PARTICLE-FORM HYBRID-SCALE FIBER MATRIX
Particles of non-woven graft materials for use in specialized surgical procedures such as soft tissue repair and wound management procedures, methods for making the powder, and methods for repairing tissue such as neurological tissue using the powder are disclosed. The particles can advantageously be used to fill irregular shaped areas or can be used in conjunction with non-woven graft materials.
1 - 20 . (canceled)
21 - 23 . (canceled)
24 . A plurality of particles configured to improve wound healing, comprising:
a first fiber composition and a second fiber composition, wherein the first and second fiber composition each independently comprise a resorbable polymer;
an average diameter of less than 5000 μm;
wherein:
the plurality of particles comprise a nanofiber matrix,
the first and second fiber compositions are configured to break down into one or more acidic byproducts when applied to a tissue site, and
the one or more acidic byproducts are selected from the group consisting of monomers and oligomers comprising: lactic acid, glycolic acid, 6-hydroxycaproic acid, caproic acid, 4-hydroxybutyrate, 2-hydroxyethoxyacetic acid, glyoxylic acid, and oxalic acid.
25 . The plurality of particles of claim 24 , wherein the first fiber composition to the second fiber composition ratio ranges from about 10:1 to about 1:10.
26 . The plurality of particles of claim 24 , wherein the first fiber composition to the second fiber composition ratio ranges from about 3:1 to about 1:3.
27 . The plurality of particles of claim 24 , wherein the first and second fiber compositions are commingled.
28 . The plurality of particles of claim 24 , wherein the plurality of particles have an architecture resembling a native extracellular matrix.
29 . The plurality of particles of claim 24 , further comprising a plurality of pores comprising a mean pore size of from about 10 μm 2 to about 10,000 μm 2 .
30 . The plurality of particles of claim 24 , wherein the first and second fiber compositions are configured to break down into one or more acidic byproducts via hydrolysis.
31 . The plurality of particles of claim 24 , wherein the one or more acidic byproducts create an acidic microenvironment, wherein the acidic microenvironment is configured to perform a function selected from the group consisting of: promote cell growth, promote antimicrobial activity, promote angiogenesis, modulate cellular and pathogenic activity, improve tissue oxygenation, promote epithelialization, promote the proliferation of fibroblasts, and migration of fibroblasts.
32 . The plurality of particles of claim 24 , wherein the acidic microenvironment is configured to promote cell growth, wherein promoting cell growth results in granulation tissue formation and/or neovascularization.
33 . The plurality of particles of claim 24 , wherein the first fiber composition is configured to break down into one of more acidic byproducts selected from the group consisting of monomers and oligomers comprising: lactic acid and glycolic acid.
34 . The plurality of particles of claim 33 , wherein the second fiber composition is configured to break down into one or more acidic byproducts selected from the group consisting of monomers and oligomers comprising: 6-hydroxycaproic acid, caproic acid, 2-hydroxyethoxyacetic acid, glyoxylic acid, and oxalic acid.
35 . The plurality of particles of claim 34 , wherein the second fiber composition is configured to break down into one or more acidic byproducts selected from the group consisting of monomers and oligomers comprising: 2-hydroxyethoxyacetic acid, glyoxylic acid, and oxalic acid.
36 . The plurality of particles of claim 24 , wherein the particles are configured to be placed directly onto a wound site.
37 . The plurality of particles of claim 24 , wherein the plurality of particles are configured to be applied to a suture line.
38 . The plurality of particles of claim 24 , wherein the plurality of particles are configured to be mixed with fluid to create an injectable solution.
39 . The plurality of particles of claim 24 , wherein the particles are incorporated into a hydrogel.
40 . The plurality of particles of claim 24 , wherein the particles are configured to be packed, spread, scattered, sprinkled, or poured into a wound.
41 . The plurality of particles of claim 24 , wherein the particles are configured to be used as soft tissue filler.
42 . The plurality of particles of claim 24 , wherein the particles are configured to be used in combination with an electrospun graft material.
43 . The plurality of particles of claim 24 , wherein plurality of particles are mixed with other fibers or nonfibrous structures.