Implant and a method of making the implant and a method of calculating porosity of a porous material
11751997 · 2023-09-12
Assignee
- b-ONE Medical (Suzhou) Co., Ltd. (Suzhou, CN)
- b-ONE Medical Biotech Corporation (Shanghai, CN)
- b-ONE Ortho, Corp (Cedar Knolls, NJ, US)
Inventors
- Zongtao Zhang (Cedar Knolls, NJ, US)
- Imants Liepins (Cedar Knolls, NJ, US)
- Michael Lowry (Cedar Knolls, NJ, US)
Cpc classification
A61F2002/3092
HUMAN NECESSITIES
A61F2/30767
HUMAN NECESSITIES
A61F2310/00023
HUMAN NECESSITIES
A61F2/30942
HUMAN NECESSITIES
A61F2310/00544
HUMAN NECESSITIES
B22F10/85
PERFORMING OPERATIONS; TRANSPORTING
A61F2310/00449
HUMAN NECESSITIES
A61F2310/00431
HUMAN NECESSITIES
A61L27/3608
HUMAN NECESSITIES
B33Y80/00
PERFORMING OPERATIONS; TRANSPORTING
A61F2002/30948
HUMAN NECESSITIES
B33Y50/02
PERFORMING OPERATIONS; TRANSPORTING
International classification
B33Y50/02
PERFORMING OPERATIONS; TRANSPORTING
A61L27/36
HUMAN NECESSITIES
B22F10/85
PERFORMING OPERATIONS; TRANSPORTING
Abstract
A method of making an implant having a porous portion is disclosed. The method comprises the following steps: obtaining an artificial foam containing porous portion; scanning the artificial foam to obtain a digital porous model; editing the digital porous model; assembling the digital porous model to form a digital porous block; editing the digital porous block to obtain a digital implant model; forming the implant by printing the digital implant model through a 3D printer. An implant and a method of calculating porosity a porosity of a porous material are also disclosed.
Claims
1. A method of making an implant having a porous portion, comprising: obtaining an artificial foam containing porous portion; scanning the artificial foam to obtain a digital porous model; editing the digital porous model; assembling the digital porous model to form a digital porous block; editing the digital porous block to obtain a digital implant model; and forming the implant by printing the digital implant model through a 3D printer.
2. The method according to claim 1, wherein the step of editing the digital porous model comprises editing strut thickness and/or pore diameter of the digital porous model.
3. The method according to claim 2, wherein the step of editing the strut thickness and/or pore diameter in the digital porous model comprises scaling-up or shrinking-down the strut thickness and/or the pore diameter.
4. The method according to claim 1, wherein the step of assembling the digital porous model to form the digital porous block comprises patterning the digital porous model.
5. The method according to claim 1, wherein the step of assembling the digital porous model to form the digital porous block comprises patterning the digital porous model along three dimension of a Cartesian coordinate, a column coordinate, or a spherical coordinate.
6. The method according to claim 1, wherein the step of assembling the digital porous model comprises extracting an elementary porous unit from the digital porous model and combining a plurality of elementary porous units to form the digital porous block.
7. The method according to claim 1, wherein the step of editing the digital porous block comprises cutting the digital porous block into a digital porous layer and overlaying the digital porous layer onto a substrate to form the digital implant model.
8. The method according to claim 7, wherein the shape of the digital porous layer conforms to the shape of the implant to be formed, and the substrate conforms to the shape of the implant to be formed.
9. The method according to claim 7, wherein the step of overlaying the digital porous layer onto the substrate is accomplished by Boolean intersection.
10. The method according to claim 7, wherein the substrate is a solid substrate or a porous substrate.
11. The method according to claim 1, wherein the artificial foam containing porous portion is cut into a cube geometry prior to scanning.
12. The method according to claim 11, wherein the cube has a volume of less than 0.5 cubic inches.
13. The method according to claim 1, wherein scanning the artificial foam to obtain a digital porous model is accomplished by micro-CT.
14. The method according to claim 1, wherein the implant is further cleaned after 3D printing.
15. The method according to claim 1, wherein the implant is further grit blasted and/or coated after 3D printing.
16. The method according to claim 1, wherein the artificial foam is a reticulated foam selected from the group consisting of polyurethane foam, carbon foam, ceramic coated carbon foam, and metal coated carbon foam.
