Biomedical applications of shape-memory polymers: how practically useful are they?

The clinical significance of 4D printing

4D printing is the next step on from 3D printing involving the fourth dimension of 'time'. The programmed 4D-printed objects are capable of changing their shape in response to external stimuli, such as light, heat, or water, differentiating them from 3D-printed static objects. This technique promises new possibilities for cancer treatment, drug delivery, stent development, and tissue engineering. In this review, we focus on the development of 4D-printed objects, their clinical use, and the possibility of 5D printing, which could revolutionize the fields of biomedical engineering and drug delivery.

Environment tolerant, adaptable and stretchable organohydrogels: preparation, optimization, and applications

Multiple stretchable materials have been successively developed and applied to wearable devices, soft robotics, and tissue engineering. Organohydrogels are currently being widely studied and formed by dispersing immiscible hydrophilic/hydrophobic polymer networks or only hydrophilic polymer networks in an organic/water solvent system. In particular, they can not only inherit and carry forward the merits of hydrogels, but also have some unique advantageous features, such as anti-freezing and water retention abilities, solvent resistance, adjustable surface wettability, and shape memory effect, which are conducive to the wide environmental adaptability and intelligent applications. This review first summarizes the structure, preparation strategy, and unique advantages of the reported organohydrogels. Furthermore, organohydrogels can be optimized for electro-mechanical properties or endowed with various functionalities by adding or modifying various functional components owing to their modifiability. Correspondingly, different optimization strategies, mechanisms, and advanced developments are described in detail, mainly involving the mechanical properties, conductivity, adhesion, self-healing properties, and antibacterial properties of organohydrogels. Moreover, the applications of organohydrogels in flexible sensors, energy storage devices, nanogenerators, and biomedicine have been summarized, confirming their unlimited potential in future development. Finally, the existing challenges and future prospects of organohydrogels are provided.

A Critical Review on Polymeric Biomaterials for Biomedical Applications

Natural and synthetic polymers have been explored for many years in the field of tissue engineering and regeneration. Researchers have developed many new strategies to design successful advanced polymeric biomaterials. In this review, we summarized the recent notable advancements in the preparation of smart polymeric biomaterials with self-healing and shape memory properties. We also discussed novel approaches used to develop different forms of polymeric biomaterials such as films, hydrogels and 3D printable biomaterials. In each part, the applications of the biomaterials in soft and hard tissue engineering with their in vitro and in vivo effects are underlined. The future direction of the polymeric biomaterials that could pave a path towards successful clinical implications is also underlined in this review.

Biodegradable shape-memory polymers and composites

Polymers have recently been making media headlines in various negative ways. To combat the negative view of those with no polymer experience, sustainable and biodegradable materials are constantly being researched. Shape-memory polymers, also known as SMPs, are a type of polymer material that is being extensively researched in the polymer industry. These SMPs can exhibit a change in shape because of an external stimulus. SMPs that are biodegradable or biocompatible are used extensively in medical applications. The use of biodegradable SMPs in the medical field has also led to research of the material in other applications. The following categories used to describe SMPs are discussed: net points, composition, stimulus, and shape-memory function. The addition of fillers or additives to the polymer matrix makes the SMP a polymer composite. Currently, biodegradable fillers are at the forefront of research because of the demand for sustainability. Common biodegradable fillers or fibers used in polymer composites are discussed in this chapter including Cordenka, hemp, and flax. Some other nonbiodegradable fillers commonly used in polymer composites are evaluated including clay, carbon nanotubes, bioactive glass, and Kevlar. The polymer and filler phase differences will be evaluated in this chapter. The recent advances in biodegradable shape-memory polymers and composites will provide a more positive perspective of the polymer industry and help to attain a more sustainable future.

Smart materials in cardiovascular implants: Shape memory alloys and shape memory polymers

Smart materials have intrinsic properties that change in a controlled fashion in response to external stimuli. Currently, the only smart materials with a significant clinical impact in cardiovascular implant design are shape memory alloys, particularly Nitinol. Recent prodigious progress in material science has resulted in the development of sophisticated shape memory polymers. In this article, we have reviewed the literature and outline the characteristics, advantages, and disadvantages of shape memory alloys and shape memory polymers which are relevant to clinical cardiovascular applications, and describe the potential of these smart materials for applications in coronary stents and transcatheter valves.

Heating/Solvent Responsive Shape-Memory Polymers for Implant Biomedical Devices in Minimally Invasive Surgery: Current Status and Challenge

This review is about the fundamentals and practical issues in applying both heating and solvent responsive shape memory polymers (SMPs) for implant biomedical devices via minimally invasive surgery. After revealing the general requirements in the design of biomedical devices based on SMPs and the fundamentals for the shape-memory effect in SMPs, the underlying mechanisms, characterization methods, and several representative biomedical applications, including vascular stents, tissue scaffolds, occlusion devices, drug delivery systems, and the current R&D status of them, are discussed. The new opportunities arising from emerging technologies, such as 3D printing, and new materials, such as vitrimer, are also highlighted. Finally, the major challenge that limits the practical clinical applications of SMPs at present is addressed.

Review of Polymeric Materials in 4D Printing Biomedical Applications

The purpose of 4D printing is to embed a product design into a deformable smart material using a traditional 3D printer. The 3D printed object can be assembled or transformed into intended designs by applying certain conditions or forms of stimulation such as temperature, pressure, humidity, pH, wind, or light. Simply put, 4D printing is a continuum of 3D printing technology that is now able to print objects which change over time. In previous studies, many smart materials were shown to have 4D printing characteristics. In this paper, we specifically review the current application, respective activation methods, characteristics, and future prospects of various polymeric materials in 4D printing, which are expected to contribute to the development of 4D printing polymeric materials and technology.

