Page 349 - Biomedical Engineering and Design Handbook Volume 1, Fundamentals
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326  BIOMATERIALS

                       TABLE 13.3  Water Absorption and Its  Albumin. Degradation: biodegradable.  Albumin is a
                       Effect on Modulus (E) and Yield Strength of  globular, or soluble, protein making up 50 percent of the
                       Collagen Hollow Fibers 21      protein content of plasma in humans. It has a molecular
                                                      weight of 66,200 and contains 17 disulfide bridges. 22
                                      Water absorption,  Numerous carboxylate and amino (lysyl) groups are
                       Humidity, %     g/100 g collagen
                                                      available for cross-linking reactions providing for a very
                         wet               240        broad range of mechanical behavior. Heating is also an
                          90                50        effective cross-linking method, as seen in ovalbumin (egg
                          80                25        white cooking). This affords another gelling mechanism
                          60                17        and is finding increasing use in laser welding of tissue,
                          30                10        where bond strengths of 0.1 MPa have been achieved. 23
                                                        As with collagen, the most common cross-linking
                       Humidity, %     Yield stress, psi
                                                      agent used is glutaraldehyde, and toxic by-products are of
                         Wet               3000       concern. Careful cleaning and neutralization with glycine
                          90               5200       wash have provided biocompatible albumin and collagen
                          66              13,000      structures in a wide variety of strengths up to tough, very
                          36              19,000      slowly degradable solids. It should be noted that albumin
                           8              24,000
                                                      and collagen solidification is generally different than
                                                      that of fibrin, which gels by a normal biological mecha-
                        Humidity          E, ksi *
                                                      nism. The glutaraldehyde methods yield a variety of non-
                         Wet                44        biologic solids with highly variable mechanical properties.
                          90               450        This has led to an extensive literature, and very wide
                          75               750        range of properties for collagen and albumin structures
                           8               970
                                                      which are used for tissue substitutes and drug delivery
                         * 1 ksi = 1000 psi           vehicles.

                       Oxidized Cellulose.  Degradation: bioerosion. Oxidized cellulose is one of the fastest degrading
                       polymers at physiologic pH. It is classified as bioerodable since it degrades without the help of
                       enzymes. It is relatively stable at neutral pH, but above pH 7 it degrades. Oxidized cellulose disap-
                       pears completely in 21 days when placed in phosphate buffered saline (PBS). Similarly, it dissolves
                       80 percent after 2 weeks in vivo. Cellulose is oxidized using nitrogen tetroxide (N O ). Commercially
                                                                                  4
                                                                                2
                       available oxidized cellulose contains between 0.6 and 0.93 carboxylic acid groups per glucose unit,
                       which corresponds to between 16 and 24 weight percent carboxylic acid. 24
                                     CH 2 OH             CH 2 OH
                                           O                  O
                                  H                   H
                                     H                   H
                                     OH    H      O      OH    H       O      Cellulose
                                              H                   H
                                     H     OH            H     OH          n



                                                      N 2 O 4

                                                          O
                                      CH 2 OH             C OH
                                           O                   O
                                   H                  H
                                      H                  H
                                      OH   H       O     OH    H        O     Oxidized cellulose
                                               H                  H
                                      H     OH           H     OH          n
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