Wound contact layer with infection-inhibiting properties

Abstract

The present invention relates to a wound contact layer comprising a net-like substrate which has a partial or full antimicrobial coating. The coating comprises hyaluronic acid and a polypeptide selected from polyarginine and / or polylysine. Methods for applying the coating to the wound contact layer are additionally described. The coating is distinguished by its good compatibility and cell compatibility as well as its strong antiseptic action.

Description

[0001] Wound contact layer with infection-inhibiting properties

[0002] Technical field of the invention

[0003] The present invention relates to wound treatment, in particular the treatment of severe, chronic and / or infected wounds. In such cases, the healing process is often disrupted or stagnant, and large quantities of exudate are released from the wound.

[0004] Background of the invention

[0005] Chronic wounds remain a problem in modern medicine. Older people and high-risk patients, such as diabetics, are particularly at risk of injuries not healing, or not healing completely. In such cases, the wound healing process is disrupted for various reasons, resulting in a persistent defect in the skin barrier. This leads to a reduction in the quality of life for those affected. Furthermore, the risk of infection increases with the duration of tissue exposure. If such an infection occurs, the prognosis worsens. Because the body's own metabolic processes are impaired in the area of ​​the chronic wound, and a regular immune response is either absent or incomplete, pathogens can subsequently proliferate at the site of infection.In the further course of the infection, a biofilm often forms, in which bacterial pathogens combine to form a community that exhibits increased resistance to biocides and antibiotics, thus making further treatment extremely difficult. This stage increases the likelihood of further complications such as necrosis or sepsis.

[0006] Antibiotic wound dressings are known from the prior art. These are generally based on the use of exogenous antimicrobial agents. While such dressings are effective against pathogenic microorganisms, they have the disadvantage of also stressing the body's own cells. Increased cytotoxicity to animal cells can be demonstrated using suitable in vitro assays. The affected cells are stressed, and their vital signs decrease. At test concentrations that closely approximate real-world conditions, some of the cells in the assay typically die. EP 1 755 569 B9 describes a wound dressing with an ointment that additionally contains an antibacterial metal such as silver. However, the effect of silver is accompanied by clearly measurable cytotoxicity.

[0007] EP 3 452 118 B1 describes antimicrobial coatings containing hyaluronic acid and a polypeptide, where the acid and the peptide are not mixed.

[0008] Specific designs of wound dressings are not mentioned.

[0009] Consequently, there is a need for a specifically designed wound dressing that exhibits sufficient antimicrobial efficacy, is non-cytotoxic to human cells, and can be removed atraumatically and painlessly. To meet the demands of daily clinical practice, the product of choice should also be immediately usable, possess sufficient stability during prolonged storage, and be resistant to potential temperature fluctuations.

[0010] Summary of the invention

[0011] Wound contact layer comprising a net-like substrate which has a partial or complete antimicrobial coating comprising hyaluronic acid and polypeptides selected from polyarginine or polylysine or a mixture of polyarginine and polylysine.

[0012] The wound contact layer according to the invention has excellent atraumatic properties, meaning it does not bond to the wound or wound components. Tissue cannot grow into the wound contact layer, nor can the wound contact layer adhere to the wound bed. The use of ointment or silicone gel, which is usually necessary to achieve atraumatic properties, is not required with the present invention, as this function is fulfilled by the antimicrobial coating. Furthermore, the coating is effective against human pathogenic bacteria due to its antimicrobial ingredients. Thus, the coating achieves two advantageous effects. In addition, after application to the patient, the wound contact layer can be covered and secured with a suitable secondary dressing. The type of secondary dressing can be specifically selected depending on the type of wound to ensure the best possible care.

[0013] The wound contact layer according to the invention can also be used when antibiotic-resistant bacteria are present in the wound to be treated. While antibiotics are usually organic compounds that are broken down by resistant bacteria, such resistance has not been observed with regard to the antimicrobial coating of the present invention. The wound contact layer according to the invention can also exhibit wound-healing properties, even in non-infected wounds. This results from the moisture-regulating properties of hyaluronic acid, which is also found in vivo in the extracellular matrix.

[0014] The following explains how the wound contact layer can be structurally and chemically designed to provide the greatest possible benefit in practice.

[0015] Detailed description of the invention

[0016] The term “medically acceptable material” as used in the invention is a non-toxic, lint-free and stable substance that, under normal conditions, is neither soluble in polar nor non-polar compounds and cannot be degraded or liquefied to any significant extent by the secretions of animal or bacterial cells.

[0017] The term "net-like substrate" means that the substrate is in the form of a net with struts and openings located between the struts. In particular, openings are present that extend from one side of the net-like substrate to the opposite side. An opening within the meaning of the present invention is thus understood to be a cavity passing through the substrate that is suitable for allowing a liquid, such as wound exudate, to pass from one surface of the substrate to the opposite surface of the substrate.

[0018] A net-like structure in the sense of the present invention can be produced, for example, by a grid, a woven fabric, a knitted fabric - in particular a tulle fabric - a perforated nonwoven fabric or by a perforated film layer.

[0019] The term “colony-forming unit” (CFU) refers to a single dividing cell of a single-celled organism, in particular a human-pathogenic single-celled organism or bacterium.

[0020] "Coated" means that the surface of a solid is at least partially covered or overlaid by a substance that differs from the structure of the solid. The term "configured for application to a wound" means that it is intended and suitable for application to a wound for a therapeutic purpose in the sense of wound treatment.

[0021] The term "atraumatic" means that a wound care product does not bond firmly with the wound, i.e., it does not dry out in the wound or become embedded in it, and that the product can be removed painlessly without disrupting the healing process.

[0022] The term “antimicrobial ingredients” refers to hyaluronic acid and one or more polypeptides, which are polyarginine and / or polylysine and / or polyornithine.

[0023] Unless otherwise stated, the terms "amino acid" and "amino acids" refer to the compounds arginine, lysine, and / or ornithine, all of which are positively charged amino acids. This includes, in particular, the L-enantiomers of the aforementioned amino acids.

[0024] The terms "polypeptide" and "antimicrobial polypeptide" refer to polyarginine, polylysine, and / or polyornithine and to peptide compounds comprising at least 11, preferably at least 20, and particularly preferably at least 30 subunits in the form of linked amino acids. Within the scope of the invention, the amino acids within such a polypeptide can all be identical (same amino acid). Alternatively, mixtures of two or three of the aforementioned amino acids can be present within a polypeptide. All such polypeptides have a net positive charge. It is known to those skilled in the art that structural differences naturally arise for the amino acids at the C-terminal and N-terminal ends, since these positions represent the respective chain ends.

[0025] The term “polylysine” includes the stereochemical variants α-poly-L-lysine and ε-poly-L-lysine.

[0026] The terms "alternating" and "alternating" mean that a first layer containing hyaluronic acid is followed by a second layer containing the polypeptide or polypeptides. An optional third layer would consequently contain hyaluronic acid again. In this way, the layers alternate in their net charge and, due to their attractive forces, form a stable coating. Alternatively, in this sense, a first layer containing the polypeptide or polypeptides can of course be followed by a second layer containing hyaluronic acid, and so on.

[0027] The term "proximal" means that an element in use is oriented towards the wound or skin.

[0028] The term "distal" means that an element in use points away from the wound or skin.

[0029] The present invention relates to a wound contact layer. This wound contact layer can be used alone or, after application to a wound, can be covered with an absorbent secondary dressing as needed, or fixed to the wound site using a secondary dressing, adhesive film, adhesive strips, or other fixatives. If necessary, for example, when the secondary dressing is saturated with wound exudate or when the adhesive bond detaches, the secondary dressing or adhesive can be replaced without having to remove the wound contact layer from the wound. In this way, the wound remains undisturbed, and undesirable drying of the secondary dressing within the wound is prevented.

[0030] A key advantage is that the wound contact layer adheres atraumatically to the skin thanks to its coating. This slight initial adhesion facilitates application to the wound. In most cases, the wound contact layer does not need to be held in place until a fixative is applied; it initially adheres on its own, freeing up both hands for the user to prepare the secondary dressing. An additional secondary dressing offers the benefit of preventing the wound contact layer from slipping and ensures continuous contact between the coating and the wound, allowing the antimicrobial ingredients to take effect.

