RU2014153857A - Сухая гемостатическая композиция - Google Patents
Сухая гемостатическая композиция Download PDFInfo
- Publication number
- RU2014153857A RU2014153857A RU2014153857A RU2014153857A RU2014153857A RU 2014153857 A RU2014153857 A RU 2014153857A RU 2014153857 A RU2014153857 A RU 2014153857A RU 2014153857 A RU2014153857 A RU 2014153857A RU 2014153857 A RU2014153857 A RU 2014153857A
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- Prior art keywords
- polyols
- dry composition
- water
- paste
- aqueous medium
- Prior art date
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- 239000000203 mixture Substances 0.000 title claims abstract 21
- 230000002439 hemostatic effect Effects 0.000 title claims abstract 7
- 238000000034 method Methods 0.000 claims abstract 33
- 229920005862 polyol Polymers 0.000 claims abstract 23
- 150000003077 polyols Chemical class 0.000 claims abstract 23
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims abstract 11
- 239000012736 aqueous medium Substances 0.000 claims abstract 8
- 229920000249 biocompatible polymer Polymers 0.000 claims abstract 8
- 108010010803 Gelatin Proteins 0.000 claims abstract 6
- PEDCQBHIVMGVHV-UHFFFAOYSA-N Glycerine Chemical compound OCC(O)CO PEDCQBHIVMGVHV-UHFFFAOYSA-N 0.000 claims abstract 6
- 229920000159 gelatin Polymers 0.000 claims abstract 6
- 239000008273 gelatin Substances 0.000 claims abstract 6
- 235000019322 gelatine Nutrition 0.000 claims abstract 6
- 235000011852 gelatine desserts Nutrition 0.000 claims abstract 6
- HEBKCHPVOIAQTA-UHFFFAOYSA-N meso ribitol Natural products OCC(O)C(O)C(O)CO HEBKCHPVOIAQTA-UHFFFAOYSA-N 0.000 claims abstract 6
- UNXHWFMMPAWVPI-UHFFFAOYSA-N Erythritol Natural products OCC(O)C(O)CO UNXHWFMMPAWVPI-UHFFFAOYSA-N 0.000 claims abstract 4
- LYCAIKOWRPUZTN-UHFFFAOYSA-N Ethylene glycol Chemical compound OCCO LYCAIKOWRPUZTN-UHFFFAOYSA-N 0.000 claims abstract 4
- 238000004108 freeze drying Methods 0.000 claims abstract 4
- 150000005846 sugar alcohols Chemical class 0.000 claims abstract 4
- 230000029663 wound healing Effects 0.000 claims abstract 4
- FBPFZTCFMRRESA-KVTDHHQDSA-N D-Mannitol Chemical compound OC[C@@H](O)[C@@H](O)[C@H](O)[C@H](O)CO FBPFZTCFMRRESA-KVTDHHQDSA-N 0.000 claims abstract 3
- 229930195725 Mannitol Natural products 0.000 claims abstract 3
- 239000000594 mannitol Substances 0.000 claims abstract 3
- 235000010355 mannitol Nutrition 0.000 claims abstract 3
- FBPFZTCFMRRESA-FSIIMWSLSA-N D-Glucitol Natural products OC[C@H](O)[C@H](O)[C@@H](O)[C@H](O)CO FBPFZTCFMRRESA-FSIIMWSLSA-N 0.000 claims abstract 2
- HEBKCHPVOIAQTA-QWWZWVQMSA-N D-arabinitol Chemical compound OC[C@@H](O)C(O)[C@H](O)CO HEBKCHPVOIAQTA-QWWZWVQMSA-N 0.000 claims abstract 2
- FBPFZTCFMRRESA-JGWLITMVSA-N D-glucitol Chemical compound OC[C@H](O)[C@@H](O)[C@H](O)[C@H](O)CO FBPFZTCFMRRESA-JGWLITMVSA-N 0.000 claims abstract 2
