Unlock instant, AI-driven research and patent intelligence for your innovation.

Method and apparatus for reducing tissue damage after ischemic injury

A technology of local ischemia and tissue, which is applied in the treatment of myocardial tissue injury and the field of acute ischemic syndrome, and can solve problems such as damage, side effects, and additional use

Inactive Publication Date: 2007-08-01
INNOVATIONAL HLDG LLC
View PDF3 Cites 0 Cited by
  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

Systemic delivery of these therapeutics has significant disadvantages, including the need for additional protective agents to prevent damage to non-target tissues caused by systemic delivery, such as the need for glucose and potassium delivery during insulin infusion
Additional disadvantages are the need for continuous dosing and monitoring, suboptimal delivery to ischemic areas, patient discomfort, high doses required for systemic delivery, and side effects from high doses and systemic delivery

Method used

the structure of the environmentally friendly knitted fabric provided by the present invention; figure 2 Flow chart of the yarn wrapping machine for environmentally friendly knitted fabrics and storage devices; image 3 Is the parameter map of the yarn covering machine
View more

Image

Smart Image Click on the blue labels to locate them in the text.
Viewing Examples
Smart Image
  • Method and apparatus for reducing tissue damage after ischemic injury
  • Method and apparatus for reducing tissue damage after ischemic injury
  • Method and apparatus for reducing tissue damage after ischemic injury

Examples

Experimental program
Comparison scheme
Effect test

Embodiment 1

[0073] In this example, the drug delivery stent was filled with insulin in a manner substantially equivalent to the stent shown in Figures 2 and 3, which had an expanded area of ​​approximately 3mm x 17mm. The stent is positioned on the mandrel, and an optional rapidly degrading layer is deposited in the opening of the stent. The rapidly degrading layer placed in the cavity is low molecular weight PLGA to protect subsequent layers during transport, storage and delivery. The layers described herein are deposited dropwise and delivered in liquid form by using a suitable organic solvent, such as DMSO, NMP or DMAc. Multiple layers of insulin and low molecular weight PLGA matrix are then deposited in the openings to form drug inlays for reducing ischemic damage. The insulin and polymer matrix are combined and deposited in such a way that about 70% of the total drug is released in the first about 2 hours, about 80% is released in about 8 hours, and in about 24 to 48 hours The aim ...

Embodiment 2

[0076] In this example, a drug delivery stent substantially equivalent to the stent shown in Figures 2 and 3, having an expanded area of ​​about 3mm x 17mm, was loaded with a total dose of about 230 mg of insulin in the following manner. The stent is positioned on the mandrel, and an optional rapidly degrading layer is deposited in the opening of the stent. The rapidly degrading layer is PLGA. Layers of insulin and a poloxamer block copolymer of PEO and PPO (Pluronic F127) were then deposited in the openings to form a drug inlay for reducing ischemic damage. Insulin and polymer were combined in a ratio of approximately 33:67 and deposited in a manner similar to that described in Example 1 to achieve a drug delivery profile. A barrier layer of high molecular weight PLGA, a slowly degrading polymer, is deposited over the insulin layer to prevent insulin from migrating to the mural sides of the stent and the vessel wall. The rate of degradation of the barrier layer is selected ...

Embodiment 3

[0078] In this example, a drug delivery stent substantially equivalent to the stent shown in FIGS. , which has an expanded area of ​​about 3 mm x 17 mm. The rate of degradation of the barrier layer is selected such that the cover layer does not begin to substantially degrade until after a dosing period of about 24 to 48 hours. The stent is positioned on the mandrel, and an optional rapidly degrading layer is deposited in the opening of the stent. The rapidly degrading layer is PLGA. Multiple layers of insulin and low molecular weight PLGA are then deposited in the openings to form a drug inlay for reducing ischemic damage. Insulin and polymer matrix were combined and deposited in a manner similar to that described in Example 1 to achieve a drug delivery profile. Multiple layers of high molecular weight PLGA (a slowly degrading polymer) and paclitaxel were deposited on top of the insulin layer to prevent paclitaxel delivery to the mural sides of the stent and the vessel wall...

the structure of the environmentally friendly knitted fabric provided by the present invention; figure 2 Flow chart of the yarn wrapping machine for environmentally friendly knitted fabrics and storage devices; image 3 Is the parameter map of the yarn covering machine
Login to View More

PUM

No PUM Login to View More

Abstract

A method and apparatus for the local delivery of therapeutic agents reduces myocardial tissue damage due to ischemia. A local delivery device is used for delivery of the therapeutic agents into a coronary artery which feeds the ischemic myocardial tissue. According to one example, an implantable medical device for delivering insulin locally to myocardial tissue includes a therapeutic dosage of insulin in a biocompatible polymer affixed to a stent. The therapeutic dosage of insulin is released from the stent at a therapeutic dosage and over an administration period effective to reduce ischemic injury of the myocardial tissue. The therapeutic agents for use in the method are delivered locally to reduce myocardial tissue damage due to ischemia.

Description

[0001] Cross References to Related Applications [0002] This application claims priority to US Provisional Application No. 60 / 425,096, filed November 8, 2002, which is hereby incorporated by reference in its entirety. Background technique [0003] Decreased or cessation of blood flow to the vascular bed indicates the need for various clinical treatments to immediately intervene and restore adequate perfusion to the compromised organ or tissue. Different tissues can withstand different degrees of ischemic injury. However, if reperfusion is not performed, the tissue may develop irreversible damage and cells die. [0004] Impaired perfusion of the heart tissue (ischemia) results in a reduced ability of the heart to function properly as the heart tissue becomes deprived of oxygen and energy. Permanent damage is directly related to the duration of hypoxia experienced by the myocardium. Ischemia occurs when blood flow to areas of the cells is insufficient to support normal metab...

Claims

the structure of the environmentally friendly knitted fabric provided by the present invention; figure 2 Flow chart of the yarn wrapping machine for environmentally friendly knitted fabrics and storage devices; image 3 Is the parameter map of the yarn covering machine
Login to View More

Application Information

Patent Timeline
no application Login to View More
Patent Type & Authority Patents(China)
IPC IPC(8): A61L31/16A61F2/06A61L29/16A61L31/10A61L31/14A61F2/00A61F2/84A61F2/90
CPCA61L2300/434A61F2002/91541A61L2300/41A61F2/966A61L31/16A61F2002/91558A61F2250/0068A61L31/148A61F2/915A61F2210/0076A61L2300/416A61L31/10A61F2/91A61F2/958A61L2300/45A61L2300/42A61B2017/22081A61P43/00A61P7/02A61P9/00A61P9/04A61P9/10C08L67/04A61F2/07A61L27/54A61L29/16
Inventor 弗兰克·利特瓦克西奥多·L·帕克约翰·F·尚利
Owner INNOVATIONAL HLDG LLC