Aspects of the present disclosure are described in M. A. Hussein, M. A. Azeem, A. Madhan Kumar, S. Saravanan, N. Ankah, and A. A. Sorour; “Design and Processing of Near-β Ti—Nb—Ag Alloy with Low Elastic Modulus and Enhanced Corrosion Resistance for Orthopedic Implants;” J. Materials Research and Technology; Mar. 5, 2023; 24:259-273; incorporated herein by reference.
Support provided by King Fahd University of Petroleum & Minerals (KFUPM) under grant number INAM2108 is gratefully acknowledged.
The present disclosure is directed to alloys, particularly to an antimicrobial alloy of titanium, niobium, and silver, and a method of preparation thereof.
The “background” description provided herein is to present the context of the disclosure generally. Work of the presently named inventors, to the extent it is described in this background section, as well as aspects of the description that may not otherwise qualify as prior art at the time of filing, are neither expressly nor impliedly admitted as prior art against the present invention.
Metals, and alloys such as stainless steel, titanium (Ti), and alloys, and cobalt (Co) alloys have been widely used clinically, such as dental implants, hip and knee replacements, bone plates, and screws due to their high strength, wear resistance, good corrosion resistance, high fatigue properties, and good biocompatibility. Yet implant-related infection or inflammation remains one of the leading causes of implantation failure. The probability of infection after implantation depends on the severity of the fracture.
Antibacterial metals and alloys have been described. Antibacterial properties of Copper (Cu) and silver (Ag) containing antibacterial metal alloys, such as antibacterial stainless steel, antibacterial Ti, antibacterial magnesium (Mg) and alloys, and antibacterial Co alloy have been described.
Ti and its alloys have emerged in the biomedical industry due to their superior tissue compatibility, corrosion resistance, and mechanical properties. Since the late 1970s, for instance, the usage of Ti-6aluminium (Al)-4vanadium (V) (Ti64) alloy for total-joint prosthesis has expanded dramatically due to its Young's modulus (about 110 gigapascal (GPa)). However, the vanadium in the alloy is potentially hazardous to human health-thereby restricting its use in implants and prostheses.
Traditionally, β or near β-type Ti alloys with a low Young's modulus and high corrosion resistance, such as Ti-niobium (Nb)-zirconium (Zr), Ti-24Nb-38Zr-2molybdenum (Mo), Ti-14Manganese (Mn)—Zr, Ti—Mo—Nb—Zr, and Ti-24Nb-4Zr-8Tin (Sn) have been developed. However, none of the aforementioned alloys address post-transplantation infection issues. The antibacterial properties of coatings containing TiO2 has been described. Antibacterial properties of copper or silver containing titanium alloys have also been described. Studies also show that adding silver or copper to Ti-based alloys does not affect their biocompatibility and biocorrosion.
Although numerous implants have been developed in the past, there still exists a need to develop a bioimplant with reduced elastic modulus, enhanced corrosion resistance, and antibacterial properties.
An antimicrobial alloy comprising titanium (Ti), niobium (Nb), and silver (Ag). Further, the antimicrobial alloy comprises between 5 and 30 atomic percent (at. %) Nb, up to 3 atomic percent Ag, between 67 and 94.9 atomic percent titanium based on the total number of Ti, Nb, and Ag atoms, and the alloy does not comprise zirconium; wherein the antimicrobial alloy has at least 51 percent beta-titanium crystal structure and an elasticity modulus ranging from 60 to 85 GPa as measured by micro indentation.
In some embodiments, the antimicrobial alloy has a bulk densification percentage, ρex, ranging from 80.0 to 95.0% when the bulk densification percentage is calculated according to the equation
wherein ρex is the measured density of the specimen as measured by a high precision electronic densimeter, ‘a’ and ‘b’ are the weight of the specimen in air and water, respectively. ‘ρL’ and ‘ρa’ is the density of water and air, respectively.
In some embodiments, the bulk densification percentage ranges from 89.3 to 89.7% according to the same equation.
In some embodiments, the bulk densification percentage is around 86.2% according to the same equation.
In some embodiments, the antimicrobial alloy has a microhardness ranging from 2.692 to 2.742 GPa when measured according to ASTM E384
In some embodiments, the elasticity modulus is around 80 GPa as measured according to micro indentation.
