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The method of preparation of gelatin sponges during this project work was selected
based upon some reported formulation and technology related factors such as [Silver FH;
1994].
1.The pore size requirement (60µm - 200µm)
It is suggested that pore size in the range of 60µm - 200µm is optimal for attachment to
the tissues and good fluid building capacity.
2.Uniformity and Wall thickness of pores
Uniformly distributed pores with higher wall thickness give good fluid building capacity
when applied to bleeding sites.
3.Digestibility of sponge (< 75 min.)
This is an important criterion to check the digestion of sponge with proteolytic enzymes
secreted at the wound site. The digestibility of sponge is also an indication of
biocompatibility of sponge inside the body.
4.Water absorption (35x)
The sponges with high water absorption would also absorb more blood and other fluids
when applied to wound site.
5.Stability of product
The sponge should not absorb the moisture from atmosphere and its structure should
remain stable till its use.
6.Any toxic effects associated with final product
Since this product is absorbable inside the body and is biodegradable, it should not have
any toxic substances which can show adverse effects when applied to the wound site.
The development of absorbable gelatin sponges in the present project was attempted by
designing many formulations using porcine grade of gelatin in concentrations ranging
from 1% to 5%. For crosslinking of the gelatin, less toxic crosslinking agents such as
formaldehyde, glutaraldehyde and 1- ethyl-3-(3-dimethylaminopropyl) carbodiimide
(EDC) were tried. The gelatin solution along with crosslinking agent was beaten
vigorously to form firm foam and this foam was dried to get the sponges [Silver FH;
1994].
3A.1 Experimental
Gelatin (Porcine) was soaked in 100ml of water for 30 minutes to get solution at the
varying concentration of 1-6% of gelatin [Table3.1]. The suspension was stirred while
heating till gelatin was solubilised. The gelatin solution was then allowed to cool up to
o
40 C. Cross linking agent, formaldehyde varying in concentration of 0.1-2 mg/ml was
added. This solution was then stirred vigorously for 10 minutes by using overhead stirrer
to form firm foam. This foam was spread on trays and dried using the process of
lyophilization.
The method of preparation of gelatin sponges was optimized for various parameters such
as concentration of gelatin solution (1-6%w/v), stirring speed at low (500-1000rpm),
medium (1200-1400rpm) and high (1400-1500rpm) and concentration of cross linking
agent at the concentrations of 0.1, 0.3 and 0.5%w/v. Gelatin sponges obtained were
evaluated for physical characteristics. Compositions of formulation and effect of various
parameters are reported in table 3.2.
a. Measurement
of foam density
and foam b. A photomicrograph, 200x, of 5%
volume. gelatin stable foam.
Table 3.1 Effect of concentration and pH of gelatin on stability and pore size and wall thickness of
gelatin foam
of 5.5, 6.5 and 7.5; whereas gelatin concentration of 6% gave highly viscous solutions
with increase in pH which was difficult to formulate into foam.
Effect of gelatin concentration and formaldehyde concentration in the range of 0.1, 0.3
and 0.5%w/v on pore size and wall thickness is given in figure 3.3 as surface response
curves.
Figure 3.3 Surface response plots for optimization of a. Pore size and b. Wall thickness
Pore size (µm)= 29.25 + 56.90 x polymer conc. + 397.50 x formaldehyde conc. – 143.00 x polymer conc.
x formaldehyde conc ---------1
As seen in surface response curves, contribution of polymer concentration, crosslinking
agent and both the parameters on wall thickness were 85.90%, 8.77% and 0.036%
respectively; which was calculated from equation 1. Gelatin concentration is the
important parameter to be optimized which has maximum, 85.90% of effect on pore size
of the sponge.
Wall thickness (µm) = 0.25 + 2.25 x polymer conc. + 7.50 x formaldehyde conc. + 0.5 x polymer conc. x
formaldehyde conc ---------2
Contribution of polymer concentration, crosslinking agent concentration and both the
parameters on pore size were 0.022%, 3.10% and 49.56% respectively; which was
calculated from equation 2. For optimization of wall thickness of sponge, concentration
of gelatin and formaldehyde both should be optimized which together have the effect of
49.56% on wall thickness of sponge.
Formulation GS5.1, GS5.2 and GS5.3 having gelatin concentration of 5%, at pH 5.5, 6.5
and 7.5 was further optimized for concentration of formaldehyde in the range of 0.1, 0.3
and 0.5% w/v. The results for foam stability, pore size and wall thickness are given in
table 3.2.
Table 3.2 Effect of concentration of crosslinking agent on stability and pore size of gelatin foam
Highlighted formulations in table 3.2 gave stable gelatin foams with pore size in the
range of 80-120 µm and wall thickness of 3-5 µm. Formulation GS5.3A having lowest
concentration of formaldehyde of 0.3%w/v was selected for further formulation of
gelatin sponge to avoid residual effects of formaldehyde.
Composition of formulation GS5.3A was further optimized for process parameters like
agitation speed of stirrer at different rpm, results are reported in table 3.3
tion GS5.3A at high speed of 1400-1500rpm was found to give 5 times the foam of
original volume of gelatin solution with homogenous distribution of pores within size
range of 100-200μm. The formulations were further optimized for whipping duration by
checking gelatin foam properties at whipping duration of 5, 10, 15 and 30 minutes.
Results are reported in table 3.4.
quality. The sponges obtained by using EDC as crosslinking agent were hard with poor
water absorption. To overcome such problems, other crosslinking agent, formaldehyde
was tried for the preparation of sponges [Cooes IH; 1969].
The properties and stability of gelatin foams are strongly affected by gelatin
concentration, its pH, concentration of crosslinking agent and conditions of
whipping process.
There was linear, gradual increase in gelatin solution viscosity upon increasing
gelatin concentration and the pH. Abrupt viscosity increase was observed after
5% of gelatin solution.
Stable homogenous gelatin foams with small (80-120 μm) size pores could only
be achieved from gelatin concentration of 5% w/v of gelatin solution at pH range
of 5.5 to 7.5 having wall thickness of 1.5-2.5μm. Drainage of liquid with foam
shrinkage and collapse of foam column were observed at lower gelatin
concentrations. Gelatin concentration higher than 5% were not suitable for foam
generation where the foams were very viscous and nonhomogenous (Table 3.1).
Lower or higher pH values lead to decreased foam rigidity and resulted in foam
lamella rupture.
Effect of gelatin and formaldehyde concentration on pore size and wall thickness
of sponges was determined by using surface response curve methodology (Figure
3.3). It was observed that gelatin concentration is the important parameter to be
optimized which has maximum, 85.90% of effect on pore size of the sponges and
wall thickness of sponge is dependent on concentration of gelatin and
formaldehyde both of which together have the effect of 49.56%.
Gelatin concentration of 5% at pH 6.5 and formaldehyde concentration of
0.5%w/v were found to give stable foam with pore size of 80-150μm whereas
same results were observed with 5% gelatin at pH 7.5 with 0.3% w/v of
formaldehyde concentration(Table 3.2). Lowest concentration of 0.3%w/v of
formaldehyde was selected for further formulation to avoid presence of any
residual formaldehyde which may cause toxic effects if remained after
crosslinking.
Lower stirring speed of 500-1000rpm was not able to produce stable foams.
Stirring at 1400-1500rpm with whipping duration of 30 minutes was required to
produce stable foam with lower foam density. Longer whipping for 30 minutes
did not significantly affect foam properties. Therefore, whipping 5% gelatin
Design and development of surgical dressings for advanced wound management 100
Formulation and evaluation of absorbable gelatin sponges
solution at pH 7.5 for 15 minutes with stirring speed of 1400-1500rpm was found
to be optimum for stable gelatin foam generation.