[0031] The wound contact layer according to the invention is suitable for acute and bleeding wounds, chronic wounds, weeping wounds, burns (up to second-degree burns), and wounds containing necrotic tissue or fibrin deposits. In practice, mixed forms of these wounds frequently occur, e.g., infected, partially necrotic, and chronic wounds. In such cases, the advantageous properties of the wound contact layer according to the invention are particularly evident, since a single product can treat a variety of different pathological wound environments.

[0032] The wound contact layer comprises at least a mesh-like substrate and an antimicrobial, in particular antibacterial, coating containing antimicrobial ingredients. Further components can be added as needed to adapt the wound contact layer to the intended application. This will be explained in more detail elsewhere.

[0033] Within the scope of the present invention, it can be provided that the coating is located exclusively on the first side of the substrate, and thus on the side facing the wound. In this way, the side intended for wound contact is clearly identifiable by the user and requires no further marking.

[0034] Furthermore, this design has the economic advantage of saving coating material without compromising wound care.

[0035] The substrate contained in the wound contact layer according to the invention is a flexible and elastic solid that can adapt to the shape of the body or wound surface. The substrate consists of a solid, insoluble, medically acceptable material or of fibers made therefrom, the material preferably having a crystalline lattice structure. Alternatively, the material can be a semi-crystalline or amorphous solid (e.g., an amorphous thermoplastic such as polyvinyl chloride). The material can be a polymer or a polymer mixture, in particular a thermoplastic polymer or a mixture of thermoplastic polymers.

[0036] Preferably the substrate is flat or planar, so that it has a substantially uniform thickness and neither the first nor the second side has any elevations.

[0037] Minor production-related tolerances are negligible, so that, according to the invention, a uniform thickness is considered to be achieved even with deviations of + / - 5%. A flat substrate can have a rectangular, square, oval, or round shape when viewed from above, with oval or round shapes being particularly suitable for wounds on joints, and rectangular or square shapes being easier to package and utilizing storage space more efficiently. The wound contact layer can have the same shape as the substrate, but this is not mandatory. The substrate has a first side that faces the wound during use (proximal orientation) and a second side opposite the first, which faces away from the wound during use (distal orientation).

[0038] The substrate has a net-like structure. This net-like structure allows wound exudate to pass through from one side of the substrate to the other. Furthermore, the net shape gives the substrate exceptional flexibility, as it minimizes material tension when applied to a wound and the resulting (reversible) deformation. Finally, the net reduces the contact area with the wound and thus the surface tension, allowing the substrate to be removed from the wound particularly gently.

[0039] One possible mesh shape is that of a grid, in which the substrate contains webs in the form of longitudinal and transverse struts, arranged essentially at right angles to one another, so that the openings in the substrate are rectangular in shape. According to a preferred embodiment, the mesh shape is a uniform pattern, such that all openings or pores have essentially the same spatial extent and the same spacing between them. The resulting advantage is that essentially constant parameters and forces prevail across the entire surface of the first and second sides, and the antimicrobial ingredients can therefore act uniformly at all locations within a wound.

[0040] Preferably, the substrate contains fibers. The substrate can consist entirely of fibers. These fibers can contain or be made of the following materials: polyamide, polyester, polyacrylic, polyurethane, polypropylene, polyvinyl alcohol, cotton, viscose, and mixtures thereof. An example of a possible mixture of fibers from different materials is a combination of polyester with cotton or polyester with viscose. When using polyamide as the fiber material, the polyamide can be in the form of nylon.

[0041] All of the listed fibers can be knitted for use in a net-like substrate. It is also possible to arrange the fibers as tulle. A net in the form of tulle can be characterized by a repetitive arrangement of hexagons (hexagonal arrangement within the tulle) or diamonds (diamond arrangement within the tulle). All of the fibers or fiber types listed above, when used as a net-like substrate, possess both structural properties and the advantageous ability to wick fluids such as wound exudate to an optional secondary dressing, where they can be stored and later removed. Generally, fibers of natural origin are more hydrophilic than synthetic fibers. However, synthetic fibers surpass natural fibers in their binding affinity to nonpolar substances such as oils, fats, and waxes.Furthermore, they are inexpensive, tear-resistant, have high tensile strength, and are easy to process. Due to their non-polar nature, they do not interact with the cationic and anionic compounds of the antimicrobial ingredients. Natural fibers, however, offer the advantage of a better environmental footprint. Because of their greater absorption of polar substances, it may be necessary to apply a larger quantity of the coating, ensuring that a sufficient amount of coating is available on the proximal side outside the substrate as the wound contact area.

[0042] Alternatively, the net-like substrate could consist not of fibers, but of a particularly homogeneous mass. This mass should be elastic, flexible, durable, and, of course, biocompatible. Silicone is a suitable material, which is why, within the scope of the invention, the net-like substrate can be made of or contain silicone. Silicone offers the advantage of maximum biocompatibility. It is hypoallergenic and exhibits no toxicity. Furthermore, it is biochemically inert. It cannot be degraded by microorganisms or pathogens, nor can it be used as a nutrient substrate. It does not bond with wound tissue and can be removed painlessly. For these reasons, it is frequently used in the medical field. However, silicone has the disadvantage that, due to its occlusive properties, it hinders skin respiration and inhibits the absorption of wound exudate in wound dressings.However, since the substrate of the wound contact layer according to the invention has openings due to its net-like structure, the desired exchange of substances is maintained even when using silicone.

[0043] While it is generally possible within the scope of the invention to form a film as a net-like substrate, film-containing net-like substrates can represent an alternative to other substrate forms for dry or scab-covered wounds, although the coating on a film (unlike a fiber-based substrate) can only be applied to the outer surfaces of the film. Therefore, the net-like substrate encompassed by the wound contact layer is preferably not a film and does not contain a film.

[0044] Within the scope of the invention, the substrate can be free of certain substances if required. For example, the substrate can be free of gelatin and collagen, or generally free of substances of animal origin or substances of natural origin. Substrates that are free of such substances are generally resistant to unwanted biodegradation – for example, when treating an infected wound, and especially during prolonged use without intermediate dressing changes.

[0045] The net-like substrate can, for example, have a basis weight of 50 to 120 g / m². 2 preferably 70 to 100 g / m² 2 and especially preferably 80 to 90 g / m² 2 exhibit such properties. These substrates are usually so thin and / or provided with openings in such a way that the transfer of fluid through the wound contact layer into a possible secondary dressing is optimized.

[0046] Furthermore, the linear density of the network-like substrate can be 60 to 100 dtex, preferably 70 to 90 dtex, measured according to DIN EN ISO 2060. The toughness of the substrate can be 30 to 50 cN / tex, preferably 35 to 40 cN / tex, measured according to DIN EN ISO 2062.

[0047] The wound contact layer can have an elongation according to DIN EN ISO 1798:2008-04 of at least 25%, preferably at least 35%. Elongation is understood to mean that, under tensile stress, the material does not elongate under stress or fiber breakage. Preferably, the elongation is reversible, so that the material essentially returns to its original length after the tensile stress is removed. Reversible elongation also exists if, after the tensile stress is removed, the material assumes a length that is at most 105% of its original length. The length has the same spatial orientation as the tensile force and is therefore measured in the direction of the tensile force. Preferably, the specified elongation values ​​apply in the fiber direction. A defined fiber direction is present in most textile arrangements.

[0048] The mesh-like substrate can optionally be treated with elemental, i.e., non-ionic, silver. This additional silver, embedded in the substrate, enhances the antimicrobial effect. Because it is not present in the coating but rather covered by it, a particularly long-lasting antimicrobial effect (depot effect) is created. The ability of pathogens to colonize and multiply in the substrate is further reduced or even completely eliminated. The latter is especially advantageous for infected wounds that release pathogen-containing exudate, which is absorbed by or wicked through the wound contact layer.

[0049] Due to the net-like structure, openings are contained in the substrate, whereby gaps between individual fibers or fiber filaments as occur in every textile composite (knitted fabrics, tulle, etc.) are not considered openings within the meaning of the invention.

