WO1992009311A1 - Biocompatible synthetic double-wall vascular prosthesis containing hormone-secreting cells - Google Patents

Biocompatible synthetic double-wall vascular prosthesis containing hormone-secreting cells Download PDF

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Publication number
WO1992009311A1
WO1992009311A1 PCT/EP1991/002258 EP9102258W WO9209311A1 WO 1992009311 A1 WO1992009311 A1 WO 1992009311A1 EP 9102258 W EP9102258 W EP 9102258W WO 9209311 A1 WO9209311 A1 WO 9209311A1
Authority
WO
WIPO (PCT)
Prior art keywords
tubular element
tubular
web
prosthesis according
comprised
Prior art date
Application number
PCT/EP1991/002258
Other languages
French (fr)
Inventor
Giovanni Brotzu
Original Assignee
Bioricerche S.N.C. Di Carla Zedda
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Bioricerche S.N.C. Di Carla Zedda filed Critical Bioricerche S.N.C. Di Carla Zedda
Publication of WO1992009311A1 publication Critical patent/WO1992009311A1/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L27/00Materials for grafts or prostheses or for coating grafts or prostheses
    • A61L27/50Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
    • A61L27/56Porous materials, e.g. foams or sponges
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L27/00Materials for grafts or prostheses or for coating grafts or prostheses
    • A61L27/14Macromolecular materials
    • A61L27/16Macromolecular materials obtained by reactions only involving carbon-to-carbon unsaturated bonds
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L27/00Materials for grafts or prostheses or for coating grafts or prostheses
    • A61L27/14Macromolecular materials
    • A61L27/18Macromolecular materials obtained otherwise than by reactions only involving carbon-to-carbon unsaturated bonds
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L27/00Materials for grafts or prostheses or for coating grafts or prostheses
    • A61L27/28Materials for coating prostheses
    • A61L27/34Macromolecular materials
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L27/00Materials for grafts or prostheses or for coating grafts or prostheses
    • A61L27/50Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
    • A61L27/507Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials for artificial blood vessels