Formulation combinations of GS5.3A was formulated into gelatin foam and freeze dried
as described in section 3A.2
Design and development of surgical dressings for advanced wound management 101
Formulation and evaluation of absorbable gelatin sponges
This part of the lyophilizer plays an important role in drying of the sponge.
Vacuum pump applies vacuum to the previously frozen foam kept in the shelves and
helps in drying by sublimation of ice from it to convert frozen foam in the form of
sponges.
Lyophilization cycle:
The lyophilization, or freeze dry, cycle is the means by which a freeze dried product is
produced. A typical freeze dry cycle is described in terms of three phases - freezing,
primary drying and secondary drying. The freezing phase involves the immobilization of
water-ice and freeze-concentration of the product solution. The primary drying phase
involves removal of the water-ice by sublimation via application of high vacuum to the
chamber and input of heat to the lyophilizer shelves. Secondary drying describes removal
of unfrozen water from the product matrix or post-ice removal. Generally, the
lyophilization cycle is described in terms of the parameters which set the conditions
under which a product is lyophilized (e.g., shelf temperature and chamber pressure).
Design and development of surgical dressings for advanced wound management 102
Formulation and evaluation of absorbable gelatin sponges
Alternatively, the freeze dry cycle can be thought of as the thermal profile which the
product undergoes during lyophilization to achieve a final dry product.
Lyophilization cycle for absorbable gelatin sponge was optimized by following steps.
1. Characterization of formulation to be freeze dried:
Determination of glass transition temperature (Tg):
Measurement of Glass Transition temperature is a method to characterize polymeric
materials. The glass transition is the temperature where the polymer goes from a
hard, glass like state to a rubber like state. DSC defines the glass transition as a
change in the heat capacity as the polymer matrix goes from the glass state to the
rubber state.
Glass transition temperature of gelatin was determined using DSC and was used as
the maximum allowable temperature for drying of gelatin formulation [Frank KB;
2004].
The DSC curve for porcine gelatin is shown in figure 3.5.
2. Design of freeze drying cycle [Frank KB; 2004]:
Freezing:
Temperature of freezing of the formulation was optimized by freezing the
formulation at various temperatures and observing difference in pore size of frozen
and dried product.
Pore size was measured using optical microscopy and SEM (Table 3.5).
Primary drying:
Primary drying was carried out below the maximum allowable temperature
determined using DSC. At the end of primary drying, the quantity of unfrozen water
in the formulation should be below 20%. End point of primary drying was
determined after measurement of moisture content of product by Karl Fischer
apparatus (Table 3.6).
Secondary drying:
At the end of primary drying, the quantity of unfrozen water in the formulation
should be below 1%. End point of secondary drying was determined after
determination of moisture content of product by Karl Fischer apparatus (Table 3.6).
Stable Gelatin foam was prepared as described in section 3A.1 and this foam was kept in
o o
a deep freezer for the temperatures ranging from - 20 C to - 40 C. Foam was further
Design and development of surgical dressings for advanced wound management 103
Formulation and evaluation of absorbable gelatin sponges
o
dried in lyophilizer by keeping drying temperature 50 C (less than Tg) and by applying
vacuum. The pore size was measured with the help of Image Analyzer. Observations are
given in table 3.5.
Tg
o
55.60 C
Trial no. Lyophilization cycle Pore size of wet Pore size of dried
sponge (µm) sponge (µm)
o
Freezing temp: - 20 C
LT 1 o 150-200 > 200
Condenser temp: - 50 C
o
Heater temp: + 50 C
o
Freezing temp: - 25 C
LT2 o 100-125 150 -200
Condenser temp: - 50 C
o
Heater temp: + 50 C
Freezing temp: - 30oC
LT3 Condenser temp: - 50oC 80-100 100 - 120
Heater temp: + 50oC
o
Freezing temp: - 35 C
LT4 o 80-110 90 -120
Condenser temp: - 50 C
o
Heater temp: + 50 C
o
Freezing temp: - 40 C
LT5 o 80-100 90-110
Condenser temp: - 50 C
o
Heater temp: + 50 C
Trials LT4 and LT5 were found to give smaller pore sizes of wet sponge 80-110μm and
90-120μm of dry sponge. It indicates that there was no significant change in pore size
after drying of gelatin sponge at the conditions given in trial LT4 and LT5. Trial LT4
Design and development of surgical dressings for advanced wound management 104
Formulation and evaluation of absorbable gelatin sponges
was used for further optimization due to freezing temperature of - 35oC which is 5oC
more that trial LT5 to save the electricity consumption.
End point for primary drying of prepared sponge was determined after the duration of 10
and 12hrs whereas for secondary drying, it was determined after 14 and 16 hrs of
Lyophilization at 2mbar vacuum. Results are given in table 3.6.
Table 3.6 Determination of end point of primary and secondary drying [Thickness of sponge: 1cm]
Design and development of surgical dressings for advanced wound management 105
Formulation and evaluation of absorbable gelatin sponges
Design and development of surgical dressings for advanced wound management 106
Formulation and evaluation of absorbable gelatin sponges
Loss on drying
It was calculated to check the moisture content of the Gelatin sponge. The moisture
o
content was determined after drying at 105 C for 16 hours. Results are given in table
3.9.
Water absorption
Absorbable gelatin sponge should have good water absorption capacity so that it can
hold more quantity of blood when applied on the bleeding site. The absorbability of the
sponge depends on its cross linking degree and pore size. This test was performed based
on the USP procedure as described below. Results are given in table 3.9.
Procedure
A portion of about 1x1cm of sponge was cut, weighed accurately and placed in a beaker
containing 50ml of water. It was kneaded gently between the fingers until thoroughly
wet and until all the air has been removed taking care not to break the tissue. The portion
Design and development of surgical dressings for advanced wound management 107
Formulation and evaluation of absorbable gelatin sponges
of the sponge was lifted from the water and blotted twice firmly between two pieces of
absorbent paper. The expressed sponge was dropped into a tared weighing bottle
containing about 20ml of water with a suitable hooked instrument, again took back after
water absorption and allowed to drain over the weighing bottle for 5 seconds. Again the
bottle containing water was weighed. The loss in weight of water represents the weight
of water absorbed by the sponge.
Morphology of sponges
In general, pore size, mean pore size and orientation of porous matrix are indispensable
elements of biologic activity of biomaterials having open-pored structures. The effects of
freezing rate on the sponge morphology are reported in many works [Thomas WP, et.al;
2002].
o
Quenching at -35 C could produce a lot of small crystals, resulting in the relatively
homogeneous morphology. So the sponges obtained by process of lyophilization give
sponges of homogeneous morphology [Thomas WP, et.al; 2000].
Morphology of gelatin sponge mainly depends upon concentration of gelatin,
crosslinking agent, freezing rate and drying method for sponge.
Procedure:
Morphology was observed with the help of Image Analyzer by mounting the cross-
section of sponge on the slide. It was also seen with the help of Scanning Electron
Microscopy.
The images were examined for the pore size and distribution of pores along the matrix.
The morphology of the prepared gelatin sponge was compared with marketed sponges,
AbGel from Mumbai and Surgifoam from Germany.
The images of gelatin sponge obtained from Image Analyzer are shown in figure 3.7a.
SEM images are shown in figure 3.7b, 3.7c and 3.7d respectively for gelatin sponge,
AbGel and Surgifoam.
i. Pore size
Pore size of the sponge is one of the main criteria for characterization of sponges. More
uniform the pore size, the sponges will show better absorbability. Pore size of the sponge
was determined using optical microscopy. The image of gelatin sponge by optical
microscopy is shown in figure 3.7a.
