Cement products and methods of making and using the same
View Patent ↗Disclosed are cement products, methods of forming cement using the cement product, and methods of using the cement product in orthopedic and dental applications. Generally, the disclosed cement product includes a first component and a second component. The first component comprises a polymerizable resin comprising ethylenic unsaturated double bond, a suitable glycidyl group and/or a suitable isocyanate group. The second component includes a compound comprising more than one type of amine selected from the group consisting of primary amine, secondary amines, tertiary amines and quaternary amines. Alternatively, the second component includes a compound comprising a suitable mercapto (SH—) group, a hindered amine or a dimethylthiotoluenediamine (DMTDA). Optionally, the cement product includes a filler and/or a bioactive component to promote bone formation.
1. A method of treating a patient in need of treatment for a bone defect, comprising
(i) providing a first component and a second component, wherein the first component comprises a di-acrylate resin, a tri-acrylate resin, a tetra-acrylate resin or a combination thereof, and the second component comprises an aliphatic polyamine containing primary and secondary amine groups and not containing tertiary amine groups, wherein the ratio of primary to secondary amine groups in the aliphatic polyamine is 2, and wherein the first component and second component are capable of reacting with each other in a polymerization reaction to produce a cement;
(ii) mixing the first component and second component at room temperature to form a cement, wherein such mixing does not exceed a maximum temperature of 50° C. for a period of one minute;
(iii) flowing the cement into voids or crevices within the defective bone of the patient or in between the defective bone of the patient and tissue or an implant, and
(iv) allowing the cement to set and thereby repairing the bone defect in the patient;
wherein the cement has a viscosity suitable for injection through a 4 to 18 gauge needle,
wherein the time to 50% of maximum compression strength of the cement is about 1 hour, and
wherein the cement maintains at least from about 5% to about 50% of initial strength for at least 6 months.
2. The method of claim 1 , wherein the first component and the second component are each packaged in (i) a separate chamber of the same container or (ii) a separate container.
3. The method of claim 2 , wherein (i) the same container is adapted for injecting cement formed from the first and second component or (ii) each separate container is adapted for injecting cement formed from the first and second component.
4. The method of claim 1 , wherein the patient has a bony defect or fracture.
5. The method of claim 4 , wherein the bony defect is due to osteoporosis, stress fracture, traumatic fracture, compression fracture, and combinations thereof.
6. The method of claim 5 , wherein the bone defect is a vertebral bone defect due to trauma or osteoporosis.
7. The method of claim 1 , wherein the patient is in need of an implant.
8. The method of claim 1 , wherein the first component comprises a combination of a di-acrylate resin and either a tri-acrylate resin or a tetra-acrylate resin.
9. The method of claim 1 , wherein the polyamine is spermidine.
10. The method of claim 1 , wherein the first component comprising a multi-functional acrylate is selected from the group consisting of ethoxylated (2) bisphenol A diacrylate, bisphenol A glycerolate (1-glycerol/phenol)diacrylate, diethyleneglycol diacrylate, dipropyleneglycol diacrylate, 1,3-butyleneglycol diacrylate, 1,4-butanediol diacrylate, 1,6-hexanediol diacrylate, trimethylolpropane benzoate diacrylate, glyceryl propoxy triacrylate, pentaerythritol triacrylate, pentaerythritol tetraacrylate, tris(2-hydroxyethyl)isocyanurate triacrylate, trimethylolpropane triacrylate, and mixtures thereof.
11. The method of claim 1 , wherein each of the first component and second component further comprise alpha-tricalcium phosphate having a particle size of 30 microns or less and wherein the amount of tricalcium phosphate is about 50% to about 80% by weight of the cement product.
12. The method of claim 1 , wherein the working time for the reaction between the first component and second component to produce a cement is about 10 minutes.