EP1175236A1 - Stent mit antimikrobiellem mittel - Google Patents
Stent mit antimikrobiellem mittelInfo
- Publication number
- EP1175236A1 EP1175236A1 EP00931951A EP00931951A EP1175236A1 EP 1175236 A1 EP1175236 A1 EP 1175236A1 EP 00931951 A EP00931951 A EP 00931951A EP 00931951 A EP00931951 A EP 00931951A EP 1175236 A1 EP1175236 A1 EP 1175236A1
- Authority
- EP
- European Patent Office
- Prior art keywords
- stent
- agent
- antimicrobial
- metal
- zeolite
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Withdrawn
Links
- 239000004599 antimicrobial Substances 0.000 title claims abstract description 35
- HNPSIPDUKPIQMN-UHFFFAOYSA-N dioxosilane;oxo(oxoalumanyloxy)alumane Chemical compound O=[Si]=O.O=[Al]O[Al]=O HNPSIPDUKPIQMN-UHFFFAOYSA-N 0.000 claims abstract description 58
- 238000000576 coating method Methods 0.000 claims abstract description 50
- 239000011248 coating agent Substances 0.000 claims abstract description 41
- 229910052751 metal Inorganic materials 0.000 claims abstract description 38
- 239000002184 metal Substances 0.000 claims abstract description 38
- 239000002952 polymeric resin Substances 0.000 claims abstract description 8
- 229920003002 synthetic resin Polymers 0.000 claims abstract description 8
- 229920005989 resin Polymers 0.000 claims description 33
- 239000011347 resin Substances 0.000 claims description 33
- 230000000845 anti-microbial effect Effects 0.000 claims description 28
- 229910052709 silver Inorganic materials 0.000 claims description 23
- 239000004814 polyurethane Substances 0.000 claims description 20
- 239000004332 silver Substances 0.000 claims description 20
- 229920002635 polyurethane Polymers 0.000 claims description 19
- 229910021645 metal ion Inorganic materials 0.000 claims description 18
- 239000000203 mixture Substances 0.000 claims description 15
- 239000000919 ceramic Substances 0.000 claims description 13
- -1 silver ions Chemical class 0.000 claims description 13
- 210000001124 body fluid Anatomy 0.000 claims description 7
- 239000010839 body fluid Substances 0.000 claims description 7
- 229920002379 silicone rubber Polymers 0.000 claims description 7
- 239000004945 silicone rubber Substances 0.000 claims description 7
- 229910001000 nickel titanium Inorganic materials 0.000 claims description 6
- 229910001220 stainless steel Inorganic materials 0.000 claims description 6
- 239000010935 stainless steel Substances 0.000 claims description 6
- WFKWXMTUELFFGS-UHFFFAOYSA-N tungsten Chemical compound [W] WFKWXMTUELFFGS-UHFFFAOYSA-N 0.000 claims description 6
- 229910052721 tungsten Inorganic materials 0.000 claims description 6
- 239000010937 tungsten Substances 0.000 claims description 6
- 239000000853 adhesive Substances 0.000 claims description 5
- 230000001070 adhesive effect Effects 0.000 claims description 5
- 229910052715 tantalum Inorganic materials 0.000 claims description 4
- GUVRBAGPIYLISA-UHFFFAOYSA-N tantalum atom Chemical compound [Ta] GUVRBAGPIYLISA-UHFFFAOYSA-N 0.000 claims description 4
- 229910045601 alloy Inorganic materials 0.000 claims description 3
- 239000000956 alloy Substances 0.000 claims description 3
- 150000001768 cations Chemical class 0.000 claims description 3
- 239000004800 polyvinyl chloride Substances 0.000 claims description 3
- 229920000915 polyvinyl chloride Polymers 0.000 claims description 3
- 229910020018 Nb Zr Inorganic materials 0.000 claims description 2
- 239000004480 active ingredient Substances 0.000 claims 2
- 229920003225 polyurethane elastomer Polymers 0.000 claims 1
- GGCZERPQGJTIQP-UHFFFAOYSA-N sodium;9,10-dioxoanthracene-2-sulfonic acid Chemical class [Na+].C1=CC=C2C(=O)C3=CC(S(=O)(=O)O)=CC=C3C(=O)C2=C1 GGCZERPQGJTIQP-UHFFFAOYSA-N 0.000 claims 1
- 239000010457 zeolite Substances 0.000 abstract description 63
- 239000003795 chemical substances by application Substances 0.000 abstract description 48
- 229910021536 Zeolite Inorganic materials 0.000 abstract description 38
- 229920000642 polymer Polymers 0.000 abstract description 13
- 239000000463 material Substances 0.000 description 41
- 239000002245 particle Substances 0.000 description 35
- 230000003115 biocidal effect Effects 0.000 description 29
- 239000000843 powder Substances 0.000 description 26
- BQCADISMDOOEFD-UHFFFAOYSA-N Silver Chemical compound [Ag] BQCADISMDOOEFD-UHFFFAOYSA-N 0.000 description 14
- 238000005342 ion exchange Methods 0.000 description 13
- 238000000034 method Methods 0.000 description 12
- 241000894006 Bacteria Species 0.000 description 9
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 description 8
- 239000011701 zinc Substances 0.000 description 7
- 239000004594 Masterbatch (MB) Substances 0.000 description 6
- 239000008188 pellet Substances 0.000 description 6
- 210000001519 tissue Anatomy 0.000 description 6
- QGZKDVFQNNGYKY-UHFFFAOYSA-O Ammonium Chemical compound [NH4+] QGZKDVFQNNGYKY-UHFFFAOYSA-O 0.000 description 5
- 210000004204 blood vessel Anatomy 0.000 description 5
- JYIMWRSJCRRYNK-UHFFFAOYSA-N dialuminum;disodium;oxygen(2-);silicon(4+);hydrate Chemical group O.[O-2].[O-2].[O-2].[O-2].[O-2].[O-2].[Na+].[Na+].[Al+3].[Al+3].[Si+4] JYIMWRSJCRRYNK-UHFFFAOYSA-N 0.000 description 5