Design and development of surgical dressings for advanced wound management 108
Formulation and evaluation of absorbable gelatin sponges
Digestibility
Absorbable gelatin sponge is a biodegradable material which is used as haemostatic in
surgical injuries. It should get digested inside the body without leaving any metabolic
product which may be harmful to the body. The sponge when applied to the wound site
gets absorbed inside the body and digested with the help of proteolytic enzymes at the
site.
Design and development of surgical dressings for advanced wound management 109
Formulation and evaluation of absorbable gelatin sponges
The digestibility of the sponge was checked using pepsin which is proteolytic in 0.1N
Hydrochloric acid. The test of digestibility was carried out as per the method described
in BP 93.
Procedure:
A piece of prepared gelatin sponge weighing about 50mg was placed in a beaker
containing water. The piece was kneaded gently between the fingers until thoroughly wet
and until all the air has been removed, taking care not to break the tissue. Sponge piece
was lifted from the water and excess water was removed with absorbent paper. The
wetted sample was placed in a 150ml flask that contained 100 ml of 1% solution of
pepsin in 0.1N HCl and agitated gently and continuously until digestion was complete.
The average digestion time of three determinations was taken as the reading. Results are
given in table 3.9.
FT-IR spectroscopy
This study was carried out to determine crosslinking of the gelatin sponge by detecting
presence of amide linkage.
FT-IR spectra between 4000 cm-1 and 400 cm-1 of gelatin and crosslinked gelatin
sponges were obtained using KBr disc by using FTIR spectrophotometer [Jasco]. The
smoothing of spectra and the base line correlation procedure was used. Results are
shown in figure 3.8A and 3.8B.
Design and development of surgical dressings for advanced wound management 110
Formulation and evaluation of absorbable gelatin sponges
was diluted with 15.0 ml of water and the absorbance was measured at 346 nm using
Jasco double beam spectrophotometer.
The crosslinking degrees are obtained from the differences between the absorbance
values before and after crosslinking [Kale RN, et al; 2010].
The equation is as follows:
Design and development of surgical dressings for advanced wound management 111
Formulation and evaluation of absorbable gelatin sponges
[Anderson JM, et.al; 1984]. General degradation mechanism for gelatin sponge is given
in figure 3.6.
Gelatin (sequence of amino acids)
In injury:
Polymorphonuclear leukocytes,
Leukocytes, fibroblasts &
Macrophages.
Breakdown
Secrete proteolytic enzymes.
Figure 3.6 General degradation mechanism for gelatin [Shu TL; 1997]
Experimental:
Pieces of sponges (1cm x 1cm x 0.3cm) were immersed in 5ml of phosphate buffered
saline (PBS pH 7.4) containing 6 µg ml-1 of pepsin [Correll JT, et.al;1945]. After
o
incubation at 37 C, the sponges were repeatedly washed with distilled water and freeze
dried. This was carried out after every 6, 12, 24, 36, 60 and 72 hour. The changes in
weight of sponges were monitored after each time interval. This test was carried out on
developed gelatin sponge and both marketed (Local and Germany) gelatin sponges. The
graphs of degradation time (hours) versus weight remaining (%) were plotted and results
were compared. Comparative biodegradation behaviour of prepared gelatin sponge,
AbGel and Surgifoam is shown in figure 3.10.
Design and development of surgical dressings for advanced wound management 112
Formulation and evaluation of absorbable gelatin sponges
Design and development of surgical dressings for advanced wound management 113
Formulation and evaluation of absorbable gelatin sponges
5. In-vitro biodegradation
The tests were performed as per the procedures given in section 3A.3.1. Morphology of
sponges after sterilization was studied with the help of Image Analyzer. Comparative
images are given in figure 3.11.
The results of evaluation of sponges before and after sterilization are listed in table 3.8.
Comparative in vitro biodegradation before and after gamma sterilization are mentioned
in figure 3.12.
Sterility testing
After sterilization, 1x1cm pieces of selected formulations were subjected to sterility
testing as per IP procedure [IP; 2007].
Procedure
Using sterile forceps, 1x1cm of sponge from sterilized formulations was placed in fluid
thioglycollate medium and soyabean casein digest medium and incubated for 14 days.
The tubes were observed for any microbial growth at regular time intervals of 1,3,5,7 and
14 days. The tests were performed in duplicate. The results are shown in table 3.7.
Design and development of surgical dressings for advanced wound management 114
Formulation and evaluation of absorbable gelatin sponges
c. SEM (100x): AbGel gelatin sponge d. SEM (300x): Surgifoam gelatin ponge
Design and development of surgical dressings for advanced wound management 115
Formulation and evaluation of absorbable gelatin sponges
Design and development of surgical dressings for advanced wound management 116
Formulation and evaluation of absorbable gelatin sponges
50
40
30
20
0
0 0.02 0.04 0.06
Formaldehyde Conc. (wt%)
100
80
Weight remaining(%)
60
40
20
0
0 12 24 36 48 60 72
Degradation time (hours)
Design and development of surgical dressings for advanced wound management 117
Formulation and evaluation of absorbable gelatin sponges
Table 3.8 Characterization of Gelatin sponge before and after gamma sterilization
Design and development of surgical dressings for advanced wound management 118
Formulation and evaluation of absorbable gelatin sponges
100
60
40
20
0
0 12 24 36 48 60 72
Degradation time (hrs)
Weight remaining (%) before sterilisation
Figure 3.12 Comparison of in vitro biodegradation of sponge before and after sterilization
Parameter Observations
Appearance White, porous,
sponge like.
Solubility Insoluble but
swells in water.
Sterility Sterile.
Loss on drying 10%
Digestibility 50 min.
Water absorption 45-50
Formaldehyde < 0.001%
Pore size 80-120um
Wall thickness 3-5um
Design and development of surgical dressings for advanced wound management 119
Formulation and evaluation of absorbable gelatin sponges
Table 3.10 Comparison of characteristics of prepared gelatin sponge with marketed formulations,
AbGel and Surgifoam
80
60
40
20
0
0 12 24 36 48 60 72
Degradation time (hours)
Weight remaining (% ) Local Weight remaining (% ) Germany.
Weight remaining(% ) Prepared
Developed gelatin sponges found to exhibit comparable properties with the AbGel and
Surgifoam available in Indian and International market respectively.
The characteristics of developed sponges (Table 3.8) were found to be
comparable with marketed AbGel and Surgifoam sponge. All the three sponges
were digested within 10 minutes. Developed gelatin sponge absorbed 45-50 times
of water to its initial weight. AbGel was less absorbable i.e. 35- 40 times and
Design and development of surgical dressings for advanced wound management 120
Formulation and evaluation of absorbable gelatin sponges
water absorption of Surgifoam was 45-50 times. Both developed gelatin sponge
and Surgifoam had similar water absorption capacity.
Degradation of AbGel also occured within 72 hours. But degradation was faster
than that of developed gelatin sponges. Weight loss was more than that of
prepared gelatin sponge. Only very small fibrous mass remained after 60 hours
which totally degraded within 72 hours. It may be because of less crosslinking of
gelatin.
Biodegradation of Surgifoam occured similarly as that of developed gelatin
sponge. It totally degraded in 72 hours showing comparable weight loss with
developed sponges. Surgifoam and developed gelatin sponges were found to
show comparatively similar biodegradation behaviour. Prepared gelatin sponges
were found to biodegrade totally in 72 hours and have comparable properties
with marketed sponges.
