US20160053063A1 - Hydrophilizing plasma coating - Google Patents
Hydrophilizing plasma coating Download PDFInfo
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- US20160053063A1 US20160053063A1 US14/930,436 US201514930436A US2016053063A1 US 20160053063 A1 US20160053063 A1 US 20160053063A1 US 201514930436 A US201514930436 A US 201514930436A US 2016053063 A1 US2016053063 A1 US 2016053063A1
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- Prior art keywords
- acrylic acid
- plasma
- poly
- coating
- biocompatible polymeric
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- Abandoned
Links
- 238000000576 coating method Methods 0.000 title abstract description 63
- 239000011248 coating agent Substances 0.000 title abstract description 55
- 238000000034 method Methods 0.000 claims abstract description 29
- 229920002125 Sokalan® Polymers 0.000 claims abstract description 21
- -1 poly(acrylic acid) Polymers 0.000 claims description 19
- 239000000463 material Substances 0.000 claims description 15
- 229920001296 polysiloxane Polymers 0.000 claims description 8
- 230000005660 hydrophilic surface Effects 0.000 claims description 7
- 229920002845 Poly(methacrylic acid) Polymers 0.000 claims 12
- 239000011247 coating layer Substances 0.000 claims 12
- 239000010410 layer Substances 0.000 claims 12
- 239000002345 surface coating layer Substances 0.000 claims 2
- 239000007789 gas Substances 0.000 abstract description 40
- 239000011261 inert gas Substances 0.000 abstract description 27
- NIXOWILDQLNWCW-UHFFFAOYSA-N 2-Propenoic acid Natural products OC(=O)C=C NIXOWILDQLNWCW-UHFFFAOYSA-N 0.000 abstract description 13
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- 239000000203 mixture Substances 0.000 abstract description 11
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Images
Classifications
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- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/14—Eye parts, e.g. lenses or corneal implants; Artificial eyes
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- A61F2/1613—Intraocular lenses having special lens configurations, e.g. multipart lenses; having particular optical properties, e.g. pseudo-accommodative lenses, lenses having aberration corrections, diffractive lenses, lenses for variably absorbing electromagnetic radiation, lenses having variable focus
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- 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
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- A61L27/28—Materials for coating prostheses
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- B05D1/62—Plasma-deposition of organic layers
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- B05D3/14—Pretreatment of surfaces to which liquids or other fluent materials are to be applied; After-treatment of applied coatings, e.g. intermediate treating of an applied coating preparatory to subsequent applications of liquids or other fluent materials by electrical means
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- B05D3/144—Pretreatment of polymeric substrates
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- B05D5/00—Processes for applying liquids or other fluent materials to surfaces to obtain special surface effects, finishes or structures
- B05D5/04—Processes for applying liquids or other fluent materials to surfaces to obtain special surface effects, finishes or structures to obtain a surface receptive to ink or other liquid
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- C—CHEMISTRY; METALLURGY
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- C08J—WORKING-UP; GENERAL PROCESSES OF COMPOUNDING; AFTER-TREATMENT NOT COVERED BY SUBCLASSES C08B, C08C, C08F, C08G or C08H
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- G—PHYSICS
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- G02C—SPECTACLES; SUNGLASSES OR GOGGLES INSOFAR AS THEY HAVE THE SAME FEATURES AS SPECTACLES; CONTACT LENSES
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- G02C7/02—Lenses; Lens systems ; Methods of designing lenses
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- G02C7/049—Contact lenses having special fitting or structural features achieved by special materials or material structures
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- B05D3/04—Pretreatment of surfaces to which liquids or other fluent materials are to be applied; After-treatment of applied coatings, e.g. intermediate treating of an applied coating preparatory to subsequent applications of liquids or other fluent materials by exposure to gases
- B05D3/0466—Pretreatment of surfaces to which liquids or other fluent materials are to be applied; After-treatment of applied coatings, e.g. intermediate treating of an applied coating preparatory to subsequent applications of liquids or other fluent materials by exposure to gases the gas being a non-reacting gas
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- B05D7/50—Multilayers
- B05D7/52—Two layers
- B05D7/54—No clear coat specified
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- C—CHEMISTRY; METALLURGY
- C08—ORGANIC MACROMOLECULAR COMPOUNDS; THEIR PREPARATION OR CHEMICAL WORKING-UP; COMPOSITIONS BASED THEREON
- C08J—WORKING-UP; GENERAL PROCESSES OF COMPOUNDING; AFTER-TREATMENT NOT COVERED BY SUBCLASSES C08B, C08C, C08F, C08G or C08H
- C08J2383/00—Characterised by the use of macromolecular compounds obtained by reactions forming in the main chain of the macromolecule a linkage containing silicon with or without sulfur, nitrogen, oxygen, or carbon only; Derivatives of such polymers
- C08J2383/04—Polysiloxanes
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- C08J—WORKING-UP; GENERAL PROCESSES OF COMPOUNDING; AFTER-TREATMENT NOT COVERED BY SUBCLASSES C08B, C08C, C08F, C08G or C08H
- C08J2433/00—Characterised by the use of homopolymers or copolymers of compounds having one or more unsaturated aliphatic radicals, each having only one carbon-to-carbon double bond, and only one being terminated by only one carboxyl radical, or of salts, anhydrides, esters, amides, imides, or nitriles thereof; Derivatives of such polymers
- C08J2433/02—Homopolymers or copolymers of acids; Metal or ammonium salts thereof
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- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
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- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
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Definitions
- the present invention relates to the surface treatment of workpieces on the basis of biomaterials and in particular relates to the permanent hydrophilizing of surfaces of such workpieces by means of plasma enhanced chemical vapour deposition (PECVD) and subsequent chemical vapour deposition (CVD).
- PECVD plasma enhanced chemical vapour deposition
- CVD chemical vapour deposition
- bio-compatibility The biological compliance of materials, also termed bio-compatibility, is determined to a large extent by their surface properties.
- a hydrophilic surface is decisive for a good bio-compatibility.
- a hydrophilic surface of polymeric scaffold substances improves their being colonized by tissue cells and, thereby, the therapeutic success.
- a hydrophilic surface of the polymeric substrate is advantageous for fixing the cells.