17. The method according to claim 1, wherein the artificial foam is a reticulated foam selected from the group consisting of aluminum coated carbon foam, copper coated carbon foam, nickel coated carbon foam, silicon carbide coated carbon foam, tantalum coated carbon foam, titanium nitride coated carbon foam, titanium carbide coated carbon foam and chromium coated carbon foam.
Description
BRIEF DESCRIPTION OF THE INVENTION
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DETAILED DESCRIPTION OF THE EMBODIMENTS
(16) The preferred embodiments of the present invention will be described in detail below with reference to the accompanying drawings, so that the purposes, features and advantages of the present invention can be more clearly understood. It should be understood that the embodiments shown in the accompanying drawings are not intended to limit the scope of the present invention, and is only used for illustrating the essential spirit of the technical solution of the present invention.
(17) In the following description, numerous specific details are set forth. However, one skilled in the art may implement embodiments without these specific details. In other instances, well-known devices, structures, and techniques that are associated with the present application may not be shown or described in detail to avoid obscuring the embodiments.
(18) Unless the context indicates otherwise, the words “comprise” and variations thereof, such as “include” and “have”, are meant to be construed as an open, inclusive meaning, that is, not limited to.
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(20) Reticulated carbon and SiC coated carbon foams have different porosities. They are measure by pores per inch (PPI). The commercial SiC foams have porosity range of 3 PPI, 10 PPI, 20 PPI, 30 PPI, 45 PPI, 65 PPI, 80 PPI, and 100 PPI (Ultramet INC, 1217 Montague Street, Pacolma, Calif. 91331, USA). The lower the number PPI, the larger the diameters of pores and pores. The carbon foam are fragile, so silicon carbide coated carbon forms (briefly called SiC foam) are stronger, especially in high PPI number of foams. In theory, all porous foams are theoretically selected as sample of scan. 65 PPI, 80 PPI, and 100 PPI foams are preferred because they are close to the porosity of cancellous bone.
(21) See
(22) The most popular way was direct reverse engineering approach, which directly replicates the porous structure. Table 1 shows the micro-CT scan results of three 80 PPI carbon, 80 PPI SiC, and 65 PPI SiC.
(23) TABLE-US-00001 TABLE 1 STL size, strut thickness, pore diameter, porosity, and open porosity of ½″ reticulated artificial cube by Micro-CT scan. Reticulated foams 80 PPI Carbon 80 PPI SiC 80 PPI SiC 65 PPI SiC Voxel of 20 μm 20 μm 40 μm 40 μm micro-CT STL file N/A 440,831 KB 195,500 KB 180,602 kB size Strut 56.4 ± 9 126 ± 149 ± thickness 17 μm 8.2 ± 40 μm 31 μm 27.2 μm Pore 483 ± 303 ± 398 ± 712 ± diameter 120 μm 98 μm 94 μm 153 μm Open 93.9% 78.7% 76.76% 82.76% porosity Total 93.9% 78.7% 76.76% 82.76% porosity
(24) The inventor also tried direct reverse engineering approach for final geometry. the inventor customized 80 mm×80 mm×80 mm reticulated Carbon or SiC coated carbon cube, machined the cube into the 68 mm OD and 1.5 mm shell, then micro-CT scanned the shell. The cost is very high.
(25) To solve the cost issue, the inventors tried a micro-CT scan 1.0″ SiC foam with cube geometry (25.4 mm×25.4 mm×25.4 mm). After micro-CT scanning using 20 μm Voxel resolution, the scan engineer tried to extract the scan data to STL file format, but the STL file size was too big to handle by even a supper computer. Finally, the inventor tried to take out 0.5″ cube (12.5 mm×12.5 mm×12.5 mm) data from the 1.0″ cube, the file size was smaller, then a lap-top computer was successfully saved the STL file.
