Contributors ................................................. xiii
Preface ....................................................... xxi
How to Use this Book ........................................ xxiii
Biomaterials Science: An Evolving, Multidisciplinary
Endeavor ...................................................... xxv
Buddy D. Ratner, Allan S. Hoffman, Frederick J. Schoen,
and Jack E. Lemons
History of Biomaterials ....................................... xli
Buddy D. Ratner
PART ONE Materials Science and Engineering
SECTION 1.1 Properties of Materials
I.1.1 Introduction: Properties of Materials: The Palette
of the Biomaterials Engineer ............................ 5
Jack E. Lemons
I.1.2 The Nature of Matter and Materials ...................... 6
Buddy D. Ratner
I.1.3 Bulk Properties of Materials ............................ 9
Christopher Viney
I.1.4 Finite Element Analysis in Biomechanics ................ 21
Michael Sacks, Antonio D'Amore, and Christopher Hobson
I.1.5 Surface Properties and Surface Characterization of
Biomaterials ........................................... 34
Buddy D. Ratner
I.1.6 Role of Water in Biomaterials .......................... 55
Buddy D. Ratner
SECTION 1.2 Classes of Materials used in Medicine
I.2.1 Introduction: The Diversity and Versatility of
Biomaterials ........................................... 63
Allan S. Hoffman
I.2.2 Polymers: Basic Principles ............................. 64
Daniel E. Heath and Stuart L. Cooper
A. Polyurethanes ....................................... 79
Daniel E. Heath and Stuart L. Cooper
B. Silicones ........................................... 82
André Colas and Jim Curtis
C. Fluorinated Biomaterials ............................ 92
Fang Liu and David W. Grainger
D. Acrylics ........................................... 103
Joe Antonucci and Sabine Dickens
I.2.3 Metals: Basic Principles .............................. 111
John B. Brunski
A. Titanium and Nitinol (NiTi) ........................ 120
Abhay Pandit, Josep Planeil, and Melba Navarro
B. Stainless Steels ................................... 124
Phillip J. Andersen
I.2.4 Ceramics, Glasses, and Glass-Ceramics: Basic
Principles ............................................ 128
Larry L. Hench and Serena M. Best
A. Natural and Synthetic Hydroxyapatites .............. 151
Adele L. Boskey
B. Alumina ............................................ 162
Ketul С Popat and Tejal A. Desai
I.2.5 Hydrogels ............................................. 166
Nicholas A. Peppas and Allan S. Hoffman
I.2.6 Degradable and Resorbable Biomaterials ................ 179
Matthew Treiser, Sascha Abramson, Robert Langer, and
Joachim Kohn
I.2.7 Engineered Natural Materials .......................... 195
Glenn D. Prestwich and Sarah Atzet
I.2.8 Pyrolytic Carbon For Long-Term Medical Implants ....... 209
Robert B. More, Axel D. Haubold, and Jack С. Bokros
I.2.9 Composites ............................................ 223
Claudio Migliaresi
I.2.10 Non-fouling Surfaces .................................. 241
Buddy D. Ratner and Allan S. Hoffman
I.2.11 Applications of "Smart Polymers" as Biomaterials ...... 247
Allan S. Hoffman
I.2.12 Physicochemical Surface Modification of Materials
Used in Medicine ...................................... 259
Buddy D. Ratner and Allan S. Hoffman
I.2.13 Surface Patterning .................................... 276
Ryan T. Hill and Ashutosh Chilkoti
I.2.14 Medical Fibers and Biotextiles ........................ 301
Martin W. King and Sangwon Chung
I.2.15 Textured and Porous Materials ......................... 321
Heidi E. Koschwanez and William M. Reichert
I.2.16 Electrospinning Fundamentals and Applications ......... 332
Robert Akins and John Rabolt
I.2.17 Surface-Immobilized Biomolecules ...................... 339
Allan S. Hoffman and Jeffrey A. Hubbell
I.2.18 Biomimetic Materials .................................. 349
Drew Elizabeth Glaser and Christopher Viney
I.2.19 Microparticles and Nanoparticles ...................... 360
Shalu Suri, Gang Ruan, Jessica Winter, Christine
E. Schmidt
PART TWO Biology and Medicine
SECTION II.1 Some Background Concepts
II.1.1 Introduction: Biology and Medicine - Key Concepts in
the Use of Biomaterials in Surgery and Medical