Shape Memory Polymer Composite Actuator: Modeling Approach for Preliminary Design and Validation

The work at hand focuses on the modeling, prototyping, and experimental functionality test of a smart actuator based on shape memory polymer technology. Particular attention is paid to the specific modeling approach, here conceived as an effective predictive scheme, quick and, at the same time, able to face those nonlinearity aspects, strictly related to the large displacements shape memory polymers usually undergo. Shape memory polymer composites (SMPCs) may play a critical role for many applications, ranging from self-repairing systems to deployable structures (e.g., solar sails, antennas) and functional subcomponents (e.g., pliers, transporters of small objects). For all these applications, it is very important to have an effective tool that may drive the designers during the preliminary definition of the main parameters of the actuation system. For the present work, a SMPC plate sample has been conceived and realized in view of aerospace applications. An external fibre optic sensor has been then fixed with special adhesive. The temperatures needed for the activation of the Shape Memory Polymer (SMP) and strain storing have been provided by a thermo-gun and complete load–unload cycles, including strain storing, have been performed. Experimental displacements and strains have been used to validate a dedicated predictive theoretical approach, suited for laminates integrated with SMP layers.

Biodegradable Shape Memory Polymers in Medicine

Shape memory materials have emerged as an important class of materials in medicine due to their ability to change shape in response to a specific stimulus, enabling the simplification of medical procedures, use of minimally invasive techniques, and access to new treatment modalities. Shape memory polymers, in particular, are well suited for such applications given their excellent shape memory performance, tunable materials properties, minimal toxicity, and potential for biodegradation and resorption. This review provides an overview of biodegradable shape memory polymers that have been used in medical applications. The majority of biodegradable shape memory polymers are based on thermally responsive polyesters or polymers that contain hydrolyzable ester linkages. These materials have been targeted for use in applications pertaining to embolization, drug delivery, stents, tissue engineering, and wound closure. The development of biodegradable shape memory polymers with unique properties or responsiveness to novel stimuli has the potential to facilitate the optimization and development of new medical applications.

Characterization of a Thiol-Ene/Acrylate-Based Polymer for Neuroprosthetic Implants

Thiol-ene/acrylate shape-memory polymers can be used as base substrates for neural electrodes to treat neurological dysfunction. Neural electrodes are implanted into the body to alter or record impulse conduction. This study characterizes thiol-ene/acrylate polymers to determine which synthesis methods constitute an ideal substrate for neural implants. To achieve a desired Tg between 50 and 56.5 °C, curing conditions, polymer thickness, monomer ratios, and water uptake were all examined and controlled for. Characterization with dynamic mechanical analysis and thermal gravimetric analysis reveals that thin, thiol-ene/acrylate polymers composed of at least 50 mol % acrylate content and cured for at least 1 h at 365 nm are promising as substrates for neural electrodes.

Shape Memory Silk Protein Sponges for Minimally Invasive Tissue Regeneration

Porous silk protein scaffolds are designed to display shape memory characteristics and volumetric recovery following compression. Two strategies are utilized to realize shape recovery: addition of hygroscopic plasticizers like glycerol, and tyrosine modifications with hydrophilic sulfonic acid chemistries. Silk sponges are evaluated for recovery following 80% compressive strain, total porosity, pore size distribution, secondary structure development, in vivo volume retention, cell infiltration, and inflammatory responses. Glycerol-modified sponges recover up to 98.3% of their original dimensions following compression, while sulfonic acid/glycerol modified sponges swell in water up to 71 times their compressed volume, well in excess of their original size. Longer silk extraction times (lower silk molecular weights) and higher glycerol concentrations yielded greater flexibility and shape fidelity, with no loss in modulus following compression. Sponges are over 95% porous, with secondary structure analysis indicating glycerol-induced β-sheet physical crosslinking. Tyrosine modifications with sulfonic acid interfere with β-sheet formation. Glycerol-modified sponges exhibit improved rates of cellular infiltration at subcutaneous implant sites with minimal immune response in mice. They also degrade more rapidly than unmodified sponges, a result posited to be cell-mediated. Overall, this work suggests that silk sponges may be useful for minimally invasive deployment in soft tissue augmentation procedures.

α-Amino Acid-Based Poly(Ester urea)s as Multishape Memory Polymers for Biomedical Applications

The thermal shape memory behavior of a series of α-amino acid-based poly(ester urea)s has been explored. We demonstrate that these materials exhibit excellent shape memory performance in dual- and triple-shape thermomechanical testing. Significant activation of chain mobility above the T_g as well as a hydrogen bonding network provide the basis for shape transformations and recovery. Additionally, we tuned the shape memory properties of these materials with polymer blending, enabling the demonstration of quadruple-shape memory cycles.

Recent Advances in Shape Memory Soft Materials for Biomedical Applications

Shape memory polymers (SMPs) are smart and adaptive materials able to recover their shape through an external stimulus. This functionality, combined with the good biocompatibility of polymers, has garnered much interest for biomedical applications. In this review, we discuss the design considerations critical to the successful integration of SMPs for use in vivo. We also highlight recent work on three classes of SMPs: shape memory polymers and blends, shape memory polymer composites, and shape memory hydrogels. These developments open the possibility of incorporating SMPs into device design, which can lead to vast technological improvements in the biomedical field.