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Biomaterials and its
Applications
Presented by:
Saransh Khandelwal,
Trainee Scientist,
CSIR-CSIO,
Chandigarh 160030
May20,2013
1
Outline
• Introduction
• Definition
• Characteristics of Biomaterials
• History
• Biomaterials Science
• Generations of Biomaterials
• Examples of Biomaterials
• Biocompatibility
• Challenges
• Future Scope
• References
May20,2013
2
Introduction
• How AMNS (Advanced Material and Nano Science) is been
applied to the Medical World ?
May20,2013
3
AMNS
Biomaterials
Nano
Medicines
Healthcare Market (U.S. Data) [*1]
May20,2013
4
Continued..
May20,2013
5
Definition
• Biomaterial is used to make devices to replace a part or a
function of the body in a safe, reliable, economic and
physiologically acceptable manner [Hench and Erthridge,
1982,*2].
• Materials of synthetic as well as of natural origin in contact
with tissue, blood, and biological fluids, and intended for use
for prosthetic, diagnostic, therapeutic, and storage
applications without adversely affecting the living organism
and its components” [Bruck, 1980].
May20,2013
6
History
• More than 2000 years ago, Romans and Chinese used gold in
dentistry.
• 1937 Poly(methyl methacrylate) (PMMA) introduced in
dentistry.
• 1958, Rob suggests Dacron Fabrics can be used to fabricate an
arterial prosthetic.
• 1960 Charnley uses PMMA, ultrahigh-molecular-weight
polyethylend, and stainless steal for total hip replacement.
• Late 1960 – early 1970’s biomaterial field solidified.
• 1975 Society for Biomaterials formed.
May20,2013
7
Uses of Biomaterials
Replacement of
diseased or damaged
part: Artificial hip joint,
kidney dialysis machine
Assist in healing:
Sutures, bone plates,
and screws
Improve function:
Cardiac pacemaker,
intraocular lens
Correct functional
abnormality: Cardiac
pacemaker
Correct cosmetic
problem:
Augmentation
mammoplasty, chin
augmentation
Aid to diagnosis:
Probes and catheters
Aid to treatment:
Catheters, drains
May20,2013
8
Characteristics of Biomaterials
Physical Requirements
• Hard Materials.
• Flexible Material.
Chemical Requirements
• Must not react with any tissue in the body.
• Must be non-toxic to the body.
• Long-term replacement must not be biodegradable.
May20,2013
9
Main featuresfor medical applications
• Biofunctionality
• Playing a specific function in physical and mechanical terms
• Biocompatibility
• Concept that refers to a set of properties that a material must
have to be used
• safely in a biological organism
May20,2013
10
Biocompatible material features
• Absence of carcinogenicity (the ability or tendency to produce
cancer)
• Absence of immunogenicity (absence of a recognition of an
external factor which could create rejection)
• Absence of teratogenicity (ability to cause birth defects)
• Absence of toxicity
May20,2013
11
Metals
Composite
Materials
Ceramics
Polymers
BIOMATERIALS
Orthopedic
screws/fixation
Dental Implants Dental Implants
Heart
valves
Bone
replacements
Biosensors
Implantable
Microelectrodes
Skin/cartilage
Drug Delivery
Devices
Ocular implants
May20,2013
12
Materials for Use in the Body
May20,2013
13
Biomaterials involved in Human Body
May20,2013
14
Examples of Biomaterial
Applications
• Heart Valve
• Dental Implants
• Intraocular Lenses
• Vascular Grafts
• Hip Replacements
May20,2013
15
Intraocular Lenses
• By age 75 more than 50% of
population suffers from
cataracts
• Made of PMM, silicone
elastomer, and other materials.
• 1.4 million implantations in the
United States yearly.
• Good vision is generally
restored almost immediately
after lens is inserted.
May20,2013
16
Heart Valve
• Fabricated from carbons,
metals, elastomers, fabrics, and
natural valves.
• Must not React With Chemicals
in Body.
• Attached By Polyester Mesh.
• Tissue Growth Facilitated By
Polar Oxygen-Containing
Groups.
