CA2011826A1 - Film-forming emulsion containing iodine and methods of use - Google Patents

Film-forming emulsion containing iodine and methods of use

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Publication number
CA2011826A1
CA2011826A1 CA002011826A CA2011826A CA2011826A1 CA 2011826 A1 CA2011826 A1 CA 2011826A1 CA 002011826 A CA002011826 A CA 002011826A CA 2011826 A CA2011826 A CA 2011826A CA 2011826 A1 CA2011826 A1 CA 2011826A1
Authority
CA
Canada
Prior art keywords
film
weight
iodine
emulsion
monomer
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Abandoned
Application number
CA002011826A
Other languages
French (fr)
Inventor
Robert H. Brink
Chi-Ming Tseng
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
3M Co
Original Assignee
Minnesota Mining and Manufacturing Co
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Minnesota Mining and Manufacturing Co filed Critical Minnesota Mining and Manufacturing Co
Publication of CA2011826A1 publication Critical patent/CA2011826A1/en
Abandoned legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/0012Galenical forms characterised by the site of application
    • A61K9/0014Skin, i.e. galenical aspects of topical compositions
    • AHUMAN NECESSITIES
    • A01AGRICULTURE; FORESTRY; ANIMAL HUSBANDRY; HUNTING; TRAPPING; FISHING
    • A01NPRESERVATION OF BODIES OF HUMANS OR ANIMALS OR PLANTS OR PARTS THEREOF; BIOCIDES, e.g. AS DISINFECTANTS, AS PESTICIDES OR AS HERBICIDES; PEST REPELLANTS OR ATTRACTANTS; PLANT GROWTH REGULATORS
    • A01N25/00Biocides, pest repellants or attractants, or plant growth regulators, characterised by their forms, or by their non-active ingredients or by their methods of application, e.g. seed treatment or sequential application; Substances for reducing the noxious effect of the active ingredients to organisms other than pests
    • A01N25/24Biocides, pest repellants or attractants, or plant growth regulators, characterised by their forms, or by their non-active ingredients or by their methods of application, e.g. seed treatment or sequential application; Substances for reducing the noxious effect of the active ingredients to organisms other than pests containing ingredients to enhance the sticking of the active ingredients
    • AHUMAN NECESSITIES
    • A01AGRICULTURE; FORESTRY; ANIMAL HUSBANDRY; HUNTING; TRAPPING; FISHING
    • A01NPRESERVATION OF BODIES OF HUMANS OR ANIMALS OR PLANTS OR PARTS THEREOF; BIOCIDES, e.g. AS DISINFECTANTS, AS PESTICIDES OR AS HERBICIDES; PEST REPELLANTS OR ATTRACTANTS; PLANT GROWTH REGULATORS
    • A01N59/00Biocides, pest repellants or attractants, or plant growth regulators containing elements or inorganic compounds
    • A01N59/12Iodine, e.g. iodophors; Compounds thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K33/00Medicinal preparations containing inorganic active ingredients
    • A61K33/18Iodine; Compounds thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/30Macromolecular organic or inorganic compounds, e.g. inorganic polyphosphates
    • A61K47/32Macromolecular compounds obtained by reactions only involving carbon-to-carbon unsaturated bonds, e.g. carbomers, poly(meth)acrylates, or polyvinyl pyrrolidone
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/70Web, sheet or filament bases ; Films; Fibres of the matrix type containing drug
    • A61K9/7015Drug-containing film-forming compositions, e.g. spray-on
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L26/00Chemical aspects of, or use of materials for, wound dressings or bandages in liquid, gel or powder form
    • A61L26/0009Chemical aspects of, or use of materials for, wound dressings or bandages in liquid, gel or powder form containing macromolecular materials
    • A61L26/0014Chemical aspects of, or use of materials for, wound dressings or bandages in liquid, gel or powder form containing macromolecular materials obtained by reactions only involving carbon-to-carbon unsaturated bonds
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L26/00Chemical aspects of, or use of materials for, wound dressings or bandages in liquid, gel or powder form
    • A61L26/0061Use of materials characterised by their function or physical properties
    • A61L26/0066Medicaments; Biocides
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2300/00Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices
    • A61L2300/10Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices containing or releasing inorganic materials
    • A61L2300/106Halogens or compounds thereof, e.g. iodine, chlorite
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2300/00Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices
    • A61L2300/40Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices characterised by a specific therapeutic activity or mode of action
    • A61L2300/404Biocides, antimicrobial agents, antiseptic agents
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10STECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10S424/00Drug, bio-affecting and body treating compositions
    • Y10S424/13Burn treatment

Abstract

ABSTRACT OF THE DISCLOSURE

An emulsion containing a substantially water resistant film-forming copolymer phase and iodine is claimed. The polymer-in-water emulsion forms a film that is a substantially fluid resistant, low tack, flexible film which adheres to skin and releases iodine to skin. The addition of iodate to emulsions having such a film-forming copolymer phase and iodine further enhances stability of the emulsion.

Description

201~2~

FILM-FORMING EMULSION CON~AINXNG IODINE
AND MET~ODS OF USE

BACKGROUND OF THE INVENTION
.
Field of the Invention -This invention relates to dermatologically acceptable film-forming emulsions containing iodine. More specifically, it relates to film-forming emulsions useful in promoting asepsis on skin. Methods of using the emulsions are also within the scope of the in~ention.

Description of the sackground Art In order to reduce the risk of infection in patients, it has become standard practice to topically apply an antimicrobial agent to compromised areas such as surgical incision sites, wounds, burned areas, catheterization sites and injection sites. Topical application of antimicrobials has been utilized to reduce the bacteria count on skin in the area of application.
Topical application of antimicrobial agents has been accomplished using, for example, solutions, ti~sues, lotions, and ointments. Because microorganisms may survive the initial application of the antimicrobial àgent, it is often necessary to reapply the agent in order to provide continued asepsis. Also, because antimicrobial agents are often water soluble, and therefore, subject to removal from the application site by water or bodily fluids, reapplication of the antimicrobial agent may be necessary to assure continued bactericidal activity. In particular, polyvinylpyrrolidone, which is widely utilized as a carrier for the broad spectrum antimicrobial iodine, is water soluble and is rapidly washed away from skin by irrigation or bodily fluids~
Increasing the water and bodily fluid resistance of topically applied antimicrobial agents and thereby increasing the substantivity and length of bactericidal -2- 2~ &

