Technical Fabric as Health Care Material
1Department of Textile Engineering, KIOT, Wollo University, Ethiopia
2Department of Chemical Engineering, KIOT Wollo University, Ethiopia
The objective of the study is to expose the achievements of advance application of textile material. Previously textiles are only used as normally wound care products, diapers, braces, prostheses and outhouses, wipes, breathing masks, bedding and covers, ropes and belts etc but the technology has been upgraded. Textile materials and products that have been engineered to meet particular needs are suitable for many applications as well as medical and surgical application in which a combination of strength, flexibility, and sometimes moisture- and air-permeability is required. Materials used include monofilament and multifilament yarns, woven, knitted, and nonwoven fabrics, and composite structures. The applications are many and diverse, ranging from a single-thread suture to the complex composite structures used for bone replacement, and from the simple cleaning wipe to the advanced barrier fabrics used in operating rooms. Although textile materials have been widely adopted in medical and surgical applications for many years, new uses are still being found. Research utilising new and existing fibres and fabric-forming techniques has led to the advancement of medical and surgical textiles. At the forefront of these developments is absorbency, tenacity, flexibility, softness, or biodegradability.
At a glance: Figures
Keywords: artificial, bandage, cotton, polyester fibre, knitted, woven
Biomedical Science and Engineering, 2014 2 (2),
Received March 21, 2014; Revised April 15, 2014; Accepted April 15, 2014Copyright © 2014 Science and Education Publishing. All Rights Reserved.
Cite this article:
- Getu, Alhayat, and Omprakash Sahu. "Technical Fabric as Health Care Material." Biomedical Science and Engineering 2.2 (2014): 35-39.
- Getu, A. , & Sahu, O. (2014). Technical Fabric as Health Care Material. Biomedical Science and Engineering, 2(2), 35-39.
- Getu, Alhayat, and Omprakash Sahu. "Technical Fabric as Health Care Material." Biomedical Science and Engineering 2, no. 2 (2014): 35-39.
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It is one of the most rapidly expanding sectors in the technical textile market. Medical Textiles are the products and constructions used for medical and biological applications and are used primarily for first aid, clinical and hygienic purposes. It consists of all those textile materials used in health and hygienic applications in both consumer and medical markets. In case of Medical Textiles the main requirement of the textile material is bio receptivity and biocompatibility at the application site in human beings. Eg: antimicrobial sutures based on nylon and polypropylene mono filaments. Medical textiles are textile products and constructions for medical applications. They are used for first aid, clinical or hygienic purposes and rehabilitation.
Examples of their application include:
1. protective and healthcare textiles;
2. dressings, bandages, pressure garments and prosthetics;
3. hygiene products;
4. Antiseptic wound dressings.
The scope of meditech embraces all textile materials used in health and hygiene applications in both consumer and medical markets. Depending on the nature of application, many medical products are disposable and made out of nonwoven fabrics. Textile products are used in medical and healthcare sector in various forms. The complexity of applications has increased with research and developments in the area of medical textiles. The surgical gown, operating room garments and drapes require special antibacterial properties combined with the wearers comfort. Other major uses of medical textiles are incontinence diapers, sanitary napkins and baby diapers. Wound dressing, bandages and swabs are also widely used conventional medical textiles. Textiles are also being used as sutures, orthopaedic implants, vascular grafts, artificial ligaments, artificial tendons, heart valves and even as artificial skins. Recent advances in medical textiles to be used as extracorporeal devices are also significant; these include artificial kidney, artificial liver, mechanical lungs etc. New materials are finding specialized applications like antimicrobial and antifungal fibres and additives used in barrier fabrics, abdominal post-operative binders, applications in neurodermatitis treatment and various other wound management and surgical treatments. Although the type of fibre used and the fabric structure varies with the specific end use, all medical fibres must be non-toxic, non-carcinogenic, non-allergic and capable of being sterilized without suffering chemical or physical damage. In addition, for many applications absorbency is essential, favoring the use of cotton or viscose. In most applications, cotton has been replaced by synthetics such as polyester (because of its durability and low linting characteristics), by polypropylene (the most popular fibre, largely due to its capillary & inert characteristics), and by viscose rayon (due to its absorbency and biodegradability).
2. Characteristics of the Medical Textiles Market
According to ‘Technical Textiles and Industrial Nonwovens: World Market Forecast to 2010’ published by David Rigby Associates 1) (DRA), it is forecast that the world market for technical textiles and industrial nonwovens will increase by 3.5% per annum between 1995 and 2005, and 3.8% per annum from 2005 to 2010 in volume terms, to reach 23.8 mn tones with a value of $ 126 bn by 2010. The division of technical textiles (according to DRA) into the different application areas is presented in Figure 1.
