A Novel Shape Memory Polymer (SMP) Foam for Hemorrhage Control

Abstract

Although there are many hemostatic agents available for use on the battlefield, uncontrolled hemorrhage is still the primary cause of preventable death. Current hemostatic dressings include QuikClot Combat Gauze (QCCG) and XStat, which have inadequate success in reducing mortality. To address this need, a new hemostatic material was developed using shape memory polymer (SMP) foams, which demonstrate biocompatibility, rapid clotting, and shape recovery to fill the wound site. SMP foam hemostatic efficacy was examined in a lethal, noncompressible porcine liver injury model over 6 hours following injury. Wounds were packed with SMP foams, XStat, or QCCG and compared in terms of time to bleeding cessation, total blood loss, and animal survival. The hemostatic material properties and in vitro blood interactions were also characterized. SMP foams decreased blood loss and active bleeding time in comparison with XStat and QCCG. Most importantly, SMP foams increased the 6-hour survival rate by 50% and 37% (vs. XStat and QCCG, respectively) with significant increases in survival times. In parallel studies, modifications were made to the foams to make them degradable, which would allow for hemostatic materials to remain in place during healing, and antimicrobial to reduce infection risks.

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Document Details

Document Type
Technical Report
Publication Date
Sep 15, 2021
Accession Number
AD1165407

Entities

People

  • Mary B. Monroe
  • Steven G Schauer

Organizations

  • 59th Medical Wing
  • Syracuse University

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Anti-Bacterial Agents
  • Anti-Infective Agents
  • Blood
  • Blood Coagulation
  • Chemical Synthesis
  • Chemistry
  • Combat Casualty Care
  • Glass Transition Temperature
  • Health Services
  • Infection
  • Materials Science
  • Materials Testing
  • Mechanical Properties
  • Medical Personnel
  • Tensile Strength
  • Transition Temperature
  • Warfare
  • Wound Infections
  • Wounds And Injuries

Fields of Study

  • Medicine

Readers

  • Marine Hydrodynamics
  • Trauma Surgery or Emergency Medicine.