In some embodiments, the antimicrobial alloy has a corrosion potential voltage ranging from −0.130 and −0.150 volts (V) measured using electrochemical impedance spectroscopy in at least one of the group consisting of artificial saliva and simulated body.
In some embodiments, the corrosion potential voltage is around −0.149 V measured using electrochemical impedance spectroscopy in at least one of the group consisting of artificial saliva and simulated body.
In some embodiments, the antimicrobial alloy inhibits gram-positive bacteria growth by 85 percent as measured by agar diffusion according to the equation
In some embodiments, the antimicrobial alloy inhibits gram-negative bacteria growth by 88 percent as measured by agar diffusion according to the equation
wherein N0 and N represent the average number of CFUs in control and TNA alloy samples, respectively.
A process for manufacturing the antimicrobial alloy is also described. The process includes placing Ti, Nb, and Ag metal powders in a mixing apparatus under Argon (Ar) atmosphere and mixing to produce a powder_mixture. The quantities of the Ti, Nb, and Ag metal powders in the powder mixture result in an alloy including 5 to 30 atomic percent Nb and up to 3 atomic percent Ag, 67 to 94.9 atomic percent Ti when the atomic percent is based on the total number of Ti, Nb, and Ag atoms, and the powder mixture does not include Zr. Further, the process includes milling the powder mixture to a desired particle size. Further, the process includes pressing the powder mixture uniaxially, and further sintering the powder mixture at a temperature greater than about 1100 degrees centigrade (° C.) followed by an isothermal annealing at the temperature greater than 1100° C.
In some embodiments, the mixture is sintered at about 1300° C.
In some embodiments, the isothermal annealing time is 2 hours.
In some embodiments, the temperature of the powder mixture is raised to greater than about 1100° C. at a rate of 10° C. per minute.
In some embodiments, the powder mixture is uniaxially pressed at 550 megapascal (MPa).
In some embodiments, the antimicrobial alloy is a bioimplant.
The foregoing general description of the illustrative present disclosure and the following detailed description thereof are merely exemplary aspects of the teachings of this disclosure and are not restrictive.
A more complete appreciation of this disclosure and many of the attendant advantages thereof will be readily obtained as the same becomes better understood by reference to the following detailed description when considered in connection with the accompanying drawings, wherein:
In the drawings, reference numerals designate identical or corresponding parts throughout the several views. Further, as used herein, the words “a,” “an” and the like generally carry a meaning of “one or more,” unless stated otherwise.
Furthermore, the terms “approximately,” “approximate,” “about,” and similar terms generally refer to ranges that include the identified value within a margin of 20%, 10%, or preferably 5%, and any values therebetween.
As used herein, the term “antimicrobial” refers to an agent that kills microorganisms or stops their growth.
As used herein, the term “alloy” refers to a metal made by combining two or more metallic elements.
As used herein, the term “elasticity” refers to the ability of a deformed material body to return to its original shape and size when the forces causing the deformation are removed.
As used herein, the term “corrosion” refers to a natural process that converts a refined metal into a more chemically stable oxide.
As used herein, the term “isothermal” refers to a type of thermodynamic process in which the temperature of a system remains constant.
As used herein, the term “annealing” refers to a heat treatment process that changes the physical and sometimes also the chemical properties of a material to increase ductility and reduce the hardness to make it more workable.
As used herein, the term, “isothermal annealing” is a heat treatment process similar to complete annealing with similar output, including creating pieces with reduced residual stress, improved machinability, and homogenized grain structures.
As used herein, the term “sintering” refers to a process of compacting and forming a solid mass of material by pressure or heat without melting it to the point of complete liquefaction.
Process for producing an antimicrobial TNA alloy.
Optionally, lubricants are included; example lubricants include, but are not limited to, stearic acid, stearin, metallic stearates or other organic compound of a waxy nature may be introduced into the mixing apparatus to reduce friction (and therefore even out density variations). The step is preferably carried out in an inert atmosphere to prevent metal oxidation.
Optionally, the individual metal powders of titanium, niobium, and silver can be mixed in a nitrogen atmosphere.
In some embodiments, the particle size of the powder mixture was more than 20 μm.