Design and development of surgical dressings for advanced wound management 121
Formulation and evaluation of absorbable gelatin sponges
Scale up studies
Scale up studies for absorbable gelatin sponge were carried out at two stages
1. Stage 1: Pilot scale.
2. Stage 2: Commercial scale.
To achieve the scale up at both the stages, study was divided into two major steps of
I. Formulation process scale up and
II. Lyophilization process scale up
Design and development of surgical dressings for advanced wound management 122
Formulation and evaluation of absorbable gelatin sponges
Optimum conditions for foam generation were determined by evaluating the resulting
foam for foam uniformity, foam stability, apparent foam density and foam volume as
mentioned in section 3A.1.1.
As described in section 3A.1, concentration of gelatin, crosslinking agent and whipping
conditions for preparation of gelatin sponge are the main variable factors for
development of formulation of gelatin sponges.
The dimensions of manufacturing vessel and stirrer used at two stages of manufacture
were varied to maintain geometrical similarity as mentioned in table 3.12.
Design and development of surgical dressings for advanced wound management 123
Formulation and evaluation of absorbable gelatin sponges
Table 3.12 Dimensions of manufacturing vessel and stirrer used for scale up
Design and development of surgical dressings for advanced wound management 124
Formulation and evaluation of absorbable gelatin sponges
Design and development of surgical dressings for advanced wound management 125
Formulation and evaluation of absorbable gelatin sponges
than that GSC3.3. The foam properties of formulation GSC3.3 and GSC1.2 of scale up
stage 1 were similar. Formulation GSC3.3 with duration of 30 minutes was selected for
preparation of gelatin sponge at scale up stage 2 to produce 60 pieces of 8x5x1cm of
gelatin sponge per cycle.
The Lyophilization, or freeze dry, cycle is the means by which a freeze dried product is
produced. A typical freeze dry cycle is optimized at all the three phases - freezing,
primary drying and secondary drying [Stanley M, et.al; 2007].
The freezing phase involves the immobilization of water-ice and freeze-concentration of
the product solution. The freezing stage of lyophilization provides the foundation for a
lyophilized product. During freezing, the cake pore structure is established. The
resistance to water flow (mass transfer) from the pore structure is a key product property
from a cycle characterization point of view [Stanley M, et.al; 2007].
The primary drying phase involves removal of the water-ice by sublimation via
application of high vacuum to the chamber and input of heat to the lyophilizer shelves. It
maintains the porous structure of product. Collapse of the porous structure of the product
is prevented by optimizing the proper temperature for primary drying [Stanley M, et.al;
2007].
Secondary drying describes removal of unfrozen water from the product matrix post-ice
removal. Optimization of this step is needed to assure complete removal of moisture
content of the product which can affect its stability [Stanley M, et.al; 2007].
Design and development of surgical dressings for advanced wound management 126
Formulation and evaluation of absorbable gelatin sponges
Various process variables of Lyophilization process and desired end points for the final
product, gelatin sponge were determined on the basis of characteristics of the product
described in section 3A.3. All desired end points and their values are summarized in
table3.14.
Table 3.14 Lyophilization process variables and their effects on product characteristics
Design and development of surgical dressings for advanced wound management 127
Formulation and evaluation of absorbable gelatin sponges
Table 3.15 Specifications of lyophilizer used for scale up of gelatin sponge manufacturing process
o
Since the drying temperature for the product was specified as below Tg [50 C], the
o
heating arrangement was required in the drying chamber of lyophilizer to achieve 50 C
temperature.
Alternate heating arrangement above and below the tray where the gelatin sponge is
placed could give uniform heating of the product. This would ultimately result in
uniform drying of the product. Design of drying chamber for Lyophilizer is explained
below in figure 3.14.
Tray
Drying chamber
Lyophilization cycle was optimized for scale up at both the steps of stage 1 and 2. On the
basis of the details summarized in table 3.14, various Lyophilization cycles were tried
and optimized as given in table 3.16.
Design and development of surgical dressings for advanced wound management 128
Formulation and evaluation of absorbable gelatin sponges
Table 3.16 Optimization of Lyophilization cycle for Scale up for stage 1 and stage 2
Sr. Trial batch Lyophilization cycle Pore size of wet Pore size of dried
No. sponge (µm) sponge (µm)
o
Freezing temp: - 20 C
1 LCT1 o 150-200 > 200
Condenser temp: - 50 C
o
Heater temp: + 50 C
o
Freezing temp: - 25 C
2 LCT2 o 100-125 150 -200
Condenser temp: - 50 C
o
Heater temp: + 50 C
o
Freezing temp: - 30 C
3 LCT3 o 80-100 100 - 120
Condenser temp: - 50 C
o
Heater temp: + 50 C
o
Freezing temp: - 35 C
4 LCT4 o 80-100 90 -110
Condenser temp: - 50 C
o
Heater temp: + 50 C
o
Freezing temp: - 40 C
5 LCT5 o 80-100 90-110
Condenser temp: - 50 C
o
Heater temp: + 50 C
For both the scale up stages, Lyophilization trial LCT4 was found to give desired pore
o
size since to freezing at -35 C creates small ice crystals of size 90-110μm in wet sponge
which remained same after Lyophilization for dry sponge.
Gelatin foams produced at scale up stage 1 and stage 2 were dried by following the
Lyophilization trial LCT4 as given in table 3.16. The end points for the primary and
secondary drying were determined as given in table 3.17.
Total drying of scale up batch of stage 1 and stage 2 was completed within 16 hrs
resulting in a dry gelatin sponge with moisture content of 8 and 7% respectively.
Design and development of surgical dressings for advanced wound management 129
Formulation and evaluation of absorbable gelatin sponges
Selected scale up batches of gelatin sponge GSC2.2 and GSC3.3, given in table 3.13
were dried by optimizing the Lyophilization process as per the specification of trial
LCT4. The resulting gelatin sponges obtained were characterized as per procedures
described in section 3A.3. Results are reported in table 3.18
4. Water absorption 40 - 50 40 - 50
5. Digestibility(min) 15 16
After characterization and evaluation of developed sponges, the final product was packed
in double paper envelopes with polyethylene lining, heat sealed with heat sealing
machine. They were then packed in a carton and were sent for sterilization with γ
irradiation at ISOMED, Vadodara for radiation dose of 2.4Mrad.
Design and development of surgical dressings for advanced wound management 130
Formulation and evaluation of absorbable gelatin sponges
Design and development of surgical dressings for advanced wound management 131
Formulation and evaluation of absorbable gelatin sponges
Final product gelatin sponge, was packed in double envelope and then in carton
to protect from environmental conditions and was subjected for gamma radiation
sterilization at the dose of 2.4Mrad. Final product were characterized and
checked for sterility. Results are given in table 3.18.
Conclusion
Thus this part of experimental work indicated that the developed procedure and process
will enable the production of absorbable gelatin sponges to commercial scale using
freeze drying. Process of freeze drying with modified freeze dryer is cost effective,
economical and resulted in development of biodegradable sponges similar to those
available in international market. Such sponges have potential application as
biodegradable haemostats in surgical procedures.
Design and development of surgical dressings for advanced wound management 132
Chapter 3B Development of sustained release drug loaded absorbable gelatin sponges
Wound infections are one of the most frequent complications after surgery. All wounds
contain bacteria and even if the wound is healing normally, a limited amount of bacteria
will be present. But if the bacteria count rises, the wound may become infected. Bacterial
overload in a wound can lead to a serious infection that requires antibiotic treatment. In
surgical procedures, postoperative infection is poorly controlled and is widely considered
as a poorly met medical need [Kristl J, et.al; 1993]. Every year over 150 million people
undergo surgery and billions of dollors are spent on post-operative wound infection
management.
