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Lasers enable a reduction of risk and manufacturing cost in the fabrication of textured titanium implants.
September 19, 2018
By: Erik Poulsen
During the 1980s, the medical community embraced titanium as the material of choice for implantable devices destined to be attached to bone. Numerous studies presented titanium’s osseointegration characteristics and further research documented the positive impact of textured, functional surfaces on osseointegration. Compared to smooth “as-machined” surfaces, texturing not only improves bone integration—and thus, implant stability—it also allows for the growth of supportive tissue and may even provide antibacterial advantages. Today, the gold standard for titanium implants features a textured surface on all areas where integration with bone needs to take place. These functional textured surfaces are found on diverse devices such as bone plates, hip joints, and cervical and dental implants (Figure 1). Additional research has been conducted in recent years to examine the relationship between the roughness of the surface and both osseointegration and vascularization rates. Determining the optimum values for surface roughness for a given set of conditions is expected to remain an area of focus for several years to come. Although in the past, roughness was mostly described by the two-dimensional Ra value (a measure of the variation in height), 3D measurements, including the arithmetical mean height of the surface (Sa), texture aspect ratio (STr), interfacial area ratio (Sdr), core void volume (Vvc) and valley void volume (Vvv) are all now commonly used to describe a desired end result. Production Challenges Textured surfaces have traditionally been executed through the use of grit blasting (also known as sandblasting) alone or in combination with chemical etching. Grit blasting in combination with acid etching is perhaps the most widely used approach today. The etching process involves using a strong acid—often hydrochloric, nitric, or sulfuric acid—to erode the surface after blasting, resulting in microstructures from one to several microns in diameter. A neutralization phase, in which the acid is reduced by the addition of a base or multiple washing cycles with de-ionized water, completes the process. Etching is highly sensitive to both time and temperature and requires appropriate infrastructure to handle both dangerous chemicals and waste by-products. Blasting is a mechanical process by which a hard particulate (sand, salt, or ceramic) is projected at high velocity against the surface to be treated. Particle size, velocity, and impact angle all influence final surface roughness. In medical device manufacturing, the blasting process is most often “semi-automated,” whereby process time and blast angle are controlled via a robotic system. Both blasting and etching result in a random distribution of surface features. Chemical changes to the outer layer of titanium can also occur. The choice of blast material as well as process parameters (time, angle, size, and blast velocity) need to be developed based on the desired end result. Most often, the blast material is a single-use consumable and must be disposed of after part processing. Secondary Processes Introduce Risk Both blasting and chemical etching usually require manual handling by operators in order to mask surfaces that are to remain untextured. Both also require the component to be cleaned after the texturing treatment; residue from blasting is difficult, if not impossible, to eliminate entirely. Proper washing after blasting can be a multistep process that adds time and requires specialized equipment, such as tanks or ultrasonic wave technology. An error in the washing process (e.g., wrong or incorrectly dosed chemicals, incorrect cycle) or handling can result in serious product quality issues or lead to product failure and costly recalls. Due to these issues, orthopedic device manufacturers are looking for alternative ways to manufacture textured functional surfaces without secondary washing and gain design flexibility in terms of surface properties.
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