• Ei tuloksia

Textiles for tendon and ligament applications

6 Textiles for biomedical applications

6.2 Textile structures for biomedical applications

6.2.5 Textiles for tendon and ligament applications

Karamuk et al. manufactured

the structure seeded with tenocytes was exposed direction to

and spread, the surface was 95 % covered with viable cells, between the filaments. (Karamuk et al. 2004)

Figure 27

stimulation of tenocytes

microscopy). Arrow indicates the stretching direction. (Karamuk et al. 2004) In addition

usually fabricated of polytetrafluoroethylene polyethylene or silk.

and elastic,

ligaments (especially for anterior cruciate ligament, ACL) are often braided structures made of polyester or a composite of polyester and carbon fibres. They are suitable for their high mech

and Anand, 2000, p. 407 6.2.6 Textiles for v

Vascular grafts on the market are fabricated multifilament yarn via

biocompatible

of unravelling of the structure

applications are aneurysms, intima hyp

concerns also transplants. (Yokota et al. 2008)

commercially available for blood vessel applications, e.g. to replace obstructed or weakened part of a blood vessel.

(GoreMedical)

prostheses coated with e.g. heparin to prevent clotting (GORE endoprosthesis with PROPATEN bioactive surface).

extiles for t

Karamuk et al. manufactured

the structure seeded with tenocytes was exposed direction to warp and weft

and spread, the surface was 95 % covered with viable cells, between the filaments. (Karamuk et al. 2004)

27 a) A schematic picture ulation of tenocytes

microscopy). Arrow indicates the stretching direction. (Karamuk et al. 2004) In addition to woven structure,

usually fabricated of polytetrafluoroethylene polyethylene or silk.

and elastic, and thus

ligaments (especially for anterior cruciate ligament, ACL) are often braided structures made of polyester or a composite of polyester and carbon fibres. They are suitable for

high mechanical properties due to their and Anand, 2000, p. 407

Textiles for v

ar grafts on the market are fabricated multifilament yarn via

biocompatible and hemocompatible. W unravelling of the structure

applications are aneurysms, intima hyp

concerns also transplants. (Yokota et al. 2008)

commercially available for blood vessel applications, e.g. to replace obstructed or weakened part of a blood vessel.

(GoreMedical) or VascuGraft

prostheses coated with e.g. heparin to prevent clotting (GORE endoprosthesis with PROPATEN bioactive surface).

extiles for tendon and ligament Karamuk et al. manufactured woven

the structure seeded with tenocytes was exposed warp and weft (Figure 27

and spread, the surface was 95 % covered with viable cells, between the filaments. (Karamuk et al. 2004)

A schematic picture

ulation of tenocytes. b) Vital/avital composite 6 days after cell seeding (light microscopy). Arrow indicates the stretching direction. (Karamuk et al. 2004)

woven structure,

usually fabricated of polytetrafluoroethylene polyethylene or silk. Due to the braiding

and thus suitable for artificial tendons. Artificial replacements for knee ligaments (especially for anterior cruciate ligament, ACL) are often braided structures made of polyester or a composite of polyester and carbon fibres. They are suitable for

anical properties due to their and Anand, 2000, p. 407-424)

Textiles for vascular

ar grafts on the market are fabricated multifilament yarn via weaving or

and hemocompatible. W

unravelling of the structure. (Doser and Planck, 2011) applications are aneurysms, intima hyp

concerns also transplants. (Yokota et al. 2008)

commercially available for blood vessel applications, e.g. to replace obstructed or weakened part of a blood vessel.

or VascuGraft®

prostheses coated with e.g. heparin to prevent clotting (GORE endoprosthesis with PROPATEN bioactive surface).

endon and ligament

woven scaffolds ( the structure seeded with tenocytes was exposed

Figure 27a). The

and spread, the surface was 95 % covered with viable cells, between the filaments. (Karamuk et al. 2004)