Devices ............................................... 393
Buddy D. Ratner
II.1.2 Adsorbed Proteins on Biomaterials ..................... 394
Thomas A. Horbett
II.1.3 Cells and Surfaces in vitro ........................... 408
S. Adam Hacking and Ali Khademhosseini
II.1.4 Cell Function and Response to Injury .................. 427
Richard N. Mitchell and Frederick J. Schoen
II.1.5 Tissues, the Extracellular Matrix, and
Cell-Biomaterial Interactions ......................... 452
Frederick J. Schoen and Richard N. Mitchell
II.1.6 Effects of Mechanical Forces on Cells and Tissues
(The Liquid-Cell Interface) ........................... 474
Daniel E. Conway, Suzanne G. Eskin, and Larry
V. Mclntire
II.1.7 Stem Cells: Key Concepts .............................. 487
Richard L. Carpenedo and Todd C. McDevitt
SECTION II.2 Host Reaction to Biomaterials and Their
Evaluation
II.2.1 Introduction: Biological Responses to Biomaterials .... 499
Frederick J. Schoen
II.2.2 Inflammation, Wound Healing, and the Foreign-Body
Response .............................................. 503
James M. Anderson
II.2.3 Innate and Adaptive Immunity: The Immune Response to
Foreign Materials ..................................... 512
Richard N. Mitchell
II.2.4 The Complement System ................................. 533
Richard J. Johnson
II.2.5 Systemic Toxicity and Hypersensitivity ................ 545
Arne Hensten and Nils Jacobsen
II.2.6 Blood Coagulation and Blood-Materials Interactions .... 551
Stephen R. Hanson and Erik I. Tucker
II.2.7 Tumors Associated with Biomaterials and Implants ...... 558
Frederick J. Schoen
II.2.8 Biofilms, Biomaterials, and Device-Related
Infections ............................................ 565
Paul Stoodley, Luanne Hall-Stoodley, Bill Costerton,
Patrick DeMeo, Mark Shirtliff, Ellen Gawalt, and
Sandeep Kathju
SECTION II.3 Biological Testing of Biomaterials
II.3.1 How Well Will It Work? Introduction to Testing
Biomaterials .......................................... 587
Buddy D. Ratner
II.3.2 The Concept and Assessment of Biocompatibility ........ 588
Buddy D. Ratner and Frederick J. Schoen
II.3.3 In Vitro Assessment of Cell and Tissue
Compatibility ......................................... 593
Michael F. Wolf, Kelly P. Coleman, and Gregory
M. Lewerenz
II.3.4 In Vivo Assessment of Tissue Compatibility ............ 609
James M. Anderson and Frederick J. Schoen
II.3.5 Evaluation of Blood-Materials Interactions ............ 617
Buddy D. Ratner and Thomas A. Horbett
II.3.6 Animal Surgery and Care of Animals .................... 635
David Lee-Parritz
II.3.7 Large Animal Models in Cardiac and Vascular
Biomaterials Research and Assessment .................. 653
Richard W. Bianco, Karen R. Wasiluk, Jessica
M. Voight, Matthew T. Lahti, Andrew L. Rivard, and
Robert P. Gallegos
II.3.8 Microscopy for Biomaterials Science ................... 677
Kip D. Hauch and Buddy D. Ratner
SECTION II.4 Degradation of Materials in the Biological
Environment
II.4.1 Introduction: The Body Fights Back - Degradation of
Materials in the Biological Environment ............... 695
Buddy D. Ratner
II.4.2 Chemical and Biochemical Degradation of Polymers
Intended to be Biostable .............................. 696
Arthur J. Coury
II.4.3 The Biodegradation of Biodegradable Polymeric
Biomaterials .......................................... 716
Chien-Chi Lin and Kristi S. Anseth
II.4.4 Degradative Effects of the Biological Environment on
Metals and Ceramics ................................... 728
David F. Williams and Rachel L. Williams
II.4.5 Pathological Calcification of Biomaterials ............ 739
Frederick J. Schoen and Robert J. Levy
SECTION II.5 Applications of Biomaterials
II.5.1 Introduction: Applications of Biomaterials ............ 757
Frederick J. Schoen and Jack E. Lemons
II.5.2 Nonthrombogenic Materials and Strategies: Case
Study ................................................. 758
Michael V. Sefton
II.5.3 Introduction to Cardiovascular Medical Devices ........ 760
Frederick J. Schoen
A. Substitute Heart Valves ............................ 761
Frederick J. Schoen and Robert F. Padera, Jr.
B. Endovascular Stents, Vascular Grafts, and Stent
Grafts ............................................. 771
Frederick J. Schoen and Robert F. Padera, Jr.
