Processes For Mixing Fibrinogen and Thrombin Under Conditions That Minimize Fibrin Formation While Preserving Fibrin-forming Ability, Compositions Produced by These Processes, and the Use Thereof
Fibrin Sealant products are used for topical hemostasis and tissue adherence. They are composed of two main reagents, fibrinogen and thrombin. When mixed in solution fibrinogen is converted to fibrin upon the addition of activated thrombin. Therefore typically these two components are stored separately in a lyophilized or liquid state, and mixed, upon or immediately before, application to a patient. While effective, these products require significant preparation that must take place immediately before application, thus delaying treatment and limiting the use of these haemostatic products to the treatment of mild forms of low pressure and low volume bleeding. Attempts to eliminate this delay and expand the usefulness and effectiveness of these products have resulted in products produced by processes that require the separation of these components and their deposition in distinct layers within the product. The processes described herein permit the mixing of fibrinogen and thrombin during product manufacture, without excessive fibrin formation. The resulting ‘pre-mixed’ fibrin sealant material can then be stored in either a frozen or dried state, or suspended in a non-aqueous environment. Activation of the material to form therapeutic fibrin sealant is accomplished by permitting the product to thaw (if frozen) or by the addition of water or other aqueous fluid, including blood, or other bodily fluids, if dried or suspended in a non-aqueous environment. The resulting material can be used to make a product in which a pre-mixed form of activatable fibrin sealant is a desired component.
1 . A haemostatic composition comprising a frozen mixture of fibrinogen and thrombin, with or without Factor XIII, which contains insufficient fibrin to prohibit its effective use as a haemostatic agent, and which further retains the ability to convert sufficient fibrinogen to fibrin upon thawing to provide effective hemostasis.
2 . The composition of claim 1 , wherein the composition further comprises one or more foaming agents.
3 . The composition of claim 1 , wherein any of the proteinaceous components may originate in an animal species such as human, porcine, bovine, equine, caprine and piscine.
4 . The composition of claim 1 , wherein the composition further comprises one or more filler materials.
5 . The composition of claim 1 , wherein the composition further comprises one or more binding materials.
6 . The composition of claim 1 , wherein the compositions are substantially free of pathogens, such as bacteria, molds, spores, viruses and prions.
7 . The composition of claim 1 , wherein the composition further comprises one or more drugs or biologicals of therapeutic use.
8 . The composition of claim 1 , wherein the composition further comprises one or more solubilizing agents.
9 . The composition of claim 1 , wherein the composition further comprises one or more release agents.
10 . A method for producing a haemostatic composition comprising a mixture of fibrinogen and thrombin, with or without Factor XIII, which contains insufficient fibrin to prohibit its effective use as a haemostatic agent, and which further retains the ability to convert sufficient fibrinogen to fibrin upon thawing to provide effective hemostasis, said method comprising the steps of: (i) filling a suitable mold with the mixture components; and (ii) applying sufficient cooling to the mold and/or to the mixture components so as to freeze the mixture into a monolithic mass before excess fibrin formation occurs.
11 . A haemostatic monolithic dressing for treating wounded tissue in a patient which comprises an effective mixture of dried fibrinogen and thrombin, with or without Factor XIII, which contains insufficient fibrin to prohibit its effective use as a haemostatic agent, and which further retains the ability to convert sufficient fibrinogen to fibrin, upon application to or mixing with a bodily fluid or an exogenous aqueous fluid and/or upon application to injured tissue, to provide effective hemostasis.
12 . A method of treating wounded tissue, which comprises applying to said wounded tissue a monolithic haemostatic dressing according to claim 11 .
13 . A method for treating an injured patient comprising applying the haemostatic composition of claim 1 to an injured tissue in need of therapy.