BME 3170 Final Exam Study Guide, Exams of Biology

BME 3170 Final Exam Study Guide

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BME 3170 Final Exam Study Guide
1. what are target cells?: different cells have different susceptibilities (cells
most sensitive)
2. thrombus formation that may occur on an implanted device can be deter-
mined by two assessments: directly or indirectly. give an example of each:
- process of blood clot development on artificial surfaces
- indirect: measure the depletion of circulating blood cells and proteins in
response to the implanted response (reduced platelet counts; changes in
clotting factors)
- direct: monitoring blood flow rate and flow geometry around the implant;
assessing how irregularities in blood flow/stagnant regions contribute to clot
development
3. explain why it is difficult to determine if a material is tissue (and
blood) compatible.: tissue
- complex biological interactions (material and environment)
- implant size, shape, and surface properties
- different vascularity and regenerative capabilities
- animals we use don't accurately represent tissue response
blood
- interactions between material and blood vary with blood flow
conditions and exposure time
4. explain an in vitro method to determine tissue compatibility: - direct
contact test
- agar diffusion test
- elution (extract dilution)
5. direct contact test: - specimens of negative/positive controls and the test
article are placed in cultures and incubated
- specimens are removed and the cells are fixed and stained
- dead cells are lost during the fixation process
- toxicity is evaluated by the absence of stained cells
6. agar diffusion test: - specimens are placed in culture mediums containing
2% agar containing red vital stain
- toxicity is evaluated by the loss of the vital stain by the cells
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BME 3170 Final Exam Study Guide

  1. what are target cells?: different cells have different susceptibilities (cells most sensitive)
  2. thrombus formation that may occur on an implanted device can be deter- mined by two assessments: directly or indirectly. give an example of each: - process of blood clot development on artificial surfaces
  • indirect: measure the depletion of circulating blood cells and proteins in response to the implanted response (reduced platelet counts; changes in clotting factors)
  • direct: monitoring blood flow rate and flow geometry around the implant; assessing how irregularities in blood flow/stagnant regions contribute to clot development
  1. explain why it is difficult to determine if a material is tissue (and blood) compatible.: tissue
  • complex biological interactions (material and environment)
  • implant size, shape, and surface properties
  • different vascularity and regenerative capabilities
  • animals we use don't accurately represent tissue response blood
  • interactions between material and blood vary with blood flow conditions and exposure time
  1. explain an in vitro method to determine tissue compatibility: - direct contact test
  • agar diffusion test
  • elution (extract dilution)
  1. direct contact test: - specimens of negative/positive controls and the test article are placed in cultures and incubated
  • specimens are removed and the cells are fixed and stained
  • dead cells are lost during the fixation process
  • toxicity is evaluated by the absence of stained cells
  1. agar diffusion test: - specimens are placed in culture mediums containing 2% agar containing red vital stain
  • toxicity is evaluated by the loss of the vital stain by the cells
  1. elution test: - extract of the material is prepared by using 0.9% sodium chloride (or culture medium) and a specified surface area of material/ml of extractant
  • extract is placed on cells and toxicity is evaluated by the use of stains
  1. describe and compared delivered dose to exposure dose: exposure dose
  • amount of a material or chemical applied to a test system
  • total amount a system is exposed to
  • thrombus formation
  • embolism
  • destruction of blood components
  • activation of immune system these cause severed complications of implant surface & the surrounding tissue
  1. explain why small diameter vascular grafts (<4 mm) can't be used: highly prone to thrombus formation due to slow blood flow, stagnation causing increase risk for blockages/implant failure
  2. describe why it is difficult to measure thrombogenicity: due to the complex- ity of blood component, influence of dynamic flow conditions, variability in material surface properties, lack of standardized tests, species differences, etc
  3. explain virchow's triad: conceptual model that describes 3 factors that con- tribute to the formation of blood clots (thrombosis)
  • hypercoagulability
  • stasis
  • endothelial injury
  1. list some factors affecting the properties of blood: - blood chemistry
  • presence of anticoagulants
  • blood flow conditions
  • platelet availability/activity
  • age of the blood
  • exposure to air/light
  • blood volume:surface area (ratio)
  • hematocrit levels
  1. explain the difference between a red thrombus and a white thrombus: red thrombus
  • low shear rate
  • made of fibrin/RBC (red color)
  • located in veins
  • common in DVT white thrombus
  • high shear rate
  • made of fibrin/platelets (white color)
  • found in arteries
  • common in coronary artery disease
  1. list factors pertaining to a device that will favor clot formation: - turbulent flow
  • thrombogenic features
  • sharp corners
  1. describe how to evaluate blood material interactions in vitro: expose
  1. describe how to evaluate blood material interaction in vivo: implant material into blood vessels, control blood flow, monitor for thrombosis, conduct histological examination, evaluate material performance
  2. what is the most blood compatible material?: - endothelialining of of blood vessels
  • PEG
  • heparin coated surfaces
  1. explain why implant recovery should be immediate after euthanizing for histology techniques: - preserve tissue integrity
  • prevent autolysis
  • ensure proper fixation
  • to obtain accurate histological results
  1. describe the purpose of fixation: - preserve organs or parts of organs
  • preserve intracellular anatomy of cells
  • stop autolysis
  • bring out difference in n
  • render insoluble tissue components
  • hardens tissues
  1. list some of the methods used to process and embed tissue after fixation: - cryo freezing
  • paraffin
  • glycol methacrylate
  1. list some of the methods used to section tissue: requires thinly sliced sec- tions on the level of microns
  • cryosectioning
  • microtome
  1. explain why staining is needed: color various components of tissue sections so they can be optically differentiated during microscopic evaluation
  2. galvanic corrosion: - two different alloys placed in implant device
  • bent metallic rod or plate
  1. fretting corrosion: - passive layer is removed and may or may not repassivate
  • continuous cyclic process
  1. crevice corrosion: accelerated corrosion in a crevice due to depleted oxygen
  2. pitting corrosion: imperfections in the oxide layer
  1. intergranular corrosion: chromium depletion (carbide formation)
  2. stress corrosion cracking: - applied stress and corrosion environment work together (tensile stress increases chemical reactivity)

