Compacted Hemostatic Cellulosic Aggregates
US-2024173457-A1 · May 30, 2024 · US
US9456860B2 · US · B2
| Field | Value |
|---|---|
| Publication number | US-9456860-B2 |
| Application number | US-34779108-A |
| Country | US |
| Kind code | B2 |
| Filing date | Dec 31, 2008 |
| Priority date | Mar 14, 2006 |
| Publication date | Oct 4, 2016 |
| Grant date | Oct 4, 2016 |
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Provided is a flowable bioresorbable tissue dressing comprising a gas-forming porogen and a gel or gel-forming solution. Also provided is kits for preparing the above-described tissue dressing. Further provided are methods of treating a tissue site of a mammal with the above dressing. Also provided is a reduced pressure delivery system for applying a reduced pressure tissue treatment to a tissue site.
Opening claim text (preview).
What is claimed is: 1. A dressing for applying reduced-pressure treatment to a tissue site, comprising: a gas-forming porogen comprising a particle size for developing sufficient porosity for conducting reduced pressure; a bioresorbable microsphere; and a bioresorbable gel or a bioresorbable gel-forming solution in a mixture with the gas-forming porogen and the bioresorbable microsphere; wherein the mixture is flowable, and after delivery to the tissue site, forms a scaffold comprising pores of at least 50 micrometers in diameter for delivering reduced pressure through the scaffold; and wherein the dressing is bioresorbable. 2. The dressing of claim 1 , wherein the porogen is a mixture of an acid and a carbonate salt. 3. The dressing of claim 2 , wherein the acid is citric acid. 4. The dressing of claim 2 , wherein the carbonate salt is ammonium bicarbonate, sodium bicarbonate or calcium carbonate. 5. The dressing of claim 1 , wherein the gel or gel-forming solution comprises collagen, gelatin, hyaluronic acid, or combinations thereof. 6. The dressing of claim 1 , further comprising a non-gas forming porogen. 7. The dressing of claim 6 , wherein the non-gas forming porogen is a salt. 8. The dressing of claim 7 , wherein the salt is sodium chloride or potassium chloride. 9. The dressing of claim 6 , wherein the non-gas forming porogen is a sugar. 10. The dressing of claim 1 , wherein the bioresorbable microsphere comprises polylactide (PLA), polyglycolic acid (PLG), poly(lactide-co-glycolide) (PLGA), polyethylene glycol-PLA, PLA-polycaprolactone (PCL), a polyorthoester, a polyphosphazene, or a polyphosphoester. 11. The dressing of claim 1 , further comprising a compound that adds stiffness to the dressing. 12. The dressing of claim 11 , wherein the compound is calcium sulfate hemihydrate. 13. The dressing of claim 1 , further comprising a bioactive agent. 14. The dressing of claim 13 , wherein the bioactive agent is an antibiotic. 15. The dressing of claim 13 , wherein the bioactive agent is a growth factor. 16. The dressing of claim 15 , wherein the growth factor is growth hormone (GH), a bone morphogenetic protein (BMP), transforming growth factor-α(TGF-α), a TGF-β, a fibroblast growth factor (FGF), granulocyte-colony stimulating factor (G-CSF), granulocyte/macrophage colony stimulating factor (GMCSF), epidermal growth factor (EGF), platelet derived growth factor (PDGF), insulin-like growth factor (IGF), vascular endothelial growth factor (VEGF), hepatocyte growth factor/scatter factor (HGF/SF), an interleukin, tumor necrosis factor-α(TNF-α), or nerve growth factor (NGF). 17. The dressing of claim 1 , further comprising a mammalian cell. 18. The dressing of claim 17 , wherein the mammalian cell is an embryonic stem cell, an adult stem cell, an induced pluripotent stem cell, an epithelial cell, an endothelial cell, a mesenchymal cell, a muscle cell, a fibroblast, a chondrocyte, an adipocyte, or an osteocyte. 19. The dressing of claim 17 , wherein the mammalian cell is a human cell. 20. The dressing of claim 1 , wherein the pores of the scaffold are between approximately 50 micrometers and 1,500 micrometers in diameter. 21. The dressing of claim 1 , wherein the pores of the scaffold are between approximately 100 micrometers and 500 micrometers in diameter. 22. A tissue dressing for applying reduced-pressure treatment to a tissue site, comprising: a gas-forming porogen comprising a particle size for developing sufficient porosity for conducting reduced pressure; a bioresorbable microsphere; and a gel or gel-forming solution in a mixture with the gas-forming porogen and the bioresorbable microsphere; wherein the mixture is flowable, and after delivery to the tissue site, forms a scaffold comprising pores of at least 50 micrometers in diameter for delivering reduced pressure through the scaffold. 23. The dressing of claim 22 , wherein the porogen is a mixture of an acid and a carbonate salt. 24. The dressing of claim 23 , wherein the acid is citric acid. 25. The dressing of claim 23 , wherein the carbonate salt is ammonium bicarbonate, sodium bicarbonate or calcium carbonate. 26. The dressing of claim 22 , wherein the gel or gel-forming solution comprises a polyacrylate, a poloxamer, a polyethylene glycol, chitosan, collagen, gelatin, hyaluronic acid, or combinations thereof. 27. The dressing of claim 22 , wherein the gel or gel-forming solution comprises a combination of polyacrylate and chitosan. 28. The dressing of claim 22 , wherein the gel or gel-forming solution is thermoreversible. 29. The dressing of claim 22 , further comprising a non-gas forming porogen. 30. The dressing of claim 29 , wherein the non-gas forming porogen is a salt. 31. The dressing of claim 30 , wherein the salt is sodium chloride or potassium chloride. 32. The dressing of claim 29 , wherein the non-gas forming porogen is a sugar. 33. The dressing of claim 22 , wherein the bioresorbable microsphere comprises polylactide (PLA), polyglycolic acid (PLG), poly(lactide-co-glycolide) (PLGA), polyethylene glycol-PLA, PLA-polycaprolactone (PCL), a polyorthoester, a polyphosphazene, or a polyphosphoester. 34. The dressing of claim 22 , further comprising a compound that adds stiffness to the dressing. 35. The dressing of claim 34 , wherein the compound is calcium sulfate hemihydrate. 36. The dressing of claim 22 , further comprising a bioactive agent. 37. The dressing of claim 36 , wherein the bioactive agent is an antibiotic. 38. The dressing of claim 36 , wherein the bioactive agent is a growth factor. 39. The dressing of claim 38 , wherein the growth factor is growth hormone (GH), a bone morphogenetic protein (BMP), transforming growth factor-α(TGF-α), a TGF-β, a fibroblast growth factor (FGF), granulocyte-colony stimulating factor (G-CSF), granulocyte/macrophage colony stimulating factor (GMCSF), epidermal growth factor (EGF), platelet derived growth factor (PDGF), insulin-like growth factor (IGF), vascular endothelial growth factor (VEGF), hepatocyte growth factor/scatter factor (HGF/SF), an interleukin, tumor necrosis factor-α(TNF-α), or nerve growth factor (NGF). 40. The dressing of claim 22 , further comprising a mammalian cell. 41. The dressing of claim 40 , wherein the mammalian cell is an embryonic stem cell, an adult stem cell, an induced pluripotent stem cell, an epithelial cell, an endothelial cell, a mesenchymal cell, a muscle cell, a fibroblast, a chondrocyte, an adipocyte, or an osteocyte. 42. The dressing of claim 40 , wherein the mammalian cell is a human cell. 43. The tissue dressing of claim 22 , wherein the pores of the scaffold are between approximately 100 micrometers and 300 micrometers in diameter.
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