Evaluation of physicochemical properties of SiO2-coated stainless steel after sterilization.

The study of most of the literature devoted to the use of coronary stents indicates that their efficiency is determined by the physicochemical properties of the implant surface. Therefore, the authors of this study suggested conditions for the formation of SiO2 layers obtained with the use of sol-gel methodology showing physicochemical properties adequate to the specific conditions of the cardio-vascular system. Previous experience of authors helped them much to optimize the coating of 316LVM steel surface with SiO2. The values of parameters that determine the usefulness of the coating in medical applications have been determined. In order to identify the phenomena taking place at the boundary of phases and to evaluate the usefulness of the proposed surface modification, taking into consideration the medical sterilization (steam or ethylene oxide (EO)), the potentiodynamic, impedance, adhesion, surface morphology and biological assessment characterizations were performed. Regardless of the usage of the sterilizing agent (steam, EO) the study showed the reduction of critical force causing layer's delamination. The research results of corrosion resistance study also confirmed a slight decrease of SiO2 barrier properties of the samples after sterilization in contact with the artificial plasma. SiO2 layers after the sterilization process did not show significant features of cytotoxicity and had no negative influence on blood cell counts, which confirmed the results of quantitative and qualitative studies.

Acoustic system for the estimation of the temporary blood chamber volume of the POLVAD heart supporting prosthesis.

BACKGROUND: The paper presents a newly researched acoustic system for blood volume measurements for the developed family of Polish ventricular assist devices. The pneumatic heart-supporting devices are still the preferred solution in some cases, and monitoring of their operation, especially the temporary blood volume, is yet to be solved. METHODS: The prototype of the POLVAD-EXT prosthesis developed by the Foundation of Cardiac Surgery Development, Zabrze, Poland, is equipped with the newly researched acoustic blood volume measurement system based on the principle of Helmholtz's acoustic resonance. The results of static volume measurements acquired using the acoustic sensor were verified by measuring the volume of the liquid filling the prosthesis. Dynamic measurements were conducted on the hybrid model of the human cardiovascular system at the Foundation, with the Transonic T410 (11PLX transducer - 5% uncertainty) ultrasound flow rate sensor, used as the reference. RESULTS: The statistical analysis of a series of static tests have proved that the sensor solution provides blood volume measurement results with uncertainties (understood as a standard mean deviation) of less than 10%. Dynamic tests show a high correlation between the results of the acoustic system and those obtained by flow rate measurements using an ultrasound transit time type sensor. CONCLUSIONS: The results show that noninvasive, online temporary blood volume measurements in the POLVAD-EXT prosthesis, making use of the newly developed acoustic system, provides accurate static and dynamic measurements results. Conducted research provides the preliminary view on the possibility of reducing the additional sensor chamber volume in future.