Skip to main content Accessibility help
×
Hostname: page-component-586b7cd67f-r5fsc Total loading time: 0 Render date: 2024-11-24T00:33:25.761Z Has data issue: false hasContentIssue false
This chapter is part of a book that is no longer available to purchase from Cambridge Core

15 - Biomaterials and Artificial Organs

from PART 3 - BIOMEDICAL ENGINEERING

W. Mark Saltzman
Affiliation:
Yale University, Connecticut
Get access

Summary

LEARNING OBJECTIVES

After reading this chapter, you should:

  • Understand the various types of biomaterials that are available and their common uses.

  • Understand coagulation response to biomaterials in contact with blood and the foreign body response (FBR) to implanted biomaterials.

  • Understand the importance of hemodialysis in the treatment of kidney disease and the materials and methods that are used to achieve hemodialysis.

  • Describe, in quantitative terms, the efficiency of hemodialysis, as well as the changes in blood and dialysate composition that occur during hemodialysis.

  • Understand the functions of membrane oxygenators and their role in open heart surgery.

  • Learn about the range of medical devices—from artificial hearts and valves to drug-eluting stents—that are now used to treat heart disease.

  • Understand the principles of biohybrid organs, which are similar to those used for tissue engineering, but usually applied for the creation of devices that treat blood outside the body.

Prelude

The search for artificial replacements for failing human organs is long and filled with great successes. Today, hemodialysis is routinely used to replace kidney function, artificial hip prostheses allow millions of people to walk, and artificial lenses provide cataract sufferers with clear vision. There are many disappointments as well; despite decades of serious effort, there is still no proven artificial heart, liver, or pancreas.

This chapter describes the success of several artificial organs, including hemodialysis for treating kidney failure and artificial hips. It also describes the efforts to build artificial hearts, livers, and pancreases, and the challenges that remain for these artificial organs.

Type
Chapter
Information
Biomedical Engineering
Bridging Medicine and Technology
, pp. 537 - 571
Publisher: Cambridge University Press
Print publication year: 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Williams, DF. Definitions in biomaterials. In: Progress in Biomedical Engineering. Amsterdam: Elsevier; 1987:72.Google Scholar
Williams, DF. Definitions in biomaterials. In: Proceedings of a Consensus Conference of the European Society of Biomaterials. New York: Elsevier; 1987.Google Scholar
Kellar, RS, Kleinert, LB, Williams, SK. Characterization of angiogenesis and inflammation surrounding ePTFE implanted on the epicardium. J Biomed Mater Res. 2002;61:226–233.CrossRefGoogle ScholarPubMed
Ratner, BD, Bryant, SJ. Biomaterials: Where we have been and where we are going. Annu Rev Biomed Eng. 2004;6:41–75.CrossRefGoogle ScholarPubMed
Schoen, FJ, Padera, RF. Cardiac surgical pathology. In: Cohn, LH, Edmunds, LHJ, eds. Cardiac Surgery in the Adult. New York: McGraw-Hill; 2003:119–185.Google Scholar
Maisel, WH, Moynahan, M, Zuckerman, BD, Gross, TP, Tovar, OH, Tillman, DB, et al. Pacemaker and ICD generator malfunctions: Analysis of Food and Drug Administration annual reports. JAMA. 2006;295(16):1901–1906.CrossRefGoogle ScholarPubMed
Lanza, RP, Hayes, JL, Chick, WL. Encapsulated cell technology. Nat Biotechnol. 1996;14:1107–1111.CrossRefGoogle ScholarPubMed
Sullivan, SJ, Maki, T, Borland, KM, Mahoney, MD, Solomon, BA, Muller, TE, et al. Biohybrid artificial pancreas: Long-term implantation studies in diabetic, pancreatectomized dogs. Science. 1991;252:718–721.CrossRefGoogle ScholarPubMed
Munoz, SJ. Difficult management problems in fulminant hepatic failure. Semin Liver Dis. 1993;13(4):395–413.CrossRefGoogle ScholarPubMed
Robertson, RP. Islet transplantation as a treatment for diabetes—A work in progress. N Engl J Med. 2004;350:694–705.CrossRefGoogle ScholarPubMed
Demetriou, AA, Whiting, JF, Feldman, D, Levenson, SM, Chowdhury, NR, Moscioni, AD, et al. Replacement of liver function in rats by transplantation of microcarrier-attached hepatocytes. Science. 1986;23:1190–1192.CrossRefGoogle Scholar
Sussman, NL, Chong, MG, Koussayer, T, He, , Shang, TA, Whisennand, HH, et al. Reversal of fulminant hepatic failure using an extracorporeal liver assist device. Hepatology. 1992;16:60–65.CrossRefGoogle ScholarPubMed
Rozga, J, Podesta, L, LePage, E, Morsiani, E, Moscioni, AD, Hoffman, A, et al. A bioartificial liver to treat severe acute liver failure. Ann Surg. 1994;219:538–546.CrossRefGoogle ScholarPubMed
Cooney, . Biomedical Engineering Principles: An Introduction to Fluid, Heat and Mass Transport Processes. New York: Marcel Dekker; 1976.Google Scholar
Saltzman, WM. Tissue Engineering: Engineering Principles for the Design of Replacement Organs and Tissues. New York: Oxford University Press; 2004.Google Scholar
Peppas, NA, Langer, R. New challenges in biomaterials. Science. 1994;263:1715–1720.CrossRefGoogle ScholarPubMed
Marchant, RE, Wang, I. Physical and chemical aspects of biomaterials used in humans. In: Greco, RS, ed. Implantation Biology. Boca Raton, FL: CRC Press; 1994:13–53.Google Scholar
Staiger, MP, Pietak, AM, Huadmai, J, Dias, G. Magnesium and its alloys as orthopedic biomaterials: a review. Biomaterials. 2006;27(9):1728–1734.CrossRefGoogle ScholarPubMed
Pastan, S, Bailey, J. Medical progress: Dialysis therapy. N Engl J Med. 1998;338:1428–1437.CrossRefGoogle Scholar
Shapiro, AM, Lakey, JR, Ryan, EA, Korbutt, GS, Toth, E, Warnock, GL, et al. Islet transplantation in seven patients with type 1 diabetes mellitus using a glucocorticoid-free immunosuppressive regimen. N Engl J Med. 2000;343:230–238.CrossRefGoogle ScholarPubMed
DeBakey, ME. Development of mechanical heart devices. Ann Thorac Surg. 2005;79(6):S2228–S2231.CrossRefGoogle ScholarPubMed
Galletti, PM, Colton, CK. Artificial lungs and blood-gas exchange devices. In: Bronzino, J, ed. Tissue Engineering and Artificial Organs. Boca Raton, FL: CRC Press; 2006:1–19.Google Scholar
Gravelee, GP, Davis, RF, Kurusz, M, Utley, JR. Cardiopulmonary Bypass: Principles and Practice. 2nd ed. Philadelphia: Lippincott Williams & Wilkins; 2000.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×