- 239000007788 liquid Substances 0.000 description 5
- RYGMFSIKBFXOCR-UHFFFAOYSA-N Copper Chemical compound [Cu] RYGMFSIKBFXOCR-UHFFFAOYSA-N 0.000 description 4
- HCHKCACWOHOZIP-UHFFFAOYSA-N Zinc Chemical compound [Zn] HCHKCACWOHOZIP-UHFFFAOYSA-N 0.000 description 4
- 230000000844 anti-bacterial effect Effects 0.000 description 4
- 229910052802 copper Inorganic materials 0.000 description 4
- 239000010949 copper Substances 0.000 description 4
- 238000009472 formulation Methods 0.000 description 4
- 239000000377 silicon dioxide Substances 0.000 description 4
- SQGYOTSLMSWVJD-UHFFFAOYSA-N silver(1+) nitrate Chemical compound [Ag+].[O-]N(=O)=O SQGYOTSLMSWVJD-UHFFFAOYSA-N 0.000 description 4
- 235000002639 sodium chloride Nutrition 0.000 description 4
- 239000000243 solution Substances 0.000 description 4
- 229910052725 zinc Inorganic materials 0.000 description 4
- 239000002131 composite material Substances 0.000 description 3
- 239000012141 concentrate Substances 0.000 description 3
- 229920001477 hydrophilic polymer Polymers 0.000 description 3
- 239000007943 implant Substances 0.000 description 3
- 150000002500 ions Chemical class 0.000 description 3
- 210000003205 muscle Anatomy 0.000 description 3
- 239000002861 polymer material Substances 0.000 description 3
- 150000003839 salts Chemical class 0.000 description 3
- 239000002904 solvent Substances 0.000 description 3
- 238000005507 spraying Methods 0.000 description 3
- 239000004698 Polyethylene Substances 0.000 description 2
- 240000004808 Saccharomyces cerevisiae Species 0.000 description 2
- 235000014680 Saccharomyces cerevisiae Nutrition 0.000 description 2
- 230000002411 adverse Effects 0.000 description 2
- JYIBXUUINYLWLR-UHFFFAOYSA-N aluminum;calcium;potassium;silicon;sodium;trihydrate Chemical compound O.O.O.[Na].[Al].[Si].[K].[Ca] JYIBXUUINYLWLR-UHFFFAOYSA-N 0.000 description 2
- 239000003242 anti bacterial agent Substances 0.000 description 2
- 238000003556 assay Methods 0.000 description 2
- 230000001580 bacterial effect Effects 0.000 description 2
- 239000008280 blood Substances 0.000 description 2
- 210000004369 blood Anatomy 0.000 description 2
- UNYSKUBLZGJSLV-UHFFFAOYSA-L calcium;1,3,5,2,4,6$l^{2}-trioxadisilaluminane 2,4-dioxide;dihydroxide;hexahydrate Chemical compound O.O.O.O.O.O.[OH-].[OH-].[Ca+2].O=[Si]1O[Al]O[Si](=O)O1.O=[Si]1O[Al]O[Si](=O)O1 UNYSKUBLZGJSLV-UHFFFAOYSA-L 0.000 description 2
- 229910052676 chabazite Inorganic materials 0.000 description 2
- 238000006243 chemical reaction Methods 0.000 description 2
- 229910001603 clinoptilolite Inorganic materials 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 229910052675 erionite Inorganic materials 0.000 description 2
- 230000002538 fungal effect Effects 0.000 description 2
- 229910052588 hydroxylapatite Inorganic materials 0.000 description 2
- 238000001727 in vivo Methods 0.000 description 2
- 230000002401 inhibitory effect Effects 0.000 description 2
- 229910010272 inorganic material Inorganic materials 0.000 description 2
- 239000011147 inorganic material Substances 0.000 description 2
- 238000004898 kneading Methods 0.000 description 2
- 150000002739 metals Chemical class 0.000 description 2
- 229910052680 mordenite Inorganic materials 0.000 description 2
- 238000010422 painting Methods 0.000 description 2
- XYJRXVWERLGGKC-UHFFFAOYSA-D pentacalcium;hydroxide;triphosphate Chemical compound [OH-].[Ca+2].[Ca+2].[Ca+2].[Ca+2].[Ca+2].[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O XYJRXVWERLGGKC-UHFFFAOYSA-D 0.000 description 2
- 229920003023 plastic Polymers 0.000 description 2
- 239000004033 plastic Substances 0.000 description 2
- 229920000573 polyethylene Polymers 0.000 description 2
- 229910001961 silver nitrate Inorganic materials 0.000 description 2
- NDVLTYZPCACLMA-UHFFFAOYSA-N silver oxide Chemical compound [O-2].[Ag+].[Ag+] NDVLTYZPCACLMA-UHFFFAOYSA-N 0.000 description 2
- 229910052665 sodalite Inorganic materials 0.000 description 2
- 231100000419 toxicity Toxicity 0.000 description 2
- 230000001988 toxicity Effects 0.000 description 2
- 230000002485 urinary effect Effects 0.000 description 2
- LEHFSLREWWMLPU-UHFFFAOYSA-B zirconium(4+);tetraphosphate Chemical class [Zr+4].[Zr+4].[Zr+4].[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O LEHFSLREWWMLPU-UHFFFAOYSA-B 0.000 description 2
- ZXSQEZNORDWBGZ-UHFFFAOYSA-N 1,3-dihydropyrrolo[2,3-b]pyridin-2-one Chemical compound C1=CN=C2NC(=O)CC2=C1 ZXSQEZNORDWBGZ-UHFFFAOYSA-N 0.000 description 1
- JKFYKCYQEWQPTM-UHFFFAOYSA-N 2-azaniumyl-2-(4-fluorophenyl)acetate Chemical compound OC(=O)C(N)C1=CC=C(F)C=C1 JKFYKCYQEWQPTM-UHFFFAOYSA-N 0.000 description 1
- 231100000148 Ames mutagenicity Toxicity 0.000 description 1
- 241000228245 Aspergillus niger Species 0.000 description 1
- 241000193755 Bacillus cereus Species 0.000 description 1
- 241000222122 Candida albicans Species 0.000 description 1
- 241001515917 Chaetomium globosum Species 0.000 description 1
- VYZAMTAEIAYCRO-UHFFFAOYSA-N Chromium Chemical compound [Cr] VYZAMTAEIAYCRO-UHFFFAOYSA-N 0.000 description 1
- 241000194032 Enterococcus faecalis Species 0.000 description 1
- 241000588724 Escherichia coli Species 0.000 description 1
