Polyacrylamide-based Hydrogel Coatings Improve Biocompatibility of Implanted Pump Devices

Abstract The introduction of transcutaneous and subcutaneous implants and devices into the human body instigates fouling and foreign body responses that limit their functional lifetimes. Polymer coatings are a promising solution to improve the biocompatibility of such implants, with potential to enhance in vivo device performance and prolong device lifetime. In this work we sought to develop novel materials that can be used as coatings on devices. We first synthesized a library of polyacrylamide-based copolymer hydrogels and implanted them into the subcutaneous space of mice to evaluate their biocompatibility. We sought to discover copolymer hydrogel formulations eliciting less fibrous capsule formation and lower overall inflammation than gold standard materials such as PEG and polyzwitterions. The top performing copolymer hydrogel materials were then shown to improve the biocompatibility of a commonly used medical material, PDMS. Lastly, we applied the leading hydrogel coating to the catheter tips of insulin pumps. In a rat model of insulin deficient diabetes, the functional lifetime of hydrogel-coated devices was extended over uncoated pumps. These polyacrylamide-based copolymer hydrogel coatings have the potential to improve device function and lifetime, thereby reducing the burden of disease management for people regularly using implanted devices, such as those with diabetes.