- UNXHWFMMPAWVPI-QWWZWVQMSA-N D-threitol Chemical compound OC[C@@H](O)[C@H](O)CO UNXHWFMMPAWVPI-QWWZWVQMSA-N 0.000 claims abstract 2
- 239000004386 Erythritol Substances 0.000 claims abstract 2
- JVWLUVNSQYXYBE-UHFFFAOYSA-N Ribitol Natural products OCC(C)C(O)C(O)CO JVWLUVNSQYXYBE-UHFFFAOYSA-N 0.000 claims abstract 2
- TVXBFESIOXBWNM-UHFFFAOYSA-N Xylitol Natural products OCCC(O)C(O)C(O)CCO TVXBFESIOXBWNM-UHFFFAOYSA-N 0.000 claims abstract 2
- 238000001035 drying Methods 0.000 claims abstract 2
- UNXHWFMMPAWVPI-ZXZARUISSA-N erythritol Chemical compound OC[C@H](O)[C@H](O)CO UNXHWFMMPAWVPI-ZXZARUISSA-N 0.000 claims abstract 2
- 235000019414 erythritol Nutrition 0.000 claims abstract 2
- 229940009714 erythritol Drugs 0.000 claims abstract 2
- WGCNASOHLSPBMP-UHFFFAOYSA-N hydroxyacetaldehyde Natural products OCC=O WGCNASOHLSPBMP-UHFFFAOYSA-N 0.000 claims abstract 2
- 239000000843 powder Substances 0.000 claims abstract 2
- HEBKCHPVOIAQTA-ZXFHETKHSA-N ribitol Chemical compound OC[C@H](O)[C@H](O)[C@H](O)CO HEBKCHPVOIAQTA-ZXFHETKHSA-N 0.000 claims abstract 2
- 239000000600 sorbitol Substances 0.000 claims abstract 2
- 235000000346 sugar Nutrition 0.000 claims abstract 2
- 150000008163 sugars Chemical class 0.000 claims abstract 2
- 239000000811 xylitol Substances 0.000 claims abstract 2
- 235000010447 xylitol Nutrition 0.000 claims abstract 2
- HEBKCHPVOIAQTA-SCDXWVJYSA-N xylitol Chemical compound OC[C@H](O)[C@@H](O)[C@H](O)CO HEBKCHPVOIAQTA-SCDXWVJYSA-N 0.000 claims abstract 2
- 229960002675 xylitol Drugs 0.000 claims abstract 2
- 239000012867 bioactive agent Substances 0.000 claims 2
- SERLAGPUMNYUCK-DCUALPFSSA-N 1-O-alpha-D-glucopyranosyl-D-mannitol Chemical compound OC[C@@H](O)[C@@H](O)[C@H](O)[C@H](O)CO[C@H]1O[C@H](CO)[C@@H](O)[C@H](O)[C@H]1O SERLAGPUMNYUCK-DCUALPFSSA-N 0.000 claims 1
- UXVMQQNJUSDDNG-UHFFFAOYSA-L Calcium chloride Chemical compound [Cl-].[Cl-].[Ca+2] UXVMQQNJUSDDNG-UHFFFAOYSA-L 0.000 claims 1
- FBPFZTCFMRRESA-ZXXMMSQZSA-N D-iditol Chemical compound OC[C@@H](O)[C@H](O)[C@@H](O)[C@H](O)CO FBPFZTCFMRRESA-ZXXMMSQZSA-N 0.000 claims 1
- SQUHHTBVTRBESD-UHFFFAOYSA-N Hexa-Ac-myo-Inositol Natural products CC(=O)OC1C(OC(C)=O)C(OC(C)=O)C(OC(C)=O)C(OC(C)=O)C1OC(C)=O SQUHHTBVTRBESD-UHFFFAOYSA-N 0.000 claims 1
- SKCKOFZKJLZSFA-UHFFFAOYSA-N L-Gulomethylit Natural products CC(O)C(O)C(O)C(O)CO SKCKOFZKJLZSFA-UHFFFAOYSA-N 0.000 claims 1
- 108090000190 Thrombin Proteins 0.000 claims 1
- 206010052428 Wound Diseases 0.000 claims 1
- 208000027418 Wounds and injury Diseases 0.000 claims 1
- 239000000654 additive Substances 0.000 claims 1
- 230000000996 additive effect Effects 0.000 claims 1
- XAGFODPZIPBFFR-UHFFFAOYSA-N aluminium Chemical compound [Al] XAGFODPZIPBFFR-UHFFFAOYSA-N 0.000 claims 1
- 229910052782 aluminium Inorganic materials 0.000 claims 1
- 210000000988 bone and bone Anatomy 0.000 claims 1
- 239000001110 calcium chloride Substances 0.000 claims 1