- 206010018910 Haemolysis Diseases 0.000 description 1
- 206010058667 Oral toxicity Diseases 0.000 description 1
- 240000007594 Oryza sativa Species 0.000 description 1
- 235000007164 Oryza sativa Nutrition 0.000 description 1
- 239000004743 Polypropylene Substances 0.000 description 1
- 239000004793 Polystyrene Substances 0.000 description 1
- 241000589517 Pseudomonas aeruginosa Species 0.000 description 1
- 229920001218 Pullulan Polymers 0.000 description 1
- 108010082714 Silver Proteins Proteins 0.000 description 1
- 229910021612 Silver iodide Inorganic materials 0.000 description 1
- 206010040880 Skin irritation Diseases 0.000 description 1
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 1
- 241000191967 Staphylococcus aureus Species 0.000 description 1
- ATJFFYVFTNAWJD-UHFFFAOYSA-N Tin Chemical compound [Sn] ATJFFYVFTNAWJD-UHFFFAOYSA-N 0.000 description 1
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 description 1
- 241001149558 Trichoderma virens Species 0.000 description 1
- PTFCDOFLOPIGGS-UHFFFAOYSA-N Zinc dication Chemical compound [Zn+2] PTFCDOFLOPIGGS-UHFFFAOYSA-N 0.000 description 1
- 238000010521 absorption reaction Methods 0.000 description 1
- 231100000899 acute systemic toxicity Toxicity 0.000 description 1
- 230000001464 adherent effect Effects 0.000 description 1
- 150000001447 alkali salts Chemical class 0.000 description 1
- 229910052782 aluminium Inorganic materials 0.000 description 1
- XAGFODPZIPBFFR-UHFFFAOYSA-N aluminium Chemical compound [Al] XAGFODPZIPBFFR-UHFFFAOYSA-N 0.000 description 1
- PNEYBMLMFCGWSK-UHFFFAOYSA-N aluminium oxide Inorganic materials [O-2].[O-2].[O-2].[Al+3].[Al+3] PNEYBMLMFCGWSK-UHFFFAOYSA-N 0.000 description 1
- 229910000323 aluminium silicate Inorganic materials 0.000 description 1
- 229940088710 antibiotic agent Drugs 0.000 description 1
- 239000013011 aqueous formulation Substances 0.000 description 1
- 210000001367 artery Anatomy 0.000 description 1
- 238000005452 bending Methods 0.000 description 1
- 239000011230 binding agent Substances 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 229910052797 bismuth Inorganic materials 0.000 description 1
- JCXGWMGPZLAOME-UHFFFAOYSA-N bismuth atom Chemical compound [Bi] JCXGWMGPZLAOME-UHFFFAOYSA-N 0.000 description 1
- 229920001400 block copolymer Polymers 0.000 description 1
- 230000036760 body temperature Effects 0.000 description 1
- 229910052793 cadmium Inorganic materials 0.000 description 1
- BDOSMKKIYDKNTQ-UHFFFAOYSA-N cadmium atom Chemical compound [Cd] BDOSMKKIYDKNTQ-UHFFFAOYSA-N 0.000 description 1
- 229940095731 candida albicans Drugs 0.000 description 1
- AIXMJTYHQHQJLU-UHFFFAOYSA-N chembl210858 Chemical compound O1C(CC(=O)OC)CC(C=2C=CC(O)=CC=2)=N1 AIXMJTYHQHQJLU-UHFFFAOYSA-N 0.000 description 1
- 229910052804 chromium Inorganic materials 0.000 description 1
- 239000011651 chromium Substances 0.000 description 1
- 230000007665 chronic toxicity Effects 0.000 description 1
- 231100000160 chronic toxicity Toxicity 0.000 description 1
- 238000004140 cleaning Methods 0.000 description 1
- 229910052681 coesite Inorganic materials 0.000 description 1
- 239000000805 composite resin Substances 0.000 description 1
- 238000007906 compression Methods 0.000 description 1
- 230000006835 compression Effects 0.000 description 1
- 238000000748 compression moulding Methods 0.000 description 1
- 239000000470 constituent Substances 0.000 description 1
- 238000011109 contamination Methods 0.000 description 1
- 229910052906 cristobalite Inorganic materials 0.000 description 1
- 238000002425 crystallisation Methods 0.000 description 1
- 230000008025 crystallization Effects 0.000 description 1
- 238000012258 culturing Methods 0.000 description 1
- 230000003013 cytotoxicity Effects 0.000 description 1
- 231100000135 cytotoxicity Toxicity 0.000 description 1
- 230000003247 decreasing effect Effects 0.000 description 1
- 230000008021 deposition Effects 0.000 description 1
- 238000007598 dipping method Methods 0.000 description 1
- 238000001035 drying Methods 0.000 description 1
- 230000007613 environmental effect Effects 0.000 description 1
- 238000005530 etching Methods 0.000 description 1
- 230000001747 exhibiting effect Effects 0.000 description 1
- 239000004744 fabric Substances 0.000 description 1
- 238000009408 flooring Methods 0.000 description 1
- 230000002496 gastric effect Effects 0.000 description 1
- PCHJSUWPFVWCPO-UHFFFAOYSA-N gold Chemical compound [Au] PCHJSUWPFVWCPO-UHFFFAOYSA-N 0.000 description 1
- 229910052737 gold Inorganic materials 0.000 description 1
- 239000010931 gold Substances 0.000 description 1
- 239000001963 growth medium Substances 0.000 description 1
- 230000008588 hemolysis Effects 0.000 description 1
- 150000004679 hydroxides Chemical class 0.000 description 1
- 238000000338 in vitro Methods 0.000 description 1
- 238000010348 incorporation Methods 0.000 description 1
- 238000011534 incubation Methods 0.000 description 1
- 238000011081 inoculation Methods 0.000 description 1
- 239000010954 inorganic particle Substances 0.000 description 1
- 239000002085 irritant Substances 0.000 description 1
- 230000002147 killing effect Effects 0.000 description 1