- a biocompatible hydrophilizing of surfaces of polymeric bio-materials may be achieved by a modification of the polymeric surface by means of plasma oxidation, as described e.g. in the international application WO 99/57177. It turned out, however, that such hydrophilized surfaces are not sufficiently long-term stable.
- a more permanent hydrophiliation of polymeric biomaterial surfaces is achieved by coating same with a hydrophilic biocompatible material.
- PMMA polymethylmethacrylate
- U.S. Pat. No. 5,080,924 e.g. a plasma deposition process for graft polymerising the surfaces with polyacrylic acid has been suggested.
- the graft polymerised PMMA-surfaces showed contact angles of water in the range of 35 to 50 degrees and are too large for a sufficient wetting of the material's surface.
- the coating needs to be post-treated, e.g. by applying a further biocompatible material different from polyacrylic acid, which cross-links to the polyacrylic acid.
- Such a process involving coating plural layers requires a higher apparative effort and also results in longer coating times.
- Such coating comprises a process for hydrophilizing surfaces of polymeric workpieces, wherein the process comprises a step (a) of cleaning and activating the work piece surfaces in the course of a pre-treatment with a high-frequency gas plasma formed on the basis of an inert gas, a step (b) of pre-coating the pre-treated workpiece surfaces with polyacrylic acid using a high-frequency gas plasma formed from a gas mixture, wherein the gas mixture is composed of an inert gas and a first gas formed of biocompatible, polymerizable carboxy group containing monomers, and a step (c) of follow-up-coating the pre-coated workpiece surfaces using a second gas substantially containing acrylic acid monomers.
- the coating further comprises providing a polymeric workpiece with a hydrophilizing surface coating of polyacrylic acid, obtainable by a process comprising the steps specified above, wherein the contact angle of water on the workpiece surface coated with polyacrylic acid has a value in the range of 2 to less than 10 degrees.
- the workpieces coated with the specified process have a long-term stable hydrophilic surface with excellent wettability, which in contact with body tissue results in a good bio compatibility, whereby irritations of the eye occur less frequently with accordingly coated contact lenses, and body cells more readily attach to accordingly coated scaffold substances for Tissue Engineering.
- the biocompatible polymerizable monomers forming the first gas are selected from (meth)acrylic acid and (meth)acrylic acid anhydride, whereby in the high frequency plasma a large proportion of acrylic acid monomers is generated which attach to the workpiece surface activated in step (a) of the process forming covalent bonds.
- the gas used in step (a) of the process for generating the high-frequency plasma contains the first gas in an amount corresponding to a partial pressure of less than one tenth of the partial pressure of the inert gas, so that an efficient cleaning and activating of the workpiece surfaces is ensured.
- step (b) a gas mixture is used in which the partial pressure of the first gas is at least one fourth of, and maximally twice the partial pressure of the inert gas.
- the partial pressure of the inert gas in the second gas used in step (c) is, in embodiments, less than one tenth of the partial pressure of the acrylic acid monomer-forming gas.
- Argon is used as the inert gas.
- the coating applied in step (b) is monitored by means of a layer thickness control device, and the process terminated upon reaching a layer thickness value selected from the range 50 to 400 ⁇ .
- the pressure of the inert gas for the high-frequency plasma in step (a) is set to a value in the range 15 to 60 mTorr (ca. 2 to 8 Pa) and the pressure of the first gas for the high-frequency plasma in step (b) to a value in the range 30 to 90 mTorr (ca. 4 to 12 Pa).
- embodiments further include a step (cb), comprising throttling the inert gas supply and supplying a second gas immediately subsequent to step (b), wherein the pressure of the second gas in step (cb) is less than 0.3 mTorr (ca. 40 mPa).
- embodiments further comprise a step (bc), carried out immediately after step (b) or, if executed, step (cb), which further step comprises a switching-off of the high-frequency plasmas, an interrupting of the inert gas supply, and a supplying of the second gas, wherein the pressure of the second gas in step (c) is between 1.5 and 6 Torr (ca. 0.13 to 0.8 kPa).
- embodiments comprise a step (d) subsequent to step (c) of removing water soluble components from the hydrophilizing layer by means of rinsing the coated workpiece in hydrophilic solvent, such as e. g. in isotonic saline solution or, depending on the intended application of the workpiece, in de-mineralized water.
- hydrophilic solvent such as e. g. in isotonic saline solution or, depending on the intended application of the workpiece, in de-mineralized water.
- the workpiece comprises, at least at its surface, a material which is formed mainly or substantially of a silicone, in particular poly(dimethylsiloxane), a silicone hydrogel, or a porous bioresorbable polymer such as PLA or PLGA.
- a material which is formed mainly or substantially of a silicone, in particular poly(dimethylsiloxane), a silicone hydrogel, or a porous bioresorbable polymer such as PLA or PLGA The thickness ranges of the workpieces in embodiments relating to the first case relevant for contact lenses are preferably between 50 and 300 ⁇ m, between 5 and 40 ⁇ m, or between 2 and 12 ⁇ m.
- the thickness of the coating in embodiments with porous PLA or PLGA is preferably between 5 and 40 nm.
- the workpieces are silicone contact lenses.
- the hydrophilizing surface coating of these workpieces is comprised of a PAA-layer with an average thickness of 5 to 40 ⁇ m.
- the workpieces are a porous matrix of poly( ⁇ -hydroxycarboxylic acids).
- the hydrophilizing surface coating of these workpieces is comprised of a PAA-layer with an average thickness of 5 to 40 nm.
- FIG. 1 a schematic depiction for illustrating a system for biocompatibly coating of polymeric biomaterials
- FIG. 2 a flow diagram for illustrating the essential process steps for coating polymeric biomaterials with poly(acrylic acid).
- FIG. 3 a fluorescence diagram for illustrating the layer thickness achievable with the process according to FIG. 2 .
- the scheme shown in FIG. 1 illustrates important components of an apparatus 100 for coating polymeric workpieces 90 with a material rendering their surfaces hydrophilic.
- the workpieces are preferably either contact lenses and in this case particularly those made of a silicone or a silicone hydrogel, or else a polymeric scaffold, preferably made of PLA (polylactide) or PLGA (polylactide-co-glycolide), suitable for Tissue Engineering.
- PLA polylactide
- PLGA polylactide-co-glycolide
- the apparatus 100 comprises an evacuatable recipient 10 with a device for generating a high-frequency plasma in the interior 15 of the recipient 10 .
