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Coatings for medical devices comprising a therapeutic agent and a metallic material




Title: Coatings for medical devices comprising a therapeutic agent and a metallic material.
Abstract: The invention relates generally to an implantable medical device for delivering a therapeutic agent to the body tissue of a patient, and a method for making such a medical device. In particular, the invention pertains to an implantable medical device, such as an intravascular stent, having a coating comprising a first coating composition comprising a therapeutic agent and, optionally, a polymer; and a second coating composition comprising a metallic material. ...


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USPTO Applicaton #: #20120323308
Inventors: Pu Zhou


The Patent Description & Claims data below is from USPTO Patent Application 20120323308, Coatings for medical devices comprising a therapeutic agent and a metallic material.

FIELD OF THE INVENTION

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The invention relates generally to implantable medical devices for delivering a therapeutic agent to the body tissue of a patient, and methods for making such medical devices. In particular, the invention pertains to implantable medical devices, such as intravascular stents, having a coating comprising a first coating composition comprising a therapeutic agent and a second coating composition comprising a metallic material.

BACKGROUND

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OF THE INVENTION

Medical devices have been used to deliver therapeutic agents locally to the body tissue of a patient. For example, intravascular stents comprising a therapeutic agent have been used to locally deliver therapeutic agents to a blood vessel. Often such therapeutic agents have been used to prevent restenosis. Examples of stents comprising a therapeutic agent include stents that comprise a coating containing a therapeutic agent for delivery to a blood vessel. Studies have shown that stents having a coating with a therapeutic agent are effective in treating or preventing restenosis.

Even though medical devices having a coating with a therapeutic agent are effective in preventing restenosis, many coated medical devices, in addition to being coated with a therapeutic agent, are also coated with a polymer. The benefits of using a polymer in such coatings include easier loading of therapeutic agents onto the surface of a medical device and the ability to control or regulate the rate of release of the therapeutic agent.

However, the use of polymers in medical device coatings can also have some disadvantages. For example, depending on the type of polymer used to coat the medical device, some polymers can cause inflammation of the body lumen, offsetting the effects of the therapeutic agent. Additionally, some polymers may also cause thrombosis.

Accordingly, there is a need for coatings for a medical device that prevent or at least reduce the disadvantages associated with polymer coatings, such as inflammation caused by contact with the body lumen. Moreover, there is a need for a coating for medical devices that can control or regulate the release rate of a therapeutic agent without the use of polymer coatings. There is also a need for methods of making such medical devices.

SUMMARY

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OF THE INVENTION

These and other objectives are accomplished by the present invention. The present invention provides a medical device, such as an implantable, intravascular stent comprising a coating. The coating is designed to eliminate or at least reduce the amount of polymer contact with the body tissue, such as a body lumen, while still providing a suitable release rate of the therapeutic agent. The coating comprises a first coating composition comprising a therapeutic agent and a second coating composition comprising a metallic material. Optionally, the first coating composition can further comprise a polymer.

The coating can comprise a first coating composition comprising a therapeutic agent, disposed on the surface of a medical device; and a second coating composition, which comprises a metallic material and which is substantially free of any polymer, disposed on at least a portion of the first coating composition. Metallic materials are materials containing a metal including but not limited to, metals alloys and oxides. As used herein and unless otherwise defined the phrase “substantially free of any polymer” means having less than or equal to 50% of polymer by volume of the composition. With such coatings, polymer contact with the body lumen is reduced or eliminated.

For example, the present invention is directed to an implantable intravascular stent comprising: (a) a stent sidewall structure having a surface; and (b) a coating comprising: (i) a first coating composition comprising a therapeutic agent disposed upon at least a portion of the surface of the stent sidewall structure, wherein the first coating composition, when disposed on the portion of the surface of the stent sidewall structure, has an outer surface; and (ii) a second coating composition comprising a metallic material disposed on at least a portion of the first coating composition, wherein the second coating composition is substantially free of any polymer when applied to the portion of the first coating composition; and wherein after the second coating composition is applied to the portion of the first coating composition the second coating composition comprises an outer surface and a plurality of pores, in which the pores extend from the outer surface of the first coating composition to the outer surface of the second coating composition. In certain embodiments of the present invention the second coating composition is disposed on less than the entire outer surface of the first coating composition. Additionally, the second coating composition can also be further disposed on a portion of the surface of the stent sidewall structure.

