1. Field of the Invention
The present invention is generally related to a wound healing material and method for fabricating the same, and more particularly to a wound healing material using an amphiphilic fluoro-containing polymer and method for fabricating the same.
2. Description of the Prior Art
Human skin has a total surface area of about 1.5˜2.0 m2 to maintain the temperature and water content of a body and to prevent from bacterial infection and environmental damage. Human skin is composed of three primary layers: epidermis, dermis, and hypodermis. When skin is hurt to create a wound, the wound healing process comprises the following three phases: inflammatory phase, fibroplasias phase, and maturation or remodeling phase. The smoothness of undergoing the three wound healing phases determines whether or not to completely heal the wound, or become incomplete recovery or worse.
The requirements of a wound healing material include, for example, (1) accelerating the wound healing process, (2) being comfortable like real skin to a patient, and (3) producing no scar or as few as possible.
The most commonly used wound healing material is a traditional textile like cotton gauze. Such a material is only for temporarily covering a wound and it is required frequently replacing a new material. Currently commercial products comprise non-occlusive, occlusive or semi-occlusive materials. For example, the non-occlusive material includes hydrogels formed by hydrophilic polymers, such as gelatin, polysaccharides, etc., capable of absorbing exudates. The commercial product of a non-occlusive type comprises for example Vigilon (CR Bard, USA). On the other hand, the occlusive material is usually formed by a thin flexible membrane, such as polyurethane, and an adhesive covering layer to prevent water evaporation from the surface of a wound to keep the wound moist. The commercial product of an occlusive type comprises for example Tegaderm™ (3M, USA). The semi-occlusive material has a higher evaporation rate than the occlusive type and thus the wound treated with the semi-occlusive material is under semi-dried state. The commercial product of a semi-occlusive type comprises for example Omiderm (latro Medical Systems, UK).
Furthermore, the occlusive material having absorption property comprises for example Tegasorb™ (3M, USA, U.S. Pat. No. 4,952,618), Duoderm™ (Convatec, UK), etc., which is a hydrocolloid dressing (HCD) made up of hydrocolioid particles (e.g. consisting of gelatin, pectin, etc.) embedded in a hydrophobic matrix (e.g. a polyisobutylene). These products are usually used to treat chronic ulcerations of the skin. But, according to various reports, it is found that these hydrocolloid dressings may promote wound healing in a short term but their use is often associated with undesirable inflammatory effects or granulation tissue formation.
U.S. Pat. No. 4,952,618 disclosed a hydrocolloid adhesive composition, comprising a rubbery elastomeric base having dispersed therein hydrocolloid particles, at least some of which are polycationic hydrocolloid particles. Chitosan malate or glutamate is used as the polycationic hydrocolloid particle and polyisobutylene is used as the rubbery elastomer. The backing for the hydrocolloid adhesive composition is porous polyethylene or polyurethane having a moisture vapor transmission rate (MVTR) of 500 g/m2/day (measured at 40° C., 80% humidity differential). However, the disadvantages of using polyethylene or polyurethane include being dirty, not antiseptic, and bad permeability.
Therefore, the key to evaluate the wound healing effect of these materials (wound healing materials or dressings) is mainly focused on biocompatibility, promoting epithelization, reducing rejection and skin inflammatory response, having no callus or scar. Currently, no perfect commercially-available product exists. While using these wound healing materials, considering the condition of the wound, medical expense, and product price, the most economical and effective method is usually used to achieve the optimum result. The research of wound healing is expected to have the wound healed and skin regenerated but not patched so as to provide scarless tissues without any callus.
In light of the above background, in order to fulfill the industrial requirements, the invention provides a wound healing material and the method for fabricating the same, particularly provides an amphiphilic wound healing material.
One object of the present invention is to provide a wound healing material using an amphiphilic material, the hydrophilic surface of which is close to a wound and the hydrophobic surface of which is in contact with the external environment of the wound, having the characteristics of keeping the wound air-breathable and moist, being water-proof, antiseptic, and anti-coagulation. The antiseptic characteristic can prevent the wound from infection and inflammation during healing process and also keep the wound moist and air-breathable. The wound healing material according to the present invention can accelerate the healing process of a wound and also leave no callus on the new born skin by grafting a specific polymer on a hydrophobic surface of a substrate and adjusting the water contact angle of the surface of the substrate that is close to the wound within a certain range. Thus, the purpose of near perfect wound healing and skin recovery can be achieved. The method of adjusting the water contact angle of the surface can be implemented by grafting biocompatible polymers on the surface. The biocompatible polymers comprise two types of polymers: polymer without any charged moiety and zwitterionic polymer or pseudo-zwitterionic polymer. Preferably, the biocompatible polymers are zwitterionic polymers or pseudo-zwitterionic polymers.