activity has been a long standing goal in the art. In particular, there are several examples of inventions with the aim o~ improving the substantivity of the N-vinylpyrrolidone/iodine complex. Compositions that are able to form a water insoluble film can, in addition to providing long lasting antimicrobial activity, also provide a protective layer for sensitive tissue such as is present in burn wounds.
Organic solvents such as ethyl alcohol or isopropyl alcohol are often used as the antimicrobial agent and/or as the solvent carrier for other antimicrobial agents. Alcohols and other organic solvents can be irritating to skin tissue and are not suitable for use on sensitive tissues such as burn wound sites and mucosal tissue. Often the vapors of the organic solvents are toxic and/or flammable.
The addition of iodine to colloids or emulsions has in the past been found to be destabilizing to the system. For example, U.S. Patent No. 4,364,929 to Sasmor et al. discloses an aqueous germicidal colloidal lubricating gel comprising iodine and a gel orming colloid. In the background discussion at column 2, lines 37-42, the corrosive and oxidizing nature of iodine is discussed, noting that it destroys the stability of most pharmaceutical compositions and, in particular, colloidal lubricating gels. The patentees disclose that when iodine is added to a carbohydrate polymer in the presen~e of a substrate capable of forming an iodophor, such as povidone, a st~bilizing effect is observed which prevents the destruction of the colIoidal properties of the carbohydrate polymer by iodine.
Polyvinylpyrrolidone containing polymers complexed with iodine have been utilized as film-forming compositions. These compositions require high amounts of vinylpyrrolidone with correspondingly high amounts of iodine to render the polymer insoluble in water. These films would be eXtremely dark, so that viewing through the film would be virtually impossible. Due to the relatively ~3~ 20~ 2~
high iodine content of the prior art system~, applic~nts expect that these emulsions would have a relatively short shelf life.
European Patent No. 107,277 discloses an antimicrobial film consisting of 30 to 80 wt. % vinyl acetate and 20 to 70 wt. % vinylpyrrolidone copolymer combined with iodine and/or bromine to provide 2 to 25~
available halide in the final product. The copolymer may be prepared by solution, suspension, precipitation or emulsion polymerization and is complexed by contacting with a 10 to 50% solution of halogen in an alcohol solution.
The complex product is diluted with water and azeotropically distilled to form a viscous liguid product.
The product may be used in its viscous state as a coating lS or can be diluted with an inert solvent such as water or alcohol for use as a liquid or aerosol spray.
German Patent No. 2,557,607 discloses the preparation of a water insoluble copolymer having vinylpyrrolidone as one of the constituent monomers. The copolymer is converted into an insoluble addition compound by using a sufficient amount of iodine regardless of the initial solubility of the starting polymer. The amount of iodine required for this purpose is usually above 60% by weight based on the weight of the polymer. If the starting polymer is water insoIuble, the iodine content of the adduct is generally in the range of from 0.1 to 50~ by weight, based on the weight of the polymer. The formation of a film from an emulsion of the iodophor polymer is disclosed at the paragraph bridging pages 13 and 14.
A disadvantage of emulsion system film-forming compositions long recognized in the art is that such systems are expected to require comparatively long dry times. British Patent 1,465,190 describes polymer in water emulsions which "...dry, i.e., form films, rapidly when placed on the skin, normally within about 4 to 6 minutes."
The dry time recited above that the British patentees considered to be rapid is now considered to be too long for ~ _4_ 2~ 2~

practical application. Surgeons and nurses preer that any ilm-forming presurgical prep be dry to tha touch ln 2.5 minutes or less, and preferably less than 2 minutes.
U.S. Patent No. 2,804,073 to Gallienne et al.
discloses a film-forming composition. This composition can be either a polymer in organic solvent solution or a polymer-in-water emulsion. Organic solvents are used when dry times on the order of 5 minutes are desired, while a water emulsion is used when it is desired to increase the dry time to about 15 minutes or more. The cohesive strength of these films is greater than their adhesive strength, thus enabling them to be peeled intact from the skin to which they are applied.
U.S. Patent No. 3,244,658 to Grosser et al.
discloses the preparation of a stable aqueous emulsion containing a polymeric N-vinyl lactam. This emulsion provided a film which apparently was a mixture of a water soluble N-vinyl lactam homopolymer and a benzene soluble acrylic ester homopolymer. The patentees found that copolymerization of a N-vinyl lactam monomer and acrylic ester monomer in about equal amounts yielded an unstable emulsion, even without addition of I2. As disclosed in column 3, lines 52-62, the polymer formed by the process of the patent is a graft copolymer of an acrylic ester on a polymeric N-vinyl lactam substrate. No disclosure additionally complexing iodine with this polymer is provided.
U.S. Patent No. 4,271,149 to Winicov et al.
discloses germicidal iodine compositions comprising an aqueous solution of elemental iodine and at least one organic substance which slowly reacts with iodine. Iodine loss during the extended storage of the composition is controlled by providing iodide ion and iodate ion in a controlled pH range so that lost elemental iodine is restored by the reaction of iodate and iodide in the presence of hydrogen ions.

2 ~ 2 ~

U.S. Patent ~o. 4,374,126 to Cardarell~ et al.
discloses a film-forming antimicrobial material which comprises an alcohol soluble carboxylated polyacrylate, an antimicrobial agent such as bacitracine or iodine, a difunctional amide as a crosslinking agent and an adhesion promoting material. As disclosed at column 4, lines 53-61, the film-forming material is prepared in an ethyl alcohol and water solution.
U.S. Patent No. 4,542,01~ to Dell discloses a film-forming polymer which is the reaction product of 1) a prepolymer having a plurality of isocyanate functionalities, ~) a polyvinylpyrrolidone polymer and 3) a chain extender for the prepolymer and the polyvinylpyrrolidone polymer. This film-forming polymer is complexed with an antimicrobial agent, specifically iodine.
The film-forming composition is applied to the skin as a solution in a volatile solvent such as ethanol or isopropanol.
U.S. Patent No. 4,584,192 to Dell et al.
discloses a film-forming copolymer consisting of copolymeri~ed A, B and C monomers wherein A is an acrylic acid ester having 2 to 14 carbon atoms or is a methacrylic acid ester of 7 to 18 carbon atoms, B is a methacrylic acid ester of 1 to 6 carbon atoms,~ and C is an N-vinyl lactam which is from 1 to 15% of the total weight of all monomers in the copolymer. This film-forming copolyme~r composition is complexed with iodine. The composition is applied to the skin from a fugitive solvent, such as ethanol,~
isopropanol and acetone. Application of these solutions of water immiscible polymers in solvent to wet surfaces can result in precipitation of the copolymer and poor film formation. organic solvents are utilized due to the need to have a carrier for the water insoluble copolymer and in order to provide a quick formation of dry films through the use of rapidly drying, volatile solvents.
The prior art has not provided a film-forming composition which is totally acceptable from the standpoint of convenience, nonirritation, nonflammability even before -6- 2~

drying and safety and e~ficacy in promoting asepsi6 on skin. A good film-forming compo~ltion should be dermatologically acceptable and capable o appl~cation conveniently in a water based mixture which dries quickly on skin. The film resulting from application of such an emulsion should be water and body fluid resistant and substantially tack free, and should permit acile transmission of water vapor therethrough. The film should be clear to permit, for example, viewing of the site where an incision will be made during a surgical procedure. It should further adhere suitably to skin and be capable of releasing an antimicrobial agent on~o the skin over a period of time. The film should be soluble in a dermatologically acceptable solvent such as a lower alkyl alcohol which may be used as or in a remover solution which is employed to remove the film when desired.
The film~forming emulsion of the present invention successfully meets the aforementioned criteria.

20 SUMMARY O~ THE INVENTION
The present invention provides a film-forming emulsion comprising:
(a) a substantially water resistant film-forming copolymer phase comprising A, B and C monomers where~n A is a "soft" monomer wherein the corresponding homopolymer has a glass transition temperature glass transition temperature of less than about -15C., and is present as about 15 to 80% of the total weight of all monomers in the copolymer, B is a "hard" monomer wherein the corresponding homopolymer has a glass transition temperature of more than about -5C., and is present as about 20 to 70~ of the total weight of all monomers in the copolymer, and C is a monomer capable of complexing iodine and delivering it to the skin and is present as about 1 to 15% of the total weight of all monomers in the copolymer;

201~2~

(b) about 0.05 to 15% of iodlne based on total emulsion welght;
(c) an effective amount of an emulsifying agent; and (d) about 30 to 95% by wsight of water.
The monomers in the copolymer phase are selected such that the emulsion, when applied to human skin in an amount sufficient to form a film having a thickness of about 0.01 mm., dries in less than five minutes to form a film having 0 the properties of i) being hydrophobic, as determined by scrubbing the film using light finger pressure with a saline-soaked gauze for at least 40 scrubs with no observable removal of film or loss of iodine color, and ii) being capable of elongating at least about 5% before breaking.
This composition is dermatologically acceptable, and, when applied to skin, is capable of forming a clear, substantially fluid resistant, substantially tack free flexible film which adheres to skin and releases iodine to the skin.
A preferred copolymer composition additionally comprises 0.1-100% iodate based on added iodine. The addition of iodate provides a surprisingly stable emulsion.
The method of using the emulsion of the present invention to cover skin with a film exhibitlng microbicidal activity and to thereby promote asepsis comprises the steps of:
(a) applying the emulsion to the skin;
(b) allowing the emulsion to dry to form a film;
and (c) allowing the film to remain on the skin to promote asepsis.

