Exam 1 Flashcards

1
Q

Provide a comprehensive definition of the term “Biomaterial”.

A

Any Material, natural or synthetic, that comes in contact with human tissue or bodily fluids and is intended for or used in medicine.

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2
Q

What are the general applications areas of biomaterials?

A

-Storage of Bodily fluids and tissues
-Diagnosis and Monitoring
-Surgery-
Wound Healing
-Biomedical devices and implants.

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3
Q

Understand what is meant by the term “Biocompatibility”

A

The ability of a biomedical device to perform with an appropriate host response in a specific application.

Is device and application specific

It is an assessment of the risk benefit ratio that requires, by definition, a functioning device.

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4
Q

Explain how biocompatibility can be conditional.

A

Biocompatibility can be time dependent. Biocompatibility is determined by the relationship of the risk to benefit ratio of biomedical device function and not a non-functional biomaterial. It can be conditional if the device breaks during operation or if device function is compromised due the changing impact of the biological environment. It is said to be conditional if the risk to benefit ratio changes over during the life-time of the device.

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5
Q

Describe how biomaterials have evolved since the 1950’s

A

From 1950-1975 Biomaterials were off the shelf materials that were inert or nontoxic that were used for medicinal purposes. (1954 Dr. DeBakey used Dacron underwear to make a vascular graph)

From 1975-2000 Biomaterials began to be engineered to have specific properties, like being degradable, as to improve the quality and performance of the materials and devices that were inserted.

2000-present Biomaterials are being designed to stimulate or simulate specific responses. Now, tissue engineering and regenerative medicine apply the principles of engineering and the life sciences towards the development of biological substitutes that restore, maintain or improve tissue function.

The future is personalized medicine

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6
Q

Explain how medical devices are classified? In your answer provide examples of each classification and describe how the general classification scheme differs from one class to another.

A

According to Risk!!
Class 1: lowest risk, usually found outside the body. Minimal invasiveness do not contact the user internally I.e. crutches bedpans, tongue depressors

Class 2: Higher degreee of invasiveness and risk, but relatively short duration. I.e. hearing aids, blood pumps, catheters, contact lens

Class 3: Considerably more invasive and can pose immense risk to user-implants. I.e. cardiac pacemakers, intrauterine devices, intraocular lenses, heart valves, orthopedic implants.

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7
Q

What are the different classes of biomaterials?

A

Two primary Schemes

Scheme 1:

  • Metals
  • Ceramics
  • Polymers
  • Composites

Scheme 2:

  • Synthetic Materials
  • Natural Materials
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8
Q

Describe the different levels of organization of a biomaterial

A

Atomic–elemental composition-which elements make up the material

molecular– nanostructure or ultrastructure–how the elements of the material bind and bond to one another

microstructure–the small scale structure of a material seen w/ an optical microscope at 25x zoom. Strongly influences the physical properties and its applications.

macrostructure–What can be seen with the naked eye.

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9
Q

Describe how the atomic makeup and microstructure of a biomaterial influences design decisions of engineers in the biomedical device industry.

A

The atomic and microstructure of a material influences what characteristics the material will have. Certain devices must do and not do certain things, and some materials are better suited for that than others. For example, a cermaic is brittle so it wouldn’t be used in a device that needed to bend, and therefore, the material engineer would have to use materials w/ an atomic and microtstructure suitable for bending.

Grain size and packing influence mechanical properties,

smaller grains lead to stiffer and tougher material (metal)

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10
Q

Explain what a metal is and how its structure is related to its properties

A

A metal is a material that is composed of nonmetal elements.
It has a closely packed polycrystaliline structure w/ freely shared electron cloud that causes metals to have high electrical conductivity.
Its crystalline structure can be simply cubic, body-centered cubic and face-centered cubic.
Grain size: 1-1000um, size and packing influence mechanical properties
smaller grains=stiffer material

Properties:
high density
strong
high mp
ductile
malleable
conductors
lusterous
reflective
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11
Q

Explain what a ceramic is and provide an example of how they are used clinically.

