Biomaterials Flashcards

1
Q

What is Biomaterials?

A

A material intended to interface with biological systems to evaluate, treat, augment, or replace any tissue, organ, or function of the body.

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2
Q

What is an important attribute that a biomaterial should have from the point-of-view: A manufacturer, a clinician, and a patient.

A

Biocompatibility, and covered by insurance is shared by all point-of-views.

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3
Q

Definition of Biocompatibility?

A

The ability of a material to perform with an appropriate host response.

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4
Q

Examples of Biocompatibility?

A

Resistant to blood clotting, resistant of infection, “uncomplicated” healing”, ** must do patient no harm**

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5
Q

Key considerations of Biocompatibility?

A
  1. Application (*e.g. implanted vs. non-implanted, needs will differ per application)
  2. Material (Properties: mechanical (bulk property), surface, chemical etc.)
  3. Processing (smooth vs rough)
  4. Time/”Life” (degradable cs. non-degradable)
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6
Q

Testing Biomaterials

A
  1. Application Specific
  2. Tissue Specific

Dominated by Surface Characterization though, because this is where the most interaction occurs with biological systems

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7
Q

Types of Chemical Bonds (Primary Bonds)

A
  1. Covalent
  2. Ionic
  3. Metallic
  4. Ionic/Covalent Mixed
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8
Q

Types of Chemical Bonds (Secondary Bonds)

A
  1. Polar Bonds

2. Non-Polar

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9
Q

What is a covalent bond?

A

Share electrons to achieve octet rule.

Mostly occurs in polymers and other organics

Poor Thermal and electrical conductivity

Single bond allows rotation of atoms and thus result sin felixible and deformable material.

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10
Q

What is an Ionic bond?

A

Transfer of electrons that generate ions

Bonding due to electrostatic attraction

Atoms arrange in crystal lattice

Mostly found in ceramics

High strength and stiffness but brittle due to atoms inability to move in response to external forces.

Electrons not available for charge transfer = Bad conductors

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11
Q

What is a metallic bond?

A

Metals atoms are good donors of electrons. Tightly packed positive ions surrounded by electrons.

Good charge transfer

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12
Q

What determines whether two elements will bond covalently, ionically or netallically?

A

Electronegativity: the measure of how strongly an atom wants electrons.

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13
Q

What is a dipole?

A

A molecule with a spatial separation between the negative and positive charge (ex. H2O)

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14
Q

Which of the following materials would you expect to be strongest?

A. Iron
B. Diamond
C. Magnesium
D. Ice

A

A. iron

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15
Q
Which of the following materials would you expect to have the highest thermal conductivity?
A. Iron
B. Diamond
C. Magnesium
D. Ice
A

A Iron

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16
Q

What are material properties?

A

Are quantifiable attributes of a material that do not depend on the amount of the material present.

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17
Q

What is the most basic mechanical test procedure for measuring load-deformation?

A

Uniaxial Tensile Testing

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18
Q

What do you measure in tensile test?

A
  1. Amount of elongation

2. Amount of force required o produce deformation

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19
Q

Process of Uniaxial Tensile Test?

A
  1. Test specimen loaded and fixated to bottem clamp first then top.
  2. Top clamp moves away from the bottom and measures the force required
  3. Force vs. deformation data produced.
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20
Q

Is force vs. deformation a mechanical property?

A

No. This relationship depends on the size of specimen, That’s why there are standards.

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21
Q

Engineering Stress Equation?

A

Stress = Force/Area

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22
Q

Engineering Strain

A

Strain = change of length/ original length

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23
Q

When calculating the yield strength what is the offset percantage from Young’s modulus?

A

0.2%

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24
Q

What measurement(s) do you need to take before testing?

A

Thickness, Width of Gage, Length of gage

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25
Q

How do you find toughness in the Stress-Strain curve?

A

The whole area under the curve.q

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26
Q

How do you find resilience in the stress-strain curve?

A

The area under the the linear region of the stress-strain curve.

