduced to the extruder through hopper 12. The resin is dried either before or, preferably, after being placed into the hopper. The resin can be dried using any known technique. Preferably, the resin is dried by flowing nitrogen gas through the resin until a desired dew point is attained. A flow rate in the range of 5 to 40 liters per minute, preferably 10 to 30 liters per minute can be used. Dew points of less than about -60°C, preferably a dew point less than about -40°C. are preferred levels of drying.
Motor-driven metering pump 13 delivers melt extruded resin at a constant rate to spin pack 14 and thereafter through spinneret 15 possessing one or more orifices of desired diameter to provide a molten monofilament 16. The throughput of polymer depends upon the size of the suture being extruded and the number of spinneret openings, but generally can be in the range of 0.5 to 3.5 pounds per hour, preferably, .6 to 3.1 pounds per hour. Molten monofilament 16 which then enters quench bath 1 , e.g., containing water, where the monofilament solidifies. The distance monofilament 16 travels after emerging
from spinneret 15 to the point where it enters quench bath 17, i.e., the air gap, can vary and can advantageously be from about 0.25 to about 100 cm and preferably from about .5 to about 20 cm. If desired, a chimney (not shown), or shield, can be provided to isolate monofilament 16 from contact with air currents which might otherwise effect the cooling of the monofilament in an unpredictable manner. In general, barrel zone A of the extruder can be maintained at a temperature of from about 170° C. to 220° C, zone B at from about 180° C. to 230° C. and zone C at from about 190° C. to about 240° C. Additional temperature parameters include: metering pump block 13 at from about 180° C. to about 230° C, spin pack 14 at from about 180° C. to about 230° C, spinneret 15 at from about 180° C. to about 230° C. and quench bath at from about 10° C. to about 80° C.
Monofilament 16 is passed through quench bath 17 around driven roller 18 and over idle roller 19. Optionally, a wiper (not shown) may remove excess water from the monofilament as it is removed from quench bath 17. On exiting the quench bath the monofilament is wrapped around a first godet 21 provided with nip roll 22 to prevent slippage which might otherwise result from the subsequent stretching operation; and subsequently wrapped around godets 101, 102, 103 and 104 or any other suitable godet arrangement in a first roll station 100. Monofilament 16 passing from first roll station 100 is stretched, e.g., with stretch ratios on the order of from about 2:1 to about 15:1 and preferably from about 3:1 to about 12:1, to effect its orientation. Monofilament 16 is drawn through a heated zone 23 (e.g., hot liquid draw bath or hot air convection oven
chamber) by means of godets 24, 105, 106, 107 and 108 of roll station 200 or any other suitable arrangement of godets which rotate at a higher speed than godet 104 to provide the desired stretch ratio. The temperature of heated zone 23 is advantageously from about 30° C. to about 90° C.
The monofilament is then subjected to a second draw. Specifically, monofilament 16 passing from second roll station 200 is stretched, e.g., with stretch ratios on the order of from about 1.1:1 to about 5:1 and preferably from about 1.2:1 to about 3:1 , to effect its further orientation. Monofilament 16 is drawn through a second heated zone 25 (e.g., hot liquid draw bath or hot air convection oven chamber) by means of godets 26, 109, 110, 1 1 , and 112 and 108 of third roll station 300 or any other suitable arrangement of godets which rotate at a higher speed than godet 108 to provide the desired stretch ratio. The temperature of heated zone 25 is advantageously from about 70° C. to about 150° C.
Following the stretching operation, monofilament 16 is subjected to an online annealing with relaxation (see Fig. 1B) which is accomplished by driving monofilament 16 through a third heated zone 27 (e.g., hot liquid draw bath or hot air convection oven chamber) by godets 28, 113, 114, 1 5, and 1 6 of fourth roll station 400 or any other suitable godet arrangement which rotate at a lower speed than godet 112 relieving tension on the filament to provide relaxation. The temperature, of heated zone 27 is in the range of about 110° C. to about 180° C. and preferably from about 130° C. to about 165° C. During the relaxation process, at these temperatures, monofilament 16 will generally recover to within
about 80 to about 97 percent, and preferably to within about 95 percent, of its pre-annealed length to provide the finished suture.
The suture of the present invention, suture 501 , may be attached to a surgical needle 500 as shown in FIG.2 by methods well known in the art. Wounds may be sutured by passing the needled suture through tissue to create wound closure. The needle preferably is then removed from the suture and the suture tied.
