SHAPED BONE FIBER-BASED PRODUCTS AND METHOD OF MANUFACTURE THEREOF
20230001650 · 2023-01-05
Inventors
- Todd Meyer (Bozeman, MT, US)
- Helena M. Lovick (N. Great Falls, MT, US)
- Michael Mansfield (Bozeman, MT, US)
- Daniel Cox (Bozeman, MT, US)
- Gregory Juda (Bozeman, MT, US)
Cpc classification
A61L2430/40
HUMAN NECESSITIES
B29L2031/753
PERFORMING OPERATIONS; TRANSPORTING
A61L27/3683
HUMAN NECESSITIES
A61L27/3608
HUMAN NECESSITIES
Y10T428/26
GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
A61L2430/02
HUMAN NECESSITIES
International classification
B29C67/24
PERFORMING OPERATIONS; TRANSPORTING
A61L27/36
HUMAN NECESSITIES
Abstract
The present invention relates to shaped, bone fiber-based products and methods to make the same.
Claims
1-20. (canceled)
21. A shaped, dehydrated bone fiber-based product, comprising: a plurality of at least partially demineralized bone fibers, wherein the average length of the plurality of partially demineralized bone fibers is from about 1 mm to about 200 mm, and wherein upon rehydration for a period of about 1 hour to about 6 months the bone fiber-based product returns to from about 60% to about 100% of at least one characteristic selected from the group consisting of its pre-dehydrated shape, its pre-dehydrated flexibility, its pre-dehydrated compressibility, and combinations thereof.
22. The shaped, bone fiber-based product of claim 21, wherein the void to fiber ratio is from about 1:99 to about 1:11.
23. The shaped, bone fiber-based product of claim 21, wherein the residual moisture content of the product is less than about 6%.
24. The shaped, bone fiber-based product of claim 21, wherein the product is bendable to about 90° when rehydrated.
25. The shaped, bone fiber-based product of claim 21, wherein the product is at least about 90% as intact when rehydrated as before dehydration.
26. The shaped, bone fiber-based product of claim 21, wherein the product when rehydrated remains greater than about 90% intact after being bent, compressed, twisted, squeezed, and/or rolled.
27. The shaped, bone fiber-based product of claim 21, wherein the product is not a putty when rehydrated.
28. The shaped, bone fiber-based product of claim 21, wherein the bone fibers comprise at least one growth factor selected from the group consisting of IGF-1, BMP-2, BMP-4, BMP-7, and combinations thereof.
29. The shaped, bone fiber-based product of claim 28, wherein the at least one growth factor is native.
30. The shaped, bone fiber-based product of claim 28, wherein the at least one growth factor is selected from the group consisting of IGF-1 in an amount greater than 60 pg per gram of demineralized bone matrix, BMP-2 in an amount greater than 2700 μg per gram of demineralized bone matrix, BMP-4 in an amount greater than 200 μg per gram of demineralized bone matrix, BMP-7 in an amount greater than 9000 μg per gram of demineralized bone matrix, and combinations thereof.
31. The shaped, bone fiber-based product of claim 21, wherein the fibers are entangled with at least one material selected from the group consisting of wood, food, plant-based material, at least one elastomer, at least one thermoplastic, and combinations thereof.
32. A shaped, dehydrated bone fiber-based, comprising: a plurality of at least partially demineralized bone fibers, wherein an average length of the plurality of partially demineralized bone fibers is between about 1 and about 200 mm, and wherein biocompatible materials are entangled within the partially demineralized bone fibers.
33. The shaped, bone fiber-based product of claim 32, wherein the void to fiber ratio is from about 1:99 to about 1:11.
34. The shaped, bone fiber-based product of claim 32, wherein the residual moisture content of the product is less than about 6%.
35. The shaped, bone fiber-based product of claim 32, wherein the product is bendable to about 90° when rehydrated.
36. The shaped, bone fiber-based product of claim 32, wherein the product is at least about 90% as intact when rehydrated as before dehydration.
37. The shaped, bone fiber-based product of claim 32, wherein the product when rehydrated remains greater than about 90% intact after being bent, compressed, twisted, squeezed, and/or rolled.
38. The shaped, bone fiber-based product of claim 32, wherein the product is not a putty when rehydrated.
39. The shaped, bone fiber-based product of claim 32, wherein the bone fibers comprise at least one growth factor selected from the group consisting of IGF-1, BMP-2, BMP-4, BMP-7, and combinations thereof.
