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    • 7. 发明申请
    • CROSSLINKED GELS COMPRISING POLYALKYLENEIMINES, AND THEIR USES AS MEDICAL DEVICES
    • 含有聚氨基甲酸酯的交联凝胶及其作为医疗器械的用途
    • WO2007082061A3
    • 2008-09-18
    • PCT/US2007000819
    • 2007-01-11
    • HYPERBRANCH MEDICAL TECHNOLOGYSTOCKMAN KENNETH ECARNAHAN MICHAEL AD ALESSIO KEITH RGRINSTAFF MARK W
    • STOCKMAN KENNETH ECARNAHAN MICHAEL AD ALESSIO KEITH RGRINSTAFF MARK W
    • A61L24/04
    • A61L26/0019A61B2017/0065A61B2017/00951A61K31/785A61K31/787A61K51/1279A61L24/0031A61L24/0036A61L24/043A61L24/046A61L26/0052A61L26/008A61L26/0085A61L27/18A61L27/26A61L27/52A61L27/56C08L79/02
    • One aspect of the present invention generally relates to methods of sealing a wound or tissue plane or filling a void splace. In a preferred embodiment, the wound is an ophthalmic, pleural or dural wound. In certain instances, the compositions used to seal the wound or tissue plane comprises a polyalkyleneimine. In a prefered embodiment, the polyalkyleneimine is polyethyleneimine. Treatment of the polyethyleneimine with a cross-linking reagent causes the polyethyleneimine polymers to polymerize forming a seal. In certain instances, the cross-linking reagent is a polyethylene glycol having reactive terminal groups. In certain instances, the reactive terminal groups are activated esters, such as N-hydroxy succinimide ester. In certain instances, the reactive terminal groups are isocyanates. In certain instances, the polyethyleneimine has a lysine, cysteine, isocysteine or other nucleophilic group attached to the periphery of the polymer. In certain instances, the polyethyleneimine is mixed with a second polymer, such as a polyethylene glycol containing nucleophilic groups. In certain instances, the compositions used to seal the wound or tissue plane are formed by reacting a polyalkyleneimine bearing electrophilic groups with a cross-linking reagent containing nucleophilic groups. In certain instances, the electrophilic groups on the polyalkyleneimine are activated esters, such as N-hydroxy succinimide ester. In certain instances, the compositions used to seal the wound or tissue plane are formed by reacting a polyalkyleneimine bearing photopolymerizable groups with ultraviolet or visibile light.
    • 本发明的一个方面通常涉及密封伤口或组织平面或填充空隙的方法。 在优选的实施方案中,伤口是眼,胸膜或硬膜伤口。 在某些情况下,用于密封伤口或组织平面的组合物包含聚亚烷基亚胺。 在优选的实施方案中,聚亚烷基亚胺是聚乙烯亚胺。 用交联剂处理聚乙烯亚胺使聚乙烯亚胺聚合物聚合形成密封。 在某些情况下,交联剂是具有反应性末端基团的聚乙二醇。 在某些情况下,反应性末端基团是活化酯,例如N-羟基琥珀酰亚胺酯。 在某些情况下,反应性末端基团是异氰酸酯。 在某些情况下,聚乙烯亚胺具有连接到聚合物周边的赖氨酸,半胱氨酸,异半胱氨酸或其它亲核基团。 在某些情况下,将聚乙烯亚胺与含有亲核基团的第二聚合物如聚乙二醇混合。 在某些情况下,用于密封伤口或组织平面的组合物是通过使具有亲电子基团的聚亚烷基亚胺与含有亲核基团的交联剂反应形成的。 在某些情况下,聚亚烷基亚胺上的亲电基团是活化的酯,例如N-羟基琥珀酰亚胺酯。 在某些情况下,用于密封伤口或组织平面的组合物是通过使含有聚亚烷基亚胺的可光聚合基团与紫外线或可见光反应而形成的。