Environmental and processing factors affecting the biostability of med
ical devices made from traditionally ''stable'' polymers, such as isot
actic polypropylene (PP) and ultrahigh molecular weight polyethylene (
UHMW-PE), were analyzed and their undesirable degradation was related
to performance of typical medical devices. Among the critical phenomen
a determining the biological performance of UHMW-PE and PP devices are
oxidation during melt-processing and the propensity of the polymer ch
ains to radiolyse and radio-oxidize. Polyesters and their biomedical d
evices, which can be designed to degrade predictably, are addressed wi
th some focus on the less obvious determinants of performance.