Abstract

Medical devices are indispensable in the healthcare setting, ranging from diagnostic tools to therapeutic instruments, and even supporting equipment. However, these medical devices may be associated with life-threatening complications when exposed to blood. To date, medical device-related infections have been a major drawback causing high mortality. Device-induced hemolysis, albeit often neglected, results in negative impacts, including thrombotic events. Various strategies have been approached to overcome these issues, but the outcomes are yet to be considered as successful. Recently, superhydrophobic materials or coatings have been brought to attention in various fields. Superhydrophobic surfaces are proposed to be ideal blood-compatible biomaterials attributed to their beneficial characteristics. Reports have substantiated the blood repellence of a superhydrophobic surface, which helps to prevent damage on blood cells upon cell–surface interaction, thereby alleviating subsequent complications. The anti-biofouling effect of superhydrophobic surfaces is also desired in medical devices as it resists the adhesion of organic substances, such as blood cells and microorganisms. In this review, we will focus on the discussion about the potential contribution of superhydrophobic surfaces on enhancing the hemocompatibility of blood-contacting medical devices.

Highlights

  • Accepted: 22 February 2021Materials with superhydrophobic properties have been receiving hefty attention since their discovery

  • Blood travels across superhydrophobic surfaces with a greater velocity on the boundary layer, reducing the collision frequency of blood cells with the surface [7]

  • This near-superhydrophobic surface allowed the red blood cells to flow past the fluid–solid interfaces with diminished shear stress despite the presence of a no-slip boundary condition [51]

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Summary

Introduction

Materials with superhydrophobic properties have been receiving hefty attention since their discovery. Superhydrophobic surfaces have been vastly studied and incorporated into applications across various fields In light of their non-wetting behavior, superhydrophobic properties have been highlighted in the development of biomaterial for medical devices. Medical implants and external medical devices, including stents, vascular graft, heart valve, artificial kidney, pacemaker, guidewires, extracorporeal circulation, tubing, and catheters are examples of medical devices that are close in contact with blood during their applications. Blood travels across superhydrophobic surfaces with a greater velocity on the boundary layer, reducing the collision frequency of blood cells with the surface [7]. This results in lesser adhesion and deformation of blood cells. We will discuss the role of superhydrophobic surfaces in mitigating the existing issues of blood-contacting medical devices

Characteristic of Superhydrophobic Surface
Development of Superhydrophobic
Antihemolytic Effect of Superhydrophobic Surface
Antithrombotic Effect of Superhydrophobic
Antimicrobial and Antifouling Properties of Superhydrophobic Surface
Recent Superhydrophobic Modification on Medical Devices
Conclusions and Future Outlook
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