UV curable solventless antimicrobial compositions

Information

  • Patent Grant
  • 9695323
  • Patent Number
    9,695,323
  • Date Filed
    Wednesday, February 13, 2013
    13 years ago
  • Date Issued
    Tuesday, July 4, 2017
    8 years ago
Abstract
Antimicrobial compositions and methods are disclosed. The antimicrobial compositions are particularly useful in providing antimicrobial capability to a wide-range of medical devices. In one aspect the invention relates a UV curable antimicrobial coating comprising a UV curable composition comprising an oligomer, a momoner, and a photoinitiator which are together capable of forming a UV curable polymer composition. The compositions also include insoluble antimicrobial agents, which may be selected from a wide array of agents. The insoluble antimicrobial agents include a particle size less than 15 μm. Representative insoluble antimicrobial agents include chlorhexidine diacetate, chlorhexidine base, alexidine(dihydrochloride), silver sulfadiazene, silver citrate, triclosan, octenidine(dihydrochloride), and rifampicin.
Description
BACKGROUND OF THE INVENTION

The present invention relates to antimicrobial compositions and methods for use of those compositions in various medical applications. One of the major challenges of modern medical treatment is the prevention of infection by microbial organisms.


One area where this challenge is constantly presented is in infusion therapy. Infusion therapy is one of the most common health care procedures. Hospitalized, home care, and other patients receive fluids, pharmaceuticals, and blood products via vascular access devices inserted into the vascular system. Infusion therapy may be used to treat an infection, provide anesthesia or analgesia, provide nutritional support, treat cancerous growths, and maintain blood pressure and heart rhythm, among many other clinically significant uses.


Infusion therapy is facilitated by a vascular access device. The vascular access device may access a patient's peripheral or central vasculature. The vascular access device may be indwelling for short term (days), moderate term (weeks), or long term (months to years). The vascular access device may be used for continuous infusion therapy or for intermittent therapy.


A common vascular access device is a plastic catheter that is inserted into a patient's vein. The catheter length may vary from a few centimeters for peripheral access to many centimeters for central access by devices such as central vascular catheters (CVC) and peripherally inserted central catheters (PICC). The catheter may be inserted transcutaneously or may be surgically implanted beneath the patient's skin. The catheter, or any other vascular access device attached thereto, may have a single lumen or multiple lumens for infusion of many fluids simultaneously.


The vascular access device commonly includes a Luer adapter to which other medical devices may be attached. For example, an administration set may be attached to a vascular access device at one end and an intravenous (IV) bag at the other. The administration set is then a fluid conduit for the continuous infusion of fluids and pharmaceuticals. Commonly, an IV access device is attached to another vascular access device that acts to close the vascular access device, thus allowing for the intermittent infusion or injection of fluids and pharmaceuticals. An IV access device may include a housing and septum for closing the system, the latter of which may be opened with a blunt cannula or male Luer of a medical device.


Accessing the vascular access device could lead to certain complications due to several factors, such as contamination. Complications associated with infusion therapy may cause significant morbidity and even mortality. One significant complication is catheter related blood stream infection (CRBSI). An estimated 250,000-400,000 cases of central venous catheter (CVC) associated blood stream infections (BSIs) occur annually in US hospitals. Attributable mortality is an estimated 12%-25% for each infection and costs the health care system $25,000-$56,000 per episode.


A vascular access device may serve as a nidus of infection, resulting in a disseminated BSI. This may be caused by failure to regularly flush the device, a non-sterile insertion technique, or by pathogens that enter the fluid flow path through either end of the path subsequent to catheter insertion. When a vascular access device is contaminated, pathogens adhere to the vascular access device, colonize, and form a biofilm. The biofilm is resistant to most biocidal agents and provides a replenishing source of pathogens to enter a patient's bloodstream and cause a BSI. Thus, devices with antimicrobial properties are needed.


One approach to preventing biofilm formation and patient infection is to provide an antimicrobial coating on various medical devices and components. Over the last 35 years, it has been common practice to use a thermoplastic polyurethane solution as the carrier for antimicrobial coatings. The solvent is usually tetrahydrofuran (THF), dimethylformamide (DMF), or a blend of both. Since THF can be oxidized very quickly and tends to be very explosive, an expensive explosion-proof coating facility is necessary. These harsh solvents also attack many of the polymeric materials commonly used, including polyurethane, silicone, polyisoprene, butyl rubber polycarbonate, rigid polyurethane, rigid polyvinyl chloride, acrylics, and styrene-butadiene rubber (SBR). Therefore, medical devices made with these materials can become distorted over time and/or form microcracks on their surfaces. Another issue with this type of coating is that it takes almost 24 hours for the solvent to be completely heat evaporated. Accordingly, conventional technology has persistent problems with processing, performance, and cost.


Another limitation is the availability of suitable antimicrobial agents for use in such coatings. One of the most commonly used antimicrobial agents used in coating medical devices is silver, as described in U.S. Pat. No. 4,933,178. Silver salts and elemental silver are well known antimicrobial agents in both the medical surgical industry and general consumer products industries. They are usually incorporated into the polymeric bulk material or coated onto the surface of the medical devices by plasma, heat evaporation, electroplating, or conventional solvent coating technologies. These technologies are tedious, expensive, and not environmentally friendly.


In addition, the performance of silver coated medical devices is mediocre at best. For example, it can take up to eight (8) hours before the silver ion, ionized from silver salts or elemental silver, to be efficacious as an antimicrobial agent. As a result, substantial microbial activity can occur prior to the silver coating even becoming effective. Furthermore, many antimicrobial coatings with a silver compound or elemental silver are opaque, thus preventing the visualization of the fluid path in a vascular access device. Such visualization could be important to practitioners as an indicator of the progress of IV therapy. Added processing steps and cost are needed to improve the transparency of silver based antimicrobial coatings, as described in U.S. Pat. No. 8,178,120.


In U.S. Pat. Appl. No. 20100135949, Ou Yang disclosed a UV curable antimicrobial coating that was much cheaper to process and possessed superior antimicrobial efficacy in comparison to silver based antimicrobial coatings technology. However, a rheology modifier was required of this composition to prevent phase separation of the insoluble antimicrobial agent from the rest of the coating composition. The use of the rheology modifier increases the coating viscosity substantially, thus prohibiting the use of spraying as a coating application method. Accordingly, a solvent must be added to the coating composition to achieve a workable, sprayable viscosity, as described in U.S. Pat. Appl. No. 20100137472. The use of a solvent may be undesirable, as indicated above. Further, the addition of a solvent to lower the viscosity of the coating composition will result in increased phase separation of the antimicrobial agent within the coating composition.


