Poly(hydroxyalkanoate-co-ester amides) and agents for use with medical articles

1. A a poly(hydroxyalkanoate-co-ester amide) polymer of a formula:

wherein A comprises units derived from a hydroxyalkanoate monomer

and A:B is less than, greater than, or equal to one;

each R 1 comprises a component that is independently selected from a group consisting of alkylenes, alkanoates, alkyl alkanoates, diesters, acylals, diacids, saturated fatty acids, glycerides, and combinations thereof,

wherein R 1 is selected such that the length of the hydroxyalkanoate monomer does not exceed a length of about 200 nm;

each of R 2 and R 4 comprise a component that is independently selected from a group consisting of hydrogen; oxygen-containing groups comprising a hydroxyl, carboxyl, carbonyl, alkoxyl, or epoxyl; nitrogen-containing groups comprising an amino, amido, nitro, cyano, isocyanate, azido, diazo, hydrazine, azo, or azoxyl; sulfur-containing groups comprising a thio, thiol, or sulfide; substituted, unsubstituted, hetero-, straight-chained, branched, cyclic, saturated and unsaturated aliphatic radicals; and substituted, unsubstituted, and hetero- aromatic radicals,

wherein each of the aliphatic or aromatic radicals of R 2 and R 4 has from 1 to 10 carbon atoms;

each of R 3 comprises a component that is independently selected from a group consisting of oxygen-containing groups comprising a hydroxyl, carboxyl, carbonyl, alkoxyl, or epoxyl; nitrogen-containing groups comprising an amino, amido, nitro, cyano, isocyanate, azido, diazo, hydrazine, azo, or azoxyl; sulfur-containing groups comprising a thio, thiol, or sulfide; substituted, unsubstituted, hetero-, straight-chained, branched, cyclic, saturated and unsaturated aliphatic radicals; and substituted, unsubstituted, and hetero- aromatic radicals,

wherein each of the aliphatic or aromatic radicals of R 3 has from 1 to 10 carbon atoms;

at least one of L 1 , B, L 2 or X is optional; and

at least one of L 1 , B, L 2 or X comprises an oligomer of an ester amide or a poly(ester amide);

wherein, L 1 is a linkage connecting A to B, X is an optional moiety, L 2 is a linkage connecting X to the polymer, k and m are integers, and n and z are integers not equal to zero.

2. The polymer of claim 1 , wherein A comprises units derived from a hydroxyalkanoate selected from the group consisting of 3-hydroxybutyrate, 4-hydroxybutyrate, 3-hydroxyvalerate, 3-hydroxybutyrate-co-valerate, caprolactone, lactide, glycolide, lactide-co-glycolide, and combinations thereof.

3. The polymer of claim 1 , wherein at least one of L 1 , B, L 2 or X comprises a therapeutic agent.

4. The polymer of claim 3 , wherein the agent is connected to the polymer.

5. The polymer of claim 3 , wherein the agent is blended with the polymer.

6. The polymer of claim 1 , wherein the poly(ester amide) comprises a component selected from a group consisting of

where R 6 is optional and comprises a component that is independently selected from a group consisting of substituted, unsubstituted, hetero-, straight-chained, branched, cyclic, saturated and unsaturated aliphatic radicals; and substituted, unsubstituted, and hetero-aromatic radicals;

R 7 and R 8 comprise a component that is independently selected from a group consisting of substituted, unsubstituted, hetero-, straight-chained, branched, cyclic, saturated and unsaturated aliphatic radicals; and substituted, unsubstituted, and hetero- aromatic radicals;

R 9 through R 14 comprise a component that is independently selected from a group consisting of hydrogen; substituted, unsubstituted, hetero-, straight-chained, branched, cyclic, saturated and unsaturated aliphatic radicals; and substituted, unsubstituted, and hetero-aromatic, radicals; and

p is an integer not equal to zero.

7. The polymer of claim 6 , comprising

wherein, X is optional and comprises an agent, and q is an integer not equal to zero.

8. The polymer of claim 6 , comprising

wherein, X is optional and comprises an agent, and q is an integer not equal to zero.

9. The polymer of claim 1 , comprising

wherein, X is optional and comprises an agent, and q and p are integers not equal to zero;

each R 6 is optional and comprises a component that is independently selected from a group consisting of substituted, unsubstituted, hetero-, straight-chained, branched, cyclic, saturated and unsaturated aliphatic radicals; and substituted, unsubstituted, and hetero-aromatic radicals; and,

each R 7 and R 8 comprise a component that is independently selected from a group consisting of substituted, unsubstituted, hetero-, straight-chained, branched, cyclic, saturated and unsaturated aliphatic radicals; and substituted, unsubstituted, and hetero-aromatic radicals.