creates conditions that amplify stresses

  1. list some factors which will affect corrosion rates: - crystallinity
  • stress
  • loss of passivation layer
  • infection (pH decreases)
  • movement of implant
  1. describe some of the engineering variables that will affect corrosion:
  • variations in composition
  • variations in manufacturing (packaging)
  • handling induced damage
  • small differences in anatomical location and positioning
  1. describe hydrolytic biodegradation: degradation by water attack
  2. what materials are more susceptible to hydrolysis: - esters, amides, carbon- ates
  • ether, acetal, nitrile, phosphonate, methylenes
  1. list some of the factors that will affect a polymer's susceptibility to hydrol- ysis: - number of hydrolyzable groups
  • polar groups which enhance hydrophilic behavior
  • low crystallinity
  • low cross-link density
  • high ratio of exposed surface area to volume
  • mechanical stress
  1. describe some of the host-induced hydrolysis mechanisms: -neutral water
  • capable of hydrolyzing polymers (PGA)
  • ion catalyzed hydrolysis
  • surface effect
  • surface bulk effect
  • localized pH changes
  • enzymes
  • extracellular fluid
  • direct cell contact (phagocytosis)
  • most synthetic polymers are more resistant to enzymatic degradation
  • surface effect
  1. describe oxidative biodegradation: chemical reaction that occurs when oxy- gen damages materials, such as polymers, through oxidation
  2. explain phagocytic oxidation: phagocyte engulfs a foreign material like bacte- ria and uses reactive oxygen species to kill it
  • macrophage and neutrophils combine to create a superoxide anion
  • O2- + 2H+ --> H2O
  • macrophage/neutrophil + O2 + e- --> O2- (superoxide anion)
  1. describe exocytosis: process for moving large molecules out of the cell
  1. describe the two general categories of oxidative biodegradation: (1) direct oxidation by the host and device (2) external environment mediated oxidation a. metal ion-induced oxidation b. oxidative degradation induced by external environment
  2. explain the differences between stress cracking oxidation and metal ion- in- duced oxidation: stress cracking oxidation
  • results from mechanical stress creating cracks that are worsened by oxidative agents metal ion induced oxidation
  • arises from metal ions catalyzing polymer degradation both involve oxidative processes but differ in triggers inducing reactions
  1. describe how to control metal ion-induced oxidation: - corrosion resistant metals
  • flushing corrosive ions away from the polymer
  • oxidation-resistant polymers
  1. explain what photo-oxidation is and give an example: a chemical reaction that occurs when light and oxygen interact to break down a substance, such as a polymer, oil, or protein
  • oxidation in the presence of light energy
  • example: degradation of plastic outdoor furniture due to exposure to light
  1. describe what calcification is: the hardening of tissue or other material by the deposition of or conversion into calcium carobonate or some other insoluble calcium compounds
  • CaP
  1. explain what happens to porcine aortic valves: calcification --> calcium de- posits on the valves (dead cells, tears/rips = incubation spot for calcium deposits)
  2. describe methods to prevent calcification: - systemic therapy with anticalci- fication agents
  • local therapy with implantable drug delivery devices
  • biomaterial modifications
  1. list some suture materials: synthetic polymers - less likely to produce an antigenic response