- the device for generating a high-frequency plasma is symbolized in the scheme of FIG. 1 by means of two electrodes 11 and 12 , but is not limited to the use of electrodes.
- FIG. 1 for the sake of clarity and conciseness, only such components are depicted which are deemed to be required for understanding the invention.
- Such components as e.g. pumps for evacuating the recipient 10 which are required for operating the apparatus but are irrelevant for understanding the invention, are deemed present despite not being shown in the drawing.
- At least a vacuum or low pressure gauge 13 and a coating application measuring device 14 such as an oscillating quartz, are associated with the interior 15 of the recipient 10 .
- the coating apparatus 100 further includes an inert gas reservoir 21 and one or more coating material reservoirs 22 and 23 .
- Each of the reservoirs or reservoir containers 21 , 22 and 23 is connected by an associated one of ducts 71 , 72 and 73 with the recipient 10 in such a manner that gaseous or vaporized substances kept in the reservoirs or reservoir containers can be guided into the interior 15 of the recipient 10 .
- Control valves 41 , 42 and 43 arranged in the ducts 71 , 72 and 73 enable regulation of the flow of the respective gas or vapour into the recipient 10 .
- the control valves may alternatively be used for venting the reservoirs 21 , 22 and 23 .
- separate valves and, if desired, separate ducts are employed for this purpose.
- the apparatus 100 further includes a control 80 , which is adapted for controlling or, if desired, regulating the coating processes e.g. by means of control leads 61 , 62 , 63 , 64 , 65 and signal leads 66 and 67 .
- the control can be adapted for a fully automatic or a semi-automatic coating control. It may be noted that, deviating from German use of the terms, in this text it is not discriminated between controlling and regulating. Instead, both terms are used synonymously, i.e. the term control may comprise returning a control quantity or its measured value, respectively, in the same manner as the term regulating may refer to a simple control chain. This also applies to grammatical variations of these terms.
- a regulating (partial) control of the apparatus 100 may be realized e.g. using the output signals from sensor devices associated with the interior 15 .
- the valves 41 , 42 and 43 may be controlled, using the vacuum or low pressure gauge 13 in such a manner that in the interior 15 of the recipient 10 a predetermined constant gas or vapour pressure with likewise predetermined partial pressures is maintained.
- the control device 80 may be adapted to monitor the building-up of the coating by means of the coating thickness monitoring device 14 and to terminate same when a desired coating thickness is reached.
- the control 80 is typically arranged for controlling the high-frequency apparatus 11 and 12 in dependence of the process requirements.
- the flow diagram 200 of FIG. 2 illustrates the important steps of a process for hydrophilizing workpiece surfaces by coating with poly(acrylic acid).
- polymeric biomaterials are used for manufacturing the workpieces 90 or their surface regions, wherein the term “biomaterial” relates to all materials intended for contact with biological tissue or body fluids, e.g. in the course of therapeutic or diagnostic measures.
- step S 0 Subsequent to the preparation of the workpieces 90 in step S 0 , optionally comprising cleaning the workpieces and arranging same in the recipient 10 as well as subsequently evacuating the recipient, the workpiece surfaces are initially prepared in step S 1 for a subsequent coating.
- the recipient 10 loaded with the one or more workpieces is initially evacuated by means of pumps (not shown in the drawings), preferably to a pressure of maximally 10 ⁇ 4 mbar (10 mPa).
- the interior 15 is purged with an inert gas, preferably Argon, while continually pumping, wherein the inert gas supply is adjusted to the pumping speed so that in the interior 15 of the recipient 10 a constant pressure is maintained.
- the inert gas 31 is supplied to the recipient from an inert gas reservoir 21 .
- the Argon gas pressure is about 25 mTorr (ca. 3.3 Pa).
- the plasma generator for example a high-frequency generator, is switched on, whereby an inert gas plasma is generated which surrounds the workpieces 90 .
- the plasma cleans the work piece surfaces by removing substances adsorbed thereon and furthermore results in an activation of the workpiece surfaces by forming ions and free radicals beneficial for the subsequent polymerisation process.
- the cleaning and activating effect of this first step S 1 may be influenced via the frequency of the generator, the power coupled into the plasma, the exposure time to the plasma, and the type of the inert gas used for the plasma, as is generally known.
- the settings suitable for each individual application may be determined by the skilled person.
- Argon is preferred as the inert gas, because it allows an activation of the workpiece surfaces without generating new, undesired compounds.
- other inert gases may be employed instead, such as nitrogen, if leading to comparable results.
- the exposition time to the Argon plasma is about 1 minute or less. After this time, the plasma generator is switched off and the process continued with the first coating step S 2 .
- the plasma employed for the pre-treatment of the workpieces may be generated on the basis of a mixture of the inert gas and a reactive component to be used in a subsequent pre-coating step, instead of pure Argon.
- the partial pressure of the reactive component in the gas mixture should be less than one tenth than the partial pressure of the inert gas.
- the inert gas supply into the interior of the recipient is preferably maintained or optionally is adjusted so that it assumes a value suitable for carrying out step S 2 .
- a coating material gas made up of biocompatible, polymerizable carboxy group-containing monomers in the vapour phase is admixed to the inert gas in the recipient 10 .
- the carboxy group-containing monomers are preferably acrylic acid or an acrylic acid precursor, such as e.g. (meth)acrylic acid anhydride.
- the partial pressure P eSG of the first coating material gas in some embodiments is at least one fourth of, and maximally twice the partial pressure p IG of the inert gas.
- the partial pressure ratio p eSG :p IG is selected from the range 1:1 to 1:0.5.
- the partial pressure of Argon in embodiments of the process is 30 mTorr (ca. 400 mPa) at a total pressure of the gas mixture of 45 mTorr (ca. 600 mPa), resulting in a value of the ratio of the Argon partial pressure p Ar to the first coating material partial pressure (reactive component partial pressure) P eSG of 2:1.
- the reactive component for generating the first coating material gas preferably (meth)acrylic acid anhydride is used, which is vaporized in one of the reservoirs 22 or 23 in FIG. 1 and is guided to the interior 15 of the recipient 10 via ducts 72 or 73 .
- the partial pressure of the coating material gas is adjusted via its inflow, in turn controlled via valves 42 or 43 .