40. The shaped, bone fiber-based product of claim 39, wherein the at least one growth factor is native.
41. The shaped, bone fiber-based product of claim 39, wherein the at least one growth factor is selected from the group consisting of IGF-1 in an amount greater than 60 pg per gram of demineralized bone matrix, BMP-2 in an amount greater than 2700 μg per gram of demineralized bone matrix, BMP-4 in an amount greater than 200 μg per gram of demineralized bone matrix, BMP-7 in an amount greater than 9000 μg per gram of demineralized bone matrix, and combinations thereof.
42. The shaped, bone fiber-based product of claim 32, wherein the fibers are entangled with at least one material selected from the group consisting of wood, food, plant material, at least one elastomer, at least one thermoplastic, and combinations thereof.
Description
BRIEF DESCRIPTION OF THE FIGURES
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[0039]
[0040]
[0041]
[0042]
[0043]
[0044]
DETAILED DESCRIPTION OF THE INVENTION
[0045] The present invention relates to a shaped bone fiber-based product and methods of making the same.
[0046] “Allogeneic” or “allograft”, as used herein, refers to tissue derived from a non-identical donor of the same species, which may be a DBM.
[0047] “Autogeneic” or “autograft”, as used herein, refers to tissue derived from and implanted into the same identical patient.
[0048] “Biocompatible”, as used herein, refers to the property of being biologically compatible with a living being by not causing harm.
[0049] “Osteoinductive”, as used herein, refers to the ability of a material to induce bone healing via recruitment of osteoprogenitor cells.
[0050] “Patient”, as used herein, refers to a living recipient of the biomaterial-based implants of the present invention.
[0051] “Xenogeneic” or “xenograft”, as used herein, is defined as tissue derived from a non-identical donor of a different species.
[0052] The shaped fiber-based products of the invention have many advantages over the prior art. The rehydrated fiber-based products of the invention compress under a force of between about 10 g-force/square cm to about 4000 g-force/square cm. The rehydrated, shaped fiber-based product may be compressible to about 80% of its original size, to about 60% of its original size, to about 20% of its original size, to about 5% of its original size without loss of structural integrity or fiber cohesion. Upon removal of an external compressing force, the products return to their original shape. The shaped fiber-based product may also rehydrate rapidly within an aqueous fluid over a period of about 15 seconds to about 30 minutes, of about 1 minute to about 25 minutes, or of about 5 minutes to about 20 minutes. In some embodiments, the shaped fiber-based product may also have a high rehydration rate of between about 0.5 mL of liquid/g of product/minute to about 10 mL of liquid/g of product/minute. Suitable aqueous fluids include, but are not limited to, water, saline, buffer, balanced salt solution, blood, bone marrow aspirate, plasma and combinations thereof.
[0053] The shaped product is not a putty, but rather a sponge-like material may be composed of a single material or a mixture of materials which may be used as scaffolding during bone regrowth. In some embodiments, the shaped product may be composed of solely bone tissue. Furthermore, while the invention may be used to produce a sheet that may later be cut to form a specific shape, the invention allows for the shape to be formed without this additional step of cutting. The base material of the invention is fibers rather than particles, for example bone fibers rather than bone particles. Furthermore, the fiber to void ratio may be determined and maintained because an external force is not required during the formation of the shaped fiber base product of the present invention.
[0054] Utilizing the drying/lyophilization parameters of the invention, the final shape of the product is within about 10% of its projected size based on the mold. Finally, the void to fiber ratio may be controlled to between about 1:99 to about 1:1, with a preferred void to fiber ratio ranging from about 1:19 to about 1:3. In some embodiments, the void to fiber ratio may be between about 1:99 to about 1:11, about 1:75 to about 1:4, between about 1:25 to about 1:5, between about 1:20 to about 1:6, or between about 1:10 to about 1:5.
[0055] In some embodiments, the method for making the shaped fiber-based product utilizes low boiling solvents to facilitate final drying of the fiber-based material via azeotropic drying. The method for making the shaped fiber-based product also advantageously releases the final product from a mold with minimal if any damage or breakage. Furthermore, because of the advantageous mold release, the shape of the shaped fiber-based product is retained after removal. Thus, the final shape is within about 10% of its projected size based on the mold. Finally, the fiber to void ratio may be controlled to between about 1:99 to about 1:1, with a preferred void to fiber ratio ranging from about 1:19 to about 1:3. In some embodiments, the void to fiber ratio may be between about 1:99 to about 1:11, about 1:75 to about 1:4, between about 1:25 to about 1:5, between about 1:20 to about 1:6, or between about 1:10 to about 1:5.
