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Sarode DN, Roy S. In Vitro models for thrombogenicity testing of blood-recirculating medical devices. Expert Rev Med Devices 2019; 16:603-616. [PMID: 31154869 DOI: 10.1080/17434440.2019.1627199] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
INTRODUCTION Blood-recirculating medical devices, such as mechanical circulatory support (MCS), extracorporeal membrane oxygenators (ECMO), and hemodialyzers, are commonly used to treat or improve quality of life in patients with cardiac, pulmonary, and renal failure, respectively. As part of their regulatory approval, guidelines for thrombosis evaluation in pre-clinical development have been established. In vitro testing evaluates a device's potential to produce thrombosis markers in static and dynamic flow loops. AREAS COVERED This review focuses on in vitro static and dynamic models to assess thrombosis in blood-recirculating medical devices. A summary of key devices is followed by a review of molecular markers of contact activation. Current thrombosis testing guidance documents, ISO 10993-4, ASTM F-2888, and F-2382 will be discussed, followed by analysis of their application to in vitro testing models. EXPERT OPINION In general, researchers have favored in vivo models to thoroughly evaluate thrombosis, limiting in vitro evaluation to hemolysis. In vitro studies are not standardized and it is often difficult to compare studies on similar devices. As blood-recirculating devices have advanced to include wearable and implantable artificial organs, expanded guidelines standardizing in vitro testing are needed to identify the thrombotic potential without excessive use of in vivo resources during pre-clinical development.
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Affiliation(s)
- Deepika N Sarode
- a Department of Bioengineering and Therapeutic Sciences , University of California , San Francisco , CA , USA
| | - Shuvo Roy
- a Department of Bioengineering and Therapeutic Sciences , University of California , San Francisco , CA , USA
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Qin H, Nie S, Cheng C, Ran F, He C, Ma L, Yin Z, Zhao C. Insights into the surface property and blood compatibility of polyethersulfone/polyvinylpyrrolidone composite membranes: toward high-performance hemodialyzer. POLYM ADVAN TECHNOL 2014. [DOI: 10.1002/pat.3316] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Affiliation(s)
- Hui Qin
- College of Polymer Science and Engineering, State Key Laboratory of Polymer Materials Engineering; Sichuan University; Chengdu 610065 China
| | - Shengqiang Nie
- College of Polymer Science and Engineering, State Key Laboratory of Polymer Materials Engineering; Sichuan University; Chengdu 610065 China
| | - Chong Cheng
- College of Polymer Science and Engineering, State Key Laboratory of Polymer Materials Engineering; Sichuan University; Chengdu 610065 China
| | - Fen Ran
- College of Polymer Science and Engineering, State Key Laboratory of Polymer Materials Engineering; Sichuan University; Chengdu 610065 China
| | - Chao He
- College of Polymer Science and Engineering, State Key Laboratory of Polymer Materials Engineering; Sichuan University; Chengdu 610065 China
| | - Lang Ma
- College of Polymer Science and Engineering, State Key Laboratory of Polymer Materials Engineering; Sichuan University; Chengdu 610065 China
| | - Zehua Yin
- College of Polymer Science and Engineering, State Key Laboratory of Polymer Materials Engineering; Sichuan University; Chengdu 610065 China
| | - Changsheng Zhao
- College of Polymer Science and Engineering, State Key Laboratory of Polymer Materials Engineering; Sichuan University; Chengdu 610065 China
- National Engineering Research Center for Biomaterials; Sichuan University; Chengdu 610064 China
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Liu P, Chen Q, Li L, Lin S, Shen J. Anti-biofouling ability and cytocompatibility of the zwitterionic brushes-modified cellulose membrane. J Mater Chem B 2014; 2:7222-7231. [DOI: 10.1039/c4tb01151a] [Citation(s) in RCA: 61] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Liu PS, Chen Q, Liu X, Yuan B, Wu SS, Shen J, Lin SC. Grafting of Zwitterion from Cellulose Membranes via ATRP for Improving Blood Compatibility. Biomacromolecules 2009; 10:2809-16. [DOI: 10.1021/bm9006503] [Citation(s) in RCA: 149] [Impact Index Per Article: 9.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Affiliation(s)
- Ping-Sheng Liu
- School of Chemistry and Chemical Engineering, Nanjing University, Nanjing 210093, People’s Republic of China, Jiangsu Engineering Research Center for Biomedical Function Materials, Nanjing Normal University, Nanjing 210097, People’s Republic of China, and High Technology Research Institute of Nanjing University, Changzhou 213164, People’s Republic of China
| | - Qiang Chen
- School of Chemistry and Chemical Engineering, Nanjing University, Nanjing 210093, People’s Republic of China, Jiangsu Engineering Research Center for Biomedical Function Materials, Nanjing Normal University, Nanjing 210097, People’s Republic of China, and High Technology Research Institute of Nanjing University, Changzhou 213164, People’s Republic of China
| | - Xiang Liu
- School of Chemistry and Chemical Engineering, Nanjing University, Nanjing 210093, People’s Republic of China, Jiangsu Engineering Research Center for Biomedical Function Materials, Nanjing Normal University, Nanjing 210097, People’s Republic of China, and High Technology Research Institute of Nanjing University, Changzhou 213164, People’s Republic of China
| | - Bo Yuan
- School of Chemistry and Chemical Engineering, Nanjing University, Nanjing 210093, People’s Republic of China, Jiangsu Engineering Research Center for Biomedical Function Materials, Nanjing Normal University, Nanjing 210097, People’s Republic of China, and High Technology Research Institute of Nanjing University, Changzhou 213164, People’s Republic of China
| | - Shi-Shan Wu
- School of Chemistry and Chemical Engineering, Nanjing University, Nanjing 210093, People’s Republic of China, Jiangsu Engineering Research Center for Biomedical Function Materials, Nanjing Normal University, Nanjing 210097, People’s Republic of China, and High Technology Research Institute of Nanjing University, Changzhou 213164, People’s Republic of China
| | - Jian Shen
- School of Chemistry and Chemical Engineering, Nanjing University, Nanjing 210093, People’s Republic of China, Jiangsu Engineering Research Center for Biomedical Function Materials, Nanjing Normal University, Nanjing 210097, People’s Republic of China, and High Technology Research Institute of Nanjing University, Changzhou 213164, People’s Republic of China
| | - Si-Cong Lin
- School of Chemistry and Chemical Engineering, Nanjing University, Nanjing 210093, People’s Republic of China, Jiangsu Engineering Research Center for Biomedical Function Materials, Nanjing Normal University, Nanjing 210097, People’s Republic of China, and High Technology Research Institute of Nanjing University, Changzhou 213164, People’s Republic of China
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Yan L, Ishihara K. Graft copolymerization of 2‐methacryloyloxyethyl phosphorylcholine to cellulose in homogeneous media using atom transfer radical polymerization for providing new hemocompatible coating materials. ACTA ACUST UNITED AC 2008. [DOI: 10.1002/pola.22670] [Citation(s) in RCA: 58] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Affiliation(s)
- Lifeng Yan
- Hefei National Laboratory for Physical Science at Microscale, Department of Chemical Physics, University of Science and Technology of China, Hefei, 230026, People's Republic of China
| | - Kazuhiko Ishihara
- Department of Materials Engineering, School of Engineering and Center for NanoBio Integration,The University of Tokyo, 7‐3‐1, Hongo, Bunkyo‐ku, Tokyo 113‐8656, Japan
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