(26) The third step of the method is editing the digital porous model, see
(27) Table 2 lists a theoretical range of pore sizes based on different scaling up or shrink-down scale. This value is the guideline for initial selection of SiC or Carbon foam, not final size of 3D printed foam. In theory, any reticulated artificial foam can be selected as micro-CT scan sample to get digital porous structure, through shrink-down (scale factor <1.0) from larger pore foams such as 3 PPI, 10 PPI, 20 PPI, 30 PPI, 40 PPI, or scale-up (scale factor >1.0) such as 80 PPI, 100 PPI. The preferred pore size is close to as desired pore size and make adjustment through scaling, such as 65 PPI, 80 PPI, and 100 PPI foams were selected for micro-CT scan.
(28) TABLE-US-00002 TABLE 2 Theoretical pore diameter with different scale-up scales. Scale factor 0.1 0.4 0.6 1.00 1.25 1.50 3 PPI foam 846 μm 20 PPI foam 127 μm 508 μm 762 μm 45 PPI foam 225 μm 338 μm 564 μm 705 μm 846 μm 65 PPI foam 156 μm 234 μm 391 μm 489 μm 587 μm 80 PPI foam 190 μm 317 μm 397 μm 476 μm 100 PPI foam 152 μm 254 μm 317 μm 381 μm
(29) The fourth step of the method is digital assembly small porous foam into final implant geometry, forming a digital implant model, see
(30) The large digital blocks can be cut to any desired geometry for implants or bone fillers. The inventor found that the overlap of the STL building block is necessary. If just line-to-line assembly, the 3D printed samples will have visible line or gap. The digital reconstruction includes porous layer to solid layer as well. A minimum 1.0 μm overlap is needed, preferred over 10 μm overlap, more preferred over 50 μm, the most preferred over 100 μm overlap.
(31) Based on theoretical teaching of 3D printing and pre-arts, the overlap of STL file were not desirable. It would generate a lot of suspended overhanging struts and non-closed loops. The computer software would consider the overlap as errors and need to repair. Surprisingly, the inventers has not found any visual mark, no effect on mechanical properties and porosity.
(32) The fifth step of the method was 3D printing. Sending the assembled acetabular cup model to a 3D printer. The 3D printing is the state-of-the art technology by lay-by-layer melting or sintering process under laser or e-beam as heating source. The 3D metal printers were commercially available, such as M2 Cursing DL 400 W, ProX DMP320, FARSON 271 M, BLT-5310. Any one of them can be used for 3D printing the reticulated titanium porous implant. During this process, a software convert STL file into slicing file, then printed into final geometry. After 3D printing, the final acetabular shell was removed metal supports, grit blasting, mechanical vibration and ultrasonic cleaning to remove loss powder inside of the porous layer. A post grit blasting and coating process such as coating hydroxyapatite can be conducted on the porous surface.
(33) The six-step was micro-CT inspection of porous structure. ASTM F3259-17, “Standard guide for Micro-computed tomography of tissue engineered scaffold” has been widely used for polymer and ceramics with high accuracy to measure strut size, pore size, and porosity.
(34) TABLE-US-00003 TABLE 3 Reticulated Ti6Al4V porous structure measured by micro-CT and light microscopy before artifacts calibration. Example 1 Example 2 Example 3 Strut thickness 260 ± 53 258 ± 56 236 ± 58 (micro-CT), μm Strut thickness 239 ± 38 226 ± 40 213 ± 58 (Light microscopy), μm Pore Diameter 242 ± 84 325 ± 118 396 ± 155 (Micro-CT, 3D), μm Pore Diameter 350 ± 60 458 ± 68 562 ± 82 (Light microscopy, 2D), μm Total Porosity 35.5 46.82 56.13 (Micro-CT), % Total Porosity 50.38 (weight and volume), % Open porosity/ 100 100 100 Total porosity (Micro-CT), %
(35) Instead avoiding the artifacts like pre-arts, the inventor used the artifacts as a calibration tool. The inventor define a calibration factor for micro-CT as below:
(36) Porosity calibration factor=porosity of first sample (weight and volume)/porosity of second sample (micro-CT)
(37) Pore diameter calibration factor=Porosity calibration factor
(38) Strut thickness calibration factor=(1/Pore diameter calibration factor).sup.1/3
(39) Here, a ½″ cube is used as first sample and as calibration. The true porosity of the ½″ porous cube was 50.38%, which was accurately measured weight and volume method. The details were described in Example 7. The porosity calibration factor is 1.419, equal to the ratio of cube porosity 50.38% divided second sample porosity 35.5%. In this example, the second sample is a disc) Pore diameter calibration factor is equal to Porosity calibration factor, 1.419. Strut thickness calibration factor is equal to (1/1.419).sup.1/3=0.8896. The calibrated results were listed in Table 4, which were consistent with the light microscopy measurement data.
