Patent Application
20080124766
This invention relates to a scaffold material capable of inducing a biological hard tissue or soft tissue used for an artificial tooth implant, an artificial joint implant, a bone fixation fixture such as a bone plate, and substitutional bone or an artificial organ and its holding apparatus. Further, this invention relates to a method for the culture of cells/microorganisms, to a method for producing biogenous substances (particularly, collagen for medical treatments), and to apparatuses used for these methods.
[Patent Document 1] Japanese Published Patent Application No. H11-341
[Patent Document 2] Japanese Published Patent Application No. H8-140996
In the past, for an implant material to implant in a living body, implant, materials capable of inducing a hard tissue such as an artificial tooth root, an artificial joint or an implant material capable of inducing a soft tissue such as an artificial internal organ and its holding apparatus, and a skin terminal were known. Here, for the bone fixation fixture such as the artificial tooth root, the artificial joint etc., the induction and growth of a bone tissue-(osteoblast, osteocyte) which is the hard tissue in a living body is important. And for the artificial internal organ and its holding apparatus or the skin terminal, the induction and growth of the soft tissue (fibroblast) is important. As a metal material for the implant material, titanium and titanium alloy are preferably used because these materials have peculiar affinity with less foreign body reactions compared with other metals.
However, even if the foreign body reactions in a living body are few, when the implant material is implanted in a living body, fibroblasts etc. of the connective tissue system gather together with collagen fibers to form encapsulated tissues around the surface of the implant material. Therefore, because the implant material and the bone tissues cannot contact directly, and it takes long time to induce the bone tissues, it was not practical. Moreover, even the surface of the material is rough-finished plane, since it is two dimensional structures, it cannot connect with soft tissues including the encapsulated tissues etc. For that reason, in order to securely fix the implant material into a living body, it is necessary for the implant material and the biological hard tissue or soft tissue to have more mechanical connections in a short time period. For this purpose, implant materials having various geometrical structures provided with the portion mechanically connected with biological hard tissues or soft tissues have been developed.
In Patent Document 1, an implant material, which is covered by a thin layer of bubble structure made of metal whose outer surface has a plurality of aperture cells is disclosed. By impregnating the covered portion of the thin layer of bubble structure with reinforced bone cement, it presents an in-between mechanical property of the implant material and the bone.
In Patent Document 2, an implant material comprising an anchor portion formed by winding and compressing metal wires in multi-tiers in the lower periphery of the implant material is disclosed. This implant material also targets at increasing the metallically connected portion with the osteoblasts. And further, since the anchor portion excels at buffering function, it is hard to be broken against the external force in occlusion etc.
However in the implant material having the above described geometrical structure, the infiltration of osteoblasts was observed but the condition of osteointegration being integrated with cells was not satisfactory.
The inventor described that, “Osteoblasts preferably grow in a geometrical structure composed of thin fibers, and they show extremely high affinity to the geometrical structure composed of titanium fibers of the thickness less than 100 μm having the expanse of 100 to 400 μm, and have a nature to adhere positively thereto.” in Patent Document 3. Based on this knowledge, a scaffold material capable of inducing a biological hard tissue comprising a rod made of titanium metal and a biological tissue implantation space formed by winding the layer which is formed by intertwining the titanium fiber or titanium base alloy fiber having diameter of less than 100 μm, and having the aspect ratio of which is larger than 20 (minor axis:major axis ratio=1:larger than 20) is disclosed. The use of the scaffold material of Patent Document 3 will result in forming three dimensional physical connection between the material and osteoblasts resulting in extremely good osteointegration tissues.
However, the implant material equipped with the porous biological tissue implantation layer of Patent Document 3 is preferable in the mechanical connection with oseteoblasts, but it is required of further improvement in the durability against external forces, particularly the strength against applied forces to the joint surface between the rod and the hard tissue forming and inducing layer, and torsion, shear etc.
This invention is directed to improve the strength against applied forces to the joint surface between the rod and the hard tissue forming and inducing layer, and torsion, shear etc., while preserving the geometrical space in which hard tissues (osteoblasts) grow preferably.
At present, when an artificial internal organ commencing with an artificial heart is implanted in a living body, in order to hold the artificial internal organ, a separate artifact being easy to connect with biological tissues is implanted together with the artificial internal organ. This invention is also directed to provide a scaffold material and implant material whose pore size is easy to induce soft tissues and has geometrical spaces, and is used for skins and muscles which are various kinds (anchorage dependent) cells or soft tissues other than osteoblasts.
The scaffold material capable of inducing biological tissue of this invention (claim 1) comprises a metal substrate and a metal fiber layer composed of a metal wire prepared in the outer periphery of the metal substrate, wherein the average pore size of the metal fiber layer is 100 to 400 μm. In such a scaffold material, a binding layer composed of a metal wire prepared in an inner periphery of the metal fiber layer, which has the average pore size of less then 100 μm is preferable (claim 2). Further, the average pore size of the metal fiber layer is preferable made to vary at a slant or in incremental steps from the innermost side to the outermost side (claim 3).
As the metal fiber layer of the above scaffold material, a metal nonwoven fabric formed by intertwining metal wires of the diameter 5 to 400 μm maybe used (claim 4). Further the metal fiber layer maybe composed of metal wires having the diameter of 5 to 400 μm and the average pore size formed at a slant or in incremental steps maybe made according to the difference of the degree of intertwining or the difference of the diameter of the metal wires. (claim 5, 6)
Further, the binding layer maybe formed by intertwining metal wires of diameter 5 to 400 μm, and the metal powders or metal particles maybe implanted between the intertwined wires, forming a binding layer having the pore size of smaller than 100 μm (claim 7). The diameter of the metal powders or the metal particles is preferable to be 100 μm or less (claim 8).
Further the reinforcing layer composed of a metal wire having a diameter of 100 to 2000 μm maybe formed at the periphery of the metal fiber layer where the average pore is made to be 100 to 2000 μm may be formed (claim 9).
