Bone regeneration material

Abstract

A method of manufacturing a bone substitute structure for reconstruction of bone material in a patient. The method comprises the steps of providing data reflecting a cavity in a bone of a patient, defining and modelling a three dimensional structure corresponding to the cavity in the bone; and providing an individualized bone substitute structure, corresponding to the defined and modeled three dimensional structure, by combining calcium phosphate cement, growth factors and the patient's own un-coagulated blood.

Claims

1. A method of manufacturing a bone substitute structure in reconstruction of bone material in a patient, the method comprising: I. providing data reflecting a cavity in a bone of a patient; II. defining and modelling a three dimensional structure corresponding to the cavity in the bone; and III. providing an individualized bone substitute structure, corresponding to the defined and modeled three dimensional structure in II, by combining calcium phosphate cement, growth factors and the patient's own un-coagulated blood, wherein the individualized bone substitute structure in III is obtained by using a rapid prototype machine to generate the individualized bone substitute structure by additive layer manufacturing, wherein a layer upon layer sequence of the calcium phosphate cement, the individualized growth factors and the individualized un-coagulated blood prints the individualized bone substitute structure, and wherein the rapid prototype machine comprises at least a first printing tube for the calcium phosphate cement, a second printing tube for the individualized un-coagulated blood and a third printing tube for the growth factors, wherein these at least three printing tubes are computer controlled regarding flow-rate and the layer upon layer sequence, wherein the layer upon layer sequence comprises: first, printing a matrix of the individualized bone substitute structure comprising the calcium phosphate cement; subsequently, printing the individualized un-coagulated blood; and subsequently, printing the individualized growth factors.

2. The method according to claim 1, wherein the data in I is obtained by: scanning the hard and soft tissue of the bone cavity, and generating a digital data impression of the bone cavity.

3. The method according to claim 1, wherein the three dimensional structure in II is obtained by: using a computer-aided design (CAD) software creating a virtual replacement based on the data in I reflecting the bone cavity.

4. The method according to claim 1, wherein the un-coagulated blood hardens the calcium phosphate cement.

5. The method according to claim 1, wherein the growth factors are bone morphogenetic proteins or the patient's own growth factors obtained from the platelets.

6. The method according to claim 1, the method comprising: IV. hardening the individualized bone substitute structure from III.

7. The method according to claim 6, wherein the hardening in IV is obtained by: positioning the individualized bone substitute structure in a physiological solution, or positioning the individualized bone substitute structure in the patient's own un-coagulated blood.

8. An individualized bone substitute structure in reconstruction of bone material in a patient comprising calcium phosphate cement, growth factors, and the patient's own un-coagulated blood, wherein the individualized bone substitute structure is produced in a method according to claim 1.

9. The individualized bone substitute structure according to claim 8, wherein the calcium phosphate cement constitute more than 95% of the individualized bone substitute structure.

10. The individualized bone substitute structure according to claim 9, wherein the calcium phosphate cement constitute more than 97% of the individualized bone substitute structure.

Description

BRIEF DESCRIPTION OF THE DRAWINGS

(1) The present invention will now be described in detail with reference to the figures, wherein:

(2) FIG. 1 schematically shows a pictorial representation of a flow chart for the process of manufacturing a bone substitute structure according to the present invention.

(3) It should be added that the following description of the examples is for illustration purposes only and should not be interpreted as limiting the invention exclusively to these examples/aspects.

DETAILED DESCRIPTION

(4) FIG. 1 is schematically illustrated.

(5) The present invention is a method of manufacturing an individualized three dimensional bone substitute structure by printing calcium phosphate cement, a patient's own blood and growth factors in a sterile chamber.

(6) The following examples of the present invention relate, in general, to the field of reconstruction of bone cavities and bone defects within reconstructive surgery, in particularly, to a method of manufacturing bone substitute structure for reconstruction of bone material in a patient, whereby the generated bone substitute structure can support wound and bone defect regeneration.

(7) Examples of the present invention will be described more fully hereinafter with reference to the accompanying drawings, in which examples of the invention are shown. This invention may, however, be embodied in many different forms and should not be construed as limited to the examples set forth herein. Rather, these examples are provided so that this disclosure will be thorough and complete, and will fully convey the scope of the invention to those skilled in the art. Like reference signs refer to like elements throughout.

(8) FIG. 1 shows a flow chart the process of manufacturing a bone substitute structure according to the present invention. Hereinafter, referring to FIG. 1, the method of the present invention is explained in detail.