Following tissue injury, persistent inflammation triggers the release of mediators that
activate local pain receptors. This results in greater sensitivity of the surrounding skin and
deeper structures in the wound base. The pain itself can be caused by tissue damage
(nociceptive) [Gottrup et al; 2008] or nerve damage (neuropathic) [Woo et al; 2008]. Pain
has a protective function in nature, warning of damage, and promoting careful treatment
of the affected area [Goodwin SA; 1998]. Postoperative pain can be destructive by
heightening the cellular stress response, resulting in protein breakdown, platelet
aggregation, nausea, ileus and a suppressed immune system [Kehlet H; 1997]. Low
oxygen tension and poor perfusion can slow down the deposition of collagen in tissue
undergoing repair. Restricted breathing due to pain can lead to low-grade hypoxia, and
severe pain can cause vasoconstriction, both of which ultimately impair wound healing
[Jonsson K, et.al; 1991]. Persistent or chronic wound pain not only affects your patient’s
quality of life, it can also be a major barrier to wound healing.
Design and development of surgical dressings for advanced wound management 133
Development of sustained release drug loaded absorbable gelatin sponges
Conventionally gelatin sponges are used as drug carriers by soaking the gelatin sponge in
respected drug solution. This may cause inappropriate dosing as well as immediate
action. Although gelatin sponges have very high elasticity and can be well hydrated
because of their high porosity and large surface area, the drugs implanted in or onto
sponge lamellae could only be retarded for a short period of time [Simamora PY, et.al;
1996].
In recent years, sponges based on natural biodegradable polymers have attracted much
attention for drug implantation as taking out the implant after treatment always causes
new damage to the wound. The patient comfort and optimum healing require soft and
elastic materials [Kristl J, et.al; 1993].
In the present study, microspheres of gentamicin sulphate and lidocaine HCl were
developed as model drugs to prepare the drug loaded surgical dressings for advanced
wound management. The objective of current work was to develop and characterize
biodegradable, sustained release microspheres in order to improve wound management.
Biodegradable microspheres
Encapsulation of drug molecules in particulate carriers as a method of controlled delivery
of molecules has been studied extensively [Watts PJ, et.al; 1990]. Biodegradable
microspheres are used to control drug release rates and to target drugs to specific sites in
the body, thereby optimizing their therapeutic response, decreasing toxic side effects, and
eliminating the inconvenience of repeated injections [Perrin DA, et.al; 1997].
Biodegradable microspheres have the advantage over large polymer implants in that they
do not require surgical procedures for implantation and removal. Gelatin and sodium
alginate are some of the biodegradable and biocompatible polymers that have
reproducible and slow-release characteristics [Anderson JM, et.al; 1997, Okada H, et.al;
1995].
Use of gelatin in pharmaceutics is particularly attractive by virtue of its biocompatibility
and biodegradability along with a total absence of toxicity or allergic problems. But
Design and development of surgical dressings for advanced wound management 134
Development of sustained release drug loaded absorbable gelatin sponges
disadvantage of gelatin microspheres is that drug release rates are usually rapid;
therefore, these microspheres are not useful for long term controlled release [Tsung M,
et.al; 2001]. Consequently, gelatin and sodium alginate in combination may be useful to
design targetable controlled-release microsphere systems.
Being soluble polymers, they have to be chemically cross-linked to become insoluble at
37°C. Aldehyde derivatives such as formaldehyde, glutaraldehyde or other bifunctional
reactants have been used to produce insoluble biodegradable gelatin microspheres
[Raymond G, et.al; 1990].
Microspheres of GS and LH were prepared separately and loaded into the absorbable
gelatin sponges to provide controlled drug release of respective drugs. Since the pore size
of gelatin sponge was found to be within range of 80-120μm; the particle size range of
microspheres should be within the range of 60-140μm for incorporation into the sponge.
Microspheres having particle size much smaller and much bigger will be difficult to
incorporate into the sponge.
Design and development of surgical dressings for advanced wound management 135
Development of sustained release drug loaded absorbable gelatin sponges
microspheres were then washed and dehydrated 3 times with 20 ml of isopropyl alcohol
while stirring. Microspheres were collected by vacuum filtration and were allowed to dry
at room temperature (25 °C). If microspheres appeared stickier in nature, 20%v/v acetone
was used for dehydration of microspheres.
The microspheres were optimized for parameters like particle size, drug entrapment, drug
release and percent yield.
Flow chart for preparation of microspheres by emulsion chemical crosslinking method is
given in figure 3.15.
Drug + Polymer + Water at 60o C Liquid paraffin+Span 80
(Aqueous phase) (Oil phase)
Cooled to 10 o C
Addition of crosslinking agent and stirring for 30 minutes
Figure 3.15 Formulation flow chart for emulsion chemical crosslinking method
Design and development of surgical dressings for advanced wound management 136
Development of sustained release drug loaded absorbable gelatin sponges
The blank microspheres were characterized for yield, appearance, particle size, shape,
surface characteristics and percent water content as described below. Results of
characterization and effect of speed of stirrer on particle size of microspheres is reported
in table 3.20.
weight of microspheres
% Yield = X 100
weight of drug + weight of polymer
2. Appearance
The microspheres were evaluated for their visual as well as microscopic appearance. A
small amount of the product was suspended on the slide in glycerin, covered with a cover
slip and observed under optical microscope under high power lens with 65x
Design and development of surgical dressings for advanced wound management 137
Development of sustained release drug loaded absorbable gelatin sponges
Formulation batches of B3, B7 and B11 were spherical, dry microspheres with % yield of
81.9, 87.1 and 85.22 which were higher than other formulations. Percent water content
was also less in these batches. Speed of overhead stirrer was observed to affect particle
size of microspheres. Increase in concentration of formaldehyde caused increase in
particle size. High speed of 1400-1500rpm resulted in smaller particle size within average
Design and development of surgical dressings for advanced wound management 138
Development of sustained release drug loaded absorbable gelatin sponges
range of 100-200μm. Formulations of B3, B7 and B11 were taken further for
development of drug loaded microspheres at high speed of 1400-1500rpm.
Design and development of surgical dressings for advanced wound management 139
Development of sustained release drug loaded absorbable gelatin sponges
3B.2.1 Analytical method development for estimation of drug content and in vitro
release profile
The λmax of GS for colorimetric estimation was found to be 324 nm and λmax of LH
was found to be 263 nm respectively (Section 2B). Developed spectroscopic methods
under chapter 2B for analysis of GS and LH were also validated for non-interference of
excipients for utilizing the same for estimation of drug content in developed formulation.
Non-interference of excipients
This study was carried out in order to find out interference of excipients with developed
analytical methods. Accurately weighed 1g of gelatin and 0.3g of formaldehyde were
dispersed in phosphate buffer pH 7.0 separately and filtered.
For GS microspheres: The resulting filtrate of each of the excipients was treated as per
the procedures mentioned in section 2B under colorimetric analysis of GS and scanned in
spectrum mode over range of 200-400nm and the absorbance at 324 nm was noted.
For LH microspheres: The resulting filtrate of each of the excipients was scanned in
spectrum mode over range of 200-400nm and the absorbance at 263 nm was noted.
Placebo batch was prepared, subjected to similar test and observed for absorbance at 324
nm and 263 nm.
No additional peak was observed for any excipients used in formulation development
process in the spectrum over range of 200-400nm. Absorbance values of both the placebo
formulation were found to be less than 0.005. Thus it was concluded that the selected
excipients did not interfere with the analytical procedure and selected spectroscopic
method was found to be satisfactory for determination of drug content and drug release
profiles of the developed formulations.
Design and development of surgical dressings for advanced wound management 140
Development of sustained release drug loaded absorbable gelatin sponges
respective method of analysis for each drug. The experiments were conducted in
triplicate and the average value of the three readings was taken. The concentration of 1st
reading was used to predict the amount of unentrapped drug. Remaining microspheres in
the medium were kept in the medium and amount of drug released after 24 hours was
analysed for the amount of the drug present in microspheres. No more drug release was
observed after 24 hours.