On the basis of DRA’s research, over 1.5mn tons of textile materials, with a value of US$5.4bn, were consumed worldwide in the manufacture of medical and hygiene products in 2000. This is predicted to increase in volume terms by 4.5% per annum to 2010 to reach 2.4 mn tons with a value of US$ 8.2 bn. This sector probably offers the greatest scope for the development of the most sophisticated and highest value textiles for niche applications . Technical textiles will find many different kinds of application with medical and hygiene products in the healthcare sector. The diversity of applications encountered in medical and healthcare products is quite remarkable, e.g. simple bandages, biocompatible implants and tissues, antibacterial wound treatment material, prosthetics, and intelligent textiles. Each of these categories covers a broad range of applications, and the many end-uses with their disparate requirements create opportunities for all kinds of textile such as fibres, mono- and multi-filament yarns, woven, knitted, nonwoven, braiding and composite fabrics [5, 6].
Medical textiles embrace all those textile materials used in health and hygiene applications in both the consumer and medical markets. As such, it comprises a group of products with considerable variations in terms of product performance and unit value. Because of the nature of their application, many medical products are disposable items. Nonwovens account for a high part of the sector overall in terms of tons of fibre used . Also, another feature of the medical textile market will be the growing proportion of composite materials used in wound management products. This will mean the combination of textiles with such materials as films, foam and adhesives to form structures for the treatment of wound and healthcare products . The increased use of textiles in composite applications will provide major growth fibre consumption in terms of volume. The hitherto increase and forecast in world consumption of medical textiles is presented in Figure 2.
European producers are world leaders in the market for technical/industrial textiles and nonwovens, for example industrial filters, hygiene products or in the medical sector. Although the textile sector is marked by small- and medium-sized enterprises and local developments, it is important that research efforts take place in a more integrated way so as to achieve a critical mass and be competitive on the global market. The European technical textile sector should continue to develop highly specialised products. This is the case, for example, in medical textiles based on biomaterials, interactive and intelligent textiles provided for textile sensors and improving test methods .
3. Types of Medical Textile
Medical Textiles are the products and constructions used for medical and biological applications and are used primarily for first aid, clinical and -hygienic purposes. It consists of all those textile materials used in health and hygienic applications in both consumer and medical markets. As such it comprises a group of products with considerable variations in terms of product performance and unite value. Because of the nature of their application many medical products are disposable items. The increased use of textiles in composite applications will provide major growth fiber consumption in terms of volume Medical textiles are divided into four categories, which is shown Figure 3.
The materials are used in effecting repair to the body whether it is wound closure (sutures) or replacements surgery like vascular grafts, artificial ligaments, etc). There are many shapes and sizes, for duplications as found in human body. Filament, textures yarns used nowadays, which are coated to prevent leakage of blood while tissue, is forming on the inner walls. Carbon fibre is a popular material for tissue repair. Suspensors and reinforcing surgical meshes are used in plastic surgery for repairing defects of the abdominal wall. Surgical treatments of hermia in Urology etc Hydrophobic snivels felt dressings are high porosity textiles made from man- made fibres designed for treatment of bums and different dermatological defects. Some of polymer fibers which are used for implantable are mention in Table 1.
These materials are used for external applications on the body and may or may not contact with skin. They are made from co-polymer of two amino acids. They are employed as covering, absorbent, protective and supports for injured or diseased part. They are different types of non-implantable material which is wound dressing, plaster etc. A number of wound-dressing types are available for a variety of medical and surgical applications. The functions of these materials are to provide protection against infection, absorb blood and exudate, promote healing, and, in some instances, apply medication to the wound. Common wound dressings are composite materials consisting oi an absorbent layer held between a wound-contact layer and a flexible base material. The absorbent pad absorbs blood or liquids and provides a cushioning effect to protect the wound. The wound contact layer should prevent adherence of the dressing to the wound and be easily removed without disturbing new tissue growth. The base materials are normally coated with an acrylic adhesive to provide the means by which the dressing is applied to the wound . Textile materials used for wound-dressing applications include gauze, lint, and wadding. Gauze is an open-weave, absorbent fabric, which, when coated with paraffin wax, is used for the treatment of burns and scalds. In surgical applications, gauze serves as an absorbent material when u.sed in pad forms (swabs); yarns containing barium sulphate are incorporated so that the swab is X-ray-detectable. Lint is a plainweave cotton fabric that is used as a protective dressing for first-aid and mild-burn applications. Wadding is a highly absorbent material, which is covered with a nonwoven fabric to prevent wound adhesion or fibre loss.
Bandages are designed to perform a wide variety of specific functions, depending upon the final medical requirement. They can be woven, knitted, or nonwoven and are either clastic or non-elastic. The most common application for bandages is to hold dressings in place over wounds. Such bandages include lightweight knitted or simple open-weave fabrics made from cotton or viscose, which are cut into strips and then scoured, bleached, and sterilised. Elasticated yarns are incorporated into the fabric structure to impart support and conforming characteristics. Knitted bandages can be produced in tubular form in varying diameters on either warp- or weft-knitting machines. Woven light-support bandages are used in the management of sprains or strains, and the elasticated properties are obtained by weaving cotton crepe yarns that have a high twist content. Similar properties can also be achieved by weaving two warps together, one beam being under a normal tension and the other under a high tension. When applied under sufficient tension, the stretch and recovery properties of the bandage provide support for the sprained limb . Some of non-implantable fiber which is used for medical purpose is mention in Table 2.