May20,2013
17
Heart Valve
• Almost as soon as valve
implanted cardiac function is
restored to near normal.
• Bileaflet tilting disk heart valve
used most widely.
• More than 45,000 replacement
valves implanted every year in
the United States.
May20,2013
18
• Small titanium fixture that serves as the
replacement for the root portion of a
missing natural tooth.
• Implant is placed in the bone of the
upper or lower jaw and allowed to bond
with the bone.
• Most dental implants are: pure titanium
screw-shaped cylinders that act as roots
for crowns and bridges, or as supports
for dentures.
Dental Implants
May20,2013
19
A titanium dental implant. (Photograph courtesy
of Dr. A. Norman Cranin, Brookdale Hospital
Medical Center, Brooklyn, NY.)
Dental Implants
• Capable of bonding to bone, a
phenomenon known as
"osseointegration”.
• Bio-inert, there is no reaction
in tissue and no rejection or
allergic reactions.
May20,2013
20
Vascular Grafts
• Must Be Flexible.
• Designed With Open Porous
Structure.
• Often Recognized By Body As
Foreign.
• Achieve and maintain
homeostasis.
• Good structure retention.
• Adequate burst strength.
• High fatigue resistance.
• Poly(ethylene terephthalate)—PET
or Dacron
• Good handling properties.
• Biostable.
May20,2013
21
Hip-Replacements
May20,2013
22
• Most Common Medical Practice Using
Biomaterials.
• Corrosion Resistant high-strength
Metal Alloys.
• Very High Molecular Weight Polymers.
• Thermoset Plastics.
Host Reactions to Biomaterials
• Thrombosis
• Hemolysis
• Inflammation
• Infection and Sterilization
• Carcinogenesis
• Hypersensitivity
• Systemic Effects
May20,2013
23
What are some of the Challenges?
• To more closely replicate complex tissue
architecture and arrangement in vitro.
• To better understand extracellular and
intracellular modulators of cell function.
• To develop novel materials and processing
techniques that are compatible with biological
interfaces.
• To find better strategies for immune acceptance.
May20,2013
24
Biomaterials - An Emerging
Industry
• Next generation of medical implants and therapeutic
modalities.
• Interface of biotechnology and traditional engineering.
• Significant industrial growth in the next 15 years -- potential
of a multi-billion dollar industry.
May20,2013
25
Future Scope ( Surgical Robotics )
• Instead of manipulating surgical instruments, surgeons use
their thumbs and fingers to move joystick handles on a control
console to maneuver two robot arms containing miniature
instruments that are inserted into ports in the patient. The
surgeon’s movements transform large motions on the remote
controls into micro-movements on the robot arms to greatly
improve mechanical precision and safety.
• A third robot arm holds a miniature camera, which is inserted
through a small opening into the patient. The camera projects
highly magnified 3-D images on a console to give a broad view
of the interior surgical site.
May20,2013
26
Surgical Robotics
May20,2013
27
• UCI Medical Center’s da Vinci
Surgical System is currently
approved for gall bladder,
prostate, colorectal, gynecological,
esophageal and gastric bypass
procedures.
References
1. Biomaterials Science: An Introduction to Materials in Medicine By
Buddy D. Ratner, Allan S. Hoffman, Frederick J. Schoen, Jack E.
Lemons
2. Biomaterials, Joyce Y. Wong, Boston University
3. Black, J. (1992) Biological Performance of Materials, 2nd ed. New
York: M. Dekker, Inc.
4. Bruck, S.D. (1980) Properties of Biomaterials in the Physiological
Environment. Boca Raton, FL: CRC Press.
5. Greco, R.S. (1994) Implantation Biology. Boca Raton, FL: CRC
Press.
6. Hench, L.L. and Erthridge, E.C. (1982) Biomaterials —An Interfacial
Approach, Vol. 4, A. Noordergraaf, Ed. New York: Academic Press.
7. von Recum, A.F. (1994) Biomaterials: educational goals. In: Annual
Biomaterials Society Meeting. Boston,
8. Williams, D.F. and Roaf, R. (1973) Implants in Surgery. London:W.B.
Saunders.