[0050] The openings in the mesh-like substrate can be of any shape. A circular or elliptical shape is possible, as this avoids corners that could become uncomfortable for the patient after prolonged wear on a wound. Alternatively, a square or triangular opening is also possible. The size of the openings can vary within the scope of the present invention, but should be large enough to allow or at least not impede the drainage of exudate. The openings can have an area of ​​at least 0.01 mm². 2 have and preferably a surface area of ​​at least 0.1 mm 2 Pores are not openings as defined in the invention. In this context, pores can be openings with a diameter of no more than 10 pm or, alternatively, no more than 1 pm. Openings with a projection area of ​​at least 0.1 mm² are particularly suitable. 2, corresponding to a circular diameter of 0.357 mm. On the other hand, excessively large openings pose a risk of adhesion to the wound and the ingrowth of granulation tissue into the openings. Openings with a diameter of 0.1 mm are well suited. 2 up to 10 mm 2 , of 0.3 mm 2 up to 8 mm 2 , especially 0.5 to 5 mm 2 It is also possible to use openings with a maximum opening area of ​​1 mm. 2 have.

[0051] The substrate has a multitude of openings and a closed area (ribs) surrounding the openings. The ratio of the total area of ​​the openings to the closed area of ​​the substrate is 1:1.5 to 1:4, preferably 1:2 to 1:3.

[0052] The polypeptide or polypeptides used in the invention can be polyarginine, polylysine, and / or polyornithine. Thus, each polypeptide molecule can contain only amino acids of a single type. The polylysine can be α-poly-L-lysine and / or ε-poly-L-lysine. The polylysine can, for example, have a molecular mass of 3.5 to 4 kDa. Furthermore, each polylysine molecule can comprise 11 to 40 subunits, preferably 15 to 35 subunits, and particularly preferably 20 to 50 subunits of lysine.

[0053] All of these polypeptides carry a positive net charge due to their chemical properties and have antimicrobial effects. Polyarginine also has the additional benefit of promoting wound healing by increasing the proportion of so-called M2 macrophages within the macrophage population. While M1 macrophages initiate inflammatory responses and trigger the production of cytotoxic radicals, M2 macrophages have anti-inflammatory and proliferative effects and promote tissue closure.

[0054] In particular, when polypeptides are referred to in the plural, the following mixtures can be involved: a) polyarginine and polylysine, b) polyarginine and polyornithine, c) polylysine and polyornithine, and a mixture of all three of these compounds. The polypeptide(s) are part of the coating according to the invention. The number of amino acids is variable. Accordingly, the coating can contain polypeptides with different chain lengths.

[0055] Furthermore, polypeptides can contain mixtures of the three aforementioned amino acids in a single molecule. Specifically, a polypeptide may contain polyarginine and polylysine, or polyarginine and polyornithine, or it may contain all three amino acids.

[0056] The coating according to the invention preferably contains polyarginine. The use of such polyarginine-containing wound contact layers according to the invention is advantageous even in non-infected wounds, as healing is accelerated.

[0057] Furthermore, the combination of polyarginine and polylysine in the coating offers a particularly pronounced antimicrobial effect, which is presumably due to a synergistic effect and surpasses the antimicrobial effect of the respective individual substance.

[0058] Alternatively, a polypeptide or polypeptides with essentially a single chain length or exclusively a single chain length may be present. An essentially single chain length is present if at least 90%, better at least 95%, best at least 98%, and best of all at least 99% of all polypeptides contained in the coating have the same chain length. A coating containing polypeptides of the same or essentially the same chain length offers the advantage that the antibacterial effect and the stability of the coating can be predicted very well.

[0059] Preferably, the number of amino acids in a polypeptide or in the polypeptides is at least 10. Furthermore, the number of amino acids in a polypeptide or in the polypeptides is preferably at most 2000. Thus, within the scope of the invention, the polypeptide or polypeptides have a preferred chain length of 10 to 2000 amino acids, particularly preferably 20 to 1000 amino acids, most preferably 25 to 100 amino acids, and best of all 30 to 50 amino acids. As can be seen from the exemplary embodiments, all polypeptides in the coating can also each contain or consist of 30 amino acids. The resulting advantage is a particularly strong antimicrobial effect.

[0060] Hyaluronic acid, also known as hyaluronan, is a heteropolysaccharide belonging to the glycosaminoglycans. The basic building block of hyaluronic acid is an aminodisaccharide composed of d-glucuronic acid and N-acetyl-d-glucosamine in alternating (1^3)-(1^4)-β-glycosidic bonds. Hyaluronic acid is a negatively charged polymer, which can also be described as a polyanion. Hyaluronic acid is water-binding and has tissue-regenerating and wound-healing properties. One way to obtain hyaluronic acid is to synthesize it by subjecting proteins to bacterial fermentation. Subsequent filtration yields pure hyaluronic acid. The hyaluronic acid used in this invention is hydrophilic. Hyaluronic acid is part of the coating according to the invention and carries a net negative charge due to its chemical properties.

[0061] Hyaluronic acid can be produced within the scope of this invention in molar masses of approximately 50 to approximately 10 4Hyaluronic acid with a molar mass of 140 to 150 kg / mol is preferably used. Within the scope of this invention, it is also possible to use a mixture of hyaluronic acid molecules with different molar masses, in which case the molar mass can be specified as the average molar mass of all hyaluronic acid molecules in the mixture. For example, the average molar mass can be 143 to 146 kg / mol. Alternatively, all or substantially all hyaluronic acid molecules in the coating have the same molar mass. Essentially the same molar mass is present if at least 90%, better at least 95%, even better at least 98%, and best of all at least 99% of the hyaluronic acid molecules in the coating have the same molar mass.

[0062] The coating according to the invention contains at least the hyaluronic acid and the polypeptide(s) described herein. Further compounds or structural components may also be part of the coating or combined with it. These further compounds or structural components may be liquid, solid, or gaseous. Furthermore, they may be positively charged, negatively charged, or neutral.

[0063] In this sense, the coating can contain a polar liquid. The polar liquid can be water. The water can be distilled or deionized. Preferably, the polar liquid (e.g., water) is in the form of an aqueous buffer solution. Examples of aqueous buffers are citrate buffer, Ringer's solution, TRIS buffer, TE buffer, TBS buffer, and TBS-T buffer. Preferably, the buffer is a Tris-NaCl buffer. The concentration of the buffer in the solvent (e.g., water) can be, for example, 5 mmol to 300 mmol, preferably 10 mmol to 200 mmol. In the case of Tris-NaCl buffer, the concentration of Tris can be, for example, 5 to 300 mmol and the concentration of NaCl 10 mmol to 300 mmol. Alternatively, the concentration of the buffer can be chosen so that the buffered solution has a pH of 6.8 to 7.8, preferably 7.2 to 7.6.These pH values ​​initially refer to the solution before it is mixed with other components of the coating. However, these values ​​are also applicable to the finished coating in the final product – i.e., the wound contact layer according to the invention – both before and after optional drying.

[0064] The coating may contain a preservative or stabilizer in an amount of 0.1 to 2% by weight. Examples of suitable preservatives are benzoic acid, sorbic acid, or parabens. Examples of suitable stabilizers are ascorbyl palmitate and tocopherol. Since the wound contact layer, including the coating, is generally sterilized before use, the use of preservatives can be omitted in most cases to minimize production costs. Preferably, the coating may also be designed to contain no preservatives and / or stabilizers at all, in order to reduce the likelihood of allergic and intolerance reactions. In this sense, the coating according to the invention and the wound contact layer equipped with it can be hypoallergenic. The content of polar liquids, particularly water, in the coating can range from 1 to 50% by weight.The concentration of polar liquids can be -%. In some cases (e.g., if the coating is intended to be a gel), more than 50 wt% of polar liquids may be desirable and advantageous. Preferably, the coating contains 15 to 45 wt% polar liquids, better 20 to 40 wt% polar liquids, and best of all 25 to 35 wt% polar liquids. These concentrations can refer to the final content in the finished product after active or passive drying. Two or more different polar liquids can be present in the coating. Examples of possible combinations of polar liquids are water and ethanol or water and glycerin. Furthermore, the polar liquid can be a buffer, such as Tris-NaCl buffer. The polar liquid or buffer can have a pH of 6 to 9, preferably 7 to 8, and particularly preferably 7.2 to 7.6.