- 238000010329 laser etching Methods 0.000 description 1
- 230000000670 limiting effect Effects 0.000 description 1
- 230000005923 long-lasting effect Effects 0.000 description 1
- 229920001684 low density polyethylene Polymers 0.000 description 1
- 239000004702 low-density polyethylene Substances 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- QSHDDOUJBYECFT-UHFFFAOYSA-N mercury Chemical compound [Hg] QSHDDOUJBYECFT-UHFFFAOYSA-N 0.000 description 1
- 229910052753 mercury Inorganic materials 0.000 description 1
- 229910044991 metal oxide Inorganic materials 0.000 description 1
- 150000004706 metal oxides Chemical class 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000000465 moulding Methods 0.000 description 1
- 231100000252 nontoxic Toxicity 0.000 description 1
- 230000003000 nontoxic effect Effects 0.000 description 1
- 231100000418 oral toxicity Toxicity 0.000 description 1
- 239000003973 paint Substances 0.000 description 1
- 239000000123 paper Substances 0.000 description 1
- 230000002093 peripheral effect Effects 0.000 description 1
- 239000002985 plastic film Substances 0.000 description 1
- 229920006255 plastic film Polymers 0.000 description 1
- 239000000088 plastic resin Substances 0.000 description 1
- 229920001155 polypropylene Polymers 0.000 description 1
- 229920001296 polysiloxane Polymers 0.000 description 1
- 229920002223 polystyrene Polymers 0.000 description 1
- 229920005749 polyurethane resin Polymers 0.000 description 1
- 235000019423 pullulan Nutrition 0.000 description 1
- 239000002510 pyrogen Substances 0.000 description 1
- 230000029058 respiratory gaseous exchange Effects 0.000 description 1
- 230000000717 retained effect Effects 0.000 description 1
- 235000009566 rice Nutrition 0.000 description 1
- 238000005096 rolling process Methods 0.000 description 1
- 238000007788 roughening Methods 0.000 description 1
- 239000004576 sand Substances 0.000 description 1
- CQLFBEKRDQMJLZ-UHFFFAOYSA-M silver acetate Chemical compound [Ag+].CC([O-])=O CQLFBEKRDQMJLZ-UHFFFAOYSA-M 0.000 description 1
- 229940071536 silver acetate Drugs 0.000 description 1
- 229910001958 silver carbonate Inorganic materials 0.000 description 1
- LKZMBDSASOBTPN-UHFFFAOYSA-L silver carbonate Substances [Ag].[O-]C([O-])=O LKZMBDSASOBTPN-UHFFFAOYSA-L 0.000 description 1
- 229940100890 silver compound Drugs 0.000 description 1
- 150000003379 silver compounds Chemical class 0.000 description 1
- 229940045105 silver iodide Drugs 0.000 description 1
- 229910001923 silver oxide Inorganic materials 0.000 description 1
- 229960003600 silver sulfadiazine Drugs 0.000 description 1
- UEJSSZHHYBHCEL-UHFFFAOYSA-N silver(1+) sulfadiazinate Chemical compound [Ag+].C1=CC(N)=CC=C1S(=O)(=O)[N-]C1=NC=CC=N1 UEJSSZHHYBHCEL-UHFFFAOYSA-N 0.000 description 1
- LMEWRZSPCQHBOB-UHFFFAOYSA-M silver;2-hydroxypropanoate Chemical compound [Ag+].CC(O)C([O-])=O LMEWRZSPCQHBOB-UHFFFAOYSA-M 0.000 description 1
- CLDWGXZGFUNWKB-UHFFFAOYSA-M silver;benzoate Chemical compound [Ag+].[O-]C(=O)C1=CC=CC=C1 CLDWGXZGFUNWKB-UHFFFAOYSA-M 0.000 description 1
- 230000036556 skin irritation Effects 0.000 description 1
- 231100000475 skin irritation Toxicity 0.000 description 1
- 239000011780 sodium chloride Substances 0.000 description 1
- NTHWMYGWWRZVTN-UHFFFAOYSA-N sodium silicate Chemical compound [Na+].[Na+].[O-][Si]([O-])=O NTHWMYGWWRZVTN-UHFFFAOYSA-N 0.000 description 1
- 210000004872 soft tissue Anatomy 0.000 description 1
- 239000011343 solid material Substances 0.000 description 1
- 239000007921 spray Substances 0.000 description 1
- 229910052682 stishovite Inorganic materials 0.000 description 1
- 229910052716 thallium Inorganic materials 0.000 description 1
- 229910052718 tin Inorganic materials 0.000 description 1
- 239000010936 titanium Substances 0.000 description 1
- 229910052719 titanium Inorganic materials 0.000 description 1
- 229910052905 tridymite Inorganic materials 0.000 description 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 1
- 239000003643 water by type Substances 0.000 description 1
- 238000003466 welding Methods 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
- A61L31/02—Inorganic materials
- A61L31/022—Metals or alloys
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
- A61L31/08—Materials for coatings
- A61L31/082—Inorganic materials
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
- A61L31/08—Materials for coatings
- A61L31/082—Inorganic materials
- A61L31/088—Other specific inorganic materials not covered by A61L31/084 or A61L31/086
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
- A61L31/12—Composite materials, i.e. containing one material dispersed in a matrix of the same or different material
- A61L31/125—Composite materials, i.e. containing one material dispersed in a matrix of the same or different material having a macromolecular matrix
- A61L31/128—Composite materials, i.e. containing one material dispersed in a matrix of the same or different material having a macromolecular matrix containing other specific inorganic fillers not covered by A61L31/126 or A61L31/127
Definitions
- the invention relates to a medical stent having antimicrobial properties.