[0056]
[0057] The fibers that comprise the shaped product 1 may consist of bone, wood, food stuffs, plant-based materials, elastomers, thermoplastics, or combinations thereof. These fibers may be fully or partially solvated as needed to form a product of the desired moisture level and physical properties. The fibers within the shaped product 1 may be of lengths of about 1 mm to about 200 mm, of about 2 mm to about 150 mm, of about 5 mm to about 70 mm, to about 10 mm to about 60 mm. The average length of the fibers may be between about 15 mm to about 50 mm, in some embodiments about 30 mm. The fibers may have a width or diameter of about 0.1 mm to about 30 mm, of about 0.2 mm to about 15 mm, of about 0.5 mm to about 10 mm, to about 1 mm to about 8 mm. The average width or diameter may be between about 1 mm to about 5 mm, in some embodiments between about 2-3 mm. The thickness of the shaped product may be between about 0.01 mm to about 1 mm. In some embodiments, the thickness may be about 0.01 mm, about 0.05 mm, about 0.1 mm, about 0.2 mm, about 0.25 mm, about 0.3 mm, about 0.4 mm, about 0.5 mm, about 0.6 mm, about 0.7 mm, about 0.8 mm, about 0.9 mm, about 0.95 or about 1 mm. The shaped product 1 is composed of bone fibers, the bone may be cortical, cancellous, or a combination of the two bone types. The bone may be allogeneic, autogeneic, or xenogeneic. In some embodiments, other materials may be entangled within or added to the fibers (e.g., bone chips, biocompatible minerals, and BioGlass). The bone fibers for the invention may be generated by a variety of methods and techniques known in the prior art, for example U.S. Pat. No. 5,314,476, which is incorporated in its entirety by reference. In some embodiments, the bone is cut into fibers in an angle to the plane of the native collagen fibers within the bone, wherein the cutting blade is at an angle of about 30° to 90°, of about 45° to 90°, or of about 60° to 90°. The fibers comprising the shaped product 1 may be mineralized, fully demineralized, partially demineralized, or a combination of the foregoing. Demineralized bone matrix for use by the disclosed method may be prepared using any method or techniques known in the art, for a typical demineralization protocol. Example demineralization protocols are disclosed in U.S. Pat. No. 5,314,476, or U.S. Pat. No. 8,574,825, each reference is incorporated by reference in their entirety. In some embodiments, the demineralization protocol for the bone fibers may be optimized based on the bone fiber type to provide the maximum level of growth factors, such as bone morphogenetic proteins (BMPs).
[0058] A method of forming the shaped fiber-based products 1 may consist of placing the fibers 2, into contact with a water miscible, low boiling solvent. By contacting the fibers with a water miscible, low boiling solvent, the fibers may become further curled, twisted, shriveled, or a combination thereof. The increased curling, twisting, and/or shriveling of the fibers by a water miscible, low boiling solvent promotes fiber entanglement and subsequent shape retention of the final product. The fibers thus contacted with solvent are then placed within a mold 4 as shown in
[0059] In some embodiments, the mold 4 may have drainage holes or openings to allow moisture to enter and exit the product during use. In some embodiments, the mold 4 may have openings or drainage holes at least on one side 5. In another embodiment, the mold may be comprised of only three sides so that moisture may exit from open sides of the mold 4. In another embodiment, the mold 4 may be composed of a screen with numerous openings to allow moisture entry or exit during use. In other embodiments, the mold 4 may be a sieve or strainer.
[0060] The shaped product 1 may be shaped specifically to fill a void. The void may be determined by pre-assessment of a void, such as a bone void within a patient. The final use of the shaped product 1 may be placement within a void of the patient.
[0061] During the forming of the shaped product 1, the fibers may be laid in a regular pattern 2a within the mold 4, or entangled as a mesh, braid, or interwoven in some manner 2b prior to placement within the mold 4. In some embodiments, the fibers may be laid or entangled around another article. If the fibers are placed around another article, the contained article may be composed of the same material or of materials of a different composition than the surrounding fibers (e.g., a shaped fiber-based article composed of demineralized cancellous fibers may be placed inside fibers composed of demineralized cortical bone). The contained article may be composed of elastomers, ceramics, metals, metal alloys, or plastics.