[0065] The coating according to the invention is a stable coating and offers excellent long-term durability. This long-term stability is a particularly desirable property for medical devices, as such products are purchased by medical institutions in bulk at discounted rates and must be stored until their use (which is generally unpredictable). During storage, the products may be subject to seasonal temperature fluctuations. The coating according to the invention ensures resistance both to extended storage periods and to temperature fluctuations. This is also beneficial for the sterilization process.

[0066] The coating, and thus the coated wound contact layer, has antimicrobial, and in particular antibacterial, properties, with the antibacterial properties including an effect against the human pathogens S. aureus and P. aeruginosa. The antimicrobial effect occurs upon initial contact with the pathogens and intensifies over time, with a contact time of 0 to 24 hours being the preferred period of effectiveness.

[0067] According to one aspect of the invention, the polypeptide or polypeptides comprise at least ten and / or at most one hundred amino acids. This number refers to the amount of amino acids per molecule of a polypeptide. Preferably, the polypeptide or polypeptides may comprise at most ninety, more preferably at most seventy, more preferably at most fifty, and best at most forty amino acids. Simultaneously or independently of the aforementioned upper limit, the polypeptide or polypeptides in the coating may comprise at least ten amino acids. Preferably, the polypeptide or polypeptides may comprise at least 20, more preferably at least 25, and best at least 28 amino acids. The aforementioned numbers refer to the amount of amino acids per molecule of a polypeptide. Typically, these amino acids are linked to one another via peptide bonds. The aforementioned values ​​may apply to a portion of the polypeptides in the coating (e.g.,B. at least 90 wt.%) or refer to all polypeptides in the coating.

[0068] According to a further aspect of the invention, the hyaluronic acid in the coating is present as a polymer, wherein at least some of these polymers have a molecular mass of at least 10 kDa. Preferably, at least some of these hyaluronic acid polymers have a molecular mass of at least 15 kDa, particularly preferably at least 20 kDa, most preferably at least 25 kDa, and best of all at least 30 kDa. These values ​​can alternatively refer to all hyaluronic acid polymers in the coating.

[0069] Within the scope of the invention, the hyaluronic acid can be present as a polymer mixture with different chain lengths, wherein at least a portion of the hyaluronic acid polymers in the polymer mixture has a molecular mass of at most 300 kDa. Preferably, at least a portion of these hyaluronic acid polymers has a molecular mass of at most 250 kDa, particularly preferably at most 200 kDa, most preferably at most 150 kDa, and best of all at most 100 kDa. This portion can, for example, constitute 90 wt.% of the hyaluronic acid in the coating or alternatively refer to all the hyaluronic acid in the coating.

[0070] Furthermore, the coating of the wound contact layer according to the invention can have a structure consisting of two or more layers. The term "layer" refers to a layer within the coating. A layer can be applied in a single coating step. The first layer is applied to the mesh-like substrate of the wound contact layer. Each subsequent layer—starting with the second layer—is applied to the last layer applied. Preferably, a layer contains either the hyaluronic acid and has a net negative charge, or it contains the polypeptide(s) and thus has a net positive charge. It can be provided that a layer containing the hyaluronic acid is free of the polypeptide(s), and a layer containing the polypeptide(s) is free of the hyaluronic acid.

[0071] In this sense, the coating can contain at least two superimposed and interconnected layers, wherein at least one layer is present which contains the polypeptide or polypeptides and has a positive net charge, and at least one layer which contains the hyaluronic acid and has a negative net charge, and wherein, in the superimposed layers, a layer containing the polypeptide or polypeptides alternates with a layer containing the hyaluronic acid, so that a sequence of alternating layers is formed.

[0072] The number of alternating layers can be even or odd. An even number of alternating layers is preferred because for every negatively charged layer, there is a positively charged layer available, and the opposite charges attract each other, resulting in a particularly stable coating.

[0073] Preferably, the number of alternating layers is 20 to 100, more preferably 30 to 90, more preferably 40 to 80, and most preferably 50 to 70. Half of the layers contain hyaluronic acid, and the other half contain the polypeptide(s). With an odd number of alternating layers, the number of layers containing the polypeptide is preferably greater.

[0074] Within the scope of the invention, the hyaluronic acid and the polypeptide(s) within the coating can also be present in a mixed state. "Mixed" in this context refers to a mixture in the chemical sense. The mixture is preferably a solution, specifically a single-phase solution. Preferably, the hyaluronic acid and the polypeptide(s) within the coating are homogeneously distributed. Furthermore, preferably, the polypeptide(s) is embedded in a hyaluronic acid matrix. The hyaluronic acid gel consists of hyaluronic acid and water. The hyaluronic acid matrix forms when the coating is in its dry state.

[0075] A mixed coating, as described above, can be obtained by spraying a solution containing hyaluronic acid and a solution containing the polypeptide(s) onto the network-like substrate. The two solutions can be sprayed sequentially or simultaneously. Once a layer has been obtained and has dried or partially dried, further layers can be sprayed on or added by dipping.

[0076] A mixed coating can contain one or more layers, at least one of which contains both the hyaluronic acid and the polypeptide(s). In this sense, such a mixed coating is wholly or partially permeated by the mixture.

[0077] One way to apply the coating layers is by dipping. This method is also suitable for creating layers within the coating that contain either hyaluronic acid without the polypeptide(s), or the polypeptide(s) without the hyaluronic acid. With this method, two solutions can be provided in separate compartments: one containing the hyaluronic acid solution and the other containing the polypeptide(s). Layers can then be applied to the mesh-like substrate by alternately dipping the material into the two compartments until the coating is complete.

[0078] The number of superimposed and interconnected layers in the coating can, for example, be 10 to 100. Preferably, the number of superimposed and interconnected layers is 15 to 90, particularly preferably 20 to 80, most preferably 25 to 70, and best of all 30 to 60.

[0079] According to one aspect of the invention, the polypeptide(s) have a molecular mass of 1 to 41 kDa. Preferably, the polypeptide(s) have a molecular mass of 2 to 40 kDa, particularly preferably 3 to 39 kDa, most preferably 4 to 38 kDa, and best of all 5 to 37 kDa. It is also possible that at least one, at least two, or at least three layers of the coating have a polypeptide(s) with such a molecular mass.

[0080] The coating of the wound contact layer according to the invention can have a thickness of 10 nm to 1000 nm. Preferably, the coating has a thickness of 50 nm to 900 nm, more preferably a thickness of 100 nm to 800 nm, more preferably a thickness of 150 nm to 700 nm, and best of all a thickness of 200 nm to 600 nm. The thickness can be measured from the top edge of the base surface of the mesh-like substrate without the substrate being compressed or compressed during the measurement. It is recommended to adjust the thickness of the coating by the number of layers. The thickness increases further with an increasing number of layers. Coatings with a greater thickness exhibit particularly pronounced atraumatic properties. Coatings with a thinner coating allow for faster flow of bodily fluids from the wound through the wound contact layer according to the invention into a possible secondary dressing.

[0081] Furthermore, the coating of the wound contact layer according to the invention is preferably resistant to drying. In this sense, the components of the coating – such as hyaluronic acid and polypeptide or polypeptides – can be applied as a solution in a moist state and then allowed to dry. Drying can occur passively at room temperature or actively using technical aids, the latter being generally significantly faster but also more energy-intensive. The coating retains its properties – in particular its atraumatic and antimicrobial effects – even in the dried state. The drying resistance of the coating has the advantage that dry wound care products can be processed and packaged more easily on an industrial scale. Moreover, drying-resistant wound care products are easier to store for longer periods, as they do not need to be protected against unwanted drying out.

