Microthane foam, a poly(ester)urethane, used as a covering of some bre
ast implants (Meme or Replicon by Surgitek) degrades readily in phosph
ate buffer pH 7.4 producing multiple unknown products in addition to 2
,4 and 2,6 toluenediamine (TDA). The cumulative weight loss of the foa
m in buffer was 1.5% at 1 week and 2% at 2 weeks. Multiple peak molecu
lar weights from 105 to 665000 were found in the aqueous foam extracts
following 2 weeks of incubation at 37 degrees C using size exclusion
chromatography (SEC). TDA was measured in the foam buffer extracts by
high pressure liquid chromatography (HPLC) and confirmed by gas chroma
tography/mass spectroscopy (GC/MS). The total cumulative levels of 2,4
TDA and 2,6 TDA measured were 3 +/- 0.65 mu g/g of foam and 1.13 +/-
0.19 mu g/g of foam following 36 days of incubation at 37 degrees C. H
igher amounts, 8.96 mu g/g of 2,4 TDA and 3.3 mu g/g of 2,6 TDA, were
obtained at 50 degrees C. The cumulative release of TDA in aqueous ext
racts was found to correlate linearly with time suggesting a slow but
continuous production of TDA under neutral conditions. However, less t
han 0.2 mu g/g of TDA was detected as residual TDA in the methylene ch
loride extracts following up to 60 days at 37 degrees C. PU foam extra
cted with methylene chloride under similar conditions showed higher fo
am weight loss, 4.4 and 5% at 1 and 2 weeks, respectively. The results
presented in this study provide further evidence that Microthane unde
rgoes hydrolysis under neutral conditions in aqueous solutions produci
ng TDA and other unknown low molecular weight components and oligomers
. (C) 1994 John Wiley and Sons, Inc.