- Stents are devices widely used in the medical field.
- coronary and peripheral artery stents made of metal, such as stainless steel, NiTi or tungsten. Typical of these are of the type shown in U.S. patent 5,690,670.
- These stents also can be of metal coated with a polymer, such as polyurethane, or coated with a material such as silicone rubber. Typical of these are stents shown in U.S. Patent 5,71 3,949. Biliary, + esophageal, urinary and urethral stents often are of polymeric material.
- Stents of a polymer material are shown in U.S. Patents 5,71 3,949 and 5,607,467.
- stents are subject to contact with body fluids, such as blood, and with body tissue, such as arterial vessels.
- body fluids such as blood
- body tissue such as arterial vessels.
- the materials contacting the stent are potential sources of contamination by bacteria.
- the stent itself is a potential site for bacteria growth. Therefore, it would be desirable to provide the stent with antimicrobial properties. That is, it would be desirable that bacteria in the body fluids and tissue contacting the stent are killed.
- Providing the antimicrobial properties preferably should be done in a manner which does not increase build-up of solid materials deposited on the stent and, more preferably, should reduce such build-up. Also, providing the stent with antimicrobial properties should not adversely affect the stent deployment characteristics or its mechanical properties.
- U.S. Patent 5,906,466 describes an antimicrobial composition comprising antimicrobial silver compounds deposited on a physiologically inert oxide support material.
- Japanese patent abstract No. 08041 61 1 an alloy exhibiting antimicrobial properties is disclosed.
- the present invention relates to a medical stent having antimicrobial properties.
- a coating of a material with the antimicrobial agent is applied to the stent.
- the coating is of an adhesive type material, such as a hydrophilic polyurethane, which contains the antimicrobial agent.
- the agent is applied to the metal stent as a powder coating. The coating can be applied to either both of the stent inner and outer surfaces.
- the agent can be blended into the polymeric resin that forms the stent.
- antimicrobial agent is present on both the stent inner and outer surfaces.
- a stent of resin material can have a coating containing the agent applied to one or both of its inner and outer surfaces.
- the antimicrobial agent is of inorganic material, preferably a zeolite.
- a further object is a medical stent containing a zeolite as an antimicrobial agent.
- Still an additional object is to provide a medical stent made of resin containing an inorganic antimicrobial agent.
- Yet another object is to provide a medical stent having a coating containing an inorganic antimicrobial agent.
- Fig. 1 is a view of a typical medical stent of metal; and Figs. 2 and 3 respectively show a plan view of a blank of material for a stent and a stent made from the blank.
- Fig .1 shows a metal stent of the type disclosed in U.S. Patent 5,690,670. This is illustrative of any type of metal stent with which the present invention can be utilized.
- the stent 1 60 of Fig. 1 is of the expandable type and is shown in a non-expanded state positioned on the distal end of a balloon expandable segment 1 62 of a guide wire 1 64.
- the stent 1 60 is fabricated from a suitable material such as stainless steel, NiTi, tungsten, Ti-Nb-Zr alloy or any other suitable material.
- the stent illustrated is designed so that it can be collapsed over a balloon segment of a balloon catheter.
- the stent is positioned within a segment of a tubular body conduit 1 65, a blood vessel for example, to be propped open. Expansion of the balloon 1 62 expands the stent 1 60 radially outward up to the blood vessel wall 1 66 so that means for gripping soft tissue, such as barbs (not shown), on the outer surface of the stent 1 60, engage and grip blood vessel tissue to anchor the stent 1 60 in position. The balloon 1 62 is then collapsed and removed leaving the stent. In this way, the blood vessel is permanently propped open. As seen, the stent is in a position where it is contacted both by blood and body tissue.
- one or both of the stent inner and outer surfaces has a coating 200 of a material containing an antimicrobial agent, which is described in detail below. It is preferred that at least the outer surface be coated with the material containing the agent since this comes into contact with the body tissue. The process for coating and the material are described below.
- the metal stent described in Fig. 1 for a blood vessel is only illustrative of the type of stent with which the subject invention can be employed. It is also applicable to urinary, gastrointestinal, and other stent applications.
- the stent can be of any shape, size and metal suitable for the application.
- Figs. 2 and 3 show a stent of the type disclosed in U.S. Patent 5,71 3,949.
- the stent starts as a flat piece of material 1 that has a top edge 2, a bottom edge 3 and ends 4 and 5.
