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1
BIOCOMPATIBLE POLYMERS




                         2
CONTENTS

 Introduction to Polymers

 Classification of polymers

  Biocompatible polymers
Requirements for polymers
Biocompatibility of polymers

  Biocompatibility testing
       Applications

         Summary
        References
                               3
What are polymers?

Polymers: Macromolecules formed by joining of repeating
structural units called as monomers .
(“Poly”-many, “mer” -unit or part).
                                                 Covalent bond




  Monomer            Monomer

 “Mono”- one                                   Two monomers
 “mer”- part
                                                  Dimer
                                                “Di”- two
                               Repeat           “mer”- part
                               attachment of
                               monomers


          Polymer
                                                                 4
Classification of Polymers

                       Based on
                       molecular
                        forces



  Based on
susceptibility                                Based on
of backbone                                    source
                     Classification
                     of polymers



                                       Based on
         Based on                      mode of
         structure                    polymeriza
                                         tion

                                                         5
Cont......




        6
Cont........

Classification based on Structure of polymers
1. Linear polymers     e.g. P.V.C., High density Polythene




2. Branched polymers      e.g. Low density Polythene




3. Cross linked or Network polymers       e.g. Bakelite




                                                                      7
Cont.......

Classification based on mode of polymerization



      Addition polymers        Condensation polymers




 e.g. Polythene, Buna-S etc.    e.g. Terylene, Nylon 6 etc.



                                                               8
Cont…..




                   Elastomers
                   e.g. Buna-
                   S, Buna-N




Thermosetting    Classification      Fibres
  polymers         based on       e.g. Nylon6,6,
 e.g. Bakelite    molecular          Terylene
                    forces



                 Thermoplastic
                   polymers
                 e.g. Polythene

                                                   9
Cont…

Classification based on susceptibility of backbone


            Degradable                       Non-degradable
             polymers                           polymers




  e.g. Polylactide, Polyglycolid   e.g. Polypropylene, Polyethylene




                                                                      10
What are biocompatible polymers?


Biocompatible polymers are synthetic or natural   polymers
used to replace part of a living system or to function in
intimate contact with living tissue.


Biocompatible polymers are intended to interface with
biological systems to evaluate, treat, augment or replace any
tissue, organ or function of the body.




                                                            11
Requirements for biocompatible polymers




                                          12
Biocompatibility of polymers


Biocompatibility term is used to describe the suitability
of a polymer for exposure to the body or bodily fluids.


A polymer will be considered biocompatible, if it
allows the body to function without any complications
such as allergic reactions or other adverse side effects.




                                                             13
Complications of use of Non-biocompatible
                         polymers


 Extended chronic inflammation at the contact point.


 Cytotoxicity.


 Cell disruption.


 Skin irritation.


 Thrombosis.

 Corrosion of an implant (if used).                    14
Biocompatibility testing of polymers

 Biocompatibility testing answers two fundamental questions:
 Is the polymer safe?
 Does it have necessary physical and chemical properties?


 This consist of in vitro and in vivo assessments that are relevant to the
applications of polymers.
A      variety     of      tests   are    necessary      to    determine
biocompatibility, depending on the type and application of polymer.
Generally ISO 10993 series have been followed across the globe to
standardize the biocompatible testing scheme.
                                                                          15
APPLICATIONS

Tissue culture
Tissue scaffolds
Implantable controlled drug delivery systems
 Catheters and dialysis tubing
Artificial grafts
To fabricate wound closure devices
Envelopes for the implantation of cardiac devices
Stents such as biliary stents, esophageal stents, vaginal stents, lung,
Trachea/bronchus stents
Coating on medical devices such as vascular grafts, wound dressings
and surgical sealants to improve blood compatibility
 Wildlife vaccination
                                                                           16
Examples of Biocompatible polymer
           applications




1. Tissue culture


2. Tissue scaffolds


3. Wildlife vaccination




                                17
Biocompatible polymer for tissue culture
                Poly(N-isopropyl acrylamide)
                           “PIPA”

         PIPA changes properties at different temperatures




          370                                      320
        Collapsed                                 Expanded
        structure                                 structure



How could this property be used for medical applications?
                                                         18
Growing cell sheets using PIPA
                      PIPA Polymer




                     1. Coat surface   2. Apply live cells
                     with polymer


                   Reduce temp.




