Patent Application
20100324646
This invention relates generally to biomedical devices that are used for treating vascular conditions. More specifically, the invention relates to a biodegradable medical device with hydroxyapatite filaments and/or biodegradable polymer fibers.
Stents are generally cylindrical-shaped devices that are radially expandable to hold open a segment of a vessel or other anatomical lumen after implantation into the body lumen.
Various types of stents are in use, including expandable and self-expanding stents. Expandable stents generally are conveyed to the area to be treated on balloon catheters or other expandable devices. For insertion into the body, the stent is positioned in a compressed configuration on the delivery device. For example, the stent may be crimped onto a balloon that is folded or otherwise wrapped about the distal portion of a catheter body that is part of the delivery device. After the stent is positioned across the lesion, the balloon is expanded by the delivery device, causing the diameter of the stent to expand. For a self-expanding stent, a sheath covering the stent is retracted allowing the unconstrained stent to expand, the physiological conditions at the placement site cause the stent to expand, or the combination causes the stent to expand.
Stents are used in conjunction with balloon catheters in a variety of medical therapeutic applications, including intravascular angioplasty to treat a lesion such as plaque or thrombus. For example, a balloon catheter device is inflated during percutaneous transluminal coronary angioplasty (PTCA) to dilate a stenotic blood vessel. When inflated, the pressurized balloon exerts a compressive force on the lesion, thereby increasing the inner diameter of the affected vessel. The increased interior vessel diameter facilitates improved blood flow. Soon after the procedure, however, a significant proportion of treated vessels restenose.
To reduce restenosis, stents constructed of metals or polymers are implanted within the vessel to maintain lumen size. The stent is sufficiently longitudinally flexible so that it can be transported through the cardiovascular system. In addition, the stent requires sufficient radial strength to enable it to act as a scaffold and support the lumen wall in a circular, open configuration. Configurations of stents include a helical coil, and a cylindrical sleeve defined by a mesh, which may be supported by a stent framework of struts or a series of rings fastened together by linear connecter portions.
Unfortunately, stent insertion can cause undesirable reactions such as inflammation resulting from a foreign body reaction, infection, thrombosis, and proliferation of cell growth that occludes the blood vessel. Polymer coatings applied to the surface of stents have been used to deliver drugs and other therapeutic agents at the placement site of the stent in order to reduce the incidence of deleterious conditions including thrombosis and restenosis.
It would be desirable to provide a biodegradable medical device with hydroxyapatite filaments and/or biodegradable polymer fibers that overcomes the disadvantages described above.
One aspect of the present invention provides a stent including hydroxyapatite fibers and biodegradable fibers. The hydroxyapatite fibers and biodegradable fibers are interwoven to form the stent lumen.
Another aspect of the invention provides a system of for treating a vascular condition that includes a catheter and a stent disposed on the catheter. The stent includes hydroxyapatite fibers and biodegradable fibers interwoven so that they define the stent lumen.
Yet another aspect of the invention provides a method of manufacturing a stent by forming hydroxyapatite fibers, forming biodegradable fibers, and interweaving the fibers to form a stent lumen.
Yet another aspect of the invention provides a stent including a plurality of hydroxyapatite fibers made solely of hydroxyapatite, with the plurality of hydroxyapatite fibers being interwoven to define a stent lumen.
The present invention is illustrated by the accompanying drawings of various embodiments and the detailed description given below. The drawings should not be taken to limit the invention to the specific embodiments, but are for explanation and understanding. The detailed description and drawings are merely illustrative of the invention rather than limiting, the scope of the invention being defined by the appended claims and equivalents thereof. The drawings are not to scale. The foregoing aspects and other attendant advantages of the present invention will become more readily appreciated by the detailed description taken in conjunction with the accompanying drawings.
Throughout this specification, like numbers refer to like structures.
The present invention is directed to a system for treating abnormalities of the cardiovascular system including a catheter and a hydroxyapatite stent disposed on the catheter. In one embodiment, the stent includes hydroxyapatite strands or filaments. In another embodiment, the stent includes hydroxyapatite particles embedded in biodegradable polymer filaments.
Hydroxyapatite (HA) has the chemical composition [Ca10(PO4)6(OH)2], and is the predominant mineral component of bones and teeth. Crystalline HA is biocompatible and thermodynamically stable under physiological conditions, although generally brittle. Crystalline HA is used extensively as a coating for titanium and polymer implants for orthopedic and dental applications. HA is bioactive, and stimulates collagen and soft tissue growth, and therefore promotes healing. Although thermodynamically stable under physiological conditions, HA is resorbed over time.