Percent drug entrapment was calculated by following formula.
Design and development of surgical dressings for advanced wound management 141
Development of sustained release drug loaded absorbable gelatin sponges
For LH microspheres:
Formulation parameters Lower level Higher level
Gelatin (g) 0.25 1
Lidocaine HCl(mg) 100 500
Design and development of surgical dressings for advanced wound management 142
Development of sustained release drug loaded absorbable gelatin sponges
Effect of drug and polymer concentration on % entrapment and % yield was studied by
equations obtained using surface response curves as shown in figures 3.17 and 3.18 and
Percent contribution of gelatin and drug concentration on % entrapment and % yield for
GS and LH microspheres was reported.
Optimization of GS microspheres
Design-Ease® Software
% yield
88.5
87
88.5
X1 = A: Gelatin
X2 = B: GS
88.125
% yield
87.75
87.375
87
500 1
400 0.8125
300 0.625
200 0.4375
B: GS A: Gelatin
100 0.25
Design-Ease® Software
% entrapment
67
48
67
X1 = A: Gelatin
X2 = B: GS
62.25
% entrapment
57.5
52.75
48
500 1
400 0.8125
300 0.625
200 0.4375
B: GS A: Gelatin
100 0.25
Design and development of surgical dressings for advanced wound management 143
Development of sustained release drug loaded absorbable gelatin sponges
Optimization of LH microspheres
Design-Ease® Software
% yield
89
88
89.1
X1 = A: Gelatin
X2 = B: LH
88.825
% yield
88.55
88.275
88
500 1
400 0.8125
300 0.625
200 0.4375
B: LH A: Gelatin
100 0.25
Design-Ease® Software
% entrapment
67
48
67
X1 = A: Gelatin
X2 = B: LH
62.25
% entrapment
57.5
52.75
48
500 1
400 0.8125
300 0.625
200 0.4375
B: LH A: Gelatin
100 0.25
Formulations GSM3.2 and LHM3.2 showing higher entrapment of 67% of GS and 72%
of LH were taken further for characterization.
Design and development of surgical dressings for advanced wound management 144
Development of sustained release drug loaded absorbable gelatin sponges
1. Surface morphology
The surface morphology of microspheres was observed by Scanning Electron Microscope
(SEM). It was investigated using a Jeol Analytical Scanning Microscope, Model JSM-
840A/WDS/EDS System. The samples for SEM analysis were prepared by sprinkling the
dried microspheres powder onto one side of a double adhesive tape which was stuck to an
aluminium stub. The stubs were then coated with gold using an Edwards E-306 sputter
coater to a thickness of 20-30nm. The samples were then examined using SEM and their
photomicrographs were taken by the attached camera.
For both GS and LH, spherical particles were obtained with diameter ranging from 60-
150μm, having similar particle morphology and size. Photomicrographs and SEM images
are shown in figure 3.20 and 3.21 and results are reported in table 3.19 for GS
microspheres and table 3.20 for LH microspheres respectively.
3. Moisture content
Moisture content of the microspheres was determined by using Karl Fischer moisture
determination apparatus (Veego/Matic-MD-PC model) as described under section 3B.2.1.
Results are reported in table 3.19 for GS microspheres and table 3.20 for LH
microspheres.
Design and development of surgical dressings for advanced wound management 145
Development of sustained release drug loaded absorbable gelatin sponges
microspheres placed in the swelling medium at appropriate time intervals using optical
microscopy. The swelling ratio was calculated from the ratio of the volume of swollen
particles to that of dry particles. Optical micrographs of swollen microspheres for GS are
shown in figure 3.20b and for LH in figure 3.21b. Results of swelling ratio obtained are
reported in table 3.20a and 3.20b for GS and LH microspheres respectively.
In vitro release profile of microspheres was studied using Flow through cell apparatus
o
USP IV at 37 C with flow rate of 16ml/min (in 250ml phosphate buffer, pH7.4). Five
Design and development of surgical dressings for advanced wound management 146
Development of sustained release drug loaded absorbable gelatin sponges
milliliters samples were taken, filtered through a 0.45μm filter and replaced with 5ml
o
fresh medium at 37 C. Samples were analysed by respective methods mentioned in
section 3B.2.1.
The release mechanism of GS and LH loaded microspheres was investigated based on the
plots of percent drug release versus time when the release of drug was sustained beyond
6hrs. The resulting data was fitted the release data into models representing
Zero order - percent drug release vs. time
First order - log percent retained vs. time
Higuchi - percent drug release vs. square root of time
Drug release studies were carried out on formulation GSM3.2 of GS microspheres and
LHM3.2 of LH microspheres. Percent drug release versus time for gelatin: GS
microspheres and gelatin: LH microspheres are shown in figures 3.22A and 3.22B
respectively.
7. Digestibility of microspheres
Developed sustained release microspheres are to be incorporated into gelatin sponge
which gets absorbed inside the body and digested with the proteolytic enzymes at the site.
The digestibility of developed microspheres was checked by following the procedure
mentioned in section 3A.3. Results are given in table 3.22a for GS microspheres and
3.22b for LH microspheres.
Design and development of surgical dressings for advanced wound management 147
Development of sustained release drug loaded absorbable gelatin sponges
Analytical method development for estimation of drug content and in-vitro release
profile
Developed spectroscopic methods under chapter 2B for analysis of GS and LH were
validated for non-interference of excipients by evaluating UV absorbance for excipients.
No additional peak was observed for any excipients used in formulation development
process in the spectrum over range of 200-400nm. Absorbance values of both the placebo
formulation were found to be less than 0.005. Selected excipients did not interfere with
the analytical procedure and selected spectroscopic method was found to be satisfactory
for determination of drug content and drug release profiles of the developed formulations.
Design and development of surgical dressings for advanced wound management 148
Development of sustained release drug loaded absorbable gelatin sponges
higher (72%) for formulation LHM3.2 containing 1g gelatin and 500mg of LH,
compared to other formulations. Percent yield of GS microspheres was 88.66±1.64
and for LH microspheres, it was 88.78±1.2 as given in tables 3.21a and 3.21b.
Formulations GSM3.2 and LHM3.2 showing higher entrapment of 67% of GS and 72%
of LH were taken further for characterization.
120
250-300
100
Frequency
80
60 300-350
40
50-100
20 200-250 400-450
100-150
0
0 2 4
Particle size (μm)6 8
Scanning electron microscopy revealed very large particle size distribution of 250-300μm
with mean particle size of 298± 0.2μm for GS microspheres. Swelling ratio for GS
microspheres was found to be 8.2± 0.15
Design and development of surgical dressings for advanced wound management 149
Development of sustained release drug loaded absorbable gelatin sponges
100
90 300-350
80
70
Frequency
60 250-300
50
40
30
20 50-100 200-250
10 100-150 400-450
0
0 2 4 6 8
Particle size (μm)
c. SEM image (200x) d. Particle size distribution
Figure 3.21 Morphology of LH microspheres
Design and development of surgical dressings for advanced wound management 150
Development of sustained release drug loaded absorbable gelatin sponges
120
100
80
% drug released
60
40
y = 45.95x + 20.60
20 R² = 0.824
0
0 0.5 1 1.5 2 2.5
Time (hrs)
120
100
% drug released
80
60
40 y = 20.38x + 29.56
20 R² = 0.704
0
0 1 2 3 4 5
Time (hrs)
GS and LH microspheres failed to sustain the drug release more that 4 and 3 hrs.
Results of characterization for selected formulations of GS and LH microspheres are
given in table 3.22a and 3.22b.