[0062] The fibers 2 are contacted with a solution containing a water miscible, low boiling solvent prior to placement or after placement in the mold 4. The solution containing a water miscible, low boiling solvent, the filled mold may be held at temperatures ranging from about −10° C. to about 70° C.; preferably, the solution will be used at room temperature. In some embodiments, the fibers may be contacted with a combination of water and a water miscible, low boiling solvent prior to placement or after placement in the mold 4. The ratio of water to the water miscible, low boiling solvent may range from about 0:100 to about 99:1, from about 5:95 to about 95:1, to about 50:50. In other embodiments, the fibers may be contacted with a combination of a water-based solution and a water miscible, low boiling solvent prior to placement or after placement in the mold 4. The ratio of the water-based solution to the water miscible, low boiling solvent may range from about 0:100 to about 99:1, from about 5:95 to about 95:1, to about 50:50. In a preferred embodiment, the fibers 2 may be slurried in a solution containing a water miscible, low boiling solvent prior to placement within the mold 4. After the fibers are placed in the mold 4, a lid 3 may be placed on the mold 4 if desired. Excess moisture will be allowed to drain from the fibers within the mold 4.
[0063] The apparatus may be placed into a drying chamber 6 in a frozen or thawed state. The drying step may consist of blowing gas through the mold and/or subjecting the apparatus to reduced pressure, heating, lyophilization (under reduced pressure), or a combination of heating and vacuum. The gas used may include, but is not limited to, nitrogen, helium, argon, and combinations thereof. The drying may be performed under reduced pressure between about 1 nTorr and about 740 Torr. The drying step may consist of, or include, air flow into or through the mold. In some embodiments, the mold 4 or mold lid 3 may provide user-adjustable pressure to allow variance of the compaction of the resultant article. This user-adjustable pressure of the mold 4 or mold lid 3 may allow for articles of varied “sponginess” or flexibility. Drying may include heating the material to a temperature between about 30° C. to about 80° C., in some embodiments about 40° C. Following drying, the mold may be removed from the drying chamber 6, and the shaped product 1 may be removed from the mold. In some embodiments, the use of fibers 2 slurried in a solvent containing a water miscible, low boiling solvent prior to placement within the mold 4 results in an article with improved shape retention and with improved mold release characteristics.
[0064] In some embodiments, following forming of the bone fibers into the mold 4, the filled mold may be frozen at a temperature of about −100° C. to about 0° C., of about −90° C. to about −10° C. to about −80° C. to about −20° C. The apparatus may be placed into a drying chamber 6 in a frozen or thawed state. The drying step may include subjecting the apparatus to reduced pressure, heating, lyophilization (under reduced pressure), or a combination of dehydration and lyophilization. In preferred embodiments, the drying/lyophilization step is performed under reduced pressures of about 0.100 Torr to about 600 Torr, about 0.800 Torr to about 400 Torr, about 1.8 Torr to about 300 Torr, or any sub-range within the largest range. Drying may include heating the material to a temperature between about 30° C. to about 80° C., in some embodiments about 45° C. The temperature of the drying step may change over the time period of the drying from about 80° C. to −80° C., from about 60° C. to −70° C., from about 50° C. to 0° C., from about 45° C. to 25° C. Drying may take place over the range of about 1 hour to about 48 hours, of about 3 hours to about 30 hours, of about 4 hours to about 25 hours. During the drying step, the vacuum may be increased from an initial pressure of about 100 Torr to about 600 Torr, of about 200 Torr to about 400 Torr, of about 300 Torr; to a pressure of about 100 mTorr to about 30,000 mTorr, of about 800 mTorr to about 3000 mTorr, of about 1800 mTorr, or any other sub-range within the larger range. Following drying, the mold may be removed from the drying chamber 6, and the shaped product 1 may be removed from the mold. In some embodiments, the drying of fibers 2 within the mold 4 under the conditions described results in an article with improved shape retention and enhanced cohesiveness and flexibility upon rehydration. In the preferred embodiments, the drying of the fibers 2 within the mold 4 under the conditions described results in an article with retained osteoinductivity and a residual moisture content of less than about 6%, less than about 4%, or less than about 2%. In some embodiments, at least one rehydrated product property may be within about 60% to about 100% of its original property following rehydration. For example, the rehydrated product may be within about 75% of its initial shape, flexibility or compressibility prior to dehydration. In some embodiments, the rehydrated product may be within about 60%, about 65%, about 75%, about 85%, about 90%, about 95%, about 99% of its initial shape, the initial flexibility or the initial compressibility.
[0065] Table 1 illustrates several different drying protocols, each of which are suitable with the invention. All values provided in Table 1 are approximate.