Definitions

  • Microcapsules consisting of saccharide polymers and polyaminoacids, or other substances such as agarose polymers, suitable to contain hormone producing living cells are known.
  • Microcapsules of such a type are produced and commercialized for instance by the firm Damon Biotech of Boston under the Trade Mark
  • Encapcell The features of said microcapsules allow the cells to be protected from possible rejection events, and enable the necessary cell metabolic supply and the release of the hormones secreted by the same cells.
  • the microcapsules implanted in the body are surrounded by a connective reaction tissue which prevents both the cell metabolic supply and the release of the secreted hormones;
  • biocompatible synthetic double-wall vascular prostheses characterized in that they comprise an outer tubular element 1 made of low-porosity synthetic material and an internal tubular element 2 coaxial with the former and consisting of high porosity synthetic material imbued with polysaccharide material coated with, polyaminoacids, the space comprised between said element 1 and said element 2 being filled with hormone-secreting cells 3-
  • the process for preparing said prostheses is characterized in that it comprises the following stages: a) inside a tubular element 1 made of low-porosity synthetic material, a tubular web 2 of high-porosity synthetic material is placed; b) within said tubular web, a mandrel is introduced of such a diameter that the web adheres to it; c) the web is coated with a thin layer of saccharide polymer; d) the mandrel is removed; e) a further layer consisting of a polyaminoacid is sedimented upon said saccharide polymer layer ; f) the space comprised between the element 1 and the element 2 is filled with hormone-secreting cells.
  • prosthesis exhibits the property of being biocompatible and moreover the element 2 shows a controlled permeability-
  • the prosthesis is employed to make arteriovenous fistulae in which the feasibility of the metabolic exchange between blood and cells 3 and the release into the blood stream of the hormones secreted by the same cells is enabled.
  • FIG. 1 is a schematic illustration of a prosthesis according to the present invention. Reference is made to the numbers in said figure.
  • a tubular web 2 consisting of polyester fibres and including free spaces of size ranging from 10 to 100 ⁇ m within the fibres, is placed into a tubular element 1 consisting of PTFE or of low porosity tissue.
  • tubular web 2 Into the tubular web 2 there is located a mandrel of plastic material or glass having such a diameter that the web adheres to it.
  • the web is soaked with a polysaccharide gel, preferably sodium alginate, in order to fill up the free spaces within the fibres.
  • a polysaccharide gel preferably sodium alginate
  • the mandrel is thereafter removed and the thus obtained structure 2 is coated with a thin layer of a polyaminoacid, preferably polylysine or polyornithine.
  • a polyaminoacid preferably polylysine or polyornithine.
  • mandrel is intended to prevent the polysaccharide material, or any other, from flowing into the lumen of the element
  • the prosthesis manufactured according to the disclosed technique and making use of the described substances exhibits structural properties, biocompatibility and porosity such as to allow it to be successfully employed as prosthesis for arteriovenous fistulae.
  • the coating of the element 2 with polylysine (MW 15000) imparts a good permeability for dextrane having MW 40 000 while maintaining the element 2 actually proof against dextrane having MW higher than 60 000.
  • the permeability may be changed in either direction.
  • the permeability of the element 2 may be adjusted up to a MW of 70 000 thus allowing the transfer of metabolic products from the inside to the outside and vice versa, not however the exchange of immunoglobulins or any other high molecular weight substance.
  • the thickness of the element 2 needs in any case to be lower than 100 ⁇ m in order to allow the metabolic exchanges in both direction.
  • the inner diameter of the element 2 is comprised between 4 and 8 mm while the inner diameter of the element 1 is comprised between 10 and 14 mm.
  • the tubular element 2 consists of a small tube of PTFE having a lamellar structure including free spaces of 10 to 100 ⁇ m, which impart to the same a high porosity.
  • the impregnation with polysaccharide material is achieved by dipping the small tube into the same material and then by submitting it to the vacuum in order to facilitate the filling of the free spaces of the PTFE with the material itself .
  • the polyaminoacid is then sedimented on the thus obtained element.
  • Finally the space comprised between the tubular element 1 and the tubular element 2 is filled with hormone-secreting cells 3 t which may be either free or microincapsulated.
  • prostheses which are employed to make arteriovenous fistulae , allow the supply of oxygen and any other product necessary to the cellular metabolism from the blood stream to said cells and the release in opposite direction of the hormones secreted by the same cells .
  • the inner surface of element 2 may be coated by a monolayer similar to an endothelial one.
  • a specifically favourable application of the prostheses of the present invention is obtained when the microcapsules contain Langherans 1 islands cells which secret insulin.
  • the disclosed technique can be applied for manufacturing any surface of synthetic material coated with biocompatible substances .

Abstract

Biocompatible synthetic double-wall vascular prostheses comprising an outer tubular element (1) made of low-porosity synthetic material and an internal tubular element (2) coaxial with the former and consisting of high porosity synthetic material imbued with polysaccharide material coated with polyaminoacids which impart to the element (2) the feature of a controlled permeability, the space comprised between said element (1) and said element (2) being filled with hormone-secreting cells (3).

