Patent Description:
We have found that this object may be met by using a process in which a solvent is removed from a mixture of synthetic polymers and particles by sublimation. Typically a synthetic foam is prepared by first dissolving the chosen synthetic polymer in a suitable solvent or solvents, and then stirring at a suitable temperature. Suitable temperatures used are below the degradation temperature of the polymer and are in the range of <NUM> to <NUM>. Typically the temperature used is in the range of <NUM>-<NUM>. Then the particles are added to the polymer-solvent solution and the resulting mixture is stirred for a suitable period of time, typically about <NUM>, but this may vary depending on the circumstances. The mixture is then freeze-dried at a suitable temperature which is dependent on the freezing point of the solvent or solvents used.

<CIT> discloses a biodegradable absorbent foam, suitable for packing antrums or other cavities of the human or animal body, comprising a phase-separated polymer including an amorphous segment and a crystalline segment and wherein said amorphous segment comprises a hydrophilic segment.

<CIT> discloses a biodegradable hemostatic foam comprising a polymer blend of a water- soluble polymer and phase-separated polyurethane, comprising an amorphous segment and a crystalline segment, wherein at least said amorphous segment comprises a hydrophilic segment. <CIT> discloses an antibacterial bandage, comprising: at least one foam formed with at least one antimicrobial agent and at least one hemostatic agent, wherein the at least one antimicrobial agent and the at least one hemostatic agent are mixed with materials forming the foam during manufacture of the at least one foam.

<CIT> discloses a method of making a porous foam sponge composition used to make hemostatic devices and which comprises dissolving a water-soluble or water-swellable polymer in an appropriate solvent for the polymer to prepare a homogenous polymer solution, contacting hemostatic oxidized cellulose particles with an appropriate amount of the polymer solution by homogenization, such that the oxidized cellulose particles are dispersed in the polymer solution, flash-freezing the polymer solution having the particles and drying/removing the solvent from the frozen structure.

The present invention provides a synthetic foam as defined in the claims.

The freeze-drying process used for preparing said foam comprises freezing the polymer/particles mixture and subliming the solvent as defined in the claims. The freezing step may be carried out at any suitable temperature to freeze the polymer/particles mixture.

Once the polymer/particles mixture is frozen, the drying step may be carried out. During the drying step the pressure is lowered and the temperature may be increased such that the solvent sublimes from the frozen polymer/particles mixture. The combination of the freezing and drying processes results in the polymer/particles mixture forming a synthetic foam with a specific distribution of particles. In some embodiments, the temperature increase may be in part from the latent heat of sublimation of the solvent molecules. The drying step may result in up to <NUM> % and preferably <NUM> % of the solvent subliming. The entire freeze-drying may last from about <NUM> to <NUM> or more. Typically, the entire freeze-drying process is performed overnight for a period of about <NUM>.

Preferably the mixture is poured into one or more molds prior to freeze-drying. The mold may be a hollow form or cast that allows the polymer/particles mixture to solidify into a particular from. The mold may be any suitable shape and/or size. In some embodiments, multiple molds may be part of a single tray.

Surprisingly we have found that by using the process we are able to control the distribution of particles within a synthetic foam. The particles are distributed homogeneously throughout the foam, or the foam comprises one or more layers of said hemostatic particles.

Furthermore we have found that a homogeneous incorporation of particles into a synthetic foam may be achieved by carrying out the freeze-drying step such that the temperature of the polymer/particles mixture is decreased below the freezing point (crystallization temperature) at a high rate, typically within <NUM>.

These cooling rates will depend on the type of solvent or solvents that are used and the speed at which it is possible to sublimate the solvent or solvents from the foam using the freeze drying process. When the temperature of the polymer/particles mixture is lower than the freezing point (crystallization temperature) of the solvent or solvents, the solvent crystallizes. Subliming the solvent or solvents results in a synthetic foam comprising a homogeneous distribution of particles.

Thus, the freeze-drying step may comprise:.

In an alternate process, we have found that a homogeneous incorporation of particles into a synthetic foam may also be achieved by carrying out a pre-cooling step prior to freeze-drying. The pre-cooling step cools is carried out for a period sufficient to cool the polymer/particles mixture to within + <NUM> from the freezing point of the one or more solvents, and typically takes from about a few seconds to a few minutes.

Thus, the process may further comprise pre-cooling the polymer/particles mixture to a temperature within + <NUM> from the freezing point of the one or more solvents prior to freeze-drying.

We have also found that a particle layer at the bottom and sides of the synthetic foam may be achieved by slowly decreasing the temperature of the polymer/particles mixture to the freezing point of the one or more solvents (broad freezing range). Typically the polymer/particles mixture is frozen over a period of <NUM> to <NUM>. However, the duration of freezing may range about from about <NUM>/<NUM> to several hours, depending on the material type and weight. Sublimation of the one or more solvents results in a synthetic foam comprising one or more particle layers within the foam. Typically, the particle layers form at the cooling surfaces of a mold, such as the bottom and sides.

