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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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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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