The metal substrate of such scaffold material is made to be a rod in shape based on the usage, and a bridge girder or a protrusion may be formed on the surface of the rod protruding outside against the radial direction of the rod (claim 10). And, the metal substrate maybe formed in a plate shape and a protrusion protruding outward in the plate surface may be formed (claim 11).
Further, the scaffold material is preferable to be formed by sintering all the metal substrate and the metal fiber layer and/or the binding layer together (claim 12). Such sintering is preferable to be performed at a temperature 0.3 to 0.9 times of the melting point (Tm·° C.) of the metal substrate (claim 13). However, the metal substrate and the metal fiber layer or the binding layer may be bonded together with an adhesive material (claim 14). The material of the metal substrate and the metal fiber layer and/or the binding layer is preferable to be the one or two kinds of metal selected from a group composed of titanium, titanium alloy, gold, gold alloy (claim 15), and the metal fiber layer and/or the binding layer is preferable to be treated by apatite formation liquid and coated by hydroxyapatite containing apatite carbonate or other calcium phosphate compounds (claim 16).
The second embodiment of the scaffold material capable of inducing a biological hard tissue or soft tissue of this invention comprises a substrate, and a cell induction layer composed of a porous structure having the average pore size of 100 to 400 μm prepared in the outer periphery of the substrate, wherein the substrate is a micro porous structure having micro pores of the diameter 2 mm or less, and the substrate have at least a lead-in hole extending toward the center direction, and the lead-in hole and the outside of the substrate is intricately communicated through the micro pores (claim 17).
The third embodiment of the scaffold material capable of inducing a biological hard tissue or soft tissue of this invention comprises a substrate, and a cell induction layer composed of porous structure having the average pore size of 100 to 400 μm prepared in the outer periphery of the substrate. The substrate comprises a substrate body provided with a hollow portion and a three dimensional porous structure filled in the hollow portion. The substrate body comprises a bore having the outer diameter of 2 mm or less formed at least on the outer periphery so as to communicate with the hollow portion and a lead-in hole having the diameter larger than that of the bore formed on the outer surface so as to communicate with the hollow portion (claim 18). Further, a supporting post is preferably inserted in the hollow portion (claim 19).
Additionally, in the scaffold material of the second or third embodiment of this invention, the cell induction layer is preferable to be formed by intertwining metal wires (claim 20). Moreover, as described above, the metal fibier layer and or binding layer which is coated or not coated with calcium phosphate compound, is preferable to be coated by one or two kinds or more of materials selected from groups composed of cytokine such as bone morphogenetic protein etc., hormone such as insulin etc., micro active substance such as interferon etc (claim 21).
The biomedical implant material of this invention comprises a scaffold material capable of inducing a biological hard tissue or soft tissue implanted in a living body and integrally fixed to the peripheral surface of the living body (claim 22). The implant material is preferable to be used for bone fixation fixtures such as artificial tooth roots, artificial joints, and bone plates, substitutional bones, artificial internal organs or their holding apparatuses, and skin terminals (claim 23).
Since the scaffold material (claim 1) is provided with the metal fiber layer whose average pore size is 100-400 μm, it is excellent in inducing biological hard tissue and implantation property. Further, osteoblasts are preferably comes to stay and are easy to grow up. Therefore, the osteoblasts and the scaffold material are integrated to form as it is called collaboration.
The scaffold material of above and provided with the binding layer whose average pore size is less than 100 μm inside of the metal fiber layer (claim 2), the adhesiveness of the metal substrate and the binding layer is excellent, and they are adhered firmly. So, the junction strength of the metal fiber layer and the metal substrate becomes stronger interposing the binding layer.
Further, since the average pore size of the metal fiber layer are made to vary at a slant or in incremental steps increasing from the innermost layer to the outermost layer, it is hard to be sheared when forces are applied to the scaffold material. This is because the interface of the both layers disappears after the growth of the osteoblasts. And further, cells are easy to infiltrate because the average pore size of the outermost portion is largest.
The metal fiber layer formed by fixing a metal nonwoven fabric formed by intertwining metal wires of the diameter 5 to 400 μm (claim 4), and the metal fiber layer composed of metal wires having the diameter of 5 to 400 μm whose average pore size is made to vary at the slant or in incremental steps according to the difference of the degree of intertwining of the metal wires or according to the difference of the diameter of the metal wires (claim 5, 6) are easy to manufacture.
For example, followings can be cited; the metal nonwoven fabric composed of the same diameter wires or the wires having same diameter are gradually winded and/or intertwined with gradually lessened force; a plurality of metal nonwoven fabrics of different average pore sizes is continually winded; metal wires or metal nonwoven fabrics are winded or encased in a metal mold and different pressures are applied from outside to provide difference in the degree of intertwining; furthermore, metal wires of different diameter or metal nonwoven fabrics composed of different diameter metal wires are intertwined and/or winded with a constant force. As a matter of course, these may be combined, but not limited to these.
In the case that the binding layer is formed by intertwining metal wires of diameter 5 to 400 μm and metal powders or metal particles is thickly implanted between the intertwined wires (claim 7), since the average pore size of the metal fiber layer is freely adjustable before and after the provision of the metal wires in the metal substrate, it is easy to manufacture. Moreover, the average pore size of the metal fiber layer may be adjusted by filling in metal powders or metal particles, and the pore size of the metal fiber layer may be made uniformly, step-by-step, or incliningly.
In the scaffold material of this invention where the reinforcing layer composed of metal wires of the diameter 100 to 2000 μm are prepared on the outer periphery of the metal fiber layer, and the reinforcing layer is formed have the average pore size of 100 to 2000 μm (claim 9), this reinforcing layer becomes the frame of the entire scaffold material, further strengthening against external forces such as torsion.