Accordingly, there is a need in the art for improved compositions that impart antimicrobial capability to medical devices of various types, particularly devices related to infusion therapy. Specifically, there is a need for an effective antimicrobial coating that can be easily applied to medical devices constructed of polymeric materials and metals. There is also a need for improved methods of applying such antimicrobial coatings to medical devices. Further, there is a need for an effective antimicrobial coating comprising insoluble antimicrobial agents that are evenly disbursed within the matrix of the coating composition without observable phase separation.


BRIEF SUMMARY OF THE INVENTION

The present invention has been developed in response to problems and needs in the art that have not yet been fully resolved by currently available antimicrobial compositions and methods. Thus, these compositions and methods are developed to reduce complications, such as the risk and occurrence of CRBSIs, by providing improved antimicrobial compositions and methods of application for use in conjunction with medical devices.


The present invention relates to ultraviolet (UV)-curable coatings that have antimicrobial properties. The coatings may be cured by light in the range from about 200 nm to about 600 nm. In some embodiments, it may be preferable to cure the composition with light in the range of about 300 nm to about 450 nm. These coatings are particularly adaptable for use on medical devices, particularly medical devices used in infusion therapy, such as needleless valves, stopcocks, infusion sets, and catheters. As mentioned above, these medical devices are often composed of polymeric materials, especially polycarbonate (PC), polyurethane (PU), polyvinyl chloride (PVC), styrene-butadiene rubber (SBR), and acrylics.


In one aspect of the invention the surfaces of such devices are coated with a UV-curable coating (sometimes hereinafter referred to as “UV coating”), which comprises a UV curable composition and additional components incorporated therein, such as antimicrobial agents uniformly distributed throughout its matrix. The antimicrobial agents are able to diffuse through and leach from the matrix and kill microscopic organisms that are in close proximity to the coating surface. The antimicrobial agents, which are uniformly distributed in the UV coating matrix, gradually leach out of the matrix when an IV solution diffuses into the matrix. The antimicrobial agents are then available to kill the microbes that are in close proximity to the coating surface.


The formulations of this invention are generally composed of a combination of urethane or polyester-type oligomers with acrylate functional groups, acrylate monomers, photoinitiators, and antimicrobial agents. The UV coating is in liquid form prior to UV curing. For some formulations, the antimicrobial agents are relatively insoluble in the liquid coating. Accordingly, the systems and methods of the present invention provide UV curable antimicrobial compositions comprising insoluble antimicrobial particles on the nano- or micro-scale that are uniformly distributed throughout the whole coating matrix without the use of a rheological modifying agent.


The coatings of the present invention are solventless and can be sprayed, wiped, dipped or distributed by using other conventional coating methods to coat a substrate's surface. They can then be rapidly cured with ultraviolet light. Curing may be completed in seconds or minutes depending on the formulation and curing conditions. The coatings of the present invention are generally efficacious within minutes instead of hours, as with conventional coatings. The cured coatings are generally colorless and transparent or translucent. The transparency provides the important means to visualize the fluid path within the coated medical device.


A wide variety of polymers can be used within the scope of the present invention. It is only necessary that the oligomers and monomers be capable of UV curing and of suspending or solvating the antimicrobial agents of the type described herein. For example, the oligomers can be acrylated aliphatic urethanes, acrylated aromatic urethanes, acrylated polyesters, unsaturated polyesters, acrylated polyethers, acrylated acrylics, and the like, or combinations of the above. The acrylated functional group can be mono-functional, di-functional, tri-functional, tetra-functional, penta-functional, or hexa-functional.


As with the oligomers, a wide range of monomers can be used in the present compositions. Once again, it is only necessary that the overall composition be UV-curable and that the composition be capable of suspending or solvating the antimicrobial agents. For example, the monomers can be 2-ethyl hexyl acrylate, isooctyl acrylate, isobornylacrylate, 1,6-hexanediol diacrylate, diethylene glycol diacrylate, triethylene glycol diacrylate, pentaerythritol tetra acrylate, penta erythritol tri acrylate, dimethoxy phenyl acetophenone hexyl methyl acrylate, 1,6 hexanidiol methacrylate, and the like, or combinations of these compounds.


In order to allow for UV-curing, the composition should be provided with an adequate and compatible photoinitiator. In certain embodiments of the invention, the photoinitiators can be: 1) single molecule cleavage type, such as benzoin ethers, acetophenones, benzoyl oximes, and acyl phosphine oxide, or 2) hydrogen abstraction type, such as Michler's ketone, thioxanthone, anthroguionone, benzophenone, methyl diethanol amine, 2-N-butoxyethyl-4-(dimethylamino) benzoate, and the like, or combinations of these materials.


Various antimicrobial agents may be used in the compositions of the present invention. In general, antimicrobial agents of the present invention comprise insoluble antimicrobial agents having a particle size of less than 15 μm. The small particle size of the antimicrobial agents facilitates even distribution of the insoluble antimicrobial agent within the matrix of the coating composition without undergoing phase separation.


Previously, a rheological modifying agent was required to modify the viscosity of the coating composition to avoid phase separation. The high viscosity of the coating materials presented difficulties for applying the coating materials by spraying. Solvents were added to the coating materials to decrease the viscosity and improve the flow properties of the coating material. However, these solvents are largely undesirable due to their caustic properties. Further, these solvents are generally flammable and therefore difficult to work with safely. Further still, the addition of solvents decreases the overall viscosity of the coating composition, thereby enhancing phase separation of the antimicrobial agents within the matrix of the coating composition.


In contrast, the coating compositions of the present invention utilize antimicrobial agents of small particle size to provide a stable, low viscosity coating composition that may be applied by spraying without the use of solvents. In some instances, an antimicrobial agent is provided having a particle size of 15 μm or less. The time it takes for phase separation to occur is inversely proportional to the square of the particle sizes. By limiting the mean particle size to be 15 μm or less, the time to phase separation is increased substantially to be practically useful. Thus, a coating formulation is provided which eliminates the need for rheological modifiers and solvents to provide a stable, sprayable coating composition. In particular, the fine particle size is able to stay suspended in the matrix of the UV curable coating without observable phase separation.


The antimicrobial agents of the present invention are generally compatible with the other components of the composition. The antimicrobial agents are further effective in eliminating microbes and other undesirable pathogens. Specifically, it is preferred that that antimicrobial agent not chemically react with the other components of the composition. Examples of suitable antimicrobial agents within the scope of the present invention include aldehydes, anilides, biguanides, elemental silver or its compounds, bis-phenols, and quaternary ammonium compounds and the like or combinations of the above.