At step 54, the method 50 includes milling the powder mixture to a desired particle size. Ball, hammer, vibratory, attrition, and tumbler mills may be used to carry out this step. In some embodiments, the powder blends were mechanically alloyed at 250 revolutions per minute (rpm) for up to 60 hours in an inert argon atmosphere.
At step 56, the method 50 includes pressing the powder mixture uniaxially. In some embodiments, the powder mixture is uniaxially pressed at a pressure of 400-700 Mpa, preferably about 450-600 MPa, and more preferably to about 550 MPa. In some embodiments, cold compacting was carried out using a uniaxial hydraulic press, but other similar machinery may be employed. Tool steel die with a bore diameter of 20 mm was employed, and the samples were compacted at a pressure of 550 megapascals (MPa).
At step 58, the method 50 includes sintering the powder mixture at a temperature greater than about 1100 degrees centigrade (° C.) followed by an isothermal annealing at the temperature greater than 1100° C. In some embodiments, the sintering may be performed by placing the mixed powders into a furnace such as a tube furnace, for example, in a ceramic crucible (e.g., an alumina crucible) or other forms of containment, and heating to the temperatures described above. The furnace is preferably equipped with a temperature control system, which may provide a heating rate of up to 50° C./min, or preferably up to 40° C./min, or more preferably up to 30° C./min, further preferably up to 20° C./min, and most preferably up to 10° C./min. In preferred embodiments, the mixed powders are heated with a heating rate in the range of 1 to 15° C./min, preferably 3 to 10° C./min, to an elevated temperature (e.g., above 1100° C., preferably above 1200° C., more preferably to about 1300° C.) for 1 to 5 hours, preferably 1 to 3 hours, more preferably 2 hours. The method further involves annealing the sintered alloy to an isothermal annealing temperature of 700-1300° C., preferably 800-1200° C., where the sintered alloy is subjected to isothermal annealing for 1-10 h, preferably about 2-5 hours, more preferably for about 2-3 hours. The annealed alloy may be further process/subjected to steps like cooling, hardening/tempering operation to obtain the TNA alloy.
After MA, nanocrystalline β-Ti (body-centered cubic (BCC)) and α-Ti (hexagonal closed packing (HCP)) solid solutions with crystallite sizes of 7.44 nanometers (nm) and 3.47 nm, respectively formed. The sintered TNA alloy exhibited bulk densification percentages of 97%, with a microstructure comprising β-Ti, α-Ti, and a minor quantity of ultrafine Ti2Ag phase. The microhardness result showed that Ti-30Nb-3Ag possesses a Vickers hardness (HV) of 491.5. Ti-30Nb-3Ag alloy inhibited antibacterial growth by 85.75% and 88.81% relative to commercial alloy (Ti6Al4V) alloy and control (CPTi), respectively. In vitro corrosion-resistant results revealed that the Ti-30Nb-3Ag alloy exhibited a widespread passive area in the investigated anodic regions and presented higher impedance values compared to commercial alloys.
The TNA alloy was designed from biocompatible and non-toxic elements using a combination of molybdenum equivalency [Mo]eq, the d-electron alloy design method, and electron-to-atom (e/a) ratio methodologies. [Mo]eq was designed to denote the contribution of each element to the phase stability of Ti alloys. The average [Mo]eq value for the designed TNA alloy was 14.37, calculated according to previously proposed models. [Mo]eq value more than or equal to 10.0 is required for β stabilizer content. Bond Order (BO) and average metal d-orbital energy levels (MD) were calculated, and the values for the designed alloy are located in the β region in the BO-MD map. The computed (e/a) for the TNA alloy was 4.21which is around the stability limit of β-phase Ti alloy.
Embodiments of the present disclosure are directed to an antimicrobial titanium (Ti)-nobium (Nb)-silver (Ag) (TNA) alloy and a method of preparation thereof. The TNA alloy is preferably a Ti-30Nb-3Ag alloy (30 at. % of niobium, 3 at. % of silver, and 67 at. % of titanium) with enhanced corrosion resistance and antibacterial properties that is formed by mechanical alloying (MA) followed by compaction and sintering.
The alloy includes between 5 and 30 atomic percent niobium, preferably 10-30 atomic percent, 15-25 at. % or about 20 at. %, and more preferably about 30 at. % of niobium based on the total atomic percentage of the alloy. The alloy further comprises 1-10 at. %, preferably 2-5 at. %, and more preferably about 3 at. % of Ag based on the total atomic percentage in the alloy. The alloy further comprises about 65-70 at. % of Ti, preferably about 65-69 at. %, and more preferably about 67 at. % based on the total atomic percentage in the alloy. The alloy preferably consists of atoms of Ti, Nb and Ag.