- (meth)acrylic acid anhydride (meth)acrylic acid may be used.
- (Meth)acrylic acid or (meth)acrylic acid anhydride are provided in the reservoirs 22 or 23 in liquid form, for example in an amount of 150 ml. In order to prevent or inhibit polymerization of the acrylic acid or its precursor material, respectively, same may be doted with Cu(I)-chloride.
- the reactive component containers 22 and 23 respectively, after filling are de-aerated until bubbles n o longer appear in the reactive component liquid.
- the vapour pressure of the reactive components at common ambient temperatures of 22 to 25° C. is usually sufficient for forming the first coating material gas.
- the actual pre-coating process is initiated through starting the plasma generator, whereby acrylic acid monomers excited in the plasma attach to the activated workpiece surface and, in the further course, form a poly(acrylic acid) layer.
- This plasma enhanced pre-coating phase is maintained until a desired coating thickness is reached.
- the building-up of the coating is continually monitored by means of the coating deposition measuring device 14 .
- coatings with thicknesses of up to 30,000 nm, corresponding to 30 ⁇ m may be deposited, wherein a respective coating process is terminated once the coating deposition measuring device 14 indicates the achievement of the desired coating thickness within a given tolerance of e.g. 50 to 400 ⁇ .
- the thickness of the hydrophilic coating to be deposited in the pre-coating process depends on the particular application and in the case of scaffold substances for Tissue Engineering usually is in the range of 30 to 50 nm.
- pre-coatings with for example thicknesses in the range of about 5 to 40 nm have proven useful.
- the pre-coating phase may take between 10 and 80 or even 120 minutes.
- the gas supplies are preferably not varied during the plasma coating.
- the pre-coating process is terminated by switching off the plasma generator.
- a first variant of the follow-up-coating step S 3 follows in which, after switching off the plasma generator, initially the inert gas supply is interrupted and the pre-coated workpiece surface is exposed to, if possible, the full vapour pressure of a reactive component formed by water-free acrylic acid.
- the vapour pressure of the reactive component should not be below 5 Torr (ca. 667 Pa). Slightly cooling or warming the reactive component in the reservoir 22 or 23 may be suitable to adjust the pressure.
- the introduction of the reactive component into the recipient 10 at full vapour pressure provides the reactive gas in large amounts, which reacts with reactive centers present on the pre-coated surface and provides a relatively thick poly(acrylic acid) layer (PAA-layer), which may be crystalline.
- PAA-layer poly(acrylic acid) layer
- FIG. 3 a measurement diagram is shown, from which it may be derived that a PAA-layer produced as described above has a thickness of about 10 ⁇ m.
- the hydrophilic PAA-layer was stained with Rhodamin 6G as a fluorescence dye and the fluorescence was measured in dependence of depth by means of confocal microscopy. as may be gathered from the right portion of the fluorescence tracks, the hydrophilic layer extends significantly into the depth of the workpiece.
- the contact lens measured in FIG. 3 at the site of the measurement has a thickness of 117.5 ⁇ m. The resolution of the measurement is 0.6 ⁇ m. From the obtained data, it may be derived that a coating thickness on the surface of ca.
- the process is therefore particularly suitable for the application to silicone contact lenses, for which hydrophilicity of the surface, durability of the coating as well as the optical properties thereof are equally important.
- the plasma generator is not switched off at the end of the pre-coating step S 2 and is therefore still in operation at the time of transitioning to the follow-up coating step S 3 .
- the Argon supply is almost or entirely stopped and the supply of the reactive gas, i. e. the acrylic acid, is reduced so much that, with the high-frequency generation maintained and continuously evacuating the recipient 10 , a pressure equilibrium in the range of less than 0.3 mTorr (ca. 40 mPa) is achieved.
- the pressure is adjusted to a value of less than 0.1 mTorr (ca. 13 mPa).
- This follow-up-coating phase is maintained for 5 to 15 minutes and with porous resorbable scaffold substances for Tissue Engineering results in workpiece surfaces having particularly low contact angles for water and excellent cell adhesion rates of e. g. above 90% or above 95%.
- the described second variant of the process is therefore particularly suitable for the manufacture of coated scaffold substances, which are to be employed for the infiltration of cells in the course of Tissue Engineering.
- the coated workpieces 90 may be removed from the recipient a may optionally subjected to a quality check.
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Abstract
The invention relates to a method for hydrophilizing surfaces of polymer workpieces. The method has a step (a) of pretreating the workpiece surfaces in a high-frequency gas plasma which is produced on the basis of an inert gas in order to clean and activate the workpiece surfaces; a step (b) of precoating the pretreated workpiece surfaces with polyacrylic acid using a high-frequency gas plasma made of a gas mixture, said gas mixture being composed of an inert gas and a first gas made of biocompatible, polymerizable carboxy group-containing monomers; and a step (c) of subsequently coating the precoated workpiece surfaces using a second gas substantially containing acrylic acid monomers.
Description
- The present invention relates to the surface treatment of workpieces on the basis of biomaterials and in particular relates to the permanent hydrophilizing of surfaces of such workpieces by means of plasma enhanced chemical vapour deposition (PECVD) and subsequent chemical vapour deposition (CVD).
- There are high requirements to the biological compatibility of workpieces intended for temporary or permanent use in human or animal organs, such as e.g. contact lenses or implants, in order to avoid inflammatory processes. In order to accordingly ensure a high biocompatibility, the materials employed for manufacturing such workpieces have properties predestining them both for the respective use as also for the ensuing tissue contact.
- The biological compliance of materials, also termed bio-compatibility, is determined to a large extent by their surface properties. For contact lenses, a hydrophilic surface is decisive for a good bio-compatibility. For implants in the context of Tissue Engineering (build-up of autologous tissue), a hydrophilic surface of polymeric scaffold substances improves their being colonized by tissue cells and, thereby, the therapeutic success. Also, in in vitro testing methods with vital cells, a hydrophilic surface of the polymeric substrate is advantageous for fixing the cells.