By making the metal substrate be a rod in shape, it can be used as an artificial tooth, an artificial joint, a substitutional bone. By making the metal substrate be a plate in shape, it can be used as a bone fixation fixture such as a bone plate, an artificial organ or a holding apparatus. Further, in the case that a bridge girder or a protrusion extending outward against the radial direction of the rod is formed on the surface of the rod (claim 10, 11), the adhesive strength of the metal substrate and the metal fiber layer against external forces particularly against torsion and shearing can be enhanced.
In the case that the metal substrate and the metal fiber layer and/or the binding layer of the scaffold material are formed by sintering together (claim 12), the jointed portion of the metal substrate and the metal wires and the mutual intertwined portion of the metal wires are adhered by sintering, it can be further strengthened. In such a case, the metal substrate and the metal wires are preferable to be the same kind of metal.
In the case that the material of the metal substrate and the metal fiber layer and/or the binding layer of the scaffold material of this invention is titanium, titanium alloy, gold, gold alloy (claim 15), it is preferable because the biocompatibility is high. Moreover, in the case that the metal fiber layer and/or the binding layer is treated by apatite formation liquid and coated by hydroxyapatite containing apatite carbonate or other calcium phosphate compounds and cytokine such as bone morphogenetic protein, hormone such as insulin, micro active substance such as interferon (claim 16), the osteoblasts can be induced into the metal fiber layer within a short time period and can be implanted.
Since the implant material of this invention is provided with any of the above described scaffold material which is implanted in a living body and fixed to the peripheral surface of the living body integrally (claim 18), it is possible to make firmly adhere to the living body, preventing the interface between the metal substrate and the metal fiber layer from fracturing due to the external forces such as torsion or shearing applied to the metal substrate.
On one hand, collagen for medical treatment is the best base material for reconstructive/regenerative medical treatment of all tissues and organs such as skins, bones, cartilages etc. Such collagen for medical treatment is supplied from the skin, bone of cows, and at present, no artificial alternative having that property is developed. However, recently affected by the appearance of bovine spongeform encephalopathy (BSE, mad cow disease), utilization of the skin, bone of cows which has been the largest supply source of the collagen for medical application is becoming difficult. Moreover, the possibility of similar disease is undeniable in mammals other than cows, for example, pigs. And, the collagen of fins is very inferior in properties and unusable in many cases.
Consequently, the manufacture of human collagen by genetic engineering techniques has been attempted, but it is proved to be impractical for general medical treatments because of its very high cost compared with the conventional cow collagen. One of the reasons is attributed to the limit of production capacity, because the cell supporting body for the large scale culture of mammal cells for inducing the gene of collagen is operated on a plane surface (plastic dish).
In Patent Document 4, a scaffold material capable of inducing a biological hard tissue used together with various implant such as artificial joint implants, bone prosthetic implants, artificial tooth implants etc., that which is formed into like a layer by intertwining titanium or titanium alloy fiber whose diameter is less than 100 μm, aspect ratio 20 or more, is disclosed. Further, in Patent Document 1, the fiber surface being treated by apatite formation liquid and coated by calcium phosphate compound containing hydroxyapatite or apatite carbonate is also disclosed.
When the scaffold material composed of above fiber surface is implanted in the living body bone after winded up around the implant material of titanium or titanium alloy, it induces the bone tissue into the fiber layer, and forms a three dimensional hybrid state of titanium and bone tissues enhancing the affinity to the bone tissue. Since the conventional polymer fibers cause plugging and deformation, it is not suitable. Further, the implant material made of ceramic has tendency to break.
This invention is directed to improve the above described culture method of cells using two dimensional plane plate, by utilizing three dimensional structure similar to the three dimensional scaffold material shown in Patent Document 1; to provide a method to culture efficiently cells such as collagen production cells (human fibroblasts, human osteoblasts) or micro-organisms which produce antibiotic substances and various valuable substance for medicine and industry; to provide a method to produce biological substances (cellular substances, microbial substances) efficiently and in large scale; and to provide an apparatus used for those methods.
In the culture method of cells/microorganisms of this invention, anchorage-dependent cells or microorganisms are seeded in a culture platform composed of webs of intertwined thin fibers, and the cells and the microorganisms are cultured by adding a culture solution to the seeded culture platform (claim 24). In such culture method, it is preferable that the cells and the microorganisms are cultured by the culture platform having an impermeable layer forming a composite layer in the bottom portion or bottom portion and the side portion (claim 25).
Moreover, it is preferable that the above culture platform is accommodated in a cylindrical container in a detachable stuck state of many leaves, a plurality of stages, and a culture solution is circulated in the container (claim 26). In this case, before the culture platform is accommodated in a container it is preferable to culture the cells and microorganisms by rotation culture (claim 27).
In the production method of a biogenous substance of this invention, cells or microorganisms producing a predetermined biogenous substance are cultured by the method according to any of the method described above, and the biogenous substance obtained from the cells or microorganisms is separated and retrieved (claim 28). As the biogenous substance described above, matrix protein such as collagen etc., cytokine such as bone morphogenetic protein (BMP) etc., hormone such as insulin etc., micro active substance such as interferon, medically and industrially valuable recombinant protein etc. can be cited. And as for the used cells and micro-organisms, almost all of the cells and the microorganisms which produce medically and industrially valuable recombinant protein can be cited (claim 29). In the above production method, a part of the circulated culture solution is retrieved and the biogenous substance secreted in the culture solution is preferable to be retrieved (claim 30). Further, the separating and retrieving of the biogenous substanace is conducted by solubirizing the biogenous substance precipitated in the culture platform by a menstruum or by enzyme treating such as pepsin, and extracting the biogenous substance dissolved in the menstruum (claim 31).
The culture apparatus of this invention comprises a cylindrical container, a plural of the culture platform composed of a web in which thin fibers are intertwined and accommodated in the container detachably in a laminated condition, and a means to circulate the culture solution into the container (claim 32). In such culture apparatus, the thin fibers made of metal having the diameter of 1 to 1000 μm is preferable. And metal fiber composed of titanium, titanium alloy, gold, and gold alloy having high biocompatibility with the diameter of 100 μm or less is more preferable. Further, the web is preferable to exhibit a sheet-like shape of having the thickness of 0.5 to 10 mm, more preferable of 1 to 3 mm is favorable (claim 33). More, the web is preferable to be coated with hydroxyapatite containing apatite carbonate, and other calcium phosphate compounds (claim 34). Furthermore, it is preferable to be further coated with the matrix protein such as collagen on the coat of the calcium phosphate compound (claim 35).