Description

BIOCOMPATIBLE SYNTHETIC DOUBLE-WALL VASCULAR PROSTHESIS CONTAINING
HORMONE-SECRETING CELLS
PRIOR ART
Microcapsules consisting of saccharide polymers and polyaminoacids, or other substances such as agarose polymers, suitable to contain hormone producing living cells are known.
Microcapsules of such a type are produced and commercialized for instance by the firm Damon Biotech of Boston under the Trade Mark
Encapcell. The features of said microcapsules allow the cells to be protected from possible rejection events, and enable the necessary cell metabolic supply and the release of the hormones secreted by the same cells.
However the implant of said microcapsules into the human body brings about problems among which the following are highlighted:
1) the microcapsules implanted in the body are surrounded by a connective reaction tissue which prevents both the cell metabolic supply and the release of the secreted hormones;
2) the microcapsules injected into a body cavity such as the peritoneal space tend to sediment and to concentrate in a deep limited area thus eliciting a strong connective reaction which wraps them.
SUMMARY OF THE INVENTION
It has now been found that the problems of the prior art may be avoided by employing biocompatible synthetic double-wall vascular prostheses characterized in that they comprise an outer tubular element 1 made of low-porosity synthetic material and an internal tubular element 2 coaxial with the former and consisting of high porosity synthetic material imbued with polysaccharide material coated with, polyaminoacids, the space comprised between said element 1 and said element 2 being filled with hormone-secreting cells 3-
The process for preparing said prostheses is characterized in that it comprises the following stages: a) inside a tubular element 1 made of low-porosity synthetic material, a tubular web 2 of high-porosity synthetic material is placed; b) within said tubular web, a mandrel is introduced of such a diameter that the web adheres to it; c) the web is coated with a thin layer of saccharide polymer; d) the mandrel is removed; e) a further layer consisting of a polyaminoacid is sedimented upon said saccharide polymer layer ; f) the space comprised between the element 1 and the element 2 is filled with hormone-secreting cells.
Thus obtained prosthesis exhibits the property of being biocompatible and moreover the element 2 shows a controlled permeability-
The prosthesis is employed to make arteriovenous fistulae in which the feasibility of the metabolic exchange between blood and cells 3 and the release into the blood stream of the hormones secreted by the same cells is enabled.
DETAILED DESCRIPTION OF THE INVENTION
The features of, and the advantages implied by the vascular prostheses and by the process for manufacturing the same, according to the present invention, will be more clearly evident in the light of the following detailed description also with reference to the enclosed figure 1.
Figure 1 is a schematic illustration of a prosthesis according to the present invention. Reference is made to the numbers in said figure. A tubular web 2, consisting of polyester fibres and including free spaces of size ranging from 10 to 100 μm within the fibres, is placed into a tubular element 1 consisting of PTFE or of low porosity tissue.
Into the tubular web 2 there is located a mandrel of plastic material or glass having such a diameter that the web adheres to it.
The web is soaked with a polysaccharide gel, preferably sodium alginate, in order to fill up the free spaces within the fibres.
The mandrel is thereafter removed and the thus obtained structure 2 is coated with a thin layer of a polyaminoacid, preferably polylysine or polyornithine.
The use of the mandrel is intended to prevent the polysaccharide material, or any other, from flowing into the lumen of the element
2, assuring in this way the result of a perfectly cylindrical internal surface free of any roughness. The prosthesis manufactured according to the disclosed technique and making use of the described substances, exhibits structural properties, biocompatibility and porosity such as to allow it to be successfully employed as prosthesis for arteriovenous fistulae. Particularly the coating of the element 2 with polylysine (MW 15000) imparts a good permeability for dextrane having MW 40 000 while maintaining the element 2 actually proof against dextrane having MW higher than 60 000. By making use of other polyaminoacids, the permeability may be changed in either direction. Practically the permeability of the element 2 may be adjusted up to a MW of 70 000 thus allowing the transfer of metabolic products from the inside to the outside and vice versa, not however the exchange of immunoglobulins or any other high molecular weight substance. The thickness of the element 2 needs in any case to be lower than 100 μm in order to allow the metabolic exchanges in both direction. The inner diameter of the element 2 is comprised between 4 and 8 mm while the inner diameter of the element 1 is comprised between 10 and 14 mm. According to an alternative embodiment, the tubular element 2 consists of a small tube of PTFE having a lamellar structure including free spaces of 10 to 100 μm, which impart to the same a high porosity.
The impregnation with polysaccharide material is achieved by dipping the small tube into the same material and then by submitting it to the vacuum in order to facilitate the filling of the free spaces of the PTFE with the material itself . The polyaminoacid is then sedimented on the thus obtained element. Finally the space comprised between the tubular element 1 and the tubular element 2 is filled with hormone-secreting cells 3 t which may be either free or microincapsulated.
Thus obtained prostheses , which are employed to make arteriovenous fistulae , allow the supply of oxygen and any other product necessary to the cellular metabolism from the blood stream to said cells and the release in opposite direction of the hormones secreted by the same cells .
Moreover because of the haematic flow, the inner surface of element 2 may be coated by a monolayer similar to an endothelial one. A specifically favourable application of the prostheses of the present invention is obtained when the microcapsules contain Langherans 1 islands cells which secret insulin.
Furthermore the disclosed technique can be applied for manufacturing any surface of synthetic material coated with biocompatible substances .