- A biocompatible hydrophilizing of surfaces of polymeric bio-materials may be achieved by a modification of the polymeric surface by means of plasma oxidation, as described e.g. in the
international application WO 99/57177. It turned out, however, that such hydrophilized surfaces are not sufficiently long-term stable. - A more permanent hydrophiliation of polymeric biomaterial surfaces is achieved by coating same with a hydrophilic biocompatible material. In order to manufacture hydrophilic surfaces on contact lenses made of polymethylmethacrylate (PMMA), in the patent document U.S. Pat. No. 5,080,924 e.g. a plasma deposition process for graft polymerising the surfaces with polyacrylic acid has been suggested. The graft polymerised PMMA-surfaces showed contact angles of water in the range of 35 to 50 degrees and are too large for a sufficient wetting of the material's surface. For further reducing the contact angle, the coating needs to be post-treated, e.g. by applying a further biocompatible material different from polyacrylic acid, which cross-links to the polyacrylic acid. Such a process involving coating plural layers requires a higher apparative effort and also results in longer coating times.
- Starting out from what has been described above, it is therefore desirable to provide a less complex coating of polymeric biomaterials which enables a long-term stable surface hydrophilation with water contact angles of 15 degrees or less.
- Such coating comprises a process for hydrophilizing surfaces of polymeric workpieces, wherein the process comprises a step (a) of cleaning and activating the work piece surfaces in the course of a pre-treatment with a high-frequency gas plasma formed on the basis of an inert gas, a step (b) of pre-coating the pre-treated workpiece surfaces with polyacrylic acid using a high-frequency gas plasma formed from a gas mixture, wherein the gas mixture is composed of an inert gas and a first gas formed of biocompatible, polymerizable carboxy group containing monomers, and a step (c) of follow-up-coating the pre-coated workpiece surfaces using a second gas substantially containing acrylic acid monomers.
- The coating further comprises providing a polymeric workpiece with a hydrophilizing surface coating of polyacrylic acid, obtainable by a process comprising the steps specified above, wherein the contact angle of water on the workpiece surface coated with polyacrylic acid has a value in the range of 2 to less than 10 degrees.
- The workpieces coated with the specified process have a long-term stable hydrophilic surface with excellent wettability, which in contact with body tissue results in a good bio compatibility, whereby irritations of the eye occur less frequently with accordingly coated contact lenses, and body cells more readily attach to accordingly coated scaffold substances for Tissue Engineering.
- If not clearly intended differently from the context, the words “having”, “comprising”, “including”, “encompassing”, “with” and the like in the specification and the claims as well as their grammatical modifications are to be understood as comprising as opposed to exclusive or exhaustive meaning; i.e. in the sense of “including, but not limited to”.
- In preferred embodiments of the process, the biocompatible polymerizable monomers forming the first gas are selected from (meth)acrylic acid and (meth)acrylic acid anhydride, whereby in the high frequency plasma a large proportion of acrylic acid monomers is generated which attach to the workpiece surface activated in step (a) of the process forming covalent bonds.
- In other preferred embodiments, the gas used in step (a) of the process for generating the high-frequency plasma contains the first gas in an amount corresponding to a partial pressure of less than one tenth of the partial pressure of the inert gas, so that an efficient cleaning and activating of the workpiece surfaces is ensured.
- In order to achieve a stable attachment of the acrylic acid monomers to the workpiece surface, in preferred embodiments in step (b) a gas mixture is used in which the partial pressure of the first gas is at least one fourth of, and maximally twice the partial pressure of the inert gas.
- With a view to obtaining a dense and stable poly(acrylic acid) coating, the partial pressure of the inert gas in the second gas used in step (c) is, in embodiments, less than one tenth of the partial pressure of the acrylic acid monomer-forming gas.
- In embodiments, Argon is used as the inert gas.
- For an efficient control of the pre-coating process, in embodiments the coating applied in step (b) is monitored by means of a layer thickness control device, and the process terminated upon reaching a layer thickness value selected from the range 50 to 400 Å.
- In particularly preferred embodiments, in which contact angles in the range of 2 to less than 10 degrees are achieved, the pressure of the inert gas for the high-frequency plasma in step (a) is set to a value in the
range 15 to 60 mTorr (ca. 2 to 8 Pa) and the pressure of the first gas for the high-frequency plasma in step (b) to a value in the range 30 to 90 mTorr (ca. 4 to 12 Pa). - For fixing the acrylic acid polymer coating on the workpiece surfaces, embodiments further include a step (cb), comprising throttling the inert gas supply and supplying a second gas immediately subsequent to step (b), wherein the pressure of the second gas in step (cb) is less than 0.3 mTorr (ca. 40 mPa).
- In order to promote the attachment to, and cross-linking of acrylic acid monomers with the pre-coated workpiece surface, embodiments further comprise a step (bc), carried out immediately after step (b) or, if executed, step (cb), which further step comprises a switching-off of the high-frequency plasmas, an interrupting of the inert gas supply, and a supplying of the second gas, wherein the pressure of the second gas in step (c) is between 1.5 and 6 Torr (ca. 0.13 to 0.8 kPa).
- In order to improve the bio-compatibility, embodiments comprise a step (d) subsequent to step (c) of removing water soluble components from the hydrophilizing layer by means of rinsing the coated workpiece in hydrophilic solvent, such as e. g. in isotonic saline solution or, depending on the intended application of the workpiece, in de-mineralized water.
- In further preferred embodiments, the workpiece comprises, at least at its surface, a material which is formed mainly or substantially of a silicone, in particular poly(dimethylsiloxane), a silicone hydrogel, or a porous bioresorbable polymer such as PLA or PLGA. The thickness ranges of the workpieces in embodiments relating to the first case relevant for contact lenses are preferably between 50 and 300 μm, between 5 and 40 μm, or between 2 and 12 μm. The thickness of the coating in embodiments with porous PLA or PLGA is preferably between 5 and 40 nm.
- In embodiments, the workpieces are silicone contact lenses. The hydrophilizing surface coating of these workpieces is comprised of a PAA-layer with an average thickness of 5 to 40 μm.
- In other embodiments, the workpieces are a porous matrix of poly(α-hydroxycarboxylic acids). The hydrophilizing surface coating of these workpieces is comprised of a PAA-layer with an average thickness of 5 to 40 nm.