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27
Q

Which of the following would be considered be made from a biomaterial according to the modern definition for biomaterials?

(a) Pacemaker for the heart
(b) walking stick
(c) stethoscope
(d) bascular graft
(e) totthbrush
(f) suture

A

(a) pacemaker for the heart
(d) Vascular graft
(f) suture

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28
Q

Of ceramics, polymers, and metal, which have low resistance to crack propagation and fracture?

A

Ceramics = lowest resistance to crack propagation due to inability to undergo ductile deformation. High stresses at crack-tips can exceed the failure strength of the material and cause local failure that will cause the crack to grow (propagate).

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29
Q

If you had to produce an arterial artery, what are the essential properties you will incorporate in your design? Which type of material would you first consider? why?

A

The artificial artery properties:
Leak proof - prevent blood loss
Flexible - be easily positioned
elastic (resilient) - for changes in blood pressure without undergoing failure
non-thrombogenic - don’t caude blood clots
non-immunogenic - not elicit an immune or adverse response

Material - Polymer

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30
Q

Why are the surface properties of a biomaterial important?

A

The majority of body-device interactions occur on the surface of the material. The surface properties dictate much of how a biomaterial behaves in relation to the body.

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31
Q

Cold welding

A

Joining of two pieces of metal join without fusion/heating at the interface of the two parts to be welded.

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32
Q

What makes cold welding possible w/ metal?

A

In the absence of a reactive atmosphere (mostly Oxygen), metals will not undergo surface oxidation. In addition, the electron-cloud config. of metals have no bonding directionality, and so when placed in perfect contact with another piece, the atoms have no way of knowing that they are separate pieces and thus will bond.

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33
Q

Do you expect other material, such as ceramics or polymers to be able to be cold welded?

A

I do not expect this. Ceramics have ionic bonds which are the most stable config, to minimise surface energy

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34
Q

What is preventing two separate pieces of gold from instantly bonding when touched together?

A

Oxygen will almost always react with the surface of any material even gold. So when the thin oxide layer is rubbed out this only creates more surface area to react and only a small portion cold welds.

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35
Q

Behaviour of material in the linear (elastic) region?

A

Stress = E* Strain
Just like hooke’s Law.
Elastic modulus is the constant that characterizes the elastic properties

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36
Q

What is yield stress?

A

The stress which causes the onset of permanent deformation.

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37
Q

What is the proportional limit?

A

The highest stress at which stress is linearly proportional to the strain. Like a spring.

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38
Q

What is the maximum stress that material can undergo before fracture called?

A

Ultimate stress (strength)

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39
Q

What is it called when the stress levels continues to increase after the yield stress is reached?

A

Strain Hardening

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40
Q

What is strain hardening?

A

This resistance is caused by the decreased mobility of atomic planes within the material due to the interaction of multiple dislocations.

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41
Q

Why does the stress drop after ultimate strength has been reached?

A

The material’s cross-section decreases called “Necking.” As area decreases, the force required to produce constant deformation rate also decreases

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42
Q

What is uniform plastic deformation?

A

Occurs before ultimate strength point reaches. The entire specimen stretches.

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43
Q

What is Local plastic deformation?

A

Occurs after ultimate strength point. Preferential stretching near necking region.

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44
Q

What is Strain Energy Density?

A

The amount of work required to deform a material per unit volume.

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45
Q

What are the types of material fractures?

A

Brittle and Ductile fractures

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46
Q

What kind of loads can a material undergo?

A
Tensile
Compression
Bending
Twisting
Shearing
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47
Q

What is fracture?

A

When the cohesive strength between adjoining atoms is exceeded by applied stress.

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48
Q

Poisson’s effect?

A

When the under tension the material contracts. Generally speaking.

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49
Q

Define failure.

A

Definition of of failure depends on design contraints.

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50
Q

Which mode fracture occurs in depends on:

A

1) Material properties
2) Temperature
3) Rate of Loading

51
Q

What happens in a Ductile fracture?