The stent sidewall structure can be an abluminal surface or an adluminal surface. In certain embodiments, the coating is disposed on at least a portion of the abluminal surface. In other embodiments, the first coating composition is disposed on at least a portion of the abluminal surface and the second coating composition is disposed on at least a portion of the first coating composition disposed on the adluminal surface. In still other embodiments, the first coating composition is disposed on at least a portion of the abluminal surface and the adluminal surface is free of the second coating composition.

Additionally, the stent sidewall structure can comprise a plurality of struts wherein the surface of the stent sidewall structure is the abluminal surface or adluminal surface of at least one of the struts. When the stent sidewall structure comprises a plurality of struts, the coating can be disposed on at least a portion of the abluminal or adluminal surface of at least one of the struts. For example, the present invention is directed to an implantable intravascular stent comprising: (a) a stent sidewall structure comprising a plurality of struts each having an abluminal surface and an adluminal surface (b) a first coating disposed on the abluminal surface of at least one strut comprising: (i) a first coating composition comprising as anti-restenosis agent disposed upon at least a portion of the abluminal surface of the strut, wherein the first coating composition, when disposed on the portion of the surface of the abluminal surface of the strut has an outer surface; and (ii) a second coating composition comprising a metallic material disposed on at least a portion of the first coating composition, wherein the second coating composition is substantially free of any polymer; and wherein after the second coating composition is applied to the portion of the first coating composition the second coating composition comprises an outer surface and a plurality of pores, in which the pores extend from the outer surface of the first coating composition to the outer surface of the second coating composition; and (c) a second coating disposed on at least a portion of the adluminal surface of the at least one strut comprising the first coating composition.

In certain embodiments, the first coating composition is disposed on at least a portion of the adluminal surface of at least one of the struts and at least a portion of the adluminal surface of at least one of the struts is free of the second coating composition. In other embodiments, the first coating composition is disposed on at least a portion of the adluminal surface of at least one of the struts and the second coating composition is disposed on at least a portion of the first coating composition that is disposed on the adluminal surface.

In certain embodiments, the stent sidewall structure can further comprise a plurality of openings therein. When the stent sidewall structure has a plurality of openings, the first and second coating compositions can conform to the stent sidewall structure to preserve the openings in the stent sidewall structure. For example the present invention includes an implantable intravascular stent comprising: (a) a stent sidewall structure comprising (1) a plurality of struts each having an abluminal surface and an adluminal surface, and (2) openings in the stent sidewall structure; (b) a first coating disposed on the abluminal surface of at least one strut comprising: (i) a first coating composition comprising an anti-restenosis agent disposed upon at least a portion of the abluminal surface of the strut, wherein the first coating composition, when disposed on the portion of the surface of the abluminal surface of the strut, has an outer surface; and (ii) a second coating composition comprising a metallic material disposed on at least a portion of the first coating composition, wherein the second coating composition is substantially free of any polymer; and wherein after the second coating composition is applied to the portion of the first coating composition, the second coating composition comprises an outer surface and a plurality of pores, in which the pores extend from the outer surface of the first coating composition to the outer surface of the second coating composition; and (c) a second coating disposed on at least a portion of the adluminal surface of the at least one strut comprising the first coating composition, wherein the adluminal surface of the at least one strut is free of the second coating composition; and wherein the first and second coatings conform to the stent sidewall structure to preserve the openings therein.