[0082] The coating is considered dry, for example, if the liquid content (e.g., water content) in the coating is a maximum of 5 wt.%, preferably a maximum of 4 wt.%, particularly preferably a maximum of 3 wt.%, and best of all a maximum of 1 wt.%. Minor deviations from these values ​​may occur depending on the concentration of dissolved particles, their hydrophilicity, and molar mass, and are included in the technical teaching of the invention.

[0083] The invention also encompasses the wound contact layer described herein, wherein the net-like substrate contains or consists of at least one of the following fibers: polyamide fibers, in particular nylon fibers, polyester fibers, cotton fibers, viscose fibers. Synthetic fibers such as polyamide and polyester have the advantage of being resistant to decomposition by microorganisms.

[0084] Furthermore, the net-like substrate can be a nonwoven, knitted, or tulle fabric. In particular, the nonwoven, knitted, or tulle fabric can consist of or contain the fiber types mentioned above. Polyester and / or polyamide are preferred in this case.

[0085] Furthermore, the invention includes methods for producing the wound contact layer described herein and for applying the coating to the net-shaped substrate.

[0086] The following describes a method for creating a wound contact layer with mixed coatings and / or with mixed layers within the coating: i) providing a net-shaped substrate; ii) spraying the net-shaped substrate with hyaluronic acid and a polypeptide or polypeptides to form a coating comprising at least one layer, wherein the polypeptide or polypeptides are polyarginine and / or polylysine, and wherein the at least one layer contains both the hyaluronic acid and the polypeptide.

[0087] Spraying can be done, for example, using an atomizer or a spray gun. Preferably, an electric sprayer is used that sprays a constant volume of liquid per unit of time.

[0088] One of the major advantages of this method is the time savings. In this respect, it can be provided that spraying a layer takes a maximum of 5 minutes, preferably a maximum of 1 minute, particularly preferably a maximum of 30 seconds, and most preferably a maximum of 5 seconds.

[0089] Furthermore, it may be provided that the entire coating process by spraying, from the start of the spraying process to obtaining the finished wound contact layer, takes a maximum of 30 minutes, whereby the drying of the wound contact layer may already be included in this period.

[0090] Preferably, the hyaluronic acid and the polypeptide(s) are present in solution during spraying according to step ii). Possible solutions, such as polar liquids, in particular water and aqueous buffer solutions, have already been described above and can be used in the latter process. Preferably, the concentration of the polypeptide(s) present in solution during spraying according to step ii) is 0.1 mg / ml to 100 mg / ml, particularly preferably 1 mg / ml to 80 mg / ml, most preferably 3 mg / ml to 50 mg / ml, and best of all 5 mg / ml to 30 mg / ml.

[0091] Preferably, the concentration of hyaluronic acid during spraying according to step ii) is 0.1 mg / ml to 10 mg / ml, particularly preferably 0.5 mg / ml to 8 mg / ml, most preferably 1 mg / ml to 5 mg / ml and bestly 2 mg / ml to 4 mg / ml.

[0092] Preferably, by spraying according to step ii) 0.1 to 1 ml of such a solution of the polypeptide(s) and / or 0.1 ml to 1 ml of such a solution of hyaluronic acid per cm². 2 The solution is sprayed onto the proximal (wound-facing) side of the net-like substrate. Particularly preferably, 0.2 to 0.9 ml, very preferably 0.3 to 0.8 ml, and best of all 0.4 to 0.7 ml of such a solution are sprayed. Any recesses or openings resulting from the net-like structure of the substrate are to be disregarded when determining the area. Therefore, for a substrate with external dimensions of 10 cm x 10 cm, it should be assumed that the substrate has an area of ​​100 cm². The volume specifications are to be understood as per layer. Since, in the case of mixed layers, a single layer can already form a complete coating, the volume specifications can also be understood in this sense as per coating (containing one layer).

[0093] According to a further aspect of the invention, in the above-described method, the spraying according to step ii) is carried out at least twice to produce a coating with at least two layers. A drying phase may be included between the spraying. This drying phase may last from 30 seconds to 30 minutes, preferably from 1 minute to 25 minutes, most preferably from 2 minutes to 20 minutes, and most preferably from 3 minutes to 15 minutes.

[0094] Part of the invention also includes a wound contact layer as described herein, obtainable or obtained by the manufacturing process last described.

[0095] Another method according to the invention for producing a wound contact layer comprises the following steps: i) providing a net-shaped substrate; ii) coating a surface of the net-shaped substrate by applying at least two superimposed layers, wherein at least one layer contains a polypeptide or polypeptides, wherein the polypeptide(s) are polyarginine and / or polylysine and have a positive net charge, and wherein at least one layer contains hyaluronic acid and has a negative net charge, and wherein the superimposed layers alternate in their net charge. An alternating arrangement of the layers is defined in more detail above.

[0096] The coating step ii) can be carried out in particular by means of an immersion process. Other coating techniques are also possible. For example, the coating can alternatively be applied by roller or by brushing (e.g., with a brush).

[0097] It is recommended that both the hyaluronic acid and the polypeptide(s) be dissolved in solution before coating. Suitable solvents and concentrations have already been described elsewhere and are applicable within the scope of the latter procedure. For example, the polypeptide(s) can be applied using a solution containing them at a concentration of 0.1 mg / mL to 100 mg / mL, and / or the hyaluronic acid can be applied using a solution containing it at a concentration of 0.1 to 10 mg / mL.

[0098] This method is particularly suitable for producing wound contact layers whose coating contains at least two unmixed layers. Typically, the coatings produced using the above method contain at least two layers. Preferably, all layers of the coating produced by this method are unmixed.

[0099] The latter method allows for the combination of multiple layers into a single coating. As part of step ii), it is recommended that each layer be rinsed with a buffer solution after application. This should only be done once the layer to be rinsed is sufficiently dry or partially dry to prevent unintentional washing off.

[0100] Suitable buffer solutions and pH values ​​have already been mentioned elsewhere herein. An aqueous buffer solution of Tris-NaCl is preferably used. It is particularly preferred that both Tris and NaCl are present in the buffer solution at a concentration of 10 mmol to 150 mmol. The concentrations of Tris and NaCl need not be identical. Furthermore, the coating according to step ii) of the last-mentioned process can be carried out by (completely or partially) immersing the network-shaped substrate in a solution containing the polypeptide(s) and / or in a solution containing the hyaluronic acid.

[0101] The (complete or partial) immersion can be carried out for a period of one to ten minutes to create a single layer. This means that the net-like substrate is immersed in the solution and removed after one to ten minutes. The following alternative time periods are also possible: two to nine minutes, three to eight minutes, and four to seven minutes.

[0102] Furthermore, part of the latter method is that step ii) can be repeated (i.e., at least twice). For example, step ii) can be repeated ten to one hundred times to produce a wound contact layer according to the invention, resulting in ten to one hundred layers being applied one on top of the other. This consequently results in a wound contact layer whose net-like substrate has a coating applied that also consists of ten to one hundred layers.

[0103] Other repetition numbers for step ii) are 15 to 90 times, 20 to 80 times, 25 to 70 times and 30 to 60 times.

[0104] If the coating application according to step ii) is carried out by means of an immersion process, the aforementioned repetition numbers refer to the number of immersions in a solution containing the hyaluronic acid or the polypeptide(s).

[0105] Part of the invention also includes a wound contact layer as described herein, obtainable or obtained by the manufacturing process last described.

[0106] The manufacturing processes described herein may, if necessary, be characterized by the following points:

[0107] - Both sides of the net-like substrate (proximal and distal surfaces) can be coated simultaneously.

[0108] - A layer containing the polypeptide(s) can first be applied to a net-shaped substrate with a negative net charge or a negative external charge (negative surface charge). In this case, the first layer has a positive net charge. Preferably, the first layer does not contain hyaluronic acid. - A layer containing hyaluronic acid can first be applied to a net-shaped substrate with a positive net charge or a positive external charge (positive surface charge). In this case, the first layer has a negative net charge. Preferably, the first layer does not contain any polypeptide(s).

[0109] Furthermore, the invention also includes a kit comprising the wound contact layer according to the invention and further comprising a secondary dressing or a fastening means, wherein the secondary dressing or the fastening means are suitable for attaching the wound contact layer to a wound. It may also be provided that the wound is covered by the wound contact layer.

