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Woodhead Publishing Series in Textiles: Number 75 Medical and healthcare textiles Edited by S. C. Anand, J. F. Kennedy, M. Miraftab and S. Rajendran TECHNISCHE INFORMATIONSBIBLIOTHEK UNIVERSITATSBiBUOTHEK HANNOVER V The Textile Institute CRC Press Boca Raton Boston New York Washington, DC Woodhead publishing limited Oxford Cambridge New Delhi ©Woodhead Publishing Limited, 2010

Medical and healthcare textiles - GBVWoodheadPublishing Series in Textiles: Number75 Medical and healthcare textiles Editedby S. C.Anand,J. F. Kennedy,M.Miraftab andS. Rajendran TECHNISCHE

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Page 1: Medical and healthcare textiles - GBVWoodheadPublishing Series in Textiles: Number75 Medical and healthcare textiles Editedby S. C.Anand,J. F. Kennedy,M.Miraftab andS. Rajendran TECHNISCHE

Woodhead Publishing Series in Textiles: Number 75

Medical and

healthcare textiles

Edited by

S. C. Anand, J. F. Kennedy, M. Miraftab

and S. Rajendran

TECHNISCHE

INFORMATIONSBIBLIOTHEK

UNIVERSITATSBiBUOTHEKHANNOVER

V

TheTextile Institute

CRC Press

Boca Raton Boston New York Washington, DC

Woodhead publishing limited

Oxford Cambridge New Delhi

©Woodhead Publishing Limited, 2010

Page 2: Medical and healthcare textiles - GBVWoodheadPublishing Series in Textiles: Number75 Medical and healthcare textiles Editedby S. C.Anand,J. F. Kennedy,M.Miraftab andS. Rajendran TECHNISCHE

CONTENTS

Woodhead Publishing Series in Textiles

Preface

PART I INFECTION CONTROL AND BARRIERMATERIALS

Infection control and barrier materials: an overview

SRajendran, University ofBolton, UK- Introduction

- Wound infection

- Hospital protective materials

- Bibliography

Antimicrobial properties ofsilver-containing chitosan fibers

¥ Qin and C Zhu, The Biochemical MaterialsResearch andDevelopmentCentre, Chirm

- Introduction

- Experimental- Results and discussion

- Conclusions

- References

Copper-impregnatedantimicrobial textiles: an innovativeweapon to fight infectionG Borkow, A Felix andJ Gabbay, CupronInc, USA

- Copper as a biocide

- Incorporation of copper oxide into natural and synthetic fibres

- Biocidal properties offabrics containing copper oxide

- Clinical studies

- Discussion

- References

A review of the role of microwaves in the destruction of pathogenic bacteria

A S Lamb and E Siores, University ofBolton, UK

- Microwave interactions with materials- Fixed frequency microwave interactions with bacteria

- Work carried out at the University ofBolton

- Flow cytometry- Concluding remarks- References

Antimicrobial bioactive band-aids with prolonged and controlled action

P Skundric, L Simovic, MKostic, A Medovic, K Milosevic and S Dimitrijevic,University ofBelgrade, Serbia

- Introduction

- Experimental- Experimental results and discussion

- Conclusion

- References

© Woodhead Publishing Limited, 2010 v

Page 3: Medical and healthcare textiles - GBVWoodheadPublishing Series in Textiles: Number75 Medical and healthcare textiles Editedby S. C.Anand,J. F. Kennedy,M.Miraftab andS. Rajendran TECHNISCHE

Comparison of antimicrobial textile treatments 38

E Smith, JT Williams, S E Walsh and P Painter, De Montfort University, UK

- Introduction

- Materials and methods

- Results and discussion

Conclusions

- References

Evaluation of plasma-deposited anti-adhesive and anti-bacterial coatings on

medical textiles 48

A J Paul, FBretagnol, G Buyle, C Colin, 0 Lefranc and HRauscher, CSMA Ltd, UK

- Plasma treatment oftextiles- X-ray photoelectron spectroscopy (XPS)- Time-of-flight secondary ion mass spectrometry (ToFSIMS)- References

Controlling the spread of infections in hospital wards by the use of

antimicrobials on medical textiles and surfaces 55

W C White, AEGIS Environmental Management, USA, R. Bellfteld, CarringtonCareer and Workwear Ltd, UK, JEllis, Devan-PPT Chemicals Ltd, UK and

Jr P Vandendaele, Devan Chemicals NV, Belgium- Introduction- Microorganisms- Antimicrobials

