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Module 02 Classes of Biomaterials
Module 02 Classes of Biomaterials
Introduction to Biomaterials
Module 2
Classification of Biomaterials
http://www.spineneurosurgeryindia.com/vertebroplasty.aspx
http://bowers.chem.ucsb.edu/research/synthetic_polymers/pmma_ps/index.shtml
Instructor: Vivek Verma
Biopolymers: Applications
• PMMA: Polymethyl methacrylate (Plexiglas)
– Transparent, amorphous and glassy
– Bone cement for orthopaedic implants
• Vertebroplasty
– Hard and soft contact lenses
• Permeability (gas)
• Hydrophobic/ hydrophilic
• Permanent/ use and throw
• Polyethylene (PE)
– High density: Tubing for drains and catheters
– “In medicine, a catheter is a tube that can be
inserted into a body cavity, duct, or vessel” [1].
• PTFE (Teflon)
– Catheter
http://en.wikipedia.org/wiki/File:Polyethylene-repeat-2D-flat.png
http://www.anticopumps.co.in/blog/?p=113
http://nl.wikipedia.org/wiki/Bestand:Polyacrylic_acid.png
[1] http://www.news-medical.net/health/Catheter-What-is-Catheter.aspx
http://en.wikipedia.org/wiki/Catheter Instructor: Vivek Verma
Biopolymers: Applications
• Polypropylene
– Isotactic crystalline polymer
– High rigidity and good mechanical strength
– Good chemical resistance
– Used in sutures and hernia repair
– Go through:
http://www.youtube.com/watch?v=ODZtJL_gb4E
http://www.thumpertalk.com/topic/604032-suture-removal-with-pics/
http://chemistry.about.com/od/factsstructures/ig/Chemical-Structures---P/Polypropylene.htm
Instructor: Vivek Verma
Biopolymers: Applications
• Polyvinyl chloride (PVC)
– Tubing and blood storage bags
• Pure PVC is hard and brittle
– Plasticizers are added
• Soft and flexible
– Long term?
• Plasticizers can get into body
http://www.123rf.com/photo_12416394_polyvinyl-chloride-pvc-structural-formula.html
http://www.hiwtc.com/buy/blood-bags-85427/
Instructor: Vivek Verma
Biopolymers: Applications
• Poly(dimethyl siloxane) (PDMS):
– Poor mechanical property
• Reinforcement: silica fillers
– Heart valves, breast implants
– Ear, nose reconstruction
– Catheters, drainage tubes
– Membrane oxygenator: “is a device used to add
oxygen to, and remove carbon dioxide from the
blood” [1]
[1] http://en.wikipedia.org/wiki/Membrane_oxygenator
http://en.wikipedia.org/wiki/File:Pdms.png
http://radiology.casereports.net/index.php/rcr/article/viewArticle/325
http://www.evidencestore.com/Exhibit-Rental/fixation.aspx
Instructor: Vivek Verma
Materials Based: Biometallic
• Implants market: 12-20% annual growth
• Metal implants (four out of ten)
– Open reduction of a fracture and internal fixation
– Anthroplasty of knee or ankle
– Total hip replacement or hip anthroplasty
http://www.parkwayphysiotherapy.ca/Injuries-Conditions/Hip/Surgery/Artificial-Joint-Replacement-of-the-Hip/a~329/article.html
http://www.vectorstock.com/royalty-free-vector/hip-arthroplasty-hip-joint-before-and-after-surger-vector-801467
Instructor: Vivek Verma
Materials Based: Biometallic
• Implants market: 12-20% annual growth
• Metal implants (four out of ten)
– Open reduction of a fracture and internal fixation
– Anthroplasty of knee or ankle
– Total hip replacement or hip anthroplasty
– Placement or removal of an internal fixation
device without reduction of fracture
http://www.umm.edu/imagepages/18023.htm
http://www.umm.edu/imagepages/18023.htm
http://www.umm.edu/imagepages/18023.htm
https://www.researchgate.net/figure/Natural-innate-immune-response-following-biologically-inert-biomaterial-implantation_fig4_272372728
Instructor: Vivek Verma
Bioceramics: Types
http://www.teachengineering.org/view_lesson.php?url=collection/cub_/lessons/cub_biomed/cub_biomed_lesson10.xml
http://web.mit.edu/3.082/www/team1_f02/collagen.htm