2~1~82~

The present inventlon solves the problems associated with prior art compositions by providing a film-forming emulsion which exhibits the following characteristics. The film-forming emulsion is dermatologically acceptable and may be applied to skin conveniently as a water based emulsion. Because the emulsions of the present invention are water based mixtures, they are nonflammable, nonirritating and may be applied to wet tissue. Even though water ls a slow drying substance, the emulsions of the present invention dry to form low tack or tack free films in a surprisingly short time (less than about 5 minutes).
The emulsions of the present invention also provide iodine containing emulsions of surprising stability at room temperature and elevated temperature (49C). This surprising stability is particularly enhanced by incorporating iodate anion in the emulsions.
The film resulting from the application of the emulsion is substantially fluid resistant, tack free or low tack, and permits facile transmission of moistuxe vapor therethrough. Further, the film is clear and therefore allows viewing of the underlying skin. Iodine is released to the skin upon contact of the emulsion with the skin, and continues after the film is formed. The adhesion of the film to skin is preferably significantly higher than the cohesive strength, particularly at the thin coatings which are particularly suited for the present invention. This results in films that cannot be peeled intact from the skin, thus reducing the possibility of film lift at the incision site during surgical incision and retraction. The film is soluble in dermatologically acceptable lower alkyl alcohols such that it may be removed conveniently using a remover solution comprising such an alcohol. The composition of the invention is particularly suitable for use as a presurgical skin preparation. The composition is also particularly suitable for promoting asepsis in and around puncture wounds such as sites of injection or catheterization. The compositions of the invention may 2 ~ 2 ~

also be used in liquid bandages, coating for percutaneous access device sites, stoma seals, various general hospltal use.s, teat dips, and liquid gloves for medical use or food handling, and the like. secause the emulsions of the present invention are water based, some embodiments may be used on mucosal or burned tissue.

DETAILED DBSCRIPTION

The emulsion of the present invention is dermatologically acceptable and provides a ilm which is clear and substantially fluid resistant. As used herein, the term "dermatologically acceptable" means that the emulsion does not cause either substantial irritation to skin or patient sensitization as the result of contact therewith. The term "clear" means that a film provided by the emulsion of the invention is transparent and free of turbidity. The phrase "substantially fluid resistant"
means that a film retains its integrity when contacted with body fluids (e.g. blood and perspiration~, irrigation 1uids and the like even when the film is rubbed lightly.
The word "emulsion" is intended to include those emulsions prepared by emulsion and suspension polymerization, emulsions prepared by post emulsification of polymers prepared in solution or bulk, natural lattices and emulsions prepared by dispersion.
An appropriate copolymer system for use as a film-forming polymer in the present invention is~a copolymer comprising copolymerized A, B and C monomers as follows:
A is a "soft" monomer wherein the corresponding homopolymer has a glass transition temperature of less than about -15C and A is present as about 15 to 80~ of the total weight of all monomers in the copolymer. Typically, A is a monomer that provides flexibility, elongation and adhesiveness to skin in the copolymer. The A monomer usually provides the degree of hydrophobicity which results in the desired resistance to body fluids.

-lo- 2 ~ 2 $

B is a "hard" monomer wherein the corresponding homopolymer has a glass transitlon temperature of more than about -53C, and preferably more than about 20C, and B is present as about 20 to 70% of the total weight of all monomers in the copolymer. Typically, the B monomer is a monomer that provides tensile strength and also reduces tack in the copolymer.
The C monomer is a monomer capable of complexing iodine and delivering it to the skin. For example, C is an N-vinyl lactam or monomers containing polyether functionalities. The C monomer is present in an amount by weight of ahout 1 to 15% of the total weight of all comonomers in the copolymer.
The A monomer is typically a monomeric acrylic or methacrylic acid ester of an alkyl alcohol containing a single hydroxyl, the alcohol being further described as having from 2 to about 14 carbon atoms when the A monomer is an acrylic acid ester, and about 7 to 18 carbon atoms when the A monomer is a methacrylic acid ester.
Examples of suitable acrylic acid esters for use as the A monomer include the esters of acrylic acid with non-tertiary alcohols such as ethanol, 1-butanol, 2-butanol, 1-pentanol, 2-pentanol, 3-pentanol, 2-methyl-1-butanol, 1-hexanol, 2-hexanol, 2-methyl-l-pentanol, 3-methyl-l-pentanol, 2-ethyl-1-butanol, 3,5,5-trimethyl-1-hexanol, 3-heptanol, l-octanol, 2-octanol, iso-octyl alcohol, 2-ethyl-1-hexanol, l-decanol, 1-dodecanol, 1-tridecanol, 1-tetradecanol and the like.
Examples of suitable methacrylic acid esters for use as the A monomer include the esters of methacrylic acid with non-tertiary alcohol such as 3-heptanol, 1-octanol, 2-octanol, iso-octyl alcohol, 2-ethyl-1-hexanol, 1-decanol, l-dodecanol, l-tridecanol, 1-tetradecanol~ 1-octadecanol and the like.
Other examples of soft monomers that can be used for the A monomer component are monomers having the -11 2~ 2~

requisite glass transition temp~rature values ~ncluding dienes, such as butadiene and isoprene; acrylamides, such as N-octylacrylamide; vinyl ethers, such as butoxyethylene, propoxyethylene and octyloxyethylene; vinyl halides, such as 1,1-dichloroethylene; and vinyl esters such as vinyl versatate, vinyl caprate and vinyl laurate.
The preferred A monomer ls selected from the group consisting of n-butyl acrylate, iso-octyl acrylate and lauryl methylacrylate ~the methacrylic acid ester of 1-dodecanol).
It is to be understood that the film-forming copolymer may comprise a single type of ~ monomer or may comprise two or more different A monomers.
Monomer B of the film-forming copolymer is typically a monomeric methacrylic acid ester o an alkyl alcohol containing a single hydroxyl. The alcohol contains from 1 to about 6 carbon atoms, and preferably 1 to about 4 carbon atoms.
Examples of suitable monomers for use as the B
monomer include the esters of methacrylic acid with non-tertiary alcohols such as methanol, ethanol, l-propanol, 2-propanol, 1-butanol, 2-butanol, 1-pentanol, 2-pentanol and 3-pentanol.
Other examples of hard monomers that can be used for the B monomer component are monomers having the requisite glass transition temperature values include methacrylates having a structure other than delineated above, such as benzyl methacrylate, cyclohexyl methacrylate and isobornyl methacrylate; methacrylamides, such as N-t-butylmethacrylamide; acrylates, such as isobornyl acrylate; acrylamides, such as N-butylacrylamide and N-t-butylacrylamide; diesters of unsaturated dicarboxylic acids, such as diethyl itaconate and diethyl fumarate;
vinyl nitriles, such as acrylonitrile, and methacrylonitrile; vinyl esters, such as vinyl acetate and vinyl propionate; and monomers containing an aromatic ring such as styrene; a-methyl styrene and vinyl toluene.

.

