BACKGROUND Comminuted manubrium sterni fractures are rare,and internal fixation methods are limited.This report explored a practical and feasible method of internal fixation for comminuted manubrium sterni fractures.C...BACKGROUND Comminuted manubrium sterni fractures are rare,and internal fixation methods are limited.This report explored a practical and feasible method of internal fixation for comminuted manubrium sterni fractures.CASE SUMMARY A 17-year-old female was injured in a car accident for which she underwent debridement and suturing of her head and anterior chest wounds in another hospital.Eight days later,the patient was transferred to our hospital for surgical treatment.The manubrium sterni was found intraoperatively to be split into three irregular fragments with obvious overlap and separation displacement.Meanwhile,a manubriosternal joint dislocation and left first rib cartilage fracture were observed.The retraction force of the shape-memory alloy staples was used to pull the fracture fragments together.Two more titanium locking plates were then used to fix the manubrium sterni and corpus sterni longitudinally,and the left first rib cartilage fracture was repositioned and fixed with a titanium locking plate.A postoperative computed tomography scan showed reduced and rigid fixation of the comminuted manubrium sterni fractures.The patient recovered well with no significant complaints of discomfort.The patient was discharged 10 days postoperatively after the stitches had been removed.CONCLUSION Shape-memory alloy staples had the advantage of being safe and effective during the repositioning and internal fixation of comminuted manubrium sterni fractures.Therefore,they provided a new surgical option for comminuted manubrium sterni fractures.展开更多
For gastrointestinal anastomosis,metallic biodegradable staples have a broad application potential.However,both magnesium and zinc alloys have relatively low strength to withstand the repeated peristalsis of the gastr...For gastrointestinal anastomosis,metallic biodegradable staples have a broad application potential.However,both magnesium and zinc alloys have relatively low strength to withstand the repeated peristalsis of the gastrointestinal tract.In this study,we developed a novel kind of biodegradable high-nitrogen iron(HN–Fe)alloy wires(0.23 mm),which were fabricated into the staples.The tensile results showed that the ultimate tensile strength and elongation of HN–Fe wires were 1023.2 MPa and 51.0%,respectively,which was much higher than those of other biodegradable wires.The degradation rate in vitro of HN–Fe wires was slightly higher than that of pure Fe wires.After 28 days of immersion,the tensile strength of HN–Fe wires remained not less than 240 MPa,meeting the clinical requirements.Furthermore,sixteen rabbits were enrolled to conduct a comparison experiment using HN–Fe and clinical Ti staples for gastroanastomosis.After 6 months of implantation,a homogeneous degradation product layer on HN–Fe staples was observed and no fracture occurred.The degradation rate of HN–Fe staples in vivo was significantly higher than that in vitro,and they were expected to be completely degraded in 2 years.Meanwhile,both benign cutting and closure performance of HN–Fe staples ensured that all the animals did not experience hemorrhage and anastomotic fistula during the observation.The anastomosis site healed without histopathological change,inflammatory reaction and abnormal blood routine and biochemistry,demonstrating good biocompatibility of HN–Fe staples.Thereby,the favorable performance makes the HN–Fe staples developed in this work a promising candidate for gastrointestinal anastomosis.展开更多
BACKGROUND The development of biodegradable surgical staples is desirable as non-biodegradable Ti alloy staples reside in the human body long after wound healing, which can cause allergic/foreign-body reactions, adhes...BACKGROUND The development of biodegradable surgical staples is desirable as non-biodegradable Ti alloy staples reside in the human body long after wound healing, which can cause allergic/foreign-body reactions, adhesion, or other adverse effects. In order to develop a biodegradable alloy suitable for the fabrication of surgical staples, we hypothesized that Zn, a known biodegradable metal, could be alloyed with various elements to improve the mechanical properties while retaining biodegradability and biocompatibility. Considering their biocompatibility, Mg, Ca, Mn, and Cu were selected as candidate alloying elements, alongside Ti, the main material of clinically available surgical staples.AIM To investigate the in vitro mechanical properties and degradation behavior and in vivo safety and feasibility of biodegradable Zn alloy staples.METHODS Tensile and bending tests were conducted to evaluate the mechanical properties of binary Zn alloys with 0.1–6 wt.