Haemocompatibility of invasive sensors

Structure of fibrinogen in electrolyte solutions derived from dynamic light scattering (DLS) and viscosity measurements

Bulk physicochemical properties of bovine plasma fibrinogen (Fb) in electrolyte solutions were characterized. These comprised determination of the diffusion coefficient (hydrodynamic radius), electrophoretic mobility, and isoelectric point (iep). The hydrodynamic radius of Fb for the ionic strength of 0.15 M was 12.7 nm for pH 7.4 (physiological conditions) and 12 nm for pH 9.5. Using these values, the number of uncompensated (electrokinetic) charges on the protein N(c) was calculated from the electrophoretic mobility data. It was found that for physiological condition (pH 7.4, I = 0.15), N(c) = -7.6. For pH 9.5 and I = 10(-2), N(c) = -26. On the other hand, N(c) became zero independent of the ionic strength at pH 5.8, which was identified as the iep. Consequently, for pH < 5.8, N(c) attained positive values, approaching 26 for lower ionic strength and pH 3.5. It was also found from the hydrodynamic diameter measurements that for a pH range close to the iep, that is, 4-7, the stability of Fb suspension was very low. These physicochemical characteristics were supplemented by dynamic viscosity measurements, carried out as a function of Fb bulk volume concentration, for various pH values. Using these experimental data the contour length of 80 nm was predicted for Fb molecules in electrolyte solutions. On the other hand, the effective length of the molecule was 53-55 nm for physiological conditions, which suggested a collapsed state of the terminal chains. However, for the range of pH outside the iep, its effective length increased to 65-68 nm. This was interpreted in terms of a significant unfolding of the terminal chains of Fb caused by electrostatic repulsion. The effective charge, contour length, and effective length data derived in this work seem to be the first of this type reported in the literature.

Collagen adsorption and structure on polymer surfaces observed by atomic force microscopy

The structure and adsorption patterns of type I and type III collagen were imaged on various polymer substrates with atomic force microscopy. Type I collagen had higher adsorption on polystyrene than on a series of polymethacrylates and formed a network of tightly, interwoven strands. Upon adsorption to different polymethacrylates, with varying side chain lengths, the collagen molecules formed long, branching fibrils. Types I and III collagen had different adsorption patterns, in some cases, on the identical substrate material. For example, instead of forming a tightly packed network, type III forms long, branching fibers on the polystyrene surface. On other materials, such as poly(n-butyl methacrylate), the two types of collagen showed similar adsorption pattern and structure. Adsorbed collagen was also imaged on various blends of polystyrene and polymethacrylates to determine how the polymer surface chemical structure and surface topography mediates protein adsorption.

In vivo biocompatibility and analytical performance of intravascular amperometric oxygen sensors prepared with improved nitric oxide-releasing silicone rubber coating

The in vivo biocompatibility and analytical performance of amperometric oxygen-sensing catheters prepared with a new type of nitric oxide (NO)-releasing silicone rubber polymer (DACA/N2O2 SR) is reported. The NO-release silicone rubber coating contains diazeniumdiolated secondary amine sites covalently anchored to a dimethylsiloxane matrix. Narrow diameter (0.9 mm, o.d.) silicone rubber tubing coated with this polymer can be employed to construct functional oxygen-sensing catheters that release NO continuously at levels > 1 x 10(-10) mol/cm2-min for more than 20 h. In vivo evaluation of such sensors within the carotid and femoral arteries of swine over a 16-h time period demonstrates that sensors prepared with the new NO-release coating exhibit no significant platelet adhesion or thrombus formation, but control sensors (non-NO release) implanted within the same animals do show a high propensity for cell adhesion and bulk clot formation. Furthermore, the in vivo analytical data provided by sensors fabricated with NO-release coatings (N = 9) are shown to be statistically equivalent to PO2 levels measured in vitro on discrete samples of blood. Control sensors (N = 9) placed within the same animals yield average PO2 values that are statistically different (p < or = 0.05) (lower) from both the levels measured on discrete samples and those provided by the NO-release sensors over a 16-h in vivo monitoring period.

Preparation and characterization of hydrophobic polymeric films that are thromboresistant via nitric oxide release

The preparation of hydrophobic polymer films (polyurethane and poly(vinyl chloride)) containing nitric oxide (NO)-releasing diazeniumdiolate functions is reported as a basis for improving the thromboresistivity of such polymeric materials for biomedical applications. Several different approaches for preparing NO-releasing polymer films are presented, including: (1) dispersion of diazeniumdiolate molecules within the polymer matrix; (2) covalent attachment of the diazeniumdiolate to the polymer backbone; and (3) ion-pairing of a diazeniumdiolated heparin species to form an organic soluble complex that can be blended into the polymer. Each approach is characterized in terms of NO release rates and in vitro biocompatibility. Results presented indicate that the polymer films prepared by each approach release NO for variable periods of time (10-72 h), although they differ in the mechanism, location and amount of NO released. In vitro platelet adhesion studies demonstrate that the localized NO release may prove to be an effective strategy for improving blood compatibility of polymer materials for a wide range of medical devices.

A computer-based system for identification of the static characteristics of medical sensors

This paper presents the design and implementation of a computer-based system for identification of the static characteristics of medical sensors. The static characteristic obtained is then used to correct the input-output non-idealities caused by nonlinearity effects, gain error, hysteresis and environmental effects. The knowledge of this characteristic enables digital signal processing of the sensor response, facilitates correction of input-output non-idealities and forms a compensation formula which is required for the optimal design of the experiment for medical sensor calibration. The identification system consists of a personal computer and a microcontroller-based electronic system. In consideration of practical situations special emphasis is oriented toward its user friendliness and future extendability.