Surface modification of the laser powder bed-fused Ti-Zr-Nb scaffolds by dynamic chemical etching and Ag nanoparticles decoration.

Metallic lattice scaffolds are designed to mimic the architecture and mechanical properties of bone tissue and their surface compatibility is of primary importance. This study presents a novel surface modification protocol for metallic lattice scaffolds printed from a superelastic Ti-Zr-Nb alloy. This protocol consists of dynamic chemical etching (DCE) followed by silver nanoparticles (AgNP) decoration. DCE, using an 1HF + 3HNO3 + 12H2O23% based solution, was used to remove partially-fused particles from the surfaces of different as-built lattice structures (rhombic dodecahedron, sheet gyroid, and Voronoi polyhedra). Subsequently, an antibacterial coating was synthesized on the surface of the scaffolds by a controlled (20 min at a fixed volume flowrate of 500 mL/min) pumping of the functionalization solutions (NaBH4 (2 mg/mL) and AgNO3 (1 mg/mL)) through the porous structures. Following these treatments, the scaffolds' surfaces were found to be densely populated with Ag nanoparticles and their agglomerates, and manifested an excellent antibacterial effect (Ag ion release rate of 4-8 ppm) suppressing the growth of both E. coli and B. subtilis bacteria up to 99 %. The scaffold extracts showed no cytotoxicity and did not affect cell proliferation, indicating their safety for subsequent use as implants. A cytocompatibility assessment using MG-63 spheroids demonstrated good attachment, spreading, and active migration of cells on the scaffold surface (over 96 % of living cells), confirming their biotolerance. These findings suggest the promise of this surface modification approach for developing superelastic Ti-Zr-Nb scaffolds with superior antibacterial properties and biocompatibility, making them highly suitable for bone implant applications.

Functional fatigue behavior of superelastic beta Ti-22Nb-6Zr(at%) alloy for load-bearing biomedical applications.

Ti-22Nb-6Zr (at.%) alloy with different processing-induced microstructures (highly-dislocated partially recovered substructure, polygonized nanosubgrained (NSS) dislocation substructure, and recrystallized structure) was subjected to strain-controlled tension-tension fatigue testing in the 0.2...1.5% strain range (run-out at 10^6 cycles). The NSS alloy obtained after cold-rolling with 0.3 true strain and post-deformation annealing at 600 °C showed the lowest Young's modulus and globally superior fatigue performance due to the involvement of reversible stress-induced martensitic transformation in the deformation process. This NSS structure appears to be suitable for biomedical applications with an extended variation range of loading conditions (orthopedic implants).

Fabrication, morphology and mechanical properties of Ti and metastable Ti-based alloy foams for biomedical applications.

Metallic foams with porosity ranging from 0.25 to 0.65 have been produced from TiCp, Ti-Nb-Zr and Ti-Nb-Ta prealloyed powder by using the space-holder technique, and analysed from both the pore morphology and mechanical properties' points of view. For all the foams, the most suitable porosity range for bone ingrowth appears to be 0.35 to 0.45, since these porosities lead to a pore size that is globally encompassed in the recommended 100-600 µm range. From the mechanical behavior point of view, all of the as-sintered foams demonstrate similar compression behavior in terms of their apparent Young's modulus and critical stresses. In the recommended 0.3-0.45 porosity range, their Young's modulus varies from 15 to 8 GPa, whilst their yield stress varies from 300 to 150 MPa. The first characteristic comes close to that of cortical bone, whilst the second significantly exceeds bone resistance. Compared to Ti foams, the mechanical properties of metastable TNZ and TNT alloy foams can also be regulated within a ±20% range, by selecting an appropriate post-sintering thermal treatment. This effect, which is initiated by activating reversible stress-induced ß to α″ martensitic transformation, is strongly perceptible for TNZ foams, whilst much less pronounced for TNT foams.

Fatigue properties of superelastic Ti-Ni filaments and braided cables for bone fixation.

This work is focused on the fatigue properties of the braided hollow tubular cables for bone fixation made of superelastic Ti-Ni filaments. To evaluate the fatigue life of the cable and the impact of braiding on fatigue life, a comparative study was conducted on both the braided cable and the single filament. The results of strain-controlled fatigue testing under variable mean and alternating strain conditions demonstrated that: (a) even though alternating strain is the most influent parameter, mean strain also has a significant impact on the fatigue life of both the filament and the braid; an improvement in the braided cable's fatigue life is observed under mean strains corresponding to the middle of the superelastic loop plateau; and (b) run-out (10(5) cycles) is reached at 1% of alternating strain for the filament, and at 0.3% for the braided cable. It was proved that the negative impact of braiding on fatigue life is caused: (a) by friction-induced damage of the braided filaments during cable manufacturing and (b) by locally occurring bending in the vicinity of the filaments' crossing, combined with the interfilament fretting during repetitive stretching of the braided cable.