It is further within the scope of this invention to incorporate one or more medico-surgicaily useful substances into the present invention, e.g., those which accelerate or beneficially modify the healing process when particles are applied to a surgical repair site. So, for example, the suture can carry a therapeutic agent which will be deposited at the repair site. The therapeutic agent can be chosen for its antimicrobial properties, capability for promoting repair or reconstruction and/or new tissue growth. Antimicrobial agents such as broad spectrum antibiotic (gentamycin sulfate, erythromycin or derivatized glycopeptides) which are slowly released into the tissue can be applied in this manner to aid in combating clinical and sub-clinical infections in a tissue repair site. To promote repair and/or tissue growth, one or several growth promoting factors can be introduced into the sutures, e.g., fibroblast growth factor, bone growth factor, epidermal growth factor, platelet derived growth factor, macrophage derived growth factor, alveolar derived growth factor, monocyte derived growth factor, magainin, and so forth. Some therapeutic indications are: glycerol with tissue or kidney plasminogen activator to cause thrombosis, superoxide dimutase to scavenge tissue
damaging free radicals, tumor necrosis factor for cancer therapy or colony stimulating factor and interferon, interleukin-2 or other lymphokine to enhance the immune system.
It is contemplated that it may be desirable to dye the sutures of the present invention in order to increase visibility of the suture in the surgical field. Dyes known to be suitable for incorporation in sutures can be used. Such dyes include but are not limited to carbon black, bone black, D&C Green No. 6, and D&C Violet No. 2 as described in the handbook of U.S. Colorants for Food, Drugs and Cosmetics by Daniel M. Marrion (1979). Preferably, sutures in accordance with the invention are dyed by adding up to about a few percent and preferably about 0.2% dye, such as D&C Violet No. 2 to the resin prior to extrusion.
While the above description contains many specifics and examples, these specifics and examples should not be construed as limitations on the scope of the invention, but merely as exemplifications of preferred embodiments thereof. Those skilled in the art will envision many other possible variations that are within the scope and spirit of the invention.
Claims (1)
1. A method of fabricating a medical device comprising filaments, the filament fabrication comprising drying polymer pellets, melt extruding the pellets into filaments, stretching the filaments in at least one drawing step, and permitting the filaments to relax.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| AU2009201878A AU2009201878B9 (en) | 2002-10-04 | 2009-05-12 | Process of making bioabsorbable filaments |
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US41608702P | 2002-10-04 | 2002-10-04 | |
| US60/416,087 | 2002-10-04 | ||
| PCT/US2003/031360 WO2004032792A2 (en) | 2002-10-04 | 2003-10-02 | Process of making bioabsorbable filaments |
Related Child Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| AU2009201878A Division AU2009201878B9 (en) | 2002-10-04 | 2009-05-12 | Process of making bioabsorbable filaments |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| AU2003277264A1 AU2003277264A1 (en) | 2004-05-04 |
| AU2003277264B2 true AU2003277264B2 (en) | 2009-02-12 |
Family
ID=
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| CA2136059C (en) | Method of manufacturing a monofilament suture | |
| CA2195384C (en) | Absorbable polymer blends and surgical articles fabricated therefrom | |
| US6494898B1 (en) | Absorbable copolymers and surgical articles fabricated therefrom | |
| CA2166352C (en) | Absorbable block copolymers and surgical articles fabricated therefrom | |
| US6063105A (en) | Medical devices fabricated from elastomeric alpha-olefins | |
| US5431679A (en) | Absorbable block copolymers and surgical articles fabricated therefrom | |
| JP4716570B2 (en) | Absorbable polymer and surgical article made therefrom | |
| US5480411A (en) | Method of suturing using a polyetherimide ester suture | |
| EP1094755B1 (en) | Absorbable polymers and surgical articles fabricated therefrom | |
| US5403347A (en) | Absorbable block copolymers and surgical articles fabricated therefrom | |
| US6005019A (en) | Plasticizers for fibers used to form surgical devices | |
| CA2127636C (en) | Plasticizers for fibers used to form surgical devices | |
| AU2009201878A1 (en) | Process of making bioabsorbable filaments | |
| US5626811A (en) | Process of making a monofilament | |
| AU2003277264B2 (en) | Process of making bioabsorbable filaments | |
| US8262963B2 (en) | Process of making bioabsorbable filaments | |
| JP2012000451A (en) | Process of making bioabsorbable filament | |
| EP1123048B1 (en) | Absorbable polymers and surgical articles fabricated therefrom | |
| EP1071480B1 (en) | Sutures made from absorbable copolymers | |
| AU2006203366B2 (en) | Absorbable copolymers and surgical articles fabricated therefrom | |
| CA2158420C (en) | Absorbable polymer and surgical articles fabricated therefrom |