Extra corporal devices are mechanical organs that are used for blood purification and include the artificial kidney, the artificial liver and the mechanical lungs. Fibres which are used for extra implantable are mention in Table 3.
3.3.1. Artificial Kidney
Tiny instrument are about the size of a two - cell flashlight, made with hollow hair sized cellulose fibres or hollow polyester fibre slightly latest than capillary vessels Fabric which is used to remove waste products from patient's blood. The artificial kidney shown in Figure 4.
3.3.2. Artificial Liver
The artificial liver utilises hollow fibres or membranes similar to those used for the artificial kidney to perform their function. 10. The artificial liver is shown in Figure 5.
3.3.3. Artificial Lung
The micro porous membranes of the mechanical lung possess high permeability to gases but low permeability to liquids and functions in the same manner as the natural lung allowing oxygen to come into contact with the patient’s blood. 10,22. The artificial lung is shown in Figure 6.
3.3.4. Artificial Heart
An 8 - ounce plastic pump lined with dacom velour to reduce damage to blood and is a chambered apparatus about the size of a human heart. Silastic backing makes the fabric imperious to emerging gas that is not desirable in the blood. The artificial heart is shown I n Figure 8.
Fibres used in relation to health care and surgery may be classified depending on whether they are natural or synthetic, biodegradable or non-biodegradable. All fibres used, however, must be non-toxic, non-allergenic, non-carcinogenic and must be able to be sterilised without imparting any change in their physical or chemical characteristics [16, 17]. Traditionally, natural fibres such as cotton, silk and later viscose have been extensively used in all areas of medical and surgical care. One such area of application is on the wound, where moisture and liquid that exude from the wound are absorbed by the fibrous structure to promote healing in relatively dry conditions. However, upon healing, small fibrous elements protruding from the wound dressing are usually trapped in the pores of the newly formed tissues which make their removal distressing to the patients. Some of the hygiene products from fiber with application are mention in the Table 4.
Medical textiles are one of the most dynamically expanding sectors in the technical textile market. Growth rates are above average as a result of increases in consumption in developing countries in Asia and growth rates in the Western market. The prospects for medical textiles are rather better, especially for nonwoven materials and disposable medical textiles used in surgical rooms. Combination of textile and its application in medical sciences has been proof that the painful days of patients and surgeons converting into the comfortable days. The major requirements for biomedical polymers are-Non toxic, Nonallergenic response, mechanical properties, strength, elasticity, durability and biocompatibility.
|||D. Höfer, M. Swerev, ‘The Future of Medical Textiles: High-tech For the Well-being of the Patient’, Journal of Textiles and Apparel, Technology and Management, 2003.|
|||Global Harmonisations Task Force (GHTF)’, AHWP Technical Committee Meeting and Workshop, Malaysia, 2001.|
|||GHTF Summary Technical Documenta¬tion, Asia Harmonization Working Party Technical Committee, Bangkok, 2002.|
|||‘Risk-based Classification of Medical Devices in the European Union (GHTF): Point of View from a Notified Body’, 3rd AHWP Technical Committee Meeting, Taipei, Chinese Taipei (Taiwan), 2004.|
|||S. Anand, ‘Medical Textiles’, Woodhead Publishing Ltd, Abington, 2001.|
|||Opportunities for healthcare and medical textiles growth, Technical Textiles Inter¬national, 2003.|
|||‘Technical Textiles and Industrial Nonwo¬vens: World Market Forecast to 2001’, article taken from DRA Service http://www.davidrigbyassociates.com|
|||A. Fischer, G. Fischer, ’Composite ma¬terials in healthcare and wound mana¬gement’ Technical Textiles International, Vol. 12, 2003.|
|||S. Rajendran and S.C. Anand, ‘Development in Medical Textiles’, Textile Progress, 2002, pp. 10-13.|
|||A.J. Rigby, S.C. Anand, and A.R. Horrocks Textile Materials for Medical and Healthcare Applications, Journal of Text. Inst., 1997. 88.|
|||B.K. Kandola and A.R. Horrocks, ‘Complex char formation in flame-retarded fibre-intumescent combinations- II. Thermal analytical studies’, Polymer Degradation and Stability, 54, 289-303, 1996.|
|||D.S. Varma, ‘High performance organic fibres for industrial applications’, Man-made Textiles in India, 380-386, August, 1986.|
|||A.R. Horrocks and J.A. D’souza, ‘Degradation of polymers in geomembranes and geotextiles’, Handbook of Polymer Degradation, S H Hamid, M B Amin and A G Maadhah (eds), Marcel Dekker, New York, 1992, 433-501.|
|||A.S. Hoffman, ‘Medical applications of polymeric fibres’, Appl Polym Symp 31, 313-334 J. Wiley and Sons, New York, 1977.|