- the piece 1 includes rows of slots 6, 7 which are offset from each other.
- the material of piece 1 is a resin, such a polyethylene, polyurethane, polytetrafluoethylene, silicone, block co-polymers of polyurethane and other suitable resins. These materials can be molded in a suitable die to produce the desired shape and slots 6, 7.
- the piece 1 is formed into a cylindrical stent with the edges 2, 3 attached together by any suitable means such as, for example, by surface fusing, ultrasonic welding or any other suitable technique.
- the material for piece 1 can be of metal.
- the slots 6, 7 can be formed by laser etching or other suitable technique.
- the agent can be incorporated directly into the resin used to make the stent.
- a coating containing the agent also can be applied to one or both of its surfaces.
- the inorganic antimicrobial agent preferably is applied as a coating.
- a coating with the agent also can be applied to a stent of polymeric material, such as of Figs. 2 and 3. In either case, the coating must be adherent and flexible, the latter to accommodate flexing, bending and compression of the stent.
- Typical thickness for the coatings are from between about 1 - 1 5 microns, preferably, between about 1 - 1 0 microns and most preferably between about 1 - 5 microns.
- Coatings of a polymer containing the agent are preferred for both the metal and polymeric stents. These can be bonded to the stent, that is, the coating is effectively adhesively bonded to the stent.
- the polymers for the coating can be of silicone rubber and hydrophilic polymers.
- a preferred coating can be of, for example, a hydrophilic polymer such as hydrophilic polyurethane or a hydrophilic polymer material having a lubricious property, such as shown in U.S. Patent 5,731 ,087.
- the antimicrobial agent preferably comprises zeolite ceramic particles mixed with the coating material. That is, the zeolite particles are blended in the desired amount into the coating material.
- the agent particles comprise by weight of the coating between about 0.1 % - 1 00% , more preferably between about 0.1 % - 75% and most preferably between about 0.5%-50.0%.
- the size of the particles of the agent is preferably about 1 .0 micron in nominal diameter.
- the coating with the agent is applied by any suitable technique, such as spraying, painting or dipping the metal or resin stent into the coating material. This can be done either while the material piece forming the stent is flat or after it has its cylindrical shape. By using painting or spraying the coating with the agent can be applied to only one of the stent inner or outer surfaces. Heat and/or pressure is applied and roughening or etching of the surface is performed as needed depending upon the stent and coating materials.
- resin for stent any suitable resin such as polyurethane, polyvinylchloride
- agent particles 1 .0 microns
- NiTi stainless steel
- Ti-Nb-Zn titanium
- tungsten tantalum
- Metal stent with resin coating containing antimicrobial agent Metal stent with resin coating containing antimicrobial agent:
- NiTi stainless steel
- TiNb-Zn titanium
- tungsten tantalum
- Metal stents 2 and 3 above involve coating the metal with the polymer leaving the spaces 6, 7 of Figs. 2 and 3 between the metal struts free.
- metal stent 3 above is a metal stent that is completely covered by a polymer containing the zeolite.
- a powder coating process also can be used to apply the coating containing the antimicrobial agent.
- a powder coating process usually comprises the basic steps of cleaning the metal, electrostatically spraying the powder onto the metal, and baking.
- One or both of the stent surfaces can be powder coated.
- particles of the inorganic antimicrobial, such as the ceramic particles can be incorporated into the powder, blended directly with the powder or applied in a second step to the surface of a powder coated part before the baking step.
- Incorporation of the inorganic antimicrobial agent into the powder to be sprayed can be accomplished in any suitable way. For example, it can be done by preparing a master batch concentrate of the resin particles containing the agent particles.
- the zeolite ceramic particles are also made in a base resin, such as polyethylene, polyurethane, etc. These resin particles containing the zeolite ceramic, are then blended into the polymer or coating material, such as by kneading or rolling to form pellets having the agent in a desired concentration. This preferably is between 0.1 to 30% by weight, preferably 0.5 to 1 5%, and most preferably 1 to 1 0% of the pellets.
- the size of the resin containing zeolite particles in the pellets preferably is about 1 .0 micron.
- the pellets are then ground or melt atomized to produce a powder that is used directly in the spray powder coating process. Also, the mixture can be diluted with untreated powder normally used in the conventional powder coating process.
- An illustration of a metal stent that is powder coated follows. Metal stent that is powder coated:
- NiTi stainless steel
- Ti-Nb-Zn titanium
- tungsten tantalum
- wt% of zeolite in powder 0.1 to 1 00.0, more preferably 0.5 to
- An alternate method is to combine untreated polymer powder with a solution of an appropriate solvent, with or without a binder, and particles of the inorganic antimicrobial to coat the polymer powder particles with the inorganic antimicrobial agent particle.
- the solvent is then evaporated and the resulting powder composite is used in the conventional powder coating process ensuring that the inorganic antimicrobial is exposed at the surface.
- the particle size of the ceramic resin particles of the agent also preferably is about 1 .0 micron nominal diameter.
- Another method of producing an antimicrobial powder coating is to apply a polymer powder in the conventional manner to the stent surface or surfaces and then apply particles of the inorganic antimicrobial agent in a solvent or water.
- the stent is then dried and, as in the conventional powder coating process, the inorganic antimicrobial agent is incorporated onto the surface of the coating.
- the size of the particles of the agent is preferably from about 0.8 to 2.0 microns nominal diameter.
- the inorganic antimicrobial agent is present on one or both of the stent surface to perform the intended function of killing bacteria.
- the stent can be of a polymeric material that is prepared from a suitable resin mixture containing the agent.
- the agent is automatically available on both surfaces of the stent.