The formulations of the present invention also demonstrate good adhesion to numerous plastic surfaces (such as PC, PU, PVC, acrylics, and SBR). The formulation can be cured with adequate ultraviolet light (wavelengths of approximately 200 nm to 600 nm, and in certain embodiments in the range of from about 300 nm to about 450 nm). When cured the coating is substantially transparent or translucent, thus providing a means for visualizing the fluid path of coated medical devices, such as needleless connectors, stopcocks, Luer accessing devices, and IV catheters.


Accordingly, the present invention provides antimicrobial coating compositions that overcome many of the limitations of existing technology. The present invention employs known components which have achieved acceptance for medical use. These components are combined and used easily and efficiently. As set forth above, the compositions of the present invention generally including oligomers, monomers, photoinitiators, and fine insoluble antimicrobial agents. The resulting compositions are easily applied to the surfaces of medical devices and quickly cured by UV light.





BRIEF DESCRIPTION OF THE DRAWINGS

The foregoing and other objects and features of the present invention will become more fully apparent from the accompanying drawings when considered in conjunction with the following description. Although the drawings depict only typical embodiments of the invention and are thus not to be deemed as limiting the scope of the invention, the accompanying drawings help explain the invention in added detail.



FIG. 1 shows a table summarizing the results of various tests conducted according to Example 1 disclosed herein, in accordance with a representative embodiment of the present invention.



FIG. 2 shows various contour plots demonstrating antimicrobial agent elution rates in accordance with various representative embodiments of the present invention.



FIG. 3 shows various images demonstrating phase separation of a control suspension and a test suspension prepared with coarse and fine CHA, respectively, in accordance with a representative embodiment of the present invention.



FIG. 4 shows a graph quantifying the phase separation of the control suspension and the test suspension provided in FIG. 3 in accordance with a representative embodiment of the present invention.





DETAILED DESCRIPTION OF THE INVENTION

This detailed description of the invention provides additional description of each of the aspects of the invention summarized above. In one aspect of the invention, an antimicrobial ultra violet (UV)-curable coating is provided. The coating comprising a UV curable composition comprising an oligomer, a monomer, and a photoinitiator that are together capable of forming a UV curable polymer composition. Further incorporated within the UV curable coating compositions is an effective antimicrobial agent.


The UV curable coating compositions comprise primarily one or more oligomers and one or more monomers, combined with one or more suitable photoinitiators. In the following discussion, the UV curable coating composition will comprise 100 parts by weight. Materials added to the UV curable coating composition may include soluble antimicrobial agents, insoluble antimicrobial agents, and other additives. These materials will be defined in parts by weight added to 100 parts by weight of the UV curable coating composition.


The oligomer is generally selected from the group consisting of acrylated aliphatic urethanes, acrylated aromatic urethanes, acrylated polyesters, unsaturated polyesters, acrylated polyethers, acrylated acrylics, and the like, or combinations thereof. The acrylated functional group is selected from the group consisting of mono-functional, di-functional, tri-functional, tetra-functional, penta-functional, and hexa-functional acrylates. Any oligomer that is compatible with the other components of the composition is usable within the scope of the present invention. The oligomer will typically comprise from about 10% to about 90% of the UV curable composition. In some embodiments the oligomer will comprise from about 20% to about 80% of the UV curable composition. In certain embodiments of the invention the oligomer will comprise from about 30% to about 70% of the UV curable composition.


The monomer is selected from the group consisting of 2-ethyl hexyl acrylate, isooctyl acrylate, isobornylacrylate, 1,6-hexanediol diacrylate, diethylene glycol diacrylate, triethylene glycol diacrylate, pentaerythritol tetra acrylate, penta erythritol tri acrylate, dimethoxy phenyl acetophenone hexyl methyl acrylate, 1,6 hexanidiol methacrylate and the like, or combinations of these compounds. Once again any monomer that is compatible with the other components of the composition is usable within the scope of the present invention. The monomer will typically comprise from about 5% to about 90% of the UV curable composition. In some embodiments the monomer will comprise from about 10% to about 75% of the UV curable composition. In certain embodiments of the invention the monomer will comprise from about 20% to about 60% of the UV curable composition.


The photoinitiator is selected from the group consisting of single molecule cleavage type, such as benzoin ethers, acetophenones, benzoyl oximes, and acyl phosphine oxide, and hydrogen abstraction types consisting of Michler's ketone, thioxanthone, anthroguionone, benzophenone, methyl diethanol amine, and 2-N-butoxyethyl-4-(dimethylamino)benzoate. The photoinitiator will also be selected such that it is compatible with the other components of the composition identified within the scope of the present invention. The photoinitiator will typically comprise from about 0.5% to about 10% of the UV curable composition. In some embodiments the photoinitiator will comprise from about 1% to about 8.5% of the UV curable composition. In certain embodiments of the invention the photoinitiator will comprise from about 2% to about 7% of the UV curable composition.


The antimicrobial agent is generally selected from the group consisting of aldehydes, anilides, biguanides, silver, silver compounds, bis-phenols, and quaternary ammonium compounds. The antimicrobial agent is generally present in the amount of from about 0.5 to about 50 parts by weight compared to 100 parts by weight of the UV curable composition. In other embodiments, the antimicrobial agent may be present in the amount of from about 0.5 to about 30 parts by weight of the composition. In certain further embodiments, the antimicrobial agent is present in the amount of from about 3 to about 14 parts by weight.


In some instances it is desirable to provide a sprayable, UV curable coating composition containing an insoluble antimicrobial agent. The antimicrobial agent is insoluble in the UV curable coating compositions but is soluble in infusion fluids. The coating is hydrophilic upon curing; therefore in clinical use scenarios, the IV fluid will diffuse into the cured antimicrobial coating and slowly dissolve the antimicrobial agents. The dissolved antimicrobial agent then leaches out of the antimicrobial coating and provides antimicrobial protection to the coated medical devices. The insoluble antimicrobial agent facilitates additional control over the antimicrobial agent's release rate beyond simple diffusion and leaching, thus providing a long lasting antimicrobial efficacy.


Insoluble antimicrobial agents may include any antimicrobial agent or combination of antimicrobial agents that are insolube in the UV curable coating compositions disclosed herein. In some embodiments, insoluble antimicrobial agents may further include antimicrobial agents or combinations of antimicrobial agents having low solubility. Further still, some embodiments of the present invention comprise a mixture of soluble and insoluble antimicrobial agents. In any event, it is preferred that the antimicrobial agent not react chemically with the other components of the compositions.