A schematic picture of the woven PET scaffold used for mechanical b) Vital/avital composite 6 days after cell seeding (light microscopy). Arrow indicates the stretching direction. (Karamuk et al. 2004)

woven structure, braided usually fabricated of polytetrafluoroethylene

the braiding technique the structures are

suitable for artificial tendons. Artificial replacements for knee ligaments (especially for anterior cruciate ligament, ACL) are often braided structures made of polyester or a composite of polyester and carbon fibres. They are suitable for

anical properties due to their

ascular applications ar grafts on the market are fabricated

weaving or warp

and hemocompatible. Weft knitting is no longer used because of the risk . (Doser and Planck, 2011)

applications are aneurysms, intima hyperplacia and possible thrombs and embolia. That concerns also transplants. (Yokota et al. 2008)

commercially available for blood vessel applications, e.g. to replace obstructed or weakened part of a blood vessel. For instance,

® PTFE (B. Brown). In addition, there are PTFE prostheses coated with e.g. heparin to prevent clotting (GORE

endoprosthesis with PROPATEN bioactive surface).

endon and ligament applications scaffolds (Figure 27

the structure seeded with tenocytes was exposed to cyclic mechanical sti . The fabric was suitable for the cells and spread, the surface was 95 % covered with viable cells,

between the filaments. (Karamuk et al. 2004)

of the woven PET scaffold used for mechanical ital/avital composite 6 days after cell seeding (light microscopy). Arrow indicates the stretching direction. (Karamuk et al. 2004)

braided structures usually fabricated of polytetrafluoroethylene (PTFE

technique the structures are

suitable for artificial tendons. Artificial replacements for knee ligaments (especially for anterior cruciate ligament, ACL) are often braided structures made of polyester or a composite of polyester and carbon fibres. They are suitable for

anical properties due to their creep resistance in

applications

ar grafts on the market are fabricated of polyester (e.g. Dacron

warp knitting, since both of the materials are eft knitting is no longer used because of the risk . (Doser and Planck, 2011)

erplacia and possible thrombs and embolia. That concerns also transplants. (Yokota et al. 2008)

commercially available for blood vessel applications, e.g. to replace obstructed or For instance, Gore

PTFE (B. Brown). In addition, there are PTFE prostheses coated with e.g. heparin to prevent clotting (GORE

endoprosthesis with PROPATEN bioactive surface).

applications Figure 27b) of PET

to cyclic mechanical sti fabric was suitable for the cells and spread, the surface was 95 % covered with viable cells,

of the woven PET scaffold used for mechanical ital/avital composite 6 days after cell seeding (light microscopy). Arrow indicates the stretching direction. (Karamuk et al. 2004)

structures can be used in tendon repair, PTFE), polyester, polyamide, technique the structures are

suitable for artificial tendons. Artificial replacements for knee ligaments (especially for anterior cruciate ligament, ACL) are often braided structures made of polyester or a composite of polyester and carbon fibres. They are suitable for resistance in cyclic loading. (Rigby

of polyester (e.g. Dacron

knitting, since both of the materials are eft knitting is no longer used because of the risk . (Doser and Planck, 2011) The challenges in vascular erplacia and possible thrombs and embolia. That

There are already

commercially available for blood vessel applications, e.g. to replace obstructed or Gore-Tex® Stretch Vascular Graft PTFE (B. Brown). In addition, there are PTFE prostheses coated with e.g. heparin to prevent clotting (GORE

PET monofilaments to cyclic mechanical stimulation in 45°

fabric was suitable for the cells

and spread, the surface was 95 % covered with viable cells, as were the openings

of the woven PET scaffold used for mechanical ital/avital composite 6 days after cell seeding (light microscopy). Arrow indicates the stretching direction. (Karamuk et al. 2004)

can be used in tendon repair, , polyester, polyamide, technique the structures are naturally tubular suitable for artificial tendons. Artificial replacements for knee ligaments (especially for anterior cruciate ligament, ACL) are often braided structures made of polyester or a composite of polyester and carbon fibres. They are suitable for cyclic loading. (Rigby

of polyester (e.g. Dacron®

knitting, since both of the materials are eft knitting is no longer used because of the risk

