Key Engineering Materials Vol. 967

Abstract: Sometimes, in surgical procedure following an accident or illness it is necessary to use metal prostheses or implants to ensure the functionality of bones and joint systems. From time to time, at the end of the patient's healing process, it is necessary to remove the medical device used. In these cases, it would be useful to use resorbable devices to avoid further surgery. A possible solution to the problem could be to use metal alloy devices that degrade over time, while ensuring the functionality of the system. Unfortunately, the chemical compounds generated by the corrosion processes of metal alloys used in the medical field are almost always harmful to human health. The products generated by the degradation processes of some magnesium alloys, on the other hand, are not considered toxic or harmful to human health, so that a device showing controllable degradation rate can be used, guaranteeing the functionality of the implanted device. To achieve this goal, a possible solution could include the use of one or more coatings, capable of controlling the metal degradation process. To do this, we used a first coating obtained by subjecting the samples to a direct current (DC) plasma electrolytic oxidation (PEO) treatment, carried out in an alkaline solution based on silicates and sodium. Subsequently, the samples were coated with a polydopamine (PDOPA) film by dip-coating, and, at the end, a l-polylactic acid (PLLA) coating was applied on the sample by hot-pressing. The coupons were subjected to morphological characterization by Scanning Electron Spectroscopy (SEM) and to electrochemical characterization in Hank's solution at 37°C by means of electrochemical impedance spectroscopy (EIS). The experimental results obtained demonstrate that the coupling of the PEO oxide with the polydopamine and the polymeric film show properties such as to allow the creation of devices which permit the control of the metal degradation process.

Abstract: Laser Powder Bed Fusion (L-PBF) is turning out to be very promising for biomedical components production and stents are among the devices that would be suitable for tailor-made production. One of the most common stent types are the self-expandable, manufactured with Nitinol (NiTi). The use of NiTi alloy with L-PBF needs to be well controlled, as Ni evaporation during the process leads to significant variations in the final component properties. In the present work, prototype NiTi stents were produced via L-PBF and heat treated to examine the possibility of employing this technology for their application, also considering the Ni evaporation resulting from the layer-by-layer deposition. Samples were characterized through differential scanning calorimetry (DSC), microstructural observations, and compression tests in plate-to-plate configuration according to the standard. In parallel, a commercially available stent manufactured with traditional technology was tested for comparison.

Abstract: Amongst biomedical metallic materials, titanium alloys are normally used as structural permanent implants due to their favourable combination of mechanical properties and biocompatibility. However, commonly implanted titanium alloys are expensive and, unless purposely surface treated, generally cannot prevent surgical infections related to bacteria. Specifically, bacterial infection in biomedical protheses leads to inflammation, obstruction of the healing process, prevention of osteogenesis and, eventually, premature failure of the implant. This work therefore analysis the development of new ternary Ti-based alloys with built-in antibacterial capability as pathogenic bacterial infection occurring during surgery is a raising issue of metallic biomedical implants. The new Ti-based alloys were designed to be manufactured via powder metallurgy, which permits to successfully produce chemically homogeneous materials, key for a uniform antibacterial response, at lower cost. It is found that, primarily due to the stabilisation of the beta phase, the amount of the selected β stabilising alloying elements directly increases the mechanical performance and the antibacterial capability. Consequently, new ternary Ti-based alloys are promising candidates for structural prosthesis functionalised with antibacterial capability.

Abstract: In this study to the authors knowledge 1^st time, Metal Injection Molding (MIM) technique was used to introduce the magnesium alloy WE43 into binder-based powder metallurgical (PM) processing. Towards later adoption to binder-based 3D-printing technologies, Fused Granular Fabrication (FGF) technique, respectively for biomedical application. Metal Injection Moulding (MIM) is a binder based economic near net shape prototyping technique for production of complex shaped parts in high number and high reproducibility, and hence perfect as a “gold standard” for the introduction of new Mg-alloys into binder passed PM processing. In doing so, dogbone shape tensile test specimen were manufactured by MIM, subsequently solvent debound and conventional sintered in argon atmosphere. Next to the as sintered specimens (asS), solid solution heat treatment (T4) and precipitation hardening heat treatment (T6) were performed on additional specimens. Tensile tests pointed out high strength and ductility of as sintered and heat treaded specimens of up to 226 MPa UTS at 7.6% elongation at fracture. The microstructure was investigated using SEM imaging technique equipped with energy disperse x-ray energy analysis (EDX) for secondary phase analysis. Hence, the magnesium alloy WE43 could be identified as a high strength and ductility alloy for binder based PM processing for future additive manufacturing approaches in biomedical applications of patient adapted implants.

Abstract: A novel Zn biodegradable composite was produced by direct extrusion of Zn powders at room temperature. The powders were efficiently consolidated to a high relative density, and the composite reached a UTS higher than 120 MPa and elongation of almost 70%. Microstructural observations showed ultra-fine Zn grains decorated by well-dispersed ZnO clusters at the grain boundaries. The degradation behavior of the composite and an as-cast Zn reference accessed by immersion tests in HBSS for both materials were similar and gave an equivalent corrosion rate. Additional static immersion tests in DMEM + 5% FSB showed a similar corrosion rate (0.015 mm/y), but SEM analysis of the corroded surface suggested that the degradation process of each as-cast or DE consolidated composite differs. MTT assays with extracts of both as-cast and extruded composites showed similar cytotoxicity, which was dependent on the dilution of the extracts. It was concluded that the proposed methodology brings the potential for an interesting solution to produce a sound Zn-ZnO composite with good biocompatibility, satisfactory corrosion rate, and high yield strength.

Abstract: We aim at revealing the damage behavior of HAp sprayed coating on the surface of acetabular cup subjected to cyclic loading using AE (Acoustic Emission) method and IR (Infrared thermography) methods. Fatigue test was conducted in SBF(simulated body fluid), and the displacement of acetabular cup embedded in simulated bone was measured by two cantilever pairs. Acoustic emissions from delamination or wear of HAp coating were also measured by AE method, and the temperature change due to friction and wear near the top was measured by IR method. The analysed result could estimate the process in which delamination occurs in the initial stage of test and then friction and wear occur. The rotation displacement of acetabular cup could be associated with cracking or delamination of the HAp sprayed coating, friction and wear at the interfaces between simulated bone and acetabular cup. The subsidence displacement of acetabular cup can be caused by collapse of the simulated bone accompanied by an increase in AE energy as well as an increase in dissipated energy. Combined analyses using AE method and IR method clarified that the inelastic damages in simulated bone at the top of acetabular cups could lead the acceleration of both normal and rotational displacement of the acetabular cup whereas interface damages also attributed to exaggerate the displacement by deteriorated fixation.