- Organofunctional silane antimicrobial technology- Verification techniques and safety profile- Potential uses

- Hospital blankets- Nonwoven surgical drapes- Wound care silk dressings- Carpeting- Uniforms

Silicone rubber

Case study: the Arthur G. James Cancer Center Hospital and Research Institute

- SummaryReferences

Inherently antimicrobial alchite fibres developed for wound care applications 76

MMiraftab, CIwu, C Okoro and G Smart, University ofBolton, UK- Introduction

- Production methodology- Results and discussions- Conclusions

- References

Antimicrobial textiles for health and hygiene applications based on eco-friendlynatural products 84

MJoshi, R Purwar and S WAli, Indian Institute ofTechnology, India and

SRajendran, University ofBolton, UK- Introduction

vi © Woodhead Publishing Limited, 2010

Page 4: Medical and healthcare textiles - GBVWoodheadPublishing Series in Textiles: Number75 Medical and healthcare textiles Editedby S. C.Anand,J. F. Kennedy,M.Miraftab andS. Rajendran TECHNISCHE

- Natural antimicrobial agents for textile substrates

- Antimicrobial finishing oftextiles based on neem extract

- Conclusion

- References

Investigation of the filtration properties ofmedical masks

MAkalin, I Usta, D Kocak andMS Ozen, Marmara University, Turkey- Introduction

- Materials and method

- Results

- Conclusion

- References

Lint release characteristics of nonwoven wipesVKKothari andR Loganathan, Indian Institute ofTechnology, India

- Introduction

- Design ofmeasurement apparatus- Materials and methods- Results and discussion

- Conclusions

Development ofantimicrobial polyester using neem extract

S WazedAli, B Gupta andMJoshi, Indian Institute ofTechnology, India

- Introduction

- Materials

- Methods

- Results and discussion

- Conclusion

- References

Fixation of cationic antibacterial products before dyeing: a more

ecological processR V Vieira, JG Santos, GMB Soares andJINR Gomes, University ofMinho, Portugal

- Introduction

- Experimental- Results and discussion

- Conclusions

- References

Preliminary studies into wash-fast antimicrobial treatments of polyester0 Hauck, NAllen, G CLees, HRowe and J Verran, Manchester

Metropolitan University, UK- Introduction

- Background- Methodology- Results

- Future work

- References

© Woodhead Publishing Limited, 2010 vii

Page 5: Medical and healthcare textiles - GBVWoodheadPublishing Series in Textiles: Number75 Medical and healthcare textiles Editedby S. C.Anand,J. F. Kennedy,M.Miraftab andS. Rajendran TECHNISCHE

Enzyme-catalysed coupling of functional antioxidants onto protein fibres 126

SJus and GMGuebitz, Technical University ofGraz, Austria and VKokol,

University ofMaribor, Slovenia

- Introduction

- Materials and methods

- Results and discussion

- Conclusions

- References

PART II HEALTHCARE AND HYGIENE PRODUCTS

Healthcare and hygiene products: an overview

SCAnand, University ofBolton, UK

- Introduction- Recent advances

- References

Cellulosic materials for odor and pH control

JKDutkiewicz, Buckeye Technologies Inc, USA

• Introduction

- Experimental model

- Ammonia emission studies

- Freshcomfort technology- Conclusions

- References

137

140

Development ofa high-absorbent sanitary napkin 148

A Das, VKKothari andSMakhija, Indian Institute ofTechnology, India- Introduction

- Experimental- Results and discussions- Conclusions

- References

Retention of anionic surfactant following garment laundering and its potentialeffect on dermatitis sufferers 156

HDRowe, Manchester Metropolitan University, UK- Introduction

- Experimental- Results

- Discussion

- Conclusions

- References

Preparation ofprotective disposable hygiene fabrics for medical applications 164

MMontazer, Amirkabir University ofTechnology, Iran, FRangchi, Tehran Azad

University, Iran andF Siavoshi, Tehran University, Iran- Introduction

- Experimental

viii © Woodhead Publishing Limited, 2010

Page 6: Medical and healthcare textiles - GBVWoodheadPublishing Series in Textiles: Number75 Medical and healthcare textiles Editedby S. C.Anand,J. F. Kennedy,M.Miraftab andS. Rajendran TECHNISCHE

