Tag Archives: ePTFE Covering

Stent-grafts and scaffold-based medical devices treat various conditions in cardiology, gastroenterology, neurology, urology, pulmonology, and more. These devices often require covers for multiple clinical outcomes, such as sealing, leak prevention, tissue ingrowth, or tissue restriction. At Medibrane, we use clinically investigated polymers with a long history in the medical device industry, including medical-grade silicone, Dacron, ePTFE, and thermoplastic polyurethanes. The selected polymer and covering technology influence critical cover parameters, such as thickness, radial strength, crimping profile, and whether the cover is porous or non-porous.

Biocompatible Polymers Used for Stent Covering

Biocompatibility is the ability of a material to perform with an appropriate host response in a specific application (Williams, 2008). However, biocompatibility depends not only on the material but also on the device parameters. Therefore, the implant site, duration, and intended use must be carefully considered.

Medibrane’s Unique Adhesion Platform

Our engineers focus on improving adhesion forces as the first step for all covering options. Metal scaffolds and polymer covers typically do not bond easily, so we begin by activating the metal surface, changing its chemistry to enhance mechanical attachment between the cover and stent. The second step is encapsulation coating, where the polymeric coating wraps around the stent’s struts to form a closed loop. The polymer cover is then applied onto this loop, creating a strong connection between the cover and the encapsulated polymer.

Lamination Covering Technology

We use lamination technology to bond polymers to the inner or outer diameter of the stent, or both. By applying temperature and pressure, we connect the cover to the metal frame. Lamination of two layers generates a “sandwich-like” structure, creating a strong bond in the overlap area. This technique is suitable when increased thickness and crimping profile are not problematic. Medibrane’s innovative sutureless lamination technology addresses the challenge of covering with a single polymer layer, while maintaining strong adhesion forces between the polymer cover and the metal stent. This technology is especially useful when cover thickness and crimping profile are critical. One of its advantages is the ability to generate a cover with selective bonding.

Selective Bonding Cover

The medical industry has shifted to minimally invasive procedures using self-expandable and balloon-expandable stents. This shift has driven changes in the polymers and technologies used for stent coverings. As stent grafts must be crimped and inserted into narrow delivery systems, properties such as crimping force and loading force are essential. The trend towards minimizing cover thickness and crimping profile has increased the use of polymers and technologies that enable low cover thickness.

Reducing cover thickness can be achieved by using only one layer of polymer on the inner or outer diameter. Another option is choosing materials like polyurethane to create ultra-thin covers. Selective bonding, a technique developed by our engineering team, enables the reduction of crimping profile and cover thickness. With selective bonding, the membrane attaches to the stent only at specific regions, reducing radial force and crimping profile.

Covering Technologies:

  • Polymer Lamination

Covering Materials:

  • TPU
  • ePTFE
  • Dacron

What is ePTFE?

ePTFE (expanded Polytetrafluoroethylene) is a lightweight and strong material that is biocompatible and biostable. It is chemically inert, resistant to degradation by biological fluids, and, most importantly, it can be stretched and deformed. Additionally, ePTFE comes in various forms such as tapes, membranes, films, tubes, fibers, sheets, and rods.

Microporous Structure for Medical Use

The material’s microporous structure makes it ideal for a wide range of medical applications. For instance, it enables tissue in-growth, which prevents migration. Thanks to its biocompatible nature and deformation capabilities, ePTFE has become a preferred material in the medical device industry.

ePTFE in the Medical Device Industry

The medical device industry quickly adopted ePTFE. Today, it is widely used across various medical markets, including self-expandable metallic stents for gastroenterology and vascular covered stents, such as abdominal aortic aneurysm stents. In addition, ePTFE is commonly used in cardiology, for structural heart devices like heart valves, septal occluders, left atrial appendage implants, and mitral valve clips.

Overcoming Suturing Challenges

Previously, ePTFE was applied to medical devices using suturing, a manual and time-consuming procedure. However, Medibrane’s experts have overcome this challenge. By developing the innovative Sutureless Lamination Technology through our unique Adhesion platform, we eliminated the need for sutures. This approach ensures strong adhesion and long-term attachment to the metal frame.

Medibrane’s Adhesion Platform

Our Adhesion platform works in two stages:

  1. Surface Treatment: We prepare the metal surface for bonding with the polymeric material using various techniques.
  2. Encapsulation Coating: A polymeric membrane coats the device’s struts, ensuring a mechanical attachment between the polymer and frame, which leads to improved adhesion.

Sutureless Lamination Technology: Key Advantages

  • Low wall thickness
  • Low crimping profile
  • Automated technology
  • Faster manufacturing time
  • Smaller delivery forces

ePTFE Advantages in the Medical Industry

  • Sealing: ePTFE provides essential sealing for different medical stents, ensuring blood and fluid redirection.
  • Tissue In-growth: Its microporous structure allows tissue in-growth, preventing migration, which is critical for numerous medical applications.
  • Biostability: ePTFE remains stable and durable over time, making it a reliable material in medical devices.

Sutureless Lamination of ePTFE: Applications

The Sutureless Lamination of ePTFE is ideal for covering:

  • Heart Valves
  • Left Atrial Appendage Implants
  • Mitral Valve Clips
  • Septal Occluders
  • Peripheral Covered Stents

Specifications

  • Single or double layer (Inner diameter or both inner and outer cover layers)
  • Wall-thickness range: 60 – 200 [µm]

Materials

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