Long-term in vitro degradation behaviour of Fe and Fe/Mg2Si composites for biodegradable implant applications

Effect of TiC Nanoparticles on a Zn-Al-Cu System for Biodegradable Cardiovascular Stent Applications

Despite being a weaker metal, zinc has become an increasingly popular candidate for biodegradable implant applications due to its suitable corrosion rate and biocompatibility. Previous studies have experimented with various alloy elements to improve the overall mechanical performance of pure Zn without compromising the corrosion performance and biocompatibility; however, the thermal stability of biodegradable Zn alloys has not been widely studied. In this study, TiC nanoparticles were introduced for the first time to a Zn-Al-Cu system. After hot rolling, TiC nanoparticles were uniformly distributed in the Zn matrix and effectively enabled phase control during solidification. The Zn-Cu phase, which was elongated and sharp in the reference alloy, became globular in the nanocomposite. The strength of the alloy, after introducing TiC nanoparticles, increased by 31% from 259.7 to 340.3 MPa, while its ductility remained high at 49.2% elongation to failure. Fatigue performance also improved greatly by adding TiC nanoparticles, increasing the fatigue limit by 47.6% from 44.7 to 66 MPa. Furthermore, TiC nanoparticles displayed excellent phase control capability during body-temperature aging. Without TiC restriction, Zn-Cu phases evolved into dendritic morphologies, and the Al-rich eutectic grew thicker at grain boundaries. However, both Zn-Cu and Al-rich eutectic phases remained relatively unchanged in shape and size in the nanocomposite. A combination of exceptional tensile properties, improved fatigue performance, better long-term stability with a suitable corrosion rate, and excellent biocompatibility makes this new Zn-Al-Cu-TiC material a promising candidate for biodegradable stents and other biodegradable applications.

Fabrication of strong bioresorbable composites from electroexplosive Fe-Fe3O4 nanoparticles by isostatic pressing followed by vacuum sintering

Bulk samples with high mechanical strength reaching 1000 MPa were obtained from electroexplosive Fe-Fe₃O₄ nanoparticles containing 81 wt. % Fe. Maximum strength is achieved by consolidation of the nanoparticles by isostatic pressing followed by vacuum sintering at 700 °C. A further increase in the sintering temperature leads to the formation of large pores with a size of up to 5 μm and an intense interaction of Fe and Fe₃O₄ with the formation of FeO leading to the embrittlement of the samples and a decrease in their strength. The degradation rate of Fe- Fe₃O₄ samples in NaCl (0.9% wt.) and Hank's solution is 7 times higher than that of samples obtained by sintering an electroexplosive Fe nanopowder under the same conditions.

Additive manufacturing of bioactive and biodegradable porous iron-akermanite composites for bone regeneration

Advanced additive manufacturing techniques have been recently used to tackle the two fundamental challenges of biodegradable Fe-based bone-substituting materials, namely low rate of biodegradation and insufficient bioactivity. While additively manufactured porous iron has been somewhat successful in addressing the first challenge, the limited bioactivity of these biomaterials hinder their progress towards clinical application. Herein, we used extrusion-based 3D printing for additive manufacturing of iron-matrix composites containing silicate-based bioceramic particles (akermanite), thereby addressing both of the abovementioned challenges. We developed inks that carried iron and 5, 10, 15, or 20 vol% of akermanite powder mixtures for the 3D printing process and optimized the debinding and sintering steps to produce geometrically-ordered iron-akermanite composites with an open porosity of 69-71%. The composite scaffolds preserved the designed geometry and the original α-Fe and akermanite phases. The in vitro biodegradation rates of the composites were improved as much as 2.6 times the biodegradation rate of geometrically identical pure iron. The yield strengths and elastic moduli of the scaffolds remained within the range of the mechanical properties of the cancellous bone, even after 28 days of biodegradation. The composite scaffolds (10-20 vol% akermanite) demonstrated improved MC3T3-E1 cell adhesion and higher levels of cell proliferation. The cellular secretion of collagen type-1 and the alkaline phosphatase activity on the composite scaffolds (10-20 vol% akermanite) were, respectively higher than and comparable to Ti6Al4V in osteogenic medium. Taken together, these results clearly show the potential of 3D printed porous iron-akermanite composites for further development as promising bone substitutes. STATEMENT OF SIGNIFICANCE: : Porous iron matrix composites containing akermanite particles were produced by means of multi-material additive manufacturing to address the two fundamental challenges associated with biodegradable iron-based biomaterials, namely very low rate of biodegradation and insufficient bioactivity. Our porous iron-akermanite composites exhibited enhanced biodegradability and superior bioactivity compared to porous monolithic iron scaffolds. The murine bone cells proliferated on the composite scaffolds, and secreted the collagen type-1 matrix that stimulated bony-like mineralization. The results show the exceptional potential of the developed porous iron-based composite scaffolds for application as bone substitutes.