TABLE-US-00001 TABLE 1 Drying protocols Protocol/Step Protocol 1 Protocol 2 Protocol 3 Step 1 45° C., 300 torr, 45° C., 300 torr, 300 min 45° C., 300 torr, 300 min 300 min Step 2 35° C., 300 torr, 45° C. .fwdarw. 35° C., 300 torr, 45° C. .fwdarw. 35° C., 300 torr, 900 min 900 min 720 min Step 3 25° C., 300 torr 25° C., 300 torr 35° C., 2450 mtorr, 180 until stopped until stopped min Step 4 25° C., 2450 mtorr, 10 min Step 5 25° C., 2450 mtorr until stopped
[0066] When bone fibers are demineralized and subjected to the lyophilization/drying conditions described in the existing art, the final shaped article fails to retain its shape, cohesiveness, pliability, and compressibility following rehydration within aqueous liquids of more than a few minutes or in some instances rehydration times of more than a few seconds, as illustrated in
EXAMPLE
Example 1
[0067] A section of bovine cortical bone was shredded into fibers of an average length of about 15 mm and a average thickness of 1.0 mm using a bone shard cutter. The bone fibers were then demineralized following a modification version of the demineralization steps described in U.S. Pat. No. 5,314,476, which is incorporated in its entirety by reference. Briefly, the fibers were slurried in about 70 wt. % ethanol (about 30 mL/g of bone) for about one hour at room temperature. The ethanol was decanted off the fibers. Then about 0.6 N HCl was added to the fibers (about 15 mL/g of bone). The acid mixture was stirred for three hours at about room temperature. Following decanting of the acid, the fibers were covered and rinsed three times with water. The water for each rinse was replaced at about five-minute intervals. Following decanting of the final water rinse, the fibers were covered with about 0.1 M sodium phosphate and soaked at about room temperature until the pH of the solution was greater than about 6.8. Following decanting of the sodium phosphate solution, the fibers were rinsed two times with water. The water for each rinse was replaced at about five-minute intervals. The fibers were then split into two groups for comparison.
[0068] One group of the demineralized fibers were slurried in water for about five minutes at about room temperature and then placed directly in a mold and the excess water was allowed to drain from the mold. The mold containing the “untreated” fibers was then placed into an oven and held at about 40° C. for about eight hours.
[0069] The other group of demineralized fibers were slurried in 100% ethanol for about five minutes at about room temperature. The ethanol was decanted from the fibers and the fibers were placed in a mold. The excess liquid was allowed to drain from the mold. The mold containing the ethanol-treated fibers was then placed into an oven and held at about 40° C. for about eight hours.
[0070] After eight hours, the molds were removed from the oven.
Example 2
[0071] A section of cortical bone was shredded into fibers of an average length of about 15 mm and an average thickness of about 1.0 mm using a bone shard cutter. The mineralized bone fibers were then demineralized following a modified version of the demineralization steps described in U.S. Pat. No. 5,314,476, which is incorporated in its entirety by reference. Following acid demineralization and neutralization of the acid, the moisture-saturated fibers were poured into perforated metal molds. The excess liquid was allowed to drain out of the molds
[0072] The fiber-containing molds were split into two groups for comparison. Each group of molds were subjected to two drying/lyophilization conditions (see Table 2 below for drying/lyophilization conditions). All of the values given in Table 2 are approximate.
TABLE-US-00002 TABLE 2 Drying/Lyophilization Conditions Group A Products Group B Products Shelf Shelf Temperature Time Vacuum Temperature Time Vacuum (° C.) (minutes) Pressure (° C.) (minutes) Pressure −60 30 200 mT 45 300 300 Torr 37 1080 50 mT 35 900 300 Torr
[0073] After treatment to the conditions detailed in Table 2, the shaped, bone fiber-based products were removed from the molds. Both drying/lyophilization conditions provided products that were shaped by the molds. However, upon rehydration in saline for less than ten minutes, the bone fibers of the Group A products began to completely dissociate (see
[0074] The foregoing description of the present invention has been presented for purposes of illustration and description. Furthermore, the description is not intended to limit the invention to the form disclosed herein. Consequently, variations and modifications commensurate with the above teachings, and the skill or knowledge of the relevant art, are within the scope of the present invention. The embodiment described hereinabove is further intended to explain the best mode known for practicing the invention and to enable others skilled in the art to utilize the invention in such, or other, embodiments and with various modifications required by the particular applications or uses of the present invention. It is intended that the appended claims be construed to include alternative embodiments to the extent permitted by the prior art.