May20,2013
28
May20,2013
29

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Biomaterials and its Applications

  • 1. Biomaterials and its Applications Presented by: Saransh Khandelwal, Trainee Scientist, CSIR-CSIO, Chandigarh 160030 May20,2013 1
  • 2. Outline • Introduction • Definition • Characteristics of Biomaterials • History • Biomaterials Science • Generations of Biomaterials • Examples of Biomaterials • Biocompatibility • Challenges • Future Scope • References May20,2013 2
  • 3. Introduction • How AMNS (Advanced Material and Nano Science) is been applied to the Medical World ? May20,2013 3 AMNS Biomaterials Nano Medicines
  • 4. Healthcare Market (U.S. Data) [*1] May20,2013 4
  • 6. Definition • Biomaterial is used to make devices to replace a part or a function of the body in a safe, reliable, economic and physiologically acceptable manner [Hench and Erthridge, 1982,*2]. • Materials of synthetic as well as of natural origin in contact with tissue, blood, and biological fluids, and intended for use for prosthetic, diagnostic, therapeutic, and storage applications without adversely affecting the living organism and its components” [Bruck, 1980]. May20,2013 6
  • 7. History • More than 2000 years ago, Romans and Chinese used gold in dentistry. • 1937 Poly(methyl methacrylate) (PMMA) introduced in dentistry. • 1958, Rob suggests Dacron Fabrics can be used to fabricate an arterial prosthetic. • 1960 Charnley uses PMMA, ultrahigh-molecular-weight polyethylend, and stainless steal for total hip replacement. • Late 1960 – early 1970’s biomaterial field solidified. • 1975 Society for Biomaterials formed. May20,2013 7
  • 8. Uses of Biomaterials Replacement of diseased or damaged part: Artificial hip joint, kidney dialysis machine Assist in healing: Sutures, bone plates, and screws Improve function: Cardiac pacemaker, intraocular lens Correct functional abnormality: Cardiac pacemaker Correct cosmetic problem: Augmentation mammoplasty, chin augmentation Aid to diagnosis: Probes and catheters Aid to treatment: Catheters, drains May20,2013 8
  • 9. Characteristics of Biomaterials Physical Requirements • Hard Materials. • Flexible Material. Chemical Requirements • Must not react with any tissue in the body. • Must be non-toxic to the body. • Long-term replacement must not be biodegradable. May20,2013 9
  • 10. Main featuresfor medical applications • Biofunctionality • Playing a specific function in physical and mechanical terms • Biocompatibility • Concept that refers to a set of properties that a material must have to be used • safely in a biological organism May20,2013 10
  • 11. Biocompatible material features • Absence of carcinogenicity (the ability or tendency to produce cancer) • Absence of immunogenicity (absence of a recognition of an external factor which could create rejection) • Absence of teratogenicity (ability to cause birth defects) • Absence of toxicity May20,2013 11
  • 12. Metals Composite Materials Ceramics Polymers BIOMATERIALS Orthopedic screws/fixation Dental Implants Dental Implants Heart valves Bone replacements Biosensors Implantable Microelectrodes Skin/cartilage Drug Delivery Devices Ocular implants May20,2013 12
  • 13. Materials for Use in the Body May20,2013 13
  • 14. Biomaterials involved in Human Body May20,2013 14
  • 15. Examples of Biomaterial Applications • Heart Valve • Dental Implants • Intraocular Lenses • Vascular Grafts • Hip Replacements May20,2013 15
  • 16. Intraocular Lenses • By age 75 more than 50% of population suffers from cataracts • Made of PMM, silicone elastomer, and other materials. • 1.4 million implantations in the United States yearly. • Good vision is generally restored almost immediately after lens is inserted. May20,2013 16
  • 17. Heart Valve • Fabricated from carbons, metals, elastomers, fabrics, and natural valves. • Must not React With Chemicals in Body. • Attached By Polyester Mesh. • Tissue Growth Facilitated By Polar Oxygen-Containing Groups. May20,2013 17
  • 18. Heart Valve • Almost as soon as valve implanted cardiac function is restored to near normal. • Bileaflet tilting disk heart valve used most widely. • More than 45,000 replacement valves implanted every year in the United States. May20,2013 18
  • 19. • Small titanium fixture that serves as the replacement for the root portion of a missing natural tooth. • Implant is placed in the bone of the upper or lower jaw and allowed to bond with the bone. • Most dental implants are: pure titanium screw-shaped cylinders that act as roots for crowns and bridges, or as supports for dentures. Dental Implants May20,2013 19 A titanium dental implant. (Photograph courtesy of Dr. A. Norman Cranin, Brookdale Hospital Medical Center, Brooklyn, NY.)