Non-limiting examples of insoluble antimicrobial agents include chlorhexidine diacetate, chlorhexidine base, alexidine(dihydrochloride), silver sulfadiazine, silver citrate, triclosan, octenidine(dihydrochloride), and rifampicin. Other insoluble antimicrobial agents may include alkylpyridinium iodide, and various amphiphilic peptides which are covalently bound to water-insoluble resins. Additional antimicrobial agents of the present invention may include silver acetate, centrimide, cetyl pyridium chloride, benzalkonium chloride, o-phthalaldehyde, and minocycline. Accordingly, some embodiments of the present invention may include a combination of soluble and insoluble antimicrobial agents.


Generally, insoluble materials are incapable of being dissolved within a liquid or solution. As such, the insoluble materials could separate from the liquid phase over time thereby resulting in a type of phase separation. In the present invention, phase separation of this sort is undesirable. In particular, phase separation by which insoluble antimicrobial agents are separated from the remaining components of the UV curable composition is undesirable.


Phase separation within an antimicrobial coating composition generally results in an uneven distribution of the insoluble antimicrobial agent within the coating material. This may lead to uneven disbursement of the antimicrobial agent in the final coating on the medical device. Accordingly, the present invention overcomes this type of phase separation by controlling the particle size of the antimicrobial agent. As such, a stable UV curable coating composition is provided.


The particle size of the antimicrobial agents of the present invention provides a significant delay in the phase separation process, thereby providing sufficient time to prepare, apply and cure the UV curable coating prior to observable phase separation. The velocity of a spherical antimicrobial particle falling in the viscous fluid matrix of the coating composition is proportional to the square of the radius of the antimicrobial agent sphere. Therefore, as the particle size of the antimicrobial agent decreases, the time it takes for phase separation to occur increases significantly. Additionally, antimicrobial particles do not create networks, as is observed with rheological modifiers, such as fumed silica. Thus, antimicrobial agent(s) may be added to the coating composition without substantially affecting the viscosity of the coating composition.


In some embodiments, a sprayable, UV curable coating composition comprises an insoluble antimicrobial agent having a particle size of less than approximately 10 μm, wherein the insoluble antimicrobial agent is present at a concentration of less than approximately 8.9% by weight to the remaining components of the UV curable coating composition. In other embodiments, a sprayable, UV curable coating composition comprises an insoluble antimicrobial agent having a particle size of less than approximately 15 μm, wherein the insoluble antimicrobial agent is present at a concentration of less than 14.0% by weight to the remaining components of the UV curable coating composition. Further, in some embodiments, a sprayable, UV curable coating composition comprises an insoluble antimicrobial agent having a reduced particle size at a concentration from approximately 2.0% to approximately 14%, by weight.


The UV curable coating compositions of the present invention further comprise a working viscosity that permits the coating composition to be applied to a medical device by spraying. Accordingly, some embodiments of the present invention include an insoluble antimicrobial agent having at least one of the previously indicated reduced particle sizes, wherein the coating composition has a viscosity from approximately 5 centipoise to approximately 500 centipoise.


The use of insoluble antimicrobial agents having this particle size imparts two advantages to the UV curable coating composition over the prior art. First, the reduced particle size eliminates the need for a rheological modifier to prevent phase separation. The fine particle size of the antimicrobial agent is able to stay suspended in the matrix of the UV curable coating without observable phase separation. As such, the insoluble antimicrobial agent remains evenly distributed throughout the matrix of the coating composition throughout the application and UV curing processes. Once cured, the insoluble antimicrobial agent is free to leach out of the cured matrix of the coating, thereby imparting antimicrobial activity to fluids and surfaces in contact with, or in proximity to the coated surface of the medical device.


Second, the UV curable coating composition is significantly less viscous than the prior art formulations, which require the use of a rheological modifier to prevent phase separation. Accordingly, the combined advantages of the present invention provide a sprayable, UV curable coating composition in which insoluble antimicrobial agents may be used without requiring rheological modifiers or harsh solvents.


Some UV coating formulations of the present invention can be urethane or polyester type acrylate such as 7104, 7101, 7124-K, 7105-5K from Electronic Materials Inc. (EMI) (Breckenridge, Colo.), 1168-M, I-20781 from Dymax Corporation (Torrington, Conn.), and UV 630 from Permabond Engineering Adhesives (Somerset, N.J.).


The antimicrobial coating according to the present invention can be applied to wide range of medical devices used in infusion therapy such as, but not limited to, needleless connectors, stopcocks, IV sets, IV catheters, and Luer accessing devices.


EXAMPLES
Example 1

Needleless connectors coated with UV-curable coating compositions including chlorhexidine diacetate (CHA) within the scope of the present invention were tested for efficacy together with two commercially available needleless connectors: one with a silver based antimicrobial formulation and the other with a CHA impregnated septum.


Samples #1. Composition per present invention with chlorhexidine diacetate 1%


2. Composition per present invention with chlorhexidine diacetate 3%


3. Composition per present invention with chlorhexidine diacetate 5%


4. Composition per present invention with chlorhexidine diacetate 9%


5. Needleless connector with chlorhexidine/silver impregnated septum


6. Needleless connector with silver based antimicrobial coating


Each sample was tested on three (3) microbial agents, namely: Staphylococcus epidermidis (gram positive bacteria); Pseudomonas aeruginosa (gram negative bacteria); and Candida albicans (yeast or fungi). The contact time was 24 hours. Some of the samples were preconditioned for 7 days with continuous IV fluid flowing through the samples prior to testing. The results are summarized in the table of FIG. 1 which shows a clear advantage of antimicrobial compositions according to the present invention over the existing technologies.


Example 2

The antimicrobial agent elution rate is well defined and can be controlled by controlling the coating thickness, coverage area, and antimicrobial agent concentration. In this example, the eluted chlorhexidine diacetate concentration within a Luer device is plotted as a function of the coating thickness (unit: mil or 0.001 inch), coating height (unit: inch), and chlorhexidine diacetate concentration (unit: % weight/weight). The Luer device had a cylindrical internal volume that was 1 inch high and had an internal volume of 0.12 ml in the range of internal volumes of many needleless connectors. The eluted CHA concentration is for devices after 7 days of pre-conditioning. Since the minimum inhibitory concentration for Staphylococcus epidermidis is 2 μg/ml, the coating formulation and coverage area can be easily designed to maintain adequate efficacy over an extended usage time. The results of these tests are shown in FIG. 2.