4. Harvest cells                       3. Allow cells to grow
       Cell can be grown outside the body         19
Examples of cell sheets




    Cardiac cells                  Skin (epitheliall )cells


                             Cell sheets have great
                             potential to treat many
                             injuries/diseases

Skin cell graft on patient                        20
21
22
Vaccine delivery to animals
             Biobullets
           (Sugar bullets)




     Solid hydrogels of vaccine
                                           Bullet penetrates
Hydrogels can be formed in biobullets   target, degrade and releases
           Air rifle delivery           content
                                                           23
Examples & applications of some polymers

Name of polymer                     Typical applications
Polyvinylchloride             Blood tubing, as blood bags.
(PVC)
Polytetrafluoroethylene       Tubing, endoscopes, cannulas, catheter
(PTFE)                        linings, Synthetic blood vessels, Surgical
                              sutures.

Polyethersulfone (PES)        Tubing, catheters

Polyethylene                  Orthopedic sutures, artificial tendons
(PE)

Polyetheretherketone (PEEK)   Dentistry products, rigid tubing


Polysulfone                   Surgical and medical devices, clamps,
(PS)                          artificial Heart components, heart valves

Polypropylene (PP)            Heart valves
                                                                           24
SUMMARY


          25
REFERENCES

1. V. Prasad Shastri, “Non-Degradable Biocompatible Polymers in
  Medicine: Past, Present and Future”, School of Medicine and
  Department of Materials Science and Engineering, University of
  Pennsylvania, Philadelphia, PA 19104, USA.
2. ISO 7405 (1984): International Organization For Standardization,
  Technical Report 7’405, Biological Evaluation of Dental Materials.
3. R. James Christie, “Biocompatible polymers: design, function and
  applications”, Utsunomiya girl’s high school, USA.
4. http://www.wikipedia.com/biocompatible polymers.


                                                                      26
Cont........

5. Bhola R., Bhola S.M., Liang H., Mishra B., “Biocompatible
  Denture Polymers – A Review” Department of Metallurgical &
  Materials Engineering, Colorado School of Mines, Golden, CO
  80401.
6. Quansah J.K., “Synthetic polymers for biocompatible
  biomaterials”, Materials Literature seminar, September
  23, 2004.
7. http://www.zeusinc.com/biocompatible polymers.
8. Hiemenz P.C., Marcel Dekker, “Polymer Chemistry- The Basic
  Concepts”, Inc. Publication. Page no. 03.