- Further features of the invention are apparent from the following description of embodiments in conjunction with the claims and the drawings. The invention is not limited by the described embodiments, but determined by the scope of the appended claims. In particular, the individual features of embodiments according to the invention may be realized in a different number or combination than in the examples described below. In the following explanation of embodiments, reference is made to the appended drawings, which show:
-
FIG. 1 a schematic depiction for illustrating a system for biocompatibly coating of polymeric biomaterials; -
FIG. 2 a flow diagram for illustrating the essential process steps for coating polymeric biomaterials with poly(acrylic acid); and -
FIG. 3 a fluorescence diagram for illustrating the layer thickness achievable with the process according toFIG. 2 . - The scheme shown in
FIG. 1 illustrates important components of anapparatus 100 for coatingpolymeric workpieces 90 with a material rendering their surfaces hydrophilic. The workpieces are preferably either contact lenses and in this case particularly those made of a silicone or a silicone hydrogel, or else a polymeric scaffold, preferably made of PLA (polylactide) or PLGA (polylactide-co-glycolide), suitable for Tissue Engineering. - The
apparatus 100 comprises anevacuatable recipient 10 with a device for generating a high-frequency plasma in theinterior 15 of therecipient 10. The device for generating a high-frequency plasma is symbolized in the scheme ofFIG. 1 by means of twoelectrodes FIG. 1 , for the sake of clarity and conciseness, only such components are depicted which are deemed to be required for understanding the invention. Such components as e.g. pumps for evacuating therecipient 10, which are required for operating the apparatus but are irrelevant for understanding the invention, are deemed present despite not being shown in the drawing. At least a vacuum orlow pressure gauge 13 and a coatingapplication measuring device 14, such as an oscillating quartz, are associated with theinterior 15 of therecipient 10. - The
coating apparatus 100 further includes aninert gas reservoir 21 and one or morecoating material reservoirs reservoir containers ducts recipient 10 in such a manner that gaseous or vaporized substances kept in the reservoirs or reservoir containers can be guided into theinterior 15 of therecipient 10.Control valves ducts recipient 10. In the embodiment shown, the control valves may alternatively be used for venting thereservoirs - The
apparatus 100 further includes acontrol 80, which is adapted for controlling or, if desired, regulating the coating processes e.g. by means of control leads 61, 62, 63, 64, 65 and signal leads 66 and 67. Depending on the requirements, the control can be adapted for a fully automatic or a semi-automatic coating control. It may be noted that, deviating from German use of the terms, in this text it is not discriminated between controlling and regulating. Instead, both terms are used synonymously, i.e. the term control may comprise returning a control quantity or its measured value, respectively, in the same manner as the term regulating may refer to a simple control chain. This also applies to grammatical variations of these terms. A regulating (partial) control of theapparatus 100 may be realized e.g. using the output signals from sensor devices associated with the interior 15. For example, thevalves low pressure gauge 13 in such a manner that in theinterior 15 of the recipient 10 a predetermined constant gas or vapour pressure with likewise predetermined partial pressures is maintained. Furthermore, thecontrol device 80 may be adapted to monitor the building-up of the coating by means of the coatingthickness monitoring device 14 and to terminate same when a desired coating thickness is reached. In addition, thecontrol 80 is typically arranged for controlling the high-frequency apparatus - The flow diagram 200 of
FIG. 2 illustrates the important steps of a process for hydrophilizing workpiece surfaces by coating with poly(acrylic acid). Preferably, polymeric biomaterials are used for manufacturing theworkpieces 90 or their surface regions, wherein the term “biomaterial” relates to all materials intended for contact with biological tissue or body fluids, e.g. in the course of therapeutic or diagnostic measures. - Subsequent to the preparation of the
workpieces 90 in step S0, optionally comprising cleaning the workpieces and arranging same in therecipient 10 as well as subsequently evacuating the recipient, the workpiece surfaces are initially prepared in step S1 for a subsequent coating. - To this end, the
recipient 10 loaded with the one or more workpieces is initially evacuated by means of pumps (not shown in the drawings), preferably to a pressure of maximally 10−4 mbar (10 mPa). After reaching the desired vacuum pressure, the interior 15 is purged with an inert gas, preferably Argon, while continually pumping, wherein the inert gas supply is adjusted to the pumping speed so that in theinterior 15 of the recipient 10 a constant pressure is maintained. Theinert gas 31 is supplied to the recipient from aninert gas reservoir 21. In embodiments the Argon gas pressure is about 25 mTorr (ca. 3.3 Pa). After reaching a stable inert gas pressure in the interior of therecipient 15, the plasma generator, for example a high-frequency generator, is switched on, whereby an inert gas plasma is generated which surrounds theworkpieces 90. The plasma cleans the work piece surfaces by removing substances adsorbed thereon and furthermore results in an activation of the workpiece surfaces by forming ions and free radicals beneficial for the subsequent polymerisation process. - The cleaning and activating effect of this first step S1 may be influenced via the frequency of the generator, the power coupled into the plasma, the exposure time to the plasma, and the type of the inert gas used for the plasma, as is generally known. The settings suitable for each individual application may be determined by the skilled person. In the presently described process, Argon is preferred as the inert gas, because it allows an activation of the workpiece surfaces without generating new, undesired compounds. Naturally, other inert gases may be employed instead, such as nitrogen, if leading to comparable results. In an exemplary embodiment, the exposition time to the Argon plasma is about 1 minute or less. After this time, the plasma generator is switched off and the process continued with the first coating step S2.
- Deviating from the above, the plasma employed for the pre-treatment of the workpieces may be generated on the basis of a mixture of the inert gas and a reactive component to be used in a subsequent pre-coating step, instead of pure Argon. The partial pressure of the reactive component in the gas mixture should be less than one tenth than the partial pressure of the inert gas.