- Conclusions

- References

Development ofsurgical clothing from bamboo fibres 171

K Ramachandralu, PSG College ofTechnology, India

- Introduction

- Materials and methods

- Results and discussions

- Conclusions- References

Thermal characterization and mechanical properties ofFLA yarns 181

A MManich, MMarti and R MSauri, Spanish Councilfor Scientific Research,

Spain, D Cayuela, Technical University ofCatalonia, Spain andMUssman,

Universidade da Beira Interior, Portugal- Introduction

- Materials

- Methods

- Results

- Discussion and conclusions

- References

PART III WOUND CARE MATERIALS

Wound care materials: an overview 193

MMiraftab, University ofBolton, UK

- Introduction

- Wounds; natural healing mechanisms versus wound care materials

- Review ofpapers on wound care materials

- References

Controlled drug release from nanofibrous polyester materials 198

MJBide, University ofRhode Island, USA, MD Phaneufand TM Phaneuf

BioSurfaces, USA and P JBrown, Clemson University, USA- Introduction

- Experimental- Results

- Conclusions- References

Development of odour (volatile molecule) adsorbent materials for healthcare 206

G Lee, S CAnand andSRajendran, University ofBolton, UK andI Walker,

Lantor (UK) Ltd, UK- Introduction

- Odour adsorbent materials

- Experimental work

- Results- Conclusions

- References

© Woodhead Publishing Limited, 2010 ix

Page 7: Medical and healthcare textiles - GBVWoodheadPublishing Series in Textiles: Number75 Medical and healthcare textiles Editedby S. C.Anand,J. F. Kennedy,M.Miraftab andS. Rajendran TECHNISCHE

Development of a decision support system for determination of suitable

dressings for woundsK G Karthick andMMiraftab, University ofBolton, UK and JAshton, Bolton

Primary Care Trust, UK- Introduction

- Research amongst nursing staff

- The need for a decision support system- Expert systems in medicine- Decision support system for wound dressing selection

- Conclusion

- References

Treatment of cotton fabrics with ethyl cellulose microcapsulesR Badulescu, University ofPloiesti, Romania and B Voncina, V Vivod and D Jausovec,

University ofMaribor, Slovenia

- Introduction- Experimental- Results and discussion

- Conclusions

- References

Measuring interface pressure in compression garments for burns patientsE Maklewsfat, ANawrocki, KKowalski and WTarnowski, Institute

ofKnitting Technology and Techniques, Poland- Introduction

- Investigation methods- Test material

- Test results and discussion

- Conclusions

- References

Psyllium: current and future applicationsR Masood and MMiraftab, University ofBolton, UK

- Introduction

- The psyllium plant- History- Traditional food applications- Physiochemical properties ofpsyllium- Recent medical application ofpsyllium- Other applications ofpsyllium- Conclusions

- References

PART TV BANDAGING ANDPRESSURE GARMENTS

Bandaging and pressure garments: an overview

SCAnand, University ofBolton, UK- Introduction

- Causes of venous disorders

x © Woodhead Publishing Limited, 2010

Page 8: Medical and healthcare textiles - GBVWoodheadPublishing Series in Textiles: Number75 Medical and healthcare textiles Editedby S. C.Anand,J. F. Kennedy,M.Miraftab andS. Rajendran TECHNISCHE

- Factors which determine sub-bandage pressure- Classification ofcompressionbandages- Recent advances in compression therapy- Single-layer compression bandages- References

Biomaterials with controlled elasticity for post-operation recovery 263

MCarmen and EAlexandra, The National Institutefor TextileandLeather, Romania- Introduction

- Testing cytotoxicity and sensitizing potential- Testing methods- Results: sensitizing and irritation potential- Conclusions

- References

A study of the pressure profile of compression bandages and compressiongarments for treatment ofvenous leg ulcers 272

MSikka, S Ghosh andA Mukhopadhyay, National Institute ofTechnology, India- Introduction

- Materials

- Method

- Results and discussion

- Conclusions

- References

Development ofthree-dimensional structures for single-layer compression therapy 279

S Rajendran andS CAnand, University ofBolton, UK- Introduction

- The treatment ofvenous leg ulcers

- Compression systems- Problems with current bandages- 3D compression bandages- Materials and methods

- Results and discussion

- Summary- References

Intermittent pneumatic compression and bandaging: the effects of external

pressure applied over bandaging 293

S Rithalia andMLeyden, University ofSalford, UK- Introduction

- Methods and materials

- Results

- Conclusions

- References

Physiologicaleffects ofLycra® pressure garments on children with cerebral palsy 300

JAltard, Royal National Orthopaedic Hospital, UK andS Rithalia, University ofSalford, UK