Biodegradable Iron and Porous Iron: Mechanical Properties, Degradation Behaviour, Manufacturing Routes and Biomedical Applications

Biodegradable metals have been extensively studied due to their potential use as temporary biomedical devices, on non-load bearing applications. These types of implants are requested to function for the healing period, and should degrade after the tissue heals. A balance between mechanical properties requested at the initial stage of implantation and the degradation rate is required. The use of temporary biodegradable implants avoids a second surgery for the removal of the device, which brings high benefits to the patients and avoids high societal costs. Among the biodegradable metals, iron as a biodegradable metal has increased attention over the last few years, especially with the incorporation of additive manufacturing processes to obtain tailored geometries of porous structures, which give rise to higher corrosion rates. Withal by mimic natural bone hierarchical porosity, the mechanical properties of obtained structures tend to equalize that of human bone. This review article presents some of the most important works in the field of iron and porous iron. Fabrication techniques for porous iron are tackled, including conventional and new methods highlighting the unparalleled opportunities given by additive manufacturing. A comparison among the several methods is taken. The effects of the design and the alloying elements on the mechanical properties are also revised. Iron alloys with antibacterial properties are analyzed, as well as the biodegradation behavior and biocompatibility of iron. Although is necessary for further in vivo research, iron is presenting satisfactory results for upcoming biomedical applications, as orthopaedic temporary scaffolds and coronary stents.

Effect of Magnesium Addition and High Energy Processing on the Degradation Behavior of Iron Powder in Modified Hanks’ Solution for Bioabsorbable Implant Applications

This paper shows the results of applying a combination of high energy processing and magnesium (Mg) as an alloying element in a strategy for enhancing the degradation rate of iron (Fe) for applications in the field of non-permanent medical implants. For this purpose, Fe powder was milled with 5 wt% of Mg (Fe5Mg) and its microstructure and characterized degradation behavior. As-received Fe powder was also milled in order to distinguish between the effects due to high energy processing from those due to the presence of Mg. The powders were prepared by high energy planetary ball milling for 16 h. The results show that the initial crystallite size diminishes from >150 nm to 16 nm for Fe and 46 nm for Fe5Mg. Static degradation tests of loose powder particles were performed in Hanks’ solution. Visual inspection of the immersed powders and the X-ray diffraction (XRD) phase quantification indicate that Fe5Mg exhibited the highest degradation rate followed by milled Fe and as received Fe, in this order. The analysis of degradation products of Fe5Mg showed that they consist on magnesium ferrite and pyroaurite, which are known to present good biocompatibility and low toxicity. Differences in structural features and degradation behaviors of milled Fe and milled Fe5Mg suggest the effective dissolution of Mg in the Fe lattice. Based on the obtained results, it can be said that Fe5Mg powder would be a suitable candidate for non-permanent medical implants with a higher degradation rate than Fe.

Rapid, Energy-Efficient and Pseudomorphic Microwave-Induced-Metal-Plasma (MIMP) Synthesis of Mg2Si and Mg2Ge

Polycrystalline magnesium silicide, Mg2Si and magnesium germanide, Mg2Ge were synthesised from the elemental powders via the microwave-induced-metal-plasma (MIMP) approach at 200 W within 1 min in vacuo for the first...