~12- 2 ~ 2 ~

The preferred ~ monomer iæ selected from the group consisting of methyl methacrylate and ethyl methacrylate.
It is to be understood that the film-forming copolymer may comprise a single type of B monomer or may comprise two or more different B monomers.
The C monomer is a monomer capable of complexing iodine and delivering it to the skin. Examples of C
monomers include N-vinylpyrrolidone or monomers containing polyether functionalities such as polypropylene oxide and polyethylene oxide.
The preferred class of C monomers is N-vinyl lactams which are capable of complexing iodine. Examples of suitable N-vinyl lactams which may be employed include those disclosed in U.S. Patent No. 3,907,720 (Field et al.) incorporated herein by reference. That patent discloses, for example, N-vinyl-substituted derivatives of the following lactams: 3,3-dimethyl-1-pyrrolidone, 4,4-dimethyl-2-pyrrolidone, 3,4-dimethyl-2-pyrrolidone, 3-ethyl-2-pyrrolidone, and 3,5-dimethyl-2-pyrrolidone. The preferred N-vinyl lactam is N-vinylpyrrolidone.
It is to be understood that the film-forming copolymer may comprise a single type of C monomer or may comprise two or more different C monomers.
The relative`water resistance of the ultimate film may be determined by the selection of comonomers to be used with the iodine complexing comonomer and~by adjusting the ratio of water insoluble comonomers to water-~soluble comonomers that form the film. The resulting copolymers give films which have high moisture vapor transmission rates and which are water insoluble.
Iodine is incorporated as an antimicrobial agent, and is present in these emulsions in a effective amount (i.e. an amount which exhibits bactericidal activity when applied to skin). As a general statement, film-forming emulsions comprising about 0.05 to 15% by weight of iodine based on the total weight of the emulsion provide films exhibiting suitable antimicrobial activity. Preferred -13~ 2~ 2~

film-forming emulsions for use as pre-surgical patient skln preparations are those containing iodlne in an amount by weight of about 0.10 to 5~ by weight based on the total emulsion weight, and particularly preferred emulsions contain iodine in an amount by weight of about 0.25 to 2%
by weight based on the total solids weight. When the emulsion is used on extremely sensitive tissue such as eyes or burn wounds, iodine may be used at a lower level.
Preferred film-forming emulsions for use on sensitive tissu~ are those containing iodine in an amount of about 0.05 to 0.25% by weight based on the total solids weight.
It is preferred that emulsions that contain iodine also contain iodide ion. While not wishing to be bound to any particular theory, it is believed that iodide ion increases the stability of the complex involving iodine and an N-vinyl lactam residue, thereby reducing the loss of iodine over time. The iodide ion is preferably added as an inorganic salt, such as sodium or potassium iodide, in about 5% to 300% by weight based on added iodine.
It has surprisingly been learned that the use of iodate in the emulsions containing a substantially water resistant film-forming copolymer phase that is capable of forming complexes with iodine significantly increases the resistance of said emulsions to phase separation, coagulation, gelation, p~recipitation and other forms of physical and chemical destabilization at room temperature and at 49C. It was not anticipated by the prior art that iodate ions would significantly increase the stability of polymer-in-water smulsions containing iodine. The iodate ion is preferably added as an inorganic salt, such as sodium or potassium iodate in about 0.1% to 100% by weight based on added iodine, and more preferably in an amount by weight of about 1 to 30% based on added iodine.
Thus, a particularly preferred composition of the present invention comprises (a) a substantially water resistant film-forming copolymer phase comprising ~14- 2 ~ 2 ~

about 50 to 60% by weight based on the total copolymer weight of iso-octyl acrylate, about 35 to 45% by weight based on the total copolymer weight of methyl methacrylate, and about 5 to 10% by weight based on the total copolymer weight of N-vinylpyrrolidone;
(b) about 1-2% of iodine based on total emulsion weight;
(c) an effective amount of an emulsifying agent;
(d) about 55 to 85% by weight o~ water based on total emulsion weight;
(e) about 5 to 100~ by weight of iodide based on added iodine; and (f) about 2.5 to 20% by weight of iodate based on added iodine.
Emulsifiers commonly used in emulsion polymerization, including anionic, nonionic, nonionic-anionic, amphoteric types and combinations of the above types, may be used as the emulsifying agent. An appropriate emulsifier for use in the present system will make a stable latex; will be compatible with iodine~, iodide and iodate; will be physiologicalIy acceptable and will allow appropriate control of viscosity and pH of both the latex and the final product. Because negatively~charged latex particles are to be used in this system, anionic and nonionic plus anionic emulsifiers are expected to~have the highest probability of success, with the nonionic emulsifier used in combination with an anionic emulsifier to give better tolerance to the electrolyte. Particularly useful emulsifiers include anionic species such as alkyl sulfates, sarcosinates, alkyl sulfosuccinates, and fatty acid soaps. Nonionic emulsifiers include polyoxyethylene sorbitan fatty esters, ethoxylated glycerides, and polyglycerol esters of fatty acids. Emulsifier content should be chosen to stabilize the emulsion without -15- 2 ~ 2 inhibiting film-~orming. Typically, emulsifier content of about 0.5 to 5.0~ by weight based on added monomer mixture is suitable, with emulsifier content o about 1.0% to 2.0%
preferred.
The emulsions may consist of any ratio of solids that provides sufficient material to form a film and allows the emulsion to be applied. Preferably, solids are present in an amount of between about 15 to 30% by weight total emulsion. High solids ratios may tend to decrease stability of the emulsions.
The p~ of the emulsions is preferably between about 3 and 8, more preferably between about 5 and 7. The pH of the emulsions may be adjusted by the addition of appropriate acidic or basic species and/or optionally by the use of a buffer system.
The emulsion of the present invention may further include conventional additives such as plasticizers, colorants, tackifiers and/or stabilizers to achieve desired properties.
While the emulsion of the present invention is applied to the skin as a polymer-in-water emulsion, small amounts of organic solvent may be present if the resulting emulsion is nonflammable and nonirritating.
For the present invention, it is necessary that the copolymers be available as polymer-in-water emulsions.
This may be accomplished by preparing the copolymers from the appropriate monomers via emulsion polymerization or by post-amulsification of solution or bulk prepared polymers.
The film-forming copolymer emulsions may be prepared using conventional emulsion polymerization methods. For laboratory tests, samples can be prepared from batch process polymerization or semi-continuous process polymerization, two commonly used modes of emulsion polymerization. In the former, all the ingredients including monomers, emulsifiers, initiator and water are added to the reactor before the reaction starts. In the latter, only part of monomers are used to start the polymerization and the rest of the monomers are added to -16- 2 ~ 2 ~

the reactor over a period o~ time to achieve more homogeneous incorporation of the comonomers. The semi-continuous process has been found to render a more stable emulsion product.
Potassium persulfate and ammonium persulfate are commonly used ini~iators. Other peroxy compounds may also be used. Suitable polymerization temperatures are in the range of 50 to 80C. Near the end of polymerization, a monomer scavenger such as vinyl acetate may be used to reduce residual monomer content as taught by U.S. Patent No. 4,737,577 (Brown, et. al.). Vacuum can also be applied to the reactor to reduce residual monomer content.
The emulsion of the invention desirably can be sterilized by exposure to a dose of about 2.5 megarads of gamma irradiation without substantial alteration of the physical appearance or physical properties such as low tackiness and fluid resistance. Such irradiated emulsions will retain suitable antimicrobial activity.
The film-forming emulsions of the present invention are used to promote asepsis on mammalian skin by a) applying to said skin the emulsion as herein described, b) allowing the emulsion to dry to form a film, and c) allowing the film to remain on the skin to promote asepsis.
The film-forming emulsions may be applied to skin with a sponge or gauze, as a spray or by any other suitable means. Preferably, the film-forming emulsion is appIied to skin in a thickness which provides a film which, when dry is about 0.0025 mm to 0.02S mm in thickness.
Films formed from a film-forming emulsion of this invention may be removed conveniently using a remover solution such as isopropanol. Alternatively, the film may be removed by covering with a surgical drape which includes a pressure-sensitive adhesive layer. When the surgical drape is removed, the film that is contacted by the adhesive layer of the surgical drape is also removed.
In some instances, such as in the case of burn wounds or in use on sensitive tissue, it may be desirable to simply allow the film to wear off with time as opposed to removing it.

2 ~ 2 ~

The invention will be further clarlfied by a consideration of the ~ollowing non-limiting examples, which are intended to be purely exemplary of the invention.

