Non-Immunogenic Structurally and Biologically Intact Tissue Matrix Grafts for the Immediate Repair of Ballistic-Induced Vascular and Nerve Tissue Injury in Combat Casualty Care

Abstract

In the first year of this graft processes were developed that provided a decellularized, cryopreserved, and freeze-dried human umbilical artery and vein for use as off-the-shelf vascular grafts. Short term animal studies indicated that the vein graft had potential as a hemodialysis graft. However, close evaluation of those tissues indicated that there were defects that may have clinical impact. This past year the source of he defects was determined to be the freeze-drying process. Ongoing efforts toward process optimization and design modifications that will provide undamaged tissue grafts are presented in this report. Essential processing modifications, procurement systems and a total quality plan were also developed and implemented. Biocompatibility testing was performed and when it was appropriate biomechanical verification testing was completed. In addition, the umbilical artery was evaluated for the first time in large animals. Graft related adverse events led to further tissue processing optimization. That work is presented in this report but artery process development is still ongoing.

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Document Details

Document Type
Technical Report
Publication Date
Dec 01, 2003
Accession Number
ADA420129

Entities

People

  • Nathaniel Bachrach

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Arteries
  • Blood Cells
  • Casualties
  • Cells
  • Cellular Structures
  • Combat Casualty Care
  • Confidence Limits
  • Electron Microscopy
  • Failure Mode And Effect Analysis
  • Fetus
  • Freeze Drying
  • Health Services
  • Lymphocytes
  • Measurement
  • Medical Personnel
  • Test And Evaluation
  • Transplants

Fields of Study

  • Medicine

Readers

  • Software Engineering
  • Trauma Surgery or Emergency Medicine.