The freeze drying step may also comprise:.

It was further found that the rate of decreasing the temperature, whether it is slow or quick, and the starting temperature of the process are all dependent on the freezing point of the solvent. However, the final temperature is not critical, it is only necessary that the foam is frozen.

The process is advantageous because by simply changing the temperature profile we are able to regulate the distribution of particles inside the synthetic foam. Further, we have found that due to the properties of the synthetic polymer material used, the particles adhere to the foam. This has the advantage that no binding agent is required in the foam.

Further, the specific distribution of the particles could be advantageous in different applications. For example a foam comprising a bottom layer of particles which are haemostatic in nature, may be used to arrest bleeding almost immediately. Alternatively a foam comprising a homogeneous distribution of particles may be advantageously used in both blood clotting and blood absorption.

Solvents suitable to be used in the process are polar solvents which have freezing points in the range of about <NUM>-<NUM>. Such solvents may be removed by freeze drying. Such suitable solvents include organic solvents such as acetic acid, benzene, cyclohexane formic acid, nitrobenzene, phenol, <NUM>,<NUM>-dioxane, <NUM>,<NUM>,<NUM>-trichlorbenzene, dimethylsulphoxide (DMSO) and combinations thereof. Preferably the solvent used is <NUM>,<NUM>-dioxane.

Surprisingly we have found that by using solvents which are immiscible a synthetic foam with a specific hierarchy in its structure may be created using the process described herein. Water in particular may also be used as a suitable solvent in combination with at least one organic solvent to form such an immiscible solution. The synthetic foam comprises a phase-separated polyurethane as defined in the claims. The synthetic foam may additional comprise polymers chosen from the list consisting of polyesters, polyhydroxyacids, polylactones, polyetheresters, polycarbonates, polydioxanes, polyanhydrides, polyamides, polyesteramides, poly-orthoesters, polyaminoacids, polyphosphonates, polyphosphazenes and combinations thereof. The synthetic foam may further comprise polymers which may also be chosen from copolymers, mixtures, composites, cross-linking and blends of the above-mentioned polymers.

The synthetic foam comprises a polymer which is a phase-separated polyurethane, comprising an amorphous segment and a crystalline segment, wherein at least said amorphous segment comprises a hydrophilic segment as defined in the claims. Such a polyurethane polymer is described in <CIT>.

In more detail, the synthetic polymer comprises a phase-separated, preferably biodegradable, polyurethane of formula (I):
<CHM>
wherein R is a polymer or copolymer selected from one or more aliphatic polyesters, polyether esters, polyethers, polyanhydrides, and/or polycarbonates, and at least one R comprises a hydrophilic segment; R', R" and R‴ are independently C<NUM>-C<NUM> alkylene, optionally substituted with C<NUM>-C<NUM> alkyl or C<NUM>-C<NUM> alkyl groups substituted with protected S, N, P or O moieties and/or comprising S, N, P or O in the alkylene chain; Z<NUM>-Z<NUM> are independently amide, urea or urethane, Q<NUM> and Q<NUM> are independently urea, urethane, amide, carbonate, ester or anhydride, n is an integer from <NUM>-<NUM>; and p and q are independent <NUM> or <NUM>.

The soft segment of the polyurethane of formula (I) is generally represented by R, whereas the remainder of formula (I) generally represents the hard segment of the polyurethane. The division of the polyurethane of formula (I) in hard and soft segments is also schematically shown in <FIG>.

Although Z<NUM> - Z<NUM> may differ from each other, Z<NUM> - Z<NUM> are preferably chosen to be the same. More preferably, Z<NUM> - Z<NUM> are all urethane moieties and the polyurethane can in such a case be represented by formula (II):
<CHM>
wherein Q<NUM>, Q<NUM>, R, R', R", R‴, p, q and n are defined as described hereinabove for formula (I).

Q<NUM> and Q<NUM> are chosen independently from each other from the group consisting of urea, urethane, amide, carbonate, ester and anhydride. Preferably, Q<NUM> and Q<NUM> are independently chosen from urethane, carbonate and ester. Although Q<NUM> and Q<NUM> may be chosen to be different kind of moieties, Q<NUM> and Q<NUM> are preferably the same.

Preferably, q=<NUM> in formulas (I) and (II). Thus, the polyurethane has a hard segment of sufficient length to easily form crystalline domains, resulting in a phase-separated polyurethane. An even more desirable length is obtained for this purpose if both q and p equal <NUM>.