(40) It should be understood that other shapes than cubes and discs, such as cuboids, ellipses, etc., may be employed to calculate the porosity calibration factor. As long as the first sample is 3D printed and a true porosity of the first sample is obtained by a gravimetric and volumetric methodology, and the second sample is 3D printed and a porosity of the second sample is measured by micro-CT scan, then the true porosity of the first sample being divided by the porosity of the second sample so as to obtain the porosity calibration factor.
(41) TABLE-US-00004 TABLE 4 Reticulated Ti6Al4V porous structure measured by micro-CT and light microscopy after artifacts calibration. Example 1 Example 2 Example 3 Calibrated Strut thickness 231 ± 47 229 ± 50 210 ± 52 (micro-CT), μm Strut thickness 239 ± 38 226 ± 40 213 ± 58 (Light microscopy), μm Calibrated Pore Diameter 343 ± 119 461 ± 167 561 ± 220 (Micro-CT, 3D), μm Pore Diameter 350 ± 60 458 ± 68 562 ± 82 (Light microscopy, 2D), μm Total Porosity 35.5 46.82 56.13 (Micro-CT), % Calibrated Total porosity 50.38 66.44 79.65 (Micro-CT), % Open porosity/Total porosity 100 100 100 (Micro-CT), %
EXAMPLES
Example 1. Reticulated Porous Titanium Sample with 1:1 Scale Ratio to SiC Foam
(42) A reticulated titanium porous foam with 1:1 ratio to 80 PPI SiC foam was made according to process in
(43) A ½″ cube (12.5 mm×12.5 mm×12.5 mm) was digitally cut out from the original 30 mm×20 mm×12.5 mm block. The micro-CT scan was saved as STL format. Using Materalise Magics' 3D printing software, four ½″ porous cubes were digitally assembled into a 1.0″ porous cube (25.4 mm×25.4 mm×25.4 mm). The contact of the cubes was face-to-face contact, i.e., no overlap. Cut the 1.0″ digital cubes into a disc shape with 25.4 mm diameter and 1.5 mm thickness. The porous disc was digitally assembled with a solid sample with a thickness of 25.4 mm and 6.25 mm thickness. The porous layer was overlapped 100 μm so as to form a digital model.
(44) The digital model was printed using Ti6Al4V ELI powder by M2 Coursing 3D printing machine at GE Additive INC (101 North Campus Drive, Findlay Township, Pa. 15126, USA). During printing, the laser beam was set up 150 μm diameter. Loose powders were removed from the printed samples powders by mechanical vibration in air, followed ultrasonic cleaning in water.
(45) The light microscopy showed gaps at the assembly lines. The struts thickness and pore diameter were analyzed by a digital light microscopy and Micro-CT. The micro-CT scan parameters of Ti6Al4V porous layer (1.5 mm thickness, 25.4 mm diameter) on 1.0″ diameter solid were Bruker SkyScan 1173 micro-CT, voxel 20 μm, source voltage 130 kV, source current 60 μA.
(46) Reconstructions were completed using Bruker NRecon software, porosity analysis was done using Bruker CTAn software and STL models were made using Synopsis Simpleware software. For minimizing metal artifacts, ring artifacts correction was grade 4, smoothing grade 2, beam hardening correction 100%.
Example 2. Reticulated Porous Titanium Sample with 1.25:1 Scale Ratio to SiC Foam
(47) All process parameters were the same as Example 1, except the digital STL file of 80 PPI SiC foam was magnified to 1.25 scale in three-dimensional geometry.
Example 3. Reticulated Porous Titanium Sample with 1.50:1 Scale Ratio to SiC Foam
(48) All process parameters were the same as Example 1, except the digital STL file of 80 PPI SiC foam was magnified to 1.5 scale in three-dimensional geometry.