Also the present invention is directed to an implantable intravascular stent comprising: (a) a stent sidewall structure having a surface; and (b) a coating comprising (i) a first coating composition comprising a therapeutic agent disposed upon at least a portion of the surface of the stent sidewall structure wherein the first coating composition has a first thickness; and (ii) a second coating composition comprising a metallic material disposed upon at least a portion of the surface of the stent sidewall structure, wherein the second coating composition has a second thickness and is substantially free of any polymer; and wherein the first thickness of the first coating composition is not greater than the second thickness of the second coating composition. The first coating composition can also further comprise a polymer.

In certain embodiments, the second thickness of the second coating composition can be greater than the first thickness of the first coating composition. Alternatively, the first thickness of the first coating composition can be equal to the second thickness of the second coating composition. Moreover, the second coating composition can be disposed adjacent to the first coating composition on the surface of the stent side wall structure.

In any of the embodiments described above, the first thickness of the first coating composition can be about 1 micron to about 30 microns and the second thickness of the second coating composition can be about 0.1 microns to about 50 microns.

The therapeutic agent in the first coating composition can comprise an agent that inhibits smooth muscle cell proliferation. The therapeutic agent in the first coating composition can also comprise an anti-thrombogenic agent, anti-angiogenesis agent, anti-proliferative agent, antibiotic, anti-restenosis agent, growth factor, immunosuppressant or radiochemical. For example the therapeutic agent can comprise paclitaxel, sirolimus, tacrolimus, pimecrolimus, everolimus or zotarolimus.

Additionally, the first coating composition further comprises at least one polymer. Suitable polymers include, but are not limited to, styrene-isobutylene copolymers, polylactic acid and poly(methylmethacrylate-butyl acrylate-methyl methacrylate).

The metallic material of the second coating composition can be selected from the group consisting of stainless steel, nickel, titanium, chromium and alloys thereof.

BRIEF DESCRIPTION OF THE DRAWINGS

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The present invention will be explained with reference to the following drawings.

FIG. 1 shows a cross-sectional view of an embodiment of a coating disposed on at least a portion of a medical device.

FIG. 2 shows a cross-sectional view of another embodiment of a coating disposed on at least a portion of a medical device.

FIG. 3 shows a portion of a medical device that is suitable for use in the present invention.

FIG. 4 shows a cross-sectional view of a stent.

FIG. 4a shows a cross-sectional view of a strut of a stent having a coating thereon.

FIG. 4b shows a cross-sectional view of another embodiment of a strut of a stent having a coating thereon.

FIG. 5 shows a perspective view of an embodiment of a coating disposed on at least a portion of a stent.

FIG. 6 shows a perspective view of another embodiment of a coating disposed on at least a portion of a stent.

FIG. 7 shows a perspective view of yet another embodiment of a coating disposed on at least a portion of a stent.

FIG. 8 shows a perspective view of yet another embodiment of a coating disposed on at least a portion of a stent.

FIG. 9 shows a cross-sectional view of another embodiment of a coating disposed on at least a portion of a medical device.

FIG. 10 shows a cross-sectional view of yet another embodiment of a coating disposed on at least a portion of a medical device.




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Stents incorporating a plurality of strain-distribution locations
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Hybrid stent
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Prosthesis (i.e., artificial body members), parts thereof, or aids and accessories therefor
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stats Patent Info
Application #
US 20120323308 A1
Publish Date
12/20/2012
Document #
File Date
12/31/1969
USPTO Class
Other USPTO Classes
International Class
/
Drawings
0




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Prosthesis (i.e., Artificial Body Members), Parts Thereof, Or Aids And Accessories Therefor   Arterial Prosthesis (i.e., Blood Vessel)   Stent Structure   Having Multiple Connected Bodies  

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20121220|20120323308|coatings for medical devices comprising a therapeutic agent and a metallic material|The invention relates generally to an implantable medical device for delivering a therapeutic agent to the body tissue of a patient, and a method for making such a medical device. In particular, the invention pertains to an implantable medical device, such as an intravascular stent, having a coating comprising a |Boston-Scientific-Scimed-Inc
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