A

First, happens after plastic deformation.

1) Microdefects (voids) grow and join to form cracks
2) Crack propagate 45 degrees to direction of applied load (Along the plane of max shear stress)

3) When crack attains certain length it becomes
critical” and grows rapidly.

52
Q

What happens in brittle fracture?

A

No plastic deformation.
Cleavage of atomic bonds along crystallographic planes
1) Crack propagates 90 degrees to the largest principal stress

53
Q

What is corrosion?

A

The loss of material due to oxidation. Loss enters into body as metal ions.

54
Q

Driving force for Corrosion?

A

Usually associated w/ metal.

Greater thermodynamic stability in oxides than in metallic state.

Greater thermodynamic stability in dissolved species than solid state.

Potential Difference!!!

55
Q

Types of Corrosion?

A
Uniform Attack
Galvanic Corrosion
Crevice corrosion
Pitting corrosion
intergranular corrosion
selective leaching
stress corrosion
erosion-corrosion
Fretting
56
Q

Why does Fatigue failure happen?

A

Micro-cracks or other imperfections/defects (dislocations,voids, cavities, etc.) which result in stress concentrations. These stress risers produce local failures which grow over many loading cycles.

57
Q

What determines fatigue life of a material?

A
MAterial composition
Surface processing/treatment
geometry
hot/cold rolling
heat treatment
temperature
type of load
ec.
58
Q

How to test for fatigue life?

A

Requires cyclic testing to failure of a lot of samples

59
Q

Example of fatigue testing?

A

Rotating Beam Fatigue Test
Applies bending load
Outersurface oscillate from tension to compression (open and close cracks)

60
Q

What are S-N Diagrams?

A

Is a maximum stress per cycle vs. Cycles to failure diagram.

Used to characterize fatigue behaviour.

61
Q

Limitations to S-N diagrams

A

Underestimates fatigue life.

62
Q

The line on the S-N curve means?

A

Means there is 50% probability of failure at the given stress value.

63
Q

Uniform attack?

A

Corrosion uniformly over the surface exposed to a solution which makes oxidative and reduction reactions.

ex. Rust

64
Q

Crevice Corrosion

A

Inside the crevice it is the anode giving electrons to the cathode side. By doing this metal ions are formed in the crevice and thus grows the crevice.

65
Q

Intergranular Corrosion

A

The boundaries between grains have different composition rendering them more reactive.

66
Q

Leaching

A

Happens in alloys, where one of the constituent is selectively dissolutioned.

67
Q

Erosion-Corrosion

A

Accelerated corrosion due to relative fluid motion stripping away oxide layer and exposing new metal surfaces.

68
Q

Fretting Corrosion

A

Similar to Erosion-corrosion but happens due to mechanical wear exposing tnew metal surfaces.

69
Q

Hardness

A

A surface property: The ability to resist local plactic deformation

70
Q

Limitations to Wettability quantification.

A

Assumes perfectly clean and flat surface.

71
Q

What are the most commonly used metals for biomedical implants and devices?

A

Titanium and its allows
Stainless steel
Cobalt-Chromium

72
Q

Metals must be:

A

Highly corrosion resistant
Biocompatible
Wear resistant
Excellent material properties to application

73
Q

What is Steel?

A

Iron (Fe) and Carbon (C)

C = [0.3 -1%]

74
Q

Effect of Carbon in Steel?

A

More Carbon means its stronger but more brittle. Carbon immobilizes dislocations further.

Also, can produce different phases by adjusting carbon content and Temperature.

75
Q

What is Stainless steel?

A

Iron-based allow with at least 10.5% chromium and Carbon

76
Q

Corrosion resistance in stainless steel?

A

Attributed to the formation of chromium oxide on its surface.

Corrosion resistance further improved by adding more chromium

Addition of molybdenum increases pitting corrosion resistance

Addition of nitrogen, increases mechanical strength and pitting corrosion resistance

77
Q

Stainless Steel alloys categorised based on micro structure?