[0110] A further part of the invention relates to the manufacturing processes described herein, wherein the provided mesh-like substrate is first subjected to plasma cleaning. The plasma cleaning takes place before coating, application, or spraying and allows for even better adhesion of the subsequent coating to the substrate.

[0111] Furthermore, the manufacturing processes described herein can be automated. Automation is preferably carried out using a programmable robot. In particular, the application of the coating by dipping process benefits from automation, as this method generally takes more time than the application of the coating by spraying. Preferably, the automated dipping process produces coatings with at least 20, preferably 25, and ideally 30 layers on the mesh-like substrate.

[0112] The spraying process also benefits from automation, as this ensures a constant distance between the spray nozzle and the substrate during the spraying process, which is much more difficult to achieve with a manual approach.

[0113] The wound contact layer according to the invention can form a coating on the net-shaped substrate with an areal weight of, for example, 5 ng to 200 ng / cm². 2 The substrate is included. Preferably, the coating has a basis weight of 10 ng to 150 ng / cm². 2 Substrate, especially preferably with a basis weight of 15 ng to 130 ng / cm² 2 Substrate, especially preferably with a surface weight of 20 ng to 100 ng / cm² 2 substrate and ideally 20 ng to 50 ng / cm² 2 Substrate. The basis weight of the coating refers to the sum of the masses of the polypeptide(s) and hyaluronic acid. The basis weight of the polypeptide(s) in the coating can range, for example, from 1 ng to 500 ng / cm². 2 Substrate, preferably 2 ng to 300 ng / cm 2 substrate and especially preferred 3 ng to 50 ng / cm² 2 substrate.

[0114] The basis weight of the hyaluronic acid in the coating can range, for example, from 3 ng to 1,000 mg / cm². 2 Substrate, preferably 6 ng to 400 ng / cm 2 substrate and especially preferred 7 ng to 50 ng / cm² 2 substrate.

[0115] The ratio of polypeptide(s) to hyaluronic acid in the coating can, for example, be a mass ratio of 0.5:1 to 5:1. Preferably, the ratio is 1:1 to 4:1, particularly preferably 1.5:1 to 3.5:1, and most preferably 2:1 to 3.5:1.

[0116] The mass of buffer substances in the form of a base or an acid, as well as a suitable salt of this base or acid, can have an areal weight in the coating of, for example, 50 ng to 1,000 ng / cm². 2 The substrate is defined. Preferably, the buffer substances in the coating have an areal density of 100 ng to 500 ng / cm². 2Substrate, especially preferably with a basis weight of 120 ng to 300 ng / cm² 2 Substrate. Preferably, the buffer substance contains a base, most preferably Tris, and most preferably the base Tris is combined with the salt NaCl.

[0117] The wound contact layer can contain the antimicrobial coating in the following variations, whereby this list is exemplary and not exhaustive: a) Coating comprising at least two layers, of which at least one layer contains hyaluronic acid but no polypeptide, and of which at least one layer contains a polypeptide or polypeptides but no hyaluronic acid. If more than two layers are present, they are arranged alternately. b) Mixed coating comprising at least one layer that contains both hyaluronic acid and the polypeptide or polypeptides. c) A combination of a) and b).

[0118] In this sense, the invention comprises a wound contact layer coated on both sides, each side being independently equipped with a coating according to a), b), or c). If the wound contact layer comprises a mesh-like substrate, the first and second sides of which are coated, this offers the advantage that the user does not have to decide which side is configured for application to the wound, thus reducing the likelihood of errors and simplifying clinical practice.

[0119] Additionally, the ingredients of the antimicrobial coating can be present in a specific ratio to one another. For example, the weight ratio of the concentration of hyaluronic acid to the sum of the weight concentrations of the polypeptide(s) in the coating can range from 9:1 to 1:80, preferably from 4:1 to 1:20.

[0120] Furthermore, the stoichiometric ratio of hyaluronic acid to the sum of the amounts of the polypeptide(s) can range from 4:25 to 1:500. The amount of substance can be determined in the standard unit mol.

[0121] The mesh-like substrate can be partially or completely coated. In particular, at least 80% of the surface area of ​​the first side of the substrate can be coated. Preferably, 90% of the surface area of ​​the first side of the substrate is coated. Coating at least 99% of this surface area is especially recommended. Openings in the substrate (as already explained above) are not taken into account when determining the surface area. In this context, it should be noted that the coating is a stable part of the wound contact layer but is permeable to water or aqueous wound fluids. In this way, excess wound exudate can be absorbed and stored in a secondary dressing applied above the wound contact layer. The secondary dressing can later be changed independently of the wound contact layer, and the exudate disposed of at that time.

[0122] The resulting coating quantity can be determined by weighing the treated substrate. Coatings with a higher basis weight can be produced by repeated individual coatings.

[0123] The mesh-like substrate of the wound contact layer can contain or consist of at least one of the following materials: polyamide, in particular nylon, polyester, cotton, viscose, or a combination of two or more of the listed materials. These materials can be in the form of fibers. For example, they can be polyamide fibers, in particular nylon fibers, polyester fibers, cotton fibers, or viscose fibers. The substrate can be in the form of a polyamide knit fabric, in particular a nylon knit fabric. Furthermore, blended fibers combining two or more of the listed materials can also be used.

[0124] Both the first and, optionally, the second side of the mesh-like substrate can be coated with a layer of the aforementioned basis weight. This amount has proven to achieve excellent results in promoting wound healing and combating pathogens within the wound. Simultaneously, it is possible to obtain a stable product with a sufficiently long shelf life, without the coating detaching from the substrate. Preferably, the coating is a uniform or substantially uniform distribution of the coating material, with each area of ​​the prepared side of the wound contact layer being coated with the same or substantially the same amount of coating.

[0125] The coating of the wound contact layer according to the invention is resistant to sterilization and retains its functional and structural properties after sterilization. In particular, the antimicrobial and atraumatic properties are maintained. Furthermore, the structural properties are retained, so that the coating does not detach or run. Sterilization can be carried out, for example, by means of ethylene oxide, steam sterilization (auto-kiaving), or hot air sterilization. Preferably, the entire wound contact layer (i.e., including the coating and the mesh-like substrate) is resistant to sterilization. This can be achieved, for example, by constructing the substrate from fibers or materials such as those described elsewhere herein.

[0126] Sterilization resistance is an important property of wound care products, as materials that come into direct contact with the wound are generally required to be sterile.

[0127] In addition to the net-like substrate and the antimicrobial coating according to the invention, the wound contact layer can contain further compounds or structural elements. These include, in particular, substances that promote healing, protect the wound edges from maceration, and / or enhance the antimicrobial effect. These substances can be incorporated into the coating, applied to the proximal side of the coating, or be part of the net-like substrate. Examples of substances with wound-healing properties are allantoin and dexpanthenol. Examples of substances with antimicrobial properties are silver (cationic or elemental) and PHMB (polyhexamethylene biguanide).

[0128] The invention further relates to a wound dressing comprising the wound contact layer according to the invention. The wound contact layer is present as an outer layer of the wound dressing, so that its coating is in contact with the skin or the wound during application (proximal orientation of the wound contact layer within the wound dressing). Before use, the first side of the wound contact layer can be covered by a protective layer, such as a release liner. The protective layer is removed before use.

[0129] Preferably, this wound dressing comprises an absorbent layer applied to the second side of the wound contact layer and / or an adhesive border for adhering the dressing to the skin surrounding the wound and / or a backing layer (located above the second side of the wound contact layer). The absorbent layer can comprise non-woven fabric, superabsorbent polymer, fluff pulp, or a foamed material. The backing layer can be a film that is optionally permeable to water vapor but not to liquid water and may contain or consist of polyurethane (PU). The adhesive border can be part of the backing layer. An absorbent layer is particularly suitable for bleeding or highly exuding wounds. A backing layer has the advantage of protecting the wound and the wound contact layer from external moisture.

[0130] Another aspect of the invention relates to the wound contact layer according to the invention or a wound dressing comprising this wound contact layer, for use in a method for treating wounds, preferably infected wounds, particularly preferably wounds infected with S. aureus and / or P. aeruginosa.

