Antibiotic/s containing bone substitute material with sustained active substance release
Antibiotic/s containing bone substitute material is described which is characterized in that it is composed of a compacted mixture of granules of calcium sulfate dihydrate, calcium carbonate and at least one representative of the aminoglycoside antibiotics, lincosamide antibiotics, glycopeptide antibiotics, macrolide antibiotics, ketolide antibiotics, the nitroimidazoles, the fluorochinolone antibiotics and the oxazolidinone antibiotics, the steroid antibiotics, the antiseptic agents and the fungicidal/fungistatic antibiotics which are partly or entirely sheathed with a layer of glycerol tripalmitate and/or glycerol tristearate and/or glycerol trilaurate and/or 1-hexadecyl alcohol which connects the granules with each other.
1. Antibiotic/s containing bone substitute material, comprising a mixture of granules compacted in a mold with a pressing force of at least 30 kN of the following components:
calcium sulfate dihydrate,
and at least one member selected from the group consisting of calcium carbonate, β-tricalcium phosphate, calcium hydrogen phosphate, calcium hydrogen phosphate dihydrate, magnesium carbonate, trimagnesium phosphate, magnesium hydroxide and magnesium oxide,
and at least one member selected from the group consisting of aminoglycoside antibiotics, lincosamide antibiotics, glycopeptide antibiotics, macrolide antibiotics, ketolide antibiotics, nitroimidazoles, fluoroquinolone antibiotics, oxazolidinone antibiotics, steroid antibiotics, and fungicidal/fungistatic antibiotics,
with the granules being partly or entirely sheathed with a layer of one or more substances selected from the group consisting of glycerol tripalmitate, glycerol tristearate, glycerol trilaurate and 1-hexadecyl alcohol which connects individual granules with each other,
wherein the compacted mixture has no macropores of pore diameters larger than 50 μm.
2. Antibiotic/s containing bone substitute material according to claim 1 , having the form of pellets or the form of granulate from granules with a particle diameter of 100 to 2,500 μm,
with the granules being partly or entirely sheathed with a layer of one or more substances selected from the group consisting of glycerol tripalmitate, glycerol tristearate, glycerol trilaurate, and 1-hexadecyl alcohol which connects individual granules with each other.
3. Antibiotic/s containing bone substitute material according to claim 2 , comprising cylindrical or facetted pellets.
4. Antibiotic/s containing bone substitute material according to claim 1 , comprising a composition of:
50.0-90.0 percent by weight of calcium sulfate dihydrate,
1.0-40.0 percent by weight of calcium carbonate,
1.0-40.0 percent by weight of one or more substances selected from the group consisting of glycerol tripalmitate, glycerol tristearate, glycerol trilaurate and 1-hexadecyl alcohol, and
0.1-10.0 percent by weight of at least one member selected from the group consisting of aminoglycoside antibiotics, lincosamide antibiotics, glycopeptide antibiotics, macrolide antibiotics, ketolide antibiotics, the nitromidazoles, fluoroquinolone antibiotics, oxazolidinone antibiotics, antiseptic agents, steroid antibiotics and fungistatic/fungicidal antibiotics.
5. Antibiotic/s containing bone substitute material according to claim 1 , which comprises at least one antibiotic selected from the group consisting of gentamicin, tobramycin, netilmicin, sisomycin, amikacin, lincosamin, clindamycin, teicoplanin, vancomycin, ramoplanin, erythromycin, telithromycin, azithromycin, ciprofloxacin, moxifloxacin, linezolid, metronidazol, tinidazol, fluonazol, amphotericin B, nystatin, griseofulvin, fusidin acid, fosfomycin, rifampicin, chloramphenicol, chlorhexidine, and polyhexanide.
6. A process for preparing antibiotic/s containing bone substitute material according to claim 1 , comprising:
a) forming a mixture of granules of the components; and
b) forming a compacted mixture of the granules.