The medical device industry, driven by innovation and new technologies, has become one of the biggest markets in healthcare. The explosion in sophistication and application of devices makes it possible to help improve human health in ways that were unthinkable just a few years ago. Over the last decade, this unprecedented growth has resulted in the development of state-of-the-art health and medical instruments that range from simple tongue depressors and bedpans to complex programmable pacemakers with microchip technology and laser surgical devices.
These devices are all used in the treatment, mitigation, diagnosis and/or prevention of diseases and abnormal physical conditions, but all are manufactured from unnatural materials to which human bodies have a natural resistance. Humans have a propensity to create poor biological interactions to devices and the tools that deliver devices made from silicone or latex rubber, solid steel or nitinol core wires, and other nonbiological materials. The insertion of foreign materials can create pain and discomfort for the patient and raise the risk of damage, infections, and even more life-threatening ailments. Complications are a major concern among healthcare professionals, as well as patients, and many view the risk management process as the most critical for successful medical product design and development. Fueled by increasing awareness about healthcare acquired infections, the door has been opened for hydrophilic and hydrophobic coating formulations for the medical device industry to help minimize complications.
Hydrophilic and Hydrophobic Coatings
The medical coatings market is segmented into two types: hydrophilic and hydrophobic coatings, each of which has specific demands differentiated by application and efficiency. Where hydrophilic molecules are polar and ionic, which make them lubricious, abrasion resistant, nonthrombogenic, and biocompatible, hydrophobic coatings are nonpolar repellants.
Hydrophilic coating technologies make polymeric devices susceptible to fluids by grafting polymers into covalent bonds to create water-attracting surfaces. The lubricity and water retention characteristics reduce the force required to manipulate intravascular medical devices during interventional procedures. They can decrease the frictional force between devices 10- to 100-fold and help reduce risk of damage to blood vessel walls, prevent vasospasm, and allow navigation in tortuous vascular pathways and lesions inaccessible to uncoated devices. Hydrophilic coatings have expanded the range of treatment sites for procedures such as balloon catheter angioplasty, neurological interventions, lesion crossing, and site-delivered drug therapies while reducing thrombogenicity. Reduced friction between therapy and support catheters has improved outcomes and reduced procedure time and cost.
Nanocoated hydrophilic technologies average between 8 and 12 g of pull force, which reduces friction over an uncoated surface by as much as 98 percent. This type of low-friction performance increases the device’s ability to navigate through tortuous anatomical pathways, improves device control, reduces tissue damage, and adds to patient comfort. Additionally, the chemistry of new hydrophilic coatings can be matched with a substrate to develop a chemical bond without any separation or delamination from its surfaces. A second benefit of hydrophilic coatings on medical devices is that they create an interface that the human immune system does not recognize as artificial, significantly reducing the risk of problems. Nanoenabled hydrophilic coatings are taking some credit for expanding medical device functionality.
For devices, surgical tools, and instruments that become fouled with fluids or tissue debris, hydrophobic coatings keep surgical tools cleaner overall and for longer periods. With hydrophobic coating repellency to fluids, the blood, urine, or tissue sheets slide off easily. In some cases, these hydrophobic coatings incorporate fluorocarbon functionality in order to improve repellency of hydrocarbons (i.e., lipids); these coatings are typically called oleophobic.
When applied to a variety of substrates, hydrophobic coatings demonstrate water-repellant, self-cleaning, antifouling and/or anticorrosive effects. Medical devices treated with hydrophobic coatings greatly reduce risks of contamination and infections in patients.
Superhydrophobic coatings were biologically inspired by the lotus leaf, which has an extremely high water contact angle of >120° and low sliding angle of <10°. The micro- and nanoscopic architecture on the surface minimizes the droplet’s adhesion. Superhydrophobic refers to extreme water repellency and is a recent nomenclature used by many to describe any surface that repels liquids. As with many industry buzzwords, it inaccurately represents the technology. A superhydrophobic coating has a water contact angle greater than 120° and a sliding angle less than 10° and, interestingly enough, no evidence for lasting superhydrophobicity in nonbiological natural surfaces exists. Superhydrophobic coatings become destabilized under adverse conditions and performance is lost.
Coatings that functionalize surfaces most effectively are hydrophobic. A medical device manufacturer that requests a superhydrophobic coating is typically not versed in the differences between superhydrophobic and hydrophobic coatings. When the difference in durability is explained, most device companies are completely satisfied with stable, covalently bonded hydrophobic coatings that are much more durable.