Moreover, the laminated culture platforms are preferable to be laminated in a condition that they are put on holders respectively so as to space between the culture platforms mutually (claim 36). In this case, the holder comprises a bottom plate of thin ring-shaped plate for the culture platform being put on, and a peripheral wall rising from the periphery of the bottom plate, wherein the height of the inner face of the peripheral wall is preferable to be about equal or somewhat higher than that of the culture platform (claim 37).
The production apparatus of this invention comprises any of the above culture apparatus and a means to retrieve biogeneous substances from the culture platform or the culture solution (claim 38).
In the method for manufacturing a three dimensional artificial model of this invention, a first cell is seeded in the culture platform and then the first cell is cultured by adding a culture solution to the seeded culture platform, and after that a second cell is seeded on the culture platform which has cultured the first cell, successively a culture solution is added to the seeded culture platform to culture the first and the second cell (claim 39).
By this production method of the three dimensional model, a three dimensional skin model can be produced (claim 40). Particularly in this manufacturing method, a preferable three dimensional skin model in which the first cell is a fibroblast and the second cell is an epithelial cell, can be manufactured (claim 41).
In the culture method of this invention (claim 24), cells and microorganisms are seeded in a three dimensional culture platform composed of webs of intertwined thin fibers and cultured by the above platform. Therefore, supporting area for cells and microorganisms are wide, allowing many cells or microorganisms to be cultured at a time. In such culture method, when the cells and the microorganisms are cultured in the culture platform having an impermeable layer forming a composite layer in the bottom portion, cells and microorganisms will not fall down from the culture platform. Therefore, the conventional shaking culture is not necessary, and the culture in a culture dish is possible. And when the cells and the microorganisms are cultured in the condition that the above culture platform having the impermiable layer on the side faces and a bottom face, the active substance produced (secreted) by the cells and the microorganisms will not scatter from the culture platform and can be easily pooled on the impermiable layer. Thereby, cells and microorganisms are activated (claim 25, 26).
In the case that the above culture platform is accommodated in a cylindrical container in a detachable stuck state of many leaves, a plurality of stages, and a culture solution is circulated in the container, a large amount of cells and microorganisms can be cultured efficiently (claim 27). In such culture method, when cells and microorganisms are cultured by shaking culture before the culture platform is accommodated in the container, it is possible to culture the cells and microorganisms with high density in the each culture platform before culturing in the container. Therefore, further large amount of the cells and microorganisms can be cultured.
Since the production method of biogenous substance of this invention cultures a large amount of cells and microorganisms by the above efficient method and make the cultured cells and microorganisms produce the biogenous substance, a large amount of biogenous substance can be efficiently separated/retrieved. In the case that the biogenous substance is matrix protein such as collagen etc., cytokine such as bone morphogenetic protein (BMP) etc., hormone such as insulin etc., micro active substance such as interferon, medically and industrially valuable recombinant protein etc., a large amount of substance can be efficiently produced, which is valuable for medical services and industries (claim 29). In such production method, when a part of circulated culture solution is retrieved and biogenous substance secreted in the culture solution is retrieved, since the circulation of the culture solution and the retrieval of the produced substance can be done at the same time, which is efficient (claim 30). In the case that the biogenous substance precipitated in the culture platform is solubirized by a menstruum or by enzyme treating such as pepsin and the biogenous substance dissolved in the menstruum is extracted, a large amount of substance can be retrieved at a time (claim 31).
In the culture apparatus of this invention, the three dimensional culture platform composed of a web in which thin fibers are intertwined, is used (claim 32). Therefore, the supporting area of the cells and microorganisms is wide, enables to culture many cells and microorganisms at a time. Further, since the culture is conducted in plural of culture platforms accommodated in the laminated condition, a large amount of cells and microorganisms can be efficiently cultured, even in a narrow space.
In the case that the thin fibers are those made of metal having the diameter of 1 to 1000 μm with high biocompatibility, affinity for living organisms of the thin fibers composing the web is high. Therefore, cells and microorganisms are hard to fall away from the culture platform. In the case that the metal is titanium, titanium alloy, gold, and gold alloy, affinity for living organisms is particularly high. And, in the case that the diameter of the thin fibers is 100 μm or less, the contact to cells and microorganisms becomes further close, enhancing the efficiency of culture. Moreover, in the case that the web is made to be like a sheet whose thickness is 5-10 mm, handling of the each web becomes easy, enabling the density of the cells and microorganisms high when laminated. Particularly, when the thickness is made to be 1-3 mm, the support of a living body is secure and permeability of the culture solution is high. Further, in the case that the web is coated by hydroxyapatite containing apatite carbonate, and other calcium phosphate compounds, the biocompatibility of the thin fibers is further enhanced (claim 34). In the case that the matrix protein of the biogenous substance targeted at production is coated on the calcium phosphate compound, the mutual adherence of the cells and microorganisms can be increased (claims 35).
In the case that the laminated culture platforms are laminated in a condition that they are put on holders respectively so as to space between the culture platforms mutually, flesh culture solution can be easily supplied to the surface of the culture platform (claim 36). Therefore, the activity of the cells and microorganisms is enhanced, enabling high efficiency culture.
In the case that the holder comprises a bottom plate of thin ring-shaped plate for the culture platform being put on and a peripheral wall rising from the periphery of the bottom plate, and the height of the inner face of the peripheral wall is about equal or somewhat higher than that of the culture platform, the culture platforms can be accommodated in a container or taken out from it with respect to each holder (claim 37). Therefore, the handling of the culture platforms is easy, in the work to accommodate new culture platforms in the container and in the work to replace the culture platforms. Further, flesh culture solution can be supplied to the cells and microorganisms of the surface of the culture platforms, because the spaces are provided between the each culture platform by the holders.