http://www.nature.com/nature/journal/v412/n6846/fig_tab/412491a0_F1.html
Instructor: Vivek Verma
Application Based: Orthopedic
• Total Hip Arthroplasty
http://precisiongrout.com/grout_staining__sealing
Instructor: Vivek Verma
Application Based: Orthopedic - Total Hip Arthroplasty
Polymers: PMMA
• Polymers used for fixation as
structural interface between the
implant component and bone
tissue: PMMA
– Grouting material
• Stem of femoral component and
acetabular component
– Modulus difference between bone
and prosthesis is reduced by PMMA
• Lower interfacial stresses
http://precisiongrout.com/grout_staining__sealing
Instructor: Vivek Verma
Application Based: Orthopedic - Total Hip Arthroplasty
Ceramics
• Ceramic on ceramic bearing hip implant
– Better wear resistance
• Metal-metal
• Metal-polymer
– Oxidation resistance
– High stiffness
– Low μ
• Requirement
– Full density
– Uniform grain size (< 5 μm)
https://en.wikipedia.org/wiki/Cholesterol
https://en.wikipedia.org/wiki/Triglyceride
http://www.nhlbi.nih.gov/health/health-topics/topics/atherosclerosis/ Instructor: Vivek Verma
Application Based: Cardiovascular Medical Devices
Stents and Grafts
• Atherosclerosis: Narrowing and Hardening
*Condition in which an artery wall thickens as a result of
http://www.cardiology.md/procedures.htm
http://www.diabetes-mellitus.org/
http://www.cardiology.md/procedures.htm
• Monolithic devices
http://www.uweb.engr.washington.edu/research/tutorials/drugdelivery.html
Instructor: Vivek Verma
Application: Non Structural-Drug Delivery
http://www.weightlossanddietpills.co.uk/slim-with-weight-loss-patch/
http://www.pijnpolikliniek.info/index.php?page=22§ion=2
Mechano-chemical device for triggered release of drug. (a) The network consisting of an
environmentally responsive microgel is loaded with drug (D) and condensed by a slight
reduction in pH. (b) By coating the condensed microgel with a lipid bilayer, the condensed
state of the gel particle is stabilized in a solution that would otherwise cause it to swell
and release its drug content. (c) Due to the creation of a single pore in the bilayer, the
microgel undergoes a phase transition in a swelling solution. The microgel swells,
mechanically disrupting the bilayer coating and causing a burst release of drug driven by
ion exchange with physiological sodium
http://www.sciencedirect.com/science/article/pii/S0168365900002364
Instructor: Vivek Verma
Application: Non Structural-Drug Delivery
Responsive “smart” systems
• Environmentally responsive systems
– Non toxic
– Biodegradable
– ABA block polymer
http://www.sciencedirect.com/science/article/pii/S0168365900002364
Instructor: Vivek Verma
Classification of Biomaterials
• Material based
– Polymers
– Ceramics
– Metallic
• Application based
– Structural
• Bone replacement, dental biomaterials, cardiovascular
biomaterials, total hip and knee replacement
– Non structural
• Drug delivery, sensing, surface modification
• Response based
– Bioinert, bioactive, bioresorbable
http://turbo.premiumpixels.com/wp-content/uploads/2010/12/prev-21.jpg
http://www.magpiesnest.org/USERIMAGES/floral-diamond-fabric-design.jpg
http://gmwgroup.unix.fas.harvard.edu/pubs/pdf/909.pdf
http://w.sps.aero/Key_ComSpace_Articles/TSA-011_Self-Assembled_Thin_Films.pdf
Instructor: Vivek Verma
Application Based: Surface Modification
Methods: Self Assembled Monolayers (SAMs)
• Moderate to strong adsorption of an anchoring chemical
group to the surface
– 30-100 kcal/mol
• van der Waals interaction of alkyl chain
• Chemisorption
– Driving force for complete coverage
• van der Waals forces lead crystallization of the alkyl
group
– Alkyl chain too long
• Higher chances of defects
• Difficult to assemble
– Alkyl chain too short
• Insufficient force
• Difficult to assemble