Hemostatic compositions and methods
The present invention provides methods and compositions involving resorbable hemostatic agents that have the essential absence of microfibrillar collagen. Resorbable hemostatic agents of the present invention comprise polyethylene glycol, which controls bleeding in tissue and does not delay or interfere with healing. The resorbable hemostatic agents of the present invention are biodegradable and biocompatible agents that effectively control bleeding in bone and other tissue without interfering with the subsequent healing of the tissue.
1. A resorbable hemostatic agent that does not contain microfibrillar collagen, the resorbable hemostatic agent consisting of polyethylene glycol, the polyethylene glycol consisting of from about 90% to about 95% by weight of high molecular weight to polyethylene glycol having an average molecular weight ranging from about 1000 to about 4000 and about 1% to about 10% by weight of low molecular weight polyethylene glycol having an average molecular weight ranging from about 300 to about 600 and optionally at least one of a bone growth stimulator, antimicrobial or anti-inflammatory drug.
2. A resorbable hemostatic agent according to claim 1 , wherein the bone growth stimulator is calcium hydroxyapatite or tricalcium phosphate.
3. A resorbable hemostatic agent according to claim 1 , wherein the antimicrobial is selected from a group consisting of streptomycin, tetracycline, penicillin, vancomycin, clindamycin, erythromycin, polymyxin, bacitracin, ciprofloxacin, rifampin, gentamicin, cefazolin, oxacillin, silversulfadiazine, and ampicillin.
4. A resorbable hemostatic agent that does not contain microfibrillar collagen consisting of between about 90% to about 95% by weight of high molecular weight polyethylene glycol having an average molecular weight ranging from about 1000 to about 4000 and between about 1% to about 10% by weight of low molecular weight polyethylene glycol having an average molecular weight ranging from about 300 to about 600; a bone growth stimulator selected from the group consisting of hydroxyapatite, tricalcium phosphate or bone growth factor, and optionally at least one antimicrobial or anti-inflammatory drug.
5. A resorbable hemostatic agent according to claim 4 , wherein the antimicrobial is selected from a group consisting of streptomycin, tetracycline, penicillin, vancomycin, clindamycin, erythromycin, polymyxin, bacitracin, ciprofloxacin, rifampin, gentamicin, cefazolin, oxacillin, silversulfadiazine and ampicillin.
6. A method for treating defects in dense tissue, comprising applying to the defect a resorbable hemostatic agent that does not contain microfibrillar collagen, the hemostatic agent consisting of from about 90% to about 95% by weight high molecular weight polyethylene glycol having an average molecular weight ranging from about 1000 to about 4000 and between about 1% to about 10% by weight low molecular weight polyethylene glycol having an average molecular weight ranging from about 300 to about 600.
7. A method according to claim 6 , wherein the dense tissue is muscle, cartilage or bone.
8. A method for promoting bone growth in a mammal in need of bone repair, comprising applying to the bone a resorbable hemostatic agent that does not contain microfibrillar collagen, the resorbable hemostatic agent consisting 01 between about 90% to about 95% by weight high molecular weight polyethylene glycol having an average molecular weight ranging from about 1000 to about 4000 and between about 1% to about 10% by weight low molecular weight polyethylene glycol having an average molecular weight ranging from about 300 to about 600 and a bone growth stimulator selected from the group consisting of hydroxyapatite or tricalcium phosphate.
9. A resorbable hemostatic agent according to claim 1 , wherein the polyethylene glycol is polyethylene glycol 1450 and polyethylene glycol 400.
10. A resorbable hemostatic agent according to claim 4 , wherein the polyethylene glycol is polyethylene glycol 1450 and polyethylene glycol 400.
11. A method according to claim 6 , wherein the polyethylene glycol is polyethylene glycol 1450 and polyethylene glycol 400.
12. A resorbable hemostatic agent composition, consisting of between 70% to about 95% by weight of high molecular weight polyethylene glycol having an average molecular weight ranging from about 1000 to about 4000 and about 1% to 30% by weight of low molecular weight polyethylene glycol having an average molecular weight ranging from about 300 to about 600 and optionally at least one of a bone growth stimulator, antimicrobial or anti-inflammatory drug.
13. A resorbable hemostatic agent composition according to claim 12 , wherein the polyethylene glycol is polyethylene glycol 1450 and polyethylene glycol 400.
14. A resorbable hemostatic agent composition according to claim 12 , wherein the bone growth stimulator is calcium hydroxyapatite or tricalcium phosphate.
15. A resorbable hemostatic agent composition according to claim 12 , wherein the antimicrobial is selected from a group consisting of streptomycin, tetracycline, penicillin, vancomycin, clindamycin, erythromycin, polymyxin, bacitracin, ciprofloxacin, rifampin, gentamicin, cefazolin, oxacillin, silversulfadiazine, and ampicillin.
16. A resorbable hemostatic agent composition consisting of about 90% to about 95% by weight of high molecular weight polyethylene glycol having an average molecular weight ranging from about 1000 to about 4000 and about 1% to 10% by weight of low molecular weight polyethylene glycol having an average molecular weight ranging from about 300 to about 600.