Another object of the present invention is to provide a method for fabricating a wound healing material. The method uses atmospheric plasma treatment to have the biocompatible polymers grafted on the surface of a fluoro-containing membrane so as to fabricate the above mentioned wound healing material of the present invention. The wound healing material has the characteristics of keeping the wound air-breathable and moist, being water-proof, antiseptic, and anti-coagulation.
The fluoro-containing membrane according to the invention is inherently hydrophobic and is an effective insulation material to resist germs, bacteria, micro-particles. The fluoro-containing membrane according to the invention is gas permeable but liquid impermeable and has a moisture vapor transmission rate (MVTR) of at least more than 500 g/m2/day (ASTM E96-80). Therefore, the fluoro-containing membrane grafted with the specific polymers possesses not only the characteristics of the fluoro-containing membrane but also the characteristics of the grafted polymers and thereby has the characteristics of keeping the wound air-breathable and moist, being water-proof, antiseptic, and anti-coagulation while being used as a wound healing material.
Accordingly, the present invention discloses a wound healing material, comprising: a fluoro-containing hydrophobic membrane, having a first surface and a second surface opposing to each other and being gas permeable but liquid impermeable; and at least one biocompatible polymer, covalently bonded to a portion of the first surface of the hydrophobic membrane; wherein the portion of the first surface formed with the biocompatible polymer is hydrophilic. The at least one biocompatible polymer comprises one compound selected from the group consisting of the following or combination thereof: polymer without any charged moiety, zwitterionic polymer and pseudo-zwitterionic polymer.
Furthermore, the present invention discloses a method for fabricating a wound healing material, comprising: providing a fluoro-containing hydrophobic membrane, having a first surface and a second surface opposing to each other and being gas permeable but liquid impermeable; coating a biocompatible polymer precursor solution on the first surface of the hydrophobic membrane; performing a drying process for drying the biocompatible polymer precursor solution on the first surface; and performing atmospheric plasma treatment on the first surface of the hydrophobic membrane to have the biocompatible polymer grafted on first surface so that the first surface of the hydrophobic membrane becomes hydrophilic and the water contact angle of the first surface is less than 40 degrees, preferably, 20˜30 degrees.
In the above method for fabricating a wound healing material, the first surface of the hydrophobic membrane can be processed by surface activation treatment before the step of coating a biocompatible polymer precursor solution. The surface activation treatment can be low pressure plasma treatment or ozone treatment. In one embodiment, the low pressure plasma treatment uses argon plasma.
In conclusion, the wound healing material and the method for fabricating the same according to the invention are disclosed. By using the fluoro-containing membrane grafted with the specific polymers, the present invention has the advantages of keeping the wound air-breathable and moist, being water-proof, antiseptic, and anti-coagulation because of using not only the characteristics of the fluoro-containing membrane but also the characteristics of the grafted polymers. In addition, the method for fabricating a wound healing material according to the invention uses the atmospheric plasma treatment to perform graft polymerization to achieve the purpose of reducing the cost of mass-production. Therefore, the present invention does have the economic advantages for industrial applications.
a) shows a top-view schematic diagram illustrating the structure of the wound healing material according to the invention;
b) shows a cross-sectional schematic diagram illustrating the structure of the wound healing material according to the invention;
a) and (b) show schematic diagrams illustrating the relations of the argon plasma processing time with the grafting density and the water contact angle of the wound healing material when (a) PEGMA and (b) SBMA are grafted to the surface of PTFE membrane, respectively;
What is probed into the invention is a wound healing material. Detail descriptions of the elements and steps will be provided in the following in order to make the invention thoroughly understood. Obviously, the application of the invention is not confined to specific details familiar to those who are skilled in the art. On the other hand, the common elements and steps that are known to everyone are not described in details to avoid unnecessary limits of the invention. Some preferred embodiments of the present invention will now be described in greater detail in the following. However, it should be recognized that the present invention can be practiced in a wide range of other embodiments besides those explicitly described, that is, this invention can also be applied extensively to other embodiments, and the scope of the present invention is expressly not limited except as specified in the accompanying claims.
The wound healing material according to the invention is of amphiphilic where the surface attached to the skin is hydrophilic and the other surface (opposing to the surface attached to the skin) exposed to atmosphere is hydrophobic.