PREPARATION OF FILM-FORMING EMULSIONS

Example 1 ~ film-forming copolymer emulsion containing iso-octyl acrylate, methyl methacrylate and N-vinylpyrrolidone in relative amounts of 50~, 40%, and 10%
by weight, respectively, was prepared by semi-continuous polymerization as follows:
To a 2-liter split resin flask fitted with a condenser, stirrer, temperature control, addition ~unnel and nitrogen purge was added 770 g. of deionized water, 27.6 g. of sodium lauryl sulfate solution (29~.6% active, commercially available as Sipex SBTM from Alcolac, Inc., Baltimore, Maryland), 8.0 g. of polyoxyethylene (20) sorbitan monostearate (commercially available as Tween 60 from ICI Americas, Inc., Wilmington Delaware), 30 g. of iso-octyl acrylate, 24 g. of methyl methacrylate, 6 9. of N-vinylpyrrolidone and 0.8 g. of potassium pe~rsulfate. The flask was then heated to 70C accompanied by nitrogen purge and agitation at about 200 rpm. A mixture of 270 g.
iso-octyl acrylate, 216 g. of methyl methacrylate, and~54 g. of N-vinylpyrrolidone was added from the addition funnel into the flask continuously over a 4 hour period~while the flask temperature was maintained at 70C. One hour after 3~ the monomer addition, the flask was cooled to 60C, 6 g of vinyl acetate and 10 g of aqueous solution containing 0.1 g of potassium persulfate were added to the flask. Two hours later, 3.0 g of vinyl acetate was added and reaction was carried out at 60C for two more hours. The flask temperature was then raised to 70C and a vacuum of 15 mmHg was applied for 3 hours. The emulsion was then cooled to room temperature and filtered through a piece of cheese cloth. The resulting emulsion contained 46.5% solids, and had a Brookfield viscosity of 6200 cps.

-. . ` '~

.
.

-18- 2 ~ 2 ~

Example 2 A film-forming copolymer emulsion containing iso-octyl acrylate, methyl methacrylate and N-vinylpyrrolidone in relative amounts of 50%, 40~ and 10%
by weight, respectively, was prepared by semi cont1nuous polymerization as follows:
To a 2-liter split resin flask fitted with a condenser, stirrer, temperature control, addition funnel and nitrogen purge was added 770 g. of deionized water, 8.0 g. of sodium lauryl sulfate (90% active, commercially available as Texapon K-12T~, Henkel Co., LaGrange, IL), 8.0 g. of Tween 60 (ICI Americas, Inc.), 30 g. of distilled iso-octyl acrylate, ~4 g. of methyl methacrylate, 6 g. of N-vinylpyrrolidone, 0.8 g. of potassium persulfate, and 0.8 g. of sodium bicarbonate. The flask was heated to 70C
accompanied by nitrogen purge and agitation at about 200 rpm. A mixture of 270 g. distilled iso-octyl acrylate, 216 g. methyl methacrylate and 54 g. N-vinylpyrrolidone was added from the addition funnel into the flask continuously over a 6 hour period while the flask temperature was maintained at 70C. After the monomer addition, the flask was kept at 70C for 17 hours. The emulsion was then cooled to room temperature and filtered through a piece of cheese cloth. The resulting emulsion contained 46.0%
solids, and had a Brookfield viscosity of 1800 cps.

Example 3 A film-forming copolymer emulsion containing iso-octyl acrylate, methyl methacrylate and N-vinylpyrrolidone in relative amounts of 50~, 40~ and 10~
by weight, respectively, was prepared by semi-continuous polymerization as follows:
To a 2-liter split resin flask fitted with a condenser, stirrer, temperature control, addition funnel and nitrogen purge was added 745 g. of deionized water, 55.2 g. of sodium lauryl sulfate solution (29.6% active, .

.

-19- 2~

commercially available as Sipex ssTM from Alcolac, Inc. ), 40 g. of iso-octyl acrylate, 32 g. of methyl methacrylate, 8 g. of N-vinylpyrrolidone, and 0.80 g. of potassium persulfate. The flask was then heated to 70C accompanied by nitrogen purge and agitation at about 300 rpm. A
mixture of 237.5 g. iso-octyl acrylate, 190 g. methyl methacrylate, and 47.5 g. N-vinylpyrrolidone was added from the addition funnel into the flask continuously over a 3 hour period while the flask temperature was maintained at 70C. After the monomer addition, the flask was kept at 70C for 3.5 hours. The latex was then cooled to room temperature and filtered through a piece of cheese cloth.
The resulting latex contained 41.4% solids and had a Brookfield viscosity of 4000 cps.

Example 4 A film-forming copolymer emulsion containing iso-octyl acrylate, methyl methacrylate and N-vinylpyrrolidone in relative amounts of 60%, 35~ and 5%
by weight, respectively, was prepared by semi-continuous polymerization as follows:
To a 2-liter split resin flask fitted with a condenser, stirrer, temperature controlj addition funnel and nitrogen purge was added 821 g. of deionized water, 18.5 g. of sodium lauryl sarcosinate (30% active, commercially available as Maprosyl 30 from Onyx Chemical Co., Jersey City, N.J.), 33.6 g. of iso-octyl acrylate, 19.6 g. of methyl methacrylate, 2.8 g. of N-vinylpyrrolidone and 0.84 g. of potassium persulfate.
The flask was then heated to 70C accompanied by nitrogen purge an~ agitation at about 200 rpm. A mixture of 302.4 g. iso-octyl acrylate, 176.4 g. methyl methacrylate and 25.2 g. N-vinylpyrrolidone was added from the addition funnel into the flask continuously over a 5 hour period while the flask temperature was maintained at 70C. After the monomer addition, the flask temperature was maintained at 70C for 10 hours. The emulsion was then cooled to room -20- 2 ~ 2 ~

temperature and filtered through a pi~ce of cheese cloth.
The resulting emulsion contained 40.1~ solids, and had a Brookfield viscosity of 53 cps.

5 Example 5 An emulsion is prepared in a manner similar to the above example (Example 4) except the monomers were added in the following weight ratio: 55% iso-octyl acrylate, 40% methyl methacrylate and 5%
N-vinylpyrrolidone. The resulting emulsion contained 40.3%
solids and had a 3rookfield viscosity of 55 cps. This emulsion has a pH of 5.9 due to choice of surfactant.

Example 6 A film-forming copolymer emulsion containing iso-octyl acrylate, methyl methacrylate and N-vinylpyrrolidone in relative amounts of 50%, 40% and 10%
by weight, respectively, was~ prepared by batch polymerization as;follows: :
To a quart brown glass bot~le having a narrow neck was added 60 g. iso-octyl acrylate, 48 g. methyl methacrylate, 12 g. N-vinylpyrrolidone, 1.2 g. sodi`um 25 lauryl sulfate (90~ active, commercially available as Texapon K-12~M from Henkel Co.), 1.2 g. of polyoxyethylene ( 20 ) sorbitan monostearate (commercially available as Tween 60 from ICI Americas, Inc.,:Wilmington Delaware),:0.28 g.
of potassium persulfate and 280 g. of deionized~water. The bottle was purged with nitrogen and then~sealed and tumbled for 24 hours i~ a water bath maintained at 70C. The resulting emulsion was then filtered through a piece:of cheese cloth. The resulting emulsion contained 25.7~ :
solids and had a Brookfleld viscosit-~ of 5 5pS.

-21- 2~ 2 The following emulsions were prepared as in Example 6:

Example ?; 66 g. iso-octyl acrylate, 48 g. methyl methacrylate, 6 g. N-vinylpyrrolidone.

Example 8; 72 g. iso-octyl acrylate, 42 g. methyl methacrylate, 6 g. N-vinylpyrrolidone.

Example 9; 72 g. iso-octyl acrylate, 36 g. methyl methacrylate, 12 g. N-vinylpyrrolidone.

Example 10; 60 g. iso-octyl acrylate, 12 g.
N-vinylpyrrolidone, 48 g. ethyl methacrylate.

Example 11; 48 g. iso-octyl acrylate, 12 g.
N-vinylpyrrolidone, 60 g. ethyl methacrylate.

