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TABLE OF CONTENTS

Volume 3, Issue 2, Fall 2003 “The New World of Medical Textiles”
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Preparation and Investigation of Antibacterial
Protein-based Surfaces

Tanya Abel, JaimeLee I. Cohen, Jasmine Escalera, Robert Engel, Maya Filshtinskaya, Russell Fincher, Alice Melkonianc and Karin Melkonian
Pace University, Queens College of C.U.N.Y., Long Island University, C.W. Post Campus

ABSTRACT

Surfaces bearing protein units (wool, silk) have been modified in a two step process to incorporate at the free side-chain hydroxyl group functionalities (lipophilic with polycationic units) that bear antibacterial activity. The approach has involved tosylation of the hydroxyl groups followed by displacement with a tertiary amine bearing cationic and lipophilic components. The effectiveness of these modified surfaces for antibacterial action against a series of Gram + and Gram - bacteria is reported. Structural factors maximizing the activity against all species tested have been studied and appropriate surfaces have been generated. Preparative procedures along with methods of investigation of the antimicrobial activity are included along with a discussion of mode of activity.

KEYWORDS: antibacterial, surfaces, antimicrobial

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The Potential for Improving Medical Textiles with
Cyclodextrin Inclusion Compounds

Alan E. Tonelli
Fiber & Polymer Science Program
NC State University, Campus Box 8301
Raleigh, NC 27695-8301
alan_tonelli@ncsu.edu


ABSTRACT

Cyclodextrins (CDs), 1,4 -a-linked cyclic starches containing 6 (a-CD), 7 (ß-CD), and 8 (?-CD) glucose units, are water soluble molecular bracelets, with hydrophobic interiors and hydrophilic exteriors. They are widely known for their ability to serve as hosts in the formation of both soluble and solid crystalline inclusion complexes (ICs) with a large variety of non-covalently included guest molecules. Recently we have demonstrated that a wide range of high molecular weight polymers, as well as small-molecule guests may be included in the host CD channels and cavities of their CD-ICs. These CD-IC crystals melt at high temperatures (~300º C) and effectively screen their included guests from environmental influences. For example, crystalline CD-ICs may even be formed with polymer and small-molecule guests that are liquids in their pure bulk states. In polymer-CD-ICs the CD bracelets pack to form parallel stacks with narrow continuous channels (~0.5-1.0 nm in diameter), where the included polymer guests reside in highly extended conformations and are segregated from neighboring included polymer chains. Coalescence of guest polymers from their CD-ICs, which can be accomplished with a solvent for CD that is a non-solvent for the guest polymer or by treatment with an amylase enzyme, results in their consolidation into bulk samples with morphologies that are uniquely different from those normally obtained by consolidation from their disorder-ed solutions and melts. As a consequence, we have found their crystallinities, miscibilities with other polymers and small-molecules, and the phase separation of their block copolymers can be controlled by coalescence from their CD-IC crystals. Here we offer an assessment of the potential for using polymer materials processed with CD-ICs as a means to improve medical textiles, including applications such as the controlled delivery of drugs and genes and for fabricating anti-bacterial sutures, wound dressings, and implants.

KEYWORDS: anti-bacterial sutures, wound dressings, implants

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Image Analysis for Testing and Evaluation of the Barrier Effect of Surgical Gowns

Dilibaier Aibibu, Beata Lehmann, Peter Offermann
Dresden University of Technology, Institute of Textile and Clothing Technology
D-01062 Dresden

ABSTRACT

Clothing is used for protection against particle loaded liquids in many working environments. An important field is the operating theatre, where surgical gowns need to serve as barriers between the infection source and clinical personnel as well as providing satisfactory wearing comfort. The micro-organisms, like bacteria and viruses, which are responsible for the transmission of disease are of various sizes and geometries. Comfort is important for the healthcare providers who often have to wear their surgical gown for several hours while doing strenuous work under hot lamps.
Principally, woven fabrics, laminates and nonwovens can be used. Membranes and coatings tend to impair the wearing comfort. Hydrophobic polyester woven fabrics are currently the only reusable material for surgical gowns which are able to fulfill these two contrary demands at the same time. They are used for short surgical operations with a small amount of liquid. Even though there are many different fabric structures on the market, until recently, their pore structure combined with their barrier performance have not been investigated at a basic level. This paper reports some of our ongoing research work and results on this topic.