- These resins with the agent can be prepared by first preparing a master batch concentrate of the antimicrobial agent. That is, particles of the ceramic zeolite in the resin base are blended with a polymeric resin, such as by kneading or molding. This master batch material is formed into pellets, which can be ground to any desired size. Methods for incorporating the antibiotic agent in the resin are described in U.S. Patents Nos. 4,938,955 and 4,906,464. Final formation of the stents from the resin incorporating the antimicrobial agent can be by compression molding or other conventional forming methods.
- the pellets of the master batch material is then added to untreated resin that is to be used to make the stent.
- the composite of the master batch and untreated resin preferably results in a final concentration by weight of between 0.1 to 30%, preferably 0.5 to 1 5%, most preferably 1 to 1 0% of the agent zeolite particles.
- An example of a polymeric stent follows.
- the polyurethane is in liquid form.
- the zeolite particles preferably in a base polyurethane resin form but also in the normal ceramic particle state, can be added to untreated polyurethane liquid to make a master batch concentrate, which is then added to untreated polyurethane to make the resin to be formed into the stent.
- the zeolite particles in resin form or as the ceramic particles can be added directly into untreated polyurethane.
- the liquid polyurethane with the particles of the agent are then molded to make the stent.
- the stent has the agent throughout its entire body and on both surfaces.
- the antibiotic particles are preferably present in a concentration by weight in the resin used to make the stent of from 0.01 to 1 0.0wt%, more preferably from 0.01 to 8.0 wt%, and most preferably from 0.1 to 5.0 wt% . They are present on the surfaces of the stent contacted by the body fluid or body tissue.
- agent silver zeolite preferably
- While specific amounts of the antimicrobial agent are given for the various types of stents, it should be considered that in each case that there is an amount of the agent that is sufficient to produce an effective concentration. This means that there is a sufficient amount of the antimicrobial agent used alone, added to or combined with other materials such as to prevent or inhibit the growth of bacterial and/or fungal organisms or to kill such organisms in the particular stent application.
- the amount of the agent will vary based on the specific agent used and the material with which it is mixed or added to and upon known factors such as type and use of the stent. Environmental factors such as body temperature also should be taken into consideration. It is within the ability of one skilled in the art to relatively easily determine an effective amount of the antimicrobial agent to be used with each material.
- the inorganic antimicrobial agent incorporated in the resin for the stent into the liquid coating material or used in the coating powder, a number of metal ions, which are inorganic materials, have been shown to possess antibiotic activity, including silver, copper, zinc, mercury, tin, lead, bismuth, cadmium, chromium and thallium ions. These antibiotic metal ions are believed to exert their effects by disrupting respiration and electron transport systems upon absorption into bacterial or fungal cells.
- Antimicrobial metal ions (cations) of silver, gold, copper and zinc, in particular, are considered safe even for in vivo use. Antimicrobial silver cations are particularly useful for in vivo use due to the fact that they are not substantially absorbed into the body.
- the inorganic antibiotic metal containing composition is an antibiotic metal salt.
- antibiotic metal salts include silver acetate, silver benzoate, silver carbonate, silver ionate, silver iodide, silver lactate, silver laureate, silver nitrate, silver oxide, silver palpitate, silver protein, and silver sulfadiazine. Silver nitrate is preferred. These salts are particularly quick acting, as no release from ceramic particles is necessary to function antimicrobially.
- Antibiotic ceramic particles useful with the present invention include zeolites, hydroxy apatite, zirconium phosphates or other ion-exchange ceramics. Zeolites are preferred, and are described in the preferred embodiments referred to below. Hydroxy apatite particles containing antimicrobial metals are described, e.g., in U.S. Patent No. 5,009,898. Zirconium phosphates containing antimicrobial metals are described, e.g., in U.S. Patent Nos. 5,296,238; 5,441 ,71 7; and 5,405,644.
- Inorganic particles such as the oxides of titanium, aluminum, zinc and copper, may be coated with a composition which confers antimicrobial properties, for example, by releasing antimicrobial metal ions such as silver ions, which are described, e.g., in U.S. Patent No. 5, 1 80,585.
- Inorganic soluble glass particles containing antimicrobial metal ions, such as silver, are described, e.g., in U.S. Patent Nos. 5,766,61 1 and 5,290,544.
- Antibiotic zeolites are preferred. These have been prepared by replacing all or part of the ion-exchangeable ions in zeolite with ammonium ions and antibiotic metal ions, as described in U.S. Patent Nos.
- Such zeolites have been incorporated in antibiotic resins (as shown in U.S. Patent Nos. 4,938,955 and 4,906,464) and polymer articles (U.S. Patent No. 4,775,585) .
- Polymers including the antibiotic zeolites have been used to make refrigerators, dish washers, rice cookers, plastic film, chopping boards, vacuum bottles, plastic pails, and garbage containers.
- Other materials in which antibiotic zeolites have been incorporated include flooring, wall paper, cloth, paint, napkins, plastic automobile parts, catheters, bicycles, pens, toys, sand, and concrete.
- Antibiotic zeolites are well-known and can be prepared for use in the present invention using known methods. These include the antibiotic zeolites disclosed, for example, in U.S. Patent Nos. 4,938,958 and 4,91 1 ,898.
- Zeolite is an aluminosilicate having a three dimensional skeletal structure that is represented by the formula: XM 2/n O-AI 2 O 3 -YSiO 2 -ZH 2 O.
- M represents an ion-exchangeable ion, generally a monovalent or divalent metal ion
- n represents the atomic valency of the (metal) ion
- X and Y represent coefficients of metal oxide and silica respectively
- Z represents the number of waters of crystallization.
- zeolites examples include A-type zeolites, X-type zeolites, Y-type zeolites, T-type zeolites, high-silica zeolites, sodalite, mordenite, analcite, clinoptilolite, chabazite and erionite.