% Mg, Ca, Mn, Cu, or Ti. Based on the results,three promising Zn alloy compositions were devised for staple applications(wt.%): Zn-1.0Cu-0.2Mn-0.1Ti(Zn alloy 1), Zn-1.0Mn-0.1Ti(Zn alloy 2), and Zn-1.0Cu-0.1Ti(Zn alloy 3). Immersion tests were performed at 37℃ for 4 wk using fed-state simulated intestinal fluid(Fe SSIF) and Hank’s balanced salt solution(HBSS). The corrosion rate was estimated from the weight loss of staples during immersion. Nine rabbits were subjected to gastric resection using each Zn alloy staple, and a clinically available Ti staple was used for another group of nine rabbits. Three in each group were sacrificed at 1, 4, and 12 wk post-operation.RESULTS Additions of ≤1 wt.% Mn or Cu and 0.1 wt.% Ti improved the yield strength without excessive deterioration of elongation or bendability. Immersion tests revealed no gas evolution or staple fracture in any of the Zn alloy staples. The corrosion rates of Zn alloy staples 1, 2, and 3 were 0.02 mm/year in HBSS and 0.12, 0.11, and 0.13 mm/year, respectively, in Fe SSIF. These degradation times are sufficient for wound healing. The degradation rate is notably increased under low pH conditions. Scanning electron microscopy and energy dispersive spectrometry surface analyses of the staples after immersion indicated that the component elements eluted as ions in Fe SSIF, whereas corrosion products were produced in HBSS, inhibiting Zn dissolution. In the animal study, none of the Zn alloy staples caused technical failure, and all rabbits survived without complications. Histopathological analysis revealed no severe inflammatory reaction around the Zn alloy staples.CONCLUSION Staples made of Zn-1.0Cu-0.2Mn-0.1Ti, Zn-1.0Mn-0.1Ti, and Zn-1.0Cu-0.1Ti exhibit acceptable in vitro mechanical properties, proper degradation behavior,and in vivo safety and feasibility. They are promising candidates for biodegradable staples.展开更多
The NiTi shape memory alloy (SMA) bow staple consists of an arched body,one front arm and one rear arm.It has the function of shape memory and manyadvantages,i.e.,high strength,low specific gravity,strong retrieving f...The NiTi shape memory alloy (SMA) bow staple consists of an arched body,one front arm and one rear arm.It has the function of shape memory and manyadvantages,i.e.,high strength,low specific gravity,strong retrieving force,highresistance to fatigue and erosion,nontoxicity,nonmagnetism and goodhistocompatibility.It can be widely used and make the fixation convenient and ef-fective.The staple has been used clinically in 152 cases of cranioplasty.Resultshave showed that duration of the operation is shortened and harm during the op-eration is reduced,because dura mater needn’t be seperated and the skull needn’tbe penetrated through.Some complications can be avoided and the operationbecomes simpler,safer and more reliable.The bow staple is suitable for fixationwith any kind of repairing material in cranioplasty and does not interfere withthe CT and MRI reexaminations.展开更多
Elemental titanium(Ti)and nickel(Ni)powders were consolidated by spark plasma sintering(SPS)to fabricate Ti-51%Ni(mole fraction)shape-memory alloys(SMAs).The objective of this study is to enhance the superelasticity o...Elemental titanium(Ti)and nickel(Ni)powders were consolidated by spark plasma sintering(SPS)to fabricate Ti-51%Ni(mole fraction)shape-memory alloys(SMAs).The objective of this study is to enhance the superelasticity of SPS produced Ti-Ni alloy using free forging as a secondary process.Products from two processes(with and without free forging)were compared in terms of microstructure,transformation temperature and superelasticity.The results showed that,free forging effectively improved the tensile and shape-memory properties.Ductility increased from 6.8%to 9.2%after forging.The maximum strain during superelasticity increased from 5%to 7.5%and the strain recovery rate increased from 72%to 92%.The microstructure of produced Ti-51%Ni SMA consists of the cubic austenite(B2)matrix,monoclinic martensite(B19′),secondary phases(Ti3Ni4,Ti2Ni and TiNi3)and oxides(Ti4Ni2O and Ti3O5).There was a shift towards higher temperatures in the martensitic transformation of free forged specimen(aged at 500°C)due to the decrease in Ni content of B2 matrix.This is related to the presence of Ti3Ni4 precipitates,which were observed using transmission electron microscope(TEM).In conclusion,free forging could improve superelasticity and mechanical properties of Ti-51%Ni SMA.展开更多