(9) First, provide data reflecting a cavity in a bone of a patient by using CAD/CAM generated digital data reflecting the hard and soft tissue in a cavity or a bone defect situation. Then, define a three dimensional structure in CAD corresponding to the cavity in the bone of the patient and then manufacture the individualized bone substitute structure in a rapid prototype machine where the individualized bone substitute structure corresponds to the defined three dimensional structure. Finally, the bone substitute structure can proceed through an additional hardening reaction where a final hardened individualized bone substitute structure is obtained.

(10) The bone substitute structure is an individualized bone regeneration material. The rapid prototype machine is positioned in a close box separating the inner sterile conditions from the unsterile environment. Sterility can be obtained in any suitable way such as for example by using suitable equipment such as UV-light.

(11) The transport of disposables, such as printing tubes of the rapid prototype machine and Petri-dishes, in and out of the closed box and also removal of the finally printed bone substitute structure, i.e. bone regeneration material, occurs via an air lock in the rapid prototype machine. Sterile gloves are elements of the closed box and enable a manual work inside the closed box without affecting the sterile conditions.

(12) The rapid prototype machine has a minimum of three printing tubes that are computer controlled regarding flow-rate and sequence of activation. One of the printing tubes prints the matrix of the bone substitute structure. The matrix of the bone substitute structure consist of calcium phosphate cement, wherein the composition of the calcium phosphate cement is pasty while it is printed and then hardens when it get wet by liquids, for instance water or in blood. Another printing tube prints the patient's own blood. This blood is taken from the patient's vein. While the blood is printed the coagulation is intermitted by the use of CPDA, heparin, EDTA or other chemical agents. The third printing tube prints either the patient's own growth factors obtained from platelets or bone morphogenetic proteins, such as for example rh BMP-2, rh BMP-4 or rh BMP-7. PRP (platelet rich plasma) or pure platelets growth factors can be obtained by suitable techniques, such as for example the two step centrifugation process or other known techniques.

(13) Calcium phosphate cement, patient's own blood and patient's own growth factors are printed by the rapid prototype machine in a subsequent mode. The printed calcium phosphate cement is taken up in a suitable tool, such as for example a Petri dish. The Petri-dish may be filled with un-coagulated blood.

(14) The extruded calcium phosphate cement strands have a diameter of lower 300 micro-meter and a suitable pasteous consistency, in that it is injectable. The hardening reaction of the calcium phosphate cement shell starts immediately when it gets wetted. During the hardening reaction of the calcium phosphate cement a micro-porosity is generated. The temperature of calcium phosphate in the hardening reaction shall not exceed 40 degrees.

(15) The alternate printing of components (calcium phosphate, patient's own blood, the patient's own growth factors or BMPs) generates an individualized bone substitute structure, that has a stable three dimensional structure with adjustable porosity, where the individualized bone substitute structure is penetrated by the patient's own un-coagulated blood that in the presence of the pasty calcium phosphate cement coagulates, and where the individualized bone substitute structure is penetrated by a fibrin network.

(16) The method of manufacturing the individualized bone substitute structure and the individualized bone substitute structure according to the invention may be used in any type of appropriate bone grafting treatment.

(17) The invention is not limited to the example described above, but may be modified without departing from the scope of the claims below.

(18) The terminology used herein is for the purpose of describing particular examples only and is not intended to be limiting of the invention. As used herein, the singular forms a, an and the are intended to include the plural forms as well, unless the context clearly indicates otherwise. It will be further understood that the terms comprises comprising, includes and/or including when used herein, specify the presence of stated features, integers, steps, operations, elements, and/or components, but do not preclude the presence or addition of one or more other features, integers, steps, operations, elements, components, and/or groups thereof.

(19) Unless otherwise defined, all terms (including technical and scientific terms) used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs. It will be further understood that terms used herein should be interpreted as having a meaning that is consistent with their meaning in the context of this specification and the relevant art and will not be interpreted in an idealized or overly formal sense unless expressly so defined herein.

(20) The foregoing has described the principles, preferred examples and modes of operation of the present invention. However, the invention should be regarded as illustrative rather than restrictive, and not as being limited to the particular examples discussed above. The different features of the various examples of the invention can be combined in other combinations than those explicitly described. It should therefore be appreciated that variations may be made in those examples by those skilled in the art without departing from the scope of the present invention as defined by the following claims.