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基于氟聚合物的人工肺膜的血氧。

Blood Oxygenation Using Fluoropolymer-Based Artificial Lung Membranes.

机构信息

Membrane Research Center, Korea Research Institute of Chemical Technology (KRICT), Daejeon 305-600, Republic of Korea.

University of Science and Technology (UST), Daejeon 305-350, Republic of Korea.

出版信息

ACS Biomater Sci Eng. 2020 Nov 9;6(11):6424-6434. doi: 10.1021/acsbiomaterials.0c01251. Epub 2020 Oct 26.

DOI:10.1021/acsbiomaterials.0c01251
PMID:33449658
Abstract

Artificial lung (AL) membranes are used for blood oxygenation for patients undergoing open-heart surgery or acute lung failures. Current AL technology employs polypropylene and polymethylpentene membranes. Although effective, these membranes suffer from low biocompatibility, leading to undesired blood coagulation and hemolysis over a long term. In this work, we propose a new generation of AL membranes based on amphiphobic fluoropolymers. We employed poly(vinylidene--hexafluoropropylene), or PVDF--HFP, to fabricate macrovoid-free membranes with an optimal pore size range of 30-50 nm. The phase inversion behavior of PVDF--HFP was investigated in detail for structural optimization. To improve the wetting stability of the membranes, the fabricated membranes were coated using Hyflon AD60X, a type of fluoropolymer with an extremely low surface energy. Hyflon-coated materials displayed very low protein adsorption and a high contact angle for both water and blood. In the hydrophobic spectrum, the data showed an inverse relationship between the surface free energy and protein adsorption, suggesting an appropriate direction with respect to biocompatibility for AL research. The blood oxygenation performance was assessed using animal sheep blood, and the fabricated fluoropolymer membranes showed competitive performance to that of commercial polyolefin membranes without any detectable hemolysis. The data also confirmed that the bottleneck in the blood oxygenation performance was not the membrane permeance but rather the rate of mass transfer in the blood phase, highlighting the importance of efficient module design.

摘要

人工肺(AL)膜用于进行心脏直视手术或急性肺衰竭的患者的血液氧合。目前的 AL 技术采用聚丙烯和聚甲基戊烯膜。尽管有效,但这些膜的生物相容性低,导致长期出现不良的血液凝固和溶血。在这项工作中,我们提出了一种基于疏油氟聚合物的新一代 AL 膜。我们采用聚(偏二氟乙烯-六氟丙烯)或 PVDF-HFP 来制造无宏观空隙的膜,其最佳孔径范围为 30-50nm。详细研究了 PVDF-HFP 的相转化行为以进行结构优化。为了提高膜的润湿性稳定性,用 Hyflon AD60X 对所制备的膜进行了涂层处理,Hyflon AD60X 是一种表面能极低的氟聚合物。Hyflon 涂层材料对水和血液表现出极低的蛋白质吸附和高接触角。在疏油谱中,数据显示表面自由能与蛋白质吸附之间呈反比关系,这表明在 AL 研究中,生物相容性方面存在一个适当的方向。使用动物绵羊血液评估了血液氧合性能,所制备的氟聚合物膜的性能与商业聚烯烃膜相当,没有可检测到的溶血。该数据还证实,血液氧合性能的瓶颈不是膜透过率,而是血液相中的传质速率,这突出了高效模块设计的重要性。

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