The challenges in vascular erplacia and possible thrombs and embolia. That

There are already

commercially available for blood vessel applications, e.g. to replace obstructed or Stretch Vascular Graft PTFE (B. Brown). In addition, there are PTFE prostheses coated with e.g. heparin to prevent clotting (GORE®VIABAHN

43

monofilaments and mulation in 45°

fabric was suitable for the cells to adhere the openings

of the woven PET scaffold used for mechanical ital/avital composite 6 days after cell seeding (light can be used in tendon repair, , polyester, polyamide,

naturally tubular suitable for artificial tendons. Artificial replacements for knee ligaments (especially for anterior cruciate ligament, ACL) are often braided structures made of polyester or a composite of polyester and carbon fibres. They are suitable for cyclic loading. (Rigby

®) or PTFE knitting, since both of the materials are eft knitting is no longer used because of the risk

The challenges in vascular erplacia and possible thrombs and embolia. That structures commercially available for blood vessel applications, e.g. to replace obstructed or

Stretch Vascular Graft PTFE (B. Brown). In addition, there are PTFE

VIABAHN®

of the woven PET scaffold used for mechanical ital/avital composite 6 days after cell seeding (light can be used in tendon repair, , polyester, polyamide,

naturally tubular suitable for artificial tendons. Artificial replacements for knee ligaments (especially for anterior cruciate ligament, ACL) are often braided structures made of polyester or a composite of polyester and carbon fibres. They are suitable for cyclic loading. (Rigby

) or PTFE knitting, since both of the materials are eft knitting is no longer used because of the risk

The challenges in vascular erplacia and possible thrombs and embolia. That structures commercially available for blood vessel applications, e.g. to replace obstructed or

Stretch Vascular Graft PTFE (B. Brown). In addition, there are PTFE

®

Woven structures Yokota and colle (Figure 28

only be used for larger weave fabr

fibre that had a

fibroblasts and vascular endothelial cells and tested composite structur

component scaffold

structure was covered with uniform monolayer of endothelium, which on the other hand, is not possible

the natural layer failure of the sutures.

Figure 28

Warp knitted structures Due to the fact that

large, there is a risk of blood leakage, even though porosity would be importan new tissue formation. To prevent

with velour surfaces (inside a

be sealed with patient’s blood (preclotting) or by impregnating the graft wi or gelatin (Rigby and Anand, 2000, p. 407

with biodegradable material allows non and pores become available to cel Anand, 2000, p. 407

in Figure 29 Woven structures

and colleagues fabricated

8), because prosthesis made of expanded polytetrafluoroethylene (ePTFE) can only be used for larger

fabric and collagen spongy structure. The woven fabric was manufactured of fibre that had a PLLA core

fibroblasts and vascular endothelial cells and tested composite structure than on

component scaffold cell seeding, it was implanted without cells

structure was covered with uniform monolayer of endothelium, which on the other is not possible

the natural layer-like struct failure of the sutures.

28 Woven, tubular structure for vascular prosthesis (Yokota et al. 2008).

Warp knitted structures Due to the fact that warp

large, there is a risk of blood leakage, even though porosity would be importan new tissue formation. To prevent

with velour surfaces (inside a

be sealed with patient’s blood (preclotting) or by impregnating the graft wi or gelatin (Rigby and Anand, 2000, p. 407

with biodegradable material allows non and pores become available to cel Anand, 2000, p.

407-Figure 29.

agues fabricated

, because prosthesis made of expanded polytetrafluoroethylene (ePTFE) can only be used for larger-diameter arteries. The scaffold consisted o

and collagen spongy structure. The woven fabric was manufactured of PLLA core and a

fibroblasts and vascular endothelial cells and tested e than on the wov

cell seeding, it was implanted without cells

structure was covered with uniform monolayer of endothelium, which on the other with e.g. PTFE

like structure of arteries. There were failure of the sutures. (Yokota et al. 2008)

tubular structure for vascular prosthesis (Yokota et al. 2008).

