Page 342 - Biomedical Engineering and Design Handbook Volume 1, Fundamentals
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BIOPOLYMERS  319

              13.3 SPECIFIC POLYMERS

              13.3.1 Water-Soluble Polymers
                          Water-soluble polymers are used for a variety of applications. They can be adsorbed or covalently
                          bound to surfaces to make them more hydrophilic, less thrombogenic, and more lubricious. They can
                          be used as protective coatings to prevent damage during surgery. Hyaluronic acid solutions are used in
                          ophthalmic surgery to prevent damage to the cornea and iris. They can be cross-linked to form hydro-
                          gels for soft tissue replacement and for drug delivery applications. There are numerous water-soluble
                          biopolymers. The polymers discussed below are some of the more common and useful examples.

                          Poly(N-vinyl-pyrrolidinone). Degradation: bioinert.


                                                        CH 2  CH
                                                                    n
                                                              N

                                                        CH 2       C  O

                                                          CH 2   CH 2
                          Poly(N-vinyl-pyrrolidinone) is a widely used water-soluble polymer. Similar to dextran, it has been
                          used as a plasma volume expander to replace lost blood in mass casualty situations. PVP can also be
                          used as a detoxifying agent since many toxic compounds form nontoxic complexes with PVP, which
                          the kidneys eventually excrete. PVP is also used extensively as a binder in the pharmaceutical industry.


                                                        CH 2  CH 2  O
                                                                     n
                          Polyethylene Glycol. Degradation: bioinert.

                          Polyethylene glycol (PEG), also known as polyethylene oxide (PEO), is used primarily to make
                          hydrophobic surfaces more hydrophilic. These hydrophilic coatings are known to drastically reduce
                          bacterial adhesion to substrates, making the surfaces antimicrobial. 7–9  PEO can also be coated or
                          grafted onto the surfaces of microparticles to aid in colloidal stability. 10–12  Microparticles for drug
                          delivery applications are quickly recognized and cleared from circulation by the reticuloendothelial
                          system (RES). PEO coatings help particles elude the RES, thereby increasing their residence time in
                          the circulation. 13–16

                          Hyaluronic Acid.  Degradation: biodegradable.

                                             COOH                  CH 2 OH
                                                    O                    O
                                          H                     H               O
                                             H              O      H
                                             OH     H                    H
                                                       H                     H
                                                                OH
                                                                                       n
                                             H      OH             H      NHCOCH 3
                                         β-D-Glucoronic acid  N-Acetyl-β-D-glucosamine
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