Example 3

Phase separation time comparison of fine CHA versus coarse CHA without a rheology modifier was conducted. Two antimicrobial coating suspensions were prepared; 100 mL of each suspension in graduated cylinders were monitoried for phase separation. Each suspension contained 10% (w/w) CHA in an acrylate-based UV curable coating solution. A control suspension sample was provided comprising 10% by weight coarse CHA with a mean particle size of 17 μm. A test suspension sample was also provided comprising 10% by weight fine CHA (Medichem, Spain) with a mean particle size of 6 μm. Mean particle sizes were determined from a particle size distribution measured via an image-based particle counter.


The suspensions were incubated at room temperature and images of the suspensions were taken at (a) t=0 minutes (immediately after mixing), (b) t=20 minutes, (c) t=5 hours, and (d) t=16 hours. Phase separation was observed in the control suspension at t=20 minutes, while phase separation was delayed and undetected in the test suspension until t=16 hours. Accordingly, the test suspension showed a 48-fold increase in suspension stability over the control suspension. Thus, reduction of the particle size substantially delayed phase separation in the antimicrobial coating test suspension. Images taken during this experiment are shown in FIG. 3. Also, as gravitational forces caused the solid CHA to sink and phase separate from the liquid UV coating, the appearance of liquid-only phase at the top of the graduated cylinders was quantified and graphed versus time. The results of this experiment are shown in FIG. 4.


It is underscored that the present invention may be embodied in other specific forms without departing from its spirit or essential characteristics. The described embodiments herein should be deemed only as illustrative.