- On transitioning from step S1 to step S2 of the process, the inert gas supply into the interior of the recipient is preferably maintained or optionally is adjusted so that it assumes a value suitable for carrying out step S2. For generating the gas mixture, a coating material gas made up of biocompatible, polymerizable carboxy group-containing monomers in the vapour phase is admixed to the inert gas in the
recipient 10. The carboxy group-containing monomers are preferably acrylic acid or an acrylic acid precursor, such as e.g. (meth)acrylic acid anhydride. The partial pressure PeSG of the first coating material gas in some embodiments is at least one fourth of, and maximally twice the partial pressure pIG of the inert gas. More preferably, the partial pressure ratio peSG:pIG is selected from the range 1:1 to 1:0.5. For example, the partial pressure of Argon in embodiments of the process is 30 mTorr (ca. 400 mPa) at a total pressure of the gas mixture of 45 mTorr (ca. 600 mPa), resulting in a value of the ratio of the Argon partial pressure pAr to the first coating material partial pressure (reactive component partial pressure) PeSG of 2:1. As the reactive component for generating the first coating material gas, preferably (meth)acrylic acid anhydride is used, which is vaporized in one of thereservoirs FIG. 1 and is guided to the interior 15 of therecipient 10 viaducts valves reservoirs reactive component containers - After adjusting the desired gas mixture and gas mixture pressure the actual pre-coating process is initiated through starting the plasma generator, whereby acrylic acid monomers excited in the plasma attach to the activated workpiece surface and, in the further course, form a poly(acrylic acid) layer. This plasma enhanced pre-coating phase is maintained until a desired coating thickness is reached. The building-up of the coating is continually monitored by means of the coating
deposition measuring device 14. In principle, coatings with thicknesses of up to 30,000 nm, corresponding to 30 μm, may be deposited, wherein a respective coating process is terminated once the coatingdeposition measuring device 14 indicates the achievement of the desired coating thickness within a given tolerance of e.g. 50 to 400 Å. The thickness of the hydrophilic coating to be deposited in the pre-coating process depends on the particular application and in the case of scaffold substances for Tissue Engineering usually is in the range of 30 to 50 nm. For hydrophilizing contact lenses pre-coatings with for example thicknesses in the range of about 5 to 40 nm have proven useful. According to the application and therefore also the required coating thickness, the pre-coating phase may take between 10 and 80 or even 120 minutes. The gas supplies are preferably not varied during the plasma coating. In a first variant of the process, the pre-coating process is terminated by switching off the plasma generator. - Subsequent to the first variant of the pre-coating step S2 described above, a first variant of the follow-up-coating step S3 follows in which, after switching off the plasma generator, initially the inert gas supply is interrupted and the pre-coated workpiece surface is exposed to, if possible, the full vapour pressure of a reactive component formed by water-free acrylic acid. The vapour pressure of the reactive component should not be below 5 Torr (ca. 667 Pa). Slightly cooling or warming the reactive component in the
reservoir recipient 10 at full vapour pressure provides the reactive gas in large amounts, which reacts with reactive centers present on the pre-coated surface and provides a relatively thick poly(acrylic acid) layer (PAA-layer), which may be crystalline. - In
FIG. 3 a measurement diagram is shown, from which it may be derived that a PAA-layer produced as described above has a thickness of about 10 μm. For this measurement, the hydrophilic PAA-layer was stained with Rhodamin 6G as a fluorescence dye and the fluorescence was measured in dependence of depth by means of confocal microscopy. as may be gathered from the right portion of the fluorescence tracks, the hydrophilic layer extends significantly into the depth of the workpiece. The contact lens measured inFIG. 3 at the site of the measurement has a thickness of 117.5 μm. The resolution of the measurement is 0.6 μm. From the obtained data, it may be derived that a coating thickness on the surface of ca. 10±0.6 μm (region between the vertical lines) and a penetration depth per side of ca. 15 to 20±0.6 μm was present. In the described variant, the process is therefore particularly suitable for the application to silicone contact lenses, for which hydrophilicity of the surface, durability of the coating as well as the optical properties thereof are equally important. - In a second variant of the process, the plasma generator is not switched off at the end of the pre-coating step S2 and is therefore still in operation at the time of transitioning to the follow-up coating step S3. In this variant, the Argon supply is almost or entirely stopped and the supply of the reactive gas, i. e. the acrylic acid, is reduced so much that, with the high-frequency generation maintained and continuously evacuating the
recipient 10, a pressure equilibrium in the range of less than 0.3 mTorr (ca. 40 mPa) is achieved. In an exemplary embodiment, the pressure is adjusted to a value of less than 0.1 mTorr (ca. 13 mPa). This follow-up-coating phase is maintained for 5 to 15 minutes and with porous resorbable scaffold substances for Tissue Engineering results in workpiece surfaces having particularly low contact angles for water and excellent cell adhesion rates of e. g. above 90% or above 95%. The described second variant of the process is therefore particularly suitable for the manufacture of coated scaffold substances, which are to be employed for the infiltration of cells in the course of Tissue Engineering. - After terminating the process in step S4 the
coated workpieces 90 may be removed from the recipient a may optionally subjected to a quality check. - the process described above allows for a durable hydrophilization of polymeric biomaterial surfaces, which have an excellent wetting with water and, thereby, a high biocompatibility.
Claims (19)
1-19. (canceled)
20. A biocompatible polymeric workpiece with a hydrophilic surface coating layer made of poly(meth)acrylic acid, wherein the biocompatible polymeric workpiece comprises, at least at its surface, a material which is substantially formed of a silicone, which surface is coated by a two-step process with the hydrophilic surface coating layer of poly(meth)acrylic acid.
21. The biocompatible polymeric workpiece of claim 20 , the coating layer of poly(meth)acrylic acid having an average thickness of 2-12 μm.
22. The biocompatible polymeric workpiece of claim 20 , the first step of the two steps of the process providing a lesser coating layer thickness than the second step of the two steps of the process.
23. The biocompatible polymeric workpiece of claim 20 , the coating layer of poly(meth)acrylic acid consisting of poly(acrylic acid), PAA.
24. The biocompatible polymeric workpiece of claim 20 , the coating layer of poly(meth)acrylic acid consisting of a lower, plasma-deposited layer and an upper layer deposited from the gas phase without plasma action.
25. The biocompatible polymeric workpiece of claim 24 , the lower, plasma-deposited layer having a thickness of about 5-40 nm.
26. The biocompatible polymeric workpiece of claim 24 , the coating layer of poly(meth)acrylic acid having an average thickness of 2-12 μm.
27. The biocompatible polymeric workpiece of claim 24 , the lower, plasma-deposited layer being thinner than the upper layer deposited from the gas phase without plasma action.
28. The biocompatible polymeric workpiece of claim 24 , the coating layer of poly(meth)acrylic acid consisting of poly(acrylic acid), PAA.
29. The biocompatible polymeric workpiece of claim 20 , wherein the workpiece, except for the coating layer, consists entirely of the silicone.