A

Ceramics are a combination of metallic elements w/ one or more nonmetallic elements (C, N, O, P, S)

primarily ionic bonding, some covalent
crystalline structures
grain size is smaller 1 nm-100um
grain boundaries are much shorter

Properties:
low conductivity
high stiffness
high MP
low ductility
very brittle
lustrous
polishable
low surface roughness

Clinically:
Al2O3
Load bearing
orthopedic and dental applications (hips and crowns)

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12
Q

List two properties and at least 4 general requirements of a biomaterial incorporated in a biomedical device;

A
Properties:
Surface Properties 
Bulk Properties
-mechanical
-electrical
-magnetic
-optical
-thermal
Requirements:
non-pyrogenic
non-carcinogenic
non-toxic
sterilizable
manufacturible/producible
packagealbe
storable
cost effective
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13
Q

Draw a stress strain curve, label its axes, and explain what relevant mechanical characteristics can be determined from a materials stress-strain curve;

A

Diagram

Stress (y-axis) Pressure Mpa
strain (x-axis) percent elongation
Elastic deformation: reversible deformation
Young’s Modulus: slope of elastic deformation, stiffness/elastic modulus
Plastic Deformation: irreversable deformation
Yield Strength: stress needed to begin causing plastic deformation
Necking: deformation that occurs as large amounts of strain localize in a small region of the material

Ultimate tensile strength: max stress
total strain: max strain or elongation at failure
toughness: area under the curve.

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14
Q

On the same graph, draw an idealized representative stress strain curve for a metal, ceramic and a polymer

A

diagram

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15
Q

Define the working principle, probe depth (surface sensitivity) and information provided by AFM and optical profilometry;

HELP

A

provided by optical profiometry: measures surface topography, roughness and height. non-destructive/contact
capable of nm level vertical resolution across large fields of view
uses visible light

DIAGRAM

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16
Q

Differentiate between the concepts of inertness and bioactivity with regard to a surface coating;

A

Inert: doesn’t purposefully cause anything to happen

Bioactive: intentionally causes a specific biological response to happen.

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17
Q

List and describe the characteristics that are unique to the surface of a biomaterial;

A

Topography
Microstructure
Atomic/molecular composition- different than bulk phase
Surface Energy- enhanced chemical reactivity that is different than in the bulk phase

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18
Q

Define the working principle, probe depth (surface sensitivity) and information provided by:
Scanning Electron Microscopy (SEM)

A
Greater resolution and depth of field
offers a 2D image w/ 3D perspective
20x to 30,000 x mag
allows greater characterization than one gets w/ a light microscope
-surface morphology
-chemical composition

We see secondary electrons off of sample

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19
Q

Define the working principle, probe depth (surface sensitivity) and information provided by:
IR Spectroscopy

A

Probe in: infrared radiation (photons)
signal out: infrared radiation (same beam as probe in)
Info: structure and types of covalent bonds; shows functional groups.
depth (between 10-15 um) variable

Measures absorption of IR light by chemical bonds. each bond absorbs different frequencies

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20
Q

Define the working principle, probe depth (surface sensitivity) and information provided by
EDX/EDS

A

depth: greater than 1 um
electrons are probe in
Characteristic x-rays are probe out
info: elemental analysis or chemical characterization

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21
Q

Define the working principle, probe depth (surface sensitivity) and information provided by:
X-ray photoelectron spectroscopy XPS or ESCA

A

Probe: x-ray
signal out: photoelectrons (auger electrons)
depth( 100 A)
info: elemental composition and chemical bonding

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22
Q

Define the working principle, probe depth (surface sensitivity) and information provided by:
Secondary Ion Mass Spectroscopy (SIMS)

A

probe in: Ions (Ar, Ga, Cs, C60)
signal out: Secondary ions (ions of the sample)
depth: 10 A
info: Elemental and molecular composition

is destructive

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23
Q

How is water as a solvent involved during protein adsorption to a biomaterial?

A

Proteins are surrounded by a hydration shell. The shell contains water molecules that are more ordered than in bulk phase.
Interaction w/ water shapes the protein. the tertiary structure of the protein is determined by intrachain interactions as well as the hydrophobic effect

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24
Q

Provide two examples of surface dynamics

A

Changing Geometry flat to spherical

Dynamic rearrangement
when polar and non polar side chains rotate to be in appropriate environment.

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25
Q

Describe what is meant by “excess surface free energy”

A

Surface atoms lack at least one bonding partner compared to atoms in the bulk phase of a material. Therefore, these atoms have an excess of free energy that can be used to bind to other things.