Claims
  • 1. An antimicrobial; ultraviolet (UV) curable spray comprising: an adhesive comprising an oligomer, a monomer, and a photoinitiator; andan insoluble non-metallic antimicrobial agent comprising a plurality of particles, each of the particles having a particle size less than 10 μm;wherein the antimicrobial, ultraviolet (UV) curable spray does not comprise a rheology modifier, wherein a concentration of the antimicrobial agent is less than 8.9 parts by weight in 100 parts by weight of the coating, wherein the antimicrobial spray has a viscosity from approximately 5 centipose to approximately 500 centipose.
  • 2. The antimicrobial UV curable spray of claim 1, wherein the insoluble antimicrobial agent is selected from a group consisting of chlorhexidine compounds, a polymer-bound antimicrobial peptide, alkylpyridinium iodide, sorbic acid, alexidine dihydrochloride, octenidine dihydrochloride, rifampicin, triclosan, and combinations thereof.
  • 3. The antimicrobial UV curable spray of claim 1, wherein the insoluble antimicrobial agent is chlorhexidine diacetate.
  • 4. The antimicrobial UV curable spray of claim 1, wherein the oligomer is selected from the group consisting of acrylated aliphatic urethanes, acrylated aromatic urethanes, acrylated polyesters, unsaturated polyesters, acrylated polyethers, and acrylated acrylics.
  • 5. The antimicrobial UV curable spray of claim 4, wherein the acrylated functional group is selected from the group consisting of mono-functional, di-functional, tri-functional, tetra-functional, penta-functional, and hexa-functional acrylates.
  • 6. The antimicrobial UV curable spray of claim 1, wherein the monomer is selected from the group consisting of 2-ethyl hexyl acrylate, isooctyl acrylate, isobornylacrylate, 1,6-hexanediol diacrylate, diethylene glycol diacrylate, triethylene glycol diacrylate, pentaerythritol tetra acrylate, penta erythritol tri acrylate, dimethoxy phenyl acetophenone hexyl methyl acrylate, and 1,6 hexanidiol methacrylate.
  • 7. The antimicrobial UV curable spray of claim 1, wherein the photoinitiator is selected from the group consisting of benzoin ethers, acetophenones, benzoyl oximes, acyl phosphine oxide, and Michler's ketone, thioxanthone, anthroguionone, benzophenone, methyl diethanol amine, and 2-N-butoxyethyl-4-(dimethylamino) benzoate.
  • 8. The antimicrobial UV curable spray of claim 1 wherein the insoluble antimicrobial agent is selected from the group consisting of aldehydes, anilides, biguanides, bis-phenols, and quaternary ammonium compounds.
  • 9. A UV curable coating composition comprising: a) an adhesive, comprising:an oligomer;a monomer; anda photoinitiator;b) an insoluble antimicrobial agent comprising a plurality of particles, each of the particles having a particle size less than about 15 μm, and provided in a concentration from less than approximately 8.9 parts by weight in 100 parts UV curable coating composition;wherein the UV curable coating comprises a viscosity from approximately 5 centipoise to approximately 500 centipoise, wherein the UV curable coating composition does not comprise a rheology modifier.
  • 10. The UV curable coating composition of claim 9, wherein the particle size is less than 10 μm.
  • 11. A method of facilitating gradual release of an antimicrobial agent from an antimicrobial, ultraviolet (UV) curable coating on a surface of a medical device, comprising: providing an antimicrobial, UV curable coating composition, wherein the antimicrobial, UV curable coating composition comprises: an adhesive comprising an oligomer, a monomer, and a photoinitiator; andan insoluble non-metallic antimicrobial agent comprising a plurality of particles, each of the particles having a particle size less than 15 μm, wherein a concentration of the insoluble non-metallic antimicrobial agent is less than 8.9 parts by weight in 100 parts by weight of the coating,wherein the antimicrobial, UV curable coating composition does not comprise a rheology modifier and has a viscosity from approximately 5 centipose to approximately 500 centipose; andspraying the UV curable coating composition on the surface of the medical device.
US Referenced Citations (308)
Number Name Date Kind
3223629 Loeffler Dec 1965 A
3695921 Shepherd et al. Oct 1972 A
3986508 Barrington Oct 1976 A
4170996 Wu Oct 1979 A
4334551 Pfister Jun 1982 A
4339336 Hammond et al. Jul 1982 A
4387879 Tauschinski Jun 1983 A
4449693 Gereg May 1984 A
4512766 Vailancourt Apr 1985 A
4584192 Dell et al. Apr 1986 A
4592920 Murtfeldt Jun 1986 A
4603152 Laurin et al. Jul 1986 A
4629743 Hong Dec 1986 A
4629746 Michl et al. Dec 1986 A
4642126 Zador et al. Feb 1987 A
4676782 Yamamoto et al. Jun 1987 A
4677143 Laurin et al. Jun 1987 A
4716032 Westfall et al. Dec 1987 A
4758225 Cox et al. Jul 1988 A
4798594 Hillstead Jan 1989 A
4842591 Luther Jun 1989 A
4874377 Newgard et al. Oct 1989 A
4895566 Lee Jan 1990 A
4897427 Barnavon et al. Jan 1990 A
4915934 Tomlinson Apr 1990 A
4917668 Haindl Apr 1990 A
4925668 Khan et al. May 1990 A
4933178 Capelli Jun 1990 A
4935010 Cox et al. Jun 1990 A
4950257 Hibbs et al. Aug 1990 A
4955890 Yamamoto et al. Sep 1990 A
4985399 Matsuda et al. Jan 1991 A
4990357 Karakelle et al. Feb 1991 A
5019096 Fox, Jr. et al. May 1991 A
5023082 Friedman et al. Jun 1991 A
5030665 Lee et al. Jul 1991 A
5041097 Johnson Aug 1991 A
5053014 Van Heugten Oct 1991 A
5062836 Wendell Nov 1991 A
5064416 Newgard et al. Nov 1991 A
5077352 Elton Dec 1991 A
5078703 Bryant Jan 1992 A
5084023 Lemieux Jan 1992 A
5085645 Purdy et al. Feb 1992 A
5098410 Kerby et al. Mar 1992 A
5108374 Lemieux Apr 1992 A
5127905 Lemieux Jul 1992 A
5154703 Bonaldo Oct 1992 A
5156596 Balbierz et al. Oct 1992 A
5217493 Raad et al. Jun 1993 A
5234410 Graham et al. Aug 1993 A
5242425 White et al. Sep 1993 A
5290246 Yamamoto et al. Mar 1994 A
5295969 Fischell et al. Mar 1994 A
5330435 Vaillancourt Jul 1994 A
5350363 Goode et al. Sep 1994 A
5352205 Dales et al. Oct 1994 A
5357636 Dresdner, Jr. et al. Oct 1994 A
5366505 Farber Nov 1994 A
5405323 Rogers et al. Apr 1995 A
5456675 Wolbring et al. Oct 1995 A
