Implantable polymer surfaces exhibiting reduced in vivo inflammatory responses
Embodiments of the invention provide optimized polymeric surfaces adapted for use with implantable medical devices as well as methods for making and using such polymeric surfaces. These polymer surfaces have a constellation of features that function to inhibit or avoid an inflammatory immune response generated by implantable medical devices. Typical embodiments of the invention include an implantable glucose sensor used in the management of diabetes having a polymer surface with the disclosed constellation of features.
1. A method of avoiding an inflammatory response to an implanted medical device comprising implanting the implantable medical device having a surface adapted to contact an in vivo environment, the surface comprising a polyimide composition having the following characteristics:
a carbon-to-oxygen ratio greater than 5 to 1;
a surface hydrophobicity of between 75° and 90°;
a surface topography characterized by at least one of (a)-(c):
(a) grooves having an average peak-to-valley height of between 0.3 μm and 5 μm;
(b) wells having an average peak-to-valley height of between 1 μm and 2 μm; and
(c) grids having an average peak-to-valley height of between 2 μm and 4 μm;
wherein:
the surface avoids the inflammatory response by having surface characteristics such that when exposed to the surface comprising the polymer composition, RAW264.7 macrophages are influenced to differentiate into an anti-inflammatory (M2) phenotype.
2. The method of claim 1 , wherein the implantable medical device is implanted in an interstitial space.
3. The method of claim 1 , wherein the implantable medical device is a glucose sensor.
4. A polymer composition that forms a surface comprising:
a carbon-to-oxygen ratio greater than 5 to 1;
a surface hydrophobicity of between 75° and 90°;
a surface topography characterized by at least one of (a)-(c):
(a) grooves having an average peak-to-valley height of between 0.3 μm and 5 μm;
(b) wells having an average peak-to-valley height of between 1 μm and 2 μm; and
(c) grids having an average peak-to-valley height of between 2 μm and 4 μm;
wherein:
when exposed to the surface, RAW264.7 macrophages are influenced to differentiate into an anti-inflammatory (M2) phenotype.