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26
Q

Is protein adsorption energetically favorable? Why or why not

help!!!!!

A

Protein adsorption is energetically favorable as the slight increase in enthalpy is more than compensated for by a large decrease in free energy. Increases in the system’s entropy contribute to irreversibility.

Surface dynamics lower the free energy.
Protein adsorption reduces the free energy at moderately hydrophobic surfaces.

but also deforms the proteins?

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27
Q

Why is non-specific protein adsorption an important topic in the study of biomaterials?

A

Adsorption mediates cell attachement to biomaterials so we need to know what response the material will illicit. It also preceds biological reactivity. The implant may have unforeseen consequences if proteins that interact with it, adsorb to it and are denaturated as their structure is changed.

28
Q

What is the difference between the terms “adsorption” and “absorption”?

A

Adsorption: accumulation and adhesion of molecules or larger particles to a surface w/out surface penetration usually involves a conformational change in adsorbate

absorption:
taking up of a solvent and molecules by a material, that is, they penetrate into the material.

29
Q

Understand the fundamental nomenclature of polymeric structure.

A

Poly=many
meros=parts
mer refers to repeating unit

30
Q

With a random coil model sketch, compare and contrast the structures of an amorphous thermoplastic to a semi-crystalline thermoplastic to a thermoset.

A

Amorphous v Semicrystalline

thermoplastic vs thermoset

31
Q

In general terms, what makes one polymer different from another (list at least 3 things)?

A
Chain length
backbone chemistry
side groups
crystallinity
branching
32
Q

Explain why increasing the MW of a polymer generally enhances its stiffness and toughness?

A

It enhances the interchain interaction and bonding. The more ordered the side chains are, the more forces and interactions there are to prevent the chains from moving, which causes more stiffness and toughness

33
Q

Draw a graph of the general relationship of increasing molecular weight on stiffness and strength (explain the relationship at the level of polymer chain interaction).

A

Mechanical Properties and Increasing MW

34
Q

Be able to represent the mericunit in chemical shorthand and know the common abbreviation for the following polymers:
Polyethylen (PE)

A

H H
C C
H H

35
Q

Be able to represent the mericunit in chemical shorthand and know the common abbreviation for the following polymers:
polypropylene (PP)

A

H H
C C
H CH3

36
Q

Be able to represent the mericunit in chemical shorthand and know the common abbreviation for the following polymers:
polystyrene (PS)

A

[-CH2-CH-]

benzene

37
Q

Be able to represent the mericunit in chemical shorthand and know the common abbreviation for the following polymers:
polycarbonate (PC)

A

CH3
[-O-BENZENE-C-BENZENE-O-C=O-]
CH3

38
Q

Be able to represent the mericunit in chemical shorthand and know the common abbreviation for the following polymers:
polyvinylchloride PVC

A

H H
C C
H Cl

39
Q

Be able to represent the mericunit in chemical shorthand and know the common abbreviation for the following polymers:
polytetraflouroethylene(PTFE)

A

F F
C C
F F

40
Q
Be able to represent the mericunit in chemical shorthand and know the common abbreviation for the following polymers:
polyethylene oxide (PEO)
A

H-[O-CH2-CH2]-O-H

41
Q

Be able to represent the mericunit in chemical shorthand and know the common abbreviation for the following polymers:
polydimethylsiloxane (PDMS)

A

CH3
Si-O
CH3

42
Q

Describe two common polymerization reactions.

A

Free Radical

  • most common
  • Produces the largest family of common biomedical polymers
  • only minor byproducts

Condensation Polymerization
see below

43
Q

Explain the steps involved in free radical addition polymerization and provide two examples of polymers made by this process.

A

Initiation:
vinyl monomers and a catalyst (unstable molecule capable of forming a free radical) heat is used to cause a radical.
Unpaired electron donates to vinyl monomer, terminal group now becomes a free radical

Propagation:
unpaired electrons freely donate to unreacted vinyl monomers.
free radical is passed to the new end
making the growing chain reactive at its end

Termination:
2 growing chains interact to form a new bond
final product is now unreactive
can also be terminated by interaction w/ iniatior radicals or impurities

polyethylen polypropelene polystyrene

44
Q

Explain the steps involved in condensation polymerization and provide two examples of polymers made by this process.