Example 12; 42 g. iso-octyl acrylate, 6 g.
N-vinylpyrrolidone, 72 g. ethyl methacrylate.
Example 13; 60 g. iso-octyl acrylate, 12 g. N-vinyl pyrrolidone, 48 g. iso-butyl methacrylate.

Example 14; 60 g. iso-octyl acrylate, 12 g.
N-vinylpyrrolidone, 48 g. styrene.

INCORPORATION OF ANTIMICROBIAL AGENTS

EXample 15 To 80.0 g. of the emulsion of ~xample 3, which was gently stirred by a magnetic stir bar, was added dropwise a previously prepared solution of 0.48 g. of sodium iodide dissolved in 4 mLs of distilled water. To the resulting stirring mixture, 0.40 g. of solid iodine was added. The solid iodine did not dissolve immediately and the mixture was allowed to stir overnight after which a homogeneous mixture resulted.

~22- 2~ 18~

Example 16 To 51. 61 g . of the emulsion of Example 1, which was gently stirred by a magnetic stir bar, was added 28.39 g. of distilled water. To the resulting stirri~g mixture was added dropwise a previously prepared solution of 0.48 g. of sodium iodide dissolved in 10 mLs of distilled water.
After the resulting mixture was allowed to stir for one hour, 0.80 g. of iodine crystals were added at the rate of 0.10 g. per 30 minutes. The resultiny mixtur~ was stlrred for 24 hours at medium stirring to insure dissolutio~ of the iodine. The stirring was then ended and the mixture was then filtered through two layers of gauze.
The above procedure was repeated changing only the amounts of the components to give the following mixtures: (All samples utilized the emulsion of Example 1) .

Example Emulsion Water NaI/water Iodine No. grams grams grams/grams 17 80.0 0 0.48/10 0.80 18 34.4 45.6 0.48/10 0~80 19 34.4 45.6 0/0 1.60 34.4 45.6~ 0.96/I0 1.60 21 12.9 22.1 0.2~/~5 0.40 22 8.6 26.4 0.24/5 0.40 23 17.2 22.8 0/0 0.00 24 17.2 17.8 0.40/5 0.40 34.4 34.0 0.80/10 0.80 26 34.4 33.2 0.80/10 1.60 Example 27 To 17.39 g. of the emulsion of Example 2 was added 13.57 9. of distilled water. The mixture was brought to a medium stir with a magnetic stir bar and 0.40 g. of a buffer solution was added that was previously prepared by 2 ~

mixing 29.25 mLs of a 0.10 M citric acid monohydrate solution and 70.75 mLs of a 0.~0 M disodium pho~phate solution. ~ solution of 0.40 g. potassium iodate in 3.00 g. of distilled water was then added at the rate of 1 mL
every 30 minutes. A solution of 0.20 g. of potassium iodide in 5.00 g. of distilled water was added at the rate of 1 mL every 30 minutes. The mixture was allowed to stir for one hour after which 0.40 g. of solid iodine crystals were added at the rate of 0.1 g. every 30 minutes. The compositlon was stirred for 24 hours to insure dissolution of the iodine species, after which the stirring was ended and the sample allowed to settle. The mixture was then filtered through two layers of Grade B0 bleached cotton cheesecloth (commercially available from Twin Cities Janitor Supply Co., St. Paul, Minn.).

-24- 2 ~ 2 ~

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-25- 2~ 2~

Similarly, the Eollowing samples were prepared as in Example 27, except that sodium iodide was used as the iodide source instead of potassium iodide. (Each of the following contained 17.4 g. of the emulsion of Example 2.) BU ffer Example water KIO3/water NaI/water Iodine Soln No.g. g/g g/g g- g-4511.8 0 0.40/5.0 0.40 5.0 ~618.0 0.04/1.00.20/3.00.40 0 4713.0 0.04/1.00.20/3.00.40 5.0 4812.~ 0.04/1.00.20/3.00.80 5.0 Example 49 To the formulation prepared in example 48, 0.8 g.
of isopropyl alcohol was added dropwise with stirring.

Example 50 To 27.6 g. of the emulsion prepared in Example 8 was added 3.2 g. of distilled water~ The mixture was brought to a medium stir with a magnetic stir bar. A
solution of 0.0328 g. of sodium bicarbonate in 1.02 g. of distilled water was then added in two parts over 30 minutes. The resulting mixture was allowed to stir for 30 minutes and 0.6 g. of the buffer described in Example 27 above was added. A solution of 0.0413 g. of potassium iodate in 2.98 g. of water was then added at the rate of 1 mL every 30 minutes. Then 0.40 g. of solid iodine crystaIs were added at the rate of 0.1 g. every 30 minutes. The composition was stirred for 24 hours to insure complete dissolution of the iodine species. After the stirring was ended and the sample allowed to settle, it was filtered through two layers of Grade 80 bleached cotton cheesecloth.

-26- 2 ~ 2 ~

Example 51 This sample was made as in Example 50, except that 31.62 g. of the emulsion of Example 4 were used, and no water was immediately added.

Exam~le 52 This sample was made as in Example 50, except that 33.47 g. of the emulsion of Example 11 were used and no water was immediately added.

Example 53 To 19 . 95 of the emulsion of Example 4 was added 11.01 g. of distilled water. The mixture was brought to a medium stir with a magnetic stir bar and 0.40 g. o a previously prepared buffer solution (91.9 mL of 0.1 M
sodium dihydrogen phosphate and 8.1 mLs of 0.1 M sodium monohydrogen phosphate) was added. A solution of 0.0410 g.
of potassium iodate in 3.01 g. of distilled water was added at the rate of 1 mL every 30 minutes. A solution of 0.20 g. of potassium iodide in 5.01 g. distilled water was then added at the rate of 1 mL every 30 minutes. The mixture was allowed to stir for one hour. Then 0.40 g. of iodine crystals were added at the rate of 0.10 9. every 30 minutes. The mixture was stirred for 24 hours to insure dissolution of the iodine. After the stirring was ended and the sample allowed to settle, it was then filtered 0 through two layers of Grade 80 bleached cotton cheesecloth.
Similarly the following samples were prepared.
(Each of the following contained 19.95 g. of the emulsion of Example 4.) 2 ~ 2 ~

BU ffer Example Water KIO3/water KI/water Iodine soln No. ~. g/g g/g _ g~ g-54 11.33 0.02/3 0.1/5 0.2 0.4 11.59 0.0043/3 0.0195/5 0.0418 0.4 56 10.69 0.16/3 0.~/5 0.8 0 57 9.25 0.64/3 0.96/5 0.8 0.4 Example 58 This sample was prepared as in Example 53 with 19.85 g of the emulsion of Example 5, 11.51 g of distilled water, 0.04 g of potassium iodate dissolved in 3 g of distilled water, 0.2 g of potassium iodide di~solved in 5 g of distilled water, and 0.4 g of iodine. No buffer was added. This sample was sterilized by gamma radiation as described below.

Example 59 A solution of 0.65 g o~ sodium iodide and 0.26 g of potassium iodate dissolved in 128 g of distilled water was added dropwise over 1 hour to 130 9 of the latex of Example 5 with stirring by a magnetic stir bar. The resulting mixture was stirred for 0.5 hours after the addition was complete after which 3 g of iodine was added.
The resulting mixture was stirred overnight by magnetic stir bar. The resulting dark brown homogeneous mixture was filtered through cheese cloth into a plastic bottle.

TESTING OF FILM-FORMING COMPOSITIONS

Moisture Vapor Transmission Rate The film-forming composition of example 15 was coated on glass and allowed to dry completely. The resulting 0.025 mm thick film was removed and the moisture vapor transmission rate was measured through a circular 2 ~ 2 ~
-2~~

sample of area 0.00050671 m2 using the water method of ASTM
Method E 96-80, to be approximately 700 g/m2 24 h at 40C
with a 90% relative humidity differential across the film.
Preferably, a film that is about 0.025 mm thick will have a moisture vapor transmission rate of at least 600 g/m2 24h at 40C with a gO% relative humidity differential across the film.

