HYDROGEL ARTHROPLASTY DEVICE

An arthroplasty device is provided having an interpenetrating polymer network (IPN) hydrogel that is strain-hardened by swelling and adapted to be held in place in a joint by conforming to a bone geometry. The strain-hardened IPN hydrogel is based on two different networks: (1) a non-silicone network of preformed hydrophilic non-ionic telechelic macromonomers chemically cross-linked by polymerization of its end-groups, and (2) a non-silicone network of ionizable monomers. The second network was polymerized and chemically cross-linked in the presence of the first network and has formed physical cross-links with the first network. Within the IPN, the degree of chemical cross-linking in the second network is less than in the first network. An aqueous salt solution (neutral pH) is used to ionize and swell the second network. The swelling of the second network is constrained by the first network resulting in an increase in effective physical cross-links within the IPN. 1. A cartilage replacement prosthesis having a first surface and a lubricious second surface , the prosthesis comprising a covalently cross-linked hydrophilic polymer network and a polyurethane network , the hydrophilic polymer network forming a composition gradient within the polyurethane network such that the hydrophilic polymer network content of the prosthesis is at a maximum at the second surface and decreases with distance from the second surface towards the first surface , the prosthesis comprising polyurethane at all distances from the second surface to the first surface , the prosthesis comprising water , wherein the water forms a continuous hydration gradient within the hydrophilic polymer network and the polyurethane network.2. The prosthesis of wherein the covalently cross-linked hydrophilic polymer network comprises an ionic polymer network.3. The prosthesis of wherein the ionic polymer network comprises carboxylic acid groups and/or sulfonic acid groups.4. The prosthesis of wherein the ionic ...

Hydrogel Arthroplasty Device

An arthroplasty device is provided having an interpenetrating polymer network (IPN) hydrogel that is strain-hardened by swelling and adapted to be held in place in a joint by conforming to a bone geometry. The strain-hardened IPN hydrogel is based on two different networks: (1) a non-silicone network of preformed hydrophilic non-ionic telechelic macromonomers chemically cross-linked by polymerization of its end-groups, and (2) a non-silicone network of ionizable monomers. The second network was polymerized and chemically cross-linked in the presence of the first network and has formed physical cross-links with the first network. Within the IPN, the degree of chemical cross-linking in the second network is less than in the first network. An aqueous salt solution (neutral pH) is used to ionize and swell the second network. The swelling of the second network is constrained by the first network resulting in an increase in effective physical cross-links within the IPN. 1. An arthroplasty device comprising a bearing region adapted to articulate with another bearing surface and a bone-interfacing region adapted to interact with underlying bone , the bearing region comprising an interpenetrating polymer network hydrogel , the bone-interfacing region comprising another polymer integrated with the interpenetrating polymer network to form a transition zone between the interpenetrating polymer network hydrogel in the bearing region and the other polymer in the bone-interfacing region.2. The arthroplasty device of wherein the interpenetrating polymer network comprises preformed non-ionic telechelic macromonomers.3. The arthroplasty device of wherein the macromonomer has at least one end group selected from diacrylates claim 2 , dimethacrylates claim 2 , diallyl ethers claim 2 , divinyls claim 2 , diacrylamides claim 2 , dimethacrylamides.4. The arthroplasty device of wherein the preformed non-ionic telechelic macromonomers are polyurethane macromonomers.5. The arthroplasty ...

HYDROGEL ARTHROPLASTY DEVICE

An arthroplasty device is provided having an interpenetrating polymer network (IPN) hydrogel that is strain-hardened by swelling and adapted to be held in place in a joint by conforming to a bone geometry. The strain-hardened IPN hydrogel is based on two different networks: (1) a non-silicone network of preformed hydrophilic non-ionic telechelic macromonomers chemically cross-linked by polymerization of its end-groups, and (2) a non-silicone network of ionizable monomers. The second network was polymerized and chemically cross-linked in the presence of the first network and has formed physical cross-links with the first network. Within the IPN, the degree of chemical cross-linking in the second network is less than in the first network. An aqueous salt solution (neutral pH) is used to ionize and swell the second network. The swelling of the second network is constrained by the first network resulting in an increase in effective physical cross-links within the IPN. 1. (canceled)2. An orthopedic implant comprising a hydrogel and having a first surface and a second surface , the hydrogel having an equilibrium water content of at least 15% and a modulus of at least about 1 MPa , and the first surface having a coefficient of friction in aqueous solution of less than 0.2.3. The orthopedic implant of claim 2 , wherein the orthopedic implant is at least 1 mm in thickness.4. The orthopedic implant of claim 2 , wherein the first and second surfaces are different.5. The orthopedic implant of claim 2 , wherein the implant is configured for cartilage replacement in a joint.6. The orthopedic implant of claim 5 , wherein the joint is selected from a hip claim 5 , a shoulder claim 5 , a knee claim 5 , an elbow claim 5 , a finger claim 5 , a joint of the hand and a joint of the foot.7. The orthopedic implant of claim 2 , wherein the implant is a cartilage replacement implant and wherein the first surface is a bearing surface that is adapted to articulate with an additional bearing ...

Customized load-bearing and bioactive functionally-graded implant for treatment of osteonecrosis

An engineered medical device for treatment of osteonecrosis is provided where the size, porosity and ceramic content of the device can be personalized based on an individual patient's anatomical and physiological condition. The device distinguishes different segments mimicking anatomically-relevant cortical and cancellous segments, in which the cortical segments of the device can sustain mechanical loading, and the cancellous segment of the device can promote bone ingrowth, osteogenesis and angiogenesis.