Median sternotomy: comparative testing of braided superelastic and monofilament stainless steel sternal sutures.

A new device to reduce the risk of post-operative complications following median sternotomy is proposed, made of a superelastic shape memory alloy and called a braided tubular superelastic (BTS) suture. This study compares the viability of the BTS suture with that of the standard monofilament stainless steel (MSS) suture. A custom test bench was developed to perform comparative testing of the two sternal closure systems. Sternal models made of polyurethane were closed using common wiring configurations. Static and dynamic tensile separation forces, up to a maximum of 1200 N, were then applied to the closed sternums. The MSS and BTS sutures are compared in terms of the force required to open completely the sternum, the compression force at the sternum midline, and the permanent sternum opening. With a smaller sternum opening and a higher tensile separation force, the MSS suture showed greater rigidity than the BTS suture. The BTS suture, however, displayed a better capacity to reapply compression forces at the sternum midline following the repetitive application and release of tensile separation forces. These results confirm the potential of the BTS suture technology, but further studies using cadaveric sterna are needed to attest definitely to the benefits of using the BTS suture to improve bone healing.

Nerve cuff electrode with shape memory alloy armature: design and fabrication.

In this paper, a new nerve cuff electrode with shape memory alloy armature is presented. The proposed electrode is dedicated either to peripheral nerve stimulation or recording and its manufacturing does not require any expensive or complex technique. Shape Memory Alloy (SMA) armature ensures the complete and firm closing of the electrode, so that the complexity of the installation procedure is considerably reduced. A preliminary analysis of the electrode mechanical behavior prior, during and after installation has been done through numerical simulations and in vitro testing. It was proved theoretically and experimentally that the SMA electrode closes completely with an appropriate few second delay after its installation. No external fixation such as sutures is needed to secure permanent electrode-nerve contact. Furthermore, theoretical analysis has shown that the design of SMA electrode can be adapted for safe close-fitting installation, thanks to the device partial opening in case of nerve swelling.

New easy to install nerve cuff electrode using shape memory alloy armature.

This paper presents an easy to install nerve cuff electrode dedicated to functional electrical stimulation (FES). In this new device, a shape memory alloy (SMA) armature is used to perform the closing of the electrode. This technique makes the electrode installation around the nerve much easier, quicker, and safer. Both remarkable mechanical properties of SMA materials, namely, shape memory effect and superelasticity, can be used to obtain the desired mode of electrode closing. The fabrication procedure of the new electrode is described. It does not require any expensive or complex techniques. Bipolar and tripolar electrodes have been manufactured with an inner diameter of 1.6 mm and a cuff wall thickness of 0.8 mm. These electrodes are to be used for FES of the bladder in spinal cord injured patients. Acute studies in dogs are being carried out to validate the device and the implantation procedure.

Review of shape memory alloys medical applications in Russia.

In the last twenty-five years a large variety of research has been carried out in Russia using Shape Memory Alloys (SMA), particularly nearly equiatomic NiTi alloys, for medical applications. In this field of activity, Russian research centers have been quite successful in treating different kinds of diseases, from bone fractures to dental implants. This review is intended to give a panorama of SMA medical applications in Russia in order to illustrate the remarkable possibilities offered by SMA materials in the medical field.

Thermomechanical analysis of shape memory devices.

Shape memory alloys (SMA) are being increasingly used in various industrial applications as actuators, connectors, or damping materials. In the medical field, superelastic devices such as eyeglass frames, stents or guide catheters have come to market in the recent years. The design of SMA devices has usually been based on trial and error, since until recently no general simulation model was available to assist application engineers. The purpose of this article is to describe the computational methodology developed, validated and used for several industrial projects at Ecole Polytechnique of Montréal to simulate the thermomechanical behavior of shape memory materials. This new approach includes three main stages: experimental characterization, construction of a nonlinear material law based on dual kriging interpolation and finally, calculation of the thermomechanical response of SMA devices. For complex geometry, finite element analysis is used, but for simple devices such as springs or electrically activated SMA wires, simplified calculation methods are satisfactory. Validation results recently obtained will also be presented, and examples of industrial applications briefly reviewed.