5456948 Mathisen et al. Oct 1995 A
5487728 Vaillancourt Jan 1996 A
5512199 Khan et al. Apr 1996 A
5520666 Choudhury et al. May 1996 A
5540661 Tomisaka et al. Jul 1996 A
5547662 Khan et al. Aug 1996 A
5549566 Elias et al. Aug 1996 A
5549577 Siegel et al. Aug 1996 A
5575769 Vaillancourt Nov 1996 A
5613663 Schmidt et al. Mar 1997 A
5616338 Fox, Jr. et al. Apr 1997 A
5620434 Brony Apr 1997 A
5629006 Hoang et al. May 1997 A
5638812 Turner Jun 1997 A
5651772 Arnett Jul 1997 A
5653695 Hopkins et al. Aug 1997 A
5657963 Hinchliffe et al. Aug 1997 A
5688747 Khan et al. Nov 1997 A
5697915 Lynn Dec 1997 A
5698229 Ohsumi et al. Dec 1997 A
5712229 Hopkins et al. Jan 1998 A
5716406 Farber Feb 1998 A
5738144 Rogers Apr 1998 A
5749861 Guala et al. May 1998 A
5763412 Khan et al. Jun 1998 A
5773487 Sokol Jun 1998 A
5806831 Paradis Sep 1998 A
5817069 Arnett Oct 1998 A
5830196 Hicks Nov 1998 A
5833674 Turnbull et al. Nov 1998 A
5843046 Motisi et al. Dec 1998 A
5861440 Gohla et al. Jan 1999 A
5911710 Barry et al. Jun 1999 A
5954698 Pike Sep 1999 A
5967490 Pike Oct 1999 A
6039302 Cote, Sr. et al. Mar 2000 A
6046143 Khan et al. Apr 2000 A
6051609 Yu et al. Apr 2000 A
6077244 Botich et al. Jun 2000 A
6117108 Woehr et al. Sep 2000 A
6120784 Snyder, Jr. Sep 2000 A
6127320 van Ooij et al. Oct 2000 A
6165168 Russo Dec 2000 A
6171287 Lynn et al. Jan 2001 B1
6242526 Siddiqui et al. Jun 2001 B1
6248811 Ottersbach et al. Jun 2001 B1
6273869 Vaillancourt Aug 2001 B1
6326417 Jia Dec 2001 B1
6337357 Fukunishi et al. Jan 2002 B1
6344218 Dodd et al. Feb 2002 B1
6353041 Qian Mar 2002 B1
6413539 Shalaby Jul 2002 B1
6426373 Stange Jul 2002 B1
6475434 Darouiche Nov 2002 B1
6485473 Lynn Nov 2002 B1
6488942 Ingemann Dec 2002 B1
6492445 Siddiqui et al. Dec 2002 B2
6544214 Utterberg Apr 2003 B1
6575960 Becker et al. Jun 2003 B2
6576633 Young et al. Jun 2003 B1
6579539 Lawson et al. Jun 2003 B2
6595981 Huet Jul 2003 B2
6699221 Vaillancourt Mar 2004 B2
6719726 Meng et al. Apr 2004 B2
6719991 Darouiche et al. Apr 2004 B2
6723350 Burrell et al. Apr 2004 B2
6740063 Lynn May 2004 B2
6808161 Hishikawa Oct 2004 B1
6843784 Modak et al. Jan 2005 B2
6846846 Modak et al. Jan 2005 B2
6861060 Luriya et al. Mar 2005 B1
6883778 Newton et al. Apr 2005 B1
6887270 Miller et al. May 2005 B2
6896889 Chevalier et al. May 2005 B2
7008404 Nakajima Mar 2006 B2
7074839 Fansler et al. Jul 2006 B2
7098256 Ong Aug 2006 B2
7179849 Terry Feb 2007 B2
7198800 Ko Apr 2007 B1
7232428 Inukai et al. Jun 2007 B1
7232540 Gould et al. Jun 2007 B2
7261925 Nesbitt Aug 2007 B2
7268165 Greten et al. Sep 2007 B2
7347839 Hiejima Mar 2008 B2
7374798 Choo et al. May 2008 B2
7396346 Nakajima Jul 2008 B2
7407707 Gould et al. Aug 2008 B2
7462401 Halfyard et al. Dec 2008 B2
7470254 Basta et al. Dec 2008 B2
7494339 Dias et al. Feb 2009 B2
7498367 Qian Mar 2009 B2
7514477 Klare et al. Apr 2009 B2
7608082 Cuevas et al. Oct 2009 B2
7704935 Davis et al. Apr 2010 B1
7736339 Woehr et al. Jun 2010 B2
7816434 Hackbarth et al. Oct 2010 B2
7871649 Modak et al. Jan 2011 B2
7874467 Pardes et al. Jan 2011 B2
7914494 Hiejima Mar 2011 B2
7981475 Takahashi Jul 2011 B2
8034454 Terry Oct 2011 B2
8034455 Wang et al. Oct 2011 B2
8067402 Whiteford et al. Nov 2011 B2
8227050 O'Neil Jul 2012 B1
8231602 Anderson et al. Jul 2012 B2
8263102 Labrecque et al. Sep 2012 B2
8268381 Whiteford et al. Sep 2012 B2
8343523 Toreki et al. Jan 2013 B2
8343525 Davis et al. Jan 2013 B2
8357119 Stout et al. Jan 2013 B2
8388583 Stout et al. Mar 2013 B2
8414547 DiFiore et al. Apr 2013 B2
8512294 Ou-Yang et al. Aug 2013 B2
8622995 Ziebol et al. Jan 2014 B2
8622996 Ziebol et al. Jan 2014 B2
8728030 Woehr May 2014 B2
8840927 Ditizio et al. Sep 2014 B2
9078441 Raad Jul 2015 B2
9138252 Bierman et al. Sep 2015 B2
20010010016 Modak et al. Jul 2001 A1
20010016589 Modak et al. Aug 2001 A1
20010018095 Shlenker et al. Aug 2001 A1
20010032006 Griffin, III et al. Oct 2001 A1
20010053895 Vaillancourt Dec 2001 A1
20010056133 Montgomery et al. Dec 2001 A1
20020009436 Doyle et al. Jan 2002 A1
20020022660 Jampani et al. Feb 2002 A1
20020028751 Lokkesmoe et al. Mar 2002 A1
20020037260 Budny et al. Mar 2002 A1
20020040092 Siddiqui et al. Apr 2002 A1
20020064858 Yacoby-Zeevi May 2002 A1
20020091424 Biel Jul 2002 A1
20020119111 Kilgour et al. Aug 2002 A1
20020133124 Leinsing et al. Sep 2002 A1
20020144705 Brattesani et al. Oct 2002 A1
20030023208 Osypka et al. Jan 2003 A1
20030060804 Vaillancourt Mar 2003 A1
20030068667 Olson et al. Apr 2003 A1
20030072781 Pelerin Apr 2003 A1
20030105143 Ammendola et al. Jun 2003 A1
20030119932 Al-Akhdar et al. Jun 2003 A1
20030134783 Harshey et al. Jul 2003 A1
20030144362 Utterberg et al. Jul 2003 A1
20030147932 Nun et al. Aug 2003 A1
20030162839 Symington et al. Aug 2003 A1
20030170308 Cleary et al. Sep 2003 A1
20030176848 Gibson et al. Sep 2003 A1
20030206875 Budny et al. Nov 2003 A1
20030215433 Kokai-Kun et al. Nov 2003 A1
20030224032 Read et al. Dec 2003 A1
20040013574 Conway Jan 2004 A1
20040013703 Ralph et al. Jan 2004 A1
20040014864 Milic et al. Jan 2004 A1
20040039349 Modak et al. Feb 2004 A1
20040058829 Hei et al. Mar 2004 A1
20040109852 Xu Jun 2004 A1
20040115477 Nesbitt Jun 2004 A1
20040132164 Doyle et al. Jul 2004 A1
20040180829 Bassler et al. Sep 2004 A1
20040185296 Mazzanti Sep 2004 A1
20040230162 Tan Nov 2004 A1
20040234475 Lannibois-Drean et al. Nov 2004 A1
20050008671 Van Antwerp Jan 2005 A1
20050048005 Stockel Mar 2005 A1
20050048124 Sarangapani Mar 2005 A1
20050059731 Albrecht et al. Mar 2005 A1
20050080158 Ong et al. Apr 2005 A1
20050100580 Osborne et al. May 2005 A1
20050118239 Sabesan Jun 2005 A1
20050124970 Kunin et al. Jun 2005 A1
20050131356 Ash et al. Jun 2005 A1
20050143286 Singh et al. Jun 2005 A1
20050148928 Molina et al. Jul 2005 A1
20050158253 Budny et al. Jul 2005 A1
20050176905 Moon et al. Aug 2005 A1
20050233950 Madhyastha Oct 2005 A1
20050265931 Qian Dec 2005 A1
20060024372 Utterberg et al. Feb 2006 A1
20060051385 Scholz Mar 2006 A1
20060163515 Ruschke Jul 2006 A1
20060165751 Chudzik et al. Jul 2006 A1
20060165903 Mazzanti Jul 2006 A1
20060177477 Ash et al. Aug 2006 A1
20060239954 Sancho Oct 2006 A1