Six-Month Long In Vitro Degradation Tests of Biodegradable Twinning-Induced Plasticity Steels Alloyed with Ag for Stent Applications

Twinning-induced plasticity (TWIP) Fe-Mn-C steels are biodegradable metals with far superior mechanical properties to any biodegradable metal, including Mg alloys, used in commercially available devices. For this reason, the use of Fe-Mn-C alloys to produce thinner and thinner implants can be exploited for overcoming the device size limitations that biodegradable stents still present. However, Fe-Mn steels are known to form a phosphate layer on their surface over long implantation times in animals, preventing device degradation in the required timeframe. The introduction of second phases in such alloys to promote galvanic coupling showed a short-term promise, and particularly the use of Ag looked especially effective. Nonetheless, the evolution of the corrosion mechanism of quaternary Fe-Mn-C-Ag alloys over time is still unknown. This study aims at understanding how corrosion changes over time for a TWIP steel alloyed with Ag using a simple static immersion setup. The presence of Ag promoted some galvanic coupling just in the first week of immersion; this effect was then suppressed by the formation of a mixed carbonate/hydroxide layer. This layer partly detached after 2 months and was replaced by a stable phosphate layer, over which a new carbonate/hydroxide formed after 4 months, effectively hindering the sample degradation. Attachment of phosphates to the surface matches 1-year outcomes from animal tests reported by other authors, but this phenomenon cannot be predicted using immersion up to 28 days. These results demonstrate that immersion tests of Fe-based degradable alloys can be related to animal tests only when they are carried out for a sufficiently long time and that galvanic coupling with Ag is not a viable strategy in the long term. Future works should focus more on surface modifications to control the interfacial behavior rather than alloying in the bulk.

Degradation, wettability and surface characteristics of laser surface modified Mg-Zn-Gd-Nd alloy

This work evaluates the effects of laser surface modification on Mg-Zn-Gd-Nd alloy which is a potential biodegradable material for temporary bone implant applications. The laser surface melted (LSM) samples were investigated for microstructure, wettability, surface hardness and in vitro degradation. The microstructural study was carried out using scanning and transmission electron microscopes (SEM, TEM) and the phases present were analyzed using X-ray diffraction. The in vitro degradation behaviour was assessed in hank's balanced salt solution (HBSS) by immersion corrosion technique and the effect of LSM process parameters on the wettability was analyzed through contact angle measurements. The microstructural examination showed remarkable grain refinement as well as uniform redistribution of intermetallic phases throughout the matrix after LSM. These microstructural changes increased the hardness of LSM samples with an increase in energy density. The wetting behaviour of processed samples showed hydrophilic nature when processed at lower (12.5 and 17.5 J/mm²) and intermediate energy density (22.5 and 25 J/mm²), which can potentially improve cell-materials interaction. The corrosion rate of as cast Mg-Zn-Gd-Nd alloy decreased by ~83% due to LSM.

In-Vivo Corrosion Characterization and Assessment of Absorbable Metal Implants

Absorbable metals have been introduced as materials to fabricate temporary medical implants. Iron, magnesium and zinc have been considered as major base elements of such metals. The metallurgical characterization and in-vitro corrosion assessment of these metals have been covered by the new ASTM standards F3160 and F3268. However, the in-vivo corrosion characterization and assessment of absorbable metal implants are not yet well established. The corrosion of metals in the in-vivo environment leads to metal ion release and corrosion product formation that may cause excessive toxicity. The aim of this work is to introduce the techniques to assess absorbable metal implants and their in-vivo corrosion behavior. This contains the existing approaches, e.g., implant retrieval and histological analysis, ultrasonography and radiography, and the new techniques for real-time in-vivo corrosion monitoring.

Updates on the research and development of absorbable metals for biomedical applications

Absorbable metals, metals that corrode in physiological environment, constitute a new class of biomaterials intended for temporary medical implant applications. The introduction of these metals has shifted the established paradigm of metal implants from preventing corrosion to its direct application. Interest toward absorbable metals has been growing in the past decade. This is proved by the rapid increase in scientific publication, progressive development of standards, and launching the first commercial products. Iron, magnesium, zinc, and their alloys are the current three absorbable metals families. Magnesium-based metals are the most progressing family with a large data set obtained from both basic and translational research. Iron-based metals are still facing a major challenge of low in vivo corrosion rate despite the significant efforts that have been put to overcome its weakness. Zinc-based metals are the new alternative absorbable metals with moderate corrosion rates that fall between those of iron and magnesium. This manuscript provides a brief review on the latest progress in the research and development of absorbable metals, the most important findings, the remaining challenges, and the perspective on the future direction.