Hemostatic microspheres
Provided herein are hemostatic compositions. In one embodiment, the hemostatic composition includes cross-linked polymer microspheres, such as cross-linked gelatin microspheres with pores. In another embodiment, the hemostatic composition comprises an additive such as a wetting agent, a suspending agent, or both. The hemostatic compositions may also include a hemostatic agent such as thrombin, and may include a high concentration of thrombin. The hemostatic compositions may also include plasma. Also provided herein are devices for dispersing said hemostatic compositions in a diluent, and delivering said dispersed hemostatic composition. The hemostatic compositions may also fabricated with a selected geometry as administration suggests.
1. A method for preparing a hemostatic composition comprising the steps of:
(a) obtaining a plurality of porous cross-linked gelatin microspheres;
(b) mixing the porous gelatin microspheres with a wetting agent and a suspending agent,
wherein the wetting agent and the suspending agent are present in a ratio of microspheres:the wetting agent and the suspending agent of 3:1 to 60:1 (w/w),
wherein the wetting agent is poloxamer 188 and the suspending agent is carboxymethylcellulose,
wherein the porous cross-linked gelatin microspheres has a diameter from about 50 μm to about 500 μm, inclusive, and
wherein the pores of the porous cross-linked gelatin microspheres have a pore diameter from about 15 μm to about 25 μm, inclusive.
2. The method of claim 1 , further comprising the step of: mixing the porous gelatin microspheres with a diluent, wherein said diluent, optionally, comprises or consists of plasma.
3. The method of claim 1 , wherein the porous gelatin microspheres are chemically cross-linked, dehydrothermally cross-linked, or cross-linked via irradiation.
4. The method of claim 1 , wherein the porous gelatin microspheres have a diameter from about 110 μm to about 400 μm, inclusive.
5. The method of claim 1 , wherein the hemostatic composition is present within the barrel of a syringe.
6. The method of claim 2 , wherein the diluent is present in the barrel of a syringe.
7. The method of claim 2 , wherein the hemostatic composition is present in a first barrel of a syringe and the diluent is present in a second barrel of a syringe and the hemostatic composition and the diluent are mixed by interconnecting the barrels and passing back and forth the contents of the barrels.
8. The method of claim 1 , wherein the method further comprises the step of adding a thrombin to the porous gelatin microspheres of step (a) or the mixture of step (b).
9. The method of claim 8 , wherein the thrombin concentration is in a range of about 1,000 IU to about 2,000 IU per mL of rehydrated microsphere gel, inclusive.
10. The method of claim 8 , wherein the thrombin concentration is in a range of about 1,000 IU to about 5,000 IU per mL of rehydrated microsphere gel, inclusive.
11. The method of claim 8 , wherein the thrombin concentration is in a range of about 5,000 IU to about 50,000 IU per mL of rehydrated microsphere gel, inclusive.
12. A method for delivering a hemostatic composition to a site of a body of a mammal requiring hemostasis, comprising the steps of:
providing a hemostatic composition comprising a plurality of porous cross-linked gelatin microspheres, wherein the composition also comprises a wetting agent and a suspending agent; and
applying said hemostatic composition to a site of a body of a mammal requiring hemostasis,
wherein the wetting agent and the suspending agent are present in a ratio of microspheres:the wetting agent and the suspending agent of 3:1 to 60:1 (w/w),
wherein the wetting agent is poloxamer 188 and the suspending agent is carboxymethylcellulose,
wherein the porous cross-linked gelatin microspheres have a diameter from about 50 μm to about 500 μm when fully hydrated, and
wherein the pores of the porous cross-linked gelatin microspheres have a pore diameter from about 15 μm to about 25 μm, inclusive.
13. The method of claim 12 , wherein the porous gelatin microspheres are chemically cross-linked, dehydrothermally cross-linked, or cross-linked via irradiation.
14. The method of claim 12 , wherein said cross-linked gelatin microsphere has a diameter from about 110 μm to about 400 μm when fully hydrated.
15. The method of claim 12 , wherein the hemostatic composition is a dry powder.
16. The method of claim 12 , wherein the hemostatic composition is a paste that is at least partially hydrated.
17. The method of claim 16 , wherein the hemostatic composition is hydrated with a diluent that comprises plasma.
18. The method of claim 12 , wherein the hemostatic composition is present within the barrel of a syringe.
19. The method of claim 12 , wherein the method further comprises the step of adding thrombin to the hemostatic composition before or at the time of administering.
20. The method of claim 19 , wherein the thrombin concentration is in a range of about 1,000 IU to about 2,000 IU per mL of rehydrated microsphere gel, inclusive.
21. The method of claim 19 , wherein the thrombin concentration is in a range of about 1,000 IU to about 5,000 IU per mL of rehydrated microsphere gel, inclusive.
22. The method of claim 19 , wherein the thrombin concentration is in a range of about 5,000 IU to about 50,000 IU per mL of rehydrated microsphere gel, inclusive.