The production apparatus of biogenous substance of this invention is comprises any of the above culture apparatus and means to retrieve the biogenous substance, as described above, a large amount of biogenous substance can be separated/retrieved from those cells and microorganisms (claim 38).
The method for manufacturing a three dimensional artificial model of this invention, a first cell is seeded in the culture platform and then the first cell is cultured by adding a culture solution to the seeded culture platform, and after that a second cell is seeded on the culture platform which has cultured the first cell, successively a culture solution is added to the seeded culture platform to culture the first and the second cell, thereby three dimensional artificial model can be manufactured, in which the first cell and the second cell are configured to be layer structure in the culture platform (claim 39). Therefore, it is possible to produce the three dimensional artificial model for medicine screening.
In this manufacturing method particularly, the three dimensional skin model can be easily manufactured, by using a fibroblast as the first cell and an epithelial cell as the second cell (claim 40). Moreover, by utilizing this method, the three dimensional skin model can be produced (claim 41).
a is a side cross section showing further the other embodiment of the scaffold material of this invention, and
a is an outline drawing showing the medical treatment using the scaffold material of
a and
The artificial tooth root 10 of this invention comprises, a rod 11 as the metal substrate, a binding layer 13 formed in the outer periphery of the rod, a metal fiber layer 14 provided in the outer periphery of the binding layer, and a reinforcing layer 15 provided in the outer periphery of the metal fiber layer for supporting the whole as a frame.
The rod 11 is composed of a body 21 whose diameter is 3-5 mm, bridge girders 22a, 22b, 22c provided in the upper, middle, lower part of the body, and flange portions 23a, 23b provided in the upper and lower end of the body. In the upper face of the upper flange portion 23a, an insetting hole 24 for insetting an anchor portion (not shown in drawings) of tooth is formed. The lower part of the lower end flange portion 23b is made to be screw tap so as to facilitate insertion to bone tissues. The whole length of the rod 11 is 7-20 mm, and the height of the bridge girder 22 is preferable to be 0.2-2 mm. As such rod 11, what is made of titanium, titanium alloy, gold, gold alloy is preferable. However, it is not particularly limited so far as it has high biocompatibility such as stainless steel or cobalt-chrome alloy etc.
The binding layer 13 is formed by tightly winding a metal wire having the diameter of 5-400 μm between the bridge girders 22 on the outer periphery of the rod 11, so as to make the thickness be 0.1-2 mm. The metal fiber layer 14 having an average pore size of 100 to 400 μm is formed by wrapping a reticulated web (nonwoven metal fabric) of intertwined metal wires having diameter of 5-400 μm around the outer periphery of the binding layer 13, so as to make the thickness be 0.3-10 mm. After that, the intersecting points of the each metal wire and the contact point of the binding layer and the rod are fusion bonded by vacuum sintering together with the rod. As the fixing method of this metal wire and metal nonwoven fabric, the molding method is employed. More specifically, the volume in which metal wires and metal nonwoven fabric are accommodated is calculated, and then from the void ratio and the wire diameter, the volume and weight of the metal wires and metal nonwoven fabric to be used are calculated. The required amount is pushed in between the substrate and the mold, and vacuum sintered under the pressure while the thickness being calculated. By making the whole thickness of the metal fiber layer and the binding layer be 0.4-12 mm, the vacuum sintering of the web composed of metal wires can be facilitated. The sintering temperature is different depending on the melting point of the metal wire (Tm·° C.), and it is preferable to be 0.3-0.9 times of the melting point of the metal and metal alloy (Tm·° C.). For example, when titanium is used as the substrate and metal wire, since the melting point of the titanium is 1668° C., the sintering temperature is preferable to be about 500-1500° C.
The reinforcing layer 15 is the layer in which a reticulated web of metal wires of the diameter 100-2000 μm being intertwined to make the average pore size be 100-2000 μm is wrapped around the metal fiber layer 14 so as to be the thickness 0.1-5 mm.
Since the reinforcing layer 15 is thus formed with comparatively thick metal wires, it functions as a frame for supporting the whole scaffold material, preventing the interface between the metal layers of outer most layer and intermediate layer, and the living body from breaking by external forces such as torsion or shearing.
On each layer, an inducing agent to induce living cells is coated. As such inducing agent, hydroxyapatite containing apatite carbonate, and other calcium phosphate compounds etc. can be cited. Thereby, the collaboration zone which is the integration of bone tissues produced by osteoblasts and metal fiber layer 14 can be attained within a shorter time period. Further, since the pore size of the reinforcing layer is larger than the average pore size of the metal fiber layer, growth of the osteoblasts up to the metal fiber layer is not disturbed.
The artificial tooth root 10 thus configured is implanted in the implant portion of the jaw bone formed by drilling. Thereby, the living body tissues reaches the metal fiber layer 14 and the binding layer 13 through the reinforcing layer 15 where the average pore size is relatively large. Since, the metal fiber layer 14 is equipped with a geometrical structure for which osteoblasts have a preference, osteoblasts grow within a short period. The period to come into the osseointegration condition which is the integrated condition of the metal fiber 14 and the osteoblasts is about 1 to 2 months though differences among individuals are observed.
Thus, the osteoblasts take roots in every layer to form bones, and furthermore, being metabolizing, the binding strength of the artificial tooth root 10 always contributes largely. Even when external forces by dental occlusion etc. (press, torsion, shearing) affect, the existence of the binding layer 13 prevents the interface between the metal fiber layer 14 and the substrate from breaking. In other word, once the osteoblasts grow, the breaking in the interface between the living body and the metal fiber layer 14 will not likely to occur.