30. The biocompatible polymeric workpiece of claim 29 , the coating layer of poly(meth)acrylic acid having an average thickness of 2-12 μm.
31. The biocompatible polymeric workpiece of claim 29 , the lower, plasma-deposited layer being thinner than the upper layer deposited from the gas phase without plasma action.
32. The biocompatible polymeric workpiece of claim 29 , the coating layer of poly(meth)acrylic acid consisting of poly(acrylic acid), PAA.
33. The biocompatible polymeric workpiece of claim 29 , the coating layer of poly(meth)acrylic acid consisting of a lower, plasma-deposited layer and an upper layer deposited from the gas phase without plasma action.
34. The biocompatible polymeric workpiece of claim 33 , the lower, plasma-deposited layer having a thickness of about 5-40 nm.
35. The biocompatible polymeric workpiece of claim 33 , the coating layer of poly(meth)acrylic acid having an average thickness of 2-12 μm.
36. The biocompatible polymeric workpiece of claim 33 , the lower, plasma-deposited layer being thinner than the upper layer deposited from the gas phase without plasma action.
37. The biocompatible polymeric workpiece of claim 33 , the coating layer of poly(meth)acrylic acid consisting of poly(acrylic acid), PAA.
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PCT/EP2013/000329 WO2013113518A1 (en) | 2012-02-01 | 2013-02-01 | Hydrophilizing plasma coating method |
US201414351504A | 2014-04-11 | 2014-04-11 | |
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US10980918B2 (en) | 2013-01-04 | 2021-04-20 | Surmodics, Inc. | Low particulate lubricious coating with vinyl pyrrolidone and acidic polymer-containing layers |
US11123459B2 (en) | 2016-12-16 | 2021-09-21 | Surmodics, Inc. | Hydrophobic active agent particle coatings and methods for treatment |
US11278647B2 (en) | 2016-03-31 | 2022-03-22 | Surmodics, Inc. | Lubricious coating for medical device |
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CN105339016A (en) * | 2013-02-01 | 2016-02-17 | 伦斯威斯塔公司 | Coated intraocular lens and its manufacture |
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DK1326718T3 (en) * | 2000-10-04 | 2004-04-13 | Dow Corning Ireland Ltd | Method and apparatus for forming a coating |
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TW200840554A (en) * | 2007-02-28 | 2008-10-16 | Alcon Inc | Coated medical implants and lenses |
US20090069790A1 (en) * | 2007-09-07 | 2009-03-12 | Edward Maxwell Yokley | Surface properties of polymeric materials with nanoscale functional coating |
-
2012
- 2012-02-01 RS RSP20140339 patent/RS53400B/en unknown
- 2012-02-01 ME MEP-2014-68A patent/ME01889B/en unknown
- 2012-02-01 PL PL12000648T patent/PL2623215T3/en unknown
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- 2012-02-01 ES ES12000648.1T patent/ES2472722T3/en active Active
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- 2013-02-01 CN CN201380007855.0A patent/CN104271261B/en not_active Expired - Fee Related
- 2013-02-01 CA CA 2863553 patent/CA2863553A1/en not_active Abandoned
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- 2013-02-01 BR BR112014019093A patent/BR112014019093A8/en not_active IP Right Cessation
- 2013-02-01 EP EP13703729.7A patent/EP2809454A1/en not_active Withdrawn
- 2013-02-01 KR KR1020147024277A patent/KR101547437B1/en not_active Expired - Fee Related
- 2013-02-01 WO PCT/EP2013/000329 patent/WO2013113518A1/en active Application Filing
- 2013-02-01 RU RU2014135279A patent/RU2014135279A/en not_active Application Discontinuation
- 2013-02-01 IN IN7264DEN2014 patent/IN2014DN07264A/en unknown
- 2013-02-01 JP JP2014555128A patent/JP5855769B2/en not_active Expired - Fee Related
- 2013-02-01 AU AU2013214506A patent/AU2013214506A1/en not_active Abandoned
- 2013-02-01 US US14/351,504 patent/US9173974B2/en not_active Expired - Fee Related
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- 2014-06-26 HR HRP20140598AT patent/HRP20140598T1/en unknown
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Cited By (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US10980918B2 (en) | 2013-01-04 | 2021-04-20 | Surmodics, Inc. | Low particulate lubricious coating with vinyl pyrrolidone and acidic polymer-containing layers |
US11000632B2 (en) | 2013-01-04 | 2021-05-11 | Surmodics, Inc. | Low particulate lubricious coating with vinyl pyrrolidone and acidic polymer-containing layers |
US11278647B2 (en) | 2016-03-31 | 2022-03-22 | Surmodics, Inc. | Lubricious coating for medical device |
US11123459B2 (en) | 2016-12-16 | 2021-09-21 | Surmodics, Inc. | Hydrophobic active agent particle coatings and methods for treatment |
Also Published As
Publication number | Publication date |
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US20140336758A1 (en) | 2014-11-13 |
KR101547437B1 (en) | 2015-08-25 |
ES2472722T3 (en) | 2014-07-02 |
BR112014019093A2 (en) | 2017-06-20 |
AU2013214506A1 (en) | 2014-09-25 |
BR112014019093A8 (en) | 2017-07-11 |
HRP20140598T1 (en) | 2014-09-12 |
JP2015511993A (en) | 2015-04-23 |
RU2014135279A (en) | 2016-03-27 |
CA2863553A1 (en) | 2013-08-08 |
EP2623215B1 (en) | 2014-03-26 |
PL2623215T3 (en) | 2014-09-30 |
ME01889B (en) | 2014-12-20 |
SG11201404480TA (en) | 2014-11-27 |
IN2014DN07264A (en) | 2015-04-24 |
KR20140132347A (en) | 2014-11-17 |
RS53400B (en) | 2014-10-31 |
DK2623215T3 (en) | 2014-06-30 |
US9173974B2 (en) | 2015-11-03 |
EP2623215A1 (en) | 2013-08-07 |
SI2623215T1 (en) | 2014-09-30 |
WO2013113518A1 (en) | 2013-08-08 |
EP2809454A1 (en) | 2014-12-10 |
CN104271261A (en) | 2015-01-07 |
CN104271261B (en) | 2016-02-10 |
JP5855769B2 (en) | 2016-02-09 |
PT2623215E (en) | 2014-07-11 |
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