- Introduction

© Woodhead Publishing Limited, 2010 xi

Page 9: Medical and healthcare textiles - GBVWoodheadPublishing Series in Textiles: Number75 Medical and healthcare textiles Editedby S. C.Anand,J. F. Kennedy,M.Miraftab andS. Rajendran TECHNISCHE

- Cerebral palsy- Dynamic Lycra® pressure garments- Aims and objectives of study- Method

- Results

- Discussion

- Conclusions

- References

Empirical modelling of clastic properties of pressure garments for healthcare 309

SPereira, S CAnand and S Rajendran, University ofBolton, UKand C Wood,BaltexLtd, UK

- Introduction

- Experimental- Results and discussion

- Conclusions

- References

Investigation ofelastic properties ofmultiaxial warp knitted bandages 323MAkalin, DKogak, SIMistik andM Uzun, Marmara University, Turkey

- Introduction

- Materials and methods- Results- Conclusions- References

PART V IMPLANTABLE MATERIALS

Implantable materials: an overview 329S Rajendran, University ofBolton, UK

- Introduction- Vascular grafts- Knee implants- Mesh grafts- Scaffolds

- Bibliography

Designing vena cava filters with textile structures 334J Yoon andM WKing, North Carolina State University, USA and E Johnson,Crux Biomedical Inc, USA

- Introduction- Current filters for embolic protection- Discussion

- Conclusion- References

xii © Woodhead Publishing Limited, 2010

Page 10: Medical and healthcare textiles - GBVWoodheadPublishing Series in Textiles: Number75 Medical and healthcare textiles Editedby S. C.Anand,J. F. Kennedy,M.Miraftab andS. Rajendran TECHNISCHE

Application of poh/vinylidene fluoride (PVDF) as a biomaterial in medical

textiles 342

SHouis andTGries, RWTHAachen University, Germany, EMEngelhardt and

F Wurm, Ecole Polytechnique Fe'de'rale de Lausanne, Switzerland

- Introduction

- State ofthe art

- Production ofmedical textiles- Projects using PVDF for medical applications- Conclusion

- References

Textile scaffolds for tissue engineering - near future orjust vision? 353

DAibibu, SHouis, MSHarwoko andTGries, RWTHAachen University, Germany- Introduction

- Materials

- Results

- Discussion

- References

Visible invisibility: contamination-aware textile surfaces 357

A Toomey, Royal College ofArt, UK- Introduction

- Infection risks

- Infection control- 'Visible invisibility' contamination aware surfaces

- Conclusion

- References

Textile medical products for the stabilization of the thoracic wall 368EAlexandra andM Carmen, The National Institutefor Textile andLeather, Romania

andNAlexandru, Victor Babes Medical and Pharmaceutical University, Romania- Introduction

- Experimental- Clinical experiments- Results

- Conclusions- References

Predicting the fatigue performance of endovascular prostheses 374

HZhao, L Wang, YLi andXLiu, Donghua University, China andM WKing,North Carolina State University, USA

- Introduction

- Experimental- Results and discussion- Conclusions- References

©Woodhead Publishing Limited, 2010 xiii

Page 11: Medical and healthcare textiles - GBVWoodheadPublishing Series in Textiles: Number75 Medical and healthcare textiles Editedby S. C.Anand,J. F. Kennedy,M.Miraftab andS. Rajendran TECHNISCHE

Integration and embedding ofvital signs sensors and other devices into textiles 381

MJAbreu, HCarvalho, A Catarino andA Rocha, Universidade do Minho, Portugal- Introduction

- Review ofthe state ofthe art

- Overview of general principles- Experimental, results and discussions

- Conclusions

- References

PART VI MEDICAL DEVICES

Textile-based medical devices: an overview 391

JF Kennedy andCJKnill, Chemhiotech Laboratories - Institute ofAdvanced

Science and Technology, UK

- What is amedical device?