Claims

1. Biocompatible synthetic double-wall vascular prosthesis characterized in that it comprises an outer tubular element (1) made of low-porosity synthetic material and an internal tubular element (2) coaxial with the former and consisting of high porosity synthetic material imbued with polysaccharide material coated with polyaminoacids, the space comprised between said element (1) and said element (2) being filled with hormone-secreting cells (3).
2. Prosthesis according to claim 1, characterized in that said tubular element (1) consists of PTFE.
3- Prosthesis according to claim 1, characterized in that said tubular element (2) consists of a tubular web of polyester fibres including free spaces of size comprised between 10 and 100 μm within the fibres.
4. Prosthesis according to claim 1, characterized in that said tubular element (2) consists of a small tube of PTFE with lamellar structure including free spaces of 10 to 100 μm.
5> Prosthesis according to claim 1, characterized in that said polysaccharide material is sodium alginate.
6. Prosthesis according to claim 1, characterized in that said polyaminoacid is polylysine or polyornithine.
7. Prosthesis according to claim 1, characterized in that said tubular element (2) has a thickness lower than 100 μm.
8. Prosthesis according to claim 1, characterized in that said tubular element (2) has a inner diameter comprised between 4 and 8 mm and that said tubular element (1) has an inner diameter comprised between 10 and 14 mm.
9. Prosthesis according to claim 1, characterized in that the treatment with the polysaccharide material and polyaminoacid adjusts the permeability of the tubular element (2) up to a MW of 70000.
10. Prosthesis according to claim 1, characterized in that said cells (3) are microincapsulated.
11. Process for preparing biocompatible synthetic double-wall vascular prostheses containing hormone-secreting cells characterized in that: a) inside a tubular element (1) made of low-porosity synthetic material, a tubular web (2) of high-porosity synthetic material is placed; b) within said tubular web, a mandrel is introduced of such a diameter that the web adheres to it; c) the web is coated with a thin layer of saccharide polymer; d) the mandrel is removed; e) a further layer consisting of a polyaminoacid is sedimented upon said saccharide polymer layer ; f) the space comprised between the element (1) and the element (2) is filled with hormone-secreting cells.
12. Process according to claim 11, characterized in that said tubular element (1) consists of PTFE.
13. Process according to claim 11, characterized in that said tubular web (2) consists of polyester fibres and includes free spaces within the fibres of size comprised between 10 and 100 μm.
14. Process according to claim 11, characterized in that said polysaccharide material is sodium alginate.
1 . Process according to claim 11, characterized in that said polyaminoacid is polylysine or polyornithine.
16. Process according to claim 11, characterized in that said tubular web (2) has a inner diameter comprised between 4 and 8 mm and that said tubular element (1) has an inner diameter comprised between 10 and 14 mm.
17. Process according to claim 11, characterized in that said tubular web (2) is replaced by a small tube of PFTE with lamellar structure including free spaces of 10 to 100 μm.
PCT/EP1991/002258 1990-11-29 1991-11-27 Biocompatible synthetic double-wall vascular prosthesis containing hormone-secreting cells WO1992009311A1 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
IT22228A/90 1990-11-29
IT02222890A IT1244808B (en) 1990-11-29 1990-11-29 BIOCOMPATIBLE SYNTHETIC VASCULAR PROSTHESIS WITH DOUBLE WALL CONTAINING HORMONOUS SECURING CELLS

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Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0633032A1 (en) * 1993-06-25 1995-01-11 Sumitomo Electric Industries, Ltd. Antibacterial vascular prosthesis and surgical suture
US5527324A (en) * 1994-09-07 1996-06-18 Krantz; Kermit E. Surgical stent
US5679122A (en) * 1993-08-14 1997-10-21 Minnesota Mining & Manufacturing Company Filter for the filtration of a fluid flow
WO1998010804A1 (en) * 1996-09-13 1998-03-19 Meadox Medicals, Inc. Improved bioresorbable sealants for porous vascular grafts
US5854382A (en) * 1997-08-18 1998-12-29 Meadox Medicals, Inc. Bioresorbable compositions for implantable prostheses
US6316522B1 (en) 1997-08-18 2001-11-13 Scimed Life Systems, Inc. Bioresorbable hydrogel compositions for implantable prostheses
AT411328B (en) * 2000-07-12 2003-12-29 Universitaetsklinikum Freiburg TUBE SYSTEM FOR THE RECONSTRUCTION OF A URINE TUBE

