Polymer-Interface-Tissue Model to Estimate Leachable Release from Medical Devices.

Martin L Tanaka, David M Saylor, Robert M Elder
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Abstract

The ability to predict clinically relevant exposure to potentially hazardous compounds that can leach from polymeric components can help reduce testing needed to evaluate the biocompatibility of medical devices. In this manuscript, we compare two physics-based exposure models: 1) a simple, one-component model that assumes the only barrier to leaching is the migration of the compound through the polymer matrix and 2) a more clinically relevant, two-component model that also considers partitioning across the polymer-tissue interface and migration in the tissue away from the interface. Using data from the literature, the variation of the model parameters with key material properties were established, enabling the models to be applied to a wide range of combinations of leachable compound, polymer matrix and tissue type. Exposure predictions based on the models suggest that the models are indistinguishable over much of the range of clinically relevant scenarios. However, for systems with low partitioning and/or slow tissue diffusion, the two-component model predicted up to three orders of magnitude less mass release over the same time period. Thus, despite the added complexity, in some scenarios it can be beneficial to use the two-component model to provide more clinically relevant estimates of exposure to leachable substances from implanted devices.

估算医疗器械可渗漏释放的聚合物-界面-组织模型。
如果能预测临床上可能接触到的从聚合物成分中渗出的潜在有害化合物,将有助于减少评估医疗设备生物相容性所需的测试。在本手稿中,我们比较了两种基于物理的暴露模型:1)简单的单组分模型,该模型假定沥滤的唯一障碍是化合物在聚合物基质中的迁移;2)更贴近临床的双组分模型,该模型还考虑了聚合物-组织界面的分区以及远离界面的组织中的迁移。利用文献中的数据,确定了模型参数与关键材料特性之间的关系,使模型能够应用于可浸出化合物、聚合物基质和组织类型的多种组合。根据模型进行的暴露预测表明,在大部分临床相关情况下,这些模型是没有区别的。不过,对于低分配和/或组织扩散慢的系统,双组分模型预测在相同时间段内的质量释放量要少三个数量级。因此,尽管增加了复杂性,但在某些情况下,使用双组分模型提供与临床更相关的植入设备可浸出物质暴露估计值是有益的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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