A

Martensitic stainless steel
ferritic stainless steel
austenitic stainless steel
duplex stainless steel

78
Q

Metallic Elements

A

Generally pure.
Seldomly used
Commercially-pure titanium
(cp-Ti)

79
Q

Alloys

A

Combo. of two or more constituents in a solid solution (mixture)

single-phase or multi-phase

e.g. SS, Co-Cr

80
Q

Intermetallic Compounds

A

Combo. of two or more constituents with regularly-repeating patterns

e,g, Nitinol

81
Q

Amalgams

A

Alloys ot mercury with other metals

82
Q

Fe_3C: Iron Carbide (a.k.a. cementite

A

Intermetallic compound

precipitates out of solution when C% too high.

83
Q

Ferritic Stainless Steel

A
11-30% chromium
BCC
Magentic
Not heat-treatable
Rarely cold worked (since decreases ductility)

BME applications”
Very few- instrument handles, medical guide pins

84
Q

Martensitic Stainless Steel

A
10.5 - 18% Chromium
Body-centred-Tetragonal (BCT)
Created by rapid cooling (quenching)
High carbon content (>1.2%)
Magentic

BME applications:
Dental instruments, scalpel & surgical instruments

85
Q

Austenitic Stainless steel

A
15-20% Cr content
FCC
Not hardenable by heat treatment
Highly ductile - cold worked to harden
Non-magnetic

BME applications:
Implants, wires, devices

86
Q

316L Stainless Steel

A

(<0.03%) Carbon content

Carbon must be low to prevent formation of chromium carbide which takes away Cr to make protective oxide layer

requires Ni to stabilize austenitic phase

87
Q

Processing technique for 316L SS

A

Cold Working = decrease grain size

Annealing = increase hardness

Solidification = Increase strength

88
Q

Implant-Grade Austenitic 316L SS Benefits:

A

Corrosion resistant
good formability
Nitric acid passivation
relatively inexpensive

89
Q

New Developments in SS:

A

Nitrogen Strengthening

“Electroslag remelting” = increase N content in SS for strength and corrosion resistance

90
Q

Titanium Properties

A

High Strength
Lightweight
Corrosion resistant
Low stiffness, high ductility

91
Q

cp-Ti Allotropic means?

A

Means it can exist in two crystal structures in the same state
Above 882.5 C = beta (BCC)
Below 882.5 C = alpha (HCP)

92
Q

Alpha Ti alloys?

A

Alpha stabilizers: Al, Ga, Sn

Bot heat treatable, but weldable

used for cryogenic app.
relatively low strength

93
Q

Beta Ti alloys?

A

Beta stabilizers: Mo, Ta, V, Nb, W, Cr, Fe, Co, Ni, Cum Mn

More biocompatible (w/ Ta + Mo)

Heat treatable

cold formable

94
Q

alpha + beta Alloys (Ti -6Al-4V)

A

Vanadium allergen!
Strong and heat treatable
Not weldable

95
Q

Applications of Ti alloys

A

Orthopaedic implants
dental root implant
surgical slips
VA pumping casing

96
Q

Nickel-Titanium

A

Intermetallic compound
Equal content of Ni and Ti

Shape memory
Superelastic

97
Q

Co-Cr Processing & Fabrication

A

Casted = artificial joint interfaces, dental implants

Wrought Co-Cr alloys = High load applications= Hip stems, artificial knees
Difficult to machine b/c high hardness

98
Q

Tantalum

A

Cp-Ta= excellent corrosion reistance, excellent biocompatability

App.
Suture wires for skin closure, tendon & nerve repair
Foils and sheets for nerve anastomoses
porous Ta for tissue ingrowth

99
Q

Zircornium

A

Excellent biocompatability
Forms an adherent, protective surface oxide film
excellent corrosion resistance

Biocermaic!!!