C. Other Cardiovascular Devices ....................... 784
Robert F. Padera, Jr. and Frederick J. Schoen
D. Implantable Cardiac Assist Devices and lABPs ....... 799
Marc A. Simon, Harvey S. Borovetz, William
R. Wagner
II.5.4 Artificial Cells ...................................... 811
Thomas Ming Swi Chang
II.5.5 Extracorporeal Artificial Organs ...................... 827
Alastair Campbell Ritchie
II.5.6 Orthopedic Applications ............................... 841
Nadim James Hallab and Joshua James Jacobs
II.5.7 Dental Implantation ................................... 882
Jack E. Lemons and Carl E. Misch
II.5.8 Adhesives and Sealants ................................ 889
David Christopher Watts
II.5.9 Ophthalmologic Applications: Introduction ............. 905
Roger Steinen and Rakhi Jain
A. Biomaterials: Contact Lenses ....................... 909
Jean Jacob
B. Intraocular Lens Implants: A Scientific
Perspective ........................................ 917
Anil S. Patel
C. Corneal Inlays and Onlays .......................... 930
Crystal Cunanan
D. Ophthalmologic Applications: Glaucoma Drains and
Implants ........................................... 940
Crystal Cunanan
E. The Development of a Retinal Prosthesis:
A Significant Biomaterials Challenge ............... 946
Mark S. Humayun, Adrian P. Rowley, John
J. Whalen III, James D. Weiland, and Armand R.
Tanguay, Jr.
II.5.10 Bioelectrodes ......................................... 957
Ramakrishna Venugopalan and Ray Ideker
II.5.11 Cochlear Prostheses ................................... 967
Francis A. Spelman
II.5.12 The Role of Biomaterials in Stimulating
Bioelectrodes ......................................... 981
P. Hunter Peckham, D. Michael Ackermann, Jr., and
Christa W. Moss
II.5.13 Medical Biosensors .................................... 996
Lisa LaFleur and Paul Yager
II.5.14 Burn Dressings and Skin Substitutes .................. 1006
Douglas L. Helm, Britlyn D. Orgill, Rei Ogawa, and
Dennis P. Orgill
II.5.15 Sutures .............................................. 1010
M. Scott Taylor and Shalaby W. Shalaby
II.5.16 Drug Delivery Systems ................................ 1024
Allan S. Hoffman, Editor
A. Introduction ...................................... 1024
Allan S. Hoffman
B. Injected Nanocarriers ............................. 1027
Allan S. Hoffman, Wayne R. Gombotz, and Suzie
H. Pun, Editors
B.1. Introduction ................................. 1027
Allan S. Hoffman
B.2. PEGylation of Drugs and Nanocarriers ......... 1028
Allan S. Hoffman and Suzie H. Pun
B.3. Targeting .................................... 1028
Patricks. Stayton, Bilal Ghosn, and John
T. Wilson
B.4. Polymer-Drug Conjugates ...................... 1036
Suzie H. Pun and Allan S. Hoffman
B.5. Liposomes .................................... 1039
Wayne R. Gombotz
B.6. Polymeric Micelles ........................... 1041
Wayne R. Gombotz and Allan S. Hoffman
B.7. Dendrimers ................................... 1045
Wayne R. Gombotz
B.8. Nucleic Acid Delivery ........................ 1047
Suzie H. Pun and Allan S. Hoffman
B.9. Polymeric and Albuminated Drug
Nanoparticles ................................ 1054
Wayne R. Gombotz
C. Injected Depot DDS ................................ 1055
Wayne R. Gombotz and Allan S. Hoffman
D. Implants and Inserts .............................. 1062
Lothar W. Kleiner and Jeremy С. Wright
E. Smart DDS ......................................... 1071
Allan S. Hoffman
F. Transdermal DDS ................................... 1073
Gary Cleary
G. Oral Drug Delivery ................................ 1083
Clive G. Wilson
II.5.17 Diagnostic Applications of Biomaterials .............. 1087
Gonzalo Domingo, Kenneth R. Hawkins, Roger B. Peck,
and Bernhard H. Weigl
II.5.18 Medical Applications of Silicones .................... 1106
Jim Curtis and André Colas
SECTION II.6 Applications of Biomaterials in Functional
Tissue Engineering
II.6.1 Introduction: Rebuilding Humans using Biology and
Biomaterials ......................................... 1119
Frederick J. Schoen
II.6.2 Overview of Tissue Engineering Concepts and
Applications ......................................... 1122
Debanjan Sarkar, Weian Zhao, Sebastian Schaefer,
James A. Ankrum, Grace S.L. Teo, Maria Nunes
Pereira, Lino Ferreira, and Jeffrey M. Karp
II.6.3 Tissue Engineering Scaffolds ......................... 1138
Milind Singh, F. Kurtis Kasper, and Antonios
G. Mikos