The each layer of the artificial tooth root 10 of
The scaffold material 30 of
The scaffold material 35 of
The photograph shown in
The scaffold material shown in
The substrate 41 have a flange portion 43, a lead-in hole 44 formed at the center of the upper face toward the center along the column axis, and a protrusion 45 protruding from the side face so as to extend toward the axial direction. The substrate 41 is a porous structure having microscopic holes 45a of the diameter 2 mm or less, and the lead-in hole 44 and outside of the substrate are intricately communicated through the microscopic holes. Inside of the lead-in hole 44, a female screw 46 is formed to screw together with an upper structure or an abutment (not shown in the figure) to which the artificial tooth root is mounted.
In the case that metal is used as the material of such substrate, the following forming methods can be employed, for example; metal fibers are charged in a mold, solidified, and vacuum sintered to shape; melted metal is inpoured to a mold, and gas bubbles are generated accompanying the precipitation of supersaturated gas atom in solidification; or the outer shape is arranged in solidification and perforated by drill etc. and shaped. Further, in the case that synthetic resin is used as the material of the substrate, melted synthetic resin with foaming agent is inpoured to a mold and shaped.
The cell induction layer 42 is a porous structure having the average pore size of 100-400 μm and provided so as to contact to the flange portion 43 and the protrusion 45. Thereby, it is constructed so that the cell induction layer does not easily depart from the substrate even external forces are applied. Moreover, such cell induction layer 42 is processed by apatite forming liquid, and coated by hydroxyapatite, other calcium phosphate compounds, cytokine as bone morphogenetic protein etc., hormone as insulin etc., micro active substance as interferon etc. Thereby the induction of biological hard tissues can be enhanced.
Such cell inducing layer 42 is formed, for example, by wrapping metal nonwoven fabrics formed by intertwining metal wires of diameter 5-400 μm, so as to form the pore size of 100-400 μm. And when synthetic resin is used, it may be formed by molding and may be fitted to the substrate 41 afterward.
Such artificial tooth root 40 is mounted in the mouth as follows. First of all, the bone marrow liquid etc. is injected into the lead-in hole 44 of the artificial tooth root 44 (mounting portion of the abutment), then, the lead-in hole 44 is pressed to be positive pressure by an injection syringe to feed the bone marrow liquid into inside of the substrate 41. Afterward, the artificial tooth root 40 is implanted into the mouth, a cover having male screw or a cover to close the lead-in hole 44 is mounted to the lead-in hole 44. The tooth 40 is left as it is for a certain period until the artificial tooth 40 is integrated with the living body. In this period, the bone marrow liquid reaches the cell induction layer 42 through the microscopic holes. Therefore, the regeneration of the bone begun from outside of the artificial tooth root is enhanced. After the certain period, the cover is removed and the lead-in hole is cleaned, and then an abutment having male screw is attached to the lead-in hole 44.
Thus, such treatment using the artificial tooth root 40 stays unchanged against conventional treatment operations. However, it is equipped with the cell induction layer 42 composed of the porous structure having the average pore size of 100-400 μm, and the bone marrow liquid is injected into the lead-in hole 44 to distribute the bone marrow to whole of the substrate, the regeneration rate of the bone is especially improved by the bone marrow effect.
The scaffold material shown in
The substrate 50a comprises a substrate body 51a and a three dimensional porous structure 52 to be charged therein, and a supporting column 53 disposed therein.
In the side face of the cylindrical substrate body 51a, a small hole 55 of the diameter 2 mm or less is formed. This substrate body 51a is manufactured so that; the substrate body 51a is formed by side perforation of the cylindrical metal body. The supporting column 53 is inserted inside of the substrate body for sintering; after charging the metal fibers into the substrate body, the three dimensional porous structure 52 is formed by sintering operation.
The three dimensional porous structure 52 is not particularly limited, and the three dimensional porous structure supplies nutrition for bone marrow etc. to the cell induction layer 51 through substrate 51a as described later. And, since, blood vessels and nerves are also brought in and formed inside of the three dimensional porous structure 52, tooth pulp, as it is called, can be formed. Such three dimensional porous structure 52 is formed by charging synthetic fiber of synthetic resin or metal having biocompatibility into the substrate body.
And, the supporting column 53 is disposed so as to keep the strength of whole of the artificial tooth root. For such supporting column, a material having biocompatibility is used.
The cell induction layer 51 is substantially same with the cell induction layer 42 of
Since the artificial tooth root 50 is thus configured, it can be mounted in the mouth by the same procedure with the artificial tooth root 40 as follows; first, the bone marrow liquid etc. is injected into inside of the three dimensional porous structure 52 which is the inside of the substrate of the artificial tooth root, after that, the inside of the substrate body is made to be positive pressure by an injection syringe, so as to distribute the bone marrow averagely. And then, the artificial tooth root 50 is implanted into the mouth, and a cover (not shown in the figure) is mounted to the opening of the substrate, and is left as it is for a constant period until the artificial tooth 50 is integrated with the living body. In this period, the bone marrow liquid charged inside of the substrate reaches, same as the artificial tooth root 40, the cell induction layer 51 through the perforation 55 of the substrate body. Therefore, the regeneration of the bone begun with the inside is enhanced. After that, the cover is removed and the lead-in hole is cleaned, and then an abutment 55a is attached.
Since the three dimensional porous structure 52 is thus equipped inside of the substrate, the shortest nutrition supply root (artificial tooth pulp) for supplying the nutrition stored in the three dimensional porous structure 52 is formed. By this artificial tooth pulp, the regeneration of dentine and immune reaction to bacteria is enhanced to improve the long term stability of the artificial tooth root.
The artificial tooth root 59 shown in
The scaffold material shown in
The substrate 61 comprises a substrate body 63 having a small hole 63a of the diameter 2 mm or less in its side, and the three dimensional porous structure 64 charged inside of the substrate body, and a supporting column 65 disposed along the inside of the substrate body 63. On the upper end of the supporting column 65, an artificial osteomere 65a is formed, and in the middle portion of the supporting column 65, a rib 65a protruding in the radial direction in the substrate is formed. And this artificial joint 65a may be provided with a small hole 63a as shown in the imaginary line. Further, the small holes 63a shown by this imaginary line, may be thinner micro holes.