In order to treat scoliosis, a thermo-mechanical behavior study of shape memory alloy bone staple has been proposed. A pre-stretched shape-memory-alloy bone staple, which has been heated above the transition temperatu...In order to treat scoliosis, a thermo-mechanical behavior study of shape memory alloy bone staple has been proposed. A pre-stretched shape-memory-alloy bone staple, which has been heated above the transition temperature, provides greater compressive force upon insertion between two vertebrae and allows the control of idiopathic scoliosis development. Until now, the optimal design has not been reached due to the lack of appropriate design tools for shape memory alloy devices. In this paper, a shape memory alloy bone staple model is proposed by developing a user subroutine UMAT based on Boyd et al. unified thermodynamic shape memory alloy constitutive law using the finite element analysis software, ABAQUS. The numerical results for superelastic and shape memory effect under the tensile and three-point bending tests are presented. Simulations of the shape memory effects and force generation of the shape memory alloy staple are also shown.展开更多
The microstructure of CosoNi22Ga28 ribbon with the L10 structure is examined. The band-like morphology is observed. These bands with the width in a range of 40-200 nm appear along the transverse direction of the ribbo...The microstructure of CosoNi22Ga28 ribbon with the L10 structure is examined. The band-like morphology is observed. These bands with the width in a range of 40-200 nm appear along the transverse direction of the ribbon. The giant magnetoimpedance （GMI） effect in this alloy is measured. The results show that Co5oNi22Ga28 exhibits a sharp peak of the GAI effect. The maximum GAH ratio up to 360% is detected. The GMI effect measured versus temperature shows large jumps of the magnetoimpedance amplitude at the reversal martensitic transformation temperature 240℃ and Curie temperature 375℃C respectively. The jump ratios of the magnetoimpedance amplitude examined at these temperatures are about 5 and 10, respectively.展开更多
Thermal energy storage has been a pivotal technology to fill the gap between energy demands and energy supplies.As a solid-solid phase change material,shape-memory alloys(SMAs)have the inherent advantages of leakage f...Thermal energy storage has been a pivotal technology to fill the gap between energy demands and energy supplies.As a solid-solid phase change material,shape-memory alloys(SMAs)have the inherent advantages of leakage free,no encapsulation,negligible volume variation,as well as superior energy storage properties such as high thermal conductivity(compared with ice and paraffin)and volumetric energy density,making them excellent thermal energy storage materials.Considering these characteristics,the design of the shape-memory alloy based the cold thermal energy storage system for precooling car seat application is introduced in this paper based on the proposed shape-memory alloy-based cold thermal energy storage cycle.The simulation results show that the minimum temperature of the metal boss under the seat reaches 26.2°C at 9.85 s,which is reduced by 9.8°C,and the energy storage efficiency of the device is 66%.The influence of initial temperature,elastocaloric materials,and the shape-memory alloy geometry scheme on the performance of car seat cold thermal energy storage devices is also discussed.Since SMAs are both solid-state refrigerants and thermal energy storage materials,hopefully the proposed concept can promote the development of more promising shape-memory alloy-based cold and hot thermal energy storage devices.展开更多
Non-stoichiometric Ni50Mn27 Ga23 polycrystalline ribbons are prepared by melt-spinning technique. The magneticfield-induced strain （MFIS） of Ni-Mn-Ga bulk alloy prepared by bonding the melt-spun ribbons is obtained....Non-stoichiometric Ni50Mn27 Ga23 polycrystalline ribbons are prepared by melt-spinning technique. The magneticfield-induced strain （MFIS） of Ni-Mn-Ga bulk alloy prepared by bonding the melt-spun ribbons is obtained. The experimental results show that Ni50Mn27Ga23 bonded ribbons exhibit a typical thermal-elastic shape memory effect in the thickness direction. The martensitic transformation strain of bonded ribbons is an expansive strain of about 0.3% without the magnetic field and a contractive strain of about -0.46% at the magnetic field of 1 T. The field can not only enhance the value of the martensitic transformation strain of the bonded ribbons, but can also change the direction of the strain. The bonded ribbons alloy presents negative MFIS and obtains a larger value of the strain though influenced by the adhesive between the ribbons. Therefore, the preparation technique of the Ni-Mn-Ga bulk alloy by bonding melt-spun ribbons is helpful to get rid of the size restriction of the ribbon and to broaden the applications of the ribbons.展开更多
基金Supported by Shenyang Medical College Youth Scientific Research Fund,No.20202027.