II.6.4 Cell Sources for Tissue Engineering: Mesenchymal
Stem Cells ........................................... 1159
Arnold I. Caplan
II.6.5 Micromechanical Design Criteria for Tissue
Engineering Biomaterials ............................. 1165
Kaustabh Ghosh, Charles K. Thodeti and Donald
E. Ingber
II.6.6 Bioreactors for Tissue Engineering ................... 1178
Nina Tandon, Elisa Cimetta, Sarindr Bhumiratana,
Amandine Godier-Furnemont, Robert Maidhof, and
Gordana Vunjak-Novakovic
II.6.7 Bone Tissue Engineering .............................. 1194
Justin L. Brown, Sangamesh G. Kumbar, and Cato
T. Laurencin
II.6.8 Cartilage and Ligament Tissue Engineering:
Biomaterials, Cellular Interactions, and
Regenerative Strategies .............................. 1214
Catherine K. Kuo, Wan-Ju Li, and Rocky S. Tuan
II.6.9 Blood Vessel Tissue Engineering ...................... 1237
Stacey С. Schutte and Robert M. Nerem
II.6.10 Heart Valve Tissue Engineering ....................... 1246
Frederick J. Schoen and Simon P. Hoerstrup
II.6.11 Cardiac Muscle Tissue Engineering .................... 1262
Amandine Godier-Furnemont and Gordana Vunjak-
Novakovic
II.6.12 Tissue-engineered Skin Substitutes ................... 1276
J.N. Mansbridge
II.6.13 Esophageal and Gastrointestinal Tissue Engineering ... 1288
Buddy D. Ratner
II.6.14 Neuronal Tissue Engineering .......................... 1291
Ravi V. Bellamkonda, Isaac P. Clements, and
Jennifer M. Munson
II.6.15 Immunoisolation ...................................... 1306
Roshni S. Rainbow and Michael J. Lysaght
II.6.16 Tissue Engineering with Decellularized Tissues ....... 1316
Stephen F. Badylak, Bryan N. Brown, and Thomas
W. Gilbert
PART THREE Practical Aspects of Biomaterials
SECTION III.1 Implants, Devices, and Biomaterials:
Special Considerations
III.1.1 Introduction: Implants, Devices, and Biomaterials:
Special Considerations ............................... 1337
Frederick J. Schoen
III.1.2 Sterilization of Implants and Devices ................ 1339
Byron Lambert and Jeffrey Martin
III.1.3 Correlation, Materials Properties, Statistics and
Biomaterials Science ................................. 1354
Buddy D. Ratner
III.1.4 Device Failure Mode Analysis ......................... 1361
Frederick J. Schoen and Allan S. Hoffman
III.1.5 Implant Retrieval and Evaluation ..................... 1368
James M. Anderson, Frederick J. Schoen, Stanley
A. Brown, and Katharine Merrit
SECTION III.2 Voluntary Standards, Regulatory Compliance,
and Non-Technical Issues
III.2.1 Introduction: Voluntary Standards, Regulatory
Compliance, and Other Non-technical Issues ........... 1387
Frederick J. Schoen and Jack E. Lemons
III.2.2 Commercialization: What it Takes to get a Product
to Market ............................................ 1389
Joshua Tolkoff and Richard Anders
III.2.3 Voluntary Consensus Standards ........................ 1399
Jack E. Lemons
III.2.4 Regulatory Overview for Medical Products using
Biomaterials ......................................... 1405
Elaine Duncan
III.2.5 Principles of Reimbursement for Medical Devices ...... 1413
Fred Cahn
III.2.6 Corporate Considerations on Biomaterials and
Medical Devices: Case Studies in Regulation and
Reimbursement ........................................ 1418
Gail D. Baura
III.2.7 Ethical Issues in Biomaterials and Medical Devices ... 1425
Taufiek Rajab, Andrew L. Rivard, Karen R. Wasiluk,
Robert P. Gallegos, and Richard W. Bianco
III.2.8 Legal Aspects of Biomaterials ........................ 1431
Jay P. Mayesh and Angela R. Vicari
III.2.9 Clinical Trials for Medical Devices .................. 1443
Gary L. Grunkemeier, Ruyun Jin, Lian Wang, and
Albert Starr
III.2.10 Entrepreneurship in Biomaterials .................... 1459
Robert Langer, Jason Fuller, and Mark Levin
III.2.11 Postmarket Considerations in Biomaterials and
Medical Devices ...................................... 1472
David W. Feigal, Jr.
Appendices
Appendix A: Properties of Biological Fluids .................. 1479
Steven M. Slack
Appendix B: Properties of Soft Materials ..................... 1483
M. Cristina L. Martins
Appendix C: Chemical Compositions of Metals Used for
Implants ......................................... 1485
Jack E. Lemons
Appendix D: The Biomaterials Literature ...................... 1486
Buddy D. Ratner
Index ........................................................ 1489
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