To enhance the phase-separated nature of a polyurethane, R can be chosen as a mixture of an amorphous and a crystalline segment. For this purpose, R is preferably a mixture of at least one crystalline polyester, polyether ester or polyanhydride segment and at least one amorphous aliphatic polyester, polyether, polyanhydride and/or polycarbonate segment. This may be particularly desirable when q is chosen <NUM>, because the urethane moiety may in such a case be too small to form crystalline domains, resulting in a mixture of both phases, wherein no phase-separation occurs.

According to the present invention, the amorphous segment is comprised in the -R- part of the polyurethane according to formula (I). The remaining part of the polymer according to formula (I), including the R', R" and R‴ units, represents the crystalline segment. The crystalline segment is always a hard segment, while the amorphous segment at least comprises one or more soft segments. R in formula (I) comprises the soft segments, while the remainder of formula <NUM> typically comprises the hard segments. The soft segments are typically amorphous in the polyurethane of the invention. The hard segments have a tendency to crystallize, but may be amorphous when not crystallized completely.

R is a polymer or copolymer selected from aliphatic polyesters, polyether esters, polyethers, polyanhydrides, polycarbonates and combinations thereof, wherein at least one hydrophilic segment is provided in at least one amorphous segment of R. Preferably, R is a polyether ester. R can for example be a polyether ester based on DL lactide and ε-caprolactone, with polyethylene glycol provided in the polyether ester as a hydrophilic segment.

R comprises a hydrophilic segment and such a hydrophilic segment can very suitably be an ether segment, such as a polyether segment derivable from such polyether compounds as polyethyleneglycol, polypropyleneglycol or polybutyleneglycol. Also, a hydrophilic segment comprised in R may be derived from polypeptide, poly(vinyl alcohol), poly(vinylpyrrolidone) or poly(hydroxymethylmethacrylate). A hydrophilic segment is preferably a polyether.

Each of the groups R', R" and R‴ is a C<NUM> - C<NUM> alkylene moiety, preferably a C<NUM> - C<NUM> alkylene moiety. The alkylene moiety may be substituted with C<NUM>-C<NUM> alkyl or C<NUM>-C<NUM> alkyl groups substituted with protected S, N, P or O moieties and/or comprising S, N, P or O in the alkylene chain. Preferably, the alkylene moiety is unsubstituted (CnH2n) or substituted. R', R" and R‴ may all be chosen to be a different alkylene moiety, but may also be the same.

Preferably, R' is an unsubstituted C<NUM> alkylene (C<NUM>H<NUM>) or an unsubstituted C<NUM> alkylene (C<NUM>H<NUM>). R' may be derived from a diisocyanate of the formula O=C=N-R'-N=C=O, such as alkanediisocyanate, preferably <NUM>,<NUM>-butanediisocyanate (BDI) or <NUM>,<NUM>-hexanediisocyanate (HDI).

Preferably, R" is an unsubstituted C<NUM> alkylene (C<NUM>H<NUM>) or an unsubstituted C<NUM> alkylene (C<NUM>H<NUM>). R" may be derived from a diol of the formula HO-R"-OH, such as <NUM>,<NUM>-butanediol (BDO) or <NUM>,<NUM>-propanediol (PDO).

Preferably, R‴ is an unsubstituted C<NUM> alkylene (C<NUM>H<NUM>) or an unsubstituted C<NUM> alkylene (C<NUM>H<NUM>). R' may be derived from a diisocyanate of the formula O=C=N-R"'-N=C=O, such as alkanediisocyanate, preferably <NUM>,<NUM>-butanediisocyanate (BDI) or <NUM>,<NUM>-hexanediisocyanate (HDI).

A method for preparing phase-separated biodegradable polyurethanes of formula (I) is known in the art, such as for example described in <CIT>.

The term "biodegradable" as used herein, refers to the ability of a polymer to be acted upon biochemically in general by living cells or organisms or parts of these systems, including hydrolysis, and to degrade and disintegrate into chemical or biochemical products.

The polymer may be dissolved in a solvent to form a solution with a polymer concentration of about <NUM>-<NUM> wt.

We have also found that the size of the particle used also affects their distribution within the synthetic foam. The use of ultra fine particles in the present invention leads to a good particle distribution throughout the foam and minimizes particle aggregation. The use of larger sized particles, however, is less desirable since this can lead to an increased possibility of coagulation or agglomeration of the particles in the foam. The coagulation of particles in the foam is can result in the foams becoming brittle which would make them unsuitable for use.

The particles are preferably solid. Suitable solid particles to be used are insoluble and hydrophilic and may be organic, inorganic or a mixture of both. The particle size is typically from <NUM>-<NUM>, preferably <NUM>-<NUM> and even more preferably <NUM>-<NUM>. The particles may be any suitable shape but are preferably roughly spherical.

Particles may be anti-clotting agents, anti-bacterial agents, anti-bacterial agents, anti-fungal agents, antiseptics or other suitable drugs. Preferably the particles may be smooth particles about <NUM>-<NUM> in size or rough particles about <NUM>-<NUM> in size.