Warp knitted structures

warp knitted

large, there is a risk of blood leakage, even though porosity would be importan new tissue formation. To prevent

with velour surfaces (inside and outside) have been developed

be sealed with patient’s blood (preclotting) or by impregnating the graft wi or gelatin (Rigby and Anand, 2000, p. 407

with biodegradable material allows non and pores become available to cel

-424) A typical type of warp knitted vascular prosthesis is presented agues fabricated a woven

, because prosthesis made of expanded polytetrafluoroethylene (ePTFE) can diameter arteries. The scaffold consisted o

and collagen spongy structure. The woven fabric was manufactured of and a PGA surface

fibroblasts and vascular endothelial cells and tested

the woven fabric alone. Due to the purpose to use cell seeding, it was implanted without cells

structure was covered with uniform monolayer of endothelium, which on the other e.g. PTFE. The structure formed

ure of arteries. There were (Yokota et al. 2008)

tubular structure for vascular prosthesis (Yokota et al. 2008).

knitted structures are highly porous and the pores are often large, there is a risk of blood leakage, even though porosity would be importan

new tissue formation. To prevent haemorrhage

nd outside) have been developed

be sealed with patient’s blood (preclotting) or by impregnating the graft wi or gelatin (Rigby and Anand, 2000, p.

407-with biodegradable material allows non-porosity in the beginning of the implantation and pores become available to cells after the degradation of the

A typical type of warp knitted vascular prosthesis is presented woven two-component scaffold for small arteries , because prosthesis made of expanded polytetrafluoroethylene (ePTFE) can

diameter arteries. The scaffold consisted o

and collagen spongy structure. The woven fabric was manufactured of PGA surface. The structure was seeded with fibroblasts and vascular endothelial cells and tested in vitro

en fabric alone. Due to the purpose to use cell seeding, it was implanted without cells

structure was covered with uniform monolayer of endothelium, which on the other . The structure formed

ure of arteries. There were

tubular structure for vascular prosthesis (Yokota et al. 2008).

structures are highly porous and the pores are often large, there is a risk of blood leakage, even though porosity would be importan

haemorrhage and to fill the openings nd outside) have been developed

be sealed with patient’s blood (preclotting) or by impregnating the graft wi

-424; Doser and Planck, 2011). Impregnating porosity in the beginning of the implantation ls after the degradation of the

A typical type of warp knitted vascular prosthesis is presented component scaffold for small arteries , because prosthesis made of expanded polytetrafluoroethylene (ePTFE) can

diameter arteries. The scaffold consisted o

and collagen spongy structure. The woven fabric was manufactured of . The structure was seeded with in vitro. Cells

en fabric alone. Due to the purpose to use cell seeding, it was implanted without cells.

structure was covered with uniform monolayer of endothelium, which on the other . The structure formed in vivo

ure of arteries. There were no thrombosis, aneurysms nor

tubular structure for vascular prosthesis (Yokota et al. 2008).

structures are highly porous and the pores are often large, there is a risk of blood leakage, even though porosity would be importan

to fill the openings

nd outside) have been developed. The openings can also be sealed with patient’s blood (preclotting) or by impregnating the graft wi

424; Doser and Planck, 2011). Impregnating porosity in the beginning of the implantation ls after the degradation of the

A typical type of warp knitted vascular prosthesis is presented component scaffold for small arteries , because prosthesis made of expanded polytetrafluoroethylene (ePTFE) can

diameter arteries. The scaffold consisted of a tubular and collagen spongy structure. The woven fabric was manufactured of

. The structure was seeded with Cells spread better on the en fabric alone. Due to the purpose to use

. In vivo the composite structure was covered with uniform monolayer of endothelium, which on the other

in vivo was very similar to no thrombosis, aneurysms nor

tubular structure for vascular prosthesis (Yokota et al. 2008).

structures are highly porous and the pores are often large, there is a risk of blood leakage, even though porosity would be importan

to fill the openings knitted grafts . The openings can also be sealed with patient’s blood (preclotting) or by impregnating the graft wi

424; Doser and Planck, 2011). Impregnating porosity in the beginning of the implantation ls after the degradation of the material. (Rig

A typical type of warp knitted vascular prosthesis is presented 44

component scaffold for small arteries , because prosthesis made of expanded polytetrafluoroethylene (ePTFE) can

f a tubular plain and collagen spongy structure. The woven fabric was manufactured of