- 229910001628 calcium chloride Inorganic materials 0.000 claims 1
- 239000012530 fluid Substances 0.000 claims 1
- 239000011888 foil Substances 0.000 claims 1
- SKCKOFZKJLZSFA-FSIIMWSLSA-N fucitol Chemical compound C[C@H](O)[C@H](O)[C@@H](O)[C@H](O)CO SKCKOFZKJLZSFA-FSIIMWSLSA-N 0.000 claims 1
- FBPFZTCFMRRESA-GUCUJZIJSA-N galactitol Chemical compound OC[C@H](O)[C@@H](O)[C@@H](O)[C@H](O)CO FBPFZTCFMRRESA-GUCUJZIJSA-N 0.000 claims 1
- 230000035876 healing Effects 0.000 claims 1
- 230000023597 hemostasis Effects 0.000 claims 1
- CDAISMWEOUEBRE-GPIVLXJGSA-N inositol Chemical compound O[C@H]1[C@H](O)[C@@H](O)[C@H](O)[C@H](O)[C@@H]1O CDAISMWEOUEBRE-GPIVLXJGSA-N 0.000 claims 1
- 229960000367 inositol Drugs 0.000 claims 1
- 239000000905 isomalt Substances 0.000 claims 1
- 235000010439 isomalt Nutrition 0.000 claims 1
- HPIGCVXMBGOWTF-UHFFFAOYSA-N isomaltol Natural products CC(=O)C=1OC=CC=1O HPIGCVXMBGOWTF-UHFFFAOYSA-N 0.000 claims 1
- 239000000832 lactitol Substances 0.000 claims 1
- 235000010448 lactitol Nutrition 0.000 claims 1
- VQHSOMBJVWLPSR-JVCRWLNRSA-N lactitol Chemical compound OC[C@H](O)[C@@H](O)[C@@H]([C@H](O)CO)O[C@@H]1O[C@H](CO)[C@H](O)[C@H](O)[C@H]1O VQHSOMBJVWLPSR-JVCRWLNRSA-N 0.000 claims 1
- 229960003451 lactitol Drugs 0.000 claims 1
- 239000000845 maltitol Substances 0.000 claims 1
- 235000010449 maltitol Nutrition 0.000 claims 1
- VQHSOMBJVWLPSR-WUJBLJFYSA-N maltitol Chemical compound OC[C@H](O)[C@@H](O)[C@@H]([C@H](O)CO)O[C@H]1O[C@H](CO)[C@@H](O)[C@H](O)[C@H]1O VQHSOMBJVWLPSR-WUJBLJFYSA-N 0.000 claims 1
- 229940035436 maltitol Drugs 0.000 claims 1
- 238000004806 packaging method and process Methods 0.000 claims 1
- 235000015927 pasta Nutrition 0.000 claims 1
- 239000002504 physiological saline solution Substances 0.000 claims 1
- CDAISMWEOUEBRE-UHFFFAOYSA-N scyllo-inosotol Natural products OC1C(O)C(O)C(O)C(O)C1O CDAISMWEOUEBRE-UHFFFAOYSA-N 0.000 claims 1
- 239000000243 solution Substances 0.000 claims 1
- 230000001954 sterilising effect Effects 0.000 claims 1
- 238000004659 sterilization and disinfection Methods 0.000 claims 1
- 210000002435 tendon Anatomy 0.000 claims 1
- 229960004072 thrombin Drugs 0.000 claims 1
- 210000001519 tissue Anatomy 0.000 claims 1
- -1 volleytol Chemical compound 0.000 claims 1
Classifications
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Abstract
1. Способ получения сухой композиции, пригодной к использованию для гемостатических процедур и заживления ран, включающий следующие последовательные стадии:a. обеспечение поперечно-сшитого биосовместимого полимера в порошкообразной форме, одного или нескольких полиолов и водной среды;b. смешивание биосовместимого полимера, одного или нескольких полиолов и водной среды с получением пасты; иc. сублимационная сушка пасты;причем сухая композиция содержит от 10 мас./мас.% до 60 мас./мас.