Page 345 - Biomedical Engineering and Design Handbook Volume 1, Fundamentals
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322  BIOMATERIALS

                                               18 %
                              350000           20 %
                                               25 %
                                               28 %
                              300000           30 %

                              250000
                             Viscosity (mPa)  200000



                              150000

                              100000

                               50000

                                   0
                                         10      15       20       25      30       35
                                                         Temperature (°C)
                            FIGURE 13.12  Viscosity of poloxamer solutions as a function of temperature and polymer concen-
                            tration. [Reproduced from L. E. Reeve. “Poloxamers:  Their Chemistry and Applications,” in Handbook
                            of Biodegradable Polymers,  A. J. Domb, J. K. Kost, and D. M. Wiseman (eds.). London: Harwood
                            Academic Publishers, 1997, p. 235.]

                         The unique gelling properties of poloxamers make them useful as a coating to prevent postsurgi-
                       cal adhesions. They can be applied as a liquid since they gel at body temperature to provide a strong
                       barrier for prevention of adhesions. Similarly, poloxamers are being investigated for use as an
                       injectable drug depot. Drug can be mixed with an aqueous poloxamer solution that thermally gels in
                       the body and provides a matrix for sustained release. Another research area for poloxamers is for
                       coating hydrophobic polymer microspheres. The PPO block adsorbs to the hydrophobic micros-
                       phere, while the PEO blocks extend into the solution and provide steric repulsion to prevent coagu-
                       lation. The PEO blocks also prolong circulation after intravenous injection, since the hydrophilic
                       PEO retards removal by the reticuloendothelial system.

                       Alginate. Degradation: slow or nondegradable.

                            COOH            COOH               H               H
                                 O                O                 O               O
                         H                H                 H               H
                            H               H                  COOH            COOH
                            OH   OH    O    OH    OH   O       OH   OH    O    OH   OH    O
                                    H               H                  H               H
                            H    H          H    H       n     H    H          H    H        m
                                D-Mannuronic acid units         L-Guluronic acid units


                       As the structure above shows, alginate is a copolymer of guluronic and mannuronic acids. Alginate
                       is a natural polysaccharide that is readily cross-linked using divalent or trivalent cations. Cross-
                       linking occurs between acid groups of adjacent mannuronic acid units. Ca ++  is commonly used as a
                       cross-linking agent. The sodium salt of alginate (sodium alginate) is used rather than the plain algi-
                       nate, since the acidic alginate can be harmful to cells and tissues.
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