Dry Time Film-forming compositions were soaked into cotton gauze (commercially available as CurityTM cheesecloth from The Kendall Company, Hospital Products, sOston Mass.) and lightly coated on the shaved or clipped backs of live pigs.
Cotton gauze was pressed with light finger pressure on the coated area and the time recorded when such pressing did not result in any transfer to the gauze.

Dry Time on Live Pigs Dry Time Example % Solids(min:sec) 17 41 1:50 - 2:20 16 26 1:50 - 2:00 18 18 2:10 21 15 2:40 - 2:50 22 10 ~ 3:00 - 3:15 It was not anticipated that such short dry times would be obtained with a water based system. It is particularly surprising that dry times did not begin to rise significantly until % solids dropped to below 15% and that even with 90% water content, Example 22 dried in significantly less than 5 minutes.
Film-forming compositions were soaked into cotton gauze (cammercially available as CurityT~' cheesecloth from The Kendall Company, Hospital Products, Boston Mass.) and lightly coated on the backs of human volunteers. Cotton gauze was pressed with light finger pressure on the coated area and the time recorded when such pressing did not result in any transfer to the gauze.

2 ~ 2 ~

Dry Time on People Dry Time Example % Solids % Iodine (min:sec) 23 20 0 3:00 - 3:30 24 20 1 1:30 - 2:15 The composition which contained iodine dried significantly quicker than the composition without iodine species. It was not anticipated that iodine would have such a beneficial effect on the drying rate.
Film-forming compositions were soaked into cotton gauze (commercially available as CurityTM choesecloth from The Kendall Company, Hospital Products, ~oston Mass.) and lightly coated on the forearms of human volunteers. Cotton gauze was pressed with light finger pressure on the coated area and the time recorded when such pressing did~not result in any transfer to the gauze.

Dry Time on_P~ple Dry Time Example % Solids % Iodine (min:sec) 0 2:00 - 2:15 37 20 2 0:50 41 20 1 0:45 - 0:50 25 43 20 1 0:50 58 ~0 1 1:00 BetadineTM~solution 10 1 3:00 - 4:00 DuraPrep~M~surgical 8.1 0.5 0:45 - 0:50 solution commercially available from Purdue Frederic Co., Norwalk, CT 06856.
~ commercially available from 3M Company, St. Paul, MN

The above compositions of the present invention all exhibited surprisingly short dry times for emulsion-based compositions. Dry time of less than 2.5 minutes, and preferably less than 2 minutes are observed in 20~2~

film-~orming emulsions o the present invention.
DuraPrep~M surgical solution, which is the analogous isopropanol based film-forming composition having a monomer ratio of 50% iso-octyl acrylate, 40% methyl methacrylate, 10% N-vinylpyrrolidone (examples 37, 41 and 43 have the same monomer ratio), exhibited a dry time that was about the same as the emulsion based solution~ As a comparison, the dry time for BetadineTM solution, which is a water-soluble complex of N-vinylpyrrolidone/iodine, is unacceptably long. Additionally, setadineTM solution does not exhibit the desired water-insoluble properties.

Elasticity, Tack & Scrub Resistance Film-forming composi~ions were coated onto glass and allowed to dry, forming films approximately 0.025 mm thick. The dry films were removed with a razor blade and slowly stretched by hand for a qualitative determination of elasticity. Films which broke before any noticeable elongation were identified as very brittle, films which broke after about 5% elongation or less were identified as brittle, filmc which broke after about 5% to 25% elongation were identified as moderately elastic, films which broke after about 25% to 100% elongation were identified as elastic, and films which broke after 100% elongation were identified as very elastic.
As another indication of flexibility and elasticity of the film, compositions may be coated on the human elbow joint and allowed to dry to form a film. The elbow joint is flexed, and the film is inspected to determine whether cracking has occurred. Films of the present invention will survive this elbow flexion test without observable cracking.
Compositions were coated a~ above on human volunteers and allowed to dry. A cotton ball (long fiber virgin purified cotton USP) is then pressed against the coating with medium finger pressure. The degree of tack was determined by the amount of fibers which are 2 ~ 2 ~

transferred to the film. when no ~ibers were transferred the film was identified as non-tacky. Even films which were slightly tacky when pressed with a cotton ball, did not feel tacky when pressed with a surgical glove or bare finger.
The test area above was then scrubbed using light finger pressure with a saline soaked gauze for at least 40 scrubs and observed for removal of film and loss of iodine color. Samples described as excellent experienced no visible changes.
ExampleElasticity Tack Scrub resistance 28 moderate non-tacky good 29 elastic very slightlyvery good 15 50 very elastic slightly excellent 51 very elastic tacky very good 27 moderate non-tacky good 53 moderate slightly excellent moderate non-tacky good 20 31 very elastic very tacky good 52 -very elastic slightly excellent 32 very elastic very tacky poor 33 very elastic very tacky poor It is desirable that compositions provide films with good to excellent scrub resistance and which are slightly tacky or non-tacky by the above cotton ball test.
The above cotton ball tack test is particularly sensitive and the above films will all exhibit less tack to gloved or ungloved hands than they did to cotton balls. After testing a composition, adjustments in the film properties can be accomplished by changes in the monomer content, particularly by adjusting the relative amounts of the high glass transition temperature and low glass transition temperature contributing monomers. Sample 28 was very brittle and showed poor scrub resistance. A reduction in the relative amount of methyl methacrylate and an increase 2 0 ~

in the relative amount of iso-octyl acrylate and/or N-vinylpyrrolidone increased the elasticity of the resulting films. The film of Example 51 is tacky. An increase in the relative amoun~ of methyl methacrylate and a decrease in the relative amount of iso-octyl acrylate and/or N-vinylpyrrolidone decreased the tack of th~
resulting films. By appropriately adjusting the hard and soft content of the polymer a good balance of properties was achieved in Examples 28, 29, 50, 27 and 53, each of whieh contained a copolymer of iso-octyl acrylate, methyl methacrylate and N-vinylpyrrolidone. A similar balance of properties may be achieved with other monomers as well.
Sample 31 had good scrub resistance, but was very tacky.
This was corrected by increasing the relative amount of ethyl methacrylate and decreasing the amount of iso-octyl acrylate as seen in Examples 52 and 30 (Example 30 also has a lower relative amount of N-vinylpyrrolidone), each of which exhibited a good balance of properties. Samples 32 and 33 are too tacky and need to be reformulated with lower relative amounts of iso-octyl acrylate and/or N-vinylpyrrolidone and a higher relative amount of styrene or isobutyl methacrylate.

Stability of Emulsion Samples (5 ml sample in a 25 ml test tube, two replicates each) were placed in 49C oven as an accelerated test for physical stability. Samples were removed and the test ended when any major physical change was observed such as phase separation, gelation or solidification. Tests were also ended when a greater then 1 mm layer of precipitate was observed in the bottom of the test tube.
The table below lists the days at ~9C before failure was observed.

