Methods and systems for handling medical devices and fluids

A treatment method and technology of medical devices, which are applied in the fields of pharmaceutical formulas, medical preparations containing active ingredients, disinfection, etc., and can solve problems such as expensive biological agents, no effect, complicated technology, etc.

Active Publication Date: 2020-09-22
ETHICON INC
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

[0016] Need to replace other LPS removal technologies, such as nanofiltration or charged filtration, which are complex, expensive, or may not be effective for certain components such as biological agents

Method used

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  • Methods and systems for handling medical devices and fluids
  • Methods and systems for handling medical devices and fluids
  • Methods and systems for handling medical devices and fluids

Examples

Experimental program
Comparison scheme
Effect test

Embodiment 1

[0037] Water and aqueous solutions (comprising LPS with various sources of endotoxin) were exposed to calcium stearate [CaSt] (in powder suspension form) and exhibited reduced LPS or alternatively did not exhibit any detectable LPS (effect depending on CaSt dose). Various amounts of calcium stearate powder (PMC BIOGENIX, <21.8 microns, vegetable-based) were added to sterile test tubes. Add 5 mL of an aqueous solution of known endotoxin concentration (formed by doping endotoxin-free water with an aqueous solution of known endotoxin concentration) to each tube, vortex vigorously (1 min) using a Fisher Scientific digital vortex mixer, and then placed in a warm water bath (37°C) for 1 hour. After 1 hour, the tubes were removed from the warm water bath and vortexed vigorously (1 minute). Extract the solution using a sterile syringe with a needle without removing the calcium stearate. The solution is then tested for endotoxin levels. The kinetic chromogenic method for endotoxin ...

Embodiment 2

[0048] Example 2: Suture Testing in Aqueous Suspension

[0049] Suture treatment in aqueous CaSt suspension was performed as follows: The sutures used were (Polyglactin 910) suture, made of a copolymer containing 90% glycolide and 10% L-lactide, size 1, 27 inches long. The endotoxin source used was stagnant (or stagnant) rainwater (SRW) and diluted with LRW to obtain a concentration of 3980 EU / mL. Endosafe LAL Reagent Water (LRW) manufactured by Charles River Laboratories of Charleston S.C. was used. The calcium stearate used is PMC BIOGENIX, <21.8 microns, vegetable based).

[0050] Eight sutures were placed in the tube with LPS (endotoxin) for 10 minutes at a time. Sutures were allowed to dry for 20 minutes and then placed in round bottom test tubes. A 5% by weight suspension of CaSt in LAL Reagent Water (0.5 g CaSt in 10 mL LRW) was prepared. One suture was placed in each tube and vortexed in the solution for approximately 10 seconds. The sutures were removed and dr...

Embodiment 3

[0059] Example 3: Suture Testing in Organic Solvents

[0060] Medical devices (absorbable sutures as an example) were contaminated with LPS and then exposed to CaSt in a non-aqueous solvent, and then tested for LPS, a significant decrease in LPS concentration was detected.

[0061] The absorbent will be made from a copolymer containing 90% glycolide and 10% L-lactide (Polyglactin 910) sutures (size 1, length: 27 inches) were exposed to a solution containing LPS (endotoxin) (9 strands of Vicryl sutures were immersed in an endotoxin-containing solution (SRW, concentration: 3980EU / mL) for 10 minutes). Sutures were air dried in a vented chemical fume hood for 20 minutes, then placed in round bottom test tubes and dried. Sutures were then dipped in CaSt-containing ethyl acetate (EtAc), vortexed briefly for 10 seconds, dried in a vented chemical fume hood for 20 minutes, and then extracted from endotoxin-free water at ambient temperature. Sutures extracted in endotoxin-free w...

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Abstract

The present invention relates to methods and systems for reducing lipopolysaccharide on medical devices and fluids intended to come into contact with or located within the human body. In one embodiment, the present invention relates to a method for treating a solution comprising one or more endotoxins at detectable levels by adding a suspension of stearate, preferably calcium stearate to the solution to reduce the detectable amount of the endotoxin; and optionally remove the stearate. The invention also relates to methods for treating medical devices and methods of treatment for reducing detectable levels of endotoxin in mammals by contacting the device or tissue surfaces of said mammals with a stearate suspension.

Description

technical field [0001] The present invention relates to methods and systems for reducing lipopolysaccharide on medical devices and fluids intended to come into contact with or inside the human body. Background technique [0002] Lipopolysaccharide (LPS), also known as lipopolysaccharide and endotoxin, is a macromolecule composed of lipids and polysaccharides. LPS is a major component of the outer membrane of Gram-negative bacteria, which contributes to the integrity of the bacterial structure and protects the membrane from certain kinds of chemical attack. It is very important to Gram-negative bacteria, and if it is mutated or removed, it will kill the Gram-negative bacteria. [0003] LPS elicits a strong response from the normal animal immune system, such as the human immune system. The presence of endotoxins in the blood is called endotoxemia. If the immune response is judged severe, it can lead to septic shock. Permissible endotoxin levels for medical devices with cir...

Claims

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Application Information

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Patent Type & AuthorityPatents(China)
IPC IPC(8): A61L2/22A61K31/20
CPCA61K45/06A61L2/0088A61L2/18A61L12/14A61K31/20A61L2202/22A61L2202/24A61P39/02A61L2/16
InventorR.W.范霍坦
OwnerETHICON INC