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Integrated Biomaterials Science

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Structure and Properties of Polymeric Materials 37<br />

Systems employing enzymes immobilized in both natural and synthetic<br />

polymers can find clinical application both for endocorporeal use and<br />

as components of extracorporeal circuits for specific blood detoxifications, a<br />

potentially important field of application.<br />

The chemical, physical, and technological properties of biomedical<br />

polymers can be very different: from water-soluble or biodegradable ones,<br />

like poly(ethyleneglycol) or poly(lactic acid), to rigid polymers, hydrophobic<br />

and designed to resist for many years mechanical stress and the hydrolytic<br />

action carried out in the human body by chemical or enzymatic agents.<br />

Examples of this latter class are the aromatic polyesters, the poly(alkylsiloxanes),<br />

fluorinated polymers, and polyurethanes, which are preferably<br />

employed for permanent endocorporeal prostheses.<br />

2.3.1. Synthetic Polymers<br />

Synthetic polymers can be employed in various fields of application,<br />

as shown in Table 2.1. Polymers which, due to their fairly good intrinsic<br />

hemocompatibility properties, have been largely employed in endocorporeal<br />

permanent applications of prosthetic type include polyurethanes, silicone<br />

rubbers, hydrogels, teflon, and some vinyl polymers or copolymers.

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