According to an aspect of the present disclosure, the titanium of the antimicrobial alloy may exist in two crystalline states—hexagonal close-packed (alpha), and body-centered cubic (beta) state. In a preferred embodiment, titanium in the alloy exists in beta state. The crystallites of the alpha and beta state may range from 1-10 nanometers (nm), preferably 2-9 nm, and more preferably 3-8 nm.
The antibacterial allow has an elastic modulus between 60 to 85 GPa, preferably 65 to 82 GPa, and more preferably about 80 GPa as measured by micro indentation. The TNA alloy has a porosity ranging from 80 to 95%, preferably 85 to 90%, and more preferably around 86.2%. The TNA alloy has a microhardness ranging from 2.692 to 2.742 GPa.
From the microstructure (through SEM image analysis), β and α phase constitutes approx. 53% and 46% proportion, respectively with ≈1% of Ti2Ag rich phase at the grain boundaries. The average grain size of the α and β phases are 1.1 μm and 1.4 μm respectively. According to the XRD analysis, the alloy comprises two phases: β-Ti (BCC) and α-Ti (HCP). The microstructure was comprised of fine, equiaxed α grains encased in a β matrix.
The XRD data of mechanically alloyed powder after ball milling indicates that Ti, Nb, and Ag formed a metastable β solid solution. During the cooling stage of the sintering, a portion of the high-metastable β transformed into α Ti, and the surplus Ag precipitated to create an ultrafine Ag phase/Ti2Ag phase. The solubility limit of Ag in Ti at the α-β transformation temperature was around 4.7%. The Ti—Ag phase diagram reveals that the solubility of Ag in β Ti was approximately 14% at 1000° C. and declines with decreasing temperature. The crystallite size of the β-Ti and α-Ti phases is determined to be 11.7 nm and 17.3 nm for the sample sintered, respectively, using the Scherrer equation. The nanocrystalline alloys have higher surface energy and a larger surface area than coarse grains, and hence they interact with cells more effectively, resulting in increased cell proliferation and adherence to the alloy.
After incubation, the antibacterial capabilities of TNA alloy differed significantly from those of Ti64 and CPTi., Neither CPTI nor Ti64 developed a zone of inhibition in either gram-positive or gram-negative strains, as seen in
The results indicated that the inclusion of Ag increased the TNA alloy's antibacterial properties. The precipitation of Ti2Ag during contact sterilization determined the antibacterial performance of Ti—Ag alloys. Ag ion has a significant impact on antibacterial performance, and Ti—Ag alloys' antibacterial performance is determined by Ag ion from Ti2Ag.
The TNA alloy displays several unexpectedly advantageous effects. First, the TNA alloy shows surprising superior antibacterial growth inhibition compared to other titanium-silver alloys. Antibacterial growth inhibition for TiAg alloys typically occurs at higher Ag concentrations, usually between 4-5% when subjected to post-annealing surface treatments to roughen the surface and facilitate the release of silver ions. However, the TNA alloy of the present disclosure requires no such surface treatment to encourage silver ion release from the Ti2Ag precipitates. Second, the elasticity modulus is lower than other titanium-niobium alloys, making the TNA alloy a better match for bone. A closer elastic modulus match to the elastic modulus of bone lowers the risk of implant failure. Bone elastic moduli have been disclosed as ranging from 17.9-18.2 GPa in the longitudinal direction and 6.5-10.1 GPa in the transverse direction.
The PDP plot of the TNA alloy sample exhibited different behavior compared with the commercial alloys. The anodic slope of TNA alloy was less steep, indicating reduced anodic dissolution. Besides, unlike the commercial alloys, the TNA alloy showed a decreased current density in the section ranging from the start of anodic polarization to almost 2000 mV. Further, TNA alloy showed a widespread passive array in their anodic branches, validating a distinguishing passivation performance. Thus, these results indicated that the TNA alloy showed a passivation state in both mediums, whereas the commercial alloys showed an active-passive performance. A comparison of the PDP curves of the investigated samples thus suggested that for commercial alloys, artificial saliva (AS) is less aggressive than simulated body fluid (SBF); however, for TNA alloy there is no significant difference between the two electrolytes. PDP plots were further analyzed to calculate the passive current densities (ipass) and corrosion potential (Ecorr) and the obtained values are summarized in Table 4.