100
Q

Oxinium

A

For knee and hip implants
Alloy used: Zr-2.5Nb

Surface treated w/ oxygen to develop ZrO_2 layer - providing improved abrasion resistance

101
Q

Metals for medical electrodes

A

Noble metals = Pt, Au, Rh, Pd, Ir

Why? Elevated conductivity = can be made smaller without losing signal

resistant to corrosion

102
Q

Why add Ir to Pt?

A

Pt is very soft

Solid strengthening

103
Q

Sterilization process - Key requirements

A

Kill as many og.

Minimize probability of non-sterile unit

Be usable on the device in the final packaging

Have no damaging effect on any of the device components or packaging

Process high volumes

Contain cost per unit

104
Q

Sterility Assurance Level (ASL)

A

Max. acceptable SAL is less than one in a million product can be non-sterile.

105
Q

Terminal Sterilization

A

Products are sterilized in their final packaging

BME devices must indergo this.

106
Q

Techniques for Sterilization

A

Steam, Radiation, EtO, Gas

107
Q

Steam Sterilization

A

Autoclave

Process: Expose to Saturated stean @ 15 psi and 121 Celsius for at least 15 min

Performed for:
Implants prior surgery
Resusable tools

108
Q

Radiation-based Sterilization (GAMMA Ray)

A

Nuclear decay of unstable Cobalt-60 isotope emits gamma rays (High energy photons)

High penetration distance
Very effective
Can be used on a wide range of materials (even polymers)

Note: long exposure time necessary

Many polymers(e.g. UHMWPE) require inert-gas atmosphere to prevent oxidation due to radiation

Biodegradable polymers degrade under radiation

109
Q

Radiation-based Sterilization (Electron Beam)

A

(High energy electrons)
Short exposure times
Can be used on a wide range of materials (even polymers)

Note:
Shorter penetrating distance
Polymers may degrade under higher-energy levels and larger doses

110
Q

X-Ray sterilization

A

Operates similar to e-Beam

111
Q

Considerations for radiation

A

Dose uniformity
Actual dose received by product in package depends on:

radiation source
product density
Box/pallet size (packaging)
config. of the sterilizatio unit

112
Q

Ceramic processing

A

1) Plasma spray coating
2) Slow melt processing
3) liquid-phase sintering (vitrification)
4) solid-state sinteting
5) syntheis of glass-ceramics

113
Q

Alumina

A

Mostly used for load bearing application

high wettability for lubrication in knee joint

114
Q

Alumina: production and processing

A

Natural: either from bauxite ore or native corundum using Bayer process

Synthetic:
Highe rpurity but more expensive

Processing
Solid-state sintering @ 1600 celsius

0.5% MgO added to limit grain growth

115
Q

Zirconia

A

Inert due to thermodynamically stable

Harder than alumina

116
Q

Zirconia:Processing

A

During cooling, it expands due to phase transformation which produces 3-5% volume increase

117
Q

Yttria-Stabilized Zirconia

A

Alleviate volume expansion
The Yttria grains produce compressive force on the expanding zirconia grains = Transition toughening

Therefore, closing cracks maybe

118
Q

Yttria-stabilized Zirconia applications

A

Hip and knee replacements

issue: YSZ the tetragonal phase is metastable

Recall due to improper heat treatment.

119
Q

Limitation to alumina and Zirconia

A

Restricted to compressive loading

Avoid impact loading

120
Q

What is a ceramic?

A

Inorganic non-metallic material comprised of two ore more metallic & non-metallic elements

121
Q

Silicon dioxide crystal struct:

A

Quartz
Cristobalite
Tridymite

122
Q

How to produce ceramics?

A

Powder => Add water + binders =>Heat=> Cool

123
Q

Bioceramics: Types of tissue attachment

A

1) Mechanical fixation - complex geometry
2) Biological fixation - porous
3) Bioactive fixation - elicit specific biological response
4) dissolution/replaced slowly by natural tissue

124
Q

Dense HydroxyApatite app.

A

middle ear implant, alveolar ridge reconstruction

mandibular augmentation