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1982003764A1 (en) * 1981-05-08 1982-11-11 Massachusetts Inst Technology Fabrication of living blood vessels and glandular tissues
EP0147939A2 (en) * 1983-11-15 1985-07-10 JOHNSON & JOHNSON Implantable module for gylcemia regulation
CA1215922A (en) * 1984-05-25 1986-12-30 Connaught Laboratories Limited Microencapsulation of living tissue and cells
EP0406665A1 (en) * 1989-07-04 1991-01-09 Giovanni Brotzu Vascular prosthesis containing in the wall microcapsules, including hormoneproducing cells
WO1991000119A1 (en) * 1989-06-30 1991-01-10 Baxter International Inc. Implantable device

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1982003764A1 (en) * 1981-05-08 1982-11-11 Massachusetts Inst Technology Fabrication of living blood vessels and glandular tissues
EP0147939A2 (en) * 1983-11-15 1985-07-10 JOHNSON & JOHNSON Implantable module for gylcemia regulation
CA1215922A (en) * 1984-05-25 1986-12-30 Connaught Laboratories Limited Microencapsulation of living tissue and cells
WO1991000119A1 (en) * 1989-06-30 1991-01-10 Baxter International Inc. Implantable device
EP0406665A1 (en) * 1989-07-04 1991-01-09 Giovanni Brotzu Vascular prosthesis containing in the wall microcapsules, including hormoneproducing cells

Cited By (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0633032A1 (en) * 1993-06-25 1995-01-11 Sumitomo Electric Industries, Ltd. Antibacterial vascular prosthesis and surgical suture
US5584877A (en) * 1993-06-25 1996-12-17 Sumitomo Electric Industries, Ltd. Antibacterial vascular prosthesis and surgical suture
US5679122A (en) * 1993-08-14 1997-10-21 Minnesota Mining & Manufacturing Company Filter for the filtration of a fluid flow
US5527324A (en) * 1994-09-07 1996-06-18 Krantz; Kermit E. Surgical stent
WO1998010804A1 (en) * 1996-09-13 1998-03-19 Meadox Medicals, Inc. Improved bioresorbable sealants for porous vascular grafts
US5851229A (en) * 1996-09-13 1998-12-22 Meadox Medicals, Inc. Bioresorbable sealants for porous vascular grafts
US6028164A (en) * 1997-08-18 2000-02-22 Meadox Medicals, Inc. Bioresorbable compositions for implantable prostheses
US6005020A (en) * 1997-08-18 1999-12-21 Meadox Medicals, Inc. Bioresorbable compositions for implantable prostheses
US5854382A (en) * 1997-08-18 1998-12-29 Meadox Medicals, Inc. Bioresorbable compositions for implantable prostheses
US6316522B1 (en) 1997-08-18 2001-11-13 Scimed Life Systems, Inc. Bioresorbable hydrogel compositions for implantable prostheses
US6403758B1 (en) 1997-08-18 2002-06-11 Scimed Life Systems, Inc. Bioresorbable compositions for implantable prostheses
US6660827B2 (en) 1997-08-18 2003-12-09 Scimed Life Systems, Inc. Bioresorbable hydrogel compositions for implantable prostheses
US6946499B2 (en) 1997-08-18 2005-09-20 Scimed Life Systems, Inc. Bioresorbable hydrogel compositions for implantable prostheses
US7109255B2 (en) 1997-08-18 2006-09-19 Scimed Life Systems, Inc. Bioresorbable hydrogel compositions for implantable prostheses
AT411328B (en) * 2000-07-12 2003-12-29 Universitaetsklinikum Freiburg TUBE SYSTEM FOR THE RECONSTRUCTION OF A URINE TUBE
US6939381B2 (en) 2000-07-12 2005-09-06 Universitatsklinikum Frieburg Tube system for reconstructing of hollow organs

Also Published As

Publication number Publication date
IT9022228A1 (en) 1992-05-30
IT9022228A0 (en) 1990-11-29
IT1244808B (en) 1994-09-05

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