文摘BACKGROUND Comminuted manubrium sterni fractures are rare,and internal fixation methods are limited.This report explored a practical and feasible method of internal fixation for comminuted manubrium sterni fractures.CASE SUMMARY A 17-year-old female was injured in a car accident for which she underwent debridement and suturing of her head and anterior chest wounds in another hospital.Eight days later,the patient was transferred to our hospital for surgical treatment.The manubrium sterni was found intraoperatively to be split into three irregular fragments with obvious overlap and separation displacement.Meanwhile,a manubriosternal joint dislocation and left first rib cartilage fracture were observed.The retraction force of the shape-memory alloy staples was used to pull the fracture fragments together.Two more titanium locking plates were then used to fix the manubrium sterni and corpus sterni longitudinally,and the left first rib cartilage fracture was repositioned and fixed with a titanium locking plate.A postoperative computed tomography scan showed reduced and rigid fixation of the comminuted manubrium sterni fractures.The patient recovered well with no significant complaints of discomfort.The patient was discharged 10 days postoperatively after the stitches had been removed.CONCLUSION Shape-memory alloy staples had the advantage of being safe and effective during the repositioning and internal fixation of comminuted manubrium sterni fractures.Therefore,they provided a new surgical option for comminuted manubrium sterni fractures.
基金support from National Natural Science Foundation of China(No.82272099,51971222 and 51801220)Construction Project of Liaoning Medical Imaging and Interventional Medical Engineering Research Center(Grant No.18-006-9-01),STS program(No.20201600200042)DongGuan Innovative Research Team Program(2020607134012)and Basic Applied Research Program of Liaoning Province of China(No.2022020347-JH2/1013,2023JH26/103000016).
文摘For gastrointestinal anastomosis,metallic biodegradable staples have a broad application potential.However,both magnesium and zinc alloys have relatively low strength to withstand the repeated peristalsis of the gastrointestinal tract.In this study,we developed a novel kind of biodegradable high-nitrogen iron(HN–Fe)alloy wires(0.23 mm),which were fabricated into the staples.The tensile results showed that the ultimate tensile strength and elongation of HN–Fe wires were 1023.2 MPa and 51.0%,respectively,which was much higher than those of other biodegradable wires.The degradation rate in vitro of HN–Fe wires was slightly higher than that of pure Fe wires.After 28 days of immersion,the tensile strength of HN–Fe wires remained not less than 240 MPa,meeting the clinical requirements.Furthermore,sixteen rabbits were enrolled to conduct a comparison experiment using HN–Fe and clinical Ti staples for gastroanastomosis.After 6 months of implantation,a homogeneous degradation product layer on HN–Fe staples was observed and no fracture occurred.The degradation rate of HN–Fe staples in vivo was significantly higher than that in vitro,and they were expected to be completely degraded in 2 years.Meanwhile,both benign cutting and closure performance of HN–Fe staples ensured that all the animals did not experience hemorrhage and anastomotic fistula during the observation.The anastomosis site healed without histopathological change,inflammatory reaction and abnormal blood routine and biochemistry,demonstrating good biocompatibility of HN–Fe staples.Thereby,the favorable performance makes the HN–Fe staples developed in this work a promising candidate for gastrointestinal anastomosis.