10. The polymer of claim 1 , comprising

wherein, X is optional and comprises an agent, and q is an integer not equal to zero;

each R 6 is optional and comprises a component that is independently selected from a group consisting of substituted, unsubstituted, hetero-, straight-chained, branched, cyclic, saturated and unsaturated aliphatic radicals; and substituted, unsubstituted, and hetero-aromatic radicals; and,

each R 7 and R 8 comprise a component that is independently selected from a group consisting of substituted, unsubstituted, hetero-, straight-chained, branched, cyclic, saturated and unsaturated aliphatic radicals; and substituted, unsubstituted, and hetero-aromatic radicals.

11. The polymer of claim 1 , comprising

wherein, X is optional and comprises an agent, and q and p are integers not equal to zero;

each R 6 is optional and comprises a component that is independently selected from a group consisting of substituted, unsubstituted, hetero-, straight-chained, branched, cyclic, saturated and unsaturated aliphatic radicals; and substituted, unsubstituted, and hetero-aromatic radicals;

each R 7 and R 8 comprise a component that is independently selected from a group consisting of substituted, unsubstituted, hetero-, straight-chained, branched, cyclic, saturated and unsaturated aliphatic radicals; and substituted, unsubstituted, and hetero-aromatic radicals; and,

each R 15 comprises a component independently selected from an alkylene, an amide, an acyl or a combination thereof.

12. The polymer of claim 1 , wherein at least one of L 1 , B, L 2 or X comprises an agent selected from a group consisting of elastin, silk-elastin, collagen, atrial natriuretic peptide (ANP), Arg-Gly-Asp (RGD); and any derivatives, analogs, homologues, congeners, salts, copolymers and combinations thereof.

13. The polymer of claim 3 , wherein the agent comprises a free radical scavenger, a nitric oxide donor, rapamycin, methyl rapamycin, 42-Epi-(tetrazoylyl) rapamycin, everolimus, tacrolimus, paclitaxel, docetaxel, estradiol, clobetasol, idoxifen, tazarotene and any prodrugs, metabolites, analogs, homologues, congeners, or derivatives, salts or combinations thereof.

14. The polymer of claim 13 , wherein the free radical scavenger comprises a component selected from a group consisting of 2,2′,6,6′-tetramethyl-1-piperinyloxy, free radical; 4-amino-2,2′,6,6′-tetramethyl-1 -piperinyloxy, free radical; 4-hydroxy-2,2′,6,6′-tetramethyl-piperidene-1-oxy, free radical; 4-carboxy-2,2′, 6,6′-tetramethyl-1-piperinyloxy, free radical; 2,2′,3,4,5,5′-hexamethyl-3-imidazolinium-1-yloxy methyl sulfate, free radical; 16-doxyl-stearic acid, free radical; superoxide dismutase mimic; and analogs, homologues, congeners, derivatives, salts and combinations thereof.

15. The polymer of claim 13 , wherein the free radical scavenger comprises a component selected from a group consisting of TEMPO and any analogs, homologues, congeners, derivatives, salts or combinations thereof.

16. The polymer of claim 13 , wherein the nitric oxide donor comprises a component selected from the group consisting of S-nitrosothiols, nitrites, N-oxo-N-nitrosamines, substrates of nitric oxide synthase, diazenium diolates and any analogs, homologues, congeners, derivatives, salts and combinations thereof.

17. The polymer of claim 1 , wherein L 1 or L 2 comprises a component selected from a group consisting of ethers, amides, esters, anhydrides, orthoesters, all-aromatic carbonates, acetals, ketals, urethanes, ureas, glycosides, disulfides, siloxanes, and combinations thereof.

18. A medical article comprising the polymer of claim 1 .

19. The medical article of claim 18 which is a stent.

20. A method of treating a disorder in a patient comprising implanting in the patient the medical device of claim 19 , wherein the disorder is selected from the group consisting of atherosclerosis, thrombosis, restenosis, hemorrhage, vascular dissection or perforation, vascular aneurysm, vulnerable plaque, chronic total occlusion, claudication, anastomotic proliferation for vein and artificial grafts, bile duct obstruction, ureter obstruction, tumor obstruction, and combinations thereof.