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This research explores the innovative use of antibacterial polyelectrolyte multilayers (PEMs) in implantable medical devices such as pacemakers and defibrillators. With significant potential to reduce bacterial exposure—addressing the 6% infection rate in vascular surgeries—PEMs are fabricated layer-by-layer, utilizing poly(allylamine hydrochloride) and poly(acrylic acid). Key factors such as film thickness, interpenetration, and pH control are optimized to enhance device performance and biocompatibility, paving the way for safer surgical outcomes.
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Antibacterial Polyelectrolyte Multilayers (PEMs) Team X Maricela Delgadillo Kay Furman Yushan Kim
Industrial Application • Implantable Medical Devices: • Pacemakers treat Bradycardia (slow heart rhythm) • Size: 45x48x8 • Defibrilators treat Tachyarrhythmia (fast heart rhythm) • Size: 62x51x15mm • Potential for Bacterial Exposure • 6% of all vascular surgeries result in surgery site infection (Health Protection Agency) • Packaged and handled sterilely • 1-2 hr surgical procedure Images from http://www.medtronic.com/
Brief PEM Background • Layer-by-layer fabrication • Polycation - Poly(allylamine hydrochloride) PAH • Polyanion - Poly(acrylic acid) PAA • Easy to control pH and number of bilayers • Polyelectrolyte pH affects: • Film Thickness • Interpenetration between layers • Highly ionized polyelectrolytes (pH~6.5) result in thin films • Possible cell adhesion applications • pH~3.0 loopy conformations
Project Plan sepidermidis.mlst.net/ Berg, 2000
PEM Design • TiO2 substrate: + charge • 1st PEM layer: PAA • PAH/PAA bilayers • Incorporation of antibacterial active by use of electrostatic charge • Other design considerations • Porosity • Cross-linking
Ti disk Staph aureus Potential Material Issues • Metal substrate and PEM processing • Titanium use in implantable devices • Previously published studies with metal • PEM on device stimulation electrodes (Patent 5964794, 1999) • PEMs for corrosion-resistant metals (Patent 027011, 2003) • Necessitates (-) PAA layer deposition first • Imaging Issues • Microscopy requires transparent substrate • TEM or SEM availability
Further Issues and Questions • Feasibility of bacteria/eukaryote selectivity