  • 20. Dental Implants • Capable of bonding to bone, a phenomenon known as "osseointegration”. • Bio-inert, there is no reaction in tissue and no rejection or allergic reactions. May20,2013 20
  • 21. Vascular Grafts • Must Be Flexible. • Designed With Open Porous Structure. • Often Recognized By Body As Foreign. • Achieve and maintain homeostasis. • Good structure retention. • Adequate burst strength. • High fatigue resistance. • Poly(ethylene terephthalate)—PET or Dacron • Good handling properties. • Biostable. May20,2013 21
  • 22. Hip-Replacements May20,2013 22 • Most Common Medical Practice Using Biomaterials. • Corrosion Resistant high-strength Metal Alloys. • Very High Molecular Weight Polymers. • Thermoset Plastics.
  • 23. Host Reactions to Biomaterials • Thrombosis • Hemolysis • Inflammation • Infection and Sterilization • Carcinogenesis • Hypersensitivity • Systemic Effects May20,2013 23
  • 24. What are some of the Challenges? • To more closely replicate complex tissue architecture and arrangement in vitro. • To better understand extracellular and intracellular modulators of cell function. • To develop novel materials and processing techniques that are compatible with biological interfaces. • To find better strategies for immune acceptance. May20,2013 24
  • 25. Biomaterials - An Emerging Industry • Next generation of medical implants and therapeutic modalities. • Interface of biotechnology and traditional engineering. • Significant industrial growth in the next 15 years -- potential of a multi-billion dollar industry. May20,2013 25
  • 26. Future Scope ( Surgical Robotics ) • Instead of manipulating surgical instruments, surgeons use their thumbs and fingers to move joystick handles on a control console to maneuver two robot arms containing miniature instruments that are inserted into ports in the patient. The surgeon’s movements transform large motions on the remote controls into micro-movements on the robot arms to greatly improve mechanical precision and safety. • A third robot arm holds a miniature camera, which is inserted through a small opening into the patient. The camera projects highly magnified 3-D images on a console to give a broad view of the interior surgical site. May20,2013 26
  • 27. Surgical Robotics May20,2013 27 • UCI Medical Center’s da Vinci Surgical System is currently approved for gall bladder, prostate, colorectal, gynecological, esophageal and gastric bypass procedures.
  • 28. References 1. Biomaterials Science: An Introduction to Materials in Medicine By Buddy D. Ratner, Allan S. Hoffman, Frederick J. Schoen, Jack E. Lemons 2. Biomaterials, Joyce Y. Wong, Boston University 3. Black, J. (1992) Biological Performance of Materials, 2nd ed. New York: M. Dekker, Inc. 4. Bruck, S.D. (1980) Properties of Biomaterials in the Physiological Environment. Boca Raton, FL: CRC Press. 5. Greco, R.S. (1994) Implantation Biology. Boca Raton, FL: CRC Press. 6. Hench, L.L. and Erthridge, E.C. (1982) Biomaterials —An Interfacial Approach, Vol. 4, A. Noordergraaf, Ed. New York: Academic Press. 7. von Recum, A.F. (1994) Biomaterials: educational goals. In: Annual Biomaterials Society Meeting. Boston, 8. Williams, D.F. and Roaf, R. (1973) Implants in Surgery. London:W.B. Saunders. May20,2013 28

Notas do Editor

  1. Problems:Degeneration of Tissue.Mechanical Failure.Postoperative infection.Induction of blood clots