A

Two terminal reactive groups are used to combine moomers. (NH2 side reacts w/ OH to form a bond)

Terminal groups remain active
byproduct is produced at each step
usually water or HCl

proteins, nucleic acids, nylon, polyesters, polyamides

45
Q

Are vinyl polymers or those made by condensation reactions more stable in the body and why?

A

(i think) vinyl polymers are more stable, because the resulting polymer from a condensation reaction has active ends, whereas, the vinyl polymer reacted to get to its current state.

46
Q

What is meant by the terms Tg and Tm?

A

Glass Transition Temperature of Thermoplastics
Tm: melting temperature

Tg: temperature at which there is an onset of long range polymer chain mobility

47
Q

In terms of polymer processing, what does a comparison of the Tg of several polymers tell an engineer about the microstructure and processing conditions of the materials?

A

When Tg is enhanced, the degree of crysallinity is increased. The higher the Tg, the more ordered the side chains are, or the more difficult it is to get the polymer chains to slide past one another. Lower Tg indicates less interactions in polymer chain.

Processed polymer is likely semi-crystalline or thermoset.

48
Q

List 3 common processing schemes and provide 2 examples of common additives used with these processes.

A
Compression molding
Injection molding
Blow molding
Melt extrusion
fiber spinning
rolling

Additives
Fillers: addied to improve tensile strength and abrasion resistance and toughness. I.e. carbon black, silica gel

Plasticizers: Added to reduce Tg
usually added to PVC

Stabalizers: stops yellowing/cracking
antioxidants

Lubricants: added to allow easier processing

Colorants/Labels:
dyes or pigments

Flame Retardants

49
Q

Define what is meant by the term foreign body response and explain why it is considered a core concept in this course;

A

A sterile persistent inflammatory reaction that is observed w/ all permanent implants greater than 5 um
initiated by vascular damge, involves protein adsorption to implant surface, activates cells of innate immune system.
includes molecular and cellular events that follow implantation and contact of biomaterials w/ blood products from the initial contact over the entire indwelling

50
Q

How is a study of the FBR to a biomaterial different from a study of biocompatibility?

A

FBR is a study of the natural biological process that the body begins when the body encounters a foreign entity inside itself. A device is not needed to study the response

Biocompatibility is also an analysis of how well the functioning device is performing its desired job with regard to the host response it illicit. Could include things like toxicity testing

51
Q

Describe how normal wound healing differs from the FBR?;

A

Wound healing inflammation is only acute, and eventually subsides.
Granulation tissue is eventually formed (macrophages release cytokines that cause tissue fibroblasts to proliferate, infiltrate the wound and angiogenesis occurs. fibroblasts deposit extracellular matrix.
the wound contracts

FBR
chronic inflammatoin. macrophage activation persits, blood vessels become leaky and protein adsorption continues over the indwelling period FBGiant cells form by fusion of macrophages
Fibrous capsule forms as fibroblasts continue to relase ecm molecules
delayed infection may occur

52
Q

List the important major events that take place in the typical foreign body response;

A
damage
Protein Adsorption
macrophage attachment and activation 
Proinflammatory cytokine release
Fibroblast/Endothelial recruitment & activation
Excess ECM Deposition
fibrous encapsulaiton
FBGC formation
53
Q

What is a foreign body giant cell and under what conditions would it be observed?;

A

Parasites! but it is a result of macrophages fusing together and it is only observed around implants or parasites

54
Q

What proteins in blood affect the FBR?

A

Fibrinogen effects clotting. Fibrin clot forms after thrombin activation. Once activated, Fibrin changes shape and degranulates

Albumins
Fibrinogen
Plasminogen

Clotting Cascade
Complement Cascade
Antibodies

eventually fibrin is dissolved by plasmin

55
Q

What is the role of platelets in the clotting cascade?;

A

Platelets bind to ECM or Fibrin and are activated. Once activated they begin to degranulate. (exocytosis)
roll is soft plug/ hemostasis
After receptor binding cytoskeletal rearrangement is followed by release of granule contents –exocytosis:
Growth factors (Platelet derived growth factor (PDGF)-stimulates endothelial and fibroblast cell division and VEGF-stimulates endothelial cell division:
TGF-beta, bFGF, (stimulate ECM production by Fibroblasts
Fibronectin, von Willebron Factor-cell adhesion molecules;
Serotonin, thromboxane A2, ADP, and epinephrine cause vasoconstriction;

Platelet Activation Reduces Blood Flow -forms a Soft Thrombus or Plug and starts cell recruitment

Platelets adhere and release platelet factors, aggregate into plug, temporary hemostasis.