% одного или нескольких полиолов.2. Способ по п. 1, в котором паста до сушки содержит от 3 мас./мас.% до 20 мас./мас.% одного или нескольких полиолов, например, от 3 мас./мас.% до 18 мас./мас.% одного или нескольких полиолов, например, от 3 мас./мас.% до 17 мас./мас.% одного или нескольких полиолов, например, от 3 мас./мас.% до 16 мас./мас.% одного или нескольких полиолов, например, от 3 мас./мас.% до 15 мас./мас.% одного или нескольких полиолов.3. Способ по п. 1, в котором биосовместимым полимером является желатин.4. Способ по п. 3, в котором желатин получен из поперечно-сшитой желатиновой губки.5. Способ по п. 2, в котором паста до сублимационной сушки содержит:a. от 5 мас./мас.% до 20 мас./мас.% одного или нескольких полиолов;b. от 15 мас./мас.% до 25 мас./мас.% биосовместимого полимера; иc. от 60 мас./мас.% до 80 мас./мас.% воды.6. Способ по п. 1, в котором сухая композиция содержит менее чем 5 мас./мас.% воды, предпочтительно, менее 3 мас./мас.% воды, более предпочтительно, менее 2 мас./мас.% воды, например, менее 1 мас./мас.% воды.7. Способ по п. 1, в котором один или несколько полиолов выбраны из сахарных спиртов и сахаров.8. Способ по п. 7, в котором один или несколько сахарных спиртов выбраны из группы, состоящей из гликоля, глицерина, эритритола, треитола, арабитола, ксилитола, рибитола, маннитола, сорбитола,
Claims (21)
1. Способ получения сухой композиции, пригодной к использованию для гемостатических процедур и заживления ран, включающий следующие последовательные стадии:
a. обеспечение поперечно-сшитого биосовместимого полимера в порошкообразной форме, одного или нескольких полиолов и водной среды;
b. смешивание биосовместимого полимера, одного или нескольких полиолов и водной среды с получением пасты; и
c. сублимационная сушка пасты;
причем сухая композиция содержит от 10 мас./мас.% до 60 мас./мас.% одного или нескольких полиолов.
2. Способ по п. 1, в котором паста до сушки содержит от 3 мас./мас.% до 20 мас./мас.% одного или нескольких полиолов, например, от 3 мас./мас.% до 18 мас./мас.% одного или нескольких полиолов, например, от 3 мас./мас.% до 17 мас./мас.% одного или нескольких полиолов, например, от 3 мас./мас.% до 16 мас./мас.% одного или нескольких полиолов, например, от 3 мас./мас.% до 15 мас./мас.% одного или нескольких полиолов.
3. Способ по п. 1, в котором биосовместимым полимером является желатин.
4. Способ по п. 3, в котором желатин получен из поперечно-сшитой желатиновой губки.
5. Способ по п. 2, в котором паста до сублимационной сушки содержит:
a. от 5 мас./мас.% до 20 мас./мас.% одного или нескольких полиолов;
b. от 15 мас./мас.% до 25 мас./мас.% биосовместимого полимера; и
c. от 60 мас./мас.% до 80 мас./мас.% воды.
6. Способ по п. 1, в котором сухая композиция содержит менее чем 5 мас./мас.% воды, предпочтительно, менее 3 мас./мас.% воды, более предпочтительно, менее 2 мас./мас.% воды, например, менее 1 мас./мас.% воды.
