초록

The present invention provides a coating comprising a bioactive material and an antimicrobial agent, wherein the concentration of said antimicrobial agent varies throughout the thickness of the coating.

대표청구항 ▼

1. A medical implant comprising an implant surface having a surface coating comprising an active agent other than a bone conducting material and a functional gradient, the functional gradient comprising the distribution of the active agent in the surface coating, and wherein the active agent is in a

1. A medical implant comprising an implant surface having a surface coating comprising an active agent other than a bone conducting material and a functional gradient, the functional gradient comprising the distribution of the active agent in the surface coating, and wherein the active agent is in a concentration gradient within the surface coating, and the concentration of the active agent generally decreases through the surface coating as the distance of the active agent from the implant surface increases. 2. A medical implant comprising an implant surface having a surface coating comprising an active agent other than a bone conducting material and a functional gradient, the functional gradient comprising the distribution of the active agent in the surface coating, wherein the surface coating comprises two or more layers, and the concentration of the active agent in each layer is different and increases or decreases in each layer sequentially as the layers extend within the surface coating beyond the implant surface, and wherein the concentration of the active agent in the concentration gradient of the surface coating generally decreases as the distance from the implant surface increases. 3. A medical implant comprising an implant surface having a surface coating comprising an active agent other than a bone conducting material and a functional gradient, the functional gradient comprising the distribution of the active agent in the surface coating, and wherein the functional gradient further comprises the outer most portion of the surface coating, beyond the outer most end of the concentration gradient, wherein the concentration of the active agent in the outer most portion of the surface coating is higher than it would be in the outer most portion of the surface coating based on the concentration gradient alone. 4. The medical implant of claim 1, wherein the active agent is at least one of an antimicrobial agent, a bone stimulating agent, or an analgesic agent. 5. A medical implant comprising an implant surface having a surface coating comprising an active agent other than a bone conducting material and a functional gradient, the functional gradient comprising a concentration gradient of the active agent in the surface coating, wherein at least one active agent is a metal antimicrobial agent in the form of elemental metal, metal salts, metal ions, or metal containing compounds. 6. A medical implant comprising an implant surface having a surface coating comprising an active agent other than a bone conducting material and a functional gradient, the functional gradient comprising a concentration gradient of the active agent in the surface coating, wherein at least one active agent is a metal antimicrobial agent comprising an antimicrobially effective form of metal selected from the group consisting of silver, copper, or zinc. 7. The medical implant of claim 6, wherein the metal is silver. 8. The medical implant of claim 7, wherein the silver concentration in the surface coating ranges from about 0.1 to about 10 weight percent. 9. A medical implant comprising an implant surface having a surface coating comprising an active agent other than a bone conducting material and a functional gradient, the functional gradient comprising a concentration gradient of the active agent in the surface coating, wherein at least one active agent is a bone stimulating agent selected from the group consisting of carbonate, fluoride, silicon, magnesium, strontium, vanadium, lithium, a growth factor, a biomimetic peptide and combinations thereof. 10. The medical implant of claim 4, wherein the surface coating further comprises a bone conducting material capable of promoting osseointegration or osseoconductivity, comprising at least one of hydroxyapatite, tricalcium phosphate, or β-tricalcium phosphate. 11. A medical implant comprising an implant surface having a surface coating comprising an active agent other than a bone conducting material and a functional gradient, the functional gradient comprising a concentration gradient of the active agent in the surface coating, wherein the active agent comprises at least one of silver-containing hydroxyapatite, silver-containing tricalcium phosphate, or silver-containing β-tricalcium phosphate. 12. The medical implant of claim 4, wherein at least one active agent is an analgesic agent comprising at least one of bupivacaine, morphine, codeine, oxycodone, levorphanol, propoxyphene, acetylsalicylic acid, pentazocine, indomethacin, acetaminophen or phenacetin. 13. A medical implant comprising an implant surface having a surface coating comprising an active agent other than a bone conducting material and a functional gradient, the functional gradient comprising a concentration gradient of the active agent in the surface coating, wherein at least one active agent is an analgesic agent comprising at least one of bupivacaine, morphine, or codeine. 14. The medical implant of claim 4, wherein the active agent is at least one of an antimicrobial agent and at least one of a bone stimulating agent. 15. A medical implant comprising an implant surface having a surface coating comprising an active agent other than a bone conducting material and a functional gradient, the functional gradient comprising a concentration gradient of the active agent in the surface coating, wherein the active agent is at least one of an antimicrobial agent and at least one of a bone stimulating agent, and wherein the at least one antimicrobial agent comprises an antimicrobially effective form of a metal selected from the group consisting of silver, copper, or zinc. 16. The medical implant of claim 15, wherein at least one antimicrobial agent comprises an antimicrobially effective form of silver. 