Design, manufacturing and testing of a green non-isocyanate polyurethane prosthetic heart valve.

The sole effective treatment for most patients with heart valve disease is valve replacement by implantation of mechanical or biological prostheses. However, mechanical valves represent high risk of thromboembolism, and biological prostheses are prone to early degeneration. In this work, we aim to determine the potential of novel environmentally-friendly non-isocyanate polyurethanes (NIPUs) for manufacturing synthetic prosthetic heart valves. Polyhydroxyurethane (PHU) NIPUs are synthesized via an isocyanate-free route, tested in vitro, and used to produce aortic valves. PHU elastomers reinforced with a polyester mesh show mechanical properties similar to native valve leaflets. These NIPUs do not cause hemolysis. Interestingly, both platelet adhesion and contact activation-induced coagulation are strongly reduced on NIPU surfaces, indicating low thrombogenicity. Fibroblasts and endothelial cells maintain normal growth and shape after indirect contact with NIPUs. Fluid-structure interaction (FSI) allows modeling of the ideal valve design, with minimal shear stress on the leaflets. Injection-molded valves are tested in a pulse duplicator and show ISO-compliant hydrodynamic performance, comparable to clinically-used bioprostheses. Poly(tetrahydrofuran) (PTHF)-NIPU patches do not show any evidence of calcification over a period of 8 weeks. NIPUs are promising sustainable biomaterials for the manufacturing of improved prosthetic valves with low thrombogenicity.

A New Concept for Modeling Phase Transformations in Ti6Al4V Alloy Manufactured by Directed Energy Deposition.

The microstructure directly influences the subsequent mechanical properties of materials. In the manufactured parts, the elaboration processes set the microstructure features such as phase types or the characteristics of defects and grains. In this light, this article aims to understand the evolution of the microstructure during the directed energy deposition (DED) manufacturing process of Ti6Al4V alloy. It sets out a new concept of time-phase transformation-block (TTB). This innovative segmentation of the temperature history in different blocks allows us to correlate the thermal histories computed by a 3D finite element (FE) thermal model and the final microstructure of a multilayered Ti6Al4V alloy obtained from the DED process. As a first step, a review of the state of the art on mechanisms that trigger solid-phase transformations of Ti6Al4V alloy is carried out. This shows the inadequacy of the current kinetic models to predict microstructure evolution during DED as multiple values are reported for transformation start temperatures. Secondly, a 3D finite element (FE) thermal simulation is developed and its results are validated against a Ti6Al4V part representative of repair technique using a DED process. The building strategy promotes the heat accumulation and the part exhibits heterogeneity of hardness and of the nature and the number of phases. Within the generated thermal field history, three points of interest (POI) representative of different microstructures are selected. An in-depth analysis of the thermal curves enables distinguishing solid-phase transformations according to their diffusive or displacive mechanisms. Coupled with the state of the art, this analysis highlights both the variable character of the critical points of transformations, and the different phase transformation mechanisms activated depending on the temperature value and on the heating or cooling rate. The validation of this approach is achieved by means of a thorough qualitative description of the evolution of the microstructure at each of the POI during DED process. The new TTB concept is thus shown to provide a flowchart basis to predict the final microstructure based on FE temperature fields.