Table 3.22a Results of evaluation of GS: gelatin microspheres [Formulation: GSM3.2]
Sr. No. Parameters Observations
1 Physical appearance and surface Free flowing, pale yellow coloured, individual,
morphology spheres with uneven surface.
2 Yield %w/w 88.66 ± 1.64
3 Moisture content %w/w 5.65 ± 0.05
4 Mean particle size (µm) 298± 0.2
5 Particle size distribution (µm) 280-320
6 Swelling ratio 8.2± 0.15
7 Entrapment efficiency %w/w 67± 0.56
8 In-vitro release profile Non-linear release within 2 hrs.
9 Digestibility < 25 min.
Design and development of surgical dressings for advanced wound management 151
Development of sustained release drug loaded absorbable gelatin sponges
GS and LH loaded gelatin microspheres were found to be of very large size (average=
300μm), as well as failed to give sustain the release which is not preferable for the
incorporation into gelatin sponge. Hence, gelatin along with another natural,
biodegradable polymer, sodium alginate in combination was therefore tried to sustain
drug release. This procedure is described in next section 3B.2.
Design and development of surgical dressings for advanced wound management 152
Development of sustained release drug loaded absorbable gelatin sponges
entrapment of GS in microspheres are given in table 3.23a and the results for LH
microspheres are given in table 3.23b.
For LH microspheres:
Process parameters Lower level Higher level
Gelatin: Sodium alginate (g) 0.25:0.5 0.25:1
Lidocaine HCl(mg) 100 500
Effect of drug and gelatin: sodium alginate ratio on % entrapment and % yield was
studied by equations obtained using surface response curves as shown in figures 3.23a
and 3.23b.
Table 3.23a Composition of GS: gelatin: sodium alginate microspheres
Formulation Gelatin Sodium GS % yield Entrapped
code (g) Alginate (mg) Drug (%)
(g)
GAM1 0.25 1 100 88 58
GAM1.1 0.25 0.5 89 60
GAM2 0.5 1 100 89 54
GAM2.1 0.5 0.5 90 57
GAM3 1 1 100 87 51
GAM3.1 1 0.5 88 55
GAM4 0.25 1 250 86 62
GAM4.1 0.25 0.5 88 64
GAM5 0.5 1 250 88 60
GAM5.1 0.5 0.5 91 65
GAM6 1 1 250 88 56
GAM6.1 1 0.5 91 59
GAM7 0.25 1 500 87.6 60
GAM7.1 0.25 0.5 88.1 64
GAM8 0.5 1 500 86.9 64
GAM8.1 0.5 0.5 87.9 66
GAM9 1 1 500 88 67
GAM9.1 1 0.5 90 70
GAM10 1 1 600 87 65
GAM10.1 1 0.5 88 66
Design and development of surgical dressings for advanced wound management 153
Development of sustained release drug loaded absorbable gelatin sponges
Optimization of GS microspheres
Design-Ease® Software
% yield
90
86.9
90
X1 = A: Alginate
X2 = B: GS
89.2
% yield
88.4
87.6
86.8
500.00 1.00
400.00 0.88
300.00 0.75
200.00 0.63
B: GS A: Alginate
100.00 0.50
Figure 3.23a Effect of sodium alginate and drug concentration on % yield of GS microspheres
Log10(% yield) = + 92.8000-6.50000 × alginate- 0.018000 × GS+0.025500 × alginate × GS
Design-Ease® Software
% entrapment
70
51
70
X1 = A: Alginate
X2 = B: GS
65.25
% entrapment
60.5
55.75
51
500 1
400 0.875
300 0.75
200 0.625
B: GS A: Alginate
100 0.5
Figure 3.23b Effect of sodium alginate and drug concentration on % entrapment of GS microspheres
Log10(% Drug entrapment) = + 56.7500-10.50000 × alginate+2.5000 × GS+0.045000 × alginate × GS
Design and development of surgical dressings for advanced wound management 154
Development of sustained release drug loaded absorbable gelatin sponges
Optimization of LH microspheres
Design-Ease® Software
% yield
91
86.9
91
X1 = A: Alginate
X2 = B: LH
89.975
% yield
88.95
87.925
86.9
500 1
400 0.875
300 0.75
200 0.625
B: LH A: Alginate
100 0.5
Design-Ease® Software
% entrapment
76
58
76
X1 = A: Alginate
X2 = B: LH
71.5
% entrapment
67
62.5
58
500 1
400 0.875
300 0.75
200 0.625
B: LH A: Alginate
100 0.5
From the results obtained from the surface response curve methodology, it was observed
that concentration of sodium alginate alone did not have major effect on percent yield and
drug entrapment of both GS and LH microspheres. Increase in concentration of drug
resulted in drug entrapment of microspheres upto 500mg of drug concentration. Further
Design and development of surgical dressings for advanced wound management 155
Development of sustained release drug loaded absorbable gelatin sponges
Design and development of surgical dressings for advanced wound management 156
Development of sustained release drug loaded absorbable gelatin sponges
Preparation of samples
Standard mixture -Isopropyl alcohol (50μg/ml) and acetone (50μg/ml) were diluted
to10ml with dimethyl formamide.
Microsphere sample - 100mg of microsphere sample was accurately weighed and 10ml
of dimethyl formamide was added. The suspension was sonicated and used for injection.
Design and development of surgical dressings for advanced wound management 157
Development of sustained release drug loaded absorbable gelatin sponges
Method optimization
Sodium alginate contribution for % yield and entrapment was studied by plotting
surface response curve by Stat-design-ease 7 software. Surface response curves
and values for contribution are shown in figure 3.23a, 3.23b for GS microspheres
and in figures 3.24a, 3.24b for LH microspheres.
Sodium alginate alone has contributes to the extent of 4.32% and 0.97% for GS
microspheres whereas 9.75% and 2.99% for LH microspheres on % yield and
entrapment. Whereas concentration of GS and LH were found to contribute to the
extent of 90.33% and 87.31% towards drug entrapment. Combination of gelatin:
sodium alginate increased % entrapment of drug.
Design and development of surgical dressings for advanced wound management 158
Development of sustained release drug loaded absorbable gelatin sponges
90
80 80-100
70
Frequency
60 100-120
50
40
30
20
20-40 60-80 120-140
10 40-60
0
0 2 4 6 8
Particle size (μm)
c. SEM image (500x) d. Particle size distribution
90
80 100-120
70
Frequency
60 80-100
50
40
30
20 20-40 60-80 120-140
10 40-60
0
0 2 4
Particle size (μm)6 8
Design and development of surgical dressings for advanced wound management 159
Development of sustained release drug loaded absorbable gelatin sponges
Design and development of surgical dressings for advanced wound management 160
Development of sustained release drug loaded absorbable gelatin sponges
Design and development of surgical dressings for advanced wound management 161
Development of sustained release drug loaded absorbable gelatin sponges
120
% drug released
R² = 0.968
80
60
40
20
0
0 2 4Time (hrs)6 8 10
2.5
y = -0.195x + 2.138
log (% drug retained)
2 R² = 0.892
1.5
0.5
0
0 2 4 6 8 10
Time (hrs)
120
y = 35.22x - 5.190
100
R² = 0.984
% drug released
80
60
40
20
0
0 0.5 1 1.5 2 2.5 3
Sq. root of time
Figure 3.28 In vitro drug release kinetics of GS: Gelatin: Na alginate microspheres [Formulation: GAM9.1]
Design and development of surgical dressings for advanced wound management 162
Development of sustained release drug loaded absorbable gelatin sponges
120
y = 7.766x + 11.60
100
R² = 0.965
% drug released
80
60
40
20
0
0 5 Time (hrs) 10 15
2.5
log (% drug retained)
2 y = -0.147x + 2.136
R² = 0.887
1.5
0.5
0
0 5 Time (hrs) 10 15
120
y = 29.01x - 5.173
100
R² = 0.988
% drug released
80
60
40
20
0
0 1 2 3 4
Sq. root of time
Design and development of surgical dressings for advanced wound management 163
Development of sustained release drug loaded absorbable gelatin sponges
Whereas, formulation LAM9.1 of LH microspheres was found to sustain the drug release
for 12hrs exhibiting zero order release (R2= 0.965) with Higuchian diffusion mechanism
(R2=0.9772) and t50% of 4.72hrs [Figure 3.29; table 3.25]. Sodium alginate was found to
extend the release of GS and LH from microspheres.