A first embodiment of the invention discloses a wound healing material, comprises a fluoro-containing hydrophobic membrane and at least one biocompatible polymer. The fluoro-containing hydrophobic membrane has a first surface and a second surface opposing to each other and is gas permeable but liquid impermeable. The at least one biocompatible polymer, covalently bonded to a portion of the first surface of the hydrophobic membrane. The portion of the first surface formed with the biocompatible polymer is hydrophilic. The water contact angle of the portion of the first surface formed with the biocompatible polymer is less than or equal to 40 degrees, preferably 10˜40 degrees, more preferably 20˜30 degrees. Particularly, when the water contact angle is within 20˜30 degrees, the effect of no callus is more prominent. The second surface is hydrophobic and the water contact angle is more than or equal to 100 degrees.
In one embodiment, the at least one biocompatible polymer comprises one compound selected from the group consisting of the following or combination thereof: polymer without any charged moiety, zwitterionic polymer and pseudo-zwitterionic polymer. For example, the at least one biocompatible polymer is polyethylene glycol methacrylate (PEGMA) or polysulfobetaine methacrylate (PSBMA). The example of the pseudo-zwitterionic polymer comprises a polymer formed by polymerization of positively charged moieties and negatively charged moieties with a molar ratio of 1 to 1.
The positively charged moieties can be, for example,
The negatively charged moieties can be, for example,
In one embodiment, the at least one biocompatible polymer is graft polymerized to the first surface. When the first surface is formed with PEGMA, if the grafting density of PEGMA is between 0.03 mg/cm2 and 0.2 mg/cm2, the wound healing effect as a wound healing material is optimum. When the first surface is formed with SBMA, if the grafting density of SBMA is between 0.05 mg/cm2 and 0.2 mg/cm2, the wound healing effect as a wound healing material is optimum.
When the above wound healing material is tested for the bacterium adsorption test, for example, using E. coli or S. epidermidis, the number of bacteria adsorbed on the first surface is less than or equal to 1%. Moreover, when the above wound healing material is tested for the protein adsorption test, the number of proteins adsorbed on the first surface is less than or equal to 1%.
The above fluoro-containing hydrophobic membrane is polytetrafluoroethylene (PTFE) or polyvinylidene fluoride (PVDF) and has a moisture vapor transmission rate (MVTR) of at least more than 500 g/m2/day. The thickness of the fluoro-containing hydrophobic membrane is for example 10˜500 pan, preferably 30˜300 μm, and more preferably 50˜150 μm.
The method for forming the biocompatible polymer on the first surface of the hydrophobic membrane should be specially designed to bond these two materials because usually the hydrophilic material and the hydrophobic material are difficult to be chemically bonded with each other. Thus, according to the invention, the surface of the hydrophobic membrane is firstly activated and then the plasma or ozone treatment is used to perform plasma induced polymerization to thereby achieve the effect of chemically bonding the hydrophilic polymer on the surface of the hydrophobic membrane.
A second embodiment of the invention discloses a method for fabricating a wound healing material, comprising the following steps. At first, a fluoro-containing hydrophobic membrane is provided where the hydrophobic membrane has a first surface and a second surface opposing to each other and is gas permeable but liquid impermeable. A biocompatible polymer precursor solution is coated on the first surface of the hydrophobic membrane. A drying process is performed to dry the biocompatible polymer precursor solution on the first surface. Finally, atmospheric plasma treatment on the first surface of the hydrophobic membrane is performed to have the biocompatible polymer grafted on first surface so that the first surface of the hydrophobic membrane becomes hydrophilic and the water contact angle of the first surface is less than 40 degrees, preferably 10˜40 degrees, more preferably 20˜30 degrees. In addition, the second surface is hydrophobic and the water contact angle is more than or equal to 100 degrees.
The above fluoro-containing hydrophobic membrane is polytetrafluoroethylene (PTFE) or polyvinylidene fluoride (PVDF) and has a moisture vapor transmission rate (MVTR) of at least more than 500 g/m2/day. The thickness of the fluoro-containing hydrophobic membrane is for example 10˜500 μm, preferably 30˜300 μm, and more preferably 50˜150
In one embodiment, the at least one biocompatible polymer comprises one compound selected from the group consisting of the following or combination thereof: polymer without any charged moiety, zwitterionic polymer and pseudo-zwitterionic polymer. For example, the at least one biocompatible polymer is polyethylene glycol methacrylate (PEGMA) or polysulfobetaine methacrylate (PSBMA). The example of the pseudo-zwitterionic polymer comprises a polymer formed by polymerization of positively charged moieties and negatively charged moieties with a molar ratio of 1 to 1. The examples of the positively charged moieties and the negatively charged moieties can be the same as those shown in the first embodiment.
