Bioactive substance in a barbed suture
Barbed surgical sutures are prepared with a bioactive agent thereon. In embodiments, the bioactive agent may be an antimicrobial or clotting agent deposited within the angle formed by the barb and the suture body. Placement of the bioactive agent in the angle between the barb and suture body enhances the delivery of the bioactive agent to wound tissue at the point of contact.
1. A surgical suture comprising:
an elongated body including barbs projecting at an angle from the elongated body; and
a bioactive agent deposited solely within the angle between the barbs and the elongated body, the amount of the bioactive agent being from about 0.01% by weight to about 2% by weight of the suture.
2. The surgical suture of claim 1 , wherein the barbs are aligned in a same direction along the elongated body.
3. The surgical suture of claim 1 , wherein the barbs on a first portion of the elongated body are aligned in a first direction and the barbs on a second portion of the elongated body are aligned in a second direction.
4. The surgical suture of claim 1 , wherein the bioactive agent is selected from the group consisting of biocidal agents, antimicrobial agents, medicaments, growth factors, anti-clotting agents, clotting agents, analgesics, anesthetics, anti-inflammatory agents, wound repair agents, chemotherapeutics, biologics, protein therapeutics, antibodies, DNA, RNA, peptides, polysaccharides, lectins, lipids, anti-angiogenic drugs, polymeric drugs, and combinations thereof.
5. The surgical suture of claim 4 , wherein the antimicrobial agent is selected from the group consisting of antibiotics, antiseptics, disinfectants, and combinations thereof.
6. The surgical suture of claim 5 , wherein the antimicrobial agent is an antiseptic selected from the group consisting of hexachlorophene, chlorhexidine, cyclohexidine, iodine, povidone-iodine, p-chloro-m-xylenol, triclosan, nitrofurantoin, nitrofurazone, methenamine, glutaraldehyde, formaldehyde, alcohols, and combinations thereof.
7. The surgical suture of claim 4 , wherein the antimicrobial agent is selected from the group consisting of anthracycline, doxorubicin, mitoxantrone, a fluoropyrimidine, 5-fluorouracil, a folic acid antagonist, methotrexate, podophylotoxin, etoposide, camptothecin, hydroxyurea, a platinum complex, cisplatin, doxycycline, metronidazole, trimethoprim-sulfamethoxazole, rifamycins, rifampin, polyvinyl pyrrolidone, fourth generation penicillins and analogues and derivatives thereof, a first generation cephalosporins and analogues and derivatives thereof, a second generation cephalosporin and analogues and derivatives thereof, a third generation cephalosporin and analogues and derivatives thereof, a fourth generation cephalosporin and analogues and derivatives thereof, a monobactam, a carbapenem, an aminoglycoside, a macrolide, a lincosamide, a streptogramin, erythromycin, azithromycin, clindamycin, syneroid, clarithromycin, kanamycin sulfate, tetracyclines, fusidic acid, trimethoprim, metronidazole, a quinolone, a DNA synthesis inhibitor, a sulfonamide, beta-lactam inhibitors, chloramphenicol, glycopeptides, mupirocin, polyenes, azoles, and combinations thereof.
8. The surgical suture of claim 4 , wherein the chemotherapeutic is selected from the group consisting of doxorubicin, paclitaxel, camptothecin, polyglutamate-PTX, N-(2-hydroxypropyl)methacrylamide copolymer, anthracycline, letrozole, anastrozole, epidermal growth factor receptor inhibitors, tyrosine kinase inhibitors, modulators of apoptosis, anthracycline antibiotics, daunorubicin, doxorubicin, alkylating agents, cyclophosphamide, melphalan, antimetabolites, methotrexate, 5-fluorouracil, poly(ethylene glycol), poly(glutamic acid), polysaccharides, polymer-drug conjugates thereof, copolymers thereof, and combinations thereof.