[0131] Another aspect of the invention relates to the antimicrobial coating for use in a method for treating wounds, preferably infected wounds, wherein the coating is present on a net-shaped substrate which is provided as a wound contact layer.

[0132] In these two use cases, it may be intended that the application takes place over a period of 0 to 24 hours, or that the application takes place over a period of at least 24 hours, the latter being necessary, for example, in cases of already severe infections or in patients with immunodeficiency.

[0133] The wound contact layer according to the invention is suitable for covering and / or treating wounds, especially infected wounds. For these reasons, the wound dressing can also be used in a method for wound therapy and / or for reducing the bacterial count in wounds.

[0134] A particularly preferred embodiment relates to a wound contact layer according to the invention, wherein the net-shaped substrate is a tulle fabric containing polyester or polyamide, and wherein the coating comprises 48 alternating layers, of which 24 layers contain hyaluronic acid and 24 layers contain the polypeptide, which is either polylysine or polyarginine, wherein in the case of polyarginine each molecule comprises 30 amino acids of the arginine type and in the case of polylysine each molecule comprises 20 to 40 amino acids of the lysine type.

[0135] In addition, the invention also relates to the use of the wound contact layer for the production of the wound dressing described above or the use of the described antimicrobial coating in a method for producing the wound contact layer.

[0136] Another aspect of the invention is a kit containing the wound contact layer according to the invention in combination with a secondary dressing. The secondary dressing should be able to fix the wound contact layer to the wound. For this purpose, the secondary dressing can, for example, have adhesive properties or be wrapped over the wound contact layer and the affected area of ​​the body.

[0137] The kit can be a package or a set.

[0138] Figures

[0139] The figures are explained in more detail below. Where reductions in germ count are shown, these are based on a decimal-logarithmic scale of the ordinate:

[0140] Fig. 1 and Fig. 2 each show a confocal microscope image (40x) of a dip-coated mesh-like substrate in the form of a polyester knit fabric, wherein the polyarginine contained in the coating was coupled with fluorescent FITC.

[0141] Figures 3 and 4 show, as bar charts, the bacterial count of P. aeruginosa (Fig. 3) and S. aureus (Fig. 4) on wound contact layers with a dip coating according to the invention (48 alternating layers of PAR30 and HA144) and on identically structured wound contact layers without a coating (control) for initial contact (t = 0, represented by black bars) and for the time after twenty-four hours (t = 24, represented by white bars). The measured values ​​are shown as mean values ​​from three repetitions. The variance of the individual measurements is symbolized by lines above the bars.

[0142] Figures 5 and 6 show, as bar charts, the bacterial count of P. aeruginosa (Fig. 5) and S. aureus (Fig. 6) on wound contact layers with a spray coating according to the invention (mixed layer of polylysine and HA144) and on identically structured wound contact layers without a coating (control, represented by black bars) at the time point after twenty-four hours (t = 24, represented by white bars). The measured values ​​are shown as mean values ​​from three repetitions. The variance of the individual measurements is symbolized by lines above the bars.

[0143] Figure 7 shows a bar chart of the number of S. aureus bacteria on spray-coated wound contact layers (six bilayers of polylysine and hyaluronic acid), using three different tulle fabrics as substrates. One of the tulle fabrics ("Trevira 613Z") without a coating served as a negative control. The colony-forming units were quantified after 24 h. An additional quantification at time t = 0 h of the negative control served as a reference value.

[0144] Examples

[0145] Example 1: Provision of materials for coating a substrate

[0146] The following materials were provided:

[0147] - Polyarginine-type polypeptides as a synthetic polymer consisting of 30 amino acids per molecule ("PAR30"), so that each molecule had a molecular mass of approximately 5.8 kDa. The polyarginine was sourced from the company "Alamanda™ Polymers". The concentration used was 0.5 mg / ml. - Polylysine-type polypeptides, which were sourced as E-poly(L-lysine) of natural origin (produced using bacteria from the family Streptomycetaceae) from the company "Biosynth®". The average molecular mass was between 3.5 and 4.5 kDa. The concentration used was 10 mg / ml.

[0148] - Hyaluronic acid consisting of 144 repetitive subunits per molecule ("HA144"). Produced via recombinant production from microorganisms. The concentration used was 0.5 mg / ml to 0.5 mg / ml. The hyaluronic acid was sourced from the company "Lifecore® Biomedical".

[0149] - Net-shaped polyester substrates made of polyethylene terephthalate in the form of a tulle fabric with a density of 1.3 - 1.4 g / cm³ 3 .

[0150] Example 2: Coating using immersion methods

[0151] The starting materials met the specifications mentioned in Example 1. The provided substrates had an area of ​​2 cm x 2 cm and were first sterilized in an autoclave. During the subsequent coating process using an immersion method, the substrates were alternately immersed in a bath containing polyarginine (“PAR30”; 0.5 mg / mL) and a bath containing hyaluronic acid (0.5 mg / mL). The first immersion step was in the polyarginine solution. Each immersion lasted 200 seconds. After each immersion step, the substrate was rinsed, also for 200 seconds, using a Tris-NaCl buffer (10 mmol Tris, 150 mmol NaCl, pH 7.4). The process was fully automated using a robot from Riegler & Kirstein GmbH. These steps were repeated until 24 double layers had been applied to the substrate.Each double layer consisted of one layer containing polyarginine and one layer containing hyaluronic acid. Thus, the finished coating comprised 48 individual layers. The coating process took approximately 13 hours in total. If necessary, the process can be shortened to less than two hours. After drying (overnight, passively at room temperature), further sterilization was performed using UV irradiation for a period of at least 30 minutes for both the proximal and distal surfaces of the wound contact layers.

[0152] Example 3: Coating by spraying. The starting materials met the specifications mentioned in Example 1. Four substrates, each with an area of ​​2.25 cm², were used. 2The coating process involved applying a spray coating solution containing E-poly(L-lysine) (10 mg / ml) and a solution containing hyaluronic acid ("HA144"; 0.5 mg / ml). Both solutions were simultaneously sprayed onto the substrate using separate nozzles on a spray gun. Spraying was carried out from a distance of 10 to 15 cm. During spraying, the spray gun was passed over each substrate ten times for one second each time, applying a total of 1.5 ml of each solution to each substrate. The surface volume of the coating solution was therefore 0.66 ml / cm². 2 Substrate surface. The coating process took 10-15 seconds. This was followed by drying (overnight, passively at room temperature).

[0153] Example 4: Visual inspection of the coating using a confocal microscope

[0154] The coating produced by the dipping process was subjected to visual inspection using a confocal microscope. For this purpose, the polyarginine contained in the coating was labeled with the fluorophore fluorescein isothiocyanate (FITC).

[0155] (PAR30-FITC). The distribution of the molecules fluoresced in this manner was examined using a Zeiss LSM 710 microscope at 40x magnification. The correct adhesion of the coating to the tulle structure of the mesh-like substrate was verified. The result is shown in the figures.

[0156] Figures 1 and 2 are shown as digitally edited photographs. As can be seen, the coating encloses the fiber structure of the knitted fabric uniformly on all sides. This suggests successful adhesion of the coating to the substrate.

[0157] Example 5: Antimicrobial effectiveness of the dip coating

[0158] Tests for the antimicrobial efficacy of the coated wound contact layers were performed using both gram-negative and gram-positive bacterial strains. A strain of Pseudomonas aeruginosa (ATTC 27853) served as the gram-negative culture, and a strain of Staphylococcus aureus (ATTC 25923) as the gram-positive culture.

[0159] The test protocol used was the standard ISO 20743:2021 (Owen L, Laird K. Development of a silver-based dual-function antimicrobial laundry additive and textile coating for the decontamination of healthcare laundry. J Appl Microbiol. 2021; 130(4): 1012-22). The test determined the reduction in the number of dividing bacterial cells (CFU) on the textile surfaces after a contact time of 0 h and 24 h. The samples were net-shaped substrates made of polyester tulle. The antimicrobial coating had been previously applied to the substrates by dipping and consisted of an alternating sequence of PAR30 and HA144 with 48 individual layers. Further details can be found in the corresponding embodiment.