The water contact angle of the first surface is decreased with the increase of the processing time of the atmospheric plasma treatment. The water contact angle of the first surface is less than 40 degrees, preferably 10˜40 degrees, more preferably 20˜30 degrees. The above atmospheric plasma treatment uses argon plasma to process the first surface.
A third embodiment of the invention discloses a method for fabricating a wound healing material, comprising the following steps. The difference between the methods of the third embodiment and the second embodiment is that in the third embodiment a surface activation treatment on the first surface of the hydrophobic membrane is performed before coating the biocompatible polymer precursor solution. In one embodiment, the surface activation treatment is low pressure plasma treatment or ozone treatment. In one embodiment, the above atmospheric plasma treatment uses argon plasma to process and the processing time is more than or equal to 60 seconds. Besides, the above low pressure plasma treatment uses argon plasma to process and the processing time is more than or equal to 60 seconds.
a) and (b) show schematic diagrams illustrating the relations of the argon plasma processing time with the grafting density and the water contact angle of the wound healing material when (a) PEGMA and (b) SBMA are grafted to the surface of PTFE membrane, respectively. From the figure, the grafting density of the wound healing material is increased and the water contact angle is decreased with the increase of the processing time of the argon plasma treatment.
The following will perform the characteristic tests of the wound healing material (PTFE-gPEGMA/SBMA).
Protein Adsorption Test
Fibrinogen is used as an example of proteins to test the adsorption characteristic of PTFE-g-PEGMA/SMMA/TM/SA.
Bacterium Adsorption Test
S. epidermidis and E. coli are used as examples of bacteria to test the adsorption characteristic of PTFE-g-PEGMA/SMMA/TM/SA.
On the other hand,
Although the above example 1 uses PTFE membranes as the fluoro-containing hydrophobic membranes, PVDF membranes can be used as well.
The following will describe an example of using PVDF membranes as the fluoro-containing hydrophobic membranes to fabricate the PVDF-g-SBMA wound healing material.
Protein Adsorption Test
The wound healing material prepared by the method in example 1 is used where the PTFE membrane grafted with PEGAM or SBMA (PTFE-g-PEGMA or PTFE-g-SBMA) is formed. As shown in
Animal Experiment of the Wound Healing Patches
The above prepared wound healing patches according to the invention are used as the test samples to cover the wounds of a mouse (wound size 1.5×1.5 cm2) and then adhesive tapes being water-proof and air-breathable are used to secure the patches on the wounds without falling off. After 10 days, the wound sections are observed. Besides, a cotton gauze, a commercial product (3M made), a pristine PTFE (labeled as PTFE), super-hydrophobic treated PTFE (labeled as CF4) are used as the control groups.
From
From
From
The following Table 1 shows the evaluation result of the above animal experiments. The method of evaluation is based on the hyperplasia of calluses, blood capillaries, immunocytes, and epidermis where the number of “X”s indicates the quantity of hyperplasia and more “X”s represent that the hyperplasia is more apparent. Since the recovery of a wound is better when grown skin tissues are closer to the original skin tissues, the hyperplasia of blood capillaries and epidermis is preferred and the hyperplasia of calluses and immunocytes is disfavored.
From Table 1, the PTFE-g-SBMA patch according to the invention has an excellent wound healing result that has no callus and immunocyte grown and epidermis is grown. Compared to the commercial product, the grown skin tissues are almost near recovery when the PTFE-g-SBMA patch according to the invention is used and the recovery rate is also faster.
In conclusion, the wound healing material and the method for fabricating the same according to the invention are disclosed. By using the fluoro-containing membrane grafted with the specific polymers, the present invention has the advantages of keeping the wound air-breathable and moist, being water-proof, antiseptic, and anti-coagulation because of using not only the characteristics of the fluoro-containing membrane but also the characteristics of the grafted polymers. In addition, the method for fabricating a wound healing material according to the invention uses the atmospheric plasma treatment to perform graft polymerization to achieve the purpose of reducing the cost of mass-production.
Obviously many modifications and variations are possible in light of the above teachings. It is therefore to be understood that within the scope of the appended claims the present invention can be practiced otherwise than as specifically described herein. Although specific embodiments have been illustrated and described herein, it is obvious to those skilled in the art that many modifications of the present invention may be made without departing from what is intended to be limited solely by the appended claims.