9. The surgical suture of claim 4 , wherein the clotting agent is selected from the group consisting of human growth factors, magainin, plasminogen activator, superoxide dismutase, tumor necrosis factor, colony stimulating factor, interferon, interleukin-2, lymphokines, fibrin, chitosin, silk, talc, polylysine, fibronectin, bleomycin and analogues and derivatives thereof, collagen, metallic beryllium and oxides thereof, copper, saracin, silica, crystalline silicates, quartz dust, talcum powder, ethanol, extracellular matrix, fibrinogen, poly(ethylene terephthalate), poly(ethylene-co-vinylacetate), cyanoacrylate, cytokines, dexamethasone, isotretinoin, estradiols, diethylstibesterol, cyclosporine a, all-trans retinoic acid and analogues and derivatives thereof, wool, cotton, polyurethane, polytetrafluoroethylene, poly(alkylcyanoacrylate), activin, angiopoietin, colony-stimulating factor, erythropoietin, endothelin-1, angiotensin II, bromocriptine, methylsergide, fibrosin, glycoproteins, proteoglycan, hyaluronan, secreted protein acidic and rich in cysteine, a thrombospondin, tenacin, a cell adhesion molecule, an inhibitor of matrix metalloproteinase, methotrexate, carbon tetrachloride, thioacetamide, superoxide dismutase, tumor necrosis factor, colony stimulating factor, platelet rich plasma, thrombin, and combinations thereof.
10. The surgical suture of claim 4 , wherein the polymer drug is selected from the group consisting of steroidal anti-inflammatory agents, non-steroidal anti-inflammatory agents, and combinations thereof.
11. The surgical suture of claim 10 , wherein the non-steroidal anti-inflammatory agent is selected from the group consisting of aspirin, indomethacin, ibuprofen, phenylbutazone, diflusinal, and combinations thereof.
12. The surgical suture of claim 10 , wherein the steroidal anti-inflammatory agent is selected from the group consisting of glucocorticoids, cortisone, hydrocortisone, betamethasone, dexamethasone, fluprednisolone, prednisone, methylprednisolone, prednisolone, triamcinolone, paramethasone, and combinations thereof.
13. The surgical suture of claim 1 , wherein the elongate body is made from a material selected from the group consisting of degradable materials, non-degradable materials, and combinations thereof.
14. The surgical suture of claim 1 , wherein the elongate body comprises a degradable material selected from the group consisting of trimethylene carbonate, tetramethylene carbonate, caprolactone, valerolactone, dioxanone, glycolic acid, lactic acid, glycolide, polyanhydrides, polyesters, polyacrylates, polymethylmethacrylates, polyurethanes, polyorthoester, polyhydroxy alkanoates, polyhydroxy butyrate, lactide, homopolymers thereof, copolymers thereof, and combinations thereof.
15. The surgical suture of claim 1 , wherein the elongate body comprises a non-degradable material selected from the group consisting of polyethylene, polypropylene, copolymers of polyethylene and polypropylene, blends of polyethylene and polypropylene, polyethylene terephthalate, polytetrafluoroethylene, polybutester, polytetramethylene ether glycol, 1,4-butanediol, silk, collagen, ultrahigh molecular weight polyethylene, and combinations thereof.
16. The surgical suture of claim 1 , further comprising a coating on at least a portion of the suture.
17. The surgical suture of claim 16 , wherein the coating comprises a degradable polymer.
18. The surgical suture of claim 16 , wherein the coating is selected from the group consisting of trimethylene carbonate, tetramethylene carbonate, caprolactone, valerolactone, dioxanone, glycolic acid, lactic acid, glycolide, polyanhydrides, polyesters, polyacrylates, polymethylmethacrylates, polyurethanes, polyorthoester, polyhydroxy alkanoates, polyhydroxy butyrate, lactide, polymer drugs, homopolymers thereof, copolymers thereof, and combinations thereof.
19. The surgical suture of claim 16 , wherein the coating further comprises at least one monomer selected from the group consisting of alkylene carbonates, dioxanones, dioxepanones, degradable cyclic amides, degradable cyclic ether-esters derived from crown ethers, alpha hydroxyacids, beta hydroxyacids, polyalkyl ethers, polyvinyl pyrrolidone, hydroxyethylmethacrylate, phosphorylcholine, acrylic acid, methacrylic acid, vinyl monomers, vinyl alcohols, vinyl acetate, and combinations thereof.
20. The surgical suture of claim 16 , wherein the coating further comprises one or more fatty acid components selected from the group consisting of fatty acids, fatty acid salts, and salts of fatty acid esters.
21. The surgical suture of claim 1 , wherein the angle between the barbs and the suture body is less than 90 degrees.
22. The surgical suture of claim 1 , wherein the barbs are integrally formed with the elongated body.
23. A method comprising closing a wound with a suture of claim 1 .
24. The method of claim 23 , wherein the suture is affixed to a needle.