[0160] Initially, the samples were tested with a bacterial baseline concentration of 1 to 3 x 10 5The samples were inoculated with CFU / ml and incubated at 37 °C. Subsequently (after 0 and 24 h), the surviving bacteria were eluted in PBS. The eluate was alternately vortexed (shaken at high frequency using a vortex generator), sonified, and vortexed again (each for 30 seconds, repeated three times). The samples were tested in both dry and moist states (after the addition of PBS) to simulate a moist wound environment. Uncoated wound contact layers with otherwise identical structure served as controls. The measurement was performed a total of three times. The determined antimicrobial activity is expressed as the mean logarithmic reduction in the number of viable bacteria compared to the control. The results are shown in Figures 3 and 4. As can be clearly seen from the figures, a strong antimicrobial effect began immediately after initial contact with the coating (0 h), and this effect was even more pronounced after 24 h.Moistening the wound contact layers with PBS had no effect on the results.

[0161] Example 6: Antimicrobial effectiveness of the spray coating

[0162] The tested wound contact layers contained a spray coating consisting of a mixed layer containing E-poly(L-lysine) (10 mg / ml) and HA144 (0.5 mg / ml). The spray coating was applied according to the corresponding embodiment described above. The antimicrobial efficacy of the spray-coated wound contact layers was tested according to ISO 20743:2021. The measurement was performed three times, and the mean values ​​were calculated. Further details on the procedure of this test can be found in the last-mentioned embodiment, with the difference that no measurements were taken for the initial contact (t = 0). The results are shown in Figures 5 and 6. As can be clearly seen from the illustrations, a pronounced antimicrobial effect was detectable after 24 hours.

[0163] Example 7: Drying of wound contact layers with sprayed-on coating

[0164] For the embodiments described above, the samples were dried overnight at room temperature after the coating process. Additionally, antimicrobial tests were conducted with spray-coated samples while still moist, as well as with spray-coated samples dried for 10 minutes at 80 °C. The spray coating was applied according to the respective embodiment and contained e-poly(L-lysine) and HA144. The observed antimicrobial effect was identical in all cases of spray coating (results not shown), leading to the conclusion that the antiseptic efficacy is maintained even with varying moisture content of the coating and after active drying.

[0165] Example 8: Sterilization of coated wound contact layers

[0166] Wound contact layers produced by immersion (see corresponding example above) were autoclaved at 120°C for 20 minutes. The samples showed no discernible abnormalities after sterilization. Subsequent testing for antimicrobial activity (see corresponding example above) also revealed no differences compared to the previous test (results not shown).

[0167] Example 9: Substrates for wound contact layers

[0168] The following substrates were provided, which are suitable for use as wound contact layers and can be equipped with the coating according to the invention:

[0169] 1) Polyamide substrate:

[0170] Fiber arrangement: knitted fabric in the form of tulle

[0171] Material: Nylon 6.6

[0172] Thickness: 0.22 mm

[0173] Area: 10 cm x 10 cm

[0174] 2) Polyethylene terephthalate substrate:

[0175] Fiber arrangement: Knitted fabric

[0176] Linear density: 76 dtex (DIN EN ISO 2060)

[0177] Elongation at break: 26% (DIN EN ISO 2062)

[0178] Strength: 37 cN / tex (DIN EN ISO 2062)

[0179] Density: 1.3 - 1.4 g / cm³ 3

[0180] Basis weight: 85 g / m² 2

[0181] 3) Substrate with elemental, non-ionic silver in the fiber structure:

[0182] Fiber arrangement: knitted fabric in the form of tulle

[0183] Material: 90% polyamide in the form of nylon 6.6 and 10% elemental silver. Thickness: 0.22 mm

[0184] Area: 10 cm x 10 cm

[0185] Basis weight: 33 g / m² 2

[0186] Example 10: Antimicrobial efficacy of wound contact layers with different net-like substrates

[0187] An antimicrobial spray coating was tested against S. aureus (ATTC 25923) on three different substrates. The spray coating, consisting of six bilayers of polylysine and hyaluronic acid, was applied robotically. The substrates were 2 x 2 cm tulle fabrics of the following three types: TIT158, TIT188, and Trevira 613Z. A 2 x 2 cm Trevira 613Z tulle fabric served as a negative control. The test protocol was a slightly modified version of the standard AATCC100, according to the following parameters:

[0188] Inoculum: 10 6 CFU / mL (in TSB)

[0189] Order volume: 100 L across multiple locations per sample

[0190] Incubation period: 24 h, with an additional incubation period of 0 h recorded for the negative control.

[0191] Following exposure, all test samples were resuspension in 10 ml of PBS (vortexing, sonication, vortexing). Bacterial quantification was performed using serial dilutions of the PBS suspension to allow for accurate counting. 100 l of each dilution were applied to a growth medium and incubated to induce colony formation. Colony-forming units (CFLIs) were counted to determine the bacterial count from each sample.

[0192] The results are shown in Fig. 7. As can be seen from the figure, the antimicrobial coating reduced the number of colony-forming units from a baseline Log™ value of approximately 5 to a final value of < 1 within 24 h compared to the negative control, regardless of the coated tulle fabric (substrate). In contrast, the number of colony-forming units in the negative control increased by two log™ to a final value of approximately 7 during the same period.

Claims

Patent claims 1. Wound contact layer comprising a net-like substrate which has a partial or complete antimicrobial coating comprising hyaluronic acid and polypeptides selected from polyarginine or polylysine or a mixture of polyarginine and polylysine.

2. Wound contact layer according to claim 1, wherein the polypeptides comprise at least ten amino acids and / or at most one hundred amino acids.

3. Wound contact layer according to one of the preceding claims, wherein the hyaluronic acid is present as a polymer mixture with different chain lengths and wherein the polymer mixture comprises polymers with a molecular weight of at least 10 kDa.

4. Wound contact layer according to one of the preceding claims, wherein the hyaluronic acid is present as a polymer mixture with different chain lengths and wherein the polymers contained in the polymer mixture have a molecular weight of at most 300 kDa.

5. Wound contact layer according to one of the preceding claims, wherein the polypeptides and the hyaluronic acid are mixed within the coating and the polypeptides are embedded in a hyaluronic acid matrix.

6. Wound contact layer according to any one of the preceding claims 1 to 4, wherein the coating comprises at least two superimposed and interconnected layers, and wherein at least one layer is present which contains the polypeptides and has a positive net charge, and at least one layer which contains the hyaluronic acid and has a negative net charge, and wherein in the superimposed layers a layer containing the polypeptides alternates with a layer containing the hyaluronic acid, so that a sequence of alternating layers is formed.

7. Wound contact layer according to claim 6, wherein the number of superimposed and interconnected layers in the coating is 10 to 100.

8. Wound contact layer according to one of the preceding claims, wherein the polypeptides have a molecular weight of 1 to 41 kDa.

9. Wound contact layer according to one of the preceding claims, wherein the coating has a thickness of 10 nm to 1000 nm.

10. Wound contact layer according to one of the preceding claims, wherein the coating is resistant to drying.

11. Wound contact layer according to one of the preceding claims, wherein the net-shaped substrate contains or consists of at least one of the following fibers: polyamide fibers, in particular nylon fibers, polyester fibers, cotton fibers, viscose fibers.

12. Wound contact layer according to one of the preceding claims, wherein the net-like substrate is a knitted fabric or tulle fabric.

13. Wound contact layer according to one of the preceding claims, wherein the net-shaped substrate is a tulle fabric containing polyester or polyamide.

14. Method for producing a wound contact layer according to any one of claims 1 to 13 comprising the following steps: i) providing a net-shaped substrate ii) spraying the net-shaped substrate with hyaluronic acid and polypeptides to form a coating comprising at least one layer, wherein the polypeptides are polyarginine and / or polylysine and wherein the at least one layer contains both the hyaluronic acid and the polypeptides.

15. Method according to claim 14, wherein the hyaluronic acid and the polypeptides are present in solution during spraying.

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