Design and development of surgical dressings for advanced wound management 164
Development of sustained release drug loaded absorbable gelatin sponges
Table 3.26 Peak areas obtained for standard solvents mixture and microsphere samples
In the estimation of residual solvents by gas chromatography, the peaks of acetone and
isopropyl alcohol were observed at 2.758 and 2.944 min respectively [Figure 3.30]. The
concentrations of residual solvent in the microspheres were calculated using the peak
areas obtained from standard solvent mixtures. AUC were found to be 0.2271 and
0.02267µg/ml of microspheres for acetone and isopropyl alcohol for GS microspheres
whereas 0.1428 and 0.02095µg/ml of microspheres for acetone and isopropyl alcohol
respectively for LH microspheres [Table 3.27].
The results revealed that the levels of residual solvents acetone and isopropyl alcohol in
final microspheres formulations were well below the acceptable limits given in USP NF
30, limits of 5000μg/ml. The results confirmed the acceptability of the developed
microspheres for incorporation into the biodegradable haemostatic sponges.
Design and development of surgical dressings for advanced wound management 165
Development of sustained release drug loaded absorbable gelatin sponges
Design and development of surgical dressings for advanced wound management 166
Development of sustained release drug loaded absorbable gelatin sponges
3.4.1 Experimental
Accurately weighed of microspheres (equivalent to 100mg of drug) were incorporated
into gelatin mixture with varying concentrations of 4, 5 and 6% of gelatin in 100ml
o
distilled water. The mixture was generated into stable foam at 40 C with stirring rate
1400-1500rpm. Stable foams were then crosslinked with formaldehyde solution with
varying concentrations of 0.02, 0.04 and 0.06% w/w and characterized for foam
properties as described in section 3A.1.3. Compositions were optimized for crosslinking
degree and whipping duration as described in section 3A.3.1. The composition of drug
loaded gelatin sponge and resulting foam properties and crosslinking degree are given in
table 3.29a for GS loaded sponges and 3.29b for LH loaded sponges.
o
The crosslinked foam was poured into trays and freeze dried at -35 C, under a vacuum of
0.01mbar for 16hrs as per optimized Lyophilization cycle as described in section 3A.2.
Design and development of surgical dressings for advanced wound management 167
Development of sustained release drug loaded absorbable gelatin sponges
For GS loaded sponge, formulation GLS1.2 was found to give stable foam and
crosslinked sponge with optimum crosslinking degree of 24% and residual formaldehyde
less than 0.001% on whipping duration of 15 minutes.
For LH loaded sponge, formulation LDS1.1 was found to give stable foam and
crosslinked sponge with optimum crosslinking degree of 25% and residual formaldehyde
less than 0.001% on whipping duration of 15 minutes.
Design and development of surgical dressings for advanced wound management 168
Development of sustained release drug loaded absorbable gelatin sponges
analysis as described in section 2B. The concentration of GS and LH per cm3 was
determined.
Design and development of surgical dressings for advanced wound management 169
Development of sustained release drug loaded absorbable gelatin sponges
Design and development of surgical dressings for advanced wound management 170
Development of sustained release drug loaded absorbable gelatin sponges
Design and development of surgical dressings for advanced wound management 171
Development of sustained release drug loaded absorbable gelatin sponges
The release data obtained was subjected to kinetic treatment according to zero, first, and
Higuchi diffusion models. The correlation coefficient (r), the order of release pattern, and
t50% values were determined in each case.
% drug released
80
60
40
20
0 2 4 6 8
Time (hrs)
2 R² = 0.979
1.5
0.5
0 2 4 6 8
Time (hrs)
y = 39.78x - 0.033
100
R² = 0.995
% drug released
80
60
40
20
0 1 2 3
Sq. root of time
Design and development of surgical dressings for advanced wound management 172
Development of sustained release drug loaded absorbable gelatin sponges
y = 10.49x + 20.22
100
R² = 0.863
% drug released
80
60
40
20
0 2 4 6 8 10
Time (hrs)
R² = 0.976
2
1.5
0.5
0 2 4 6 8 10
Time (hrs)
80
60
40
20
0 1 2 3
Sq. root of time
Design and development of surgical dressings for advanced wound management 173
Development of sustained release drug loaded absorbable gelatin sponges
In-vitro drug release profiles of GS and LH from sponges are illustrated in figures
3.32A and 3.32B. Both the formulations showed sustained release of GS and LH
for 6 and 8hrs. This is thought to be attributed to the formation of a dense matrix
as observed in SEM images [Figure 3.31C] which is characterized by smaller pore
sized structures of microspheres and reduced permeability to either dissolved drug
or dissolution medium.
Regression analysis of kinetics of dissolution curve showed that t50% of GS from
microspheres loaded sponges was decreased to 3.39 hrs from 3.55 hrs of GS
microspheres. The t50% of LH from microspheres loaded sponges was decreased to
4.17 hrs from 4.72 hrs of GS microspheres, which was not much significant. Little
difference in t50% might be due to loss of some amount of drug during
incorporation of microspheres into gelatin solution.
It was observed from dissolution kinetics of GS loaded sponges [table 3.30] that
R2 value of first order (0.979) was higher than zero order (0.9606) and R2 value of
Higuchi release kinetics was found to be 0.995 which indicates first order drug
release by Higuchian diffusion mechanism. Same was the case with LH release
from LH loaded sponge which has R2 values of first order (0.9715) higher than
zero order (0.9377) whereas, R2 value of Higuchi release kinetics was observed to
be 0.9905 which indicates first order drug release by Higuchian diffusion
mechanism.
Design and development of surgical dressings for advanced wound management 174
Development of sustained release drug loaded absorbable gelatin sponges
120
Partially degraded soft
gelatinous mass of
100
microspheres remnants
Weight remaining (%) degraded after 80hrs
80
60
40
20
0
0 20 40 60 80
Tim e (hrs)
a. GS loaded sponge
120
Partially degraded soft
100 gelatinous mass of
microspheres remnants
Weight remaining (%)
60
40
20
0
0 20 40 60 80
Tim e (hrs)
b. LH loaded sponge
Figure 3.33 In vitro biodegradation behaviour of drug loaded sponges
Error bar indicated standard deviation
GS and LH loaded sponges were found to biodegrade in vitro within 72 hrs leaving soft
gelatinous mass and remnants of microspheres in biodegradation medium which was
found to degrade completely within 80 hrs. Partially degraded soft gelatinous mass of
gelatin was analysed for GS and LH drug content as described in section 2B. It did not
show presence of drug.
Design and development of surgical dressings for advanced wound management 175
Development of sustained release drug loaded absorbable gelatin sponges
Conclusion
GS and LH loaded microspheres prepared using gelatin and sodium alginate in
combination were successfully incorporated into gelatin sponges. Sustained release from
drug loaded sponges was observed for 6hrs with GS and for 8hrs with LH. Investigation
of characteristics of drug loaded gelatin sponges revealed their potential to be used as
carriers for antiseptic and anaesthetic drugs in addition to haemostatic action.
Design and development of surgical dressings for advanced wound management 176