The three dimensional porous structure 64 is substantially same with the three dimensional porous structure of
As the material for the supporting column 65, titanium and titanium alloy having high strength and high biocompatibility are employed.
The artificial joint 60 thus configured is disposed as shown in
The artificial tooth root 40 shown in
And, to form the cell induction layer 42, nonwoven fabrics formed by intertwining titanium metal wires of the diameter 80 μm is wrapped so as to be the average pore size 200 μm.
And then, the titanium rod is mounted to the lead-in hole 44 and they are jointed by vacuum sintering to fabricate the artificial tooth root. In the artificial tooth root 40 thus formed, the substrate 41 corresponds to the binding layer in the claim, and the cell induction layer 42 corresponds to the metal fiber layer.
Metal wires of the diameter 80 μm are entwined around a titanium rod and wrapped so as to be the average pore size 200 μm. The artificial tooth root is fabricated by sintering this, which is made to be the comparative example 1.
Metal wires of the diameter is 80 μm are entwined around a titanium rod and wrapped so as to be the average pore size 80 μm. The artificial tooth root is fabricated by sintering this, which is made to be the comparative example 1.
The torsion breaking test of the embodiment 1, the comparative example 1, and the comparative example 2 were performed. The results of this breaking torque and the breaking torsion angle are shown in
The producing apparatus 70 shown in
As the column 71, Falmacia chromatocolumn with a jacket etc. is used. The outer periphery of the column body 71a is surrounded by a jacket 81, and to the inlet provided under the portion of the jacket and the outlet provided on the upper portion, a conduit 82 to circulate water of the temperature, for example 37° C., is coupled. Thereby, the culture medium charged inside of the column 71 can be maintained at a temperature inside of a living body. The body 71a is equipped with a cylindrical peripheral wall 83, an upper cap 84 to close the upper end and a lower cap 85 to close the lower end, and whole of them is coupled in a liquid tight condition. The peripheral wall 83 is usually made of glass but it may be made of metal such as stainless etc. As the culture medium, any of culture medium used usually can be employed. For example a minimum required culture medium of Eagle and the culture medium having an improved composition can be also employed.
A pipe like outlet member 86 is passed through the upper cap 84 of the column 71, and the outlet member is fixed to the upper cap 84 by a circular plate-like fixing member 87. In the lower end of the outlet member 86, an upper holding member 88 to support the upper end of the laminated multistage holder 72 is fixed. On the other hand, in the lower end cap 85, a pipe-like inlet member 89 is passed through, and fixed to the lower cap 85 by the fixing member 90. In the upper end of the inlet member 89, a lower holding member 91 to support the lower end of the laminated holder 72 is fixed.
To the upper holding member 88, one end of a discharging tube 92 to draw off the used culture medium from the column 71 is coupled and goes out through the outlet member 86, and its other end opens at the upper cavity (vapor portion) 75a in the mixing tank 75. To the upper end of the outlet member 86, one end of the discharging tube 92 is coupled, and in the culture medium (liquid) 75b of the mixing tank 75, one end of a middle tube 93 is dipped, the other end of the middle tube opens at the upper cavity 76a of the bubble removal tank 76. In the culture medium 76b in the bubble removal tank 76, one end of a return tube 94 is dipped, and coupled to the lower end holding member 91 via a peristaltic pump (tubing pump) 95, a pressure gauge 96, and a preheating tank 97 through the inlet member 89 of the column 71.
The discharging tube 92, the middle tube 93, and the return tube 94 configures the above described conduit 74 to recycle the culture medium to the column 71, and the peristaltic pump 95 is to circulate the culture medium in the conduit 74. The peristaltic pump 95 serves as a sort of the heart in a living body. The preheating tank 97 is an apparatus to heat the culture medium being fed in the column 71 up to a temperature near that of a living body (for example 37° C.).
In the culture medium 75b of the mixing tank 75, an end of a tube 98 for supplying mixing gas of air and carbon dioxide is dipped. The tube is coupled to a mixer 100 for mixing the air and the carbon dioxide via a filter 99. To the mixer 100, a compressor 102 and a gas container 103 for supplying carbon dioxide is coupled via a hose or a tube. The reference numeral 104 is a filter.
Further, in the upper cavity 75a of the mixing tank 75, the end of a tube 105 for supplying flesh culture medium opens, and the other end of the tube 105 is dipped in a culture medium 106b of the flesh culture medium tank 106 charged with a flesh culture medium 106b. The flesh culture medium tank 106 is kept airtight with a cap, and in the upper cavity 106a, a tube 108 opens to inlet ambient air via a filter 107.
Further, in this embodiment, a switching valve (cock) 110 is interposed in the midway of the discharging tube 92, and to the cock 110, a retrieving/monitoring tank 112 is coupled via a tube 111. The retrieving/monitoring tank 112 is the tank to make certain of producing the substance targeted by cells such as collagen after operating the production apparatus, and to retrieve the produced substance.