文摘BACKGROUND The development of biodegradable surgical staples is desirable as non-biodegradable Ti alloy staples reside in the human body long after wound healing, which can cause allergic/foreign-body reactions, adhesion, or other adverse effects. In order to develop a biodegradable alloy suitable for the fabrication of surgical staples, we hypothesized that Zn, a known biodegradable metal, could be alloyed with various elements to improve the mechanical properties while retaining biodegradability and biocompatibility. Considering their biocompatibility, Mg, Ca, Mn, and Cu were selected as candidate alloying elements, alongside Ti, the main material of clinically available surgical staples.AIM To investigate the in vitro mechanical properties and degradation behavior and in vivo safety and feasibility of biodegradable Zn alloy staples.METHODS Tensile and bending tests were conducted to evaluate the mechanical properties of binary Zn alloys with 0.1–6 wt.% Mg, Ca, Mn, Cu, or Ti. Based on the results,three promising Zn alloy compositions were devised for staple applications(wt.%): Zn-1.0Cu-0.2Mn-0.1Ti(Zn alloy 1), Zn-1.0Mn-0.1Ti(Zn alloy 2), and Zn-1.0Cu-0.1Ti(Zn alloy 3). Immersion tests were performed at 37℃ for 4 wk using fed-state simulated intestinal fluid(Fe SSIF) and Hank’s balanced salt solution(HBSS). The corrosion rate was estimated from the weight loss of staples during immersion. Nine rabbits were subjected to gastric resection using each Zn alloy staple, and a clinically available Ti staple was used for another group of nine rabbits. Three in each group were sacrificed at 1, 4, and 12 wk post-operation.RESULTS Additions of ≤1 wt.% Mn or Cu and 0.1 wt.% Ti improved the yield strength without excessive deterioration of elongation or bendability. Immersion tests revealed no gas evolution or staple fracture in any of the Zn alloy staples. The corrosion rates of Zn alloy staples 1, 2, and 3 were 0.02 mm/year in HBSS and 0.12, 0.11, and 0.13 mm/year, respectively, in Fe SSIF. These degradation times are sufficient for wound healing. The degradation rate is notably increased under low pH conditions. Scanning electron microscopy and energy dispersive spectrometry surface analyses of the staples after immersion indicated that the component elements eluted as ions in Fe SSIF, whereas corrosion products were produced in HBSS, inhibiting Zn dissolution. In the animal study, none of the Zn alloy staples caused technical failure, and all rabbits survived without complications. Histopathological analysis revealed no severe inflammatory reaction around the Zn alloy staples.CONCLUSION Staples made of Zn-1.0Cu-0.2Mn-0.1Ti, Zn-1.0Mn-0.1Ti, and Zn-1.0Cu-0.1Ti exhibit acceptable in vitro mechanical properties, proper degradation behavior,and in vivo safety and feasibility. They are promising candidates for biodegradable staples.
文摘The NiTi shape memory alloy (SMA) bow staple consists of an arched body,one front arm and one rear arm.It has the function of shape memory and manyadvantages,i.e.,high strength,low specific gravity,strong retrieving force,highresistance to fatigue and erosion,nontoxicity,nonmagnetism and goodhistocompatibility.It can be widely used and make the fixation convenient and ef-fective.The staple has been used clinically in 152 cases of cranioplasty.Resultshave showed that duration of the operation is shortened and harm during the op-eration is reduced,because dura mater needn’t be seperated and the skull needn’tbe penetrated through.Some complications can be avoided and the operationbecomes simpler,safer and more reliable.The bow staple is suitable for fixationwith any kind of repairing material in cranioplasty and does not interfere withthe CT and MRI reexaminations.
基金the Ministry of Higher Education of Malaysia for the Malaysian International Scholarship and research funding under FRGS vote No. R.J13000.7824.4F810
文摘Elemental titanium(Ti)and nickel(Ni)powders were consolidated by spark plasma sintering(SPS)to fabricate Ti-51%Ni(mole fraction)shape-memory alloys(SMAs).The objective of this study is to enhance the superelasticity of SPS produced Ti-Ni alloy using free forging as a secondary process.Products from two processes(with and without free forging)were compared in terms of microstructure,transformation temperature and superelasticity.The results showed that,free forging effectively improved the tensile and shape-memory properties.Ductility increased from 6.8%to 9.2%after forging.The maximum strain during superelasticity increased from 5%to 7.5%and the strain recovery rate increased from 72%to 92%.The microstructure of produced Ti-51%Ni SMA consists of the cubic austenite(B2)matrix,monoclinic martensite(B19′),secondary phases(Ti3Ni4,Ti2Ni and TiNi3)and oxides(Ti4Ni2O and Ti3O5).There was a shift towards higher temperatures in the martensitic transformation of free forged specimen(aged at 500°C)due to the decrease in Ni content of B2 matrix.This is related to the presence of Ti3Ni4 precipitates,which were observed using transmission electron microscope(TEM).In conclusion,free forging could improve superelasticity and mechanical properties of Ti-51%Ni SMA.