Hydrogel arthroplasty device

An arthroplasty device is provided having an interpenetrating polymer network (IPN) hydrogel that is strain-hardened by swelling and adapted to be held in place in a joint by conforming to a bone geometry. The strain-hardened IPN hydrogel is based on two different networks: (1) a non-silicone network of preformed hydrophilic non-ionic telechelic macromonomers chemically cross-linked by polymerization of its end-groups, and (2) a non-silicone network of ionizable monomers. The second network was polymerized and chemically cross-linked in the presence of the first network and has formed physical cross-links with the first network. Within the IPN, the degree of chemical cross-linking in the second network is less than in the first network. An aqueous salt solution (neutral pH) is used to ionize and swell the second network. The swelling of the second network is constrained by the first network resulting in an increase in effective physical cross-links within the IPN.

Methods and Compositions for Inducible Production of Anti-Inflammatory Cytokines

Provided are compositions and methods for production of anti-inflammatory cytokines, growth factors, or chemokines. Provided are nucleic acids (e.g., expression vectors) that include an NFκB inflammation response element operably linked to a nucleotide sequence encoding an anti-inflammatory cytokine (e.g., IL-4). In some cases, the nucleic acid is an expression vector selected from: a linear expression vector, a circular expression vector, a plasmid, and a viral expression vector. Also provided are cells (e.g., mesenchymal stem cells—MSCs) comprising a nucleic acid that includes an NF κ B inflammation response element operably linked to a nucleotide sequence encoding an anti-inflammatory cytokine. In some cases, the nucleic acid is integrated into the cell's genome. Also provided are methods for treating an individual having an inflammation-associated ailment, which can include administering an MSC to the individual, where the MSC includes an NF κ B inflammation response element operably linked to a nucleotide sequence encoding an anti-inflammatory cytokine.

Systemic targeting of inflammatory sites and enhanced immunomodulatory function by introducing the chimeric antigen receptor (car) into mesenchymal stem cells for inflammatory and autoimmune diseases

Mesenchymal stromal cells are engineered to express a chimeric antigen receptor (CAR), that specifically binds a marker of activated myeloid cells, including without limitation folate receptor beta; and are administered to an individual for treatment of inflammation at sites characterized by the presence of activated myeloid cells.

Customized load-bearing and bioactive functionally-graded implant for treatment of osteonecrosis

An engineered medical device for treatment of osteonecrosis is provided where the size, porosity and ceramic content of the device can be personalized based on an individual patient's anatomical and physiological condition. The device distinguishes different segments mimicking anatomically-relevant cortical and cancellous segments, in which the cortical segments of the device can sustain mechanical loading, and the cancellous segment of the device can promote bone ingrowth, osteogenesis and angiogenesis.

Hydrogel arthroplasty device

An arthroplasty device is provided having an interpenetrating polymer network (IPN) hydrogel that is strain-hardened by swelling and adapted to be held in place in a joint by conforming to a bone geometry. The strain-hardened IPN hydrogel is based on two different networks: (1) a non-silicone network of preformed hydrophilic non-ionic telechelic macromonomers chemically cross-linked by polymerization of its end-groups, and (2) a non-silicone network of ionizable monomers. The second network was polymerized and chemically cross-linked in the presence of the first network and has formed physical cross-links with the first network. Within the IPN, the degree of chemical cross-linking in the second network is less than in the first network. An aqueous salt solution (neutral pH) is used to ionize and swell the second network. The swelling of the second network is constrained by the first network resulting in an increase in effective physical cross-links within the IPN.

Hydrogel arthroplasty device

An arthroplasty device is provided having an interpenetrating polymer network (IPN) hydrogel that is strain-hardened by swelling and adapted to be held in place in a joint by conforming to a bone geometry. The strain-hardened IPN hydrogel is based on two different networks: (1) a non-silicone network of preformed hydrophilic non-ionic telechelic macromonomers chemically cross-linked by polymerization of its end-groups, and (2) a non-silicone network of ionizable monomers. The second network was polymerized and chemically cross-linked in the presence of the first network and has formed physical cross-links with the first network. Within the IPN, the degree of chemical cross-linking in the second network is less than in the first network. An aqueous salt solution (neutral pH) is used to ionize and swell the second network. The swelling of the second network is constrained by the first network resulting in an increase in effective physical cross-links within the IPN.

Hydrogel arthroplasty device

Hydrogel arthroplasty device

An arthroplasty device is provided having an interpenetrating polymer network (IPN) hydrogel that is strain-hardened by swelling and adapted to be held in place in a joint by conforming to a bone geometry. The strain-hardened IPN hydrogel is based on two different networks: (1) a non-silicone network of preformed hydrophilic non-ionic telechelic macromonomers chemically cross-linked by polymerization of its end-groups, and (2) a non-silicone network of ionizable monomers. The second network was polymerized and chemically cross-linked in the presence of the first network and has formed physical cross-links with the first network. Within the IPN, the degree of chemical cross-linking in the second network is less than in the first network. An aqueous salt solution (neutral pH) is used to ionize and swell the second network. The swelling of the second network is constrained by the first network resulting in an increase in effective physical cross-links within the IPN.

Hydrogel arthroplasty device

An arthroplasty device is provided having an interpenetrating polymer network (IPN) hydrogel that is strain-hardened by swelling and adapted to be held in place in a joint by conforming to a bone geometry. The strain-hardened IPN hydrogel is based on two different networks: (1) a non-silicone network of preformed hydrophilic non-ionic telechelic macromonomers chemically cross-linked by polymerization of its end-groups, and (2) a non-silicone network of ionizable monomers. The second network was polymerized and chemically cross-linked in the presence of the first network and has formed physical cross-links with the first network. Within the IPN, the degree of chemical cross-linking in the second network is less than in the first network. An aqueous salt solution (neutral pH) is used to ionize and swell the second network. The swelling of the second network is constrained by the first network resulting in an increase in effective physical cross-links within the IPN.