Tissue derived porous matrices and methods for making and using same
Tissue derived porous matrices for treating wounds are provided, as well as methods for making and using them. The tissue derived porous matrices comprise processed tissue of any of several types, such as dermis, adipose, etc., and have a plurality of interconnected pores which allow fluid flow through the matrices. The tissue derived matrices are biocompatible resorbable matrices which remodel with native tissue and facilitate and enhance cell infiltration and tissue ingrowth into the matrices during the wound healing process, thereby enhancing wound healing and tissue remodeling when implanted into a patient. The tissue derived matrices are useful with reduced or negative pressure wound healing methods and systems, without the need to repeatedly revisit the treatment site and remove previously implanted matrices.
1. A method for producing a tissue derived porous matrix which is resorbable and has a plurality of interconnected pores which allow fluid flow through the matrix, the method comprising the steps of: obtaining a sample of non-neonatal mammalian tissue selected from dermis, adipose, fascia, and combinations thereof and having a native porosity; reducing the size of the mammalian tissue one or more times; forming or modifying pores; drying the mammalian tissue to produce a dried mammalian tissue having a porous structure; stabilizing the dried mammalian tissue by at least partially crosslinking by contacting the dried mammalian tissue with a crosslinking solution for a period of time, and then removing excess crosslinking solution by performing one or more rinses and at least partially compressing the crosslinked mammalian tissue to separate additional excess crosslinking solution from the crosslinked mammalian tissue, which produces a crosslinked mammalian tissue having a partially collapsed porous structure; and restoring at least a portion of the partially collapsed porous structure by contacting the crosslinked mammalian tissue with an aqueous solvent for a period of time, and then drying the crosslinked mammalian tissue a second time by lyophilizing, which produces a dried, crosslinked mammalian tissue having a porous structure with increased thickness and increased porosity compared to the crosslinked mammalian tissue produced by the stabilizing step, wherein the increased porosity is from about 50% to about 99%.
2. The method of claim 1 , further comprising the step of formulating by mixing, attaching, or otherwise combining the tissue derived porous matrix with one or more additional biocompatible materials or other synthetic or naturally-derived matrices.
3. The method of claim 1 , wherein the step of reducing the size of the mammalian tissue one or more times is performed by cutting, blending, milling, or a combination thereof.
4. The method of claim 1 , further comprising one or more of the following steps:
one or both of delipidating and demineralizing the mammalian tissue;
decellularizing the mammalian tissue;
disinfecting the mammalian tissue;
combining a solvent with the mammalian tissue;
after performing the step of reducing the size of the mammalian tissue at least one time,
placing the mammalian tissue in a container or mold; and
disinfecting the crosslinked tissue.
5. The method of claim 4 , wherein the step of disinfecting the tissue comprises sterilizing the tissue, either before or after the drying step, or both.
6. The method of claim 4 , wherein the step of combining a solvent with the tissue is performed prior to the drying step and the solvent is water, wherein a tissue and water mixture is formed, and wherein the steps of forming or modifying pores and drying the tissue are performed concurrently by lyophilizing the tissue and water mixture.
7. A tissue derived porous matrix produced by the method of claim 1 and comprising a processed tissue which is a three-dimensional scaffold derived from a sample of non-neonatal mammalian tissue selected from dermis, adipose, fascia, and combinations thereof and having a native porosity, wherein the matrix is resorbable, has a plurality of interconnected pores which allow fluid flow through the matrix, and is at least partially cross-linked which stabilizes the matrix and provides a controlled resorption rate after implantation, wherein the tissue derived porous matrix has increased thickness and increased porosity compared to an at least partially crosslinked mammalian tissue which has not been subjected to contacting with an aqueous solvent and drying after crosslinking has been performed, wherein the increased porosity is from about 50% to about 99%, and wherein the tissue derived porous matrix lacks a manifold layer, or lacks a release material layer, or lacks both.
8. The tissue derived porous matrix of claim 7 , wherein when the matrix is implanted, in contact or proximity, with a wound site of a subject, the matrix at least partially degrades, partially remodels with native tissue at the wound site, or both, wherein no portion of the matrix need be removed from the wound site after being positioned with the wound.
9. The tissue derived porous matrix of claim 8 , wherein the matrix has a desired shape and has been lyophilized in a container or mold having the desired shape.
10. The tissue derived porous matrix of claim 7 , wherein when implanted in proximity or contact with a wound site of a subject, fluid flow from the wound site and through the matrix occurs, with or without application of reduced pressure, during healing at the wound site.
11. The tissue derived porous matrix of claim 7 , further comprising one or more endogenous beneficial substances.
12. A biocompatible composition comprising the tissue derived porous matrix of claim 7 and one or more additional biocompatible materials.
13. A wound dressing for treating a wound site comprising:
a porous component comprising the tissue derived porous matrix of claim 7 ; and
a semipermeable barrier component sized and shaped to cover the porous component and
a wound site to be treated with the wound dressing.
14. A method for treating a wound comprising implanting the tissue derived porous matrix of claim 7 , in contact or proximity, with a wound site of a subject, wherein the matrix comprises a tissue having a plurality of interconnected pores which allow fluid flow through the matrix and the matrix is resorbable.