文摘In order to treat scoliosis, a thermo-mechanical behavior study of shape memory alloy bone staple has been proposed. A pre-stretched shape-memory-alloy bone staple, which has been heated above the transition temperature, provides greater compressive force upon insertion between two vertebrae and allows the control of idiopathic scoliosis development. Until now, the optimal design has not been reached due to the lack of appropriate design tools for shape memory alloy devices. In this paper, a shape memory alloy bone staple model is proposed by developing a user subroutine UMAT based on Boyd et al. unified thermodynamic shape memory alloy constitutive law using the finite element analysis software, ABAQUS. The numerical results for superelastic and shape memory effect under the tensile and three-point bending tests are presented. Simulations of the shape memory effects and force generation of the shape memory alloy staple are also shown.
基金Supported by the National High Technology Research and Development Programme of China under Grant No 2003AA327010, and the National Natural Science Foundation of China under Grant No 60271028.
文摘The microstructure of CosoNi22Ga28 ribbon with the L10 structure is examined. The band-like morphology is observed. These bands with the width in a range of 40-200 nm appear along the transverse direction of the ribbon. The giant magnetoimpedance （GMI） effect in this alloy is measured. The results show that Co5oNi22Ga28 exhibits a sharp peak of the GAI effect. The maximum GAH ratio up to 360% is detected. The GMI effect measured versus temperature shows large jumps of the magnetoimpedance amplitude at the reversal martensitic transformation temperature 240℃ and Curie temperature 375℃C respectively. The jump ratios of the magnetoimpedance amplitude examined at these temperatures are about 5 and 10, respectively.
基金supported by the National Natural Science Foundation of China(Grant No.51976149)the Young Elite Scientists Sponsorship Program by China Association for Science and Technology(Grant No.2019QNRC001).
文摘Thermal energy storage has been a pivotal technology to fill the gap between energy demands and energy supplies.As a solid-solid phase change material,shape-memory alloys(SMAs)have the inherent advantages of leakage free,no encapsulation,negligible volume variation,as well as superior energy storage properties such as high thermal conductivity(compared with ice and paraffin)and volumetric energy density,making them excellent thermal energy storage materials.Considering these characteristics,the design of the shape-memory alloy based the cold thermal energy storage system for precooling car seat application is introduced in this paper based on the proposed shape-memory alloy-based cold thermal energy storage cycle.The simulation results show that the minimum temperature of the metal boss under the seat reaches 26.2°C at 9.85 s,which is reduced by 9.8°C,and the energy storage efficiency of the device is 66%.The influence of initial temperature,elastocaloric materials,and the shape-memory alloy geometry scheme on the performance of car seat cold thermal energy storage devices is also discussed.Since SMAs are both solid-state refrigerants and thermal energy storage materials,hopefully the proposed concept can promote the development of more promising shape-memory alloy-based cold and hot thermal energy storage devices.
文摘Non-stoichiometric Ni50Mn27 Ga23 polycrystalline ribbons are prepared by melt-spinning technique. The magneticfield-induced strain （MFIS） of Ni-Mn-Ga bulk alloy prepared by bonding the melt-spun ribbons is obtained. The experimental results show that Ni50Mn27Ga23 bonded ribbons exhibit a typical thermal-elastic shape memory effect in the thickness direction. The martensitic transformation strain of bonded ribbons is an expansive strain of about 0.3% without the magnetic field and a contractive strain of about -0.46% at the magnetic field of 1 T. The field can not only enhance the value of the martensitic transformation strain of the bonded ribbons, but can also change the direction of the strain. The bonded ribbons alloy presents negative MFIS and obtains a larger value of the strain though influenced by the adhesive between the ribbons. Therefore, the preparation technique of the Ni-Mn-Ga bulk alloy by bonding melt-spun ribbons is helpful to get rid of the size restriction of the ribbon and to broaden the applications of the ribbons.
