Medical devices containing compositions of poly(butylene succinate) and copolymers thereof
Resorbable implants, coverings and receptacles comprising poly(butylene succinate) and copolymers thereof have been developed. The implants are preferably sterilized, and contain less than 20 endotoxin units per device as determined by the limulus amebocyte lysate (LAL) assay, and are particularly suitable for use in procedures where prolonged strength retention is necessary, and can include one or more bioactive agents. The implants may be made from fibers and meshes of poly(butylene succinate) and copolymers thereof, or by 3d printing molding, pultrusion or other melt or solvent processing method. The implants, or the fibers preset therein, may be oriented. These coverings and receptacles may be used to hold, or partially/fully cover, devices such as pacemakers and neurostimulators. The coverings, receptacles and implants described herein, may be made from meshes, webs, lattices, non-wovens, films, fibers, foams, molded, pultruded, machined and 3D printed forms.
1. An implant comprising a polymeric composition, wherein the polymeric composition comprises a 1,4-butanediol unit and a succinic acid unit, wherein:
(a) the polymeric composition has a weight average molecular weight of 75,000 to 250,000 Da,
(b) the implant has been formed at least in part by melt processing of the polymeric composition; and
(c) the implant is a mesh.
2. The implant of claim 1 , wherein the polymeric composition has a weight average molecular weight of 150,000 to 250,000 Da.
3. The implant of claim 1 , wherein the polymeric composition has a polydispersity between 1 and 10.
4. The implant of claim 3 , wherein the polymeric composition has a polydispersity between 2 and 8.
5. The implant of claim 1 , wherein the implant has one or more of the following properties:
(i) a tensile strength of 400 MPa to 2,000 MPa,
(ii) Young's Modulus of 600 MPa to 5 Gpa,
(iii) elongation to break of 10 to 150%,
(iv) tenacity greater than 4 grams per denier but less than 14 grams per denier, an elongation to break of between 15% and 50%, and a denier per filament between 1 and 10 when the implant comprises a multifilament yarn,
(v) tensile strength between 400 MPa and 1200 MPa, a Young's Modulus of less than 5.0 Gpa, and an elongation to break of 10% to 50% when the implant comprises a monofilament fiber,
(vi) a burst strength of 0.1 to 100 kgf, suture pullout strength of at least 5 N, or 0.5-20 kgf, areal density of 5 to 800 g/m 2 , thickness of 0.05-5 mm, pores with average pore diameters between 5 μm and 5 mm, Taber stiffness of 0.01-19 TSU, tear resistance of 0.1 to 40 kgf, and pore size between 0.001 to 10 mm 2 , when the implant is a monofilament mesh, multifilament mesh, woven mesh, or nonwoven mesh.
6. The implant of claim 1 , wherein the implants are formed at least in part by melt extrusion, melt blowing, melt spinning, film extrusion, tube extrusion, spunbonding, fused filament fabrication, fused pellet deposition, or melt extrusion deposition.
7. The implant of claim 1 , wherein the implants are formed, at least in part, by orienting the polymeric composition after melt processing.
8. The implants of claim 7 , wherein the implants have one or more of the following properties:
(i) a tensile strength of 400 MPa to 2,000 MPa,
(ii) Young's Modulus of 600 MPa to 5 GPa,
(iii) elongation to break of 10 to 150%,
(iv) tenacity greater than 4 grams per denier but less than 14 grams per denier, an elongation to break of between 15% and 50%, and a denier per filament between 1 and 10 when the implant comprises a multifilament yarn,
(v) tensile strength between 400 MPa and 1200 MPa, a Young's Modulus of less than 5.0 GPa, and an elongation to break of 10% to 50% when the implant comprises a monofilament fiber,
(vi) a burst strength of 0.1 to 100 kgf, suture pullout strength of at least 5 N, or 0.5-20 kgf, areal density of 5 to 800 g/m 2 , thickness of 0.05-5 mm, pores with average pore diameters between 5 μm and 5 mm, Taber stiffness of 0.01-19 TSU, tear resistance of 0.1 to 40 kgf, and pore size between 0.001 to 10 mm 2 , when the implant is a monofilament mesh, multifilament mesh, woven mesh, or nonwoven mesh.
9. The implant of claim 1 , wherein the implant is selected from the group comprising: surgical mesh, mesh suture, hernia repair device, breast reconstruction device, mastopexy implant, sling, ligament or tendon repair device, cardiovascular patch, and device for lifting tissues.
10. An implant comprising a polymeric composition, wherein the polymeric composition comprises a 1,4-butanediol unit and a succinic acid unit, wherein:
(a) the polymeric composition has a weight average molecular weight of 20,000 to 250,000 Da, and
(b) the polymeric composition has not been oriented during processing of the implant.
11. The implant of claim 10 , wherein the polymeric composition has a weight average molecular weight of 50,000 to 250,000 Da.
12. The implant of claim 10 , wherein the polymeric composition has a polydispersity between 1 and 10.
13. The implant of claim 12 , wherein the polymeric composition has a polydispersity between 2 and 8.
14. The implant of claim 10 , wherein the implant has one or more of the following properties:
(i) a tensile strength of 30 to 60 MPa,
(ii) an elongation to break of 40 to 200%,
(iii) a Young's Modulus of 0.03 to 5 GPa,
(iv) a yield strength of 0.02 to 2 GPa, and
(v) a torsional strength of 10-20 Ncm.
15. The implant of claim 10 , wherein the implant is formed at least in part by molding, injection molding, compression molding, solvent casting, 3D printing, solution processing, solution bonding of fibers, dry spinning, film casting, lamination, thermoforming, pultrusion, electrospinning, centrifugal spinning, coating, dip coating, phase separation, particle leaching, leaching, latex processing, printing of slurries and solutions using a coagulation bath, or printing using a binder solution and granules of powder.
16. The implant of claim 10 , wherein the implant is selected from the group comprising: orthopedic implant, screw, bone screw, interference screw, pin, ACL screw, clip, clamp, nail, medullary cavity nail, bone plate, bone substitute, including bone plate, tack, fastener, suture fastener, rivet, staple, fixation device, bone void filler, suture anchor, bone anchor, meniscus anchor, meniscal implant, intramedullary rod and nail, joint spacer, interosseous wedge implant, osteochondral repair device, spinal fusion device, spinal fusion cage, bone plug, cranioplasty plug, plug to fill or cover a trephination burr hole, orthopedic tape, including knitted and woven tape, and device for treatment of osteoarthritis, surgical mesh, hernia mesh, mastopexy mesh, breast reconstruction mesh, sling, device to lift tissue, and drug delivery device.