The nobler Ecorr along with the lower ipass is generally governed by improved corrosion resistance. From Table 4, the TNA alloy sample showed the highest Ecorr amongst investigated samples, revealing that the TNA alloy presents a higher corrosion resistance in terms of thermodynamics. In addition, the ipass is considered the most significant parameter in assessing the passive phenomenon of the alloys, and a lower ipass usually signifies a strong protecting oxide film. The ipass value of TNA was about one order magnitude lesser than that of commercial alloys in both investigated mediums, signifying the lower dissolution rate of the passive layer on the TNA alloy during the passivation process in comparison with the investigated commercial alloys.
Further to entirely illustrate the impedance response of TNA alloy in terms of quantifiable comparisons against commercial alloys, a simple equivalent circuit (EC) model, Rs[QdlRct], was used (
In some embodiments, the alloy can be used in a bioimplant. The alloy of the present disclosure can be used to form various implant stems, base plates and the like, including, for example, acetabular and femoral components of hip replacement implants; tibial and femoral components of knee replacement implants; tibial and femoral stems of knee replacements components of shoulder replacement implants; and non-articulating components of ankle and elbow replacement implants. Similarly, the alloys of the invention are also advantageously used to form fracture fixation devices and components such as nails, screws, and plates.
The following examples demonstrate an antimicrobial alloy, as described herein. The examples are provided solely for illustration and are not to be construed as limitations of the present disclosure, as many variations thereof are possible without departing from the spirit and scope of the present disclosure.
The phase compositions were determined using the XRD with a scanning rate of 2°/min from 20 to 90°. The microstructure was analyzed using a SEM using both secondary electron (SE) and backscattered electron (BSE) modes. Particle size, phase percentage, and grain size were determined using ImageJ software from SEM images of powders and sintered samples. Elemental analysis was characterized using EDX spectroscopy. Mapping was used to analyze the distribution of alloying elements. Samples for microscopic analysis were prepared using the standard preparation method by initially grinding the sample face using 240-1200 grit silicon carbide (SiC) abrasive followed by rough polishing using MetaDi 3 micrometers (μm) diamond suspension and finally fine polished using alumina suspension. Soon after polishing, the samples were dried and etched using (hydrogen fluoride (HF) 20%-80% water (H2O)) for 10 seconds (sec).
The hardness of Ti TNA alloy was evaluated using a Microhardness tester (NG-1000, NextGen, Canada). Vickers hardness is measured at 300-gram force (gf) load with a dwell time of 10 sec. Samples for hardness measurement were made flat and polished. The hardness value represents the average of 12 readings taken at least 1 mm apart on the sample in a straight line.
The elastic modulus was measured using micro-indentation. A 100 mN indentation load was applied at a rate of 200 mN/min with a 5 second pause time. A 3*3 matrix of indents were made the modulus values were calculated using the Oliver & Pharr method, [Oliver Warren Carl, Pharr George Mathews. An improved technique for determining hardness and elastic modulus using load and displacement sensing indentation experiments. J Mater Res 1992; 7 (6): 1564e83], incorporated herein.
Density was determined after sintering. Samples were ground and cleaned thoroughly before measuring the bulk density using high precision electronic densimeter (MDS-300, Alfa Mirage, Japan). The sample was weighed in air and then in water to automatically measure the sample density based on the Archimedes principle. The bulk densification percentage was calculated from the equation below:
Antibacterial activities were evaluated qualitatively using the agar diffusion method. Gram-positive (G+ve) bacteria Staphylococcus aureus (ATCC43300) and Gram-negative (G−ve) bacteria Escherichia coli (ATCC8739) were used in the present study to test samples of the developed TNA alloy, relative to commercial Ti64 alloy (control 1), and commercial CPTi (control-2). Bacterial colonies from an agar plate were incubated overnight at 37° C. in Luria-Bertani (LB) medium. The overnight bacterial culture was diluted to approximately 105 colony-forming units (CFU) per millilitre with sterile phosphate-buffered saline (PBS) solution. One hundred microliters of bacterial suspension were spread on an LB-agar plate, and sterile forceps were used to place samples to be tested on the agar. The samples were then incubated overnight at 37° C. on agar plates. Following incubation, the inhibition zone was analysed. The antibacterial inhibition efficacy was measured quantitatively using a modified method. 1 ml of a bacterial suspension in PBS solution containing approximately 105 CFU ml−1 was added to a sterile petri dish containing 9 mL of LB medium and the sample, which was then incubated at 37° C. for 48 hours while shaking at 100 rpm. After incubation, 100 microlitres (μl) of bacterial culture was extracted from each disk, and serial dilutions with PSB solution were repeated with each primary sample. After spreading 100 μl of sample diluent onto solid LB agar plates at 37° C. for 48 hours, the number of viable cells was manually calculated and multiplied by the dilution factor. There were three replicates for each sample.
