Anne Hiltner
Cleveland Clinic
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Publication
Featured researches published by Anne Hiltner.
Journal of Biomedical Materials Research | 2001
Michael J. Wiggins; Bruce L. Wilkoff; James M. Anderson; Anne Hiltner
Several bipolar coaxial pacemaker leads, composed of an outer silicone rubber insulation and an inner polyether polyurethane (PEU) insulation, which were explanted due to clinical evidence of electrical dysfunction, were analyzed in this study. Optical microscopy (OM) and scanning electron microscopy (SEM) were used to determine the cause of failure. Attenuated total reflectance-Fourier transform infrared microscopy (ATR-FTIR) was used to analyze the PEU insulation for chemical degradation. In all leads, the silicone rubber outer insulation showed no signs of physical damage. Physical damage to the inner PEU insulation was the source of electrical dysfunction. Cracks through the PEU compromised the insulation between the inner and outer conductor coils in the lead. It was observed with SEM that these cracks originated on the outer surface of the inner insulation and progressed inward. ATR-FTIR analysis showed that the PEU had chemically degraded via oxidation of the ether soft segment. Furthermore, it was revealed that chemical degradation was more advanced on the outer surface of the PEU. It was hypothesized that hydrogen peroxide permeated through the outer silicone insulation and decomposed into hydroxyl radicals that caused the chemical degradation of PEU. The metal in the outer conductor coil catalyzed the decomposition of the hydrogen peroxide. Chemical degradation of the PEU could also have been catalyzed by metal ions created from the corrosion of the metal in the outer conductor coil by hydrogen peroxide. Physical damage probably occurred in regions of the leads that were subjected to a higher hydrogen peroxide concentration from inflammatory cells and high degrees and rates of strain due to intercorporeal movement, including, but not limited to, cardiac movement. Chemical degradation and physical damage probably had a synergistic affect on failure of the insulation, in that as chemical degradation proceeded, the polymer surface became brittle and more susceptible to physical damage. As physical damage proceeded, cracks propagated into the unaffected bulk, exposing it to oxidants.
Nonlinear Optics: Materials, Fundamentals and Applications (2004), paper WA5 | 2004
Steven R. Flom; James S. Shirk; Richard G. S. Pong; Michael Wiggins; Richard S. Lepkowicz; Aditya Renade; Huiwen Tai; Eric Baer; Anne Hiltner
Transmission from a strongly nonlinear material incorporated into monolithic and nanolayered polymer thin films are compared. When the laser wavelength approaches the bandgap, the nanolayered films transmit less than monoliths as excitation fluence is increased.
Archive | 2009
Eric Baer; Anne Hiltner
ACS symposium series | 2005
James S. Shirk; Richard G. S. Pong; Steven R. Flom; Anne Hiltner; Eric Baer
Archive | 1983
James M. Anderson; Roger E. Marchant; Anne Hiltner; Shiro Suzuki; Kathleen M. Miller
ANTEC ... conference proceedings | 2004
Y. S. Hu; David A. Schiraldi; Anne Hiltner; Eric Baer
Archive | 2009
H. P. Wang; Jong K. Keum; Anne Hiltner; Eric Baer; Benny D. Freeman; Artur Rozanski; Andrzej Galeski
Archive | 2009
H. P. Wang; Jong K. Keum; Anne Hiltner; Eric Baer; Benny D. Freeman
Archive | 2005
Eric Baer; Anne Hiltner; James S. Shirk
Archive | 2005
Elizabeth M. Christenson; Mahrokh Dadsetan; James M. Anderson; Anne Hiltner