2 ~ 2 ~

Example lodine Iodide Iodate SolidsDays 27 1~ 0.5% 0.1% 20% >150 34 1% 0.5% ~.1% 20% >150 1% 0.5% 0.1% 30% >150 36 1% 0.5% 0.1% 4~% >150 37 2~ 1% 0.2% 20% >150 38 1% 0.5% 0.05~ 20% ~150 39 1% 0.5~ 0.20% 20~ >150 1% 0 0.1% 20% >150 41 1% 0.1% 0.1~ 20% ~150 42 1~ 0.75% 0.1% 20% >150 43 1% 0.25~ 0.1~ 20% >150 44 1% 0.5% 0.1% 20% >150 28 1% 0.5% 0.1~ 20~ 60 1-a 1% 0.6% 0 20% 35 19 2% 0 0 20~ 12 2% 1.2~ 0 20% 7 1 0 0 0 ~6% 78 It is desirable to prepare film-forming emulsions that will be shipped to various destinations where they may not be used for several years. Long term aging is therefore an important factor in the selection of useful formulations of this invention. Since these samples are polymer-in-water emulsion systems, the primary concern is one of phase destabilization which is seen as precipitation, increases in viscosity, gelation, coagulation or other readily observable changes in physical make up. A goal of greater then 90 days stability at elevated temperature was set for those samples that would need long term room temperature shelf life. The above tests indicated that sample 28, which utilized emulsions prepared by batch polymerization, was less stable then analogous samples which utilized emulsions prepared by semi-continuous polymerization. The effect of added iodate anions is particularly surprising and interesting. The ernulsions of Examples 18, 19 and 20, which were prepared without added iodate, are significantly less stable then analogous samples with iodate anions.

2 ~ 2 ~
-3g-Antimicrobial Activity Several samples were evaluated for in-vivo antimicrobial activity. Each sample was thinly coated with S sample soaked cotton gauze onto the backs of subjects whose backs were seeded with Staphylococcus aureus. Different areas of the back were tested for baseline bacterial (106 ~ 3 to 106 ' 5 ) counts and for log reductions in bacteria after application of samples. The test method used was the Williamson and Klugman scrub cup technique (J. Invest.
Dermatol. 72, 165-170). Samples were evaluated after 2 minutes, 5 minutes, and 3 hours. After allowing the sample to remain on the skin for the speci~ied time the formulations were removed, residual antimicrobial agent neutrali~ed, and the viable bacteria were removed and counted by the Williamson and Klugman scrub cup technique.
The results are presented as an average of 6 replicates.

Log Reduction Example 2 min. 5 min. 3 hr.
4.7 5.3 4.7 5.4 ~ 5.1 4.9 46 5.4 5.2 5.1 47 5.3 5.0 5.2 26 5.2 5.2 5.1 48 5.2 5.0 5.3 49 5.2 5.2 5.2 All evaluated samples provided excellent reduction in bacteria at both short and long times.

Irradiation Several samples (Examples 16, 17, 18, 20, 21, 22, 24, 56 and 58) were irradiated at 2.5 to 3.5 MRad of cobalt gamma radiation. In all cases there were no significant changes in color, physical appearance or dry time.

2 ~ 2 ~

pH
Of the 5 emulsions (~xamples 1, 2, 3, 4, and 5) prepared by the semi-continuous method, 2 emulsions (Examples 1, 3) were acidlc ~pH about 3) and 3 emulsion 5 ( Examples 2, 4, 5) had more neutral pH (pH of 5 to 8). The lower pH emulsions may lead to less stable final formulations unless the p~ is altered. The more neutral emulsions possibly may be used without adjusting the pH or adding buffer.
It is intended that the specification and examples be considered as exemplary only, with the true scope and spirit of the invention being indicated by the following claims.

.

Claims (9)

1. A film-forming emulsion, comprising:
(a) a substantially water resistant film-forming copolymer phase comprising A, B and C monomers wherein A is a monomer wherein the corresponding homopolymer has a glass transition temperature of less than -15°C., and is present as 15 to 80% of the total weight of all monomers in the copolymer, B is a monomer wherein the corresponding homopolymer has a glass transition temperature of more than -5°C., and is present as 20 to 70% of the total weight of all monomers in the copolymer, and C is a monomer capable of complexing iodine and delivering it to the skin and is present as 1 to 15% of the total weight of all monomers in the copolymer;
(b) 0.05 to 15% of iodine based on total emulsion weight;
(c) an effective amount of an emulsifying agent;
and (d) 30 to 95% by weight of water;
said monomers in the copolymer phase selected such that said emulsion, when applied to human skin in an amount sufficient to form a film having a thickness of 0.01 mm., dries in less than five minutes to form a film having the properties of i) being hydrophobic, as determined by scrubbing the film using light finger least 40 scrubs with no observable removal of film or loss of iodine color, and ii) being capable of elongating at least 5%
before breaking.
2. A film-forming emulsion according to claim 1, wherein the A monomer is selected from the group consisting of a monomeric acrylic or methacrylic acid ester of an alkyl alcohol containing a single hydroxyl, the alcohol having from 2 to 14 carbon atoms when the A monomer is an acrylic acid ester, and 7 to 18 carbon atoms when the A
monomer is a methacrylic acid ester; butadiene; isoprene;
N-octylacrylamide; butoxyethylene; propoxyethylene;
octyloxyethylene; 1,1-dichloroethylene; vinyl versatate;
vinyl caprate; and vinyl laurate;
the B monomer is selected from the group consisting of a monomeric methacrylic acid ester of an alkyl alcohol containing a single hydroxyl, the alcohol being further described as having from 1 to 6 carbon atoms; benzyl methacrylate, cyclohexyl methacrylate; isobornyl methacrylate; N-t-butylmethacrylamide; isobornyl acrylate;
N-butylacrylamide; N-t-butylacrylamide; diethyl itaconate;
diethyl fumarate; acrylonitrile; methacrylonitrile; vinyl acetate; vinyl propionate; styrene; .alpha.-methyl styrene; and vinyl toluene; and the C monomer is selected from the group consisting of an N-vinyl lactam and a monomer containing a polyether functionality.
3. A film-forming emulsion, comprising:
(a) a substantially water resistant film-forming copolymer phase comprising a monomer capable of complexing iodine and delivering it to the skin;
b) 0.05-15% of iodine based on total emulsion weight;
(c) 0.1-100% iodate based on added iodine;
(d) an effective amount of an emulsifying agent;
and (e) 30 to 95% by weight of water based on total emulsion weight.
4. A film-forming emulsion of claim 1 or 2 comprising (a) a substantially water resistant film-forming copolymer phase comprising 50 to 60% by weight of iso-octyl acrylate based on the total copolymer weight, 35 to 45% by weight of methyl methacrylate based on the total copolymer weight, and 5 to 10% by weight of N-vinylpyrrolidone based on the total copolymer weight;

(b) 1-2% of iodine based on total emulsion weight;
(c) an effective amount of an emulsifying agent;
(d) 55 to 85% by weight of water based on total emulsion weight;
(e) 5 to 100% by weight of iodide based on added iodine; and (f) 2.5 to 20% by weight of iodate based on added iodine.
5. A film-forming emulsion according to claims 1, 2 or 3, wherein said iodine is present in an amount by weight of 0.10 to 5% of the total weight of said film-forming emulsion.
6. A film-forming emulsion according to claim 1, 2 or 3, further comprising an inorganic iodide being added as sodium or potassium iodide in an amount by weight of 5% to 300% of the weight of said iodine.
7. A film-forming emulsion according to claim 1 or 2, further comprising 0.1 to 100% inorganic iodate based on added iodine.
8. A film-forming emulsion according to claim 1 or 2, further comprising 5 to 300% inorganic iodide and 0.1 to 100% inorganic iodate, both based on added iodine.
9. A method of promoting asepsis on mammalian skin, comprising the steps of: (a) applying to said skin said emulsion of one of claims 1-8; (b) allowing said emulsion to dry to form said film; and (c) allowing said film to remain on said skin to promote said asepsis.
CA002011826A 1989-04-10 1990-03-09 Film-forming emulsion containing iodine and methods of use Abandoned CA2011826A1 (en)

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AU5141390A (en) 1990-10-11
EP0398489B1 (en) 1994-05-25
DE69009100D1 (en) 1994-06-30
JPH02291867A (en) 1990-12-03
DE69009100T2 (en) 1994-11-24
US5173291A (en) 1992-12-22
ES2053105T3 (en) 1994-07-16
US4978527A (en) 1990-12-18
EP0398489A3 (en) 1992-04-22
EP0398489A2 (en) 1990-11-22
AU617602B2 (en) 1991-11-28

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