Example 4. Reticulated Porous Titanium Cube with 1:1 Scale Ratio to SiC Foam
(49) All process parameters were the same as Example 1, except the ½″ digital cube was directly printed out into a Ti6Al4V porous cube.
Example 5. Reticulated Porous Titanium Shell with 1:1 Scale Ratio to SiC Foam
(50) All process parameters were the same as Example 1, except digitally assembly a ½″ porous cube (12.5 mm×12.5 mm×12.5 mm) into a porous acetabular shell with dimension of 40 mm in dimeter, 1.5 mm in thickness (
Example 6. Reticulated Porous Titanium Steroid with 1:1 Scale Ratio to Carbon Foam
(51) All process parameters were the same as Example 1, except an steroid shaped reticulated carbon foam was micro-CT scanned for 3D printing a reticulated porous titanium steroid with 1:1 scale ratio. The porous structure of reticulated carbon foam was shown in Table 1. Due to the extremely fine strut thickness 56.4±17 μm, the 3D printer software was hard to recognize the struts. After carful adjust 3D printer parameters, a reticulated porous titanium steroid was printed out, but there were a lot of powders left inside the porous space. The printing was not successful.
Example 7. Characterization of SiC Foams and 3D Printed Components
(52) Reticulated porous SiC foam were characterized by micro-CT scanning.
(53) Micro-CT was conducted at Microphonics INC (1550 Pond Road, Suite 110, Allentown, Pa. 18104, USA) according to ASTM F3259-17. The Micro-CT machine was Skyscan1173. The analysis used adaptive mode (mean of min and max values) with lower grey thresholding 20 and upper grey thresholding 150.
(54) The Reticulated porous titanium porous layer on samples (Example 1-3) and ½″ cube (Example 4) were characterized by micro-CT scanning. Micro-CT was conducted at Microphonics INC (1550 Pond Road, Suite 110, Allentown, Pa. 18104, USA) according to ASTM F3259-17. The Micro-CT machine was Skyscan1173.
(55) The analysis used adaptive mode (mean of min and max values) with lower grey thresholding 60 and upper grey thresholding 155. Because of titanium has metal artifacts for Micro-CT, light microscopy method was used to measure strut thickness and pore size. The weight and volume method were used to direct measure porosity of the ½″ porous Ti6Al4V cube. The weighted was measured by a calibrated analytical balance with accuracy 0.1 mg. The volume was measured by a calibrated micrometer with accuracy 0.01 mm. Table 3, and Table 4 list reticulated Ti6Al4V porous structure measured by micro-CT and light microscopy before and after artifacts calibration.
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(59) Table 4 listed the porosity of reticulated titanium porous layer. After artifacts calibration, the porosities are corrected to 50.38%, 66.44% and 79.65% for Example 1-3. Based on previous discussion, the scale-up process was primarily for magnification of pore diameter. The theoretical porosity value of Example 1-3 was 50.38%, 62.98%, and 75.57%, which very consistent to the calibrated porosities. These porosity value indicated that Ti:SiC 1:1 ratio is acceptable, preferred 1.25:1 ratio, the most preferred 1.5:1 ratio.
(60) Table 5 shows the bond strength results of reticulated Ti6Al4V ELI samples. Tensile and shear bond strength were all above the FDA required minimum requirement, 20 MPa for tensile and 22 MPa for shear. All failure occurred at porous titanium/adhesive interface.
(61) TABLE-US-00005 TABLE 5 Bond strength results of reticulated Ti6Al4V ELI samples Reticulated Ti samples Example 1 Example 2 Example 3 Shear Bond strength, MPa 47.9 ± 3.1 49.3 ± 0.7 42.3 ± 0.8 Failure mode 100% 100% 100% adhesive adhesive adhesive Tensile Bond strength, 76.4 ± 4.0 73.4 ± 6.4 70.6 ± 2.5 MPa Failure mode 100% 100% 100% adhesive adhesive adhesive
(62) Preferable embodiments of the invention have been described in detail as above. It should be understood that, after reading the above teaching of the invention, various changes or modifications of the invention can be made by those skilled in the art. All of the equivalents fall in the protection scope defined by the attached claims.