56
Q

Describe how an IV catheter might activate the clotting cascade? What molecules are released by platelets that may affect the FBR?

A

Damage to vessel wall activate the extrinsic pathway and platelets will arrive to plug hole

ADP, ATP Ca2+ Serotonin from dense granule
VWF, fibrinogen, TSP PF4, PDGF, beta-TG, factor V

Growth factors (Platelet derived growth factor (PDGF)-stimulates endothelial and fibroblast cell division and VEGF-stimulates endothelial cell division:
TGF-beta, bFGF, (stimulate ECM production by Fibroblasts
Fibronectin, von Willebron Factor-cell adhesion molecules;
Serotonin, thromboxane A2, ADP, and epinephrine cause vasoconstriction

57
Q

What are serine proteases and what role do they play in the blood clotting?

A

Play a role in the intrinsic cascade. (follow up) they cut proteins…..
They are clotting factors that cut certain peptide bonds, activating certain factors. Factors, X, XI and XI (as well as thrombin)
endopeptidase secreated by the liver as zymogen,

58
Q

Draw the intrinsic and extrinsic coagulation cascades and describe how they differ from one another

A

IMAGE

Intrinsic
-Each factor is a serine protease
-endopeptidase secreted by th eliver as a zymogen
-requires activation (bind to clot or surface)
-enzymes
-amplificatoin
-stops because nothing left to amplify it???
Blood Contacting devices also activate it

Extrinsic
-leads to foreign body response
damage to the vessel wall activates this

59
Q

How does the word “self assembly” relate to clot formation?

A

Fibrin clot forms by self assembly after thrombin activation.

The fibrin network stops bleeding and stabailizes the wound bed. It allows migration of monocytes, macrophages, fibroblasts and endothilial cells.

Is temporary-eventually filled in w/ collagen and ECM proteins recruited by fibroblasts.

60
Q

Why do calcium chelator stop blood from clotting?

A

Remove Calcium which the (intrinsic(?)) pathway relies on to amplify. By removing it, the cascade cannot continue and clotting is prevented.

61
Q

What role does tissue factor play in blood clotting?

A

Found on surface of cells not in blood stream. (Factor 8)

Factor 7 binds w/ Factor 8. Factor 7/8 binds to Factor 10. Factor 10 is when clotting begins

Starts to clot on their surface

Tissue Factor being exposed leads to the coagulation cascade

62
Q

What is Plasminogen and what role does it play in the clotting process?

A

(Zymogen) Inactive form of Plasmin, it’s a serine protease
produced by the liver and found in plasma in most tissues, degrades fibrin. Activated by XII, XI and thrombin
Plasmin digests fibrin, thus dissolving the clot.
Cleaves

63
Q

Define what is meant by the term innate immune system

A

A non-specific, evolutionary primitive defense mechanism against microorganism colonization that includes anatomical barriers such as mucus secreting epithelial surfaces that are impermeable to infectious microorganisms (tight junctions) and includes the complement system, white blood cells, and tissue macrophages

epithelial barriers, phagocytes, dendritic cells, plasma proteins, NK cells

64
Q

What role does bone marrow play in FBR?

A

Bone marrow contains stem cells (hematopoietic stem cell). Gives rise to stem cell that gives rise to all the cells found in the blood stream (which are important in innate immunity). Also gives rise to cells that are part of the adaptive immunity.

65
Q

Provide a definition of complement

A

It is a part of the innate immune system that consists of an enzymatic cascade (self amplifying) involving 30 glycoproteins (proteases) present in blood plasma capable of tagging foreign bodies for removal, recruiting activated macrophages and directly killing microbes and uninfected or otherwise healthy cells.

evolved to bind to bacteria. help macrophages recognize them

66
Q

Describe the 4 major functions of complement

A

Targets foreign bodies-including microorganisms and implanted devices larger than 5 um

Activates Macrophages-

Initiates and sustains inflammation-attracts WBC’s and macrophages

Lyses cells-ruprturing of cell membranes of microorganisms (clear RBC’s infected cells)