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Surface modifying additives for improved device-blood compatibility

C C Tsai1, R M Deppisch, L J Forrestal

  • 1COBE Cardiovascular, Inc., Arvada, CO 80004, USA.

ASAIO Journal (American Society for Artificial Internal Organs : 1992)
|July 1, 1994
PubMed
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Surface modifying additives (SMAs) improve blood compatibility in medical devices. These copolymers migrate to surfaces, reducing adverse reactions like coagulation and complement activation for safer extracorporeal circulation.

Area of Science:

  • Biomaterials Science
  • Polymer Chemistry
  • Medical Device Technology

Background:

  • Surface modifying additives (SMAs) are crucial for enhancing the biocompatibility of medical devices.
  • Polar-nonpolar block copolymers migrate to polymer surfaces, altering critical biocompatibility regions.
  • Previous applications show improved blood compatibility in cardiopulmonary bypass and hemodialysis components using SMAs.

Purpose of the Study:

  • To investigate the impact of polycaprolactone-polydimethylsiloxane-polycaprolactone triblock copolymers as SMAs on blood compatibility.
  • To characterize SMA migration and surface saturation in blended polymers.
  • To evaluate the in vitro and ex vivo blood response to SMA-modified surfaces.

Main Methods:

  • Characterization of SMAs using X-ray fluorescence (XRF), Fourier Transform Infrared (FTIR), refractive increments (RI), and gel permeation chromatography (GPC).

Related Experiment Videos

  • Surface analysis using Electron Spectroscopy for Chemical Analysis (ESCA) to confirm SMA saturation.
  • In vitro blood studies assessing contact activation, coagulation, complement, and mononuclear cell activation.
  • Ex vivo canine arteriovenous (AV) shunt studies to evaluate platelet compatibility.
  • Main Results:

    • ESCA confirmed high surface saturation of polymers with SMAs.
    • In vitro tests showed SMA polymers delayed contact activation and reduced coagulation (thrombin-antithrombin generation).
    • No adverse effects on complement (terminal complement complex generation) or mononuclear cell activation (IL-1 beta production) were observed; ex vivo studies confirmed improved platelet compatibility.

    Conclusions:

    • SMA blended polymers significantly enhance blood compatibility by reducing protein and cellular activation.
    • These findings suggest potential for reduced morbidity in patients undergoing extracorporeal circulation.
    • Polycaprolactone-polydimethylsiloxane-polycaprolactone triblock copolymers are effective SMAs for improving blood-contacting medical device performance.