KEYWORDS: surgical fabric, nonwovens, wovens, laminates

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The Relationship of Fabric Properties and Bacterial Filtration Efficiency for
Selected Surgical Face Masks

Karen K. Leonas, Ph.D. and Cindy R. Jones
Dawson Hall, University of Georgia
Athens, Georgia 30602

ABSTRACT

Surgical face masks are an important component of surgical apparel. The masks are expected to perform as barriers and provide increased protection to the patients and health care workers. In this study, the Bacterial Filtration Efficiency (BFE) of six commercially available surgical facemask's was determined for two microorganisms. Fabric characteristics (weight, thickness, pore size, and resistance to synthetic blood strike through) thought to influence the barrier effectiveness were measured and the relationship between these characteristics and BFE was examined. Two challenge microorganisms, Staphylococcus aureus and Escherichia coli were evaluated in this study. For five of the six masks evaluated, the BFE against the challenge microorganism S. aureus was higher than when the challenge microorganism was E. coli. The mask with the lowest mean pore size and lowest maximum pore size had the highest BFE for both microorganisms evaluated, indicating that a relationship exists between pore size and BFE.

KEYWORDS: surgical face masks, bacterial filtration efficiency, S. aureus, E. coli

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DESIGNING CARBON-POLYESTER BRAIDS FOR LIGAMENTS

Prasad Potluri*, William D Cooke, Alberto Lora Lamia and Edurdo Corral Ortega
Department of Textiles
University of Manchester Institute of Science & Technology,
PO Box: 88, Manchester M60 1QD, United Kingdom
*Prasad.Potluri@umist.ac.uk


ABSTRACT

Ligament prostheses are highly load-bearing structures that are subjected to both quasi-static and impact loading. They are expected to have a long service life without undergoing excessive creep. In addition, in vivo trials are very expensive and take a very long time. In view of this, numerical simulation techniques were developed in the present work to simulate the structural response of the ligaments. Non-linear load-deformation behaviour of a braided ligament was predicted based on the stress-strain relationships of constituent yarns of carbon and polyester. Tensile and transverse stresses were computed in order to establish failure criteria. A cyclic fatigue test scheme that maintains a desired load-amplitude is described. This test scheme does not need expensive servo-hydraulics and hence can be used to test a large number of samples simultaneously to expedite a product development cycle.

KEYWORDS: ligaments, anterior cruciate ligament, braid, carbon fiber, polyester

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NEW TRENDS IN BIOTEXTILES – THE CHALLENGE OF TISSUE ENGINEERING

Ruwan D. Sumanasinghe1 and Martin W. King1,2
1College of Textiles, North Carolina State University, Raleigh, NC 27695-8301, USA,
Tel : (919) 515-6633, Fax : (919) 515-3733, E-mail : rdsumana@unity.ncsu.edu
2 Institut des biomatériaux du Québec, Université Laval, CHUQ, Hôpital Saint-François
d’Assise, 10 rue de l’Espinay, Québec, QC, G1L 3L5, Canada,

ABSTRACT

So you think that the Bionic Woman and the Six Million Dollar Man were simply science fiction stories? Think again! Rapid advances in the biological sciences and nanotechnology are becoming fused together to create the field of tissue engineering which is developing biological substitutes for the repair and regeneration of tissues and organs. This paper presents an overview of the latest concepts used in the field of tissue engineering and highlights those aspects of this multidisciplinary endeavor where polymer chemistry, fiber science and textile technology and engineering can make a significant contribution in the future design and development of novel biotextile scaffolds.

KEYWORDS: biotextiles, biological sciences, nanotechnology, tissue engineering, scaffolds, resorbable polymers, cell culture, bioreactor, in vivo, in vitro, cell signalling, gene therapy, nanofabrication

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Medical Textiles and Skin Equivalents

by D. Höfer, M. Swerev
Hohenstein Institutes, Schloss Hohenstein, D – 74357 Boennigheim/Germany

ABSTRACT

In recent years the cooperation between physicians, surgeons, microbiologists, physiologists and textile scientists has produced a multitude of innovative applications for textiles, especially in the medical field. The results are promising textile-based solutions for the health service, so called medical textiles. This article tries to cover some future aspects of medical textiles as well as how to improve the performance of these upcoming fabrics.

KEYWORDS: innovative applications, textile-based health services

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The Future of Medical Textiles: High-tech for the Well-being of the Patient

by D. Höfer, M. Swerev
Hohenstein Institutes, Schloss Hohenstein, D – 74357 Boennigheim/Germany

ABSTRACT

The cooperation of physicians, surgeons, microbiologists, physiologists and textile scientists at the Hohenstein Institutes has produced, over recent years, a multitude of innovative applications for textiles. Since June 2001, the Competence Centre on Medical Textiles, headed by Dr. Dirk Höfer, has addressed issues in this promising field of textile-based solutions for the health service, thus taking even more advantage of the synergetic effects possible at the Hohenstein Institutes.

The background to this research work is the increasing life expectancy of the European population as well as the challenges resulting from this development. In order to achieve practical solutions in a limited time frame, the medical sector will have to cope with the problems arising from the introduction of new technologies.

KEYWORDS: innovative applications, textile health services

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