. The structure was seeded with spread better on the en fabric alone. Due to the purpose to use the

two-the composite structure was covered with uniform monolayer of endothelium, which on the other

was very similar to no thrombosis, aneurysms nor

tubular structure for vascular prosthesis (Yokota et al. 2008).

structures are highly porous and the pores are often large, there is a risk of blood leakage, even though porosity would be important for the knitted grafts . The openings can also be sealed with patient’s blood (preclotting) or by impregnating the graft with collagen 424; Doser and Planck, 2011). Impregnating porosity in the beginning of the implantation (Rigby and A typical type of warp knitted vascular prosthesis is presented 44

component scaffold for small arteries , because prosthesis made of expanded polytetrafluoroethylene (ePTFE) can plain and collagen spongy structure. The woven fabric was manufactured of . The structure was seeded with

spread better on the -the composite structure was covered with uniform monolayer of endothelium, which on the other

was very similar to no thrombosis, aneurysms nor

structures are highly porous and the pores are often t for the knitted grafts . The openings can also th collagen 424; Doser and Planck, 2011). Impregnating porosity in the beginning of the implantation by and A typical type of warp knitted vascular prosthesis is presented

Figure 29 2011).

The size of the openings can be reduced also by

graft with endothelial cells. That way it resembles more natural blood vessel and the cells also prevent blood clotting (Doser and Planck, 2011).

structures, w

they are very strong. They can be used in areas where high pressure is directed to the structure. (Rigby and Anand, 2000, p. 407

Koch et al. manufactured a tubular supported by a warp

surface) for small caliber vascular applications

material to the cells and the mesh as a supporting structure to g The scaffolds were seeded with autologous arteria

was no thrombus or aneurysm formation or calcification during the 6 months of implantation. A confluent monolayer of endothelial cells was achieve

surface of the graft.

thrombus formation, the results are promising.

Braided structures

Uurto et al. manufactured biodegradable drug by braiding

inflammatory ch (dexamethasone

reaction and another (

material was very biocompatible and the stents seemed to be promising for treating vascular occluding diseases, even though their efficacy still needs to be proven in mo accurate studies.

Zamiri et al. fabricated braided 85:15), polydioxanone (PDO), and biocompatibility

stress and chronic inflammation to the implantation site. Even PLLA degra

29 A typical warp knitted vascular prosthesis out of PET (Doser and Planck,

The size of the openings can be reduced also by

graft with endothelial cells. That way it resembles more natural blood vessel and the cells also prevent blood clotting (Doser and Planck, 2011).

structures, woven structures are denser

they are very strong. They can be used in areas where high pressure is directed to the structure. (Rigby and Anand, 2000, p. 407

Koch et al. manufactured a tubular supported by a

warp-for small caliber vascular applications

material to the cells and the mesh as a supporting structure to g The scaffolds were seeded with autologous arteria

was no thrombus or aneurysm formation or calcification during the 6 months of implantation. A confluent monolayer of endothelial cells was achieve

surface of the graft. Compared to more traditional Gore thrombus formation, the results are promising.

Braided structures

Uurto et al. manufactured biodegradable drug

by braiding for both vascular and urethral purposes inflammatory changes

dexamethasone with high doses) increased the chronic inflammation and foreign reaction and another (

material was very biocompatible and the stents seemed to be promising for treating vascular occluding diseases, even though their efficacy still needs to be proven in mo accurate studies. (Uurto et al. 2007)

Zamiri et al. fabricated braided polydioxanone (PDO), and biocompatibility in vivo

stress and chronic inflammation to the implantation site. Even PLLA degra

A typical warp knitted vascular prosthesis out of PET (Doser and Planck, The size of the openings can be reduced also by

graft with endothelial cells. That way it resembles more natural blood vessel and the cells also prevent blood clotting (Doser and Planck, 2011).

oven structures are denser

they are very strong. They can be used in areas where high pressure is directed to the

they are very strong. They can be used in areas where high pressure is directed to the