20060258780 Chaussade et al. Nov 2006 A1
20060281663 Asmus Dec 2006 A1
20070000407 Leong Jan 2007 A1
20070083157 Belley et al. Apr 2007 A1
20070083162 O'Reagan et al. Apr 2007 A1
20070112112 Kerschner et al. May 2007 A1
20070112146 Falk et al. May 2007 A1
20070129690 Rosenblatt et al. Jun 2007 A1
20070141524 Brennan et al. Jun 2007 A1
20070160547 Duffy et al. Jul 2007 A1
20070166344 Qu et al. Jul 2007 A1
20070202177 Hoang Aug 2007 A1
20070203574 McGrath et al. Aug 2007 A1
20070225179 Schutz et al. Sep 2007 A1
20070233007 Adams Oct 2007 A1
20070275101 Lu et al. Nov 2007 A1
20070281198 Lousenberg Dec 2007 A1
20080026026 Lu et al. Jan 2008 A1
20080039796 Nakajima Feb 2008 A1
20080051737 Paul et al. Feb 2008 A1
20080075761 Modak et al. Mar 2008 A1
20080108944 Woehr et al. May 2008 A1
20080119789 Kaemmerer May 2008 A1
20080161763 Harding et al. Jul 2008 A1
20080182921 Suh et al. Jul 2008 A1
20080194707 Potter Aug 2008 A1
20090012220 Yamane et al. Jan 2009 A1
20090036768 Seehusen et al. Feb 2009 A1
20090101152 Burk et al. Apr 2009 A1
20090110844 Platzer et al. Apr 2009 A1
20090114327 Breunig May 2009 A1
20090117164 Toreki et al. May 2009 A1
20090125118 Gong May 2009 A1
20090162530 Nesbitt Jun 2009 A1
20090176907 Subramanian et al. Jul 2009 A1
20090188559 Nesbitt Jul 2009 A1
20090220739 Chougule Sep 2009 A1
20090226541 Scholz et al. Sep 2009 A1
20090281525 Harding et al. Nov 2009 A1
20090317435 Vandesteeg et al. Dec 2009 A1
20090324666 Krongauz et al. Dec 2009 A1
20100106102 Ziebol et al. Apr 2010 A1
20100135949 Ou-Yang Jun 2010 A1
20100136209 Ou-Yang et al. Jun 2010 A1
20100137379 Ou-Yang Jun 2010 A1
20100137472 Ou-Yang Jun 2010 A1
20100204648 Stout et al. Aug 2010 A1
20100204675 Woehr et al. Aug 2010 A1
20100222746 Burkholz Sep 2010 A1
20110009831 Burkholz et al. Jan 2011 A1
20110065798 Hoang et al. Mar 2011 A1
20110146680 Conway Jun 2011 A1
20110150958 Davis et al. Jun 2011 A1
20110160663 Stout et al. Jun 2011 A1
20110218529 Garcia et al. Sep 2011 A1
20110301553 Goral et al. Dec 2011 A1
20110319825 Goral et al. Dec 2011 A1
20120083750 Sansoucy Apr 2012 A1
20120103448 Hopf et al. May 2012 A1
20130165868 Isaacson et al. Jun 2013 A1
20130196079 Schwalm Aug 2013 A1
20130245568 Kerr Sep 2013 A1
20130274686 Ziebol et al. Oct 2013 A1
Foreign Referenced Citations (76)
Number Date Country
1331333 Aug 1994 CA
2133053 Mar 1995 CA
1187598 Jul 1998 CN
1526771 Sep 2004 CN
101353545 Jan 2009 CN
102070983 May 2011 CN
4011867 Oct 1991 DE
0 036 294 Sep 1981 EP
0 070 087 Jan 1983 EP
0 338 418 Oct 1989 EP
0 370 997 May 1990 EP
0 379 271 Jul 1990 EP
0 396 431 Nov 1990 EP
0 414 997 Mar 1991 EP
0 778 337 Nov 1997 EP
0 992 252 Apr 2000 EP
05-277434 Oct 1993 JP
07-051651 Feb 1995 JP
H07-47435 Feb 1995 JP
08-209064 Aug 1996 JP
8-311373 Nov 1996 JP
09-151262 Jun 1997 JP
09-157548 Jun 1997 JP
H09-176677 Jul 1997 JP
H10-231 Jan 1998 JP
H11-322560 Nov 1999 JP
2000-178475 Jun 2000 JP
2000-264803 Sep 2000 JP
2001-072438 Mar 2001 JP
2002-282762 Oct 2002 JP
2003-342402 Dec 2003 JP
2004-043669 Feb 2004 JP
2005-028209 Feb 2005 JP
2005-515838 Jun 2005 JP
2005-520912 Jul 2005 JP
2007-016096 Jan 2007 JP
2010-536836 Dec 2010 JP
20020066429 Aug 2002 KR
20080039460 May 2008 KR
9422522 Oct 1994 WO
9521648 Aug 1995 WO
9640359 Dec 1996 WO
9858690 Dec 1998 WO
9858989 Dec 1998 WO
9932168 Jul 1999 WO
9934849 Jul 1999 WO
9936490 Jul 1999 WO
9943971 Sep 1999 WO
0066189 Nov 2000 WO
0074743 Dec 2000 WO
WO01-95862 Dec 2001 WO
2004108091 Dec 2004 WO
2005037340 Apr 2005 WO
2006056482 Jun 2006 WO
2006074666 Jul 2006 WO
2006088288 Aug 2006 WO
2006099358 Sep 2006 WO
2006099359 Sep 2006 WO
2007064835 Jun 2007 WO
2007095576 Aug 2007 WO
2007100653 Sep 2007 WO
2007100776 Sep 2007 WO
2008014438 Jan 2008 WO
2008014447 Jan 2008 WO
2008031601 Mar 2008 WO
2008045761 Apr 2008 WO
2008128896 Oct 2008 WO
2008132045 Nov 2008 WO
2009070227 Jun 2009 WO
2011005951 Jan 2011 WO
2011034675 Mar 2011 WO
2011048204 Apr 2011 WO
2011118680 Sep 2011 WO
2012036916 Mar 2012 WO
2013009998 Jan 2013 WO
2013134421 Sep 2013 WO
Non-Patent Literature Citations (13)
Entry
Ciba Irgacure 500 data sheet from Ciba Speciality Chemicals. online. retrieved on [Dec. 13, 2015]. retrieved from interent <URL://http://www.conquimica.com/wp-content/uploads/2015/06/ft—irgacure—500.pdf>.
Anusavice KJ, Zhang N-Z, Shen C. Controlled Release of Chlorhexidine from UDMA-TEGDMA Resin. Journal of dental research. 2006;85(10):950-954.
“ComfortCoat Hydrophilic Coating,” DSM in Medical, http://www.dsm.com/en—US/medical/public/home/pages/product-coating-comfortcoat.jsp, Updated Jan. 11, 2013, Printed Apr. 22, 2013.
“Lubricent—Lubricious Hydrophillic Coatings for Medical Devices,” Harland Medical Systems, http://www.harlandmedical.com/index.php/materials/lubricent.html, pp. 1-2, Printed Apr. 22, 2013.
“UV & EB Cure,” Xiper Innovations, Inc., http://xiperinnovations.com/uv—eb—cure, Printed Apr. 22, 2013.
Cabot Corporation, “Using Silicas and Aluminas in Coatings,”, www.cabot-corp.com/Silicas-And-Aluminas/Coatings, downloaded from the internet on Apr. 26, 2011.
McDonnell, G., Russell, A.D. Antiseptics and Disinfectants: Activity, Action, and Resistance. Clinical Microbiology Reviews, (1999) 12(1), pp. 149-179.
Elson Silva, PhD, “Respecting Hydrology Science in the Patenting System,” pp. 1-7, Jan. 13, 2011.
Gama Healthcare, Clinell Alcoholic 2% Chlorhexidine, http://www.gamahealthcare.com/clinellaca2c.html, pp. 1-3, Nov. 7, 2008.
Enturia, ChloraPrep, http://www.enturia.com/products/chloraPrep-product.html, pp. 1-3, Oct. 31, 2008.
Sage Products, Inc., Address Multi-Drug Resistant Organism on the Skin with Early Preop Prep, http://www.sageproducts.com/products/ssi-prevention.cfm, 1 page, Oct. 31, 2008.
Sage Products, Inc., Preoperative Skin Preparation and Perioperative Oral Care for the Short-Term Ventilated Patient, http://www.sageproducts.com/products/ssi-vap-prevention.cfm, 1 page, Oct. 31, 2008.
Sage Products, Inc., Preoperative Skin Preparation for the Surgical Patient, http://www.sageproducts.com/products/skin-prep.cfm, 1 page, Oct. 31, 2008.
Related Publications (1)
Number Date Country
20140228466 A1 Aug 2014 US