7. Способ по п. 1, в котором один или несколько полиолов выбраны из сахарных спиртов и сахаров.
8. Способ по п. 7, в котором один или несколько сахарных спиртов выбраны из группы, состоящей из гликоля, глицерина, эритритола, треитола, арабитола, ксилитола, рибитола, маннитола, сорбитола, дульцитола, фуцитола, идитола, инозитола, волемитола, изомальта, мальтитола, лактитола и полиглицитола.
9. Способ по п. 1, в котором один или несколько полиолов представляют собой маннитол и необязательно один или несколько дополнительных полиолов.
10. Способ по п. 1, в котором сухая композиция дополнительно содержит один или несколько биоактивных агентов, которые стимулируют гемостаз или заживление ран, костей сухожилий и/или тканей.
11. Способ по п. 10, в котором биоактивным агентом является тромбин.
12. Способ по п. 1, в котором водная среда выбрана из группы, состоящей из воды, физиологического раствора, раствора хлорида кальция и водной среды с буферной добавкой.
13. Способ по п. 1, включающий дополнительную стадию помещения сухой композиции в наружную упаковку, такую как упаковка из алюминиевой фольги.
14. Способ по п. 1, включающий дополнительную стадию стерилизации сухой композиции.
15. Способ по п. 1, в котором пастой наполняют шприц, и подвергают пасту сублимационной сушке в шприце или другом известном аппликаторе, пригодном для дозирования текучих гемостатических композиций.
16. Способ по п. 1, в котором сухая композиция содержит от 20 мас./мас.% до 50 мас./мас.% одного или нескольких полиолов.
17. Сухая композиция, пригодная к применению для гемостатических процедур и заживления ран, полученная способом по любому из пп. 1-16.
18. Сухая композиция по п. 17, имеющая форму листа.
19. Гемостатический набор, включающий:
а. контейнер, содержащий сухую композицию, полученную способом по любому из пп. 1-16, или сухую композицию по любому из пп. 17-18;
b. контейнер, содержащий водную среду; и
c. необязательно, наружную упаковку.
20. Способ восстановления сухой композиции, пригодной к применению для гемостатических процедур и заживления ран, включающий следующие стадии:
a. обеспечение сухой композиции, полученной способом по любому из пп. 1-16, или сухой композиции по любому из пп. 17-18; и
b. добавление в сухую композицию водной среды;
с образованием тем самым пасты.
21. Способ по п. 20, в котором сухая композиция находится в контейнере, таком как шприц.
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- 2013-06-12 JP JP2015516467A patent/JP6394916B2/ja active Active
- 2013-06-12 EP EP13732818.3A patent/EP2825216B1/en active Active
- 2013-06-12 CA CA2874290A patent/CA2874290C/en active Active
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- 2013-06-12 CN CN201380030067.3A patent/CN104349797B/zh active Active
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AU2013275758A1 (en) | 2015-01-29 |
US10799611B2 (en) | 2020-10-13 |
US20150037314A1 (en) | 2015-02-05 |
EP2977066A2 (en) | 2016-01-27 |
EP2825216A1 (en) | 2015-01-21 |
US20160158407A1 (en) | 2016-06-09 |
US20180243468A1 (en) | 2018-08-30 |
JP6394916B2 (ja) | 2018-09-26 |
CA2874290C (en) | 2020-02-25 |
EP2977066A3 (en) | 2016-07-27 |
RU2636240C2 (ru) | 2017-11-21 |
BR112014030962A2 (pt) | 2017-06-27 |
AU2013275758B2 (en) | 2015-03-12 |
CA2874290A1 (en) | 2013-12-19 |
US9265858B2 (en) | 2016-02-23 |
HK1205008A1 (en) | 2015-12-11 |
JP2015519152A (ja) | 2015-07-09 |
CN104349797B (zh) | 2017-10-27 |
US9999703B2 (en) | 2018-06-19 |
CN104349797A (zh) | 2015-02-11 |
EP2825216B1 (en) | 2015-08-19 |
IN2014DN10106A (ru) | 2015-08-21 |
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