Magnesium alloys for biodegradable implants

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Magnesium alloys for biodegradable implants Laboratory for Metal Physics and Technology Department of Materials, ETH Zürich Victor Wessels Anja Hänzi, Bruno Zberg, Jörg Löffler, Peter J. Uggowitzer

Mg bioinspired? Coronary stent explanted after 1 month in mini pig Metamorphosis of the Mg alloy to Ca-P-compound Micro-CT and LM-Image after 28 days in mini pig. Formation of conversion layer; Ca-P-compound

Osteosynthesis Biodegradable implants: - No removal surgery - Avoidance of long-term adverse reactions (chronic inflammation) - Early load transfer - Applications in pediatrics Witte et al., Biomaterials, 2005 Magnesium: - Low corrosion resistance - High biocompatibility - Favorable mechanical properties - Young s modulus similar to bone

From glassy ribbons to bulk metallic glasses Temperature Melt Melting temperature Crystallization R c = 1 K/s Glass Time Glass transition temperature Crystalline Bulk Metallic Glass R c = 10 6 K/s Pressure sensor Cellphone casing Glass: Splats, ribbons (μm) Bulk metallic glass (cm) J. F. Löffler in Encyclopedia of Materials Science; reprinted in Intermetallics 2003.

Mechanical properties of metallic glasses Typical Strength [MPa] 3500 3000 2500 2000 1500 1000 Amorphous Mg glasses Al glasses 337 MPa/g/cm 3 Ti alloys Ni glasses Fe glasses Zr glasses 155 MPa/g/cm 3 Fe alloys Cu glasses 500 Al alloys Mg alloys Crystalline 0 0 2 4 6 8 10 Density [g/cm 3 ] - Specific strength: Glasses: 337 MPa/g/cm 3 > Crystalline alloys: 155 MPa/g/cm 3 - High hardness - High elastic limit, ε el ~ 2% Elastic energy density: ½ σ y ε el = ½ E (ε el ) 2 - However: Little plasticity J. F. Löffler, A. A. Kündig, F. H. Dalla Torre, Amorphization, rapid solidification, bulk metallic glass processing and properties (Ch. 17), in CRC Handbook of Materials Processing (Taylor & Francis). J. F. Löffler,, Int. J. Met. Res.2006

Corrosion of amorphous vs. crystalline Mg Example: Mg Zn phase diagram Oxide layer Bulk Mg Crystalline Glass Structure Multigrain, precipitates Homogeneous, single phase Above 2.4 at.% Zn: precipitation of intermetallic phases Alloying elements Corrosion < 5 at.% - Galvanic - Instable oxide layer < 50 at.% - Non galvanic d - Stable oxide layer v Metallic glasses: No such phase-diagram limitations -Corrosion properties in metallic glasses can be tailored Song & Atrens, Adv. Eng. Mater. 5 (2003) 837.

Alloy development Some Mg-based glasses: Mg 65 Cu 25 Y 10, Mg 85 Cu 5 Y 10 ; Mg 85 Ni 5 Y 10 ; Mg 67 Zn 28 Ca 5 (Gu, Shiflet, et al., JMR, 2005) Here: Mg (95-x) Zn x Ca 5 glasses because of their biocompatibility Goals Produce braided stents from Mg-based glassy wires Design Mg-based glasses with minimal degradation-induced H 2 formation for osteosynthesis/fracture fixation

Wire production In-house designed melt-extraction setup XRD SEM Production of 100 m long, 100 μm diameter amorphous wires with flawless surface quality, bending plasticity B. Zberg, E. R. Arata, P. J. Uggowitzer, J. F. Löffler, Acta Mater. 2009

Preparation of dogbone specimens Pt-wire loop used as cathode In situ tensile tests of glassy Mg wires In-situ tensile testing F Weibull analysis 680-890 MPa m = 20.6 Mg wire Electrolyte (phosphoric acid + ethanol) 400 μm 100 μm P σ i 1 exp σ 0, - Very high tensile strength (4x crystalline alloys) and good reliability - 4 6% plastic deformation in tension - Biocompatible MgZnCa wires are interesting for biomedical applications, e.g. self-expandable (braided) stents F σ 0 = 817 MPa m i = n Lid i n n L d Ld av av Scaling parameter B. Zberg, E. R. Arata, P. J. Uggowitzer, J. F. Löffler, Acta Mater. 2009

Biodegradable Mg-based glasses for larger implants (bone surgery) Corrosion properties Oxide layer ph of blood Bulk Mg Mg + 2 H 2 O Mg 2+ +2OH - + H 2 Structure Crystalline Multigrain, precipitates Glass Homogeneous, single phase H 2 gas Alloying elements < 5 at.% < 50 at.% - Galvanic - No galvanic d Corrosion - Instable oxide layer - Stable oxide layer v Mg-based glasses: Tailoring of absorption rate Strongly reduced H 2 evolution Mg+2H 2 O Mg(OH) 2 +H 2

