Kawakami H, Nagaoka S, Kubota S
Department of Industrial Chemistry, Tokyo Metropolitan University, Japan.
ASAIO J. 1996 Sep-Oct;42(5):M871-6. doi: 10.1097/00002480-199609000-00116.
The authors have synthesized fluorinated polyimides to develop a novel membrane oxygenator combining excellent gas transfer and blood compatibility. Gas exchange membranes of fluorinated polyimides prepared by a dry/wet process showed an asymmetric structure and consisted of an ultrathin and defect-free skin layer supported by a porous substructure. The asymmetric polyimide membranes never incurred plasma leakage because of the defect-free skin layer of the membrane surface. The calculated, apparent defect-free skin layer thickness of the asymmetric membrane was approximately 20 nm. Carbon dioxide and oxygen transfer rates through the membranes were dramatically enhanced because of the ultrathin skin layer and were 96 and 64 times larger than those determined in currently available oxygenator polymer membranes, such as polydimethylsiloxane (PDMS). For the evaluation of in vitro blood compatibility, platelet adhesion and plasma protein adsorption on the polyimide membranes were measured by using scanning electron microscopic examination and an amino acid analyzer. Deformation and aggregation of platelets adherent to the membranes were not observed, and the number of platelets was 1.6 micrograms/cm2, which was one-sixth less than the value measured in PDMS. For in vivo evaluation, the polymer tubes were implanted in the femoral vein of a mongrel dog for 7 days. Thrombus formation and fibrin were found on the surface of PDMS. However, thrombus formation was not observed on the polyimide. These results indicate that the fluorinated polyimides show excellent blood compatibility and are a promising membrane material for an oxygenator.
作者合成了含氟聚酰亚胺,以开发一种兼具优异气体传输性能和血液相容性的新型膜式氧合器。通过干/湿工艺制备的含氟聚酰亚胺气体交换膜呈现出不对称结构,由多孔亚结构支撑的超薄且无缺陷的皮层组成。由于膜表面无缺陷的皮层,不对称聚酰亚胺膜从未出现血浆渗漏。计算得出的不对称膜的表观无缺陷皮层厚度约为20纳米。由于超薄皮层,二氧化碳和氧气透过膜的传输速率显著提高,分别比目前可用的氧合器聚合物膜(如聚二甲基硅氧烷(PDMS))高出96倍和64倍。为了评估体外血液相容性,通过扫描电子显微镜检查和氨基酸分析仪测量了聚酰亚胺膜上的血小板粘附和血浆蛋白吸附情况。未观察到粘附在膜上的血小板发生变形和聚集,血小板数量为1.6微克/平方厘米,比在PDMS上测得的值少六分之一。为了进行体内评估,将聚合物管植入杂种狗的股静脉中7天。在PDMS表面发现了血栓形成和纤维蛋白。然而,在聚酰亚胺上未观察到血栓形成。这些结果表明,含氟聚酰亚胺具有优异的血液相容性,是一种有前途的氧合器膜材料。