The thickness of the thin fibers composing the culture platform is preferable to be 200 μm or less, particularly 100 μm or less so as to construct a suitable space. Usually, that of 20 μm or more, preferably 50 μm or more is used. The length and the number of the thin fiber is not particularly limited. In addition, one culture platform 73 can be composed of one thin fiber. For intertwining the thin fiber, such a method etc. as to cross the thin fiber at right angles to form a metal mesh can be employed. And it can be composed also by making it be a nonwoven fabric or a woven sheet and punched out into a given shape. The thickness of the culture platform 73 is in the order of 1-2 mm, and the diameter is different depending on the column (reference numeral 71 of
The holder 72 is formed using, for example, plastic such as polyacrylamid. When polyacrylamid is used, there is a merit of high workability. But other plastics such as polypropylene, polyethylene, and styrene can be used. In addition, it can be so composed that on a divider 72a composed of thin annular plate, a thick ring-like supporter 72b having the same outer diameter is superposed and adhered. When the culture platform 73 is let in and superposed on such holder 72, many culture platforms 73 can be laminated in a condition spaced mutually between the culture platforms 73. Therefore, when they are accommodated with this condition in the column 71 of
As the cells cultured by the culture platform 73, cells producing various cellular substances can be used as follows; the cells of anchorage dependence which can be cultured by making the culture platform 73 as an anchor, for example, cells producing collagen such as fibroblasts, osteoblasts; cells producing adrenocorticotrophin (hormone) such as vascular endothelial cells, adrenocortical cells; cells producing pancreatic cells such as insulin; bone marrow-derived hemocytes in the differentiation process of producing cytokine of blood system; cells producing valuable blood protein such as hepatocytes. However, the production apparatus of
Thus, on the culture platform 73 which has cultured cells (the first cell), different kind of the second cell may be seeded and cultured. Thereby, the culture platform itself which cultures cells of the two layers can be used as a three dimensional artificial model for medicine screening. Particularly, by seeding fibroblasts on the culture platform as the first cell, and by seeding and culturing epithelial cells as the second cell, a three dimensional skin model can be manufactured.
In this embodiment, the circular plate-like culture platform 73 is used, but when the three dimensional artificial model is manufactured, the shape is not particularly limited.
Then, the method using the production apparatus 70 of
Then, as shown in
As described above, after many holders accommodating culture platforms 73 are set in the column 71 of
From the flesh culture medium tank 106 to the mixing tank 75, flesh culture medium is supplied by the principle of siphon when the liquid level of the mixing tank 75 becomes low. But it can be forcedly supplied using a pump. The amount of the flesh circulating liquid supplied to the mixing tank 75 is in the order of 0.1-1 ml/minute. Since the supplied culture medium works so as to supply nutrition to the cells, it acts also as the digestive organ.
In the bubble removal tank 76, the culture medium sent from the mixing tank 75 is stored calmly, thereby, among the mixed gas of carbon dioxide and air mixed by bubbling in the culture mixing tank 75, what remaining as bubbles being not dissolved in the culture medium is made to be emerge into the upper cavity and removed.
By operating the producing apparatus 70 as above, the culture platform 73 accommodated in the column 71 secrets collagen. Among the collagen secreted, a part is secreted in the culture medium and others are deposited in the culture platform as insoluble collagen. In the culture medium, both of the soluble collagen and insoluble collagen are contained, those collagens are continuously retrieved into the retrieving/monitoring tank 112 by switching the cock 110 suitably. More specifically, from the retrieved culture medium in the retrieving/monitoring tank 112, collagen can be refined and separated by salting-out method, ion-exchange method etc.
On the other hand, the deposited insoluble collagen in the culture platform 73 can be retrieved almost completely as follows; the each culture platform removed from the column 71 is extracted using collagen-solubilization menstruum, for example, neutral buffered liquid containing 1 M salt, 0.5 M acetic acid, or 0.5 M acetic acid containing pepsin.
Using the producing apparatus 70 as described above, it is possible to produce collagen continuously by culturing fibroblasts obtained from patient's oral mucosa, and the both of soluble collagen and insoluble collagen can be efficiently retrieved. The retrieved collagen can be restored to the region needed for treatment of the patient such as bone, cartilage, periodontal tissue, nerve, muscle, and ligament. And, the collagen produced from tissues obtained from donors of the tissues other than patients can be used generally for the regeneration treatments of patients.
In this producing method described above, since the culture platforms 73 composed of intertwined three dimensional titanium thin fibers are made to produce while being superposed in several dozen piles and being attempted to separate respectively, the amount of production can be increased more than ten times compared with conventional flat plate methods. Thereby, from the cells in which collagen-producing gene is brought as a matter of course, without genetic manipulation, from normal human cells, a large amount of collagen can be produced to provide safe material for regeneration treatments.
In the previous embodiment, the case of producing collagen is described, the substantially the similar method can be used for producing cytokine such as bone morphogenetic protein, hormone such as insulin, micro activated substance such as interferon, and other recombinant protein valuable for medical treatments and industries. The case of using human cells is described above, but it is possible to produce collagen and other biological substances using cells of animals other than human. In this case, provided that safety is verified, it can be used for regeneration treatments for human and in the field of veterinary. Further, other than cells, in the culture of anchorage dependent microorganisms producing valuable biological substances and in the production of valuable substances by the micro organisms, the method and the apparatus of this invention can be employed obtaining similar effects.
In the above embodiment, as the culture platform 73, the web composed by intertwining titanium or titanium alloy thin fibers so as to a form a mat-like shape is used as it is, but as shown in
As described above, when the impermeable layer 117 is provided in the lower face of the culture platform 73, cells and microorganisms become hard to fall down from the culture platform 73, thereby the usual shaking culture is not necessary and the culture in a culture dish is possible.
Further, as shown in
When the culture platform 73 is let in the petri dish 116 as shown in
A titanium web in which titanium metal wires of the diameter 50 μm are intertwined so as to be the void ratio 87% corresponding to the culture platform used for the culture method of this invention was manufactured. This is made to be the embodiment 1.
A culture platform in which the titanium web of the embodiment 1 is inserted to the bottomed cylindrical holder made of titanium is manufactured. This is made to be the embodiment 2.
A conventional publicly known plastic cell composed of plastic plane dish is made to be the comparative example 1.
Fibroblasts are seeded in the embodiment 1, 2, and the comparative example 1, and cultured two weeks while being dipped in the culture solution.
| Number | Date | Country | Kind |
|---|---|---|---|
| 2004-278152 | Sep 2004 | JP | national |
| 2004-279979 | Sep 2004 | JP | national |
| Filing Document | Filing Date | Country | Kind | 371c Date |
|---|---|---|---|---|
| PCT/JP2005/017655 | 9/26/2005 | WO | 00 | 1/7/2008 |