Surprisingly we have found that even when particles lighter than the solvent or solvents are used in the process, the particles do not rise to the top as one would expect, instead the particles form a layer underneath the foam.

We have also found that a synthetic foam with a well-dispersed particle distribution may be obtained if a partly frozen polymer/particles mixture is heated to just above the freezing point of the polymer/particles mixture and then re-frozen. Subliming the solvent from the frozen polymer/particles mixture results in a synthetic foam with a homogenous distribution of particles. Preferably the particle sizes are small, from about <NUM>-<NUM>. In this embodiment the process is not dependent on the freezing temperature of the solvent.

Furthermore, the freeze-drying step may comprise:.

The porosity of the foams produced is typically about <NUM>-<NUM> %, preferably <NUM>-<NUM> %, more preferably <NUM>-<NUM> %.

Suitable shapes of the foam of the present invention include but are not limited to a rectangular, cylinder, a cuboid, a plate, a flake or a cone.

The synthetic foam of the present invention may be suitable for use as a hemostatic sponge to arrest bleeding in surgical interventions or other injuries such as in oral or dental surgery such as extraction of teeth, and in nose-bleeding; orthopedic surgery; vascular surgery; neurosurgery; lung surgery; and surgery of large abdominal organs. Further applications of the synthetic foam may be for the prevention of tissue adhesion and/or support of tissue regeneration, for packing antrums of other cavities of the human or animal body and as a drug delivery vehicle.

A polyurethane (concentration <NUM>/m %, <NUM>) was dissolved in anhydrous <NUM>,<NUM>-dioxane (<NUM>/m %, <NUM>). Cyclohexane (<NUM>/m %, <NUM>) was added to the polymer solution and was stirred at RT for approximately <NUM>. Particles (<NUM>/cm<NUM>, <NUM>) were then added to the polymer solution and the resulting polymer/particles mixture was stirred for an additional <NUM>. Thereafter, the polymer/particles mixture was pre-cooled near the freezing point of the solvents (approx. <NUM>) for <NUM> and the polymer/particles mixture was then poured into a rectangular mold (dimensions of <NUM> x <NUM> x <NUM>) and freeze-dried overnight to yield a synthetic polyurethane foam comprising a homogeneous incorporation of particles (see <FIG>).

A polyurethane (<NUM>/m %, <NUM>) was dissolved in anhydrous <NUM>,<NUM>-dioxane (<NUM>/m%, <NUM>). Cyclohexane (<NUM>/m %, <NUM>) was added to the polymer solution and then stirred at RT approximately <NUM>. Particles (<NUM>/cm<NUM>, <NUM>) were added and the resulting polymer/particles mixture was stirred for an additional <NUM>. The polymer/particles mixture was then poured into a <NUM>-cm rectangular mold (dimensions of <NUM> x <NUM> x <NUM>) and freeze-dried overnight to yield a synthetic polyurethane foam comprising a particle layer underneath the foam (see <FIG> and <FIG>).

Claim 1:
A synthetic foam, said synthetic foam comprising:
a biodegradable phase-separated polyurethane comprising an amorphous segment and a crystalline segment, wherein at least said amorphous segment comprises a hydrophilic segment, said phase-separated polyurethane having the following formula:

        [R-Q<NUM>[-R'-Z<NUM>-[R"-Z<NUM>-R‴-Z<NUM>]p-R"-Z<NUM>]q-R'-Q<NUM>]n     (I)

wherein:
R is a polymer or copolymer selected from one or more aliphatic polyesters, polyether esters, polyethers, polyanhydrides, and/or polycarbonates, and at least one R comprises said hydrophilic segment;
R', R", and R‴ are independently C<NUM>-C<NUM> alkylene, optionally substituted with C<NUM>-C<NUM> alkyl or C<NUM>-C<NUM> alkyl groups substituted with protected S, N, P or O moieties and/or comprising S, N, P or O in said alkylene chain;
Z<NUM>-Z<NUM> are independently amide, urea or urethane;
Q<NUM> and Q<NUM> are independently urea, urethane, amide, carbonate, ester or anhydride;
n is an integer from <NUM>-<NUM>; and
p and q are independently <NUM> or <NUM>; and wherein the synthetic foam is characterized in that it comprises hemostatic particles which are homogeneously distributed within said foam, wherein said particles are solid, insoluble and hydrophilic; and wherein said foam is prepared by dissolving at least said phase-separated polyurethane in one or more solvents to form a solution;
contacting said hemostatic particles with said solution to form a mixture comprising said phase-separated polyurethane and said hemostatic particles;
freeze-drying said mixture by:
freezing said mixture; and subsequently
subliming said one or more solvents to form said synthetic foam comprising said homogeneous distribution of said hemostatic particles.