                                                                      27
28

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Biocompatible Polymers

  • 1. 1
  • 3. CONTENTS Introduction to Polymers Classification of polymers Biocompatible polymers Requirements for polymers Biocompatibility of polymers Biocompatibility testing Applications Summary References 3
  • 4. What are polymers? Polymers: Macromolecules formed by joining of repeating structural units called as monomers . (“Poly”-many, “mer” -unit or part). Covalent bond Monomer Monomer “Mono”- one Two monomers “mer”- part Dimer “Di”- two Repeat “mer”- part attachment of monomers Polymer 4
  • 5. Classification of Polymers Based on molecular forces Based on susceptibility Based on of backbone source Classification of polymers Based on Based on mode of structure polymeriza tion 5
  • 7. Cont........ Classification based on Structure of polymers 1. Linear polymers e.g. P.V.C., High density Polythene 2. Branched polymers e.g. Low density Polythene 3. Cross linked or Network polymers e.g. Bakelite 7
  • 8. Cont....... Classification based on mode of polymerization Addition polymers Condensation polymers e.g. Polythene, Buna-S etc. e.g. Terylene, Nylon 6 etc. 8
  • 9. Cont….. Elastomers e.g. Buna- S, Buna-N Thermosetting Classification Fibres polymers based on e.g. Nylon6,6, e.g. Bakelite molecular Terylene forces Thermoplastic polymers e.g. Polythene 9
  • 10. Cont… Classification based on susceptibility of backbone Degradable Non-degradable polymers polymers e.g. Polylactide, Polyglycolid e.g. Polypropylene, Polyethylene 10
  • 11. What are biocompatible polymers? Biocompatible polymers are synthetic or natural polymers used to replace part of a living system or to function in intimate contact with living tissue. Biocompatible polymers are intended to interface with biological systems to evaluate, treat, augment or replace any tissue, organ or function of the body. 11
  • 13. Biocompatibility of polymers Biocompatibility term is used to describe the suitability of a polymer for exposure to the body or bodily fluids. A polymer will be considered biocompatible, if it allows the body to function without any complications such as allergic reactions or other adverse side effects. 13
  • 14. Complications of use of Non-biocompatible polymers  Extended chronic inflammation at the contact point.  Cytotoxicity.  Cell disruption.  Skin irritation.  Thrombosis.  Corrosion of an implant (if used). 14
  • 15. Biocompatibility testing of polymers  Biocompatibility testing answers two fundamental questions:  Is the polymer safe?  Does it have necessary physical and chemical properties?  This consist of in vitro and in vivo assessments that are relevant to the applications of polymers. A variety of tests are necessary to determine biocompatibility, depending on the type and application of polymer. Generally ISO 10993 series have been followed across the globe to standardize the biocompatible testing scheme. 15
  • 16. APPLICATIONS Tissue culture Tissue scaffolds Implantable controlled drug delivery systems  Catheters and dialysis tubing Artificial grafts To fabricate wound closure devices Envelopes for the implantation of cardiac devices Stents such as biliary stents, esophageal stents, vaginal stents, lung, Trachea/bronchus stents Coating on medical devices such as vascular grafts, wound dressings and surgical sealants to improve blood compatibility  Wildlife vaccination 16
  • 17. Examples of Biocompatible polymer applications 1. Tissue culture 2. Tissue scaffolds 3. Wildlife vaccination 17
  • 18. Biocompatible polymer for tissue culture Poly(N-isopropyl acrylamide) “PIPA” PIPA changes properties at different temperatures 370 320 Collapsed Expanded structure structure How could this property be used for medical applications? 18
  • 19. Growing cell sheets using PIPA PIPA Polymer 1. Coat surface 2. Apply live cells with polymer Reduce temp. 4. Harvest cells 3. Allow cells to grow Cell can be grown outside the body 19
  • 20. Examples of cell sheets Cardiac cells Skin (epitheliall )cells Cell sheets have great potential to treat many injuries/diseases Skin cell graft on patient 20
  • 21. 21
  • 22. 22
  • 23. Vaccine delivery to animals Biobullets (Sugar bullets) Solid hydrogels of vaccine Bullet penetrates Hydrogels can be formed in biobullets target, degrade and releases Air rifle delivery content 23
  • 24. Examples & applications of some polymers Name of polymer Typical applications Polyvinylchloride Blood tubing, as blood bags. (PVC) Polytetrafluoroethylene Tubing, endoscopes, cannulas, catheter (PTFE) linings, Synthetic blood vessels, Surgical sutures. Polyethersulfone (PES) Tubing, catheters Polyethylene Orthopedic sutures, artificial tendons (PE) Polyetheretherketone (PEEK) Dentistry products, rigid tubing Polysulfone Surgical and medical devices, clamps, (PS) artificial Heart components, heart valves Polypropylene (PP) Heart valves 24
  • 25. SUMMARY 25
  • 26. REFERENCES 1. V. Prasad Shastri, “Non-Degradable Biocompatible Polymers in Medicine: Past, Present and Future”, School of Medicine and Department of Materials Science and Engineering, University of Pennsylvania, Philadelphia, PA 19104, USA. 2. ISO 7405 (1984): International Organization For Standardization, Technical Report 7’405, Biological Evaluation of Dental Materials. 3. R. James Christie, “Biocompatible polymers: design, function and applications”, Utsunomiya girl’s high school, USA. 4. http://www.wikipedia.com/biocompatible polymers. 26
  • 27. Cont........ 5. Bhola R., Bhola S.M., Liang H., Mishra B., “Biocompatible Denture Polymers – A Review” Department of Metallurgical & Materials Engineering, Colorado School of Mines, Golden, CO 80401. 6. Quansah J.K., “Synthetic polymers for biocompatible biomaterials”, Materials Literature seminar, September 23, 2004. 7. http://www.zeusinc.com/biocompatible polymers. 8. Hiemenz P.C., Marcel Dekker, “Polymer Chemistry- The Basic Concepts”, Inc. Publication. Page no. 03. 27
  • 28. 28