- the present invention is not restricted to use of these specific zeolites.
- These ion-exchange capacities are sufficient for the zeolites to undergo ion-exchange with ammonium and antibiotic metal ions.
- the specific surface area of preferred zeolite particles is preferably at least 1 50 m 2 /g (anhydrous zeolite as standard) and the
- SiO 2 /AI 2 O 3 mol ratio in the zeolite composition is preferably less than 1 4, more preferably less than 1 1 .
- the antibiotic metal ions (cations) used in the antibiotic zeolites should be retained on the zeolite particles through an ion-exchange reaction.
- Antibiotic metal ions which are adsorbed or attached without an ion-exchange reaction exhibit a decreased bactericidal effect and their antibiotic effect is not long-lasting. Nevertheless, it is advantageous for imparting quick antimicrobial action to maintain a sufficient amount of surface adsorbed metal ion.
- the antibiotic metal ions tend to be converted into their oxides, hydroxides, basic salts etc. either in the micropores or on the surfaces of the zeolite and also tend to deposit there, particularly when the concentration of metal ions in the vicinity of the zeolite surface is high. Such deposition tends to adversely affect the bactericidal properties of ion-exchanged zeolite.
- a relatively low degree of ion exchange is employed to obtain superior bactericidal properties. It is believed to be required that at least a portion of the zeolite particles retain metal ions having bactericidal properties at ion-exchangeable sites of the zeolite in an amount less than the ion-exchange saturation capacity of the zeolite. In one embodiment, the zeolite employed in the present invention retains antimicrobial metal ions in an amount up to 41 % of the theoretical ion-exchange capacity of the zeolite. Such ion-exchanged zeolite with a relatively low degree of ion-exchange may be prepared by performing ion-exchange using a metal ion solution having a low concentration as compared with solutions conventionally used for ion exchange.
- the antibiotic metal ion is preferably present in the range of from about 0.1 to 20.0 wt. % of the zeolite.
- the zeolite contains from 0.1 to 20.0 wt. % of silver ions and from 0.1 to 20.0 wt. % of copper or zinc ions.
- ammonium ion can be contained in the zeolite at a concentration of about 20.0 wt. % or less of the zeolite, it is desirable to limit the content of ammonium ions to from 0.5 to 1 5.0 wt.%, preferably 1 .5 to 5.0 wt. %.
- a preferred antibiotic zeolite is type A zeolite containing either a combination of ion-exchanged silver, zinc, and ammonium or silver and ammonium.
- One such zeolite is manufactured by Shinagawa, Inc. under the product number AW-1 0N and consists of 0.6% by weight of silver ion- exchanged in Type A zeolite particles having a diameter of about 2.5/;.
- Another formulation, AJ-1 0N consists of about 2% by weight silver ion- exchanged in Type A zeolite particles having a diameter of about 2.5 ⁇ .
- AW-80 contains 0.6% by weight of silver ion- exchanged in Type A zeolite particles having a diameter of about 1 .0 ⁇ .
- Another formulation, AJ-80N consists of about 2% by weight silver ion- exchanged in Type A zeolite particles having a diameter of about 1 .0 ⁇ .
- These zeolites preferably contain about between 0.5 % and 2.5% by weight of ion- exchanged ammonium.
- Other formulations also are available.
- the zeolites are often obtained in master batches of low density polyethylene, polypropylene, or polystyrene, containing about 20.0 wt. % of the zeolite. Thus, they can be easily mixed with the resins used as materials for forming the composite resin used to make the stent or in the liquid coating material.
- the antibiotic properties of the antibiotic zeolite particles of the invention may be assayed while in aqueous formulations using conventional assay techniques, including for example determining the minimum growth inhibitory concentration (MIC) with respect to a variety of bacteria, eumycetes and yeast.
- MIC minimum growth inhibitory concentration
- the bacteria listed below may be employed: such a test, the bacteria listed below may be employed:
- the assay for determining MIC can be carried out by smearing a solution containing bacteria for inoculation onto a plate culture medium to which a test sample of the encapsulated antibiotic zeolite particles is added in a particular concentration, followed by incubation and culturing of the plate.
- the MIC is defined as a minimum concentration thereof required for inhibiting the growth of each bacteria.
- the antibiotic zeolites are exceptionally suitable under relevant toxicity and biocompatibility standards for use in the stents.
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Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US298545 | 1994-08-30 | ||
| US29854599A | 1999-04-23 | 1999-04-23 | |
| PCT/US2000/011092 WO2000064506A1 (en) | 1999-04-23 | 2000-04-21 | Stent having antimicrobial agent |
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| Publication Number | Publication Date |
|---|---|
| EP1175236A1 true EP1175236A1 (de) | 2002-01-30 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| EP00931951A Withdrawn EP1175236A1 (de) | 1999-04-23 | 2000-04-21 | Stent mit antimikrobiellem mittel |
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| Country | Link |
|---|---|
| EP (1) | EP1175236A1 (de) |
| AU (1) | AU4975500A (de) |
| WO (1) | WO2000064506A1 (de) |
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| US6015816A (en) * | 1996-02-29 | 2000-01-18 | The Research Foundation Of State University Of New York | Antimicrobial compositions |
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2000
- 2000-04-21 EP EP00931951A patent/EP1175236A1/de not_active Withdrawn
- 2000-04-21 AU AU49755/00A patent/AU4975500A/en not_active Abandoned
- 2000-04-21 WO PCT/US2000/011092 patent/WO2000064506A1/en not_active Ceased
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Also Published As
| Publication number | Publication date |
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| AU4975500A (en) | 2000-11-10 |
| WO2000064506A1 (en) | 2000-11-02 |
| WO2000064506A9 (en) | 2002-06-06 |
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