The following formula was used to calculate sample inhibition efficiency rates:
where N0 and N represent the average number of CFUs in control and TNA alloy samples, respectively.
In vitro corrosion performance of TNA alloy samples were inspected in artificial saliva (AS) and simulated body fluid (SBF) using the Gamry Reference electrochemical workstation. The AS and SBF solution were prepared as explained previously. Three electrode cell assembly was utilized, in which TNA alloy with an exposure area of 1.76 square centimeters (cm2) acted as the working electrode, whereas saturated calomel (SCE) and graphite rod performed as a reference and counter electrodes, respectively. Open circuit potential (OCP) was monitored for 30 minutes (mins) before performing any electrochemical experiments to attain stable equilibrium. Electrochemical impedance spectroscopic (EIS) tests at OCP were done using the frequency region of 1 KHz to 1 mHz with 10 millivolts (mV) amplitude. The potentiodynamic polarization (PDP) curves of the TNA alloy samples were obtained from 0.250 vs OCP to 2 V vs SCE, with a scan rate of 0.1667 mV/s. All the corrosion tests were investigated by the Echem analysis software and replicated a minimum of three times to validate the reproducibility of the obtained data.
The elementary powders were weighed and prepared in an at % of Ti-30Nb-3Ag before being blended in a WC vial for two hours at 250 rpm in a Planetary Micro Mill PULVERISETTE 7 under a high purity argon atmosphere. The blended powder was pressed uniaxially at 550 MPa in a 20 mm die. The compacted powder was sintered under high-purity argon in a tube furnace (GSL-1700X. MTI) at a heating rate of 10° C./min to a temperature of 1100° C. 1200° C. and 1300° C. and then held isothermally for 2 hours.
Table 1 shows the chemical composition of the TNA alloy of Example 1.
The antimicrobial alloy of Example 1 has a predominantly (53%) beta-titanium crystal structure as measured by SEM. Table 1 summarizes the at % and corresponding wt % of TNA alloy Example 1. Table 2 summarizes the relationship between sintering temperature and density, densification percentage, and porosity for TNA alloy Example 1. Increasing the sintering temperature leads to increased alloy density and densification percentage, and decreased porosity. Table 3 summarizes the elastic modulus, and microhardness of the antibacterial alloy of Example 1. Example 1 has an elasticity modulus ranging from 60 to 85 gigapascals (GPa),
The bacterial growth inhibition results shown in
The parameters of electrochemical corrosion resistance tests and results are summarized in Table 4. The TNA alloy has a corrosion potential voltage ranging from −0.130 and −0.150 volts (V), particularly about −0.149 V. The corrosion resistance of the antibacterial alloy of Example 1 was superior as evidenced by the lower Ecorr potential and lower impedance values.
Collectively, the TNA alloy of the present disclosure possesses a number of advantageous properties that make the TNA alloy of the present disclosure an excellent candidate for surgical implants. The lower elastic modulus is a better match to the elastic modulus of bone compared to other disclosed alloys. The antibacterial inhibition properties will reduce the likelihood of post-implantation infections. Finally, the superior corrosion resistance of the TNA alloy of the present disclosure indicates that surgical implants made from the disclosed alloy are less likely to degrade than conventional alloys.
Numerous modifications and variations of the present disclosure are possible in light of the above teachings. It is therefore to be understood that within the scope of the appended claims, the invention may be practiced otherwise than as specifically described herein.