17. A medical implant comprising an implant surface having a surface coating comprising an active agent other than a bone conducting material and a functional gradient, the functional gradient comprising a concentration gradient of the active agent in the surface coating, and wherein the active agent comprises at least one of hydroxyapatite, calcium phosphate, tricalcium phosphate, β-tricalcium phosphate, silver-containing hydroxyapatite, silver-containing calcium phosphate, silver-containing tricalcium phosphate, or silver-containing β-tricalcium phosphate. 18. A medical implant comprising an implant surface having a surface coating comprising an active agent and a functional gradient, the functional gradient comprising the distribution of the active agent in the surface coating, wherein the active agent is at least one of an antimicrobial agent, a bone stimulating agent, or an analgesic agent, and wherein the active agent is at least one of an antimicrobial agent and at least one of an analgesic agent. 19. The medical implant of claim 18, wherein at least one antimicrobial agent comprises an antimicrobially effective form of a metal selected from the group consisting of silver, copper, or zinc. 20. The medical implant of claim 18, wherein at least one antimicrobial agent comprises an antimicrobially effective form of silver. 21. The medical implant of claim 18, wherein at least one analgesic agent comprises at least one of bupivacaine, morphine, codeine or oxycodone. 22. The medical implant of claim 4, wherein the active agent is at least one of a bone stimulating agent and at least one of an analgesic agent. 23. The medical implant of claim 22, wherein the surface coating further comprises at least one of hydroxyapatite, calcium phosphate, tricalcium phosphate, β-tricalcium phosphate, silver-containing hydroxyapatite, silver-containing calcium phosphate, silver-containing tricalcium phosphate, or silver-containing β-tricalcium phosphate. 24. The medical implant of claim 22, wherein at least one analgesic agent comprising at least one of bupivacaine, morphine, codeine or oxycodone. 25. A medical implant comprising an implant surface having a surface coating comprising an active agent and a functional gradient, the functional gradient comprising the distribution of the active agent in the surface coating, wherein the active agent is at least one of an antimicrobial agent, a bone stimulating agent, or an analgesic agent, and wherein the active agent is at least one of an antimicrobial agent, at least one of a bone stimulating agent, and at least one of an analgesic agent. 26. The medical implant of claim 25, wherein the surface coating further comprises at least one of hydroxyapatite, calcium phosphate, tricalcium phosphate, β-tricalcium phosphate, silver-containing hydroxyapatite, silver-containing calcium phosphate, silver-containing tricalcium phosphate, or silver-containing β-tricalcium phosphate the at least one antimicrobial agent comprises an antimicrobially effective form of silver, and the at least one analgesic agent comprises at least one of bupivacaine, morphine, codeine or oxycodone. 27. A method of treating a patient in need of a medical implant comprising surgically placing the medical implant of claim 1 into said patient. 28. A method of treating a patient in need of a medical implant comprising surgically placing the medical implant of claim 4 into said patient. 29. A method of treating a patient in need of a medical implant comprising surgically placing the medical implant of claim 14 into said patient. 30. A method of treating a patient in need of a medical implant comprising surgically placing the medical implant of claim 18 into said patient. 31. A method of treating a patient in need of a medical implant comprising surgically placing the medical implant of claim 22 into said patient. 32. A method of treating a patient in need of a medical implant comprising surgically placing the medical implant of claim 25 into said patient. 33. A method of treating a patient in need of a medical implant comprising surgically placing the medical implant of claim 26 into said patient. 34. A medical implant comprising an implant surface having a surface coating comprising an active agent other than a bone conducting material and a functional gradient, the functional gradient comprising a concentration gradient of the active agent in the surface coating, and wherein the active agent comprises a member selected from the group consisting of an antimicrobial agent, an antibacterial agent, an antibiotic, a steroid, an anti-inflammatory, and antispasmodic, a hemostat, a dissolution-controlling element, a bonding strength increasing element, a protein, a BMP and an analgesic. 35. A medical implant comprising an implant surface having a surface coating comprising an active agent other than a bone conducting material and a functional gradient, the functional gradient comprising a concentration gradient of the active agent in the surface coating, and where the active agent comprises a bone stimulating agent selected from the group consisting of carbonate, fluoride, silicon, magnesium, strontium, vanadium, lithium, a growth factor, a biomimetic peptide, and any combination thereof. 36. The medical implant of claim 1, wherein the surface coating further comprises a bone conducting material capable of promoting osseointegration or osseoconductivity. 37. The medical implant of claim 36, wherein the bone conducting material comprises at least one of hydroxyapatite, calcium phosphate, calcium orthophosphate, tricalcium phosphate, ceramic bioglass, fluoride, fluorine, calcium nitrate, silver-containing hydroxyapatite, silver-containing calcium phosphate, silver-containing tricalcium phosphate, β-tricalcium phosphate, silver-containing β-tricalcium phosphate, calcium carbonate, silver-containing calcium carbonate, calcium-deficient hydroxyapatite, silver-containing calcium-deficient hydroxyapatite, resorbable polymers, bioglass, silicon, magnesium, strontium, vanadium, or lithium. 38. The medical implant of claim 36, wherein the bone conducting material comprises at least one of hydroxyapatite, tricalcium phosphate, or β-tricalcium phosphate.