natural polymers - more severe tissue response compared to synthetic materials due to proteins present that can trigger an antigenic response suture materials should...

tissue completely

  1. explain why PMMA shouldn't be used be used as an intracorneal implant: - not O2 permeable and the cornea gets its oxygen supply from the air
  • risk of tissue damage
  • biocompatibility
  1. list one of the problems of implants for glaucoma: tissue proliferation around the outlet of device could obstruct flow
  2. explain why PMMA can be used as IOLs: - good optical properties
  • biocompatible
  • chemically/mechanically stable
  • lightweight
  • rigid
  1. explain why soft material IOLs would be a better choice for implants: soft materials can be folded/compressed allowing for smaller incisions (improved com- fort)
  2. list some of the requirements of adhesives: - good bonding/gap filling char- acteristics
  • ease of manipulation
  • strong tissue interaction
  • biocompatibility
  • durability
  • mechanical force resistance
  • sterility
  • storage stability
  • reabsorbability
  1. explain why a thin layer of adhesive may be better than thick layers (and vice versa): a thin layer is preferable for strong, precise bonding where surfaces are closely matched; thicker layer is ideal for situations that require gap filling
  2. list some of the pretreatment methods: cleaning or etching - removed conta- minants, debris, and surface oils primers - achieve specific chemical reactivity between adhesive and substrate (improve strength and durability)
  3. list the requirements for good molecular contact between the adhesive and adherend: zero and near zero contact angle - adhesive spreads uniformly over the surface low viscosity during bonding - allows the adhesive to flow easily into small crevices
  1. what are some of the problems with percutaneous implants: - difficult skin attachment: poor integration due to rapid skin cell turnover
  • extrusion of the implant: the growth of skin around the implant can push it out of its intended position
  • risk of infection: the openings provide a pathway for bacteria and other organisms to enter
  1. describe an artificial ligament: a device designed to replace or augment natural ligaments, it will take on stress normally applied to the ligament (provide support)
  2. describe the function of a CPB and some of its harmful effects: cardiopul- monary bypass machine
  • takes over the circulation, oxygenation, and pump function of the heart and lungs during open heart procedures harmful effects
  • blood trauma (hurts blood cells)
  • clot formation
  • inflammatory response
  • organ damage (reduced perfusion)
  1. explain the two classifications of heart valves, materials used, and poten- tial problems: mechanical valves -->
  • cage/stunts: co-cr alloy with pyrolitic carbon coating
  • disks/leaflets: pyrolitic cabon, PP, polyoxymethylene
  • sewing rings: PTFE
  • potential problems: clot formation (life long anticoagulants), hemolysis (blood cell damage), durability (mechanical failure) tissue valves -->
  • xenogrrafts: porcine/bovine aortic valves
  • fixative: glutaraldehyde treatment
  • support structures: dacron/PP
  • potential problems: calcification (structural deterioration), durability (shorter lifes- pan), no anticoagulation (can be a risk)
  1. explain the two types of vascular grafts (i.e. biologic and synthetic), mate- rials used, potential problems: biologic grafts:
  • made from natural tissues, harvested from patients own body, use ASV
  • potential problems: thrombosis, neointimal hyperplasia (overgrowth of tissue), structural weakness
  • more biocompatible and less thrombogenic but are prone to structural failure in