Immersion tests Hydrogen evolution during degradation in simulated body fluid 70 h 24 h Generally: Mg + 2H 2 O Mg(OH) 2 + H 2 5 h No hydrogen evolution above 28 at.% Zn

In-vivo hydrogen evolution of Mg-based BMGs 8 days post-implantation Zn 32% Zn 26% Witte et al., Private communication, 2010 Correllation of in-vitro and in-vivo hydrogen evolution results

Corrosion resistance Hydrogen evolution tests Linear polarization resistance Factor 80-130 70 h Factor 10 24 h 5 h Mg 60 Zn 35 Ca 5 -H 2 evolution decreases by a factor of 100 - Polarization resistance increases by a factor of 10 Improved corrosion resistance by Zn addition Changing corrosion mechanism due to different surface chemistry

Electrochemical impedance spectroscopy Hydrogen-evolving Mg 72 Zn 23 Ca 5 Time Non-hydrogen-evolving Mg 60 Zn 35 Ca 5 Time Impedance of the sample - Impedance 200 Ω - No change in curve shape with time - Impedance > 3,000 Ω after 45 min - Change in curve shape after 45 min Buildup of new surface conditions after 45 min

Time-dependence of open-circuit potential Electrochemical measurements (OCP) Pourbaix diagram for Zn (calculated) Intermediate state -0.9-1.0-1.1-1.2-1.3-1.4-1.5 ph increase -Low Zn content: Slow stabilization of OCP to < -1.0 V (SHE) -High Zn content: Fast stabilization of OCP to -0.85 V (SHE) - Occurrence of elementary Zn - Zn is in its non-inert state Change of surface condition XRD - Intermediate Zn-content (28 at.%), OCP 1 V Zn can reach its non-inert state upon ph increase B. Zberg, E. R. Arata, P. J. Uggowitzer, J. F. Löffler, Nature Materials 2009

Model for new corrosion mechanism in Zn-rich Mg-based glasses Hydrogen-evolving Mg 72 Zn 23 Ca 5 Non-hydrogen-evolving: Mg 60 Zn 35 Ca 5 Ca/P-rich Metallic Zn 10 μm Mg Ca Zn O P Cl 10 μm Ca/P-rich Ca-, P-, O-rich Zn/O-rich Bulk Model: SBF Ca(PO 4 ) 3 ZnCO 3,ZnO Bulk Non-H 2 -evolving sample - OCP < - 1.0 V: Zn in its stable metallic form - Increase of ph: Zn stays in its stable form - OCP > - 0.9 V: Zn is always in its noninert state dense oxide layer B. Zberg, E. R. Arata, P. J. Uggowitzer, J. F. Löffler, Nature Materials 2009-0.9-1.0-1.1-1.2-1.3-1.4 (ph increase due to Mg dissolution) H 2 -evolving sample

In-vivo animal studies Implantation of Mg in various tissues of domestic pigs 4 tissue types: - Subcutis - Muscle -Liver - Omentum 2 times: - 27 days - 91 days Mg 60 Zn 35 Ca 5 glass Muscle after 27 days Subcutis after 91 days Foreign body reaction (no H 2 ) Crystal. Mg reference alloy Muscle after 27 days Foreign body reaction Subcutis after 91 days H 2 pockets - All samples show adequate tissue healing reactions, i.e. fibrous capsule foreign-body reaction and neovascularization - Mg-glasses do not show any in-vivo hydrogen evolution B. Zberg, E. R. Arata, P. J. Uggowitzer, J. F. Löffler, Nature Materials 2009, highlighted in Nature 461, 2009.

Summary Mg(95-x)ZnxCa5 metallic glasses were produced and their degradation properties studied in-vitro and in-vivo A detailed model of the degradation mechanism was developed based on electrochemical, structural, and spectroscopic analysis of samples for various Zn-content Alloys with Zn-content above 28 at.% displayed no clinically observable hydrogen evolution in-vivo Alloy wires were used to produce bradied stents, and BMG pins are currently being developed for ostesynthesis/fracture fixation Mg-based metallic glasses could be the next generation of biodegradable implants!

Acknowlegdements Financial support from The Swiss Innovation Promotion Agency (CTI-Project 7616.2 LSPP-LS) The BioCompatible Materials and Applications project (BCMA) initiated by the Austrian Institute of Technology (AIT) The Staub/Kaiser foundation (Switzerland) is gratefully acknowledged.