Tissue substitute multilayer matrix and uses thereof
Compositions-of-matter comprising a matrix made of one or more, preferably two or more elastic layers and one or more viscoelastic layer are disclosed. The compositions-of-matter are characterized by high water-impermeability and optionally by self-recovery. Processes of preparing the compositions-of-matter and uses thereof as tissue substitutes or for repairing damaged tissues are also disclosed.
1. An article-of-manufacture comprising a multi-layer, suturable and/or stapleable matrix, said matrix comprising at least one layer of an elastic polymeric material characterized by a recovery of at least 75%, at least one layer of a viscoelastic polymeric material,
wherein said layer of a viscoelastic polymeric material is characterized by at least one of:
a) a storage shear modulus (G′) in a range of from 0.01 to 10 MPa, at a temperature of 10° C. and frequency of 0.1 Hz;
b) a loss shear modulus (G″) in a range of from 0.0001 to 2 MPa, at a temperature of 10° C. and frequency of 0.1 Hz;
c) a glass transition temperature and/or melting point of said viscoelastic polymeric material which is at a temperature below 40° C.; and
d) a loss tangent (G″/G′) at a temperature of 10° C. and frequency of 0.1 Hz which is in a range of from 0.02 to 1,
and wherein said layer of an elastic polymeric material is characterized by at least one of:
a) an elastic modulus in a range of from 1 kPa to 10 MPa, as determined in accordance with ASTM international standard D882-12;
b) an elongation at failure in a range of at least 100%; and
c) a glass transition temperature and/or melting point of said elastic polymeric material which is at a temperature above 40° C.
2. The article-of-manufacture of claim 1 , wherein said at least one layer of an elastic polymeric material is a tissue-adhesive layer.
3. The article-of-manufacture of claim 1 , wherein said elastic polymeric material comprises a polymer selected from the group consisting of: poly(N-isopropylacrylamide), poly(acrylic acid), poly(amino acid) polysaccharide, poly(vinyl acetate), poly(vinyl pyrrolidone), polyester, polyanhydride, polyacetal, polyorthoester, polyurethane, polycarbonate, polyphosphazene, polyphosphoester, and polyether or any combination or copolymer thereof; and wherein said viscoelastic polymeric material comprises poly(lactic acid-co-ε-caprolactone.
4. The article-of-manufacture of claim 3 , wherein said polyester is selected from the group consisting of poly(lactic acid), poly(ε-caprolactone), poly(glycolic acid), poly(trimethylene carbonate), poly(ethylene terephthalate), and polydioxanone or any combination or copolymer thereof.
5. The article-of-manufacture of claim 1 , further comprising an additional layer, wherein said additional layer is any of a tissue-adhesive layer, a layer of the elastic polymeric material or both.
6. The article-of-manufacture of claim 5 , wherein any one of said additional layer and said at least one layer of the elastic polymeric material is a tissue adhesive layer comprising a tissue-adhesive group.
7. The article-of-manufacture of claim 6 , wherein the tissue-adhesive group is selected from the group consisting of: imido ester, p-nitrophenyl carbonate, N-hydroxysuccinimide (NHS) ester, epoxide, isocyanate, acrylate, vinyl sulfone, orthopyridyl-disulfide, maleimide, aldehyde, and iodoacetamide group or any combination thereof, and wherein said adhesive layer is characterized by adhesion strength in a range of from 10 to 30 kPa.
8. The article-of-manufacture of claim 5 , wherein any one of said additional layer and said at least one layer of an elastic polymeric material is in a form of a porous layer of electrospun fibers.
9. The article-of-manufacture of claim 5 , wherein any one of said additional layer and said at least one layer of an elastic polymeric material is characterized by porosity in a range of from 0 to 50%.
10. The article-of-manufacture of claim 1 , wherein said suturable and/or stapleable matrix is capable of self-recovery.
11. The article-of-manufacture of claim 1 , being identified for use in a treatment of a disorder selected from the group consisting of dural repair, hernia repair, internal and/or topical wound closure, skin closure and/or repair, sealing tissues and/or organs in order to contain bodily fluids or air, sealing an anastomosis, inhibition of post-surgical adhesions between tissues, promotion of hemostasis, and administration of a therapeutically effective agent.
12. A method of repairing and/or substituting a biological tissue in a subject in need thereof, the method comprising contacting the biological tissue with the article-of-manufacture of claim 1 , thereby repairing and/or substituting the biological tissue.
13. The method of claim 12 , wherein said repairing and/or substituting a biological tissue comprises adhesion to at least one biological tissue.
14. A process for preparing the article-of-manufacture of claim 1 , the process comprising forming at least one layer of an elastic polymeric material, at least one layer of a polymeric viscoelastic layer, by continuous electrospinning.
15. The process of claim 14 , the process further comprising placing said at least one layer of a viscoelastic polymeric material parallel to said at least one layer of an elastic polymeric material, and pressing said at least one layer of an elastic polymeric material, said at least one layer of a viscoelastic polymeric material together, thereby forming said article-of-manufacture.
16. The article-of-manufacture of claim 1 , being characterized by at least one property selected from:
ultimate tensile strength of between 0.5 and 7 MPa, when measured according to ASTM D882-12;
elongation at failure from 100% to 1000%, when measured according to ASTM D882-12;
suture retention of at least IN, when measured according to ANSI/AAMI/ISO 7198:1998/2001/(R) 2004; and
water-permeability of less than 1 ml per hour per cm2 upon exposure to an aqueous liquid at a pressure of 40 mmHg.