- Medical textiles and their applications- Biomaterials used in medical textiles

- References

Design and release rates of a novel biodegradable slow-release implant for the

prevention ofpaediatric dental caries 396

G JDunn andA FFotheringham, Heriot-Watt University, UK- Introduction

- Materials and methods

- Results and discussion

- Conclusions- References

Maternity support garment for the relief oflower back pain 404

3 Ho, WYu, TLao, D Chow, JChung and YLi, The Hong Kong PolytechnicUniversity, Hong Kong

- Introduction

- Study aims- Study objectives- Summary- References

Self-powered medical devices for vibration suppression 415

L MSwallow, E Siores, D Dodds and JK Luo, University ofBolton, UK- Introduction

- Piezoelectric materials

- Power harvesting- Vibration suppression- Device overview

- Results

- Discussion

- Future work

- References

xiv © Woodhead Publishing Limited, 2010

Page 12: Medical and healthcare textiles - GBVWoodheadPublishing Series in Textiles: Number75 Medical and healthcare textiles Editedby S. C.Anand,J. F. Kennedy,M.Miraftab andS. Rajendran TECHNISCHE

Gas plasma treatment ofpolypropylene (PP) dental tapeJM Warren, RR Mather and DRobson, Heriot-Watt University UK andA Neville,

University ofLeeds, UK- Introduction

- Experimental- Surface characteristics ofplasma treated tape- PP tapes as dental flosses

- References

Investigating fracture mechanisms of some non-absorbable sutures in vivo

A S Hockenberger and E Karaca, Uludag University, Turkey- Introduction

- Experimental- Results and discussion

- Conclusion- References

Wearable microwave radiometry device for early detection of sub-tissue

oncological imperfectionsTShah and E Siores, University ofBolton, UK

- Introduction

- Main types ofbreast cancer

- Detection ofbreast cancer- Microwave radiometry- Microwave radiometer design and testing- Device integration with fabric

- Conclusions

- References

Investigation of differences in Caprosyn, Biosyn, Polysorb, Novafil and

Surgipro sutures

A D Erem and E Onder, Istanbul Technical University, Turkey andHHErem,

GATA Haydarpasa Training Hospital, Turkey- Introduction

- Materials

- Method

- Results

- Conclusions

- References

PART VII SMART MATERIALSANDTECHNOLOGIES

Smart materials and technologies: an overview

MMiraftab, University ofBolton, UK- Introduction

- Review ofpapers on smart materials

- References

©Woodhead Publishing Limited, 2010 xv

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Smarttextiles embedded with optical fibre sensors for health monitoring

of patientsFPirotte, Centexbel, Belgium, A Depre, Elasta, Belgium, RShishoo, Shishoo

Consulting, Sweden, JDe Jonckheere, LTM, France and A Grillet, Muliitel, Belgium- Introduction

- OFSETH research project- Preliminary results

- Conclusions

- References

Integrating contactless sensors for stress level monitoring into clothing usingconductive threads 472

CRotsch, D Zschenderlein and U Mdhring, TLTVGreiz, Germany- Introduction

- Conductive thread materials for the integration oftextile sensors and actuators

- References

Designing compressive stretch garments for improved comfort and fit 477

PA Watkins, London College ofFashion, UK

- Introduction- Garment pressure research literature

- Traditional pattern design and mobility- Proximal fit pattern design- Summary- References

Burn hazard potential, pre-ignition and post-ignition thermal propertiesof textiles 491

A WKolhatkar, J D Institute ofEngineering and Technology, India and

PCPatel, MS University ofBaroda, India

- Introduction

- Materials and methods

- Results and discussion

- Conclusions

- References

Assessing the performance of alternating pressure air mattresses (APAMs) 499

SVSRithaliaandGHHeath, University ofSalford, UK

- Introduction

- Methods and materials

- Results

- Discussion

- References

Smart textiles with slow-release ceramides for sensitive skin 509

MMarti, R Ramirez andh Coderch, IIQAB (CS1C), Spain andMLis, JA Navarro

andJ Valldeperas, MTEXTER (UPC), Spain- Introduction

- Ceramides from wool

- Liposome formation and evaluation

xvi © Woodhead Publishing Limited, 2010

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- Application of IWL-ceramide liposomes- Microencapsulation- Conclusions

- References

PART VIII INDUSTRY STANDARDSANDREGULATIONS

Directives, regulations and standards for the medical device industry: an overview 519

C J Knili and J F Kennedy, Chembiotech Laboratories - Institute ofAdvancedScience and Technology, UK

- Medical devices in the EU- Medicines and Healthcare Products Regulatory Agency- CE marking- Safety/quality standard monitoring- Biocompatibility testing- The Drug Tariff

- References

Recent changes to the UK Drug Tariff for appliances listed in Part IX 523

G J Collyer, SumedInternational Ltd, UK' Introduction

- History to the reimbursement of appliances- The Gershon Review 2004- The Supply Chain Excellence Programme- Conclusions

- References

©Woodhead Publishing Limited, 2010 xvii