M. Kyrolainen et al., BIOCOMPATIBILITY HEMOCOMPATIBILITY - IMPLICATIONS AND OUTCOMES FOR SENSORS, Acta anaesthesiologica Scandinavica, 39, 1995, pp. 55-60
Sensors are a sample contacting technology, and when exposed to biolog
ical matrices tend to suffer from the problem of poor biocompatibility
and surface fouling. The effects are evidenced by time dependant sign
al drift (particularly for those devices which are implanted intravasc
ularly). Practical methods to reduce such effects require an understan
ding of the interface between the electrode and its environment prior
to assessment of the potential areas for improvement. Current procedur
es employed to overcome the observed losses in electrode sensitivity (
following exposure to whole blood) include surface modification of the
outer diffusion limiting membrane (via variation in film porosity) or
even biomimicry of the fluid cell membrane. At amperometric electrode
s incorporation of additional inner perm-selective membranes has achie
ved a reduction in electrode passivation from undesirable surface acti
ve compounds as has the use of low polarisation potentials. Other stud
ies have attempted to induce an aqueous barrier between the matrix and
the electrode tip which physically prevents passage of cellular compo
nents from the sensor surface. Careful choice of the system and materi
als will ultimately lead to biocompatible non-fouling devices capable
of functioning in an array of bio-environments suitable for clinical m
onitoring of the critically ill patient.