Crystalline HA can be produced from calcium and phosphorous compounds by a simple precipitation process. For example, solutions of calcium hydroxide and phosphoric acid are mixed, and heated with stirring. A precipitate of crystalline HA particles that are variable in shape and size forms when the solution returns to room temperature.
HA fibers made solely of hydroxyapatite are formed by drawing or extruding the viscous HA gel through pores of a defined size. The resulting product consists of HA gel fibers that are collected and calcined at high temperature to remove water and form a final fibrous product 100 having a nano-crystalline HA structure, shown in
Hydroxyapatite fiber 200 includes HA filaments 202 and poly(lactide-co-glycolide) filaments 204 that are coaxially aligned. A hydroxyapatite fiber 200 including HA and another polymer can be formed by a process known in the art as electrospinning. The HA suspension is mixed with a solution of another polymer and extruded into a voltage field between 10 and 30 kV. The liquid stream becomes charged, and electrostatic forces cause it to elongate and become progressively smaller in diameter. As the liquid stream dries, it becomes a thin, uniform filament having an exemplary diameter of between about 10 and 100 nanometers.
In one embodiment, the polymer that is mixed with the HA suspension is a biocompatible, biodegradable polymer such as hyaluronic acid, polylactic acid, polyglycolic acid, poly(lactide-co-glycolide copolymers, polyamide esters, polyvinyl esters, polyvinyl alcohol, and polyanhydrides. In another embodiment, polymers having shape-memory properties are used. Exemplary shape-memory polymers for use in a self-expanding stent include elastic block copolymers of polyurethane, polyethylene glycol, and (ξ-caprolactone)diol.
In one embodiment, a solution of poly(lactide-co-glycolide) copolymer is mixed with an HA suspension in a ratio of between 1:10 and 5:1 by weight. The mixture is then subjected to electrospinning and a hydroxyapatite fiber 200, shown in
Polymeric filaments and HA particles are combined to form the hydroxyapatite fibers. Filaments are formed from solutions of polymers such as solubilized collagen, or poly(lactide-co-glycolide) by electrospinning and other suitable methods. The polymer filaments are then combined with particles of HA and formed into hydroxyapatite fibers by compression, hot pressing, gel casting, or other techniques known in the art. In one embodiment, the resulting hydroxyapatite fiber 300, shown in
In one embodiment, shown in
In another embodiment, HA fibers 402 are HA particles dispersed in a biodegradable polymer. HA fibers 402 can include HA particles having an exemplary diameter between about 10 nm and 10 microns bound to poly(lactide-co-glycolide) filaments. The ratio of hydroxyapatite particles and poly(lactide-co-glycolide) copolymer can be between about 1:10 and 5:1 by weight. The polymer composition and HA content are selected to provide desired physical and mechanical characteristics including flexibility, tensile strength and elastic modulus.
Stent 500 is flexible and expandable, and can be mounted on a catheter and delivered to a treatment site within the vascular system. The stent 500 includes hydroxyapatite fibers and biodegradable polymeric fibers, or hydroxyapatite fibers alone, which are interwoven to define a stent lumen. The stent 500 can be balloon expandable or self-expanding. When the stent 500 is balloon expandable, the system for treating a vascular condition includes a catheter; a balloon disposed on the catheter; and stent 500 disposed on the balloon. Those skilled in the art will appreciate that in other embodiments the stent can be self-expanding, so that the balloon can be omitted. When the stent 500 is self-expanding, it can be delivered to the treatment site on a catheter without a balloon. The catheter can include a retractable sheath to restrain the self-expanding stent until the stent reaches the deployment site.
At the treatment site, the stent is positioned across the lesion to be treated, and expanded, either with a balloon or through self-expansion. The catheter is then withdrawn from the body. Once positioned at the treatment site, the stent provides support for the vessel wall and maintains vessel patency. In addition, the HA in stent wall 400 promotes tissue ingrowth and healing at the treatment site. After stent placement, the biodegradable polymer breaks down and is removed from the site, and the HA is resorbed, leaving the treatment site healed.
While the invention has been described with reference to particular embodiments, it will be understood by one skilled in the art that variations and modifications may be made in form and detail without departing from the spirit and scope of the invention.
